Vol. 60, 1909 - University of North Carolina at Chapel Hill

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Treatment ol Empyema of flie Nasal Sinuses. Mortens describes a suction apparatus of his own construction, which he claims is of great aid in the diagnosis of suppuration of the ethmoidal cells and the sphenoidal and frontal sinuses. This apparatus is especially valuable in diagnosing suppuration of the ethmoidal cells. The apparatus consists of a suction pump to which a muck nasal tip is attached by means of hose with a vanknmeter intervening lo register the suction power. Suction being continuous. With the apparatus in motion and lo to 15 cm. mercury pressure registered, the muck tip is placed into one of the nostrils of the patient. The patient is then instructed to repeat the word "Tik" to bring about the shutting off ot the naso from the oral pharynx. The patient's otlier nostril is then closed by applying pressure with the linger. The lateral opening of the nasal tip is closed with the physician's finger, thus suction is brought about in the nasal cavity. Fifteen to twenty-five centimeters applied for three to five minutes suffices usually to draw pus from the sinuses into the nasal cavity, when it exists. If applying suction pus appears in the nose previously free from purulent discharge, the diagnosis of empyema is made. Not only is this method valuable for diagnosis, but also for therapeutics. Ridding the cells of pus frees the mucous membrane and favors restoration. The suction applied causes hypertemia of the tissues, which, according to the Bier theory, tends to healing.— Deutsche Med. Woch. Adrenalin: Its Action on tbe Skin. Sardou discusses the remarkable benefits to be derived from painting the skin with adrenalin. His results are based upon the results obtained in 54 cases during the last six years. Among the conditions treated were toxic erythemas, urticaria, acne, sunburn, bee sting, eczema, pruritus, nevus, contusion, inflamed chilblains, headache, and congestion of the facs from indigestion, sciatica without neuritis, arthralgia, arthritis, varices, etc. The adrenalin applied to the skin is rapidly absorbed and acts on the vessels in the region. Durable vasoconstriction is obtained by a moderate, graduated application of the adrenalin, rrnewed according to the effects produced. Too large a dose, at first, paralyzes the reaction. Hffin.orrhoids are benefited when moderate nnd recent, unless tliey are the result of portal hypertension. The measure may also fail on account of sclerosis and paresis of the walls of the vessels. The effects of the adrenalin are similar to those of constriction hypertemia. When applied locally it re-enforces the local defenses without waiting for general reactions, the outcome of which it is impossible to foresee. The adrenalin is able to act in the depths of the tissues and to aid their defensive efforts, or the adrenalin may arouse them to more effective resistance. Annales generalcs de Medecine. Hydrocepbalus, Chronic Iiilop&thic Internal, Cured by Draizcage ol tbe Ventricle. Halben states that all the main symptoms have retrogressed since the operation done by Pavr last October. The patient was a girl of sixteen ; Payr introduced into the right lateral ventricle a piece of an artery about 2 millimeters in diameter taken from a calf. The artery had been hardened in formalin and dipped in paraffin, and was fastened to allow couim\inicatiou between the ventricle and the epidural and subdural space at the top of the head. The headaches, choked disc, nystagmus, — THE CHARLOTTE MEDICAL JOURNAL. abducent paralysis and tremor all vanished once 01! by the end of a month, and vision, which had beeUi 1-2 on each side, was 4-5 and 5-5 when the patient was discharged two weeks after the operation,] Slight headache at times is the only trace left of' the former trouble, except that the papilla look3i| little dirty. The patient had always suffered mo or less from headache, but the other symptoms i developed about five months before the operatic —Deutsche medizinische Wochenschrift. Hypertropby ol tbe Lymphoid Tissua ol tbe Pbarynx and Its Relation to 1 Tuberculosis. | P. Nobecourt and Leon Tixier have examinedl' twenty-two children from thirty-one mouths tAj four years of age, all of whom had large adenoids; and enlarged tonsils, but none of whom had pnlmonary tuberculosis. They sought for appreciablej tuberculous lesions and used tests for the presenoej of tuberculosis; the subcutaneous method, ophthal-| mic reaction and skin reaction were used as tests,: A table of the results is appended. Bacteriologica' and histological examinations of the tissues rt moved were made. Of the children thirteen had; no sign of tuberculosis; six had doubtful signsjj three were considered clinically tuberculous, andj two were clinically doubtful. The skin reaction; was positive twelve times; the ophthalmic reaction] was positive four times; only five infants out of thtj twenty-two could be considered free from tubercu-| losis, and yet almost ali enjoyed excellent health.; The portions of tissues removed and examined! never showed tuberculous foci. The authors conclude that tuberculosis of the tonsils and adenoid] tissues of the pharynx is rare. In these children] who were openly tuberculous the inoculation ol; guinea pigs with the tonsilla tissue never produced tuberculosis. The lymphoid tissues didnotserv«j in these cases as the door of entry for the bacillus 1 tuberculosis —Gazette des Hopitaux. ; Pulmonary Empbysema and FaJty De-I generation ot tbe Diapbragm in Dipbtberttic Intoxication. I G. :\Iya has observed in children «ho wert- sub- ject to severe diphtheritic intoxication a cdiuiition' of emphysema of the lungs, which may go .=0 fai as rupture of the vesicles of the lungs ami sub- pleural, and even subcutaneous emphysema. The type of case in which this is .seen is that in >. liicb i there is a necrotic angina with great enlarj;i;nienl 1 of the glands of the neck, myocarditis, albumniiiria, i cutaneous hemorrhages, and muscular astiie nia ' Such cases generally result fatally. In life tlie arei | of resonance of the lungs extends down to lli< ; seventh rib in front and the twelfth behind, aiic . the vescicular murmur is enfeebled, while inspira , tion is short and superficial. In these ca?es tber< is no laryngeal stenosis, and hence the coulitifir I cannot be referred to the extra effort required foi resjiiration. At autopsy the clinical evidences i confirmed by finding the macroscopic and micro scopic characteristics of etuphysema. In thest cases there is also found a fatty degeneration of tin muscular fibers of the diaphragm, which aid: lack i)f elasticity of the lungs, due to deficient power of the elastic fibers in producing the euiphy sema.— Rivista Di Clinica Pediatrica. Graduated Rest In Pulmonary Tuber; culosls. It is possible to give the lungs approximate, nolj complete rest. This latter measure should be pre^ scribed sufficiently early and for suBBciently lonfj periods. .\11 patients who exhibit even the smallest 1' | i,
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NORTH CAROLINA HISTORY OF HEALTH DI
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lARLOTTK MEDICAL lOURNAL. ^ SANMETT
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THE CHARLOTTE MEDICAL JOURNAL. Chat
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THE BABIES «HC thrive the best dur
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VIII THE CHARLOIVTE MEDICAL JOURNAL
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THK CHARLOTTE MEDICAL JOURNAL. MILK
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THE CHARLOTTE MEDICAL JOURNAL. NEUR
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PHF. CHARLOTTE MEDICAL JOURNAL. Atl
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AKLOTTE MKDICAL JOl'KNAL E^legant P
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THE CHARLOTTE MEDICAL JOURNAL. "We
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^^ THE CHARLOTTE MfiDICAL JOURNAL.
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' \ fth ORIGINAL COMMUNICATIONS.
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ORIGINAL COMMUNICATIONS, 5 trate ul
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ORIGINIAL COMMUNICATIONS. 7 careful
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; THE CHARLOTTE MEDICAL JOURNAL. 9
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ORIGINAL COMMUNICATIONS. 11 tuber i
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ORIGINAI, COMMCNICATIONS lo neum ab
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The chief causative factors of gast
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OEIGINAI. COMMUNICATIONS. 23 down t
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ORIGINAL OOMJIUXICATION. 27 tro-int
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ORIGIXAL COMMCNICATIONS. 29 the sam
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ORIGINAL COMMUNICATIONS. 31 tioii.
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EDITORIAL. 33 rUai'lriiio Lnai JOli
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EDITORIAL. oD Ham Jones, of High Po
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EDITORIAL. 37 Siler, of the U. S. A
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8. What is the differential diagnos
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Edgar M. Long, Hamilton. Ben F. Roy
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and H. A. Slack. "Infection and Imm
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EDITORIAI,. 45 Dr. Claude N. Smith
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I C. EDITORIAL. Association, the Am
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REVIEW OF SOUTHERN MEDICAL LITERATU
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INDEX FOR JULY, Table of Contents f
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ABSTRACTS Genielli, who is himself
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— ADVERTISEMENTS. XXIX THE PINES,
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ORIGINIAI. COMMfNICATIONS. h.'l isu
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ORIGINAL COMMUNICATION. 6/ cine. I
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ORIGINAL COMMUNICATIONS. 69 membran
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ORIGINAL COMMUNICATIONS. 71 îve US
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ORIGINAL COMMUNICATIONS. 75 toxins.
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ORIGINAL COMMUNICATIONS, 77 tions a
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ORIGINAL COMMUNICATIONS. 79 tion or
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ORIGINAI, COMMUNICATIONS. 81 typhoi
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' first I in ' more I I been I youn
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ORIGINAL COMMUNICATIONS.
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Page 171 and 172: effects of antitoxin treatment and
Page 173 and 174: EDITORIAL. JamesBarrinalectureon J/
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Page 183 and 184: with their wives, daughters and inv
Page 185 and 186: Countv: Dr. \V. H. Ward, Plymoulli,
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Page 201 and 202: . ABSTRACTS. of the rectus. This op
Page 203 and 204: INDEX FOR AUGUST. Table of Contents
Page 205 and 206: m^% ./AMENORRHEA DYSMENORRHEA -": M
Page 207 and 208: ADVERTISEMENTS. 131 THE CHARLOTTE S
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Page 213: ADVERTISEMENTS. St, Luke's Hospital
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Page 223 and 224: This is the Food for your baby pati
Page 225 and 226: VDVERTISEMENTS ERUPTIONS Inflammati
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Page 229 and 230: SOUTHERN MEDICAL SOCIETIES. MISSISS
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The reason for this is that the blo
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ORIGINAI, COMMUNICATION. 155 diment
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ORIGINAI. COMMUNICATIONS. 157 maind
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Charlotte Medical Journal EDITORIAL
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' attention, of the ray, and must t
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EDITORIAL. 163 one of the most sign
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165 morbidity from this disease. Ev
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North Carolina Medical College Open
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BOOK NOTICES which he lives, etc.,
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ABSTRACTS. 179 amination of every o
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ABSTRACTS. 181 Opium in the Therape
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ABSTRACTS 18,5 pleural pain, and wa
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ABSTRACTS. 185 been removed by lith
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ABSTRACT. 187 a general peritonitis
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Of the patients three were spinster
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ABSTRACTS. 191 —minimal dazzling,
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' ABSTRACTS. • 193 cellulofibrino
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ABSTRACTS. 195 George Lincoln Walto
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ion ceosed rather abruptly above at
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Charlotte of t^ê Medical problem J
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works, making a total of 21n deaths
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DR. llô^^'OK COOK, DISCOVERER, lie
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EDITORIAL. 249 of a tetanic nature.
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EDITORIAL. T-< ^^:hjS^^' ->^'- - S-
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J I Board i the EDITORIAL. 253 affo
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A Case ol BaclIIary Infection of th
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ABSTRACTS. indicates that a point n
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ABSTRACTS. 261 should be added thos
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ABSTRACTS. 263 sat up ill bed on th
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ABSTRACT. 7^5 sore throat that are
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ACTS 267 The Etiology ot So-Called
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nig of the spongy layer. This occur
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ABSTRACTS 271 1 It should be so adm
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iig, immediate ligature is preferab
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ORIGINAL COMMUNICATION. 307 of the
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, ORIGINAL COMMUNICATIONS. 309 u- i
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KDITORIAL. Charlotte Medical Journa
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EDITORIAL. 313 assumption on the ph
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EDITORIAL. 315 definite locations,
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EDITORIAL. AI
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EDITORIAL. 321 EDITORIAL NEWS ITEMS
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ABSTRACTS. 397 the iiKliyidual girl
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ABSTRACTS 329 ble nurse—provided
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BOOK NOTICES -,.. of Preventive Med
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ABSTRACTS. hyj,e,nc pnncples. Where
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ABSTRACTS. 337 spinal fluid of epil
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ABSTRACTS. -,^q in which, in anv ev
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ABSTRACTS. 341 then there has been
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ABSTRACTS 343 Antilormln in the Det
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I harmless. I peculiarly Calcium Sa
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ABSTRACTS. :over chancres on the li
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AUEVKTISE.MliNTS. 349 A considerabl
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REVIEW OF SOUTHERN MEDICAI, LITERAT
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ABSTRACTS. 359 DOCTOR: OUR RESPIRAZ
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ADVERTISEMKNTS. For Upwards of Fort
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ORIGINAI, COMMUNICATIONS 367 diagno
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ORIGINAL COMMUNICATION. 373 Iter in
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ORIGINAL COMMUNICATIONS. 375 )f the
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ORIGINAL COMMUNICATIONS --n Û.: ra
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ORIGINAL COMMUNICATIONS. 381 ffiveh
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ORIGINAL COMMUNICATIONS. 383 i desi
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ORIGINIAL COMMUNICATIONS. .'iS? is
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EDITORIAL. .389 Charlotte ture prop
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EDITORIAL. 391 ation of information
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EDITORIAL. 393 decrease of urinary
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[ ! his I to DK. RUSSEUU MOVES TO f
Page 633 and 634:
man and Dr. li. Eugene Mitchell, of
Page 635 and 636:
. EDITORIAL. 3^9 J. S. Wynne, Dr. A
Page 637 and 638:
EDITORIAL. 40] . ; . ellagra," Dr.
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Page 641 and 642:
BOOK NOTICES 405 . 1 This book is i
Page 643 and 644:
ABSTRACTS. 407 ical Society, contri
Page 645 and 646:
ABSTRACTS 409 Certain Bacillus Coll
Page 647 and 648:
ABSTRACTS. at this Stage to check t
Page 649 and 650:
Bl^tr:i:îê:S':::r^^'^:^: ;J;-Pati
Page 651 and 652:
ABSTRACTS. 415 tastases and recurre
Page 653 and 654:
Clinical ADEVRTISEMENTS. FUNCTIONAL
Page 655 and 656:
ADVERTISEMENTS. 419 ra For Upwards
Page 657 and 658:
Tblosinamlne In Deafness.— Mollis
Page 659 and 660:
p was a notorious one. He not only
Page 661 and 662:
TABLE OF CONTENTS FOR VOLUMI Table
Page 663 and 664:
py, bv Edwin Henry 8cborer, M. !) U
Page 665 and 666:
tZ^ ADVEKTISEMKNTS. A Post Graduate
Page 667 and 668:
fidgetiness, especially at night. T
Page 669 and 670:
I actually I ! tion i dition j I be
Page 671 and 672:
ADVERTISEMENTS. DOCTOR: OUR RESPIRA
Page 673 and 674:
ADVERTISEMKKTS, 4,37 A S-Pheu, form
Page 675 and 676:
ADVKKTISKHMTS A most powerful non-t
Page 677 and 678:
Page 679 and 680:
:«^ ADVERTISEMENTS. 'Ai Asepttnol
Page 681 and 682:
VDVERTISEMENTS The First Applicatio
Page 683 and 684:
Ir Interested Send for Smpics n LiT
Page 685 and 686:
ADVIiRTIESMENTS, HUMAN HANDS HAVE N
Page 687 and 688:
I 'A ADVERTISEMENTS. For your littl
Page 689 and 690:
m I Sy R E P R E S E NTS THE M O ST
Page 691 and 692:
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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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