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Prof. F. Trendelenburg . . . inventor of the "Trendelenburg Posture" is visiting . . . . in this city . . . . The Trendelenburg Posture consists simply of posterior operations by means of a specially contrived operating table, that in cases of a peculiarly delicate character have been remarkably successful.

(Philadelphia Public Ledger).

Dr. Oscar Taylor, a nose specialist of San Francisco, has been troubled for years with spines in the nostril. A few days ago he prepared his instruments to cut away one of these spines. By a slip the chisel went too far and pierced the skull, injuring the brain. Spinal meningitis set in. Physicians in attendance declare Dr. Taylor has little chance of recovering.

(Santa Rose (Cal.) Republican.) Dr. I. is affected with lutus bulgaric. (Hastings (Neb.) Tribune). "Dr. C. assisted in viscerating the right eye." (Pocahontas (Iowa) Democrat). as a result of

Chas. Le. P. died

lamphigitis.

(Hampshire (Mass.) Gazette). "Secretary H. was prostrated by an attack of artemva at his summer home."

(Clinton (Iowa) Herald).

"In addition to hernia he is suffering from a water cancer."

(Middletown (Conn.) Press). "Spasm of the diaplerague resulting from the sneeze caused the vertebrae to snap." (St. Paul Pioneer Press). “Abijah L. had an operation Wednesday for achanoids."

(Windsor Locks (Ct.) Journal). "Dr. M. W. died suddenly of pleurisy of the brain." (Cincinnati Enquirer). " he became ill in this city with polmonary peritonitis."

(Cincinnati Enquirer).

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‘. . . the fatal disease at Marfa has been diagnosed as 'Stopplococus' an affection of the throat." (Galveston News). Here are a few lay medical terms that are fearful and wonderful productions: Gastrojegimostomy-Thyolite.

(Nevada) Bullfrog Miner. Ankersteleal nephortis. This disease makes the internal conditions worse than Bright's disease.

(Fort Wayne Journal Gazette). Ossification of the tissues of the bone. (Philadelphia Evening Bulletin).

Chronic intestinal nefritis.

(Salem (Ind.) Democrat). Davenport

Structure of the bowels. (Iowa) Democrat and Leader). Earamyoclonus, a form of nervous pros

tration.

(Fort Wayne Sentinel). Scurvy, a sort of bleeding at the lungs. (La Junta (Col.) Democrat). We can fully agree with the editor of the Medical Standard "that the sporadic items of information upon medicinal topics now appearing from time to time in the daily press are of so grotesque a character that they would be laughable if they did not have so serious a side."

We feel that the only feasible method of eradicating the evil is by popular education and in our opinion the publicity bureau offers the most effective means of propagating the information necessary for the enlightenment of the people,

If such a bureau is organized, it must of necessity be conducted along newspaper lines. The chief writer should correspond in function to the managing editor of a paper. He ought to have a medical train

ing in order that he could, as the responsible head, closely adhere to fundamental medical truths. Some of his assistants should be magazine and Sunday special writers, who by their training would be able to write material acceptable to magazine and newspaper editors.

If a bureau

This is an absolute essential. were to send out matter in the formal, cut and dried style so prevalent in medical journals, the articles would be speedily condemned to the darkness of the waste basket, and the editors would learn to look upon the officials sending them as disseminators of trash.

While interesting facts might lurk within. the pages of the medical effusions, no editor could be depended upon to perform a major operation thereon and carefully dissect out any striking features which might be attached to the omentum of technical phraseology.

The trained lay writer could easily be educated to take subjects pregnant with interest, such as tuberculosis, the hook worm disease, cancer, preventive medicine, hygiene, hospital abuses and the like, and weave around the basic truths a fabric so interesting and so instructive that the lay editor would anxiously seek the articles.

Many of the leading members of the profession desire the creation of a federal health board, the chief of which shall sit in the president's cabinet as Secretary of Public Health. Undoubtedly this should be brought about, but by ordinary methods years must elapse before a successful conclusion.

A publicity bureau in a series of forceful articles, could educate the public to the need of a federal health bureau. With newspapers creating sentiment for the establishment of the new department, with

the people favoring the consolidation of the different bureaus into one efficient organization, it would be comparatively easy to make Congress realize the need.

The majority of the statesmen in Washington have their ears very close to the ground and they recognize the clarion calls of the "plain peepul." There being no crying demand from the voters for a Department of Public Health, Congress does not double quick to authorize it, for Congress affects to believe that the Department is desired merely by prospective office holders, but let vox populi be raised on high, Congress would listen. In the long run, the servant seldom neglects to do the bidding of his master, and to the average Congressman vox populi is vox Dei.

Johnson said that "many things difficult to design prove easy to performance." The formation of a medical publicity bureau would naturally be attended with some difficulties, for it would be a novelty and much care would necessarily need to be exercised in the selection of its officials and in laying out the scope of the organization.

Once established it would easily and speedily prove its worth. If the American Medical Association cannot see its way clear to undertake such a labor it ought to be undertaken in a smaller way by the larger of. the State Societies, for in the end, the benefits derived from the work of a medical publicity bureau will redound to the benefit of the many for whom it is intended.

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5. WANTED A MEDICAL BUREAU OF PUBLICITY, Especially for County Medical Societies. Taylor, Cyclopedia of Practical Medicine, Feb., 1908.

6. MEDICAL EDUCATION THROUGH THE LAY PRESS. Editorial, Medical Standard, April,

1909.

JANUARY, 1910.
New Series, Vol: V., No. 1.

transportation after 1850 made it possible for races in the interior of Europe to come, though the present migration stream was not noticeable until 1880. The major

7. THE LAY PRESS. Jones, Journal A. M. A., ity of the immigrants now arriving in

Nov. 27, 1909.

THE FUTURE AMERICAN.1

BY

CHAS. E. WOODRUFF, M. D.,

U. S. Army Medical Dept.

Is the United States producing a new type of mankind? If so, what will it be? The question has been discussed for a long time and with increasing frequency of late on account of the rapid and remarkable changes due to our present immigration which is the most stupendous movement in the history of the world. New England was peopled by less than 20,000 settlers yet as many now arrive in one week. The total immigration up to 1750 was less than 80,000. The first small streams were checked rather early, so that there were but, few foreign born Americans in the war of the Revolution which was fought by the descendants of as many immigrants as now arrive in one month. The modern change began about 1810, when the migration from Europe was renewed. At first it was a mere trickling stream of Scotch and Irish, then Norwegians, Swedes and Germans and finally the interior races, but growing larger and larger until it reached its present torrential magnitude.

Prior to 1850 transportation was mostly by water, so that the new-comers were those who had lived near the sea-board and as they were of the same stock as the native born, the nation easily assimilated its new citizens. The growth of land

1 Based on and extracted in part from "Expansion of Races," by permission of Rebman Co., 1123 Broadway, N. Y.

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sult to be? Prior to 1880 the strange new peoples arriving were so few in number that it was presumed as a matter of course that they would be wholly immersed in the mass of natives and disappear by some strange amalgamation. If this really occurs, the process will soon be reversed as the new types now flooding the land will be so numerous that they will absorb the old. In 1900, 40% of our white popula

DESCRIPTION OF ILLUSTRATIONS.

FIGURES 1 to 7, inclusive.-Series of Alpine race, showing gradual change from French form to the Mongols of Russia.

FIGURES 8 to 12, inclusive.-First non-aryan people of British Islands. The Neolithic and "old black breed"-short frail brunettes resembling the Mediterranean race now found mostly in peasantry.

FIGURE 13.-Round barrow race of the Bronze Age the broad headed brunette Alpine stock which invaded Great Britain and submerged the primitive stock and was later submerged by Aryans.

FIGURES 14 to 19, inclusive.-Mediterranean Race.

FIGURES 20 to 25, inclusive.-Baltic, blond or Aryan race constituting the brainy upper classes around the Baltic. The type which cannot survive permanently very far from Norway.

tion was foreign born or of foreign parentage at present this element is estimated to be more than half-and though the races from Northwestern Europe still greatly predominate they are bound to be outnumbered in a few decades by the new types now arriving.

Assimilation, in the sense of the absorption of one race by others, never has occurred before. England, Ireland, Scotland and Wales for instance are ethnically identical; that is, the same types are found in each. Various waves of people have migrated to those islands from the main land and Scandinavia, but are just as distinct

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today as they were some thousands of years ago. Indeed there is a mixture of types in every part of Europe, so that America. is not making any new experiment.

There has been curiously little change. in type in this country during the last three centuries. If a man from northwestern Europe dresses as an American and does not betray his origin by speech or mannerism, no one can tell whether he is a new arrival or traces his ancestry to the Mayflower. It is popularly believed also that the climate has been modifying all types into a new and common form one anthropologist even asserting that the process in time would make us resemble the American Indian. Such speculations are not only baseless but have ignored well

Fig. 3. German.

Naturalists long ago discovered that nearly all of the physical characters of an animal or plant were evolved by the law of selection in the struggle for existence, and survived because they were beneficial. The mistake in the case of man is so common that there are very few who seem able to grasp the idea that every normal human character is necessary for survival though we often do not know why.

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migration in which there was time for adjustment to the new climates by survival of the proper variations. The races arising from this primitive stock are called the Eur-African, as they are related by certain physical characters and are found mostly in Europe and Africa, though they have spread eastward through Southern Asia. Indeed there is a more or less perfect gradation of forms from the blackest negro to the whitest Scandinavian.

Two of these Eur-African races particularly concern us-the Mediterranean and the Baltic. The former includes the Portuguese and Spaniards (Iberians), Italians (Ligurians), Greeks (Pelasgians), Arabs,

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Egyptians and Berbers, all of whom are rather short and more or less brunette. The Baltic type is tall and blond, and there is no reasonable doubt that it is the brawny and brainy Aryan race which originated the wonderful Aryan language, made nearly all history and is now practically controlling the world, though it was a negligible factor until about three or four thousand years ago.

When man arose in Central Europe, Scandinavia was covered with ice, but as this cap melted and its southern edge retreated, man followed in obedience to his tendency to spread wherever he could live. The fittest for this environment were the big blond men of intelligence. Much pigment was not needed, as the clouds pro

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