Patients After Surgical Operations Must Give Way to the High Fessional

patients after surgical operations must give way to the high work be carried on. Much space is given to the mosquito and pressure of modern life. this section is freely illustrated. Infections, parasitic and The author, after lamenting the lack of proper instruction venereal diseases are briefly but succinctly considered. Next of the medical profession in the matter of diagnosis and treat- in logical sequence comes the question of the recruit, his selec¬ ment of diseases of the rectum, makes roseate claims for the tion, physical examination, and then the exercises which he consideration of his specialty by the general practitioner as takes, the march, and the various hygienic influences to which follows: "There is no specialty in medicine in which the he is subjected. The subjects of water purification, food, material is so plentiful, the indications for treatment more rations, clothing and equipment, posts, barracks and quarters clearly defined, the results more generally satisfactory, the are thoroughly discussed; the questions of air, ventilation, patients more uniformly grateful and the certainty of proper heating and lighting are considered briefly and yet clearly. remuneration more absolute. This, indeed, is the field for Under the heading of the disposal of excreta, garbage, and the specialist; restricted, yet extensive; exceptionally fertile wastes, the author takes up the various incinerators and and copiously fruitful." The commercial idea crops out again crematories which are at present in use and being exploited. on page 170 where business ethics are rated higher than pro¬ He describes under the heading of camps, the various systems fessional ethics. In his description of proctitis, periproctitis, of tentage, winter quarters, portable hospitals, pavilions, and hemorrhoids, pruritis ani and fissure, the author puts forth the formation of camps and field hospitals and their equip¬ some startling pathologic views which will certainly need ment. Under the conditions imposed on the United States by some scientific verification before being generally accepted by its recently acquired possessions, service in tropical climates the profession. Proctitis and periproctitis as described by and in the Arctic regions becomes necessary, and these matters him constitute a condition of inflammation which is not con¬ are taken up in separate chapter headings by the author who fined to the surface of the rectal mucosa but involves the discusses the class of recruits to be sent to hot and cold areolar and muscular coats and passes through them into the climates, the modification of dress, uniform, rations, etc., for perirectal tissues. The mucous or seromucous exúdate may this service. The closing chapter of the book is on naval and be superficial enough, he says, to form pouches or sacs which marine hygiene. Taken as a whole Colonel Havard's manual are easily recognized during an examination. Deeper collec¬ is a most readable book. Although it treats of subjects ordi¬ tions of this exúdate, after a time, burrow in the direction of narily considered uninteresting, he has made it not only val¬ the least resistance and form channels in various directions uable but also entertaining. We do not understand why the and of considerable length. The irritating character of the publishers should have found it necessary to print the entire exúdate in the superficial sacs sets up increased cellular book on heavy filled paper, thereby greatly increasing its activity, cell proliferation, adventitious tissue formation and weight, when light paper might as well have been used for the increased blood supply until, in due course of time, it becomes major portion. a known as an internal hemorrhoid. perfectly organized body, Parenthood and Race Culture: An Outline of Eugenics. By ''Mucous exudation, occupying the space between the sphinc¬ Caleb Williams Saleeby, M.D., Ch.B., F.Z.R., Edin., Fellow of the ter muscle and the anal edematous Royal Society of Edinburgh. Cloth. Pp. 389. Price, $2.50, net. integument, produces New York: Moffat Yard and Company, 1909. of the mueocutaneous folds, between the latter thickening Dr. Saleeby's book is dedicated to Francis Galton, whose tender and crevices are formed, and, when deep, fragile spirit is the whole work. The first sufficient dilatation of the anus occurs, it tears at its weakest omnipresent through part is devoted to an of the of the and thus fissure. The idea of an acrid mucous explanation theory eugenics; point" begins second to the of the new science. The book is char- exúdate the rectal walls and later practice passing through increasing acterized by a spirit of which is to in secretion from the tissues is cer¬ optimism possible only quantity by perirectal those who can succeed in themselves that the novel but not persuading tainly proved. human race needs to be shown the in order Dr. is an enthusiastic believer in the "orificial only right way Albright to follow it. to Dr. it would almost be and of it as "one who According Saleeby, principle" reverently speaks fully sufficient to diffuse the of in order to realizes that he has but at the fountain which holds knowledge eugenics stop sipped the of the weak, the feeble-minded and the in its immeasurable the to an untold and unantici¬ propagation depths key otherwise unfit. To most students of nature wealth of The book is florid human this pated experimental knowledge." will seem unwarranted. Scientists have been in but sets assumption style, frequently ungrammatical, undoubtedly for in vain and forth the author's methods for the ambulant treatment of preaching years against prejudices instincts not so rooted as is the of sex diseases of the rectum. nearly deeply instinct attrac- tion and of procreation. One is inclined to believe that the Manual of Military Hygiene for the Military Services of the of so Dr. United States. By Valery Havard, M.D., Colonel, Medical Corps, gospel eugenics enthusiastically preached by Saleeby United States Army. Cloth. Pp. 481, with illustrations. Price, $4. will reach only those of sensitive conscience and high ideals, New York: William Wood & Co., 1909. while the morally unfit will remain callous to its appeal. The a the Colonel Havard has well rounded out life spent in book is written in rather a polemic spirit, but there is much service of his to the branch of the country, by giving military of value and interest in it. The controversy over the inher¬ medical profession a valuable work on military hygiene, con- itance of acquired characteristics is fully discussed and the no the densed and yet comprehensive. Probably officer of relation of alcoholism in the parent to degeneracy in the Medical Corps of the Army has had better opportunities for offspring is dealt with in the spirit of Fowl. Two chapters the of this and no one could have his study subject, employed are devoted to the refutation of the generally held view as to The best evidence of this opportunities greater advantage. to the decadence of nations, Dr. Saleeby taking here also an fact is the volume itself. The dominant feature of the book optimistic stand. is that it is practical and original. Authorities have been care- studied and and have Medical Gynecology. By Samuel Wyllis Bandler, M.D., Fellow fully analyzed, hypotheses generalities of the American Association of Obstetricians and Gynecologists. been excluded and only facts retained; and these facts are Second Edition. Cloth. Pp. 684, with illustrations. Price, $5. presented concisely, in entertaining form, and in excellent Philadelphia : W. B. Saunders Co., 1909. English. Havard properly takes up first the question of mor- This book gives in detail many methods of non-surgical tality and morbidity in the military service, as the prevention treatment. The hints on bacteriologic diagnosis are simpli- of disease and death should be the first duty of the military fied and comprehensive. The discription of palpation of the officer. This subject he discusses fully, making use of ureters without previous catheterization is rather misleading, statistics of various nations, analyzing and comparing them, and the author's routine treatment of abortion is hardly and drawing valuable deductions. The sanitary service of abreast with the latest views, while the indiscriminate recom- mendation of the and douches is armies is now universally conceded to be an essential part of invading uterus by packing their organization, of vital importance as it decreases the not unattended with danger. In view of the late theories of depletion of ranks from disease and increases the fighting involution, the generally accepted fact is that it is probably strength to its utmost. To accomplish this result the coopera¬ a chemical rather than a degenerative change, but this does tion of officers of the line and the soldiers themselves is most not diminish the author's valuable suggestions on the pre- The of necessary, and he urges instruction in hygiene to this end. vention of subinvolution. subjects atmocausis, pelvic Not only in the army, but in the organized militia should this massage, abdominal supports, and local and general hydro- Downloaded From: http://jama.jamanetwork.com/ by a Florida International University Medical Library User on 06/08/2015 therapy, with their indications, are handled with unusual The Training of Children From Cradle to School. By Mrs. in H. C. Cradock. Cloth. Pp. 91. Price, 60 cents. London: George ability. The positive statements regard to electrothera- Bell and Sons, 1909. with definite indications, is and demands peutics, convincing This book is intended for the guidance and help of young the attention of those who are prejudiced against this method mothers and teachers, and deals with the training of children of The author's on the latest views of therapeutics. position in a sane and practical way. The qualities necessary in a cancer and fibroids of the uterus, and their radical removal nurse are discussed, the physical needs of the child are dealt on diagnosis compels respect for his views on other subjects.

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