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period it declined — at first steadily, but afterward with con-
siderable rapidity — to less than 100 deaths weekly in August,
and the minimum of 51 deaths was touched in the last week
of September. Since that time, and especially within the last
month, there have been indications of recrudescence which
demand the serious consideration of all who are intrusted
with the care of tlie public health. — aldactone 50 mg Lancet, January 6, 1872.
Resection of the (Esophagus. — To the current number of
Langenbeck's Archiv, Prof. aldactone price Billroth, of Vienna, contributes a
most interesting and suggestive paper bearing the title, " Qeber
die Resection des (Esophagus." He states that some time aldactone order ago,
after a post-mortem examination of his first patient affected
with carcinoma of the oesophagus, the possibility suggested
inSCELLANEOUS AISTD SCIENTIFIC ISTOTES. 217
itself of making a resection of this part aldactone buy of buy cheap aldactone the alimentary
tube. The fact that the lymphatic glands in the neighbor-
hood of the diseased part are not generally affected, and the
partial success which had hitherto attended the operation of
oesophagotomy in this disease, together with aldactone tablets the analogy of
external urethrotomy in cases of gangrene or ulceration of the
urethra, seemed to lend support to such an idea. The passing,
moreover, of bougies through cicatricial tissue was far prefer-
able to tlie manipulation of such instruments in a tube aldactone cost with
ulcerated aud weakened vralls.
On A])ril 21st of last year, a large dog was put mider the
influence of chloroform, and a piece, about an inch and a
half in length, was cut out of the whole circumference of the
oesophagus. The lower end of the divided tube was then
fastened by a couple of sutures to the skin at the margin
of the external wound. Up to the 26th of the same month
the animal was fed with milk through a tube passed into the
wound, but on and after this date the tube was passed via the
mouth. A week after the operation the sutures were removed.
By the end of June the fistulous buy cheap spironolactone opening liad completely
closed, and the purchase aldactone online process aldactone mg of healing would have been quicker if
it had not been that the dog, like human patients, dissatisfied
with " milk diet," purloined the more solid food of neighbor-
ing victims to science. After the closure of the oesophageal
fistula, whicli took place at the end of June, the tube was
daily dilated by a bougie purchase aldactone of the diameter of a large in-
dex-finger. After the healing of the wound the order aldactone online doo; was in
capital condition, eating meat, potatoes, etc., but the variety
of fare was not allowed to extend to b(mes. generic aldactone On July 26th
the animal was killed with cyanide of cheap aldactone potassium ; and all that
was found as a trace of the operation was an annular scar,
scarcely half a line in width, and moreover easily dilatable.
— Lancet.
A Victory for the Ladies. — IS'ew- Year's Day in Edinburgh
was signalized by a victory for the lady medical students. At
the annual meeting of contributors to the Eoyal Infirmary,
the question aldactone 25 mg of admitting ladies to the wards for purposes of
clinical instruction came up in connection with the election of
managers. The retiring managers whose reelection was pro-
posed were confronted by nominees favorable to the admission
of lady students into the infirmary. After an animated dis-
cussion a division was taken, when the nominees were declared
duly elected by 177 to 168. A scrutiny was demanded on
behalf of the defeated managers. Thereafter it was proposed
that the meeting should consider the advisability of enacting
218 MISCELLANEOUS AND SCIENTIFIC NOTES.
that henceforward all registered students of medicine shall
have full admission to all the educational advantages of the
infirmary without reference to sex. The defeated niinoritj
objected to this resolution, that they had not received the
statutory month's notice of the intention to introduce it. The
friends of the ladies, however, persisted in moving the resolu-
tion, which was unanimously adopted — their opponents having
previously left the room. — Lancet.
Transfusion of Blood. — At a late meeting of the Obstet-
rical Society of aldactone online Dublin {Lancet)^ two cases of transfusion of
blood were detailed by Dr. Ringland, one of which proved
successful. In both cases the instrument used was that in-
vented by Dr. McDonnell, of Dublin, in which an arrange-
ment exists to obviate the danger of air entering the circula-
tion during the operation. The Gaz. Med. Ital. Prov. Venei.
published a case of gastric haemorrhage in a woman sixty-
three years buy aldactone online of age, who,, being in articulo mortis, was restored
by the injection of one and a half ounce of delibrinated blood
tahen from the arm of her son. In seven days she was dis-
charged cured from the hospital. In the Centralhlatt some
cases of tranfusion have been published by Juergensen, and
extensively quoted. In a case of gastric ulcer, complicated
with pleurisy, in which the patient was reduced to the last
extremity, the operation was without beneiit. Two other pa-
tients recovered, one a case of phosphorus-poisoning, in which
there was much hsemorrhage ; the other a case of asphyxia
from carbonic acid, in which the beneiit was most marked,
and for which accident Juergensen looks upon transfusion as
an important remedy.
Eoyal Victims to Small-Pox. — Dr. John QdixdiXWQr {Edmhurgh
Medical Journal) has collected the following history of the
ravages of small-pox buy spironolactone online in some of the royal houses of Europe,
hoping thus to impress the public mind more forcibly as to the
advantages of vaccination :
Among the family of Charles I., of Great Britain, of his
forty-two lineal descendants up to the date of 1712, iive were
killed outriglit by small-pox ; viz., his son Henry, Duke of
Gloucester ; and liis daughter buy spironolactone Mary, wife of the Prince of Or-
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