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Presidential Address. — Dr. Robert L. Dickin- son, of Xew York, stated that in all other depart- ments of medicine and surgery the war made an in- ventory of men and methods. Gynecology should now conduct a complete self survey. The special- ty precio de cipralex 15 mg was limited but large, the procedures being tew, 3'et gj-necological operations, as studied in clinical congresses or in dailj* operation notices of large cities, omitting lesser operations, were shown to com- prise one fourth of surgery. Operation was re- quired in less than one tenth of patients with dis- abilities peculiar to women, obstetrics being ex- cluded. The future problems that gynecology was alone qualified to solve were considered. The first was its own portion of a standard nomenclature, whereupon the new census volume was presented. The operation nomenclature was under way. Standards were defined as the best present prac- tice^ widely studied, fairly epitomized, succinctly written down, warily applied, both flexible and pro- gressive. There was need of taking stock of ob- stetrical and gv'necological clinics. The lack of lead- ers was deplored, one cause shown by the war cen- sus being a want of hospital connection, only one medical man in twenty-eight, and one surgeon in four having such connection. Therefore, deliberate selection, training, full knowledge concerning spe- cialists, teaching centres for the future were urged, and the carrying of obstetrical education directly to the practitioner in his own locality. Women should be given hospital opportunity, so that Amer- ican women might prove themselves as good as British. What were some of the sociological problems? Sterilization of women b}- simple means, with tests of tube patency ; artificial impregnation ; contracep- tives ; the definition of normal cipralex 20 mg tabletten sex life; the doctor's section of sex instruction ; and the extension of cipralex 20 mg 56 tablet routine pelvic examination before marriage and the harder forms of industry. cipralex⬠10/- 20 mg filmtabletten He advocated the estab- lishment of a journal under the auspices of the society; also gynecological centres in libraries and museums, including a slide library, loan charts, and a studio. Finally, action was considered looking to- ward certification of specialists, such certification to hold good some ten years at a time. The Development of Prenatal Care and Ma- ternal Welfare Work in Paris Under cipralex farmaco generico the Chil- dren's Bureau of the American generika f𴱘r cipralex cipralex 20 mg tablet Red Cross. — Dr. Fred L. Adair, of Minneapolis, said that prenatal or antenatal care was that part of a public health program which had as an ultimate object the bene- ficial influencing of the health of the offspring by surrounding the mother with proper conditions dur- ing the period of pregnancy. Any complete health and social welfare program should include tw^o pub- lic welfare activities, i. e., maternal 15 mg cipralex and infant wel- fare, which were closely related and should be verv carefully coordinated. These activities were inti- mately bound up with the family and concerned par- ticularlv the cipralex 10mg weight loss mother and child. While these two 608 riiOCEEDlNGS OF NATIONAL ASD LOCAL SOCIETIES. subprograms were more or less closely related to all the other public welfare work, they had more points of contact with each other than with the rest of such activities. cipralex 15 mg hinta From an administrative viewpoint these two activities should be comprised in a ma- ternal and child welfare program, but from a med- icosocial viewpoint the work should be handled by experts in the different lines of work. getting off cipralex 10mg The objects of the maternal welfare program were: 1. To develop healthy parents, especially mothers who were intelligently trained ; 2, to bring them through life to maturity capable of bearing and rearing normal children; 3, to reduce the maternal, fetal and newborn morbidity and mortality to the lowest possible level ; 4, to leave the mother with a desire and capacity to cual generico cipralex bear and rear children proper- ly in a sufficient number and of such a quality as cipralex 10 mg insomnia not only to maintain the integrity of the human race, but constantly to improve its character. The family should be protected from cipralex 15 mg biverkningar various detrimental influences by education, legislation, cipralex 20 mg fiyat and proper help can take 30 mg cipralex and advice. This meant that each fainily should have a normal economic status, proper housing, good sanitary surroundings, proper advice, and care in case coming off 10mg cipralex of physical or other needs resulting from dis- ease, economic reverses, or distress of any kind. Some of the medical problems which vitally affected the individuals and the family were those dealing with tuberculosis and venereal cipralex price india diseases. These ac- tivities were verj^ closely allied to 10 20 mg cipralex maternal welfare work. The legislative program included those laws which were designed to protect the family unit in health, economic independence and happiness, or to prevent any invasion by medical or social disease. The re-

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