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tion are: Redness, swelling, pain, heat, and disordered function. 2. Septicemia is a condition due to microorganisms multiplying in the blood, and is characterized by viagra para diabeticos high temperature, but not relieved by getting rid of the original source of infection. Pyemia is due to particles of blood clot carrying microorganisms to parts distant from the viagra para diabeticos original source and there setting up meta- static abscesses. .3. \'ariefies of talijjcs: TaliiJes eqainus consists in extension of the foot, with spasm or shortening of the Achilles tendon, and usually with viagra in japan a loss of viagra in japan power in the anterior tibial group. Talipes varus is an inversion of the foot, associated with rotation at the midtarsal joint. TalijKs viagra in japan calcaneus is characterized by elongation of the tcndo Achillis and of the muscles associated therewith, by shortening of the anterior tibial group of muscles, and by slight flexion of the toes. Talipes valgus is a deformity of the foot in which eversion is a prominent feature. Talipes cavus results from bony subluxation at the midtarsal joint and contraction of the plantar fascia, and produces an exaggeration of the normal transverse arch of the foot. Talipes cqiiinovarus is a deformity in which the heel is drawn up, and the anterior part of the foot is inverted and drawn inwards. Treatment : "It may be treated in the early stages by viagra in japan fixing the foot in good position by a series of plaster-of- Paris casings, or by using a malleable metal splint. viagra in japan Tenotomy of tendons which hinder reduction in some cases is necessary, with the subsequent application of plasters. If the ligaments on the inner side of the ankle hinder reduction, viagra para diabeticos they should be divided. In the neglected cases, where the patient has been walking on the outer side of the foot, tarsectomy is necessary. .•V v.'edge of bone, with its base outwards, is removed by a chisel or saw, irrespective of the joints, from the tarsus in front of the peroneal groove on the cuboid. The foot can then be brought into good position, and maintained so by plaster-of-Paris" (Aids to Surgery). 4. Treatment of acute appendicitis: The patient should be kept in bed; no food is viagra para diabeticos to be given for the first twenty-four hours; after this, fluid and jellies may be given; cooling drinks may be allowed in modera- tion ; the pain can be relieved by hot or cold applica- tions on the right viagra para diabeticos iliac region, or morphine may be given if necessary (and only after the diagnosis has been made) ; an enema of olive oil or glycerine may be given to empty the bowels (if loaded). The indications for operation vary according to the views of the surgeon. Some maintain that every case of appendicitis should be operated on as soon as the diagnosis is made. Others would operate only in case of rupture, or when suppuration occurs, or in cases which do not improve in a week or so, or in cases which are steadily getting worse. Probably all would agree in taking out every appendix that has undergone more than one mild attack. 5. Stop the bleeding, remove foreign matter, make it as aseptic as possible, coapt the edges, keep the part at rest. 6. In dislocation of the lower viagra in japan jaw, the mouth is open and cannot be closed, the jaw protrudes, saliva dribbles from the mouth, speech and swallowing are difficult, and there is a depression in front of the ear. Treatment: The surgeon wraps his thumb (for protection), then presses downward and backward on the lower molar teeth; as soon as the condyle is loosened the jaw is closed by pushing up the chin. A Barton bandage is applied and worn for about fourteen days. 7. The general signs and symptoms of fnvcture are: History of injury, disability, pain, sv.elling, deformity, abnormal mobility, and crepitus. 8. An oblique inguinal hernia is covered by: Skin, superficial fascia, aponeurosis of external oblique, inter- columnar fascia, cremasteric fascia, infundibuliform fascia, subperitoneal tissue and peritoneum. A Pioneer in Prophylaxis.— The subject of our bicgraph was a phy.sician, a teacher, a man of let- ters, and an American. Years before anything was known viagra para diabeticos of the relation of bacteria to disease.^ the subject of our biograph correlated his own keen clinical observations with the experience of others, and pointed the way toward surgical asepsis — one of the great advances in medicine. viagra in japan His masterly essay on the "Contagiousness of Puerperal Fever," wherein he laid down certain rules to prevent transmission of infectious agents, stands to-day among the great literary landmarks in the viagra para diabeticos history of medicine. Though forced to com- bat, in his own profession, the deepest skepticism and the most marked opposition to his theories, he lived to see his idea.*; triumph, and his teachings are now followed by obstetricians and surgeons throughout the world. Let us, therefore, join in honoring Oliver Wendell Holmes, physician, teacher, and man of letters. — Weekly Bulletin of the New York City Department of Health. Treatment of a Failing Current Rectifier. — Not infrequently the owner of a galvanic and faradic wall plate finds that it is inert owing to loss of function of the alternating current rectifier usual- ly employed. This is due in most cases to failure to test the current viagra in japan properly. Moisten a strip of blotting paper in potassium iodide solution and place both tips of the galvanic cords in contact with it, then turn on the galvanic current. If the rectifier is functionating properly a brown stain will appear at the positive pole showing free iodine. If no stain viagra para diabeticos appears it shows that the rectifier is not rectifying the current. Examina- tion of the jars may reveal the fact that the solu- tion has evaporated; or it may be that some one has recharged them with sal ammoniac. The proper salt for this purpose is sodium phosphate. If sal ammoniac has been used the metal plates,