deficiency in ventilation and lighting in our public
schools. ( I ) Dust is hard to control, yet where it
is produced as a by-product in the course of manu-
facture, much may be done by the introduction of
improved machinery or by the use of suitable fans
for the abstraction generic name for prevacid of dust from work shops. Street
dust is harder to control, but much could be done
by insisting on better pavements, more thorough
street cleaning and systematic sprinklirfg. (2) De-
ficient ventilation and lighting act in two ways
which are detrimental: (a) It reduces the resisting
powers of the persons subjected to the unfavorable
conditions and (b) the vitiated air poisons directly
the mucous membranes.
3. Puerperal Insanity. — Palmer believes the
following classification to be the most convenient
one : ( i ) " Insanity of pregnancy, which is usually
melancholia; (2) puerperal insanity proper, which
comes on in a limited period after delivery and is
usually in the form of mania, and (3) insanity of
lactation, which is mostly melancholia." Each one
of these forms is considered in some detail, and gen-
eral advice is given with regard to treatment. Con-
cerning puerperal insanity proper he has this to say
of the prognosis : " The prognosis is favorable :
75 to 80 per cent, recover, but a large proportion die
of exhaustion " — a statement which may not be al- prevacid sale
together clear to some readers.
5. Mastoid Disease and Meningitis. — Oppen-
heimer asserts that the only hope in cases of menin-
gitis of otitic origin lies in operative intervention.
It is therefore important prevacid chewable tablets to know how such forms
of meningitis arise and how they may be recognized
clinically. As regards infection, practically prevacid 24hr coupon but two
forms of otitic meningitis may be cheap prevacid online considered : the
first results from infection by absorption into the
circulation, the other prevacid generic equivalent depends upon the extension
of the inflammation by contiguity from the mastoid
region to the dura and from there to the other mem-
branes enveloping prevacid otc 30mg the brain. The former variety is
rapid in its onset, tisually diffused, prevacid naprapac 500 and once estab-
lished is necessarily fatal, while the latter form con-
sists of a gradual process, usually localized in its
.incipiency and when diagnosticated early is sus-
ceptible of cure by free prevacid coupons a radical operation. Purulent
leptomeningitis is usualh" fulminating, sets iit sud-
denly and terminates in but a few hours, or ma\' prevacid ac
continue before a fatal issue ensues for several days.
\\"hile the prevacid for sale localized focus analogous to an epidural
abscess is more or less chronic, with mild symptoms
which may apparently intermit from time to time
before a regular course is established and whicli
may last prevacid 42 count for several weeks or even months. When
a mastoid empyema is about to infect the meninges
there is almost invariably marked local pain, usually
associated with fever. \\'hen such a condition oc-
curs, especially in the prevacid otc coupon presence of a diminished aura'
discharge, the patient should be considered in seri-
ous danger of cerebral complications. The chief
symptoms of meningeal irritation are headache, oc-
casional nausea, vomiting, vertigo, moderate in-
crease of temperature and some acceleration of the
September 19, 1903.]
PITH or CURRENT LITERATURE.
pulse rate, while thirst, anorexia, and constipation
arc mostly complained of, but are not characteristic.
Percussion of the skull affords generic prevacid otc but little evidence as
it may be either painless prevacid savings card or painful above and be-
hind the auricle. The differentiation between men-
ingeal irritation and true meningitis is almost im-
possible, although the latter may be recognized when
the headache becomes persistent and is followed
by the group of symptoms coupons for prevacid 24 hour above mentioned with,
in addition, drowsiness, delirium and stupor, while
the pulse at first accelerated, later becomes retarded.
Constipation as a rule is obstinate and specially so
towar'ds the end of fatal cases, while if diarrhoea
is present or the bowels are normal, brain abscess
and meningitis may, with a certain degree of assur-
ance, be eliminated.
BOSTON MEDICAL AND SURGICAL JOURNAL
September 10, 1903.
1. Cancer of the Intestine, Etc. ; Its Surgical Aspect, with
Report of Cases, By Homer Gage.
2. The Relations Existing Between Respiratory and Intra-
pelvic Diseases, By Daniel H. Craig.
3. Carcinoma of Chorioid, Metastatic from Prostate,
By Allen Greenwood.
4. .\ Case of Carcinosis with Secondary Nodule in the
Eye, By E. E. Southard.
5. Mechanical Vibration: Its Theory and Application in
the Treatment of Disease,
By Maurice F. Pilgrim.
1. Cancer of the Intestine. — Gage reports four
cases of his own, all treated by operation, and re-
views the results obtained prevacid discount card by operative intervention
by some of the best known surgeons, in prevacid en espanol cases of
malignant disease of the intestine. He calls atten-
tion to the fact that the best results have prevacid 24 hour coupon been ob-
tained where the tumor was situated about either
the ca:cum or the sigmoid flexure of the colon. In
judging of the results of operative treatment, one
must distinguish between immediate and eventual
results. With this in mind the author asserts that
operation should be performed early or not at all.
He advises against palliative operations as tending
only to prolong the patient's suffering. Colostomy
and the various forms of intestinal anastomosis and
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