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duction in the sugar content was probably one reason why infants fed on eiweiss milch did not gain; the idea that it was because the salts were not furnished, ac- cording to present theories, did not hold. Dr. Henry Koplik expressed the opinion that the sugars should be limited to normal quantities. If large quantities were given, the child gained, then stood still, and then lost. Nothing was gained in the viagra preise deutschland long run by feeding viagra preise deutschland large amounts of sugar. Dr. viagra for sale pay paypal Gerstenberger asked if the protein content of the food fed these children was also high. With a high protein content a higher percentage of sugar could be given. Dr. De Witt H. Sherman of Buffalo referred to tests that they had made as to the effects of the differ- ent sugars on gastric secretion. Six per cent, dextro- maltose, cane, and milk sugars, dissolved in barley water were given. They found that the babies took all the solutions well; that cane sugar viagra for sale pay paypal stimulated the secre- tions more than milk sugar; that dextromaltose stimu- lated the secretions twice as much as milk sugar. It was important to remember this in feeding infants with hjTDersensitive stomachs. Dr. Griffith said he had found that infants took from 10 to 13 per cent, of carbohydrates well. It was not a question of temporary gain. They had had bet- ter results with this method than with any other. Dr. Dunn, in closing, said that in his series of cases the gain in weight was retained, fat intolerance might be caused by an excess of sugar or protein fermenta- tion. The amount of protein in the food made a great difference in the sugar tolerance. The sugar should be boiled to avoid the possible viagra for sale pay paypal bad effects of gas snores or other impurities that might be present. Finkelstein was now using higher percentages of sugar than for- merly. The Indications for Treatment in Severe Diarrhea in Infancy. — viagra preise deutschland Drs. John Howland and W. McKim Mar- riott of Baltimore considered a type of diarrhea which all recognized as particularly serious in infants. It was especially likely to occur in those infants that, as a result of diarrhea, were more or less mal-nourished. After perhaps a few days of mild diarrhea the stools became large, watery, and frequent. The infants were at first restless and sleepless; later it was frequent for stupor to develop, and oftentimes coma. The urine was very scanty and extremely acid, frequently containing albumen and casts, and sometimes sugar. Respiratory symptoms were very often present especially toward the close of the disease. These might consist in a slightly increased ventilation of the lungs or the dis- turbance might be so great as to amount to severe dyspnea. There was, however, no cyanosis. Post-mor- tem, the lesions were insignificant. This type of diar- rhea had been called "toxicosis" by Czerny and "alimentary intoxication" by Finkelstein. During the past summer, many determinations had been made with reference to the alimentary air. In infants who had severe diarrhea, especially if dyspnea was present, the carbon dioxide tension was found to be very much lower than in health, and the more severe the dyspnea the lower the carbon dioxide tension. It was found also that as improvement took place, the tension rose. As low carbon dioxide tension was one of the evidences of an acidosis, other evidence of this had been sought. The blood serum had been examined by the phenolphtha- lein test of Sellards and it had been found viagra for sale pay paypal that in in- fants with severe diarrhea, a change could be noticed varying from slight diminution in the color to complete absence of color. The viagra preise deutschland hydrogen ion viagra for sale pay paypal concentration of the serum had also been investigated and had been found to be increased. The urine of these infants had been found very scanty and strongly acid. These infants had a very marked tolerance for alkali, whether given by the mouth, intravenously, or subcutaneously; three, four, or even five times as much alkali had been required to cause an alkaline urine as in health. There was also evidence afforded by the influence of the alkali when given intravenously and subcutaneously. When the alkali had been taken in sufficient amount it had brought about a normal hydrogen ion concentration of the blood, had caused the Sellards test to give a deep purple with phenolphthalein, had stopped dyspnea, and had caused a return of the carbon viagra preise deutschland dioxide tension of the alveolar air to normal, or even abnormally high limits. An examination of the urine for acetone bodies had usually been without result. In \new of these findings it seemed perfectly fair to say that these patients suf- fered from acidosis and from a very severe acidosis. The acidosis was probably a relative one, caused by the loss of alkali from the intestines. It seemed therefore bad practice to give cathartics which would irritate an intestine already too irritated and cause a loss of ma- terial from the bowel which it was vitally necessary for the infant to retain. Unless an infant was dis- tended, cathartics were contraindieated; opium was to be given in amount only sufficient to diminish the ex- cessive diarrhea. It was also necessary to give soda by mouth, by rectum intravenously or subcutaneously. The intravenous was the method of choice, if a vein was accessible. It should be given in large doses to cause a cessation of the dyspnea and alkaline urine. This method of treatment improved the likelihood of recov- ery but did not mean that recovery would inevitably ensue. The severe acidosis might be combated and yet death might take place. In closing, Dr. Howland said that this condition should not be termed "food intoxica- tion"; it w-as not due to the presence of abnormal sub- stances, but to the absence of substances that were very normal and necessary to life. Dr. Gerstenberoer asked Dr. Howland what dosage of alkali he gave by the mouth and intravenously. Dr. Koplik said that onium viagra preise deutschland was a dangerous drug. It was difficult to gauge the dosage in severe cases of diarrhea in infants and he did not see why one should stop diarrhea and neristalsis which was nature's wav of eliminating noxious substances. Years of clinical experience had taught him that it was best to treat babies without opium of anv kind. Dr. Ch.vrles Gilmore Kerley of New York said onium was one of the best drugs they had if used in