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instituted by the commission. Authoritative Diagnosis of Gonorrheal Stoma- titis. — [. r.. Stein points out how obscure and difficult the diagnosis of this condition is. In the urethra the number of cocci resembling the gono- coccus is small, but the reverse of this is true in the mouth and nasopharynx. At the present time the finding stromectol canada of a living contagium plays the chief role in the diagnosis. "The fact that the meningo- coccus and other forms of cocci are to be found in the secretions of the nose must arouse much caution. The morphological and staining charac- teristics of the meningococcus and gonococcus are very similar, and it is only order stromectol possible to distinguish them from each other by cultural methods, the conclusions from which should be confirmed by the use of the sugar litmus serum agar media of von Lingelsheim. Personal Experience with Neosalvarsan. — The following are the conclusions reached by T. .^. Van Riempst: i. Neosalvarsan is preferable to salvarsan on account of its equal efficiency, lesser toxicity, and easier mode of administration. 2. In an early diagnosis of syphilis we can prevent the appearance of secondaries by the timely injection of neosalvarsan. 3. The doses in children and in- fants should be based on body weight — preferabh- 0.015 gramme for every kilogramme of body weight. 4. Neosalvarsan is not a positive cure for syphilis, but is superior to mercury, potassium iodide, or mixed treatment, and should always be resorted to when lesions persist under such treat- ment. 5. The intravenous is preferable to the in- tramuscular injection, on account of the severe pain and frequent abscess formation and sloughing pro- duced by the latter. 6. The introduction of a small amount of air into the vein has no deleterious efTect upon the patient. 7. The intervals between the in- jections should never be less than one week. stromectol purchase Indicanuria, the Feces, and the Sulphates of the Urine. — J. C. Warbick reports the results of the examinations in generic stromectol eleven individuals. First, a meal consisting chiefly of buy cheap stromectol beefsteak was taken, order stromectol online along with coffee and bread ; after which an ex- amination of the urine was made in each instance, or after every meal, and the results were tabulated from time to stromectol price time. At each examination the amount of the feces passed was noted, and also their color and odor, as tending to have some part in the formation of indican in the urine, and also as having some influence on the amount of sul- phates, which were remarkably high on some oc- casions — far beyond the buy ivermectin amount of chlorides and phosphates. The highest point the sulphates reached was the unusual figure 50.775. and the lowest, 1. 155; thus making a wide range. Indican was found in eight stromectol 3 mg of the urinary examinations. while twice it was absent under circumstances when it might have been expected, namely, stromectol for scabies a high specific gravity and a large amount of sulphates. .\t none of the other examinations when all the conditions necessary for its formations seemed |)rcsent was the amount of indican high. Pneumonia; Immediate and Contributing buy stromectol online Cause of Death; Rational Treatment.— \V. C. K. r.erlin has made investigations which indicate that the more profound the infection and toxemia, the more viscid is the blood stream. The successful treatment bears a clo.'^e relation to this condition, and the first efYort should he directed to the pre- vention buy cheap ivermectin of this viscosity, or so much so as to relieve the great strain which it imposes on the heart until the scabies stromectol regular cycle of the disease has passed. One of the early diagnostic features in pneumonia is the deficiency of chlorides in the urine. It would seem reasonable to supply this evident lack of chlorides in the blood and tissues, and this is easily accom- l^lished by giving intravenously large amounts of isotonic saline solution at more or less frequent in- tervals. This also dilutes the blood stromectol uk and, in addi- tion, stimulates the kidneys and facilitates the elimination of toxic material. Some two years ago the author introduced to the profession the safe administration of an iodine solution intravenously as a treatment for tuberculosis and bronchial affec- tions. Since then he has noted, in experiments upon blood, that this solution, added in small quantities to a large amount of blood, prevents coagulation. To the isotonic saline solution he has therefore added this iodine solution, to which were stromectol for lice added creosote and guaicol, for their anesthetic and germicidal action. Although the number of pa- tients so treated has been too small to be conclusive, everyone has recovered, in spite of the fact that several had been given an absolutely bad prognosis by competent consvdtants. AMERICAN JOURNAL OF TROPICAL DISEASES AND PREVENTIVE MEDICINE. July. 191;. Trypanosoma Americanum in Naturally In- fected Animals. — Foster M. Johns reports hav- ing found the Trypanosoma americanum in the blood of each of forty-three adult cattle and in two out of seven yearlings coming from widely separated localities in the United States. The number of trypanosomes found varied from two to twenty-one in each ten c. c. of the whole blood. Different forms analogous to the "male" and "female" specimens described for other trypano- somes could be demonstrated. Surgical Treatment of Elephantiasis. — Ru- dolph Matas, after discussing the stromectol online procedures ad- vocated by various surgeons in elephantiasis and elephantoid states dependent upon chronic obstruc- tion of the lymphatic and venous channels, reports, with H. B. Gessner. two cases in which Kondoleon's operation was performed. This procedure consists stromectol buy in the free excision of the fascia lata in the thigh ivermectin stromectol and leg and suture of the cheap stromectol skin directly over the un- derlying muscles, and is intended to establish new, permanent anastomotic channels between the su- praaponeurotic and the infraaponeurotic lymph spaces. In the cases reported, both operated in the leg only, encouraging results were obtained ; in the first case the benefit has been maintained for five

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