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Joseph D. Bryant, M.I)., President, in the Chair. Annual Reports of Officers and Committees By the report of the trustees it appeared that eighteen regular and special meetings canadian rx viagra had been held during the year; the academy building had been kept in repair; several valuable improvements had been made in the engine room, electrical plant, etc. ; the building had been kept insured ; through the counsel the taxes on the academy for the years 1894 and 1895 had been set aside under the exemption law ; the funds had been in- vested; the new library stack had proved entirely satis- factory ; the electric plant had caused a decided saving during the year, and had given more light than the street viagra com brand current had formerly done. The outstanding bonds amounted to Si 0,000. By the report of the Committee on Admissions it appeared that 7 1 applications had been received, 48 resident fellows had been elected, 13 non-resident fel- lows, 4 applications had been tabled. In the report of the Corresponding Secretary it was stated that there had been no foreign correspondence. The report of the Statistical Secretary showed an un- usual number of deaths, 22 fellows having died during the year. Report of the Library Committee. Different Eng- lish medical journals on file 80. American 7, French 140, German 167; medical journals in other languages 56; total 650. New books, 2,039. Duplicate copies of books 1,006. Pamphlets. 3,167. Total number of volumes in the library 33,140, being an increase during the year of 2,739. Readers registered during the year 6,574, or 590 more than for the year 1894. The total amount at the disposal of the Library Committee dur- ing the year had been $5,458. A viagra com brand deficit had been left of $79. For the year 1896 the committee asked for S5.000, which was $500 more than had been appropri- ated in 1895. The committee reiterated what had been said of the necessity for an endowment fund for the library. Bureau of Nurses By the report of this bureau it appeared that the number of nurses who had registered was canadian rx viagra 103, and the number who had re-registered was 152. Cash received, $1,237 > casn to the credit of the bureau, $371. Number of nurses sent out, 496. The Reports of the Treasurer of the Academy and the Treasurer of the Trustees were read by title. The Council recommended an appropriation of $4,500 for the use of the library for 1896. The rec- ommendation was adopted. In accord with a change made in the by-laws the names of fellows in arrears of dues will be posted. Infantile Intussusception : A Study of One Hundred and Three Cases Treated by Intestinal Distention or Laparotomy. Dr. Frederic Holme Wiggin read the paper (see p. 73). Statistics of Intussusception Deceptive. Dr. A. Jacoei, in opening the discussion, said he thought canadian rx viagra sta- tistics in connection with intestinal intussusception were very deceptive. Compared with the number of cases that really occurred, those which were reported IOO MEDICAL RECORD. [January 18, 1896 in the journals, as stated by the author, were very few. He certainly had seen a good many during the forty years which had elapsed since he first published a case, and he had not published another since. This was probably true of other physicians as well. It was probable also that many cases were not seen by the general practitioner; that they, especially of recent years, went direct to the surgeon. This would account for the fact that Dr. Jacobi had seen fewer cases during the past twenty years than before. Invagination a Preventable Disease. Dr. Jacobi believed that intestinal invagination was, in a large number of cases, a preventable disease. The healthy intestine was not apt to become invaginated. It was true the possibility was greater in the child than in the adult, for the reason that the attachment of the mesentery and peritoneum in the ileo-cajcal region was looser canadian rx viagra at the earlier period. Hut this alone was not sufficient reason for invagination except in the few cases where it w-as aided by violence without previous canadian rx viagra intestinal disease. One case had been reported in which the invagination had canadian rx viagra occurred during a violent paroxysm of whooping-cough. Here the cause was purely mechanical, as it was when the intussusception had taken place while jumping the baby up and clown in more or less violent manner. But another prevent- able cause was chronic diarrhoea. An enteritis which was viagra com brand cured early affected only the inner surface of the intestine. But if it were allowed to go on, the deeper layers, even including the peritoneal coat, became in- volved just as occurred in patches in typhoid fever. The gut in these spots showed grayish-yellow discolor- ation, was thickened and stiffened, so that invagina- tion was not alone encouraged, but was likely to result in perforations when it did take place. In one of his cases which had come to autopsy he found the tumor and viagra com brand viagra com brand five or six perforations at spots of the kind de- scribed. It had occurred in a child two years old who had suffered viagra com brand from diarrhoea both summers. canadian rx viagra Regarding treatment, Dr. Jacobi was of opinion that if enemata, viagra com brand properly employed, had no eltect within a very few hours, a surgeon ought to be notified. The pressure by enema ought not to be too great. The intestine was not like viagra com brand an iron pipe. Even in the nor-