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3. A Contribution to the Clinical .Study of Chronic Mov- able Kidney, By Philip Hicks. 4. The Use of Old Tuberculin Ointment in the Diagnosis and Treatment of Lupus Vulgaris, By A. Verge. Viagra 150 Mg Pills 5. Cancer of the Breast : Amputation and After Treat- ment by Secondary X Rays of Known Quality : A Suggestion, By William Mitchell. 6. A Note on Cleft Palate Operations, By Thomas Sinclair Kirk. 7. A Case of Dwarfism, By A. Viagra 150 Mg Pills A. Jubb. 2. Distribution of Appendicitis. — Williams makes a report on the distribution of appendicular inflammation, giving statistics from Abyssinia, Bel- gium, China, Denmark, Egypt, Greece, Ireland, In- dia, Italy, Netherlands, Norway, Persia, Roumania, Spain, and Sweden. He concludes that appendicitis has a markedly different incidence in various coun- tries and that this different incidence may be very Viagra 150 Mg Pills largely a question of diet. Many theses have been advanced to explain this relationship to diet. His statistics show that where there is a large meat eat- ing population there appendicitis is a common dis- ease, whereas in those countries where little meat is eaten appendicitis is rare if not almost unknown. There is no doubt, according to most people, that apart from improved diagnosis appendicitis has greatly increased in the British Isles in the last few decades. Very little evidence has so far been ad- vanced to any explanation of this. The greatest change in the diet of the people has undoubtedly been the marked increase in meat Viagra 150 Mg Pills eating. With the amount of foreign meat and canned food the poorer classes even are now able to supply themselves in fair quantity with meat of varying kinds, more par- ticularly mutton. The fat of meat, more particularly of mutton and beef, is characterized by the small amount of unsaturated fatty acid they contain. That the fat in the food determines Viagra 150 Mg Pills the nature of the fat in the tissues is well known. It would seem that this factor determines the nature of the soaps to be found in the wall of the intestinal tract (probably as a manifestation of their excretion), and where these soaps are the calcium soaps of saturated fatty acids there is usually some evidence of disease, either a mucous colitis or an intestinal lithiasis. In appendicitis, with which these two conditions are clinically associated, there is the same occurrence of these calcium soaps in the wall or in the lumen. In his opinion there is some evidence Viagra 150 Mg Pills to connect the nature of the fat in the food with the incidence of the disease. LANCET December j/, 1910. 1. Obesity and Certain Changes of Metaboliini, By Dr. O. Roze.n'ra.mi. Viagra 150 Mg Pills 2. A Simple Serum Diagnosis for Tubercle ; also a Meth- od of Obtaining an Immunity Index, By V. B. Nesfield. 3. The Clinical Aspects of "Juvenile General Paralysis," with an Account of a Case Treated with "606," and Observations on Prophylaxis, By J. Johnston Abraham. I. Obesity. — Rozenraad says that the effect of taking the waters at spas like Homburg or Mari- enbad would be an ephemeral one unless the pati- ents were taught how to diet themselves afterward. In Homburg great attention is given to dieting; every hotel keeper and proprietor of a lodging house is supplied with the necessary forms of diets, and special cooking is arranged. Some devote themselves exclusively to this dietetic task, and dia- betes or gout is treated in the same dietetic line. Should a dietetic cure not lead to satisfactory re- sults treatment with thyreoid is indicated, but in many cases thyreoid is advised when the diet alone would have helped the patient, if carried on for a certain length of time. For there are cases in which the retarded metabolism of obesity does not seem to yield to a dietetic treatment, and patients, though undergoing a course of diet for a length of time, say that they are fed with only 900 calories, do not lose weight. These cases are due to a constitutional tendency, and they are cases to be treated with thyreoid. The reduction of weight soon takes place and they remain less obese. During this treatment we have to watch the action of the heart and the pressure of Viagra 150 Mg Pills blood ; should the pulse increase, it would be advisable to discontinue this Viagra 150 Mg Pills treatment. The amount of thyreoid to be given, as a rule, is three grains, three times a day during the meals for a couple of weeks. No thyreoid ought to be given in the climacteric age. 3. "606" in the Treatment of Juvenile General Paralysis. — Abraham Viagra 150 Mg Pills reports a case Viagra 150 Mg Pills of juvenile general paralysis, treated with an injection of 0.3 gramme of salvarsan, without improvement. At the outset Ehrlich cautioned against the use of "606" in degenerative changes. In syphilitic and para- syphilitic affections of the nervous system, hopes of success may be entertained in cerebral syphilis, and amelioration of symptoms in some tabetics and re- missions in general paralytics may follow the use of the drug. To anyone, however, acquainted with the frequent remissions, and even sometimes complete cessation of ataxic and mental symptoms, for a time in tabetics and general paralytics without treat- ment, the evidence that such improvement is due to the use of "606" is not convincing, and the ne- cessity of early and systematic treatment to prevent these late manifestations Viagra 150 Mg Pills becomes increasingly ur- gent. In Wassermann's reaction we apparently have a means of discovering latent congenital syphilis in the children of known syphilitics, and these are the cases that seem particularly liable to develop juven- ile general paralysis. Considering, then, the appar- ent hopelessness of checking the malady by even the latest form of treatment, and the known fact that mercury has been proved time and again to be e(|ually useless, it is imperative that such children