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Metamfetamin 5 mg by ADHD och ADD [ADHD CENTER]

4 2

Metamfetamin kan brukas

Diskutera här påFlickr om metamfetamin alltid behöver vara bra eller dåligt, eller om det finns mera nyanserade sätt att se på det hela.

Metamfetamin kan missbrukas och

-Metamfetamin kan missbrukas: se konsekvenserna

och missbruket ökar snabbt. Speciellt farligt för personer med ADHD då missbruk av metamfetamin reglerar ned densiteten på dopaminreceptorerna.

Metamfetamin - the faces of meth

Klassiker om vad som händer med metamfetaminmissbrukaren, åldrandet och tänderna. Blicken, huden och ödesränderna.

Meth större hjärna med mindre innehåll

Vad som händer i hjärnan hos Meth missbrukare, hjärnan växer på grund av att den svullnar och densiteten på dopaminreceptorerna regleras ned. Men också att metamfetamin rätt använt kan vara bra samt varför. Skillnaden mellan enantiomererna hur hur otroligt olika de verkar.

Metamfetamin & ADHD + Hel dokumentär

Hel dokumentärfilm från National Geographic om världens farligaste drog: Metamfetamin,

Den här dokumentären kanske om inte annat kan förklara lite av varför Metamfetamin fått det rykte som det har, vilka konsekvenserna av ett missbruk blir osv. Ãven om dokumentären inte alls förklarar att personer med ADHD löper en ökad risk att fastna i ett metamfetaminmissbruk och att det på sikt kommer att göra problemen mycket värre tack vare att höga doser reglerar ned antalet och densiteten på dopamin receptorerna. Så att det som frälser dig också kommer att döda dig har kanske aldrig varit sannare än här.

Metamfetamin de direkta & indirekta skadeverkningarna

-Se Oprahshow nedan om metamfetaminmissbruk

-ohämmad sex med främlingar och sambanden

Fler och fler rapporter kommer om metamfetamin eller crystal meth som en del föredrar att kalla det men skadeverkningarna av ett missbruk direkt säger kanske inte så mycket om de indirekta skadeverkningarna av missbruket, vilket varit väldigt vanligt och utbrett i vissa kretsar i bland annat New York.

Marknadsföringen av Meth amfetamin till gravida

Den Pengakåta pillerindustrin har genom åren haft en rad smaklösheter för sig förutom att dölja resultat som talar till sitt preparats nackdel så manipuleras och har det manipulerats en hel del igenom åren. En speciellt intressant grupp att kränga "de nya supervetenskapliga" produkterna till har varit kvinnor, ofta med någon skavank som medicinjättarna inte alls varit sena med att marknadsföra med vetenskap som täckmantel. Det kan vara den feta kvinnan, den okåta kvinnan, den otacksamma kvinnan eller bara kvinnan som inte hinner med att städa rent i hemmet. Eller varför inte suggan som blivit på smällen och fettnat till? Behöver inte hon lite metamfetamin?

så här farligt lever användarna

Metamfetamin utbrett i hela skåne

ny dödsdrog sprider ut sig

DN Metamfetamin 1 2 3

SvD 1 2 3 4 5

Sydsvenskan 1 2 3

Produktbeskrivning på Engelska

METH

Teratogenic effects: Pregnancy Category C. Methamphetamine has been shown to have teratogenic and embryocidal effects in mammals given high multiples of the human dose. There are no adequate and well-controlled studies in pregnant women. METH tablets should

not be used during pregnancy unless the potential benefit justifies the potential risk to the fetus. Nonteratogenic effects: Infants born to mothers dependent on amphetamines have an increased risk of premature delivery and low birth weight. Also, these infants may experience symptoms of withdrawal as demonstrated by dysphoria, including agitation and significant lassitude.

Usage in Nursing Mothers: Amphetamines are excreted in human milk. Mothers taking amphetamines should be advised to refrain from nursing.

Pediatric Use: Safety and effectiveness for use as an anorectic agent in children below the age of 12 years have not been established. Long-term effects of methamphetamine in children have not been established (see WARNINGS). Drug treatment is not indicated in all cases of the behavioral syndrome characterized by moderate to severe distractibility, short attention span, hyperactivity, emotional lability and impulsivity. It should be considered only in light of the complete history and evaluation of the child. The decision to prescribe METH tablets should depend on the physicianâs assessment of the chronicity and severity of the childâs symptoms and their appropriateness for his/her age. Prescription should not depend solely on the presence of one or more of the behavioral characteristics. When these symptoms are associated with acute stress reactions, treatment with METH tablets is usually not indicated. Clinical experience suggests that in psychotic children, administration of METH tablets may exacerbate symptoms of behavior disturbance and thought disorder. Amphetamines have been reported to exacerbate motor and phonic tics and Touretteâs syndrome. Therefore, clinical evaluation for tics and Touretteâs syndrome in children and their families should precede use of stimulant medications.

ADVERSE REACTIONS

The following are adverse reactions in decreasing order of severity within each category that have been reported: Cardiovascular: Elevation of blood pressure, tachycardia and palpitation. Fatal cardiorespiratory arrest has been reported, mostly in the context of abuse/misuse. Central Nervous System: Psychotic episodes have been rarely

eported at recommended doses. Dizziness, dysphoria, overstimulation, euphoria, insomnia, tremor, restlessness and headache. Exacerbation of motor and phonic tics and Touretteâs syndrome. Gastrointestinal: Diarrhea, constipation, dryness of mouth, unpleasant taste and other gastrointestinal disturbances.

Hypersensitivity: Urticaria.

Endocrine: Impotence and changes in libido.

Miscellaneous: Suppression of growth has been reported with the

long-term use of stimulants in children (see WARNINGS).

DRUG ABUSE AND DEPENDENCE

Controlled Substance: METH tablets are subject to control under

DEA schedule II.

Abuse: Methamphetamine has been extensively abused. Tolerance, extreme psychological dependence, and severe social disability have occurred. There are reports of patients who have increased the dosage to many times that recommended. Abrupt cessation following prolonged high dosage administration results in extreme fatigue and mental depression; changes are also noted on the sleep EEG. Manifestations of chronic intoxication with methamphetamine include

severe dermatoses, marked insomnia, irritability, hyperactivity, and personality changes. The most severe manifestation of chronic intoxication is psychosis often clinically indistinguishable from schizophrenia. Abuse and/or misuse of methamphetamine have resulted in death. Fatal cardiorespiratory arrest has been reported in the context of abuse and/or misuse of methamphetamine.

OVERDOSAGE depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder; such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression. Emergence of New Psychotic or Manic Symptoms: Treatment emergent psychotic or manic symptoms, e.g., hallucinations, delusional thinking, or mania in children and adolescents without a prior history of psychotic illness or mania can be caused by stimulants at usual doses. If such symptoms occur, consideration should be given to a possible causal role of the stimulant, and discontinuation of

treatment may be appropriate. In a pooled analysis of multiple short-term, placebo-controlledstudies, such symptoms occurred in about 0.1% (4 patients with events out of 3482 exposed to methylphenidate or amphetamine for several weeks at usual doses) of stimulant-treated patients compared to 0 in placebo-treated patients.

Aggression: Aggressive behavior or hostility is often observed in children and adolescents with ADHD, and has been reported in clinical trials and the postmarketing experience of some medications indicated for the treatment of ADHD. Although there is no systematic evidence that stimulants cause aggressive behavior or hostility, patients beginning treatment for ADHD should be monitored for the appearance of or worsening of aggressive behavior or hostility. There is some clinical evidence that stimulants may lower the convulsive threshold in patients with prior history of seizures, in patients with prior EEG abnormalities in absence of seizures, and, very rarely, in patients without a history of seizures and no prior EEG evidence of seizures. In the presence of seizures, the drug should be discontinued. Visual Disturbance Difficulties with accommodation and blurring of vision have been reported with stimulant treatment.

PRECAUTIONS

General: METH tablets should be used with caution in patients with even mild hypertension. Methamphetamine should not be used to combat fatigue or to replace rest in normal persons. Prescribing and dispensing of methamphetamine should be limited to the smallest amount that is feasible at one time in order to minimize the possibility of overdosage. Information for Patients: The patient should be informed that methamphetamine may impair the ability to engage in potentially hazardous activities, such as, operating machinery or driving a motor vehicle.

The patient should be cautioned not to increase dosage, except on advice of the physician. Prescribers or other health professionals should inform patients, their families and their caregivers about the benefits and risks associated with treatment with methamphetamine and should counsel them it its appropriate use. A patient Medication Guide is available for METH. The prescriber or health professional should instruct patients, their families, and their caregivers to read the Medication Guide and should assist them in understanding its contents. Patients should be given the opportunity to discuss the contents of the Medication Guide and to obtain answers to any questions they may have.

Drug Interactions: Insulin requirements in diabetes mellitus may be altered in association with the use of methamphetamine and the concomitant dietary regimen. Methamphetamine may decrease the hypotensive effect of guanethidine. METH should not be used concurrently with monoamine oxidase inhibitors (see CONTRAINDICATIONS). Concurrent administration of tricyclic antidepressants and indirect- acting sympathomimetic amines such as the amphetamines, should be closely supervised and dosage carefully adjusted. Phenothiazines are reported in the literature to antagonize the CNS stimulant action of the amphetamines.

INDICATIONS AND USAGE

Attention Deficit Disorder with Hyperactivity: METH tablets are indicated as an integral part of a total treatment program which typically includes other remedial measures (psychological, educational, social) for a stabilizing effect in children over 6 years of age with a behavioral syndrome characterized by the following group of developmentally inappropriate symptoms: moderate to severe distractibility, short attention span, hyperactivity, emotional lability, and impulsivity. The diagnosis of this syndrome should not be made with finality when these symptoms are only of comparatively recent origin. Nonlocalizing (soft) neurological signs, learning disability, and abnormal EEG may or may not be present, and a diagnosis of central nervous system dysfunction may or may not be warranted. Exogenous Obesity: as a short-term (i.e., a few weeks) adjunct in a regimen of weight reduction based on caloric restriction, for patients in whom obesity is refractory to alternative therapy, e.g., repeated diets, group programs, and other drugs. The limited usefulness of METH tablets (see CLINICAL PHARMACOLOGY) should be weighed against possible risks inherent in use of the drug, such as those described below.

CONTRAINDICATIONS

METH tablets are contraindicated during or within 14 days following the administration of monoamine oxidase inhibitors; hypertensive crisis may result. It is also contraindicated in patients with glaucoma, advanced arteriosclerosis, symptomatic cardiovascular disease, moderate to severe hypertension, hyperthyroidism or known hypersensitivity or idiosyncrasy to sympathomimetic amines. Methamphetamine should not be given to patients who are in an agitated state or who have a history of drug abuse.

WARNINGS

Tolerance to the anorectic effect usually develops within a few weeks. When this occurs, the recommended dose should not be exceeded in an attempt to increase the effect; rather, the drug should be discontinued (see DRUG ABUSE AND DEPENDENCE).

Serious Cardiovascular Events

Sudden Death and Pre existing Structural Cardiac Abnormalities

or Other Serious Heart Problems:

Children and Adolescents: Sudden death has been reported in association with CNS stimulant treatment at usual doses in children and adolescents with structural cardiac abnormalities or other serious heart problems. Although some serious heart problems alone carry an increased risk of sudden death, stimulant products generally should not be used in children or adolescents with known serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a

stimulant drug.

Adults: Sudden deaths, stroke, and myocardial infarction have been reported in adults taking stimulant drugs at usual doses for ADHD. Although the role of stimulants in these adult cases is also unknown, adults have a greater likelihood than children of having serious structural cardiac abnormalities, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems. Adults with such abnormalities should also generally not be treated with stimulant drugs. Hypertension and other Cardiovascular Conditions: Stimulant medications cause a modest increase in average blood pressure (about 2-4 mmHg) and average heart rate (about 3-6 bpm), and individuals may have larger increases. While the mean changes alone would not be expected to have short-term consequences, all patients should be monitored for larger changes in heart rate and blood pressure. Caution is indicated in treating patients whose underlying medical conditions might be compromised by increases in blood pressure or heart rate, e.g., those with pre-existing hypertension, heart failure, recent myocardial infarction, or ventricular arrhythmia. Assessing Cardiovascular Status in Patients being Treated with Stimulant Medications: Children, adolescents, or adults who are being considered for treatment with stimulant medications should have a careful history (including assessment for a family history of sudden death or ventricular arrhythmia) and physical exam to assess for the presence of cardiac disease, and should receive further cardiac evaluation if findings suggest such disease (e.g., electrocardiogram and echocardiogram). Patients who develop symptoms such as exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease during stimulant treatment should undergo a prompt cardiac evaluation.

Psychiatric Adverse Events

Pre-existing Psychosis:

Administration of stimulants may exacerbate symptoms of behavior disturbance and thought disorder in patients with a pre-existing psychotic disorder. Bipolar Illness: Particular care should be taken in using stimulants to treat ADHD in patients with comorbid bipolar disorder because of concern for possible induction of a mixed/manic episode in suchpatients. Prior to initiating treatment with a stimulant,

METHÂ®

Methamphetamine

Hydrochloride

Tablets, USP only

DESCRIPTION

METHÂ® (methamphetamine hydrochloride tablets, USP), chemically known as (S)-N,Î±-dimethylbenzeneethanamine hydrochloride, is a member of the amphetamine group of sympathomimetic amines. It has the following structural formula:

CLINICAL PHARMACOLOGY

Methamphetamine is a sympathomimetic amine with CNS stimulant activity. Peripheral actions include elevation of systolic and diastolic blood pressures and weak bronchodilator and respiratory stimulant action. Drugs of this class used in obesity are commonly known as âanorecticsâ or âanorexigenicsâ. It has not been established, however, that the action of such drugs in treating obesity is primarily one of appetite suppression. Other central nervous system actions, or metabolic effects, may be involved, for example. Adult obese subjects instructed in dietary management and treated with âanorecticâ drugs, lose more weight on the average than those treated with placebo and diet, as determined in relatively short-term clinical trials.

The magnitude of increased weight loss of drug-treated patients over placebo-treated patients is only a fraction of a pound a week. The rate of weight loss is greatest in the first weeks of therapy for both drug and placebo subjects and tends to decrease in succeeding weeks. The origins of the increased weight loss due to the various possible drug effects are not established. The amount of weight loss associated with the use of an âanorecticâ drug varies from trial to trial, and the increased weight loss appears to be related in part to variables other than the drug prescribed, such as the physician-investigator, the population treated, and the diet prescribed. Studies do not permit conclusions as to the relative importance of the drug and non-drug factors on weight loss.

The natural history of obesity is measured in years, whereas the studies cited are restricted to a few weeks duration; thus, the total impact of drug-induced weight loss over that of diet alone must be considered clinically limited. The mechanism of action involved in producing the beneficial behavioral changes seen in hyperkinetic children receiving methamphetamine is unknown. In humans, methamphetamine is rapidly absorbed from the gastrointestinal tract. The primary site of metabolism is in the liver by aromatic hydroxylation, N-dealkylation and deamination. At least seven metabolites have been identified in the urine. The biological half-life has been reported in the range of 4 to 5 hours. Excretion occurs primarily in the urine and is dependent on urine pH. Alkaline urine will significantly increase the drug half-life. Approximately 62% of an oral dose is eliminated in the urine within the first 24 hours with about one-third as intact drug and the remainder as metabolites.

METHAMPHETAMINE HAS A HIGH POTENTIAL FOR

ABUSE. IT SHOULD THUS BE TRIED ONLY IN

CLINICAL PHARMACOLOGY. HAVE A NICE DAY.

Bara metylfenidat rekommenderas av de europeiska kontrollmyndigheterna för behandling av ADHD

057*/365 :: DON'T risk your health at corner… by Min Yoon Cheah

5 13

Studio Loft, Studio M Hotel, Singapore

Life throws you curve balls, that's for sure. There are warnings that cannot be ignored, some symptoms hints some don't. Watch out even tiny symptom, that could lead you to danger if you keep ignoring till it worsen the condition.

Honestly i always consider my health above good stage, until i find myself i nearly passed out in the train. Probably flu attack at nowhere and caused me been spending my quality times on bed at constantly days. The next day on duty call, wake up at 04:30 as usual shower taking, suiting up and heading to train station for the new beginning of day. Pinging my colleague via BBM who already in the train heading to my nearest station. By catching up the train, I ran towards the station and trust me, this isn't the first time, i did couple times this early January, lucky that I boarded the train as usual on time.

My observation tells me that, getting more people catching up the first train. I see all seats are filled up and crowded by surroundings. With that reason, i believed the aircond was merely boost up the max level, and I was standing right below it. I felt my head, back neck, shoulder and back were quite cold and trying to move couple steps just to avoid it and none of the positions could lead me some warm places. Around 2-3 minutes, i felt my sweating came out from my forehead and it is something i started feeling not right. "Nah, just keep on breathing…" I believed taking a deep breath will really cool me down a bit. Apparently not, the situation just got worst. i started loosing my sense of sights, slowly blackout. Then I couldn't hear voices, train noises but only my own breathing. I wasn't certain what the hell was happening, given another seconds i squat down because i know if I still stood up, i will get myself into another unforeseen circumstances to be occurred.

My head faced front at the train doors with my eyes closed, I remembered another 3 stations i will be reaching my the destination (The last check before my eyes become foggy). My breathing is getting uncoordinated, I know i should had myself out from the train as soon as the next station. But my mind told me that, just couple station, bare with it. Meantime, i was quite surprise that none of the passenger would offer their helping hands. Finally, i reached the destination. I stood up as soon as the door opened, i found a place to sit down and keep on breathing. Here comes my colleague and asked me to stay here until i feel alright. Before he walk away, he just wanna ensure take as much rest as possible, don't worry about to rush to office. I told him with my eyes closed still, and having my tissues papers to put away my sweats on my forehead, neck and my face, "i need to sit down and rest, I think I am ok, just let me rest a while and i will be fine. I just feel like wanna go home…quot; Took me almost 45 minutes to get better, started seeing things clearly and breathing normally. I returned my status via BBM that i am going home. He is nice enough to tell me take more rest and consult a doctor as soon as possible.

I paid a visit to my usual clinic, i described the exact things happened in the morning. He suggested me to do a ECG (Electrocardiogram) test, and the results of my heartbeat isn't look great. His face looked heavily and explained that i have abnormal heartbeat than others. He then picked up the pen and start writing and recommend me to see Heart Specialist. He added, Please don't do any exercise from this moment onwards until you get your heart diagnose thoroughly and see what caused it. He pointed to my heartbeat printings.

My appointment schedule next Monday 15:00 with National Heart Center (NHC), i wish my abnormal heartbeat reading will only lead to very minor severe health problem, not the big one i hope. At least now it triggers something. Once the root cause found will eradicate accordingly by any costs to stay healthy. I won't disguise my current condition to defy whatever illness to come. As soon as the heart thorough test done and we will see what the report says. I just feel myself lucky that I am still alive…

You must see this on large View On White and View On Black

----

P/s : This is new Camera Raw v6 editing, CS5 parts can be seen in the commentary too.

Electrocardiogram by United States Forces Iraq

Pfc. Andrew Sanchez, a medic assigned to C Company, 407th Brigade Support Battalion of the 82nd Airborne Divisionâ€™s 2nd Advise and Assist Brigade, waits for an electrocardiogram reading at the Level 2 Aid Station at Camp Ramadi, Iraq, Sept. 6. Medical professionals at the aid station are working to keep their skills sharp to ensure soldiers remain healthy and combat ready. Sanchez is originally from Fort Worth, Texas.

This image is taken from United States Naval Medical Bulletin Vol. 25, Nos. 1-4, 1927 by Medical Heritage Library, Inc.

Go to the Book with image in the Internet Archive

Title: United States Naval Medical Bulletin Vol. 25, Nos. 1-4, 1927

Creator: U.S. Navy. Bureau of Medicine and Surgery

Publisher:

Sponsor:

Contributor:

Date: 1927-01

Language: eng

Table of Contents

Number 1

PREFACE v

NOTICE TO SERVICE CONTRIBUTORS vi

SPECIAL ARTICLES:

Posture.

By Lieut. G. E. Mott, Medical Corps, United States Navy 1

Medical Tactics in Naval Warfare —Part III— Continued.

By Commander W. L. Mann, Medical Corps, United States Navy, and Maj. A.

D. Tuttle, Medical Corps, United States Army 20

Identification by the Teeth.

By J. H. Taylor, Identification Section, Bureau of Navigation, Navy

Department 49

An Analysis of the Annual Physical Examination of a Group of Officers.

By Lieut. Commander L. G. Roddis and Lieut. (Junior Grade) G. A.

Cooper, Medical Corps, United States Navy 54

Dressing Sterilizers with Special Reference to Temperature, Pressure,

and Chamber Air Exhaustion During the Process of Sterilization.

By Lieut. Commander J. Harper, Medical Corps, United States Navy 62

Calcium Hypochlorite for Lyster Bags.

By Lieut. E. M. Steger, Medical Corps, United States Navy 6S

The Use of Modified Milk in Infant Feeding.

By Lieut. Commander W. H. Short, Medical Corps, United States Navy 73

Aviation Crashes at Pensacola— 1925-26.

By Lieut. J. D. Benjamin, Medical Corps, United States Navy.. 86

Climatic Bubo.

By Lieut. Commander W. H. Whitmore, Medical Corps, United States Navy

89

Ideas on Recruiting.

By Lieut. J. G. Smith, Medical Corps, United States Navy 102

CLINICAL NOTES:

One Thousand Operations During a Shore Cruise.

By Lieut. Commander G. F. Cottle, Medical Corps, United States Navy 105

Filariasis.

By Lieut. Commander H. V. Hughens, Medical Corps, United States Navy. .

111

Bismuto-Yatren A and B in the Treatment of Yaws.

By Lieut. Commander R. P. Parsons, Medical Corps, United States Navy

117

Addison's Disease Without the Usual Pigmentation of the Skin.

By Commander E. C. White and Lieut. (Junior Grade) W. F. James, Medical

Corps, United States Navy 122

Scurvy.

By Lieut. Commander L. J. Roberts, Medical Corps, United States Navy

126

Early Pulmonary Tuberculosis With Negative X-ray Findings.

By Lieut. J. D. Blackwood, jr., Medical Corps, United States Navy 128

Cholecystography.

By Lieut. O. B. Spalding, Medical Corps, United States Navy.. 131

Syphilis.

By Lieut, (junior grade) B. W. Harris, Medical Corps, United States

Navy 134

Yaws Sera and the Kahn Precipitation Test, Experiments With.

By Pharmacist F. O. Huntsinger, United States Navy 135

NOTES AND COMMENTS:

Commendation for articles in the Bulletin—Treatment of burns — Parasitic

infections in China—Effect of elevation of temperature on spirochetes —Rabies

—-American Relief Administration in Russia, 1921-1923— Forecasting smallpox

epidemics in India —Helium-oxygen mixture in diving —Treatment of pernicious

anemia by diet —International meeting on cancer control, September 20-24, 1926

—American College of Surgeons —Resignation after special courses—Study courses

for Hospital Corps ratings 137-160

NURSE CORPS:

Laboratory Experiences with Epidemic Cerebrospinal Meningitis.

By Nurse S. Ruth Hassler, United States Navy 161

Help from the Laboratory.

By Nurse Ruth B. Meutzer, United States Navy 164

Some Interesting Laboratory Work.

By Nurse Frances C. Bonner, United States Navy 166

BOOK NOTICES 169

PREVENTIVE MEDICINE, STATISTICS:

Reactions incidental to the administration of 91,707 doses of

neoarsphenamine and other arsenical compounds in the United States Navy—Food

poisoning on board U. S. S. "Concord" May 13, 1926—Food poisoning

following a barbecue —Food poisoning at marine barracks, navy yard,

Philadelphia, Pa., May 21, 1926 — Influenza in Guam —Efficacy of B. typhosus

vaccine in controlling typhoid fever in Guam 177

Public Health Activities Against Tropical Diseases.

By Dr. Pedro N. Ortiz, commissioner of health, Porto Rico 208

Scarlet fever attack rate among contacts, Detroit, Mich.—Health of the

Navy— Statistics 220

Number 2

PREFACE---------------- --------- ------- - ------------- ------ vii

NOTICE TO SERVICE CONTRIBUTORS____________________________ viii

SPECIAL ARTICLES: .

MEDICINE IN TURKEY.

By Commander C. W. 0 . Bunker, Medical Corps, United States

Navy------------------------·------ 229

COLOR-BLINDNESS.

By Capt. E. H. H. Old, Medical Corps, United States Navy______ 253

ETIOLOGICAL FACTORS IN THE PRODUCTION OF MAXILLARY ANTRUM DISEASE.

By G. B. Trible, M. D., F. A. C. S., former commander, medical Corps,

United States Navy________ 266

BUREAU OF MEDICINE AND SURGERY'S EXHIBIT, SESQUICENTENNIAL,

PHILADELPHIA, 1926.

By Capt. R. C. Holcomb, Medical Corps, United States Navy____ 272

MALARIA IN HAITI.

By Capt. O. S. Butler, and Lieut. E. Peterson, Medical Corps, United

States Navy_____________ 278

INSTITUTIONAL POLICIES AS APPLIED TO A YEAR'S DENTAL ACTIVITIES.

By Lieut. Commander J. L. Brown, Dental Corps, United States

Navy________________ __________ 288

RECURRENCE OF INGUINAL HERNIA.

By Lieut. Commander K. E. Lowman, Medical Corps, United States Navy

------------------------- 300

SOME OBSERVATIONS ON CEREBROSPINAL FEVER.

By Lieut. Commander Paul Richmond, Medical Corps, United States

Navy__________________ 304

THEORIES CONCERNING THE MECHANISM OF THE INSULIN EFFECT ON CARBOHYDRATE

METABOLISM.

By Lieut. (Junior Grade) H. Phillips, Medical Corps, United States

Navy--------------------------- 309

THE WASSERMANN REACTION FOLLOWING THE USE OF BISMUTH IN THE TREATMENT

OF YAWS AND SYPHILIS.

By Lieut. (Junior Grade) C. D. Middlestadt, Medical Corps, United

States Navy _______________ 315.

THE TUBERCULOUS VETERANS' BUREAU PATIENT.

By Lieut. J. D. Blackwood, jr., Medical Corps, United States

Navy--------------------------------------- 319

CLINICAL NOTES:

OCULAR ENUCLEATION.

By Commander C. B. Camerer, and Lieut. Commander B. P. Davis, Medical

Corps, United States Navy________________ 325

TREATMENT OF AN IRREDUCIBLE DISLOCATED LOWER JAW OF 98 DAYS' DURATION.

By Lieut. Commander M. D. Willcutts, Medical Corps, United States Navy

------------------ 331

TRAUMATIC RUPTURE OF THE SPLEEN.

By Commander L. W. Johnson, Medical Corps, United States

Navy-------------------------------- 336

DIATHERMY IN SHOCK.

By Commander G. F. Cottle, Medical Corps, United States Navy_ 340

SPONTANEOUS RUPTURE OF THE HEART.

By Lieut. (Junior Grade) G. 'w. Cooper, Medical Corps, United States

Navy ------------------------------- 343

MERCUROCHROME-220 SOLUBLE, FOREIGN PROTEIN, AND SUGAR IN ACUTE

GONORRHEAL URETHRITIS, WITH A STUDY OF THE BLOOD CELLULAR CHANGES DURING THE

REACTION.

By Lieut. Commander L. H. Williams, and Lieut. (Junior Grade) G. F.

Cooper, Medical Corps, United States Navy _________ 352

GLANDULAR FEVER WITH INGUINAL ADENOPATHY.

By Lieut. (Junior Grade) C. C. Yanquell, Medical Corps, United States

Navy ___________358

A CASE OF ACQUIRED HYDROCEPHALUS.

By Capt. E. O. White, Medical Corps, United States Navy ____ 361

CARCINOMA OF THE STOMACH WITH LARGE RETROPERITONEAL TUMOR.

By Lieut. Commander W. H. Whitmore, Medical Corps, United States Navy----------------

365

HEXAMETHYLENAMINE IN MENINGEAL INFECTIONS.

By Lieut. (Junior Grade) A. E. Bruuschwig, Medical Corps, United States

Navy ________369

REINFECTION IN SYPHILIS.

By Lieut. O. P. Archambeault, Medical Corps, United States Navy--------------------------------------372

AN UNUSUAL BULLET WOUND. ·

By Lieut. (Junior Grade) P. H. Golberg, Medical Corps, United States

Navy __________374

THE NAVAL RESERVE -------------------------------------------- 375

NURSE CORPS:

THE PENSACOLA HURRICANE.

By Chief Nurse Mary J. McCloud, United States Navy ______ 379

MY FIRST EXPERIENCE IN A HURRICANE.

By Reserve Nurse Luama A. MacFarland, United States Navy _ 382

A HURRICANE THRILL.

By Nurse Ellen E. Wells and Nurse Mary Hennemeier, United States Navy

-------------------383

AN EPIDEMIC OF IMPETIGO CONTAGIOSA.

By Nurse Caroline W. Spofford, United States Navy _________ 385

NOTES AND COMMENTS:

A new section of the BULLETIN-Change in character of –examinations for

promotion-Hospital Corps instruction-Duty at sea – Handling poisons-Laboratory

technicians-The Henry S. Wellcome medal and prize for 1927-Micro-Kahn

reactions-Streptococcus cardioarthritidis--Progress in dermatology-Mitral

regurgitation- Cutaneous leishmaniasis

and the phlebotomus-Medicinals and dyes-Rectal feeding-Epidemic

encephalitis-Catarrhal jaundice- Excoriation of the skin about intestinal

fistulae-Ethylene

anesthesia-Sodoku in the treatment of general paresis—Carbuncles of the

neck-Gye's theory of cancer-$100,000 offered for conquest of cancer-The Sofie

A. Nordoff-Jung cancer prize ____387

BOOK NOTICES ------------------- 413

TOTAL FUEL REQUIREMENT IN HEALTH.

By Commander J. R. Phelps, Medical Corps, United States Navy_ 431

QUESTIONS AND ANSWERS ON SMALLPOX AND VACCINATION.

BY Surg. J. P. Leake, United States Public Health Service______ 461

A fatal case of food poisoning caused by fried oysters contaminated

with a paratyphoid B. bacillus-Outbreak of food poisoning in the wardroom mess

of the U. S. S. Richmond, caused by chicken

salad contaminated with B. enteritidis-------------------------- 475

R EPORT OF AN OUTBREAK OF FISH POISONING ON BOARD THE U. S. S. “CALIFORNIA.''

By Capt. J. L. Neilson, Medical Corps, United States Navy ------ 480

AN OUTBREAK OF FOOD POISONING CAUSED BY BOILED SMOKED TONGUE.

By Lieut. Commander W. A. Fort, Medical Corps, United States Navy -------------------------------------

484

Report of an outbreak of food poisoning caused by cheese-Outbreak of

food poisoning caused by corned-beef hash at the United States destroyer base,

San Diego, Calif. _______________ 486

REPORT OF POISONING BY TRINITROTOLUENE AMONG ENLISTED MEN ENGAGED IN

TRANSFERRING T. N. T. FROM STORAGE TO U. S. S. "NITRO."

By Lieut. Commander T. A. Fortescue, Medical Corps, United States

Navy_______________________________________________ 491

An epidemic of jaundice in San Diego, Calif.-Health of the Navy___ 494

Number 3

PREFACE ---------------------------------------------------------- v

NOTICE TO SERVICE CONTRIBUTORS--------------------------- vi

SPECIAL ARTICLES :

SOME OBSERVATIONS ON AVOIDABLE DROWNING.

By Lieut. Commander R. B. Miller, Medical Corps, United States Navy

___________505

FLIES AND THEIR ERADICATION.

By Lieut. Commander E. C. Carr, Medical Corps, United States

Navy----------------------------- 528

ACTIVITIES OF THE UNITED STATES NAVAL MEDICAL SUPPLY DEPOT.

By Capt. D. C. Cather, Medical Corps, United States Navy ___ 542

RETINITIS PIGMENTOSA.

By Commander C. B. Camerer, Medical Corps, United States

Navy---------------------------------- 562

PREMATURE CONTRACTIONS OF THE HEART.

By Capt. E. C. White, Medical Corps, United States Navy ___ 567

ROENTGEN RAY EXAMINATION IN SUSPECTED CHRONIC APPENDICITIS.

By Lieut. P. P. Maher, Medical Corps, United States Navy ____ 573

COMPARISON OF THE KAHN AND KOLMER REACTIONS.

By Lieut. Commander P. Richmond, jr., Medical Corps, United States

Navy--------------------585

COMMENTS ON THE ORIGIN OF DISABILITY.

By Lieut. Commander Lewis W. Johnson, Medical Corps, United States

Navy--------------------------------- 588

DEPARTMENT OF SANITATION, MARINE BARRACKS, QUANTICO, VA.

By Capt. W. M. Garton, Medical Corps, United States Navy ___593

CLINICAL NOTES :

CHOLECYSTOGRAPHY,

By Lieut. G. B. Larson, Medical Corps, United States Navy __597

THROMBO-ANGIITIS OBLITERANS.

By Lieut. (Junior Grade) R. A. Schneiders, Medical Corps, United States

Navy----------------------------605

THE DEBT OF SURGICAL DIAGNOSIS TO THE X RAY.

By Commander G. F. Cottle, Medical Corps, United States Navy_ 614

THE TREATMENT OF CHANOROIDS AND OTHER LESIONS WITH AMMONIACAL

SILVER NITRATE AND FORMALIN.

By Commander P. G. White, Dental Corps, and Lieut. (Junior Grade) J. Q.

Owsley, Medical Corps, United States Navy _____ 619

SUMMARY OF SEVENTY CASES OF GONOCOCCUS INFECTION TREATED WITH

MERCUROCHROME-220 SOLUBLE TOGETHER WITH SUGAR AND FOREIGN PROTEIN.

By Lieut. Commander L. H. Williams and Lieut. W. D. Small, Medical

Corps, United States Navy------621

TREATMENT OF ENCEPHALITIS LETHARGICA.

By Harold S. Hulbert, M. D. -------------------------------624

MULTIPLE UNERUPTED AND IMPACTED CUSPID AND BICUSPID TEETH.

By Lieut. Commander M. W. Mangold, Dental Corps, United States

Navy----------------- ------------------ 625

MIXED VENEREAL INFECTIONS.

By Lieut. (Junior Grade) G. F. Cooper, Medical Corps, United States

Navy-----------------------------626

CAISSON DISEASE DURING HELMET DIVING.

By Lieut. Commander W. M. Anderson, Medical Corps, United States Navy

--- ------------------------ 628

ANTERIO-VENOUS ANEURYSM OF THE COMMON CAROTID ARTERY AND INTERNAL

JUGULAR VEIN: OPERATION WITH CONSERVATION OF THE ARTERY.

By Commander F. X. Koltes, Medical Corps, United States Navy_ 630

CREEPING ERUPTION.

By Lieut. Commander H. L. Shinn, Medical Corps, United States Navy

___________________632

DEATH BY LIGHTNING.

By Lieut. J. D. Benjamin, Medical Corps, United States Navy _634

DEVICE FOR TRANSFERRING PATIENTS FROM SHIPS.

By Master Rigger Thomas Schofield _______________________ _ 635

AN ECONOMICAL AND PRACTICAL UTENSIL STERILIZER.

By Chief Pharmacist Charles Peek, United States Navy ______ _637

THE NAVAL RESERVE-------------------------------------------- 639

NURSE CORPS:

HOSPITAL HOUSEKEEPING.

By Chief Nurse Nell I. Disert, United States Navy ________ ___ _ 649

DIETS AND THE NURSE.

By J. Beatrice Bowman, Superintendent, Navy Nurse Corps __ 651

DIETETICS AT NAVAL HOSPITALS.

By Nurse Anna F. Patten, United States Navy _______________ 655

NOTES AND COMMENTS:

Comments on " Some observations on avoidable drowning

"-Hypertension- Unrecognized syphilitic myocarditis- Tuberculosis

hospitalization- Microbic dissociation-Bacteriological nomenclature - Carbon

dioxide in hiccough-Diathermy in pneumonia-Answering examination

questions-Medical ethics-Alcoholic content of brain-Electric shock-Acid and

alkali burns-Antiseptics and the nasal flora of rabbits-Annam swelling- The

metric system-Eye test for hypersensitiveness to serum-Research on

pharmacological

problems- Syphilis not caused by vaccination-Line of duty ____ 661

BOOK NOTICES--- - - --------- - - --- ------ - - - -------- ------

--------- 697

PREVENTIVE MEDICINE, STATISTICS :

Digest of the views of medical officers regarding venereal-disease

problems as recorded in various annual sanitary reports for 1926- Two deaths

following inoculation with B. typhosus vaccine- Report

of outbreak of cereb1'ospinal fever at United States naval training

station, San Diego, Calif., December, 1926-January, 1927-Report of outbreak of

scarlet fever at United States naval training station, Hampton Roads, Va.-Fatal

poisoning by arseniuretted hydrogen in the galvanizing shop at the navy yard,

Puget Sound, Wash.-Data useful in estimating the amount of food wasted by men

eating in hospital wards and in a general mess-Outbreak of food poisoning at

United States naval training station, Hampton Roads, Va., attributed to canned

Vienna sausages-Epidemic of influenza among natives of Samoa in August, 1926-

Health of the Navy --------------------------------------------

Number 4

PREFACE--------------------------------------- --------------- VII

NOTICE TO SERVICE CONTRIBUTORS----------------------------- viii

SPECIAL ARTICLES :

CHINESE MILITARY MEDICINE.

By Lieut. (Junior Grade) J. L. McClartney, Medical Corps (Vol. G),

United States Naval Reserve-------- 783

ABDOMINAL WOUNDS AND INJURIES.

By Commander Lucius W. Johnson, Medical Corps, United States Navy

---------------------------- 816

AVIATION HYGIENE.

By Commander R. G. Davis, Medical Corps, United States Navy_ 832

GOITER.

By Commander C. E. Henry, M. D., F. A. C. P., Medical Corps (Vol. S),

United States Naval Reserve __ 837

COMMENTS CONCERNING THE DUTIES OF THE COMMANDING OFFICER OF A NAVAL

HOSPITAL.

By Capt. A. Farenholt, Medical Corps, United States Navy______ 844

THE BUDGET AND THE BUREAU OF MEDICINE AND SURGERY ACCOUNTING SYSTEM.

By Chief Pharmacist B. E. Irwin, United States Navy_________ 851

ELECTROCARDIOGRAM IN THE DIAGNOSIS OF THE CARDIAC ARRHYTHMIAS.

By Lieut. Commander R. L. Nattkemper, Medical Corps, United States Navy

------------------- 862

SIPPY TREATMENT FOR PEPTIC ULCER IN NAVAL HOSPITALS.

By Lieut. (Junior Grade) A. E. Brunschwig, Medical Corps, United States

Navy ------ ------------------ 871

By Lieut. Commander W. H. Whitemore and Lieut. (Junior Grade) O. A.

Smith, Medical Corps, United States Navy______ 875

LOCAL ANESTHESIA IN EYE, EAR, NOSE, AND THROAT WORK.

By Lieut. Commander F. L. Young, Medical Corps (Vol. G), United States

Naval Reserve-------------- 879

ENDARTERITIS, ACUTE, FROM ELECTRIC SHOCK.

By Lieut. P. F. Dickens, Medical Corps, United States Navy____ 881

ACUTE OSTEOMYELITIS WITH METASTASIS.

By Lieut. G. G. Herman, Medical Corps, United States Navy____ 883

ABDOMINAL HODGKIN'S DISEASE.

By Lieut. (Junior Grade) W. D. C. Day, Medical Corps, United States

Navy--------------------- 886

A NEEDLE FOR ANESTHESIA OF THE MAXILLARY NERVE.

By Lieut. (Junior Grade) J. Connolly, Dental Corps, United States Navy

------- --- --- ----- 889

POISONING FROM SOAP-VINE.

By Lieut. (Junior Grade) G. F . Cooper, Medical Corps, United States

Navy - - ------- ---------- 892

THE DIRECT DIAGNOSIS OF PERICARDITIS WITH EFFUSION.

By Lieut. (Junior Grade) C. G. Dyke, Medical Corps, United States

Navy--- -------- - --- --- -- 894

WHAT SHOULD THE DIAGNOSIS BE?

By Lieut. Commander C. A. Andrus, Medical Corps, United States Navy-----

---------------------- 896

MULTIPLE SCROTAL FISTULAE FOLLOWING RUPTURE OF THE BLADDER WITH

STRICTURE OF URETHRA. OPERATION AND RESTORATION OF FUNCTION.

By Lieut. Commander L. H. Williams, Medical Corps, United States

Navy------ - - ----------------897

TRAUMATIC RUPTURE OF THE SPLEEN.

By Commander F. X. Koltes, Medical Corps, United States Navy_ 898

APPENDIX ABSCESS V. PYONEPHROSIs.

By Commander G. F. Cottle, Medical Corps, United States Navy_ 900

MERCUROCHROME IN A CASE WITHOUT DIAGNOSIS.

By Lieut. (Junior Grade) B. W. Harris, Medical Corps, United States Navy--------------------------903

GREASE RACK FOR AUTOMOBILES.

By Capt. A. Farenholt, Medical Corps, United States Navy ____ 908

NAVAL RESERVE:

Hospital units- Recent appointments _____________________________ 909

NURSE CORPS:

THE LECTURES ON ACCOUNTING FROM A NURSE'S POINT OF VIEW.

By Chief Nurse Mabel T. Cooper, United States Navy _________ 913

ADDRESS TO THE CLASS OF 1926 HAITIAN GENERAL HOSPITAL TRAINING SCHOOL

FOR NURSES.

By Capt. C. St. J. Butler, Medical Corps, United States Navy __ 918

A NAVY NURSE IN THE NEAR EAST.

By Mabell S. C. Smith--------------------------- 920

DIETETICS.

By Nurse Anna P. Smith, United States Navy ________________ 921

DIETETICS.

By Nurse Mary J. Miney, United States Navy ________________ 923

NOTES AND COMMENTS :

Correction-Report on treatment of Chinese wounded-Skin tests in asthma-

Treponematosis-The physiological effects of tropical climate-History of medical

practice in the State of Illinois-Mercurochrome- Water

supplies-Seasickness-Cholera in Shanghai in 1926--Fracture of the

skull-Senescence and senility-Bismuth in the treatment of syphilis-Pressure

method of vaccination - Ventilators- Neurosyphilis-Tennis leg-Tea in treatment

of burns-European influenza epidemic at end-Visit of the Relief to Washington-Aviation

instruction for Hospital Corpsmen_ ______ 927

BOOK NOTICES----------------------- ------------------------------ 959

PREVENTIVE MEDICINE, STATISTICS :

A STUDY OF TWO THOUSAND HEALTH RECORDS CONTAINING ENTRIES FOR SYPHILIS.

By Lieut. Commander H. H. Montgomery, Medical Corps, United States Navy-------------------------------973

MEASURES OF OUTSTANDING IMPORTANCE IN THE PREVENTION AND CONTROL OF

MALARIA.

By Commander M.A. Stuart, Medical Corps, United States Navy_ 996

Outbreak of infectious diarrhea in the Battle Fleet, April, 1927, not

investigated at the time of occurrence----An epidemic of malaria at the United

States Naval Station, Olongapo, P. I.- Two deaths from rabies contracted by

playing with a dog which was incubating the disease, in Hankow, China-Frequency

of rabies-An outbreak of mumps among midshipmen at the United States Naval

Academy-Health of the Navy_________ 1010

INDEX TO SUBJECTS ----------------------------------------- 1035

INDEX TO AUTHORS-------- ------------------------------------- 1047

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Electrocardiogram by Vin Tage

4 1

Still testing long exposure on the usual spot.

Still a lot to learn ;)