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Related post: in a few days by a single brief relapse. The second
type was of longer duration and marked specially
by several sharp, regularly periodical relapses. In
both types the symptoms were clinically identical,
being, aside from the fever, chieflv headache and
pains in the back and legs. Most painstaking ex-
amination of the blood by all available methods
failed to reveal any visible etiological organism or
parasite, and there was no typical alteration in the
blood, except a marked grade of punctate basophilia.
The natural modes of transmission of the disease
could not be determined, but evidence suggested
either direct transmission from man to man, or
transmission through the agency of insects. Ex-
periments on volunteers showed that the disease
could be transmitted directly from man to man by
intravenous or intramuscular injection of small
amounts of blood taken from an active case. Serum
failed to transmit Tinidazole Canada the disease and the virus was re-
moved from the blood, even after laking, by passage
through a filter. The evidence derived from human
transmissions seemed to point to the virus being
contained in the blood corpuscles, either red or
white.
LANCET.
February 13, Icjl6.
Aerial Conveyance of Infection, by Frederic H.
Thomson. — Studies carried on in a small open ward
for over three and a half years and covering a ma-
terial of 497 patients with 657 individual diseases,
have led to definite conclusions. Thomson is con-
vinced that scarlet fever is not conveyed by the
air, and that the same is true of diphtheria. The
evidence is strong, also, against the aerial convey-
ance of rubella. Mumps seems, in all probability,
not to be carried through the air, and there is some
doubt about aerial conveyance of whooping cough.
The latter disease may occasionally be so transmit-
ted. On the other hand, early in the Buy Tinidazole Online disease,
chicken pox is certainly air borne, but such convey-
ance is uncommon after the third day of the disease.
Contact infection from chicken pox did not seem to
occur after about the eighth day, although scabs re-
mained much longer. These observations serve to
point the way to many economies in the provision
of isolation quarters for the several diseases studied,
but in order to treat safely two or more of these
diseases in the same ward nurses must be trained
in the technic of absolutely preventing intermediary
transmission.
Urea Content of the Cerebrospinal Fluid, by Metronidazole Or Tinidazole
R. G. Canti. — Examinations of the spinal fluid both
ante mortem and post mortem from a considerable
number of cases Metronidazole And Tinidazole with and without uremia gave some
valuable facts upon which to base prognosis. The
normal area content of the spinal fluid was found
to lie below 0.05 per cent, as determined by the
hypobromite method. Among the clinical cases of
uremia, all those showing a high urea content in the
spinal fluid were fatal. Most of those with low
urea content survived, and in several the diagnosis
was found to have been erroneous. Among cases
not clinically classed as uremic there were two
groups, one having a high urea content and being
complicated with disease other than renal which
masked the signs suggestive of uremia ; the second,
those with Tinidazole Cost a low urea content, not cases of
uremia, but including many different forms of dis-
ease, showing that high urea content is usually ab- Metronidazole Tinidazole
sent in the absence of uremia. A certain proportion
6i6
I'lTH OF CURRENT LITERATURE.
[New York
Medical Journal.
of uncompensated cardiac cases were diagnosed as
uremia but they revealed low urea content. The
treatment of such cases along lines adapted to
uremia was not well tolerated, but treatment
directed to the heart gave good results.
February 19, 1916.
Trench Nephritis, by W. Langdon Tinidazole 500mg Brown. —
Analysis of the records of similar epidemics of
acute nephritis in the American civil war and other
recent wars and close study of fifty-eight cases
from the trenches in the present war lead the author
to the conclusion that the Tinidazole Ciprofloxacin disease is a true acute
nephritis as shown by edema with albumin in the
urine, Tinidazole Tablets the nature of the urinary proteins, tests of
renal permeability and the post mortem findings.
There seems to be a common cause for all of the
cases, since they are too prevalent to be merely acci-
dental and since the factors of exposure, polluted
water, metallic poisons, etc., can be excluded.
Curves of incidence from the civil war and the pres-
ent conflict suggest soine infective agent as the
cause. No etiological organism has yet been found
and search for a filter passer has been inconclusive,
though suggestive results have been secured. The
causative agent seems to resemble closely that of
scarlet fever.
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
March 4, /9/0.
The Spleen, by William J. Mayo. — Mayo con-
cludes that the functions of this organ are to re-
move bacteria and certain toxic agents from the
blood, to conserve the food values of the broken
down blood corpuscles, and to send their remnants
to the liver for utilization. The gland has no im-
portant internal secretion and is not essential to
life. It is not an obsolete organ, however, as often
suggested. Owing to the functions just mentioned,
splenectomy may cure certain diseases, especially
those connected Tinidazole Price with the liver and the blood. Re-
moval of the organ has cured a certain number of
cases of so called primary splenic tuberculosis.
Splenectomy has given relief or possible cure in
Hanot's cirrhosis and great relief in portal cir-
rhosis. Cases of splenic anemia may be cured by
removal of the organ, and benefit is often derived
from splenectomy in other anemias associated with
splenic enlargement. Three cases of Gaucher's dis-
ease were cured by the operation. Nine cases of
hemolytic jaundice Tinidazole Metronidazole were treated by splenectomy
with striking results. The jaundice began to dis-
appear in twenty-four hours, the complexion was
clear in a few days, the anemia was rapidly cor-
rected, and the patients remained well. Splenec-
tomy also has given the best results yet observed in
pernicious anemia.
Certain Aspects of Infantile Paralysis, by
Robert W. Lovett and E. G. Martin. — Study of

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