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Anti-Typhoid Inoculation Anti-Typhoid接种
Pub Date : 1917-06-01 DOI: 10.1097/00007611-191012000-00018
Frank W. Schofield
Y object in reading this paper is to point out clearly some of the splendid opportunities for the application of anti-typhoid inoculation in civil life. Then later, by briefly quoting some of the results already obtained, I hope to accomplish the dual purpose of substantiating the claims made for it, and creating a wholesome confidence that will result in bringing this prophylactic into its proper place in preventive medicine. Some may consider that an apology would be in order for writing on a subject so widely discussed and in some of its phases so well understood. But, unfortunately, many have refrained from realizing a practical experience with anti-typhoid vaccine; their knowledge of the subject being limited to a well memorized statistical statement of its value in the armies of the world. Therefore, I do not hesitate to bring before you some suggestions for its use in this province. It may not be amiss to state briefly what is meant by antityphoid inoculation. This consists of injecting a definite number of dead typhoid bacilli into the subcutaneous tissue of the body, with the object of rendering the one so injected immune to typhoid fever. A tremendous amount of evidence has been accumulated which proves beyond a doubt that this process does confer immunity from typhoid to an extraordinary degree. Major Russell of the United States Army has said that "Anti-typhoid inoculation protects against typhoid to a greater extent than does vaccinia against variola." It may be worth while to refresh your memories with a few of the results obtained from its use in mlilitary life. Quoting from the Anti-typhoid Committee's Report to the British Army, 1912, "The histories as regards typhoid fever, of 19,314 soldiers, whose average period of service abroad was twelve
我阅读这篇文章的目的是明确指出伤寒预防接种在民用生活中应用的一些极好的机会。然后,通过简要地引用一些已经获得的结果,我希望达到双重目的,即证实对它的主张,并建立一种有益的信心,从而使这种预防药物在预防医学中占据适当的位置。有些人可能会认为,对于一个被如此广泛讨论、在某些阶段被如此透彻理解的话题,道歉是合乎情理的。但是,不幸的是,许多人没有实现抗伤寒疫苗的实际经验;他们对这门学科的了解仅限于对其在世界军队中的价值的一个熟记的统计陈述。因此,我毫不犹豫地向你们提出一些在本省使用它的建议。简要地说明一下什么是抗伤寒接种可能不会有错。这包括将一定数量的死伤寒杆菌注射到身体的皮下组织,目的是使被注射者对伤寒免疫。已经积累了大量证据,毫无疑问地证明,这一过程确实在很大程度上使人免于伤寒。美国陆军少校罗素曾说过:“抗伤寒疫苗对伤寒的保护作用比牛痘对天花的保护作用更大。”用它在军事生活中使用的一些结果来刷新你的记忆可能是值得的。引用1912年抗伤寒委员会给英国军队的报告,“关于伤寒的历史,19314名士兵,他们在国外服役的平均时间是12年
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引用次数: 2
Syphilis 梅毒
Pub Date : 1917-06-01 DOI: 10.2105/ccdml.2868.128
Rosanna W. Peeling, D. Mabey, Xiang-sheng Chen, Patricia J Garcia
Syphilis is a sexually and vertically transmitted bacterial infection caused by the bacterium Treponema pallidum. Its prevalence is high in low-income and middle-income countries, and its incidence has increased in high-income countries in the last few decades among men who have sex with men. Syphilis is a major cause of adverse pregnancy outcomes in low-income and middle-income countries. Clinical features include a primary chancre at the point of inoculation, followed weeks later by the rash of secondary syphilis, a latent period, and in some cases, involvement of the eyes, CNS, and cardiovascular systems. It is diagnosed serologically. A single intramuscular dose of long-acting benzathine penicillin is recommended for people who have had syphilis for less than 1 year and longer courses for people with late latent syphilis. Control strategies include screening and treatment of all pregnant women, and targeted interventions for groups at high risk. Vaccine development, research on antibiotic prophylaxis, and digital messaging as prevention strategies are ongoing.
梅毒是一种由梅毒螺旋体引起的性和垂直传播的细菌感染。它在低收入和中等收入国家的流行率很高,过去几十年在高收入国家男男性行为者中的发病率有所增加。梅毒是低收入和中等收入国家不良妊娠结局的主要原因。临床特征包括接种时出现原发性下疳,数周后出现继发性梅毒皮疹,潜伏期,在某些情况下,累及眼睛、中枢神经系统和心血管系统。它是血清学诊断。建议对梅毒少于1年的患者肌注单剂量长效苄星青霉素,对晚期潜伏梅毒患者肌注时间更长。控制战略包括对所有孕妇进行筛查和治疗,并对高危人群进行有针对性的干预。作为预防策略的疫苗开发、抗生素预防研究和数字信息传递正在进行中。
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引用次数: 0
Diseases of the Skin 皮肤疾病
Pub Date : 1917-06-01 DOI: 10.1097/00000441-193103000-00022
G. Andrews
as junior author. One has only to review the first chapter to realize the enormous strides made in research on the finer details of structure and function of the skin within the brief period of one decade. Here and there the authors have included to advantage short, pithy discussions on basic matters relating to pruritus, allergy, and immunology, heredity, auto-immunity, and autosensitivity. The body of the book consists of 38 sections, as before, each one followed by up-to-date references to the literature. Material has been rearranged for purposes of emphasis, and new entities and rare syndromes have been added. The index is exhaustive. A new format and a slightly larger page, with two columns to the page, improve readability and effect an over-all saving of 128 pages. The illustrations are superb and, even though they are reduced from 777 to 605, about 40% of them are new. More than 100 are photomicrographs on histopathology. The fact that all are in black and white in a modern text on dermatology is regrettable, but this is purely a matter of economics ; at present there is no happy way of utilizing the best in color illustration for educational purposes alone, without some degree of compromise. A text cannot be all things to all men. Since this one is directed chiefly to the attention of students and practitioners, it is good to see the emphasis that is placed on spelling out the details of the clinical features and treatment of the commoner dermatoses, such as acne, der¬ matitis and eczema, drug eruptions, psoriasis, warts, superficial pyogenic and fungous in¬ fections, and dermal and epidermal tumors and neoplasms. Histopathologic coverage is not detailed, but it is adequate. The more sophisticated reader can look elsewhere for such details. A number of sections will appeal to an audience beyond the confines of this country. These include sections on leprosy, spirochetoses, deep fungi, deficiency states, exotic affections, and the especially brilliant discussion of diseases caused by animal parasites. In line with the current trend in dermatology toward lessened emphasis on the use of ionizing radiation in treatment, especially in the management of benign dermatoses, the authors have moved the chapter by Braestrup on fundamental physics and the one on practical details, dosage schedules, and so on, to the back of the book. It is stated that "radiotherapy for benign dermatoses should be reserved for people over 40 for whom other treatment measures have failed.
作为初级作家。只要回顾一下第一章,就会意识到在短短十年的时间里,对皮肤结构和功能的精细细节的研究取得了巨大的进步。作者在这里和那里包括了与瘙痒、过敏、免疫、遗传、自身免疫和自身敏感性有关的基本问题的简短、精悍的讨论。书的主体由38个部分组成,和以前一样,每个部分后面都有最新的文献参考。为了强调的目的,已经重新安排了材料,并增加了新的实体和罕见综合征。该索引非常详尽。一种新的格式和一个稍大的页面,页面上有两列,提高了可读性,并节省了128页。书中的插图非常精美,尽管从777幅减少到605幅,但仍有大约40%是新的。100多张是组织病理学的显微照片。在现代的皮肤学教科书中,所有内容都是黑白分明的,这令人遗憾,但这纯粹是一个经济学问题;目前,没有一种快乐的方法可以将最好的彩色插图单独用于教育目的,而不存在某种程度的妥协。文本不可能是所有人的万能之物。由于这本书主要是针对学生和从业人员的,所以很高兴看到重点放在阐述常见皮肤病的临床特征和治疗的细节上,如痤疮、皮炎和湿疹、药疹、牛皮癣、疣、浅表化脓性和真菌性感染、皮肤和表皮肿瘤和肿瘤。组织病理学覆盖不详细,但它是足够的。更老练的读者可以在其他地方找到这样的细节。书中的许多章节将吸引美国以外的观众。这些章节包括麻风病、螺旋体病、深部真菌、缺乏状态、外来情感,以及对动物寄生虫引起的疾病的特别精彩的讨论。根据目前皮肤病学对电离辐射在治疗中使用的强调减少的趋势,特别是在良性皮肤病的管理中,作者将Braestrup关于基础物理的章节和关于实际细节、剂量表等的章节移到了书的后面。据说,“对于良性皮肤病的放射治疗应该保留给40岁以上的人,其他治疗措施都失败了。”
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引用次数: 204
Preventable Deaths 可预防的死亡
Pub Date : 1917-05-01 DOI: 10.1016/s0140-6736(62)92345-0
G. Carstairs
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引用次数: 0
News Items 新闻
Pub Date : 1917-05-01 DOI: 10.1007/BF01681706
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引用次数: 0
Treatment of Epithelioma by Radium 镭治疗上皮瘤的研究
Pub Date : 1917-05-01 DOI: 10.1097/00000441-191907000-00008
R. H. Boggs
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引用次数: 2
Collections 集合
Pub Date : 1917-04-01 DOI: 10.1086/355453
D. Mallik
Introduction: "The Evolution of Literature and Science as a Discipline." G. Beer, "Discourses of the Island." G. S. Rousseau, "Discourses of the Nerve." W. Moser, "Experiment and Fiction." R. Koch, "Hypotyposes." K. J. Knoespel, "The Mythological Transformations of Renaissance Science: Physical Allegory and the Crisis of Alchemical Narrative." G. von Moln6r, "'What Ever Happened to Ethics?'" J. Neubauer, "Nature as Construct." P. M. Bynum, "'Observe how healthily-how calmly I can tell you the whole story': Moral Insanity and Edgar Allan Poe's 'The Tell-Tale Heart.' " J. W. Slade, "Conceptualizing Technology in Literary Terms: Some American Examples." M. Orvell, "Literature and the Authority of Technology." S. Carter, "'A Place to Step Further': Jack Spicer's Quantum Poetics."
导言:“文学与科学作为一门学科的演变”。G. Beer,《岛屿的话语》g·s·卢梭,《神经的话语》W. Moser,《实验与虚构》R. Koch, <假设>K. J. Knoespel,“文艺复兴时期科学的神话转换:物理寓言和炼金术叙事的危机”。G. von molnr,《道德到底怎么了?》”J.纽鲍尔,《作为建构的自然》。p·m·拜纳姆,“观察我是多么健康——多么平静地告诉你整个故事”:《道德疯狂》和埃德加·爱伦·坡的《泄密的心》。”j·w·斯莱德,《用文学术语概念化技术:一些美国例子》。M. orwell, <文学与技术权威>《更进一步的地方》:杰克·斯派塞的量子诗学》
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引用次数: 0
News Items 新闻
Pub Date : 1917-04-01 DOI: 10.1007/BF02858306
H. E. Moore
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引用次数: 0
News Items 新闻
Pub Date : 1917-03-01 DOI: 10.1007/BF02172975
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引用次数: 0
A New Feature 新功能
Pub Date : 1917-01-01 DOI: 10.1111/j.1467-9744.1996.tb00025.x
Philip J. Hefner
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引用次数: 0
期刊
Daniel's Texas medical journal
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