Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
The schizomycetes are unable to extract nitrogen from the air or the
soil, like the higher vegetables, and must, therefore, be provided
with a higher nitrogenous compound, such as is produced by vegetable
and animal life. Some of them are able to live upon dead organic
matter, while others cannot exist without living tissues to feed upon
and are therefore true parasites. There are some which are able to
live upon either dead or living tissues and are known as _facultative
parasites_, a class which includes a majority of pathogenic germs.
Some organisms require albuminous matter, others need carbohydrates;
they all require water, carbon, nitrogen, oxygen, and certain
inorganic materials, especially lime and potassium. All organisms
require water. If dried, no form will multiply, and many forms will
die.
The fluids and tissues of the individual may or may not afford a
favorable soil for the germs of a disease, or, in the same person
afford it at one time, and not at another. Some individuals seem to
possess indestructible immunity from, and others are especially prone
to, certain contagious diseases. Impairment of health, by alterating
some subtle condition of the soil, may make a person liable who
previously was exempt.
+Effect of Oxygen.+ Some bacteria need free oxygen; some can live either
with or without free oxygen, while others cannot live at all in the
presence of free oxygen. Those requiring oxygen are called _aerobic_;
those which can live with or without it are called _facultative
aerobic_; those which do not live in free oxygen are called
_anaerobic_.
Bacteria are very sensitive to temperature, few being able to live in
a temperature below 68°F. or 29°C. or above 104°F. or 40°C. The
pathogenic varieties thrive best at about the normal temperature of
the blood. Direct sunlight retards their growth and may kill them.
Freezing renders bacteria motionless and incapable of multiplication,
but it does not kill them; they again become active when the
temperature is raised. The absurdity of employing cold as a germicide
is evident when it is known that a temperature of 200°F. below zero is
not fatal to germ life, cell activities by such a temperature only
being rendered dormant. The high temperatures are fatal to bacteria,
moist heat being more destructive than dry heat, and adult cells are
more easily killed than spores. A temperature less than 212°F. will
kill many organisms and boiling will kill every pathogenic organism
that does not form spores. Some spores are not destroyed after
prolonged boiling and some will withstand a temperature of 120°C. As a
practical fact, however, boiling water kills in a few minutes all
cocci, most bacilli, and all pathogenic spores, though anthrax and
tetanus are harder to kill than are the spores of other bacteria.
Public-domain text, read in full here on John Shaqi.
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