Middleton [Footnote: Middleton: Am. Jour. Med. Sc., September, 1915, p. 426.] examined students who were training for football, both during the training and after the training period, and found that after the rest succeeding a training period there was an increased systolic and diastolic blood pressure over the records of before the training period. This would tend to indicate some hypertrophy of the heart. Insurance statistics seem to show that athletes are likely to have earlier cardiovascular-renal disease than other individuals of the same class and occupations. SUGGESTIONS FOR THE CONTROL OF ATHLETICS 1. Gymnasiums and athletic grounds in connection with all colleges, preparatory schools, seminaries and high schools are essential, and they should be added to grammar schools whenever possible. 2. Physical training and athletic games, and perhaps some type of military training are valuable for the proper development of youth. 3. Some forms of competitive games and some competitive feats are valuable in stimulating training and healthful sports. 4. All competitive sports and all hard training should be under the advice and supervision of a medical council or a medical trainer. Competitive sports which are generally recognized as harmful, mostly on account of their duration as related to the age of the competitors, should be prohibited. 5. Each boy should be carefully examined by a competent physician to decide as to his general health, his limitations and the special training necessary to perfect him or to overcome any defect. Such examinations are even more essential in schools for girls. 6. In all group training, the weak individuals should be noted by the medical trainer, and they should receive special and more carefully graded exercise. 7. In all strenuous training or competitive athletic work, the participators should all be examined more or less frequently and more or less carefully for heart strain and albuminuria and also for a too great increase of blood pressure. 8. All training and all athletic sports should be graded to the age of the boy or girl and not necessarily to his or her size. Many an overgrown boy is injured by athletic prowess beyond his heart strength. SIGNS OF HEART WEAKNESS