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393 THE: CHARLOTTE MEDICAL JOURNAL. 54 He thinks much confusion has been biought about by using tests of too great delicacy. Rabitschek's finding 60 cases out of 121 patients examined is explained in this way. In 235 analyses on urines from 147 cases albumose was found positively in only five cases. He considers the absence of this condition of as great practical importance as its presence. He has failed to find it in most cases of albumosuria, never in diabetes nor in gastric cancer. It is also absent in intestinal cancer, gastric ulcer and Addison's disease. Cheyne-Stokes Respiration in the Early Stages of Interstitial Nephritis. The occurrence of Cheyne-Stokes respiration during sleep in three cases is reported by O'Donovan, in the Medical News for September 16th, as a diagnostic symptom of importance in the very early stages of interstitial nephritis at a time when albumin may be entirely absent from the urine. He notices the occurrence of Cheyne-Stokes respiration in advanced stages of heart disease and Bright's, but in these cases it is of very little diagnostic importance, but in the three cases reported it was the first and only symptom worth mentioning except one case. The first man was 54 when the Cheyne-Stokes respiration was first noticed, only at night, otherwise healthy and vigorous, it was not always present, but appeared after any overwork or worry. This went on for seven years, until his death from Bright's disease, the diagnosis being made positively a year before his death. The last six months he had several periods of a few days at the time when the peculiar respiration was continuous day and night unless relieved by opiates. The second case was a woman, age 52, under treatment for uterine trouble. She was apparently healthy in every other way except an intermittent discharge from the uterus, yet she had the Cheyne-Stokes respiration every night, especially marked after fatigue or extra exertion. The urine was free from a trace of albumin at this time. She died three years later of Bright's disease with uremic coma and convulsions. In the third case the man was 72 years of age, with atheromatous arteries and evident arteriosclerosis. The peculiar respiration was noticed in his case nearly four years before his death and fully two years before albumin appeared in the urine. In his case it was also entirely nocturnal at first and in fact never devel- oped in the day time as he died suddenly before any uremic symptoms appeared. This is a small group of cases but very interesting as so many patients are sent away, perhaps, in the early stage of kidney disease because nothing is found in the urine. The value of this symptom will depend, as Dr. O'Donovan states, on the accuracy of observation of the nurse or attendant, but in the wards of large hospitals it could be easily determined by a competent night nurse and the subsequent history of such patients could be carefully kept. The importance of the recognition of chronic nephritis at as early date as possible before the kidneys have become irreparably damaged goes without saying. If it is possible to arrest the progress of the disease at all, it must be done in the earliest stages. Alcohol as a Food. The daily press and the temperance folks have been somewhat stirred up over the result of some experiments made in the laboratories of Wesleyan University by which it was shown that alcohol in certain small amounts is a food, being oxidized in the body. Prof. Conn of the same University takes up the subject in the Sanitarian and discusses the truth in relation to other well known facts. A partial truth may be more misleading than complete ignorance. In the alcohol subject are bound up moral, psychological, sociological, and political questions until the very development of civilization is dependent upon it and these are the most important aspects of the alcohol problem. The secondary problems which come up have to do with the physiological effect of alcohol on the body, and this secondary part has many sides. Alcohol effects the circulation, the digestion, excretion, the nervous system, and lastly, assimilation and use by the body. Now it is only the last one of these questions that has been touched by the recent investigation. But some will say that these experiments have shown the falsity of certain statements much used in temperance teaching. Let us see, it has been shown that alcohol in small quantities is oxidized, giving rise to heat and energy, and is, therefore, a partial food, but it is distinctly denied that it is a complete food and it is stated that it cannot replace body tissue. Now gunpowder is easily oxidized and gives rise to a large amount of heat and energy, and from this it might be argued that it would be a most useful kind of fuel for cooking-stoves.
Object Description
Rating | |
Fixed Title * | NCHH-21: Charlotte Medical Journal [1892-1921] |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1899 |
Identifier | NCHH-21-015 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 15 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-015.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-015 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
Description
Fixed Title * | Page 393 |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1899 |
Identifier | NCHH-21-015-0403 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | charlottemedical151899char_0403.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 15 |
Issue Number | 4 |
Page Number | 393 |
Health Discipline | Medicine |
Full Text | 393 THE: CHARLOTTE MEDICAL JOURNAL. 54 He thinks much confusion has been biought about by using tests of too great delicacy. Rabitschek's finding 60 cases out of 121 patients examined is explained in this way. In 235 analyses on urines from 147 cases albumose was found positively in only five cases. He considers the absence of this condition of as great practical importance as its presence. He has failed to find it in most cases of albumosuria, never in diabetes nor in gastric cancer. It is also absent in intestinal cancer, gastric ulcer and Addison's disease. Cheyne-Stokes Respiration in the Early Stages of Interstitial Nephritis. The occurrence of Cheyne-Stokes respiration during sleep in three cases is reported by O'Donovan, in the Medical News for September 16th, as a diagnostic symptom of importance in the very early stages of interstitial nephritis at a time when albumin may be entirely absent from the urine. He notices the occurrence of Cheyne-Stokes respiration in advanced stages of heart disease and Bright's, but in these cases it is of very little diagnostic importance, but in the three cases reported it was the first and only symptom worth mentioning except one case. The first man was 54 when the Cheyne-Stokes respiration was first noticed, only at night, otherwise healthy and vigorous, it was not always present, but appeared after any overwork or worry. This went on for seven years, until his death from Bright's disease, the diagnosis being made positively a year before his death. The last six months he had several periods of a few days at the time when the peculiar respiration was continuous day and night unless relieved by opiates. The second case was a woman, age 52, under treatment for uterine trouble. She was apparently healthy in every other way except an intermittent discharge from the uterus, yet she had the Cheyne-Stokes respiration every night, especially marked after fatigue or extra exertion. The urine was free from a trace of albumin at this time. She died three years later of Bright's disease with uremic coma and convulsions. In the third case the man was 72 years of age, with atheromatous arteries and evident arteriosclerosis. The peculiar respiration was noticed in his case nearly four years before his death and fully two years before albumin appeared in the urine. In his case it was also entirely nocturnal at first and in fact never devel- oped in the day time as he died suddenly before any uremic symptoms appeared. This is a small group of cases but very interesting as so many patients are sent away, perhaps, in the early stage of kidney disease because nothing is found in the urine. The value of this symptom will depend, as Dr. O'Donovan states, on the accuracy of observation of the nurse or attendant, but in the wards of large hospitals it could be easily determined by a competent night nurse and the subsequent history of such patients could be carefully kept. The importance of the recognition of chronic nephritis at as early date as possible before the kidneys have become irreparably damaged goes without saying. If it is possible to arrest the progress of the disease at all, it must be done in the earliest stages. Alcohol as a Food. The daily press and the temperance folks have been somewhat stirred up over the result of some experiments made in the laboratories of Wesleyan University by which it was shown that alcohol in certain small amounts is a food, being oxidized in the body. Prof. Conn of the same University takes up the subject in the Sanitarian and discusses the truth in relation to other well known facts. A partial truth may be more misleading than complete ignorance. In the alcohol subject are bound up moral, psychological, sociological, and political questions until the very development of civilization is dependent upon it and these are the most important aspects of the alcohol problem. The secondary problems which come up have to do with the physiological effect of alcohol on the body, and this secondary part has many sides. Alcohol effects the circulation, the digestion, excretion, the nervous system, and lastly, assimilation and use by the body. Now it is only the last one of these questions that has been touched by the recent investigation. But some will say that these experiments have shown the falsity of certain statements much used in temperance teaching. Let us see, it has been shown that alcohol in small quantities is oxidized, giving rise to heat and energy, and is, therefore, a partial food, but it is distinctly denied that it is a complete food and it is stated that it cannot replace body tissue. Now gunpowder is easily oxidized and gives rise to a large amount of heat and energy, and from this it might be argued that it would be a most useful kind of fuel for cooking-stoves. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-015.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-015 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
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