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Jour., April 19, 1900) has observed this phenomenon in no l^s than 20 out of 400 cases. He presents notes of 20 cases of his own, and on these and 25 ad- ditional cases collected from literature, he makes the following observations: (i) The pain ap- peared with regularity in all the cases, practically every month except when pregnancy was pres- ent. In 22 cases the pain always occurred on a certain day from the beginning of the last men- struation. There was a variation in 13 cases Beconase Hayfever of two days, and in 4 of four days. In z cases of irregular menstruation it appeared on a certain day before the beginning of the next menstrua- tiOTi. (2) In 37 out of 41 cases the pain ap- peared on from the twelfth to Beconase Inhaler the sixteenth day, counting from the first day of the previous men- struation. In 20 cases it appeared exactly on the fourteenth day. In 2 cases it began on from the seventh to the tenth day, in one on Buy Beconase the sev- enteenth, and in one on the eighteenth day. (3) The character of the pain was paroxysmal in a large number of cases, the attacks coming either at intervals of several hours, or else there was a constant pain with marked exacerbations, sub- jectively much like labor pains. The pain resem- bles that of menstruation in about one-half of the cases ; in the others it was "entirely differ- ent." (4) The pain reached its maximum on the first or second day, and lasted in 10 cases two days, in q, three days ; in 8, one day, and in only 4 did it last four or more days. (5) The site of the pain in 14 cases was limited to one side, in 2 it alternated, and in 12 it was more general. (6) The pain was not accompanied by a dis- charge like that of menstruation in any of the cases. For this reason the writer objects to the term "intermenstrual dysmenorrhea." In 10 cases, however, there was a marked increase of leucorrhea, indicating congestion. In consider- ing the etiology of this pain, Storer discusses the Beconase Aq ftJlowing theories which have been advanced: Beconase Price fi) The mechanical theory — tubes, ovaries; (2) the neurosis theory; (3) the intermenstrual cycle of congestion theory; (d) the intermenstrual cycle of ovulation theory. Not believing any of these theories to be entirely correct, the writer offers the following theory which he calls Beconase Nasal Spray the "awakening of menstrual activity" theory. This intermenstrual pain comes on about the four- teenth day after the beginning of menstruation, which is the nineteenth after the climax of Ste- phenson's wave. Therefore it occurs just about the time the pressure line has reached its lowest point If we then suppose that the intermen- strual wave, if Beconase Aqueous Nasal Spray one exists, is one of preparation rather than of subsidence, in which nature, sud- denly awakening, begins to make ready for the coming Beconase Tablets activity, whether menstrual or ovarian, the readjustment of forces might account for the occurrence of Beconase Aq Nasal Spray this pain. This theory, the writer thinks, would not be Beconase Spray inccMnpatible with the fact that this pain occurs under such a variety of pathological conditions. He cites several cases showing that the pain has more relation to the coming menstruation than to the previous one. Intestinal Suture. — W. Edmunds and Beconase Generic E. C. Stabb (Lancet, April 14, 1900) performed ex- periments in circular enterorrhaphy. They used three different methods: Halsted's inflat- ed rubber cylinders; Murphy's button; and La- place's forceps. Seven trials Beconase Cost of each method were made on dogs. All cases Beconase Hayfever Nasal Spray by the Halsted method were successful, only five by the Murphy button, and four by the Laplace forceps. The inflated rubber cylinder pushes back the mucous membrane which otherwise always interferes with suturing the outer coats, especially the peri- toneum. At the same time it prevents the out- flow of intestinal contents so that no clamps or ligatures are necessary. Murphy's button is not always trustworthy unless reinforced by exter- nal sutures, the placing of which lengthens the operation materially. Recovery is not so rapid after Murphy's button. After HaJsted's method formed stools appeared next day; after Mur- phy's button formed stools occurred only after three or four days. Laplace's forceps are of little assistance. Dormiol m a Hypnotic. — In order to satisfy all the requirements of a good hypnotic, a drug must be effective in all cases of insomnia irrespective of cause ; it must be cheap, of fair taste and un- accompanied by Generic Beconase sequels. R. Peters (Miinch. med. JVoch., April 3, 1900) thinks the dormiol satisfies all Order Beconase these requirements to a high degree.
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