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Individuals not participating in the actual physical strife going on, but at a safe distance from shot and shell, simply must be ranged on one side or the other, representing the two great ideals being fought for, ideals. The glandular structures at the edge of the ulcer show sUght degenerative changes of their cells. It has often been said that this disease is increasing, but we have no statistics on which to base any such The treatment of this trouble is real life. Significant conjunctival symptoms in past coupon years. If possible there should be continuous irrigation with a weak antiseptic, while the limb is placed in a splint with the wrist dorsiflexed. The most marked effects of the toxin would seem to be determined in the central nervous system, and more especially that portion of it closely related to the respiratory apparatus in the lower motor neuron in the region of the nuclei of the vagus nerve. In six months all symptoms of inflammation had disappeared, and firm pressure coidd bo tolerated store without pain. On the lower lip cancer occurs almost exclusively in those who smoke a pipe, and is the best example of the part which is played by chronic irritation in the development of some cancers (though not of all). Certain denial mechanisms of the aging process become evident with health rationalizations, fixations, rigidity, fatalistic, cynical, pessimistic, or optimistic ideations. A large gum elastic catheter is passed and retained in the urethra, and if the bladder is empty it should be filled with ten or twelve ounces of fluid. A criticism current is that these schools are" making scientists, not practitioners." Let us examine this criticism and see if it be well-worded. The fact that this specificity shifted from one group of bacteria to another with the change in the chemical composition of the radical added to the hexamethylenetetramine, demonstrated that, in contradistinction to the bactericidogenic character, the specificity relations were determined, not by the hexamethylenetetramine nucleus, From the facts set forth above it will be seen that the program presented in the introductory paper has been partially fulfilled. The marked reduction in infant mortality during the last ten years, has been accomplished very largely by the decrease in the number of deaths due to diseases of the digestive system, while the mortality due to congenital debility and diseases of the respiratory system, although somewhat reduced during the last two or three years, still remains disproportionately high. I do not know of any recovery without operation.

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Any tonsil or adenoid, large or small, healthy-looldng or obviously diseased, may justifiably be removed as an experiment when there is disease of heart or joints imexplained. Such we believe to be "review" the more important provisions of a scheme which we are bound to affirm seems to us in its leading principles a thoroughly fair one. I also assert, with some confidence, that, in the vast majority of cases, oeiema glottidis may be reduced without tracheotomy, by the timely employment of what I think more rational, and certainly" Thus, for instance, I have in a good many cases of this kind successfully applied a strong solution of nitrate of silver to the oeiemitous swellings by means of laryngeal sponge-probing, and, whenever this is rightly done, it will be found that there is an almost immediate transudation of serum from the tumor, whereby its bulk is diminished, and the air permitted to pass more easily through the glottis. Of course it goes without comment that this saving of time shall not be at the expense of clean, smooth work, nor is it necessary on the other hand to exaggerate infinitesimal There is no place in the surgery of to-day for either the putterer and bungler, or the man who is a'll"front" and gallery play, when dealing as we are with Life, attempting to the best of knowledge and ability to keep it from flutterinto the fr Great Beyond." What I have to say upon this subject to-day is of a frankly personal nature, and relates in large measure to my own experience in the treatment of this malady and some of the lessons that I have learned in the course of the last twenty-five years during which such cases have come under my care. The lesion was situated in the subcutaneous tissue and thoroughly walled off by dense connective tissue.

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