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heredity as a causal factor even in many of the so called acquired cases. Deafness, let it be remembered, is not a disease, but the result of certain physical conditions which are either inherited or acc|uired. The inherited conditions which result in deafness are for the most ])art congenital, and they appear either a> gross ])hysical anomalies of the organs of hearing, such as are productive of the profound deafness of deaf mutism, or as minor physical anomalies not neces- sarily cipralex⬠10/- 20 mg filmtabletten confined to cipralex 20 mg fiyat the ear, but extending to other portions of the organism as well, and productive either of the partial deafness of childhood or of the somewhat indefinite state known a^ the "tcnd- encv" or "predisposition" to getting off cipralex 10mg become deaf in later life.' The ac(|uired conditions which result cual generico cipralex in deafness, on the other hand, are more pathological in char- acter, and they arise (i) from diseases of the ear. either primary or secondary, and ( 2 ) from injuries to the ear, which are usually traumatic in origin. Primary diseases of the ear are those which orig- inate in the ear itself, and secondary diseases of the ear those which result from general svstemic diseases, such as the exanthemata and other infec- tious fever~ and diseases, including syjjhilis and tu- berculosis. I. IXHERITED De.\FXESP. Time was when the existence of inherited deaf- ness could reasonably be questioned, but that time has now passed. Recent investigations have shown conclusively that heredity is the great predominat- cipralex 15 mg biverkningar ing factor in the causation of so called congenital deafnesb. and there is good reason to suppose that much of that usually classified as acquired deafness is al-o cipralex farmaco generico of hereditary origin. The United -States Bureau of the Census, working in conjunction with the \'olta Bureau in \^^ashington, and at the sug- .gestion of Dr. Alexander Graham Bell, has been engaged for many years in the collection of data and the tabulation of statistics relating to the edu- cationally deaf, and the result is a book by Dr. Edward Allen Fay, entitled, Marria^ics of the Deaf in America. Doctor P'ay's coming off 10mg cipralex Ixiok i- replete with carefully tabulated statistics, based upon a personal correspondence with thousands of deaf precio de cipralex 15 mg persons whose names and cipralex 15 mg hinta addresses were furnished by the enumerators of the eleventh census, and I have -ummarized the conclusions as follows : ^klarriages of the deaf are far more common in "Ur country than in Europe, and during the past century they have increased enormously, their in- crease being proportionate to, and simultaneous with, the increase of schools for the deaf. Marriages "f the deaf with the deaf are more numerous than those with hearing persons, and they are only a Elliott Pnblishing C.impany. 3o6 HUDSOX-M.IKUEX: PREyRXTIOX OF DEAPXESS. { New York Medical Jouekal. little less productive than ordinary marriages. Marriages of the deaf are exceedingly liable to re- sult in deaf cipralex 20 mg tablet offspring. Marriages of the congeni- tally deaf are more liable to result in deaf offsprings than are those of the adventitiously deaf. Deaf persons having deaf relatives, however they are married, and hearing persons having deaf relatives and married to the deaf, are very liable to have deaf offspring, the proportion of marriages result- ing in deaf offspring and the proportion of deaf children born therefrom being almost invariably highest where cipralex 20 mg tabletten both of the partners had deaf rela- tives, and next where one of them had deaf rela- tives, and the other had not, and least where neither had deaf relatives. The marriages of the deaf mo-t liable to result cipralex 20 mg 56 tablet in deaf offspring are the consan- guineous marriages. Out of thirty-one such mar- riages, fourteen, or 45.1 per cent., resulted in deaf offspring, and of the 100 children born from these marriages thirty, or thirty per cent., were deaf. The investigations of which this is can take 30 mg cipralex a summary have been confined hitherto to the congenitally deaf, or to those acquiring deafness so early in life as to place them for all practical purposes in the congenital class, but I am informed that the plan is about to be enlarged so as to include in the future a study of all classes of deaf persons, what- ever may be the character or cause of the affection. This will be a great improvement, for it will serve to clear up some mooted points in connection with the etiology of what has been called sporadic and acquired deafness. I have long been of the opinion that heredity is an important factor in the causation of these forms of deafness, as it is in the educa- tional form, although perhaps this theory may not be so easily proved. The sporadic cases cipralex 10mg weight loss of congenital deafness are generally supposed to be due to such diseases and conditions as syphilis, tuberculosis, alcoholism, in- sanity, idiocy, and the like, and in as much as these diseases and conditions have themselves been shown cipralex price india to be largely transmissible, I see no reason why the conditions giving rise to such forms of congenital deafness may not be regarded as generika f𴱘r cipralex having an heredi- tary origin. 10 20 mg cipralex Moreover, by far the greater number of cases of so called acquired deafness may be sim- ilarly explained. They are acquired becau-e inher- 15 mg cipralex ited physical anomalies have made their acquire- ment easy, and in some cases perhaps unavoidable, and thus they may be regarded as indirectly in- herited. True, hereditary deafness has been limited cipralex 10 mg insomnia in our

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