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MEDICAL RF.CORD. [July 7, 1917 three years an attempt had viagra egypt price been made to discover changes in the bacterial flora of children as a result of feeding them with artificial foods, particularly protein milk. The stools of breast-fed children reveal small Gram-negative bacilli, small Gram-positive bacilli and micrococci, and large Gram-positive bacilli. Cul- tures on plain and dextrose-agar gave only Gram- negative bacilli, Bacillus coli and Bacillus lactis sero- genes. The small Gram-positive cocci and bacilli could be obtained by transferring material to acid broth. They were aciduric organisms (B. acidophilus, etc.) . The large Gram-positive bacilli were a;robic spore bearers and could be obtained only by heating material to 85° C. and incubating for twenty-four hours. Artificially viagra price taiwan fed children had shown the same types of Gram-nega- tive organisms, the same small Gram-positive micrococci and bacilli, but in addition a great profusion of large Gram-positive bacilli. The authors believed that these organisms were definitely increased in certain condi- tions, particularly by the use of special articles viagra egypt price of diet. Observations on viagra price taiwan the Treatment of Myelocytic Leu- cemia by Radium. — Dr. Herbert Ziegler Giffin of Rochester, Minn., reported thirty patients with myelo- cytic leucemia treated by means of the direct applica- tion of radium element over the spleen. The effect of the general condition of the patient, the size of the spleen, viagra price taiwan hemorrhages, and the blood pictures viagra egypt price was entered into, as well as the reaction and the radium burns. In the method used he made applications with 5 to 10 mgs. viagra egypt price of radium in a tube for from viagra price taiwan three to four hours, with a total exposure of twenty-four to thirty-six hours. A belt that was used for protection against radium burns was described and presented. A combination of viagra egypt price the proper treatment with exposures to radium seemed to him to be the best treatment for myelocytic leucemia. Dr. Alfred Stengel of Philadelphia reported his ex- perience with the .x-ray treatment in leucocytic leucemia. His experience with the treatment with radium was practically nil. The number of cases he had treated with the .r-ray was in the neighborhood of fifty and the records that were available were forty-two. In many of these cases the clinical improvement was far out of pro- portion to that of the blood condition. More of the cases had eventually better results clinically than those cases in which the improvement in the blood picture was not- ed. Leucocytic leucemia like pernicious anemia seemed to be a relapsing disease. He suggested this as a possi- ble end result in treating cases of leucemia. viagra price taiwan They had had a number of patients who lived four or five years, perhaps six years; eight years was the maximum dura- tion of life. Dr. Francis W. Peabody of Cambridge, Mass., said at the Huntingdon Hospital their results had been as Dr. Giffin had described. There was a remarkable drop to the normal of the white count and a decrease in the size of the spleen. It seemed to him that these cases should be followed up with great care: they should re- turn for examination once every viagra egypt price week or once every month. Some only returned when the symptoms ap- peared again. When they returned as a rule the spleen was enlarged and the blood count was very great. At present they had one case that had been viagra price taiwan under observa- tion for a period of four years, and he was apparently in very good condition. In every case that showed evi- dences of being cured they tried to keep the blood count down as nearly as possible to the normal. These cases appeared to be perfectly well if their blood count was kept between 20,000 and 30,000. So soon as the blood count viagra egypt price rose and the spleen enlarged then further treat- ment was definitely indicated. He had little opportunity of comparing the effects of the .i-rav and radium. They had had one or two cases where the treatment bv the r-ray had no beneficial effects. He was not convinced, however, that the y-ray was used in a satisfactory man- ner. Dr. Leonard G. Rountree of Baltimore asked what experience the members had had with the acute type of leucemia. He reported the case of a girl who gave a brief five or six weeks' history of her trouble. She was anemic and had an enlarged spleen. She was given a transfusion and applications of radium were made. She died at the end of ten days. An exposure of the radium for twenty-four hours had no effect on the spleen, prob- ably because she did not live long enough. He asked if any present had had any experience with this combined type of therapy; also if any had had any experience with the relapses that occurred, and whether they could get the disease under control by specific treatment. Had any tried the injections of the soluble radium salts? It seemed to him that such treatment restored the bone marrow to a great extent. Dr. Lewellys Franklin Barker of Baltimore re- ferred to some practical studies from the theoretical side. One wondered if the mass of bone marrow cells originated in the marrow and collected in depots, or did they arise from other tissues. He rather favored the view that this condition existed all over the body. Fat- ty bone marrow only developed the cells. The pathogen- esis was very obscure. One thought of some abnormal stimulus, some primitive stimulus. If this were true then they were dealing with a tissue disease and not a bone marrow disease. There was a stimlating effect with a viagra egypt price tendency to proliferate; if so, how could radium do good? It destroyed a great many cells. Was the de- struction of the cells limited to the spleen where applied, or was it diffuse over the body? Of viagra price taiwan course they were treating the whole of the symptoms rather than viagra egypt price the dis- ease itself. They should consider all the accessory fac- tors that could be of help in the therapy of the disease. Dr. William S. Thayer of Baltimore agreed with what was said in regard to viagra price taiwan the relapses in this disease. He always regarded this disease as related to pernicious anemia. There was, too, its spontaneous disappearance under the viagra price taiwan old fashioned treatment by arsenic. Dr. S. Solis Cohen of Philadelphia said he had the opportunity of observing the results from both kinds of