A manifesto, signed by a number of Bishops and by the presidents of several religious bodies, has been issued condemning charity lotteries, and particularly lotteries for hospitals. The i sasons given why the Churches "feel that the lottery method for hospitals and philanthropic purposes is a retrograde step"' are that the appeal of the lottery is to the possibility of gain for self?an appeal d...

Speaking on " National Decay and Regeneration" at Edinburgh, the Dean of St. Paul's said that only one kind of natural selection was favoured by modern life?that against disease. That had gone on so rapidly that most of the epidemics which formerly ravaged the cities had assumed a much milder type, and were far less destructive to life. To introduce a savage into any European town was to senten...

A 54-YEAR-OLD restrained driver was involved in a rollover motor vehicle crash and came to the emergency department complaining of shortness of breath, left pleuritic chest pain, and back pain. Her vital signs included the following: heart rate, 73 beats/ min; blood pressure, 172/102 mm Hg; and respirations, 18/min. Although the patient’s breath sounds were decreased on the left side, her oxyge...

While several risk factors have been identified as leading to laryngeal injury during general anesthesia, the quality of endotracheal intubation has not been clearly implicated. Accordingly, Mencke et al. recruited 80 healthy volunteers scheduled to undergo elective ear surgery and randomly assigned them to one of two groups. The first group received 0.5 mg/kg atracurium prior to intubation, wh...

The ground-breaking article by Brescia and Cimino in 1966 (1) revolutionized the creation of the vascular access, and the Cimino fistula was soon used in almost all dialysis patients. Unfortunately, subsequent wide-spread use of PTFE grafts instead of AV fistulae occurred because of the ease of the surgical technique, the immediate availability of the graft for puncture, the need of high blood ...