Reviewed in the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are the result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.—The author is greatly indebted to Dr. Erwin W. Straus, Director of Professional Education and Research, U. S. Veterans Administration Hospital, Lexington, Kentucky, who substantially contributed to the thought of this paper through lectures and discussions. The author only is responsible for the use of the material.

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