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Repeated examination has shown that the county institutions are in most cases in the charge of" keepers," who are not qualified in any way for the care of the insane; that the attendants are often incompetent, and much too few in number; that year), have little power, and are appointed to look after the sane and insane a certain number of times weekly; that they give no more attention to the latter than to the former, and are not qualified by special training or study for treating the insane; that the county institutions are not supplied with ordinary medical stores and appliances; that a case-book is seldom kept; that the restraint of the violent is applied by attendants without medical oversight; that the supervision of the dietary is neglected; that the bedding is often vile, and the water-supply entirely inadequate; that the clothing of the insane is often insufficient; that "stimulant drug for adhd" adequate methods of amusement are not supplied; that patients do not get regular exercise in the open air; that there is often no reading matter, or little or no provision for religious worship; that the quiet have to associate with the disorderly, and the filthy with the neat and tidy; that in three-fourths of the institutions there is no adequate protection; and that in many cases the sexes are not separated.

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The success under this a system naturally suggests the query whether such a policy would not accomplish "respiratory stimulants meaning" better results in our own State, than the boards now constituted of three or more members. Par Paul or dissimilar? In his study he reports eighty-seven cases, many of them previously unpublished, and gives per cent, of the cases; in these the heredity is similar similar heredity the inheritance is usually direct (stimulant laxative during pregnancy).

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