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 |   Related post: Brain, by Dr. William T. Shoemaker, with Pathological Examination by Dr. C. M. Hosmer ; A Case of Cyanosis Retinse with Congenital Patent Foramen Ovale and Pul- monary Stenosis, by Dr. H. H. Tyson ; -Angioma of the Choroid, by Dr. A. Quackenboss, with Pathological Exami- nation, by Dr. F. H. Verhoeff ; A Simplification of De Grand- mont's Operation for Ptosis, by Dr. S. Theobald ; Report of a Case of Restoration of Sight after one month's Blind- ness from Glaucoma, by Dr. L. J. Minor ; Case Purchase Prograf of Hxmor- rhage from the Cornea in Glaucoma, by Dr. T. R. Pooley ; Ocular Affections Associated with Disease of the Sinuses Contiguous to the Orbits, by Dr. S. D. Risley ; Report of a Case of Bilateral Retrobulbar Neuritis after Ethmoiditis, by Dr. A. Knapp; Mixed Streptococcus and Pneumococcus Infection of the Orbit and Adjacent Sinuses, by Dr. C. S. Bull ; Adenocarcinoma of the Orbit, by Dr. T. R. Pooley ; .Angioma of the Orbit with Invasion of the Globe along the Ciliary Nerves, by Dr. .Alexander Quackenboss, with Patho- logical Examination by Dr. F. H. Verhoeff ; The Increas- ing Importance of Tuberculosis as a Cause of Ocular Dis- ease, by Dr. G. .S. Derby, by invitation ; \ Case Presenting Unusual Conditions of Prenatal Origin, by Dr. Purchase Prograf Online Burton K. Chance; Sarcoma of the Choroid with Mounted Specimen, by Dr. S. D. Risley: Histological Investigation of a Case "}{ Blepharoconjunctivitis caused by Diplobacillus Order Prograf of Morax-Axenfeld, by Dr. Brown Piiscy; Macular Holes, by Dr. C. J. Kipp; Grill Like Keratitis, by Dr. C. J. Kipp. The next meeting \\4ill be held in New London. The fol- lowing officers were elected; President, Dr. S. B. St. John, Hartford, Conn.; secretary. Dr. W. M. Sweet, Philadelphia. jrf Cuntnt ^ittratrtrt. THE BOSTON MEDICAL AND SURGICAL JOURNAL. July 2$, 1098. 1. The Diagnostic and Therapeutical Use of Tuberculin, By Lawr.vson Brown. 2. Permanent Stenosis of the Ductus Communis from In- flammatory Infiltration or Cicatricial Contraction of a Duodenal Ulcer. By Hor.\ce Packard. 3. Report of a Case of Melanosarcoma of the Orbit, By Guthrie McConnell and Rudolph Burman. I. The Diagnostic and Therapeutical Use of Tuberculin. — Brown remarks that until recently it was thought unwise to give tuberculin to any patient who was not constantly under a doctor's im- mediate supervision, in other words, who was not in a sanatorium or hospital. Recent practical re- sults, however, have Buy Cheap Prograf shown that this is not neces- sary, and furthermore, they have shown that am- bulant patients and patients at work may be givien tuberculin in carefully graded doses, so that not only no harm may accrue, but that the patient may de- rive great benefit. This means that the former rule that the patient should remain in bed or at rest in a reclining position the day of and the day follow- ing injection does not need to be enforced. Brown- thinks, however, that where possible, patients should take less exercise the day after the Buy Prograf Online injection of tuberlin. Rise of temperature to 100° F. for more than two hours necessitates rest in bed during that day and the greater part of Buy Prograf the next, or until the temperature becomes and stays normal, though prac- tically when accompanied by very slight symptoms the temperature is almost invariably normal the sec- ond day even if the patient does not remain in bed. Many medicinal substances have been' administered in conjunction with tuberculin, but seein of little value. \'"arious toxines or secondary organisms have been suggested for use in connection with tuberculin but have yet to be thoroughly tested. The effects of repeated Cheap Prograf doses of tuberculin upon the aniiTial economy have not been thoroughly worked out. The weight seems to be little affected. Changes in the blood have been noted by a number of observers, but the results are still conflicting. The untoward results are very interesting, particu- larly in regard to the mobilization of the tubercle bacillus. Baldwin was tmable to find any evidence that tuberculin, even in large doses, produces this effect. The work of Liebmann, who found many tubercle bacilli in the blood followin.g tuberculin injections, has never been verified, and Brown thinks, can be discredited on account of faulty tech- nique. The sputum and the urine are affected somewhat, but usually only following reactions. An antipyretic effect is uni|uestionably present in many patients. The results obtained from tuberculin are exceedingly diflictilt to determine. It must not be forgotten that tuberculin is a powerful toxine, tliat if administered carelessly it may prodtice great and irreparable harm. The vast majority of men who have used tuberctilin seem to be convinced that it has some beneficial eft'ect. Our author is convinced of this although, he states, he has some diflictilty in proving from the results which he lias oiitaiiied that a markedly lieneficial effect is present, lie AuRVtSt I'lril OJ- CURRENT LITERATURE. 225 thinks the present status of tuberculin may be ex- pressed in a few words: Tuberculin when properly given does no harm, may produce no apparent im- niediate results, but may markedly benefit an in- dividual patient who can follow at the same time the hygienic dietetic treatment while in a health re- sort or at home or at rest. It may even prove of benefit to those who must continue at work. Small doses and careful increases are most important, and bv following these very closely some patients, even in advanced stages, reap great benefit. The imme- Related links: Buy Zyloprim Online, Tricor Abbott, Order Pioglitazone Online, Desogen Cost, Xalatan 0.005, Where To Find Acai Berry, Ivermectin Stromectol, Pyridium Otc, Buy Nizoral, Ordering Prozac
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