JOHN WINTHROP, JR., ON THE TREATMENT OF A PALSIED (?) CHILD

PEDIATRICS ◽  
1974 ◽  
Vol 54 (5) ◽  
pp. 582-582
Author(s):  
T. E. C.

Governor John Winthrop, Jr. (1606-1676), the first Governor of Connecticut, was famous throughout New England for his medical ability. He was often consulted by letter for medical advice about the management of sick children. The type of medicine he practiced can be gained from his letter below written in 1652 to the father of a sick child. The letter also shows that orthography –as we know it–had not yet been decided upon. I received your letter about 2 daies since wherin you desire directions concerning your child, wch indeed is very uncertaine to doe in the absence of the pty, it being difficult to find out the true cause & seat of the originall of such disease by the most diligent & curious observation, when the patient is dayly present: for though by your description I iudge it to be a palsy, yet the cause of that diseas is often very differing for in Some it is through too much drinesse in some too much moisture in some the cause is in the Nerves of the third coniugation of the braine sometymes in other nerves, in others it hath its originall in ye marrow of the back bone: This seems to be that kind wch we call Hemiplegia where one halfe of the spinall marrow is affected or (wch is often in others, and makes me doubt it may be so in this child, by reason of the suddainnesse wherewth she was stroken) it may come fro a light apoplexye (a stronger Apoplexye is comoly present death) This lighter kind of Apoplexy strikes suddainly & leaves comoly one side wthout sence or motion, and after continueth it wholy paraliticall: it may also come fro some thick flegme stopping the influence and distribution of ye vitall spiritts in the nerves, wch may also cause that suddaine apoplecticall stupor.

Effects of being a sick child or young person at home 76Managing long-term conditions in the community setting 78Communication with professionals 80Working with technology-dependent children at home 82Working with diverse communities 84NHS walk-in centres 86As a result of the development of policy in the 1950s with regard to the care of sick children, professionals caring for children are generally of the mindset that acutely ill children are best cared for at home, and that any health problems a child encounters are likely to have an effect on the whole family system....


HortScience ◽  
1991 ◽  
Vol 26 (5) ◽  
pp. 481e-481
Author(s):  
James R. Schupp

In 1984 trees of `Starkspur Supreme Delicious' apple (Malus domestica Borkh) on 16 rootstocks were planted at 30 sites in North America according to guidelines established for cooperative testing by the North Central Regional Cooperative Project (NC-140). Tree loss and root suckering in the Maine planting have been low, similar to that of other sites. Tree size in Maine is smallest amoung all sites after seven seasons. Trees on Budagovsky 9 (B.9) rootstock were the most precocious, producing significantly higher flower numbers and yield in the third year. Other precocious root-stocks in this planting included C.6, M.26EMLA, M.7EMLA and P.1. After seven years, B.9, C.6 and M.26EMLA were the most productive amoung the dwarf trees, and consequently are the most efficient. P.1 and M.7EMLA were the most productive amoung the more vigorous stocks. This trial will be conducted for 3 more seasons, however it appears that B.9, C.6 and P.1 may have potential as rootstocks for commercial apple orchards in New England.


Author(s):  
Kornelia Zaręba ◽  
Marta Makara-Studzińska ◽  
Michał Ciebiera ◽  
Jacek Gierus ◽  
Grzegorz Jakiel

Background: Poland is a country with restrictive laws concerning abortion, which is only allowed if the mother’s life and health are in danger, in case of rape, and severe defects in the fetus. This paper specifies the forms of support expected by women considering termination from their family, people in their surroundings and professional medical personnel. Methods: Between June 2014 and May 2016 patients eligible to terminate a pregnancy for medical reasons were asked to complete an anonymous survey consisting of sixty questions to determine patient profile and forms of support expected from the society, family and professional medical personnel as well as to assess informational support provided. Results: Women do not take into consideration society’s opinion on pregnancy termination (95%). The majority of the respondents think that financial support from the state is not sufficient to provide for sick children (81%). Despite claiming to have a medium standard of life (75%), nearly half of the respondents (45%) say that they do not have the financial resources to take care of a sick child. The women have informed their partner (97%) and closest family members (82%) and a low percentage have informed friends (32%). Nearly one third (31%) have not talked to the attending gynecologist about their decision. Conclusions: The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family. They do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family. They appreciate support provided by professional medical personnel if it is personal.


2020 ◽  
Vol 1 (6) ◽  
pp. 198-202
Author(s):  
Peter M. Lewis ◽  
James P. Waddell

It is unusual, if not unique, for three major research papers concerned with the management of the fractured neck of femur (FNOF) to be published in a short period of time, each describing large prospective randomized clinical trials. These studies were conducted in up to 17 countries worldwide, involving up to 80 surgical centers and include large numbers of patients (up to 2,900) with FNOF. Each article investigated common clinical dilemmas; the first paper comparing total hip arthroplasty versus hemiarthroplasty for FNOF, the second as to whether ‘fast track’ care offers improved clinical outcomes and the third, compares sliding hip with multiple cancellous hip screws. Each paper has been deemed of sufficient quality and importance to warrant publication in The Lancet or the New England Journal of Medicine. Although ‘premier’ journals, they only occationally contain orthopaedic studies and thus may not be routinely read by the busy orthopaedic/surgical clinician of any grade. It is therefore our intention with this present article to accurately summarize and combine the results of all three papers, presenting, in our opinion, the most important clinically relevant facts. Cite this article: Bone Joint Open 2020;1-6:198–202.


PEDIATRICS ◽  
1989 ◽  
Vol 84 (4) ◽  
pp. 716-716
Author(s):  
T. E. C.

A commonly held view of mid-nineteenth century physicians, especially in New England, was that young schoolgirls should not be worked too hard and too long at their studies. The editorial below from a highly-respected medical journal is evidence of this unwarranted belief. Every effort in the school now is to cultivate their minds at the expense of their bodies. They consequently have a sickly life, if perchance it is not cut off in early girlhood; they make poor mothers, are unable to nurse their children in many instances with a tendency to some of the most distressing complaints, and disease is propagated to their children. Much of this arises from the popular mistake that young misses must study algebra, chemistry, scientific botany, Latin, and perhaps Greek and Hebrew, by the time they are fifteen, in order to become ladies. They have no frolicking girlhood—because it is plebeian to romp out of doors with freedom, as nature intended in order to strengthen and perfect their delicate organization. A knowledge of domestic economy is decidely vulgar, and belongs to poor kitchen girls, whose red cheeks, round arms, splendid busts and fine health are perfectly contemptible. There is a kind of imagined gentility in always being under the care of a doctor, and jaunting through the country in pursuit of air, water, or expensive medical advice. Physicians deplore this wretched system, without being able to awaken public sentiment to its destructive character. Teachers are also aware of it, and exert themselves at times to counteract the evils which their every-day lessons exert on the frail, delicate pupils under their charge; but, alas, the poison and antidote are taken at once, and they exhibit the effects of their bad treatment, aided by silk hose in January, thin shoes, the impure atmosphere of crowded rooms and cold night air. Parents are the persons to blame and not the instructors of their children. Young girls are put to school too early and worked too hard and too long at their studies. More active play and fewer books, pudding-making in the place of algebraical equations, with a free exercise of their feet, which were actually designed for walking, would produce a race of women in our midst, such as cannot now be found, in regard to figure, capacity and beauty. What father has the moral courage to set the example, by allowing his daughters to become the angelic creatures they were designed to be, buoyant with spirit, vigor and health, fit companions of man, and the glory of an advanced civilization? Let them gambol in the open air, and, when indoors, act out the governing instincts of their nature in manufacturing rag dolls, till by means of bodily health and vigor, a foundation is laid for intellectual pursuits, and then and not before, may they with safety begin to be exercised in abstract, educational studies.


1937 ◽  
Vol 27 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Mary P. Collins

Summary Two earthquakes were reported felt in northern and central New Hampshire on the evening of November 9, 1936. These were the third and fourth reported from the state in fourteen months. The epicenters of these two shocks have been determined as 43° 33′ N, 71° 26′ W, and 44° 39′ N, 71° 40′ W. The previous seismic history of the state and the relation of these earthquakes to the geology of the region are discussed.


1989 ◽  
Vol 77 (2) ◽  
pp. 189-194 ◽  
Author(s):  
L. Poston ◽  
J. F. Morris ◽  
C. D. Wolfe ◽  
P. J. Hilton

1. Endogenous digoxin-like immunoreactivity (EDLI) was measured in the serum of 85 normotensive pregnant (NTP) women and 77 women with pregnancy-induced hypertension (PIH) by a radioimmunoassay (New England Nuclear). All women were in the third trimester. 2. EDLI, which was undetectable in serum from nonpregnant women, was present in NTP and PIH and was significantly higher in PIH. EDLI correlated with gestational age in NTP, but not in PIH. 3. Ouabain-sensitive Na+ transport was estimated in normal peripheral blood leucocytes after incubation with sera from 50 NTP and 42 PIH women. Significant inhibition of active Na+ transport occurred only with the serum of hypertensive patients without proteinuria. 4. EDLI did not correlate with the effect of the sera on active Na+ transport. The radioimmunoassay therefore provides a poor index of Na+ transport inhibitory activity in PIH.


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