Regulations for the sale of viruses, serums, toxins, and analogous products in the District of Columbia, etc., approved Feb. 21, 1903.

At head of title: Treasury Department, U. S. Public Health and Marine-Hospital Service.

Municipal aggregation in Illinois : an estimate of the potential costs and savings from municipal aggregation for selected Illinois communities : a report to the Illinois General Assembly /

"This report addresses the potential benefits of municipal aggregation of retail electric customers as a means for customers to benefit from the Electric Service Customer Choice and Rate Relief Law of 1997 (Public Act 90-561), referred to in this report as the Customer Choice Law. This report was authorized by the General Assembly on June 26, 2002, in Public Act 92-0585."--P. ii.

Tracts relating to the corn trade and corn laws : including the second report ordered to be printed by the two houses of Parliament /

Goldsmiths'-Kress no. 25512.

The Magpie, or, The maid of Palaiseau : a melo-drame :with prefatory remarks : the only edition existing which is faithfully marked with the stage business, and stage directions, as it is performed at the Theatres Royal /

Translation and adaptation of La pie voleuse, ou, La servante de Palaiseau / L.C. Caigniez, J.M.T. Baudouin.

A paper on judiciary statistics, read at a meeting of the Birmingham literary and philosophical Society, on the 1st of July, 1839.

Mode of access: Internet.

History of the early settlement and Indian wars of Western Virginia : embracing an account of the various expeditions in the West, previous to 1795 ; also, biographical sketches /

Mode of access: Internet.

Facilities and services for long-term chronic illness and convalescent care in the metropolitan St. Louis area; a study of present bed availabilities and future requirements for long-term care in chronic hospitals, chronic care units of general hospitals and skilled nursing homes.

Includes bibliography.

Hospital from the Med School, 1925, from the river

On verso: Univ. Hosp. (new)

The injustice and impolicy of the slave trade : and of the slavery of the Africans:

Mode of access: Internet.

A directory of the physicians, dentists and druggists of Cincinnati, Covington, Newport, Dayton, Bellevue, and Ludlow : classified according to profession or business, and names arranged, first, in alphabetical order, and, second, according to street or locality ; to which is added lists of medical colleges, hospitals, with names of officers and medical staff of each ; health department, etc., and other valuable information.

Directory section is not illustrated. Illustrated ads for Presbyterian Hospital and Woman's Medical College, Eclectic Medical Institute, and Densmore Typewriter.

Lectures on pathology delivered at the London Hospital by the late Henry Gawen Sutton.... /

Printed in Great Britain.

Improving the physical status and quality of life of women treated for breast cancer: A pilot study of a structured exercise intervention

Background and Objectives: This pilot project assessed the acceptability of a mixed-type, moderate-intensity exercise programme following breast cancer treatment, and the impact on presence of lymphoedema, fitness, body composition, fatigue, mood and quality of life. Methods: Ten women completed the programme and measures of fitness (submaximal ergometer test), body composition (bio-electrical impedance), lympoedema (bio-electrical impedance and arm circumferences), fatigue (revised Piper Fatigue Scale), mood (Hospital Anxiety and Depression Scale), quality of life (FACT-B) and general well-being, at baseline, completion of the programme, and 6-week and 3-month follow-up. Results: Participation in the programme caused no adverse effect on the presence of lymphoedema. There was a trend towards reduction in fatigue and improved quality of life across the testing phases. Women rated the programme extremely favourably, citing benefits of the support of other women, trained guidance, and the opportunity to experience different types of exercise. Conclusions: A mixed-type, moderate-intensity exercise program in a group format is acceptable to women following breast cancer treatment, with the potential to reduce fatigue and improve quality of life, without exacerbating or precipitating lymphoedema. This pilot work needs to be confirmed in larger randomised studies. (C) 2004 Wiley-Liss, Inc.

A comparison of competing methods for the detection of surgical-site infections in patients undergoing total arthroplasty of the knee, partial and total arthroplasty of hip and femoral or similar vascular bypass

Recent research suggests that the retrospective review of the International Classification of Disease (ICD-9-CM) codes assigned to a patient episode will identify a similar number of healthcare-acquired surgical-site infections as compared with prospective surveillance by infection control practitioners (ICP). We tested this finding by replicating the methods for 380 surgical procedures. The sensitivity and specificity of the ICP undertaking prospective surveillance was 80% and 100%, and the sensitivity and specificity of the review of ICD-10-AM codes was 60% and 98.9%. Based on these results we do not support retrospective review of ICD-10-AM codes in preference prospective surveillance for SSI. (C) 2004 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

Congenital cystic adenomatoid malformation of the lung: indications and timing of surgery

We review a single surgeon and surgical centre's experience with congenital cystic adenomatoid malformation of the lung (CCAML) in relation to clinical spectrum, operative experience, and postoperative course. A retrospective hospital record review was done on surgically treated cases of CCAML over a 10-year period, focusing on number with antenatal diagnosis, spectrum of postnatal presentation, type of surgery performed, and outcome. Forty-seven patients from birth to 14 years of age underwent surgery for CCAML. Antenatal diagnosis (ante) was made in 30 cases. Of these, 10 became symptomatic before surgery. Six of the 17 postnatally-diagnosed (pnd) cases were an asymptomatic incidental finding. Overall, 16 were symptomatic in the 1st year of life, and five were symptomatic beyond 1 year of age. Symptoms varied from respiratory distress (seven ante, six pnd) to chronic cough (three, and recurrent chest infection (three ante, two pnd). All preoperative diagnoses were confirmed with chest CT. Most patients (25) were operated on before 3 months of age. Eleven were operated on in the first 2 weeks of life as emergency surgery for respiratory distress. The most common lobe involved was the right upper lobe (16), and lobectomy was performed in 42 cases, segmentectomy in four, and pneumonectomy in one. Seventeen cases were extubated immediately postoperatively; 29 required postoperative ventilation overnight, and nine needed more prolonged ventilation. Early postoperative complications included pneumothorax (two), pleural effusion (one), and chylous effusion (one). Late complications included recurrence in three cases (all segmentectomy), who then subsequently underwent lobectomy. There was one death from respiratory failure. Because there is an increasing trend in the detection of asymptomatic antenatally-diagnosed CCAML, consideration of early surgical excision to prevent complications is suggested by our series. CT scanning is mandatory for postnatal evaluation because chest x-ray could be normal. Safe elective excision after 3 months is supported by our low morbidity and less need for postoperative ventilation. Lobectomy is the procedure of choice to prevent recurrence.