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ship of the Society. This latter might be done by pro- viding viagra with dapoxetine an associate membership from which men could be viagra with dapoxetine buying viagra in tijuana advanced viagra with dapoxetine to full membership on a basis of merit. Cubic-Air Space for Institutional Bottle-Fed Infants. —Dr. Thomas S. Southworth of New York read this paper. He pointed out the shortcomings of the New York State law with reference to stating that while ventilation was a nominal requirement, such ventila- tion was neither defined nor enforced. There was no apparent evidence viagra with dapoxetine that the laws and rules were based on competent pediatric authority. The writer had sent out a questionaire to each member of this society with the hope of securing some definite data of value and authority on this subject, the inquiry being restricted as far as possible to bottle-fed infants under viagra with dapoxetine one year viagra with dapoxetine of age unaccompanied by their mothers. Dr. South- worth reviewed the questions which had been asked and analyzed the answers from which he concluded as follows; (1) The majority of hospitals and institu- tional wards for infants from which reports were re- ceived, provided 1,000 cubic feet air space and upward for each inmate, and only five reported 600 cubic feet or less (the legal requirement). (2) Even with 1,000 cubic feet of air space free ventilation was considered highly important, and as the space decreased such free ventilation became more and more imperative. No al- lowance of cubic air space was at present made for the attendants in the wards. (3) Reduced cubic air space meant less square feet of floor space and less separa- tion between cribs, with proportionately increased op- portunity for the spread of cross infections. Adequate separation of the beds was only attainable with large cubic air space. (4) On account of their handicaps, bottle-fed babies were likely to require more space than nursing infants. (5) Bottle-fed infants required as much air space as sick or "medical" or "surgical" cases among infants. (6) viagra with dapoxetine The viagra with dapoxetine majority of pediatrists be- lieved that infants should have as much cubic air space as adults, if not viagra with dapoxetine more and this was especially true of bottle-fed infants, because they were more susceptible to infection, suffered in their confinement and did badly buying viagra in tijuana in all save the best equipped institutions. (7) Lim- ited cubic viagra with dapoxetine air space involving limited floor space, was an important contributory factor in the high mortality of artificially fed infants, and such crowding in lim- ited space was very commonly the concomitant, if not itself the cause of faulty hygiene, insufficient care and inadequate nursing. (8) Even with a liberal allow- ance of cubic air space free and abundant ventilation was of equal importance; in addition, provision for roof gardens, porches, and sunparlors was advisable, if not imperative. (9) The mere presence of windows did not of itself constitute ventilation, but their proper use must be provided for. (10) A low minimum of cubic air space established by law, without definition of viagra with dapoxetine what constituted efficient ventilation and without en- forcement, might be more harmful than beneficial, and might constitute a virtual license to overcrowd in ill- ventilated wards. (11) The example of the more pro- buying viagra in tijuana gressive hospitals and institutions which provided the large amounts of air space per infant, together with free ventilation, was to a considerable extent nullified by state and local regulations, licensing for the less progressive, the employment of a minimum air space for a class of infants among whom there was admitted- ly an unduly high death rate. Dr. L. Emmett Holt of New York pointed out that the problem was a difficult one for pediatrists since so much depended on the co-operation of hospital authori- ties. He also brought up the question to whether chil- dren having hospital care did better in separate insti- tutions or in a special department of a general hospital. In some ways children were better off in a special in- stitution since they required a special kind of care and in children's institutions a special construction was de- sirable, while in a large general hospital there were viagra with dapoxetine certain advantages, training schools for nurses, op- portunities for consultation with physicians in other special departments and opportunities for the train- ing of internes that would give them experience in dealing with children's diseases. A given number of children needed from two to three times as many nurses as would be required for the same number of adults. Dr. Rowland G. Freeman buying viagra in tijuana of New York said that in the matter of cubic air space what the child needed was free moving air. Out-doors was better than in. Dr. Freeman also spoke of the relative advantages of the general hospital and the special hospital for chil- dren and stated that the general hospital offered the pediatrician the advantage of contact with men in other departments and he could thus get acquainted with methods that were being employed with adults and that might be applied to children as well. Dr. L. E. La Fetra of New York said that there were many other factors besides the cubic air space that had to do with the welfare of infants in institu- tions. The fewer babies there are to a given amount of cubic air space the better they did. Breast-fed infants did better than those artificiallv fed with the 462 MEDICAL RFXORD. [September 11, 1915 same air space. The amount of indivdual care the babies received was an important factor. When more babies were admitted to a ward more nurses were too often not added. Frequently there was inadequate nursing at night. Beds should be far enough apart to avoid the danger of cross infection. Dr. S. McC. Hamill of Philadelphia discussed the advantages of general and special hospitals for chil- dren and said the question really resolved itself into one of hospital administration.