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the quest for such a method ahtiost hopeless. The fact that glycosuria appears in animals within an hour or two after extirpation of the pancreas indi- Generic Viagra Vs Brand Name cates that there can be Generic Viagra Vs Brand Name but little of the internal se- cretion of the pancreas in the blood at any one time ; this fact doubtless accounts for the failure of trans- fusion to cause an\' distinct improvement in experi- mental diabetes. It has been suggested that the pancreas may excrete the internal secretion as rapid- ly as it is formed, somewhat as the liver excretes urea as it is formed ; if this is the case there would be, at any one time, but little of the internal secre- tion in the pancreas available for therapeutic pur- poses. There are, however, encouraging prospects in other directions. Thus, the theory that the un- doubted value of oatmeal in certain cases of dia- betes is due, in part at least, to a specific effect upon the internal secretion of the pancreas has much to commend it. That certain foods do have specific efifects upon some of the organs of internal secre- tion has been made rather probable by Hunt's ex- periments on the thyreoid, to which reference was recently made in this Journal. NITROGEN STARVATION AND THE HIGH COST OF LIVING. The epigram that "it is the cost of high living rather than the high cost of living," like most epi- grams, is only partly true. The physician himself realizes that the cost of living is higher not only from his individual experience, but from his intimate- insight into the lives of his patients. Nitrogenous foods are the most expensive, and it is in the cost of the nitrogenous foods that the highest rate of in- crease has taken place. The impoverishment of the coastal soil of the Atlantic seaboard, which has led to its abandonment by farmers for the richer soils Generic Viagra Vs Brand Name (jf the West, has consisted mainly in an impoverish- ment of the nitrogenous constituents Generic Viagra Vs Brand Name of the soil. To replace the nitrates, which have been used up. we have imported from Chile and Peru something like 350.000 tons of nitrates annually. These deposits, however, are being exhausted and, so we are told, will disappear entirely within the next thirty years. Even now the reduction in the output has led' to a marked' increase in the cost. From time to time scientists have sounded a note of alarm over the disappearance of the supply of nitrates, and the consequent starvation which confronted the hu- man race. Malthus himself, we believe, assigned the fear of nitrogen starvation as one of the justifi- cations for his proposal to limit the increase of pop- ulation. The introduction of electrolvtic chemistrv was hailed as offering the long sought for means for replenishing the diminishing supply of the world's nitrates, but the cost of producing nitrates by elec- trolytic action is practically prohibitive. The dis- covery of the fact that certain nodules found on leguminous plants harbor bacteria, whose function is the fixation of atmospheric nitrogen, was also wel- comed as offering the long sought solution of the problem of a supply of nitrates. Both by private individuals and by governmental bureaus efforts were made to perfect methods which would enable the farmer to obtain cultures of these nitrifying bac- teria, to introduce an adequate supply Generic Viagra Vs Brand Name of nitrates without recourse either to electrolytic action or to the nitrate fields of South America. Theoretically, these bacteria supply a complete solution of the problem, but in practice it was found impossible to furnish them in quantities and of a kind which would prove commercially of value to the farmer. The dried cultures were found to deteriorate rapid- ly. The cultures in solutions of nitrates in the cul- ture medium, although they lived, lost their activity to a large extent. Cultures in sealed tubes soon exhausted the supply of nitrogen contained in the tube and died of nitrogen starvation. We under- stand that cultures have now been placed on the mar- ket in which the bacteria obtain an ample supply of nitrogen through an air filter which Generic Viagra Vs Brand Name prevents con- tamination of the medium with extraneous bacteria, and that these cultures are bred in increasingly higher strains of nitrifying activity so that they pro- duce from 100 to 600 times as much nitrates per colony as do the ordinary nitrifying bacteria found in the average soil. If the reports which reach us regarding the richness of yield of these specially bred bacteria are correct, and they seem authentic, it would seem that the danger of nitrogen starvation is finally passed and that it will only be a matter of time when through the propagation and distribu- tion of these beneficent bacteria the cost of living will take a definite downward course. Not only in Generic Viagra Vs Brand Name therapeutics, apparently, must we look to bacterial products for aid ; we must depend upon Generic Viagra Vs Brand Name them in dietetics as well. A REMARKABLE CASE OF HERMAPH- RODITISM. In the Journal de inedecine de Paris for April 8. ii)ii, there is summarized the report of Professor M. A. Lapointe on an extraordinary case of her- maphroditism that came under his observation. The individual was twenty-one years of age, had been brought up as a woman, and presented most of the physical characteristics of a woman save that he OBITUARY.— NEWS ITEMS. 893 had two well developed testicles. Desiring to marry a man, he had presented Generic Viagra Vs Brand Name himself at a surgical clinic Generic Viagra Vs Brand Name with a view of having the unbecoming growths extirpated. Examination disclosed marked aplasia of the penis, the scrotum divided into two pseudolabia majora. separated by a pseudovulvar cleft; there was no vagina, and the condition might be described as a perineal or vulviform hypospadias. Physically this hermaphrodite looked the woman, with the characteristic slope of the shoulders, the