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mia being due to an increase in the amount of plas-
ma. Sometimes there remains, as noticed in Corn-
wall, a surprising capacity for work. Some ob-
servers seem to doubt that the mere absorption of
blood bv the worms is sufficient explanation of the
severe anaemia, and have tried to show the presence
of certain hemolysins in the worms; this is doubt-
ful, for the worms loose their hold on one part of
the intestine to seize upon another, and in feeding
upon the mucous membrane undoubtedly attack
bloodvessels. About one tenth of the normal hasmo-
globin is missing, and the amount of iron in the
liver remains normal. texas hold em bonus poker online Some cases, when improv-
ing, show some degree of polycythagmia. This is
the same phenomenon as is well known in chlorosis,
and is due to a rapid concentration of blood con-
taining in all too many red cells of a low color in-
dex. A good number of worms acting for some
lime can cause a marked sclerosis of the intestine
and atrophy of the mucous membrane, texas holdem bonus poker online game although it
is bonus poker 2 hard to see what this can have to do with the
3. "606" and Syphilis. — Mcintosh and Fildes
write in answer to the views of Marshall, expressed
in the texas hold em bonus poker table game online Lancet for February 25, 191 1, to the effect
that: I. In the present state of our knowledge
there is no drug which can replace mercury in the
treatment of syphilis. 2. Although arsenobenzol
causes rapid healing of certain syphilitic lesions,
this effect is not constant and is often only tem-
porary. 3. There is no proof that an abortive cure
of syphilis can be realized by this drug. 4. If
arsenolDCnzoI is indicated at all in the treatment of
syphilis, it is chiefly in those cases which are not in-
fluenced by merciu-y. but such cases are rare. More-
over, some cases resist the action of both drugs.
5. The administration of arsenobenzol is attended
with many risks and dangers, i, they consider a
OTjituitous statement; as to 2, hardly sufficient time
has elapsed to allow of so positive a play texas hold em bonus poker online declaration ; as
to 3, the writers state that they have seen no lesions,
even of the gravest nature, that have failed to yield
to 606, except interstitial keratitis, and in three
cases where after the syphilitic clement texas holdem bonus poker table game online play texas hold em bonus poker online free had been
removed, a second underlying pathological state
was found. 4. Rapid healing, so common in 606,
is extremely rare under mercury, as references to
the literature will texas hold em bonus poker online game show, particularly the studies of
Seqiieira. Marshall cannot be aware of the large
dosage recently advised by Ehrlich, one to four
grammes being now considered the average dose,
divided into three, given at intervals of two days,
and at least one should be given intravenously.
Less intense treatment is mere trifling and renders
liable to relapse. 5. Of the twenty or more deaths,
some were advanced cases of general paresis, six
were in infants, others occurred in subjects with
advanced cardiac disease or vascular degeneration.
Marshall's statement that the intravenous route is
dangerous is not borne out by facts. Optic neuritis
after the administration of 606 positively does not
occur ; as to iritis and keratitis, they are due to the
syphilis and not to the remedy.
4. Salvarsan in Syphilis. — Gibbard and Har-
rison conclude from their experiments that salvar-
san has a very marked bonus poker online and rapid effect on the clini-
cal manifestations of syphilis play bonus poker online ; that this effect is due
to its action on the parasites let it ride bonus poker online and is not simply a
cloaking of symptoms, as is shown by the disap-
pearance of treponemata from local lesions and the
effect on the Wassermann reactions ; it is impossi-
ble to say whether this effect consists in the anni-
hilation of the whole or only part of the parasites
or simply in suppression of their activity ; the risk
in using it being so slight, no judgment against it
will be justifiable till every method of administra-
tion has been worked out.
January 14, igii.
1. Dwarfs and Cretins, By H. Meige texas bonus poker online and A. B.\uek.
2. Urinary Changes in Some General Paretics,
By H. Labbe and A. Gallais.
3. Albumin in the .Saliva,
By M. Gantz iind R. Hertz.
4. A Meningeal Form of Actinobacillosis,
By P. Ravout and Pinoy.
5. .Anatomical Study of the Thyreoidparathyreoid Struc-
ture in Two Cases of Congential Myxcedema,
By G. Roussy and J. Clunet.
5. Ilepatoptosis, By texas hold em bonus poker D. Chilaiditi.
7. .\ Case of Arterial Grafting",
By .Aquiles Pirov.\xo.
1. Dwarfs and Cretins. — Meige and Bauer
point out that dwarfs as well as giants have left the
realm of anthropology for that of medicine since
modern studies of the thyreoid gland and the pitui-
tary body. Besides the three types, however, of
rhachitic, myxoedematous, and achondroplastic
dwarfs, there are occasionally, found what the writ-
ers call total dzcarfs, who are apparently as well
proportioned as normal people. The myxoedema- bonus poker online free
tous dwarfs only can be inade to grow by feeding
with thyreoid extract.
2. Urinary Changes in General Paresis. —
Labbe and (iallais present a study of 15 female par-
alytics from the point of view of urinary analysis.
They found a feeble output of phosphates, calcium,
and nitrogen ; urea was normal ; the output of am-
moniacal salts was about the same as in normal
patients, as was the percentage of endogenous pur-
ins ; the alimentary purins diminished notably just
before death ; purins eliminated as uric acid were
high under the mixed regime, low imder vegetarian
diet. Albumin and nucleoalhumin were always
present, but in small quantity ; percentage of min-
eral substances was small ; the elimination of chlo-
April 8. 1911.]
PITH OF CURRENT LITERATURE.
rides was full of surprises, but was usually very
poor ; sugar seemed to be rare. Just before death
the relative quantities of all matters excreted altered
in a striking manner.
3. Albumin in the Saliva. — Gantz and Hertz
believe the analysis of texas hold em bonus poker online free the saliva to be as important
clinically as that of faeces and urine. Where diag-
nosis hesitates between a chronic bronchitis and in-
cipient tuberculosis, the presence of albumin decides
for the latter ; it is also present in cardiac and renal
disorders, and in pneumonia before the crisis, al-
though absent afterwards. The writers examined
the saliva in 125 patients, obtaining positive results
in 60 cases of tuberculosis, 8 of fibrinous pneumo-
nia, free texas hold em bonus I of gangrenous lung, 8 of pleurisy, 6 of dis-
ease of the cardiac muscle, 9 of valvular trouble, 8
of texas hold em bonus chronic bronchitis with emphysema, 9 of nephri-
tis, and 20 miscellaneous. Uncomplicated bronchi-
tis never produces albumin in the saliva. The writ-