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hastened. 6. Succus Allii in the Control of Suppuration in Wounds. — A. D. S. Cooke and V. Gabriel have found that with lotions prepared from garlic juice and dis- tilled water it has invariably been found, that how to buy viagra in singapore after washing out the vi^ound twice daily, and at the same time establishing drainage, a noticeable improvement occurs within 24 hours, and a very marked how to buy viagra in singapore and decided improvement within 48 hours. Not only has how to buy viagra in singapore the puru- lent discharge become markedly diminished, but where there has been pain this has either been much relieved or has disappeared in the same period of time, while no injury to the tissues has been apparent. The rea- son for employing succus allii in suppurating wounds is given as follows: One of the authors, following Min- chin, had for some considerable time how to buy viagra in singapore employed garlic juice in an inhalation for the treatment of active mixed infections in pulmonary tuberculosis with results which were often successful how to buy viagra in singapore in overcoming mixed infection caused by the ordinary pyogenic manforce viagra organisms. From this it was argued that a lotion containing succus allii, if brought into direct contact with organisms within a wound, should inhibit bacterial growth and check 'jus formation. As previous experience had shown that a freshly prepared lotion of succus allii 1 part to distilled water 3 or 4 parts, when employed in tuberculous sin- how to buy viagra in singapore uses, did not injure manforce viagra tissues, it was decided how to buy viagra in singapore to use lo- tions in the above manforce viagra strengths, washing out the wounds twice daily and maintaining where possible free drain- age. The first case, the details in which the lotion, succus allii 1 part and distilled water 4 parts, was tried was a case of empyema from which a large how to buy viagra in singapore quantity of very offensive, greenish-yellow manforce viagra pus was evacuated after the resection of a rib. The subsequent discharge w-as copious and foul-smelling, but after 48 hours it was noticed that the purulent discharge was free from odor and rapidly diminishing in amount. This was regarded as extraordinary, and it was decided to try the effects of the garlic juice lotion in other cases. The results were equally good. 7. Picric Acid as an Antiseptic. — H. L. manforce viagra Tidy con- cludes that a 0.165 per cent, manforce viagra solution of picric acid has the same bactericidal powers toward a culture of ty- phoid bacteria as has the standard 1 per cent, solution of carbolic acid. Thus the Rideal-Walker carbolic acid coefficient of picric acid is exactly 6. British Medical Journal. Sei)tember manforce viagra 11, 1915. 1. Observations Upon Acidosis in Diabetes ilellitus. A. P. Beddard, ]M. S. Pembrey and E. I. Spriggs. 2. The Significance of Alveolar Carbon Dioxide Determina- tions in the Treatment how to buy viagra in singapore and Prognosis of Diabetes. E. P. Poulton. 3. Paro.xysmal Hemoglobinuria. E. Erarys-Roberts. 4. Congenital Dislocation of Right Foot with Almost Com- plete Absence of Right Fibula. E. JI. Sympson. 1; Acidosis in Diabetes Mellitus. — A. P. Beddard. M. S. Pembrey, and E. I. Spriggs report the results of the investigations carried on during the past twelve years at Guy's Hospital. The chief practical result of this work has been the demonstration that analyses of the carbon dioxide in the alveolar air of the lungs afford an index of the degree of acidosis as a guide in treat- ment and prognosis. In cases of diabetes there is a relation between the alkalinity of the serum and the amount of carbon dioxide in the venous blood; the Oct. 9, 1915] how to buy viagra in singapore xMEDICAL RECORD. 623 two rise and fall together without being actually parallel. 2. Alveolar Carbon Dioxide Determinations in Dia- betes. — E. P. Poulton states that the object of alveolar CO: determinations is to measure severity of acidosis. Hence it is useless to apply the method when the manforce viagra urine, in a case of diabetes, gives a negative result with how to buy viagra in singapore the nitroprusside test. Under these circumstances the alveolar CO: pressure will always fall within normal limits. However, when the urine contains acetone bodies, it manforce viagra is usually impossible, from the nitroprusside or ferric-chloride tests alone, to say how severe the acidosis is. In any of these cases the alveolar CO: pressure is a sure guide. By its means eases can readily be divided into two categories: (1) The mild cases, in which the alveolar CO: pressure falls within normal limits; in these cases the prognosis with regard to coma is relatively good. (2) The severe cases, in which the alveolar CO: is definitely lower than normal; here the utmost care must be taken to prevent the onset of coma. All the time the CO: is below normal the patient is, how to buy viagra in singapore as it were, on the edge of a precipice, and any disturbance, such as sudden excitement or worry, or the administra- tion of too rigid a diet, may push him over the edge. In these cases the actual CO: pressure observed will give the measure of the danger. A value of 2 per cent, means that coma may supervene within twenty-four hours. A value of 3 per manforce viagra cent, or 4 per cent, is less dangerous; in manforce viagra the worst event, coma will not come on for at least two or three days. A sudden drop in the alveolar CO: is also of significance; it means that acidosis is increasing, and, though the immediate danger may not be great, there is always the possibility of a further increase until coma sets in. This sudden drop in the CO: pressure may be unaccompanied by symptoms, such as drowsiness, abdominal pain, or air- hunger; for these only appear when the CO: reaches