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

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THE CHARLOTTE MEDICAL JOURNAL. f ÊNTRATED PROMPT POWERFUL | I Rheumatism and Kidney Remedy FORMULA-Colchicum, Hyoscyamus, Rhus Tox Chirette GauUberia, ^c-a^s
The Charlotte Medical Journal Vol. LX CHARLOTTE, N. C, OCTOBER, 1909. No. 4 A Pica lor the Early and Tborougb • Re- famiHar tr, all K„t th^. moval 'amiliar ol to all, Tonsils and Adenoids but there is In an anatomic Cblldren.* torination above each faucial tonsil, which By Dunbar Roy, M. D., Atlanta, Georgia. '" ^^^ ^^^^ ^^^^ years has received much at- 1. Anatomical— *^"^'°" o" account Position of its and Structure pathologic import- ' 2. Phvsiologic '" being Function. probably the starting point f"'^^' *°'' 3. Pathologic ^'anous infections in Iûnction and about the ton- 4. ^''^' Remote Effects ^^Pecially of peritonsillar ( 1 ) by Pathologic abscesses. Ir- Killian voh'ement, (.2) by Mechanical was one of the first Obstruction. men to call attention 5. Rational to this Treatment. anatomic formation from the My only excuse examination of for bringing 105 a time-worn anatomic preparations subject and like this before our 100 living persons. Medical Assoc He found ation is the fact of its importance to the \ '1 ^ immediately below the ,^'''f specialist and ^°^^ of general mucous practitioner membrane, alike which ^^"^'^""f and also that I wish ^^^ upper part of the to tonsil put myself on in front, record ^°r'^ as favoring an early operation for tonsils ^ ^^P^^'°" >»^k «[ This is the openand adenoids, and this too onlv under a H^ '"'° f «lative y arge cavity lying in general anesthetic. In the last few vears u^ ^"^f "^^'^^ *°"?'' '^'^"='^ '^ concealed by the deleterious effect of enlarged or diseased ?^ ôf palate. Examination with a probe tonsils and adenoids upon the general con- f °'^^ ^''^^^^'' P'^^'^^ ^^^ ^ 'ê"^ ^^P^^ of stitution of the individual has been univers- ,V"" / ^^^"^ was called by His ^.'t "f,"^ ally ^natonist, recognized, the and supra-tonsillar ils importance is in- ]^^ fossa and creasing with every year of our medical L.l '11,^'"'' '' 'f"'^ \'' '^f''^"^^ advancement. It is impossible for me, in ^"'^Y • ^^ Prolonged down- f ? f T^ the limited time at my disposal, to go t hor- ' f'^'" ^"' "l \^^, .^°"f °^ '' ^^y ê oughly into ^'-^J'^hedoutvvard every behind the detail palato-g of this subject, ossus but I shall try as far as possible to present some ^"!f/'fn T f , "r"" ^'^'- possible to present "' some ''^' crypt of the tonsil but a space above l' important factsâs a practical this contribution organ. to the Enough subject has been in question. written to show that it The has a distinct anatomical anatomical position entity and and relationship possesses of clinical the faucial significance. It tonsils and adenoid may be- tissure in the nasopharynx come is no doubt j"""*! the \'"^ seat of suppuration which may too familiar to need very imperfect discussion, although manner and in I shall speak this way later on give rise to this point when continuous throat irri- discussing the obtation.structive Patterson has influence found pyogenic or- of these structures to ganisms in proper great abundance ventilation in this of the nose space and ears. The and believes it is lymphoid the point ring where the in the throat now ma- has a jority of tonsillar definite infections arise. meaning to nearly My every own physician, observations embracing correspond as with this it does state- the circle of Ivmphoid ment. In fact, tissue Killian known has as given adenoid, up the faucial, and lin- ordinary incision gual through the tonsils. soft All of palate in this ring of tissue is cases of peritonsillar histologically abscess the same, d being opens what knowii '^'"^ through the as supratonsillar lymphoid fossa tissue. On by account of the prominem position and ease oframin If^ L?'.!.?'°^!l '"^.f^f„""^ .'"'^ *l^ ^^ scess ^'-cao ation by uy this mis route. fli(» fQiiî.,! juuie. t. „..;io i; f i 1 he question as to the r'.ê^J^ m:^l Sl^nUon^lha^^ d^' th; Sjh^^^^L^y^t t^n^" îS adenoid T 'Z:"" T tissue in the naso-pharvnx and the '! ^/'^°"sji a ' , , T ) , of lymphoid .experimental work tissue has been at the base of the tongue f^^V^^^.f. This, furthermore, was justifiable becfuse '"'' '^^ -'^'^ ^.^^^ ' T'^^^.tT"''' r the faucial tonsil, do produce more svstemic "' '^"^ °P1"'°."' HZ T S disturbances than ''''' possiblv do the rema Id r Ivmnhadc ti su'e Ch'i T''"""'"' l' of the lymphoid ring, and for this reason L^ fP^'A". _''''"^,'^°*^ " '^^. "^so-pharynx has receh-«f'^r/'r.^' r their "^ !"' '''? nas "^T" bu^mo;resp;;i;n7;he"fauci;rt7„rir.' received more attention from physiolo- tv.^ „.,, , r , ., [""^t-" -;K.a-d before the '» t^^^ 'ght of the present day n,eeti„g of the Georgia M...,cat Association in Macon, Georgia, April "^"owledge, is still 20, 21, veiled m some obscurity. "' '^^' ' ' It is for this reason that I shall speak for a
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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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ORIGINAL COMMUNICATIONS. to adminis
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ease itself. The deportment of the
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ORIGINAL COMMUNICATIOXS, 21 process
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OEIGINAI. COMMUNICATIONS. 23 down t
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ORIGINAL COMMUNICATIOMS. 25 this In
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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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REVIEW OF SOUTHERN- MEDICAL LITERAT
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Book Notices. The Popes and Science
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ADBVRTISEMENTS.
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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. St. Luke's Hospital
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ADVERTISEMENTS. a mixture containin
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ADVERTISEMENTS. SOUTHERN MEDICAL SO
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»»< ADVERTISEMENTS. To obtain the
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— ADVERTISEMENTS. XXIX THE PINES,
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A most powerful non-toxic bacterici
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ADVERTISEMENTS. The Sarah Leigh Hos
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ADVERTISEMENTS. Baby needs Mellin's
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ADVERTISEMENTS. MALT WIXH REPRESENT
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^/^ ADVERTISEMENTS Aseptinol Manufa
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ADVERTISEMENTS. The State Examining
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Much better results will be obtaine
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ADVERTIESMENTS, r^mmmmmmmmmmm^mmm^m
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ADVERTISKEMTS '^he niGKSMITH HOSPIT
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VDVERTISEMEXTS ERUPTION^ Inflammati
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ADVERTISEMENTS. The Success of List
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Jlnnomicemeiit to the medical Profc
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ttiiALIH AFFAiRS LIBRARY Charlotte
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ADVERTISEMENTS. F>OST -TTPHOI RECON
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C ADVERTISEMENTS. BOVININE Reconstr
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ADVERTISEMENTS. Successfully Prescr
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ADVERTISEMENTS ^--«*»iûi4 >Ji^Wo
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\ ADVERTISEMENTS. Significant Requi
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Peak's Supporter ADVERTISEMENTS. Fo
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ADVERTISEMENTS. P0ST=0PERAT1VE CONV
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% ADVERTISEMNTS. PROFESSIONAL CARDS
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ADVERTISEMENTS. THE SPECIJIL FIELD
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IN ADVERTISEMENTS ALBUMINURIA OF BR
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The Charlotte Medical Journal Some
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for typhoid anti-bodies the destruc
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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 subject of
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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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ORIGINAL COMMUNICATIONS. .S7 Like m
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ORIGINAL COMMUNICATIONS. 89 as to t
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ORIGINAL COMMUNICATIONS. 91 as we h
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ORIGINAL COMMUNICATIONS. 93 ena sim
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effects of antitoxin treatment and
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EDITORIAL. JamesBarrinalectureon J/
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EDITORIAL. 99 logically what hither
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EDITORIAL. the father did not influ
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EDITORIAL. 103 quently they repeate
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J treatment of alcohol and drug add
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with their wives, daughters and inv
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Countv: Dr. \V. H. Ward, Plymoulli,
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REVIEW OF SOUTHERN -MEDICAL LITERAT
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Book Notices. Treatment of the Dise
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BOOK NOTICES. 119 rations and to th
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ABSTRACTS. 121 , women are subject
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ADBVETISEMENTS. The Girculatorj Dan
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. ABSTRACTS. of the rectus. This op
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INDEX FOR AUGUST. Table of Contents
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m^% ./AMENORRHEA DYSMENORRHEA -": M
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ADVERTISEMENTS. 131 THE CHARLOTTE S
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^tttmai Attest ADVERTISBMRNT3. To o
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ADVERTISHEMTS flp?!lj!uco?ie A most
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ADVERTISEMENTS. St, Luke's Hospital
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' > ' " ' ADVERTISEMENTS. >^^_ ,i&-
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I «43«« ADVERTISEMENTS. MALT IRO
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:': rflflN m WEflKEiT utih- ^ Z^flM
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ADYERTIESMEWTS, Inflammation's Anti
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This is the Food for your baby pati
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VDVERTISEMENTS ERUPTIONS Inflammati
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ADVERTISEMENTS The Success of Liste
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SOUTHERN MEDICAL SOCIETIES. MISSISS
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-'" fî-r/\jRs ÎBR/{}^Y jharlotte
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. // is a fact that ADVERTISEMENTS.
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C ADVERTISEMENTS. BOVININEI Reconst
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ADVERTISEMENTS. ^11 the tfc® Nmtur
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ADVERTISEMENTS Is pre-eminently ser
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ADVERTISEMENTS, Milk prepared with
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f ^ Peak's /^^^*=^=^\ Supporter ADV
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ADVERTISEJIENTS. BUFFALO LITHIA SPR
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ADVERTISEMNTS. I PROF ESSIONAL C AR
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Intestinal ADVERTISEMENTS. ^ '"°'"
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Oar ADVERTISEMENTS THE CHILD THAT F
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The Charlotte Medical Journal Antit
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ORIGINAI, COMMUNICATIONS. 139 tinuo
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ORIGINAL COMMUNICATIONS. 141 tiiict
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ORIGINAL COMMUNICATIONS. 143 by Shu
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ORIGINAL COMMUNICATION. 145 can be
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ORIGINAL COMMUNICATIONS. 147 Americ
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ORIGINAL COMMl'NICATIONS. 149 senti
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The reason for this is that the blo
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ORIGINAL COMMUNICATIONS. 153 chroni
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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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REVIEW OF SOUTHERN MEDICAL, LITERAT
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REVIEW OF SOUTHERN MEDICAI. LITERAT
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REVIEW OF SOUTHERN MEDICAI, LITERAT
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BOOK NOTICES which he lives, etc.,
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Prognosis In Tetanus.—Patton in T
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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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AD8VRTISBMBNTS. 197
Page 315 and 316: ABSTRACTS. juprarenalis. The thyroi
Page 317 and 318: TABLE OF CONTENTS FOR SEPTEMBER. Ta
Page 319 and 320: ion ceosed rather abruptly above at
Page 321 and 322: to heal the sick man as to maintain
Page 323 and 324: THE ADVERTISEMENTS. CHARLOTTE SANAT
Page 325 and 326: **< I mi ADVERTISEMENTS. To obtain
Page 327 and 328: W^mB ADVERTISEEMTS A most powerful
Page 329 and 330: ADVERTISEMENTS. St. Luke's Hospital
Page 331 and 332: UNpT. il ADVERTISEMENTS. Aseptinol
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Page 335 and 336: If Interested "Êwp FOR Samples h L
Page 337 and 338: ^-MiMi^^ ADVERTIESMENTS, (Inflammat
Page 339 and 340: A physiologically correct food. A
Page 341 and 342: VDVERTISEMENTS ERUPTIONvS Inflammat
Page 343 and 344: ADVERTISEMENTS The Success of Liste
Page 345 and 346: SOUTHERN MEDICAL SOCIETIES, MISSISS
Page 347 and 348: ADVERTISEMENTS. In TREATING BRONCHI
Page 349 and 350: c ADVERTISEMENTS. BOVmiNE Reconstru
Page 351 and 352: ADVERTISEMENTS. Does not cause the
Page 353 and 354: lDVERTISEMENTS Is physiologically a
Page 355 and 356: ADVERTISEMENTS, IX PANOPEPTON Consi
Page 357 and 358: ^ Peak's \ Supporter ADVERTISEMENTS
Page 359 and 360: ADVERTISEMENTS. BUFFALO LITHIA SPRI
Page 361 and 362: —— ADVERTISEMNTS. I PROF ESSION
Page 363 and 364: Intestinal ADVERTISEMENTS. Dyspepsi
Page 365: ADVERTISEMENTS NEURASTHENIC "BREAKD
Page 369 and 370: ORIGINAL COMMUNICATIONS. 215 a dise
Page 371 and 372: ORIGINAL COMMUNICATIONS, 217 any of
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Page 377 and 378: ORIGINAL COMMUNICATIONS. 223 in spi
Page 379 and 380: ORIGINAL COMMUNICATIONS. 225 i the
Page 381 and 382: ORIGINAL CO.MMUNICATIONS. 227 branc
Page 383 and 384: ORIGINAL COMMUNICATIONS. 229 where
Page 385 and 386: ORIGINAL COMMUNICATIONS. 231 the dr
Page 387 and 388: 1 fraction ORIGINAL COMMUNICATIONS.
Page 389 and 390: ORIGINAL COMMUNICATIONS. 235 But th
Page 391 and 392: . ORIGINAL COMMUNICATIONS. ant ones
Page 393 and 394: ORIGINAL COMMUNICATIONS, 239 aftern
Page 395 and 396: ORIGINIAL COMMUNICATIONS. 74 J firs
Page 397 and 398: Charlotte of t^ê Medical problem J
Page 399 and 400: works, making a total of 21n deaths
Page 401 and 402: DR. llô^^'OK COOK, DISCOVERER, lie
Page 403 and 404: EDITORIAL. 249 of a tetanic nature.
Page 405 and 406: EDITORIAL. T-< ^^:hjS^^' ->^'- - S-
Page 407 and 408: J I Board i the EDITORIAL. 253 affo
Page 409 and 410: REVIEW OF SOUTHERN MEDICAL LITERATU
Page 411 and 412: A Case ol BaclIIary Infection of th
Page 413 and 414: ABSTRACTS. indicates that a point n
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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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AUBVKTISEMENTS. A considerable prop
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iig, immediate ligature is preferab
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TABLE OF CONTENTS FOR OCTOBER. 277
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ufactuiî, Katherine L. Storms, M.
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ABSTRACTS. Electricity in Ibe Diagn
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ADVERTISEMENTS. THE CHARLOTTE SANAT
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ADVERTISEMRNTS. B-^^'^»^BS fa For
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ADVKRTlSHK.MTS A most powerful non-
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ADVERTISEMENTS. Ascftinol Manufactu
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— ADVERTISEMENTS. MALT WITH REPRE
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Ê BRIDGE BETWEEN DI6EA5E and MEALT
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ADVERTIESMENTS, HUMAN HANDS HAVE NO
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ADVERTISEMENTS. You are more assure
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VDVERTISEMENTS The First Applicatio
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SOUTHERN MEDICAL SOCIETIES, MISSISS
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'^"^^*^'^3«»v Iharlotte Medical J
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ADVERTISEMENTS. Id MEET Yhreatening
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THE I "I I) ADVERTISEMENTS, s Essen
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TASTELESS ADVERTISEMENTS. WHY Water
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ADVERTISEMENTS. XIII LITHIA SPRINGS
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ADVERTISEMNTS. ? :$:?: - >:?:$: - >
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t^-^-''' ADVERTISKiMENTS. >r,T-ini
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lDVERTISEMENTS THE ILLS Oh THE AGED
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; !;> The Charlotte Medical Journal
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ORIGINAL COMMUNICATIONS. 291 that a
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ORIGINAL CO.MMCNICATIONS. 203 pubii
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ORIGINAL CO^niUNICATIONS. 295 quack
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ORIGINAL COMMUNICATIONS. 297 sand o
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ORIGINAL COMMUNICATIONS. 299 stitut
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a unit work to this end and it will
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ORIGINAL COMMUNICATIONS. nobility.
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ORIGINAL COMMUNICATIONS 30S covered
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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. -,jy '^ """''"' S. C.i D
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EDITORIAL. AI
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EDITORIAL. 321 EDITORIAL NEWS ITEMS
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EDITORIAL. 323 solely of addresses
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EDITORIAL. -,,r Soci^r'"'' '' ''" '
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ABSTRACTS. 397 the iiKliyidual girl
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ABSTRACTS 329 ble nurse—provided
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ABSTRACTS. ^'°" '''" ^"^' ""^'^ °
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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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TABLE OF CONTENTS FOR NOVEMI Table
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ABSTRACTS. 359 DOCTOR: OUR RESPIRAZ
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ADVERTISEMKNTS. For Upwards of Fort
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ADVERTISHEMTS A most powerful non-t
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Balttmore^Md. Pine Ridê Sanitoriii
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ADVERTISEMENTS. Bt-a—ygr-n^TT^fl
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fflflN ITi WEflKEJT UNK- IT 15 NOT
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ADVERTIESMENTS, HUMAN HANDS HAVE NO
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ADVERTISEMENTS. after circumcision
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VDVERTISEMENTS Instantaneous Is the
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SOUTHERN MEDICAL SOCIETIES. MISSISS
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Charlotte Medical Journal. A SOUTHE
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ADVERTISEMENTS. lo Meet Ihreateninc
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c ADVERTISEMENTS. BOyiNINE Reconstr
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ADVERTISEMENTS DR. STEEDLY'S PRIVAT
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ADVERTISEMENTS, Fairchild's Essence
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ADVERTISEMENTS. W LgLtest Scientifi
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BUFFALO ADVERTISEMENTS. XIII ALBUMI
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ADVERTISEMNTS. I PROF ESSIONAL CARD
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OE3 ADVERTISEMENTS. I o n Quihgesim
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ADVERTISEMENTS THE ANEMIA OF BRIGHT
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j j 1 The Charlotte Medical Journal
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ORIGINAI, COMMUNICATIONS 367 diagno
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— ORIGINAL COMMUNICATIONS. 369 Dr
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ORIGINAL COMMUNICATIONS. !...v.ed I
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ORIGINAL COMMUNICATION. 373 Iter in
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ORIGINAL COMMUNICATIONS. 375 )f the
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ORIGINAL COMMUNICATIONS. 377 no occ
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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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, ORIGINAL COMMUNICATIONS, ."iS.S o
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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
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man and Dr. li. Eugene Mitchell, of
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. EDITORIAL. 3^9 J. S. Wynne, Dr. A
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EDITORIAL. 40] . ; . ellagra," Dr.
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BOOK NOTICES 405 . 1 This book is i
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ABSTRACTS. 407 ical Society, contri
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ABSTRACTS 409 Certain Bacillus Coll
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ABSTRACTS. at this Stage to check t
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Bl^tr:i:îê:S':::r^^'^:^: ;J;-Pati
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ABSTRACTS. 415 tastases and recurre
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Clinical ADEVRTISEMENTS. FUNCTIONAL
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ADVERTISEMENTS. 419 ra For Upwards
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Tblosinamlne In Deafness.— Mollis
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p was a notorious one. He not only
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TABLE OF CONTENTS FOR VOLUMI Table
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py, bv Edwin Henry 8cborer, M. !) U
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tZ^ ADVEKTISEMKNTS. A Post Graduate
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fidgetiness, especially at night. T
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I actually I ! tion i dition j I be
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ADVERTISEMENTS. DOCTOR: OUR RESPIRA
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ADVERTISEMKKTS, 4,37 A S-Pheu, form
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ADVKKTISKHMTS A most powerful non-t
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:«^ ADVERTISEMENTS. 'Ai Asepttnol
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VDVERTISEMENTS The First Applicatio
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Ir Interested Send for Smpics n LiT
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ADVIiRTIESMENTS, HUMAN HANDS HAVE N
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I 'A ADVERTISEMENTS. For your littl
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m I Sy R E P R E S E NTS THE M O ST
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Vol. 60, 1909 - University of North Carolina at Chapel Hill

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