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Drawing from Trade Adjustment Assistance Community College and Career Training (TAACCCT) grant evaluations and interviews with the field, this chapter includes examples of three cases that integrated advising and prior learning assessment for adults returning to education, and discusses the benefits and drawbacks of each approach.

course give rise to considerable anxiety, especially for those with a tuberculous heredity ; the prognosis, however, is not necessarily unfavorable and in the course of time all the signs may disappear and the patient completely regain his perfect state of health. In conclusion, it may be said that croupous pneu¬ monia in children differs from that of adults, clini¬ cally more than pathologically, that its diagnosis is often very difficult; its sympcoms varied, and, as a rule, less well marked than in adults ; the physical signs often appearing late, occasionally not at all ; its course generally favorable in strong children ; and, finally, that, though in obscure cases we should make repeated and thorough daily examinations of the chest, our diagnosis must be made from the his¬ tory 'and general clinical picture, and not be depend¬ ent entirely on the results of careful explorations of the chest. THE THERAPEUTICS OF BRONCHITIS. Read in the Section on Diseases of Children at the Forty-fourth An¬ nual Meeting of the American Medical Association. BY I. N. LOVE M.D. PROFESSOR, CLINICAL MEDICINE AND DISEASES OF CHILDREN, MARION-SIMS COLLEGE OF MEDICINE ; EDITOR MEDICAL MIRROR, ST. LOUIS.

An enterprising Omaha newspaper recently published a symposium of letters from a number of physicians in answer to the inquiry "whether the doctor is ever justified in refusing to prolong the life of a patient mortally ill." Most of the physicians took the postition that in no case should the physician permit the patient to die while it is possible to prolong life. But a few did not fully agree with that doctrine, and one, who discreetly concealed his name, said that in cases of mortal illness, the means of committing suicide might be placed in the patient's reach, and if he is intelligent he will use them promptly. I shall not discuss this subject from a scientific, ethical, or theological standpoint. The rule of law is very simple, and in exact harmony with the commandment: "Thou shall not kill." The statutes defining murder and manslaughter make no distinction between killing a sick man and a well man. Neither do they recognize as legal, in this country, a practice said to prevail among certain tribes of Patagonians who have not sufficient intelligence to stand on the shady side of a tree, by virtue of which those who have grown so old as to be unable to help themselves or others, and who are certain to die soon in any event, are boiled into soup for

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