5 research outputs found
The impact of surgical simulation on patient outcomes: a systematic review and meta-analysis
No full textThe use of simulation in surgical training is ever growing. Evidence suggests such training may have beneficial clinically relevant effects. The objective of this research is to investigate the effects of surgical simulation training on clinically relevant patient outcomes by evaluating randomized controlled trials (RCT). PubMed was searched using PRISMA guidelines: “surgery” [All Fields] AND “simulation” [All Fields] AND “patient outcome” [All Fields]. Of 119 papers identified, 100 were excluded for various reasons. Meta-analyses were conducted using the inverse-variance random-effects method. Nineteen papers were reviewed using the CASP RCT Checklist. Sixteen studies looked at surgical training, two studies assessed patient-specific simulator practice, and one paper focused on warming-up on a simulator before performing surgery. Median study population size was 22 (range 3–73). Most articles reported outcome measures such as post-intervention Global Rating Scale (GRS) score and/or operative time. On average, the intervention group scored 0.42 (95% confidence interval 0.12 to 0.71, P = 0.005) points higher on a standardized GRS scale of 1–10. On average, the intervention group was 44% (1% to 87%, P = 0.04) faster than the control group. Four papers assessed the impact of simulation training on patient outcomes, with only one finding a significant effect. We found a significant effect of simulation training on operative performance as assessed by GRS, albeit a small one, as well as a significant reduction to operative time. However, there is to date scant evidence from RCTs to suggest a significant effect of surgical simulation training on patient outcomes
Implementering av nye retningslinjer for behandling og oppfølging av pasienter med subklinisk hypotyreose i allmennpraksis
No full textVi vil i dette kvalitetsforbedringsprosjektet ta for oss oppdaterte retningslinjer fra BMJ vedrørende behandling og oppfølging av pasienter med “subklinisk” hypotyreose. Retningslinjene legger opp til en mer tilbakeholden forskrivning av thyreoideahormon-substitutt (levotyroksin) enn tidligere, for en selektert gruppe av asymptomatiske pasienter med unormale blodprøver (forhøyet TSH, normal fritt-T4). Vi legger en strategi for implementering av disse i et mellomstort fastlegekontor i Oslo, vårt mikrosystem. Med en prevalens av alle former for hypotyreose på mellom 3-9% i den norske befolkning, og med levotyroksin som en av de mest forskrevne medikamentene i Norge, mener vi der er et betydelig potensiale for samfunnsøkonomiske besparelser ved å få en mer målrettet og treffsikker medikamentell behandling. Derfor vil vi vurdere nye retningslinjer og planlegge en evidensbasert implementering i et konkret legekontor i Oslo-området, vårt mikrosystem.
Vi utførte et pyramidesøk i McMaster PLUS, tilgjengelig fra helsebiblioteket.no. Retningslinjen vi har lagt til grunn for oppgaven baserer seg på en systematisk oversikt som inneholder 21 randomiserte kliniske studier, med totalt 2192 pasienter. Vi har vurdert kvaliteten på den systematiske oversikten og holdt innholdet i denne opp mot andre, ofte eldre, retningslinjer.
Vårt mikrosystem er et middels stort legesenter i Oslo med 5 allmennlegespesialister. Til vanlig bruker de NEL sine retningslinjer. De er villige til å endre praksis for behandling av subklinisk hypothyreose for pasientenes beste og for bedre utnyttelse av ressurser. Tiltak vi ønsker å gjennomføre for å endre praksis er å ha et fagmøte med legesenteret og å innføre daglige påminnelser om den nye retningslinjen. Prosessindikatoren vi har valgt er 100% nedgang i antall pasienter som starter opp med levotyroksin på seks måneder hos pasienter over 30 år som ikke er gravide eller ønsker å bli gravide hos de som har TSH under 20 og normal T4.
I forbindelse med implementering av de nye retningslinjene vil vi etablere en prosjektgruppe bestående av en av forfatterne som inntar rollen som prosjektleder, en helsesekretær fra fastlegekontoret, en laboratorie-representant for faglig rådgivning og en fastlege fra vårt mikrosystem som en lokal leder. Vi bygger implementeringen på PUKK-sirkelen og er forberedt på barrierer og motstand i forbindelse med innføring og har rom for noe fleksibilitet of korreksjon underveis.
En endring i fastlegens praksis vil være økonomisk og praktisk lite ressurskrevende i et lite mikrosystem. Fordelene med å redusere nyforskrivning av levotyroksin vil være mange, blant annet redusert overbehandling, ressurssparing, mindre sykeliggjøring av pasienter og lavere risiko for polyfarmasi og bivirkninger. For å kunne starte endringen, vil man være avhengig av personlig motivasjon hos fastlegene i mikrosystemet, som gjør dette prosjektet noe sårbart
An edition of the cartulary of St. Mary's Collegiate Church, Warwick.
No full textIn 2 volsAvailable from British Library Document Supply Centre-DSC:DXN034790 / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
Balancing budgets: tough choices we need
No full textThis report argues that a reform package could add about 60 billion in today’s terms, within a decade.Tough choices cannot be put off indefinitely. Deficits impose heavy costs on the next generation in terms of debt and high interest payments. Government budgets cannot simply grow out of trouble, and the next decade may well be economically more difficult than the last.History shows that governments that successfully repair their budgets make the public case for reform, and start early on the hard work of cutting expenditure and raising taxes. They design a package of measures that share the burden of reform fairly across the community.This report surveys all realistic proposals that could contribute 37 billion a year to the federal budget. It would broaden the GST to include fresh food and private spending on health and education; raise the age of access to superannuation and the Age Pension; remove the exemption for owner-occupied housing from the assets test for the Age Pension; and limit tax concessions on superannuation contributions. The burden of these changes would be spread across rich and poor, workers and retirees. While all these reforms are unlikely to occur at once, it will be hard to close the looming budget gap without tackling any of them.Structural reform of benefits and tax exemptions for older Australians offer many of the best opportunities for budget reform. They are the least-well targeted parts of our tax and welfare system, with some benefits going to people that don’t need them.Substantial budget repair almost always involves tax reform. Increasing fuel excise in line with inflation would raise significant revenue, although it hits those with low incomes particularly hard. Higher rates of existing taxes could raise large revenues. Raising the GST and municipal rates would slow economic growth less than other tax increases.Plausible reductions in spending on transport infrastructure, industry support, school class sizes, higher education subsidies, pharmaceuticals, health services, and defence could collectively improve budget positions by $23 billion per year. But the execution risks are high – there would be unacceptable economic and social effects unless the cuts were executed unusually well. By contrast, the oft-cited cuts to the public service and ‘middle class welfare’ can do relatively little to improve budget balances.Sustainable budgets depend on governments making tough choices. None will be politically easy, but making some of them is vital to Australia’s prosperity
0002
No full textDAILY PALO ALTO TIMES. fRll>AV. DECEMBER ao, 1016
rACE THREE
GLEANINGS FROM THE RECORD OF
li PRESENTED IN DIARY FORM
National and International Poli-
tic***Homc aod Foreign Items
of bttrtst - Year's NecroT-
oif—Miiccllaneous Events.
Shipwrecks, Fires, Accidents,
Conrcntiont, Races aad
Weather Vagaries —Important
Occurrences In Mexico.
JANUARY.
X- Obituary- Totnmseo 8*1 vim, eaUnsnt
Italian tragedian tratlrad), st Florence; aged sc
aWaiiartn* Wsr: Austria Informed the
I'nlted sutss that th* subasrlM com-
matider who torpedoed tbe liner Ancona hsd bc*n>spuiil*hed.
Neutral Right*; Orsst Britain explaln-
—l tbst sU neutral mens la British
eons wars 1 labia to search.
1 Obituary: Osa. GrenvtU* W. Dodge,
noted Federal commander In tbs civil
wsr, st Council Bluffs. Ia; aged 17.
% Labor Troubles: Conflict between
armed F-.rr._rs and armed prlvsts
awards st Kail Toungstosrn. o . twenty people shot.
S. Sporting. Rhk Glanakapolts, Greek
sthlats, won ths nstlonsl cross coun*
try tills by -outrun..lug llanne* Koleh-
main. _. st New York.
Obituary: Ada Italian, noted retired sc*
trsss. In Nsw Tork: sgsd U.
Submarine War: Germany sasursd ths
United HI at #a (list submarine warfare
In tbs Mediterranean would bs conducted a-xeriUng lo lbs rules ot Inter-
Trym Cssa: Ikmiiiy disavowed tbe
staking or ths Wllllsm P^Frys snd
promised reparation fur American
property last.
It Obituary: iltn Vlctorlano Huerta.
former provuioa-il president o( Mex-
Ico. at Kl Paso, Tsa.
II. Floods: Floods In Colorado rlvsr
csussd damage of fi.DOXia> la Turns
valley, Arlaons. In southern Cslifar*
»-a heavy rslas crippled the rsilrosds
laolatlng Is* Aug*'**, a bere damage
wss estimated st Il.twuxM.
Convention: National Civic federation
mot In W.islilnKton.
U. Neutral Hlght*: Sweden . rote*ied
scsinst British infraction* of ber com-
mer. lai rights.
Convention. Hlenr. 1*1 convention cf
I'i.iu l Mm- Worker* of America mel
st Indianapolt*
UL Obituary: Jeannette I. Gilder, write),
crtttc and editor, in Nc--. Vm h
seed *C
» Greet---. Klnc Consutitlna of Or-**- *
sppealrd io ths lulled gtatSS 1.K.1I11.:
og-grrralons by lbs slllss.
M, China: Japan i- ni*- nl th. __-.,-, ....
tnan.la on China which that power rejected la Jsnusry. tsU. mm being op-
tt. Westher Vsasrtss: Hnltsat Jan. _1
ever reportsd In N»» York; temperature SO
Bllusol in ths rsclftc coaat and Bocky
mount Jin region: H p-opl* klUe-l by
ths hunting of 1 dams In Our volley,
south of Bsn Diego; loss estimated at
t; ■■■* ■■
Ml L-usltania Csss: fnlted Ststes note
asking specMc disavows! ot aln kins
* of Luslts-Lia reached Berlin..
FEBRUARY.
1. Tbe Capllve Appsm: Missing Itritlah
Steamer Appam arrived as m German
prlss st Norfolk. Vs.
a. The Appsm: The Appam declared a
prise of wsr and ber passengers re-
lessed.
Fire: Hxploplon snd flre tn Canadian
.•artUina.it building st Ottawa, loss or
life
a Con rent I-in Chamber of Commerca cd*
lb* Unltenl Ststes met In Washington.
11 Obituary: John Townsend Trowbridg*.
BOSt sml alury wiitar, at Arlington,
Mass.; *ge.l N»
11, Neutral Hlght* Germany formslly
■Trec-Tsmised liabUltJ" for deaths of
neutral* In the Lii-nianta.
U. Fires Flre si s Hrimklyn duck csus.
sd bias or !!.«0.o.O Flr* In the bust-
bra* dietrirl of F-I1 Itlvsr, 3d aaa.
caused a loss of HSO.CO0. Fire In s
Steel plant feeding munitions factories
esUU- 'I a loss of |»ii.Oii st U rid ce port.
Conn.
IT rolltlcal: Ths I'nlted Stele* senate
ratlfled treaty wtth Nicaragua fur s
transoceanic canal routs to cost ths
Baaed States t3.osa.ssa
_S Ubliuurj: Henry Jsmes. noted author,
at Chelsea, Knaland; seed Tl
Hllll Tt.e ftilled Statea ratified a
treaty with Haiti, ssaun.lni s tro-
tecurate ovr that republic.
9. rolltkwt: fresldeot Wtlson ssked con*
areas to set on the srmtna of mer*
chsnimen, stc.
MARCH.
9 Obituary: Carmen By Ira. poet and
novellat. dowaser queen of RoumsnLs.
ai Ilukbsreat^ seed 71
t Congress: Ths United Ststes sensie
vm.-i to supi>ort Hie preeldent'a submsrlne policy tt to 14-
t Shipwreck-. Spanish steamer Principe
ds Aaturtas aunk off 9mm Sebsaiao;
over **■ drowned
T. Cnnaress: The house voted to sustsin
the prra-dent'e furelsn policy r« to IC
a Villa's Raid: Frsnclsco Villa, outlaw.
sd Mexton. raided Columbus, S. M,
set • flre* snd killed 11 Americans.
flnallr drivew bsck to Mexico by
United Stales cavslry- Upward of ISO
vniiii-i> killed,
ks Mexico: r<jnl'l<* ezpedlllon ordered
int.. Mexico to dbrpersa lbs bandit
bands.
11. Obituary: Former t'nltad Blstse Sen-
si.-r Henry Gsasswsy DsvU, st Wssh.
lnxton; sxed «.
Mexico '.*!. le.] Stale* troop* mobilised
on tbs Mexican border.
11 Mexico: Carranxa refused perrr.la.-ton
t-i United Stales troopa to enter M-i-
tea
II Mexico: Csrrsnsa ws* srant.j reclp.
rocwl prtvneK-M to send troops over
th* border
O. Mexico: Col. O. A. Dodd and Oen.
Pershing led two column* of cavalry
Into Mexico to pursue Vilis's bsnds.
IT. Mexico: Mailcsn cenersla prohibited
fnlted Ststes troops from entering
town* snd dtle*
11 Mexico: fnlted Ststes troops rsacbed
Casss Grandee, Usxlco
n. Flre: t' .-• ", fir* tn r-srls. T*x_; SO
block* burned.
- tt Fir*.: K block* burned In M____M_____
Tenn ; lose CSOtiW- Ftrs tn tn* nwsi-
■wsw section of A<un_*t*. Os.. csseed
to** nf nansae
Chins: Tusn Shlh Kst relected the
monarchy In China and resumed the
role of president of the republic.
as Sportmr: Jess WUlsrd outpointed
Frank Moran In s ten round mrobst sl
Madison Square Garden. New Tork.
U. Mexico: _S of Vlll.-1's tisnd. Including
Oen Oormsn. killed tn action with
Csrrsnss's troop*. Villa reported
•A M«x*-*n: Col O A t*e_..t'» *_"lomn of
the Tth and t<Mh felted Ststes car air.
di-fenie-I Zio Vl'linta* st Ouejtwro; H
Mexii-sns Vi'lnl, 4 cavalrymen wound-
«d.
n. Railroad Acrt-le-ftt:
lured tti a tfi(-lr c_J
Central ll'.** at Amhervt. O.
Sl Obituary: BatWCI Burn. W.lson. poet
snd srtJvi, In New Tork * Ity: seed II
APRIL.
L Mexico: l«th cavalry defeated VIIIls-
tos at Afus* Csll*ntes. klUln* 30 bandits. Mexican troops r*puls«d aa at-
t*ck cf VlilUts* st Ps-rraa. kllllnc C
bandit*.
1 Pin-Amcr-*_- Pan-Amerlcwn rongreaa
Opened st Buenos Aires.
4 Convention: National Con*r*-ss of
Mother* met ta NssLvllls, Tean.
1 Mexico. Mexico declare-) that no per-
mlnton had been arsnted the United
SUtes to use Mexican railroad*.
1 Neutral Rlahts: Tb* European allies
rvfused to stop solsurs of neuira)
malls.
11 Mexico: I'nlted States soldier* attacked by Mexican soldiers st ParrsL
It Panama Canal: Panama csnsl reopened to ships
II. Convention: Nstlonsl Arademy of
Scientists met tn Wsshlngter. n_.u_.h-
tera-c-r th* Amerlcsa Revolution met
In Wa*hlnclon.
IS Submarine Controversy: President
Wllsos befor* Mm session of congr.s*
anaoam-ed tbst Jermany hsd been
nollflrd tbst eut. marina wsrfsra
sgainx merchant *hlp* must b* abaci-
Kelt
Storm: Twnodo hi MlssouH and Kansss
killed :o people and Injured It*.
_t. Ne'jtral Kmn- British reply not*
defended Interference wltb neutral
trade as Incident to altered rondlll. ns
of wsrfsre
Ireland; Irish Sinn Fein patriots ra
belled in PuMm. seised the posiofflc*
and ■ i. -r [■■•:. In th* rity.
H. Irish Revolt: BrltUh troop* recapture
points in Publln- Martial Uw decUred
for Ireland. Sir Il..*.e. Casement captured shlle sttemptlne to land arms
for the revnlutionlsta
Neutral Rights: United States demanded Of-ematia aetaad b> Great Britain In
Cbfna.
K AvUtloa: Brltleh aviator. Hawker,
made the world's ascent r*cord by
Coins up :m.'■ fe- i.
Weati *r VaBsrle» Snow fell In Ms»-
sschusettn. ('■■■.*; need cut snd Rh.de
1-lae.i. Utest rest snowfall there tn W
years.
Mexico: Gen. Scott. Gen Funston and
th* Msxlcan Oen. Obrcgon met at
Jusres. Mexico, tn discus* the mllltsry
•iluatlon along lb* border.
Ml Mexico: Th* United SUte* and Mex-
lean conferee* at Juares wer* deadlocked over th* withdrawal of United
Sute* troop* from Mexican solL
MAY.
L Ireland: Sinn Fetner* throughout Ira-
land *e-T*nd*rad.
1 Ireland: Irish rebel leaders. Including
Pears*. prnvUlnnal pr*siden_, shot In
London Tower for tresson.
(L Mexico: Maj. It L. Howsd Ilth cavslry b*tta!l«n. routed bandits near
O]o-Aluie*. kming ti. -
Neutral Rlahts: Oerman reply sent
from I'nliti Germany agreed to "visit and search" rules for aubmsrtn**
L I r el a 1.1. Four executions for treason
tn IreUnd.
1 Neutral Rights. United Sute* declined Germany'* propo**) thst th* atltas
l-e forced in te. pet-t neutral rlghta
t. Neutral Right*; Germany admitted
•laklog the Sunwex oa Marrh :t and
c(Tared lr*der;inlly.
Mexico: Militia of Texas, New Mexico
snd Arlxona ordered to Mexico.
Shlp-are.-k: Sieamer Itounoke foundered
off ihe coaat (.f California. tl droa Md
IL Me_ nt Ki I-sso. on
wt___-_rawal at :'nite«l State* trootw
rels
<i
r
■.
.in
aa
1 .!■ Iv.
«
t -i
-in
lrl
rebel
noted i-ri-ri-t. d..im., at N-.v lljrlf-rd.
1C . ■ ■ ■;■_-] •' - '.-. ierale Vet
• -.■- ■ •- »- t'lrmlns . At"
IT. leraona) General OsuigS P. Harrison of Alabama •levied ruttimand-. r
In chief of th* United Confederate
Veterans.
tt Neutrality: German Ambassador Hern-
•torff warned Germans In Amertcs to
obey the tans of this country.
_9. Storm tMssater; Tornsdo wrecked over
TO bulldlnga oi Kemp City, OkU; •
B. Sporting: Mis* Mdla B)urst*dl retain*
Sd Uie women'* Metn-f-ollun slnal**
rhampionahtp title bv defeotlng Mies
Marl* Guthrie sl th* Foreat Hills ten-
nie court N Y
31 Neutral Right* : failed Stale* notified Oreat Briinln that It could no
longer t-leraie "tswlea*" mall selsuri*
by British patrol ships on the high
■see
Obituary: Rev Of, Timothy Dwlgbt.
former prenldent of Tsls university.
at Nsw llsven. aged fl.
SL Obituary: Harry llswfc. the actor en
th* boards at Ford's thester when
President Lincoln wss sai>s**tnat*d.
April 14. US, died at Granville. England: sged T*.
3. Oblltury: J_mm J .Hi'], railroad magnate, at St. Paul; aged TT
Ml Obituary: CnL John Singleton Mo*by.
noted Confederate cavalry leader In
the civil war. at Washington; Sgsd kl
Sporting: Friar Rock, n.n e- jear-r.l.l
owned by AuguM Belmont, woo th*
htatnrlc Suburban ra.* at Balmont
park. N. T.
a. Eiplnrstlon: Meut. Shsckleton cabled
rrom lh* Falkland Islsnda that hit
exploring ahlp _;nduranr« was cruih
ed Oct. :'., IM, and that — survivors
were Icebooad on Elephant Island.
Mexico Csrranxa's government asked
for Immediate withdrawal or all United Slat** troops from Met ho. alleging bs?J faith snd tn* vioUtlon of
Mexican -sovereignty.
JUNE.
1 Porsonal: L--ui- p. Brondel* confirmed Justlc* of the Uniteil Sistes supreme
court,
■uffrsge: lows .»;•-■-: womsn swf-
frags
t Storm: Tornado rwept parU nf Tennessee, IIIhiolR, Ml--i.-n.il and Ar-
ksnsss; Itnsl intimate nf loss of life
raarhed IC
China: Tuan Shlh Kal. preeWer.t of
tb* Chinese rrpubUc. died in Peking:
succeeded hy Vic* rr;*ld*nt Ll Yuan
Hung.
1 Sporting; Oswald Klrkhy defeste'
Fred HerresholT for the Metropolitan
golf amateur championship, S up and
1 tr* pUy. st Okn Cove. N. T.
Cftltuerv: John R, M*-I^»n. publisher
ad lh* Washington Post and Cincinnati l-nqufe*--. aged <T.
« Pnlltlcsl: Chxrte* K. llust.M nominated for prectdent by the R*pqbllrsn
conswn'.ton and Cbarle* Warren Fslr-
banke for vice prcsMcnL Tb* ■''•-
-greSMlves nam*-.! Theodore Roo*-nr*ll
and John M. Parker of I_r.ula.ana.
11 Naval: rer.naytvanla. **s.i safest SC
bsttleablps,'* put tn eotamtsaSon; dts-
yUcsnssat. n.sn tans, horsepower. M,-
__povtlaa: Molly BJarstsdt again won
the women* tennis slngtss championship aver Mrs. Edward Raymond by
score* of S-S, S-I.
11 Firs: Flre oa th* grain pier ef tb*
Northern .'mlra] railway at Canton,
Md.. caueed property tons of HefMW;
U pwrson* kilted and to Injured.
IS. Bandit Raid: American troop* lost 1
killed snd * wounded In m skirmish
with handlii at St. Ignscto, Tex.
Political: l•*-«*■. idem Woodrow W:i»,-i
and Vu-e- I'r.jiideui Thomas II Marshall renominated st St. Louts.
11 Msxlco: Gen. Trevino notlfled Oen.
Porshlng thst movement ot troop*
south, sort or weat would bc considered a hostil* net.
IT. Sporting: Syracuse won tb* var.lt.
. miles st Poughkeepale. Ttme: Syracuse. » min. UM sec.; CorneB. _0
min. C t-i sec ; Columbls. » min. U 1-8
sec.; l-entiK>lvanls. » min. U*S **c
Junior VanCty: Byrsruss. It min. U S-S
sec.: Com.1!, It min. »I-S see; Columbia. II min. S s*c_; P*nniylvanU.
13*mtn. i l-i **c.
U Mexico: Preside*)! WUson called out
tbs orgenlitd mllltla of th* whole
country for servlco en tb* Mexican
border
tt Obituary- Edwsrd 9, Bllla American
novelist and hUturtsn. st Cliff Island.
Me ; ag*d :«.
Mexico: President Wilson notlfled Ihe
Mexican government that Amortc-in
troop* would not b* withdrawn from
Mexican suU.
tl. Mexico: Two troops of th* IMh cavalry were In sctlon outsld* Catrlssl.
ninety miles south of Juares, allh
Cat-rant* forree. Meslran Oen Fells
Gomel was killed; alao Capt C- T
Boyd six) Ut-tri Adair of tbe l«th cavalry; M troo|icra wsr* mode prisoners
by th* Meklrsns, 13 killed and U missing
3 Mei.ro UIHtU ordeced to proceed to ,
lh* Mexican border.
m. Mexico. IVrstdent Wll-ron demandnl .
th* iiimie-liite release of ths Ci-rrlul
wsr prisoner*.
_1 Mexico, a prisoners tsken by Mexl- .
cane *t i\.rr;_.-.l wer* dellverad to the .
Uniti.i Rales ferre*.
M rolltlcal: Germany and Au*trl* con- ]
cludul a treaty of military ami n-m-
merrlal alliance for S years' duration I
Sporilnc. i"Mck (Chorleel Evans won ;
the national (pen golf championship.
on* of the two sre* teat golf henor*
In lh* United Staiea. Evans la th* I
thini smsteur to win th* Am*rican '
open title 111* total SCOT* WOS SM I
strokes for T: holes, a record.
JULY.
I. Prepsrednees: New fnlted Btstca'st- ,
my non;..tin..;i. n law In effect.
Convenllon Nstlonal Educational as- j
so.1stli-.ti met in New Tork.
1 PeraonsI CM O. A Dodd. leader of -
of an adv-tnc* Into Mexico, promoted '
to brigadier general.
Obltuarj ; Mrs. Hetty Green, known :
ss tjie rlrlieat woman In th* world. In '
Ne* Tot* , aged Sl
1 Political Jai-an and Rua*U signed
treaty of nttUnc*.
I Merchant Sjhmarlnes: Germsn mer-
chsnt submsrlne l>eut*ch)snd reached i
Bsltlmnra. IS days out from I feign-
Und port
II. Obituary: Prvfeaeor. ITIie Melchnl- <
koff. noted bacterlotogtat. sharer In j
th* Noi-el prise for m*dlcal rasearch, ,
In Part*; ssed Tl
polltti-at Italy sbrogsted mutual rights |
troaly with Oermany.
I«-l» Flood: Dtaastrous n-*~-l» In Virgin- ;
— la. North Carolina and Bouth Csrohca
Dsnllia and mltmlng eStlmstid'st Im. 1
property loss upwafd of |IJ.uo.n*i. !
fltv-d Mcilms In Alabama n.teO.
IT. pollil-wl: Rural credit* bill becsm*
I—
tl Neutral Rights Hrltlsh trade blacklist of At »-.:.-:.ii Arms officially pub-
Halted In bo(M|Oa
» The UpKlenilc Paralysis raae* In New
York Hv totaled IW. «I ilea ihe
a Obituary. James Whiu-otnb Klley.
popular poet, at lii.li.ni-i- ll*. Ind .
aged t$ tabout).
14. Tunnel lHnnner* Explosion In Clcv*
land wsteiwotks lunnel under l^he
Tne Lltlcl _| («r-ona
TS. Heat WBsai laliasi heal In middle
so. MoaltsMi i*xir*ion. T*
survlvora of the msroened party en
Elephant Islsnd.
t Memorial; Uncoln cabin sbria* at
Hedgonvtlle. Ky, formally _tollrared
to tb* failed States.
Sporting: Welsh, lightweight champion
boxer of th* world, defended hts till*
at Colorado springs by defeating
Whll* In IS rounds
1 Sporting: Richard Nerrls William* of
PM'-sdelphU aon lh* nstlonsl tennis
champlonehlp by defeating William M
Johnston ot Ssn Frunctsctx st Forrest
Hills, N. T. Ni-ora. 4C S*t C-l *-t
lleltlctrent Bights: United Statea declined lu o.u submortn* merchant
•hip* as warships.
I Panama Canal: Navigation reopened
by removal of bowlder whl*h fell on
Sept. L
Mexico: American-Mex lean conference
met at New London, Conn.
7- Ths Plague: _i**ib* from paralysis
plague in New Tork city reached
lot:.
1 Sporting: Charles ITvana. Jr. C'flilrk'i
won th* national amateur golf chain- .
plonshlp by defeating Champ-ion lichen A ttsrdlner st Philadelphia. 4 up
and 3 to play.
Ik Fire at Sea: Pacltlc coaat liner Congress burned at sea near Coo* bay.
Ore ; loa* tl.ao.tW.
It Obituary: Hc-raie White, old time }. ur
nattst. In New Tork city; aged C
Mexico; A band of li-oop* estimated sl
*.0 tu l.TW, led hy Villa, raided city of
Chihuahua. Fighting reported Willi .
Carranta Iroop* In which bandits lost
heavily.
IT. Obituary: Beth Low. educator an 1 .li <
lc leader. In New Tork city; aged tt
II Obituary: Prof. Frank Detnpeter
Shennan. art teacher and poet, |n New
Tork city; aged H.
■%. Pponing: New York Baseball cluh
(OUntei compleled * string of tl consecutive games by defeating St Loula
(t'ji'Hinalai tn a doubt* header In Ne*
York.
Stocks: Steel leaped to IS) on New Tork
Exchange
»X Sporting: Jsmes Allken won Ihe As- J
tor cup auto nc* iflAOGO), st Sheep*- !
head llsy,
OCTOBER.
1 Accident: 11 killed. 5 hurt, ln collision j
of street car wltb a train In Detroit '
Bai-et-all: lloston Red Sox clinched
American leagu* p*nnsnt
1 r ..ei ,,ii. Rtvoklyn clinched lh* Nstlonsl league pennant.
t ONluary: Mai. William Warner, former U. S. senator from Missouri snd
I-u*i commander In chief of the G. A
It.. In Kaiiss* City, Mo.: sg*d Tt
I. Submarine: German V-Zi dropped an- j
• i.i i tn Newport harbor at th* *nd '
ef IT ds.s' run from Wllhelmshsven. {
tl Nrutrsltl) I fnlted States notified al- >
tie,l powrrs thst It would continue to i
apply cxUtlng rules of international ■
law to submarines.
11. Greece; l*rsnce look over lh* nsvy
ii llaaeball: Red «oX d*f*eted Brooklyn
In lh* flflh and decisive game of tb* I
wnrld mt-t'en. winning the championship.
ll. '■,.. r Allle* took control of Alliens
li t. t.e
3. Anniversary: Ysl* university rom- ,
■: . ■ i n.,i Moth anniversary of ra- |
mov*l to New llsven by mammoth j
pageant.
Austria; Austrian premier. Count I
Sturrgkh. s_*____-)n*trd tn Vienna by
l.udwlg .idler, a political opponent
3. Shipwreck. Steamer Ner Ida lost In a
storm on I_ake Erie with _&/ssl]ora
Tlie Jsmes It. Colgats also went down
with :i sailors.
». Obituary: William M. Chose, noted
portrait painter. In New York dty;
• aged t.~. ■ .
J Anniversary: Pittsburgh begsn celebration of 1U iwtli year as a cily.
ii. owteam rhTlas Tax* itu>*eit.
; n.i 't and editor, known a* "Pse-
tor" Ru***ll. at Psmpe, Tea.; aged u
NOVEMBER.
|. Hulimarinc: Met- limit sulnnarln*
!•■■ ts Mead raached New l...i..l..n. Sl
, f I:tenn :. I" l-»at 'ml reacli-
. i-irt Ihlitih steamer M>-
rma eunk off iriali coast; flv* Amerl-
INDEPENDENT MEAT MARKET
Special prices to restaurants and dealers
In job lots
LOW PRICES AND HIGH QUALITY
Hamburg Steak
12 l-2c Ib
Round Steak
- 16c Ib
Sirloin Steak
- 16c lb
Tenderloin Steak
- 16c lb
Prime Rib Roast
- 15c Ib
Spare Ribs
12 1.2c Ib
Pork Back Bones
- .05c lb
Good Rib Steak
12 l-2c lb
Pot Roast
12 l-2c lb
Compound Lard
17 l-2c lb
G.W.WAGNER.Th
e Meat Man
Telephone 772 M 552 Emerson St
Vlr
nil!
i:.
i ■..
ed UT dratli* tu I'htcaso. making total
In 4 ea?s -I Temperature highest
sine* 1)01 Gary. Ind. rcglalered lit
degree*. San Kranclsco, il. Kl l*a*_.
Tes , *.
IL Record Ileet: Hotteel July list en
record In New Tork ilty-M degree*.
Chicago. Tk
A U OUST.
T Weather *'•■- ••-'* Cloudburst drown- ;
ed _> eetanos slong Rlsir's creek, Ten-
;»»lii«
Merchant Submarine: The Detttechlsnd :
tiled from th* Virginia cap**, bound
fkrlftrom broke Ih*
ouniry aviation rss*
mi Chleace to Brie.
t hours snd 1* mln-
[fia sml Oermany promt sn independent stale
i-udmw Wilson ra-etacted
With thc new year
aim to cut your tire
troubles and your tire
costs down to the "irreducible minimum."
Thc one sure way to
do it is to use Savage
Graftnite Tubes and
ma
Factory Di» tribute*
I'A I-O ALTO OARAGE
n.ii i> 1. i-i.ill, proprietor.
-II.I l'n•• i-.-ii St. I'h. SS.T
fort
1. Irlnli l!rw.!i: Sir Roger Caasment,
Irish revi.luih-iilat. hanged for treason la lAintorx.
Mexico: Hn,t,> appointed member* of
a Joint tomgilaston to confer on th*
Issue* with tha fnlted Stales
1 Ant jr. im Exploration: Ueut. Shsckleton reached Fa Ik Und Inland* snd re-
*.-■•* l hla fallura to reach Elephant
lalsnd snd rescue his craw.
finish Ulsnils. fnlted Stslea snd Pen-
mark algned irmly for Ihs ceealon of
the Iianlsh We*t Indian Inland* to lhe
I'nlted Slates; price agreed upon I*,-
rr. ..
1 Storm Dlsssler: Cloudburst sad flood
In Cabin Creek valley. West Virginia
destroyed K lives snd caused property
lot* of •S.OO-.ftrt
tl Trolley Acddeot: % death* In trolley
rolll-l-n at Echo, Pa.
II Weather Vagaries: CoWsst Aug. II
In east In M years, thermometer touched M; sveraged si.
it Storm: Hurrlcan* damaged crops ln
Texas, toss over uww, t) deaths.
12. Meiicn PVwnkltn K. l^ne. Judge
Oeorge Oray and Dr. John R. Moll
*ppnlnt*d on Mexlcsn Joint commission
D Merrhsnt Submarine: Ths Dtutsch'
land, at.irh sailed from Virginia on
Um 3d, arrived at llremen. Oermany.
3. Naval Di» ist.r. t'nttad states armor-
«d cruiser Memphis (formsrty T*nn*a-
*•*> wracked In a hurrlcan* In Santo
Domingo harbor; 10 of tb* crew dead.
Tl Injured.
Sporting: The Lswn tennis double*
champions, W. \t Johnston snd C. J.
Orlffln, retained tbelr titles by defeating McLaughlin and Dawson at Forest Hills. N. T ; sc
