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

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

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REVIEW OF SOUTHERN MEDICAL LITERATURE. 255<br />

,<br />

necessary instructions for their use; and the tre<strong>at</strong>ment. Before this is used he would<br />

superintendent <strong>of</strong> educ<strong>at</strong>ion shall furnish strongly urge a careful trial with ipecac.<br />

the same free <strong>of</strong> expense to every school in Blue Swc<strong>at</strong>.-Dr. J. A. Storck gives the<br />

the St<strong>at</strong>e. The superintendent, principal, following indic<strong>at</strong>ions for the elimin<strong>at</strong>ion <strong>of</strong><br />

or teacher in every school during the month the cause <strong>of</strong> indican production:<br />

<strong>of</strong> September in each year shall test the n is the consensus <strong>of</strong> opinion th<strong>at</strong> thorsight<br />

and hearnig <strong>of</strong> all pupils under his ough intestinal antisepsis is impossible,<br />

charge, and keep a record <strong>of</strong> such examin- However, much can be accomplished by<br />

<strong>at</strong>ion according to the instructions furnish- clearing out the intestinal tract and introed,<br />

and shall notify m writing the parent ducing a new culture medium, one in which<br />

or guardian <strong>of</strong> every pupil who shall be the bacteria present will not thrive so well,<br />

found to have any defect <strong>of</strong> vision or hear- prepar<strong>at</strong>ory to this, calomel and urotropin<br />

ing, or diseases <strong>of</strong> eyes or ears, with a brief mav be used, and then the feeding with<br />

st<strong>at</strong>ement <strong>of</strong> such defect or disease, and sour milk may be begun. The r<strong>at</strong>ionale <strong>of</strong><br />

shall make a written report <strong>of</strong> all such ex- a sour milk diet is th<strong>at</strong> lactic and succinic<br />

amin<strong>at</strong>ions to the superintendent <strong>of</strong> educa- acids present nitrogenous putrefaction, but<br />

tion as he may require. their action is <strong>of</strong> short dur<strong>at</strong>ion. It is there-<br />

Section 2. The Sl<strong>at</strong>e Auditor is hereby fore, necessary th<strong>at</strong>, along with the sour<br />

directed to draw his order on the St<strong>at</strong>e milk, such agents as thi<strong>of</strong>orm, ichthyol,<br />

Treasurer for such sums and <strong>at</strong> such times tannalbin, etc., be employed,<br />

as the Superintendent <strong>of</strong> Educ<strong>at</strong>ion, with If the stomach contents are deficient in<br />

the approval <strong>of</strong> the St<strong>at</strong>e Board <strong>of</strong> Health, hydrochloric acids, its administr<strong>at</strong>ion is inmay<br />

require to carry out the provisions <strong>of</strong> dic<strong>at</strong>ed.<br />

ithis act The total expense under this act Grape ferment and brewers' yeast are en-<br />

< shall not exceed six hundred $(An).00) dol- ergetic as antiputrefactive agents and may<br />

lars in any biennial term ending June 30. be employed in suitable cases.<br />

Section.^. This act shall take effect July 1, The future diet <strong>of</strong> the p<strong>at</strong>ient should be<br />

1905. carefully formul<strong>at</strong>ed. A lacto-farini.ceous<br />

diet meets the requirements best. A grad-<br />

,<br />

Ameblc Dysentcry.-Dr. George Dock<br />

^,^, ^^^^^^ t^ ^ ^^^^ ji,,^,^! ^j^t may be<br />

points out th<strong>at</strong> for tre<strong>at</strong>ment, not enough<br />

hrought about by degrees, allowing only a<br />

has been said or done regarduig prophysmall<br />

amount <strong>of</strong> proteid.<br />

laxis. 1 he amebic come from the w<strong>at</strong>er or<br />

surgical Aspects <strong>of</strong> Cbronlc Diarrhea:<br />

the soil, or from food <strong>of</strong>f or out <strong>of</strong> the soil, or Appendicostomy and Caecostomy.—<br />

Raw vegetables and greens are especially Dr. II. B. G.essuer says th<strong>at</strong> there is no<br />

likely to be carriers. If we cannot secure question in the minds <strong>of</strong> those who have<br />

uncontamin<strong>at</strong>ed w<strong>at</strong>er <strong>at</strong> the outset, we written on this subject <strong>of</strong> the value <strong>of</strong> the<br />

should do as much as possible to prevent method. The discussion revolves about the<br />

ground and w<strong>at</strong>er infection by proper l<strong>at</strong>- selection <strong>of</strong> suitable cases for the oper<strong>at</strong>ion,<br />

riues, and with the increased activity <strong>of</strong> which is <strong>of</strong> course indic<strong>at</strong>ed in cases <strong>of</strong> disraciallycareless<br />

market gardeners we should ease between the cecum and the rectum.<br />

have inspection <strong>of</strong> the methods <strong>of</strong> fertiliza- i„ this connection let me quote again from<br />

tion, and be certain th<strong>at</strong> the use <strong>of</strong> human McCaw in Keene's Surgery: "There are<br />

;manure is not in vogue. certain cases <strong>of</strong> chronic amebic dysentery<br />

Cur<strong>at</strong>ive tre<strong>at</strong>ment is most effective in the which proceed slowly but inevitably to a<br />

beginning, and many cases <strong>of</strong> amebic dys- f<strong>at</strong>al termin<strong>at</strong>ion without improvement. At<br />

entery would never reach a positive diag- the autopsy table it is seen th<strong>at</strong> the lesions<br />

nosisif acute diarrheas were more promptly are <strong>of</strong> such extent th<strong>at</strong> the entire gut is<br />

aud radically tre<strong>at</strong>ed. Purg<strong>at</strong>ion, colon practically disintegr<strong>at</strong>ed. The p<strong>at</strong>hologic<br />

flushing, intestinal antiseptics and diet form process has <strong>at</strong> no time been very acute, but<br />

the basis <strong>of</strong> successful early tre<strong>at</strong>ment, has involved so large an area as to prevent<br />

L<strong>at</strong>er, rest in bed is an essential: free evac- any <strong>at</strong>tempt on the part <strong>of</strong> n<strong>at</strong>ure to repair<br />

u<strong>at</strong>iou just as much so. Beyond these are damages. It is discrediting a valuable<br />

many methods th<strong>at</strong> would he impossible to method <strong>of</strong> tre<strong>at</strong>ment to confine oper<strong>at</strong>ion to<br />

enmner<strong>at</strong>e now. Although while one <strong>of</strong> such hopeless cases. I'<strong>at</strong>ients who show<br />

these, enem<strong>at</strong>a, including those <strong>of</strong> quinine, bv their response to tre<strong>at</strong>ment by rest, diet<br />

is <strong>of</strong>ten <strong>of</strong> gre<strong>at</strong> palli<strong>at</strong>ive value, real cure or medic<strong>at</strong>ion th<strong>at</strong> their large intestines are<br />

arely follows, nor can it if the lesions are not entirely crippled are the ones for whom<br />

high up, without more pains than most irrig<strong>at</strong>ion from cecum to outlet is most suitp<strong>at</strong>ients<br />

can receive. 'I'he more r<strong>at</strong>ional able."<br />

direct method, by an opening into the upper<br />

!nd <strong>of</strong> the colon, is more promising, but V'/if Soi/th>:iii Piactitionfr, Aiigiisl, <strong>1909</strong>.<br />

here, too, success will depend mainly on Clinical Fe<strong>at</strong>ures <strong>of</strong> So-Called Acute<br />

he thoroughness <strong>of</strong> the subsequent local Pellagra.— Dr. N. P. Walker says th<strong>at</strong> the

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