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This image is taken from United States Naval Medical Bulletin Vol. 9, Nos. 1-4, 1915 by Medical Heritage Library, Inc.

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Title: United States Naval Medical Bulletin Vol. 9, Nos. 1-4, 1915

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

Publisher:

Sponsor:

Contributor:

Date: 1915

Language: eng

Table of Contents

Number 1

PREFACE v

SPECIAL ARTICLES:

Shock, anoci-association and anesthesia.

By Surg. A. M. Fauntleroy 1

The proposed personnel, organization, and equipment of a hospital ship

By Surg. E. M. Blackwell and Chief Pharm. O. G. Ruge 28

The application of Wassermann's reaction to the SOLUTION OF THE

ETIOLOGY OF TROPICAL ULCERATIONS.

By Surg. C. S. Butler 51

Some theories as to the origin of Jackson's veil.

By Asst. Surg. J. M. Lynch, M. R. C 62

A RESUME OF ETIOLOGICAL FACTORS CONCERNED IN YELLOW FEVER.

By Passed Asst. Surg. C. B. Camerer 65

Some observations on the examination of recruits.

By Passed Asst. Surg. J. J. S. McMullin 70

Experience of a surgeon during the occupation of Vera Cruz.

By Asst. Surg. G. T. Vaughan, M. R. C 75

Experiences with marine expeditionary force in Mexico.

By Asst. Surg. R. M. Little, M. R. C 76

Treatment of chronic posterior urethritis.

By Medical Inspector G. T. Smith 80

A NEW METHOD OF EXAMINING STOOLS FOR EGGS.

By Passed Asst. Surg. C. M. Fauntleroy, Public Health Service, and Passed

Asst. Surg. R. Hayden 81

An account of the yellow fever which prevailed on board the United

States Ship Jamestown in 1866-67 at Panama.

By Passed Asst. Surg. W. M. Kerr 82

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 111

Additions to the helmintholoqical collection 111

SUGGESTED DEVICES:

A card index of specific cases.

By Passed Asst. Surg. R. B. Henry 113

The otoscope as an anterior urethroscope.

By Passed Asst. Surg. W. G. Steadman, jr 114

CLINICAL NOTES:

Advance report concerning heliotherapy and ionic medication as employed

at Las Animas, Colo.

By Passed Asst. Surg. C. J. Holeman 119

Compound comminuted fracture of skull.

By Passed Asst. Surg. T. W. Raison 120

A case of reamputation of the leg.

By Surg. R. Spear 122

Tenoplasty for contracture of hamstring tendons.

By Surg. R. R. Richardson 123

Neosalvarsan and mercury in unilateral luetic palsy of abducens.

By Asst. Surg. S. Walker, M. R. C 124

EDITORIAL COMMENT:

Southern Medical Association 127

The William A. Herndon Scholarships, University of Virginia 127

PROGRESS IN MEDICAL SCIENCES:

General medicine. —-The diagnosis and treatment of cholecystitis. The duration

of infection in scarlet fevor. By L. W. Johnson. Diphtheria mortality with and

without the use of antitoxin. By W. E. Eaton.

Observations on the Wassermann reaction. By R. Sheehan 129

Mental and nervous diseases. —The role of hypnotics in mental disease

with indications for their selection and employment. Hereditary ataxia. Psychic

disturbances of dengue. By R. Sheehan 133

Surgery.— Medical arrangements of the British Expeditionary Force. The

home hospitals and the war. The wounded in the war; some surgical lessons. By

L. W. Johnson. The significance of the Jackson veil.

The fate of transplanted bone and the regenerative power of its various

constituents. A plea for the immediate operation of fractures. By A. M.

Fauntleroy and E. II. H. Old 140

Hygiene and sanitation. —Study of a swimming pool with a return purification

system. The period of incubation of diphtheria cultures. Subsistence on board

battleships. The chemical disinfection of water.

Sterilization of water supplies for troops on active service. The

Lettsomian lectures on dysentery. Antimosquito work at Panama. By C. N. Fiske

and R. C. Ransdell 147

Tropical medicine. —Malaria and the transmission of diseases. Prevention

of malaria in the troops of our Indian empire. Researches in sprue. By E. R.

Stitt 152

Pathology, bacteriology, and animal parasitology. —Is pellagra due to

an intestinal parasite? By C. N. Fiske. Laboratory studies on tetanus. The

cultivation of the tubercle bacillus. The bacteriology of pyorrhea alveolaris.

Experimental production of purpura in animals. By A. B. Clifford and G. F.

Clark 156

Chemistry and pharmacy.—On the influence of atmosphere, temperature, and

humidity on animal metabolism. The influence of moisture in the air on

metabolism in the body. Biochemical studies of expired air in relation to

ventilation. The absorption of protein and fat after resection of one-half of

the small intestine. By E. W. Brown and O. G. Ruge. . . 158

Eye, ear, nose, and throat. —Relation of arterial hypertension to subconjunctival

hemorrhage. Ocular manifestations of arteriosclerosis and their diagnostic and

prognostic significance. Salvarsan treatment and optic neuritis. Eye in

locomotor ataxia. The direct method of the intralaryngeal operation.

Inflammation of the accessary sinuses. Normal horse serum in hemorrhage from

nose and throat operations. Tonsillectomy, its indications and choice of

operation. The correction of nasal deformities by mechanical replacement and

the transplantation of bone. By E. J. Grow and G. B. Trible 162

REPORTS:

Points of interest about the Mexican constitutionalist wounded at

Mazatlan.— By Surg. P. S. Rossiter 167

Sanitary report of marine brigade. —By Surg. D. N. Carpenter 173

Report of work at the field hospital of the marine brigade, Vera Cruz,

Mexico. —By Surg. D. N. Carpenter 177

Number 2

PREFACE vii

SPECIAL ARTICLES:

The operative treatment of chronic intestinal stasis.

By Asst. Surg. W. S. Bainbridge, M. R. 0 179

Symposium on intelligence tests.

Service use of intelligence tests.

By Passed Asst. Surg. R. Sheehan 194

The value of the mental test and its relation to the service.

By Passed Asst. Surg. G. E. Thomas 200

Mental defectives at Naval Disciplinary Barracks, Port Royal, S. C.

By Passed Asst. Surg. H. E. Jenkins 211

Review and possibilities of mental tests in the examination of applicants

for enlistment.

By Acting Asst. Surg. A. R. Schier 222

Observations on deep diving.

By Passed Asst. Surg. G. R. W. French 227

Tuberculosis.

By Surg. E. Thompson 253

Observations on seven cases of cerebrospinal fever.

By Passed Asst. Surg. D. C. Cather 259

The posterior urethra and bladder in a hundred cases of chronic gonorrhea.

By Passed Asst. Surg. A. L. Clifton 265

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 271

Additions to the helminthological collection 271

SUGGESTED DEVICES:

Apparatus for securing traction of lower extremities.

By Surg. H. A. Dunn 278

CLINICAL NOTES:

Leukopenia of a marked degree in a fatal case of pneumonia.

By Medical Director E. R. Stitt 275

GASTRIC CHANGES FOLLOWING GASTROENTEROSTOMY.

By Passed Asst. Surgs. H. F. Hull and O. J. Mink 275

TWO CASES OF MALARIA TREATED WITH SALVARSAN.

By Passed Asst. Surg. E. U. Reed 278

PSEUDOLEUKEMIC ANEMIA OF INFANCY OCCURRING IN TWINS.

By Asst. Surg. S. Walker, M. R. C 280,

EDITORIAL COMMENT:

George Perley Bradley, medical director, United States Navy. . . 283

A new quarterly naval medical journal 285

The Harrison law 285

PROGRESS IN MEDICAL SCIENCES:

General medicine. —Differentiation of the diseases included under chronic

arthritis. By L. W. Johnson. The war and typhoid fever. By G. F. Clark. Use of

the Schick test in the suppression of a diphtheria outbreak. By R. Sheehan. The

present status of the treatment of advanced cardiac decompensation. The

influence of diet upon necrosis caused by hepatic and renal poisons. Syphilitic

nephritis. Is emetin sufficient to bring about a radical cure in amebiasis? A case of a

large aneurism of the arch of the aorta with use of bronchoscopy. By E. Thompson

and E. L. Woods 287

Mental and nervous diseases.—The importance of the bony sinuses accessory

to the nose in the explanation of pains in the head, face, and neck. Spinal

decompression in meningomyelitis. Fleeting attacks of manic depressive

psychosis. Epilepsy and cerebral tumor. The ductless glands and mental disease.

Acute paraplegia. By R. Sheehan 295

Surgery. —The Freiburg method of Dammerschlaf or twilight sleep. By W.

G. Steadman. Observations on the seminal vesicles. By H. W. Cole. Rubber

gloves; a technique of mending. A note upon the wounds of the present campaign.

By L. W. Johnson. The silence of renal tuberculosis. Acute hemorrhagic

pancreatitis. Preservation of the iliohypogastric nerve in operation for cure

of inguinal hernia. Aperiosteal amputation through the femur. A modified

incision for approaching the gall bladder. The occurrence of acute

emphysematous gangrene (malignant edema) in wounds received in the war. Note on

the wounds observed during three weeks' fighting in Flanders. The naval action

off Helgoland. By A. M. Fauntleroy and E. H. H. Old 299

Hygiene and sanitation. —Massachusetts Association of Boards of Health;

report of question meeting. The disinfecting properties of gaslight on air of

room. Sewage disinfection for vessels and railway coaches. The prophylaxis of

malaria with special reference to the military service. By C. N. Fiske and R.

C. Ransdell 313

Tropical medicine. —Benzol in bilharzia. By E. L. Woods. Kala-azar and

allied infections. Observations on the eggs of ascaris lumbricoides. By E. R.

Stitt 319

Pathology, bacteriology, and animal parasitology. —The occurrence of

certain structures in the erythrocytes of guinea pigs and their relationship to

the so-called parasite of yellow fever. Observations on myeloid sarcoma with an

analysis of fifty cases. By G. F. Clark. A new and rapid method for the

isolation and cultivation of tubercle bacilli directly from the sputum and

feces. Appendicitis treated with

anticolon bacillus serum and vaccine. The retention of iron in the organs

in hemolytic anemia. By C. S. Butler and A. B. Clifford 321

Chemistry and pharmacy. —The analysis of emulsions. Notes on the estimation

of morphin and Lloyd's reagent. By P. J. Waldner. Merck's annual report of

recent advances in pharmaceutical chemistry and

therapeutics. By E. W. Brown and O. G. Ruge 326

Eye, ear, nose, and throat. —The tonsils as a habitat of oral

entamebas. By O N. Fiske. Enucleation of the eye under local anasthesia. On a

modification of Siegrist's method of local anesthesia in enucleation of

the eyeball. The use of pituitary extract as a coagulant in the surgery

of the nose and throat. Value of roentgenography in diagnosis of diseases of

the larynx and trachea. The difficulties and dangers of exploratory puncture of

the antrum of Highmore. By E. J. Grow and G. B.Trible 331

REPORTS:

Extracts from annual sanitary reports. —Notes on marine recruiting. By

F. H. Brooks. Notes on recruiting. By J. B. Bostick. Economy in use of hospital

supplies. By A. R. Wentworth. Venereal prophylaxis. Examination of civil

employees. By C. N. Fiske. Industrial notes from Boston yard. By N. J.

Blackwood. Notes on tropical hygiene. By A. Stuart. Battleship ventilation. Use

of barracks during . overhaul period. By T. W. Richards. Sanitary notes from

the U. S. S. Ozark. Malarial prophylaxis. By R. W. McDowell. Sanitary notes from

the U. S. S. Virginia. By G. L. Angeny 335

The Schick Test and the use of diphtheria antitoxin.

By Passed Asst. Surg. J. J. A. McMullin 362

Number 3

PREFACE vii

SPECIAL ARTICLES:

The normal heart in the Navy.

By Surg. G. F. Freeman 363

Surgical diagnosis and technic involving the appendix.

By Surg. A. M. Fauntleroy 381

Functional testing of the ear.

By Passed Asst. Surg. G. B. Trible 400

A few points in diagnosis of gastric and duodenal ulcer by means of the

X-ray.

By Passed Asst. Surg. A. L. Clifton 410

The damage of syphilis to the Navy.

By Passed Asst. Surg. G. F. Cottle 414

Recent conceptions of bronchial asthma.

By Asst. Surg. M. H. Sirard, M. R. C 419

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 423

Additions to the helmintholooical collection 423

SUGGESTED DEVICES:

A venereal head.

By Passed Asst. Surg. G. F. Cottle 425

A NEW MESSING SYSTEM FOR NAVAL HOSPITALS.

By Hosp. Steward F. E. Simmons 426

Messing arrangements in the U. S. Naval Hospital, Philadelphia.

By Surg. H. A. Dunn and Chief Pharm. P. J. Waldner 428

Castor oil. An aseptic dressing on the field of battle.

By Asst. Surg. A. E. Gallant, M.R.C 430

CLINICAL NOTES:

A case of fracture-dislocation of spine. Laminectomy.

By Surg. R. E. Ledbetter and Asst. Surg. H. Priest 433

A CASE OF ANEURYSM OF THE LEFT POSTERIOR INFERIOR CEREBELLAR ARTERY.

By Passed Asst. Surg. E. L. Woods 434

A CASE OF MALIGNANT ENDOCARDITIS. By Passed Asst. Surg. M E. Higgins

436

A POSSIBLE NEW X-RAY SIGN OF TUBERCULOSIS.

By Surg. E. Thompson and Hosp. Steward H. L. Gall 436

A CASE OF PURPURA HEMORRHAGICA (?) WITH MARKED LEUKOPENIA. By Passed

Asst. Surg. W. L. Mann, jr 438

Report of twenty-eight cases of pyorrhea alveolaris treated with emetin

hydrochlorid.

By Passed Asst. Surg. A. H. Allen 440

Intravenous injection of neosalvarsan in concentrated solution.

By Passed Asst. Surg. C. B. Camerer 441

TRANSLATIONS:

Catheterization of the ejaculatory canals.

By Surg. R. A. Bachmann 443

Hospital ships.

By Pharm. S. Wierzbicki 452

First-aid stations and transportation of the wounded in naval battle.

By Med. Inspect. S. G. Evans 454

PROGRESS IN MEDICAL SCIENCES:

General medicine. —The value of typhoid vaccines in the treatment of typhoid

fever. By L. W. Johnson. The intravenous and intramuscular administration of

diphtheria antitoxin. The noninfective causes of so-called rheumatism. Not very

well known causes of hematuria. Prodromal symptoms of gallstones. Observations

on renal functions in acute experimental unilateral nephritis. By E. Thompson

and E. L.

Woods 469

Mental and nervous diseases. —A critical study of Lange'a gold reaction

in cerebrospinal fluid. Post-operative nervous and mental disturbances. The

significance of the unconscious in psychopathology. By R. Sheehan 475

Surgery. —The role of gastroenterostomy in the treatment of ulcers. Ether-oil

colonic anesthesia. By H. W. Smith. Ununited fractures treated by long-axial

drilling of the fractured bone-ends. By E. Thompson. War surgery. The

osteogenic power of periosteum; with a note on bone transplantation. The

technic of cholecystectomy. The German use of asphyxiating gases. Transfusion

by the syringe method. The North Sea action of January 24. The best method of

treating wounds sustained in action, especially during the early period after

their infliction. By A. M. Fauntleroy and E. H. H. Old 479

Hygiene and sanitation. —The possibility of conveying typhoid fever by

clothing, contaminated food, and soiled fingers. The microbic content of indoor

and outdoor air. By E. W. Brown. Some results of the

first year's work of the New York State Commission on Ventilation. By

C. N. Eiske and E. W. Brown. Tincture of iodin and the prevention of venereal

disease. Ability of colon bacilli to survive pasteurization.

The specific gravity of the human body. Lead poisoning in the manufacture

of storage batteries. By C. N. Fiskc and R. C. Ransdell 495

Tropical medicine.—Pathology of verruga peruviana. The importance of

tertiary yaws. By C. S. Butler. The treatment of ancylostomiasis. By A. B.

Clifford. Studies in malaria. New theories and investigations

concerning pellagra. Immediate relapse in tertian malaria after energetic

salvarsan treatment. By E. R. Stitt 502

Pathology, bacteriology, and animal parasitology. —A study of the endamebas

of man in the Panama Canal Zone. Lipoids in immunity. The mechanism of antibody

action. The diagnosis and treatment of

parenchymatous syphilis. The bacteriology of appendicitis and its production

by intravenous injection of streptococci and colon bacilli. By G. F. Clark. On

the filterability and biology of spirochetes. A differential study of

coccidiodal granuloma and blastomycosis. Notes on the diagnosis of Asiatic

cholera at autopsy. The morphology of the adults of the filarise found in the

Philippine Islands. By C. S. Butler and A. B. Clifford 508

Chemistry and pharmacy.—Coloring of bichlorid of mercury solutions. By

L. Zembsch. An experimental study of lavage in acute carbolic acid poisoning.

By A. B. Clifford. Notes on a new alkaloid found in

nux vomica. Preliminary note on a new pharmacodynamic assay method. By

P. J. Waldnar. Estimation of urea. Estimation of urea and indirectly of

allantoin in urine by means of urease. Urea; its distribution in and

elimination from the body. Results of the hypochlorite disinfection of water

supplies. A further study of the chemical composition and nutritive value of

fish subjected to prolonged period of cold storage. By E. W. Brown and O. G.

Ruge 515

Eye, ear, nose, and throat. —Treatment of trachoma with carbonic acid snow.

Samoan conjunctivitis Is there a natural or acquired immunity to trachoma?

Clinical and anatomical study of a case of isolated

reflex immobility of the pupil, paralysis, tabes, and cerebrospinal syphilis

being excluded. Protection against injury of the hearing.Chronic local

infection of the nose, throat, and ear as a cause of general infection. The

sympathetic syndrome (undescribed) of sphenopalatine or nasal ganglion

neurosis. Shell explosions and the special senses. By E. J. Grow and G. B.

Trible 521

REPORTS:

Extracts from annual sanitary reports. —A review of the treatment and

results at the U. S. Naval Sanatorium for Tuberculosis at Las Animas, Colo. By

G. H. Barber. Battleship ventilation. ( Permanent detail of stretchermen. By J.

S. Taylor. Genito-urinary disease at Chelsea. By G. B. Wilson. Malarial prophylaxis. By H.

L. Smith. Sanitary notes from the U. S. S. Washington. By H. A. May. Sanitary

notes

from the U. S. S. Michigan. By J. A. Murphy. Sanitary notes from the U.

S. S. Palos. By D. C. Post. Camp sanitation. By R. I. Longabaugh 527

Lymphatic leukemia complicated by priapism. By Passed Asst. Surg. J. J.

A. McMullin 542

The seventy-first annual meeting of the American Medico-Psychological

Association. By Passed Asst. Surg. R. Sheehan 544

Number 4

PREFACE vii

SPECIAL ARTICLES:

Observations upon the epidemiology of an outbreak of measles at the

Naval Training Station, Norfolk, Va.

By Surg. C. E. Riggs 647

The present status of the Hospital Corps. By Passed Asst. Surg. W. E.

Eaton , 556

The use of hospital ships in time of war.

By Passed Asst. Surg. R J. Straeten 565

Venereal disease aboard ship.

By Passed Asst. Surg. G. F. Cottle 571

Some dangers in passing the ureteral catheter to the kidney.

By Asst. Surg. B. C. Willis, M. R. C 577

Shanghai and Yangtze River hospitals.

By Passed Asst. Surg. R. H. Laning 679

Some medical aspects of the upper Yangtze River country.

By Asst. Surg. D. C. Post 620

Some medical conditions in China.

By Passed Asst. Surg. R. G. Davis 630

UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:

Additions to the pathological collection 635

Additions to the helminthological collection 635

SUGGESTED DEVICES:

An ambulance motor boat for hospital ships.

By Surg. E. M. Blackwell 637

CLINICAL NOTES:

Unusual type of typhus on U. S. S. Monocacy. Report of case. By Asst.

Surg. W. B. Hetfield 641

Injury by dynamite explosion. By Passed Asst. Surgs. G. C. Thomas and

L. W. Johnson 643

A case of hemorrhagic pancreatitis.

By Passed Asst. Surgs. G. C. Thomas and L. W. Johnson 644

Salvarsan in the treatment of schistosomiasis. Report of case.

By Asst. Surg. D. C. Post '645

An usually severe case of urticaria.

By Passed Asst. Surg. W. E. Eaton 650

Early reinfection with syphilis.

By Surg. T. W. Richards 651

A fatal cask of cecal ulceration with extensive complications.

Bv Passed Asst. Surg. W. L. Mann, jr 653

EDITORIAL COMMENT:

Scarcity and cost of medical supplies due to disturbance of European

markets 655

Bind your Bulletins 655

PROGRESS IN MEDICAL SCIENCES:

General medicine. —The recent epidemic of smallpox in New South Wales.

By L. W. Johnson. The causes of indigestion. A study of 1,000 cases. By E. H.

H. Old. Certain physical signs referable to the diaphragm and their importance

to diagnosis. An epidemic of influenza in the Island of St. Kilda. Pollen

therapy in hay fever. Studies in bronchial glands. Mode of action and use of

emetin in endamebiasis. The treatment of eczema with special reference to the

use of vaccine and the part played by bacteria in its etiology. Report of 50

cases. Study of diseases of stomach and duodenum by X-ray. Cure and recurrence of

syphilis. By E. Thompson and E. L. Woods 667

Mental and nervous diseases.—Differential diagnosis of general paresis.

What is paranoia? The cerebrospinal fluid in diagnosis and treatment. Raynaud's

syndrome. Raynaud's disease. What tests in childhood are best calculated to

throw light upon the capacities of mental defectives for future work. The

Binet-Simon method and the intelligence of adult prisoners. By R. Sheehan 669

Surgery.— Medical narrative of the arrangements of the first division

at the Battle of the Aisne. The medical aspects of modern warfare, with special

reference to the use of hospital ships. By T. W. Richards. Injuries to the bowel from shell and

bullet wounds. By L. W. Johnson. Account of six specimens of great bowel

removed by operation; observations on motor mechanism of colon. Symptomless

renal hematuria arising from tumors,

aneurysms in the renal pelvis, and early tuberculosis. The treatment of

urethral stricture by excision. Some observations on bone transplantation.

Blood transfusion by the citrate method. Disinfection of the hands and

abdominal skin before operation. Partial regeneration of bone. By H. W.Smith.

Epididymotomy for acute epididymitis as an out-patient procedure. By W. E.

Eaton. Occlusion of the pylorus. Prevalent fallacies concerning subacromial

bursitis. Its pathogenoesis

and rational operative treatment. Autogenous bone grafts versus Lane's

plates. A new procedure for the cure of chronic synovitis. Report on the

wounded in the action between the Sydney and the Emden.

By E. H. H. Old 672

Hygiene and sanitation. —Paint poisoning. By T. W. Richards. Sterilization

of water by chlorin. The prevalence of occupational factors in disease and

suggestions for their elimination. Bismuth-paste

poisoning —report of a fatal case. The making of a milk commission. Present

practice relating to city waste collection and disposal. A statistical study of

personal association as a factor in the etiology of pellagra. The influence of

age of the grandparent at the birth of the parent on the number of the children

born and their sex. By C. N. Fiske and R. O. Ransdell 694

Pathology, bacteriology, and animal parasitology. —Simple and efficient

contrast stain for B. diphtheriae. By C. N. Fiske. The heart muscle in

pneumonia. The sterilization of vaccines and the influence of the various

methods employed on their antigenic properties. The Wassermann and luetin

reactions in leprosy. By C. S. Butler and A. B. Clifford 700

Eye, ear, nose, and throat. —Relation of general arteriosclerosis to certain

ocular conditions. Eyestrain and ocular discomfort from faulty illumination. Hemorrhage

from the nose and throat. Diagnosis and conservative treatment of inflammation

of the accessory sinuses of the nose. Primary carcinoma of the tonsils. Nasal

polypi. By E. J. Grow and G. B. Trible 703

REPORTS. —Topographical extracts from annual sanitary reports:

Yangtze River ports. By Passed Asst. Surg. C. L. Beeching 707

Cape Haitien, Haiti. By Asst. Surg. C. P. Lynch 710

Santo Domingo and Haiti. By Passed Asst. Surg. E. A. Vickery 714

Vera Cruz, Santo Domingo, and Haiti. By Surg. R. W. Plummer 715

Santo Domingo. By Asst. Surg. J. B. Helm 716

Bluefields, Nicaragua. By Asst. Surg. C. P. Lynch 719

Alaskan ports. By Surg. W. S. Pugh, jr 723

INDEX 727

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