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spread disease which has been characterized by a pretty uniform range of mortality and of the conditions which influence its mortality in all civilized countries of the globe. Therefore, the verdict about any alleged remedy for it should depend upon the findings of a jury whose members should not only be competent, but also so numerous and of such difference in local- ity and nationality that all personal or local influences can be safely left out of account. The summoning viagra tablet 50 of such a jury would have been impossible in former times, but the recent impressive incident of Koch's tu- berculin shows that it can be now, as well as demon- strating that the medical fraternity of our age consti- tutes the only real international fraternity in the world. In that case the competency of the jury was proven by the fact that, notwithstanding the interest in the disease concerned was quite equal to that manifested in regard to diphtheria, and the reputation of the originator of the supposed remedy was the most calculated to in- fluence the jury favorably, yet the verdict was rendered in the negative virtually within four months. The antitoxin treatment of diphtheria, therefore, had to come before the same jury with the disadvantage of a presumption against it on account viagra tablet 50 of the failure of its predecessor in serum therapeutics. It has now been on trial buy viagra soft about a year and a half, with reports upon it coming from scientific observers both in public in- stitutions and in private practice, from Austria, buy viagra soft Ger- many, Holland, Belgium, Denmark, Russia, Japan, viagra tablet 50 June 20, 1S96] MEDICAL RECORD. 895 France, Italy, the British empire, including Australia, and, finally, from all America. It is the general ver- dict, if such there be, of these reports which any can- did physician will care to consider. In questions of therapeutics personal opinions or supposed personal experience are so beset with fallacies that errors can be minimized only by the calculus of very large aver- ages, and if the elements for these are not yet enough we must be content to wait until they are. No one voice, or, for that matter, a score of voices, however loud or vehement, are sufficient to affect the final verdict, for observations alone and not individuals have any standing in this court. As it is both wearying and difficult for an audience to listen to tables of figures, we will endeavor to shorten this task by limiting it to buy viagra soft one aspect of buy viagra soft the subject only, namely, the verdict of hospital reports on the comparative mortality in the treatment of diph- theria with and without antitoxin. My sources for this summary are Prof. William H. Welch's admirable paper in the Johns Hopkins Hospital Bulletin, July- August, 1895, and also a remarkably complete com- munication buy viagra soft on the whole subject of the statistics of the antitoxin treatment brought buy viagra soft up to May, 1896, by Dr. Arthur R. Guerard, of this city. I have been priv- ileged to read this paper, which for wealth of material and careful analysis of the different branches of the subject is so thorough and valuable that I hope it will soon be published in full. Beginning with Austria, we quote firstfrom the official hospital reports for the years 1894-95, the period just before and since the introduction viagra tablet 50 of the viagra tablet 50 antitoxic serum : St. Anne's Hospital, Vienna: Treated without anti- toxin, 760 cases; died, 385, or a mortality of 50.68 per cent. Treated with antitoxin, 159; died, 40, or a mortality of 25. 15 per cent. a reduction of more than 50 per cent. Treated to the buy viagra soft end of June, 1895, 560; mortality, 97, or 19. 1 percent. a reduction of about 65 per cent. We may here compare these statistics with those of the Kaiser and Kaiserin Frederika Hospital, Berlin: Treated without antitoxin, 217 patients; died, 103, or a mortality of 47.4 per cent. Treated with antitoxin, 384; died, 64, or a mortality of 16.6 per cent. a re- duction of 75 per cent. The official reports of the other hospitals for viagra tablet 50 this period unfortunately give the total mortality both with and without antitoxin, but even with this element, which reduces the mortality from what it should be if the tables included the deaths without antitoxin alone, the antitoxin reports taken separately show a decided gain. Thus : St. Joseph's Hospital, Vienna: Total cases treated. 299; deaths, 151, mortality 52.6 per cent. Treated with antitoxin, 42 ; deaths, n ; mortality 26 per cent. a reduction of 50 per cent, from the figures of the total of both without and with the antitoxin. Leopoldstadt Hospital, Vienna: Mortality with and without antitoxin, 34.9 per cent.; mortality with anti- toxin alone, 26.9 per cent. Crown Prince Rudolph Hospital: Mortality with and buy viagra soft without antitoxin, 36.5 percent.: with antitoxin alone, 20 per cent. Kaiser Franz Joseph Hospital, Prague: First mor- tality table, 28 per cent.; with antitoxin alone, 13.2 per buy viagra soft cent. University Clinic, Prague: First mortality table, 36.2 per cent.; with antitoxin alone, 20. S per cent. Anna Hospital, Prague: First mortality table, 13.7 per cent.; with antitoxin alone, 9.9 per cent. Child's Hospital, Buda-Pest: First mortality table, 41. 1 per cent.; with antitoxin alone, 17.5 per cent. From other parts of Germany the official hospital -eportsfor the same period show the same general uni- formity of decline. Thus: