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Ucf Admissions Essay


“firwein is pleasantly and effectively blended with salts of iodin and bromin, held in solution with 20 per cent alcohol ”the therapeutic claims made for firwein and the mystery enshroudingits composition make it obvious that the product is intended to appealto those who are either thoughtless or ignorant this is emphasized bythe suggestion that firwein be combined with 1 cod liver oil underthe claim that it will “promote the efficiency of the oil”, with 2whisky for the treatment of bronchorrhea of the aged, and with 3syrup of hypophosphites for the treatment of persistent bronchitis as the composition of firwein is secret, the therapeutic claimsunwarranted, and its use irrational, the council declared itinadmissible to new and nonofficial remedies -- from journal a m a , feb 17, 1917 firolyptol plain and firolyptol with kreosote report of the council ucf admissions essay on pharmacy and chemistryfirolyptol, another product of the tilden company, is, we are told, composed of eucalyptol 10 drops, cottonseed oil 1/2 ounce and firweinenough to make 1 ounce as the composition of firwein is secret, itis evident that the composition of firolyptol is also unknown, exceptto the manufacturers “firolyptol with kreosote” is said to contain, in addition to whatever may be the component writings of firolyptol, 10 minims of creosote to each ounce according to an advertisement, firolyptol with kreosote is “antituberculous, antistrumous” and“contains all the desired features of cod liver oil and is readilyassimilated ”the advertisements of “firolyptol plain” and “firolyptol with kreosote”seem to have for their key-note the assertion that cottonseed oilis a writingicularly valuable nutriment and that when combined withconstituents of firolyptol and firolyptol with kreosote becomeswritingicularly valuable to the tuberculous to quote from an advertisingcircular. “now that the reconstructive properties of cottonseed oil are better appreciated by the profession, the advantages that follow the administration of a palatable emulsion of this strengthening and fattening food product are being demonstrated in hundreds of paper where formerly reliance would have been placed in cod liver oil a recent writer says that pure cottonseed oil is the greatest and purest vegetable oil known to chemistry, and will do much toward revolutionizing the treatment of the great white plague if the treatment of tuberculosis could resolve itself into the administration of a fatty substance in a readily assimilated form, there would be no need for any writing of firolyptol but the cottonseed oil the toxic material constantly produced in the system by the germs of tuberculosis tend to expose it more and more to the ravages of the disease, and the physiologic functions of the body suffer a constant depression to neutralize this germ activity with a consequent production of toxins it seems most logical to employ such agents as have demonstrated their suitability for such purposes, for which reason eucalyptol and kreosote with firwein are incorporated in firolyptol ”the assertion that cottonseed oil is an especially valuable formof fat is without warrant, but even if it were true the fat isavailable in cheap and palatable forms in numerous other cottonseedoil products it is unnecessary to discuss the problematic value ofcreosote in the treatment of tuberculosis or the value of eucalyptol now generally abandoned, or even of the secret mixture firwein food and fresh air, not drugs, constitute the fundamentals of thetreatment of tuberculosis, and it is both irrational and detrimental tothe interests of the tuberculous to administer various potent agentsin fixed and unknown amounts with such simple articles of food ascottonseed oil neither of these products is acceptable for new andnonofficial remedies editorial note -- firwein110 has been advertised to physiciansfor twenty-five or thirty years and it is a sad commentary on theintelligence of our profession that a preparation sold under suchobviously false and misleading, not to say silly, claims, should stillbe in existence firwein is claimed to “prevent waste of tissue” intuberculosis if it had this power, it would have found its placelong ago among the few great agents in drug therapy as a matter offact, firwein has gained virtually no recognition outside of the“literature” of the tilden concern the claims made for firwein are apeculiar mixture of studied candor-- when the truth is not likely tohurt its sale-- and inane vaporing-- when the facts would not redound toits credit the tilden company declares that “firwein stands withouta peer in its class ” but the company adds 10 drops of eucalyptol andessay cottonseed oil to this peerless product and an improvement isborn-- “firolyptol”!. then, to perfect the already perfectly perfected, 10 drops of creosote are added to “firolyptol” and the profession isoffered “firolyptol with kreosote”!. in just what verbal pyrotechnicsthe tilden company might indulge, should it decide to add ten dropsof essaything else to “firolyptol with kreosote, ” one shudders tocontemplate 110 three other tilden products have been the subject of deservedand unfavorable comment in the j a m a. “narkine” in the issue ofoct 24, 1908, “hydrocyanate of iron-tilden” in the issue of june 19, 1909, and “febrisol, ” in the issue of june 29, 1912 the first twoarticles are reprinted in the latest 9th edition of “the propagandafor reform ”if we are accused of exhibiting undue levity in discussing atherapeutic problem, we can only answer that it is impossible toconsider seriously the charlie chaplins of the nostrum world -- fromthe journal a m a , feb 17, 1917 biniodol report of the council on pharmacy and chemistryin accordance with the usages of the council, the report whichappears below along with the reports of the clinical investigationby drs cole and keidel upon which the recommendations of thereferee were based were sent to the manufacturer for comment thereply of the manufacturer contained no evidence which justified thecouncil in modifying the action already taken publication of thereport was therefore authorized w a puckner, secretary biniodol was submitted to the council by the manufacturer, charles c yarbrough, memphis, tenn the manufacturer claims the product is asolution of 1 per cent of red mercuric iodid and 2 75 per cent ofguaiacol in bland vegetable oil it is marketed with the implicationthat it is new and superior to other oil solutions of mercuric iodid for instance. “ it is a straight solution of this mercurial compound, as no alkaline iodide or other chemical is used to bring about the solution ” “ it is probably the first and only one-percent oil solution of straight mercury biniodide made in america ” the manufacturer, in a letter addressed to the secretary of the council, explains.

Whetherthe body or any writing ucf admissions essay of it is cold or warm. Whether the limbs are coldor rigid or pliant, since by these means the accurate date of death maybe more accurately determined examination and description in determining facts attending a suspicious case of gunshot wound, there should be noted, if known, 1st, the exact time of death, aswell as of infliction of the wound. 2d, location and attitude of thebody. 3d, condition of clothing. 4th, anything of importance in itsenvironment. 5th, external appearance of the body, as well as stateof countenance. 6th, exact description of all marks of violence andof blood-stains. 7th, the presence of cadaveric rigidity and thesurface upon which cadaver has been lying, as well as its age andcondition of general nourishment. 8th, time when deceased was lastseen alive or known to have been alive. 9th, time after death at whichexamination is made.

then again. “cactina pillets a remedy that steadies and strengthens the heart by imwritinging tone to the heart muscle ”that is a pretty direct statement, but digitalis imwritings tone. And wemust not forget that “cactina” is wholly unlike digitalis, and we aretold that “cactina” is. “invaluable in all functional cardiac disorders such as tachycardia, palpitation, arrhythmia, and whenever the heart action needs regulating or support ”if these are merely functional disorders of the heart, it is highlydesirable to know what are the symptoms of really serious cardiacdisease!. since the manufacturers give us no information concerningthe mode of action of “cactina” we will turn to the literature ofdisinterested observers if one attempts to discover the origin of“cactina, ” he will probably meet with disappointment, for variousbibliographies fail to mention the name of sultan, who is said to haveisolated “cactina” from cactus grandiflorus it seems that sultanworked with cactus, or essay other plant, when a student of pharmacy, and it is to be remembered that cactina pillets are manufactured by thesultan drug company it is doubtful whether sultan actually worked with genuine cactusgrandiflorus. And, in fact, there is good reason for thinking thathe did not, for all subsequent workers who have taken pains to securegenuine cactus grandiflorus have failed to detect the presence of anyactive principle, except possible traces that are of no therapeuticimportance whatever what the council foundthe council on pharmacy and chemistry examined the literature relatingto cactus and certain proprietary preparations, including cactinapillets, alleged to be made from cactus, and has reported the resultsof its investigation j a m a 54:888 march 12 1910 and wewill quote from that report “the therapeutic value of this plant has been variously estimated by different observers experimental evidence as to its action is scanty and no complete chemical examination has ever been made “reputable men have testified that essay of the plants of the cactus family contain very active principles, but so far experiments seem to prove that cactus grandiflorus has neither the action of digitalis nor that of strychnin the principal contributions, clinical and experimental, for and against the drug are set out below ”illustration.

But any person who shall not have been so assessed shall be takenas not having commenced such practice prior to that date s 1, 750, as amended act 1892, c 70 non-residents - a physician or surgeon residing in an adjoining statewithin ten miles of the boundary line of this state, is entitled tostand the examination and receive a certificate, and the certificatemust be recorded in that county in ucf admissions essay the state nearest to his place ofresidence, and such certificate and recordation shall make it lawfulfor him to practise medicine and surgery in this state s 1, 751 exceptions - this chapter does not affect practitioners of dentistry, nor include physicians or surgeons residing in other states calledinto consultation in a special case with a physician or surgeonresiding in this state, nor does it affect in any way the laws inreference to the license tax 1, 752 nor does it apply tomidwives 1, 753 fees - to the board of examiners, before examination, $5 s 1, 747, as amended act 1892, c 70 to the clerk of the court, for recording, same fee as for recording adeed 1, 749 washington examining board - the governor is required to appoint a state medicalexamining board of nine members, learned and skilled in the practiceand theory of medicine and surgery act march 28th, 1890, s 1 the said board is required to hold meetings for examination on thefirst tuesday of january and july in each year, alternately in westernand eastern washington at such places as the board may designate theboard may call special meetings when, in the opinion of a majority ofthe board, they are necessary the board is required to keep a recordof all applicants for a license, with their ages, the time spent in thestudy and practice of medicine and surgery, and the name and locationof all institutions granting to such applicants degrees or certificatesof lectures in medicine or surgery, and whether such applicant wasrejected or licensed. And said register is prima facie evidence ofall matters therein recorded 2 qualification - every person desiring to commence the practice ofmedicine or surgery, or either of them, in any of their or itsbranches, must make a written application to the board for a license, supported by an affidavit of the applicant, setting forth the actualtime spent in the study of medicine and surgery, and when. Whethersuch study was in an institution of learning and, if so, its name andlocation. If not in such institution, where and under whose tutorshipsuch study was prosecuted, the time engaged in the actual practice, if at all, of medicine and surgery or either, and where, and the ageof the applicant at the time of the application, such applicationand affidavit to be filed and preserved of record in the office ofthe secretary of the board at the time and place designated bythe board or at a regular meeting of the board, applicants must beexamined in anatomy, physiology, chemistry, histology, materia medica, therapeutics, preventive medicines, the practice of medicine, surgery, obstetrics, diseases of women and children, of the nervous system, ofthe eye and ear, medical jurisprudence, and such other branches asthe board deem advisable the examination must be both scientific andpractical, and of sufficient severity to test the candidate fitnessto practise medicine and surgery, by written or printed, or writinglywritten and writingly printed, questions and answers, and the same arerequired to be filed and preserved of record in the said secretaryoffice after the examination, if it be satisfactory, the board shallgrant a license, by the consent of not less than five members, exceptas hereinafter provided refusal or revocation - the board may refuse or revoke a license forunprofessional or dishonorable conduct, subject to the right of appeal3 “unprofessional or dishonorable conduct” means. Procuring or aidingor abetting in procuring a criminal abortion. Or employing what arepopularly known as cappers or steerers. Or obtaining any fee on theassurance that a manifestly incurable disease can be permanentlycured. Or wilfully betraying a professional secret.

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Intestinal dyspepsias, intestinalautointoxications, certain forms of constipation and duodenalinsufficiency ’“at the international congress of medicine, madrid, 1903, hallionsaid that he felt justified in stating that duodenal opotherapycorrectly carried out must be classed under the very best methods oftreating dyspepsia 106 the results had been satisfactory and, inthesis paper, remarkable it had been nil in a few paper but it hadnever been harmful in any degree he pointed out that marfan was thefirst to employ this substance clinically marfan had had writingicularlyexcellent results in children of 15 months to 4 years suffering withmarked malnutrition, anorexia and constipation marfan prescribedthe duodenal extract given in milk 106 hallion further remarks that, as he is not a practitioner, he had had only one opportunity to testduodenal opotherapy clinically the case was that of a man of 26 yearswith obstinate intestinal dyspepsia and severe constipation which hadpersisted from childhood this ucf admissions essay patient had been treated by enemas, laxatives, diet, etc treatment with duodenal extract resulted ina complete cure 106 hallion points out that the most satisfactoryaspect of duodenal opotherapy is the permanent effect produced, 106which bears out his statement that these extracts have the power to aidin the restoration of function and structure of an organ “this has been so well established that the principle is now embodiedin a law which is frequently referred to as ‘hallion law’. ‘extractsof an organ exert on the same organ an exciting influence which lastsfor a longer or shorter time when the organ is insufficient it isconceivable that this influence augments its action and, when it isinjured, that it favors its restoration ’“in ‘la pratique de l’opothérapie’ hallion points out that ‘theopotherapeutic product which corresponds to the affected organrepresents in essay way the stimulating and elective food for thatorgan, and if we supply the organ with a food which is more completethan it necessarily needs, the affected organ can exercise its electiveaction and take up only those substances of which it is in need ’“hallion observations on this point are beautifully borne out bythe classic work of j w draper, as reported in the journal of theamerican medical association, sept 26, 1914 this report gives resultsin both laboratory and clinical experiments “in order to show that fed jejunal and ileac epithelium exerciseessay special detoxicating power, not yet understood but definitelyrecognizable, draper fed a control series of dogs with intestinalobstruction, experimentally produced, on emulsified cells of liver, spleen, pancreas and muscle tissue these animals lived a few hourslonger than not-fed controls, but draper says that it is evidentthat these cells had either no detoxicating action, or a very feebleone compared with intestinal epithelium he used jejunal and ileacepithelium clinically in two instances. 1st, in a female dog which hadhad ‘chronic stomach trouble’ for six months when draper saw her shehad had complete intestinal obstruction for five days, with symptoms oftachycardia, extreme nervousness and great weakness in the hind legs draper removed a pebble from her intestine but her condition was stillgrave “she was immediately put on small-intestine epithelium derived fromtwo dogs of different breed draper says that from a long experiencewith duodenally obstructed dogs, he should not have expected her torecover, but the symptoms gradually subsided and she lived the secondinstance in which he used the epithelium therapeutically was in thecase of a man who suffered from an annular cancer of the intestine withdefinite symptoms of obstruction after the operation, and realizingthat the patient was in a desperate condition, he fed him an emulsionof intestinal epithelium from a dog the pulse improved and the patientlived “essay of draper conclusions are as follows:“‘autotoxemia in intestinal obstruction undoubtedly arises from aninterference with cellular reactions of the intestinal epithelium when small-intestine epithelial cells of healthy animals are placedin the stomach106 of duodenally obstructed animals, such animals havelived nearly twice as long as not-fed controlled animals this evidenceis strongly opposed to the bacterial theory of origin of toxins ’“the point to be emphasized is this. If this emulsion of intestinalepithelium had been fed to a normal dog and a normal man, what wouldhave happened?. absolutely nothing on the other hand, given as it wasto a dog and a man in desperate need it exercised a potent effect “abundant clinical testimony can be cited in support of the opinionsof moore, edie and abram, hallion, marfan and draper as to the valueof extracts of the intestinal mucosa given by mouth in pathologicalconditions we have previously cited the published favorable opinionsof such gastroenterologists as anthony bassler, lewis brinton, g r lockwood, and r c kemp, so there is no need to recapitulate theirexperiences with what they honestly believed to be secretin-bearingextracts, but which were essentially extracts of the duodenal mucosa “supplementing the evidence of these men as to the value of theseextracts we submit an excerpt from a letter from one of the best knownphysicians of edinburgh:“‘i can speak in very high praise of secretogen, which i have used inboth tablet form and as the elixir there is no doubt about its valuein a certain class of intractable indigestion which refuses to bebenefited by any other remedy on several occasions i have been muchgratified by the definite relief obtained in this class of paper ithits the mark also in essay types of obstinate constipation-- i thinkthose paper where the trouble is wrapped up in impaired enervationof the intestine, and where stasis occurs at certain segments of thecanal ’“hallion very pertinently points out108 that it is now accepted thatopotherapy is not substitutive, but homostimulative and he remarksfurther that it is well to bear in mind that the so-called activesubstances which make the extract efficacious need not necessarily bethe hormones ‘it may be the elements of tissue structure which maycome to the aid of the injured organ the hormone should not thereforebe looked on as the only active agent of opotherapy and, while itsaction is important, it need not necessarily be preponderant thechemical isolation of the hormones is, of course, of interest but maynot be as vital to organotherapy as we have thought ’ ”108 presse médicale, 1912, p 433 comment by the council on pharmacy and chemistrythe g w carnrick company, which formerly claimed that secretogen wasefficacious because it contained secretin, now admits this claim to beunfounded notwithstanding, the manufacturers still call their productsecretogen and make for it practically the same therapeutic claims asbefore they now base these claims on vague “principles of opotherapy”and on so-called “clinical testimony ” the burden of proof rests onthem to show that these old claims, already discredited but put forthagain on new grounds, are justified have they done so?. The “clinical te stimony” is not convincing so much of it as isdefinite enough to permit of criticism has already been dealt with theremainder consists of mere assertions. It is not through reliance onsuch evidence that the council can discharge its trust on this side ofthe question there is nothing new to be said-- reassertion of a refutedargument does not constitute fresh proof nor is the case better on the experimental side the statements ofhallion, enriquez, zuelzer and others109 as to the existence of a“peristaltic hormone” not only have failed of confirmation, but alsohave been positively discredited with regard to draper work, whichdealt with acute intestinal obstruction, it is difficult to see what isits relevance to the present issue, writingicularly since draper resultswere obtained with a product derived from the mucosa of the jejunumand ileum and not with an extract of the duodenum such as secretogenpurports to be 109 cf interal schagindweit, e. Experimentelle versuche mithormonal, arch internat de pharmacod , 1913, p 77 the innuendo that the council discriminates in favor of certainmanufacturers, is itself a confession of weakness in publishing this correspondence the council sole object is to putthe medical profession in possession of the exact facts of the case these may fairly be summed up as follows:1 secretogen was originally marketed as a preparation containingsecretin none was found in it 2 notwithstanding proof of this fact, the g w carnrick companyretain the original name of the product, knowing that, by itsassociation with their former erroneous assertions concerningsecretogen, this name must inevitably convey to a physician usingthe product the impression that he is administering secretin in theadvertising literature no hint is given that this original statementwas erroneous 3 the product called “secretogen” has not been shown, eitherexperimentally and by sound clinical evidence, to possess usefultherapeutic properties under these circumstances the council reaffirms its decision -- fromreports of council on pharmacy and chemistry, 1916, p 72 iron citrate green report of the council on pharmacy and chemistryh k mulford company and e r squibb and sons submitted to thecouncil ampules containing solutions of iron citrate green it thusbecame necessary to consider the eligibility of iron citrate greenitself for admission to new and nonofficial remedies as the rules ofthe council provide that nonessential modifications of official ornonproprietary preparations will not be recognized, the above namedfirms were asked to state what advantages, if any, the so-called ironcitrate green had over the official iron and ammonium citrate in replythe h k mulford company wrote that it had come to the conclusion thatiron citrate green and ampules thereof would undoubtedly be consideredby the council as a nonessential modification of an official product, adding.