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leagues athletic and literary circles have been formed, and a great force in elementary education availed of the drawing forth of the best that there is in the boys through generic viagra use one good common impulse, by means of a sentiment created and maintained by the boys them- selves." The members of the league wear badges which re- main the property of the particular school league is- suing them until each member leaves school in good standing, when, having earned it, he retains his badge as his own property. If he proves recreant to the cause, his decoration is stripped from him, and must be won back by buy viagra computer consistent observance of his obliga- tion. These badges are prized as a Frenchman prizes generic viagra use the button of the Legion of Honor, and the posses- sion of one is a very strong force in keeping the boy true to his promise. The leagues are now established in nearly all the grammar schools in this city, and in many of the schools in the cities and towns through- out the country. The same plan is being developed in England with every prospect of success. Every one appreciates the power of association in keeping a boy or a man true to his ideals. It is far more potent than restrictive legislation, which has often even an opposite tendency among the weak or the obstinate. The establishment of these leagues promises well for the physique of future generations, and they should be encouraged by all who have the mental and physical well-being of the young at heart. THE BACTERIOLOGY OF DIPHTHERIA. At this late day it is scarcely necessary to defend the doctrine of the specificity of diphtheria and of the de- pendence of the disease upon the Klebs-Loefner ba- cillus; but a recent investigation by Kossel' is so conclusive that it may be worth while here to quote the results in order to remove any element of doubt that may yet remain in the minds of unprejudiced persons. In a study of the throat and membrane in two hundred and fifty-nine cases presenting clinical appearances of pharyngeal diphtheria, this generic viagra use observer found diphtheria bacilli in two hundred and forty- three ninety-four per cent. The sixteen in which the bacilli were not found proved on closer investi- ' Charite Annalen, Band 20 ; cited in the Centralblatt ftir innere Medicin, 1896, Xo. 17, p. 42S. May 30, 1896] MEDICAL RECORD. 769 gation not to correspond in their clinical course with true diphtheria, and were free from such sequela as paralysis, generic viagra use while albuminuria was uncommon among them. These cases further were unattended with fa- tality, while in the cases in which diphtheria bacilli were present the mortality was twenty-one per cent, (prior to the period of serum therapy forty-two per cent., afterward fourteen per cent.). The diphtheroid affections, which are usually dependent upon strepto- cocci, may present appearances in the pharynx closely resembling those of true diphtheria, and even the larynx maybe involved, with slight stenosis; generic viagra use broncho- pneumonia is a frequent complication. Failure to de- tect diphtheria bacilli in a case otherwise typical, can- not, however, be accepted as evidence of absence of the bacilli; for instance, they may be found subse- quently in the pus of a complicating condition, generic viagra use such as inflammation of the middle ear. The conclusion must therefore be reached that there is buy viagra computer no true diph- theria without diphtheria bacilli, and that bacterio- logic examination is the only means of diagnosticat- ing this affection from others resembling it. THE NOISES OF NEW YORK'S STREETS. New York is unquestionably in buy viagra computer many ways a most desirable place of residence. Years of persistent effort on the part of the health board have resulted in an expulsion of many smells and a banishing of many odors. The streets are beginning to grow clean, al- though the department having this matter in charge has much yet to learn about the right way of removing garbage, and the proper combining of sprinkling and sweeping so that neither shall remain a menace to the health of the pedestrian or to the happiness of the wheelman. Far advanced as we are in many matters of com- fort, New York is very far buy viagra computer behind most European cities in all that pertains to quiet and peace. If it is true that as a nation we are not more ner- vous than Europeans, it is no fault of those who regu- late the amount of noise to which town dwellers must submit. Every large city must of necessity have its loud and discordant noises, but being unavoidable, we become accustomed to them, and, although the effect upon the system may in time prove injurious, it would appear that the abuse of the tympanum by the unusual and unnecessary noises produces a more immediate and direct result. buy viagra computer This is especially buy viagra computer true of the noises which occur at generic viagra use times when the system needs repose, and hence applies with double force to that ever- present proportion of the population the sick. A man in perfect health may go for a long time undis- turbed by the piercing street cries, the dinging of loud and harsh-toned traction-car bells, the squeaking of unoiled machinery, and the rattling of vehicles over uneven pavements. Let him once join that great com- pany of the generic viagra use city's sick and lie with nerves on end and listen. Now he cannot escape the street vender with his inevitable hoarseness, nor the false notes of the scissor grinder's cornet a piston. When he was upon his feet he generic viagra use could hurry on in the hope that buy viagra computer the next