clinical. The author recognises the futility of attempting to enumerate "types" of a disease which has such varied manifestations, and finds it also impossible to differentiate its stages further than by a division into the acute and the chronic phases. The initial attack may be followed by a period of apparent recovery lasting for three or four years before the development of later symptoms such as the Parkinsonian syndrome, the disease thus resembling syphilis in its course.

The symptomatology is fully described, and in dealing with the residua of the disease a distinction is drawn between the Parkinsonian symptoms, which so often supervene, and those of paralysis agitans. Prognosis, both as regards mortality and the occurrence of residua, is summed up in the statement that of every 100 cases 25 die, 25 recover practically completely, whilst 50 recover with residua of which perhaps 25 have some degree of Parkinsonism. The many lines of treatment which have been advocated are indicated, but the author's conclusion is that at present there is no reliable therapeusis either for the disease or for its after-results. The bibliography which forms one-third of the whole volume contains over two thousand references to the literature of the condition.

The Treatment of the Common Disorders of Digestion. By JOHN L. KANTOR, Ph.D., M.D. Pp. 245, with 64 illustrations. London: Henry Kimpton. 1924. Price 24s.

This book gives an excellent general account of the methods employed in the treatment of the commoner gastro-intestinal disorders. An honest effort is made to state as clearly as possible the rationale of the various procedures recommended, and herein lies the chief merit of the work. Although the author aims more particularly at stating general principles, the value of the book might perhaps have been enhanced had more precise information with regard to certain regimes been given. This could readily be remedied in a future edition. We can recommend the book as a reliable guide to treatment and one which should prove useful in general practice.

Die Prophylaxe der groszen Schilddrüse.

Von Dr HEINRICH

HUNZILSER. Pp. 360, with 9 illustrations and 155 tables. Bern and Leipzig: Ernst Bircher. 1924. Fr. 12.

A study is made of the incidence of goitre in various parts of Switzerland and also of the relation of this incidence to climatology and meteorology. The deduction therefrom is, that goitre in Switzerland is a physiological response to an inadequate supply of iodine. Extensive investigations on the prophylaxis of goitre have been carried out by the author on school children in Adliswil. Iodides in daily doses of 1 mg. during school periods were effective in preventing goitre,

and further, caused increase in stature and improvement in general physique. The quantities of iodides recommended by many are considered unnecessarily large. Evidence is adduced that o.1 mg. daily is an effective dose. Various methods of administering iodides are discussed and preference is given to the addition of potassium iodide to cooking salt. A convenient method of producing iodised salt con. taining 0.5 gram. of iodide to the kilogram of sodium chloride, in quantities sufficient to supply the community, is fully described.

The work manifests a conscientious effort on the part of the author to solve the important problem of the prophylaxis of goitre in Switzerland. It will appeal to all those interested in the etiology and prevention of goitre.

Goitre. By F. DE QUERVAIN. Translated by J. Snowman, M.D. Pp. xvii + 247, with 118 illustrations. London: John Bale, Sons and Danielsson. 1924. Price 21s. net.

Emanating from an author so distinguished and so well known for his investigations on the thyroid, this volume commands attention. It is, indeed, an important contribution to the study of the pathology and the treatment of the diseases of the thyroid gland. Numerous problems are discussed in relation to anatomy, physiology, pathology, etiology, and treatment. Data are drawn widely from the recent literature and supplemented by a wealth of personal clinical experience and research. Though primarily intended for those interested in goitre and dealing especially with the more mooted problems, the work contains sufficient reference to well-established views to render it comprehensive and suitable for those desirous of obtaining a general and up-to-date knowledge of the subject. Dr Snowman is to be congratulated on the excellence of the translation, and on his having rendered available to English readers so important a work.

NOTES ON BOOKS

Introduction to the Histology and Histopathology of the Nervous System, by Paul Schröder. Translation from the second revised German edition by Baldwin Lueke, M.D., and Morton M'Cutcheon, M.D. (Lippincott Company, price 15s.). An English translation of the second edition of Schröder's valuable lectures will receive a warm welcome from neurologists in this country. Many years ago the writer of this note translated the first edition for his own use, a labour which was well repaid by the fundamental ideas gained about the structure of the functioning nervous elements. The lectures have

been brought up-to-date by a lucid statement of the present position of the very controversial question-the relation of neurofibrils to the neurone theory; further, by a critical consideration of the views relating to the lymphatic paths and the limits of the mesodermatissue; and, in the closing chapter, by a brief discussion of the concept of the term inflammation in the nervous system. The book contains 53 half-tone illustrations, mostly from micro-photographs.

The Aim of the Treatment of Fractures in General Practice, by C. Max Page and W. Rowley Bristow (Henry Frowde and Hodder & Stoughton, price 12s. 6d.), is to give an account of the diagnosis and treatment of fractures with the special object of assisting the general practitioner. In the space available descriptions of individual fractures are necessarily brief, but the authors have been highly successful in indicating the salient points in connection with diagnosis and modern methods of treatment. The value of the book, from the general practitioner's point of view, would have been greater if less emphasis had been laid on the use of the X-rays in diagnosis and more space allotted to ordinary clinical methods of examination. A useful feature for the practitioner is the statement given in connection with the more common fractures as to the "average result" and the period which is likely to elapse before the patient is fit for work.

Anæsthesia in Dental Surgery, by T. D. Luke and J. Stuart Ross (William Heinemann). This book, in its fifth edition, may be confidently recommended to dental students, dentists, and medical practitioners. It is eminently practical and affords sure guidance to the successful practice of modern anesthetic methods. Special attention is devoted to nitrous oxide and oxygen, and Major Finlayson contributes a useful chapter on local anesthesia.

The second volume of the Medical Services, General History (H.M. Stationery Office, price 21s. net), covers the medical services on the Western Front during 1914 and 1915. It is written by MajorGeneral Sir W. G. Macpherson, and deals almost entirely with administrative affairs. For this reason it should be a valuable guide to officers in the Army Medical Service, and its lessons require also to be studied by the combatant branch.

The new edition of Dr Thos. Stephenson's Incompatibility in Prescriptions ("The Prescriber" Offices, Edinburgh, Is. 6d. net) has been thoroughly revised and now includes many of the newer remedies. It is superfluous to speak of the usefulness to the practitioner of a concise little work on this subject.

The Early Physicians and Surgeons of the Western Infirmary, Glasgow, by the late J. Walker Downie, M. B. (privately printed). These reminiscences were compiled by Dr Walker Downie during

the last year of his life, and were completed exactly a week before his death last July. They are personal memories of the brilliant coterie who did so much to make the Glasgow Western one of the leading clinical teaching institutions in the country. Dr Walker Downie's colleagues owe a debt of gratitude to Mrs Downie for publishing this very interesting book.

Taylor's Sanitary Inspector's Handbook, Sixth Edition, rewritten. by J. H. Clarke, M. Roy. San. Inst. (H. K. Lewis & Co., Ltd., price 12s. 6d. net). Mr Clarke has done his work well and has made this well-known book even more attractive and valuable to the student than it was. Little more need be said in favour of a volume that has become a student's vade mecum and help not only for examinations but also for administrative purposes. The excellent and varied illustrations of actual cases as they have occurred in actual practice are a very commendable feature. The publishers have done their work extremely

The many blocks and diagrams must prove helpful to the student

who desires a clear understanding of his subject.

A Synoptic Chart of Skin Diseases, by B. Burnett Ham (H. K. Lewis & Co., price 12s. 6d). The idea of the chart is somewhat ingenious, but in its execution it is a little misleading and confusing. Kerion is not more common in adults, and in a great many cases rodent ulcer does not answer to the description given of a chronic progressive ulcer. The colouring of the plates is not altogether satisfactory, and in many cases it is impossible to diagnose the disease from the illustration. The work will have a limited sphere of usefulness.

In their Clinical Memoranda (Baillière, Tindall & Cox, price 7s. 6d. net) Drs A. T. Brand and Theodore Keith have jotted down a number of interesting facts and observations culled partly from their own experience, and partly from reading qualified by experience. The memoranda cover a very wide range, and convey many useful hints on diagnosis and treatment.

Synopsis of Midwifery, by A. C. Magian (William Heinemann, 1923, price 8s. 6d.). While the author admits in the preface that "this synopsis is only intended to refresh the memory of students and practitioners with the leading facts and principles of treatment in obstetrics," condensation carried to such lengths is apt to be misleading and a sense of proportion is impossible to preserve. Thus while menstruation occupies more than seven pages, the management of labour in contracted pelvis is dismissed in a short paragraph. The chapter on induction of labour and abortion contains no reference to the use of quinine and pituitary. The treatment of the toxæmias of pregnancy is in places misleading. The absence of illustrations is at disadvantage.

BELL, ROBERT. Reminiscences of an Old Physician. (John Murray)
BICKHAM, WARREN STONE. Operative Surgery. Vol. IV.

16s. net.

(W. B. Saunders Company) £15 the set. BRINK, LOUISE. Women Characters in Richard Wagner. Nervous and Mental Disease Monograph Series No. 37.

(Baillière, Tindall & Cox) 10s. 6d. net.

(Nervous and Mental Disease Publishing Company) BROWN, W. LANGDON. Physiological Principles in Treatment. Fifth Edition BUERGER, LEO. The Circulatory Disturbances of the Extremities. (W. B. Saunders Company) CABOT, RICHARD C. Differential Diagnosis. Vol. II. Third Edition. (W. B. Saunders Company)

42s. net.

42s. net.

CATALOGUE OF PATHOLOGICAL PREPARATIONS IN MUSEUM, Royal SAMARITAN SOCIETY. (MacLehose, Jackson & Co.) COTTON, FREDERIC J. Dislocations and Joint-Fractures. Second Edition (W. B. Saunders Company) 50s. net. Fraser, DonalD. Clinical Studies in Epilepsy. (E. & S. Livingstone) 7s. 6d. net. GOODALL, ALEXANDER. Encyclopædia Medica. (W. Green & Son, Ltd.) 30s. net. HARRISON, L. W. Modern Diagnosis and Treatment of Syphilis, Chancroid, and Gonorrhoea (Constable & Co., Ltd.) 10s. 6d. net. HOOPS, A. L., and SCHARFF, J. W. Transactions of the Fifth Biennial Congress of the Far Eastern Association of Tropical Medicine held at Singapore, 1923 (John Bale, Sons, & Danielsson, Ltd.) HURST, ARTHUR F. Essays and Addresses on Digestive and Nervous Diseases, and on Addison's Anæmia and Asthma.

(Wm. Heinemann (Medical Books), Ltd.) INTERNATIONAL HEALTH BOARD. Tenth Annual Report. Ist January 1923; 31st December 1923. (The Rockefeller Foundation, New York) JORDAN, HARVEY ERNEST. A Text-Book of Histology.

Low, R. CRANSTON. Anaphylaxis and Sensitisation.

40s. net.

21s. net.

MALLORY, FRANK BURR, and WRIGHT, JAMES HOMER. Pathological

(W. B. Saunders Company) 32s. 6d. net.
Collected Papers of the Mayo
Vol. XV.

(W. B. Saunders Company)
(W. B. Saunders Company)

MYERS, J. A. The Care of Tuberculosis
PICKERILL, H. P. Facial Surgery.
PREGL, F. Quantitative Organic Microanalysis.
REHBERGER, GEORGE E. Quick Reference Book for Medicine and

Surgery.

.

63s. net.

IOS. net.

(J. B. Lippincott Co., London) REYNOLDS, EDWARD, and MACOMBER, DONALD. Fertility and Sterility in Human Marriages (W. B. Saunders Company) SCHMIDT, PETer. The Theory and Practice of the Steinach Operation (Wm. Heinemann (Medical Books), Ltd.)

THOREK, MAX. The Human Testis. (J. B. Lippincott Co., London)

WESSELOW, O. L. V. DE, and WYATT, J. M.

Toxemias of Pregnancy

WINGFIELD, R. C. Modern Methods in the Diagnosis and Treatment

of Pulmonary Tuberculosis.