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Sporanox (Itraconazole)

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Sporanox (Itraconazole)
ARTIFICIAL RESPIRATION
You have all heard of mechanical devices for artificial respiration used by fire and police departments, but these are usually not quickly available, and time is of first importance; seconds count.
There is practically no hope of survival if a person has gone twelve minutes without breathing. But you must remember that it is often difficult to tell just when a drowning person disappeared. Also minutes may seem like hours in such a situation. The books on first aid give good instructions on artificial respiration. Inexperienced persons, however, are apt to be too vigorous and too fast in the maneuvers. The old-fashioned rolling on a barrel is a good method. When the patient is rolled towards his feet, a sagging down of the diaphragm results in inspiration; when rolled in the opposite direction, the weight then collapses the lungs, giving expiration.
Respiration, which next to the heart beat is our outstandingly vital function, is accomplished by apparatus most cleverly packed away, and accommodated to the surrounding organs, and, in fact, for a good portion of its extent not used for this sole purpose. Certainly smelling is done only by the nose, and although theoretically that is the part through which we breathe, can you imagine any of our strenuous physical exercise carried on with the mouth closed to the passage of air? Our pharynx carries air, food and drink and helps to shape our voice. (I say “helps,” for the contour of the mouth, the movements of the tongue, and the shape and position of the teeth, also, as any music teacher will tell you, distinguish the good speaker or singer from the bad.) When we get to its lower portion there are two tubes leading on and most cleverly separating the air from the food. This is accomplished by a trap door at the top of the windpipe, called the epiglottis. A standard joke of the Victorian minstrel shows had the interlocutor explaining that the epiglottis moves forward and back separating the food from the drink and Mr. Bones making the obvious reply, “It must throw fits when we have bread and milk.”
Actually, the epiglottis does not move but when we swallow; the windpipe rises and fits snugly against it. Watch somebody with a prominent Adam’s apple (that is, larynx) the next time he swallows. Physicians take advantage of this fact when they are called on to decide if a tumor of the neck is a part of the thyroid gland, which is attached to the larynx, the upper part of the windpipe. The physician places his fingers on the tumor; as the patient swallows a sip of water, the thyroid rises, and he can see if the tumor moves with it. The adjustment between the windpipe and the epiglottis in breathing and swallowing is as delicate as a modern “electric eye.” Otherwise our greediness or hurry would lead us to inhale food more often than we do.
The larynx is the upper portion of the trachea, enlarged and modified in shape. This is evidently not for convenience in breathing but to facilitate the chief method of communication with our fellows: that is, speech. A man’s larynx is both longer and larger in diameter than a woman’s; hence the deeper male voice.
*16/276/5*

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