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TROUBLE AHEAD

Acute catarrhal inflammations of the upper air passages
-coryza, rhinitis, etc., while usually independent af-
fections frequently indicate serious trouble ahead.
Pneumonia, la grippe, bronchitis and other
diseases of the respiratory tract, gener-

ally have the premonitory head and

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applied hot over the entire

naso-malar regions,

reduces the swelling of the

mucous membrane of the septum

and lower turbinated bodies; lessens
the irritating excretions; dispels the "stuffed
up" feeling, and relieves the pain over the frontal
sinuses. Antiphlogistine combats the invasion of bac-
teria by increasing the activity of the blood, stimulating
leucocytosis, and encouraging the production of anti-bodies.

48

MAIN OFFICE AND LABORATORIES

THE DENVER CHEMICAL MFG. COMPANY

NEW YORK, U. S. A.

Branches: London, Sydney, Berlin, Paris, Buenos Aires, Barcelona, Montreal

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News of the Month

Women as Inspectors-The War Department now permits women to qualify as inspectors of small arms, according to an announcement by the Civil Service Commission.

Four Army Hospitals-The four army tuberculosis hospitals to be erected by the medical corps will be located at Asheville, N. C., Denver, Colo., New Haven, Conn., and Whipple Barracks, Ariz.

Environment-We are very much what others think us. The reception our observations meet with gives us courage to proceed or damps our efforts. A man is a wit and a philosopher in one place who dares not open his mouth and is considered a blockhead in another. In some companies nothing will go down but coarse practical jests, while the finest remark or sarcasm would be disregarded.-Haslet.

Edith Cavell was head of a nurses' training school in Brussels at the beginning of the war, and as a nurse did much for the German as well as allied soldiers during the invasion of Belgium. Brand Whitlock, American minister, tried in every way to have her life spared, but she was put to death by German military authorities in Brussels October 12, 1915. The execution of the sentence roused England and France and was commented on throughout the United States. A notable memory service was held at St. Paul's, London.

The Greater War-"In the various nations engaged in this war, in times of peace, over 6,500,000 die annually from prevetable diseases. There have been fewer than 7,000,000 killed in action on all sides since the outbreak of war. Obviously, then, all the battles in the interest of humanity and the interests of nations are not fought in the firing line. The perennial warfare waged against the invisible foe is as important-if not more so than that now waged against those who are threatening the desruction of the very principles of civilization."-Chas J. Hastings, M. D., President American Public Health Association.

Mal-Nutrition in Childhood as Reflected in the Draft-Secretary McAdoo announces that as a result of studies by the United States Public Health Service of the causes for rejections for physical defects under the selective draft law, it has been established that mal-nutrition during childhood is one of the avoidable troubles. The service is now considering a national program of cooperation with state, county, and municipal health authorities for the purpose of safe. guarding the health of school children. The Public Health Service has been engaged for some years now in collecting valuable data as to the state of nutrition and mental and physical health of school children. In certain orphan asylums of the country, pellagra mysteriously made its appearance, affecting a large number of the inmates of an intermediate-age group, avoiding the younger and the older children. The experts of the Public Health Service on dietary diseases, investigated the situation and found that both the younger and the older orphans received a better diet than those in the middle-age group, the former because of their tender age, the latter because they performed work around the orphanage. Arrangements were at once made by the Public Health Service to supplement the diet of the group of children having pellagra, whereupon the disease promptly disappeared.

War Bread-There is no standard recipe for "victory bread," the only requirement being that it must contain not more than 80 per cent of wheat flour, the remaining 20 per cent being composed of corn meal or corn flour, rice, potato flour, or other cereals recommended by the Food Administration. "Victory" pies and doughnuts, which contain not less than onethird non wheat flour, may be sold on wheatless days if the same recipes are used throughout the week.

Loving Cup to a Missouri Newspaper-Every Missouri newspaper is eligible to enter the competition for the Loving Cup to be awarded during Journalism Week, May 6 to 10, 1918, at the University of Missouri to the newspaper which, in the twelve months ending April 1, 1918, does, in its field, the most constructive work on behalf of good citizenship. "Constructive work on behalf of good citizenship" is interpreted to mean promoting, by publication of editorial, news, advertising and other articles, the elevation of the standards of living and the permission to all men of attainment to these standards. Nominations for the award may be made by commercial clubs, literary clubs, women's clubs, civic leagues or other organized groups, by city officials or by individual citizens. They must be made prior to April 5, 1918, in writing to the School of Journalism of the University of Missouri and be accompanied by a written statement of the reasons for the nomination, together with a file of the issues of the newspaper nominated containing the articles for which special claim is made.

Journalism Week at Columbia—Journalism Week, May 6, 7, 8, 9 and 10, at the University of Missouri will be this year of unusual practical value. On the program will be discussions of questions of immediate profesisonal interest and consideration of the new problems in newspaper-making to follow the war. The evening addresses will be of large significance and appeal. The week will be an occasion of real importance to Missouri writers, editors, advertisers and publishers. On the first day, Monday, May 6, will be the sessions of the Missouri Writers' Guild, of which J. Breckenridge Ellis, of Plattsburg, is president. The second day, Tuesday, May 7, will consider Special Features, the Metropolitan Press, Women in Journalism. The third day, Wednesday, May 8, will be Advertising Day, where the discusions by real experts will help toward filling the advertising columns with worthwhile business. On the fourth and fifth days, Thursday and Friday, May 9 and 10, will be the sessions of the Misouri Press Association, of which J. P. Tucker, of Parkville, is president. The program will consider the Community Newspaper, Getting and Keeping Circulation, The Problems of Business, The Problems of News, The Problems of Public Service, Preparation to Solve These Problems, and Contributed Reading Matter. On Friday will be heard a report from the Central Bureau of the Association and the discussions will be of its further service in money saving and business promoting. Journalism Week will close with the Journalism banquet, Friday evening, May 10, as usual a fitting climax to a worthwhile week.

What is a failure? It's only a spur
To the man who receives it right,
And it makes the spirit within him stir
To go in once more and fight.

If you never have failed it's an even guess
You have never won a high success.

E. P. HAWORTH,
Superintendent.

JOHN W. KEPNER, M. D.
House Obstetrician.

The Willows Maternity Sanitarium

A STRICTLY ETHICAL HOME AND HOSPITAL FOR

THE CARE OF SECLUSION MATERNITY PATIENTS

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T

HE WILLOWS MATERNITY SANITARIUM is a modern and up-to-date Sanitarium and Hospital devoted to the seclusion and care of unfortunate young women. It offers to the medical fraternity an ethical and Christian solution to one of the difficult problems of the profession. The Sanitarium extends to these young women protection and seclusion in congenial and home-like surroundings before confinement, as well as providing efficient medica and hospital care during delivery and convalescence.

The Willows has been located, planned and especially equipped for seclusion maternity work. It is strictly modern, having steam heat, electric lights, gas and baths with hot and cold water. The patients' rooms are light, airy and furnished for home-like comfort as well as hospital convenience. The dining service has been especially planned for the work and wholesome, nourishing and well cooked meals are served.

The Hospital equipment is complete and modern, having been installed for this particular work. It includes two specially fitted Confinement Chambers, sterilizing rooms, massage room, diet kitchen and necessary drug and linen rooms.

The Sanitarium is open to any reputable physician to handle his own high-grade cases in it. When the physician is not accessible to The Willows or finds it otherwise impractical to care for his case, Dr. John W. Kepner, House Obstetrician, will handle it. The mothers and babies are attended by a corps of efficient, specially trained nurses.

Entering early in gestation is important for preparing the patient for accouchement through systematic, hygienic methods and massage. Patients may enter as early as they desire. A special system of abdominal and perineal massage has been devised and has proven very successful in the prevention of Striae Gravidarum and as an aid to labor.

The care of the babies is one of the important features of The Willows' work. The NurWhen sery is modernly equipped and no reasonable expense is spared in the babies' care. such arrangements are made the institution assumes the entire responsibility of the child, keeping it until a good home can be found where the child will be legally adopted.

The Willows Maternity Sanitarium has accommodations meeting the requirements of the most fastidious as well as others for those patients whose means are limited. tanding the many advantages of its services, the charges are reasonable.

Send for new 80-page booklet.

The Willows

But, notwith

2929 Main Street,
KANSAS CITY, MO.

-50

When Writing to Our Advertisers, Please Mention The Medical Herald

The Doctor's Funnybone

Compensation

Providence has given us hope and sleep as a compensation for the many cares of life.-Voltaire.

Maybe an Enema?

It is pretty safe to say the kaiser will never swallow "world democracy" unless Uncle Sam resorts to forcible feeding!

His Weak Spot

Jack: "Strange that a disease always attacks one in his weakest place."

Elsie: "Is that why you have a cold in the head?" -Judge.

Oft Repeated

The lady next door says you are not trying as hard to save food as you were a few weeks ago. She says the president can't get you to do much unless he issues a new appeal every Monday.-K. C. Star.

Analogy

Sister's Beau-"Lillian, if you'll come sit on my lap I'll give you a nice present."

Lillian (aged 5)-"Is that why you gave sister a diamond ring?"

Foreign Lady in Pharmacy

"I vant some powder."

"Mennen's?"

"No; vim men's!"

"Scented?"

"No; I vill take it along."

The Limit

Waiter (pleasantly)-"Wot will it be this morning, sir, for breakfast?"

Guest (irritated)-"Now why waste any time asking me foolish questions? Just bring me whatever the government allows today and be quick about it!"

A Chance for Further Ingenuity

One recently vaccinated girl protects her sore arm from boisterous friends by having a V embroidered on her coat sleeve. This seems to be a very sensible plan for those who were vaccinated on the arm.K. C. Star.

Vicarious Philanthropy

Bessie had a new dime to invest in ice cream soda. "Why don't you give your dime to missions?" said the minister who was calling.

"I thought about that," said Bessie, "but I think I'll buy the ice cream and let the druggist give it to the missions."

Finding the Balance

Little Elsie "Mamma, how much do you people pay a pound for babies?"

Mamma-"Babies are not sold by the pound, my

dear."

Little Elsie "Then why do they always weigh them as soon as they are born?"

The Melting Pot

¶ Browne saved a dog poisoned with strychnine by injecting lobeline sulphate.

He who first hollowed a tree trunk into a canoe was probably burned alive for the sacrilege.

The blood shows very high cholestein figures in cholelitiaries.-Ralph Webster, Chi. Med. Rec.

¶ Acute tonsilitis in children is not infrequently complicated by acute endocarditis.-Hoskins, Ind Pls. M. J.

¶There are very few disease-producing bacteria that can not be found in the human mouth at times.Kohn, Pub. Health.

¶ Every practitioner must find some urines of specific gravity too low for sugar, but nevertheless saccharin.-Buff. Med. Jour.

¶ Surgeons used to associate cardia-contraction with a small stomach, pyloro-contraction with a small one. Often, but not always, true.-Buff. Med. Jour.

It is probably correct to ascribe the good effects of digitalis, before and after operation, to its constant development of leucocytosis, besides its effect on the heart muscle.-Fralick, Med. Times.

The Pessimist-Would you marry one?-Corwin, Chi. Med. Rec. (Don't marry the girl whose mouthcorners turn down. Most of your time will be spent trying to convince her that matters might be worse).

¶ Tartar can be easily removed by using finely powdered sulphur as a tooth powder for a week.

85 per cent of hay fever is caused by ragweed; the golden rod is innocent; the only real remedy is to scoot for a safe place.

Current suggestions as to treating pellagra-The Goldberger dietary; intestinal antisepsis, combat ankylostomiasis; saturate with calx sulphurata; cure pyorrhea; Dyer's quinine hydrochlorate; sodium cacodylate; picric acid locally.

During an epidemic any case that presents temperature, somnolence, irritability and alimentary disturbances as chief clinical characteristics, must be regarded as potentially one of abortive anterior poliomyelitis.-Lowenberg, Med World.

¶ Cook (N. Y. M. J.), analyzing ten cases of psoriasis finds that when the underlying disease is cured the skin malady gets well. Pyorrhea, seminal vesiculitis, anal fistula, and infected tonsils were thus found and cured; but in a case of syphilis mixed treatment did not cure the psoriasis.

Early Tuberculosis-Disproportional fatigue, malaise persistent, anorexia, loss of energy and mental tone, indigestion, loss of weight, slight morning cough or hack, intrascapular pains, reflex hoarseness, pulse over 80, persistent subnormal morning temperature, slight fever after noon.-S. E. Thompson, Charlotte Med Jour.

¶ Confusion may occur in diagnosing anterior poliomyelitis from infantile fevers, influenza, otitis media, meningeal pneumonias, pyelitis, pericarditis, ulcerative endocarditis, tonsilitis, rheumatism, typhoid, scurvy, rickets, injuries, summer complaint, meningismus, convulsions, bronchopneumonia, meningitis, any condition associated with fever and nervous symptoms.-Lowenberg, Med. World.

Notes on Reliable Remedies

Need an Office Assistant?-If you want an assistant in your office, doctor, one that is competent and willing; one that will make money for you from the start, read over carefully the offer of the ThompsonPlaster Co., on adv. page 58, this issue. It is the best thing we know of in the whole realm of office assistants.

New War Booklet-A "War Cyclopedia," providing the public with information on the great war in the form of a handbook, is the latest publication issued by the Committee on Public Information. The sailent facts of the war are briefly stated in alphabetical form in 300 pages. The cyclopedia also contains a chronology of outstanding events ranging from the murder at Serajevo of the Archduke Francis Ferdinand, June 28, 1914, to the British national labor conference's approval of President Wilson's war aims, December 29, 1917. The volume may be ob tained by addressing the Committee on Public Information, 10 Jackson Place, Washington, D. C., and inclosing 25 cents to cover cost of printing.

A Safe Antiseptic-In view of the numerous reports of death and disaster following the use of bichloride of mercury and carbolic acid, it is a good thing to know that there is now available a germicidal agent which is even more efficient than these dangerous antiseptics, and which is safe. The medical profession owes much to the genius of Dr. H. D. Dakin, who has recently brought to its attention the great value of the chlorine-carrying compounds. The most convenient of the antiseptics which he has introduced is

para-toluene-sodium-sulphochloramide, best known in this country under the name of "Chlorazene." In Dakin and Dunham's "Handbook of Antiseptics," we learn that this antiseptic is more powerful, when tested on blood-serum-muscle-extract cultures of the staphylococcus aureus, than mercuric chloride, silver nitrate, argyrol, zinc chloride, hydrogen peroxide, phenol, and other common antiseptics. In fact, a 2 per cent solution of this antiseptic will accomplish in five minutes what it requires 24 hours to accomplish with a 1:1000 solution of mercuric chloride. The most gratifying fact of all is that the Chlorazene is safe. There is little or no danger of poisoning. Some of the uses of Chlorazene are as follows: As a gargle or spray, in all forms of sore throat, and as a therapeutic and prophylactic agent in diphtheria, meningitis, measles, scarlet fever, tonsilitis, etc. In skin diseases-Eczema, acne, carbuncles, boils, paronychia, felons, and other common skin infections. In wounds-Chlorazene may be used as a wash to infected areas, as an irrigant, on compresses, as a dusting powder (Chlorazene Surgical Powder), and as a paste (Chlorazene Surgical Cream). In genitourinary diseases-As an application to venereal sores (chancre and chancroid), as an injection in the treatment of gonorrheal urethritis and gonorrheal vaginitis. In obstetrics-Following delivery and to clean out the uterus in cases of sepsis. As a cleansing agent and deodorant in practically all diseases of women. In cancer and malignant sores as a deodorant and germicide. Samples of Chlorazene will be sent without charge to any physician, dentist, veterinarian or druggist in any part of the country applying to the home office of The Abbot Laboratories, Chicago. Complete literature of Chlorazene, Dichloramine-T, Chlorcosane, and other Dakin preparations, will be included.

"The Best Opaque Meal"-The success of "Horlick's," the original malted milk as a medium for the administration of Barium is owing to the following reasons: It is convenient, inexpensive, palatable, produces no constipation, and fills all crevices in the gastro-intestinal tract. The proportions commonly used are Horlick's Malted Milk 2 tablespoonfuls, Barium 2 tablespoonfuls, water 500 c.c.

The Third Edition of Wright's Guide to the Organic Drugs of the U. S. P. is just off the press and ready for distribution. This convenient reference book, now in its seventieth thousand, contains brief mention of the more important facts concerning the origin, properties and uses of official organic drugs, as well as those of the third revision of the National Formulary. Other information of useful character contained in its 220 pages, printed on thin paper, refer to plant families, botanical and therapeutical terms, index of plant names, poisons and antidotes, Centigrade and Fahrenheit thermometer scale comparisons, phrases and abbreviations in prescription writing, Latin genetive case endings, symbols and signs used in prescription writing, metric system of weights and measures and table of equivalents. This handy compendium is bound in leather and fits nicely in the vest pocket. It is one of those convenient references that becomes indispensable to both students of medicine and physicians in practice after its usefulness is demonstrated. Wright's Guide is published by Eli Lilly & Company and will be sent postpaid to our readers on requests accompanied by twen ty-five cents in stamps or coin addressed to Eli Lilly & Company, Dept. F., Indianapolis, Indiana. This nominal cost, we are assured, barely covers the cost of printing, binding and postage.

A Useful Local Anesthetic-It is doubtful if any new remedial agent in many years has met with a readier acceptance by American physicians and surgeons than is being accorded to Apothesine, the synthetic local anesthetic recently announced by Parke, Davis & Co. The prompt appreciation which has marked the advent of this new product is gratifying for two reasons: Apothesine is an efficient and broadly useful local anesthetic; it is a fruit of American enterprise and research. Apothesine is described as the hydrochloride of gammadiethyl-amino-propyl cinnamate. It occurs in the form of small snow-white crystals, having a melting point of 137 degrees C. It is readily soluble in alcohol, slightly soluble in acetone and ether, and very soluble in water. If desired, it may be sterilized, in solution, by boiling, and it can be combined with any of the usual synergists. Clinical reports show that Apothesine is as potent as the popular synthetic local anesthetics, while it is less toxic than most of them. It is not a derivative of cocaine, and it does not induce "habit" formation. It is not subject to the narcotic law. Apothesine is suitable for use in any surgical procedure in which a local anesthetic is indicated. It has been employed with marked satisfaction by more than a hundred surgeons in over one thousand cases, including both major and minor operations. Apothesine is supplied in hypodermic-tablet form, as follows: H. T. No. 216 -Each tablet contains 14 grains of Apothesine. One tablet in 60 minims of water makes a 2 per cent solution. Vials of 20 and 100. H. T. No. 217-Each tablet contains 3-5 grain of Apothesine and 1-1600 grain of Adrenalin. One tablet in 60 minims of water makes a 1 per cent solution of Apothesine in Adrenalin 1:100,000. Vials of 25 and 100. Parke, Davis & Co. announce that they will be pleased to send literature on Apothesine to any physician or surgeon who is interested in the product.

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