Vol. 60, 1909 - University of North Carolina at Chapel Hill

132
THE CHARLOTTE MEDICAL JOURNAL.
of this aiguuieiU can only be verified by a fallen it is best to feed the child more in
great number of observations. With regard order to prevent loss of weislu.
to the treatment of acute pneumonia by inoculation,
the practical conclusions which — — 7^
alone can interest the busy clinican are:
/Vli SCC I Icl 116011 S*
(1) that successful inoculation for pneumo-
that inoculation does no
nia is possible; (2 )
harm; (3) that a vaccine from one or a
number of virulent strains should oe used;
Typhoid Fever and Malaria In Jackson-
ville.
(4) that it should be introduced as early as
possible; (5) that the estimation of the
'pijg jj^jf MiHion Club of Jacksonville,
Florida, has issued a circular calling attenopsonic
index is not necessary; (.6) that the
observation of the temperature and physical
signs is in pneumonia a sufficient guide in
gauging the repeti;ion of the dose. Infections
of the lung by the pneumococcus
which fail to resolve after an acute pneumonia,
as well as pneumococcic mfections
of other areas, ought certainly to be treated
with a pneumococcic vaccine; and these
cases appear to afford a reasonable prospect
tj^jj jq jj^g sanitary condition of the city,
tjjjs quotes the United States Census OlEce
mortalitv statistics as saving Jacksonville
ranks third "among the verv large number
of municipalities in which t'vphoid fever is
continuously, or nearlv continuously, preva-
jgnt with high mortalitv." The tvphoid
^eath rate is given as 15.5, per lOO^OOO of
population. Jacksonville is also placed
second in the list of highest death rates from
of success. malaria among the minor cities, with a rate
of 78. In a list of total death rates the n ame
FeedlnglnMeastes and scarlatina.--
^^ Jacksonville appears at the top with a
.\obeeourtandPr.MerklenlGaz desHop)
^^^^ ^^ 38 per 1,000. The circular then
mention the genera employment of a m.lk
states that "everv resident should demand
diet 111 measles and 111 the hrst weeks ot
of the public authorities that every swamp,
scarlatina, this has been found usejul in
• marsh, and creek of Greater Jacksonville
... , , r 1
preventing kidnev troubles from becoming , , , , u 1,1, d 1 ^ j .u »
. . ^, - ,. ,
_, ^, ^ be placed under one Health Board, and that
serious m the latter disease. The authors ^^/ ^.^^ ^^^^^ ^^ .^^,^^^ ^^^ ^,j ^^^^.
seek in the examniat.on of the urinary ex- i^^provements necessarv to reduce the high
cretion a scientihcconnrmation ot the ptac- A^^tu ^„t^ t^ *u^ „„, ^^ f „;,.;i;,=^ „„
, , n^ ^t J ^i_ i_ ^ . J death rate to the average ot civilized comtical
results, lo this end they have tested .. *
,,
the urine and studied the changes in body
weight on a milk diet, on a general diet,
and on a diet rich in sodium chloride. In
'
New Morphine Snbstltatcs.
scarlatina it is with the milk diet maintain- Gelseminine is rapidly growing in favor,
ed from the urinary elimination is most as presenting most of the'benefils accruing
regular. With other diets the elimination {^om the use of morphine without anv of
of urea and that of chlorides present more jts disadvantages. Gelseminine is a sedaor
less marked oscillatiuns. With ingest- tive; uniform in its actions, widely applicalon
of salt there is sometimes noted a re- ble, and safe in that when the doses are
tention of chlorides. With milk alone al- pushed beyond a remedial limit it affords
buminuriais least frequent. The weight in unvar>'ing indications (ptosis, etc.) of this
scarlatina varies and diminishes no matter fact long before an unsafe dose has been
what diet is used. For all these reasons reached. It can be given in the usual way,
the milk diet is to be preferred to other meth- or hypodermically, causing no irritation in
odsof feeding, and it should be continued the latter instance. It is especiallv applifor
three weeks. It should be adhered to cable as a sedative, antipvretic and relaxabsolutely
during the febrile stage; later it ant in cases of children, as well as in those
may be varied by milk, soups and vegeta- of adults.
ble gruels. After the third week the diet xhe Abbott Akaloidal Co. presents gelseshould
be increased in variety, some meat minine in granules containing 1-250 of a
being given and purees of patatoes, peas, grain (per 100, 26c; 500, $1.15; 1000,
and lentils, and cooked fruits. The urine $2.25), and hypodermic tablets containing
should be carefully examined for albumin 1.50 of a grain (per tube of 25, 35c; 100,
during the whole time. In measles the $1.30).
elimination of urea is the same whether This remedy combines beautifully with
milk or barley water IS taken. There is no golanine, the "vegetable bromide," one
justifaeation for giving albuminoids in the grain of which is equivalent, as a sedative,
early period of the disease, since the appe- to 150 of K. Br.
tite is poor and vomiting often occurs. Four This is furnished in granules of gr. 1-67
or live grains of salt may be given every as follows: 100, 24c: 500, $1.28; 1000,
twenty-four hours. After the fever has $2.50. This combination is especially in-