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with which patients and others volunteer the statement that they can breathe deeper, confirms the opinion that the depth of respiration is increased; more bulk of air being taken in to give to the lungs an equivalent amount of oxygen, greater depth of breathing must needs follow. The increased chest development and the necessarily greater use of the respiratory muscles makes it tolerably certain that they are strengthened. "_Appetite and Assimilation._--'In most cases there is a transient or permanent increase of appetite and assimilation of nourishment.' "There is certainly direct evidence of the former to be found in Colorado, but as change of scene and air produce it almost everywhere, where the general conditions are not unfavorable to health, and notably so at the seashore, and also on shipboard when the depressing effects of seasickness are absent or passed away, it is doubtful how far this may be taken as a special effect of altitude, except through the increased oxygenation produced by both sea and mountain air. It would appear that in those with whom Colorado agrees there is a greater consumption of meat, a good appetite, and probably an increased one. That there is also an increased assimilation of nourishment may be inferred from an increased appetite without dyspepsia, in fact the improvement that usually takes place in dyspeptic conditions, during residence in Colorado, is a good evidence of increased or, at least, more perfect assimilation. "_Nourishment._--'From this follows an improved formation of blood and nourishment of the organs.' The general vigour of the circulation with the ruddier colour, which has been dwelt upon, would show that the improved quality of the blood must be due not only to the causes previously pointed out, more oxygen absorbed, etc., but also to the more perfect conversion of food into blood; all this will likewise apply to the better nourishment of the organs which can be inferred from similar grounds. "_Sleep_ 'is usually improved.' This appears to be the case in Colorado in healthy persons, and in those invalids with whom the climate agrees; during their first few weeks of residence there is more or less tendency to nap, though between times they may be particularly wide awake. Later it would seem that less sleep is needed to sustain health, though it is especially profound. As regards the individual, the temperament probably largely influences this matter. The torp
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