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In a five-year period, 20 proved to be malignant. Uses - interference with the blood supply to the pelvis and legs may account for pain, other types of paresthesia, or weakness. In every instance the hemolytic streptococcus was obtained This type of case was called primary empyema, because no signs of lung consolidations "cream" were found previous to the pleuritis and effusion.

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Scudder, Boston, states:" The tendency in schools generally is to over-emphasize intellectual development and the acquirement of recorded knowledge by filling every available minute of the school programme with requirements designed to physical education, says:" If one Avatches the stream of men, boys and girls which pours out daily at the close of day from a city factory, the question may well be asked, are they superior to the savage in all things, and are there no points in which the barbarian could claim some advantage over his modern descendant? In the face of a marvellous social, moral and intellectual development, we are apt to lose sight of the fact that man is an animal, that he cannot yet do without a body, and tliat a strong receptacle for the mind is better than a frail one." This fact has recently been emphasized, not only card tiiroughout the British Empire, but also in the United States. Physicians considering the serious aspect, and knowing that an anatomical or organic change has taken place in the structures, are apt to underestimate the value of any line of treatment, and regarding the case as hopeless content themselves with a diagnosis of valvular lesion, and ignoring the state of the blood vessels and secretory organs, prescribe a specified dose of digitalis, and like Micawber" wait for something to turn up;" usually the loss of the patient (side).

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O'Connor include two different organisms, namely, the large glycogenladen, iodophylic, mononucleate cysts of Endamoeha nana and the nonnudeated, homogeneous, spore-like cysts of some vegetable organism, possibly the chlamydospore of some phycomycete of unknown affinities: acne.

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