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technical. References to suitable literature are giventhroughout the book for those readers who wish topursue the subject more deeply than it has been thepurpose of the authors to go. The volume concludeswith a copy of the Protection Committee’s report andseveral useful appendices. It should prove of con-siderable value to students taking their radiologicaldiploma and to others who wish to gain a knowledgeof the general principles of X ray and radium work,and will prove invaluable to general practitioners andothers who require a solid grounding in radiologicalprinciples and who have not the time to extract theirknowledge from the standard text-books.The book is well published and can be thoroughly
recommended.
TESTICULAR GRAFTS.Etude sur la Vieillesse et le Rajeunissement par laGr-effe. By Dr. SERGE VORONOFF. Paris : GastonDoin. 1926. Pp. 213. Fr.15.
Dr. Serge Voronoff is a prolific writer on the subjectof testicular grafts. This book contains much thathas been previously published in his other works onthe subject, but he has here confined his attention tothe action of grafts in old age. The preliminarychapters deal with the pathology of senescence andwith the question as to whether it is possible by anyprocess to lengthen the span of life of the tissue cellsof the body. He then attacks the relationship betweenthe testicles and old age, and summarises the resultsof various forms of grafting. The book concludes witha description of the author’s own results, both inanimals and in human beings. Dr. Voronoff’s workshave been reviewed more than once in this journal,and it is perhaps unnecessary to restate the criticismsand the comments that have been noted in previousreviews. The subject is one of universal interest,whether or not the reader is convinced by Dr.Voronoff’s enthusiasm. The work is well suppliedwith plates showing the results of grafts on variousold animals and old men.
PLAGUE PAMPHLETS OF THOMAS DEKKER.Edited by F. P. WILSON. Oxford : The ClarendonPress. 1925. Pp. 268. 9s.Thomas Dekker, besides being an admirable ’
dramatist, was also what would now be called anenterprising journalist. National disasters such asan epidemic of plague have always been sources ofgood " copy," and Dekker’s Plague Pamphlets arenotable examples of this source of literature. Theygive a lively picture of social life during the seven-teenth century ; they afford opportunities of laudingthe monarchy even when it is represented by two suchvery different monarchs as the great Queen Elizabethand her more questionable successor ; they are fullof grim tales of tragedies and comedies of a macabreflavour, and occasionally they rise to heights of almostBiblical fervour in their exhortations to repentanceand to a cleanly life, and in rhapsodies upon the gainsby death in leaving the miseries of this present worldand upon the joys of Heaven. Mr. Wilson’s notes aremodels of what notes should be, and will be foundmost helpful, for Dekker is an author whose writingsare difficult for modern readers. Six plague pamphletsare given-namely, The Wonderful Yeare ; Newesfrom Graves-end ; The Meeting of Gallants;A Rod for Run-awayes ; London Looke Backe ; TheBlacke Rod and the White Rod. The WonderfulYeare was the year 1602-3. It must be rememberedthat the historical year began on Jan. 1st, but thecivil and legal year on March 25th, so that QueenElizabeth, who died on March 24th, died, accordingto civil and legal reckoning, in 1602, but according tohistorical reckoning in 1603. The Wonderful Yearewas written, as is shown by internal evidence, when theplague was declining-i.e., in the late autumn of 1603.It would be interesting to know how many peopleread these pamphlets, for some of them at any rate,notably a Rod for Run-awayes, are anything but
conducive to that peace of mind which is always tobe sought for in epidemics. But the exhortations tothose who would fly, not to do so, are admirable.In London Looke Backe (p. 188) is some excellentadvice on the duty of consulting a physician and nota quack, and the peroration of The Blacke Rod and theWhite Rod is a magnificent bit of English worthy torank with Manchester al Mondo or the well-knownmeditation upon death in Chapter LXI. of
" VanityFair. "
JOURNALS.
QUARTERLY JOURNAL OF MEDICINE.-The Aprilnumber contains the following articles : PathologicalVariations in the Serum Calcium, by G. H. Percivaland C. P. Stewart. The blood-serum calcium wasestimated both in normal individuals and in thosesuffering from various complaints such as rheumatoidarthritis, diabetes mellitus, nephritis, epilepsy, tetaniaparathyreopriva, and various skin lesions. The effectof administering parathyroid extract and calciumsalts on the serum-calcium content was also deter-mined, and the results obtained are given.-ThePurgative Action of Magnesium Salts, by HenryCohen. Using an accurate method for the estimationof magnesium in small quantities of serum, the authorshows that the purgative action of magnesium saltsis exerted independently of the absorption of mag-nesium into the blood.-On the Hydrogen-ionConcentration and Some Other Properties of theBlood from Two Cases of Auto-toxic EnterogenousCyanosis, by J. Barcroft, H. Dryerre, J. C. Meakins,T. R. Parsons, and W. Parsons. Observations on theblood in cases of auto-toxic enterogenous cyanosishave been previously chiefly concerned with thedetection of abnormal varieties of heamoglobin or thepresence of micro-organisms. In this paper an
account is given of two cases of the disease and of theinvestigations carried out on the blood in respectto its oxygen saturation, oxyhaemoglobin curve, carbondioxide combining power and hydrogen-ion concentra-tion. The oxygen saturation was found to be belownormal in both cases.-The Functional Pathology ofNephritis, by E. B. Mayrs. The recent work on thephysiology of the kidney and the pathology of the twomain types of nephritis is discussed. In hydrsemicnephritis loss of protein probably occurs throughdamaged glomeruli, and the tubule cells, althoughslightly impaired, give a normal response to the urea-excretion test for renal function. In azoteemicnephritis many of the glomeruli retain their per-meability, whereas the tubular concentration functionis considerably modified. Experimental evidencesupporting these views is given in the article.-TheInheritance of Epilepsy, by W. Russell Brain. Theopinions held from time to time as to the inheritanceof epilepsy are reviewed, and fresh observations areadded, based on an investigation of a series of over200 epileptics. A family history of epilepsy was foundin 28 per cent., as compared with about 10 per cent.in a control series. It was further noted that epilepsybegins more frequently in the first decade of life inthose cases in which there is a family history of thedisease. Early convulsions are also more likely tooccur in epileptics and are more common in thosewho also have a family history of epilepsy. It isconcluded that a predisposition is an setiological factorin the disease.-The Spasm of Tetany Considered asa Disturbance of the Physiology of Muscle, by J. P.Martin. In accordance with recent work on thephysiology of muscular contraction the author proceedsto an exposition of his thesis that the spasm of tetanyis intrinsically myogenic in origin. Alkalosis, a
lowering of the blood calcium or a deficiency ofglycogen are factors which lead to an increase in thebreakdown of lactacidogen, the precursor in themuscles of lactic and phosphoric acids, which arebelieved to cause muscular contraction. In tetanydeficiency of calcium or a lowering of the hydrogen-ion concentration is usually present. The actualdistribution of the spasm may depend upon differences
1100
in the properties of the muscles themselves and oftheir circulation and temperature.-Early Accountsof Acholuric Jaundice and the Subsequent History ofWilson’s Patients, by J. M. H. Campbell. ClaudeWilson, in 1890, described acholuric jaundiceoccurring in six members of a family ; one of thesesurvives, a grandson of the original patient, and hasbeen examined by the author of this paper. Hewas found to exhibit the classical signs of the disease.An account is also given of some of the other earlyexamples of the acquired and familial types of acholuricjaundice, and of the original work whereby theincreased fragility of the red cells was demonstrated,and the beneficial effects of splenectomy.-Heredityin Acholuric Jaundice, by J. M. H. Campbell andE. C. Warner. Acholuric jaundice is transmitted asa dominant Mendelian character, and abnormalfragility of red cells may occur in a member of anaffected family without other signs or symptoms ofthe disease.-A Further Contribution to the Study ofCongenital Porphyrinuria (Haematoporphyria Con-
genita), by Leonard Mackey and Archibald E. Garrod.The authors described a case of this nature a few yearsago in this journal. The boy is now 9t years old andsome further developments have occurred. He is stillprone to develop hydroa vacciniforme on exposedareas of the skin, and the spleen and liver are con-siderably enlarged. Examination of the urine andfaeces showed the presence of uroporphyrin andcoproporphyrin. There was also increased activityof the bone-marrow, as judged by blood examinations.The transilluminated appearances of the fingers areshown on a coloured plate, the bones being darkerthan normal. The methods of detecting pigmentationof the teeth, and its causation in certain cases, is alsodiscussed, and the article concludes with some sugges-tions as to treatment.—Hsematoporphyria Congenita(Congenital Porphyrinuria) : Its Association withHydroa Vacciniforme and Pigmentation of the Teeth,by Hugh T. Ashby. The patient, who is now nearly4 years old, was first seen at the age of 12 months.The urine has been port-wine coloured from birth,the teeth are pink, the bones of the fingers showincreased coloration by transillumination, and thereare some immature red cells in the blood. The liverand spleen are not enlarged, the fundi are normal, andthere is no pigmentation of the eyes. On exposure tothe sun hydroa vacciniforme develops ; this was firstnoticed at the age of 4 months. A vanishing quininecream has been used to protect the skin from ultra-violet rays, which proved helpful last summer.-Haematoporphyria Congenita with Hydroa Vaccini-forme and Hirsuties, by A. M. H. Gray. The subjectof this paper is now aged 18, but her urine was notnoticed to be red until the age of 5 years, when blistersappeared on the face and hands in the summer andhave recurred annually. There is a growth of longdowny hair on the forehead, cheeks, upper lip, chin,sides of neck, and chest. The teeth are of a deepyellowish-brown tint, but there is no trace of pinkin them on fluorescing. The liver and spleen are notenlarged, but the finger bones are dark on trans-illumination. Porphyrin is present in the blood andfaeces, and blood counts, while showing no anaemia, Iindicate that there is marked activity of the bone-marrow. The article is illustrated by a plate showingthe appearance of the patient, and a discussion isincluded of the causation of the hydroa and of therelation of hirsuties to the disease.-The DextroseTolerance Curve in Health, by R. Hale-White andW. W. Payne. Capillary blood was used in thisseries of observations on sugar tolerance in healthymales of varying ages. It was found that in youngadults the blood-sugar after taking 50 g. of glucoseby the mouth may rise to 0-2 per cent., and withadvancing years this figure may reach 0-24 per cent.In youth the blood-sugar returns to normal in twohours, but after the age of 60 three hours may elapsebefore the normal level is resumed. A delay instomach emptying was found to impede considerably
1 Quart. Jour. Med., 1921-22, xv., 319.
the rate of return of the blood-sugar to normal.-The journal concludes with an account of the meetingof the Association of Physicians of Great Britain andIreland held in London in May, 1925.
The Services.ROYAL NAVAL MEDICAL SERVICE.
Surg. Comdr. C. H. Dawe to the Victory, for R..Barracks, Portsmouth, and for duty with Surg. Rear-Admiral, R.N. Hospl., Haslar, as Naval Health Officer ;Surg. Comdr. W. C. Carson to the Valiant; Surg. Comdr.H. R. H. Denny to the Thunderer; Surg. Comdr. F. Cockto the Sandhurst; Surg. Comdr. W. L. Hawkins to theDouglas, to be accommodated in R.N. Barracks, Devonport ;and Surg. Comdr. M. W. Haydon to the Tiger. Surg.Lt.-Comdr. A. C. V. Green to the Danae.
ROYAL NAVAL VOLUNTEER RESERVE.
Surg. Lt. F. L. Cassidi to be Surg. Lt.-Comdr.
ROYAL ARMY MEDICAL CORPS.
Lt.-Col. C. W. Holden retires on retd. pay, and is grantedthe rank of Col.
Maj. and Bt. Lt.-Col. C. G. Browne retires on retd. payand is granted the rank of Lt.-Col.Temp. Capt. S. Pinion relinquishes his commn. and retains
the rank of Capt.SUPPLEMENTARY RESERVE OF OFFICERS.
Lt. W. G. Burns to be Capt.MILITIA.
Capts. D. M. Marr, F. H. B. Norrie, and P. Walsh tobe Majs.
TERRITORIAL ARMY.
Maj. H. Henry, having attained the age limit, is retiredand retains his rank with permission to wear the prescribeduniform.
Maj. (Prov.) H. Pinto-Leite is confirmed in his rank.Capt. B. C. 0. Sheridan to be Divisional Adjutant, 42nd
(East Lancs.) Div. T.A.G. Williams to be Lt.Sanitary Companies: Capt. J. A. Bingham to command
the 5th (Scottish) Sanitary Company.TERRITORIAL ARMY RESERVE OF OFFICERS.
Maj. H. W. Read, from the Active List, to be Maj.
ROYAL AIR FORCE.
The undermentioned Flying Officers are promoted tothe rank of Flight Lt. : A. Dickson and R. T. F. Grace.
Flying Officer H. M. Levy resigns his short service com-mission.
-
INDIAN MEDICAL SERVICES.
Maj. B. C. Clifford has been appointed Medical Officerof the Kashmir Survey Expedition. Lt.-Col. C. E. Palmer,Superintendent, Central Prison, Allahabad, officiates as
Inspector-General of Prisons, United Provinces, viceLt.-Col. J. E. Clements who has been granted leave. Lt.-Col.W. A. Means takes over duties of Assistant Director ofPublic Health (Malariology) United Provinces. Maj. J. A. S.Phillips officiates as Director of Public Health, Bihar andOrissa. Dr. Upendranath Ray Choudhury, Teacher ofSurgery, Campbell Medical School, Calcutta, has beenappointed a member of Bengal State Medical Faculty fortwo years. Maj. H. W. Action, Professor of Tropical Patho-logy and Bacteriology, officiates as Director, School ofTropical Medicine and Hygiene, Calcutta, vice Lt.-Col.Megaw, on leave. Dr. Tarak Nath Sur acts as Professorof Pathology of the Calcutta Medical College. Dr. R. B.Khambata acts as Director of Public Health, Bengal, viceLt.-Col. A. D. Stewart. Dr. B. B. Brahmachari acts as Directorof Bengal Public Health Laboratory. Dr. Abdul BasirSahib Bahadur acts as Assistant Professor of Physiology,Madras Medical College. Dr. F. G. Martin has been postedto King Institute of Preventive Medicine, Guindy. Dr.M. L. Kamath, civil surgeon, Vizagapatam, acts as
Presidency Surgeon and Second Physician, General Hospital,Madras, vice Maj. J. M. Skinner. Maj.-General T. H.Symons, Director-General, Indian Medical Service, hassucceeded Sir Charles McWatt as a member of the Councilof State. Dr. S. C. Mukerjee, civil surgeon, has beenappointed to medical and executive charge of Betul Jail.