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

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30 THE CHARLOTTE MEDICAL JOURNAL. Accordingly, the cause of the patient's sug- future dement.who suddenly' and without I gestibility must be sought. It is derived external cause, loses his ambition, his i from faulty education tending to perpetuate and to' fortify the natural susceptibilpride, his .dislike, his care for his person, his fears (he cares for nothing not even regard and without appar- I ity of the child, sometimes in conjunction with a hereditary tendency or an acquired himself ) without ent suffering. He is not irritable to outside organic disease interfering with neuronic things, small or great, as is the neuras- j activity. Re-ediicalion (28) is the remedy tlieuic. The latter's egoism is entirely J in the first case; and in the last, failing lacking in him. | removal of the organic cause, adjustment The physical fatigue in dementia precox | of the education in conformity with the pa- tends to occur in bursts, like a bolt from tient's special deficiency. The principle is the blue, having no relation with the that of converting suggestibility into per- enii)ty stomach, the morning heaviness, or suadability, (29) that is to say the substi- the influence of mental or physical labor tution of the habit of dispassionately weigh- like that of the neurasthenic. Psychoing and comparing impressions for the therypy has no influence on these crises, childlike immediacy of action by first im- It is in these cases that one sees the first pulse. This is an art in itself, and would indications of the characteristic signs of the require many chapters and illustrations for dement, the automatisms, and stereotj'pes its adequate presentation. It remains to differentiate the early stages of nio\'ement, attitude or speech. When carefully questioned, these patients of some psychoses; for though these are always reveal hypochondriacal ideas; but not treated by the practitioner, they are usually first seen by him; and much injury these are never accompanied by obsessive anguish or morbid terror. The memory is is done patients by confusing them with generally intact, both for facts and calcuconditions such as the foregoing for ex- lation, while the neurasthenic's memory ample. while sometimes impaired is so only during Hebephrenia. (30) In its commencement his crises of inertia after ascertainable and early evolution the neurasthenic state fatigue. to the casual observer does not differ at all The foregoing are difiicult of appreciafrom that characterizing the earlier stages tion; but there are certain others easy to of the simple forms of dementia precox, in verify the presence of which connotes somethe early stages of which the intellectual thing more than a mere nerve exhaustion, deficiency and emotional disorder are con- For example, grimaces and tics unaccomcealed by the conventional behavior which paniedby imperative besetment or the emothe patient automatically shows. An apt tion of anguish, sudden impulsions of rage illustration is that of an intoxicated man or aimless wandering, or even to absurd who can accomplish quite well any task to acts; the persistent obstinate opposition to which he is accustomed, but who shows trifles known as negativism, especially himself quite incompetent in Ihefaceof when it alternates with extreme facility, something demanding unusual mental con- When unusual peculiarities in behavior are centration. Apathy, sluggishness, feeling of exhaustion and difiiculty of making efforts characadded they are almost pathognomonic of the future dement. A most important symp- tom is the crazy laugh. This is explosive terize both neurasthenia and hebephrenia, The friends are very apt to magnify what and without motive, having no emotional accompaniment, neither shame nor annoythey imagine to be the cause of "nervousness," which has ni reality occurred, so to speak spontaneously, The preoccupation ance being shown by the patient. It very often terminates with an attack of tears. It is perhaps the most striking mark of the inof these patients with the exigences of their congruity between the patient's emotional life is not the cause of their disease, but is one of its effects. But there is a fundamental distinction between the diseases, Except at the very onset, a certain indifference shows in the future dements. This occurs especially with regard to their work, Careful questioning will often reveal a period during which work was done more slowly, with difficulty, a certain stumbling hesitancy. In the neurasthenic, this hardfeeling and its manifestation; for the laugh may interrupt an attitude apparently denoting great sadness. It must not be forgotten that physical symptoms occur in hebephrenia. The se- vere headaches are characteristic; peculiar visceral sensations I have found ver\- com- mou; treatment has little effect on these, There is nearly alwavs anorexia, dyspep- sia, constipation, gastro-intestinal intoxi- ly exists; for fatigue predominates, he has cation, irregular menstruation, i in women), not lost interest; moreover, he has not lost heavy sleep and insomnia in alternation, his affective instincts, they are rather ex- hvperhvdrosis, especially on the palms, diaggerated. In marked contrast with the lation of the pupils, tremor and einacia- |
ORIGINAL COMMUNICATIONS. 31 tioii. So that the clinician must not be- teric period should make the physician lieve that such physical symptoms neces- think very carefully of this condition, sarily indicate a mere passing intoxication Anxiety is the prominent feature in this with neurastheniform accompaniments. Having diagnosed hebephrenia we are psychosis. In the presenile form there is a feeling of uncertainty as well, while the yet unfortunately not in a positiori to pe- form of simple apathy of the aged is the scribe a remedy; but as there is no evidence most like neurasthenia; for there are not that the Wier Mitchell treatment is efEca- delusions, and orientation is undisturbed, cious in these cases, we at least save the The desire to commit suicide is very sigtime, money and blighted hope of the pa- nificant involutional melancholia. From tient's friends. Xot that hope need be the .?4'w//
Page 1 and 2: NORTH CAROLINA HISTORY OF HEALTH DI
Page 3 and 4: lARLOTTK MEDICAL lOURNAL. ^ SANMETT
Page 5 and 6: THE CHARLOTTE MEDICAL JOURNAL. Chat
Page 7 and 8: THE BABIES «HC thrive the best dur
Page 9 and 10: VIII THE CHARLOIVTE MEDICAL JOURNAL
Page 11 and 12: THK CHARLOTTE MEDICAL JOURNAL. MILK
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Page 17 and 18: AKLOTTE MKDICAL JOl'KNAL E^legant P
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Page 35 and 36: The chief causative factors of gast
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Page 39 and 40: ease itself. The deportment of the
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Page 45 and 46: ORIGINAL COMMUNICATIOMS. 25 this In
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Page 49: ORIGIXAL COMMCNICATIONS. 29 the sam
Page 53 and 54: EDITORIAL. 33 rUai'lriiio Lnai JOli
Page 55 and 56: EDITORIAL. oD Ham Jones, of High Po
Page 57 and 58: EDITORIAL. 37 Siler, of the U. S. A
Page 59 and 60: 8. What is the differential diagnos
Page 61 and 62: Edgar M. Long, Hamilton. Ben F. Roy
Page 63 and 64: and H. A. Slack. "Infection and Imm
Page 65 and 66: EDITORIAI,. 45 Dr. Claude N. Smith
Page 67 and 68: I C. EDITORIAL. Association, the Am
Page 69 and 70: REVIEW OF SOUTHERN MEDICAL LITERATU
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Page 73 and 74: Book Notices. The Popes and Science
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Page 79 and 80: ABSTRACTS Genielli, who is himself
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Page 89 and 90: — ADVERTISEMENTS. XXIX THE PINES,
Page 91 and 92: A most powerful non-toxic bacterici
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Page 95 and 96: ADVERTISEMENTS. Baby needs Mellin's
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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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REVIEW OF SOUTHERN MEDICAL LITERATU
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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
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ABSTRACTS. juprarenalis. The thyroi
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TABLE OF CONTENTS FOR SEPTEMBER. Ta
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ion ceosed rather abruptly above at
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to heal the sick man as to maintain
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THE ADVERTISEMENTS. CHARLOTTE SANAT
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**< I mi ADVERTISEMENTS. To obtain
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W^mB ADVERTISEEMTS A most powerful
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ADVERTISEMENTS. St. Luke's Hospital
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UNpT. il ADVERTISEMENTS. Aseptinol
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ADVERTISEMENTS. ^^^2ZSi^^ aohannfoj
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If Interested "Êwp FOR Samples h L
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^-MiMi^^ ADVERTIESMENTS, (Inflammat
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A physiologically correct food. A
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VDVERTISEMENTS ERUPTIONvS Inflammat
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SOUTHERN MEDICAL SOCIETIES, MISSISS
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ADVERTISEMENTS. In TREATING BRONCHI
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c ADVERTISEMENTS. BOVmiNE Reconstru
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ADVERTISEMENTS. Does not cause the
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lDVERTISEMENTS Is physiologically a
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ADVERTISEMENTS, IX PANOPEPTON Consi
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^ Peak's \ Supporter ADVERTISEMENTS
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ADVERTISEMENTS. BUFFALO LITHIA SPRI
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—— ADVERTISEMNTS. I PROF ESSION
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Intestinal ADVERTISEMENTS. Dyspepsi
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ADVERTISEMENTS NEURASTHENIC "BREAKD
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The Charlotte Medical Journal Vol.
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ORIGINAL COMMUNICATIONS. 215 a dise
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ORIGINAL COMMUNICATIONS, 217 any of
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ORIGINAL COMMUNICATION. 2l9 accurac
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ORIGINIAL COMMUNICATIONS. 221 of an
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ORIGINAL COMMUNICATIONS. 223 in spi
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ORIGINAL COMMUNICATIONS. 225 i the
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ORIGINAL CO.MMUNICATIONS. 227 branc
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ORIGINAL COMMUNICATIONS. 229 where
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ORIGINAL COMMUNICATIONS. 231 the dr
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1 fraction ORIGINAL COMMUNICATIONS.
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ORIGINAL COMMUNICATIONS. 235 But th
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. ORIGINAL COMMUNICATIONS. ant ones
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ORIGINAL COMMUNICATIONS, 239 aftern
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ORIGINIAL COMMUNICATIONS. 74 J firs
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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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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. St Luke's Hospital
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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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ADVERTISEMENTS. i=[>iui;ii;ij wm Re
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ADVERTISEMENTS. Successfully Prescr
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ADVERTISEMENTS ^-Xc^xjui'sJiJ^tenoi
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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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ADVKRTISEMENTS. A.II the i« ^mdL®
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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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