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by the tables. Periods. No. of cases. Fat. Colostrum 5 2.83 Transitional . . 6 4.3V Mature 17 3.26 Late 7 2.96 Sugar. Protein. Ash. 7.59 2.25 .3077 7.44 1.56 .2407 7.50 1.15 .2062 7.45 1.02 .2080 A does medicare cover viagra table was also presented showing the distribution of ash during the different periods. The ash of the colostrum period was high in sodium and potassium chloride. The CaO was almost the same does medicare cover viagra throughout the whole period. For the mature period from the end of the first month to the tenth month the close resem- blance in the ratio between proteid and ash in woman's milk and cow's milk was astonishing. The following table showed the percentage composi- tion of ash per 100 parts of woman's and cow's milk: CaO MgO P(2)0(5) Na(2)0 K(2)0 CI "Woman's.. 23.2 3.7 16.5 8.0 28.2 16.6 Cow's 21.8 2.9 28.9 T.2 26.5 13.0 Dr. Gerstenberger asked Dr. Holt if they had made the determination for iron and if they had found that cow's milk had viagra online ireland less iron than human milk. Dr. Thomas S. Southworth said there was an in- teresting point with reference to the transitional period. This was the time when they were confronted with the bad does medicare cover viagra effects of high fats in the maternal milk and got the gastrointestinal disturbances, and it was interest- ing to note in the tables that the fats were abnormally high at that time and then there was a tendency for them to fall; in treating these cases if they failed to overcome the difficulty by definite measures, nature came to their assistance by lowering the amount of does medicare cover viagra fat. Dr. Holt said that in answer to Dr. Gerstenberger's question, the amount of iron in woman's milk was something like 1.7 milligrams in 1,000 c.c. They had not made this determination themselves because the quantity was so insignificant. A Plea for Accurate Statistics in Infants' Institutions. — Dr. Henry Dwight Chapin of New York presented this paper in which he first stated that the gravity of the problem of mortality in infant's institutions could not be correctly stated. Practically no one knew how many infants passed through these institutions each year, whence they came, or whither they went at the end of their stay. "How many die, how many of those who live, lead lives of suffering and impaired useful- ness, and possibly of dependency and crime through the action of causes that might have been prevented — these were the questions for which answers must be sought." The first essential was a knowledge of all the facts, which, at present, were unknown. That the operation of these institutions does medicare cover viagra left much to be desired was known to all who were engaged in the work. This statement was not intended to impugn motives, but to show that the time had come to see if all this energy was expended in the wisest way, and if not, how the methods could be improved. Statistics from the report of the New York State Department of Charities from viagra online ireland the period 1909 to 1913 of eleven institutions in the State, in which the death rate for babies under two years of age was based on the total number of children cared for, varied in the different institutions from 183 to 576 per 1,000; while during this same period the death rate of children under two years of age, based on the estimated population of the State, was about one- fifth of that in the institutions. In a recent article the writer reported a study of the mortality in ten in- fant asylums located in different parts of the United States. The time covered does medicare cover viagra from four to does medicare cover viagra twenty years, taking the longest and the shortest intervals. The does medicare cover viagra rates were based on the ratio between yearly admissions and death rates and varied from 31.7 to 75 per cent. Drs. Holselar and Rude of San Francisco reported a mor- tality in the foundling asylums of that city of 50 per cent. On boarding out babies with foster mothers in order to secure does medicare cover viagra individual care, the mortality was re- duced to 12 per cent. Other statistics were cited by the author which demonstrated beyond a shadow of a doubt that the mortality in these institutions was far higher than it should be; they also served to show that there was no uniform method of collecting data and keeping i-ecords, which were exceedingly necessary to show how and where sanitary work must be done and to exhibit the results of sanitary work already under way. In order to secure such knowledge certain specific facts should be given, which in reports accessible to the writer were rarely stated or properly analyzed. All facts that could present a fair picture of the health and hygienic condition of an institution should be carefully presented. Special care should be taken in keeping the records of babies under one year of age. The indi- vidual study of each baby should include the history on admission, age, physical condition, length, weight, general nutrition, previous feedings, history, and rec- ord of antecedent diseases. The babies should be classi- fied or graded by ages on admission and physical con- dition, weight, length, and nourishment. Summaries could then be made, showing the average gain or loss under each heading. Comparisons could thus be made with non-institutional babies. There should also be kept a record of disaases acquired during the baby's stay in the institution. Summaries of individual rec-