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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