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

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^Xii THE CHARLOTTE MEDICAL JOURNAL. Gastric Digestion In Inlants.-Clarke secting forceps. The patient must be pre- ; (Dublin Med. journal I savsthat many and Pared by a preliminary visit to the dentist, ! contradictory results have been obtained; so that no operation in the oral cav, y is ; a few facts, however, seem to be pretty de- performed until all carious teeth have been , finitely proved. In the first place, it may stopped or removed The patient is placed , be said that all the factors present in the m a recumbent position with a sandbag beadult are found in a weaker form in the "^.^\\^^^ shoulders, with the head falling young infant. In the newborn child on shghtly backward, so that the nasopharynx breasUnilk the stomach usually empties slopes backward and dowmvard thus en- , abhng the small quantity of blood which ,s ; in from an hour to an hour and a half; as the child grows older this time becomes s >ed to trickle toward the nosrils rather longer. The few drops of gastric juice tl'^n toward the larynx, whilst the slope is - found in the empty stomach are the re- »ot so great as to cause engorgement of the ; mains of that secreted during the last meal, pliaryngeal venous plexus A loop of silk . and are not due to a secretion into the is passed through the top of the tongue for i empty stomach. The motility is more rap- the purpose of retraction, and a gag ,sin- | sorted between the last molar teeth. The i id inbreast fed children than in those on cows' milk or artificial food, and more rapid tonsil is then seized in the ring forceps and in the healthy than in the ill child. The gently dra^yn toward the middle line, so acidity immediatelv after a meal is nil, but that the imbedded part of the gland bulges , steadily increases during digestion, and is beneath its normal coxering of the anterior j lessinthe verv young than in the older. piUar of the fauces. Immediately external On a barley water diet free hvdrocloric to the internal margin oi the anterior pillar, acid appears in the stomach in a'few min- J^^st where it blends with the surface of the ^ utes, but on a milk diet it does not show it- tonsil, an incision is made with the finely . selfforanhourormore, due to the fact that toothed forceps, parallel to and extending , the casein absorbs it or combines with it in ^°^ the whole length of the tree margin of ; someway, and the free acid does not apthe anterior pillar. Ihis incision reveals pear until the casein has taken up all re- the capsule of the tonsil which now ap- . iiuiredforits complete digestion. The free pears as a glistening smooth bluish white ; acid appears later in disease than in health, surface. Ihe ease and success of the op- j due to the increased amount of food in the oration depend upon this incision display- | stomach and to the slower secretion of the "^^^ the capsule of the tonsil and not enter- , acid; in cases of pvlorospasm the acidity is "'"-'ts substance. This mistake is easily , increased. Opinions differ as to the oc- "^^^^ ^^y keeping too near to the free sur- I currence of lactic and volatile fatty acids. ^^^^ °^ the tonsil, and it is the common but these probably do not occur in healthy cause of difficulty and .sailure for begmbreast fed infants, "^""S- while in those ill or on Tî^ ""^ forceps is then readjusted cows' milk they are fairly common. Part ''^ ^^ ^^ -^t a firm hold upon the tonsil and I of the acidity is probably due to a fat ^^^ anterior pillar is drawn outward by , splitting enzyme in the infant's stomach, means of the fine toothed forceps. The jl Pepsin is present at all ages t°"sil is and then practically dislocated from its h in all kinds of health, and acts in the infant ^^^' ^"'^ ^''^ separation of the rest of the , stomach though to a less degree than in the ^^^^^ °^ ^"^ cellular tissue, intervening be- ,! adult. The pepsin digestion goes on to the tween the capsule of the tonsil and the ( stage of peptones, but not beyond muscular wall of the pharynx, is easily ef- '| that, fected either by the finely toothed forceps »! The fact that the stomach contents will no not fibrin in thermostat is due to the fact ^^^^ ^ ^^'^^^^^ P^''' °^ curved blunt ended '; that all the hydrochloric acid is combined scissors which fit in behind the whole of 1 with the casein, and while the protein with the tonsil and push the pharyngeal wall I , which it is combined will be acted upon by ^^^^^ ^"^ ''• ^'"'^^ the tonsillar vessels I ; the pepsin, a foreign protein without the ^^^ thereby torn across and are able to re- : addition of more acid will resist the enzyme ^^^'^^ within the muscular wall of the I i Rennin occurs in the stomach after the first Pharynx, there is practically no bleeding— i few weeks of life; whether during the first '" ^^^^' *^^ absence of bleeding forms a | week is a question. striking contrast to the sharp hemorrhage i ^ which ensues after the tonsil has been cut Removal ol the Tonsils.—Waugh, in the across by a guillotine. The time occupied j j (ilasgow .Medical ' Journal reports nine hun- in the complete removal of both tonsils and | dred cases of complete removal of the ton- adenoids is, on an average, three minutes. ; j sils. The instruments required are two A brief, deep anjesthesia ' with chloroform I Martman's ring conchotomes, a useful se- is necessary, and the coughing reflex i i cretion to the margin of the lower, one pair should be abolished. I'or the after treat- j of curved scissors, and a finely toothed dis- ment a simple mouth wash is provided and 1 I ,
ADVERTISEMENTS. a mixture containing sodium salicylate and potassium chlorate, administered every feuhours. The patients are kept lin bed for about forty-eight hours and are allowed solid food when they feel inclined for it. With children this is frequently on the day after the operation. Eczema In Infants.— Mendelsson ( M unch Med. Woch.,) states that according to iMukelstein, the eczema of infants is due to disturbed assimilation of the salts in milk; its treatment therefore is not local, but must consist of dietetic measures, 'i'he best
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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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Page 53 and 54: EDITORIAL. 33 rUai'lriiio Lnai JOli
Page 55 and 56: EDITORIAL. oD Ham Jones, of High Po
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Page 59 and 60: 8. What is the differential diagnos
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Page 65 and 66: EDITORIAI,. 45 Dr. Claude N. Smith
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Page 73 and 74: Book Notices. The Popes and Science
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Page 77 and 78: INDEX FOR JULY, Table of Contents f
Page 79 and 80: ABSTRACTS Genielli, who is himself
Page 81: ADVERTISEMENTS. St. Luke's Hospital
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Page 87 and 88: »»< ADVERTISEMENTS. To obtain the
Page 89 and 90: — ADVERTISEMENTS. XXIX THE PINES,
Page 91 and 92: A most powerful non-toxic bacterici
Page 93 and 94: ADVERTISEMENTS. The Sarah Leigh Hos
Page 95 and 96: ADVERTISEMENTS. Baby needs Mellin's
Page 97 and 98: ADVERTISEMENTS. MALT WIXH REPRESENT
Page 99 and 100: ^/^ ADVERTISEMENTS Aseptinol Manufa
Page 101 and 102: ADVERTISEMENTS. The State Examining
Page 103 and 104: Much better results will be obtaine
Page 105 and 106: ADVERTIESMENTS, r^mmmmmmmmmmm^mmm^m
Page 107 and 108: ADVERTISKEMTS '^he niGKSMITH HOSPIT
Page 109 and 110: VDVERTISEMEXTS ERUPTION^ Inflammati
Page 111 and 112: ADVERTISEMENTS. The Success of List
Page 113 and 114: Jlnnomicemeiit to the medical Profc
Page 115 and 116: ttiiALIH AFFAiRS LIBRARY Charlotte
Page 117 and 118: ADVERTISEMENTS. F>OST -TTPHOI RECON
Page 119 and 120: C ADVERTISEMENTS. BOVININE Reconstr
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Page 125 and 126: \ ADVERTISEMENTS. Significant Requi
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Page 129 and 130: ADVERTISEMENTS. P0ST=0PERAT1VE CONV
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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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