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The USE of staples in the binding of 250 or more pages of each issue of The Journal insured an intact copy upon delivery in former years. The book remained securely bound for as long thereafter as the reader permitted. The stapling machine left nothing to chance; it performed an expert technical job. If an Original Communication, a Special Contribution, or selected abstracts held a special attraction and seemed appropriate for removal and filing for ready retrieval, a major maneuver was necessary. The removal of staples was not possible with standard desk equipment. The most effective attack required a 14-inch screw driver with a wide head (a pinch bar was even better) and heavy-duty pliers. The second step required a surgeon's scalpel or a safety razor blade, the latter at the risk of laceration of a finger or a thumb. Not all physicians have scalpels available, and not many physicians
J. H. T.. THROW AWAY THE PINCH BAR!. JAMA. 1961;175(1):40. doi:10.1001/jama.1961.03040010042010