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22 SOI THERS MEDICINE & SURGERY February, 1951 expense of the other. Creating a mutually enjoyable experience becomes the objective of each, and no rules apply except that whatever is done be safe for both and enjoyed by both. The act, so performed, consists of appeal and response, offer and acceptance, enticement, surprise, suspense, all achieved by constantly shifting aggressiveness and passivity, activity and relaxation, on the part of each partner. When successful, the pleasure to each from pleasing the other becomes so intermingled with the pleasures of being pleased and of knowing that the partner wants to please, that they become indistinguishable. Each type of pleasure reacts with and reinforces the other to build up a potentially limitless shared ecstasy. In like manner, and in these circumstances, the physical and the spiritual components of pleasure react on and reinforce each other, building to intensities of both that are beyond the comprehension of those who think in terms of how the "normal" person "should'' perform the act. 1 am convinced that, within the limitations imposed by the rights of {wtential offspring, the sole basis of sexual ethics is that same golden rule that is the only sound basis for any social relationship." ADVANCES L\ MEDICINE A reliable report—what the English would call a critical report—on recent advancements in medicine is that made by an internist who, for many years was a practicing pathologist.^ The variety and increasing definitiveness of newer diagnostic procedures require huge labora-torv staffs and expensive equipment beyond the reach of most: but we must know about the value of these newer methods so those of our patients that need their application can have them. Potassium metabolism may be so modified in diabetic coma, intestinal obstruction, postoperative states, renal disease and Addison's disease as to cause death. Present laboratory tests are laborious and time-consuming, and we must know promptly. Serial ECG s serve the purpose. With low plasma K there are low QRS voltage, low or inverted T waves, depressed S-T segments and long Q-T intervals. With high levels, absence of P waves, wide QRS intervals and high T waves. The Flame Photometer gives quickly the values for K and other electrolytes; but is expensive and requires expert technique. Laboratory men confuse unnecessarily by expressing Na and K in milliequivalents instead of milligrams. Serum tests are appearing which help to bring abnormal proteins to light, and these tests may prove of value in the diagnosis of cancer. Three new jumps have been made in cardiac and peripheral vascular diagnosis. Angio-cardiography proviaes a means of study of cardiac, pulmonary, cerebral, intraabdominal and peripheral vascular anomalies, with httie danger to the patient. It has proved of much value in diagnosis and treatment of congenital heart defects, aneurysms, and pulmonary and cerebral tumors. Vascular catheterization aids in the diagnosis of many congenital defects, and in the study of hepatic physiology. The direct-writing ECG is much simpler and well-nigh as useful as the older photographic type, we no longer need the limb leads now that we have the precordial and unipolar leads. Aureomycin in virus infections, the chemotherapy of tuberculosis, and the tremendous improvements in the treatment of Rickettsial diseases and typhoid fever have been fully set forth in this journal's recent issues. The rice diet in hypertension has the advantage of being low in sodium. Strict adherents achieve a significant drop in pressure in 37 per cent of cases, moderate adherents in 15 per cent. Some regard the treatment as more harmful than otherwise. There are two new and similar amebacides on the market, aralen (chloroquine) and milibis. The former is a safe and effective drug against amebiasis outside the intestinal tract, the latter against the enteral form. Both are effective when given by mouth and this should lead to wider use for diagnosis and treatment in obscure diseases of the liver and colon. The relative merits and demerits of morphine and its substitutes are discussed. Against pain de-marol is one-tenth as potent as morphine, one-twentieth as dolophine. Demarol does not depress respiration of infants in utero, and is least apt to cause addiction. Dolophine is euphoric, so can be substituted for morphine in treating addicts without their knowledge. There is no report of primary addiction to methodone. Loss of K in periodic familial paralysis and in infantile diarrheas, patients recovering from diabetic acidosis, those in alkalosis as a result of intestinal obstruction, nephritis and certain postoperative states may be given 2-per cent K CI by vein or 4 Gm. of the citrate daily by mouth. Interest in parenteral protein administration is lagging. It is said to be next to impossible to increase serum proteins with proteins or their derivatives given parenterally. ACTH and cortisone are wonder-working agents, but for the present they are for investigation rather than for treatment. 1. D. A. Glomset, Des Moines, in Jl. Iowa State Med. Sor., Oct.
Object Description
Rating | |
Fixed Title * | NCHH-22: Southern Medicine and Surgery [1921-1953] |
Document Title | Southern Medicine and Surgery [1921-1953] |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Charlotte Medical Press, 1921-1953. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1951 |
Identifier | NCHH-22-113 |
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 | 113 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-113.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-113 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-22 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2542543 |
Revision History | keep |
Description
Fixed Title * | Page 22 |
Document Title | Southern Medicine and Surgery [1921-1953] |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Charlotte, N.C. : Charlotte Medical Press, 1921-1953. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1951 |
Identifier | NCHH-22-113-0030 |
Form General | Periodicals |
Page Type | all; editorial |
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 | southernmed1131951char_0030.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 | 113 |
Issue Number | 1 |
Page Number | 22 |
Health Discipline | Medicine |
Full Text | 22 SOI THERS MEDICINE & SURGERY February, 1951 expense of the other. Creating a mutually enjoyable experience becomes the objective of each, and no rules apply except that whatever is done be safe for both and enjoyed by both. The act, so performed, consists of appeal and response, offer and acceptance, enticement, surprise, suspense, all achieved by constantly shifting aggressiveness and passivity, activity and relaxation, on the part of each partner. When successful, the pleasure to each from pleasing the other becomes so intermingled with the pleasures of being pleased and of knowing that the partner wants to please, that they become indistinguishable. Each type of pleasure reacts with and reinforces the other to build up a potentially limitless shared ecstasy. In like manner, and in these circumstances, the physical and the spiritual components of pleasure react on and reinforce each other, building to intensities of both that are beyond the comprehension of those who think in terms of how the "normal" person "should'' perform the act. 1 am convinced that, within the limitations imposed by the rights of {wtential offspring, the sole basis of sexual ethics is that same golden rule that is the only sound basis for any social relationship." ADVANCES L\ MEDICINE A reliable report—what the English would call a critical report—on recent advancements in medicine is that made by an internist who, for many years was a practicing pathologist.^ The variety and increasing definitiveness of newer diagnostic procedures require huge labora-torv staffs and expensive equipment beyond the reach of most: but we must know about the value of these newer methods so those of our patients that need their application can have them. Potassium metabolism may be so modified in diabetic coma, intestinal obstruction, postoperative states, renal disease and Addison's disease as to cause death. Present laboratory tests are laborious and time-consuming, and we must know promptly. Serial ECG s serve the purpose. With low plasma K there are low QRS voltage, low or inverted T waves, depressed S-T segments and long Q-T intervals. With high levels, absence of P waves, wide QRS intervals and high T waves. The Flame Photometer gives quickly the values for K and other electrolytes; but is expensive and requires expert technique. Laboratory men confuse unnecessarily by expressing Na and K in milliequivalents instead of milligrams. Serum tests are appearing which help to bring abnormal proteins to light, and these tests may prove of value in the diagnosis of cancer. Three new jumps have been made in cardiac and peripheral vascular diagnosis. Angio-cardiography proviaes a means of study of cardiac, pulmonary, cerebral, intraabdominal and peripheral vascular anomalies, with httie danger to the patient. It has proved of much value in diagnosis and treatment of congenital heart defects, aneurysms, and pulmonary and cerebral tumors. Vascular catheterization aids in the diagnosis of many congenital defects, and in the study of hepatic physiology. The direct-writing ECG is much simpler and well-nigh as useful as the older photographic type, we no longer need the limb leads now that we have the precordial and unipolar leads. Aureomycin in virus infections, the chemotherapy of tuberculosis, and the tremendous improvements in the treatment of Rickettsial diseases and typhoid fever have been fully set forth in this journal's recent issues. The rice diet in hypertension has the advantage of being low in sodium. Strict adherents achieve a significant drop in pressure in 37 per cent of cases, moderate adherents in 15 per cent. Some regard the treatment as more harmful than otherwise. There are two new and similar amebacides on the market, aralen (chloroquine) and milibis. The former is a safe and effective drug against amebiasis outside the intestinal tract, the latter against the enteral form. Both are effective when given by mouth and this should lead to wider use for diagnosis and treatment in obscure diseases of the liver and colon. The relative merits and demerits of morphine and its substitutes are discussed. Against pain de-marol is one-tenth as potent as morphine, one-twentieth as dolophine. Demarol does not depress respiration of infants in utero, and is least apt to cause addiction. Dolophine is euphoric, so can be substituted for morphine in treating addicts without their knowledge. There is no report of primary addiction to methodone. Loss of K in periodic familial paralysis and in infantile diarrheas, patients recovering from diabetic acidosis, those in alkalosis as a result of intestinal obstruction, nephritis and certain postoperative states may be given 2-per cent K CI by vein or 4 Gm. of the citrate daily by mouth. Interest in parenteral protein administration is lagging. It is said to be next to impossible to increase serum proteins with proteins or their derivatives given parenterally. ACTH and cortisone are wonder-working agents, but for the present they are for investigation rather than for treatment. 1. D. A. Glomset, Des Moines, in Jl. Iowa State Med. Sor., Oct. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-22/nchh-22-113.pdf |
Document Sort | all; group-e; nchh-22 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-22-113 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-22 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2542543 |
Revision History | keep |
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