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er associated with varicella or not. if not directly dependent upon that condition. In conclusion I wish to express my sincere thanks to Dr. Judson for referring the case to me and for - his cooperation in the care of the same. References. Hamann. Medical News, l.xi, p. 363, 1892. James Andrews. Clinical Society Transactions of Lon- don, xxiii, p. 79, i8go. Cronk. Quoted by Andrew, p. 82. Crocker. Mcdicochirurgical Transactions of London, Ixx, p. 397. Demnie. Wiener mcdizinische Blatter, xv, Pfizer Viagra Online Pharmacy pp. 27. S3> 1892. Berard and DeLavit. Essai sur les anomalies de la va- riole ct de la vari'celle; avec I'histoire analytique de I'epi- deniic cruf>tive qui a regnc a Montpelier en 1816, p. 223. Storer. Boston Medical and Surgical Journal, i, p. 212, 1828-9. . I'aader. Quoted by Andrew. .'vrthur Hoffman. Berliner klinische Wochenschrift, xxi. p. 012, 1884. Jonathan Hutchinson. Lancet, iS8t, ii, p. Pfizer Viagra Online Pharmacy 751. Stokes. Quoted by Hutchinson. Fagge. Quoted by Lipes, p. 3. Buchlcr. American Journal of the Medical Sciences, xcviii, n.s., p. 265, 1889. Lowenhardt. Rheinische Monatsschrift, iv, p. 34, 1850. Hauard. British Medical Journal, 1883, i, p. 37. [ Stanii'ooth. Medical Press and Circular, 1890, i, p. 37. ' Jamieson. Transactions of the Mcdicochirurgical So- ciety of Edinburgh, vi, n.s,, p. 10, 1886-7. Abercrombie. Transactions of the Pathological Society of London, xxxi, p. 333, 1880. Drewit. Pfizer Viagra Online Pharmacy Lancet, 1881, ii, p. 751. Rowly. Ibidem, 1885, i, Pfizer Viagra Online Pharmacy p. 987. Payne. Transactions of the Pathological Society of Lon- don, xxxvi, p. 471, 1885. Woodward. Pacific .Medical and Surgical Journal, xxxii, p. 19O, 1889. Barlow. Quoted by Hutchinson. Baudouin and Wickham .4nnales de dermatologie ct de syphilographie, December, 1888. Ehlers, Quoted by Lipes, p. 10. Annates de dermatol- ogie et de syphilographie, 1891, p. 793. ^ Lzbthv and Demarque. Revue mcnsuelle des maladies de I'enfancc, February, 1905, p. 49. Oettinger. Quoted by Lipes, Pfizer Viagra Online Pharmacy p. 10. Lipes. .Albany Medical Pfizer Viagra Online Pharmacy Annals, xxi, p. i, 1900. 332 South Seventeenth Street. AN IMPORTANT FACTOR IN CIRCULATION.* By Achilles Rose, M. D.. New York. There are mechanical forces in our body which distribute the blood and other fluids. It is not the heart alone which moves the water, there are fluctu- ations of blood and other lluids in the body upon which the heart Pfizer Viagra Online Pharmacy exercises no influence ; their distri- bution in the body takes place in threefold manner : I. As blood or lymph in the vessels: 2, as tissue juice in certain spaces between and within the or- gans : 3. in constituting the most important part of the cells. A common feature of these three systems consists in the fact Pfizer Viagra Online Pharmacy that they may be mechanically dilated or compressed, and they are also dilatable and compressible of their own force. The fluid contents of any part of the body may depend upon the condition of the tissue and be to- tally independent of the blood circulation in the ves- sels, because the distribution of blood or water is partly regulated by the function of the muscles and the influence of this function on the vasomotor nerves. The distribution of water, however, also depends on circumstances and surroundings in which the bloodvessels are imbeddcPfizer Viagra Online Pharmacy distribute the fluids, but in order to be able to regulate these forces it is necessary first to know them. The most important active force of water is its gravity. It flows from above downward. If now gravitation were the only point to be considered, the parts situated at a lower level should contain the most water, so that the lower extremities would be in a constant state of hyperaemia or (xdema, be- cause the cardiac systole is not powerful enough to drive the venous blood back into the heart. Here come the ncr-ri irrigenies into play ; they dilate the veins and the vascular dilatation creates a vacuum which has to be filled, in other words, suction takes place. The heart is not only a pressure pump, as was taught by Harvey and as has been the teach- ing for centuries, it is also a suction pump. The interdependence of the pressure and the suction forces is subject to changes: in health they bal- ance each other. The motion of Pfizer Viagra Online Pharmacy the arterial blooil