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Dr. John Howland free samples of female viagra said that this work was inter- esting as showing the effect of high protein content in the food of an infant. In his work along this line he reported four years ago that the protein acted as a stim- ulant to cumpar viagra the general metabolism and while more pro- tein could be consumed, an excess of glycogen was stored up and the injurious effects of other food ele- ments on the organism were more noticeable. Dr. Talbot said it was a curious fact free samples of female viagra that when the protein content of the food was increased, if this in- crease was in the form of cow's milk, the symptoms of protein excess appeared much sooner than if other forms of protein were added. Dr. HooBLER said that in nearly all hours tested the metabolism was low for the first hour and increased with each succeeding hour. There was a lower meta- bolism for the sleeping hours. A Further Step in the Adaptation of an Artificial Food to Human Milk. — Dr. H. J. Gerstenberger, Dr. H. D. Haskins, Dr. H. H. free samples of female viagra McGregor, and Dr. H. O. RuH presented cumpar viagra this paper. After describing Frieden- thal's milk they stated that they had started out with the idea of making a fat for that milk which would meet the following requirements: First, that it would have approximately the same percentage of low fatty acids as were contained in breast milk; and, second, that it would have approximately the same saponifica- tion, Reiehert-Meisel iodine number, etc. About that time Dr. Gerstenberger came across the statement of Arnold that a mixture of 86 per cent, lard an 14 per cent, cocoanut oil of certain saponification, Reiehert- Meisel and iodine numbers would give a mixture con- taining the same numbers as v/ere contained in breast- milk fat. Such a fat would float on top of Frieden- thal's milk unless homogenized. They then learned of Neuman's method of washing and emulsifying butter. They found, however, that practically no fatty acids were removed by repeated washing of butter with cold water and that an emulsion of the fat could not be obtained when it was added to Friedenthal's milk. Neiman had been able to emulsify his mixture because he had added a large amount of cereal in cumpar viagra the form of free samples of female viagra cornstarch. Washing butter oil with hot water cumpar viagra re- cumpar viagra moved but slightly more of the low fatty acids and this amount was so small as to be negligible. It was im- possible cumpar viagra by the methods which the authors worked out to rid process butter of the rancid odor and make it useful. They later acquired a homogenizer and found that the Friedenthal milk with both cold water washed butter and hot cumpar viagra water washed butter could be thoroughly and perfectly homogenized. Most of the infants fed on this milk vomited and had thin, yellow or yellowish stools. The authors then prepared a mixture of lard and cocoanut oil, according cumpar viagra to Arnold's suggestion, added this to Friedenthal's milk and found that it was perfectly homogenized. Various combinations of lard, cocoanut oil, codliver free samples of female viagra oil and cocoa butter were pre- pared, added to Friedenthal's milk, homogenized and fed to cumpar viagra different infants. They had produced a milk which gave the following analysis: Proteid 1.1, sugar 7.07, fat 4.54, salt 0.43. The following points with reference to this study might be emphasized: (1) The giving of an artificial food containing fat of approxi- mately the same qualitative characteristics as breast- milk fat meant a distinct step in advance toward the more complete adaptation of an artificial food to breast milk. (2) This change in the quality of the fat for the artificial food did not apply only to the low fatty acid content of the fat, but also to many of its other char- acteristics. (3) The homogenizer was a machine that made it possible to suspend such fat in a food free samples of female viagra that in other respects had been made similar to woman's milk. (4) It represented also a practical means free samples of female viagra of adding other free samples of female viagra substances of whatever free samples of female viagra nature they might be. (5) This scheme made the manufacture of a milk that could be given to young infants as well as to older ones without dilution probable, and this meant, specially if the product could be manufactured at low cost, an ac- complishment of great practical importance to both the physician and the family. (6) Manufacture of the food did not present diflnculty in keeping the bacterial con- tent extremely low. Dr. CoiT asked Dr. Gerstenberger if he could tell the caloric value of this milk. Dr. Gerstenberger replied that they had calculated the caloric value of this milk in cumpar viagra only two proportions. With 4.5 per cent, fat, the caloric content would amount to 770 calories. This could be changed. Dr. HooBLER said that in the work recently done in studying the effects of feeding fats, the distinction had been made between the two kinds of fats, those from glandular tissue and those fx-om the non-glandular. To the latter type belonged olive oil, lard tallow, etc. It was found that animals fed on non-glandular fats were not properly nourished. They might appear to be in good condition and might free samples of female viagra even increase in weight but there must be a further indication of proper nourish- ment; there must be the capacity for reproduction. Animals fed on non-glandular fats could not produce offspring. With this knowledge it was proper to in- quire definitely whether such food as had been sug- gested would fulfill in every respect the standard that was desirable. Homogenized Olive Oil and Fat-Free Milk Mixtures in Cases of Difficult Feeding. — Dr. Maynard Ladd of Boston presented this paper in which he recalled that he had before called attention (paper read before New England Pediatric cumpar viagra Society, February, 1915) to cumpar viagra the pos- cumpar viagra sible application of the principle of homogenization of liquids of different densities to the modified milk mix- tures in infant feeding. He had reported the results obtained by replacing cow's milk with olive oil, the emulsion being produced by cumpar viagra the homogenizing ma- chine of Gulin of Paris. The chemical composition of the milk was in no wise changed by this process, but the phj'sical condition was so changed that the fat could no longer be free samples of female viagra separated by free samples of female viagra the ordinary cream separators. 'The taste of the milk was decidedly im- proved by this process, particularly that of pasteurized milk. Homogenized creams could free samples of female viagra be readily pasteur-