MID-MORNING LUNCH IN RURAL SCHOOLS 



29 



were not made for a number of observations which may be of importance. As a 

 result no guide for weighting their influence was obtained. This refers to ex- 

 pression, and the condition of the hair, abdomen, skin, and nervous system in 

 particular. It may be, too, that some better indication of the amount of hemo- 

 globen in the blood might be used than the color of the mucous lining of the 

 mouth, although the latter was obviously somewhat better than lip color. Some 

 observations which now seem important criteria on the basis of the experience 

 of the study were not included in the examinations. For example, is not the 

 quality of the subcutaneous tissue, its flabbiness or firmness, pertinent as well 

 as the amount of fat padding? Then, how is one to describe that exuberance of 

 well-being apparent in superb children, or the lack of it which is obvious in the 

 appearance of other children but which may not be indicated clearly by the 

 condition of the heart, lungs, tonsils, or even skin color? More careful work 

 is needed before any rating scale which might be compiled for evaluating medical 

 examinations may be expected to prove more satisfactory than estimations 

 based on the careful judgment of a skilled observer. -^^^r^j^ 



E • - 5 <»«e. » , . : . 

 . - 1 or 3 cases 



E- : . 



a . ,. .. .: j:: ::: :; 



F+ o o . o . -.. •: .: a 



F ° • • •• " •'• •• H: ":: •' 



p. . . . .. s. .. ;. ".*. ;: .; 



pt • . .: . ;: ::: " :" v.: ::• 



p o . o .. .% .. ::: .; ::: ::; :" :i 



p- ' o c , , .. .. .: 



p+ 



alltatlve Nutritional Condition 



Chart 4. Correlation of the Condition of the Tonsils with "Qualitative" Nutritional Condition ; 

 showing that good tonsils were rarely found in children who were in poor nutritional condition, 

 although poor tonsils might occur in children otherwise in good condition. 



