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are not an infrequent occurrence after the use of pharyngeal anesthesia. The contrast between the 10 MKDICAL RECORD. [July 7, 1917 intrapharyngeal and intratracheal insufflation ought to be viagra online offers evident at a glance. In the intratra- cheal insufflation all foreign substances are driven backward. In pharyngeal insufflation, on the con- trary, foreign substances are driven directly into the lungs. Furthermore, as a method of anesthesia, I discarded the intra-pharyngeal insufflation very- early" on account of the profound effect which it produces upon the animal; in viagra prescription wikipedia several instances I had to continue the insufflation without anesthesia for the purpose of administering artificial respiration for longer than half an hour before the animal started breathing spontaneously. I wish therefore to be explicit in my statement. 1 recommend the use of my apparatus for viagra online offers pharyngeal insufflation only for artificial respiration in cases of emergency and I advi.-:e especially against its use as a routine method for the administration of an- esthesia. Finally, I wish to call the attention of authorities who are frequently confronted with the need of artificial respiration (superintendents of hospitals, health and police departments, first-aid stations, etc.) that in the method which I described here we possess a reliable and easy to handle procedure and a comparatively very cheap resuscitating apparatus. It viagra prescription wikipedia is highly desirable that the men who viagra online offers may have to perform the resuscitation by means of this appar- atus, should familiarize themselves with the ap- paratus and the mode of procedure. The apparatus and its use are very simple ; but even the most sim- ple thing requires some practice in handling it properly. REFERENCES. 1. Arthur Keith: Lancet, 1909, I, pp. 745, 825, 895. See also: Lilijenstrand: Uber kiinstliche Atmun, Mit- teil. a. d. Grenzgeb. d. Med. viagra prescription wikipedia u. Chir., XXVI, 407, 1913. 2. Fell: Buffalo Med. and Surg. Jour., November, 1887. 3. Northrup: Medical and surgical reports of the New York Presbyterian Hospital, 1896. 4. Matas: viagra prescription wikipedia American Medicine, III, 97, 1902. 5. E. A. Schafer: Harvey Lectures, 1907-08, p. 223. 6. Ploman: Scand. Arch. f. Physiol., XVIII, 57, 1906. 7. Lilijenstrand, Wollin, and Nilsson: Scand. Arch. f. Physiol, XXIX, 149, 1913. 8. A. Loewy: Berl. klin. Woehenschr., 1914, p. 1657. 9. viagra online offers Yandell Henderson: Technical Paper 77, Bureau of Mines, Washington, D. C. Government Printing Office, 1914, p. 12. 10. S. J. Meltzer: Jour, of the Amer. Med. Assoc, LVIII, p. 1413, 1912; LX, 1407, L913. 11. Yandell Henderson: Jour, of the Amer. Med. Assoc, LXII, p. 1, 1916. 12. S. J. Meltzer: Jonr. of the Amer. Med. Assoc, LVIII, 1413, 1912. 13. S. J. Meltzer: Jour, of the Amer. Med. viagra online offers Assoc, LX, 1407, 1913. ) :; West Onh Hundred and Twbntt-first Street. Acute Tuberculous Peritonitis. — Ceballos and Segura report a case of this affection in a girl of 16. The diag- nosis was perforative appendicitis, and an emergency laparotomy revealed the true state of affairs — miliary tuberculosis of the intestine. The patient recovered. — Rerista de viagra online offers la Asociacion medico Argentina. Papulonecrotic Tuberculide. — Vianna reports viagra prescription wikipedia the case in a youth of eighteen of papulonecrotic lesions about the neck and shoulders and lichen scrofulosorum on the trunk. There was a history of tuberculosis and a posi- tive cutireaction. Treatment consisted of arsenic and codliver oil. — Brazil-Medico. TREATMENT OF HAYFEVER AND ASTHMA BY PITUITRIN AND EPINEPHRINE Kv ERNEST ZUKBLIN, M.D., CINCINNATI, OHIO. ASSOCIATE PROFESSOR OF MEDICINE, UNIVERSITY OK CINCINNATI; MEDICAL DIRECTOR, CINCINNATI TUBERCULOSIS HOSPITAL. In a former communication (MEDICAL RECORD, March 3, 1917), I published favorable results ob- tained by treating asthma cases with pituitrin and adrenalin injections. Since then several cases of hayfever have come under my observation in which a similar treatment was applied with good results. I need not enter upon a detailed discussion of the etiological factors which are closely related to the current conceptions of immunization and anaphy- laxis. Clinical and therapeutic experiences have established the fact that certain individuals present