A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sick — John Shaqi
A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sickBoland, Mary A.
Science
A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sick
Boland, Mary A.
Cooking for the sick
=Intestinal Juice.= Intestinal juice has been to physiologists a
difficult subject of study. It is mingled with the salivary and
gastric juices at the times of digestion, when it is most desirable
to notice its action. Nearly all authorities agree that it is
alkaline, and that its function is to complete the digestion of
substances which may reach it in an undigested condition.
=Mucus of Large Intestine.= The mucus secreted by the large
intestine is for lubricating only.
=Digestion in Different Parts of the Alimentary Tract.=
Different substances in food are digested in different portions
of the alimentary canal, and by different means. Let us begin
in the mouth. Taking the classes of foods, starch, one of the
carbohydrates, is the one most affected by the ptyalin, or animal
diastase, of the saliva. So energetic is the action of ptyalin on
starch that 1 part is sufficient to change 1000 parts. Starch is
not acted upon by the gastric juice of the stomach at all; however,
the continued action of the saliva is not probably interrupted in
the stomach. The digestion of starch is completed by the action
of the pancreatic and intestinal juices, and consists in its being
changed into soluble glucose, which is absorbed in solution.
=Sugar.= Cane-sugar, or common sugar (also called _sucrose_),
passes through the mouth, unchanged, to the stomach, where
it is converted into glucose by the slow action of the acid
(hydrochloric) of the gastric juice. Dilute hydrochloric acid has
the same action on sugar outside of the stomach.
The action of pancreatic juice on sugar is very marked; it
immediately changes cane-sugar into glucose. The effect of
intestinal fluid is not well understood, but there is the
general agreement that it does not change cane-sugar, neither is
cane-sugar, as such, absorbed in the intestine. Bile does not
affect it, therefore cane-sugar is digested or converted into
glucose either by the stomach or pancreas, or both. It will now be
seen that ultimately the same substance, glucose, is obtained from
both starch and sugar.
=Protein.= We now come to the consideration of the digestion of
the protein compounds, of which albumen may be taken as a type.
Possibly no action except breaking up and moistening takes place
in the mouth.[21] Its digestion begins in the stomach, where its
structure is broken up and a separation and dissolution of the
little sacs which hold it take place. The same thing is partially
accomplished outside of the stomach when white of egg is slightly
beaten and strained through a cloth. Gastric juice further acts on
the albumen itself, forming it into what is called albumen peptone.
The digestion of raw and carefully cooked albumen has been found
to be carried on very rapidly in the stomach, and the change is
essentially the same in both cases, but in favor of the slightly
coagulated. When the albumen is rendered hard, fine, and close in
consistency by over-cooking, then it is less easy of digestion than
when raw.
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