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Table 10. Skin conditions. — In psoriasis the to- tal acidity, Costco Pharmacy Viagra Cost pepsin unit, and diastase amount were all high. TABLE II. Miscellaneous conditions. .Made .-^i.ecific Total , Pep- No. Urine to gravity acid sin D =*/s8 D total Condition 1 1,110 1,200 1.020 412 1,200 7.8 93.6 arthritis. _ _ 660 700 J.030 319 1,400 20 140 Costco Pharmacy Viagra Cost sacroiliac arthritis. not 1,060 1,200 taken 638 1.200 78 93-6 gO"'- not 940 1,200 taken 76S 1,200 12.3 150 gout, not 5 1,530 1,600 taken 684 1,600 7.8 124.8 gout. 6 650 700 1. 010 812 700 12.5 87.5 autointoxication. 7 1,380 1,400 1.012 644 2,800 7.8 109 autointoxication. 8 1,730 1,800 1. 010 Costco Pharmacy Viagra Cost 799 1,800 7.8 140 autointoxication. 9 890 1,200 1.025 422 2,400 7.8 93.6 obscure eye condition 10 930 1,200 1.020 489 1,200 5.0 60 obscure eye condition. Table ii. Miscellaneous conditions. — Negative. It must be confessed that the writer was but lit- tle impressed at the beginning of the work with the possibilities of the subject, and Costco Pharmacy Viagra Cost this impression has gamed force until he is now of the conviction Costco Pharmacy Viagra Cost that no diagnostic aid is to be sought in the amount of pepsin or diastase in the urine. If one glance- at the appended ten protocols he is at once non- plussed by the only too apparent confusion in re- sults, and it is impossible to draw any conclusion^ from the work. The writer would unequivocally disclaim all value for the determination of the fer- Costco Pharmacy Viagra Cost ments in the urine, per se. Whether parallel studies of the 1,'astric pepsin and urinary pepsin will prove of value (Ellinger and Scholz, Wilenko) must re- main a question, since in my series Costco Pharmacy Viagra Cost this has not been studied, as I preferred to limit my observations to the urine alone. References. 1. Briickc (quoted by Ellinger and Scholz). 2. Griitzncr. Breslatier drztliche Zeitschrift, 1882, 17, P- 193- 3. Sahli. Pfliigers Archiv, xxxvi, p. 209, 1885. 4. Gehrig. Pfliigers Archiv, xx.xviii, p. 35, 1886. 5. Hoffmann. Pfliigers Archiv, xli, p. 148, 1887. 6. Langley. Journal of Physiology, 1881, 3, p. 246. 7. Leo. Pfliigers Archiv, xxxvii, p. 223, 1885. 8. Grober. Deulsches Archiv fiir kliiiische Medisin, Ixxix and Ixxxiii. 0. Grobcr. Archiv fiir E.vperimentelle Pathologie und Pharmakologie. li. ro Ksmonct. Comptcs rendus de la societe de biolo- gie. Ixiv, p. 188, 1908. II. Dclezcnne and Frouin. Comptes rendus de la so- eiete de biologic. Ivi. p. 204, 1904. 12. Ellinger and Scholz. Deutsche^ Archiv fiir klinische Mediziii. xcix, p. 221, 1910. 13. Cohnheim. l/'irchotcs .-Irchiv, -xxviii, p. 241, 1863. 14. Bechamp (quoted by Wohlgemuth). 15. Plosz and Tiegel. I'tlugers Archiv, vii, p. 391, i8-3- 16. Holovtschiner. Virchoics Archiv, 1886, 104, p. 42. I/. Leo. Verhandluns,en des 7. Kongresses fiir iniiere Medizin. 1888, p. 364. 18. Zuntz (quoted by Wohlgemuth). 19. Bendersky. Virchows Archiv, cxxi, p. 554, 1890. 20. Lepine (quoted by Wohlgemuth). 21. Loeper and Ficai. .-irchives de medicine experimen- tale et d'anatomic l^athologiqne. xix, p. 722, 1907. 22. Wohlgemuth. Biochemische Zeitschrift, 1908, 9. pi- 23. Idem. Ibidem. 1909, 21, p. 432. 24. Wilenko. Berliner hiiiiisdte Wocheiischrift, 1908, p. 1060. 25. Goodman. American Journal of the Medical Sciences, November, 1908. 26. Mya and Belfanti. Ceiitratblatt fiir klinische Medi- zin, 1886, 7. PP- 449-729- 27. Thiele. Inaugural Dissertation, 1907, Leipzig. 248 South Twenty-first Street. BRE.'\KING DOWN OF WOUNDS FOLLOWING OPERATIONS.* By John J Gilbride, A. M.. M. D.. Philadelphia. Breaking down of wounds following operations is caused by infection. There are, however, a num- ber of factors that contribute to infection. The preparation of the hands of the surgeon, assistants, and nurses ; also suture material, dressings, etc.. Costco Pharmacy Viagra Cost have received a great deal of attention, but here,