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62 THE CHARLOTTE MEDICAL JOURNAL. The advantages of quinine are numerous. It keeps indefinitely and can be administered in tasteless form. It has no tendency to produce vomiting. Its action is certain and is manifest within twenty minutes after its administration. It increases the strength of the labor pains while relaxation occurs in the intervals just as in normal labor. This fact can be verified by any one who chooses to keep his hand upon the abdominal wall after the drug has been administered. It is therefore of special use in cases where inertia is caused by the general exhaustion of the patient or by actual lack of power in the uterine muscles themselves. If delay is caused by obstruction in the passages no drug, of course, can avail. In normally formed primiparse where slow dilatation of the passages causes exhaustion of the uterine muscles, quinine will often stimulate them anew so that delivery can be accomplished without instrumental interferance. Two four-grain pills of the sulphate are given and if the pains do not increase sufficiently another is given in an hour, and yet another an hour later. The third dose is, however, rarly required. Toxic symptoms need not be feared. Ergot should be administered after labor to control hemorrhage. It is useful in threatened abortion where hemorrhage occurs without pains, the os uteri being closed. Given in small doses it is benefical in subinvolution of the uterus. Influence of Age, Sex and Race in Surgical Affections. W. L. Rodman (American Medical Association, June 9th, 189S,) said: The susceptibility of the negro to disease three hundred years ago still exists, especially to local tuberculosis of the glands, skin, and bones. The negro is still obnoxious to fibroids, neoplasms, keloids, tetanus, etc., but it is believed by many that the African will at some time become as extinct in this country as has the buffalo. Cancer was rare in this race up to fifty years ago, but malignant disease has increased among them of late much more than among the whites. Cancer of the uterus is very frequent in negroes. The most common tumors of childhood are sarcomata although the earliest case on record is that of a cylindroma occuring in a child aged eleven weeks. Tuberculosis is fast becoming the deadliest foe to the negro race and is twice as common as in the white, while the Indians frequently develop this disease upon giving up their outdoor life to attend school. Gallstones and chololithiasis are rare conditions before the age of thirty, but grows more common in advancing years, and are more frequent in women than in men, an explanation for which is the wearing of corsets and their sedentary habits. Several times more prominent in men than in women is aneurism, due to the greater tendency of the former to arterial degeneration. Speaking geographically, aneurism is frequent in England, but rare in China, which freedom is due to the rice diet and habits of the people. Pathology of Eclampsia. A study of 500 cases Dr. Prutz (Deutsche Med. Woch.) shows that haemorrhage is the distinguished features of the changes found in the various organs, and that among the complications broncho-pneumonia and cerebral haemorrhage are the principal causes of death. Bacteriological investigations results negatively except in mixed infection. Chemical investigation of the blood and of the toxicity of the urine and serum is still in the preliminary stages, and the present knowledge of eclampsia does not justify sweeping conclusions in regard to its etiology. In 368 cases only 7 had sound kidneys ; there was nephritis in 46 per cent. ; chronic inflammatory processes in 11.6 per cent. Changes in the liver, mostly haemor-rhagic, were noted in 213 cases. Haemorrhage into the brain was noted in 28.4 per cent. ; intracranial haemorrhage in 35.3 per cent. The stomach,intestines, spleen, pancreas, suprarenals, and genitalia are also frequently found to have been the seat of haemorrhage, and even the skin, mucous membrane, muscles, serous surfaces, and thyroid gland. The Power of the Urinary Bladder to Absorb. Morro and Gaeblin arrives at the following conclusions (Edinburgh Medical Journal) : The urinary bladder is capable of absorbing an appreciable quantity of medicinal substance in solution. The greater the concentration of the agent, the more the absorption. Water is excreted into the bladder in relative proportion to the amount of material absorbed by it. At the same time a small quantity of sodium chloride passes into the bladder from the blood. Of all substances used—grape sugar, urea, sodium chloride, alcohol, boric acid, cocaine, quinine, carbolic acid, and morphine —the latter was the only one not absorbed. Carbolic acid was absorbed. Practically, cocaine must be introduced into the bladder with great care, and carbolic acid should never be brought in contact with its mucous membrane in any considerable quantity.
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 | 1898 |
Identifier | NCHH-21-013 |
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 | 13 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-013.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-013 |
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 62 |
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 | 1898 |
Identifier | NCHH-21-013-0074 |
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 | charlottemedical131898char_0074.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 | 13 |
Issue Number | 1 |
Page Number | 62 |
Health Discipline | Medicine |
Full Text | 62 THE CHARLOTTE MEDICAL JOURNAL. The advantages of quinine are numerous. It keeps indefinitely and can be administered in tasteless form. It has no tendency to produce vomiting. Its action is certain and is manifest within twenty minutes after its administration. It increases the strength of the labor pains while relaxation occurs in the intervals just as in normal labor. This fact can be verified by any one who chooses to keep his hand upon the abdominal wall after the drug has been administered. It is therefore of special use in cases where inertia is caused by the general exhaustion of the patient or by actual lack of power in the uterine muscles themselves. If delay is caused by obstruction in the passages no drug, of course, can avail. In normally formed primiparse where slow dilatation of the passages causes exhaustion of the uterine muscles, quinine will often stimulate them anew so that delivery can be accomplished without instrumental interferance. Two four-grain pills of the sulphate are given and if the pains do not increase sufficiently another is given in an hour, and yet another an hour later. The third dose is, however, rarly required. Toxic symptoms need not be feared. Ergot should be administered after labor to control hemorrhage. It is useful in threatened abortion where hemorrhage occurs without pains, the os uteri being closed. Given in small doses it is benefical in subinvolution of the uterus. Influence of Age, Sex and Race in Surgical Affections. W. L. Rodman (American Medical Association, June 9th, 189S,) said: The susceptibility of the negro to disease three hundred years ago still exists, especially to local tuberculosis of the glands, skin, and bones. The negro is still obnoxious to fibroids, neoplasms, keloids, tetanus, etc., but it is believed by many that the African will at some time become as extinct in this country as has the buffalo. Cancer was rare in this race up to fifty years ago, but malignant disease has increased among them of late much more than among the whites. Cancer of the uterus is very frequent in negroes. The most common tumors of childhood are sarcomata although the earliest case on record is that of a cylindroma occuring in a child aged eleven weeks. Tuberculosis is fast becoming the deadliest foe to the negro race and is twice as common as in the white, while the Indians frequently develop this disease upon giving up their outdoor life to attend school. Gallstones and chololithiasis are rare conditions before the age of thirty, but grows more common in advancing years, and are more frequent in women than in men, an explanation for which is the wearing of corsets and their sedentary habits. Several times more prominent in men than in women is aneurism, due to the greater tendency of the former to arterial degeneration. Speaking geographically, aneurism is frequent in England, but rare in China, which freedom is due to the rice diet and habits of the people. Pathology of Eclampsia. A study of 500 cases Dr. Prutz (Deutsche Med. Woch.) shows that haemorrhage is the distinguished features of the changes found in the various organs, and that among the complications broncho-pneumonia and cerebral haemorrhage are the principal causes of death. Bacteriological investigations results negatively except in mixed infection. Chemical investigation of the blood and of the toxicity of the urine and serum is still in the preliminary stages, and the present knowledge of eclampsia does not justify sweeping conclusions in regard to its etiology. In 368 cases only 7 had sound kidneys ; there was nephritis in 46 per cent. ; chronic inflammatory processes in 11.6 per cent. Changes in the liver, mostly haemor-rhagic, were noted in 213 cases. Haemorrhage into the brain was noted in 28.4 per cent. ; intracranial haemorrhage in 35.3 per cent. The stomach,intestines, spleen, pancreas, suprarenals, and genitalia are also frequently found to have been the seat of haemorrhage, and even the skin, mucous membrane, muscles, serous surfaces, and thyroid gland. The Power of the Urinary Bladder to Absorb. Morro and Gaeblin arrives at the following conclusions (Edinburgh Medical Journal) : The urinary bladder is capable of absorbing an appreciable quantity of medicinal substance in solution. The greater the concentration of the agent, the more the absorption. Water is excreted into the bladder in relative proportion to the amount of material absorbed by it. At the same time a small quantity of sodium chloride passes into the bladder from the blood. Of all substances used—grape sugar, urea, sodium chloride, alcohol, boric acid, cocaine, quinine, carbolic acid, and morphine —the latter was the only one not absorbed. Carbolic acid was absorbed. Practically, cocaine must be introduced into the bladder with great care, and carbolic acid should never be brought in contact with its mucous membrane in any considerable quantity. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-013.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-013 |
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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