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sand cubic feet of fresh air per hour to keep it in efficient working order. A room twelve and a half by ten, 2.5 Mg Cialis Cost by nine and a half, is a good sized room for a slum quarter. Yet 2.5 Mg Cialis Cost the number of cubic feet of air which it contains is less than twice the amount lequired for the health of the average person, even if there is not a stick of furniture on the floor. Add the ordinary amount of furniture, every piece, which subtracts cubic feet from the total space, and put four or five or more people in the room instead of two. How much chance does each have of get- ting the minimum amount of fresh air, even pro- vided the air can be completely changed every hour ? When the air is raw and too cold out of doors to permit the opening of windows with comfort, but not so cold as to necessitate the use 2.5 Mg Cialis Cost of the furnace, a number of people will often gather in one room in order that the warmth of their bodies may pro- duce a comfortable temperature. It is obvious that the atmosphere of rooms heated in this manner soon becom.es foul and unhealthy. Lamps and gas burn- ers also raise the temperature very rapidly, and one of these will remove about the same amount of oxy- gen from the air and produce as much heat as three or four persons. Heated air and gases from the lungs and bodies being warmer than 2.5 Mg Cialis Cost the surround- ing atmosphere, rise and are held in suspension be- low the ceiling in a closed room. This layer of foul air is more or less deep, and gradually fills the entire room. In such a 2.5 Mg Cialis Cost room one becomes drowsy, yawns and complains of headache. 2.5 Mg Cialis Cost Fresh air is as much an essential in the bedroom at night as during the day, and every one should sleep with windows wide open 2.5 Mg Cialis Cost during all seasons of the year. A small aperture at the top and bottom of the window does not give a sufficient supply of pure air 2.5 Mg Cialis Cost to the sleeper. Too much emphasis cannot be placed on this phase of the fresh air problem, because the habit of closing up sleeping rooms at night is preva- lent throughout the entire country. It is also important that infants as well as chil- dren receive as much fresh air as possible. In summer an infant may be allowed out of doors at the end of the first week of life. He should be kept in the open air as much as possible during the day. In the fall and spring this should not be per- mitted until the child is at least one month old, then only when the out of door temperature is above 60° F. During the outing the head should be protected from the wind, and the eyes from the sun. The duration of the outing should be from fifteen to twenty minutes, and the time gradually lengthened to two or three hours. The child should be gradually accustomed to change of temperature in the room by opening wide the windows for a few minutes each dav even before it is 2.5 Mg Cialis Cost taken out of doors, the child being dressed meanwhile as for 2.5 Mg Cialis Cost an outing. When children are bom late in the fall or winter this means of giving fresh air may be begun when one month old and followed through- out the first winter. Changes should be made grad- aally. both as to the length of airing and tempera- ture. It is a matter of very serious importance that every infant be furnished an abundance of fresh air in winter as well as in summer. When the plan above outlined is carefully and judiciously followed, the tendency to catarrhal aiTections, instead of being increased, is thereby greatly lessened. When four May 25. I9'8.] RECKORD: FRESH AIR AND HOUSING. 977 or five months old there is no reason why a healthy child should not go out of doors on pleasant days if the air is not too cold. While there is a preju- dice against a child sleeping out of doors in cold weather, it is a practice which is seldom followed by any but the most beneficial results. The days of all others when infants and very young children should not be out of doors are when there are high winds, especially those from the northeast, an atmosphere of melting snow, and during severe storms. It is important to remember that the nurs- ery or child's room should be the best ventilated room in the house ; it should have plenty 2.5 Mg Cialis Cost of sun- light, and nothing should be allowed in it that con- taminates the air. No drying of clothes or napkins ; no food should stand about the room, and the gas should not be allowed to burn at night. In so many instances the room is kept 2.5 Mg Cialis Cost too warm. Often no other explanation can be found for chronic in- digestion and falling weight than this. The furni- ture of the nursery should be simple, the children should use separate beds if possible, and where a cradle is in use it should be of the sort that does not rock. It is important to remember that the posi- tion of the child should be changed from time to time. The violation of these simple rules of hy- giene is at the bottom of many of the milder dis- orders and often of some of the more serious dis- eases seen in infancy. It is essential that tuberculous patients should spend not merely a brief portion of the day out of doors, but shoukl remain in the open air as many hours out of the entire twenty-four as weather con- ditions will permit. It is far from sufficient to advise the invalid to stay out of doors as much as possible. If left to the exercise of his own judg- ment and inclinations, the period of fresh air exist- ence is lamentably short and usually accompanied by unfortunate indiscretions in the way of physical exertions. For consumptives to obtain fresh air at all hours and at the same time to remain com- pletely at rest, frequently special provision must be made for this purpose. The requirements to be observed, first relate to devices for securing the maximum of fresh air with the invalid at rest within 2.5 Mg Cialis Cost doors, and, second, the arrangement for the comfort and shelter of the patient if in the open air. The window tent was originally devised in order to give the open air treatment to the tuberculous patients in their 2.5 Mg Cialis Cost own home when they could not