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Title: United States Naval Medical Bulletin Vol. 7, Nos. 1-4, 1913

Creator: U.S. Navy. Bureau of Medicine and Surgery

Publisher:

Sponsor:

Contributor:

Date: 1913

Language: eng

Table of Contents

Number 1

Preface VII

Special articles:

Rotch method of roentgenographic age determination, by Harold W. Smith,

passed assistant surgeon, United States Navy 1

Physical training in the United States naval service, by J. A. Murphy, surgeon,

United States Navy 20

The present status of color blindness, by G. B. Trible, passed

assistant surgeon, United States Navy 28

The organization and finances of the Bureau of Medicine and Surgery, by

W. S. Gibson, chief clerk Bureau Medicine and Surgery 39

The United States Naval Hospital, Las Animas, Colo., the Navy's sanatorium

for tuberculosis, by Philip Leach, medical director, United States Navy 53

Hospital ships for fishing fleets, by J. L. Neilson, surgeon, United

States Navy 64

Prevention of the spread of infectious diseases on shipboard, by E. R. Stitt,

medical inspector, United States Navy 70

The treatment of the insane in the Navy, by G. A. Riker, passed

assistant surgeon, United States Navy 77

Intestinal parasites and diseases found in Guam, by C. P. Kindleberger,

surgeon, United States Navy 86

The clinical manifestations of pityriasis rosea, by W. D. Owens, passed

assistant surgeon, United States Navy 93

An easy method for the cultivation of the gonococcus, by G. F. Clark, passed

assistant surgeon, United States Navy 99

Some statistical observations concerning tattooing as seen by the

recruiting surgeon, by A. Farenholt, surgeon, United States Navy 100

Report on flat foot, by Bruce Elmore, acting assistant surgeon, United States

Navy 102

A note in regard to the height and weight, at different ages, of

applicants at the recruiting station, Cleveland, Ohio, by J. E. Gill, passed

assistant surgeon, United States Navy 103

United States Naval Medical School laboratories:

Additions to the pathological collection 105

Additions to the miscellaneous collection 105

Suggested devices:

Apparatus for obtaining blood from a vein, or from the heart of an

animal, by G. F. Clark, passed assistant surgeon, United States Navy 107

Diet list for use on board ship, designed by B. F. Jenness, passed

assistant surgeon, United States Navy 108

Clinical notes:

Three cases demonstrating the need for care in diagnosis of lead

poisoning and appendicitis, by J. S. Woodward, passed assistant surgeon, United

States Navy 109

Loose bodies in the knee joint, with report of two cases, by A. M.

Fauntleroy, surgeon, and L. M. Schmidt, passed assistant surgeon, United States

Navy 110

Korsakow's psychosis, with report of a case, by Heber Butts, passed

assistant surgeon, United States Navy 113

Multiple compound fracture of the skull, with hemorrhage from longitudinal

sinus, by E. W. Phillips, assistant surgeon, United States Navy 121

A case of sudden death during thoracentesis, by E. O. J. Eytinge,

passed assistant surgeon, United States Navy 124

Extensive carcinoma of stomach and omentum complicating pulmonary tuberculosis,

by G. D. Hale, passed assistant surgeon, United States Navy 125

Eighteen cases resembling climatic bubo, by R. G. Heiner, passed assistant

surgeon, United States Navy 126

Editorial comment:

The present status of first aid in the Navy 127

Naval Medical School laboratories 128

Fractures of the long bones 129

Progress in medical sciences:

General medicine. — -Auricular fibrillation. The rapid cure of amoebic dysentery

and hepatitis by hypodermic injections of soluble salts of emetine. The effects

of college athletics on after life. ByA.W. Dunbar and J. L. Neilson 131

Surgery. —Neprectomy without drainage for tuberculous kidney. Embryonic

bands and membranes about the caecum. The recognition and treatment of lesions

of the right iliac fossae other than appendicitis. By R. Spear and H. C. Curl

136

Hygiene and sanitation. —A device for keeping garbage cans in place. The

sanitary aspect of a besieged town. Sunstroke —a heresy. The Bimple life. By C.

N. Fiske and R. C. Ransdell 139

Tropical medicine. —Notes on a hitherto unknown "summer

fever" of the German East African coast. By R. 0. Ransdell. Climatic bubo.

The value of certain vermifuges in the treatment of ankylostomiasis. Quinine

prophylaxis in malaria. Some observations upon the healing of wounds in

sleeping-sickness patients. By E. R.

Stitt 141

Pathology, bacteriology, and animal parasitology. —Structure of the posterior

extremity in the female ankylostoma and necator. The cultivation of malarial

plasmodia. The periodicity-lacking microfilariae. On

the length of life of the rat-flea apart from its host. By E. R. Stitt.

The occurrence and virulence of pneumococci in the circulating blood during

lobar pneumonia and the susceptibility of pneumococcus strains to univalent

antipneumococcus serum. The complement fixation test in the differential

diagnosis of acute and chronic gonococcic arthritis. A diluting fluid for

standardization of vaccines with the hvmocytometer. By M. E. Higgins and G. F.

Clark 145

Chemistry and pharmacy. —Studies in bacterial metabolism, by C. N.

Fiske. Improvement in the technique of sampling urine for microscopic examination.

Surgical disinfection of the hands with iodine, followed by decolorization with

sodium bisulphate. Determination of the chemical reaction of urine. Detection

of blood in urine and other physiological fluids. Chemistry of silver therapy.

Sensitive test for the detection of albumin in urine. The influence of dry and

moist air on gaseous metabolism. Has the temperature of the blood any influence

on the gaseous metabolism of man? Estimation of dirt in milk. By E.W. Brown and

O. G. Ruge . 149

Eye, ear, nose, and throat. —Chronic irido-cyclitis. The cerebrospinal fluid

as an aid to diagnosis in suppurative meningitis of otitic origin. Additional

experiments on the excretion of hexamethylenamine in the ocular humers. By G.

B. Trible 155

Miscellaneous.— Care of surgical and laboratory instruments in the

Tropics, by E. R. Stitt 156

Reports and letters:

Administration of typhoid prophylactic at the Naval Hospital, Yokohama,

Japan, by E. M. Shipp, surgeon, United States Navy 159

Report of laboratory work performed at Cafiacao Naval Hospital, by C.

S. Butler, surgeon, United States Navy 161

Number 2

Preface vii

Special articles:

Mental and moral training for war, by J. P. Leys, surgeon, United

States Navy 165

A few remarks on the detention and probation system of punishment, and

a classification of the offenses of the personnel of the United States Naval

Disciplinary Barracks, by W. L. Mann, passed assistant surgeon, United States

Navy 174

Some of the opinions of Baron Larrey, by John Chalmers Da Costa,

assistant surgeon, Medical Reserve Corps, United States Navy 183

Gangosa, by W. M. Kerr, passed assistant surgeon, United States Navy

188

Some laboratory notes upon the bacillus of dysentery, by C. S. Butler,

surgeon, United States Navy 200

Traumatic dislocation of the patella, by Morris B. Miller, assistant

surgeon, Medical Reserve Corps, United States Navy 215

Further observations on the value of studying the pulse rate with the

blood pressure in croupous pneumonia, by H. A. Hare, assistant surgeon, Medical

Reserve Corps, United States Navy..., 218

Treatment of frambesia with salvarsan, by E. U. Reed, passed assistant surgeon,

United States Navy 220

Cutaneous anthrax, with report of a case, by E. C. White, passed

assistant surgeon, United States Navy 222

Essence of orange-ether anaesthesia, by C. M. Oman, surgeon, United

States Navy 231

Iodine sterilization as now used at the United States Naval Hospital,

Norfolk, Va., by W. M. Garton, surgeon, United States Navy 234

Hygiene of the personnel below decks, by B. F. Jenness, passed

assistant surgeon, United States Navy 236

United States Naval Medical School laboratories:

Additions to pathological collection 243

Additions to the helrainthological collection 243

Suggested devices:

A collapsible chair for eye, ear, nose, and throat work on board ship,

by A. H. Robnett, passed assistant surgeon, United States Navy 245

An apparatus for intravenous medication, by N. T. McLean, passed

assistant surgeon, United States Navy 246

Chart for the correction of gas volumes, by E. R. Noyes, chief

pharmacist, United States Navy 247

Clinical notes:

A case of cholecystitis presenting some interesting features and some

knotty points in diagnosis, by N. J. Blackwood, surgeon, United States Navy. .

. 249

Report of a case of cholera on the U. S. S. Helena and notes on a

Shanghai epidemic, by W. A. Bloedorn, assistant surgeon, United States Navy 251

Report of a case of membraneous pericolitis, by E. L. Woods, passed

assistant surgeon, United States Navy 252

Report of a case of chronic urticaria showing dermography, by George C.

Thomas, passed assistant surgeon, United States Navy 253

Report of a case of poisoning by sea-urchin, by W. S. Pugh, passed

assistant surgeon, United States Navy 254

A case of malaria treated with salvarsan, by E. U. Reed, passed

assistant surgeon, United States Navy 255

Editorial comment:

The physical qualification of recruits, by C. F. Stokes, Surgeon

General, United States Navy k 257

Statistical report of the health of the British Navy, covering the year

1911. .258

Progress in medical sciences:

General medicine. —The relation of anaphylaxis to immunity and disease.

By G. F.Clark. Disorders of the pituitary body. Induced pneumothorax in the

treatment of pulmonary disease. Antityphoid vaccination in children. By A. W.

Dunbar and J. L. Neilson 261

Surgery. —Principles of general naval war surgery. Post-anaesthetic

paralyses. By H. G. Beyer. Extraocular hernia. Spontaneous rupture of the malarial

spleen. By R. Spear and H. C. Curl 269

Hygiene and sanitation. —Gaseous disinfection of equipment in the

field. By J. L. Neilson. New rapid method for the bacteriological examination

of water and application for the testing of springs and filter beds. Decomposition

and its microscopical detection in some food products. By E. W. Brown. A

substitute for fresh air. Some observations on metabolism in connection with an

experimental march. El servicio de desratizacion y la peste bubonica. Report on

water purification by chloride of lime at Bir-id-Dehib camp, Malta. By C. N.

Fiske and R. C. Ransdell 277

Tropical medicine. — The etiology of beriberi. Recent research on

cholera in India. The destruction of crescents: conclusions regarding the

prevention of malaria by the administration of quinine. A case of blackwater fever,

showing the cell inclusions of Leishman. The kala-azar problem. By E. R. Stitt

283

Pathology, bacteriology, and animal parasitology. —Insect porters of

bacterial infections. Experimental amoebic dysentery and liver abscess in cats.

Uber das Vorkommen und die Lebensbedingiuigen von Ankylostomen und Strongyloides

Larven in Daressalam. By E. R. Stitt. The demonstration of the treponema

pallidum in the brain in cases of general paralysis. On anaphylatoxina and

endotoxins of the typhoid bacillus. By M. E. Higgins and G. F. Clark 287

Chemistry and pharmacy. —The chemical interpretations of the

serological content of the blood and cerebrospinal fluid, with some reference

to cytology and chemistry of the latter, in mental diseases. Mett's method for determining

the activity of pepsin and the acidity maximum of peptic

digestion. A new method for determining sugar. The relations of phenol and

M-cresol to proteins. The mechanism of disinfection. Ointment bases. Merck's

Annual Report, Vol. XXV. By E. W. Brown and O. G. Ruge . . 292

Eye, ear, nose, and throat.— The ozena problem. Paths of encephalic

infection in otitis. General anesthesic in cataract work. Studies of ocular tonometry.

By G. B. Trible 297

Miscellaneous. —Athletics and candidates for service abroad. Direct

Roentgen pictures without the use of plates. By J. L. Neilson 299

Reports and letters:

Account of an outbreak of malaria on the U. S. S. Tacoma resultant upon

a visit to Tampico, Mexico, by J. B. Kaufman, passed assistant surgeon, United

States Navy 301

Expedition to Santo Domingo, by S. S. Rodman, surgeon, United States Navy

303

Sanitary conditions found in, and surgical aid rendered to the wounded

at Puerto Plata and Monte Cristi, Santo Domingo, by R. A. Warner, passed assistant

surgeon, United States Navy 305

Medico-military report on a cruise in Santo Domingan waters, by H. E.

Jenkins, assistant surgeon, United States Navy 308

A brief note on the Cape Cruz-Caailda surveying expedition from a

medical officer's point of view, by E. E. Woodland, assistant surgeon, United

States Navy 309

Medico-military report on ports of the west coast of Central America

and Mexico, by C. B. Camerer, passed assistant surgeon, United States Navy 311

Note upon temperature of Filipino applicants for enlistment, by Allan

E. Peck, surgeon, United States Navy 320

Number 3

Preface vii

Special articles:

Weak foot, by R. C. Holcomb, surgeon, United States Navy 321

A new theory of ventilation and its application in certain situations

aboard ship, by F. L. Pleadwell, surgeon, United States Navy 332

Aural affections dependent upon visceral lesions and functional nervous

disorders, by J. J. Richardson, assistant surgeon, Medical Reserve Corps, United

States Navy 339

The detection of the feeble-minded applicant for enlistment; value of

the Binet-Simon scale as a diagnostic aid, by A. R. Schier, acting assistant surgeon,

United States Navy 345

Lost trails, a plea for naval medical biographies, by J. D. Gatewood,

medical director, United States Navy 360

Absorbable animal ligatures, by T. A. Berryhill, medical director,

United States Navy 367

A model camp hospital ashore, by E. Thompson, surgeon, United States Navy

375

Defensive elements of the body, by W. W. Wilkinson, assistant surgeon, Medical

Reserve Corps, United States Navy 381

Advantages of Paris from a medical postgraduate point of view, by R. A.

Bachmann, surgeon, United States Navy 391

Estimation of total nitrogen, by E. R. Noyes, chief pharmacist, United States

Navy 394

United States Naval Medical School laboratories:

Additions to the pathological collection 397

Additions to the helminthological collection 397

Suggested devices:

The use of a three-way cock in the intravenous administration of

salvarsan, by R. E. Stoops, passed assistant surgeon, United States Navy 399

A suggested improvement of the present form of the sanitary scuttle

butt, by W. E. Eaton, assistant surgeon, United States Navy 400

Clinical notes:

Report of a case showing mirror writing and associated movements

without palsy, by G. B. Crow, passed assistant surgeon, United States Navy 403

Transplantation of bone, by C. M. Oman, surgeon, United States Navy 406

Prevention of the complications of gonorrheal infection, by F. L.

Benton, surgeon, United Slates Navy 409

The first aid treatment of burns and scalds by live steam, by A.

Stuart, surgeon, United States Navy 410

A case of six-day fever, by M. S. Elliott, surgeon, United States Navy

412

Punctured wound of knee joint by the spine of a stingray, by N. J.

Black wood, surgeon, United States Navy 413

A case of cocaine poisoning with suicidal tendencies, by W. A.

Bloedorn, assistant surgeon, United States Navy 415

Poisoning by petroleum spirits, by M. S. Elliott, surgeon, United

States Navy 416

Editorial comment :

Mental fitness. Biographical data, by C. F. Stokes, surgeon general, United

States Navy 417

Progress in medical sciences:

General medicine. — Diseases observed at Derna during the Italo-Turkish

War. Mumps with orchitis and absence of parotiditis. By H. G. Beyer. Treatment

of gonorrhea with heated bougies. By W. E. Eaton. Diagnosis between pneumonia

and appendicitis. By L. W. Johnson. Experiments to determine the rate of

absorbability and intensity of action of quinine given hypodermically and by

the mouth. By C. N. Fiske. The use of antityphoid vaccine during the course of

an epidemic. Measles. Clinical observations of carbonic acid brine baths on the

circulation. High arterial tension; high tension hypertrophy of the heart.

The relation of bronchial asthma to pathological conditions of the

nose. "Osier's sign" and cutaneous phenomena sometimes associated

with heart disease. Nephritic hypertension. By A. W. Dunbar and G. B. Crow 421

Surgery. —Rapid cure of suppurating buboes and of abscesses. Gunshot wounds

of the thorax, observed at Bengasi during the Italo-Turkish War. Gunshot wounds

treated in the military hospital at Palermo. By H. G. Beyer. The sterilization

of skin and wounds. By C. N. Fiske. Bastedo's sign: a new symptom of chronic

appendicitis. Adrenalin in chloroform anesthesia. A simple method of blood

transfusion. By L. W. Johnson. Excision and suture in the treatment of dense,

close urethral strictures. Operative fixation as a cause of delay in union of fractures.

The arrest of hemorrhage from bone by plugging with soft tissues. Membranous

pericolitis and allied conditions of the ileocecal region. Acute perforation of

duodenal and gastric ulcers. Observati6ns on the anatomy of inguinal hernia.

Osteoplasty. By H. C. Curl and R. A. Warner 434

Hygiene and sanitation. — The action on man of vapors of technical and hygienic

importance. XXX, Nitric acid. XXXI, The "nitrous gases." By E. W.

Brown. On the discolored spots sometimes found on chilled beef. Bacteriology of

incinerator smoke and ash. Leprosy and the bedbug. The regulation of body

temperature in extremes of dry heat. Experiences with spraying mosquitoes.

Artificial house cooling in the Tropics. Portable ozone outfit for military

use. By C. N. Fiske and R.C. Ransdell 449

Tropical medicine. — Cases of beri-beri. By H. G. Beyer. Glossina morsitans

as carriers of sleeping sickness. By R. C. Ransdell. Salvarsan treatment of

ulcerating processes. Chinese spenomegaly. Relapse in malarial infections. The

leprosy bacillus. By E. R. Stitt. . 454

Pathology, bacteriology, and animal parasitology. — Transmission of

relapsing fever by lice. Trichostrongylus colubriformis, a human parasite. By

E. R. Stitt. Spirochneta pallida in conjunctival secretions. By H. G. Beyer. A

method of staining the capsule of the pueumococcus. By. G. B. Crow. Experiments

in the transmission of scarlet fever to the lower monkeys. Studies in smallpox

and vaccination. Protozoallike structures in the blood in a case of black-water

fever. By A. B. Clifford and G. F. Clark 461

Chemistry and pharmacy. — On a new test for indican in the urine. By H.

G. Beyer. Adrenalin in emergency treatment of noncorrosive poisoning. By L. W.

Johnson. Determination of pepsin activity. Test for the detection of albumen in

urine. Behavior of mercury in the human and animal organism?. Estimation of

mercury in the urine and in the tissues. Method of estimating sugar. Quantitative

reduction of methylene blue by milk bacteria. By E. W. Brown 465

Eye, ear, nose, and throat. — Blinding by sunlight. Enucleation in the treatment

of panophthalmitis. Ocular headache. On the tolerance of the vitreous to

dislocated lenses, as an index to reclination in given cases. Treatment of

nasal synechiae with mica plates. By G. B. Trible 469

Reports and letters:

Report of work done in the wards of the naval hospital, Norfolk, during

the year 1912, by L. M. Schmidt, passed assistant surgeon, United States Navy

471

Report of relief work in Turkey, by D. C. Walton, assistant surgeon,

United States Navy 473

Notes on sanitary conditions along the Yangtze River, by R. H. Laning, assistant

surgeon, United States Navy 475

The Yangtze Valley, by J. J. O'Malley, assistant surgeon, United States

Navy 478

Number 4

Preface vii

Special articles:

Some aspects of the prophylaxis of typhoid fever by the injection of

killed cultures, by C. S. Butler, surgeon, United States Navy 489

William Longshaw, jr., assistant surgeon, United States Navy, by J. D. Gatewood,

medical director, United States Navy 503

Intraperitoneal rupture of the bladder, by R. B. Williams, surgeon,

United States Navy 517

Nitrous oxide-oxygen anesthesia. Rebreathing method of administration

in general surgery, by H. F. Strine, surgeon. United States Navy. . 521

Leukaemia, with report of a case of the lymphatic type, by H. L.

Kelley, passed assistant surgeon. United States Navy 524

The Hospital Corps, by G. A. Riker, passed assistant surgeon, United

States Navy 533

Veru montanitis, by H. W. Cole, passed assistant surgeon. United States

Navy 537

Tests for color blindness, by G. B. Trible, passed assistant surgeon,

United States Navy 542

Medical work in American Samoa, by E. U. Reed, passed assistant

surgeon, United States Navy 546

Recurrent dislocation of shoulder, by R. B. Williams, surgeon. United States

Navy 552

The medical department in warfare, by A. W. Dunbar, surgeon, United States

Navy 555

United States Naval Medical School laboratories:

Additions to the pathological collection 573

Additions to the helminthological collection 573

Suggested devices:

Iodized gauze for the first aid packet, by F. E. McCullough, surgeon,

United States Navy 575

Incinerator, by A. Farenholt, surgeon, United States Navy 576

Clinical notes:

Two cases of thermic fever occurring in the fireroom of a battleship,

by J. L. Neilson, surgeon, United States Navy 579

Traumatic neuritis of brachial plexus, by W. A. Bloedorn, assistant

surgeon, United States Navy 583

Typhoid fever with perforation, by N. J. Blackwood, surgeon, United States

Navy 584

Anaphylaxis with death, by W. H. Connor, passed assistant surgeon, United

States Navy 586

Two cases simulating appendicitis, by F. M. Furlong, surgeon, United States

Navy 588

Editorial comment: Page.

Medical Corps representation at the Naval War College 591

Training school for native nurses in Samoa 592

Annual report of the health of the Imperial Japanese Navy for the year

1910. 592

Progress in medical sciences:

General medicine. — On the origin of dreams. By H. G. Beyer. Occurrence

of the syphilitic organism in the brain in paresis. By G. A. Riker. Solubility

of white lead in human gastric juice and its bearing on the

hygiene of the lead industries. By L. W. Johnson. Psychosis following carbon-monoxide

poisoning with complete recovery. Relations of internal secretions to mental

conditions. Administration of ox bile in the

treatment of hyperacidity and of gastric and duodenal ulcer. New laboratory

test for cancer and sarcoma, also a method of separating bile acids and

pigment, indican being obtained if present. Pathology of syphilitic aortitis

with a contribution to the formation of aneurism. Tests for hepatic function

and diseases under experimental conditions. By A. W. Dunbar and G. B. Crow -.

595

Surgery. — Hernial formations caused by deficiencies in the peritoneum.

By H. G. Beyer. Chronic intestinal stasis. By R. Spear. Surgical method of

clearing up chronic typhoid carriers. By L. \Y. Johnson. An analysis and study

of 724 major amputations. Arthroplasty. Proctoclysis —an experimental study.

The first successful case of resection of the thoracic portion of the esophagus

for carcinoma. The kinetic theory of shock and its prevention through

anoci-association. By H. C. Curl and R. A. Warner 605

Hygiene and sanitation. — Search for pathogenic microbes in raw river water

and in crude sewage. Observations on the effects of muscular exercise upon man.

By E. W. Brown. On the physiology of the open-air treatment. My experiences

relative to malarial prophylaxis on board a battleship. By C. N. Fiske and R.

C. Ransdell 618

Tropical medicine. — Two cases of climatic bubo. By L. W. Johnson. Polyueuritis

gallinarum caused by different foodstuffs. By E. R. Stitt. 625

Pathology, bacteriology, and animal parasitology. —Treponemata in the brain

in general paresis. Identity of entameba histolytica and entameba tetragena,

with observations upon the morphology" and life cycle of entameba

histolytica. The breeding places of phlebotomus. By E. R. Stitt. An

experimental investigation of the cytological changes produced in epithelial

cells by long-continued irritation. Effect of Rontgen and radium radiations

upon the vitality of the cells of mouse carcinoma. A contribution to the

etiology of pernicious anemia. The complement

content of the blood in malignant disease. By A. B. Clifford and G. F.

Clark 626

Chemistry and pharmacy. — Some modern problems in nutrition. By H. G. Beyer.

New reagent for detecting blood. Rapid clinical method for the estimation of

urea in urine. Preservation of milk samples for analysis. Dentifrices and their

ingredients. By E. W. Brown and O. G. Ruge. . . 633

Eye, ear, nose, and throat. — Treatment of persistent otorrhea in

infants and young children by the establishment of post-auricular drainage. Parinaud'a

conjunctivitis; a mycotic disease due to a hitherto undescribed filamentous

organism. The significance of anaphylaxis in ear work. The difficulties of

tonsillectomy and how to deal with them. Notes on the vaccine treatment of

infections which involve the cornea. Intracranial division of the auditory

nerve for persistent tinnitus. By G. H. Trible 637

Miscellaneous. —The sanitary service in the Japanese Navy during the Russo-Japanese

War. Sanitatsbericht viber die Kaiserlieh Deutsche Marine fur den Zeitraum. By

H. G. Beyer. Annual Report of the Bureau of Health for the Philippine Islands,

1912. By L. W. Johnson. . 640

Reports and letters:

Report of cases of lead poisoning, by L. C. Whiteside, passed assistant

surgeon, United States Navy 647

Two cases of cerebrospinal fever, by P. S. Rossiter, surgeon, United

States Navy 649

Lead poisoning 651

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