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76 TOBEKCLB The Pathology of Emphysema. By LYMNE REID. 1967. Lloyd-Luke. LondoiL Pp. 372. £3.K)s, The title m?iy mislead. It is indeed about pathology; and emphysema is defined stncily in term.s of structural change. But essentially it is about patients with emphysema. As such it is of much greater value to the clinician than the title might suggest. So much value, in fact^ that it .shouid be obligatoO'- reading for any physician claiming a special interest in chest diseases. The book has many merits. One is that it is clearly based on meticulous practical investigation of all aspects ofthc subject, from normal anatomy of tKe hmg.to clinical patterns of its abnormalities. It is no mere compilaiion of the literature. A secoiid is J ts, orderliness, resulting from a simple classification of emphysema. This includes only four major characteristics: airways obstruction, reversibility of the obstructionj presence of structural change in the bronchi, evidence of maldevelop- ment. Another merit is the careful correlation of structural change with radiographic appearances, work done in association with Dr. G. Simon, It may be regretted that more space is not given to the correlation of lung structure and respiratory function, similar to the discussion of structural changes and haemodynamics in the section, on the heart and pulmonary arteries m chronic lung disease. Emphysema still presents many problems: but if the thesis of this monograph is accepted, they can. now be more rationally investigated; and the whoie subject will he much easier to comprehend. Hnemophlhis Influenzae: Its Clinical Importance, By DAVII> C. TURK and T ROBERT MAY. 1967, English Universities Press. P[i. 140. ill.ZM. This small monograph is written by two bacteriologists; but it is for the clinician. Technical details are relegated to appendices. The thoughtful clinician need's to know someth.ing of the characteristics and"behaviour of the organism and the main points of the laboratory procedures, if only to interpret rationally the bacteriologist's report. This book provides all he needs. The advice given on the significarice of laboratory reports of sputum examinations and chemotherapy of bronchial infections is founded on evidence; and the evidence is concise'y summari/,ed. It is, however, more than a guide to the physician in treating /7r/c'yno/?/,';7^'.v.infections, [t is a comprehensive exposition of the subject in a small space, with a detailed account of the growth of our knowledge and critical review of published work. Die THberkuIose der Knockcn and Gelenke. By WiLHELM RKINHARD. 1966. Springer-Verlag, Berlin. Pp, 309. DM 7-1 In this book of about 300 pages, only five are given to chemotherapy—about half the space allocated to the effects of fresh air and sunlight. The first drug mentioned is Lhiaceta/^onc. There is little about'combined drug regimens, dosages or duration of treatment. On tiae other liand, there is much about immobitization and operative procedures. Hedeutungund Stand der BCGSchutzimpfung gegen die TuberkuJosc. Ed. by H. HAEFUGI;R. 1956. Springer-Verlag, Berlin. Pp. 198. DM 48. This is a series of essays, mainly concerned with the way BCG vaccination is used in various countries, and. concluding with a well-documented contribution by the editor. There are Lnglish summaries to the chapters. Thcrcis a brief chapter by Fcrebee & Palmer on 'An American View ot BCG Vaccination,' in v/hich the discrepancy between the results of the British and some of the USA controlled trials is discussed.

Bedeutung und Stand der BCG—Schutzimpfung gegen die Tuberkulose: Ed. by H. Haefliger. 1966. Springer-Verlag, Berlin. Pp 198. DM 48

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76 TOBEKCLB

The Pathology of Emphysema. By LYMNE REID. 1967. Lloyd-Luke. LondoiL Pp. 372. £3.K)s,

The title m?iy mislead. It is indeed about pathology; and emphysema is defined stncily in term.s of structural change. But essentially it is about patients with emphysema. As such it is of much greater value to the clinician than the title might suggest. So much value, in fact^ that it .shouid be obligatoO'-reading for any physician claiming a special interest in chest diseases.

The book has many merits. One is that it is clearly based on meticulous practical investigation of all aspects ofthc subject, from normal anatomy of tKe hmg.to clinical patterns of its abnormalities. It is no mere compilaiion of the literature. A secoiid is J ts, orderliness, resulting from a simple classification of emphysema. This includes only four major characteristics: airways obstruction, reversibility of the obstructionj presence of structural change in the bronchi, evidence of maldevelop-ment. Another merit is the careful correlation of structural change with radiographic appearances, work done in association with Dr. G. Simon, It may be regretted that more space is not given to the correlation of lung structure and respiratory function, similar to the discussion of structural changes and haemodynamics in the section, on the heart and pulmonary arteries m chronic lung disease.

Emphysema still presents many problems: but if the thesis of this monograph is accepted, they can. now be more rationally investigated; and the whoie subject will he much easier to comprehend.

Hnemophlhis Influenzae: Its Clinical Importance, By DAVII> C . TURK and T ROBERT MAY. 1967, English Universities Press. P[i. 140. ill.ZM.

This small monograph is written by two bacteriologists; but it is for the clinician. Technical details are relegated to appendices. The thoughtful clinician need's to know someth.ing of the characteristics and"behaviour of the organism and the main points of the laboratory procedures, if only to interpret rationally the bacteriologist's report. This book provides all he needs. The advice given on the significarice of laboratory reports of sputum examinations and chemotherapy of bronchial infections is founded on evidence; and the evidence is concise'y summari/,ed.

It is, however, more than a guide to the physician in treating /7r/c'yno/?/,';7 '̂.v.infections, [t is a comprehensive exposition of the subject in a small space, with a detailed account of the growth of our knowledge and critical review of published work.

Die THberkuIose der Knockcn and Gelenke. By WiLHELM RKINHARD. 1966. Springer-Verlag, Berlin. Pp, 309. DM 7-1

In this book of about 300 pages, only five are given to chemotherapy—about half the space allocated to the effects of fresh air and sunlight. The first drug mentioned is Lhiaceta/^onc. There is little about'combined drug regimens, dosages or duration of treatment. On tiae other liand, there is much about immobitization and operative procedures.

Hedeutungund Stand der BCG—Schutzimpfung gegen die TuberkuJosc. Ed. by H. HAEFUGI;R. 1956. Springer-Verlag, Berlin. Pp. 198. DM 48.

This is a series of essays, mainly concerned with the way BCG vaccination is used in various countries, and. concluding with a well-documented contribution by the editor. There are Lnglish summaries to the chapters. Thcrcis a brief chapter by Fcrebee & Palmer on 'An American View ot BCG Vaccination,' in v/hich the discrepancy between the results of the British and some of the USA controlled trials is discussed.