Full text: Problems in eugenics

R. Dupuy.Medicine and Eugenics.447' 
Assimilation. Assimilation is always defective. Ihis will be shown 
in the end by examination of the urine. Often these children show a re­ 
tarded nutrition, characterised by fatness, myxoedema, rheumatism, etc. 
Respiratory apparatus; Larynx, eunuch-like or cavernous voice; Lungs 
and bronchi, emphysema and chronic bronchitis. Urinary apparatus; 
kidneys with many lobes, atony of the sphincters, ectopia, and hypospadias. 
The examination of the urine is most interesting. It reveals the pres­ 
ence of indican in abundance, of albumen in small quantities, of urotilin, 
of biliary pigments and scatol. These people are then subjects of intoxica­ 
tion. Besides that, there is to be noted the retention or hypersecretion of 
substances normally contained in the urine (water, chlories, phosphates, 
lime salts, uric acid, urea). These facts indicate that there is either a 
slowing down of nutrition or excessive loss of mineral substances. The 
retention of the chlories in particular, corresponds to a state of asthenia, 
which we shall study later. The hyperexcretion of chlorides on the con­ 
trary, corresponds to a state of instability, and is met with sometimes in 
certain forms of epilepsy. The genital apparatus is, so to speak, always 
in a state of dystrophy. We note the atrophy or hypertrophy of the organs. 
Cryptorchidy on one or both sides is frequent. We may also mention 
atrophy or hypertrophy of the mammary gland. These bodily troubles are 
accompanied with lateness or earliness of puberty. In the latter case, the 
patients often show also bodily, psychical, and sensory stigmata of sexual 
inversion. The anomalies of the cutaneous system are characterised either by thick­ 
ness, dryness, and wrinkling of the integument, or by a transparency and 
unusual thinness of the skin. We find either congestion or anaemia. Re­ 
flexes are either absent or exaggerated. The skin is often the seat of special 
affections. The hair presents interesting peculiarities; its quantity may be 
either increased or diminished; its constitution and appearance may be of 
all kinds: thick, fine, friable, dulll, short, etc. 
Sleep is either too deep (with nocturnal incontinence); long or light, 
disturbed or short (somnambulism). 
The reflexes in general are either absent or exaggerated; sometimes 
normal. The facial aspect shows numerous anomalies of the various parts which 
compose it. We shall enumerate these dystrophies later on when we study 
the sense organs. 
Considered as a whole the face may be puffy, moon-shaped, with flabby 
cheeks and protruding lips, and consequently a complete lack of expression. 
Sometimes, on the contrary, it is thin and mobile. The variation of expres­ 
sion is extraordinary. Asymmetry is common, and we sometimes meet with 
peripheral palsies. 
To sum up, considered from the bodily point of view, the backward 
children cannot be strictly classified, as we have said before, and yet there

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