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The volunteer fire corps of Santiago has a special lot and a pretty monument. San Jose de las Matas, 24 miles southwest of Santiago, is situated on a high plain in the midst of the mountains and is surrounded by great pine forests.
Local Treatment. When constitutional treatment fails, local measures must be adopted, and many methods are available. #Endo-aneurysmorrhaphy.# The operation devised by Rudolf Matas in 1888 aims at closing the opening between the sac and its feeding artery, and in addition, folding the wall of the sac in such a way as to leave no vacant space.
He stared at me, fingering his dagger as if he did not understand, or as if in the bitterness of his shame at being so defeated even life were unwelcome. I was about to repeat my words when a heavy hand fell on my shoulder. 'Fool! a harsh growling voice muttered in my ear. 'Do you want him to serve you as Achon served Matas? This is the way to deal with him.
Hydraulic mining was attempted in Santiago province, but after the construction of an expensive canal the project was abandoned. Under the liberal mining law mining privileges have in recent years been granted for gold mines reported at numerous places in the communes of San Jose de las Matas, San Cristobal, Janico, San Juan de la Maguana, Sabaneta and others. Prof.
Matas presented the photograph of a negress having an enormous fibroma growing from the left parotid region; and there is a photograph of a similar case in the Mutter Museum of the College of Physicians, Philadelphia.
According to Osler, in parts of Central America, the eggs of a bot-fly, called the dermatobia, are not infrequently deposited in the skin, and produce a swelling very like the ordinary boil. Matas has described a case in which the estrus larvae were found in the gluteal region.
Other villages are San Jose de Ocoa, also known as Maniel, 18 miles northeast of Azua, founded in 1844 in a picturesque region; Tubano, 34 miles northwest of Azua; El Cercado, 12 miles southwest of Las Matas de Farfan; and Comendador, near the Haitian frontier, 13 miles west of Las Matas de Farfan, the seat of one of the inland custom-houses.
The main body of the Haitians retreated by way of the Cibao, the others through the south, all devastating the country as far as they could. Azua, San Jose de las Matas, Monte Plata, Cotui, San Francisco de Macoris, La Vega, Santiago and Monte Cristi were reduced to ashes.
The available operative measures are proximal ligation of the innominate, and distal ligation. In some cases it has been found necessary to combine distal ligation with amputation at the shoulder-joint, to prevent the collateral circulation maintaining the flow through the aneurysm. Matas' operation has been successfully performed by Hogarth Pringle.
Since that time, Abbe, Matas, Davis, Brokaw, Robinson, Stamm, Baracz, and Dawburn, have modified the material of the plates used, substituting catgut rings, untanned leather, cartilage, raw turnips, potatoes, etc. Recently Murphy of Chicago has invented a button, which has been extensively used all over the world, in place of sutures and rings, as a means of anastomosis.
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