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class the cases of Generic For Micardis serous diarrhoea and cholera mor- bus in children under two years of age, usually called summer complaint and cholera infantum, with local inflammations, under the general name Generic Micardis of ca- tarrhal gastro-enteritis, and while they all assert that these forms of disease are most Micardis 80 Mg pre^^alent and fatal during the warmest months of summer, they set ' forth as the chief causes, improper feeding, impure and changed milk, impure air, the proaess of denti- tion Purchase Micardis or teething, and overworked, badly fed and un- healthy mothers. These causes are represented to produce gastric or intestinal indigestion, or both which so increase the irritation of the Micardis Tablets mucous membranes as to cause a more or less rapid serous exudation into the gastro- intestinal canal. Indigestion is generally regarded as the cause of the catarrhal irritation, while the cause is tl»e result of bad feeding, impure air, teeth- ing and unhealthy mothers. Bad milk is also al- - leged to be another cause. Bad milk and food are prevalent in all communi- ties during the winter as well as summer. Children cut their teeth in December as in July, and un- healthy mothers exist during one part of the year as well as another. If any of these causes produced infantile cholera they would be frequent in all sea- sons. The records show that the prevalence of all grades of these two forms of disease are restricted almost entirely to the time between the Micardis Price last week in June and the last in September. In Chicago in 1872 the reports of the board of health show 8 deaths in April, 6 in May, 23 in June, 246 in July, 163 in August, 69 in September, 13 in October and 2 dur- ing the rest of the year. Other years show the same results, and in all northern and eastern cities the ratio is the same. The diseases Micardis 20 Mg prevail little in cities so located that there is only a short range of temperature between the warmest days of summer and the coldest of winter and where the sea breezes Micardis Dose and other causes make the summer nights cool. The milk distributed in San Francisco and New Orleans is the same as that in Boston and Chicago, MICHIGAN MEDICAL NEWS. 20 1 and the nursing mothers are no more free from mental and physical infirmities. An examination of the statistics of these several cities show a ratio of only about five deaths from cholera infantum annually for every 10,000 inhabitants Cost Of Micardis in San Fran- cisco, seven in New Qrleans, twenty-five in Boston and thirty in Chicago. There must therefore be some efllcient cause not common in all large cities. A record of the disease and coincident meteorolo- gical conditions of atmosphere were commenced some years ago, and Micardis Online for three years records were kept in Cairo, Davenport and Omaha. The reports of these records were given in this association and published some years ago, and showed: First — That the prevalence of the affections under consideration is limited principally to July, August and September, commencing with the first wave of high atmospheric heat that continues days and nights for more than five days, which in the latitude of Chicago is sometimes the last week of June, but more frequently the first week in July, and con- tinues more or less during the succeeding ninety days. Second — That while the deaths from these affec- tions in any city or given community will be nearly the same in the two first months after they begin in July and August, the date of Micardis Dosage the initial symptoms or beginning oi the disease in three-fourths of all the cases will be in July, very few originating after the first of August. Many cases commencing in July continue until the months of August or Sep- tember, causing wasting and death. Third — That it is not simply high or extreme heat of temporary duration, such as that of a single day or any number of days, with cool nights, which favors the development of the disease, but contin- uous high temperature day anit night for several days; and if, in addition to the heat, the air be stagnant from lack of winds or obstructions, as in large cities, or from defective ventilation, the effect is greatly increased. This explains why these af- fections are more numerous and fatal in cities than in rural districts, and why they prevail so little in even large cities located in warm climates provided the location be such as to afford cool breezes at night. Fourth — That while the great majority of at- tacks which occur in any given summer are found to have their beginning in July, or during the first thirty or forty days after Micardis Cost the first week of protracted liigh temperature for the season, they are not equally distributed over the whole of the month. Having thus traced the origin of that part of infan- tile mortality caused by this disease, let us inquire for a moment how this combination of circum- stances can effect the living human body. We have the physical law that the higher the tempera- ture of the air the rarer it becomes and the less oxygen is contained in it, A person breathing Micardis 40 Mg at a high temperature would receive less oxygen than at a lower temperature. Stagnant air becomes more rapidly exhausted than moving and the physical law of expansion by increase applies to the living as well as to dead matter, consequently high heat act- ing on the living body tends to increase the distance of the atoms from each other and thereby lesson the force of vital affinity, while it increases the excita- bility or susceptibility to impression. The capacity of the blood for taking up oxygen or holding it Buy Micardis in suspension depends much upon the proportion of saline elements it contains and under a continuous high temperature the increase of cutaneous exhala- tion rapidly diminishes the free salts of the blood and lessens the capacity to receive the oxygen from the air cells of the lungs in exchange for its carbonic acid gas. Colitis and recto-colitis or dysentery sel- dom occur until late in the season, when warm days are followed by cool nights and frequent changes from wet to cold occur, and even the Micardis Telmisartan indigestion which has been so generally suggested as a cause of summer complaint is itself the result of the impair- ment of natural gastric and intestinal secretions, and the increase of more serous exudation — the primary fault not being so much in the quality of food as- in the morbidly sensitive and relaxed con- dition of the whole inner surface of the digestive canal. The children are affected more than older persons because of the less mature development and greater sensitiveness of their gastric Telmisartan Micardis and intestinal mucous membranes and glandular structures, and their much more constant confinement indoors. If this is correct it indicates clearly that our efforts to lessen infant mortality from these diseases must embrace such measures as will secure for young children a better supply of fresh, pure air, for in- creasing the oxygenation and discarbonization of the blood and maintaining the activity of the vaso- motor nervous system, and as well counteracting the effects of high temperature by increasing the general tonicity and lessening the excitability of the tissues generally. Measures for the first object must consist in securing better Micardis Generic ventilation of dwellings and especially nurseries Micardis Hct and sleeping rooms during the warmest part of the summer, the sending of young children with their mothers and nurses from densely populated districts to moderately elevated, healthy locations, or to floating hospitals, receiving ships or large bodies of water during the special period of high heat. For accomplishing the second Micardis Coupons purpose, I know of no measures that are so efficient and at the same time within the reach of the poor- est part of the population, as the judicious use of the sponge bath. Whenever the human system is relaxed and rendered morbidly sensitive by con- tinuous high heat, causing the infant Micardis Coupon to be languid, restless and sometimes pale a free bathing or spong- ing of the whole surface with water simply as cool as is comfortable, always produces a refreshing and invigorating influence, which continues from six to twelve hours. Consequently, if mothers and nurses
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