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Of cases pellagra observed at the two orphanages during the spring and summer, not less than completed at least the anniversary date their attack under observation.

In only one these pellagrins, following the change in diet, was there recognized evidence a recurrence, although the basis experience elsewhere some might reasonably have been expected.

Nor was any new case observed among the nonpellagrin residents, whom completed not less than one Of the group pellagrins the modified diet at the insane asylum, best essays remained continuously imder observation October, or at least until after the anniversary date their attack.

Not one this group has presented recognizable evidence professional research paper writing service a recurrence, although a group S controls homework help persuasive essay have had recurrences. Pellagra may, therefore, prevented an appropriate diet without any alteration in the environment, hygienic or sanitary, including the water supply. At iflolatod convict camp, previously free from pellagra, with an average population white males, volunteers were segregated and, after writing custom a buy a dissertation preliminary observation period months, placed an abimdant but one ded, chiefly carbohydrate wheat, com, rice diet, from which fresh animal proteins and legumes were excluded.

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At least these volunteers developed pellagra.

This result would appear have been brought about the diet which they subsisted. A definite conclusion as the intimate mechanism involved in bringing about or in preventing the disease diet can not drawn from the available data.

For the practical purposes preventive medicine would seem fundamental importance recognize that the pellagra-producing dietary ult, whatever its intimate nature or however brought about, capable correction or prevention including in the diet suitable proportions the fresh animal and leguminous America still, I believe, investigated. So far as I know, pellagra has not been observed in Cuba.

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That may accounted for a certain extent discounting the possibility unrecognized cases, which, course, must considered the fact that the diet in our country quite abundant in leguminous food, particularly beans, which form a usual part tibe menu almost everywhere, and as for the orphanages and asylums either com or beans form a daily part the diet.

The fact that pointed out Dr.

Ooldberger and well known those who have studied this question, that the disease imtreated nursing dissertation tends recur, would serve away with the idea the disease passing unrecognized amongst If did not think the first time, I think attention would have been called the next time or at a subsequent time, I feel safe in stating that have no cases pellagra, at least in our public About three years ago I had occasion see a few cases pellagra in London, shown Dr.

Sambon at the time when claimed that the simulium was the cause the disease, and explained the reason these recurrences calling attention the fact that the recurrence took place during the warmer part the year, when the parasitic nature the disease seemed more in condition develop.

Of course that has all been explained Dr. Ooldberger, and the argument alone would not sufficient away with all Is there anybody else? I see that Siler, the Robert Thompson Pellagra Commission, here. Capt. SiLEB, United States Army. I think should all congratulate Dr. Ooldberger the very thorough way in which has demonstrated that can cure and prevent pellagra dietary changes. I think those who have treated pellagra have been very much struck the fact that a very large percentage the victims have been living a restricted diet, and also that recovery would occur in a very large majority cases putting them the proper diet. I suppose that in the three years I was working with pellagra I have probably answered two three himdred letters from patients who had and advice was always treat the disease as if were tuberculosis that say, build the nutrition the use eggs and milk particularly and though such a diet did not give results in all individual cases, in a large majority One point which I wish refer the disappearance pellagra in institutions and in communities. We made epidemiological studies in Spartanbu County, as well as other places in this country and abroad, and found not unusual have a large amount pellagra in a community one year and very little or none the following year. We had a number instances that kind. We find physicians who, though using the same terminology, constantly disagree in their diagnosis the same child. The examples cited Blin prove this. 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