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April 18, 1896

Diagnosis and Treatment of Diseases of the Rectum, Anus and Contiguous Textures.

JAMA. 1896;XXVI(16):790. doi:10.1001/jama.1896.02430680042019

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The author is to be congratulated on his careful adherence to the accepted classification of his subject, the number of his original illustrations, and his book generally; for it is a really valuable contribution to the literature of the subject. The latest authorities are suitably mentioned, and the book is not burdened with antiquarian or historic matter.

The author is of opinion that railway employes are peculiarly liable to contract rectal diseases, and states that 75 per cent. or even a larger proportion of all railway employes who have been running on trains for a term of five years or more, suffer or have suffered from some disease about the rectum and anus. The percentage seems large, but Dr. Gant, without giving exact language, quotes several authorities who are said to hold the opinion that the percentage is much larger. But there is reason to believe that a great part

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