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 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 . 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. with, and the necessity for plenty of fresh air emphasized. Primer of Sanitation. A Simple Work on Disease Germs and Three chapters are given up to "Moral and Religious Train- to Them. John W. Professor of How Fight By Ritchie, Biology, and as the author there is much in these College of William and Mary, . Cloth. Pp. 196, with illus- ing," states, chap- trations. Price, 50 cents. Yonkers-on-Hudson, New York: World ters with which many parents will disagree. All parents, Book Co., 1909. however, might read this book with profit. The author states in the preface that before this book was published it was submitted in proof form to physicians and health officials representing every state in the union. This primer discusses in simple language suited for school children, Society Proceedings the problems of hygiene and sanitation, describes the com- moner diseases and the causing them, and micro-organisms COMING MEETING goes briefly into methods of preventing contagion and infec- tion. One chapter is given to the enumeration of the benefits Medical Society of the Missouri Valley, Omaha, March 17-18. of vaccination. The spread of contagion by flies is taken up and considerable space is devoted to the subject of disease MEDICAL SOCIETY OF THE STATE OF NEW YORK in water and food. The of the education germs importance One Hundred and Annual and in the of health Fourth Meeting, held at Albany, Jan. of the public in health matters support 25-26-, 1910 officials in their work for the health is public emphasized. (Continued (rom page .558) Each concludes with a list of "Points to be Remem- chapter Anemia bered" in which the most important facts are emphasized. The book is to be commended; it seems eminently suited for Dr. Charles 0. Boswell, Rochester: In determining which the use for which it was written. class of anemia is present, all clinical facts that can be must be and the Surgical Diagnosis. By Edward Martin, M. D., Professor of gathered together considered, patient's Clinical Surgery in the University of Pennsylvania. Cloth. Pp. previous history and the results of physical examination are in colors and monochrome. 737, with 445 engravings and 18 plates as as the examination of the itself. The Philadelphia: Lea & Febiger, 1909. just important blood Price, $5.50. of anemia cannot be differentiated This is a carefully prepared and satisfactory text-book of type always positively from the blood alone. Chlorosis is the least common an advanced type and original character. Laboratory diag- picture and fatal that it is less in coun¬ nosis is considered first, followed by chapters on the applica- type; becoming common this is the of In one of tion of x-rays in surgical diagnosis, inflammation, complica- try opinion many hematologists. my cases of the an tions and sequels of trauma and tumors. Then come the the appearance disease followed attack of systems; skin, blood-vessels, lymph-vessels and glands, tonsillitis, the most important point in the history being the and definite onset in a muscles, tendons and burs\l=ae\,bones and joints and nervous gradual previously well person nearing middle life. in mind the marked system. Finally the body is taken up regionally, in the con- Keeping tendency to remis¬ ventional order, starting with the head, face and neck, follow- sion, the period of seeming recovery must not prejudice the with the different regions of the trunk, the extremities, diagnosis. I have one patient under observation whose red ing count has risen in six months from and ending with the genitourinary organs and gynecologic 1,215,000 to 2.750,000 diagnosis. cells ; the hemoglobin varied from 50 per cent, to 70 per cent., The illustrations form an important feature of the work so that the index at the last count was 1.1, as against 1.9 at first. About and are chosen for their instructiveness rather than for three years is the extreme limit of life in the artistic embellishment. They are well reproduced, with the case of pernicious anemia. As opposed to chlorosis, it is known that anemia has a exception of a few x-ray half-tones whose teaching is lost in pernicious' fairly definite pathology. their indistinctness. present DISCUSSION Handbook of Diseases of the Rectum. By Louis J. Hirsch- Dr. Egbert a man, M. D., Detroit, Lecturer on Rectal Surgery and Clinical Pro- LeFevre, New York: There is type of per¬ fessor of Proctology, Detroit College of Medicine. Cloth. Pp. 374, nicious anemia that goes the of with 147 illustrations. Price, $4. St. Louis: C. V. Mosby Medical through stages secondary Book Co., 1909. anemia, where it passes into the pernicious type, with an Dr. Hirschman has fairly hit the mark in his aim to pro- ideal blood picture. I recall one patient who came into the duce a working hand-book discussing only those conditions hospital, after having gone to other hospitals, with a diag¬ of rectal disease which are amenable to treatment in office nosis of progressive pernicious anemia. There were certain practice. The whole book is eminently practical, being features about this case of the idiopathic type. Search of the devoid of fanciful theory or dubious pathology. The chap- stools, at first, failed to give any light, but remembering that ters on symptoms and the examination of patients are sometimes these cases occur from absorption from the intes¬ specially worthy of commendation. The author has also tinal canal, which is developed through the death and decom¬ given a chapter to the consideration of the limitations of office position of the Bothriocephalus latus, a search was made for treatment and the indications for other measures. Dr. John the ova of this worm. This failed at the time, but I intro¬ L. Jelks has contributed a valuable essay on dysentery and duced into the intestinal canal large doses of binoxid of mag¬ Dr. George W. Wagner a chapter on the clinical examination nesia, five grains, four times a day, and within two weeks the of the feces. The work is well illustrated and thoroughly to blood picture changed completely, passing to the secondary the point, but is marred by clumsy construction of sentences anemic type, followed by recovery. and inefficient proofreading. Six months later a man, a private patient, who had trav¬ eled came from abroad with a of per¬ Text-Book of Medical and Pharmaceutical Chemistry. By extensively, diagnosis Elias H. Bartley, M.D., Professor of Chemistry, Toxicology, and nicious anemia; he came home to die. He gave an indefinite Pediatrics in Long Island College Hospital. Pp. 734. with illustra- of intestinal irritation, but the tions. Cloth. Price, $3 net. Philadelphia : P. Blakiston's Son & history symptoms suggested Co., 1909. a parasitic condition. Having the other case in mind, I put This is practically identical with the sixth edition, except this man on a similar plan of treatment and had the same that some pages in the chapters on organic and physiologic reaction, so that in a short time he passed from the pernicious chemistry have been rewritten\p=m-\themore complete revision to the simple type of anemia, and recovered. being made in the section on proteids. The nomenclature and Dr. Abraham Jacobi, : For a long time I the classification of the proteids have been changed to conform prescribed arsenic and iron in these cases, but not the binoxid to the nomenclature recommended by the American Physio- of magnesia. The proportion of cases of pernicious anemia logical Society and Society of Biological Chemists. from chlorosis cannot be determined by the hospital physician.

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