2
159 " XBD=581 XHG=350 YBD=328 YHG=256>THE " XBD=1134 XHG=664 YBD=326 YHG=254>LANCET " XBD=476 XHG=243 YBD=394 YHG=361>LONDON: " XBD=817 XHG=517 YBD=397 YHG=360>SATURDAY, " XBD=1063 XHG=851 YBD=392 YHG=359>AUGUST " XBD=1132 XHG=1100 YBD=396 YHG=360>8, " XBD=1262 XHG=1170 YBD=391 YHG=359>1942 DIPHTHERIA IN THE IMMUNISED " XBD=269 XHG=220 YBD=562 YHG=528>IN " XBD=488 XHG=286 YBD=573 YHG=527>analysing " XBD=574 XHG=505 YBD=561 YHG=528>the " XBD=791 XHG=589 YBD=561 YHG=526>incidence " XBD=852 XHG=808 YBD=560 YHG=525>of " XBD=1094 XHG=867 YBD=571 YHG=525>diphtheria " XBD=1255 XHG=1110 YBD=572 YHG=537>among " XBD=1343 XHG=1274 YBD=561 YHG=526>the " XBD=392 XHG=171 YBD=612 YHG=577>inoculated " XBD=475 XHG=434 YBD=613 YHG=579>in " XBD=722 XHG=512 YBD=622 YHG=575>Liverpool " XBD=865 XHG=759 YBD=610 YHG=577>since " XBD=1016 XHG=906 YBD=618 YHG=576>1925, " XBD=1229 XHG=1056 YBD=610 YHG=575>GLOVER " XBD=1345 XHG=1264 YBD=610 YHG=575>and " XBD=369 XHG=172 YBD=662 YHG=627>WRIGHT have " XBD=668 XHG=531 YBD=661 YHG=626>drawn " XBD=900 XHG=697 YBD=661 YHG=626>attention " XBD=972 XHG=928 YBD=660 YHG=628>to " XBD=1055 XHG=1003 YBD=660 YHG=637>an " XBD=1166 XHG=1085 YBD=660 YHG=625>odd " XBD=1272 XHG=1195 YBD=671 YHG=637>gap " XBD=1345 XHG=1302 YBD=660 YHG=626>in " XBD=351 XHG=172 YBD=723 YHG=677>reported " XBD=513 XHG=373 YBD=711 YHG=676>results " XBD=582 XHG=538 YBD=711 YHG=675>of " XBD=918 XHG=605 YBD=710 YHG=676>immunisation. " XBD=1096 XHG=972 YBD=720 YHG=675>Many " XBD=1261 XHG=1119 YBD=721 YHG=674>figures " XBD=1345 XHG=1283 YBD=710 YHG=674>for " XBD=237 XHG=171 YBD=761 YHG=726>the " XBD=452 XHG=272 YBD=772 YHG=738>response " XBD=529 XHG=485 YBD=760 YHG=728>to " XBD=633 XHG=563 YBD=760 YHG=725>the " XBD=811 XHG=667 YBD=760 YHG=725>Schick " XBD=926 XHG=844 YBD=760 YHG=727>test " XBD=1004 XHG=960 YBD=760 YHG=737>or " XBD=1108 XHG=1038 YBD=759 YHG=725>the " XBD=1345 XHG=1142 YBD=760 YHG=726>antitoxin " XBD=331 XHG=173 YBD=811 YHG=779>content " XBD=400 XHG=357 YBD=810 YHG=775>of " XBD=489 XHG=421 YBD=810 YHG=775>the " XBD=635 XHG=515 YBD=810 YHG=774>blood " XBD=763 XHG=660 YBD=809 YHG=774>after " XBD=1090 XHG=788 YBD=809 YHG=775>immunisation " XBD=1217 XHG=1114 YBD=809 YHG=774>have " XBD=1345 XHG=1244 YBD=809 YHG=774>been " XBD=387 XHG=173 YBD=873 YHG=825>published, " XBD=486 XHG=413 YBD=860 YHG=825>but " XBD=619 XHG=508 YBD=859 YHG=825>there " XBD=746 XHG=642 YBD=859 YHG=825>have " XBD=871 XHG=770 YBD=859 YHG=824>been " XBD=969 XHG=892 YBD=860 YHG=823>few " XBD=1147 XHG=991 YBD=859 YHG=824>records " XBD=1216 XHG=1172 YBD=859 YHG=824>of " XBD=1345 XHG=1235 YBD=860 YHG=825>what " XBD=292 XHG=172 YBD=922 YHG=875>really " XBD=619 XHG=333 YBD=910 YHG=867>matters-the " XBD=907 XHG=663 YBD=920 YHG=875>subsequent " XBD=1111 XHG=956 YBD=921 YHG=875>history " XBD=1203 XHG=1158 YBD=909 YHG=873>of " XBD=1346 XHG=1248 YBD=909 YHG=875>such " XBD=344 XHG=175 YBD=960 YHG=925>children " XBD=412 XHG=370 YBD=959 YHG=936>as " XBD=596 XHG=438 YBD=970 YHG=925>regards " XBD=851 XHG=624 YBD=970 YHG=924>diphtheria " XBD=1080 XHG=877 YBD=960 YHG=924>infection. " XBD=1184 XHG=1134 YBD=959 YHG=924>In " XBD=1344 XHG=1210 YBD=961 YHG=925>Liver- " XBD=262 XHG=174 YBD=1022 YHG=975>pool " XBD=339 XHG=289 YBD=1010 YHG=986>no " XBD=508 XHG=368 YBD=1010 YHG=974>Schick " XBD=635 XHG=534 YBD=1009 YHG=977>tests " XBD=708 XHG=664 YBD=1009 YHG=986>or " XBD=940 XHG=737 YBD=1010 YHG=975>antitoxin " XBD=1216 XHG=968 YBD=1010 YHG=975>estimations " XBD=1345 XHG=1245 YBD=1010 YHG=986>were " XBD=298 XHG=175 YBD=1067 YHG=1026>done ; " XBD=406 XHG=328 YBD=1059 YHG=1025>this " XBD=504 XHG=425 YBD=1059 YHG=1036>was " XBD=549 XHG=525 YBD=1059 YHG=1036>a " XBD=677 XHG=568 YBD=1070 YHG=1024>plain " XBD=852 XHG=699 YBD=1059 YHG=1023>clinical " XBD=965 XHG=872 YBD=1067 YHG=1024>tale, " XBD=1138 XHG=985 YBD=1070 YHG=1025>though " XBD=1191 XHG=1156 YBD=1060 YHG=1026>it " XBD=1346 XHG=1211 YBD=1071 YHG=1025>points " XBD=279 XHG=175 YBD=1110 YHG=1086>more " XBD=387 XHG=289 YBD=1109 YHG=1075>than " XBD=475 XHG=402 YBD=1109 YHG=1085>one " XBD=623 XHG=486 YBD=1110 YHG=1074>moral. " XBD=797 XHG=677 YBD=1109 YHG=1074>From " XBD=994 XHG=811 YBD=1118 YHG=1074>October, " XBD=1119 XHG=1010 YBD=1118 YHG=1076>1925, " XBD=1176 XHG=1131 YBD=1110 YHG=1078>to " XBD=1257 XHG=1187 YBD=1110 YHG=1075>the " XBD=1347 XHG=1269 YBD=1109 YHG=1074>end " XBD=218 XHG=175 YBD=1160 YHG=1124>of " XBD=339 XHG=233 YBD=1167 YHG=1127>1938, " XBD=493 XHG=358 YBD=1166 YHG=1125>54,985 " XBD=673 XHG=512 YBD=1170 YHG=1135>persons " XBD=773 XHG=691 YBD=1159 YHG=1124>had " XBD=891 XHG=790 YBD=1159 YHG=1124>been " XBD=1136 XHG=907 YBD=1160 YHG=1124>inoculated " XBD=1250 XHG=1152 YBD=1160 YHG=1125>with " XBD=1346 XHG=1268 YBD=1159 YHG=1125>five " XBD=353 XHG=176 YBD=1210 YHG=1176>varieties " XBD=416 XHG=372 YBD=1209 YHG=1174>of " XBD=717 XHG=430 YBD=1220 YHG=1174>prophylactic, " XBD=812 XHG=738 YBD=1210 YHG=1186>one " XBD=877 XHG=832 YBD=1209 YHG=1174>of " XBD=1003 XHG=890 YBD=1209 YHG=1175>them " XBD=1125 XHG=1023 YBD=1221 YHG=1175>(MT) " XBD=1238 XHG=1147 YBD=1210 YHG=1186>now " XBD=1347 XHG=1255 YBD=1220 YHG=1174>long " XBD=356 XHG=177 YBD=1261 YHG=1224>obsolete. " XBD=564 XHG=408 YBD=1270 YHG=1224>Among " XBD=668 XHG=587 YBD=1259 YHG=1225>this " XBD=797 XHG=693 YBD=1260 YHG=1224>total " XBD=894 XHG=821 YBD=1260 YHG=1226>396 " XBD=1012 XHG=919 YBD=1267 YHG=1225>had, " XBD=1091 XHG=1036 YBD=1271 YHG=1236>up " XBD=1155 XHG=1112 YBD=1260 YHG=1228>to " XBD=1248 XHG=1178 YBD=1259 YHG=1225>the " XBD=1348 XHG=1270 YBD=1260 YHG=1224>end " XBD=218 XHG=177 YBD=1310 YHG=1274>of " XBD=347 XHG=242 YBD=1316 YHG=1276>1939, " XBD=604 XHG=375 YBD=1309 YHG=1275>contracted " XBD=858 XHG=631 YBD=1321 YHG=1274>diphtheria " XBD=964 XHG=883 YBD=1309 YHG=1275>and " XBD=1034 XHG=992 YBD=1310 YHG=1276>11 " XBD=1109 XHG=1064 YBD=1309 YHG=1274>of " XBD=1241 XHG=1129 YBD=1310 YHG=1275>them " XBD=1348 XHG=1267 YBD=1310 YHG=1274>had " XBD=287 XHG=178 YBD=1367 YHG=1324>died ; " XBD=368 XHG=317 YBD=1358 YHG=1323>all " XBD=449 XHG=381 YBD=1358 YHG=1324>the " XBD=564 XHG=462 YBD=1358 YHG=1324>fatal " XBD=685 XHG=578 YBD=1359 YHG=1336>cases " XBD=800 XHG=700 YBD=1359 YHG=1336>were " XBD=855 XHG=813 YBD=1359 YHG=1325>in " XBD=1045 XHG=870 YBD=1359 YHG=1325>children " XBD=1184 XHG=1058 YBD=1359 YHG=1325>under " XBD=1347 XHG=1198 YBD=1359 YHG=1323>school- " XBD=325 XHG=178 YBD=1419 YHG=1374>leaving " XBD=417 XHG=347 YBD=1419 YHG=1385>age " XBD=518 XHG=438 YBD=1408 YHG=1373>and " XBD=562 XHG=540 YBD=1409 YHG=1376>6 " XBD=629 XHG=585 YBD=1409 YHG=1374>of " XBD=758 XHG=647 YBD=1409 YHG=1375>them " XBD=861 XHG=780 YBD=1409 YHG=1374>had " XBD=983 XHG=882 YBD=1409 YHG=1375>been " XBD=1230 XHG=1003 YBD=1409 YHG=1374>inoculated " XBD=1349 XHG=1251 YBD=1409 YHG=1374>with " XBD=242 XHG=150 YBD=1460 YHG=1425>the " XBD=506 XHG=271 YBD=1470 YHG=1424>admittedly " XBD=848 XHG=535 YBD=1470 YHG=1424>unsatisfactory " XBD=963 XHG=877 YBD=1460 YHG=1425>MT. " XBD=1068 XHG=1017 YBD=1459 YHG=1424>In " XBD=1217 XHG=1096 YBD=1471 YHG=1436>every " XBD=1348 XHG=1247 YBD=1466 YHG=1435>case, " XBD=272 XHG=178 YBD=1509 YHG=1473>fatal " XBD=345 XHG=303 YBD=1508 YHG=1485>or " XBD=459 XHG=375 YBD=1516 YHG=1477>not, " XBD=562 XHG=492 YBD=1508 YHG=1474>the " XBD=793 XHG=594 YBD=1508 YHG=1474>virulence " XBD=870 XHG=826 YBD=1509 YHG=1474>of " XBD=967 XHG=898 YBD=1509 YHG=1475>the " XBD=1191 XHG=1000 YBD=1520 YHG=1474>infecting " XBD=1349 XHG=1224 YBD=1509 YHG=1475>strain " XBD=253 XHG=180 YBD=1558 YHG=1535>was " XBD=550 XHG=287 YBD=1566 YHG=1523>established ; " XBD=699 XHG=600 YBD=1558 YHG=1524>with " XBD=807 XHG=730 YBD=1559 YHG=1523>few " XBD=1068 XHG=840 YBD=1570 YHG=1525>exceptions " XBD=1214 XHG=1102 YBD=1559 YHG=1524>these " XBD=1348 XHG=1248 YBD=1559 YHG=1535>were " XBD=302 XHG=181 YBD=1620 YHG=1574>gravis " XBD=363 XHG=320 YBD=1608 YHG=1585>or " XBD=636 XHG=379 YBD=1609 YHG=1574>intermedius " XBD=813 XHG=655 YBD=1617 YHG=1575>strains, " XBD=885 XHG=832 YBD=1609 YHG=1573>all " XBD=970 XHG=901 YBD=1609 YHG=1574>the " XBD=1090 XHG=988 YBD=1609 YHG=1573>fatal " XBD=1214 XHG=1108 YBD=1609 YHG=1586>cases " XBD=1349 XHG=1233 YBD=1620 YHG=1574>being " XBD=315 XHG=182 YBD=1659 YHG=1624>caused " XBD=390 XHG=335 YBD=1669 YHG=1624>by " XBD=483 XHG=410 YBD=1659 YHG=1636>one " XBD=548 XHG=505 YBD=1659 YHG=1636>or " XBD=694 XHG=569 YBD=1659 YHG=1625>other. " XBD=873 XHG=748 YBD=1659 YHG=1624>There " XBD=928 XHG=895 YBD=1659 YHG=1625>is " XBD=1052 XHG=950 YBD=1659 YHG=1624>clear " XBD=1260 XHG=1073 YBD=1659 YHG=1624>evidence " XBD=1349 XHG=1279 YBD=1659 YHG=1627>too " XBD=222 XHG=180 YBD=1709 YHG=1673>of " XBD=303 XHG=238 YBD=1709 YHG=1674>the " XBD=477 XHG=325 YBD=1719 YHG=1677>greater " XBD=821 XHG=500 YBD=1720 YHG=1674>preponderance " XBD=889 XHG=844 YBD=1709 YHG=1673>of " XBD=1021 XHG=909 YBD=1708 YHG=1674>these " XBD=1152 XHG=1044 YBD=1708 YHG=1685>more " XBD=1350 XHG=1176 YBD=1709 YHG=1673>virulent " XBD=316 XHG=180 YBD=1758 YHG=1724>strains " XBD=478 XHG=336 YBD=1770 YHG=1735>among " XBD=729 XHG=500 YBD=1759 YHG=1723>inoculated " XBD=923 XHG=747 YBD=1770 YHG=1724>patients " XBD=1044 XHG=942 YBD=1758 YHG=1723>than " XBD=1105 XHG=1062 YBD=1759 YHG=1724>in " XBD=1350 XHG=1123 YBD=1770 YHG=1723>diphtheria " XBD=281 XHG=180 YBD=1808 YHG=1785>cases " XBD=338 XHG=297 YBD=1808 YHG=1774>in " XBD=422 XHG=353 YBD=1808 YHG=1774>the " XBD=523 XHG=441 YBD=1820 YHG=1775>city " XBD=583 XHG=539 YBD=1809 YHG=1785>as " XBD=625 XHG=601 YBD=1808 YHG=1786>a " XBD=779 XHG=642 YBD=1809 YHG=1773>whole. " XBD=913 XHG=833 YBD=1809 YHG=1774>Yet " XBD=1039 XHG=932 YBD=1809 YHG=1785>cases " XBD=1099 XHG=1056 YBD=1809 YHG=1774>in " XBD=1184 XHG=1115 YBD=1809 YHG=1774>the " XBD=1348 XHG=1201 YBD=1809 YHG=1774>inocul- " XBD=268 XHG=179 YBD=1859 YHG=1824>ated " XBD=385 XHG=288 YBD=1859 YHG=1835>were " XBD=555 XHG=407 YBD=1870 YHG=1824>mostly " XBD=674 XHG=576 YBD=1869 YHG=1835>very " XBD=805 XHG=696 YBD=1859 YHG=1823>mild. " XBD=974 XHG=861 YBD=1859 YHG=1824>Even " XBD=1051 XHG=992 YBD=1872 YHG=1836>so, " XBD=1248 XHG=1076 YBD=1860 YHG=1824>GLOVER " XBD=1351 XHG=1270 YBD=1859 YHG=1824>and " XBD=349 XHG=179 YBD=1914 YHG=1874>WRIGHT " XBD=549 XHG=373 YBD=1909 YHG=1874>consider " XBD=663 XHG=571 YBD=1909 YHG=1874>that " XBD=785 XHG=686 YBD=1920 YHG=1874>they " XBD=907 XHG=807 YBD=1909 YHG=1886>were " XBD=999 XHG=929 YBD=1909 YHG=1877>too " XBD=1246 XHG=1022 YBD=1909 YHG=1886>numerous. " XBD=1350 XHG=1300 YBD=1910 YHG=1874>In " XBD=265 XHG=179 YBD=1971 YHG=1927>part " XBD=375 XHG=276 YBD=1959 YHG=1924>their " XBD=558 XHG=390 YBD=1959 YHG=1924>number " XBD=605 XHG=573 YBD=1958 YHG=1925>is " XBD=802 XHG=622 YBD=1959 YHG=1924>ascribed " XBD=856 XHG=813 YBD=1959 YHG=1927>to " XBD=938 XHG=868 YBD=1958 YHG=1924>the " XBD=1062 XHG=950 YBD=1958 YHG=1924>weak " XBD=1348 XHG=1073 YBD=1970 YHG=1924>prophylactic " XBD=278 XHG=181 YBD=2019 YHG=1974>(MT) " XBD=398 XHG=303 YBD=2009 YHG=1974>used " XBD=463 XHG=422 YBD=2008 YHG=1975>in " XBD=554 XHG=485 YBD=2009 YHG=1974>the " XBD=686 XHG=577 YBD=2020 YHG=1973>early " XBD=820 XHG=709 YBD=2020 YHG=1974>days. " XBD=936 XHG=873 YBD=2009 YHG=1973>No " XBD=1104 XHG=962 YBD=2010 YHG=1973>Schick " XBD=1227 XHG=1126 YBD=2010 YHG=1976>tests " XBD=1350 XHG=1250 YBD=2009 YHG=1985>were " XBD=277 XHG=180 YBD=2059 YHG=2024>done " XBD=401 XHG=301 YBD=2059 YHG=2023>after " XBD=733 XHG=422 YBD=2067 YHG=2025>immunisation, " XBD=799 XHG=756 YBD=2059 YHG=2036>so " XBD=853 XHG=820 YBD=2059 YHG=2024>it " XBD=907 XHG=874 YBD=2059 YHG=2024>is " XBD=1001 XHG=928 YBD=2059 YHG=2027>not " XBD=1192 XHG=1021 YBD=2070 YHG=2023>possible " XBD=1256 XHG=1212 YBD=2059 YHG=2027>to " XBD=1350 XHG=1278 YBD=2070 YHG=2036>say " XBD=347 XHG=181 YBD=2109 YHG=2074>whether " XBD=449 XHG=380 YBD=2109 YHG=2074>the " XBD=651 XHG=478 YBD=2109 YHG=2074>infected " XBD=787 XHG=681 YBD=2109 YHG=2074>child " XBD=894 XHG=815 YBD=2109 YHG=2086>was " XBD=948 XHG=924 YBD=2109 YHG=2086>a " XBD=1119 XHG=977 YBD=2110 YHG=2074>Schick " XBD=1349 XHG=1146 YBD=2117 YHG=2074>immune ; " XBD=282 XHG=183 YBD=2160 YHG=2136>some " XBD=467 XHG=296 YBD=2159 YHG=2124>children " XBD=524 XHG=480 YBD=2159 YHG=2124>of " XBD=668 XHG=534 YBD=2160 YHG=2136>course " XBD=746 XHG=681 YBD=2160 YHG=2136>are " XBD=975 XHG=755 YBD=2170 YHG=2124>refractory " XBD=1026 XHG=982 YBD=2159 YHG=2127>to " XBD=1348 XHG=1035 YBD=2160 YHG=2124>immunisation. " XBD=277 XHG=228 YBD=2211 YHG=2175>So " XBD=413 XHG=295 YBD=2210 YHG=2175>much " XBD=493 XHG=432 YBD=2210 YHG=2174>for " XBD=583 XHG=514 YBD=2210 YHG=2175>the " XBD=715 XHG=603 YBD=2209 YHG=2175>debit " XBD=817 XHG=735 YBD=2209 YHG=2175>side " XBD=883 XHG=838 YBD=2210 YHG=2174>of " XBD=967 XHG=897 YBD=2210 YHG=2175>the " XBD=1183 XHG=987 YBD=2216 YHG=2177>account ; " XBD=1261 XHG=1217 YBD=2209 YHG=2177>to " XBD=1351 XHG=1281 YBD=2209 YHG=2175>the " XBD=301 XHG=189 YBD=2260 YHG=2225>credit " XBD=367 XHG=324 YBD=2260 YHG=2224>of " XBD=685 XHG=387 YBD=2260 YHG=2225>immunisation " XBD=819 XHG=707 YBD=2260 YHG=2225>there " XBD=873 XHG=840 YBD=2260 YHG=2225>is " XBD=965 XHG=895 YBD=2260 YHG=2225>the " XBD=1247 XHG=988 YBD=2271 YHG=2224>outstanding " XBD=1352 XHG=1268 YBD=2259 YHG=2224>fact " XBD=268 XHG=186 YBD=2311 YHG=2275>that " XBD=462 XHG=293 YBD=2310 YHG=2276>whereas " XBD=676 XHG=498 YBD=2310 YHG=2275>between " XBD=802 XHG=706 YBD=2311 YHG=2277>1933 " XBD=911 XHG=830 YBD=2310 YHG=2275>and " XBD=1036 XHG=940 YBD=2311 YHG=2276>1939 " XBD=1132 XHG=1063 YBD=2310 YHG=2275>the " XBD=1352 XHG=1161 YBD=2310 YHG=2278>case-rate " XBD=317 XHG=189 YBD=2372 YHG=2337>among " XBD=612 XHG=331 YBD=2361 YHG=2325>uninoculated " XBD=800 XHG=625 YBD=2360 YHG=2325>children " XBD=938 XHG=812 YBD=2360 YHG=2325>under " XBD=1021 XHG=951 YBD=2360 YHG=2325>the " XBD=1106 XHG=1035 YBD=2371 YHG=2336>age " XBD=1165 XHG=1121 YBD=2360 YHG=2325>of " XBD=1224 XHG=1179 YBD=2361 YHG=2326>10 " XBD=1352 XHG=1238 YBD=2371 YHG=2336>years " XBD=369 XHG=188 YBD=2422 YHG=2376>averaged " XBD=472 XHG=388 YBD=2411 YHG=2377>11.3 " XBD=560 XHG=490 YBD=2422 YHG=2387>per " XBD=677 XHG=580 YBD=2411 YHG=2376>1000 " XBD=763 XHG=694 YBD=2421 YHG=2387>per " XBD=944 XHG=781 YBD=2418 YHG=2387>annum, " XBD=1108 XHG=963 YBD=2421 YHG=2387>among " XBD=1352 XHG=1124 YBD=2410 YHG=2375>inoculated " XBD=350 XHG=188 YBD=2461 YHG=2426>children " XBD=403 XHG=370 YBD=2460 YHG=2426>it " XBD=574 XHG=424 YBD=2471 YHG=2425>ranged " XBD=697 XHG=593 YBD=2461 YHG=2425>from " XBD=781 XHG=722 YBD=2461 YHG=2427>1.5 " XBD=847 XHG=803 YBD=2461 YHG=2428>to " XBD=941 XHG=867 YBD=2462 YHG=2427>3-0. " XBD=1078 XHG=995 YBD=2461 YHG=2425>The " XBD=1352 XHG=1101 YBD=2462 YHG=2426>observation " XBD=268 XHG=184 YBD=2511 YHG=2476>that " XBD=326 XHG=286 YBD=2511 YHG=2477>in " XBD=554 XHG=345 YBD=2522 YHG=2475>Liverpool " XBD=642 XHG=572 YBD=2510 YHG=2476>the " XBD=889 XHG=662 YBD=2521 YHG=2475>diphtheria " XBD=995 XHG=907 YBD=2510 YHG=2478>rate " XBD=1110 XHG=1015 YBD=2511 YHG=2487>over " XBD=1206 XHG=1128 YBD=2511 YHG=2476>the- " XBD=1290 XHG=1219 YBD=2521 YHG=2487>age " XBD=1358 XHG=1311 YBD=2510 YHG=2475>of " XBD=230 XHG=189 YBD=2562 YHG=2527>10 " XBD=280 XHG=249 YBD=2561 YHG=2527>is " XBD=417 XHG=298 YBD=2561 YHG=2526>much " XBD=504 XHG=435 YBD=2561 YHG=2526>the " XBD=633 XHG=525 YBD=2561 YHG=2537>same " XBD=694 XHG=652 YBD=2560 YHG=2527>in " XBD=782 XHG=712 YBD=2560 YHG=2526>the " XBD=1088 XHG=802 YBD=2561 YHG=2525>uninoculated " XBD=1187 XHG=1107 YBD=2561 YHG=2526>and " XBD=1353 XHG=1205 YBD=2560 YHG=2525>inocul- " XBD=273 XHG=187 YBD=2611 YHG=2577>ated " XBD=476 XHG=298 YBD=2611 YHG=2576>deserves " XBD=656 XHG=502 YBD=2611 YHG=2576>further " XBD=1020 XHG=682 YBD=2622 YHG=2575>epidemiological " XBD=1181 XHG=1047 YBD=2622 YHG=2576>study. " XBD=1355 XHG=1234 YBD=2611 YHG=2575>Much " XBD=345 XHG=186 YBD=2662 YHG=2628>remains " XBD=417 XHG=373 YBD=2662 YHG=2630>to " XBD=495 XHG=447 YBD=2662 YHG=2627>be " XBD=639 XHG=525 YBD=2662 YHG=2627>done. " XBD=903 XHG=693 YBD=2673 YHG=2626>Liverpool " XBD=964 XHG=932 YBD=2661 YHG=2627>is " XBD=1153 XHG=994 YBD=2672 YHG=2626>heavily " XBD=1356 XHG=1182 YBD=2661 YHG=2626>infected " XBD=276 XHG=187 YBD=2712 YHG=2678>with " XBD=428 XHG=293 YBD=2722 YHG=2676>highly " XBD=617 XHG=445 YBD=2712 YHG=2677>virulent " XBD=781 XHG=637 YBD=2711 YHG=2677>strains " XBD=844 XHG=800 YBD=2711 YHG=2676>of " XBD=927 XHG=858 YBD=2711 YHG=2676>the " XBD=1172 XHG=946 YBD=2722 YHG=2676>diphtheria " XBD=1356 XHG=1191 YBD=2711 YHG=2676>bacillus " XBD=260 XHG=186 YBD=2761 YHG=2727>and " XBD=315 XHG=284 YBD=2761 YHG=2728>is " XBD=546 XHG=341 YBD=2761 YHG=2727>inhabited " XBD=628 XHG=572 YBD=2772 YHG=2727>by " XBD=677 XHG=654 YBD=2761 YHG=2738>a " XBD=940 XHG=704 YBD=2772 YHG=2726>population " XBD=1102 XHG=971 YBD=2772 YHG=2726>coldly " XBD=1357 XHG=1128 YBD=2762 YHG=2726>indifferent " XBD=224 XHG=185 YBD=2811 YHG=2779>to " XBD=311 XHG=245 YBD=2811 YHG=2777>the " XBD=428 XHG=333 YBD=2811 YHG=2776>offer " XBD=493 XHG=448 YBD=2811 YHG=2776>of " XBD=589 XHG=508 YBD=2811 YHG=2774>free " XBD=921 XHG=609 YBD=2811 YHG=2777>immunisation. " XBD=1041 XHG=975 YBD=2822 YHG=2776>Up " XBD=1106 XHG=1062 YBD=2811 YHG=2779>to " XBD=1196 XHG=1126 YBD=2811 YHG=2777>the " XBD=1295 XHG=1217 YBD=2811 YHG=2776>end " XBD=1361 XHG=1316 YBD=2812 YHG=2775>of " XBD=278 XHG=188 YBD=2862 YHG=2827>1939 " XBD=388 XHG=296 YBD=2872 YHG=2826>only " XBD=473 XHG=404 YBD=2873 YHG=2827>6% " XBD=538 XHG=494 YBD=2861 YHG=2826>of " XBD=619 XHG=550 YBD=2861 YHG=2827>the " XBD=842 XHG=636 YBD=2872 YHG=2826>preschool " XBD=1033 XHG=858 YBD=2861 YHG=2825>children " XBD=1130 XHG=1049 YBD=2862 YHG=2826>and " XBD=1242 XHG=1146 YBD=2872 YHG=2826>only " XBD=1354 XHG=1259 YBD=2873 YHG=2827>31% " XBD=228 XHG=187 YBD=2911 YHG=2875>of " XBD=354 XHG=243 YBD=2911 YHG=2877>those " XBD=551 XHG=374 YBD=2911 YHG=2876>between " XBD=593 XHG=572 YBD=2911 YHG=2878>5 " XBD=697 XHG=616 YBD=2911 YHG=2876>and " XBD=739 XHG=717 YBD=2911 YHG=2877>9 " XBD=875 XHG=759 YBD=2922 YHG=2887>years " XBD=976 XHG=894 YBD=2911 YHG=2876>had " XBD=1098 XHG=996 YBD=2911 YHG=2876>been " XBD=1357 XHG=1116 YBD=2912 YHG=2876>inoculated. " XBD=293 XHG=186 YBD=2961 YHG=2926>Since " XBD=365 XHG=322 YBD=2960 YHG=2928>at " XBD=494 XHG=394 YBD=2960 YHG=2925>least " XBD=620 XHG=525 YBD=2973 YHG=2926>30% " XBD=701 XHG=656 YBD=2961 YHG=2925>of " XBD=932 XHG=726 YBD=2971 YHG=2926>preschool " XBD=1139 XHG=963 YBD=2961 YHG=2925>children " XBD=1278 XHG=1169 YBD=2961 YHG=2929>must " XBD=1359 XHG=1309 YBD=2960 YHG=2926>be " XBD=415 XHG=149 YBD=3015 YHG=2975>immunised " XBD=482 XHG=439 YBD=3010 YHG=2978>to " XBD=628 XHG=509 YBD=3011 YHG=2975>affect " XBD=855 XHG=653 YBD=3011 YHG=2975>incidence " XBD=915 XHG=881 YBD=3011 YHG=2976>it " XBD=1015 XHG=941 YBD=3010 YHG=2987>can " XBD=1089 XHG=1039 YBD=3010 YHG=2975>be " XBD=1163 XHG=1111 YBD=3010 YHG=2987>no " XBD=1361 XHG=1190 YBD=3021 YHG=2976>surprise " XBD=272 XHG=184 YBD=3059 YHG=3025>that " XBD=395 XHG=286 YBD=3059 YHG=3025>there " XBD=482 XHG=411 YBD=3059 YHG=3025>has " XBD=598 XHG=498 YBD=3059 YHG=3025>been " XBD=665 XHG=613 YBD=3060 YHG=3037>no " XBD=845 XHG=682 YBD=3060 YHG=3025>decline. " XBD=1110 XHG=899 YBD=3070 YHG=3025>Liverpool " XBD=1197 XHG=1125 YBD=3060 YHG=3025>has " XBD=1361 XHG=1213 YBD=3071 YHG=3025>always " XBD=281 XHG=185 YBD=3110 YHG=3074>been " XBD=337 XHG=295 YBD=3109 YHG=3075>in " XBD=420 XHG=352 YBD=3109 YHG=3074>the " XBD=628 XHG=436 YBD=3109 YHG=3073>forefront " XBD=690 XHG=646 YBD=3110 YHG=3074>of " XBD=901 XHG=703 YBD=3110 YHG=3075>advances " XBD=960 XHG=918 YBD=3109 YHG=3076>in " XBD=1111 XHG=976 YBD=3121 YHG=3074>public " XBD=1265 XHG=1126 YBD=3110 YHG=3074>health " XBD=1363 XHG=1282 YBD=3110 YHG=3074>and " XBD=216 XHG=186 YBD=3159 YHG=3125>it " XBD=273 XHG=241 YBD=3159 YHG=3126>is " XBD=471 XHG=297 YBD=3170 YHG=3124>unlikely " XBD=585 XHG=494 YBD=3159 YHG=3125>that " XBD=690 XHG=609 YBD=3160 YHG=3125>this " XBD=822 XHG=717 YBD=3162 YHG=3128>state " XBD=891 XHG=847 YBD=3160 YHG=3124>of " XBD=1046 XHG=912 YBD=3159 YHG=3124>affairs " XBD=1149 XHG=1071 YBD=3160 YHG=3124>will " XBD=1361 XHG=1175 YBD=3160 YHG=3126>continue " XBD=426 XHG=186 YBD=3219 YHG=3173>indefinitely " XBD=628 XHG=436 YBD=3219 YHG=3174>provided " XBD=825 XHG=642 YBD=3220 YHG=3174>personal " XBD=1040 XHG=839 YBD=3220 YHG=3175>approach " XBD=1098 XHG=1053 YBD=3209 YHG=3177>to " XBD=1272 XHG=1110 YBD=3219 YHG=3177>parents " XBD=1362 XHG=1288 YBD=3209 YHG=3186>can " XBD=233 XHG=188 YBD=3257 YHG=3223>be " XBD=452 XHG=251 YBD=3258 YHG=3223>contrived " XBD=550 XHG=469 YBD=3259 YHG=3224>and " XBD=668 XHG=567 YBD=3259 YHG=3223>local " XBD=963 XHG=685 YBD=3269 YHG=3224>practitioners " XBD=1192 XHG=984 YBD=3269 YHG=3226>cooperate " XBD=1324 XHG=1210 YBD=3270 YHG=3223>fully. " XBD=470 XHG=232 YBD=3314 YHG=3272>Meanwhile, " XBD=640 XHG=499 YBD=3319 YHG=3273>figures " XBD=765 XHG=668 YBD=3308 YHG=3273>such " XBD=836 XHG=793 YBD=3308 YHG=3285>as " XBD=978 XHG=864 YBD=3308 YHG=3274>those " XBD=1050 XHG=1006 YBD=3308 YHG=3273>of " XBD=1257 XHG=1083 YBD=3309 YHG=3273>GLOVER " XBD=1364 XHG=1283 YBD=3308 YHG=3273>and " XBD=358 XHG=187 YBD=3358 YHG=3322>WRIGHT " XBD=436 XHG=375 YBD=3357 YHG=3322>far " XBD=549 XHG=447 YBD=3358 YHG=3321>from " XBD=755 XHG=562 YBD=3369 YHG=3323>lessening " XBD=995 XHG=769 YBD=3358 YHG=3322>confidence " XBD=1050 XHG=1008 YBD=3358 YHG=3324>in " XBD=1365 XHG=1062 YBD=3358 YHG=3323>immunisation " XBD=323 XHG=187 YBD=3407 YHG=3372>should " XBD=521 XHG=350 YBD=3407 YHG=3373>enhance " XBD=586 XHG=541 YBD=3409 YHG=3374>it. " XBD=723 XHG=640 YBD=3409 YHG=3374>The " XBD=1017 XHG=742 YBD=3420 YHG=3373>prophylactic " XBD=1147 XHG=1037 YBD=3415 YHG=3373>used, " XBD=1211 XHG=1169 YBD=3408 YHG=3374>in " XBD=1364 XHG=1230 YBD=3408 YHG=3373>Liver- " XBD=276 XHG=188 YBD=3467 YHG=3422>pool " XBD=328 XHG=286 YBD=3456 YHG=3433>as " XBD=555 XHG=340 YBD=3465 YHG=3422>elsewhere, " XBD=601 XHG=568 YBD=3458 YHG=3424>is " XBD=916 XHG=612 YBD=3469 YHG=3423>all-important, " XBD=1012 XHG=929 YBD=3457 YHG=3422>and " XBD=1054 XHG=1020 YBD=3457 YHG=3423>it " XBD=1098 XHG=1065 YBD=3456 YHG=3423>is " XBD=1366 XHG=1110 YBD=3468 YHG=3422>satisfactory 1. Lancet, Aug. 1, p. 133. " XBD=1445 XHG=1401 YBD=219 YHG=187>to " XBD=1586 XHG=1468 YBD=219 YHG=185>know " XBD=1673 XHG=1603 YBD=219 YHG=184>the " XBD=1784 XHG=1696 YBD=218 YHG=195>care " XBD=1900 XHG=1808 YBD=218 YHG=184>that " XBD=1958 XHG=1924 YBD=218 YHG=184>is " XBD=2071 XHG=1982 YBD=218 YHG=196>now " XBD=2213 XHG=2089 YBD=218 YHG=184>taken " XBD=2292 XHG=2237 YBD=229 YHG=184>by " XBD=2378 XHG=2309 YBD=218 YHG=184>the " XBD=2588 XHG=2403 YBD=230 YHG=184>Ministry " XBD=1448 XHG=1404 YBD=269 YHG=234>of " XBD=1649 XHG=1487 YBD=276 YHG=234>Health, " XBD=1728 XHG=1685 YBD=268 YHG=246>as " XBD=1840 XHG=1770 YBD=268 YHG=233>the " XBD=2071 XHG=1883 YBD=278 YHG=233>licensing " XBD=2333 XHG=2114 YBD=278 YHG=234>authority, " XBD=2410 XHG=2366 YBD=269 YHG=236>to " XBD=2587 XHG=2448 YBD=268 YHG=245>ensure " XBD=1495 XHG=1403 YBD=318 YHG=284>that " XBD=1623 XHG=1520 YBD=318 YHG=284>APT " XBD=1780 XHG=1649 YBD=318 YHG=283>issued " XBD=1850 XHG=1806 YBD=317 YHG=286>to " XBD=1977 XHG=1876 YBD=317 YHG=282>local " XBD=2238 XHG=2003 YBD=317 YHG=283>authorities " XBD=2336 XHG=2262 YBD=317 YHG=283>for the " XBD=2518 XHG=2449 YBD=317 YHG=295>use " XBD=2591 XHG=2547 YBD=318 YHG=283>of " XBD=1681 XHG=1402 YBD=379 YHG=334>practitioners " XBD=1732 XHG=1699 YBD=368 YHG=334>is " XBD=1796 XHG=1752 YBD=367 YHG=332>of " XBD=1910 XHG=1816 YBD=377 YHG=332>high " XBD=2128 XHG=1930 YBD=377 YHG=333>antigenic " XBD=2352 XHG=2150 YBD=378 YHG=335>potency.2 " XBD=2445 XHG=2405 YBD=367 YHG=333>It " XBD=2496 XHG=2464 YBD=367 YHG=333>is " XBD=2586 XHG=2514 YBD=367 YHG=334>im- " XBD=1580 XHG=1403 YBD=428 YHG=385>portant, " XBD=1681 XHG=1599 YBD=425 YHG=386>too, " XBD=1745 XHG=1702 YBD=417 YHG=394>as BousFIELD " XBD=2176 XHG=2010 YBD=427 YHG=382>3 points " XBD=2275 XHG=2192 YBD=423 YHG=385>out, " XBD=2383 XHG=2290 YBD=416 YHG=382>that " XBD=2588 XHG=2396 YBD=417 YHG=383>statistics " XBD=1614 XHG=1403 YBD=477 YHG=432>published " XBD=1732 XHG=1628 YBD=467 YHG=432>from " XBD=1907 XHG=1748 YBD=467 YHG=432>various " XBD=2081 XHG=1925 YBD=466 YHG=443>sources " XBD=2240 XHG=2097 YBD=465 YHG=430>should " XBD=2304 XHG=2255 YBD=466 YHG=431>be " XBD=2585 XHG=2322 YBD=478 YHG=431>comparable. " XBD=1445 XHG=1404 YBD=515 YHG=481>If " XBD=1542 XHG=1461 YBD=516 YHG=482>this " XBD=1594 XHG=1561 YBD=516 YHG=482>is " XBD=1658 XHG=1614 YBD=517 YHG=484>to " XBD=1728 XHG=1679 YBD=517 YHG=482>be " XBD=1952 XHG=1749 YBD=524 YHG=481>achieved, " XBD=2181 XHG=1968 YBD=526 YHG=481>technique " XBD=2283 XHG=2202 YBD=515 YHG=481>and " XBD=2588 XHG=2295 YBD=517 YHG=481>the* collection " XBD=1484 XHG=1404 YBD=565 YHG=531>and " XBD=1783 XHG=1509 YBD=577 YHG=533>presentation " XBD=1855 XHG=1810 YBD=566 YHG=531>of " XBD=1974 XHG=1877 YBD=566 YHG=532>data " XBD=2109 XHG=2000 YBD=566 YHG=534>must " XBD=2185 XHG=2136 YBD=566 YHG=531>be " XBD=2411 XHG=2211 YBD=574 YHG=530>uniform ; " XBD=2586 XHG=2455 YBD=567 YHG=532>Bous- " XBD=1528 XHG=1404 YBD=615 YHG=590>FIELD " XBD=1640 XHG=1560 YBD=615 YHG=583>sets " XBD=1742 XHG=1671 YBD=616 YHG=585>out " XBD=1881 XHG=1772 YBD=616 YHG=593>more " XBD=2013 XHG=1911 YBD=616 YHG=582>than " XBD=2197 XHG=2041 YBD=626 YHG=583>twenty " XBD=2399 XHG=2228 YBD=626 YHG=581>possible " XBD=2588 XHG=2432 YBD=616 YHG=592>sources " XBD=1449 XHG=1405 YBD=665 YHG=629>of " XBD=1579 XHG=1472 YBD=665 YHG=641>error " XBD=1726 XHG=1596 YBD=665 YHG=630>which " XBD=1839 XHG=1744 YBD=676 YHG=643>may " XBD=2029 XHG=1858 YBD=666 YHG=634>account " XBD=2109 XHG=2047 YBD=666 YHG=630>for " XBD=2197 XHG=2127 YBD=665 YHG=631>the " XBD=2362 XHG=2218 YBD=675 YHG=630>widely " XBD=2589 XHG=2381 YBD=676 YHG=631>divergent " XBD=1546 XHG=1402 YBD=714 YHG=679>results " XBD=1607 XHG=1563 YBD=714 YHG=679>of " XBD=1926 XHG=1625 YBD=716 YHG=681>immunisation " XBD=2186 XHG=1946 YBD=727 YHG=682>campaigns. |>" XBD=2414 XHG=2407 YBD=712 YHG=704>s SYME’S AMPUTATION " XBD=1624 XHG=1454 YBD=873 YHG=837>ALMOST " XBD=1809 XHG=1650 YBD=884 YHG=838>exactly " XBD=1909 XHG=1837 YBD=874 YHG=840>100 " XBD=2058 XHG=1944 YBD=884 YHG=850>years " XBD=2187 XHG=2084 YBD=885 YHG=842>ago a " XBD=2343 XHG=2262 YBD=883 YHG=838>boy " XBD=2413 XHG=2368 YBD=873 YHG=837>of " XBD=2483 XHG=2437 YBD=873 YHG=839>16 " XBD=2591 XHG=2509 YBD=873 YHG=850>was " XBD=1603 XHG=1404 YBD=923 YHG=887>admitted " XBD=1766 XHG=1641 YBD=922 YHG=888>under " XBD=1955 XHG=1815 YBD=923 YHG=888>JAMES " XBD=2113 XHG=1995 YBD=924 YHG=889>SYME " XBD=2195 XHG=2152 YBD=923 YHG=890>in " XBD=2479 XHG=2245 YBD=934 YHG=888>Edinburgh " XBD=2590 XHG=2528 YBD=923 YHG=887>for " XBD=1587 XHG=1405 YBD=983 YHG=936>multiple " XBD=1753 XHG=1603 YBD=972 YHG=937>sinuses " XBD=1813 XHG=1769 YBD=973 YHG=937>of " XBD=1893 XHG=1823 YBD=972 YHG=938>the " XBD=1994 XHG=1908 YBD=973 YHG=937>foot " XBD=2213 XHG=2009 YBD=984 YHG=938>involving " XBD=2298 XHG=2228 YBD=972 YHG=938>the " XBD=2437 XHG=2313 YBD=972 YHG=938>tarsal " XBD=2587 XHG=2452 YBD=973 YHG=938>bones. " XBD=1673 XHG=1406 YBD=1033 YHG=987>Amputation " XBD=1780 XHG=1700 YBD=1022 YHG=999>was " XBD=1993 XHG=1808 YBD=1022 YHG=987>essential " XBD=2095 XHG=2020 YBD=1023 YHG=988>but " XBD=2227 XHG=2123 YBD=1022 YHG=988>since " XBD=2355 XHG=2255 YBD=1023 YHG=987>both " XBD=2589 XHG=2384 YBD=1022 YHG=987>calcaneus " XBD=1489 XHG=1407 YBD=1072 YHG=1037>and " XBD=1732 XHG=1510 YBD=1083 YHG=1037>astragalus " XBD=1854 XHG=1754 YBD=1072 YHG=1049>were " XBD=2065 XHG=1877 YBD=1073 YHG=1036>involved " XBD=2297 XHG=2088 YBD=1084 YHG=1037>Chopart’s " XBD=2588 XHG=2320 YBD=1083 YHG=1038>amputation, " XBD=1571 XHG=1408 YBD=1122 YHG=1087>devised " XBD=1643 XHG=1595 YBD=1123 YHG=1089>50 " XBD=1783 XHG=1669 YBD=1133 YHG=1099>years " XBD=2048 XHG=1808 YBD=1133 YHG=1087>previously, " XBD=2154 XHG=2074 YBD=1122 YHG=1099>was " XBD=2407 XHG=2179 YBD=1133 YHG=1087>impossible " XBD=2513 XHG=2432 YBD=1122 YHG=1087>and " XBD=2590 XHG=2538 YBD=1122 YHG=1099>an " XBD=1665 XHG=1409 YBD=1183 YHG=1138>amputation " XBD=1810 XHG=1684 YBD=1173 YHG=1137>below " XBD=1898 XHG=1827 YBD=1172 YHG=1137>the " XBD=2018 XHG=1916 YBD=1172 YHG=1137>knee " XBD=2117 XHG=2036 YBD=1172 YHG=1149>was " XBD=2205 XHG=2135 YBD=1172 YHG=1138>the " XBD=2320 XHG=2225 YBD=1183 YHG=1137>only " XBD=2588 XHG=2338 YBD=1172 YHG=1136>alternative. " XBD=1527 XHG=1409 YBD=1224 YHG=1188>SYME " XBD=1555 XHG=1541 YBD=1209 YHG=1190>s " XBD=1745 XHG=1579 YBD=1222 YHG=1187>decided " XBD=1810 XHG=1765 YBD=1223 YHG=1190>to " XBD=2042 XHG=1833 YBD=1234 YHG=1190>amputate " XBD=2238 XHG=2064 YBD=1234 YHG=1187>through " XBD=2330 XHG=2259 YBD=1222 YHG=1187>the " XBD=2590 XHG=2352 YBD=1232 YHG=1187>ankle-joint " XBD=1492 XHG=1411 YBD=1273 YHG=1237>and " XBD=1740 XHG=1517 YBD=1284 YHG=1238>thereupon " XBD=1974 XHG=1765 YBD=1273 YHG=1237>fashioned " XBD=2025 XHG=2001 YBD=1272 YHG=1250>a " XBD=2131 XHG=2050 YBD=1283 YHG=1237>flap " XBD=2261 XHG=2158 YBD=1273 YHG=1237>from " XBD=2357 XHG=2287 YBD=1272 YHG=1238>the " XBD=2484 XHG=2384 YBD=1280 YHG=1237>heel, " XBD=2589 XHG=2513 YBD=1272 YHG=1237>dis- " XBD=1543 XHG=1409 YBD=1323 YHG=1288>sected " XBD=1647 XHG=1576 YBD=1323 YHG=1291>out " XBD=1749 XHG=1679 YBD=1322 YHG=1288>the " XBD=2001 XHG=1783 YBD=1330 YHG=1287>calcaneus, " XBD=2117 XHG=2037 YBD=1322 YHG=1288>and " XBD=2247 XHG=2149 YBD=1323 YHG=1288>with " XBD=2388 XHG=2280 YBD=1323 YHG=1299>some " XBD=2591 XHG=2421 YBD=1333 YHG=1288>straight " XBD=1686 XHG=1408 YBD=1384 YHG=1337>bone-cutting " XBD=1819 XHG=1702 YBD=1383 YHG=1337>pliers " XBD=1963 XHG=1835 YBD=1372 YHG=1337>which " XBD=2062 XHG=1981 YBD=1372 YHG=1337>had " XBD=2203 XHG=2077 YBD=1383 YHG=1337>lately " XBD=2317 XHG=2216 YBD=1372 YHG=1338>been " XBD=2520 XHG=2333 YBD=1383 YHG=1337>designed " XBD=2591 XHG=2536 YBD=1382 YHG=1337>by " XBD=1565 XHG=1409 YBD=1423 YHG=1387>LISTON " XBD=1767 XHG=1578 YBD=1422 YHG=1387>removed " XBD=1881 XHG=1781 YBD=1422 YHG=1387>both " XBD=2066 XHG=1895 YBD=1422 YHG=1387>malleoli " XBD=2123 XHG=2079 YBD=1422 YHG=1390>to " XBD=2248 XHG=2136 YBD=1423 YHG=1387>leave " XBD=2319 XHG=2267 YBD=1422 YHG=1400>an " XBD=2590 XHG=2333 YBD=1433 YHG=1387>end-bearing " XBD=1524 XHG=1408 YBD=1473 YHG=1438>tibial " XBD=1706 XHG=1557 YBD=1484 YHG=1440>stump. " XBD=1964 XHG=1759 YBD=1483 YHG=1437>Although " XBD=2106 XHG=1998 YBD=1473 YHG=1449>some " XBD=2262 XHG=2140 YBD=1484 YHG=1439>sepsis " XBD=2478 XHG=2294 YBD=1473 YHG=1438>followed " XBD=2591 XHG=2511 YBD=1473 YHG=1438>and " XBD=1521 XHG=1408 YBD=1523 YHG=1488>there " XBD=1623 XHG=1542 YBD=1523 YHG=1499>was " XBD=1791 XHG=1644 YBD=1534 YHG=1487>partial " XBD=2019 XHG=1812 YBD=1534 YHG=1487>sloughing " XBD=2086 XHG=2041 YBD=1522 YHG=1487>of " XBD=2204 XHG=2104 YBD=1523 YHG=1487>both " XBD=2350 XHG=2224 YBD=1535 YHG=1500>upper " XBD=2453 XHG=2373 YBD=1523 YHG=1488>and " XBD=2594 XHG=2474 YBD=1523 YHG=1488>lower " XBD=1509 XHG=1409 YBD=1584 YHG=1537>flaps " XBD=1578 XHG=1528 YBD=1573 YHG=1538>he " XBD=1755 XHG=1597 YBD=1573 YHG=1538>records " XBD=1799 XHG=1775 YBD=1572 YHG=1549>a " XBD=2074 XHG=1818 YBD=1583 YHG=1537>satisfactory " XBD=2227 XHG=2092 YBD=1573 YHG=1537>result. " XBD=2317 XHG=2281 YBD=1573 YHG=1538>A " XBD=2412 XHG=2335 YBD=1573 YHG=1538>few " XBD=2594 XHG=2429 YBD=1573 YHG=1538>months " XBD=1509 XHG=1408 YBD=1623 YHG=1587>later " XBD=1561 XHG=1537 YBD=1623 YHG=1600>a " XBD=1799 XHG=1591 YBD=1623 YHG=1587>&dquo; medical " XBD=2092 XHG=1825 YBD=1634 YHG=1588>gentleman &dquo; " XBD=2222 XHG=2122 YBD=1635 YHG=1588>aged " XBD=2296 XHG=2249 YBD=1624 YHG=1589>25 " XBD=2405 XHG=2325 YBD=1624 YHG=1600>was " XBD=2521 XHG=2433 YBD=1624 YHG=1591>sent " XBD=2592 XHG=2548 YBD=1624 YHG=1591>to " XBD=1493 XHG=1409 YBD=1673 YHG=1639>him " XBD=1710 XHG=1522 YBD=1683 YHG=1637>suffering " XBD=1842 XHG=1737 YBD=1673 YHG=1638>from " XBD=1993 XHG=1872 YBD=1673 YHG=1639>caries " XBD=2067 XHG=2023 YBD=1674 YHG=1638>of " XBD=2162 XHG=2092 YBD=1673 YHG=1639>the " XBD=2455 XHG=2191 YBD=1684 YHG=1638>ankle-joint ; " XBD=2592 XHG=2499 YBD=1673 YHG=1639>here " XBD=1529 XHG=1411 YBD=1724 YHG=1688>SYME " XBD=1557 XHG=1543 YBD=1710 YHG=1691>6 " XBD=1708 XHG=1576 YBD=1723 YHG=1688>added " XBD=1768 XHG=1723 YBD=1723 YHG=1690>to " XBD=1847 XHG=1785 YBD=1723 YHG=1688>his " XBD=2073 XHG=1865 YBD=1735 YHG=1689>operation " XBD=2146 XHG=2090 YBD=1734 YHG=1688>by " XBD=2310 XHG=2163 YBD=1735 YHG=1689>sawing " XBD=2387 XHG=2329 YBD=1724 YHG=1688>off " XBD=2424 XHG=2401 YBD=1723 YHG=1700>a " XBD=2533 XHG=2442 YBD=1723 YHG=1688>slice " XBD=2597 XHG=2552 YBD=1724 YHG=1688>of " XBD=1479 XHG=1409 YBD=1773 YHG=1738>the " XBD=1613 XHG=1496 YBD=1775 YHG=1738>tibial " XBD=1808 XHG=1630 YBD=1774 YHG=1739>mortice. " XBD=1946 XHG=1862 YBD=1773 YHG=1738>The " XBD=2157 XHG=1965 YBD=1773 YHG=1738>adherent " XBD=2265 XHG=2176 YBD=1774 YHG=1739>skin " XBD=2360 XHG=2283 YBD=1774 YHG=1739>due " XBD=2422 XHG=2378 YBD=1774 YHG=1741>to " XBD=2593 XHG=2442 YBD=1774 YHG=1739>disease " XBD=1506 XHG=1410 YBD=1834 YHG=1800>may " XBD=1625 XHG=1521 YBD=1824 YHG=1788>have " XBD=1744 XHG=1643 YBD=1824 YHG=1788>been " XBD=1896 XHG=1760 YBD=1836 YHG=1788>partly " XBD=2166 XHG=1911 YBD=1835 YHG=1788>responsible, " XBD=2255 XHG=2185 YBD=1836 YHG=1792>yet " XBD=2341 XHG=2270 YBD=1824 YHG=1789>the " XBD=2497 XHG=2358 YBD=1825 YHG=1790>novice " XBD=2594 XHG=2514 YBD=1824 YHG=1789>will " XBD=1463 XHG=1413 YBD=1874 YHG=1838>be " XBD=1702 XHG=1480 YBD=1875 YHG=1838>comforted " XBD=1760 XHG=1716 YBD=1874 YHG=1842>to " XBD=1895 XHG=1776 YBD=1875 YHG=1839>know " XBD=2002 XHG=1910 YBD=1874 YHG=1839>that " XBD=2137 XHG=2019 YBD=1876 YHG=1839>SYME " XBD=2420 XHG=2154 YBD=1875 YHG=1839>buttonholed " XBD=2496 XHG=2435 YBD=1875 YHG=1840>his " XBD=2593 XHG=2512 YBD=1886 YHG=1839>flap " XBD=1454 XHG=1412 YBD=1924 YHG=1890>in " XBD=1683 XHG=1470 YBD=1935 YHG=1883>dissecting " XBD=1771 XHG=1700 YBD=1925 YHG=1893>out " XBD=1857 XHG=1787 YBD=1924 YHG=1889>the " XBD=2093 XHG=1874 YBD=1924 YHG=1889>calcaneus. " XBD=2354 XHG=2146 YBD=1932 YHG=1889>However, " XBD=2421 XHG=2371 YBD=1925 YHG=1890>he " XBD=2594 XHG=2436 YBD=1924 YHG=1890>records " XBD=1504 XHG=1411 YBD=1973 YHG=1939>that " XBD=1603 XHG=1522 YBD=1974 YHG=1939>this " XBD=1794 XHG=1623 YBD=1985 YHG=1939>opening " XBD=1912 XHG=1811 YBD=1985 YHG=1951>gave |>" XBD=2102 XHG=1931 YBD=1974 YHG=1939>efficient " XBD=2321 XHG=2121 YBD=1986 YHG=1939>drainage. " XBD=1540 XHG=1461 YBD=2024 YHG=1988>For " XBD=1660 XHG=1566 YBD=2024 YHG=2001>over " XBD=1998 XHG=1686 YBD=2036 YHG=1989>three-quarters " XBD=2069 XHG=2025 YBD=2025 YHG=1989>of " XBD=2115 XHG=2091 YBD=2024 YHG=2001>a " XBD=2309 XHG=2143 YBD=2036 YHG=1992>century " XBD=2488 XHG=2336 YBD=2035 YHG=1989>Syme’s " XBD=2594 XHG=2514 YBD=2024 YHG=2001>was " XBD=1603 XHG=1410 YBD=2085 YHG=2039>regarded " XBD=1671 XHG=1628 YBD=2074 YHG=2051>as " XBD=1766 XHG=1696 YBD=2075 YHG=2040>the " XBD=1898 XHG=1792 YBD=2075 YHG=2043>most " XBD=2180 XHG=1924 YBD=2085 YHG=2039>satisfactory " XBD=2250 XHG=2205 YBD=2074 YHG=2039>of " XBD=2334 XHG=2281 YBD=2074 YHG=2039>all " XBD=2594 XHG=2362 YBD=2075 YHG=2039>lower-limb " XBD=1700 XHG=1412 YBD=2136 YHG=2090>amputations, " XBD=1879 XHG=1723 YBD=2136 YHG=2090>though " XBD=2013 XHG=1901 YBD=2125 YHG=2090>there " XBD=2135 XHG=2035 YBD=2125 YHG=2101>were " XBD=2266 XHG=2159 YBD=2124 YHG=2101>some " XBD=2594 XHG=2289 YBD=2125 YHG=2090>modifications. " XBD=1495 XHG=1412 YBD=2174 YHG=2139>The " XBD=1690 XHG=1514 YBD=2174 YHG=2139>classical " XBD=1798 XHG=1708 YBD=2175 YHG=2140>skin " XBD=1895 XHG=1814 YBD=2186 YHG=2140>flap " XBD=1994 XHG=1913 YBD=2175 YHG=2152>was " XBD=2138 XHG=2012 YBD=2175 YHG=2139>found " XBD=2199 XHG=2155 YBD=2174 YHG=2143>to " XBD=2267 XHG=2218 YBD=2175 YHG=2140>be " XBD=2353 XHG=2284 YBD=2174 YHG=2142>too " XBD=2498 XHG=2373 YBD=2185 YHG=2140>bulky " XBD=2597 XHG=2516 YBD=2174 YHG=2140>and " XBD=1464 XHG=1411 YBD=2224 YHG=2201>an " XBD=1666 XHG=1478 YBD=2236 YHG=2189>elliptical " XBD=1776 XHG=1678 YBD=2236 YHG=2193>type " XBD=1836 XHG=1792 YBD=2225 YHG=2190>of " XBD=1935 XHG=1846 YBD=2228 YHG=2190>skin " XBD=2114 XHG=1948 YBD=2225 YHG=2190>incision " XBD=2240 XHG=2129 YBD=2224 YHG=2201>came " XBD=2295 XHG=2252 YBD=2225 YHG=2192>to " XBD=2359 XHG=2310 YBD=2224 YHG=2189>be " XBD=2596 XHG=2374 YBD=2236 YHG=2190>employed, " XBD=1552 XHG=1411 YBD=2286 YHG=2239>taking " XBD=1660 XHG=1576 YBD=2285 YHG=2240>just " XBD=1780 XHG=1686 YBD=2275 YHG=2252>over " XBD=1829 XHG=1805 YBD=2275 YHG=2252>a " XBD=2011 XHG=1854 YBD=2286 YHG=2240>finger’s " XBD=2207 XHG=2036 YBD=2275 YHG=2240>breadth " XBD=2277 XHG=2232 YBD=2275 YHG=2239>of " XBD=2366 XHG=2296 YBD=2274 YHG=2239>the " XBD=2478 XHG=2391 YBD=2275 YHG=2240>heel " XBD=2596 XHG=2503 YBD=2281 YHG=2240>sole, " XBD=1493 XHG=1412 YBD=2324 YHG=2289>and " XBD=1574 XHG=1504 YBD=2325 YHG=2290>the " XBD=1694 XHG=1592 YBD=2325 YHG=2290>tibia " XBD=1787 XHG=1706 YBD=2325 YHG=2302>was " XBD=1915 XHG=1806 YBD=2325 YHG=2302>sawn " XBD=2107 XHG=1931 YBD=2336 YHG=2290>through " XBD=2206 XHG=2118 YBD=2325 YHG=2289>half " XBD=2274 XHG=2221 YBD=2324 YHG=2301>an " XBD=2384 XHG=2291 YBD=2324 YHG=2290>inch " XBD=2599 XHG=2402 YBD=2336 YHG=2289>proximal " XBD=1456 XHG=1412 YBD=2374 YHG=2342>to " XBD=1544 XHG=1474 YBD=2374 YHG=2339>the " XBD=1752 XHG=1563 YBD=2374 YHG=2339>articular " XBD=1942 XHG=1775 YBD=2375 YHG=2339>surface. " XBD=2183 XHG=1997 YBD=2375 YHG=2340>ELMSLIE " XBD=2248 XHG=2205 YBD=2374 YHG=2340>in " XBD=2349 XHG=2269 YBD=2374 YHG=2339>this " XBD=2544 XHG=2374 YBD=2385 YHG=2343>country " XBD=2598 XHG=2566 YBD=2374 YHG=2340>is " XBD=1571 XHG=1413 YBD=2435 YHG=2389>usually " XBD=1670 XHG=1584 YBD=2424 YHG=2389>said " XBD=1732 XHG=1688 YBD=2424 YHG=2392>to " XBD=1850 XHG=1746 YBD=2424 YHG=2390>have " XBD=2028 XHG=1865 YBD=2425 YHG=2390>devised " XBD=2150 XHG=2044 YBD=2432 YHG=2389>this ; " XBD=2254 XHG=2184 YBD=2423 YHG=2389>the " XBD=2453 XHG=2271 YBD=2423 YHG=2389>French " XBD=2549 XHG=2475 YBD=2424 YHG=2389>call " XBD=2600 XHG=2567 YBD=2423 YHG=2390>it " XBD=1590 XHG=1414 YBD=2486 YHG=2439>Guyon’s " XBD=1790 XHG=1612 YBD=2481 YHG=2439>method, " XBD=1889 XHG=1814 YBD=2474 YHG=2440>but " XBD=1964 XHG=1914 YBD=2474 YHG=2440>he " XBD=2072 XHG=1990 YBD=2474 YHG=2439>also " XBD=2275 XHG=2094 YBD=2474 YHG=2438>retained " XBD=2320 XHG=2296 YBD=2473 YHG=2450>a " XBD=2433 XHG=2342 YBD=2473 YHG=2438>slice " XBD=2499 XHG=2456 YBD=2474 YHG=2439>of " XBD=2598 XHG=2523 YBD=2473 YHG=2438>cal- " XBD=1559 XHG=1415 YBD=2524 YHG=2500>caneus " XBD=1636 XHG=1594 YBD=2523 YHG=2489>in " XBD=1741 XHG=1670 YBD=2524 YHG=2489>the " XBD=1864 XHG=1776 YBD=2524 YHG=2489>heel " XBD=1992 XHG=1898 YBD=2535 YHG=2489>flap. " XBD=2161 XHG=2045 YBD=2524 YHG=2489>After " XBD=2266 XHG=2195 YBD=2523 YHG=2489>the " XBD=2379 XHG=2300 YBD=2523 YHG=2487>last " XBD=2495 XHG=2414 YBD=2523 YHG=2500>war " XBD=2600 XHG=2530 YBD=2523 YHG=2489>the " XBD=1599 XHG=1413 YBD=2584 YHG=2539>Ministry " XBD=1672 XHG=1628 YBD=2574 YHG=2538>of " XBD=1888 XHG=1697 YBD=2574 YHG=2539>Pensions " XBD=2106 XHG=1917 YBD=2585 YHG=2550>surgeons " XBD=2178 XHG=2135 YBD=2573 YHG=2542>at " XBD=2492 XHG=2207 YBD=2584 YHG=2538>Roehampton " XBD=2602 XHG=2520 YBD=2574 YHG=2539>had " XBD=1561 XHG=1415 YBD=2635 YHG=2588>special " XBD=1890 XHG=1598 YBD=2636 YHG=2590>opportunities " XBD=1989 XHG=1926 YBD=2624 YHG=2588>for " XBD=2236 XHG=2027 YBD=2634 YHG=2589>observing " XBD=2343 XHG=2273 YBD=2623 YHG=2587>the " XBD=2522 XHG=2379 YBD=2623 YHG=2589>results " XBD=2606 XHG=2562 YBD=2624 YHG=2588>of " XBD=1599 XHG=1415 YBD=2674 YHG=2639>different " XBD=1900 XHG=1612 YBD=2685 YHG=2639>amputations, " XBD=1994 XHG=1913 YBD=2674 YHG=2639>and " XBD=2104 XHG=2005 YBD=2685 YHG=2640>they " XBD=2226 XHG=2116 YBD=2674 YHG=2651>came " XBD=2281 XHG=2236 YBD=2673 YHG=2641>to " XBD=2362 XHG=2292 YBD=2673 YHG=2639>the " XBD=2603 XHG=2376 YBD=2674 YHG=2639>conclusion " XBD=1506 XHG=1414 YBD=2724 YHG=2689>that " XBD=1780 XHG=1522 YBD=2735 YHG=2688>end-bearing " XBD=1952 XHG=1795 YBD=2735 YHG=2692>stumps " XBD=2066 XHG=1966 YBD=2723 YHG=2700>were " XBD=2406 XHG=2081 YBD=2734 YHG=2688>unsatisfactory. " XBD=2601 XHG=2460 YBD=2724 YHG=2688>Three- " XBD=1598 XHG=1417 YBD=2785 YHG=2741>quarters " XBD=1669 XHG=1624 YBD=2773 YHG=2737>of " XBD=1830 XHG=1693 YBD=2781 YHG=2739>12,000 " XBD=1965 XHG=1857 YBD=2773 YHG=2750>cases " XBD=2120 XHG=1990 YBD=2774 YHG=2739>where " XBD=2215 XHG=2144 YBD=2774 YHG=2739>the " XBD=2377 XHG=2241 YBD=2785 YHG=2741>stump " XBD=2483 XHG=2402 YBD=2774 YHG=2750>was " XBD=2602 XHG=2509 YBD=2773 YHG=2739>end- " XBD=1579 XHG=1417 YBD=2834 YHG=2789>bearing " XBD=1690 XHG=1608 YBD=2823 YHG=2787>had " XBD=1762 XHG=1717 YBD=2823 YHG=2791>to " XBD=1895 XHG=1791 YBD=2823 YHG=2789>have " XBD=2279 XHG=1915 YBD=2835 YHG=2790>re-amputations ; " XBD=2367 XHG=2319 YBD=2824 YHG=2790>38 " XBD=2462 XHG=2390 YBD=2823 YHG=2792>out " XBD=2529 XHG=2485 YBD=2823 YHG=2788>of " XBD=2604 XHG=2555 YBD=2823 YHG=2790>54 " XBD=1538 XHG=1419 YBD=2884 YHG=2839>Syme " XBD=1675 XHG=1567 YBD=2872 YHG=2849>cases " XBD=1785 XHG=1703 YBD=2872 YHG=2838>had " XBD=1857 XHG=1812 YBD=2873 YHG=2842>to " XBD=1935 XHG=1886 YBD=2873 YHG=2839>be " XBD=2274 XHG=1963 YBD=2885 YHG=2838>re-amputated. " XBD=2379 XHG=2329 YBD=2873 YHG=2839>In " XBD=2504 XHG=2409 YBD=2874 YHG=2840>1927 " XBD=2603 XHG=2534 YBD=2873 YHG=2839>the " XBD=1678 XHG=1419 YBD=2932 YHG=2888>end-bearing " XBD=1839 XHG=1703 YBD=2934 YHG=2890>stump " XBD=2070 XHG=1862 YBD=2934 YHG=2889>operation " XBD=2254 XHG=2091 YBD=2924 YHG=2889>became " XBD=2451 XHG=2275 YBD=2923 YHG=2888>obsolete " XBD=2514 XHG=2472 YBD=2923 YHG=2889>in " XBD=2605 XHG=2534 YBD=2923 YHG=2888>the " XBD=1638 XHG=1418 YBD=2982 YHG=2936>ministry’s " XBD=1856 XHG=1661 YBD=2984 YHG=2937>hospitals " XBD=1963 XHG=1881 YBD=2972 YHG=2937>and " XBD=2085 XHG=1985 YBD=2984 YHG=2938>they " XBD=2273 XHG=2108 YBD=2974 YHG=2939>decided " XBD=2388 XHG=2295 YBD=2973 YHG=2939>that " XBD=2512 XHG=2412 YBD=2973 YHG=2949>even " XBD=2605 XHG=2535 YBD=2972 YHG=2938>the " XBD=1540 XHG=1413 YBD=3032 YHG=2987>Syme " XBD=1648 XHG=1565 YBD=3022 YHG=2986>had " XBD=1717 XHG=1672 YBD=3022 YHG=2989>to " XBD=1805 XHG=1742 YBD=3033 YHG=2999>go. " XBD=1901 XHG=1859 YBD=3022 YHG=2987>It " XBD=2007 XHG=1926 YBD=3022 YHG=2999>was " XBD=2137 XHG=2033 YBD=3024 YHG=2989>their " XBD=2393 XHG=2163 YBD=3035 YHG=2988>experience " XBD=2510 XHG=2417 YBD=3022 YHG=2987>that " XBD=2606 XHG=2535 YBD=3022 YHG=2987>the " XBD=1540 XHG=1421 YBD=3082 YHG=3036>Syme " XBD=1700 XHG=1564 YBD=3082 YHG=3039>stump " XBD=1822 XHG=1724 YBD=3071 YHG=3048>soon " XBD=2064 XHG=1844 YBD=3083 YHG=3037>developed " XBD=2296 XHG=2088 YBD=3074 YHG=3039>callosities " XBD=2400 XHG=2319 YBD=3072 YHG=3037>and " XBD=2514 XHG=2421 YBD=3072 YHG=3037>that " XBD=2649 XHG=2536 YBD=3072 YHG=3037>the " XBD=1630 XHG=1422 YBD=3133 YHG=3087>operation " XBD=1734 XHG=1652 YBD=3121 YHG=3098>was " XBD=1926 XHG=1757 YBD=3122 YHG=3086>difficult " XBD=1993 XHG=1948 YBD=3122 YHG=3090>to " XBD=2069 XHG=2018 YBD=3123 YHG=3088>do " XBD=2192 XHG=2093 YBD=3131 YHG=3088>well, " XBD=2260 XHG=2217 YBD=3124 YHG=3100>so " XBD=2376 XHG=2283 YBD=3123 YHG=3088>that " XBD=2514 XHG=2399 YBD=3122 YHG=3087>when " XBD=2606 XHG=2536 YBD=3122 YHG=3087>the " XBD=1502 XHG=1421 YBD=3183 YHG=3136>flap " XBD=1664 XHG=1518 YBD=3171 YHG=3136>settled " XBD=1712 XHG=1678 YBD=3171 YHG=3137>it " XBD=1807 XHG=1726 YBD=3171 YHG=3149>was " XBD=1935 XHG=1823 YBD=3172 YHG=3136>often " XBD=2152 XHG=1950 YBD=3184 YHG=3138>displaced " XBD=2399 XHG=2166 YBD=3173 YHG=3137>backwards " XBD=2458 XHG=2414 YBD=3172 YHG=3150>or " XBD=2515 XHG=2472 YBD=3172 YHG=3140>to " XBD=2606 XHG=2532 YBD=3172 YHG=3149>one " XBD=1517 XHG=1423 YBD=3221 YHG=3186>side. " XBD=1665 XHG=1572 YBD=3231 YHG=3186>Any " XBD=1865 XHG=1688 YBD=3233 YHG=3189>attempt " XBD=1932 XHG=1889 YBD=3221 YHG=3190>at " XBD=2222 XHG=1955 YBD=3232 YHG=3187>refashioning " XBD=2314 XHG=2245 YBD=3222 YHG=3188>the " XBD=2437 XHG=2337 YBD=3233 YHG=3187>flaps " XBD=2605 XHG=2461 YBD=3222 YHG=3188>invari- " XBD=1518 XHG=1422 YBD=3281 YHG=3236>ably " XBD=1687 XHG=1554 YBD=3271 YHG=3235>failed. " XBD=1825 XHG=1743 YBD=3270 YHG=3236>But " XBD=1968 XHG=1863 YBD=3270 YHG=3237>their " XBD=2179 XHG=2005 YBD=3281 YHG=3239>greatest " XBD=2419 XHG=2217 YBD=3282 YHG=3237>objection " XBD=2499 XHG=2455 YBD=3271 YHG=3240>to " XBD=2619 XHG=2536 YBD=3271 YHG=3237>the. 2. Brit. med. J. June 13, 1942, p. 734. 3. Bousfield, G. Publ. Hlth, June, 1942, p. 165. 4. Sept. 8, 1842. 5. Lond. Edinb. mon. J. med. Sci. 1843, 111, 93. 6. Ibid, p. 274. 7. Broca, B. A. and Ducroquet, C. The Artificial Limb, London. Translated and edited by R. C. Elmslie. 1918, p. 78.

SYME'S AMPUTATION

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" XBD=581 XHG=350 YBD=328 YHG=256>THE " XBD=1134 XHG=664 YBD=326 YHG=254>LANCET" XBD=476 XHG=243 YBD=394 YHG=361>LONDON: " XBD=817 XHG=517 YBD=397 YHG=360>SATURDAY, " XBD=1063 XHG=851 YBD=392 YHG=359>AUGUST " XBD=1132 XHG=1100 YBD=396 YHG=360>8, " XBD=1262 XHG=1170 YBD=391 YHG=359>1942

DIPHTHERIA IN THE IMMUNISED

" XBD=269 XHG=220 YBD=562 YHG=528>IN " XBD=488 XHG=286 YBD=573 YHG=527>analysing " XBD=574 XHG=505 YBD=561 YHG=528>the " XBD=791 XHG=589 YBD=561 YHG=526>incidence " XBD=852 XHG=808 YBD=560 YHG=525>of " XBD=1094 XHG=867 YBD=571 YHG=525>diphtheria " XBD=1255 XHG=1110 YBD=572 YHG=537>among " XBD=1343 XHG=1274 YBD=561 YHG=526>the" XBD=392 XHG=171 YBD=612 YHG=577>inoculated " XBD=475 XHG=434 YBD=613 YHG=579>in " XBD=722 XHG=512 YBD=622 YHG=575>Liverpool " XBD=865 XHG=759 YBD=610 YHG=577>since " XBD=1016 XHG=906 YBD=618 YHG=576>1925, " XBD=1229 XHG=1056 YBD=610 YHG=575>GLOVER " XBD=1345 XHG=1264 YBD=610 YHG=575>and" XBD=369 XHG=172 YBD=662 YHG=627>WRIGHT have " XBD=668 XHG=531 YBD=661 YHG=626>drawn " XBD=900 XHG=697 YBD=661 YHG=626>attention " XBD=972 XHG=928 YBD=660 YHG=628>to " XBD=1055 XHG=1003 YBD=660 YHG=637>an " XBD=1166 XHG=1085 YBD=660 YHG=625>odd " XBD=1272 XHG=1195 YBD=671 YHG=637>gap " XBD=1345 XHG=1302 YBD=660 YHG=626>in" XBD=351 XHG=172 YBD=723 YHG=677>reported " XBD=513 XHG=373 YBD=711 YHG=676>results " XBD=582 XHG=538 YBD=711 YHG=675>of " XBD=918 XHG=605 YBD=710 YHG=676>immunisation. " XBD=1096 XHG=972 YBD=720 YHG=675>Many " XBD=1261 XHG=1119 YBD=721 YHG=674>figures " XBD=1345 XHG=1283 YBD=710 YHG=674>for" XBD=237 XHG=171 YBD=761 YHG=726>the " XBD=452 XHG=272 YBD=772 YHG=738>response " XBD=529 XHG=485 YBD=760 YHG=728>to " XBD=633 XHG=563 YBD=760 YHG=725>the " XBD=811 XHG=667 YBD=760 YHG=725>Schick " XBD=926 XHG=844 YBD=760 YHG=727>test " XBD=1004 XHG=960 YBD=760 YHG=737>or " XBD=1108 XHG=1038 YBD=759 YHG=725>the " XBD=1345 XHG=1142 YBD=760 YHG=726>antitoxin" XBD=331 XHG=173 YBD=811 YHG=779>content " XBD=400 XHG=357 YBD=810 YHG=775>of " XBD=489 XHG=421 YBD=810 YHG=775>the " XBD=635 XHG=515 YBD=810 YHG=774>blood " XBD=763 XHG=660 YBD=809 YHG=774>after " XBD=1090 XHG=788 YBD=809 YHG=775>immunisation " XBD=1217 XHG=1114 YBD=809 YHG=774>have " XBD=1345 XHG=1244 YBD=809 YHG=774>been

" XBD=387 XHG=173 YBD=873 YHG=825>published, " XBD=486 XHG=413 YBD=860 YHG=825>but " XBD=619 XHG=508 YBD=859 YHG=825>there " XBD=746 XHG=642 YBD=859 YHG=825>have " XBD=871 XHG=770 YBD=859 YHG=824>been " XBD=969 XHG=892 YBD=860 YHG=823>few " XBD=1147 XHG=991 YBD=859 YHG=824>records " XBD=1216 XHG=1172 YBD=859 YHG=824>of " XBD=1345 XHG=1235 YBD=860 YHG=825>what" XBD=292 XHG=172 YBD=922 YHG=875>really " XBD=619 XHG=333 YBD=910 YHG=867>matters-the " XBD=907 XHG=663 YBD=920 YHG=875>subsequent " XBD=1111 XHG=956 YBD=921 YHG=875>history " XBD=1203 XHG=1158 YBD=909 YHG=873>of " XBD=1346 XHG=1248 YBD=909 YHG=875>such" XBD=344 XHG=175 YBD=960 YHG=925>children " XBD=412 XHG=370 YBD=959 YHG=936>as " XBD=596 XHG=438 YBD=970 YHG=925>regards " XBD=851 XHG=624 YBD=970 YHG=924>diphtheria " XBD=1080 XHG=877 YBD=960 YHG=924>infection. " XBD=1184 XHG=1134 YBD=959 YHG=924>In " XBD=1344 XHG=1210 YBD=961 YHG=925>Liver-" XBD=262 XHG=174 YBD=1022 YHG=975>pool " XBD=339 XHG=289 YBD=1010 YHG=986>no " XBD=508 XHG=368 YBD=1010 YHG=974>Schick " XBD=635 XHG=534 YBD=1009 YHG=977>tests " XBD=708 XHG=664 YBD=1009 YHG=986>or " XBD=940 XHG=737 YBD=1010 YHG=975>antitoxin " XBD=1216 XHG=968 YBD=1010 YHG=975>estimations " XBD=1345 XHG=1245 YBD=1010 YHG=986>were" XBD=298 XHG=175 YBD=1067 YHG=1026>done ; " XBD=406 XHG=328 YBD=1059 YHG=1025>this " XBD=504 XHG=425 YBD=1059 YHG=1036>was " XBD=549 XHG=525 YBD=1059 YHG=1036>a " XBD=677 XHG=568 YBD=1070 YHG=1024>plain " XBD=852 XHG=699 YBD=1059 YHG=1023>clinical " XBD=965 XHG=872 YBD=1067 YHG=1024>tale, " XBD=1138 XHG=985 YBD=1070 YHG=1025>though " XBD=1191 XHG=1156 YBD=1060 YHG=1026>it " XBD=1346 XHG=1211 YBD=1071 YHG=1025>points" XBD=279 XHG=175 YBD=1110 YHG=1086>more " XBD=387 XHG=289 YBD=1109 YHG=1075>than " XBD=475 XHG=402 YBD=1109 YHG=1085>one " XBD=623 XHG=486 YBD=1110 YHG=1074>moral. " XBD=797 XHG=677 YBD=1109 YHG=1074>From " XBD=994 XHG=811 YBD=1118 YHG=1074>October, " XBD=1119 XHG=1010 YBD=1118 YHG=1076>1925, " XBD=1176 XHG=1131 YBD=1110 YHG=1078>to " XBD=1257 XHG=1187 YBD=1110 YHG=1075>the " XBD=1347 XHG=1269 YBD=1109 YHG=1074>end" XBD=218 XHG=175 YBD=1160 YHG=1124>of " XBD=339 XHG=233 YBD=1167 YHG=1127>1938, " XBD=493 XHG=358 YBD=1166 YHG=1125>54,985 " XBD=673 XHG=512 YBD=1170 YHG=1135>persons " XBD=773 XHG=691 YBD=1159 YHG=1124>had " XBD=891 XHG=790 YBD=1159 YHG=1124>been " XBD=1136 XHG=907 YBD=1160 YHG=1124>inoculated " XBD=1250 XHG=1152 YBD=1160 YHG=1125>with " XBD=1346 XHG=1268 YBD=1159 YHG=1125>five" XBD=353 XHG=176 YBD=1210 YHG=1176>varieties " XBD=416 XHG=372 YBD=1209 YHG=1174>of " XBD=717 XHG=430 YBD=1220 YHG=1174>prophylactic, " XBD=812 XHG=738 YBD=1210 YHG=1186>one " XBD=877 XHG=832 YBD=1209 YHG=1174>of " XBD=1003 XHG=890 YBD=1209 YHG=1175>them " XBD=1125 XHG=1023 YBD=1221 YHG=1175>(MT) " XBD=1238 XHG=1147 YBD=1210 YHG=1186>now " XBD=1347 XHG=1255 YBD=1220 YHG=1174>long" XBD=356 XHG=177 YBD=1261 YHG=1224>obsolete. " XBD=564 XHG=408 YBD=1270 YHG=1224>Among " XBD=668 XHG=587 YBD=1259 YHG=1225>this " XBD=797 XHG=693 YBD=1260 YHG=1224>total " XBD=894 XHG=821 YBD=1260 YHG=1226>396 " XBD=1012 XHG=919 YBD=1267 YHG=1225>had, " XBD=1091 XHG=1036 YBD=1271 YHG=1236>up " XBD=1155 XHG=1112 YBD=1260 YHG=1228>to " XBD=1248 XHG=1178 YBD=1259 YHG=1225>the " XBD=1348 XHG=1270 YBD=1260 YHG=1224>end" XBD=218 XHG=177 YBD=1310 YHG=1274>of " XBD=347 XHG=242 YBD=1316 YHG=1276>1939, " XBD=604 XHG=375 YBD=1309 YHG=1275>contracted " XBD=858 XHG=631 YBD=1321 YHG=1274>diphtheria " XBD=964 XHG=883 YBD=1309 YHG=1275>and " XBD=1034 XHG=992 YBD=1310 YHG=1276>11 " XBD=1109 XHG=1064 YBD=1309 YHG=1274>of " XBD=1241 XHG=1129 YBD=1310 YHG=1275>them " XBD=1348 XHG=1267 YBD=1310 YHG=1274>had" XBD=287 XHG=178 YBD=1367 YHG=1324>died ; " XBD=368 XHG=317 YBD=1358 YHG=1323>all " XBD=449 XHG=381 YBD=1358 YHG=1324>the " XBD=564 XHG=462 YBD=1358 YHG=1324>fatal " XBD=685 XHG=578 YBD=1359 YHG=1336>cases " XBD=800 XHG=700 YBD=1359 YHG=1336>were " XBD=855 XHG=813 YBD=1359 YHG=1325>in " XBD=1045 XHG=870 YBD=1359 YHG=1325>children " XBD=1184 XHG=1058 YBD=1359 YHG=1325>under " XBD=1347 XHG=1198 YBD=1359 YHG=1323>school-" XBD=325 XHG=178 YBD=1419 YHG=1374>leaving " XBD=417 XHG=347 YBD=1419 YHG=1385>age " XBD=518 XHG=438 YBD=1408 YHG=1373>and " XBD=562 XHG=540 YBD=1409 YHG=1376>6 " XBD=629 XHG=585 YBD=1409 YHG=1374>of " XBD=758 XHG=647 YBD=1409 YHG=1375>them " XBD=861 XHG=780 YBD=1409 YHG=1374>had " XBD=983 XHG=882 YBD=1409 YHG=1375>been " XBD=1230 XHG=1003 YBD=1409 YHG=1374>inoculated " XBD=1349 XHG=1251 YBD=1409 YHG=1374>with" XBD=242 XHG=150 YBD=1460 YHG=1425>the " XBD=506 XHG=271 YBD=1470 YHG=1424>admittedly " XBD=848 XHG=535 YBD=1470 YHG=1424>unsatisfactory " XBD=963 XHG=877 YBD=1460 YHG=1425>MT. " XBD=1068 XHG=1017 YBD=1459 YHG=1424>In " XBD=1217 XHG=1096 YBD=1471 YHG=1436>every " XBD=1348 XHG=1247 YBD=1466 YHG=1435>case," XBD=272 XHG=178 YBD=1509 YHG=1473>fatal " XBD=345 XHG=303 YBD=1508 YHG=1485>or " XBD=459 XHG=375 YBD=1516 YHG=1477>not, " XBD=562 XHG=492 YBD=1508 YHG=1474>the " XBD=793 XHG=594 YBD=1508 YHG=1474>virulence " XBD=870 XHG=826 YBD=1509 YHG=1474>of " XBD=967 XHG=898 YBD=1509 YHG=1475>the " XBD=1191 XHG=1000 YBD=1520 YHG=1474>infecting " XBD=1349 XHG=1224 YBD=1509 YHG=1475>strain" XBD=253 XHG=180 YBD=1558 YHG=1535>was " XBD=550 XHG=287 YBD=1566 YHG=1523>established ; " XBD=699 XHG=600 YBD=1558 YHG=1524>with " XBD=807 XHG=730 YBD=1559 YHG=1523>few " XBD=1068 XHG=840 YBD=1570 YHG=1525>exceptions " XBD=1214 XHG=1102 YBD=1559 YHG=1524>these " XBD=1348 XHG=1248 YBD=1559 YHG=1535>were" XBD=302 XHG=181 YBD=1620 YHG=1574>gravis " XBD=363 XHG=320 YBD=1608 YHG=1585>or " XBD=636 XHG=379 YBD=1609 YHG=1574>intermedius " XBD=813 XHG=655 YBD=1617 YHG=1575>strains, " XBD=885 XHG=832 YBD=1609 YHG=1573>all " XBD=970 XHG=901 YBD=1609 YHG=1574>the " XBD=1090 XHG=988 YBD=1609 YHG=1573>fatal " XBD=1214 XHG=1108 YBD=1609 YHG=1586>cases " XBD=1349 XHG=1233 YBD=1620 YHG=1574>being" XBD=315 XHG=182 YBD=1659 YHG=1624>caused " XBD=390 XHG=335 YBD=1669 YHG=1624>by " XBD=483 XHG=410 YBD=1659 YHG=1636>one " XBD=548 XHG=505 YBD=1659 YHG=1636>or " XBD=694 XHG=569 YBD=1659 YHG=1625>other. " XBD=873 XHG=748 YBD=1659 YHG=1624>There " XBD=928 XHG=895 YBD=1659 YHG=1625>is " XBD=1052 XHG=950 YBD=1659 YHG=1624>clear " XBD=1260 XHG=1073 YBD=1659 YHG=1624>evidence " XBD=1349 XHG=1279 YBD=1659 YHG=1627>too" XBD=222 XHG=180 YBD=1709 YHG=1673>of " XBD=303 XHG=238 YBD=1709 YHG=1674>the " XBD=477 XHG=325 YBD=1719 YHG=1677>greater " XBD=821 XHG=500 YBD=1720 YHG=1674>preponderance " XBD=889 XHG=844 YBD=1709 YHG=1673>of " XBD=1021 XHG=909 YBD=1708 YHG=1674>these " XBD=1152 XHG=1044 YBD=1708 YHG=1685>more " XBD=1350 XHG=1176 YBD=1709 YHG=1673>virulent" XBD=316 XHG=180 YBD=1758 YHG=1724>strains " XBD=478 XHG=336 YBD=1770 YHG=1735>among " XBD=729 XHG=500 YBD=1759 YHG=1723>inoculated " XBD=923 XHG=747 YBD=1770 YHG=1724>patients " XBD=1044 XHG=942 YBD=1758 YHG=1723>than " XBD=1105 XHG=1062 YBD=1759 YHG=1724>in " XBD=1350 XHG=1123 YBD=1770 YHG=1723>diphtheria" XBD=281 XHG=180 YBD=1808 YHG=1785>cases " XBD=338 XHG=297 YBD=1808 YHG=1774>in " XBD=422 XHG=353 YBD=1808 YHG=1774>the " XBD=523 XHG=441 YBD=1820 YHG=1775>city " XBD=583 XHG=539 YBD=1809 YHG=1785>as " XBD=625 XHG=601 YBD=1808 YHG=1786>a " XBD=779 XHG=642 YBD=1809 YHG=1773>whole. " XBD=913 XHG=833 YBD=1809 YHG=1774>Yet " XBD=1039 XHG=932 YBD=1809 YHG=1785>cases " XBD=1099 XHG=1056 YBD=1809 YHG=1774>in " XBD=1184 XHG=1115 YBD=1809 YHG=1774>the " XBD=1348 XHG=1201 YBD=1809 YHG=1774>inocul-" XBD=268 XHG=179 YBD=1859 YHG=1824>ated " XBD=385 XHG=288 YBD=1859 YHG=1835>were " XBD=555 XHG=407 YBD=1870 YHG=1824>mostly " XBD=674 XHG=576 YBD=1869 YHG=1835>very " XBD=805 XHG=696 YBD=1859 YHG=1823>mild. " XBD=974 XHG=861 YBD=1859 YHG=1824>Even " XBD=1051 XHG=992 YBD=1872 YHG=1836>so, " XBD=1248 XHG=1076 YBD=1860 YHG=1824>GLOVER " XBD=1351 XHG=1270 YBD=1859 YHG=1824>and" XBD=349 XHG=179 YBD=1914 YHG=1874>WRIGHT " XBD=549 XHG=373 YBD=1909 YHG=1874>consider " XBD=663 XHG=571 YBD=1909 YHG=1874>that " XBD=785 XHG=686 YBD=1920 YHG=1874>they " XBD=907 XHG=807 YBD=1909 YHG=1886>were " XBD=999 XHG=929 YBD=1909 YHG=1877>too " XBD=1246 XHG=1022 YBD=1909 YHG=1886>numerous. " XBD=1350 XHG=1300 YBD=1910 YHG=1874>In" XBD=265 XHG=179 YBD=1971 YHG=1927>part " XBD=375 XHG=276 YBD=1959 YHG=1924>their " XBD=558 XHG=390 YBD=1959 YHG=1924>number " XBD=605 XHG=573 YBD=1958 YHG=1925>is " XBD=802 XHG=622 YBD=1959 YHG=1924>ascribed " XBD=856 XHG=813 YBD=1959 YHG=1927>to " XBD=938 XHG=868 YBD=1958 YHG=1924>the " XBD=1062 XHG=950 YBD=1958 YHG=1924>weak " XBD=1348 XHG=1073 YBD=1970 YHG=1924>prophylactic" XBD=278 XHG=181 YBD=2019 YHG=1974>(MT) " XBD=398 XHG=303 YBD=2009 YHG=1974>used " XBD=463 XHG=422 YBD=2008 YHG=1975>in " XBD=554 XHG=485 YBD=2009 YHG=1974>the " XBD=686 XHG=577 YBD=2020 YHG=1973>early " XBD=820 XHG=709 YBD=2020 YHG=1974>days. " XBD=936 XHG=873 YBD=2009 YHG=1973>No " XBD=1104 XHG=962 YBD=2010 YHG=1973>Schick " XBD=1227 XHG=1126 YBD=2010 YHG=1976>tests " XBD=1350 XHG=1250 YBD=2009 YHG=1985>were" XBD=277 XHG=180 YBD=2059 YHG=2024>done " XBD=401 XHG=301 YBD=2059 YHG=2023>after " XBD=733 XHG=422 YBD=2067 YHG=2025>immunisation, " XBD=799 XHG=756 YBD=2059 YHG=2036>so " XBD=853 XHG=820 YBD=2059 YHG=2024>it " XBD=907 XHG=874 YBD=2059 YHG=2024>is " XBD=1001 XHG=928 YBD=2059 YHG=2027>not " XBD=1192 XHG=1021 YBD=2070 YHG=2023>possible " XBD=1256 XHG=1212 YBD=2059 YHG=2027>to " XBD=1350 XHG=1278 YBD=2070 YHG=2036>say" XBD=347 XHG=181 YBD=2109 YHG=2074>whether " XBD=449 XHG=380 YBD=2109 YHG=2074>the " XBD=651 XHG=478 YBD=2109 YHG=2074>infected " XBD=787 XHG=681 YBD=2109 YHG=2074>child " XBD=894 XHG=815 YBD=2109 YHG=2086>was " XBD=948 XHG=924 YBD=2109 YHG=2086>a " XBD=1119 XHG=977 YBD=2110 YHG=2074>Schick " XBD=1349 XHG=1146 YBD=2117 YHG=2074>immune ;" XBD=282 XHG=183 YBD=2160 YHG=2136>some " XBD=467 XHG=296 YBD=2159 YHG=2124>children " XBD=524 XHG=480 YBD=2159 YHG=2124>of " XBD=668 XHG=534 YBD=2160 YHG=2136>course " XBD=746 XHG=681 YBD=2160 YHG=2136>are " XBD=975 XHG=755 YBD=2170 YHG=2124>refractory " XBD=1026 XHG=982 YBD=2159 YHG=2127>to " XBD=1348 XHG=1035 YBD=2160 YHG=2124>immunisation." XBD=277 XHG=228 YBD=2211 YHG=2175>So " XBD=413 XHG=295 YBD=2210 YHG=2175>much " XBD=493 XHG=432 YBD=2210 YHG=2174>for " XBD=583 XHG=514 YBD=2210 YHG=2175>the " XBD=715 XHG=603 YBD=2209 YHG=2175>debit " XBD=817 XHG=735 YBD=2209 YHG=2175>side " XBD=883 XHG=838 YBD=2210 YHG=2174>of " XBD=967 XHG=897 YBD=2210 YHG=2175>the " XBD=1183 XHG=987 YBD=2216 YHG=2177>account ; " XBD=1261 XHG=1217 YBD=2209 YHG=2177>to " XBD=1351 XHG=1281 YBD=2209 YHG=2175>the" XBD=301 XHG=189 YBD=2260 YHG=2225>credit " XBD=367 XHG=324 YBD=2260 YHG=2224>of " XBD=685 XHG=387 YBD=2260 YHG=2225>immunisation " XBD=819 XHG=707 YBD=2260 YHG=2225>there " XBD=873 XHG=840 YBD=2260 YHG=2225>is " XBD=965 XHG=895 YBD=2260 YHG=2225>the " XBD=1247 XHG=988 YBD=2271 YHG=2224>outstanding " XBD=1352 XHG=1268 YBD=2259 YHG=2224>fact" XBD=268 XHG=186 YBD=2311 YHG=2275>that " XBD=462 XHG=293 YBD=2310 YHG=2276>whereas " XBD=676 XHG=498 YBD=2310 YHG=2275>between " XBD=802 XHG=706 YBD=2311 YHG=2277>1933 " XBD=911 XHG=830 YBD=2310 YHG=2275>and " XBD=1036 XHG=940 YBD=2311 YHG=2276>1939 " XBD=1132 XHG=1063 YBD=2310 YHG=2275>the " XBD=1352 XHG=1161 YBD=2310 YHG=2278>case-rate

" XBD=317 XHG=189 YBD=2372 YHG=2337>among " XBD=612 XHG=331 YBD=2361 YHG=2325>uninoculated " XBD=800 XHG=625 YBD=2360 YHG=2325>children " XBD=938 XHG=812 YBD=2360 YHG=2325>under " XBD=1021 XHG=951 YBD=2360 YHG=2325>the " XBD=1106 XHG=1035 YBD=2371 YHG=2336>age " XBD=1165 XHG=1121 YBD=2360 YHG=2325>of " XBD=1224 XHG=1179 YBD=2361 YHG=2326>10 " XBD=1352 XHG=1238 YBD=2371 YHG=2336>years" XBD=369 XHG=188 YBD=2422 YHG=2376>averaged " XBD=472 XHG=388 YBD=2411 YHG=2377>11.3 " XBD=560 XHG=490 YBD=2422 YHG=2387>per " XBD=677 XHG=580 YBD=2411 YHG=2376>1000 " XBD=763 XHG=694 YBD=2421 YHG=2387>per " XBD=944 XHG=781 YBD=2418 YHG=2387>annum, " XBD=1108 XHG=963 YBD=2421 YHG=2387>among " XBD=1352 XHG=1124 YBD=2410 YHG=2375>inoculated" XBD=350 XHG=188 YBD=2461 YHG=2426>children " XBD=403 XHG=370 YBD=2460 YHG=2426>it " XBD=574 XHG=424 YBD=2471 YHG=2425>ranged " XBD=697 XHG=593 YBD=2461 YHG=2425>from " XBD=781 XHG=722 YBD=2461 YHG=2427>1.5 " XBD=847 XHG=803 YBD=2461 YHG=2428>to " XBD=941 XHG=867 YBD=2462 YHG=2427>3-0. " XBD=1078 XHG=995 YBD=2461 YHG=2425>The " XBD=1352 XHG=1101 YBD=2462 YHG=2426>observation" XBD=268 XHG=184 YBD=2511 YHG=2476>that " XBD=326 XHG=286 YBD=2511 YHG=2477>in " XBD=554 XHG=345 YBD=2522 YHG=2475>Liverpool " XBD=642 XHG=572 YBD=2510 YHG=2476>the " XBD=889 XHG=662 YBD=2521 YHG=2475>diphtheria " XBD=995 XHG=907 YBD=2510 YHG=2478>rate " XBD=1110 XHG=1015 YBD=2511 YHG=2487>over " XBD=1206 XHG=1128 YBD=2511 YHG=2476>the- " XBD=1290 XHG=1219 YBD=2521 YHG=2487>age " XBD=1358 XHG=1311 YBD=2510 YHG=2475>of" XBD=230 XHG=189 YBD=2562 YHG=2527>10 " XBD=280 XHG=249 YBD=2561 YHG=2527>is " XBD=417 XHG=298 YBD=2561 YHG=2526>much " XBD=504 XHG=435 YBD=2561 YHG=2526>the " XBD=633 XHG=525 YBD=2561 YHG=2537>same " XBD=694 XHG=652 YBD=2560 YHG=2527>in " XBD=782 XHG=712 YBD=2560 YHG=2526>the " XBD=1088 XHG=802 YBD=2561 YHG=2525>uninoculated " XBD=1187 XHG=1107 YBD=2561 YHG=2526>and " XBD=1353 XHG=1205 YBD=2560 YHG=2525>inocul-" XBD=273 XHG=187 YBD=2611 YHG=2577>ated " XBD=476 XHG=298 YBD=2611 YHG=2576>deserves " XBD=656 XHG=502 YBD=2611 YHG=2576>further " XBD=1020 XHG=682 YBD=2622 YHG=2575>epidemiological " XBD=1181 XHG=1047 YBD=2622 YHG=2576>study. " XBD=1355 XHG=1234 YBD=2611 YHG=2575>Much" XBD=345 XHG=186 YBD=2662 YHG=2628>remains " XBD=417 XHG=373 YBD=2662 YHG=2630>to " XBD=495 XHG=447 YBD=2662 YHG=2627>be " XBD=639 XHG=525 YBD=2662 YHG=2627>done. " XBD=903 XHG=693 YBD=2673 YHG=2626>Liverpool " XBD=964 XHG=932 YBD=2661 YHG=2627>is " XBD=1153 XHG=994 YBD=2672 YHG=2626>heavily " XBD=1356 XHG=1182 YBD=2661 YHG=2626>infected" XBD=276 XHG=187 YBD=2712 YHG=2678>with " XBD=428 XHG=293 YBD=2722 YHG=2676>highly " XBD=617 XHG=445 YBD=2712 YHG=2677>virulent " XBD=781 XHG=637 YBD=2711 YHG=2677>strains " XBD=844 XHG=800 YBD=2711 YHG=2676>of " XBD=927 XHG=858 YBD=2711 YHG=2676>the " XBD=1172 XHG=946 YBD=2722 YHG=2676>diphtheria " XBD=1356 XHG=1191 YBD=2711 YHG=2676>bacillus" XBD=260 XHG=186 YBD=2761 YHG=2727>and " XBD=315 XHG=284 YBD=2761 YHG=2728>is " XBD=546 XHG=341 YBD=2761 YHG=2727>inhabited " XBD=628 XHG=572 YBD=2772 YHG=2727>by " XBD=677 XHG=654 YBD=2761 YHG=2738>a " XBD=940 XHG=704 YBD=2772 YHG=2726>population " XBD=1102 XHG=971 YBD=2772 YHG=2726>coldly " XBD=1357 XHG=1128 YBD=2762 YHG=2726>indifferent" XBD=224 XHG=185 YBD=2811 YHG=2779>to " XBD=311 XHG=245 YBD=2811 YHG=2777>the " XBD=428 XHG=333 YBD=2811 YHG=2776>offer " XBD=493 XHG=448 YBD=2811 YHG=2776>of " XBD=589 XHG=508 YBD=2811 YHG=2774>free " XBD=921 XHG=609 YBD=2811 YHG=2777>immunisation. " XBD=1041 XHG=975 YBD=2822 YHG=2776>Up " XBD=1106 XHG=1062 YBD=2811 YHG=2779>to " XBD=1196 XHG=1126 YBD=2811 YHG=2777>the " XBD=1295 XHG=1217 YBD=2811 YHG=2776>end " XBD=1361 XHG=1316 YBD=2812 YHG=2775>of" XBD=278 XHG=188 YBD=2862 YHG=2827>1939 " XBD=388 XHG=296 YBD=2872 YHG=2826>only " XBD=473 XHG=404 YBD=2873 YHG=2827>6% " XBD=538 XHG=494 YBD=2861 YHG=2826>of " XBD=619 XHG=550 YBD=2861 YHG=2827>the " XBD=842 XHG=636 YBD=2872 YHG=2826>preschool " XBD=1033 XHG=858 YBD=2861 YHG=2825>children " XBD=1130 XHG=1049 YBD=2862 YHG=2826>and " XBD=1242 XHG=1146 YBD=2872 YHG=2826>only " XBD=1354 XHG=1259 YBD=2873 YHG=2827>31%" XBD=228 XHG=187 YBD=2911 YHG=2875>of " XBD=354 XHG=243 YBD=2911 YHG=2877>those " XBD=551 XHG=374 YBD=2911 YHG=2876>between " XBD=593 XHG=572 YBD=2911 YHG=2878>5 " XBD=697 XHG=616 YBD=2911 YHG=2876>and " XBD=739 XHG=717 YBD=2911 YHG=2877>9 " XBD=875 XHG=759 YBD=2922 YHG=2887>years " XBD=976 XHG=894 YBD=2911 YHG=2876>had " XBD=1098 XHG=996 YBD=2911 YHG=2876>been " XBD=1357 XHG=1116 YBD=2912 YHG=2876>inoculated." XBD=293 XHG=186 YBD=2961 YHG=2926>Since " XBD=365 XHG=322 YBD=2960 YHG=2928>at " XBD=494 XHG=394 YBD=2960 YHG=2925>least " XBD=620 XHG=525 YBD=2973 YHG=2926>30% " XBD=701 XHG=656 YBD=2961 YHG=2925>of " XBD=932 XHG=726 YBD=2971 YHG=2926>preschool " XBD=1139 XHG=963 YBD=2961 YHG=2925>children " XBD=1278 XHG=1169 YBD=2961 YHG=2929>must " XBD=1359 XHG=1309 YBD=2960 YHG=2926>be" XBD=415 XHG=149 YBD=3015 YHG=2975>immunised " XBD=482 XHG=439 YBD=3010 YHG=2978>to " XBD=628 XHG=509 YBD=3011 YHG=2975>affect " XBD=855 XHG=653 YBD=3011 YHG=2975>incidence " XBD=915 XHG=881 YBD=3011 YHG=2976>it " XBD=1015 XHG=941 YBD=3010 YHG=2987>can " XBD=1089 XHG=1039 YBD=3010 YHG=2975>be " XBD=1163 XHG=1111 YBD=3010 YHG=2987>no " XBD=1361 XHG=1190 YBD=3021 YHG=2976>surprise" XBD=272 XHG=184 YBD=3059 YHG=3025>that " XBD=395 XHG=286 YBD=3059 YHG=3025>there " XBD=482 XHG=411 YBD=3059 YHG=3025>has " XBD=598 XHG=498 YBD=3059 YHG=3025>been " XBD=665 XHG=613 YBD=3060 YHG=3037>no " XBD=845 XHG=682 YBD=3060 YHG=3025>decline. " XBD=1110 XHG=899 YBD=3070 YHG=3025>Liverpool " XBD=1197 XHG=1125 YBD=3060 YHG=3025>has " XBD=1361 XHG=1213 YBD=3071 YHG=3025>always" XBD=281 XHG=185 YBD=3110 YHG=3074>been " XBD=337 XHG=295 YBD=3109 YHG=3075>in " XBD=420 XHG=352 YBD=3109 YHG=3074>the " XBD=628 XHG=436 YBD=3109 YHG=3073>forefront " XBD=690 XHG=646 YBD=3110 YHG=3074>of " XBD=901 XHG=703 YBD=3110 YHG=3075>advances " XBD=960 XHG=918 YBD=3109 YHG=3076>in " XBD=1111 XHG=976 YBD=3121 YHG=3074>public " XBD=1265 XHG=1126 YBD=3110 YHG=3074>health " XBD=1363 XHG=1282 YBD=3110 YHG=3074>and" XBD=216 XHG=186 YBD=3159 YHG=3125>it " XBD=273 XHG=241 YBD=3159 YHG=3126>is " XBD=471 XHG=297 YBD=3170 YHG=3124>unlikely " XBD=585 XHG=494 YBD=3159 YHG=3125>that " XBD=690 XHG=609 YBD=3160 YHG=3125>this " XBD=822 XHG=717 YBD=3162 YHG=3128>state " XBD=891 XHG=847 YBD=3160 YHG=3124>of " XBD=1046 XHG=912 YBD=3159 YHG=3124>affairs " XBD=1149 XHG=1071 YBD=3160 YHG=3124>will " XBD=1361 XHG=1175 YBD=3160 YHG=3126>continue" XBD=426 XHG=186 YBD=3219 YHG=3173>indefinitely " XBD=628 XHG=436 YBD=3219 YHG=3174>provided " XBD=825 XHG=642 YBD=3220 YHG=3174>personal " XBD=1040 XHG=839 YBD=3220 YHG=3175>approach " XBD=1098 XHG=1053 YBD=3209 YHG=3177>to " XBD=1272 XHG=1110 YBD=3219 YHG=3177>parents " XBD=1362 XHG=1288 YBD=3209 YHG=3186>can" XBD=233 XHG=188 YBD=3257 YHG=3223>be " XBD=452 XHG=251 YBD=3258 YHG=3223>contrived " XBD=550 XHG=469 YBD=3259 YHG=3224>and " XBD=668 XHG=567 YBD=3259 YHG=3223>local " XBD=963 XHG=685 YBD=3269 YHG=3224>practitioners " XBD=1192 XHG=984 YBD=3269 YHG=3226>cooperate " XBD=1324 XHG=1210 YBD=3270 YHG=3223>fully." XBD=470 XHG=232 YBD=3314 YHG=3272>Meanwhile, " XBD=640 XHG=499 YBD=3319 YHG=3273>figures " XBD=765 XHG=668 YBD=3308 YHG=3273>such " XBD=836 XHG=793 YBD=3308 YHG=3285>as " XBD=978 XHG=864 YBD=3308 YHG=3274>those " XBD=1050 XHG=1006 YBD=3308 YHG=3273>of " XBD=1257 XHG=1083 YBD=3309 YHG=3273>GLOVER " XBD=1364 XHG=1283 YBD=3308 YHG=3273>and" XBD=358 XHG=187 YBD=3358 YHG=3322>WRIGHT " XBD=436 XHG=375 YBD=3357 YHG=3322>far " XBD=549 XHG=447 YBD=3358 YHG=3321>from " XBD=755 XHG=562 YBD=3369 YHG=3323>lessening " XBD=995 XHG=769 YBD=3358 YHG=3322>confidence " XBD=1050 XHG=1008 YBD=3358 YHG=3324>in " XBD=1365 XHG=1062 YBD=3358 YHG=3323>immunisation" XBD=323 XHG=187 YBD=3407 YHG=3372>should " XBD=521 XHG=350 YBD=3407 YHG=3373>enhance " XBD=586 XHG=541 YBD=3409 YHG=3374>it. " XBD=723 XHG=640 YBD=3409 YHG=3374>The " XBD=1017 XHG=742 YBD=3420 YHG=3373>prophylactic " XBD=1147 XHG=1037 YBD=3415 YHG=3373>used, " XBD=1211 XHG=1169 YBD=3408 YHG=3374>in " XBD=1364 XHG=1230 YBD=3408 YHG=3373>Liver-" XBD=276 XHG=188 YBD=3467 YHG=3422>pool " XBD=328 XHG=286 YBD=3456 YHG=3433>as " XBD=555 XHG=340 YBD=3465 YHG=3422>elsewhere, " XBD=601 XHG=568 YBD=3458 YHG=3424>is " XBD=916 XHG=612 YBD=3469 YHG=3423>all-important, " XBD=1012 XHG=929 YBD=3457 YHG=3422>and " XBD=1054 XHG=1020 YBD=3457 YHG=3423>it " XBD=1098 XHG=1065 YBD=3456 YHG=3423>is " XBD=1366 XHG=1110 YBD=3468 YHG=3422>satisfactory

1. Lancet, Aug. 1, p. 133.

" XBD=1445 XHG=1401 YBD=219 YHG=187>to " XBD=1586 XHG=1468 YBD=219 YHG=185>know " XBD=1673 XHG=1603 YBD=219 YHG=184>the " XBD=1784 XHG=1696 YBD=218 YHG=195>care " XBD=1900 XHG=1808 YBD=218 YHG=184>that " XBD=1958 XHG=1924 YBD=218 YHG=184>is " XBD=2071 XHG=1982 YBD=218 YHG=196>now " XBD=2213 XHG=2089 YBD=218 YHG=184>taken " XBD=2292 XHG=2237 YBD=229 YHG=184>by " XBD=2378 XHG=2309 YBD=218 YHG=184>the " XBD=2588 XHG=2403 YBD=230 YHG=184>Ministry" XBD=1448 XHG=1404 YBD=269 YHG=234>of " XBD=1649 XHG=1487 YBD=276 YHG=234>Health, " XBD=1728 XHG=1685 YBD=268 YHG=246>as " XBD=1840 XHG=1770 YBD=268 YHG=233>the " XBD=2071 XHG=1883 YBD=278 YHG=233>licensing " XBD=2333 XHG=2114 YBD=278 YHG=234>authority, " XBD=2410 XHG=2366 YBD=269 YHG=236>to " XBD=2587 XHG=2448 YBD=268 YHG=245>ensure" XBD=1495 XHG=1403 YBD=318 YHG=284>that " XBD=1623 XHG=1520 YBD=318 YHG=284>APT " XBD=1780 XHG=1649 YBD=318 YHG=283>issued " XBD=1850 XHG=1806 YBD=317 YHG=286>to " XBD=1977 XHG=1876 YBD=317 YHG=282>local " XBD=2238 XHG=2003 YBD=317 YHG=283>authorities " XBD=2336 XHG=2262 YBD=317 YHG=283>for the " XBD=2518 XHG=2449 YBD=317 YHG=295>use " XBD=2591 XHG=2547 YBD=318 YHG=283>of

" XBD=1681 XHG=1402 YBD=379 YHG=334>practitioners " XBD=1732 XHG=1699 YBD=368 YHG=334>is " XBD=1796 XHG=1752 YBD=367 YHG=332>of " XBD=1910 XHG=1816 YBD=377 YHG=332>high " XBD=2128 XHG=1930 YBD=377 YHG=333>antigenic " XBD=2352 XHG=2150 YBD=378 YHG=335>potency.2 " XBD=2445 XHG=2405 YBD=367 YHG=333>It " XBD=2496 XHG=2464 YBD=367 YHG=333>is " XBD=2586 XHG=2514 YBD=367 YHG=334>im-" XBD=1580 XHG=1403 YBD=428 YHG=385>portant, " XBD=1681 XHG=1599 YBD=425 YHG=386>too, " XBD=1745 XHG=1702 YBD=417 YHG=394>as BousFIELD " XBD=2176 XHG=2010 YBD=427 YHG=382>3 points " XBD=2275 XHG=2192 YBD=423 YHG=385>out, " XBD=2383 XHG=2290 YBD=416 YHG=382>that " XBD=2588 XHG=2396 YBD=417 YHG=383>statistics" XBD=1614 XHG=1403 YBD=477 YHG=432>published " XBD=1732 XHG=1628 YBD=467 YHG=432>from " XBD=1907 XHG=1748 YBD=467 YHG=432>various " XBD=2081 XHG=1925 YBD=466 YHG=443>sources " XBD=2240 XHG=2097 YBD=465 YHG=430>should " XBD=2304 XHG=2255 YBD=466 YHG=431>be " XBD=2585 XHG=2322 YBD=478 YHG=431>comparable." XBD=1445 XHG=1404 YBD=515 YHG=481>If " XBD=1542 XHG=1461 YBD=516 YHG=482>this " XBD=1594 XHG=1561 YBD=516 YHG=482>is " XBD=1658 XHG=1614 YBD=517 YHG=484>to " XBD=1728 XHG=1679 YBD=517 YHG=482>be " XBD=1952 XHG=1749 YBD=524 YHG=481>achieved, " XBD=2181 XHG=1968 YBD=526 YHG=481>technique " XBD=2283 XHG=2202 YBD=515 YHG=481>and " XBD=2588 XHG=2295 YBD=517 YHG=481>the* collection" XBD=1484 XHG=1404 YBD=565 YHG=531>and " XBD=1783 XHG=1509 YBD=577 YHG=533>presentation " XBD=1855 XHG=1810 YBD=566 YHG=531>of " XBD=1974 XHG=1877 YBD=566 YHG=532>data " XBD=2109 XHG=2000 YBD=566 YHG=534>must " XBD=2185 XHG=2136 YBD=566 YHG=531>be " XBD=2411 XHG=2211 YBD=574 YHG=530>uniform ; " XBD=2586 XHG=2455 YBD=567 YHG=532>Bous-" XBD=1528 XHG=1404 YBD=615 YHG=590>FIELD " XBD=1640 XHG=1560 YBD=615 YHG=583>sets " XBD=1742 XHG=1671 YBD=616 YHG=585>out " XBD=1881 XHG=1772 YBD=616 YHG=593>more " XBD=2013 XHG=1911 YBD=616 YHG=582>than " XBD=2197 XHG=2041 YBD=626 YHG=583>twenty " XBD=2399 XHG=2228 YBD=626 YHG=581>possible " XBD=2588 XHG=2432 YBD=616 YHG=592>sources" XBD=1449 XHG=1405 YBD=665 YHG=629>of " XBD=1579 XHG=1472 YBD=665 YHG=641>error " XBD=1726 XHG=1596 YBD=665 YHG=630>which " XBD=1839 XHG=1744 YBD=676 YHG=643>may " XBD=2029 XHG=1858 YBD=666 YHG=634>account " XBD=2109 XHG=2047 YBD=666 YHG=630>for " XBD=2197 XHG=2127 YBD=665 YHG=631>the " XBD=2362 XHG=2218 YBD=675 YHG=630>widely " XBD=2589 XHG=2381 YBD=676 YHG=631>divergent" XBD=1546 XHG=1402 YBD=714 YHG=679>results " XBD=1607 XHG=1563 YBD=714 YHG=679>of " XBD=1926 XHG=1625 YBD=716 YHG=681>immunisation " XBD=2186 XHG=1946 YBD=727 YHG=682>campaigns. |>" XBD=2414 XHG=2407 YBD=712 YHG=704>s

SYME’S AMPUTATION

" XBD=1624 XHG=1454 YBD=873 YHG=837>ALMOST " XBD=1809 XHG=1650 YBD=884 YHG=838>exactly " XBD=1909 XHG=1837 YBD=874 YHG=840>100 " XBD=2058 XHG=1944 YBD=884 YHG=850>years " XBD=2187 XHG=2084 YBD=885 YHG=842>ago a " XBD=2343 XHG=2262 YBD=883 YHG=838>boy " XBD=2413 XHG=2368 YBD=873 YHG=837>of " XBD=2483 XHG=2437 YBD=873 YHG=839>16 " XBD=2591 XHG=2509 YBD=873 YHG=850>was" XBD=1603 XHG=1404 YBD=923 YHG=887>admitted " XBD=1766 XHG=1641 YBD=922 YHG=888>under " XBD=1955 XHG=1815 YBD=923 YHG=888>JAMES " XBD=2113 XHG=1995 YBD=924 YHG=889>SYME " XBD=2195 XHG=2152 YBD=923 YHG=890>in " XBD=2479 XHG=2245 YBD=934 YHG=888>Edinburgh " XBD=2590 XHG=2528 YBD=923 YHG=887>for" XBD=1587 XHG=1405 YBD=983 YHG=936>multiple " XBD=1753 XHG=1603 YBD=972 YHG=937>sinuses " XBD=1813 XHG=1769 YBD=973 YHG=937>of " XBD=1893 XHG=1823 YBD=972 YHG=938>the " XBD=1994 XHG=1908 YBD=973 YHG=937>foot " XBD=2213 XHG=2009 YBD=984 YHG=938>involving " XBD=2298 XHG=2228 YBD=972 YHG=938>the " XBD=2437 XHG=2313 YBD=972 YHG=938>tarsal " XBD=2587 XHG=2452 YBD=973 YHG=938>bones." XBD=1673 XHG=1406 YBD=1033 YHG=987>Amputation " XBD=1780 XHG=1700 YBD=1022 YHG=999>was " XBD=1993 XHG=1808 YBD=1022 YHG=987>essential " XBD=2095 XHG=2020 YBD=1023 YHG=988>but " XBD=2227 XHG=2123 YBD=1022 YHG=988>since " XBD=2355 XHG=2255 YBD=1023 YHG=987>both " XBD=2589 XHG=2384 YBD=1022 YHG=987>calcaneus" XBD=1489 XHG=1407 YBD=1072 YHG=1037>and " XBD=1732 XHG=1510 YBD=1083 YHG=1037>astragalus " XBD=1854 XHG=1754 YBD=1072 YHG=1049>were " XBD=2065 XHG=1877 YBD=1073 YHG=1036>involved " XBD=2297 XHG=2088 YBD=1084 YHG=1037>Chopart’s " XBD=2588 XHG=2320 YBD=1083 YHG=1038>amputation," XBD=1571 XHG=1408 YBD=1122 YHG=1087>devised " XBD=1643 XHG=1595 YBD=1123 YHG=1089>50 " XBD=1783 XHG=1669 YBD=1133 YHG=1099>years " XBD=2048 XHG=1808 YBD=1133 YHG=1087>previously, " XBD=2154 XHG=2074 YBD=1122 YHG=1099>was " XBD=2407 XHG=2179 YBD=1133 YHG=1087>impossible " XBD=2513 XHG=2432 YBD=1122 YHG=1087>and " XBD=2590 XHG=2538 YBD=1122 YHG=1099>an" XBD=1665 XHG=1409 YBD=1183 YHG=1138>amputation " XBD=1810 XHG=1684 YBD=1173 YHG=1137>below " XBD=1898 XHG=1827 YBD=1172 YHG=1137>the " XBD=2018 XHG=1916 YBD=1172 YHG=1137>knee " XBD=2117 XHG=2036 YBD=1172 YHG=1149>was " XBD=2205 XHG=2135 YBD=1172 YHG=1138>the " XBD=2320 XHG=2225 YBD=1183 YHG=1137>only " XBD=2588 XHG=2338 YBD=1172 YHG=1136>alternative." XBD=1527 XHG=1409 YBD=1224 YHG=1188>SYME " XBD=1555 XHG=1541 YBD=1209 YHG=1190>s " XBD=1745 XHG=1579 YBD=1222 YHG=1187>decided " XBD=1810 XHG=1765 YBD=1223 YHG=1190>to " XBD=2042 XHG=1833 YBD=1234 YHG=1190>amputate " XBD=2238 XHG=2064 YBD=1234 YHG=1187>through " XBD=2330 XHG=2259 YBD=1222 YHG=1187>the " XBD=2590 XHG=2352 YBD=1232 YHG=1187>ankle-joint" XBD=1492 XHG=1411 YBD=1273 YHG=1237>and " XBD=1740 XHG=1517 YBD=1284 YHG=1238>thereupon " XBD=1974 XHG=1765 YBD=1273 YHG=1237>fashioned " XBD=2025 XHG=2001 YBD=1272 YHG=1250>a " XBD=2131 XHG=2050 YBD=1283 YHG=1237>flap " XBD=2261 XHG=2158 YBD=1273 YHG=1237>from " XBD=2357 XHG=2287 YBD=1272 YHG=1238>the " XBD=2484 XHG=2384 YBD=1280 YHG=1237>heel, " XBD=2589 XHG=2513 YBD=1272 YHG=1237>dis-" XBD=1543 XHG=1409 YBD=1323 YHG=1288>sected " XBD=1647 XHG=1576 YBD=1323 YHG=1291>out " XBD=1749 XHG=1679 YBD=1322 YHG=1288>the " XBD=2001 XHG=1783 YBD=1330 YHG=1287>calcaneus, " XBD=2117 XHG=2037 YBD=1322 YHG=1288>and " XBD=2247 XHG=2149 YBD=1323 YHG=1288>with " XBD=2388 XHG=2280 YBD=1323 YHG=1299>some " XBD=2591 XHG=2421 YBD=1333 YHG=1288>straight" XBD=1686 XHG=1408 YBD=1384 YHG=1337>bone-cutting " XBD=1819 XHG=1702 YBD=1383 YHG=1337>pliers " XBD=1963 XHG=1835 YBD=1372 YHG=1337>which " XBD=2062 XHG=1981 YBD=1372 YHG=1337>had " XBD=2203 XHG=2077 YBD=1383 YHG=1337>lately " XBD=2317 XHG=2216 YBD=1372 YHG=1338>been " XBD=2520 XHG=2333 YBD=1383 YHG=1337>designed " XBD=2591 XHG=2536 YBD=1382 YHG=1337>by" XBD=1565 XHG=1409 YBD=1423 YHG=1387>LISTON " XBD=1767 XHG=1578 YBD=1422 YHG=1387>removed " XBD=1881 XHG=1781 YBD=1422 YHG=1387>both " XBD=2066 XHG=1895 YBD=1422 YHG=1387>malleoli " XBD=2123 XHG=2079 YBD=1422 YHG=1390>to " XBD=2248 XHG=2136 YBD=1423 YHG=1387>leave " XBD=2319 XHG=2267 YBD=1422 YHG=1400>an " XBD=2590 XHG=2333 YBD=1433 YHG=1387>end-bearing" XBD=1524 XHG=1408 YBD=1473 YHG=1438>tibial " XBD=1706 XHG=1557 YBD=1484 YHG=1440>stump. " XBD=1964 XHG=1759 YBD=1483 YHG=1437>Although " XBD=2106 XHG=1998 YBD=1473 YHG=1449>some " XBD=2262 XHG=2140 YBD=1484 YHG=1439>sepsis " XBD=2478 XHG=2294 YBD=1473 YHG=1438>followed " XBD=2591 XHG=2511 YBD=1473 YHG=1438>and" XBD=1521 XHG=1408 YBD=1523 YHG=1488>there " XBD=1623 XHG=1542 YBD=1523 YHG=1499>was " XBD=1791 XHG=1644 YBD=1534 YHG=1487>partial " XBD=2019 XHG=1812 YBD=1534 YHG=1487>sloughing " XBD=2086 XHG=2041 YBD=1522 YHG=1487>of " XBD=2204 XHG=2104 YBD=1523 YHG=1487>both " XBD=2350 XHG=2224 YBD=1535 YHG=1500>upper " XBD=2453 XHG=2373 YBD=1523 YHG=1488>and " XBD=2594 XHG=2474 YBD=1523 YHG=1488>lower" XBD=1509 XHG=1409 YBD=1584 YHG=1537>flaps " XBD=1578 XHG=1528 YBD=1573 YHG=1538>he " XBD=1755 XHG=1597 YBD=1573 YHG=1538>records " XBD=1799 XHG=1775 YBD=1572 YHG=1549>a " XBD=2074 XHG=1818 YBD=1583 YHG=1537>satisfactory " XBD=2227 XHG=2092 YBD=1573 YHG=1537>result. " XBD=2317 XHG=2281 YBD=1573 YHG=1538>A " XBD=2412 XHG=2335 YBD=1573 YHG=1538>few " XBD=2594 XHG=2429 YBD=1573 YHG=1538>months" XBD=1509 XHG=1408 YBD=1623 YHG=1587>later " XBD=1561 XHG=1537 YBD=1623 YHG=1600>a " XBD=1799 XHG=1591 YBD=1623 YHG=1587>&dquo; medical " XBD=2092 XHG=1825 YBD=1634 YHG=1588>gentleman &dquo; " XBD=2222 XHG=2122 YBD=1635 YHG=1588>aged " XBD=2296 XHG=2249 YBD=1624 YHG=1589>25 " XBD=2405 XHG=2325 YBD=1624 YHG=1600>was " XBD=2521 XHG=2433 YBD=1624 YHG=1591>sent " XBD=2592 XHG=2548 YBD=1624 YHG=1591>to" XBD=1493 XHG=1409 YBD=1673 YHG=1639>him " XBD=1710 XHG=1522 YBD=1683 YHG=1637>suffering " XBD=1842 XHG=1737 YBD=1673 YHG=1638>from " XBD=1993 XHG=1872 YBD=1673 YHG=1639>caries " XBD=2067 XHG=2023 YBD=1674 YHG=1638>of " XBD=2162 XHG=2092 YBD=1673 YHG=1639>the " XBD=2455 XHG=2191 YBD=1684 YHG=1638>ankle-joint ; " XBD=2592 XHG=2499 YBD=1673 YHG=1639>here" XBD=1529 XHG=1411 YBD=1724 YHG=1688>SYME " XBD=1557 XHG=1543 YBD=1710 YHG=1691>6 " XBD=1708 XHG=1576 YBD=1723 YHG=1688>added " XBD=1768 XHG=1723 YBD=1723 YHG=1690>to " XBD=1847 XHG=1785 YBD=1723 YHG=1688>his " XBD=2073 XHG=1865 YBD=1735 YHG=1689>operation " XBD=2146 XHG=2090 YBD=1734 YHG=1688>by " XBD=2310 XHG=2163 YBD=1735 YHG=1689>sawing " XBD=2387 XHG=2329 YBD=1724 YHG=1688>off " XBD=2424 XHG=2401 YBD=1723 YHG=1700>a " XBD=2533 XHG=2442 YBD=1723 YHG=1688>slice " XBD=2597 XHG=2552 YBD=1724 YHG=1688>of" XBD=1479 XHG=1409 YBD=1773 YHG=1738>the " XBD=1613 XHG=1496 YBD=1775 YHG=1738>tibial " XBD=1808 XHG=1630 YBD=1774 YHG=1739>mortice. " XBD=1946 XHG=1862 YBD=1773 YHG=1738>The " XBD=2157 XHG=1965 YBD=1773 YHG=1738>adherent " XBD=2265 XHG=2176 YBD=1774 YHG=1739>skin " XBD=2360 XHG=2283 YBD=1774 YHG=1739>due " XBD=2422 XHG=2378 YBD=1774 YHG=1741>to " XBD=2593 XHG=2442 YBD=1774 YHG=1739>disease" XBD=1506 XHG=1410 YBD=1834 YHG=1800>may " XBD=1625 XHG=1521 YBD=1824 YHG=1788>have " XBD=1744 XHG=1643 YBD=1824 YHG=1788>been " XBD=1896 XHG=1760 YBD=1836 YHG=1788>partly " XBD=2166 XHG=1911 YBD=1835 YHG=1788>responsible, " XBD=2255 XHG=2185 YBD=1836 YHG=1792>yet " XBD=2341 XHG=2270 YBD=1824 YHG=1789>the " XBD=2497 XHG=2358 YBD=1825 YHG=1790>novice " XBD=2594 XHG=2514 YBD=1824 YHG=1789>will" XBD=1463 XHG=1413 YBD=1874 YHG=1838>be " XBD=1702 XHG=1480 YBD=1875 YHG=1838>comforted " XBD=1760 XHG=1716 YBD=1874 YHG=1842>to " XBD=1895 XHG=1776 YBD=1875 YHG=1839>know " XBD=2002 XHG=1910 YBD=1874 YHG=1839>that " XBD=2137 XHG=2019 YBD=1876 YHG=1839>SYME " XBD=2420 XHG=2154 YBD=1875 YHG=1839>buttonholed " XBD=2496 XHG=2435 YBD=1875 YHG=1840>his " XBD=2593 XHG=2512 YBD=1886 YHG=1839>flap" XBD=1454 XHG=1412 YBD=1924 YHG=1890>in " XBD=1683 XHG=1470 YBD=1935 YHG=1883>dissecting " XBD=1771 XHG=1700 YBD=1925 YHG=1893>out " XBD=1857 XHG=1787 YBD=1924 YHG=1889>the " XBD=2093 XHG=1874 YBD=1924 YHG=1889>calcaneus. " XBD=2354 XHG=2146 YBD=1932 YHG=1889>However, " XBD=2421 XHG=2371 YBD=1925 YHG=1890>he " XBD=2594 XHG=2436 YBD=1924 YHG=1890>records" XBD=1504 XHG=1411 YBD=1973 YHG=1939>that " XBD=1603 XHG=1522 YBD=1974 YHG=1939>this " XBD=1794 XHG=1623 YBD=1985 YHG=1939>opening " XBD=1912 XHG=1811 YBD=1985 YHG=1951>gave |>" XBD=2102 XHG=1931 YBD=1974 YHG=1939>efficient " XBD=2321 XHG=2121 YBD=1986 YHG=1939>drainage." XBD=1540 XHG=1461 YBD=2024 YHG=1988>For " XBD=1660 XHG=1566 YBD=2024 YHG=2001>over " XBD=1998 XHG=1686 YBD=2036 YHG=1989>three-quarters " XBD=2069 XHG=2025 YBD=2025 YHG=1989>of " XBD=2115 XHG=2091 YBD=2024 YHG=2001>a " XBD=2309 XHG=2143 YBD=2036 YHG=1992>century " XBD=2488 XHG=2336 YBD=2035 YHG=1989>Syme’s " XBD=2594 XHG=2514 YBD=2024 YHG=2001>was" XBD=1603 XHG=1410 YBD=2085 YHG=2039>regarded " XBD=1671 XHG=1628 YBD=2074 YHG=2051>as " XBD=1766 XHG=1696 YBD=2075 YHG=2040>the " XBD=1898 XHG=1792 YBD=2075 YHG=2043>most " XBD=2180 XHG=1924 YBD=2085 YHG=2039>satisfactory " XBD=2250 XHG=2205 YBD=2074 YHG=2039>of " XBD=2334 XHG=2281 YBD=2074 YHG=2039>all " XBD=2594 XHG=2362 YBD=2075 YHG=2039>lower-limb" XBD=1700 XHG=1412 YBD=2136 YHG=2090>amputations, " XBD=1879 XHG=1723 YBD=2136 YHG=2090>though " XBD=2013 XHG=1901 YBD=2125 YHG=2090>there " XBD=2135 XHG=2035 YBD=2125 YHG=2101>were " XBD=2266 XHG=2159 YBD=2124 YHG=2101>some " XBD=2594 XHG=2289 YBD=2125 YHG=2090>modifications." XBD=1495 XHG=1412 YBD=2174 YHG=2139>The " XBD=1690 XHG=1514 YBD=2174 YHG=2139>classical " XBD=1798 XHG=1708 YBD=2175 YHG=2140>skin " XBD=1895 XHG=1814 YBD=2186 YHG=2140>flap " XBD=1994 XHG=1913 YBD=2175 YHG=2152>was " XBD=2138 XHG=2012 YBD=2175 YHG=2139>found " XBD=2199 XHG=2155 YBD=2174 YHG=2143>to " XBD=2267 XHG=2218 YBD=2175 YHG=2140>be " XBD=2353 XHG=2284 YBD=2174 YHG=2142>too " XBD=2498 XHG=2373 YBD=2185 YHG=2140>bulky " XBD=2597 XHG=2516 YBD=2174 YHG=2140>and" XBD=1464 XHG=1411 YBD=2224 YHG=2201>an " XBD=1666 XHG=1478 YBD=2236 YHG=2189>elliptical " XBD=1776 XHG=1678 YBD=2236 YHG=2193>type " XBD=1836 XHG=1792 YBD=2225 YHG=2190>of " XBD=1935 XHG=1846 YBD=2228 YHG=2190>skin " XBD=2114 XHG=1948 YBD=2225 YHG=2190>incision " XBD=2240 XHG=2129 YBD=2224 YHG=2201>came " XBD=2295 XHG=2252 YBD=2225 YHG=2192>to " XBD=2359 XHG=2310 YBD=2224 YHG=2189>be " XBD=2596 XHG=2374 YBD=2236 YHG=2190>employed," XBD=1552 XHG=1411 YBD=2286 YHG=2239>taking " XBD=1660 XHG=1576 YBD=2285 YHG=2240>just " XBD=1780 XHG=1686 YBD=2275 YHG=2252>over " XBD=1829 XHG=1805 YBD=2275 YHG=2252>a " XBD=2011 XHG=1854 YBD=2286 YHG=2240>finger’s " XBD=2207 XHG=2036 YBD=2275 YHG=2240>breadth " XBD=2277 XHG=2232 YBD=2275 YHG=2239>of " XBD=2366 XHG=2296 YBD=2274 YHG=2239>the " XBD=2478 XHG=2391 YBD=2275 YHG=2240>heel " XBD=2596 XHG=2503 YBD=2281 YHG=2240>sole," XBD=1493 XHG=1412 YBD=2324 YHG=2289>and " XBD=1574 XHG=1504 YBD=2325 YHG=2290>the " XBD=1694 XHG=1592 YBD=2325 YHG=2290>tibia " XBD=1787 XHG=1706 YBD=2325 YHG=2302>was " XBD=1915 XHG=1806 YBD=2325 YHG=2302>sawn " XBD=2107 XHG=1931 YBD=2336 YHG=2290>through " XBD=2206 XHG=2118 YBD=2325 YHG=2289>half " XBD=2274 XHG=2221 YBD=2324 YHG=2301>an " XBD=2384 XHG=2291 YBD=2324 YHG=2290>inch " XBD=2599 XHG=2402 YBD=2336 YHG=2289>proximal" XBD=1456 XHG=1412 YBD=2374 YHG=2342>to " XBD=1544 XHG=1474 YBD=2374 YHG=2339>the " XBD=1752 XHG=1563 YBD=2374 YHG=2339>articular " XBD=1942 XHG=1775 YBD=2375 YHG=2339>surface. " XBD=2183 XHG=1997 YBD=2375 YHG=2340>ELMSLIE " XBD=2248 XHG=2205 YBD=2374 YHG=2340>in " XBD=2349 XHG=2269 YBD=2374 YHG=2339>this " XBD=2544 XHG=2374 YBD=2385 YHG=2343>country " XBD=2598 XHG=2566 YBD=2374 YHG=2340>is" XBD=1571 XHG=1413 YBD=2435 YHG=2389>usually " XBD=1670 XHG=1584 YBD=2424 YHG=2389>said " XBD=1732 XHG=1688 YBD=2424 YHG=2392>to " XBD=1850 XHG=1746 YBD=2424 YHG=2390>have " XBD=2028 XHG=1865 YBD=2425 YHG=2390>devised " XBD=2150 XHG=2044 YBD=2432 YHG=2389>this ; " XBD=2254 XHG=2184 YBD=2423 YHG=2389>the " XBD=2453 XHG=2271 YBD=2423 YHG=2389>French " XBD=2549 XHG=2475 YBD=2424 YHG=2389>call " XBD=2600 XHG=2567 YBD=2423 YHG=2390>it" XBD=1590 XHG=1414 YBD=2486 YHG=2439>Guyon’s " XBD=1790 XHG=1612 YBD=2481 YHG=2439>method, " XBD=1889 XHG=1814 YBD=2474 YHG=2440>but " XBD=1964 XHG=1914 YBD=2474 YHG=2440>he " XBD=2072 XHG=1990 YBD=2474 YHG=2439>also " XBD=2275 XHG=2094 YBD=2474 YHG=2438>retained " XBD=2320 XHG=2296 YBD=2473 YHG=2450>a " XBD=2433 XHG=2342 YBD=2473 YHG=2438>slice " XBD=2499 XHG=2456 YBD=2474 YHG=2439>of " XBD=2598 XHG=2523 YBD=2473 YHG=2438>cal-" XBD=1559 XHG=1415 YBD=2524 YHG=2500>caneus " XBD=1636 XHG=1594 YBD=2523 YHG=2489>in " XBD=1741 XHG=1670 YBD=2524 YHG=2489>the " XBD=1864 XHG=1776 YBD=2524 YHG=2489>heel " XBD=1992 XHG=1898 YBD=2535 YHG=2489>flap. " XBD=2161 XHG=2045 YBD=2524 YHG=2489>After " XBD=2266 XHG=2195 YBD=2523 YHG=2489>the " XBD=2379 XHG=2300 YBD=2523 YHG=2487>last " XBD=2495 XHG=2414 YBD=2523 YHG=2500>war " XBD=2600 XHG=2530 YBD=2523 YHG=2489>the" XBD=1599 XHG=1413 YBD=2584 YHG=2539>Ministry " XBD=1672 XHG=1628 YBD=2574 YHG=2538>of " XBD=1888 XHG=1697 YBD=2574 YHG=2539>Pensions " XBD=2106 XHG=1917 YBD=2585 YHG=2550>surgeons " XBD=2178 XHG=2135 YBD=2573 YHG=2542>at " XBD=2492 XHG=2207 YBD=2584 YHG=2538>Roehampton " XBD=2602 XHG=2520 YBD=2574 YHG=2539>had" XBD=1561 XHG=1415 YBD=2635 YHG=2588>special " XBD=1890 XHG=1598 YBD=2636 YHG=2590>opportunities " XBD=1989 XHG=1926 YBD=2624 YHG=2588>for " XBD=2236 XHG=2027 YBD=2634 YHG=2589>observing " XBD=2343 XHG=2273 YBD=2623 YHG=2587>the " XBD=2522 XHG=2379 YBD=2623 YHG=2589>results " XBD=2606 XHG=2562 YBD=2624 YHG=2588>of" XBD=1599 XHG=1415 YBD=2674 YHG=2639>different " XBD=1900 XHG=1612 YBD=2685 YHG=2639>amputations, " XBD=1994 XHG=1913 YBD=2674 YHG=2639>and " XBD=2104 XHG=2005 YBD=2685 YHG=2640>they " XBD=2226 XHG=2116 YBD=2674 YHG=2651>came " XBD=2281 XHG=2236 YBD=2673 YHG=2641>to " XBD=2362 XHG=2292 YBD=2673 YHG=2639>the " XBD=2603 XHG=2376 YBD=2674 YHG=2639>conclusion" XBD=1506 XHG=1414 YBD=2724 YHG=2689>that " XBD=1780 XHG=1522 YBD=2735 YHG=2688>end-bearing " XBD=1952 XHG=1795 YBD=2735 YHG=2692>stumps " XBD=2066 XHG=1966 YBD=2723 YHG=2700>were " XBD=2406 XHG=2081 YBD=2734 YHG=2688>unsatisfactory. " XBD=2601 XHG=2460 YBD=2724 YHG=2688>Three-" XBD=1598 XHG=1417 YBD=2785 YHG=2741>quarters " XBD=1669 XHG=1624 YBD=2773 YHG=2737>of " XBD=1830 XHG=1693 YBD=2781 YHG=2739>12,000 " XBD=1965 XHG=1857 YBD=2773 YHG=2750>cases " XBD=2120 XHG=1990 YBD=2774 YHG=2739>where " XBD=2215 XHG=2144 YBD=2774 YHG=2739>the " XBD=2377 XHG=2241 YBD=2785 YHG=2741>stump " XBD=2483 XHG=2402 YBD=2774 YHG=2750>was " XBD=2602 XHG=2509 YBD=2773 YHG=2739>end-" XBD=1579 XHG=1417 YBD=2834 YHG=2789>bearing " XBD=1690 XHG=1608 YBD=2823 YHG=2787>had " XBD=1762 XHG=1717 YBD=2823 YHG=2791>to " XBD=1895 XHG=1791 YBD=2823 YHG=2789>have " XBD=2279 XHG=1915 YBD=2835 YHG=2790>re-amputations ; " XBD=2367 XHG=2319 YBD=2824 YHG=2790>38 " XBD=2462 XHG=2390 YBD=2823 YHG=2792>out " XBD=2529 XHG=2485 YBD=2823 YHG=2788>of " XBD=2604 XHG=2555 YBD=2823 YHG=2790>54" XBD=1538 XHG=1419 YBD=2884 YHG=2839>Syme " XBD=1675 XHG=1567 YBD=2872 YHG=2849>cases " XBD=1785 XHG=1703 YBD=2872 YHG=2838>had " XBD=1857 XHG=1812 YBD=2873 YHG=2842>to " XBD=1935 XHG=1886 YBD=2873 YHG=2839>be " XBD=2274 XHG=1963 YBD=2885 YHG=2838>re-amputated. " XBD=2379 XHG=2329 YBD=2873 YHG=2839>In " XBD=2504 XHG=2409 YBD=2874 YHG=2840>1927 " XBD=2603 XHG=2534 YBD=2873 YHG=2839>the" XBD=1678 XHG=1419 YBD=2932 YHG=2888>end-bearing " XBD=1839 XHG=1703 YBD=2934 YHG=2890>stump " XBD=2070 XHG=1862 YBD=2934 YHG=2889>operation " XBD=2254 XHG=2091 YBD=2924 YHG=2889>became " XBD=2451 XHG=2275 YBD=2923 YHG=2888>obsolete " XBD=2514 XHG=2472 YBD=2923 YHG=2889>in " XBD=2605 XHG=2534 YBD=2923 YHG=2888>the" XBD=1638 XHG=1418 YBD=2982 YHG=2936>ministry’s " XBD=1856 XHG=1661 YBD=2984 YHG=2937>hospitals " XBD=1963 XHG=1881 YBD=2972 YHG=2937>and " XBD=2085 XHG=1985 YBD=2984 YHG=2938>they " XBD=2273 XHG=2108 YBD=2974 YHG=2939>decided " XBD=2388 XHG=2295 YBD=2973 YHG=2939>that " XBD=2512 XHG=2412 YBD=2973 YHG=2949>even " XBD=2605 XHG=2535 YBD=2972 YHG=2938>the" XBD=1540 XHG=1413 YBD=3032 YHG=2987>Syme " XBD=1648 XHG=1565 YBD=3022 YHG=2986>had " XBD=1717 XHG=1672 YBD=3022 YHG=2989>to " XBD=1805 XHG=1742 YBD=3033 YHG=2999>go. " XBD=1901 XHG=1859 YBD=3022 YHG=2987>It " XBD=2007 XHG=1926 YBD=3022 YHG=2999>was " XBD=2137 XHG=2033 YBD=3024 YHG=2989>their " XBD=2393 XHG=2163 YBD=3035 YHG=2988>experience " XBD=2510 XHG=2417 YBD=3022 YHG=2987>that " XBD=2606 XHG=2535 YBD=3022 YHG=2987>the" XBD=1540 XHG=1421 YBD=3082 YHG=3036>Syme " XBD=1700 XHG=1564 YBD=3082 YHG=3039>stump " XBD=1822 XHG=1724 YBD=3071 YHG=3048>soon " XBD=2064 XHG=1844 YBD=3083 YHG=3037>developed " XBD=2296 XHG=2088 YBD=3074 YHG=3039>callosities " XBD=2400 XHG=2319 YBD=3072 YHG=3037>and " XBD=2514 XHG=2421 YBD=3072 YHG=3037>that " XBD=2649 XHG=2536 YBD=3072 YHG=3037>the" XBD=1630 XHG=1422 YBD=3133 YHG=3087>operation " XBD=1734 XHG=1652 YBD=3121 YHG=3098>was " XBD=1926 XHG=1757 YBD=3122 YHG=3086>difficult " XBD=1993 XHG=1948 YBD=3122 YHG=3090>to " XBD=2069 XHG=2018 YBD=3123 YHG=3088>do " XBD=2192 XHG=2093 YBD=3131 YHG=3088>well, " XBD=2260 XHG=2217 YBD=3124 YHG=3100>so " XBD=2376 XHG=2283 YBD=3123 YHG=3088>that " XBD=2514 XHG=2399 YBD=3122 YHG=3087>when " XBD=2606 XHG=2536 YBD=3122 YHG=3087>the" XBD=1502 XHG=1421 YBD=3183 YHG=3136>flap " XBD=1664 XHG=1518 YBD=3171 YHG=3136>settled " XBD=1712 XHG=1678 YBD=3171 YHG=3137>it " XBD=1807 XHG=1726 YBD=3171 YHG=3149>was " XBD=1935 XHG=1823 YBD=3172 YHG=3136>often " XBD=2152 XHG=1950 YBD=3184 YHG=3138>displaced " XBD=2399 XHG=2166 YBD=3173 YHG=3137>backwards " XBD=2458 XHG=2414 YBD=3172 YHG=3150>or " XBD=2515 XHG=2472 YBD=3172 YHG=3140>to " XBD=2606 XHG=2532 YBD=3172 YHG=3149>one" XBD=1517 XHG=1423 YBD=3221 YHG=3186>side. " XBD=1665 XHG=1572 YBD=3231 YHG=3186>Any " XBD=1865 XHG=1688 YBD=3233 YHG=3189>attempt " XBD=1932 XHG=1889 YBD=3221 YHG=3190>at " XBD=2222 XHG=1955 YBD=3232 YHG=3187>refashioning " XBD=2314 XHG=2245 YBD=3222 YHG=3188>the " XBD=2437 XHG=2337 YBD=3233 YHG=3187>flaps " XBD=2605 XHG=2461 YBD=3222 YHG=3188>invari-" XBD=1518 XHG=1422 YBD=3281 YHG=3236>ably " XBD=1687 XHG=1554 YBD=3271 YHG=3235>failed. " XBD=1825 XHG=1743 YBD=3270 YHG=3236>But " XBD=1968 XHG=1863 YBD=3270 YHG=3237>their " XBD=2179 XHG=2005 YBD=3281 YHG=3239>greatest " XBD=2419 XHG=2217 YBD=3282 YHG=3237>objection " XBD=2499 XHG=2455 YBD=3271 YHG=3240>to " XBD=2619 XHG=2536 YBD=3271 YHG=3237>the.

2. Brit. med. J. June 13, 1942, p. 734.3. Bousfield, G. Publ. Hlth, June, 1942, p. 165.4. Sept. 8, 1842.5. Lond. Edinb. mon. J. med. Sci. 1843, 111, 93.6. Ibid, p. 274.7. Broca, B. A. and Ducroquet, C. The Artificial Limb, London.

Translated and edited by R. C. Elmslie. 1918, p. 78.

160

" XBD=189 XHG=71 YBD=229 YHG=185>Syme " XBD=342 XHG=205 YBD=230 YHG=188>stump " XBD=438 XHG=358 YBD=219 YHG=196>was " XBD=546 XHG=453 YBD=219 YHG=185>that " XBD=614 XHG=561 YBD=219 YHG=197>no " XBD=813 XHG=630 YBD=219 YHG=184>artificial " XBD=926 XHG=828 YBD=218 YHG=183>limb " XBD=1060 XHG=943 YBD=218 YHG=183>could " XBD=1124 XHG=1075 YBD=218 YHG=183>be " XBD=1258 XHG=1140 YBD=217 YHG=182>fitted" XBD=113 XHG=69 YBD=267 YHG=236>to " XBD=285 XHG=126 YBD=268 YHG=233>conceal " XBD=366 XHG=297 YBD=267 YHG=234>the " XBD=776 XHG=380 YBD=267 YHG=233>disablement-and " XBD=886 XHG=787 YBD=277 YHG=233>they " XBD=1072 XHG=899 YBD=267 YHG=232>contend " XBD=1176 XHG=1083 YBD=266 YHG=232>that " XBD=1258 XHG=1188 YBD=266 YHG=232>the" XBD=166 XHG=70 YBD=316 YHG=293>man " XBD=274 XHG=185 YBD=316 YHG=282>who " XBD=368 XHG=295 YBD=315 YHG=282>has " XBD=472 XHG=390 YBD=315 YHG=282>had " XBD=553 XHG=492 YBD=315 YHG=282>his " XBD=639 XHG=577 YBD=326 YHG=281>leg " XBD=719 XHG=661 YBD=316 YHG=281>off " XBD=845 XHG=736 YBD=315 YHG=284>must " XBD=916 XHG=866 YBD=315 YHG=281>be " XBD=1055 XHG=937 YBD=315 YHG=281>made " XBD=1119 XHG=1075 YBD=315 YHG=284>to " XBD=1257 XHG=1141 YBD=322 YHG=281>walk," XBD=137 XHG=71 YBD=364 YHG=333>act " XBD=244 XHG=163 YBD=364 YHG=330>and " XBD=361 XHG=268 YBD=364 YHG=330>look " XBD=430 XHG=387 YBD=364 YHG=342>as " XBD=489 XHG=455 YBD=364 YHG=329>if " XBD=572 XHG=510 YBD=364 YHG=330>his " XBD=694 XHG=596 YBD=364 YHG=330>limb " XBD=800 XHG=719 YBD=364 YHG=341>was " XBD=1051 XHG=826 YBD=375 YHG=330>absolutely " XBD=1259 XHG=1075 YBD=365 YHG=329>normaLs" XBD=164 XHG=70 YBD=413 YHG=378>Few " XBD=311 XHG=193 YBD=413 YHG=378>could " XBD=459 XHG=340 YBD=424 YHG=390>argue " XBD=586 XHG=488 YBD=413 YHG=379>with " XBD=686 XHG=615 YBD=413 YHG=379>the " XBD=913 XHG=714 YBD=424 YHG=379>ministry, " XBD=1005 XHG=942 YBD=413 YHG=378>for " XBD=1106 XHG=1033 YBD=414 YHG=381>not " XBD=1260 XHG=1136 YBD=425 YHG=391>many" XBD=260 XHG=72 YBD=473 YHG=439>surgeons " XBD=348 XHG=278 YBD=462 YHG=428>did " XBD=528 XHG=372 YBD=473 YHG=428>enough " XBD=839 XHG=551 YBD=473 YHG=428>amputations, " XBD=946 XHG=865 YBD=462 YHG=427>and " XBD=1050 XHG=969 YBD=462 YHG=428>this " XBD=1260 XHG=1074 YBD=474 YHG=428>teaching" XBD=183 XHG=73 YBD=511 YHG=488>came " XBD=248 XHG=203 YBD=511 YHG=479>to " XBD=318 XHG=268 YBD=511 YHG=477>be " XBD=542 XHG=339 YBD=522 YHG=477>accepted. " XBD=653 XHG=598 YBD=512 YHG=476>Of " XBD=750 XHG=668 YBD=511 YHG=476>late " XBD=840 XHG=770 YBD=511 YHG=476>the " XBD=1097 XHG=861 YBD=519 YHG=476>Canadians, " XBD=1184 XHG=1119 YBD=512 YHG=477>led " XBD=1260 XHG=1204 YBD=523 YHG=478>by

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XBD=123 XHG=73 YBD=708 YHG=673>In " XBD=304 XHG=141 YBD=713 YHG=673>Canada " XBD=392 XHG=322 YBD=708 YHG=673>the " XBD=672 XHG=409 YBD=719 YHG=676>government " XBD=773 XHG=690 YBD=708 YHG=673>also " XBD=874 XHG=791 YBD=708 YHG=673>had " XBD=916 XHG=891 YBD=708 YHG=685>a " XBD=1139 XHG=933 YBD=721 YHG=673>follow-up " XBD=1262 XHG=1158 YBD=710 YHG=674>after" XBD=142 XHG=72 YBD=757 YHG=723>the " XBD=246 XHG=167 YBD=758 YHG=722>last " XBD=352 XHG=270 YBD=757 YHG=734>war " XBD=457 XHG=376 YBD=757 YHG=722>and " XBD=576 XHG=482 YBD=757 YHG=734>over " XBD=701 XHG=601 YBD=758 YHG=723>2000 " XBD=1002 XHG=725 YBD=769 YHG=724>amputations " XBD=1130 XHG=1026 YBD=759 YHG=724>have " XBD=1261 XHG=1155 YBD=759 YHG=725>since" XBD=175 XHG=74 YBD=807 YHG=772>been " XBD=325 XHG=198 YBD=807 YHG=772>under " XBD=541 XHG=354 YBD=806 YHG=775>constant " XBD=828 XHG=568 YBD=818 YHG=773>supervision. " XBD=966 XHG=884 YBD=809 YHG=773>Out " XBD=1040 XHG=995 YBD=808 YHG=773>of " XBD=1112 XHG=1064 YBD=809 YHG=775>53 " XBD=1261 XHG=1142 YBD=819 YHG=773>Syme" XBD=362 XHG=73 YBD=867 YHG=821>amputations, " XBD=581 XHG=379 YBD=866 YHG=821>including " XBD=618 XHG=600 YBD=855 YHG=822>1 " XBD=794 XHG=636 YBD=864 YHG=821>double, " XBD=833 XHG=811 YBD=857 YHG=823>7 " XBD=1003 XHG=850 YBD=857 YHG=822>needed " XBD=1262 XHG=1018 YBD=868 YHG=822>subsequent" XBD=204 XHG=74 YBD=905 YHG=871>minor " XBD=451 XHG=225 YBD=916 YHG=870>operations " XBD=570 XHG=473 YBD=907 YHG=870>such " XBD=634 XHG=591 YBD=906 YHG=882>as " XBD=833 XHG=654 YBD=907 YHG=871>removal " XBD=899 XHG=854 YBD=907 YHG=870>of " XBD=939 XHG=915 YBD=907 YHG=883>a " XBD=1163 XHG=959 YBD=913 YHG=882>neuroma, " XBD=1262 XHG=1186 YBD=906 YHG=863>but" XBD=147 XHG=73 YBD=954 YHG=923>not " XBD=198 XHG=174 YBD=954 YHG=932>a " XBD=348 XHG=226 YBD=966 YHG=919>single " XBD=450 XHG=376 YBD=955 YHG=931>one " XBD=548 XHG=476 YBD=956 YHG=920>has " XBD=656 XHG=575 YBD=957 YHG=921>had " XBD=727 XHG=682 YBD=957 YHG=924>to " XBD=803 XHG=755 YBD=957 YHG=922>be " XBD=1130 XHG=829 YBD=967 YHG=920>re-amputated " XBD=1262 XHG=1156 YBD=954 YHG=921>since" XBD=187 XHG=78 YBD=1004 YHG=970>1922. " XBD=298 XHG=244 YBD=1004 YHG=969>Of " XBD=428 XHG=315 YBD=1004 YHG=969>these " XBD=555 XHG=448 YBD=1005 YHG=981>cases " XBD=624 XHG=574 YBD=1006 YHG=972>20 " XBD=746 XHG=642 YBD=1005 YHG=971>have " XBD=846 XHG=764 YBD=1005 YHG=971>had " XBD=968 XHG=863 YBD=1005 YHG=971>their " XBD=1262 XHG=986 YBD=1015 YHG=970>amputations" XBD=136 XHG=72 YBD=1053 YHG=1017>for " XBD=263 XHG=168 YBD=1053 YHG=1030>over " XBD=449 XHG=293 YBD=1065 YHG=1021>twenty " XBD=606 XHG=479 YBD=1064 YHG=1031>years, " XBD=715 XHG=639 YBD=1054 YHG=1020>but " XBD=850 XHG=745 YBD=1054 YHG=1020>their " XBD=1037 XHG=881 YBD=1064 YHG=1022>stumps " XBD=1179 XHG=1069 YBD=1053 YHG=1018>show " XBD=1261 XHG=1209 YBD=1051 YHG=1028>no" XBD=233 XHG=73 YBD=1102 YHG=1068>cedema " XBD=313 XHG=268 YBD=1103 YHG=1079>or " XBD=588 XHG=350 YBD=1114 YHG=1069>circulatory " XBD=900 XHG=623 YBD=1104 YHG=1069>disturbances " XBD=1017 XHG=936 YBD=1103 YHG=1068>and " XBD=1152 XHG=1051 YBD=1111 YHG=1067>they " XBD=1300 XHG=1186 YBD=1114 YHG=1078>can" XBD=101 XHG=76 YBD=1131 YHG=1116>&dquo; stand " XBD=338 XHG=256 YBD=1152 YHG=1117>and " XBD=459 XHG=354 YBD=1153 YHG=1118>walk " XBD=528 XHG=474 YBD=1153 YHG=1118>all " XBD=636 XHG=544 YBD=1164 YHG=1119>day, " XBD=788 XHG=654 YBD=1153 YHG=1118>follow " XBD=873 XHG=802 YBD=1152 YHG=1118>the " XBD=1038 XHG=889 YBD=1162 YHG=1117>plough " XBD=1137 XHG=1055 YBD=1151 YHG=1116>and " XBD=1261 XHG=1152 YBD=1150 YHG=1114>work" XBD=117 XHG=74 YBD=1201 YHG=1165>in " XBD=212 XHG=141 YBD=1201 YHG=1167>the " XBD=433 XHG=235 YBD=1213 YHG=1166>factory.&dquo; " XBD=571 XHG=488 YBD=1202 YHG=1168>The " XBD=802 XHG=597 YBD=1202 YHG=1167>Canadian " XBD=1009 XHG=826 YBD=1201 YHG=1166>artificial " XBD=1127 XHG=1029 YBD=1199 YHG=1165>limb " XBD=1214 XHG=1152 YBD=1199 YHG=1163>for " XBD=1260 XHG=1236 YBD=1199 YHG=1176>a" XBD=196 XHG=76 YBD=1261 YHG=1216>Syme " XBD=479 XHG=223 YBD=1263 YHG=1217>amputation " XBD=638 XHG=504 YBD=1252 YHG=1217>differs " XBD=831 XHG=667 YBD=1262 YHG=1215>slightly " XBD=955 XHG=852 YBD=1250 YHG=1215>from " XBD=1074 XHG=983 YBD=1250 YHG=1226>ours " XBD=1142 XHG=1099 YBD=1249 YHG=1215>in " XBD=1260 XHG=1168 YBD=1248 YHG=1213>that" XBD=146 XHG=76 YBD=1300 YHG=1266>the " XBD=311 XHG=174 YBD=1312 YHG=1268>stump " XBD=416 XHG=338 YBD=1302 YHG=1266>end " XBD=476 XHG=442 YBD=1301 YHG=1267>is " XBD=744 XHG=505 YBD=1312 YHG=1265>completely " XBD=979 XHG=771 YBD=1307 YHG=1264>enclosed ; " XBD=1095 XHG=1022 YBD=1299 YHG=1264>the " XBD=1260 XHG=1123 YBD=1310 YHG=1266>stump" XBD=149 XHG=78 YBD=1350 YHG=1316>sits " XBD=222 XHG=178 YBD=1349 YHG=1316>in " XBD=275 XHG=250 YBD=1350 YHG=1328>a " XBD=428 XHG=304 YBD=1350 YHG=1315>metal " XBD=535 XHG=459 YBD=1361 YHG=1327>cup " XBD=647 XHG=565 YBD=1350 YHG=1314>and " XBD=701 XHG=676 YBD=1349 YHG=1327>a " XBD=900 XHG=730 YBD=1349 YHG=1313>blocked " XBD=1081 XHG=928 YBD=1348 YHG=1314>leather " XBD=1260 XHG=1111 YBD=1348 YHG=1313>bucket" XBD=293 XHG=77 YBD=1411 YHG=1364>extending " XBD=365 XHG=309 YBD=1410 YHG=1376>up " XBD=485 XHG=381 YBD=1399 YHG=1365>from " XBD=535 XHG=501 YBD=1399 YHG=1365>it " XBD=584 XHG=550 YBD=1398 YHG=1365>is " XBD=644 XHG=602 YBD=1398 YHG=1375>so " XBD=814 XHG=663 YBD=1410 YHG=1364>shaped " XBD=923 XHG=829 YBD=1399 YHG=1364>that " XBD=1009 XHG=939 YBD=1398 YHG=1363>the " XBD=1152 XHG=1025 YBD=1409 YHG=1374>upper " XBD=1260 XHG=1168 YBD=1410 YHG=1366>part" XBD=190 XHG=75 YBD=1449 YHG=1414>takes " XBD=319 XHG=211 YBD=1449 YHG=1425>some " XBD=455 XHG=339 YBD=1448 YHG=1414>tibial " XBD=648 XHG=474 YBD=1459 YHG=1414>bearing." XBD=79 XHG=74 YBD=1510 YHG=1506>. " XBD=211 XHG=127 YBD=1498 YHG=1464>The " XBD=311 XHG=234 YBD=1498 YHG=1463>low " XBD=494 XHG=333 YBD=1508 YHG=1464>opinion " XBD=561 XHG=518 YBD=1497 YHG=1463>of " XBD=735 XHG=581 YBD=1509 YHG=1462>Syme’s " XBD=1014 XHG=758 YBD=1509 YHG=1463>amputation " XBD=1131 XHG=1035 YBD=1498 YHG=1462>does " XBD=1259 XHG=1155 YBD=1497 YHG=1474>seem" XBD=120 XHG=74 YBD=1548 YHG=1508>to " XBD=237 XHG=134 YBD=1548 YHG=1513>need " XBD=431 XHG=248 YBD=1558 YHG=1513>revising. " XBD=541 XHG=485 YBD=1546 YHG=1512>At " XBD=727 XHG=554 YBD=1558 YHG=1515>present, " XBD=786 XHG=743 YBD=1547 YHG=1524>as " XBD=865 XHG=804 YBD=1547 YHG=1512>LE " XBD=1109 XHG=883 YBD=1548 YHG=1512>MESURIER " XBD=1261 XHG=1126 YBD=1558 YHG=1513>points" XBD=162 XHG=78 YBD=1603 YHG=1565>out, " XBD=336 XHG=179 YBD=1607 YHG=1573>anyone " XBD=472 XHG=352 YBD=1607 YHG=1562>doing " XBD=512 XHG=487 YBD=1595 YHG=1573>a " XBD=647 XHG=528 YBD=1607 YHG=1561>Syme " XBD=920 XHG=663 YBD=1607 YHG=1563>amputation " XBD=967 XHG=933 YBD=1597 YHG=1562>is " XBD=1101 XHG=981 YBD=1597 YHG=1561>liable " XBD=1160 XHG=1115 YBD=1596 YHG=1565>to " XBD=1261 XHG=1175 YBD=1596 YHG=1561>find" XBD=110 XHG=76 YBD=1647 YHG=1612>it " XBD=439 XHG=141 YBD=1656 YHG=1610>re-amputated " XBD=528 XHG=471 YBD=1656 YHG=1610>by " XBD=743 XHG=558 YBD=1646 YHG=1622>someone " XBD=887 XHG=775 YBD=1647 YHG=1610>else. " XBD=960 XHG=919 YBD=1646 YHG=1611>It " XBD=1124 XHG=992 YBD=1647 YHG=1610>would " XBD=1206 XHG=1156 YBD=1646 YHG=1611>be " XBD=1262 XHG=1237 YBD=1646 YHG=1623>a" XBD=168 XHG=77 YBD=1707 YHG=1661>pity " XBD=220 XHG=184 YBD=1695 YHG=1660>if " XBD=303 XHG=234 YBD=1696 YHG=1661>the " XBD=531 XHG=324 YBD=1706 YHG=1660>operation " XBD=629 XHG=548 YBD=1695 YHG=1672>was " XBD=700 XHG=647 YBD=1696 YHG=1672>no " XBD=855 XHG=719 YBD=1706 YHG=1660>longer " XBD=1020 XHG=872 YBD=1707 YHG=1660>taught " XBD=1081 XHG=1037 YBD=1696 YHG=1661>in " XBD=1262 XHG=1093 YBD=1696 YHG=1660>medical" XBD=245 XHG=78 YBD=1745 YHG=1709>schools. " XBD=424 XHG=299 YBD=1744 YHG=1710>There " XBD=525 XHG=451 YBD=1744 YHG=1721>can " XBD=613 XHG=550 YBD=1744 YHG=1709>be " XBD=679 XHG=625 YBD=1745 YHG=1721>no " XBD=833 XHG=704 YBD=1745 YHG=1710>doubt " XBD=951 XHG=858 YBD=1746 YHG=1710>that " XBD=1038 XHG=976 YBD=1746 YHG=1710>for " XBD=1133 XHG=1063 YBD=1745 YHG=1710>the " XBD=1258 XHG=1159 YBD=1757 YHG=1711>agri-" XBD=250 XHG=80 YBD=1794 YHG=1759>cultural " XBD=471 XHG=275 YBD=1802 YHG=1759>labourer, " XBD=582 XHG=499 YBD=1794 YHG=1759>and " XBD=807 XHG=608 YBD=1794 YHG=1759>wherever " XBD=975 XHG=835 YBD=1806 YHG=1762>expert " XBD=1261 XHG=1001 YBD=1795 YHG=1759>mechanical-" XBD=175 XHG=77 YBD=1844 YHG=1809>limb " XBD=357 XHG=204 YBD=1844 YHG=1811>centres " XBD=450 XHG=384 YBD=1844 YHG=1821>are " XBD=548 XHG=475 YBD=1843 YHG=1811>not " XBD=849 XHG=575 YBD=1844 YHG=1808>available-a " XBD=981 XHG=873 YBD=1855 YHG=1808>large " XBD=1100 XHG=1007 YBD=1855 YHG=1812>part " XBD=1172 XHG=1127 YBD=1846 YHG=1809>of " XBD=1263 XHG=1193 YBD=1845 YHG=1810>the" XBD=316 XHG=79 YBD=1904 YHG=1858>globe-the " XBD=447 XHG=328 YBD=1905 YHG=1858>Syme " XBD=717 XHG=462 YBD=1905 YHG=1859>amputation " XBD=765 XHG=731 YBD=1894 YHG=1859>is " XBD=848 XHG=778 YBD=1894 YHG=1858>the " XBD=1028 XHG=862 YBD=1895 YHG=1858>method " XBD=1087 XHG=1042 YBD=1895 YHG=1859>of " XBD=1258 XHG=1098 YBD=1903 YHG=1860>choice ;" XBD=123 XHG=79 YBD=1943 YHG=1912>to " XBD=189 XHG=138 YBD=1944 YHG=1909>do " XBD=229 XHG=204 YBD=1944 YHG=1921>a " XBD=357 XHG=243 YBD=1955 YHG=1908>day’s " XBD=480 XHG=370 YBD=1944 YHG=1908>work " XBD=518 XHG=493 YBD=1943 YHG=1920>a " XBD=626 XHG=530 YBD=1943 YHG=1920>man " XBD=741 XHG=638 YBD=1944 YHG=1908>need " XBD=903 XHG=754 YBD=1956 YHG=1908>merely " XBD=1038 XHG=916 YBD=1945 YHG=1910>shove " XBD=1113 XHG=1052 YBD=1945 YHG=1910>his " XBD=1264 XHG=1128 YBD=1957 YHG=1913>stump" XBD=167 XHG=80 YBD=1993 YHG=1960>into " XBD=261 XHG=208 YBD=1993 YHG=1970>an " XBD=425 XHG=301 YBD=2004 YHG=1958>easily " XBD=581 XHG=463 YBD=1993 YHG=1959>made " XBD=749 XHG=621 YBD=1994 YHG=1958>broad " XBD=897 XHG=787 YBD=1995 YHG=1959>boot. " XBD=988 XHG=950 YBD=1995 YHG=1959>A " XBD=1262 XHG=1026 YBD=2006 YHG=1960>peripatetic" XBD=431 XHG=81 YBD=2054 YHG=2008>correspondent n " XBD=546 XHG=448 YBD=2043 YHG=2008>with " XBD=633 XHG=562 YBD=2043 YHG=2008>the " XBD=816 XHG=651 YBD=2044 YHG=2007>Chinese " XBD=957 XHG=830 YBD=2044 YHG=2008>forces " XBD=1170 XHG=971 YBD=2050 YHG=2010>mentions " XBD=1265 XHG=1184 YBD=2045 YHG=2010>this" XBD=279 XHG=81 YBD=2104 YHG=2058>difficulty " XBD=348 XHG=303 YBD=2093 YHG=2058>of " XBD=575 XHG=369 YBD=2104 YHG=2058>obtaining " XBD=784 XHG=601 YBD=2093 YHG=2058>artificial " XBD=926 XHG=807 YBD=2094 YHG=2058>limbs " XBD=1032 XHG=951 YBD=2093 YHG=2059>and " XBD=1149 XHG=1057 YBD=2105 YHG=2071>says " XBD=1266 XHG=1173 YBD=2095 YHG=2060>that" XBD=154 XHG=82 YBD=2142 YHG=2110>out " XBD=297 XHG=183 YBD=2142 YHG=2108>there " XBD=449 XHG=328 YBD=2153 YHG=2119>every " XBD=597 XHG=479 YBD=2143 YHG=2108>effort " XBD=660 XHG=627 YBD=2143 YHG=2108>is " XBD=888 XHG=691 YBD=2143 YHG=2107>therefore " XBD=1037 XHG=919 YBD=2143 YHG=2108>made " XBD=1111 XHG=1067 YBD=2144 YHG=2111>to " XBD=1264 XHG=1144 YBD=2144 YHG=2108>avoid" XBD=369 XHG=76 YBD=2203 YHG=2158>amputations. " XBD=460 XHG=422 YBD=2191 YHG=2157>A " XBD=599 XHG=480 YBD=2203 YHG=2157>Syme " XBD=876 XHG=620 YBD=2203 YHG=2158>amputation " XBD=929 XHG=895 YBD=2192 YHG=2158>is " XBD=1022 XHG=949 YBD=2193 YHG=2161>not " XBD=1267 XHG=1043 YBD=2204 YHG=2159>something" XBD=201 XHG=75 YBD=2243 YHG=2206>to’be " XBD=373 XHG=226 YBD=2242 YHG=2207>rushed " XBD=439 XHG=397 YBD=2242 YHG=2207>in " XBD=534 XHG=464 YBD=2242 YHG=2207>the " XBD=654 XHG=558 YBD=2242 YHG=2207>heat " XBD=725 XHG=680 YBD=2243 YHG=2206>of " XBD=887 XHG=747 YBD=2250 YHG=2207>battle, " XBD=976 XHG=914 YBD=2242 YHG=2206>for " XBD=1126 XHG=1002 YBD=2254 YHG=2208>sepsis " XBD=1268 XHG=1151 YBD=2254 YHG=2207>spells" XBD=236 XHG=79 YBD=2292 YHG=2258>certain " XBD=395 XHG=254 YBD=2293 YHG=2256>failure " XBD=475 XHG=413 YBD=2293 YHG=2257>for " XBD=564 XHG=495 YBD=2293 YHG=2257>the " XBD=734 XHG=585 YBD=2304 YHG=2260>stump. " XBD=940 XHG=789 YBD=2293 YHG=2257>Indeed " XBD=1003 XHG=959 YBD=2293 YHG=2258>in " XBD=1114 XHG=1021 YBD=2300 YHG=2270>war, " XBD=1267 XHG=1135 YBD=2293 YHG=2257>unless" XBD=389 XHG=80 YBD=2343 YHG=2308>circumstances " XBD=478 XHG=411 YBD=2343 YHG=2320>are " XBD=760 XHG=499 YBD=2355 YHG=2307>particularly " XBD=1015 XHG=780 YBD=2354 YHG=2308>propitious, " XBD=1268 XHG=1037 YBD=2343 YHG=2308>immediate" XBD=359 XHG=81 YBD=2403 YHG=2358>amputations " XBD=551 XHG=376 YBD=2404 YHG=2358>through " XBD=651 XHG=569 YBD=2404 YHG=2370>any " XBD=744 XHG=668 YBD=2393 YHG=2358>site " XBD=807 XHG=763 YBD=2393 YHG=2357>of " XBD=991 XHG=821 YBD=2393 YHG=2357>election " XBD=1074 XHG=1008 YBD=2391 YHG=2368>are " XBD=1268 XHG=1092 YBD=2392 YHG=2357>undesir-" XBD=185 XHG=82 YBD=2443 YHG=2407>able. " XBD=506 XHG=240 YBD=2454 YHG=2407>Amputation " XBD=577 XHG=522 YBD=2454 YHG=2408>by " XBD=753 XHG=592 YBD=2454 YHG=2408>flaps, at " XBD=838 XHG=768 YBD=2443 YHG=2408>the " XBD=929 XHG=854 YBD=2442 YHG=2408>site " XBD=990 XHG=944 YBD=2442 YHG=2406>of " XBD=1137 XHG=1001 YBD=2453 YHG=2407>injury " XBD=1183 XHG=1151 YBD=2442 YHG=2408>is " XBD=1269 XHG=1198 YBD=2442 YHG=2407>the" XBD=196 XHG=85 YBD=2492 YHG=2459>wiser " XBD=371 XHG=226 YBD=2500 YHG=2458>choice, " XBD=481 XHG=400 YBD=2492 YHG=2458>and " XBD=577 XHG=508 YBD=2492 YHG=2459>the " XBD=701 XHG=606 YBD=2493 YHG=2458>final " XBD=985 XHG=729 YBD=2504 YHG=2458>amputation " XBD=1045 XHG=1012 YBD=2492 YHG=2458>is " XBD=1097 XHG=1074 YBD=2492 YHG=2469>a " XBD=1268 XHG=1124 YBD=2503 YHG=2457>plastic" XBD=301 XHG=85 YBD=2552 YHG=2506>procedure " XBD=356 XHG=313 YBD=2542 YHG=2510>to " XBD=420 XHG=371 YBD=2542 YHG=2508>be " XBD=582 XHG=436 YBD=2542 YHG=2507>settled " XBD=710 XHG=597 YBD=2542 YHG=2508>later. |>" XBD=999 XHG=758 YBD=2549 YHG=2508>HUGGINS,12 " XBD=1118 XHG=1015 YBD=2542 YHG=2506>after " XBD=1268 XHG=1134 YBD=2541 YHG=2509>exten-" XBD=169 XHG=85 YBD=2591 YHG=2557>sive " XBD=421 XHG=192 YBD=2602 YHG=2557>experience " XBD=490 XHG=444 YBD=2592 YHG=2557>of " XBD=784 XHG=510 YBD=2603 YHG=2558>amputations " XBD=850 XHG=808 YBD=2592 YHG=2558>in " XBD=943 XHG=872 YBD=2591 YHG=2556>the " XBD=1044 XHG=965 YBD=2591 YHG=2556>last " XBD=1161 XHG=1068 YBD=2599 YHG=2568>war, " XBD=1270 XHG=1185 YBD=2590 YHG=2555>laid" XBD=204 XHG=86 YBD=2641 YHG=2604>down " XBD=312 XHG=220 YBD=2640 YHG=2606>that " XBD=398 XHG=328 YBD=2640 YHG=2606>the " XBD=580 XHG=412 YBD=2652 YHG=2606>optimal " XBD=694 XHG=596 YBD=2641 YHG=2608>time " XBD=768 XHG=705 YBD=2641 YHG=2606>for " XBD=1096 XHG=780 YBD=2652 YHG=2607>re-amputation " XBD=1143 XHG=1109 YBD=2641 YHG=2607>is " XBD=1271 XHG=1156 YBD=2641 YHG=2606>when" XBD=138 XHG=86 YBD=2690 YHG=2654>all " XBD=327 XHG=172 YBD=2690 YHG=2655>cedema " XBD=401 XHG=358 YBD=2690 YHG=2657>in " XBD=502 XHG=431 YBD=2690 YHG=2656>the " XBD=624 XHG=535 YBD=2691 YHG=2656>skin " XBD=737 XHG=656 YBD=2691 YHG=2656>and " XBD=912 XHG=770 YBD=2702 YHG=2656>deeper " XBD=1163 XHG=945 YBD=2690 YHG=2659>structures " XBD=1268 XHG=1195 YBD=2690 YHG=2655>has" XBD=484 XHG=87 YBD=2750 YHG=2704>subsided-usually " XBD=631 XHG=528 YBD=2740 YHG=2705>after " XBD=802 XHG=677 YBD=2740 YHG=2706>about " XBD=937 XHG=847 YBD=2740 YHG=2704>four " XBD=1156 XHG=982 YBD=2740 YHG=2699>months. " XBD=1270 XHG=1210 YBD=2739 YHG=2705>LE|>" XBD=312 XHG=87 YBD=2790 YHG=2754>MESURIER " XBD=548 XHG=332 YBD=2789 YHG=2755>maintains " XBD=663 XHG=569 YBD=2791 YHG=2756>that " XBD=708 XHG=685 YBD=2790 YHG=2767>a " XBD=850 XHG=731 YBD=2801 YHG=2755>Syme " XBD=981 XHG=871 YBD=2790 YHG=2758>must " XBD=1075 XHG=1002 YBD=2790 YHG=2758>not " XBD=1146 XHG=1096 YBD=2789 YHG=2754>be " XBD=1272 XHG=1167 YBD=2790 YHG=2754>done" XBD=215 XHG=87 YBD=2840 YHG=2804>above " XBD=293 XHG=240 YBD=2839 YHG=2817>an " XBD=505 XHG=315 YBD=2839 YHG=2804>inflamed " XBD=686 XHG=528 YBD=2846 YHG=2804>wound, " XBD=818 XHG=712 YBD=2839 YHG=2806>since " XBD=912 XHG=842 YBD=2839 YHG=2804>the " XBD=1177 XHG=935 YBD=2851 YHG=2804>lymphatics " XBD=1271 XHG=1202 YBD=2838 YHG=2815>are" XBD=262 XHG=87 YBD=2889 YHG=2853>infected " XBD=364 XHG=282 YBD=2889 YHG=2854>and " XBD=506 XHG=385 YBD=2899 YHG=2855>sepsis " XBD=560 XHG=527 YBD=2888 YHG=2855>is " XBD=825 XHG=581 YBD=2896 YHG=2854>inevitable ; " XBD=934 XHG=862 YBD=2889 YHG=2866>nor " XBD=1016 XHG=954 YBD=2889 YHG=2854>for " XBD=1091 XHG=1037 YBD=2889 YHG=2866>an " XBD=1272 XHG=1111 YBD=2888 YHG=2854>arterio-" XBD=267 XHG=88 YBD=2939 YHG=2903>sclerotic " XBD=417 XHG=293 YBD=2938 YHG=2903>lesion " XBD=488 XHG=444 YBD=2938 YHG=2915>or " XBD=589 XHG=515 YBD=2938 YHG=2915>one " XBD=816 XHG=615 YBD=2948 YHG=2902>following " XBD=934 XHG=845 YBD=2938 YHG=2903>cold " XBD=1004 XHG=960 YBD=2938 YHG=2915>or " XBD=1272 XHG=1029 YBD=2938 YHG=2904>immersion." XBD=302 XHG=88 YBD=2988 YHG=2953>Attention " XBD=359 XHG=314 YBD=2988 YHG=2955>to " XBD=441 XHG=371 YBD=2987 YHG=2952>the " XBD=597 XHG=454 YBD=2987 YHG=2951>details " XBD=655 XHG=610 YBD=2987 YHG=2951>of " XBD=734 XHG=663 YBD=2986 YHG=2952>the " XBD=955 XHG=747 YBD=2998 YHG=2953>operation " XBD=1001 XHG=967 YBD=2987 YHG=2953>is " XBD=1274 XHG=1014 YBD=2998 YHG=2952>particularly" XBD=43 XHG=35 YBD=3025 YHG=3020>- " XBD=322 XHG=88 YBD=3049 YHG=3003>important. " XBD=433 XHG=376 YBD=3036 YHG=3002>To " XBD=615 XHG=447 YBD=3048 YHG=3000>prevent " XBD=699 XHG=628 YBD=3036 YHG=3001>the " XBD=793 XHG=711 YBD=3047 YHG=3001>flap " XBD=978 XHG=808 YBD=3048 YHG=3001>slipping " XBD=1036 XHG=992 YBD=3037 YHG=3004>to " XBD=1177 XHG=1050 YBD=3037 YHG=3002>either " XBD=1274 XHG=1191 YBD=3036 YHG=3001>side" XBD=133 XHG=90 YBD=3087 YHG=3064>or " XBD=398 XHG=166 YBD=3087 YHG=3052>backwards " XBD=579 XHG=431 YBD=3085 YHG=3050>careful " XBD=818 XHG=611 YBD=3096 YHG=3052>strapping " XBD=884 XHG=850 YBD=3085 YHG=3052>is " XBD=1126 XHG=915 YBD=3096 YHG=3051>required ; " XBD=1207 XHG=1174 YBD=3086 YHG=3052>it " XBD=1274 XHG=1239 YBD=3085 YHG=3052>is" XBD=287 XHG=89 YBD=3146 YHG=3100>probably " XBD=370 XHG=299 YBD=3135 YHG=3101>the " XBD=480 XHG=385 YBD=3145 YHG=3100>only " XBD=750 XHG=493 YBD=3145 YHG=3100>amputation " XBD=892 XHG=763 YBD=3134 YHG=3099>where " XBD=1027 XHG=907 YBD=3135 YHG=3111>nerve " XBD=1274 XHG=1042 YBD=3146 YHG=3100>shortening" XBD=121 XHG=88 YBD=3184 YHG=3151>is " XBD=366 XHG=161 YBD=3184 YHG=3149>desirable. " XBD=586 XHG=420 YBD=3195 YHG=3149>Despite " XBD=813 XHG=624 YBD=3194 YHG=3148>drainage " XBD=877 XHG=853 YBD=3183 YHG=3161>a " XBD=1159 XHG=915 YBD=3184 YHG=3149>haematoma " XBD=1277 XHG=1195 YBD=3183 YHG=3149>will" XBD=317 XHG=88 YBD=3233 YHG=3199>sometimes " XBD=459 XHG=343 YBD=3240 YHG=3198>form, " XBD=569 XHG=488 YBD=3241 YHG=3198>and " XBD=826 XHG=595 YBD=3232 YHG=3197>immediate " XBD=1154 XHG=853 YBD=3241 YHG=3199>postoperative " XBD=1277 XHG=1180 YBD=3241 YHG=3199>pain

8. Langdale-Kelham, R. D. At the British Orthopaedic Associationmeeting in Liverpool, 1942.

9. Gallie, W. E. Ann. Surg. 1941, 113, 925 ; Surg. Gynec. Obstet.1942, 74, 370.

10. Le Mesurier, A. B. At the British Orthopædic Associationmeeting.

11. Lancet, 1942, i, 664.12. Huggins, G. M. Amputation Stumps, London, 1918, p. 11.

" XBD=1360 XHG=1316 YBD=219 YHG=184>in " XBD=1446 XHG=1376 YBD=218 YHG=183>the " XBD=1601 XHG=1465 YBD=229 YHG=186>stump " XBD=1652 XHG=1619 YBD=218 YHG=184>is " XBD=1782 XHG=1671 YBD=219 YHG=182>often " XBD=1824 XHG=1800 YBD=218 YHG=195>a " XBD=1929 XHG=1843 YBD=230 YHG=184>sign " XBD=1992 XHG=1947 YBD=218 YHG=183>of " XBD=2051 XHG=2005 YBD=219 YHG=184>it. " XBD=2307 XHG=2105 YBD=226 YHG=184>PERKINS, " XBD=2369 XHG=2326 YBD=219 YHG=185>in " XBD=2411 XHG=2386 YBD=219 YHG=196>a " XBD=2501 XHG=2428 YBD=219 YHG=184>lec-" XBD=1408 XHG=1318 YBD=267 YHG=235>ture " XBD=1470 XHG=1427 YBD=267 YHG=236>at " XBD=1558 XHG=1488 YBD=267 YHG=233>the " XBD=1728 XHG=1578 YBD=268 YHG=233>British " XBD=2039 XHG=1748 YBD=278 YHG=232>Postgraduate " XBD=2213 XHG=2059 YBD=275 YHG=233>School, " XBD=2393 XHG=2229 YBD=269 YHG=233>advised " XBD=2502 XHG=2411 YBD=268 YHG=233>that" XBD=1361 XHG=1319 YBD=317 YHG=282>in " XBD=1438 XHG=1386 YBD=316 YHG=282>all " XBD=1737 XHG=1462 YBD=328 YHG=283>amputations " XBD=1791 XHG=1757 YBD=317 YHG=282>if " XBD=1840 XHG=1817 YBD=316 YHG=294>a " XBD=2101 XHG=1860 YBD=316 YHG=282>haematoma " XBD=2161 XHG=2127 YBD=316 YHG=283>is " XBD=2397 XHG=2181 YBD=327 YHG=282>diagnosed " XBD=2503 XHG=2423 YBD=327 YHG=292>you" XBD=1670 XHG=1320 YBD=377 YHG=331>should &dquo; pocket " XBD=1796 XHG=1695 YBD=377 YHG=343>your " XBD=1941 XHG=1818 YBD=377 YHG=331>pride, " XBD=2061 XHG=1965 YBD=365 YHG=331>take " XBD=2156 XHG=2086 YBD=365 YHG=330>the " XBD=2335 XHG=2178 YBD=376 YHG=331>patient " XBD=2405 XHG=2361 YBD=366 YHG=334>to " XBD=2502 XHG=2434 YBD=366 YHG=331>the" XBD=1477 XHG=1320 YBD=416 YHG=381>theatre " XBD=1570 XHG=1489 YBD=415 YHG=380>and " XBD=1774 XHG=1582 YBD=415 YHG=383>evacuate " XBD=1857 XHG=1788 YBD=416 YHG=381>the " XBD=1993 XHG=1873 YBD=415 YHG=380>clot.&dquo; " XBD=2071 XHG=2034 YBD=414 YHG=380>A " XBD=2204 XHG=2080 YBD=414 YHG=379>failed " XBD=2336 XHG=2217 YBD=425 YHG=380>Syme " XBD=2382 XHG=2349 YBD=414 YHG=380>is " XBD=2466 XHG=2394 YBD=416 YHG=383>not " XBD=2503 XHG=2480 YBD=416 YHG=392>a" XBD=1501 XHG=1321 YBD=472 YHG=430>disaster, " XBD=1597 XHG=1524 YBD=465 YHG=442>nor " XBD=1649 XHG=1616 YBD=465 YHG=431>is " XBD=1702 XHG=1670 YBD=464 YHG=431>it " XBD=1747 XHG=1723 YBD=464 YHG=442>a " XBD=1969 XHG=1766 YBD=465 YHG=430>reflection " XBD=2042 XHG=1990 YBD=465 YHG=441>on " XBD=2131 XHG=2061 YBD=464 YHG=429>the " XBD=2332 XHG=2152 YBD=474 YHG=440>surgeon, " XBD=2443 XHG=2354 YBD=464 YHG=429>who " XBD=2504 XHG=2462 YBD=465 YHG=430>in" XBD=1488 XHG=1321 YBD=514 YHG=479>modern " XBD=1586 XHG=1505 YBD=514 YHG=491>war " XBD=1677 XHG=1604 YBD=513 YHG=479>has " XBD=1738 XHG=1694 YBD=514 YHG=482>to " XBD=1903 XHG=1757 YBD=513 YHG=478>handle " XBD=2098 XHG=1921 YBD=524 YHG=478>severely " XBD=2329 XHG=2115 YBD=513 YHG=478>mutilated " XBD=2501 XHG=2346 YBD=514 YHG=479>tissues." XBD=1405 XHG=1322 YBD=563 YHG=529>But " XBD=1451 XHG=1427 YBD=562 YHG=540>a " XBD=1593 XHG=1471 YBD=563 YHG=528>failed " XBD=1857 XHG=1614 YBD=563 YHG=528>below-knee " XBD=2134 XHG=1879 YBD=573 YHG=528>amputation " XBD=2187 XHG=2154 YBD=561 YHG=528>is " XBD=2233 XHG=2209 YBD=561 YHG=539>a " XBD=2423 XHG=2254 YBD=573 YHG=527>tragedy " XBD=2504 XHG=2443 YBD=562 YHG=527>for" XBD=1392 XHG=1322 YBD=613 YHG=578>the " XBD=1583 XHG=1414 YBD=623 YHG=578>patient, " XBD=1688 XHG=1607 YBD=612 YHG=577>and " XBD=1734 XHG=1709 YBD=612 YHG=589>a " XBD=1932 XHG=1756 YBD=622 YHG=578>primary " XBD=2069 XHG=1953 YBD=612 YHG=577>tibial " XBD=2345 XHG=2090 YBD=621 YHG=576>amputation " XBD=2413 XHG=2369 YBD=610 YHG=579>at " XBD=2504 XHG=2436 YBD=611 YHG=577>the" XBD=1398 XHG=1324 YBD=661 YHG=628>site " XBD=1469 XHG=1424 YBD=661 YHG=626>of " XBD=1671 XHG=1489 YBD=668 YHG=625>election, " XBD=1921 XHG=1696 YBD=672 YHG=626>performed " XBD=2006 XHG=1944 YBD=661 YHG=625>for " XBD=2056 XHG=2031 YBD=660 YHG=638>a " XBD=2166 XHG=2079 YBD=661 YHG=626>foot " XBD=2337 XHG=2190 YBD=670 YHG=625>injury, " XBD=2505 XHG=2365 YBD=661 YHG=626>carries" XBD=1347 XHG=1323 YBD=711 YHG=688>a " XBD=1510 XHG=1376 YBD=721 YHG=676>heavy " XBD=1845 XHG=1537 YBD=722 YHG=675>responsibility. " XBD=2014 XHG=1900 YBD=710 YHG=676>Even " XBD=2168 XHG=2043 YBD=709 YHG=675>under " XBD=2267 XHG=2197 YBD=708 YHG=674>the " XBD=2385 XHG=2297 YBD=709 YHG=674>best " XBD=2504 XHG=2416 YBD=709 YHG=686>con-" XBD=1472 XHG=1324 YBD=760 YHG=726>ditions " XBD=1554 XHG=1484 YBD=759 YHG=724>the " XBD=1811 XHG=1567 YBD=759 YHG=724>below-knee " XBD=2079 XHG=1825 YBD=770 YHG=724>amputation " XBD=2185 XHG=2091 YBD=759 YHG=724>does " XBD=2271 XHG=2198 YBD=758 YHG=726>not " XBD=2507 XHG=2283 YBD=770 YHG=724>invariably" XBD=1445 XHG=1324 YBD=809 YHG=774>stand " XBD=1525 XHG=1469 YBD=819 YHG=786>up " XBD=1595 XHG=1550 YBD=808 YHG=777>to " XBD=1694 XHG=1619 YBD=808 YHG=773>full " XBD=1834 XHG=1718 YBD=815 YHG=785>wear, " XBD=1942 XHG=1861 YBD=807 YHG=773>and " XBD=2020 XHG=1968 YBD=807 YHG=785>an " XBD=2264 XHG=2045 YBD=818 YHG=774>increasing " XBD=2508 XHG=2289 YBD=807 YHG=772>number-" XBD=1420 XHG=1327 YBD=869 YHG=823>10% " XBD=1505 XHG=1461 YBD=856 YHG=825>at " XBD=1863 XHG=1548 YBD=867 YHG=822>present-have " XBD=1943 XHG=1899 YBD=856 YHG=825>to " XBD=2030 XHG=1981 YBD=856 YHG=822>be " XBD=2184 XHG=2066 YBD=856 YHG=822>fitted " XBD=2316 XHG=2220 YBD=856 YHG=822>with " XBD=2505 XHG=2353 YBD=856 YHG=822>ischial-" XBD=1501 XHG=1324 YBD=916 YHG=871>bearing. " XBD=1680 XHG=1521 YBD=906 YHG=873>corsets. " XBD=1817 XHG=1734 YBD=905 YHG=871>The " XBD=2111 XHG=1851 YBD=917 YHG=870>outstanding " XBD=2433 XHG=2144 YBD=916 YHG=871>disadvantage " XBD=2511 XHG=2467 YBD=907 YHG=871>of" XBD=1393 XHG=1323 YBD=956 YHG=921>the " XBD=1535 XHG=1415 YBD=965 YHG=920>Syme " XBD=1812 XHG=1556 YBD=966 YHG=921>amputation " XBD=1865 XHG=1833 YBD=955 YHG=921>is " XBD=1956 XHG=1887 YBD=955 YHG=920>the " XBD=2170 XHG=1978 YBD=967 YHG=920>ungainly " XBD=2374 XHG=2191 YBD=956 YHG=920>artificial " XBD=2505 XHG=2395 YBD=958 YHG=920>limb." XBD=1407 XHG=1324 YBD=1004 YHG=970>But " XBD=1494 XHG=1432 YBD=1004 YHG=969>for " XBD=1543 XHG=1519 YBD=1004 YHG=981>a " XBD=1665 XHG=1568 YBD=1003 YHG=981>man " XBD=1908 XHG=1689 YBD=1004 YHG=969>handsome " XBD=1966 XHG=1933 YBD=1004 YHG=971>is " XBD=2036 XHG=1993 YBD=1004 YHG=981>as " XBD=2281 XHG=2061 YBD=1005 YHG=970>handsome " XBD=2401 XHG=2306 YBD=1004 YHG=970>does " XBD=2509 XHG=2429 YBD=1006 YHG=971>and" XBD=1430 XHG=1323 YBD=1054 YHG=1020>most " XBD=1489 XHG=1444 YBD=1053 YHG=1018>of " XBD=1567 XHG=1497 YBD=1052 YHG=1018>the " XBD=1679 XHG=1581 YBD=1053 YHG=1017>limb " XBD=1725 XHG=1692 YBD=1052 YHG=1019>is " XBD=1950 XHG=1741 YBD=1054 YHG=1019>concealed " XBD=2020 XHG=1964 YBD=1064 YHG=1019>by " XBD=2093 XHG=2032 YBD=1054 YHG=1019>his " XBD=2294 XHG=2107 YBD=1054 YHG=1022>trousers. " XBD=2425 XHG=2347 YBD=1053 YHG=1019>For " XBD=2508 XHG=2439 YBD=1054 YHG=1019>the" XBD=1480 XHG=1323 YBD=1103 YHG=1078>woman " XBD=1760 XHG=1492 YBD=1113 YHG=1067>ungainliness " XBD=1805 XHG=1772 YBD=1102 YHG=1069>is " XBD=2098 XHG=1818 YBD=1114 YHG=1068>undoubtedly " XBD=2134 XHG=2110 YBD=1103 YHG=1081>a " XBD=2285 XHG=2148 YBD=1114 YHG=1071>strong " XBD=2509 XHG=2298 YBD=1114 YHG=1072>argument" XBD=1383 XHG=1321 YBD=1152 YHG=1115>for " XBD=1421 XHG=1396 YBD=1152 YHG=1129>a " XBD=1549 XHG=1433 YBD=1152 YHG=1116>tibial " XBD=1824 XHG=1561 YBD=1153 YHG=1116>election-site " XBD=2105 XHG=1837 YBD=1164 YHG=1119>amputation, " XBD=2274 XHG=2118 YBD=1164 YHG=1118>though " XBD=2319 XHG=2286 YBD=1152 YHG=1119>it " XBD=2365 XHG=2331 YBD=1152 YHG=1118>is " XBD=2511 XHG=2378 YBD=1165 YHG=1118>surely" XBD=1395 XHG=1321 YBD=1202 YHG=1170>not " XBD=1576 XHG=1415 YBD=1212 YHG=1166>beyond " XBD=1665 XHG=1595 YBD=1202 YHG=1167>the " XBD=1896 XHG=1686 YBD=1213 YHG=1168>ingenuity " XBD=1960 XHG=1915 YBD=1202 YHG=1167>of " XBD=2047 XHG=1976 YBD=1202 YHG=1167>the " XBD=2223 XHG=2066 YBD=1203 YHG=1168>makers " XBD=2288 XHG=2243 YBD=1202 YHG=1170>to " XBD=2467 XHG=2308 YBD=1202 YHG=1167>fashion " XBD=2510 XHG=2486 YBD=1203 YHG=1181>a" XBD=1431 XHG=1322 YBD=1252 YHG=1228>more " XBD=1631 XHG=1464 YBD=1263 YHG=1216>shapely " XBD=1760 XHG=1662 YBD=1252 YHG=1216>limb " XBD=1854 XHG=1792 YBD=1252 YHG=1217>for " XBD=1955 XHG=1886 YBD=1252 YHG=1217>the " XBD=2155 XHG=1989 YBD=1252 YHG=1217>modern " XBD=2284 XHG=2185 YBD=1264 YHG=1220>type " XBD=2362 XHG=2316 YBD=1252 YHG=1216>of " XBD=2510 XHG=2391 YBD=1263 YHG=1217>Syme" XBD=1590 XHG=1322 YBD=1312 YHG=1267>amputation. |>" XBD=1708 XHG=1702 YBD=1304 YHG=1301>-

HOW BIG OUR SMALL NEEDS

" XBD=1687 XHG=1373 YBD=1462 YHG=1426>APPRECIATION " XBD=1757 XHG=1712 YBD=1461 YHG=1425>of " XBD=1854 XHG=1777 YBD=1461 YHG=1427>size " XBD=1960 XHG=1879 YBD=1461 YHG=1426>and " XBD=2129 XHG=1984 YBD=1472 YHG=1426>weight " XBD=2185 XHG=2153 YBD=1461 YHG=1427>is " XBD=2234 XHG=2211 YBD=1461 YHG=1438>a " XBD=2445 XHG=2260 YBD=1472 YHG=1428>question " XBD=2514 XHG=2468 YBD=1461 YHG=1425>of" XBD=1574 XHG=1324 YBD=1522 YHG=1476>comparison " XBD=1689 XHG=1609 YBD=1511 YHG=1476>and " XBD=1970 XHG=1723 YBD=1522 YHG=1475>familiarity. " XBD=2283 XHG=2024 YBD=1511 YHG=1476>Housewives " XBD=2436 XHG=2316 YBD=1511 YHG=1476>think " XBD=2512 XHG=2469 YBD=1511 YHG=1477>in" XBD=1447 XHG=1323 YBD=1561 YHG=1528>terms " XBD=1512 XHG=1467 YBD=1561 YHG=1525>of " XBD=1685 XHG=1527 YBD=1572 YHG=1526>pounds " XBD=1786 XHG=1704 YBD=1560 YHG=1526>and " XBD=1950 XHG=1805 YBD=1561 YHG=1537>ounces " XBD=2052 XHG=1970 YBD=1560 YHG=1526>and " XBD=2174 XHG=2070 YBD=1560 YHG=1526>have " XBD=2218 XHG=2193 YBD=1561 YHG=1539>a " XBD=2342 XHG=2237 YBD=1572 YHG=1526>good " XBD=2451 XHG=2360 YBD=1561 YHG=1526>idea " XBD=2517 XHG=2471 YBD=1561 YHG=1526>of" XBD=1394 XHG=1323 YBD=1610 YHG=1575>the " XBD=1527 XHG=1408 YBD=1610 YHG=1575>value " XBD=1587 XHG=1542 YBD=1610 YHG=1575>of " XBD=1695 XHG=1598 YBD=1610 YHG=1575>each " XBD=1753 XHG=1709 YBD=1610 YHG=1576>in " XBD=1890 XHG=1766 YBD=1610 YHG=1578>terms " XBD=1950 XHG=1906 YBD=1610 YHG=1575>of " XBD=2187 XHG=1960 YBD=1611 YHG=1564>foodstuffs. " XBD=2313 XHG=2240 YBD=1612 YHG=1576>We " XBD=2381 XHG=2328 YBD=1610 YHG=1575>all " XBD=2514 XHG=2395 YBD=1611 YHG=1576>know" XBD=1415 XHG=1324 YBD=1660 YHG=1625>how " XBD=1557 XHG=1433 YBD=1671 YHG=1636>many " XBD=1739 XHG=1576 YBD=1671 YHG=1625>pennies " XBD=1792 XHG=1760 YBD=1660 YHG=1626>it " XBD=1927 XHG=1812 YBD=1659 YHG=1624>takes " XBD=1991 XHG=1946 YBD=1660 YHG=1628>to " XBD=2129 XHG=2011 YBD=1660 YHG=1625>make " XBD=2173 XHG=2149 YBD=1660 YHG=1637>a " XBD=2348 XHG=2192 YBD=1660 YHG=1627>trouser " XBD=2514 XHG=2367 YBD=1672 YHG=1625>pocket" XBD=1651 XHG=1324 YBD=1721 YHG=1674>uncomfortably " XBD=1740 XHG=1666 YBD=1710 YHG=1674>full " XBD=1838 XHG=1758 YBD=1710 YHG=1674>and " XBD=2000 XHG=1854 YBD=1721 YHG=1675>heavy, " XBD=2099 XHG=2018 YBD=1710 YHG=1675>and " XBD=2206 XHG=2115 YBD=1710 YHG=1675>how " XBD=2346 XHG=2222 YBD=1721 YHG=1686>many " XBD=2514 XHG=2361 YBD=1721 YHG=1674>gallons" XBD=1392 XHG=1325 YBD=1759 YHG=1736>are " XBD=1604 XHG=1418 YBD=1771 YHG=1725>required " XBD=1675 XHG=1630 YBD=1760 YHG=1728>to " XBD=1775 XHG=1702 YBD=1771 YHG=1728>top " XBD=1858 XHG=1802 YBD=1771 YHG=1736>up " XBD=1955 XHG=1885 YBD=1760 YHG=1725>the " XBD=2104 XHG=1983 YBD=1760 YHG=1725>tanks " XBD=2177 XHG=2133 YBD=1760 YHG=1724>of " XBD=2274 XHG=2202 YBD=1759 YHG=1736>our " XBD=2515 XHG=2302 YBD=1760 YHG=1726>cars-but" XBD=1477 XHG=1327 YBD=1821 YHG=1774>change " XBD=1565 XHG=1495 YBD=1810 YHG=1775>the " XBD=1694 XHG=1585 YBD=1810 YHG=1776>units " XBD=1795 XHG=1714 YBD=1809 YHG=1775>and " XBD=1867 XHG=1809 YBD=1809 YHG=1786>we " XBD=1953 XHG=1887 YBD=1809 YHG=1786>are " XBD=2063 XHG=1971 YBD=1810 YHG=1774>lost. " XBD=2241 XHG=2117 YBD=1820 YHG=1775>Many " XBD=2349 XHG=2259 YBD=1810 YHG=1775>who " XBD=2466 XHG=2367 YBD=1810 YHG=1775>took " XBD=2516 XHG=2491 YBD=1809 YHG=1786>a" XBD=1393 XHG=1327 YBD=1859 YHG=1836>car " XBD=1459 XHG=1414 YBD=1860 YHG=1827>to " XBD=1550 XHG=1479 YBD=1860 YHG=1825>the " XBD=1781 XHG=1574 YBD=1859 YHG=1826>continent " XBD=1846 XHG=1803 YBD=1859 YHG=1825>in " XBD=1937 XHG=1866 YBD=1859 YHG=1824>the " XBD=2027 XHG=1960 YBD=1859 YHG=1824>old " XBD=2148 XHG=2049 YBD=1870 YHG=1824>days " XBD=2250 XHG=2170 YBD=1859 YHG=1824>will " XBD=2390 XHG=2270 YBD=1859 YHG=1824>recall " XBD=2516 XHG=2411 YBD=1859 YHG=1824>their" XBD=1535 XHG=1327 YBD=1910 YHG=1873>confusion " XBD=1670 XHG=1554 YBD=1909 YHG=1875>when " XBD=1788 XHG=1689 YBD=1920 YHG=1875>they " XBD=1894 XHG=1807 YBD=1909 YHG=1874>first " XBD=1995 XHG=1913 YBD=1909 YHG=1874>had " XBD=2058 XHG=2013 YBD=1909 YHG=1877>to " XBD=2163 XHG=2078 YBD=1920 YHG=1874>buy " XBD=2311 XHG=2181 YBD=1920 YHG=1873>petrol " XBD=2373 XHG=2330 YBD=1909 YHG=1875>in " XBD=2565 XHG=2391 YBD=1918 YHG=1873>litres." XBD=1453 XHG=1327 YBD=1959 YHG=1921>There " XBD=1577 XHG=1480 YBD=1971 YHG=1936>may " XBD=1652 XHG=1603 YBD=1960 YHG=1925>be " XBD=1762 XHG=1681 YBD=1960 YHG=1924>still " XBD=1912 XHG=1788 YBD=1960 YHG=1936>worse " XBD=2165 XHG=1939 YBD=1959 YHG=1924>difficulties " XBD=2225 XHG=2191 YBD=1959 YHG=1923>if " XBD=2318 XHG=2248 YBD=1959 YHG=1925>the " XBD=2458 XHG=2345 YBD=1959 YHG=1923>mind " XBD=2517 XHG=2483 YBD=1959 YHG=1924>is" XBD=1455 XHG=1329 YBD=2010 YHG=1974>called " XBD=1525 XHG=1472 YBD=2009 YHG=1987>on " XBD=1586 XHG=1541 YBD=2010 YHG=1978>to " XBD=1786 XHG=1604 YBD=2021 YHG=1976>appraise " XBD=1829 XHG=1803 YBD=2009 YHG=1987>a " XBD=2001 XHG=1846 YBD=2020 YHG=1977>greater " XBD=2139 XHG=2017 YBD=2020 YHG=1985>range " XBD=2201 XHG=2156 YBD=2009 YHG=1973>of " XBD=2293 XHG=2215 YBD=2008 YHG=1975>size " XBD=2354 XHG=2310 YBD=2009 YHG=1985>or " XBD=2517 XHG=2371 YBD=2019 YHG=1973>weight" XBD=1373 XHG=1328 YBD=2059 YHG=2036>or " XBD=1592 XHG=1412 YBD=2059 YHG=2024>distance " XBD=1734 XHG=1632 YBD=2059 YHG=2025>than " XBD=1806 XHG=1773 YBD=2058 YHG=2025>is " XBD=1962 XHG=1846 YBD=2059 YHG=2023>usual " XBD=2043 XHG=2001 YBD=2058 YHG=2025>in " XBD=2287 XHG=2083 YBD=2069 YHG=2023>everyday " XBD=2514 XHG=2323 YBD=2058 YHG=2023>life-the" XBD=1522 XHG=1328 YBD=2109 YHG=2073>National " XBD=1649 XHG=1540 YBD=2109 YHG=2074>Debt " XBD=1801 XHG=1669 YBD=2109 YHG=2073>would " XBD=1869 XHG=1821 YBD=2108 YHG=2074>be " XBD=1914 XHG=1890 YBD=2108 YHG=2085>a " XBD=2049 XHG=1933 YBD=2119 YHG=2084>poser " XBD=2110 XHG=2067 YBD=2108 YHG=2077>to " XBD=2236 XHG=2131 YBD=2109 YHG=2076>most " XBD=2402 XHG=2261 YBD=2120 YHG=2073>people " XBD=2517 XHG=2429 YBD=2108 YHG=2073>who" XBD=1516 XHG=1329 YBD=2158 YHG=2123>visualise " XBD=1567 XHG=1533 YBD=2158 YHG=2125>it " XBD=1627 XHG=1585 YBD=2158 YHG=2124>in " XBD=1764 XHG=1640 YBD=2158 YHG=2126>terms " XBD=1824 XHG=1779 YBD=2157 YHG=2122>of " XBD=1938 XHG=1833 YBD=2158 YHG=2123>their " XBD=2047 XHG=1957 YBD=2158 YHG=2132>own " XBD=2209 XHG=2065 YBD=2168 YHG=2122>salary, " XBD=2311 XHG=2230 YBD=2157 YHG=2122>and " XBD=2399 XHG=2328 YBD=2157 YHG=2122>the " XBD=2516 XHG=2418 YBD=2156 YHG=2121>diffi-" XBD=1444 XHG=1331 YBD=2218 YHG=2172>culty " XBD=1503 XHG=1457 YBD=2207 YHG=2172>of " XBD=1698 XHG=1513 YBD=2218 YHG=2173>grasping " XBD=1996 XHG=1712 YBD=2208 YHG=2172>astronomical " XBD=2259 XHG=2006 YBD=2218 YHG=2172>magnitudes " XBD=2343 XHG=2270 YBD=2207 YHG=2172>has " XBD=2517 XHG=2355 YBD=2207 YHG=2172>become" XBD=1356 XHG=1331 YBD=2257 YHG=2234>a " XBD=1543 XHG=1374 YBD=2269 YHG=2222>popular " XBD=1723 XHG=1557 YBD=2268 YHG=2223>gambit. " XBD=1871 XHG=1777 YBD=2257 YHG=2222>Few " XBD=1930 XHG=1885 YBD=2257 YHG=2221>of " XBD=1991 XHG=1944 YBD=2257 YHG=2234>us " XBD=2113 XHG=2009 YBD=2257 YHG=2222>have " XBD=2233 XHG=2131 YBD=2257 YHG=2232>even " XBD=2356 XHG=2249 YBD=2257 YHG=2221>tried " XBD=2417 XHG=2372 YBD=2257 YHG=2224>to " XBD=2515 XHG=2437 YBD=2256 YHG=2222>size|>" XBD=1386 XHG=1323 YBD=2318 YHG=2283>up " XBD=1477 XHG=1406 YBD=2307 YHG=2284>our " XBD=1669 XHG=1495 YBD=2307 YHG=2273>vitamin " XBD=1768 XHG=1687 YBD=2307 YHG=2271>and " XBD=1952 XHG=1785 YBD=2307 YHG=2270>mineral " XBD=2257 XHG=1968 YBD=2317 YHG=2273>requirements " XBD=2318 XHG=2275 YBD=2307 YHG=2272>in " XBD=2459 XHG=2335 YBD=2307 YHG=2274>terms " XBD=2523 XHG=2479 YBD=2306 YHG=2271>of" XBD=1404 XHG=1331 YBD=2357 YHG=2333>our " XBD=1536 XHG=1425 YBD=2367 YHG=2321>daily " XBD=1664 XHG=1555 YBD=2357 YHG=2321>food. " XBD=1810 XHG=1704 YBD=2356 YHG=2321>Here " XBD=1967 XHG=1832 YBD=2367 YHG=2322>things " XBD=2056 XHG=1990 YBD=2356 YHG=2333>are " XBD=2232 XHG=2076 YBD=2356 YHG=2321>further " XBD=2519 XHG=2255 YBD=2368 YHG=2321>complicated" XBD=1388 XHG=1331 YBD=2417 YHG=2371>by " XBD=1474 XHG=1404 YBD=2406 YHG=2371>the " XBD=1760 XHG=1499 YBD=2417 YHG=2370>multiplicity " XBD=1829 XHG=1784 YBD=2412 YHG=2371>of " XBD=1958 XHG=1849 YBD=2406 YHG=2372>units " XBD=2059 XHG=1978 YBD=2407 YHG=2371>and " XBD=2267 XHG=2082 YBD=2407 YHG=2371>methods " XBD=2338 XHG=2294 YBD=2406 YHG=2370>of " XBD=2514 XHG=2359 YBD=2417 YHG=2382>expres-" XBD=1431 XHG=1332 YBD=2464 YHG=2422>sion ; " XBD=1572 XHG=1459 YBD=2455 YHG=2421>there " XBD=1652 XHG=1585 YBD=2456 YHG=2432>are " XBD=1777 XHG=1664 YBD=2467 YHG=2424>parts " XBD=1859 XHG=1789 YBD=2467 YHG=2432>per " XBD=2036 XHG=1872 YBD=2464 YHG=2420>million, " XBD=2230 XHG=2051 YBD=2468 YHG=2432>gammas " XBD=2312 XHG=2242 YBD=2468 YHG=2432>per " XBD=2514 XHG=2325 YBD=2467 YHG=2432>gramme," XBD=1412 XHG=1332 YBD=2517 YHG=2483>mg. " XBD=1500 XHG=1430 YBD=2517 YHG=2482>per " XBD=1592 XHG=1520 YBD=2506 YHG=2472>100 " XBD=1644 XHG=1608 YBD=2516 YHG=2482>g. " XBD=1745 XHG=1663 YBD=2506 YHG=2471>and " XBD=1804 XHG=1761 YBD=2506 YHG=2482>so " XBD=1886 XHG=1822 YBD=2506 YHG=2483>on. " XBD=2125 XHG=1939 YBD=2507 YHG=2470>Workers " XBD=2184 XHG=2142 YBD=2506 YHG=2472>in " XBD=2312 XHG=2200 YBD=2506 YHG=2471>these " XBD=2518 XHG=2330 YBD=2515 YHG=2471>subjects," XBD=1550 XHG=1332 YBD=2562 YHG=2531>moreover, " XBD=1696 XHG=1577 YBD=2555 YHG=2520>make " XBD=1746 XHG=1721 YBD=2555 YHG=2532>a " XBD=1885 XHG=1770 YBD=2566 YHG=2521>point " XBD=1956 XHG=1912 YBD=2555 YHG=2520>of " XBD=2245 XHG=1979 YBD=2567 YHG=2521>emphasising " XBD=2341 XHG=2270 YBD=2555 YHG=2520>the " XBD=2521 XHG=2367 YBD=2555 YHG=2521>minute" XBD=1552 XHG=1335 YBD=2616 YHG=2570>quantities " XBD=1623 XHG=1578 YBD=2604 YHG=2569>of " XBD=1714 XHG=1643 YBD=2605 YHG=2570>the " XBD=1972 XHG=1739 YBD=2605 YHG=2570>substances " XBD=2127 XHG=1998 YBD=2605 YHG=2571>which " XBD=2250 XHG=2151 YBD=2616 YHG=2570>they " XBD=2351 XHG=2276 YBD=2604 YHG=2582>can " XBD=2521 XHG=2375 YBD=2605 YHG=2570>handle" XBD=1415 XHG=1333 YBD=2654 YHG=2619>and " XBD=1567 XHG=1438 YBD=2654 YHG=2619>which " XBD=1688 XHG=1592 YBD=2665 YHG=2629>may " XBD=1762 XHG=1711 YBD=2654 YHG=2619>be " XBD=1996 XHG=1785 YBD=2664 YHG=2631>necessary " XBD=2080 XHG=2019 YBD=2655 YHG=2620>for " XBD=2185 XHG=2104 YBD=2662 YHG=2619>life, " XBD=2255 XHG=2212 YBD=2655 YHG=2631>so " XBD=2373 XHG=2279 YBD=2655 YHG=2620>that " XBD=2521 XHG=2396 YBD=2665 YHG=2631>many" XBD=1494 XHG=1333 YBD=2704 YHG=2669>doctors " XBD=1610 XHG=1506 YBD=2704 YHG=2669>have " XBD=1803 XHG=1621 YBD=2715 YHG=2669>resigned " XBD=2054 XHG=1814 YBD=2704 YHG=2669>themselves " XBD=2110 XHG=2066 YBD=2704 YHG=2673>to " XBD=2266 XHG=2122 YBD=2715 YHG=2669>feeling " XBD=2371 XHG=2278 YBD=2704 YHG=2669>that " XBD=2521 XHG=2384 YBD=2715 YHG=2681>appre-|>" XBD=1546 XHG=1335 YBD=2754 YHG=2718>ciation of " XBD=1638 XHG=1568 YBD=2753 YHG=2718>the " XBD=1734 XHG=1656 YBD=2754 YHG=2720>size " XBD=1840 XHG=1759 YBD=2754 YHG=2719>and " XBD=2002 XHG=1856 YBD=2764 YHG=2719>weight " XBD=2108 XHG=2025 YBD=2754 YHG=2719>of &dquo; " XBD=2295 XHG=2125 YBD=2754 YHG=2717>traces &dquo; " XBD=2347 XHG=2313 YBD=2754 YHG=2720>is " XBD=2523 XHG=2364 YBD=2765 YHG=2718>beyond" XBD=1458 XHG=1334 YBD=2804 YHG=2769>them. " XBD=1750 XHG=1513 YBD=2814 YHG=2769>They have " XBD=1861 XHG=1770 YBD=2811 YHG=2768>lost, " XBD=1928 XHG=1884 YBD=2803 YHG=2769>in " XBD=2231 XHG=1949 YBD=2814 YHG=2780>consequence, " XBD=2279 XHG=2254 YBD=2803 YHG=2778>a " XBD=2412 XHG=2300 YBD=2815 YHG=2771>great " XBD=2522 XHG=2434 YBD=2804 YHG=2767>deal" XBD=1381 XHG=1336 YBD=2853 YHG=2817>of " XBD=1484 XHG=1413 YBD=2853 YHG=2819>the " XBD=1688 XHG=1521 YBD=2854 YHG=2819>interest " XBD=1918 XHG=1726 YBD=2853 YHG=2818>attached " XBD=1999 XHG=1953 YBD=2853 YHG=2821>to the " XBD=2278 XHG=2128 YBD=2853 YHG=2820>recent " XBD=2426 XHG=2315 YBD=2854 YHG=2818>work " XBD=2515 XHG=2463 YBD=2854 YHG=2828>on" XBD=1545 XHG=1336 YBD=2902 YHG=2868>nutrition.

" XBD=1494 XHG=1387 YBD=2952 YHG=2917>Most " XBD=1648 XHG=1508 YBD=2963 YHG=2916>people " XBD=1747 XHG=1662 YBD=2951 YHG=2917>find " XBD=1793 XHG=1760 YBD=2952 YHG=2917>it " XBD=1832 XHG=1806 YBD=2951 YHG=2929>a " XBD=1937 XHG=1844 YBD=2963 YHG=2916>help " XBD=1995 XHG=1950 YBD=2952 YHG=2920>to " XBD=2077 XHG=2009 YBD=2962 YHG=2920>get " XBD=2160 XHG=2090 YBD=2951 YHG=2917>the " XBD=2272 XHG=2174 YBD=2952 YHG=2915>data " XBD=2383 XHG=2286 YBD=2952 YHG=2915>with " XBD=2525 XHG=2397 YBD=2952 YHG=2917>which" XBD=1436 XHG=1336 YBD=3012 YHG=2967>they " XBD=1518 XHG=1451 YBD=3001 YHG=2978>are " XBD=1771 XHG=1534 YBD=3001 YHG=2966>confronted " XBD=1872 XHG=1784 YBD=3001 YHG=2967>into " XBD=2070 XHG=1889 YBD=3001 YHG=2969>concrete " XBD=2208 XHG=2085 YBD=3002 YHG=2969>terms " XBD=2268 XHG=2225 YBD=3002 YHG=2978>or " XBD=2328 XHG=2284 YBD=3001 YHG=2969>at " XBD=2425 XHG=2343 YBD=3012 YHG=2978>any " XBD=2524 XHG=2438 YBD=3002 YHG=2969>rate" XBD=1510 XHG=1337 YBD=3051 YHG=3016>familiar " XBD=1648 XHG=1527 YBD=3051 YHG=3017>units. " XBD=1939 XHG=1703 YBD=3052 YHG=3016>Sometimes " XBD=1990 XHG=1955 YBD=3051 YHG=3017>it " XBD=2118 XHG=2006 YBD=3062 YHG=3016>helps " XBD=2180 XHG=2135 YBD=3052 YHG=3019>to " XBD=2315 XHG=2197 YBD=3051 YHG=3017>think " XBD=2378 XHG=2333 YBD=3052 YHG=3016>of " XBD=2525 XHG=2390 YBD=3063 YHG=3016>things" XBD=1381 XHG=1337 YBD=3100 YHG=3066>in " XBD=1516 XHG=1391 YBD=3101 YHG=3069>terms " XBD=1573 XHG=1528 YBD=3100 YHG=3065>of " XBD=1744 XHG=1582 YBD=3101 YHG=3065>oneself. " XBD=1986 XHG=1796 YBD=3101 YHG=3066>A man is " XBD=2125 XHG=1999 YBD=3100 YHG=3065>about " XBD=2158 XHG=2140 YBD=3100 YHG=3067>1 " XBD=2266 XHG=2173 YBD=3112 YHG=3069>part " XBD=2348 XHG=2278 YBD=3111 YHG=3077>per " XBD=2525 XHG=2363 YBD=3108 YHG=3066>100,000" XBD=1385 XHG=1340 YBD=3151 YHG=3115>of " XBD=1428 XHG=1403 YBD=3150 YHG=3127>a " XBD=1517 XHG=1450 YBD=3161 YHG=3115>big " XBD=1709 XHG=1539 YBD=3150 YHG=3115>football " XBD=1875 XHG=1732 YBD=3157 YHG=3115>crowd, " XBD=1944 XHG=1900 YBD=3150 YHG=3126>or " XBD=1988 XHG=1969 YBD=3149 YHG=3116>1 " XBD=2105 XHG=2012 YBD=3160 YHG=3118>part " XBD=2197 XHG=2127 YBD=3161 YHG=3127>per " XBD=2373 XHG=2220 YBD=3150 YHG=3115>million " XBD=2440 XHG=2394 YBD=3150 YHG=3115>of " XBD=2526 XHG=2457 YBD=3150 YHG=3115>the" XBD=1485 XHG=1340 YBD=3210 YHG=3165>weight " XBD=1553 XHG=1508 YBD=3200 YHG=3164>of " XBD=1640 XHG=1569 YBD=3199 YHG=3165>the " XBD=1790 XHG=1662 YBD=3207 YHG=3165>Queen " XBD=1944 XHG=1812 YBD=3209 YHG=3164>Mary. " XBD=2144 XHG=2000 YBD=3199 YHG=3164>Others " XBD=2249 XHG=2165 YBD=3199 YHG=3165>find " XBD=2363 XHG=2270 YBD=3200 YHG=3165>that " XBD=2406 XHG=2388 YBD=3199 YHG=3166>1 " XBD=2522 XHG=2431 YBD=3210 YHG=3167>part" XBD=1410 XHG=1340 YBD=3260 YHG=3226>per " XBD=1600 XHG=1434 YBD=3257 YHG=3214>million, " XBD=1671 XHG=1626 YBD=3250 YHG=3226>or " XBD=1715 XHG=1697 YBD=3248 YHG=3215>1 " XBD=1904 XHG=1744 YBD=3260 YHG=3225>gamma |>" XBD=2005 XHG=1927 YBD=3260 YHG=3225>per " XBD=2211 XHG=2021 YBD=3259 YHG=3225>gramme, " XBD=2312 XHG=2238 YBD=3249 YHG=3226>can " XBD=2386 XHG=2337 YBD=3249 YHG=3214>be " XBD=2526 XHG=2411 YBD=3249 YHG=3214>made" XBD=1680 XHG=1341 YBD=3299 YHG=3263>understandable " XBD=1753 XHG=1697 YBD=3309 YHG=3264>by " XBD=1913 XHG=1770 YBD=3309 YHG=3263>calling " XBD=2040 XHG=1928 YBD=3298 YHG=3263>them |>" XBD=2117 XHG=2057 YBD=3299 YHG=3265>0-1 " XBD=2216 XHG=2137 YBD=3310 YHG=3275>mg. " XBD=2304 XHG=2234 YBD=3310 YHG=3276>per " XBD=2396 XHG=2323 YBD=3300 YHG=3265>100 " XBD=2524 XHG=2414 YBD=3299 YHG=3275>c.cm." XBD=1488 XHG=1343 YBD=3348 YHG=3313>Others " XBD=1634 XHG=1516 YBD=3359 YHG=3314>again " XBD=1822 XHG=1662 YBD=3359 YHG=3313>employ " XBD=1958 XHG=1850 YBD=3348 YHG=3325>some " XBD=2181 XHG=1987 YBD=3348 YHG=3313>standard " XBD=2253 XHG=2208 YBD=3348 YHG=3313>of " XBD=2526 XHG=2278 YBD=3359 YHG=3314>comparison" XBD=1441 XHG=1333 YBD=3397 YHG=3363>- such " XBD=1512 XHG=1467 YBD=3397 YHG=3374>as " XBD=1562 XHG=1538 YBD=3398 YHG=3375>a " XBD=1659 XHG=1588 YBD=3398 YHG=3363>red " XBD=1806 XHG=1685 YBD=3398 YHG=3363>blood " XBD=2034 XHG=1834 YBD=3408 YHG=3362>corpuscle " XBD=2158 XHG=2060 YBD=3398 YHG=3363>with " XBD=2313 XHG=2184 YBD=3397 YHG=3363>which " XBD=2438 XHG=2338 YBD=3408 YHG=3362>they " XBD=2528 XHG=2463 YBD=3397 YHG=3372>are" XBD=1528 XHG=1342 YBD=3447 YHG=3411>familiar. " XBD=1617 XHG=1580 YBD=3448 YHG=3412>A " XBD=1745 XHG=1640 YBD=3459 YHG=3412>glass " XBD=1814 XHG=1769 YBD=3448 YHG=3412>of " XBD=1969 XHG=1833 YBD=3455 YHG=3414>water, " XBD=2056 XHG=1994 YBD=3447 YHG=3411>for " XBD=2274 XHG=2080 YBD=3458 YHG=3411>example, " XBD=2528 XHG=2301 YBD=3456 YHG=3412>containing" XBD=1551 XHG=1346 YBD=3504 YHG=3462>6,000,000 " XBD=1648 XHG=1576 YBD=3498 YHG=3462>red " XBD=1796 XHG=1674 YBD=3498 YHG=3462>blood " XBD=2045 XHG=1823 YBD=3509 YHG=3461>corpuscles " XBD=2167 XHG=2070 YBD=3507 YHG=3473>may " XBD=2242 XHG=2191 YBD=3497 YHG=3461>be " XBD=2460 XHG=2267 YBD=3507 YHG=3460>regarded " XBD=2529 XHG=2485 YBD=3494 YHG=3470>as