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measures depending on the severity of the case. In the milder forms hygienic and medical remedies, in- cluding the application of the electric current, will do much to alleviate the distress. Attention to the bowels and any hemorrhoidal conditions present will aLso act in a favorable manner. Where these measures fail, and especially where a deformity of the coccyx can be elicited on examination, it may be necessary to re- move this appendage. Sedatives, including morphine, chloral, etc., should be employed viagra para mujeres precio with the greatest care, as the complaint is apt to be a chronic one and the necessity for continued administration may lead to un- fortunate consequences. This common complaint in women should not be dismissed without due attention to the detailed findings in every ca.se that presents it- self. A diagnosis as to the etiological factor or fac- tors in each instance must precede any method of treatment. It is possible that two or more sex viagra causes may be present in the individual case and these must be treated in order. The mere finding of a gynecological lesion is not sufficient finally to determine the treat ment. 9. The Formation of Urinary Calculi.— B. G. R. Wil- liams in a series of very simple experiments has ascer- tained that a deposit of certain salts in the urinary tract may be viagra para mujeres precio influenced indirectly by over-plus elimina- tion, concentration of the urine, the presence of organic matter, and so on, but that a deposit in vivo is directly accounted for by the action of certain ferments, doubt- less of microbic origin. II. Refraction in School Children. — A. S. Tenner notes that myopia is a condition rarely present at the beginning sex viagra of school life and gradually increases with the age of the child, so that at the age of sixteen years almost one-half of the cases have more or less myopia. Children with hypermetropic conditions became myopic. the percentage of emmetropia or normal viagra para mujeres precio eyes remain- ing about the same. The correction of the hyperme- viagra para mujeres precio tropia and astigmatism with the constant wearing of the correcting glasses will prevent the development of myopia in many instances. Myopia in its high degrees becomes more than a mere handicap in life's race, pro- ducing degenerative changes, detachment of the retina with ultimate total loss of sight; therefore, apart from the relief and improvement in vision afforded by the wearing of glasses in cases of hypermetropia and as- tigmatism, the early refraction of children to prevent the development of myopia is most important. Every child before beginning school life should have its re- fraction estimated. If correcting glasses are required, they should be worn. If a child has a high degree of hypermetropic astigmatism, mixed astigmatism, or my- opia of medium or high degree, with vision after cor- rection of only 20 50 or less, it should be placed in special classes with a curriculum that minimizes the amount of near work. London has already taken such a step, several schools having special classes for my- opes. There should be close cooperation between school authorities, school nurse, and school doctor on the one hand, and ophthalmologists on the other. Edu- cation boards should employ some one interested viagra para mujeres precio in viagra para mujeres precio the conservation of vision of children, preferably an ophthalmologist, in an advisory capacity. Such an offi- cer could work to improve many existing defects, such as improper desk adjustments and poor lighting. The regulation of type and paper in school books is another matter to come under such an officer's control. 12. Hydatidiform Mole. — J. F. Robertson outlines the treatment of this condition as follows: If a positive diagnosis is made, evacuate the uterus immediately. Uusually a tampon in the vagina stimulates contrac- tions of the uterus sufficiently to cause expulsion of the mass. The uterus is then cleaned out gently viagra para mujeres precio with placental forceps and packed with sterile gauze for twenty-four hours. The patient should be kept under viagra para mujeres precio observation for years; one should look especially for monorrhagia or any irregularities in the menstrual flow. If monorrhagia is present, the uterus should be curetted and the scrapings examined microscopically. In case of doubt a hysterectomy is the wisest pro- cedure. Journal of the American Medical Association. September 18, 1915. Intraurethral Operation for Pathological Conditions in the Prostatic Urethra and at the Bladder Neck. G. Mac- Gowan. Nitrous Oxide Analge-sia in Obstetrics. Its Advantages Over the Freiburg Method. C. H. Davis. Morphine and Scopolamine Amnesia in Obstetrics. J. O. Polak. The Treatment of High Blood Pressure. A. R. Elliott. Infantile Scurvy. II. A New Aspect of the Symptoma- tology, Pathology and Diet. A. P. Hess. Further Observation.^ on the Fate of Free Bone Trans- plants. W. L. Brown and C. P. Brown. Observations on the Intracutaneous Reaction of Schick in 4.'j5 Infants and Children. R. D. Moffett and A. C. Conrad. Myosites Ossificans Traumatica. O. M. Shere. Trachea Position. G. B. Webb, A. M. Forster and C. B. Gilbert. Cases from the Skin Clinic of Leland Stanford, Jr., Uni- versity School of Medicine. W. E. Alderson. Adenoma of the Breast. J. L. Bubis and A. Graham. Gastrointestinal .Studies. X. An Investi,eation of the Gastric Residuum in Over One Hundred Normal Cases. C. C Fowler, M. E. Rehfuss and P. B. Hawk. The Fallacy of the Indiscriminate Internal Use of Bul- garian Bacillus, sex viagra with Some Evident Dangers. O. Smiley.