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MEDICINE AND THE WAR

JAMA. 1944;124(17):1206-1210. doi:10.1001/jama.1944.02850170042012.
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NUTRITIONAL ASPECTS OF CONVALESCENT CARE  It may be assumed that the soldier or sailor who has subsisted on normal service rations is in an excellent nutritional state up to the time he becomes disabled by illness or disease. Exceptions must be made of men who, because they were isolated when they incurred their disability, had not received full rations.As soon as injury or disease occurs, malnutrition almost always begins. This is the result of two processes: first "toxic destruction of protein"—i. e., the direct effect of disease or injury in promoting destruction of tissues—and, second, diminished intake of food, because of inability or disinclination to eat. Both of these processes bear some relation to the severity of the injury or disease.Although some wastage of tissue can be tolerated and has no easily demonstrable effect on strength and efficiency, the extent of such "harmless" deficiency is ill defined. There

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