controlled, silagra online the interpretation of their residts is of
little value. When these tests are properly per-
formed, they can be used to assemble facts from an
individual case which measure the progress of the
disease in more or less quantitative fashion, and
which make possible the establishment of a logical
and systematic form of treatment.
Treatment of Human Anthrax by Normal Bo-
vine Serum. — J. Penna. J. B. Cuenca. and R.
Kraus ( Monografias del Instituto Bactcriologico del
Dcpt. Nacional de Hygiene, Buenos Aires, January,
1920 ) report three hundred and eighty cases of an-
thrax treated with normal bovine serum with a
mortality of six and two tenths per cent. They
found that the normal serum was quite generic silagra as efificient
as the serum of animals immunized against anthrax
by inoculation : furthermore they verified their
former findings that serum sickness does not result
from the use of bovine serum heated twice to 56° C.
They also proved that the mixture of bovine serum
\\ith horse serum prevented the serum sickness
which so often occurs when the latter is silagra 50 mg used alone. order silagra
They used in severe cases intravenous injections of
from thirty to fifty c.c. of the normal bovine
serum every twenty four to thirty six hours up to
a maximum of two hundred and fifty c.c. In mild
or benign cases intramuscular or subciUaneous in-
jection sufficed.
Autohemotherapy in Protracted Infections. —
(i. Mouriquand {Lyon medical. June 10, 1920)
notes that some acute infections, having passed into
the subfebrile stage, persist for weeks or silagra 100 mg months,
as though vaccination of the patient's system could
not be brought to a conclusion. Such dragging
infections seem in some respects comparable silagra cipla to
cases of pleurisy with delayed absorption, in which
(iilbert has recommended autohemotherapy cheapest silagra to initi-
ate absorption of the fluid. -\ case of peliosis
rheimiatica is reported in wliich this procedure was
ap]5lied, apparently with complete success. The
])atient was a wet nurse aged thirty years, who had
been suffering for six weeks from joint involve-
ment and erythema multiforme, which resisted
salicylates and aspirin, and recurred every two or
three days. The temperature had hovered about
.38° C. throughout the six weeks. Four mils of
the patient's own blood, collected in citrate solution,
was then injected into the stibcutaneous cellular
tissues. On the next day the temperature de-
scended silagra uk to normal and joint and skin manifestations
completely disappeared. Three weeks later they
had not yet returned.
October 30, 1920.]
PRACTICAL THERAPEUTICS AND PREVENTn'E MEDICINE.
693
General Anesthesia. — Alberto R. Egana {Sc-
niana Mcdica, April 29, 1920) in buy silagra uk an extensive con-
sideration of the subject arrives at the cheap silagra following
conclusions: 1. silagra tablets Minor surgical operations or those
on the extremities are best buy silagra done imder nitrous oxide
oxygen. 2. order silagra online For all operations requiring complete
muscular relaxation, especially in abdominal sur-
gery, the nitrous oxide ether sequence is the method
of choice. 3. Chloroform is too dangerous for
general use, silagra price but it may more safely be mixed with
ether. 4. The open method of giving ether is al-
ways to be preferred. 5. Intratracheal insufflation
is of value for thoracic operations. 6. Rectal anes-
thesia with ether in five per cent, oily solution is
suited to operations buy silagra online oa the head and neck com-
bined with local anesthesia. 7. Morphine and atro-
pine injections are to be used systematically.
Local Anesthetic Action of Saligenin. — A. D.
Hirshfelder. A. Ltmdholm and H. Xurrgard (Jour-
nal of Pliannacology and Experimental Therapeu-
tics, June, 1920) report experimental and clinical
studies on saligenin — salicyl alcohol — and other
phenyl carbinols as local anesthetics. Saligenin
proved the best of the entire series of phenolic alco-
hols investigated. It has the lowest toxicity, the
least tendency to form wheals or edema, and the
highest selective action in blocking the sensory
nerves. The anesthesia was found to last longer
than with procaine or benzyl alcohol. In tonsillec-
tomy anesthesia with two per cent, saligenin solu-
tion uniformly proved as satisfactory as that with
0.2 per cent, procaine. Two sebaceous cysts were
removed by Stratte under two per cent, saligenin,
ingrowing toenail operations buy cheap silagra performed under it b\'
Stratte and Robitshek, an inguinal hernia dealt with
satisfactorily by Tinker under one per cent, sali-
genin, sensory block of the silagra tablet mandibular nerve for
over fifteen minutes obtained purchase silagra in two cases by Schien
with silagra 50 a four per cent, solution, and a like solution
used with success for cystoscopy by Wynne.
Herpes Iris. — A. J. Chalmers and Xorman
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