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forty- to sixty per cent, in the course viagra tablet prices of fifteen months. We must be sceptical of results reported when the methods of determining the cure are not definitely given. Wickham's suggestion is to cut the hair and leave viagra tablet prices undisturbed for a week, cutting again and leav- viagra pill splitter ing undisturbed for two weeks, and finally examining after a second two weeks and only then putting the case down as a cure. The best cure for ringworm is pu- berty. It is self-limited. The writer doubts the effi- cacy of epilating the healthy hairs on the margin of the patch. It may aid in distributing the disease to neigh- boring parts. Indiscriminate epilation is of no avail. In the series reported the average duration was five and a half months. In those cured the treatment lasted seven and a half months. In six patients a vigorous treatment was carried out for periods varying from thirteen to seventeen months without wholly eradicat- ing the disease. In addition to repeated hair-cutting and epilation, parasiticides were employed, such as bichloride, carbolic acid, and iodine, various plasters, collodion and gelatin paint to exclude the air, croton oil and other irritants to set up inflammation in the follicles. The bichloride in particular was thoroughlv tested in strong solution as introduced by Razin fortv years ago. Strengths of from one-half to two per cent, have been used, but never continued long enough to work a cure. Naphthalin in twenty-per-cent. oint- ment has given encouraging results, two cases being cured after five and a half weeks. Two cures resulted from veratrine, from eight to thirty grains to the ounce. In some eases treated by chrysophanic acid there was no viagra tablet prices improvement whatever. One case was cured in nine weeks. It does nut seem to reach far enough into the follicles, and is powerless against the deeply situated fungus. Preparations of mercury have proven the most efficacious of those used. Under any drug we must corroborate Wickham's dictum that the treatment cannot practically be reduced viagra pill splitter to less than eight months. Treatment of Scalp Ringworm in institutions was the title of a paper next read by Dr. Charles W. Allen, of viagra tablet prices New York, in which the great difficulties of securing proper co-operation of managing-boards was pointed out, especially in isolating the cases and in taking the measures necessary to a speedy stamping out of epidemics. The use viagra tablet prices of "'clippers'' in asylums and other children's institutions was deprecated, be- cause it was found that while these instruments are capable of being cleansed, the disinfection is not so easily accomplished as is the case with shears, and in point of fact diseased and healthy heads are indis- criminately operated upon in many institutions with- out the necessary precautions, thus rapidly spreading the disease. Epilation, to be of any use and to make sure of its doing no harm, should be employed only in the variety showdng distinct circumscribed patches of limited number, and should be carried out only by trained assistants possessed of tact and intelligence. Cutting the hair close at weekly intervals over the entire scalp of boys viagra tablet prices and girls alike he had found the most practical. It was advisable that graded wards be established in all institutions in which epidemics occur, so that the cases apparently cured may at once be placed by themselves away from the viagra tablet prices cases still surely infectious, and transferred from these after an interval to still another intermediary ward before being finally sent back among the well children. Several epidemics in different children's institutions were drawn upon for the cases observed, and the de- viagra pill splitter ductions reached from their observation and treat- ment noted. In the last series of ninety cases in an infant asylum, after trying the usual forms of mercurial and other parasiticide remedies, a large number were treated with chrysarobin in collodion, which gave ex- cellent results and applied in this combination les- sened the dangers and disadvantages of the staining and inflaming qualities of the drug. It was thought, too, that the viagra pill splitter collodion acted favorably by shutting out the air, since the fungus has been demonstrated to grow in a much more flourishing manner when an abun- dant supply of atmospheric air is supplied. Though not so necessary as when the ointment is employed, the writer advocated the use of a caoutchouc cap fit- ting snugly the forehead, if not the entire scalp. Un- na's suggestion to raise only the back of the cap viagra tablet prices when new ointment is applied, while a good point, is not so necessary when the collodion is used. The matter of paramount importance is to make sure a patient is well in fact, and not only so in surface appearance, before being discharged. Another and more important thing for institution authorities is to practise painstaking scrutiny of the scalp as a prerequisite to admission of new cases having to mingle with the mass of in- mates. It is much wiser and better financially, if in no other way, for an institution to viagra tablet prices prevent epidemics than to cure them, or, as some do, by their short- sighted methods, to cause them. The reported quick cures of chronic scalp ringworm are for the most part fallacious. Several months of patient and painstaking attention are usually necessary. The speake rhad, however, seen during epidemics viagra pill splitter instances of rings presenting pink borders develop upon the scalp of blond babies, oc- casionally viagra tablet prices implicating the skin of the forehead and the scalp region equally, which were cured within a very brief period by applications of iodine or chrysarobin. Discussion. Dr. Wolff, of Atlanta, said he had had extensive experience in institutions, and agreed with Dr. Allen's conclusions concerning the necessity for isola- tion. The plan viagra tablet prices of treatment found most satisfactory is to avoid epilation and to rub in twice a day the fol- lowing: R Chrysarobin 5 Salicylic acid 2 Ichthyol 5 Vaseline 88 viagra tablet prices This must be persisted in for several weeks and followed by K Powdered zinc oxide 6 Precipitated sulphur 4