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and love of personal praise. He ruined Ii is father's property in apparent speculation. He was a bitter enemy to his brothers and sisters, and was indirectly the cause of the death of his wife and drove his chil- dren from home. He was not miserly, but was, in his inner life, thoroughly dishonest and without the slightest conception of honor or duty to others. Yet he kept up a fair exterior, was a teacher in a medical college, with a large practice, and had no popular vices such as drinking or gambling. The mure his history was studied the worse it appeared. Decep- tion, fraud, and dishonesty marked every stage, and yet it was largely purposeless and without reasonable motive. The facts taken together had only one con- clusion and that was moral insanity. Some condition of the brain was literally deranged and malformed. Some central part that had not developed had been steadily retrograding. However difficult it may be to explain and make clear this term, there are classes of facts that can be described by no other name. The common expressions, vice, wickedness, ami depravity, used in the moral sense, become more and more con- fusing with each advance of science, and their use in any technical way is unfortunate for accuracy. The higher governing centres of the brain are clearlv dis- tinct from the lower, and what is moral, meaning the consciousness of viagra generic fda duty and obligation to others and conceptions of viagra online cleveland right and wrong, is clearly a later de- velopment. Evidently these centres are governed by the same laws which work in harmony in the healthy person, but may diverge greatly in other conditions. The belief that these centres may be undeveloped and diseased is along the line and sustained by both the physiologic and psychologic laws of existence and growth. The legal fear that the recognition of this disorder will be an excuse for crime is purely theoret- ical and visionary. The greatest danger viagra generic fda comes from the want of recognition of the viagra generic fda actual physical states which are manifest in criminal immoral conduct, con- duct that may not come under legal recognition, but is nevertheless disease and wide departure from the nor- mal standard. Every physician comes in contact with viagra generic fda persons who show by their acts insanity of every ele- ment that enters into the higher mentality. The terms commonly used to describe this condition should pass out of all accurate language. Medical men should study the facts of these cases, confident that they will all be found to come under some general lav, of dis- ease and degeneration. Had the actual physical con- dition of this doctor been known, the disaster of his life and the viagra online cleveland suffering of others might have been averted. Arguments over definitions and terms are absurd; the reality of moral viagra online cleveland insanity can be proven from facts which have no other meaning. Rigor Mortis in the Foetus in Utero A corre- spondent of The Lancet gives the following account of a recent observation of this kind : " Some few years ax> I sent an account to a contemporary of a case in which rigor mortis in the foetus in utero was the cause of difficult labor. During the last two years I have had three other cases, so that an event which I looked upon as rare must not infrequently occur; but it ap- pears to have passed unnoticed by the generality of practitioners, as every one to whom I have spoken about the matter has confessed that he had never even heard of, viagra generic fda much less seen, such a case, and the text- books do not mention it. The following notes of my last case are, I think, worth placing upon record. On viagra generic fda September 6th I was called in to a primipara, aged thirty-seven, by the midwife in attendance. The os was fully dilated, but no advance of the head had taken place for several hours. On applying forceps considerable resistance was experienced, and what I expected to find an easy forceps case proved to be quite the reverse. Progress was slow until I secured extension, when the head came clown well ; but further difficulty was experienced in extracting the body, which gave the impression of being much too large for the maternal passages. The foetus, however, proved to be not large, but rather under the average. The difficulty had arisen at the various stages : first, the normal viagra online cleveland flexion had not taken place, and at a later stage the stiffness of the neck had prevented extension, and the lateral flexion of the body had been interfered with owing to the same cause. Rigor mortis was well developed all over the body, the arms and legs being stiff and in the Hexed position. On balancing the child's body on one hand its back kept almost straight and the legs in the viagra generic fda same flexed position, the heels not dropping below the nates. Owing to the forcible viagra generic fda flexion of the neck, the head moved upon the trunk like a hinge-joint. At the moment of applying pres- sure with the forceps there was a crunching noise quite audible, sounding as if one were breaking a bone. The Friends of Man To viagra generic fda be the friend of man is not all viagra generic fda gain. Whether by a process of evolution or degeneration, many animals have become truly do- mesticated. They have come to depend on man for food, for shelter, for protection. On the other hand, the more closely they have lived with him, and espe- cially the more they have adopted the shelter of his roof, the more they viagra generic fda have become exposed to his great enemy tuberculosis. Professor Dele'pine, writing on this subject {The Hospital) has shown that taking very large numbers as the basis of his viagra generic fda estimate at least sixteen per cent, of cattle are afflicted with this disease; and that, whereas in some districts it may be comparatively rare, there are parts in which a non- tuberculous cow is the exception. Pigs also are af- fected in the same manner, although not to the same extent, about one viagra generic fda in every thirty-six being attacked by the disease. Cats and dogs also are subject to tuber- culosis, and it is to be feared that from their exceeding viagra online cleveland 826 MEDICAL RECORD. [June 6, 1896