book reviews

Symposium on Surgical and Medical Management ofCONGENITAL ANOMALIES OF THE EYE. Trans-actions of the New Orleans Academy of Ophthalmol-ogy. Cloth. Pp. 500, with illustrations. Price $29.50. TheC. V. Mosby Company, 3207 Washington Boulevard,St. Louis, 63103, 1968.

This book follows the high standard of previ-ous volumes in the New Orleans series. Topmen in each field present the text material,which is followed by the transcript of a ques-tion-and-answer period. Genetics and chromo-somal abnormalities are presented first. Afterthis basic study the clinical entities and heredi-tary disorders are discussed in considerabledetail.

The subject is technically difficult and theeditors have given it all the attention it de-serves. These transactions will provide an ex-cellent source book for many years to come.

A. A. MARTIN, D.O.

THE OPHTHALMIC ASSISTANT. Fundamentals andclinical practice. By Harold A. Stein, M.D., M.Sc.(Ophth.), F.R.C.S.(C), Clinical Teacher, University ofToronto; Chief, Department of Ophthalmology, Scar-borough General Hospital; Attending Ophthalmologist,Mount Sinai Hospital and Sunnybrook Hospital, Toron-to; Chairman, Section on Ophthalmology, Ontario Med-ical Association; Director, Association of OphthalmicAssistants of Ontario, Ontario, Canada; and BernardJ. Slatt, M.D., F.R.C.S.(C), Clinical Teacher, Univer-sity of Toronto; Attending Ophthalmologist, Scarbor-ough General Hospital, Toronto General Hospital, andBranson Hospital; Director, Association of OphthalmicAssistants of Ontario, Ontario, Canada. Cloth. Pp. 406,with illustrations. Price $19.50. The C. V. Mosby Com-pany, 3207 Washington Boulevard, St. Louis, 63103,1968.

Increasing emphasis is being placed on the de-mand for trained technician assistance for thespecialty office. This volume fills a long recog-nized need for aids in training ancillary per-sonnel for the ophthalmology office. The text isarranged for rapid comprehension with ade-quate diagrams and reference tables. The

contents are comprehensive and accurate; how-ever, a separate section on medicolegal con-siderations would have added to the usefulnessof the book.

I have mixed feelings about the presence ofseveral cartoons throughout the book. I didnot feel that they caused much distraction, butif their inclusion increased the cost of thebook, their presence is unfortunate.

This work reflects considerable effort andthought in its preparation. It will be of un-questionable value in the ophthalmology office.

HAROLD W. KENT, D.O.

EMERGENCY MEDICAL GUIDE. By John Hender-son, M.D., F.A.C.S., Corporate Director of MedicalAffairs, Johnson & Johnson Consultant in InvestigativeSurgery, Middlesex General Hospital, New Brunswick,New Jersey. Ed. 2. Cloth. Pp. 556, with illustrations.Price $7.95; paper $3.95. The Blakiston Division, Mc-Graw-Hill Book Company, 330 West 42nd Street, NewYork, 10016, 1969.

This edition of the Emergency Medical Guideincorporates new techniques for emergencycare and the information on handling medicalproblems that may be encountered by ambu-lance attendants, civil defense workers, fam-ilies, and others who must sometimes dealwith urgent situations without the aid of aphysician. The contents are more comprehen-sive than those of the usual first aid handbook.The revisions have been made with a view toenhancing the value of the book as a text forcourses in emergency medical care, physicaleducation, national defense, and for paramed-ical personnel and ambulance attendants.

Chapters are included on the treatment ofpoisoning, instructions on home nursing care,and new techniques for first aid and for aidfor victims of automobile accidents. Informa-tion that may be needed by fishermen, swim-mers, and scuba divers has been incorporated.

Journal A0A/vol. 68, May 1969 991/209

Book reviews

Throughout, numerous drawings are usedto clarify techniques discussed in the text. Aglossary of medical terms is presented. Theindex has been prepared to facilitate the quicklocation of information.

CLINICAL LABORATORY DIAGNOSIS. By SamuelA. Levinson, M.S., M.D., Ph.D., F.A.C.P., Professor ofPathology, Emeritus, University of Illinois College ofMedicine; Consultant, formerly Director, University ofIllinois Research and Educational Hospital Laborato-ries; Director of School of Medical Technology, L. A.Weiss Memorial Hospital, Chicago, Illinois; and Rob-ert P. MacFate, Ch.E., M.S., Ph.D., formerly Chief, Di-vision of Laboratories, Board of Health, City of Chi-cago; Director of Laboratories, Municipal ContagiousDisease Hospital, Chicago, Illinois; Senior Scientist(R), United States Public Health Service. Ed. 7. Cloth.Pp. 1,323, with illustrations. Lea & Febiger, 600 SouthWashington Square, Philadelphia, 19106, 1969.

This edition of a text first published 32 yearsago reflects the newer concepts of clinical pa-thology and the newer procedures used inclinical laboratory diagnosis. It is intended tobe of special value to the medical student,while presenting the basic laboratory pro-cedures in sufficient detail to provide a labora-tory manual for the technologist.

The revised material includes proceduresfor studying the gastrointestinal tract, chem-ical methods for blood and urine analysis, im-munologic and serologic procedures, bloodbanking and blood typing, examination of spu-tum, transudates, and exudates, proceduresusing radioisotopes, kidney function tests, andbiologic and diagnostic skin tests. Those espe-cially concerned with the care of infants andchildren will be interested in the complete re-vision of the approach to pediatric studies, theinclusion of micro techniques for analysis ofblood and urine, and improved methods for thetesting of infants' formulas. The informationon mycology and on cytologic techniques hasbeen revised, and the material on hematology,

toxicology, and tropical medicine has been up-dated.

REPAIR OF HERNIAS. A handbook of operative sur-gery. By Mark M. Ravitch, M.D., Professor of Surgery,Professor of Pediatric Surgery, and Head, Division ofPediatric Surgery, The University of Chicago. Cloth.Pp. 189, with illustrations. Price $10.00. Year BookMedical Publishers, Inc., 35 East Wacker Drive, Chi-cago, 60601, 1969.

The author considers the repair of hernias"the epitome of surgery." He has written thisbook as a working guidebook for herniorrha-phy. He presents step-by-step the operativetechniques he has found useful. Drawings ofthe procedure as seen in an individual patientappear on the facing page. The procedures in-clude groin hernias, ventral hernias, umbilicalhernias in children, and diaphragmatic her-nias.

Because this is a handbook, the author hasdeleted historical background, discussions ofalternative procedure, and treatment for ob-scure entities. There is no bibliography. Acomprehensive index has been included.

DISEASES OF MEDICAL PROGRESS: A STUDYOF IATROGENIC DISEASE. A contemporary analy-sis of illness produced by drugs and other therapeuticprocedures. Edited by Robert H. Moser, M.D., F.A.C.P.,Colonel, MC, U.S.A., Chief, Department of Medicine,Brooke General Hospital, San Antonio, Texas. Ed. 3.Cloth. Pp. 925, with illustrations. Price $39.50. CharlesC Thomas, Publisher, 301-327 East Lawrence Avenue,Springfield, Illinois 62703, 1969.

In order to provide for the practitioner a sum-mary of information on diseases caused bydrugs or other forms of therapy, Dr. Moseralong with fourteen contributers has compiledchapters analyzing the literature on undesir-able side effects of therapy. Two new chap-ters have been added to this edition, one on

992/210

congenital diseases and another on diseases ofdiagnostic procedures. The chapter "Psycho-semantics," which was new to the last edi-tion, has been expanded. A drug index withseparate sections for generic and proprietarynames has been added.

The book, while useful to the investigatorfor its survey of the literature, is directedchiefly to the clinician who prescribes drugsor other therapy for his patients. The goal theauthor is trying to achieve is:

. . . an atmosphere of rational caution and criticalevaluation, where each physician will pause before put-ting pen to prescription pad and ask himself, "Do Iknow enough about this drug to prescribe it ? Does thepossible benefit I hope to derive from this drug out-weigh its potential hazard?"

This is a laudable goal, but one that will onlybe achieved if the physician avails himself ofthe information that is accessible to him. Onerecommended source of such information isthis book.

ESSENTIALS OF HUMAN ANATOMY. By RussellT. Woodburne, A.M., Ph.D., Professor of Anatomy,University of Michigan Medical School. Ed. 4. Cloth.Pp. 626, with illustrations. Price $15.00. Oxford Uni-versity Press, 200 Madison Ave., New York, 10016, 1969.

Sometimes, textbooks are created because ofthe acquisition of newer knowledge in a par-ticular area, and revised again and again be-cause this newer knowledge increases so fast.The chief reason this textbook originally waswritten, however, was the need to present thebody of knowledge of anatomy in a mannersuited to the amount of time devoted to thesubject in the medical school curriculum.

In presenting the material, the author usesa regional, rather than systemic, arrangement,while at the same time he summarizes the ma-terial in such a way that the relationship ofa part or organ to its system is demonstrated.

Muscle actions and innervations are given bymuscle groups. Additionally, less importantfacts are placed in smaller type.

The illustrations have been revised for clar-ification or better reproduction, including thecolor illustrations. The reference list, whichhas been reduced for this edition, has beenarranged by systems. Additional noteworthyfeatures include the glossary of terms and theindex.

CEREBRAL VASCULAR DISEASES. Transactions ofthe Sixth Conference held under the auspices of TheAmerican Neurological Association and The AmericanHeart Association Council on Cerebrovascular Disease,Princeton, New Jersey, January 10-12, 1968. Confer-ence supported by a Grant from National Institute ofNeurological Diseases and Blindness and NationalHealth Institute, National Institutes of Health. JamesF. Toole, Chairman; Robert G. Siekert and Jack P.Whisnant, Editors. Cloth. Pp. 280, with illustrations.Price $8.75. Grune & Stratton, Inc., 381 Park AvenueSouth, New York, 10016, 1968.

The Princeton Conferences were begun in1954 and have been held at approximately 3-year intervals since then. Those familiar withthe published transactions of previous con-ferences will find the format of this transcriptmuch the same.

The proceedings are divided into seven sub-ject categories. The first dealt with identifi-cation of the stroke-prone patient and includesa paper on the disappointing results of massscreening techniques carried out in NorthCarolina. Another group of papers were con-cerned with fluid dynamics in macro- andmicrocirculation. The papers on respiratorycontrol and cerebral circulation include a studyof brain metabolism. Primary intracerebralhemorrhage was the subject of a further groupof papers. Aids for the diagnosis of cerebralvascular disease discussed included brain scan-ning, echo-encephalography, and the carotid

Journal AOA/vol. 68, May 1969 993/211

Book reviews

compression test. Two papers were devoted todementia and cerebral vascular disease. Thesection on surgery in occlusive cerebral vas-cular disease includes a progress report froma cooperative study of extracranial arterialocclusion.

The discussion sessions following the pre-sentation of formal papers have been tran-scribed and presented here; they containinteresting comments and offer additional ob-servations. The contents are fully indexed.

A SHORT TEXTBOOK OF KIDNEY DISEASE. ByAdrian P. Douglas, B.Sc., M.B., M.R.C.P., M.R.C.P.( Ed),Late Lecturer in Medicine, University of Newcastleupon Tyne; M.R.C. Clinical Research Fellow, RoyalPostgraduate Medical School, London; and David N. S.Kerr, M.Sc., M.B., F.R.C.P., F.R.C.P.(Ed), Senior Lec-turer in Medicine, University of Newcastle upon Tyne.Cloth. Pp. 295, with illustrations. Price $10.00. PitmanMedical Publishing Co. Ltd., J. B. Lippincott Company,exclusive U.S. agents, East Washington Square, Phila-delphia, 19105, 1968.

As anyone connected with the field of medi-cine knows, there is no dearth of what areknown as "monumental" textbooks on almostany subject of medical interest. There can beno quarrel with their importance as a refer-ence source. There is, however, a need forsmaller books of the type represented here.The two authors stress that this is a book tobe read and is designed for the student, under-graduate or postgraduate. The clinical aspectsof management are emphasized throughout.

The first portion of the book is concernedwith signs and symptoms and the investiga-tion of renal disease. The next several chap-ters, devoted to the major renal disorders, arefollowed by discussions of the effect of otherdiseases on the kidney. The final chapters gointo the surgical aspects of renal disease.

British publishing houses put out a greatmany of these smaller books of single or dual

authorship. They fulfill an important func-tion in medical literature and some room onthe physician's bookshelf should be left forthem.

AMERICAN DRUG INDEX 1969. By Charles 0. Wil-son, Ph.D., Dean and Professor of PharmaceuticalChemistry, School of Pharmacy, Oregon State Univer-sity; and Tony Everett Jones, Ph.D., Professor ofPharmaceutical Chemistry, School of Pharmacy, Uni-versity of Colorado; Director of Pharmaceutical Re-search, Carbisuphoil Company. Cloth. Pp. 641. Price$7.50. J. B. Lippincott Company, East WashingtonSquare, Philadelphia, 19105, 1969.

The new edition of the American Drug Indexhas now been released. This book is perhapsthe standard source of drug nomenclature andis considered essential for those concernedwith the identification and correlation ofdrugs.

The book has the same format as in prev-ious editions. The index is organized alpha-betically according to generic, proprietary,chemical, U.S.P., and N.F. names. Synonymsthat are in common use are given as well. Thedata are presented under the proprietaryname and include generic and chemical names,manufacturers, forms, sizes, dosage, and use.The extensive cross-indexing feature makesthis a highly practical index for quick refer-ence.

Textbook of MEDICAL TREATMENT. Edited by SirDerrick Dunlop, B.A., M.D., F.R.C.P.Ed., F.R.C.P.Lond.,LL.D., D.Sc., Emeritus Professor of Therapeutics andClinical Medicine, University of Edinburgh; Physician,Royal Infirmary, Edinburgh, 1936-62; Extra Physicianto H.M. The Queen in Scotland; Stanley Alstead, C.B.E.,M.D., F.R.C.P.Ed., F.R.C.P.Glasg., F.R.C.P.Lond.,Regius Professor of Materia Medica and Therapeutics,University of Glasgow; Physician, Stobhill GeneralHospital, Glasgow; and Alastair G. Macgregor, B.Sc.,M.D., F.R.C.P.Ed., F.R.C.P.Glasg., F.R.C.P.Lond.,Regius Professor of Materia Medics, Department ofTherapeutics and Pharmacology, University of Aber-

994/212

deen; Physician, Royal Infirmary, Aberdeen. Ed. 11.Cloth. Pp. 720, with illustrations. Price $13.00. E. & S.Livingstone Ltd., Edinburgh and London. The Williams& Wilkins Company, exclusive U.S. agents, 428 EastPreston Street, Baltimore, 21202, 1968.

Since this text was first published in 1939 suc-ceeding editions have appeared at regular 21/2year intervals. This new eleventh edition is anextensively revised book, with the materialnow set in double columns for easier readingand arranged in a different sequence. The sec-tions on anticoagulants and on ill-health due todrugs are new. Pruning out of unessentials hasresulted in the book's being shorter than be-fore.

The various sections have been prepared bythirty-three contributors, with the chapter onnutritional disorders written by Sir StanleyDavidson, who was a member of the editorialboard from the first through the ninth edi-tions. The sections are organized chiefly bydiseases or categories of disease, with separatesections devoted to antibiotics and chemother-apy, analgesics and hypnotics, principles ofprescribing, and technical procedures. Theglossary lists proprietary equivalents of offi-cial drugs and the generic equivalents of pro-prietary preparations. The contents are in-dexed to facilitate location of material.

COR PULMONALE IN EMPHYSEMA. Mechanismsand pathology. By Donald Heath, M.D., Ph.D., M.R.C.P.,M.C. Path., George Holt Professor of Pathology, Uni-versity of Liverpool, Liverpool, England; DouglasBrewer, M.D., F.C. Path., Professor of Morbid Anat-omy, University of Birmingham, Birmingham, Eng-land; and Peter Hicken, M.D., B.Sc., Research Fellow,University of Birmingham, Birmingham, England.Cloth. Pp. 121, with illustrations. Price $9.75. CharlesC Thomas, Publisher, 301-327 East Lawrence Avenue,Springfield, Illinois 62703, 1968.

For a period of 4 years the authors have beeninvestigating the cause of right ventricular

hypertrophy in emphysema. This monographdescribes their studies and the conclusionsthey reached. Although this complication ofemphysema has been attributed to the quantityof lung parenchyma destroyed, the authorsconclude that the main factor is chronic hy-poxia.

The methods they have used throughoutthe study are described. There are numer-ous illustrations and tables of data, and studiesof others cited in the text are listed in thebibliography following each chapter.

DRUGS IN CURRENT USE AND NEW DRUGS-1969. Edited by Walter Modell, M.D., F.A.C.P., Profes-sor, Clinical Pharmacology, Cornell University MedicalCollege. Paper. Pp. 201, with illustrations. Price $3.25.Springer Publishing Company, Inc., 200 Park AvenueSouth, New York, 10003, 1969.

This is a much revised edition of Drugs inCurrent Use. The book is divided into twoparts, the first of which is similar to earliereditions. Drugs are listed alphabetically byproprietary and generic names. Concise in-formation on chief uses, physical properties,actions, mode of administration, any specialwarnings, and dosage is attached to the pro-prietary name. This section includes both long-established and newer drugs.

The second part of the book is devoted todrugs that have come on the market in thelast year. The data in this section are moreextensive, consisting of the package insertmaterial.

Not all drugs are included. Immunologicagents, foods and food supplements, radioac-tive agents, and most mixtures have been de-leted.

This paperbound reference source providesa considerable amount of information in com-pact form. It is a highly useful book at a verymodest price.

Journal AOA/vol. 68, May 1969 995/213

Book reviews

NUTRITION. Its meaning, scope, and significance. ByH. D. Kruse, M.D., Sc.D., Director, Division of Re-search and Planning, Medical Society of the State ofNew York. Cloth. Pp. 195, with illustrations. Price$8.50. Charles C Thomas, Publisher, 301-327 East Law-rence Avenue, Springfield, Illinois 62703, 1969.

Increasing attention is being given to theproblem of nutrition, as modern communica-tions enable us to witness malnourishmentin underdeveloped nations and to learn of itspresence even in the most affluent country.In this monograph Dr. Kruse attempts toplace nutrition in perspective. The role ofnutrition in total health is analyzed, withhealth defined as having "characteristics ofefficiency, reserves, and capacity not only toavoid disease but also to attain maximum in-herited potentialities."

The reader of this book will review the var-ious approaches that have led to our modernknowledge of nutrition. The author describesthe complex inter-relationships between nu-trition and body conditions. Although Dr.Kruse describes the course and form of de-ficiency disease, he does not attempt to pre-sent a clinical review of diagnosis and treat-ment. He describes his book as a "conceptual"study presented against a background ofknowledge gained from a variety of research.

RENAL DISEASE IN CHILDHOOD. By John A.James, M.B.( Edin.), M.R.C.P., D.C.H., Professor ofPediatrics, Department of Pediatrics, University ofSouthern California School of Medicine, Los Angeles;Head Physician, Pediatric Inpatient Services, Los An-geles County-University of Southern California Medi-cal Center, Los Angeles. Cloth. Pp. 371, with illustra-tions. Price $18.50. The C. V. Mosby Company, 3207'Washington Boulevard, St. Louis, 63103, 1968.

Practitioners will welcome this textbook be-cause of its clinical orientation that places em-phasis on diagnosis and treatment. The initialchapter presents the fundamentals of normal

renal structure and function, and is followedby a discussion of signs and symptoms ofrenal disease. The procedures and tests usedin diagnosis are explored. The fourth chapteris concerned with congenital anomalies of theurinary tract. Kidney function and disease inthe neonatal period and early infancy are dis-cussed separately. The material following isdevoted to discussions of the individual renaldisorders, with a special chapter devoted torenal complications of systemic diseases. Thefinal chapter deals with dialysis and homo-transplantation chiefly in terms of the back-ground and basic problems, with the techniqueof peritoneal dialysis presented in some de-tail.

Each chapter is accompanied by a currentbibliography and a general reading list ap-pears at the end of the book. The appendixcontains some useful dietary information.

A SYNOPSIS OF ENDOCRINOLOGY AND ME-TABOLISM. By David G. Ferriman, D.M.(Oxon.),F.R.C.P.(Lond.), Consultant Physician, North Middle-sex Hospital; and Ian C. Gilliland, M.D.(Edin.),F.R.C.P.(Lond. and Edin.), Part-time Lecturer in Med-icine, Royal Postgraduate Medical School; ConsultantPhysician to Hammersmith, Prince of Wales's andBethnal Green Hospitals, London. Cloth. Pp. 159, withillustrations. Price $8.50. John Wright & Sons Ltd.,Bristol, England. The Williams and Wilkins Company,exclusive U.S. agents, 428 East Preston Street, Balti-more, 21202, 1968.

This British book, one of a series of synopses,presents a synthesis of current endocrinologyand metabolism. In spite of its brevity, it con-tains a considerable amount of information.The authors indicate that the rapidity of de-velopments in this field may make some of theviews out-of-date within a short period butthey present the contents as "an essentialframework."

The diseases of the hypothalamus and adeno-

996/214

hypophysis, neurohypophysis, and thyroid arediscussed first. The next two chapters are de-voted to the adrenal glands, cortex, and medul-la. Metabolic bone diseases are then discussed.A separate chapter deals with disorders ofsexual function. Disorders of carbohydratesand fat metabolism are dealt with last. Thevarious chapters cover the pertinent anatomyand physiology, the clinical states, methods ofinvestigation, and treatment.

CARDIAC DIAGNOSIS. By Noble 0. Fowler, M.D.,Professor of Medicine, Director of Cardiac ResearchLaboratory, University of Cincinnati College of Medi-cine, Cincinnati; with eight contributing authors.Cloth. Pp. 722, with illustrations. Price $23.50. HoeberMedical Division, Harper & Row, Publishers, 49 East33rd Street, New York, 10016, 1968.

The foreword to this book identifies Dr. Fowl-er as a "correlator," the type of man wholearns the new techniques and applies themto the patient he has studied by clinical means,correlating all the data. It is this approachthat "is responsible for modern physical diag-nosis of the cardiovascular system, is respon-sible for modern clinical cardiology as weknow it today, and is the method of learningcardiology."

This book on cardiac diagnosis encompassesthe history, physical examination, electrocar-diogram, roentgenography, and special labo-ratory studies in relation to normal andpathologic physiology. Throughout, diagrams,tables, roentgenograms, and electrocardio-graphic tracings are used generously to illus-trate and elaborate points made in the text.Although the book does not aim to provide areview of the literature, current studies arecited. The general practitioner and internistshould find the book both stimulating andpractical.

CLINICAL INTERPRETATION OF LABORATORYTESTS. By Raymond H. Goodale, M.D., Pathologist,Falmouth Hospital, Falmouth, Mass.; formerly, Pathol-ogist, Worcester Hahnemann Hospital, Fairlawn Hos-pital and Worcester County Sanatorium, Worcester,Mass.; and Frances K. Widmann, M.D., Assistant Pro-fessor, Department of Pathology, University of NorthCarolina School of Medicine; Medical Director, BloodBank, North Carolina Memorial Hospital, Chapel Hill,North Carolina. Ed. 6. Cloth. Pp. 568, with illustra-tions. Price $11.50. F. A. Davis Company, 1914 CherryStreet, Philadelphia, 19103, 1969.

This book, now in its sixth edition, is intendedto help the practitioner decide which labora-tory test will be most informative to him andevaluate the data it provides. The technical de-tails of the procedures themselves are largelyomitted, since the book does not aim to be alaboratory manual.

In the first portion of the text the laboratoryprocedures are discussed. Much of the mate-rial in this section has been revised, especiallythat pertaining to hematology, blood banking,serum enzymes, acid-base and electrolyte regu-lation, blood chemistry, and the cerebrospinalfluid. The second part of the book places em-phasis on the characteristic laboratory find-ings in specific diseases. The discussions ofendocrine disorders, diseases of red and whiteblood cells, and blood coagulation processes,and changes occurring in pregnancy containmuch new information. Normal values are tab-ulated for reference in the last chapter.

PULMONARY BLOOD VOLUME IN HEALTH ANDDISEASE. By Paul N. Yu, M.D., Professor of Medi-cine and Head, Cardiology Unit, University of Roch-ester School of Medicine; Physician, Strong MemorialHospital, Rochester, New York. Cloth. Pp. 314, withillustrations. Price $15.00. Lea & Febiger, 600 SouthWashington Square, Philadelphia, 19106, 1969.

This review of current knowledge of pulmo-nary blood volume is based on published datain the literature as well as data from studies

Journal 40A/vol. 68, May 1969 997/215

Book reviews

performed in the author's laboratory. Thesedata are presented after an initial discussionof historical background, methodology, andprinciples of estimating pulmonary blood vol-ume in animals and in man.

The author summarizes data obtained onpulmonary blood volume in man at rest andunder physiologic, mechanical, and chemicalstresses. Data from studies on patients withcongestive heart failure in one chapter arefollowed by a discussion of the relation be-tween pulmonary blood volume and other var-iables in patients with heart disease. Theeffects of pharmacologic agents on the pulmo-nary blood volume are explored. A separatesection on pulmonary capillary blood volumeincludes methods for measurement and the re-sults in states of health and disease. The finalsection of data concerns vasomotion and dis-tensibility characteristics of the pulmonaryvascular bed.

The author makes liberal use of tables andcharts to present data. The typography andlayout contribute to making this an attractive,readable book.

AMPHETAMINE ABUSE. Edited by J. Robert Russo,D.Ed., Associate Professor, Delinquency Study andYouth Development Project, Southern Illinois Univer-sity, Edwardsville, Illinois. Cloth. Pp. 159, with illus-trations. Price $7.50. Charles C Thomas, Publisher,301-327 East Lawrence Avenue, Springfield, Illinois62703, 1968.

This book contains the edited papers presentedat the First National Institute on Ampheta-mine Abuse convened in 1966 by the Delin-quency Study and Youth Development Projectof Southern Illinois University. The speakersderive from a variety of professions inter-ested in the problem of drug abuse and theircontributions may be considered representa-tive.

A psychiatrist discusses the psychiatric im-plications of amphetamine abuse, while theproperties of amphetamine-type drugs are ex-plored by a pharmacologist. The drug indus-try is represented, relating its role in attempt-ing to control and prevent drug abuse. Aneducator discusses the role of education in pre-vention while a Narcotics Bureau memberstresses the value of more stringent laws andthe problems of law enforcement. One sociol-ogist describes street level abuse of amphet-amines and the subculture of amphetamineabuse, while another describes "a chemicallygenerated trauma" as the chief characteristicof amphetamine dependency that requires thedevelopment of numerous defense mechanismsto handle the trauma. These discussions byprofessional people concerned about the prob-lem of drug abuse are enhanced by the addi-tion of an interview with a young "peak user"of amphetamines, who is living the problem.

APPRAISAL OF CURRENT CONCEPTS IN ANES-THESIOLOGY. Volume 4. Edited by John Adriani,M.D., Professor of Surgery, Tulane University Schoolof Medicine, New Orleans; Clinical Professor of Sur-gery and Pharmacology, Louisiana State UniversitySchool of Medicine, New Orleans; Director, Depart-ment of Anesthesiology, Charity Hospital of Louisi-ana, New Orleans. Cloth. Pp. 464, with illustrations.Price $12.00. The C. V. Mosby Company, 3207 Wash-ington Boulevard, St. Louis, 63103, 1968.

This most interesting book emanates fromthe Anesthesiology Department of CharityHospital of Louisiana, for several yearshas circulated staff-prepared reviews of topicsof timely interest discussed in current scien-tific periodicals. These reviews have been as-sembled here, with some additional materialor comments and, in some cases, have beencompiled into a single review. The subjectmatter is broad enough to include pertinentaspects of physiology and other subjects of in-

998/216

terest to the anesthesiologist. For example, re-views are included on the prevention and treat-ment of aspiration, the alcohol withdrawalsyndrome, drug dependence, and the useful-ness and hazards of human blood derivativesfor correcting blood volume or clotting defects.

This compilation of reviews should be of in-terest to other departments of anesthesiologyand their trainees. It may also be of value topractitioners who cannot keep pace with allthe literature bearing on their field.

AIDS TO ETHICS AND PROFESSIONAL CON-DUCT FOR STUDENT RADIOLOGIC TECHNOLO-GISTS. By James Ohnysty, R.T.(A.R.R.T.), C.S.R.T.,Department of Radiology, Saint Francis Hospital, Col-orado Springs, Colorado. Ed. 2. Cloth. Pp. 160. Price$6.75. Charles C Thomas, Publisher, 301-327 East Law-rence Avenue, Springfield, Illinois 62703, 1968.

Radiologic technology is a rapidly growingfield. Those concerned with the training ofyoung people wishing to embark on a careerin radiologic technology believe that trainingis deficient if it fails to provide more thanfundamentals of technique: "If we fail tomotivate that feeling and the earnest desirewithin our students to help our fellow man,we will have created the equivalent of humanrobots."

This edition represents a revised and ex-panded presentation. The book opens with anexploration of personality attitudes and re-quirements for the student who wishes to en-ter the field. The hospital and the departmentof radiology and their interrelation and inter-dependence are considered. The author dis-cusses the personal relationships, attitudes,and moral obligations of the technologist. Con-siderable attention is devoted to the student'srelation with the patient and ways to resolvecertain problems that may arise in the tech-nician-patient relationship are suggested.

TOBACCO AND YOUR HEALTH. The smoking con-troversy. By Harold S. Diehl, M.D., Emeritus Professorof Public Health and Dean of the Medical Sciences,University of Minnesota; Special Consultant for Re-search and Medical Affairs, American Cancer Society.Cloth. Pp. 271, with illustrations. Price $4.95. McGraw-Hill Book Company, A Division of McGraw-Hill, Inc.,330 West 42nd Street, New York, 10036. 1969.

In this book Dr. Diehl provides an analysis ofwhat, to some, is still a controversy—the re-lationship between smoking and health. Hesummarizes the evidence of the harmfulnessof smoking, delving in separate chapters intothe link between tobacco and cancer, cardio-vascular disease, chronic bronchitis and em-physema, and other illnesses. He devotes achapter to the dissenting opinions, discussingthem point by point, supplementing this in anappendix which counters the attacks on theevidence. He goes into the reasons why peoplesmoke and ways in which they can be helpedto stop smoking. Government responsibility isdiscussed in terms of Congress, the FederalCommunications Commission, and future leg-islation.

This popularly priced book is an impressivedocument for reading by laymen. It providesequally effective material for physicians whoare concerned about the effects of smokingon the health of their patients.

Hutchison's CLINICAL METHODS. By Donald Hunter,C.B.E., M.D., D.Sc., F.R.C.P., Consulting Physician tothe London Hospital; R. R. Bomford, C.BE., D.M.,F.R.C.P., Physician to the London Hospital; and DavidG. Penington, M.A., B.M., B.Ch., M.R.C.P., First Assis-tant, University Department of Medicine, St. Vincent'sHospital, Melbourne. Ed. 15. Cloth. Pp. 404, with il-lustrations. Price $7.00. Bailliere Tindall & Cassell Ltd.,London. J. B. Lippincott Company, exclusive U.S.agents, East Washington Square, Philadelphia, 19105,1968.

Many generations of medical students havebenefited from Hutchison's Clinical Methods

Journal AOA/vol. 68, May 1969 999/217

Book reviews

since he first wrote most of the book in 1897,when he was 25 years old. The book has hadfifteen editions; the fourteenth had to be re-printed five times.

This new edition has been completely re-vised. A new chapter is included on the clini-cal assessment of metabolic disturbance. Sec-tions that have been newly written includethose on hearing and tests of auditory andvestibular function, examination of the eye,and clinical examination of children.

After an introductory chapter on case-tak-ing, general conditions and appearances arediscussed. The rest of the book deals withclinical methods of the various body systems.The final chapter is concerned with laboratoryinvestigations.

MINOR SURGERY. By David Kyle, M.A., M.B.,B.Chir. (Cantab.), L.M.S.S.A. (Lond.). Cloth. Pp. 323,with illustrations. Price $13.50. Butterworth & Co.Ltd., London. Appleton-Century-Crofts, Division ofMeredith Publishing Company, exclusive U.S. agents,440 Park Avenue South, New York, 10016, 1968.

This small text on minor surgery has beenwritten by a general practitioner with the fol-lowing background:

In 1935 I left my teaching hospital and entered gen-eral practice in a small country town. I have alwaysconsidered myself fortunate in that this town possesseda well-equipped cottage hospital and, because of itsisolation from any large medical centre, a long tradi-tion of using that hospital to the full. . . . My onlyqualification for writing the book is that it concernsthings I have been doing and thinking about all myworking life.

In the first part of the book the author dis-cusses general considerations regarding furni-ture requisite for the operating theater, in-struments, drugs, anesthesia and sterilization.This section also devotes considerable space totraumatic wounds. The remainder of the bookdiscusses minor surgical procedures ranging

from removal of foreign bodies from the earto tracheotomy. The chapters in this sectionare arranged according to anatomic region.Throughout, line drawings are used to illus-trate various points of technique.

HUMAN NEUROLOGICAL ORGANIZATION. ByEdward B. Le Winn, B.S., M.D., F.A.C.P., Director, TheInstitute for Clinical Investigation of The Institutesfor the Achievement of Human Potential; Senior At-tending Physician (Chief), Emeritus, Division of Med-icine, Albert Einstein Medical Center, Philadelphia.Cloth. Pp. 227, with illustrations. Price $8.50. CharlesC Thomas, Publisher, 301-327 East Lawrence Avenue,Springfield, Illinois 62703, 1969.

Human neurologic organization, as defined byDr. LeWinn, is considered a "dynamic process. . . subject to the vagaries of environmentalmanipulation," even when the brain has beendamaged by injury or disease. This book ex-plores the bases on which this concept ofhuman neurologic organization rests. It delvesinto the way neurologic organization can bemeasured and the use of environmental fac-tors as a therapeutic device. Attention is de-voted to genetic and environmental factors,the relation of structure and function, therange of neurologic organization, and the gapbetween potential and capability in disorgani-zation.

Several chapters are devoted to the Doman-Delacato Development Profile which measuresmotor functions such as mobility, spokenlanguage, and manual competence, and thesensory functions of visual, auditory, and tac-tile competence. Autonomic factors in neuro-logic organization are discussed separately.The chapters are documented with bibliograph-ic references and the contents are indexed.

This is a fascinating book for all who areconcerned with growth and development andthe human potential—physicians, educators,psychologists, and physical therapists.

1000/218

CLINICAL TOXICOLOGY OF COMMERCIAL PROD-UCTS. Acute poisoning. By Marion N. Gleason, M.Sc.,Research Associate in Pharmacology, School of Med-icine and Dentistry, The University of Rochester,Rochester, N.Y.; Robert E. Gosselin, M.D., Ph.D.,Irene Heinz Given Professor of Pharmacology andChairman, Dartmouth Medical School, Hanover, NewHampshire; Harold C. Hodge, Ph.D., D.Sc., Professorand Chairman of Pharmacology and Toxicology,School of Medicine and Dentistry, The University ofRochester, Rochester, N.Y.; and Roger P. Smith, Ph.D.,Associate Professor of Toxicology, Dartmouth MedicalSchool, Hanover, New Hampshire. Ed. 3. Cloth. Pp.1,539, with illustrations. Price $24.50. The Williams &Wilkins Company, 428 East Preston Street, Baltimore,21202, 1969.

For any physician who may be consulted by apatient concerning poisoning, this book pro-vides a quick reference concerning the toxicityof more than 17,000 commercial products usedin the home or on the farm and some indus-trial products, and information on antidote,treatment, and sources of information. Whilethe book is of considerable size, the entire or-ganization and format are designed to speedup the search for the data that may be neces-sary to save a life.

The book consists of seven sections, colorcoded to save time. The initial section pre-sents first aid and general emergency proce-dures. The second section provides an alpha-betical index of ingredients of commercialproducts with an estimate of their acute toxic-ity. The therapeutics index is to be found inthe third section, which indicates toxic symp-toms and signs and recommended therapy.The next section is concerned with supportivetreatment. Section 5 is a trade name index,with the general formulations of the productslisted in that index given in the sixth section.The final section consists of the names andaddresses of manufacturers of the productsin that index. Most of these sections includecross references to information in other sec-tions.

books received

The books received for review during the period fromMarch 5 to April 5 are acknowledged below.Those of greatest interest to readers will be reviewedas space permits.

COLLATERAL CIRCULATION IN CLINICAL SUR-GERY. Edited by D. E. Strandness, Jr., M.D., Chief,Peripheral Vascular Service, Veterans AdministrationHospital, Seattle; Associate Professor of Surgery,University of Washington School of Medicine, Seattle.Cloth. Pp. 633, with illustrations. Price $18.50. W. B.Saunders Company, West Washington Square, Phila-delphia, 19105, 1969.

CONGENITAL FACIAL ANOMALIES WITH NEU-ROLOGIC DEFECTS. A clinical atlas. By John A.Aita, M.D., Ph.D., Associate Professor of Neurology,Univeristy of Nebraska, College of Medicine, Omaha.Cloth. Pp. 336, with illustrations. Price $18.50. CharlesC Thomas, Publisher, 301-327 East Lawrence Avenue,Springfield, Illinois 62703, 1969.

ABNORMAL ARTERIOVENOUS COMMUNICA-TIONS. Peripheral and intracardiac, acquired and con-genital. By Emile Holman, A.B., M.A. (Oxon.), M.D.,Professor of Surgery, Emeritus, Stanford UniversitySchool of Medicine; Member Successively of the Sur-gical Staffs of Radcliffe Infirmary, Oxford, England;Children's Hospital and Johns Hopkins Hospital,Baltimore; Peter Bent Brigham Hospital, Boston;Lakeside Hospital, Cleveland; Stanford University-Lane Hospitals, San Francisco; Peiping Union MedicalCollege, Peiping, China; St. Bartholomew's Hospital,London, England; and Presbyterian Medical Center,San Francisco. Ed. 2. Cloth. Pp. 245, with illustrations.Price $16.50. Charles C Thomas, Publisher, 301-327East Lawrence Avenue, Springfield, Illinois 62703,1968.

ASSESSMENT OF CEREBRAL PALSY. Muscle func-tion, locomotion and hand function. By K. S. Holt,M.D. (Manch. and Rochester, U.S.A.); M.R.C.P.(Lond); D.C.H. (Eng.), Senior Lecturer in ChildHealth, University of Sheffield. Cloth. Pp. 214, withillustrations. Price $9.00. Lloyd-Luke (Medical Books)Ltd., London. The Williams & Wilkins Company, ex-clusive U.S. agents, 428 East Preston Street, Balti-more, 21202, 1965.

Journal AOA/vol. 68. May 1969 1001/219