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the middle of the cell is all cleai- — does not vega viagra take any stain at all. Now, it is hardly necessary to refer to the value of counting cells in cerebrospinal fluid, because wherever the meninges are involved there is always an increase of cells. While some authorities claim that from one to five cells per c.mm. are found in the normal and that we find an increase in cells (lymphocytes) in tuberculous meningitis and that we viagra in karachi also find an increase of cells (polymorphous leu- cocytes) in any other form of meningitis, all au- thorities agree that plasma cells are found only in vega viagra syphilitic involvement of the meninges. Of course, men of much experience claim that they could recog- nize plasma cells even with the ordinary stains that have been in use; for instance, methyl-violet or the Wright stain, and acetic-acid; but a good many physicians will hardly be able to recognize them, and, in fact, with the old stains it is sometimes very hard to tell whether we have a red viagra in karachi blood cell or a lymphocyte. Therefore the value of a simple stain that will dif- ferentiate the cells vega viagra in the spinal fluid is obvious, as blood is sometimes, or a good many times, mixed with the fluid in such a small amount that one could not tell it with the naked eye. In addition to this I have found that with the use of this simple stain we can differentiate the cells even with a low power of the microscope. In large viagra in karachi hospitals, where there are many cell counts to be done every day, I believe it will prove of some value to employ the stain in the way I am using it in our laboratory at the State Hospital in Dunning. Opinion Evidence as to Cause of Death. — In an action on an accident policy for the death of the plaintiff 's hus- band, which had taken place when he was sawing up- ward through planking, in a cramped position, on a viagra in karachi hot day, the appearance of the deceased was that of one who had died of a ruptured artery, according to expert medical testimony. It was held that judgment for the plaintiff could viagra in karachi not be based on such testimony alone, which would require a further inference that the rup- tured artery resulted from accident, based on vega viagra the ex- pert's inference that the death resulted from a ruptured artery, and the jury viagra in karachi may not pile inference upon infer- ence. The burden was on the plaintiff to show by com- petent evidence, to a resonable certainty, that the acci- dent was at least an active agent in producing the death. —Wright vs. Order (Mo.), 174 S. W. 833. Indorsement of License of Another State — Examina- tion in English. — In mandamus to compel the New York Board of Regents to indorse a license granted the relator to practise in the State of Michigan, it appeared that the relator was an Italian and a graduate in medi- viagra in karachi cine of the Royal University of Palermo, Italy. After coming to this country he became a resident of Buffalo, N. Y. Desiring to practise medicine in the State, he found that he would have to pass a regents' examina- tion in. English. He thereupon applied to the Michigan State Board of Registration for admission to the exam- inations conducted by that board, and having passed these viagra in karachi examinations, was granted a medical license by that board. That examination was taken in Italian, English not being a vega viagra requirement in Michigan. Within a few days after that he made application to the New York Regents for indorsement of his Michigan license. They notified him that his application had been re- turned to viagra in karachi the Michigan board with the request that it withdraw viagra in karachi its indorsement, on the ground that by going to Michigan for the examination the relator had avoided the specific requirement in New York State that viagra in karachi in order to be admitted to its licensing examination he would have to pass the Regents' examination in second year English for foreigners. The Michigan board with- drew its indorsement. The relator maintained vega viagra that he was entitled to the indorsement because the Michigan board was one "maintaining standards not lower than those" prescribed by the New York board. It was held that, while the discretion given the Regents in according or withholding the indorsement of a license cannot be arbitrarily exercised, it was not an improper exercise of such discretion to refuse to indorse the re- lator's license, though the Michigan board had been registered as maintaining a standard not lower than that required by the New York Public Health Law. The only registration of the Michigan board was effected, if at all, by a reciprocity agreement between the authorized officials vega viagra which authorized the vega viagra Board of Regents to request a consideration of any certification by the Michigan board of a license granted by viagra in karachi them if the Regents had any reasonable doubt of the quali- fications of an applicant. If this agreement effected a registration of the Michigan board within the New York statute, the registration was subject to the pro- visions of the agreement, while, if the agreement was not a statutory registration, there was no registration authorizing an indorsement of the license; so viagra in karachi that in neither case was the relator entitled to have his license viagra in karachi indorsed. — People v. McKelway, 163 N. Y. App. Div. 286, 148 N. Y. Supp. 818. 444 MEDICAL RECORD. [September vega viagra 11, 1915 Medical Record. A Weekly Journal of Medicine and Surgery THOMAS L STEDMAN, A.M., M.D., Editor