File:A new manual of surgery, civil and military (1917) (14786432393).jpg

Identifier: newmanualofsurge00ochs (find matches)
Title: A new manual of surgery, civil and military
Year: 1917 (1910s)
Authors: Ochsner, Albert J. (Albert John), 1858-1925 Percy, Nelson M. (Nelson Mortimer), b. 1875
Subjects: Surgery
Publisher: Chicago, Cleveland Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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eir homes upon these farms,and within a year several members thereof have become afflicted, then chang-ing their residence the children who were born later remained free from thedisease. The investigations described in the TJ. S. Public Health Reports, April 14,1914, have given such clear and positive results that it seems proper to repeathere the most striking points, because a knowledge of these facts will aid 154 SURGERY OF THE NECK the surgeon in instituting prophylactic measures as well as in properly direct-ing the after-treatment. These investigations show that goitre occurs inregions in which the drinking water is soft, as well as in those in whichit is hard, and also that there is no clinical evidence that dissolved salts causegoitre. Goitrous water may be radio-active and it may contain much carbondioxide. Goitre may be due to much iodine in drinking water. There seems to be a direct relationship between the affection and thedegree of bacterial contamination of water supply.
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Diffuse Colloid Adenoma of the Thyroid Gland. Treatment—Excision of % of All Lobes. Experimentally goitre M^as produced in man by water from a goitrousstream. By giving the same water boiled, goitre was not produced.MacCorrison gives the following conclusions: 1. Goitre can be produced in a few weeks by suspended matter separatedby filtrations from goitre-producing waters. 2. Thyroid enlargement cannot be so produced when the sediment is boiled. 3. Goitre so produced cannot be due to mineral matter but is due to aliving organism. 4. While it cannot be positively stated that a Berkfelt filter removesthe cause of goitre, water so filtered cannot produce goitre within fifty-sixdays, which was the period of the experiment. These conclusions are quite in keeping with those of Bircher who made SURGERY OF THE NECK 155 extensive experiments with the use of goitre water in rats. He demonstratedthe following facts: 1, That centrifugalization renders the pathogenic water innocuous. 2. That add

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