New Britain Herald Newspaper, August 14, 1915, Page 5

AUGUST 16thto21st NEW BRITAIN DA RALD, SATURDAY, AUGUST 1ia, 1015, Electric Lighting was supplied to New Britain in the year 1885. From then until the first of January, 1912, the companies furnishing electric service had secured 2,414customers in New B surrounding towns. Since the first of January, 1912, this Company has been furnishing service, and in that time has secured 2,414 customers, so that, on the twenty-third day of Jul y, 1915, we had of 4,828 customers—or, in other words, after three years and a half, we have twice as many customers as our predecessors had at the end of twenty.seven years. We take this to indicate the app ‘ the people of New Britain and vicinity of this Company and its methods of service, and we desire to assure the public that it will be our constant effort tg still further improve our service. We of course, doubled our business, for the reason that many of cur new customers have peen the small custom in the residential district, thus indicating, therefore, that electric service meets every ; We are so pleased over the result that we intend to celebrate next week as “TWICE AS MANY” WEEK THE PROGRAM FOR THE WEEK, WHICH IS SOMETHING NEW AND DIFFERENT, IS AS FOLLOWS: Daily Exhibition in Mid Air off the Electric Building by Prol. Dummy who will give a new stunt each day also a search light exhibition at night. Watch for this. Hundreds of toy gas balloons to be given away daily to the public, Free Guessing Contest with prizes that are more than worih while. Grand Illuminated Band Concert in Walnut Hill Park Wednesday evening, August 18th. date music, with special soios by the Philharmonic Band.) First Free Public Demonstration of Actual Cooking on an Electric Range at our office, Saturday, August 213i to 9 p. m., aiso demonstration of all electrical appliances and devices. Free Premiums to all new cusiomers who apply for our lighling service during the week as follows: On Monday or Tuesday, a premium of 12-40 wati Mazda Lamps FREE. On Wednesday or Thursday, a premium o! an E ectric Iron or Toaster FREE. On Friday or Saturday, a premium of two months’ FREE current. JOIN US IN THE CELEBRATION Dr. Kenneth E. High Calory Diet in Typhoid Remarkable Paper By Well Known Local Physician Ap- pears in Current Issue of New York Medical Journal—Opposes Starvation Methods. Dr. Kenneth 1. Kellogg of this city who has made a special study into the causes and treatment of ty- phoid fever with particular reference to dictatics has had considerable suc- | cess in what'is known in the medical world as the high caloric treatment as opposed ta the old so-called star- vation method. In connection with his work in this branch of the medi- cal field, Dr. Kellogg recently prepar- ed a paper which was so highly re- garded that the Medical Record of New York gave it space as a leading article in a current issue. Owing to the importance of the work that is being done in the battle against the dreaded typhoid fever and the fact that- Dr. Kellogg, a local physician, has scored such a signal success, the article in question is reprinted be- low: THE HIGH CALORY DIET IN TY- PHOID FEVER. By Kenneth E. Kellogg, M.D., New Britain, Conn. Fellow N. Y. Academy of Medicine. The progress of the science and art of internal medicine in the last few decades, and the application of mod- ern knowledge to the management of infectious diseases, are in many in- stances equally radical though per- haps less striking than the brilliant results achieved by contemporaneous surgery. A good example is afforded by the high calory diet in typhoid fever, a drastic departure from the star- vation method which not so long ago was considered as inseparable from Kellogg Urges over and above the 1400 calories which were regarded as.sufficlent by Austin Flint, The matter of feeding in typhoid fever was placed on a scientific basis in 1909 when the investigations of Shaffer and Coleman showed that the loss of protein, connected with the fever and inseparable frorn all ths old restricted diets, can be lessened or altogether avoided, by means of a carefully selected diet of easily di- gested foods, notably carbohydrates, which protect the bodyprotein bet- ter than any other food. One of the chief objections against the high calory diet was removed when von Hoesslier showed that its use does not increase the temperature In typhoid fever. At the time of its first introduc- tion, .th high calory diet aimed at supplying typhoid fever patients with the same food values as needed by a healthy person. Schottmuller, 1n | Germany, now fixes the daily allow- | ance at 130 to 150 g. of albumin, in typhoid fever;. healthy persons re- quire only about 60 g., as a little more than double that amount is needed to balance the disintegration- processes of typhoid fever. The body albumin is indirectly protected against combustion by an abundant intake of carbohydrates; sugar, and flour. Approximately 40 calories per kilo. of body-weight is a reasonabie calculation. The investigations of Du Bois have shown that-contrary to expectations, the typhoid patient is pertectly cap- able of digesting and absorbing a the therapeutics of fevers in general, and enteric fever in particular. We have since learned that in disease no less than in health, the body re- quires an uninterrupted replenish- ment of its protein store. Briefly sketched, the dietary history of typhoid fever is as follows: Eighty years ago, carbohydrate water, jelly, and broths were advocated by Graves. In the seventies of the last century, two quarts of milk made the daily menu for Austin Flint patients. No dissenting voice was raised against an exclusive milk diet in typhoid fever until Shattuck, in 1897, adve- cated more liberal feeding, as he found no greater frequency of perfor- ation or intestinal hemorrhage on a high than on a low calory diet in this disease. By a high calory diet is meant one of 4,000 to 6,000 cal- ories ‘daily, a considerable increase high calory diet. At the present time the capacity of the gastrointes- tinal tract in fever to digest an abun- dant mixed diet is no longer doubted. The absorption of fats is alone dis- turbed in the first stage of the dis- ease, according to the findings of Du Bois. The normal course of diges- tion in typhoid fever is illustrated by ‘the entirely normal appearance of the stools. There is less diarrhea with a mixed high calory diet than when fluids alone are given. Re- cent findings have shown that no more than 5 per cent. of the calories Ingested is lost in the feces. 1t is the’ alm and the object of the high calory dlet to protect the body against excessive loss in weight until the disease has either run its natural course or been cut short by measures of immunization. The im- portance of an abundant supply of carbohydrates is especially emphasiz- ed by all the advocates of the method, both in this country and abroad. Barrs, in England, and von Muller, in Munich, are leading foreign ex- ponents of the high calory treat- ment, in form of a mixed diet, for typhoid patients. The plan is widely adopted in Russia. The prevention #@nd control of ty- phoid fever is one of the urgent prob- lems of modern warfare. Writing from the seat of war, Dr. Romberg (of the Frist Medical Clinic, in Munich) em- phasizes te decisive importance of a liberal diet, i. e. high calory feeding, from the very first day of the disease. He says that at least thirty to fifty calories per kilo of body-weight should be given every day. The fail- ure of the general circulation in these cases is often merely thé rsult of in- sufficient nutrition, not of the disease itself. Bedsores and furunculosis are likewise referable to under-feeding. The diet especially recommended by him consists of 2 to 21 liters milk, 1-4 liter cream, four to five eggs, por- ridges sweetened with lactose, on ac- count of the liability of cane sugar to ferment. There is no objection against giving tender meats, scraped or minced, creamed toast, mashed pota- toes, or purees of green vegetabl: All these foods are transformed in the intestine into bland and innocuous chyme. It is sometimes claimed that the high calory diet has substituted the classical milk menu of these patients, but this is not strictly true, in so far as milk forms the basis of the high calory feeding and can be exclusively given in the early stage of severe cascs up to an amount of 3,000 calories. In a case of well-marked anorexia, it may not be possible to persuade tha patient to partake of other than liquid food, during the first week or two. Soups and porridges, prepared wi 100 g. farina, rice, oats, sage, or tapio- ca, are then in order. Other articles of food are gradually added, such as buttered toast, scrambled eggs, junli- et and custards, cereals, mashed pota- toes, apple sauce, etc., until about 4,500 calories are reached, which is usually a sufficient quantity to offset the loss in weight due to the fever it- self and the toxic disturbances in its train. In the steep curve period, and during convalescence, as pointed out by Coleman, patients take readily from 4,000 to 6,000 calories daily. Still higher feedings are sometimes advantageous. In his experience of over one hundred cases, the high cal- ory diet apparently convalescence, and reduced the mortality. The incidence of hemorrhage and perforation was lessened. The fear has thus been shown to be ungrounded that a solid diet, especiai- 1y meat, might cause mechanical ir- ritation of the ulcers, thereby favoring intestinal hemorrhage and perfora- tion-peritontitis. The frequency of relapses is not in any way affected by the dietary regime of typhoid fever cases. A recurrence is now known ‘o be a reinfection of the mesenteric sociated with a the blood. In view of the fact that the tion originates from the lymph-vessels but not from the intestinal epitheli- it is not likely that the passage ileum neral infection infec- um, of normal chyme through the favors the onset of these recurrences. | This is borne out by the findings Kinnicutt, who anallzed 600 cases typhoid fever, fed on a liberal di‘ and noted that the number of lapses was not increased, while therp was less hemorrhage and perforation than under the old method of treat- ment. In describing the clinical picture of | typhoid fever as governed by the diect of the patient, Rajewski (1913) states that no bad results were observed to follow upon a solid diet. His obser- vations were made upon 864 patients, who were kept on a diet of milk, meat, eggs and white bread. Com- plications followed in 492 of these cases, primarily of the respiratory or- gans. Bedsores occurred less fre- quently than otherwise. The averags duration of the disecase was thirty days. The mortality amounted to 10.3 per cent., increasing with the tient’s age and with the time which had elapsed between the onset of the disease and the day of admission to the hospital. Recent very exhaustive studies . of the influence on the high calory diet on the respiratory exchange in ty- phoid fever lead Coleman and Du Bois to the conclusion that the large amount of food administered exhibits no specific dynamic action, thus re- moving the chief theoretical objec- tion to the use of a liberal diet in typhoid fever. Their observation of a sharp rise in the level of the respiratory quotients during the last days of the fever, in the majority of high calory patients, leads them to the interesting interpretation of this rise as marking the onset of regen- erative processes, i.e. the beginning of convalescence. before the tempera- ture has become normal. Advantage of a Mixed Diet—The patient is protected against inani- tion and progressive loss of strength, a fact which acquires special im- portance in the troublesome cases running a protacted course with re- peated exacerbations and relapses. The organism which does not lose in weight becomes automatically more resistant, and develops an increased capacity for the formation of anti- bodies. Undoubtedly, a mixed ana liberal diet tends to raise the gen- eral resistando, and thereby lessens the liabilty to secondary infections. Sicard, from an anaylsis of 29 cases occurring in the second division of Bellevue Hospital during the sum- mers of 1911 and 1912 concludes that the most evident features of the high calory feeding are the maintenance of weight and nutrition, the appeas- ing of hunger, and the lessened to- dium of convalescence. A practical point worth remem- bering is that about three tablespoon- lymphatic apparatus of the bowel, 13- | fuls of granulated sugar, mixed with A ain disadvantages connected with purely liquid diet which wer not always taken into pro- | per consideration when mapping oyt ! | the dietary regime of a protractéd | disease, such as typhoid fever. The ! high calory diet does not tax the heart by an excessive amount of fluid, two liters being amply sufll- cient under a mixed diet, while near- ly twice as much was formerly found necessary to maintain the patient's nutrition on an exclusively liquid diet. These large quantities of fluid were apt to favor the development | of edema, in cases with a weakened heart-action. A minor although by no means negligible advantage of the full diet in tvphoid fever is the | resulting improved condition of the patient's mouth, tongue, and teeth, brought about by the act of chew- | ing. Following a safe medium course in prescribing the dietary of a given case of typhoid fever, it is advisable to adhere to the rule of Forchheimer that every patient having the disease should he fed wth reference to his | digestive power, with exclusion of | such articles as in themselves or in their residue may be irritating to | the raw curface of the gut or may produce undue peristalsis. As to the amount of food to be given, so as to achieve the best results, conditions vary in individual cases, each pa- tient being a law unto himself. The desire for nourishment, and the ben- efit obtained therefrom in form of added pounds to the patient's weight, are relidble guides in this respect. Not the disease but the patient, must be the first care of the clinician, for individualization, based on scrupulous attention to detail, is the master-key to success in the dietetic treatment of typhoid fever as throughout the domain of internal medicine. TAFT ON WESTERN TRIP, New York, Aug 14.—William H. Taft leaves New York today on a western trip to be absent until Oct 5. After severa] visits and addresses at places enroute Mr. aft on Sept. 9, will speak before the American Bankers association at Seattle, and will leave San Francisco Sept. 18 to return to New York by way of the Panama canal. SAVED FROM DROWNING, Branford, Aug. 14.—A near drown- ing occurred at Indian Neck yester- day when Miss Olive Hickey of Hart- ford sank in water over her head after losing her hold on a pair of water wings which were hold her up. She was rescued by Orville Dryhurst of Meriden. CUBAN MAYOR KILLED. 1 ror of Santa Clara, was shot led yesterday by Ulpiano | C Coya, m and k Blanco, a Spaniard with a criminal | record. No political significance at- taches to the shooting. the great camp for mulitary tion which has { Plattsburg, N. Y. men of the country students. seeking fenses of this country. panying photograph of was taken at the camp. ministry public the following official communi- cation: (See our office window.) (Al new and up-te (This is for residence customers only.) EVERYBODY WELCOME MA IOR GENERAL LEONARD WOOD IN PLATTSBURG CAMP Major General Wood is in charge of instruc- been instituted at Some of the leading are among the them have been national de- The accom- General Wood of the Many light on AUSTRIAN U-BOAT SUNK. Italians Send Hllhmnrin(‘ to Bottom in Adriatic. Aug. 14.—The last night made Via of Rome, Paris, marine “Yesterday morning in the lower Adriatic the Austrian submarine boat ! U-3 was sunk. eleven men and made prisone The second officer and of the crew were saved NOTE AT BERLIN. 13, via London, Aug. ~The American note to FRYE Berlin, Aug 4, 2:22 m Santa Clara, Cuba, Aug. 14.—Emilio | Germany concerning the sinking of the American hip William P. Frye by a jerman commerce destroyer has been eceived by the American ambassador and will be presented to the German | foreign office this evening. REDUCED PF DETROIT But Smaller Cost Doos crease in Quality — provements in 1918 A sensation was ¢ the entire electric car the Anderson Electric announced August 12 preces on their 1918 range from $1,875 to §&, from time to time i low priced electric chrs market, the Detroit first high grade car to 4 terial reduction in pi | “Notwithstanding they | reductions run from § quality of those cars | cheapened in the si declared W. C. And the Anderson Electrie “In fact, for 1916 D cars embody a number 8 | typifying the latest | mobile engineering. improvements are excl These 1916 Detroit i experience gained dul of building the finest el cars procuced. It has § necessary to double oup order to meet the dem ers have received, and creased production many marked 6co been able to put inet er prices without high standard of g Electrics have long Another noteworthy policy of thé Andérson company for 1916 is the the one-chassis basis one chaseis has been highest degree of perfs world’s largest bullders cars can attain, and chassis is buflt four b floor space of the Pl greatly augmentéd to fi expedite productién. The marked reduction] of the 1916 Detroit i widens the range of now numbers of heretofore refrained an electric car price of the good longer: The Detroit Electric automobile in any .town treity, because of its easy riding qualities, ' an interurban car as. for driving about towm o e,