Excerpt from The Medical News and Abstract, Vol. 38: A Consolidation of the "Medical News and Library" And the "Monthly Abstract of Medical Science;" Mitral Obstruction, as represented by the presystolic murmur, may be tolerated indefinitely, and is not incompatible with comfortable health. Of a pretty large number of cases sustaining this statement, I will refer to a few. Twelve years ago I saw a woman a few days after her confinement. She had orthopnoea, cyanosis, much anasarca, and a large dropsical eflfu sion into both pleural cavities. There was a mitral direct murmur, with moderate enlargement of the heart. The physician who attended her in labor said the dyspncea was such as to lead him to fear that She would die before the birth Of her child. She was promptly relieved by the free Operation of elaterium. She apparently regained good health. Mean while, I have seen her once, in consultation, with a moderate general dropsy. This was several years since, and I have lately heard of her as in comfortable health. I have notes of two cases, both women, who were under my observa tion for more than ten years. In both the mitral obstruction did not interfere with comfortable health. In one case death at length took place, preceded by much suffering from dyspnoea and by general dropsy. In the other case, while the patient continued to suffer but little, and was accustomed to much activity, death was caused by gangrene of both lower limbs, probably due to embolism. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.