384
THE
AMERICAN
HEART
JOURNAL
methods of healing, physical therapy, including helio-, electro-, hydra-, and balneotherapy, gymnastics, massage, and climatic management, discussions by eminent physicians and investigators were to he emphasized. It was planned to make each monograph complete in itself. In a foreword to this volume, Prof. Dr. G. von Bergmann points out that Dietrich’s monograph is the outgrowth of the traditional interest of the members of his clinic in the whole subject, to the practical knowledge of which many contributions had been made by his predecessors. He points out that the newer conceptions of the German rheumatism clinic which are set forth by Dietrich are most significant. Dietrich’s monograph fulfills the editor’s expectations. He separates rheumatic fever from infectious arthritis and agrees with the English and American workers that the carditis should be regarded as the chief manifestation of the disease, while the polyarthritis, chorea, and other symptoms are complications. Dietrich states that fresh rheumatic pancarditis or acute inflammatory rheumatism may be the first act of the tragedy, which is rarely completed in a single act, and usually returns in the form of carditis. The seriousness of this situation is duly emphasized as a problem of social medicine, since two-thirds of the afflicted persons, most of whom are youths, succuml~ or become total invalids mithin fifteen years. In Germany every fourth death is due to heart disease, and 31 per cent of all invalided males were suffering from disease of the circulatory system. The soc.ial welfare attitude that the author emphasizes seems justified. The work of the English and our own New Eugland group of workers has been substantiated. The author has a thorough knowledge of the literature and has had broad clin ical experience. His contribution is worthy of study and should be a source of much help and some encouragement to those working in this important field. He hopes that prophylaxis by increasing resistance to infection will decrease the destruction that is being wrought by rheumatic fever. GEORGE HERRMANN. ELEMEXTS Clinical Masson
us PIIYSIOLOGIE Cr.~s~pr-~ I)E I, XW~~EII, CIGC.I.I,ATOIRE (Essentials of Physiology of the Circulatory Apparatus) : By J. Cnstaigne and P. Dodel. et Cie, Paris, 19.39, 143 pages, 81 illustrations. price 97 fr.
A pocket-size book textbooks of physiology, t,ionships.
giving with
the information special emphasis
on the (irculation found on its clinical importance ISAAC
DIE
PERIPIIEKES
D~K~,HHI,~:T~SC,SST~~RUSGE~
(MEIHZINISCHE
By Dr. med. habil. M. Ratschow, Dozent fiir innere Universitat Halle, a. R. 193 pages, 46 illustrations, Dresden and Leipzig.
Medizin 1939,
in most and relaSTARR.
BAKD 27) : a. d. Martin-lutherTheodor St.einkopff,
PRAXIS,
The purpose of this twenty-seventh monograph of the series of Medical Reviews entitled ‘ ‘ Medizinische Praxis ’ ’ is, according to the introduction by Cob&, to fill the gap in the German literature which was filled in the English by Sir Thomas Lewis ’ book on peripheral vessels, and to collect and interpret in German those facts learned about the peripheral circulation during the last ten years which have a clinical bearing. The introduction (six pages) limits ’ ’ peripheral disturbances in blood flow’ ’ Thus the role of the minute to local phenomena, as opposed to cardiac failure. vessels in local allergy, but not in anaphylactic or traumatic shock, comes in for A historical note, perhaps necessarily brief and incomplete, follows. The discussion.