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resolution which, according to The General Practi- tioner, is "loaded," and is likely '"to scatter feathers and fly fur." This resolution is to the viagra side online effect that, as a condition for the recognition of any medical college in good standing, the colleges shall furnish the secre- tary of the State Board of Health, on or before January 1 st of each year, a complete list of all their matricu- lates, together with the basis upon which each appli- cant matriculated, giving the name of the institution from which the degree or certificate of graduation was obtained, or the name of the State official conducting the examination, or the college previously viagra side online attended, together with the date when the degree or certificate was issued. This list is to be sworn to by the execu- tive officer of the college, and attested by the secretary under the seal of the college. viagra side online The object to be accomplished by this resolution is the prevention of students matriculating and only par- tially attending courses, as well as to prevent the col- leges accepting students who have been sent away by other colleges, and we add, in the words of The Practi- tioner, " It will prevent some of the hurrah institutions from lying about their registration list to every student that comes to the city." BLOOD CHANCES IN DISEASES OF THE STOMA( 11. The changes in the blood resulting from chronic dis- orders of the stomach have recently occupied the at- tention of Dr. Blindermann. He has made careful examinations in eighteen cases of this kind, including various affections from gastritis and ulcer of the stom- ach to advanced cancer. The results of the observa- tions are published in the viagra online america Wiener Medizinische Blat- ter, October 31, 1895. The author was unable to discover any haematic changes in acute gastric disorders. But in chronic catarrh of the stomach and dilatation some slight dimi- nution in the proportion of haemoglobin was noticed. Nevertheless Dr. Blindermann expresses his surprise at this, since it is well known that chronic catarrhal affections of the stomach react profoundly on the gen- eral health. Without going into the details of the author's observations, his conclusions may be stated in the following propositions: It is possible lo establish a differential diagnosis between cancer of the stomach and the less serious affections of that organ by blood examination. With rare exceptions the distinction between ulcer of the stomach and carcinoma is greatly facilitated by examination of the blood. li is especially noteworthy that in cancer there is a steady diminution in the proportion of haemoglobin, viagra online america whereas in simple ulcer this is not observed. There can be no doubt viagra online america that gastric affections are often quite obscure, and if the systematic examination of the blood can aid us in arriving at an early diag- viagra side online nosis it clearly should never be omitted. We must remember, however, that Dr. Blindermann's cases are hardly sufficiently numerous to warrant far-reaching generalizations. CAFFEINE IN DISEASES OF THE RESPIRA- viagra side online TORY ORGANS. Although esteemed by some as of great value in cer- tain cases, the employment of caffeine has always been rather limited in extent. The drug is regarded as a serviceable heart tonic and a diuretic, and also as effi- cacious in the relief of certain forms of migraine, but this is about the limit of its application. According to Dr. E. M. Skerritt, however (7'/ie Practitioner. Vol. liv., No. 4), caffeine is possessed of considerable vir- tue in respiratory affections, especially in those where the element of spasm is prominent. It is in asthma especially that Dr. Skerritt has obtained good results with caffeine, and he believes that the drug is deserving viagra online america of much wider recognition than it has hitherto obtained in the management of this intractable and erratic complaint. Success does not always attend its use, he says, but its failures are perhaps fewer than those of any other remedy; and he has often remarked that when drug after drug viagra online america and specific after specific have proved unavailing, caffeine has afforded relief. The viagra side online action of the remedy in any individual case cannot be predicated, although as a rule the writer found more certain effects in adults than in children. The results were more uniform also in those cases in which there were no evident sources of peripheral irri- tation, such as dyspepsia or nasal polypi. The drug was given in five-grain doses, repeated every four hours during the paroxysm until relief was viagra online america afforded, and then at longer intervals. But it is not only in asthma that the writer above mentioned has observed good effects from the admin- istration of caffeine, for viagra online america they are exerted, he says, in any morbid condition in which muscular contraction of the bronchial tubes is a factor, and they are propor- tionate to the amount of such viagra side online spasm which is present in any given case. Thus, in acute bronchitis, when the existence of dry rales points to a narrowing of the tubes viagra online america from contraction of the muscular fibres in their walls, as well as to inflammatory swelling of the lin- ing membrane, caffeine will tend to cause relaxation of the spasm, and consequently relieve dyspnoea in so far as it is due to this element, but there will be no change in the physical signs indicating tumefaction of the mucous membrane or the presence of secretion in the bronchial tubes. There is often an element of true spasm in chronic bronchitis and emphysema; and upon this, Dr. Skerritt says, caffeine will be found to exercise a beneficial influence, allowing greater free- dom in the passage of air. thus relic ing the dyspna a and aiding much to the comfort of the patient. Caffeine has occasional lv been viagra online america found of service in