The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations — John Shaqi
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical AssociationsVarious
Science
The Journal-Lancet, Vol. XXXV, No. 5, March 1, 1915: The Journal of the Minnesota State Medical Association and Official Organ of the North Dakota and South Dakota State Medical Associations
Various
Medicine -- Periodicals
infant is born with a hemoglobin percentage of 100 to 110; by the third
or fourth month this may sink to 40 per cent, and for this reason green
vegetables should be added to the diet as early as the fourth month.
The diet of healthy children in the second year should include cooked
cereals, vegetables, toast, cooked fruits, and meat-juices; and the
quantity of cow’s milk should be limited to one and one-half pints
in twenty-four hours. The question of the addition of meat to the
diet is important. Some authors have recently advocated the giving
of meat as early as the ninth month. During the past year, working
in Finkelstein’s laboratory, I have been able to gather some facts
which have a direct bearing on this question. (_Zeitschrift für
Kinderheilkunde_, July, 1914.) By means of the new electrometric
determination of absolute acidity (that is, the number of H ions), I
was able to show that the acidity of the stomach before the eighteenth
month of life is insufficient to permit any peptic, i. e., protein,
digestion. Solomon, working in the same clinic, in a report not yet
published, has shown the same thing from a clinical standpoint. He
found that on a meat diet up to the end of the second year large
quantities of muscle fibers passed through with the bowel-movement
unchanged; but after that age they rapidly decreased in number. It
is, therefore, worse than useless to add meat to the diet before the
beginning of the third year.
Eggs frequently produce profound disturbances in young infants,
perhaps on account of the absorption of egg albumin, unchanged, in the
blood-stream; and they should be kept from the diet-list until the
beginning of the fourth year.
These rules for feeding are generalized, and there may be many
exceptions. Each child is to some extent a law unto itself, and this is
especially true of those children with nervous or exudative diathesis.
In conclusion, I wish to make a plea for greater uniformity in our
rules for infant-feeding. Even more than in strictly medical affairs
has the public the right to demand information. Heretofore, every
new book and every public lecture on infant-feeding has deviated
markedly from its predecessors, until the confused laity, and even
general practitioners, have turned in disgust to proprietary foods and
formulas. Pediatrics is a new science, and as such is bound to undergo
rapid changes and conflicting opinions. But that need not hinder us
from agreeing on certain fundamental facts which can be given as guides
to the general practitioner and to the public.
I believe that the simple rules for infant-feeding here laid down
are neither too conservative nor too radical to serve as a basis
of agreement upon which the medical profession may show to the
public a united front on this important question. Such uniformity of
opinion--and the sooner it can be reached the better--will not fail to
have a beneficial effect on both the profession and the public.
DISCUSSION
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account