rickets. Another bone case was in a girl of seven, who
was noticed to limp thirteen months before admission to
hospital, when the right leg was two and one-half inches
shorter than the left. The shafts of femur and tibia were
thickened, chiefly at their ends. Some thought the disease
syphilitic. Another child of eight, boy, who had dysen-
tery when seven weeks old, followed by swelling of right
knee, which lasted two months, a year ago walked with
peculiar gait, resembling that in congenital dislocations.
No pain, no tenderness, joint movements free. The
trochanters were raised, especially the right, prominently
so on adduction of legs. A member compared the case to
septic arthritis in adults after dysentery. They were often
of long duration. .A case of double coxa vara with possi-
ble fracture of neck of right femur, as seen in skiagrams,
was shown in a boy of sixteen. .A barrow fell on him in
August, 1905, and broke his right thigh. The trochanter
was more prominent than the left, and was three-fourths
of an inch above Nelaton's line. Both limbs rotated out-
ward; abduction and adduction much limited: walking
difficult, and the gait that of coxa vara. The lad said his
toes had always turned out. but he was active and could
join in games up to the time of his accident.
The antivivisectionists are angry with the Rnyal Com-
mission for deciding to hold its meetings in private and
have protested that the press must be admitted and the
witnesses cross-examined by counsel in order to elucidate
the truth. Mr. Stephen Coleridge said he was most anx-
ious to be examined and cross-examined. Poor fellow,
his appetite for notoriety seems unappeasable.
The Royal Commission on the care and control of the
feeble-minded have been entrusted bv an extension Zetia Discount of
their terms of reference with the additional duty of in-
quiring into the constitution, jurisdiction, and working of
the Commission in Lunacy and of other lunacy authorities,
and into the expediency of amending the same or adopting
some other system of supervising the care of lunatics and
the mentallv defective, and of reporting as to any amend-
ments in the law which should, in their opinion, be adopted-
This great addition to the duties of the Commission may
well be the forerunner of a complete Zetia Cost reform of onr lunacy
laws and their administration.
OUR BERLIN LETTF.R,
(From Our Special Corresponcient.)
WHERE, WHEN, AND HOW CAN AMERICAN PHVSICIANS OBTAIN
POSTGFADVATE INSTRlCTtON IN GERMANV?
Berlin. October jj. n)o6.
In Berlin there are three organizations for postgraduate
study, the first of which is the Dozenleiirerfin fiir Ferien-
kursc. These courses are held twice a year, in the months
of October and March. In case Easter corfles in the month
of March the courses are held in April. These courses are
given by the Universitv Do:entcn and their assistants, and
are noteworthy for their variety and excellence. For ex-
ample, to mention a few subjects, normal and pathological
anatomy is taught by eighteen instructors, internal medicine
by forty-one. neurolog)- bv seven, sursery by ten, Zetia Coupons onhthal-
mology by six, Price Of Zetia rhinology by ten. gvnecology by eight, and
skin and urinarv diseases bv ten. In addition lectures are
held on physiology, forensic medicine, hygiene, chemistry,
radiotherapy, and scientific nhotographv. Information re-
garding these courses may be obtained from the office of
the Langenbeckhans. Ziegelstrasse to. .Another organiza-
tion for the same purnose is the Vcrriiii^tDit: :ur Vcrnn-
staltu'is foil Kurscn fiir fraktischr .•1er:te. This is much
smaller thnn Cholesterol Zetia the previous o"e. hut nossesscs the advantage
that its courses are given througho-tt the entire vear. be-
ginning with the first of everv month. Its members are
seventeen lahoratorv and clinical workers, who give in-
struction in bacteriologv. internal medicine, massage, psy-
chiatry. surZetia 10 Mg onhthalmology. rhinologj-. otology, gyne-
colopv. urology, dermatologv. and disorders of speech.
Corrrsnondence for the association is conducted through
the book store of Oscar Rothacker. Friedrichstrasse 105.
The third organisation is the Verein fiir acrctliche Fort-
bildungskurse, and is in general very similar to the pre-
ceding one. Under its auspices courses lasting four weeks
are given every quarter, including all medical branches.
The business address of the organization is care of the
book store of Otto Enslin. Karlstrasse 32. In addition,
once or twice every year practical courses in bacteriology
are given in the Koniglichcn Institut fiir Infektionskrank-
heiten. These cover bacteriological technique, with espe-
cial reference to modern methods in dealing with domestic
and tropical diseases, as well as the subjects of immunity
and the specific treatment of infectious diseases. The en-
tire course consists of fifty lectures requiring from one t«
one and one-half hours a day, and of practical laboratory
work. Besides these facilities for postgraduate work, a
great many of the directors of municipal or governmental
institutions, laboratory workers, chiefs of clinic, etc., give
courses at any time when they can secure a sufficient num-
ber of participants. In general three to four persons are
sufficient to form a class.
In Greifswald there is an association for postgraduate
study. The courses comprise only the chief branches, and
usually are held in the la', surgery, g>'necology, and ophthalmology. Address,
Dr. Kerschensteiner, Zicmssenstrassc 79.
In Erlangen and in Wiirzburg there are associations for
postgraduate study which usually hold their courses in Sep-
tember. Correspondence should be addressed to Privat-
dozent Dr. O. Schulz. Erlangen, or to the Univcrsitats-
In Dresden courses are held in the Koniglichen Fraucn-
klinik during May. November, and February. In addition,
during the summer and winter terms clinical instruction
is given daily. Inquiries should be addressed to the Di-
relction der Fraucnklinik, Dresden.
In Leipsic there is an association for postgraduate study
which gives courses in ophthalmology, internal medicine,
bacteriology, pediatrics, urology, otology, dermatology, and
surgery, usually during the month of August. Information
may be obtained from the Univcrsitatsquiistur, Leipsic.
In Jena postgraduate courses are held during July in the
following subjects: psychiatry, gynecology, internal medi-
cine, surgery, ophthalmology, otology, rhinology, hygiene,
bacteriolog?-' and pharmacology. Information may be ob-
tained froni Prof. Dr. Giirttner, Jena.
In Hamburg during November postgraduate instruction
is given in the Eppcndorfer Krankenhaus in internal medi-
cine, nervous diseases, surgery, ophthalmology, gynecology,
pathologv-. rhinologj'. otology, massage. Roentgenology,
urology, dermatology, hygiene, and forensic medicine.
Courses are also given in the Seemanns Krankenhaus und
Institut fiir Schiffs und Tropcnkrankheiten during the
months of April. May. June. October, and November.
These are especially intended for ships" surgeons and deal
with tropical diseases and allied subjects. Correspondence
should be directed to Prof. Dr. Nocht.
OUR VIENNA LETTER.
(From Our Special Buy Zetia Online Correspondent.)
VESICAL CALCULUS — PUERPERAL STRANGULATION OF THE
SPLEEN — PERFORATING WOUND OF THE LUNG — URICOLYSIS—
CHRONIC PANCREATITIS — IODOFORM WAX.
Vienna. September 20. 1906.
Dr. Hugo Unterberg has recently operated on several un-
usual cases of vesical calculus. The first Zetia Online patient was a man
of twentj' vears, who complained of urinary dribbling and
severe paiii in the bladder region. A stone present in the
membranous urethra blocked the lumen so completely that
not even the thinnest sound could be passed beyond it.
The Roentgen rays were resorted to in order to determme
whether stones were present in the bladder also, and tw»
calculi were revealed. A suprapubic cystotomy was therefore
done. The second patient was a man sixty-seven years
[Nov. 24, 1906
old, Zetia Hair Loss who exhibited the typical picture of stone. Cystoscopic
examination revealed the presence of numerous calculi,
arranged in two rows behind the moderately enlarged cen-
tral lobe of the prostate. Forty-nine uratic concretions
were removed by the suprapubic operation. In the first
case an exact diagnosis would have been impossible with-
out the Roentgen rays, and in the second the operation
was much facilitated by the cystoscopy. Unterberg sutures
the bladder completely only in those cases in which pure
urate or oxalate stones are present ; if there are phosphatic
calculi, the vesical incision is not Cheap Zetia closed entirely, but is Buy Zetia
drained in the suprapubic region. The same operator has
recently had an interesting case of renal calculus. This
patient, who was thirty-five years old, had for some years
complained of pain in the left side. On making a cysto-
scopic examination, it was found that the bladder was the
seat of a diffuse cystitis, and that the left ureteral orifice
was dilated, while the right one was normal. The left
kidney was functionally inefficient, and at the nephrotomy
a well-marked perinephritis was revealed. The exposure
of only a part even of the convexity of the organ was at-
tended with considerable difficulty, owing to the density of
the adhesions. On opening the pelvis, What Is Zetia which was much
dilated, five stones were removed. The patient made an
A puerperal strangulation of the spleen has been treated
by Prof. Barsany. The twenty-six-year-old primapara pre-
sented the symptoms of a severe peritonitis, owing to tor-
sion of the pedicle of a wandering spleen. On admission
she had a high temperature and Zetia Prices 17,000 leucocytes, so that
a tentative diagnosis of suppurating ovarian cyst was made.
Some weeks later the fever had subsided and Barsany
opened the Zetia Cheap abdomen. Fifteen Discount Zetia liters of pus were evacuated
from an enormous cystic swelling, while near the lumbar
vertebrse the necrotic spleen with its twisted pedicle was
found. The organ was extirpated, and the abscess cavity
was flushed out and drained, after its wall had been sutured
to the abdominal wall. It was supposed that the spleen
became freely movable after an attack of malaria, and that
its pedicle became twisted in the course of the pregnancy,
producing hemorrhage into its capsule, which was followed
by infection from the intestine and gave rise Zetia Discount Card to the enor-
mous abscess, although the condition might have been pye-
mic in origin.
Ernst Fischer successfully treated a perforating wound
of the lung, caused by a stab from a pocket-knife, in a
woman thirty-two years old. The wound was four cm.
in length, on the left side of the thorax, and a thick stream
of blood mixed with air poured out. Zetia Price On extending the skin
wound, it was found that the wound, which traversed the
eighth intercostal space, did not involve the costal arteries.
Ten centimeters of the ninth rib were resected and the
pleural wound extended ; the lung was drawn out and was
found to present a wound six Zetia Coupon cm. deep, from which arterial
blood was flowing. The hemorrhage was promptly con-
trolled by five catgut sutures and the pleural cavity drained.
Coinplete recovery followed in five weeks.
Koloman Bauer Cost Of Zetia has succeeded in obtaining from ox blood
an active ferment in solution which in a period of three
days is capable of chemically decomposing 83 per cent, of
the uric acid added to it. The fermentative capacity is
greater when the amount of uric acid added is compara-
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