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Dr. E. M. Schaeffer then read a paper entitled "The Physical Director of the Second and Nineteenth Centuries." It was an earnest plea to more logicallv convert medical practice into terms of sanitary art throughout all the specialties, and advocated a wider recourse to the natural therapeutics of the old Greek gymnasia or modern sanatorium. Prevention of Thirst after Abdominal Operations. Dr. John G. Clark then spoke of the " Prevention of Thirst Following Operations upon the Abdominal Cavity." Thirst is severe after operations, often as a result of the anaesthetic. Many methods have been suggested ; some suggest to give freely of water several days before the operation, but viagra sale discount so many operations must be done within twenty-four hours after the patient is seen that this suggestion cannot always be followed. In many cases viagra safest best vomiting is so severe that water cannot viagra sale discount be retained. He had tried enemata of salt solution, 0.6 per cent., viagra sale discount immediately after the operation. Com- paring patients treated in this way viagra sale discount with those given no water, the former were found to pass a larger amount of water in the first three days, the latter in the viagra sale discount last three days, so that by the seventh day all had passed about the same amount. He finds the routine use of this injection of great efficacy viagra sale discount in preventing thirst. Dr. T. H. Ashby then reported a case of " Accidental Rupture of a Pregnant Uterus ; Hysterectomy; Resec- tion of Eight Inches of Intestine; Recovery." Frequency of Contracted Pelvis in Baltimore. Dr. J. \V. viagra sale discount Williams then read a paper on "The Frequency of the Occurrence of Contracted Pelves in Baltimore," in which he reported the results of the measurement of one hundred women who were seen at the Johns Hopkins dispensary. His conclusions from these studies were that the pelves of Baltimore women were much below the normal. Dr. A. K. Bond said he thought the title of the paper was misleading, as the author should have stated, not that the contracted pelves had occurred in Baltimore, but that they were a small number of se- lected cases seen at the hospital dispensary. He did not think that it was fair to draw results from a few- picked cases seen at a special dispensary. Dr. Wilmer Brinton said that of six hundred cases which he had seen in the last few years many were below the measurements stated by Dr. Williams, and yet in only one case was an operation necessary. Dr. L. E. Neai.e said that while he had a large ex- perience in pelvimetry he found it was impossible to decide on an operation simply from the arbi- trary rules of some authority. He had found many cases which fell below the given degrees of measure- ment, and in which labor took its normal course, and he had found others in which the measurements ex- ceeded these stated and yet in which an operation was necessary. Dr. Williams said in conclusion that he had no intention of drawing deductions from one hundred cases seen at the Hopkins dispensary, but he simply wished to give the results of his experiments in pelvi- metry. Dr. Thomas S. Cullen then read a paper on '" Adeno-Myoma of the Uterus." Dr. W. W. RrssELL then read a paper on "Post Operative Recurrence and Metastasis in Carcinoma of the Uterus." Other papers were read by title. Officers for 1896-97. President, Dr. William Os- ier; First Vice-President, I )r. Wilmer Brinton ; Second Vice-President, Dr. Randolph Winslow. AMERICAN MEDICAL ASSOCIATION. Forty- Seventh Annua! Meeting, Held at Atlanta, 67(7., May j, 6, 7, and 8, l8g6 Continued. R. Beverly Cole, M.D., President, in the Chair. General Session. viagra safest best Fourth Day Friday, May 8th. The closing session of the association was called to order at the usual hour by the president. The Treasurer's Report Dr. H. P. Newman, of Chicago, presented his report as treasurer of the asso- ciation. This showed an encouraging increase in membership, and consequently in receipts. The bal- ance in the treasury is now greater than viagra sale discount ever before. A change has been made in the fiscal year whereby viagra safest best it now coincides with the calendar year. The Rush Monument. Dr. Rohe read a telegram which he had received from the chairman of the Rush monument committee, Dr. Albert L. Gihon, announc- ing that the Navy Department has assigned a site for the monument in the park facing the Museum of Hygiene in Washington. Address on State Medicine. Dr. George H. Rohe, of Baltimore, then read his address, taking for his subject "The Purification of Public Water Sup- plies." The most viagra safest best vitally important sanitary problem now viagra sale discount confronting American municipalities is unques- tionably the supply of pure water for drinking and other purposes. The fact that the occurrence of ty- phoid fever depends almost entirely upon an infected water supply is sufficient to demonstrate the impor- tance of viagra sale discount having the water supply free from pollution. Cholera is another disease in which outbreaks and ex- tension of the pest are dependent upon an infected water supply. But apart from the production of these specific diseases, pure water, or water free from all sorts of uncleanness, is demanded by the "sanitary conscience" of the public. It is, of course, better, if viagra safest best possible, to obtain a pure water supply than to attempt to purify a source of