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(3) the prevention of undue fatigue, especially im- portant in the case of women and the young, (4) July 7, 1917] MEDICAL RECORD. 29 the medical supervision of workers, and (5) the stimulation of industrial communities. It goes without saying that the proper sanita- tion of work places is of vital importance. In factories in which munitions are made, or in which aeroplanes are manufactured, ventilating of a thor- ough character is a sine qua non, if health is to be preserved. Washing facilities must be provided on a wide scale, and lunch rooms on the premises with a supply of good wholesome food at a reason- able cost are desirable, and in most instances neces- sary, adjuncts of factories in which male viagra tablet the handling of poisonous materials is involved. In male viagra tablet England the male viagra tablet supervision male viagra tablet of the food of munition factory work- ers, and of women workers in particular, has been found to be absolutely necessary. If the meals of these workers are not thus supervised a large num- ber, especially women, will eat inadequate and un- nutritious food, with untoward consequences from all points of view. The prevention of fatigue must be insisted upon, and the British experience has taught that one day's rest in seven is a necessity, and that not more than 56 hours weekly of heavy labor, 60 of moder- ately heavy work, and 64 of light labor can be endured for long without ill or disastrous effects. This country can learn much with respect to the safeguarding of the health of its workers in muni- tion factories and in establishments of a like nature, from the mistakes made by our Allies in the past. of the infection is of course quite distinct from that of treating an established condition. Reestablish viagra brand marketing ment of the Transparency of the Opaque Cornea. Corneal opacity is extremely common, and often develops with great rapidity. It is very rare to see these opacities undergo involution. To see an opaque cornea clear up is an experience which makes a strong, unforgettable impression. Dr. Santos Fernandez, in the Cronica M edico-Quirurgica de la Habana for June, calls male viagra tablet attention to the fact that he has placed two such cases on record. Both occurred in children, of which the first had suffered from ordinary ophthalmia neonatorum, and the other from a purulent ophthalmia of unknown nature. Since that period his list of such cases has in- creased. In one adult the cornea, after total opacity, cleared up spontaneously. In six other cases the cornea, after total opacity, cleared up partially, and the establishment of an artificial pupil made a cer- tain amount of vision possible. Much laboratory work has been viagra brand marketing done to determine the mechanism of corneal infiltration and opacity with a view of in- stituting some rational plan of treatment — thus far without success. Therapeutic measures can be em- ployed only at the outset, during the stage of infil- tration. Several Roumanian authors advocate the use of hot water applied directly to the cornea. There is also some reason for male viagra tablet believing that in keratitis due to specific microorganisms some forms of antibacterial or antitoxic therapy will prove curative. A few paradoxical cases show either remarkable spontaneous involution or the occasional efficacy of simple antisepsis. The subject of pre- venting corneal infiltration by intensive treatment Espundia and Blastomycosis. Espundia is a special form of leishmaniasis with secondary manifestations in the nose and mouth which prevails in parts of South America and is due to the parasitism of the so-called American variety of the Leishmania tropica. For our knowledge of it we are indebted chiefly to Escomel of Peru (.1911). The primary lesion (called chancre from analogy) is a cutaneous manifestation on some exposed portion of the body such as the dorsum pedis. The discov- ery was made that antimony given viagra brand marketing as male viagra tablet tartar emetic by intravenous or intramuscular injection is viagra brand marketing a spe- cific for the disease, suggesting the sterilizing action of its congener arsenic in spirillum and trypanosome disease. In the Re vista de la Asociacion Medica Argentina Escomel describes and illustrates cases of espundia and blastomycosis of the oronasal re- gion. The resemblance in the photographs is con- siderable, enough to make diagnosis difficult in cer- tain cases, especially since it has been learned that the two affections may coexist in the same subject. The treatment test viagra brand marketing is highly practical because anti- mony has no influence on blastomycosis. In a hy- brid of the two affections the espundia component yields promptly to treatment, leaving the blasto- mycitic component intact. Escomel prefers the in- jection of Martindale's solution of antimonium oxide to tartar emetic as much less irritating. On the other hand, the latter male viagra tablet is used in powder form as a dressing with great benefit. SfeuiH of % Wnk. Medical Position Open. — The Municipal Civil Service Commission of New York City announces