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the most frequent site of inoculation is during the passage of the infant's head through the vulva. As regards a preventive application, the author gives his preference to a 1 per cent. solution of silver nitrate. He also enjoins careful cleansing of the vulva, and the washing of the infant's head in different water to that used for the rest of the body.
Mr. Stephenson considers the suggestions made on the notification of the disease, the instruction of students and midwives, etc. He also discusses the gratuitous distribution of an efficient solution for prophylaxis. This seems to savour somewhat of the Socialists' Utopia, and we do not think that calf lymph and antitoxin are supplied on quite the same grounds. Sixteen pages are devoted to the treatment of the disease and its complications.
The book abounds in tables and references to the various sources of information. The latter might possibly, for the advantage of the general reader, have been relegated to an appendix. Among the tables is a collection of cases of ante-partum ophthalmia. The book is well printed, and is published by Messrs. George Pulman and Sons. HYGIENE AND PUBLIC HEALTH. By Louis C. Parkes, M.D., D.P.H. Lond., and
Henry R. Kenwood, M.B. Edin., D.P. H. Lond. H. K. Lewis, 10s. 6d. net.
There is something curiously indistinctive about the Public Health Text-book which makes it unusually difficult to review, especially when it has reached its third edition, and when ignorance of its predecessors forbids a comparison. As to the externals of the book before us ; the binding is attractive, the illustration good, the paper and type excellent. Beyond this there is little to be said. We are carried in turn through the conventional sections on water supply, ventilation, disposal of refuse, etc. We are warned against the Long Hopper and the D trap, and are convinced. We are frankly puzzled by, and marvel at, the mathematical skill evidenced in the calculation of avoidable and recognised statistical errors, and are refreshed by a survey of the diagram which depicts the various form of wells.
There is a short special chapter on School Hygiene, and the concluding pages deal with Sanitary Law and Administration. NERVE DISEASES. By L. A. Clutterbuck, M.D., B.S.Durham, M.R.C.P.London.
The Scientific Press, Ltd. Press 3s. net. A small condensed work of about 250 small pages, with a readily detachable cover. The first few chapters deal with the anatomy of the central nervous system, the next with methods and means of investigation, and the remainder with a classification of diseases, which is the usual classification and short remarks on each clinical entity which are much the same as those found elsewhere. The paragraph headings, in most cases, deal with etiology, pathology, morbid anatomy, symptoms, diagnosis, prognosis, treatment, so that each disease is more or less symmetrically tackled.
There seems to be less space devoted to nervous disease in this book than is supplied in the ordinary text-book, but it presents its wares in a complete and handy form, which is easy to carry about, and by means of which any student should be able to equip himself at any rate with a basis upon which his future experience may build. THE REDUCTION OF CANCER. By the Hon. Rollo Russell. Messrs. Longmans, Green, and Co.
ls. 6d. net. This is a philosophical attempt to solve the problem of the etiology of
The author is at considerable pains to convince himself that cancer and civilisation go hand in hand-wild animals and savages are comparatively freecivilised man and the domestic beast alike full ready victims. And the difference lies in the diet. Local irritation in the way of a rough tooth stump may cause a local focus of disease ; an internal stimulus, if not exactly similar, has a contri
butory effect in the same direction. The question of prophylaxis, then, is really one of diet reform-flesh, tea, coffee, beer, and tobacco must all go, or at any rate be reduced to an unspecified minimum. One's feelings after reading such an essay find expression in a condemnation of the original sin-fallacy of post hoc, ergo propter hoc. It all sounds very plausil;le and possible, but still we must confess to remaining sceptical to the last. SOME SUCCESSFUL PRESCRIPTIONS. By A. Herbert Hart, M.D. John Bale, Sons,
and Danielsson, Ltd. Price Is. We are presented here in a nicely got up but unnecessarily large paged paper-covered book with some sixteen of the author's prescriptions and his own comments upon them. They cover the ordinary ground of medical practice, and do not appear to possess any particular or peculiar merit-beyond that which the title of the book asserts.
Oxford medical publications are pouring into the market. They appear to be characterised by a total lack of any connection with Oxford or its medical school, and the only possible justification for the title is their connection with the Oxford Press through Frowde. Perhaps “Osler's System” is an exception to the general rule, perhaps it is not. The majority of the manuals issued under the above heading appear to be written by Cambridge men, or at least edited by Cambridge men, and published in London. We append reviews of three of these text-books by members of our own Hospital staft : PROSTATIC ENLARGEMENT. By Cuthbert S. Wallace, M.B., B.8., F.R.C.S.
With numerous illustrations. Price, 12s. 6d. net. Oxford Medical
This book contains a detailed account of that very attractive and much discussed subject, “ Enlargement of the Prostate,” with its various consequences.
The author first clearly describes the anatomy, physiology and pathology of the prostate, substantiating his statements by much experimental and histological investigation, the work being fully illustrated by drawings of and photographs from actual specimens. He then deals with the anatomical characteristics of the .“enlarged prostate ” and its results.
The chapter on “Bacteriology,” by Leonard S. Dudgeon), M.R.C.P., in which the bacteriology of the enlarged prostate and of the urine in such cases is tabulated, is of exceptional interest and of the greatest importance, as showing that bacterial infection is usually a secondary event in cases of prostatic enlargement, and also as disproving the view that " enlarged prostate " is of gonorrhæal origin.
The author next discusses shortly the etiology of this condition, giving his support to the “neoplastic” origin of prostatic enlargement. The symptoms, diagnosis, and methods of examination are amply set forth. The various methods of treatment and their relative merits are fully discussed, the results of the more recent operative treatment being carefully summarised.
The author shows in his valuable chapter on the “ Nature of the Enucleation Operation,” both from microscopical examination of the specimens removed during life, and also from the naked eye and microscopical appearances of the parts remaining in fatal cases of prostatectomy, that enucleation by the suprapubic route is not of the nature of a “total prostatectomy,” but consists in the removal of adenomatous growths from the substance of the prostate.
Finally, a chapter is devoted to the consideration of carcinoma of the Prostate and its Treatment.
Anyone reading this book can hardly fail to be struck by the infinite care and trouble which the author has expended in arriving at an intelligible explanation of the nature of “prostatic enlargement,” and also of the nature of the supra-pubic operation. The book represents the invaluable experience of a surgeon who has both seen and does much in this branch of surgery.
OPERATIONS OF GENERAL PRACTICE. By Edred M. Corner, M.A., M.C., M.B.,
B.Sc., F.R.C.S., and H. Irving Pinches, M A., M.B., B.C., M.R.C.S.,
L.R.C.P. Price 15s. net. Oxford University Press.
This work is intended to be a guide for the general practitioner, who has not had the opportunity of holding a post graduate surgical appointment in a hospital, and who is desirous of practising the surgical art.
The authors point out how a large number of operations of lesser magnitude may be successfully accomplished in private practice.
Great stress is laid on “ asepsis,” and the methods by means of which such a state may be readily produced are clearly depicted.
A chapter is devoted to the consideration of anæsthetics, both local and general, with the various indications and contra-indications for their use in individual cases.
Simple methods of performing operations on various parts of the body are next considered in detail.
The authors show how operations such as those for radical cure of hernia and supra-pubic cystotomy, which formerly were regarded as “major ”operations, may come within the scope of the general practitioner, provided he adheres rigidly to asepsis.
The last chapter is entitled “Preparation for Operations,” in which rules are clearly laid down for the arrangement of the room in which the operation is to take place and for the preparation of the patient.
The book is well illustrated by comprehensive diagrams, and most certainly justifies the means for which it was intended, and would prove a valuable addition to the general practitioner’s library. DISEASES OF THE MALE GENERATIVE ORGANS. By Edred M. Corner, M.A.,
M.B., B.Sc., M.C., F.R.C.S. Price 5s. net. Oxford University Press. The author intends this work to be a practical survey of the diseases of the generative tract apart from those of the urinary tract. A short lucid account is given of the physiology of the testicle,” together with the morbid changes to which the organs of generation are liable, and the appropriate treatment in each
The chapter on the “Imperfectly-Descended Testicle,” and the consequences of this condition, is especially instructive. THE ELEMENTS OF Physics FOR MEDICAL STUDENTS. F. J. M. Page. Cassel
and Co. Price 5s.
It is always a matter for regret when a treatise on such a subject as Physics is compressed between the covers of a small book merely for the sake of meeting the requirements of a preliminary examination. In less than 300 pages we have sections dealing with General Physics, Heat, Electricity, Sound, and Light. The addition of a scheme of practical work is a step in the right direction, as no student can gain more than a useless smattering of Physics without a laboratory
Our criticism of this book is that it encourages cram, and is by no means easy for the elementary student to assimilate, owing to its scrappy treatment of a big subject. Even in these days of high pressure it is not impossible for a student to read and digest two or three small text books on Physics. Most public school boys on the modern side will have done as much before commencing their medical studies at all. Notwithstanking its disadvantages this book may find admirers, for the facts are accurate and the illustrations clear.
THE RUGBY FOOTBALL CLUB. Since our last issue we are glad to be able to chronicle an almost unprecedented state of affairs in the annals of the above club-at least, so far as can be ascertained by a cursory glance through back numbers for some time. The 1st XV have won no less than four out of five matches, London Irish, United Services, and Lennox being included in the slaughter, while the one defeat was met on a Wednesday, when only a scratch team could be mustered. Turning to the “A” XV, an even greater triumph, for in five matches the team has been victorious each time, the R.N C. “A” being the toughest nut cracked, and only after such a display of good all-round football and keenness that would have astonished spectators of this team's former efforts. With regard to the “B” XV, at the time of going to press, the less said of it the better. It is not as easy as it should be to collect men for a match in this team. The Captain has a worrying time, and his first attempt, against Bedford Grammar School III., was not encouraging, but he will try again ; let it be a duty to support him. At the trial game, at Chiswick, on October 5th, 30 men turned out, and 24 others were unable to get a game !
1st XV v. London Irish. This match, played at Catford Bridge on Saturday, October 12th, resulted in a win for the Hospital for the first time for many seasons, by 11 points to 3 points. This is encouraging, and gives hope of an improved season. The Hospital proved superior all round, but lacked finish. It was some time before the Hospital settled down to their game, and the packing was bad. McEvedy, for the Irish, scored the first try, after a good run. Our forwards then carried the scrums, and pressed, Hargreaves dashing over in the
Harmens, in a forward rush soon after the beginning of the second half, scored a try. We still pressed, and Skeat, running from half-way, scored our third brilliant try, which Bingham converted. The forwards all played well, but must pack better and heel more cleanly. As a wing three-quarter, Skeat is an acquisition no mean order; his attack is good, but tackling weak. Hargreaves and Whitehead played well forward, while Meakin, at back, was irreproachable. Bingham and Meek led the forwards well. Team :--L. Meakin, J. G. Skeat, E. H. Marshall, A. J. Rae, T. Bowring, C C. Petch, J. Crofton, R. B. Abraham, R. G. Bingham, A. R. Hargreaves, W. Harmens, N. W. Jenkins, N. T. Whitehead, W. Meek, W. Rhodes.
1st XV v. R.M.A.- This match, tl e only one lost by the Hospital to date, was played at Woolwich on Wednesday, October 16th, the resulting score being 3 points to 5 points against us. Four of our men were away. Our men never seemed to get together at all. Play was mostly on the offensive, however, though our three-quarters were unable to hold the greasy ball. Hargreaves scored the only try, while Meakin converted. Meakin and Petch were the pick of the team, which consisted of L. Meakin, J. G. Skeat, E. H. Marshall, L. B. Perry, T. Bowring, C. C. Petch, J. Crofton, R. B. Abraham, N. T. Whitehead, A. R. Hargreaves, W. Rhodes, R. L. Camlen, H. V. Welch, J. Startin, W. Harmens.
1st XV v. Ealing. — This match, played at Chiswick on October 19th, ending in a victory for us by 3 goals and 5 tries to a try, as it did, was surprising in that our score was not greater than it was. For after our forwards had taken their usual time to settle down, repeated opportunites to score were thrown away by our three-quarters. Ealing scored first. Then Skeat, after several passing movements, scored twice. Our forwards were now packing well and the ball came out cleanly, but some tardiness on the part of the halves was responsible for a diminution in the score that might have been. Further tries were scored by Skeat, Bingham (2), Petch, Sutton, and Bowring. Sutton made a brilliant run from half-way, but was unable to ground the ball. His re-appearance in the team was a welcome one, as he played a great game, and fed Skeat extremely well. Team : L. Meakin, J. E. Skeat, W. H. R. Sutton, A. T. Rae, T. Bowring, R. B. Abraham, R. G. Bingham, W. 0. Meek, N. W. Jenkins, W. Harmens, A. R. Hargreaves, N. T. Whitehead, and W. Rhodes.
1st XV v. UNITED SERVICES. —Played at Chiswick on Saturday, October 26th, resulting in a win for the Hospital by 19 points to nil. Mr. Battle, our President, kindly gave us his support and evinced a keen interest in the game. Although the Services were also opposing the Harlequins at Portsmouth, as they always run two 1st XV's, their team was of a fairly representative character. The game was all in our favour during the first half. We scored four times through Skeat (2), Rae, and Hargreaves. In the second half we did not show to such advantage, and chiefly by good defence we managed to keep our opponents from crossing our lines. Skeat added another unconverted try before time was called. He played a great game on the offensive, but was weak in defence. Sutton, Meakin, Bingham, Hargreaves, and Whitehead also call for special mention, while Rae's tackling throughout was superb. The forwards as a whole, especially in the second half, were, to say the least, disappointing, for in spite of superior weight, the ball was frequently kicked on to the opposing forwards' feet in the scrum, and when it was obtained it was let out at all points of the compass, making the work of the halves extremely difficult. In the open the work was excellent, however, in spite of two injured men. Team :-L. Meakin, J. Skeat, J. Rae, W. Sutton, T. Bowring, J. Crofton, C. Petch, R. Abraham, R. Bingham, W. Meek, A. Hargreaves, N. Whitehead, N. Jenkin, W. Harmens, W. Rhodes.
1st XV v. LENNOX.- Played at Wandsworth on Saturday, November 2nd, and resulted in a win for the Hospital by 3 tries to l. Lennox kicked off and pressed, but by a series of loose scrums and rushes, play was brought to the Lennox twenty-five, from which their wing three-quarters ran strongly and scored their only try, within fifteen minutes of the commencement of the game. On resuming, Whitehead was conspicuous with his feet, and the ball being picked up from the loose and passed to Rae, the latter transferred to Sutton, who scored far out. Bingham failed to convert. After the drop out, Meek dribbled finely and a try should have resulted, but no one backed him up. Just before half-time Rae cleverly intercepted a pass, and after a run passed to Wheeler, who was pulled down on the line. On changing ends Rae picked up in the loose, drew his man, and passed to Skeat, who scored wide out. Meakin, who played well all through, was now called upon to stop some ugly rushes, and Skeat effected a fine save from what must else have been a certain try. Şutton scored again from Devas, who showed a return of his old turn of speed and skill. A good bout of passing nearly resulted in Wheeler scoring from Bingham and Rae. In the scrum the packing was bad ; there was too much winging and too little honest work ; the foot-work in the scrum was terrible, the ball frequently coming out at the side or being presented to their opponents. But the Hospital had the best of the game, and were pressing when the whistle for“ no side" blew. Team : L. Meakin, J. Wheeler, J. Rae, W. Sutton, J. Skeat, C. Petch, H. Devas, R. Abraham, R. Bingham, W. Harmens, W. Rhodes, A. Hargraves, N. Whitehead, W. Meek, N. Jenkins.
“A” XV v. Rosslyn PARK “A.”—This match, played at Chiswick on October 12th, ended in a victory for the Hospital by 8 points to 3 points. The visitors arrived two short, and Weston and Foley both played good games for them. It was a keen game throughont, though we being mostly on the offensive had rather the better of exchanges. French opened the scoring from a scrum on their goal line, and later Perry dashed under the posts, Startin converting. Team :-0. F. B. Cory, D. M. Eilson, R. E. Priest, L. B. Perry, J. N. Wheeler, A. G. V, French, F. R. B. Skrimshire, C. T. V. Benson, R. Cox, E. G. Fisher,