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Related post: He believed this method of constructing a perineal urethra
and lining it with skin from the scrotum would be found an
eflfieient device in dealing with these unfortunate cases. It was
very probable that the child would have lived if he had taken
this step originally, instead of making an opening into the peri-
nfcum without a cutaneous lining.
Dr. H. R. Wharton asked Dr. Roberts if it was not possible
that these stones inight have had some connection with the
growth of hair on the inverted flap. In Wood's operation the
Feb. 16, 1895.1
inverted flap often contained liairs, and f liese niifrlit continne to
grow as the patient increased in aj;e, ;ind become the scat of
calcareous Permethrin Where To Buy depositions from the urine.
Dr. L. \V. Steinbaoh asked Dr. Roberts wliat liis theory
was in regard to the formation of these calculi? What was
their nucleus? lie recalled a case of vaginal hysterectomy
where a [lortion of the posterior wall of the bladder had been
removed. Within a week the stitches closing tlie bladder open-
ing had been covered with deposits of considerable size, and it
had not been an easy matter to remove the sutures, incrusted
as they had been.
%aah. ^oticts.
A Clinical 'Manned of Diseases of the Eije, including a Sketch
of its Anatomy. By D. B. St. .Joiux Roosa, M. D., LL. D.,
Professor of Diseases of the Eye and Ear in the New York
Post-graduate Medical School and Hospital, etc. Illustrated
by One Hundred and Seventy-eight Engravings and Two
Ohromo-lithographic Plates. New York : William Wood
& Co., 1894. Pp. xs-3 to 621.
The author says truly that there are already many excellent
treatises on the eye in the English tongue, but every ophthal-
mologist will welcome this book because of the personal color-
ing of such an indefatigable and clear-beaded observer as Buy Permethrin Spray Dr.
Roosa. The first part, on the anatomy of the eye, is by Dr.
Davis. It occupies a hundred and sixteen pages and presents
this Where To Buy Permethrin very important basis of ophthalmology, which is too often
omitted from works of this class, in as lucid and readable a
form as comports with the brevity of his space.
The second part is devoted to the relative frequency of dif-
ferent diseases of the eye, the methods of examination, thera-
peutics, and surgery. The tables showing the relative fre-
quency of diseases are very interesting, and one is particularly
struck with the figures regarding the proportionate increase of
refraction cases. In, 1870, at the New Y'ork Eye and Ear In-
firmary, only 2'5 per cent, of eye cases were cases of refraction.
In 1892 they had increased in the same institution Permethrin Spray Where To Buy to 138 per
cent., and at the Manhattan Eye and Ear Hospital they Permethrin Cream Buy amounted
to 31 '3 per cant. Either the Where Can I Buy Permethrin percentage of such cases is in-
creasing or we are accustomed to make more thorough exam-
inations than formerly.
The chapters on the examination of Where To Buy Permethrin Spray the eye do not differ
materially from similar portions of other works. A consider-
able space is devoted to the description of the Javal-Schiotz
ophthalmometer. This is naturally to be expected by -every
one conversant with Dr. Roosa's enthusiastic advocacy of this
instrument. In this description exceptions may be taken to a
few points. On page 157 he says: "Following the rules
above, the long index always Permethrin Buy indicates the axis of the convex
glass to be worn, and the short index on the reflectors the axis
of the concave glass that is ordered — in any casey (Italics,
Dr. Roosa's.) Competent observers occasionally meet with
cases in which the axis of the corneal astigmatism as shown by
the ophthalmometer and the axis of the total astigmatism as
shown by the test-lenses are not the same. In such cases most
ophthalmologists prescribe glasses in accordance with the read-
ing of the test-lens. On page 160 he says: Where To Buy Permethrin Cream " If no astigmatism
at all exists, there is no overlapping and no separation on the
second turning." Many observers find Where Can I Buy Permethrin Spray that when there is no
overlapping or separation of the mires the patient will usually
be benefited by •25 D. or '50 D. against the rule.
"However much s;)ec'ial knowledge the practitioner may
have of tlie anatomy and physiology of the eye, and of its local
symptoms when diseased, he must have a good knowledge of
and experience with the symptoms of constitutional or general
disease, or he will fail in attempting to become a competent
specialist." If every young graduate could have the truth of
these words impressed upon him so that he would know it to
be an actual, incontrovertible fact, fewer of them would seek to
enter the specialty until they were competently prepared.
We are glad to see Dr. Roosa, on pages 187 and 188, take so
strong a position in advocacy of antiseptic precautions of the
strictest kind previous to operations. Whether a solution of
boric acid or one of bichloride of mercury is used with which
to bathe the eye is unimportant so long as absolute surgical
cleanliness, the sole object of all antiseptic precautions, is main-
tained. Bnt we regret to find him, in another part of the book,
class among "operators who lay great stress upon antiseptics "
some who " will operate upon the eye in aprons or gowns
which they have worn while treating contagious cases." Snch
operators should never be mentioned as laying great stress upon
antiseptics, no matter how or how much they talk or write
about them.
The chapter on surgical operations is excellent. The space
given in some books to operations of mainly historical value is
here devoted to practical details. But uuder the head of plas-
tic operations the omission of Thiersch's method of skin-trans-
plantation is to be regretted, as it is probably the most valu-
able advance that has been made in this line for many years.
In the description of the diseases of the eye Dr. Roosa Buy Permethrin Cream Online has
followed the example of Stellwag in giving the brief character-
istic description in Buy Permethrin Cream Italics, a plan which is of valuable assistance
to the reader. The frequent references througl]oiit indicate
the great extent of the author's research as well as his fairness-
in q.uoting the opinions of younger men with whom be has
been associated.
The chai)ters on cataract are good. The author prefers
Forster's method for the ripening of cataracts and believes that
the iridectomy rather than the trituration is the main factor in
producing maturity. The treatment advised after cataract ex-
traction is sensible, as is also the discussion of methods .advo-
cated by some prominent men.
In the fourth part, which is devoted to the conditions of
the eye requiring the use of glasses, there is an excellent Where Can I Buy Permethrin Cream dis-
cussion on asthenopia, a careful perusal of which might possi-
bly repay some who write voluminously on the subject. Re-
garding the rest, it may be said, as, indeed, of most of the book,
the same facts may be obtained elsewhere, but in very few
books will they be found more lucidly stated or more practi-
cally expressed.
The glossary at the end gives the derivation of tlie techni-
cal words used in ophthalmology. Illustrations are not over-
abundant, but some of them are very Where Can You Buy Permethrin good. The book is well

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Ultimo accesso:Monday, 18 November 2013, 15:46  (2461 giorni 13 ore)