. The Canadian nurse . be dramatic, particularly if it is ad-ministered early and in adequateamount. Often the temperature falls bycrisis within a few hours, accompaniedby corresponding improvement in everyway with a return of a sense of well-being. In favourable cases the courseof the disease is shortened, symptomsare ameliorated, convalescence is hast-ened and the incidence of complicationsdiminished. In some instances, after apreliminary fall of temperature, thereis a subsequent febrile reaction or thepulse remains rapid. Unsatisfactory re-sponse calls for a check of sputum andblood to be c


. The Canadian nurse . be dramatic, particularly if it is ad-ministered early and in adequateamount. Often the temperature falls bycrisis within a few hours, accompaniedby corresponding improvement in everyway with a return of a sense of well-being. In favourable cases the courseof the disease is shortened, symptomsare ameliorated, convalescence is hast-ened and the incidence of complicationsdiminished. In some instances, after apreliminary fall of temperature, thereis a subsequent febrile reaction or thepulse remains rapid. Unsatisfactory re-sponse calls for a check of sputum andblood to be certain of the type or todetermine whether or not more thanone strain of pneumococci is in opera-tion. Duplication of the excellent resultsreported in the literature depends uponuse of the correct antiserum as early aspossible in the course of the disease andin adequate dosage. Editors Note: This article is the sub-stance of an address delivered by Dr. Starrsat a meeting of the Public Health Section,District 8, M.«. MARCH, 1939 Group Leadership It has long been apparent that or-ganizations of nurses have done muchto advance the interests of theii* ownmembers and, more recently, this stimu-lus has been extended to tiie communityat large. A striking example of whatcan be done by an organization whichis capably led, and is alive to its oppor-tunities, w\as recently giveji by District8 of the Registered- Nurses Associationof Ontario. A health institute, given re-cently under its auspices is here de-scribed b} its very capable chairman,Miss Grace A. Tanner, of the OttawaCivic Hospital: A three-day heaUii institute, sponsored b\District 8 of the Registered Nurses Asso-ciation of Ontario, was recently held in


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