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In the remarkable case of congenital cardiac disease here recorded a complete absence of the interauricular septum is associated with other anomalies of a very unusual character, the whole forming a combination which, we believe, is unique in the literature. CASE REPORT Clinical Data. —A female infant, 17 days old, of Italian parentage was brought to the New York Nursery and Child's Hospital in a moribund state. The family history was negative. The child was of full term, normal delivery. Three days before admission the parents noted for the first time slight cyanosis of the extremities and somewhat difficult respiration. On admission the infant presented extreme general cyanosis and Cheyne-Stokes' respiration. Both sclerae and conjunctivae contained extravasations, and several hemorrhagic spots were noted over the body. The apex beat was extremely faint—best heard to the right of the mid-clavicular line at about the sixth interspace. A faint prolonged systolic murmur

The stress and the high pressure of modern life is felt nowhere more keenly than in the field of higher professional education. On all sides the demand is heard for a wisely simplified curriculum, for a longer term of study, for methods that will bring the ever-widening field of knowledge to be covered within the range of the personal observation and induction of an ever-multiplying number of students. To meet the difficulties of the case, educational reforms have taken place all along the line. Teaching is becoming always more objective, illustrative, the didactic method more colloquial—socratic. The student is called on to produce, even more than to acquire, to enquire, to debate, and to himself form judgments on the facts of his own observation. The laboratory system, in short, with the symposium, is replacing the lecture room and the thesis. Nowhere are these new

Excerpt For the first time in its annals the College is to meet in this beautiful metropolitan city that clusters around the slopes of Mount Royal and extends to east and west below these along the...