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UWOMJ Volume 44, No 3, March 1974 Western University Western University Scholarship@Western University of Western Ontario Medical Journal Digitized Special Collections 3-1974 UWOMJ Volume 44, No 3, March 1974 Western University Follow this and additional works at: https://ir.lib.uwo.ca/uwomj Part of the Medicine and Health Sciences Commons Recommended Citation Western University, "UWOMJ Volume 44, No 3, March 1974" (1974). University of Western Ontario Medical Journal. 49. https://ir.lib.uwo.ca/uwomj/49 This Book is brought to you for free and open access by the Digitized Special Collections at Scholarship@Western. It has been accepted for inclusion in University of Western Ontario Medical Journal by an authorized administrator of Scholarship@Western. For more information, please contact [email protected], [email protected]. IE UNIVERSITY OF WESTERN ONTARIO MARCH- VOL. 44, NO. ~'3 MAR 111974 ~ED I CAL JOURNAL 13wineH Gfmwerinq Service OF LONDON LIMITED • "PERSONAL" Telephone Answering Service • Courteous and Efficient • Medical • 24 Hour • Pocket Pagers, Tone and Voice • For Customers in Hyde Park TRS " NO MILEAGE CHARGES" 247 QUEENS AVENUE LONDON, ONTARIO 519-679-1330 - 519-679-1550 "TRAVEL CAREFREE" BYRON-ltl'rii~~ SWAYZE TRAVEL SERVICE LTD. ~~~1jlftJ. A~ Many people tlnd our ottlce to be a reliable and accurate source ol travel Information and reservations 298 Dundas St., London N6B 1T8, Ontario, Canada 672-4110 MEDICAL J 0 URN A L _____________v_oL_ . _«_. _No_. _3,~M_A_Rc_H...:...,_19_74 THE UNIVERSITY OF WESTERN ONTARIO EDITOR John Van Dorp '76 ASSOCIATE EDITORS Nell McAlister '75, John Clement '76, Bill Watters '76 BUSINESS MANAGER Jonas Karalenas '76 ADVERTISING MANAGER ~erv Kril '76 ASSISTANT EDITOR CIRCULATION MANAGER Vic Aniol '76 ASSISTANT EDITOR Contents 58 Editorial-John Van Dorp (Editor) 59 Restoration of the Function of the Paralyzed Diaphragm-A. S. Wilson 61 Sleep and Sleep Deprivation-B. Wooley 67 The Community Health Centre: Its Implications for Medical Practice-­ Shanon Warren 70 The Jewish Attitude Toward Abortion: An Historical-Legal Study- Yehuda D. Eliezri 77 Maimonides' Prayer for the Physician 78 Pathological Photoquiz 80 Consumer Reports: Personal Observations on Free Clinics and Community Health Centres-Bill Robinson 83 A History of U.W.O. Medical School-John J. Heagerty, M.D., D.P.H. 86 Bon Mots from the Lectern-Ann Aldis 87 General Practice in Scotland: A IV Year Elective--Peter Johnston THE UNIVERSITY OF WESTERN ONTARIO MEDICAL JOURNAL is published four times per year by the undergraduate students of the UWO Medical School. Est. in Oct. 1930. Subscription rates $6.00 per year. Notify any change of address promptly. All editorial, advertising and circulation correspondence is to be addre11ed to the editor, advertising mgr., and circulation mgr. respectively, UWO Medical Journal, Health Sciences Centre, U.W.O., London, Canada. Printers: Hunter Printing London Ltd., London, Canada. CONTRIBUTIONS will be accepted with the understanding that they are made solely to this publication. Articles should be of practical value to students and medical practitioners. Original research work is moat welcome. Articles should not be longer than 3,000 words, and we will more readily accept those of shorter length. Introduction and summary of conclusions, should be included. Drawings and photographs will be accepted, the former to be in black Ink and drawn clearly on white cardboard. All articles submitted must be typewritten, on one side of paper only, with double spacing and two Inch margins on each side. Canadian Press (American) spelling must be adhered to. The format for references 11 u tollowa: For bookl: author(a): title ol book, publisher, place, year. For Journals: author(a): title ol article name of Journal (abbreviated as in the World List of Scientific Periodicals), volume: page, year. ' No part of the content of this journal may be reproduced without the written authorization of the Editor. Editorial Occasionally one comes across very charming things in print-witness more of my favourite quotes scattered like chaff through the pages of the journal. Occasionally the charm emanates from the earnestness with which an error is pursued: but sometimes that error is a dangerous one. The editors of "Patient Care" have seen ahead of all the frauds that are perpetrated fit to pontificate in the following fashion in in the marketplace. their December 1 editorial. It is obvious that a significant number of The list of government efforts to protect Americans are incapable of deciding the consumer is seemingly endless. Every intelligently how to utilize health care day a government bureaucrat or legislator services, how to purchase prescription or comes up with a new proposal supposedly over-the-counter drugs . .. Even the most calculated to save lives, reduce costs, and casual of reviews of the reams of medical save the hapless and theoretically helpless statistics should convince the most obtuse American from satisfying his own wants and minds of that much. I'm not at all sure that desires. legislation is the answer, but I am sure that ignoring it won't make it go away. If we had In what appear to be calculated had to wait for intelligent consumer buying to responses to consumerist pressures and set trends we wou ld still have unpasteurized political motivations, those in government milk on the counters, diseased meat from the today are moving toward an Orwellian " Big butchers, completely nutritionless bread from Brother" attitude toward the health and the bakers (now it's mostly nutritionless), safety of millions of Americans. The we would still have infectious epidemic implication is that most Americans are horror stories . .. incapable of deciding for themselves how to utilize health-care services, how to Finally, and most inexcusably, state purchase prescription or over-the-counter governments (and not just Nevada) have drugs, how to relate their spending for been promoting legalized gambling in the necessities to their spending for luxuries, forms of lotteries and off-track betting as a how to protect themselves from external means of increasing tax revenues, while and internal abuses of body and mind by tightening the noose around doctors and the profit-making segment of society (most hospitals in their ability to collect of which employ the very Americans who reasonable fees for services. are supposedly thus exploited). I don't know about gambling and I'm not That sort of nonsense should be too sure what a " reasonable fee" is in medical palpably absurd to need rebuttal were it not care, but I know that as long as doctors for the quality of the journal that propounds continue to have the nation's highest taxable it. Contrary to the opinion Implied above, man income my sympathies shall lie more with does not spring from the womb as an those who are less fortunate when it comes encyclopedic authority on everything under time for another round with the chant of the the sun, complete with a price list. That sort "Rocking Horse Winner"-"we must have of philosophy was fine for the days when a more money! we must have more money! WE year's supplies consisted of a bag of sa lt, a MUST HAVE MORE MONEY!" bar of lead and a horn of powder; but it is hopelessly antedeluvian in the society it has Cyanamid of Canada Limited has a very made room for. interesting advertisement for topical steroids in the November issue of the Canadian Family To be sure most of the things on th e market Physician. It is an accepted fact that medicine today are gadgets and toys that nobody really is a male profession, by and large, but that it needs, but with advertising being what it is, should be as sexist as it obviously is, is a less it would take the resolution of a saint not to acceptable truism. I know that sexy ads sell, succumb ... and very few of us are saints. but I am not quite complacent enough to A casual stroll through downtown London accept the fact that they should sell so shopping for any average half dozen items extraordinarily well to the medical profession. will reveal price ranges of up to fifty percent. The fact that ads like this one, which more So much for the hallowed myths of the properly belongs in Playboy, and others more market-place: free competition, laissez-faire subtle, are effective enough to warrant and all the rest of the hoopla that nobody publication says something about the medical believes, but everybody uses to rationalize profession that I wish were not true: and it with. Modern life is such a p:ethora of buying also makes me thankful that I am not a that it is Impossible for anyone to keep woman having to deal with it. 58 Restoration of the Function of the Paralyzed Diaphragm A. S. Wilson Trauma to the head and neck region has straightforward depletion). Personal become much more frequent in the past observations of normal mammalian diaphragm decade because of increased incidence of (Wilson, 1968) show that there are preterminal automobile accidents. Recently there has been expansions in the motor endings, of bizarre a further increase in neck injuries as a result shapes and sizes and the assumption was that of diving accidents probably attributable to these represent aggregates of neurotransmitter the increasing popularity of domestic substance. If we can stimulate the clinical swimming pools. situation in experimental animals and show decrease in the size of individual preterminal The cervical vertebrae are very vulnerable expansions the fatigue mechanism, in this especially when the subject dives mistakenly instance will be at least partly ex;plained. into shallow water literally head first without Clinically the fatigue problem was solved by the protection of extended arms. alternately stimulating the left and right phrenic nerve individually for periods of 8- 10 A considerable proportion of such accidents hours.
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