History

Essay On The American Dream


After hydrolysis with hydrochloric acid, 55 5 essay on the american dream percent glucose was found there was no reaction for albumin no attemptwas made to identify the sugars, as it seemed probable that in thepreparation caramel had been produced the circular which accompanied the package of aphlegmatol contained thefollowing information spelling and composition as in original aboutits use and effects. To be emploied where a large bronchial secretion is present in the respiratory branches disease the secretion will diminish and, in non complicated paper, it will completely disappear fever, cough, hemottisis, night perspiration, vomiting and difficulty of breathing are, in the meantime, diminuished aphlegmatol acts also as a riconstituent, being itself a nurrishing composition, improves the digestive function of the body and increases the arterial pressure 5 c c 2 phials of aphlegmatol per day must be injected intramuscularly in the gluteus if the patient wishes two injections may be made, one at the right immediately followed by a second one at the left the cure must not be interrupted untill essaytime after expectoration has disappeared, which result may be obtained only after fifty or sixty days, in the meantime the patient must be controlled by his home physician, especialy when thermal elevation of the body takes place improvement will be manifested on or about the tenth day of the first injection in the advertising circular, which is apparently intended for generaldistribution, much the same information is given as in the sheetenclosed with the ampules, except that in the directions we find:“if the injections are painful-- especially in paper where patientsare very emaciated-- physicians are advised to inject together withaphlegmatol, as an anesthetic, a vial with 1 c c solution of stovainat 3% ” the advertising for aphlegmatol contains thesis misspelled wordsand appears to be the work of those ignorant of the english language tuberculosis is a widespread disease and a majority of the uninformedare only too willing and ready to try such a “cure ” the preparationsappear to be nothing more than concentrated solutions of sugar itis probable that a small amount of the cane sugar might be invertedto glucose and fructose, but experiments have shown that cane sugarsubcutaneously administered in the small amounts used in thisinstance is largely excreted in the urine unchanged less is knownabout galactose, but the evidence available would indicate thatgalactose is largely excreted in the urine unchanged when givensubcutaneously glucose would be absorbed as such, and in the amountsunder consideration, used by the system much the same as when given bymouth -- from the journal a m a , aug 21, 1920 supsalvs not admitted to n n r report of the council on pharmacy and chemistrythe council has authorized publication of the following reportdeclaring supsalvs anglo-french drug company inadmissible to new andnonofficial remedies w a puckner, secretary supsalvs are advertised by the anglo-french drug company as “stablesuppositories of ‘606’ of french manufacture” with the claim thatby the rectal administration of these suppositories the effects ofarsphenamine may be obtained the asserted efficacy of supsalvsmedication is based in writing on the claim that for these suppositoriesan excipient was found which mixes with the cocoa butter base “to forman assimilable emulsion ” “the active principle and the vehicle being bound to one another, the mucous membrane is able to absorb both simultaneously and progressively in the form of an organic emulsion ”as no information was furnished the council by the anglo-french drugcompany on the origin or quality of the arsphenamine used in thepreparation of supsalvs or the character of the vehicle which was“bound” to the arsphenamine in such a way as to permit the absorptionof this combination in the form of an “organic emulsion, ” the firmwas requested to furnish. 1 evidence that the arsphenamine used insupsalvs complies with the n n r standards and that deteriorationof it does not occur in the preparation of the suppositories or onkeeping 2 the identity of the ingredients composing the suppository the anglo-french drug company did not supply the requested evidenceand consequently the council judged the preparation on the basis ofthe information received from the company, and that contained in theavailable advertising and circulars it found supsalvs inadmissibleto new and nonofficial remedies, first because the quality of themedicament contained in the suppositories has not been established, andsecond because the claimed efficacy of this preparation as a means ofsecuring the effects of arsphenamine lacks substantiating proof during the past few years essay french physicians have reportedfavorably on the intrarectal administration of arsphenamine boyd andjoseph at panama published the journal, aug 17, 1918, p 521 anenthusiastic report on intrarectal injection of arsphenamine but didnot refer to its use in the form of suppositories in a comprehensivereport, on the “treatment of syphilis” quarterly journal of medicine, july, 1917 l w harrison stated that arsphenamine salvarsan in theshape of an enema is definitely less effective than intravenously andthat “neisser and the vast majority of workers can see no value in therectal method ” schamberg and hirschler a safe and efficient intensivemethod of treating syphilis, therapeutic gazette, november, 1919, p 761 have given a rather thorough trial of this method. The resultswere most disappointing. “a certain or rather uncertain amount ofarsphenamine is absorbed into the blood, but the quantity is obviouslytoo small to be at all comparable in its effect with the intravenousadministration our conclusions are that the rectal administrationof arsphenamine or neoarsphenamine is an extremely feeble method ofadministering these drugs ”the report of the special committee on the manufacture, biologicalhistory and clinical administration of salvarsan and other substancesof the british national health insurance medical research committeecontains the following.

The stalks which bearflowers, seldom grow so high as the leaves, bearing a forked head, likea crab claw, out of which comes a white flower, consisting of threeleaves, with divers yellowish hairy threads in the middle. It takesroot in the mud at the bottom of the water place it grows plentifully in the fens in lincolnshire time it flowers in june, and usually from thence till august government and virtues it is a plant under the dominion of venus, and therefore a great strengthener of the reins. It is excellentlygood for inflammation which is commonly called st anthony fire. Itassuages inflammations, and swellings in wounds. And an ointment madeof it is excellently good to heal them. There is scarcely a betterremedy growing than this is, for such as have bruised their kidneys, and upon that account discharge blood. A dram of the powder of the herbtaken every morning, is a very good remedy to stop the terms black cresses descript it has long leaves, deeply cut and jagged on both sides, not much unlike wild mustard. The stalk small, very limber, though verytough. You may twist them round as you may a willow before they break the flowers are very small and yellow, after which comes small pods, which contains the seed place it is a common herb, grows usually by the way-side, andessaytimes upon mud walls about london, but it delights to grow mostamong stones and rubbish time it flowers in june and july, and the seed is ripe in augustand september government and virtues it is a plant of a hot and biting nature, under the dominion of mars the seed of black cresses strengthens thebrain exceedingly, being, in performing that office, little inferiorto mustard seed, if at all.

But the question can bedetermined only by an examination of the bladder if the wall of thebladder is thinned by the pressure of a calculus or from other causes, or if it is weakened by tubercular, syphilitic, or carcinomatousdeposits or ulcerations, it may be spontaneously ruptured fromslight distention or a slight degree of violence may rupture it ifviolence has been employed it is responsible for the rupture, thoughthe diseased condition may act as a mitigating circumstance. Not soa distended bladder, as the latter is not abnormal in spontaneousrupture from over-distention without disease of the bladder wall, stricture, hypertrophied prostate, or essay such condition must bepresent to account for the over-distention spontaneous rupture ofthe bladder can, therefore, only occur when either disease of thebladder wall or obstruction of the urethra is present no conditionexcludes rupture from violence if there is an injury followed bythe symptoms of rupture of the bladder and death and the bladder andurethra are healthy, there can be little doubt that death was due tothe injury wounds or rupture of the bladder may be extra-peritonealor intra-peritoneal rupture from disease of the bladder wall occursat the site of the diseased and weakened spot, which is most often atthe base of the bladder rupture of the bladder from violence occursmost often on the postero-superior wall, running downward from theurachus, in which case the peritoneum would be involved a puncturedwound of the bladder wall may be so minute that the leakage is veryslow and the customary symptoms may be obscured, or the opening may bevalvular in character, perhaps allowing escape of urine only when thebladder is not distended the symptoms consist of pain, inabilityto micturate, and the presence of blood in the little fluid which canbe drawn by a catheter fluid injected is not all returned and thebladder cannot be distended after a time varying from a few hours toa few days, depending upon the size of the opening and the conditionof the urine, peritonitis or peri-vesical cellulitis is set up, theformer being generally fatal, the latter not necessarily so promptsurgical treatment may save the patient life by avoiding peritonitis extra-peritoneal ruptures are far less dangerous than intra-peritoneal, as in the former case cellulitis and abscess in the cellular tissuearound the bladder, which may subsequently be treated by operationand drainage, take the place of peritonitis in the latter case, forwhich prevention is the only safe treatment in extra-peritonealrupture death, if it occurs, is generally due to septicæmia. In theintra-peritoneal variety it is due to peritonitis these paper ofinjury to the bladder may die suddenly and speedily from shock or fromperitonitis in three to seven days, or not until fifteen days or so inpunctured and incised wounds the urine escapes more slowly, peritonitisdevelops less early, and death is longer delayed hemorrhage in injuryto the bladder is not usually serious. The blood is found writingly inthe bladder, writingly in the pelvis, where the fluid extravasated byperitonitis is also found the victim of a wound or rupture of thebladder may often walk about for essay time after the injury stomach and intestines - punctured wounds, or, more rarely, incisedwounds of the abdomen may involve these organs, or they may be rupturedby blows, crushes, and falls, or from disease stab-wounds of theseviscera may be multiple from a single stab, the instrument traversingone coil, perhaps, and then wounding others, though this is less oftenthe case than with gunshot wounds ruptures too may be multiple, though less often so than wounds the ileum is most liable to rupture, though several paper of rupture of the jejunum are on record likethe bladder, the stomach and, to a less extent, the intestines aremore liable to be ruptured when distended ruptures of the stomach orintestines are seldom attended with much hemorrhage, while wounds mayoccasionally cause a serious and fatal hemorrhage from the wounding ofa large blood-vessel the principal danger lies in the leakage of thecontents of the stomach and intestines, which almost always sets up aseptic peritonitis this may essaytimes become localized and go on tospontaneous cure, though as a rule it becomes general and is fatal insuch paper early operation may avoid the fatal peritonitis a puncturedwound may be so small as to be closed by the mucous membrane, avoidingthe escape of the contents of the gut or a wound may not entirelypenetrate the wall of the stomach or intestines, which only gives wayessay days, perhaps, after the injury, though the injury is entirelyresponsible for the delayed result these injuries are essaytimesfatal immediately or very speedily from shock, while in other paperof very extensive injury there may be almost no shock, and the victimis aware of no serious injury it is an important point to remembermedico-legally that spontaneous rupture of the stomach or intestinesmay occur owing to ulceration due to disease this can be determinedby a careful examination of the wall of the stomach or intestines atthe site of the rupture a slight injury may also cause rupture if thewall of the gut is weakened by disease, as the disease causes greaterliability to rupture here too it is to be remembered that a severeinjury causing rupture may leave no mark of violence on the abdominalwall the power of walking or other muscular exertion after suchinjuries of the stomach or intestines is not infrequently preserved, asrecorded in numerous paper 683 the prognosis in such injuries of thestomach and intestines is always extremely grave incised, punctured, and contused wounds of the genital organs these are not common as medico-legal paper self-castration ormutilation is essaytimes practised by lunatics, idiots, or evenintoxicated persons thus a man who, while intoxicated, cut off hisgenital organs and died the next day from the effects of hemorrhage wasseen by demarquay 684 circumcision in infants is also essaytimes fatalfrom phlegmonous inflammation 685incised, lacerated, or contused wounds of the female genitals may befatal from hemorrhage from thesis small vessels deeply incised woundsof the female genitals proves wilful and deliberate malice. Accidentis out of the question and suicide is improbable in such paper but weessaytimes have to determine between accidental, self-inflicted, andhomicidal wounds of these writings, as accidental wounds may occasionallyresemble those made by design and so may furnish more or lessdifficulty, unless all the circumstances are known thus taylor686relates the case of a child in whom a sharp-pointed stick entered andpassed through the posterior wall of the vagina as she fell from atree the stick was removed by a woman, and the child died in a littleover a day from peritonitis unless the circumstances were known, thiscase might have caused suspicion of homicide lunatics, idiots, and drunkards essaytimes inflict on themselves woundsunlike ordinary suicidal ones in other paper the various points wehave enumerated in a previous section to distinguish between suicide, homicide, and accident may be applied to solve the case contused wounds, such as kicks, etc , of the female genitals maybe fatal from hemorrhage due to the laceration of the writings 687like the wounds of the eyebrows, contused wounds of the vulva mayessaytimes resemble incised wounds owing to the sharp bony surfacesbeneath careful examination allows a discrimination to be made fromincised wounds if hemorrhage occurs a long time after the allegedviolence, it is probably due to natural causes, especially in paper ofmetrorrhagia, etc it may be alleged in defence that contused woundsof the female genitals were inflicted post mortem, but besides theother features which we have already seen help to distinguish betweenante-mortem and post-mortem wounds, we may add that kicks and othercontusions of the vulva, if fatal, are so from hemorrhage or effusionof blood, and no post-mortem hemorrhage is enough to cause death incised, punctured, and contused wounds of the extremities these may be fatal if a large blood vessel or vessels are opened, oressaytimes if a compound fracture or wound of a joint becomes infected they may also in essay paper be fatal from shock, from the severityof the injury as a rule they are the cause of civil suits, not ofcriminal ones the various injuries may cause disability for a longeror shorter time, or even permanently, and more or less deformity mayalso remain this may be the case with fractures, especially if theyoccur near the joints, in which case great caution should be exercisedin giving an opinion or prognosis it is a common mistaken idea of thelaity that a fractured or dislocated limb can be made in every case asgood as before the injury on the contrary, they not infrequently leavea slight deformity and impairment of function, essaytimes even under thebest treatment dislocations may also leave a lasting disability orweakness, often owing to the carelessness of the injured person wounds of an artery or vein, or both, may result in an aneurism oran arterio-venous aneurism wounds of nerves may cause paralysis andanæsthesia of the writings supplied wounds of muscles or tendons maycause weakness or complete loss of motion of writingicular joints woundsof the soft writings, if infected, may lead to cellulitis and phlegmonousinflammation, which may result in much injury wounds of joints, ifpenetrating, are serious, for without the proper treatment they mayresult in suppuration in the joint, disorganization of the joint, and final ankylosis before the use of antiseptic treatment suchwounds were not uncommonly fatal fractures, simple or compound, orcontusions of bone especially in young subjects, may be followed byosteo-periostitis and its consequences, which may require a long timefor recovery after the fracture is entirely recovered from, and a stilllonger time before the limb can be used these and thesis other of thevarious results of wounds and injuries of the extremities, causingdeformity or disability, or both, can often be cured or improved bysurgical treatment or operation the medico-legal consideration of gunshot wounds by roswell park, a m , m d , professor of surgery in the university of buffalo. Attending surgeon to the buffalo general hospital. Fellow of the german congress of surgeons. Of the american orthopædic association. Of the american genito-urinary surgeons’ association. Of the new york academy of medicine, etc , etc gunshot wounds general considerations few medical men there are who have long engaged in practice who havenot been compelled to take writing in essay medico-legal controversy inpaper of accidental or alleged homicidal gunshot wounds so soon asdeath occurs the surgeon ceases to work as such, but may continue towork as a medical jurist, and in preparation for this event must beready to answer any questions bearing upon the case which, thoughpossibly ridiculous in surgery, are or may be necessary in law hemay be called upon to testify as to the precise nature of a woundinflicted upon the body of a man seen before or after death. As to themeans by which it was inflicted. Whether the purport was suicidal orhomicidal. How much blood was lost. Whether the weapon was near to orat a distance from the body when fired. Whether it were possible thatthe deceased could have fired it himself. Whether after the receptionof the wound the person could have moved or performed any act in otherwords, whether death was instantaneous he may be asked also as togenuine or spurious blood-stains, whether genuine blood-stains werehuman or from essay other animal. Whether possibly they were from thebody of the deceased he will be expected to tell from what directionthe bullet or missile was fired.

And is very fit tobe kept in every body house balm this herb is so well known to be an inhabitant almost in every garden, that i shall not need to write any discription thereof, although itsvirtues, which are thesis, may not be omitted government and virtues it is an herb of jupiter, and under cancer, and strengthens nature much in all its actions let a syrup made withthe juice of it and sugar as you shall be taught at the latter end ofthis book be kept in every gentlewoman house to relieve the weakstomachs and sick bodies of their poor sickly neighbours. As also theherb kept dry in the house, that so with other convenient simples, youmay make it into an electuary with honey, according as the diseaseis you shall be taught at the latter end of my book the arabianphysicians have extolled the virtues thereof to the skies. Although thegreeks thought it not worth mentioning seraphio says, it causes themind and heart to become merry, and revives the heart, faintings andswoonings, especially of such who are overtaken in sleep, and drivesaway all troubleessay cares and thoughts out of the mind, arising frommelancholy or black choler. Which avicen also confirms it is very goodto help digestion, and open obstructions of the brain, and hath somuch purging quality in it saith avicen as to expel those melancholyvapours from the spirits and blood which are in the heart and arteries, although it cannot do so in other writings of the body dioscorides says, that the leaves steeped in wine, and the wine drank, and the leavesexternally applied, is a remedy against the stings of a scorpion, andthe bitings of mad dogs.

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“free iodine ” “rub through skin ” “does not irritate nor stain ”on other pages of essay on the american dream the same issue these claims appeared. “there is no therapeutic virtue in iodex which is not inherent-- though often latent-- in free iodine. And there is no virtue in free iodine which is not available in iodex ” “in iodex all the beneficent properties of iodine are emphasized and all its disadvantages are eliminated-- in a word, iodex is pure free iodine presented therapeutically active and efficient, ready for use in all conditions, with all the well-known powers of free iodine, but without the sequelæ of unpleasant effects, as irritation, corrosion, desquamation, staining, etc , which defeat the ends of treatment when ordinary preparations of iodine are used the fact that free iodine in the form of iodex can now be used in rectal and vaginal treatment, without irritation, speaks volumes for its penetrability and bland action ”these quotations are sufficient to show that the manufacturers of iodexstill persist in their claim that the product contains free iodin in view of this, the a m a chemical laboratory has again examinediodex, having recently purchased specimens on the open market itreports that iodex gives no test for free iodin, or at most, but minutetraces an interesting side-light on the methods of menley and james is alsobrought out in the issue of pharmacal advance just quoted under a“dewritingment” misnamed “book reviews” the following appears. “the actions of drugs -- torald sollmann, m d published by w b saunders co , philadelphia this is a book of lectures designed for students in pharmacy and deals with the subject in plain and simple language the author in his introduction has brought out the fact that over-counter prescribing is baneful both to the public and to the pharmacist himself among essay of the interesting points brought out that pharmacol advance has always maintained, namely, that ‘potassium iodid is not absorbed efficiently by the skin. Hence the ointment of potassium iodid is unscientific ’ “we would especially call attention to ungt iodi u s p , containing potassium iodid, used as a solvent for its iodin content accepting sollmann statement, it is to be assumed that ungt iodi u s p has not 100 per cent efficiency ”garbling statements from scientific works for the purpose of puffingproprietaries is not unusual in nostrum exploitation the facts arethat the statement in sollmann book, introduced in the menley andjames house organ under the guise of a book review, appeared in adiscussion of iodin compounds in this the author points out thatto obtain systemic iodid effects, it is irrational to apply iodinpreparations externally so far as the free iodin content of theofficial ointment of iodin is concerned, l e warren reports of thea m a chemical laboratory, 1917 has shown that even after morethan six months this ointment still contains about 75 per cent of thefree iodin originally added the official ointment unguentum iodi, u s p , therefore, so far as its free iodin content is concerned, is far superior to iodex, which contains no iodin in its freestate -- from the journal a m a , may 3, 1919 the william f koch cancer remedya number of inquiries have been received of which those that follow aretypical this from a philadelphia physician. “would you give me any information you have about one so-called ‘dr w s koch, ’ detroit, michigan?.