Fatal retropleural hematoma complicating internal jugular vein catheterization. A case report

This report describes a case of fatal retropleural hematoma complicating percutaneous insertion of a central vein catheter. The patient was a 55-year-old female undergoing surgery for severe rheumatic mitral valve disease. Factors responsible for this catastrophic incident are the anticoagulation of the patient, the edematous state of the soft tissues, and the multiple punctures of the wall of the jugular vein.     

Is child saving dead? Attitudes toward juvenile rehabilitation in Illinois

In recent times, juvenile rehabilitation has been attacked both by liberals seeking to insert greater due process rights and protections into the juvenile justice system and by conservatives calling for more stringent handling of serious youthful offenders. The apparent pervasiveness of this attack raises the question, Is the philosophy of child saving dead? Data drawn from a survey conducted in Illinois suggest, however, that juvenile rehabilitation continues to receive support both from the public and from various groups associated with criminal justice practice and policy making. At the same time, there is also support for the notion that young criminals are responsible for their actions and are currently being treated too leniently by our courts. Finally, child saving is embraced most firmly by judges, lawyers, correctional administrators, and prison inmates and least strongly by legislators, prison guards, and the general public.     

The effects of health care advertising

This paper begins by assessing the current status of health care advertising and its potential for growth, arguing that this form of marketing is not just a passing fad among a few clinics and hospitals. It then describes the opposing schools of thought concerning the economics of advertising, and considers both theory and evidence on the effects of advertising on prices, profits, quality, utilization, and innovation.     

THE DISASTER VICTIM COMMUNITY: PART OF THE SOLUTION, NOT THE PROBLEM

One of the greatest disaster relief resources available to emergency management officials is the disaster victim community. Contrary to a popular image of social and psychological breakdown in the aftermath of a sudden catastrophic event, impacted communities do respond rationally and adaptively. Recommendations are advanced for utilizing community groups in pre-disaster planning and in relief operations used during the emergency period.