Handbook of Therapy

Front Cover
American Medical Association, 1915 - Therapeutics - 679 pages

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Page 101 - Until four to eight months of age, according to the development of the infant, food should be given every two hours during the day, and every three hours during the night, and...
Page 68 - ... interpreted that to mean not a completion in the way of a high-type pavement, but a completion to a standard that is reasonably adequate for the present-day needs. That should be taken into consideration, I think, in considering the pressure that is being brought for the extension of secondary roads. To me it does not seem to make a great deal of difference whether these roads are improved as Federal-aid highways or secondary roads. We can only perform the service as fast as the money is available,...
Page 306 - The one requirement is that the patient must remain free from both glycosuria and acidosis. Any trace of sugar is the signal for a fast day, with or without alcohol. The original fast, to clear up the urine in the first place, may be anything from two to ten days, but after that no fast need be longer than one day. The things to be considered in the diet are carbohydrate, protein, fat and bulk.
Page 400 - ... which is about half a minim dose) is given every hour for six hours. At the end of six hours the dosage is increased 2 drops.
Page 542 - ... then to see how far the hand will be lowered by the voluntary contraction of the abdominal muscles, the importance of this contraction being especially emphasized. This exercise is repeated ten times, night and morning, in a well-ventilated room, preferably while she is still in bed in her night clothing. She is cautioned to avoid jerky movements and to strive for a smooth rhythmical raising and lowering of the abdominal wall.
Page 306 - Alkalies may be useful for the first few. days if coma seems imminent, but are then no longer needed. Continuing the sodium bicarbonate may cause the ferric chloride reaction to remain positive longer than it otherwise would, with no benefit to the patient as far as I have seen. When the fasting patient has been free from glycosuria for twenty-four to forty-eight hours, the next step is to begin feeding very slowly and cautiously. There need not be a fixed program. It is desirable to individualize...
Page 557 - Immediately after feeding the infant should be again held up against the shoulder of the mother or nurse. He may be patted on the back or gentle pressure may be made on the epigastrium to encourage eructation of the swallowed air. It may be necessary to interrupt the feeding one or more times to hold the child upright to eructate, in cases in which an excessive amount of air is swallowed. After the gas is eructated the child should be put down to sleep, preferably in the prone position and with the...
Page 201 - In these six villages new cases of pellagra originated almost exclusively in a house in which a preexisting pellagrin was living, or next door to such a house, suggesting that the disease has spread from old cases as centers. 7. So far as we have observed, pellagra has spread most rapidly in districts where insanitary methods of sewage disposal have been in use. 8. Additional evidence has been obtained to support the conclusion that flies of the genus Simulium have nothing to do with pellagra.
Page 202 - The immediate results of hygienic and dietetic treatment in adults have been good, but after returning to former conditions of environment, most of the cases have recurred.
Page 542 - The knees are flexed and the arm* arc placed at the sides to secure perfect relaxation. One hand is allowed to rest on the abdominal wall without exerting any pressure, to serve as an indicator of the amount of movement. The woman is...

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