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Disease management (DM) programs are being implemented throughout the health care delivery system as one way to contain costs, and they have demonstrated mixed efficacy. In most cases, DM programs have shown the best results when they promote access to preventive care services, and often have the poorest performance when they attempt to reduce variation. This paper examines the DM process as a seminal Continuous Quality Improvement intervention in health care. Medical experts have identified disease management as the premier method of influencing the cost and quality of health care as we move into the twentry‐first century. Results of interventions can be tracked and the quality of care is gradually being improved using these methodologies. The proposed presentation will detail the process and some examples of this approach

The INSTITUTE OF PETROLEUM HELD their Annual Dinner at Grosvenor House on February 22nd, when over 1,300 Members and Guests were present. The Rt. Hon. Aubrey Jones, M.P., Minister of Fuel and Power, in his speech proposing the toast of The Petroleum Industry and The Institute of Petroleum had something to say about coal and warned against taking the reports of statisticians too literally. He said that he was distressed to hear, on assuming ministrial office, that coal had no future and unfortunately this was a popular opinion. The facts are, however, that even with all the aid of nuclear energy for as far ahead as we can see, we shall still need more coal than we are now getting. “But it also seems to me”, he said, “a most disastrous impression to convey. We all want a good performance from coal in the present. I put it to you, how can you expect from any industry a performance in the present unless at the same time you can offer it a future?” The Minister said that we should get away from the idea of a fixed energy requirement, of so much being contributed by coal and, therefore, so much having to be contributed by oil. “The figure of requirement” the Minister said “is not fixed. The figure of our requirement is what our energy supplies make it. Produce more coal, produce more oil, in excess of the target. The demand will be there. The lighter industries will be able to be carried forward”.

The U.S. 2009 Tobacco Control Act opened the door for new antismoking policies by giving the Food and Drug Administration broad regulatory authority over the tobacco industry. We develop a behavioral welfare economics approach to conduct cost-benefit analysis of FDA tobacco regulations. We use a simple two-period model to develop expressions for the impact of tobacco control policies on social welfare. Our model includes: nudge and paternalistic regulations; an excise tax on cigarettes; internalities created by period 1 versus period 2 consumption; and externalities from cigarette consumption. Our analytical expressions show that in the presence of uncorrected internalities and externalities, a nudge or a tax to reduce cigarette consumption improves social welfare. In sharp contrast, a paternalistic regulation might either improve or worsen social welfare. Another important result is that the social welfare gains from new policies do not only depend on the size of the internalities and externalities, but also depend on the extent to which current policies already correct the problems. We link our analytical expressions to the graphical approach used in most previous studies and discuss the information needed to complete cost-benefit analysis of tobacco regulations. We use our model as a framework to reexamine the evidence base for strong conclusions about the size of the internalities, which is the key information needed.

CHAUCER HOUSE was opened with due ceremony on May 25th. But not by Mr. Stanley Baldwin; the decision of the Prime Minister the day before that he liked Lossiemouth more than London made Mr. Baldwin's presence at the House of Commons essential. He attended the luncheon at University College, where, we are told, he smoked his famous pipe and made a brief and delightful speech to a company limited to the officers, council and some distinguished guests, including Mrs. Carnegie herself, representatives of the Carnegie United Trust in Lord Elgin, Miss Haldane and Sir Donald MacAlister, as well as Lord Balniel (who, however, is an officer, being Chairman of the Council) and our fine old friend Lawrence Inkster; but lack of space confined the lunch and Mr. Baldwin to that distinguished but very small assembly.

PRACTICALLY everyone engaged in work study concentrates on new methods and the measurement of work. We pause to wonder whether enough attention is paid to the unmeasurable factors because these outweigh those which can be observed. The unseen factors of boredom, social maladjustment, and other emotional facets create fatigue and stress—especially in female workers. Why are there not more female work study practitioners to operate in factories where female labour predominates? Such women, after being properly trained in time and motion study, should receive psychological training and, as a result, female operatives would rise to a greater level of co‐operation and ultimate working efficiency. The notion that only men should work study female operatives is a myth which should be exploded. Let there be more female work study practitioners. And the sooner the better.

The connotations, associations, custom and usages of a name often give to it an importance that far outweighs its etymological significance. Even with personal surnames or the name of a business. A man may use his own name but not if by so doing it inflicts injury on the interests and business of another person of the same name. After a long period of indecision, it is now generally accepted that in “passing off”, there is no difference between the use of a man's own name and any other descriptive word. The Courts will only intervene, however, when a personal name has become so much identified with a well‐known business as to be necessarily deceptive when used without qualification by anyone else in the same trade; i.e., only in rare cases. In the early years, the genesis of goods and trade protection, fraud was a necessary ingredient of “passing off”, an intent to deceive, but with the merging off Equity with the Common Law, the equitable rule that interference with “property” did not require fraudulent intent was practised in the Courts. First applying to trade marks, it was extended to trade names, business signs and symbols and business generally. Now it is unnecessary to prove any intent to deceive, merely that deception was probable, or that the plaintiff had suffered actual damage. The equitable principle was not established without a struggle, however, and the case of “Singer” Sewing Machines (1877) unified the two streams of law but not before it reached the House of Lords. On the way up, judical opinions differed; in the Court of Appeal, fraud was considered necessary—the defendant had removed any conception of fraud by expressingly declaring in advertisements that his “Singer” machines were manufactured by himself—so the Court found for him, but the House of Lords considered the name “Singer” was in itself a trade mark and there was no more need to prove fraud in the case of a trade name than a trade mark; Hence, the birth of the doctrine that fraud need not be proved, but their Lordships showed some hesitation in accepting property rights for trade names. If the name used is merely descriptive of goods, there can be no cause for action, but if it connotes goods manufactured by one firm or prepared from a formula or compsitional requirements prescribed by and invented by a firm or is the produce of a region, then others have no right to use it. It is a question of fact whether the name is the one or other. The burden of proof that a name or term in common use has become associated with an individual product is a heavy one; much heavier in proving an infringement of a trade mark.

Over the next few months a lively image of Dick Whittington and his cat will be making its appearance in the capital. Walking briskly along, with his cat trotting obediently behind or dashing ahead with its tail in the air, he will stride across the print and posters of the Museum of London as the Museum's new corporate image.

EVERY method employed by librar ns to bring books to the notice of readers may be justified It is thus desirable to devote an occasional issue of THE LIBRARY WORLD to this attractive subject. Our writers take differing views, but there is always a single aim in their work: to bring right book and reader into acquaintance. We might have to meet the challenge, which indeed one of our writers implies, that such book display may deflect the Library from its original, rightful purpose. Until these terms are defined such a challenge is a begging of the question. Often we have mentioned the question, For what public is the public library working? Was it intended to serve as an auxiliary, and then an extension, of the official education system? It has always indeed been more and less than that. Our founders were able to argue that libraries would withdraw men from beer and ill‐company, but from the first they probably failed to do that, and made their appeal to the intelligent elements in the community. As they developed and public education waxed, there grew up an enormous literature, available in early years in small quantity, the aim of which was entertainment only, and there survived—there survives still—a notion which was based on an earlier conception of books, that to read was somehow educative and virtuous, whatever was read. Librarians hold this notion in some measure to‐day, although the recent success of twopenny libraries which are mainly devoted to the entertainment type of literature must have made them revise the view somewhat.