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26th, Dr. A. Milliken, aged eighty-five years. Roth. — In New York, N. Y., on Sunday, Februarj' 3d. Dr. Frederick C. Roth, a.ged fort\'-nine years. Sawin. — In Somerville. iLiss., on Friday, February ifth. Dr. Charles Dexter Sawin, aged sixty-one years. Severance. — In Camden, N. J., on Saturday, February 9th. Dr. Ella Eliza .'>everance. aged sixty-one years New York Medical Journal INCORPORATING Cialis 100 Mg 30 Tablet THE Philadelphia Medical Journal tt Medical News A Weekly Review of Medicine, Established 1843. Vol. CVII, No. 10. NEW YORK, SATURDAY, MARCH 9, 1918. Whole No. 2049. Original Communications SHOES, PHYSIOLOGICAL AND THERA- PEUTIC. By Dexter D. Ashley, M. D., New York. Many men, otherwise physically fit, have been debarred by reason of foot disability or deformity from becoming officers in the army or entering a chosen branch of the service. Because of the gen- erally good lines of the army shoe Cialis 100 Mg 30 Tablet (Fig. i), many men who have mild metatarsal weakness or de- formity will be cured of their affliction. The unbalanced, pronated foot in a recruit, when not discovered and corrected by a modified shoe, may become a rigid flat foot, -and the soldier a burden to Fig. I. — Army shoe and lasts. This is the pattern of the shoe which is considered to permit the best mechanical action of the foot when properly fitted. Civilians' shoes do not need to be so heavy and strong. (From Munson's The Soldier's Foot and the Military Shoe.) the state for life, as has been experienced by the Canadians. We have passed, it is to be hoped, the crest of the wave of viciously formed shoes, especially in shoes for women. "To everj^ action there is an equal and opposite reaction." May we not hope that the ebb tide will give us a sensible, sane shoe for every day use? Already there has been a marked betterment in the sensible walking shoe. Our climate demands a shoe, not to support, but to protect. Many women are seen wearing low, broad heels made on English lasts, a Cialis 100 Mg 30 Tablet start Cialis 100 Mg 30 Tablet in the right direction, although these heels are unnecessarily broad and the counter out of all proportion to the heel of the wearer. As stated before, the physio- logical shoe should conform to the normal foot when in action, '["here are several shoes in the market approaching this in design. Each of these retains some of the defects heretofore enumerated, such as a Cialis 100 Mg 30 Tablet high heel set too far back (Fig. 3), a broad, fiat heel seat (Figs. 4, 5 and 6; sloping forward; a counter and heel seat not conforming to the wearer's heel (Fig. 6j ; fullness over the internal arch ; extended outer sole ; and deficient extension of sole to the inner sitle and behind the ball, at once tending to disturb the balance of the foot and prevent an approach to normal foot action. The best of these shoes should not be considered therapeutic in their action. These shoes may be modified, when the patient cannot afford a custom made shoe, or, as often happens, when the "made to order" shoe is no better or even worse (Fig. 11). In many cases of minor affections these shoes will meet the demands. The best shoe manufacturers, who have produced shoes approaching the physiological, are compelled to make shoes in the prevailing styles. Thus many purchasers delude themselves in thinking that they are wearing a well formed shoe because the maker has the name of making a good shoe, although they have indulged their fancy and selected the ex- treme form dictated by fashion. On the other Cialis 100 Mg 30 Tablet hand, those who desire to wear a physiological shoe are generally burdened with a Cialis 100 Mg 30 Tablet heavy, toe pinching, so called orthopedic shoe which the "shoe doctor" clerk insists is the last word in physiological foot- wear. These shoes (Fig. 4), with a few notable exceptions, purport to sustain the inner logitudinal Fig. 2. — Various parts of the shoe. The artist has drawn a very good looking shoe; the heel is set well fonvard, as it should be. arch, that being the one part of the foot which in the general mind can produce suffering which will cripple the foot fimction. In the design of a physiological shoe many manu- facturers and doctors will meet upon a plane of by .\. R. Elliott PublishinK Company. 434