BMJ (Clinical Research Edition)
OCT. 30, 191J RE XIEWS. [, DICAL JOURNA 645 _~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~EIA _ORA PRACTICATL PIIYSIOLOGICAI CHEMISTRY. TIE SeConld edition of Mr. R. H. A. PLIMMER'S Practical Pihysioloygical Ch/ernzi.stry-i lhas involved tle amUplification anid recasting of the entire work, which, now appears as a malinual of iPractical Organic and Bio-Chem;;nistry.' Tile basis of the boolk is organic cheemistry, andlmany niew sections on that subject anid on tlle organic suLbstances founid in planits lhave
... id in planits lhave been added. The term " biochemistry" is suibstituited for "pphysiological clhemistry" iu the title becauise the latter term is so often applied to animjal clhenmistry alonie, excludinig vegetable celmeiiistry. The boolk is intended milainily for medical students, but it -ontains tle essentials for all students of biology. It begilns witlh a general accotunt of the various simpler g,roups of organic coimpoiunds, written from the point of view of their detectioni anid quantitative estimation anid their oceurreneo in aiinimated nature. From tlle simpler or'ganic compotunds the pages pass on to the more complex, anid serviceable accouints of sucll tliings as the alkaloids, en zym-ie action, colloids and colloidal solutions, and practical ulrinary analysis are given in thle course of tlho text. The boolk is comprelhensive, well arranged, and clearly writteni; the various analytical metlhods recommended are clearly described, and references to the original articles in wlichl they are given in fuller detail lhave been included in footnotes for purposes c(f reference. Tlle text is well up to date and contains but few misprints, altlhoughl there arc two suclh errors in the definition of the itiicromillinmetre on p. 376. Tlle book is meant nainly for ise in the labcratory; it may be warmly recoimmended to pathologists, plhysioloaists, and advanced miiedical sttudelnts whJo wishl for precise lknowle(lde of the organic compotunds with wlichl the s.tudy of m-edicine-usinigo tlle plhrase in its widest sense -is cc n2erned. TEXTBOOKS OF OBSTETRICS. A PERUSAL of P'rofessor DONALD'S I1ntroldC6tio to M1idvii,Ty ", 2 maiakes it easy to understauid wlhy it has passed through nio fewer tlhawi six large editions in tlle coutrse of little isnore tllan twenty years. No boolk of its particular kcind tlhat we klnow is miiore fuLll of instruction, more luicidly written, or more practical in its dlesign. Thle auitlhor's large experience, botlh as a practical obstetrician anid as a teaclher, is to be felt rLunining tlhrotuglh thle wlhole text; nor can it lhave beeni ani easy task to write a book whlicll is designied ,botlh for meldical students anid miidwvives. Thie formIler are apt to despise what is writteni ostenlsibly for miiidwives, while the latter would find' the ordinary sttudenits' textbook; considerably over their lheads. Professor Dolnald, lhowever, las succeeded inn meeting the roquirements of botl; and wlhile hlis volume is a m lost adnmirable textbook for naurses, it is at the samiie tine an ideal book for stuldents wlho are taliing out their practical mlidwifery eitlher in a maternity hospital or in outdoor p)ractice. lThat being so it seemas a pity tliat the printing, and more particularly the old-faslhioned illustrations, are so remiiiniscent of tlhe books of twenty years ago. The puiblisliers would, we tlhink, be well advised to bring the aplpearance of the book up to date in tlhese respects, and so mlake it wortlhyof tlhe wtiting and teaclhin whicl it containis. Somne of tfie illustrations are actually misleading-as, foexamiiple, No.:41, in wlichl the accouclheur is showp malking a vaginial examination without lhaving troubled to roll up eitlher hiis coat slee've or a very septic-looking cuff; and No. 42, wlhieh represenits the lhanid taking a side to side grasp of the utertus in. expressinig the placenta. There is little that is superfluLouis in the book, but it hiardly seems necessary to take uip any space witlh the description of tlhe rarer fornms of oonitracted pelvis, and to figure, for example, thle spondylolisthetic pelvis. Thle space so occuipied might, witlh advantage lhave been devoted to tlle subject of tihe artificial feeding of infanits, vwhich is the one suibject in thie boolk that appears to be inadequiately treated. 1Practical Oganic and Bio-Clmemzistry. By It. H. A. t'lirner.er Rteader in Physiological C.hemistry, Unliversity of LJondon, lUfniversity C5ollege. London: L,ougnglans, Green, anld Co. 1915; (Roy. 8vo, pp. 647; 86 figurles. 1 plate. 12s. 6d.net.) 2 ;evtenlth edition, revised.~London ' C. Griffin. 1915. (Post 8vo, Professor POLARK" hias succeeded ia producing somethling new in obstetrics by the formtiat wlhiclh lhe hias selected for tllis student's manual. Thiouighi nearing five lhundlredl pages, it is less tlhanl 3in. tllick, and its drless of darlc liexible loatlher, w-itlh red edges, is remuiniscent of quite anotlher style of textboolk. This seductive exterior is, liovever, no nieeded compensation for lack of initcrnal m-lerit, for it is a good man iual, witlh a text as clear as its type anid its matter as im-oderni as its form. From the smriall compass tlhe style is necessarily succinet and dogmatic, but tlhe positionis are, on the wlhole, jtudicious. and space lhas beet. foundl for a relatively full description of humnan embryology, whlichl ends wvitl a useful table of tlle formis of dlevelopmental abnorm:alities. DIET AND DISEASE IN INFANCY. Ix-his lhandbook for medical men, Dict andl Disease iqn Infancy,4 Dr. CA-MERON. lhas dealt witlh tlhe commoD inutritional disorders of infants during the first year of life from a cliniical standpoint. He lholds strongly that the dliet of infants slhould be controlled wlholly by imiedical mseni; tlle subject is so complex as to be beyonid tlle scope of tllh best trained inurse. Two early clhapters by Dr. Janet Lanie-Claypoii give an account of wlhtat may, for wanit of a better term, be chlled "higll-grade" mi;ilk, and the care required for its comlmercial production. Stichl a milk contains 3.25 per cent. of fat, 8.5 per cenit. of solids not fat, anid nlot mlore tlhaln 10,000 microbes (of non-patlhoaeic varieties) per cubic cendmietre. It is added tllat Berlin millk "of excellent quality " contaius 30,000 to 40,0-0 bacteria per cubic centitmjetre. Dr. Camneroni's twventy-six clhapters diseuss the diet of infants in lhealtli and sickness, breast-feeding and its difficulties, dyspepsia and diarrhloea in infants, nialrasmuus, colnstipation, rickets, spasmophlilia, the exudlative diatlhesis, scurvy, conlvulsions, and otlher suchl important topics. IHe writes clearly and witlh precision ; it is obviouts, as ind(leed hiis preface suggests, thiat nlot a little of hiis inspiration comes from Gerinan and Austr-ian souirces. This raises the interestinig qulestion how far one disease or diatlhesis is the same in different conntries witlh theift different peoples and lhabits; by thie time it lhas been transferred t3 England, Czerny's ' exuidative diatliesis" may be uised to account for almost all the acute anid chlronic disorders of infancy and clhildlhood, if Dr. Camieron's exposition (pp. 170-178) of its features mnay be believed. W5Tide views are excellent, but is it not possible to take too wide viewss? To nlany physicians tlle "exudative diatlhesis " will appear to be a purely speculative explanation on the lines of ignotun per ignotius-; at any rate, it tllrowvs no light on patlhology or treatment. Dr. Cam--eron's booli appears at a timelv maloment, whenimuchl thought is being giveni to tlhe care and future of infants. It is didactic, a little uneven, buit full of useful information aud valuiable advice, and may be cordially reconmmended to senior mnedical students, house officers, and practitioners of medicine wlho lave to direct thle feedling of infants in hiealthi or cickness.