660 because, as stated so succillctl>. by J. B. Youmans in a summar)- of the conference, fartory evidence of the effect of their (bioflavonoids) lack has been demonstrated. do Ilot pro1.e it (biological action five clinical papers unfortunately states) nor provide evidence of it.”
“no satisAll of the in disease
The biofla\.onoids include a large group of compounds, are widely distributed ill nature oftell a6 velloa pigments, an d have been used as the chief source of the natural !4lo\v d>.es. Citrus fruits are important dietar!. and pharmaceutical sources. ;\dministratioll of these chemicalI>arti\-e substances has led to se\-era1 physiologic effects: enzyme inhibition, inhibition of epinephrine oxidation, potentiatioli of vitamin C, inhibition of induced increase iI1 capillary permeability, some interference with anaphylactic shock, estrogenic activit). in sheep grazing on clover containing an isoflavone, and a.possible part in sexual activity of certain plants and lower forms. The biotlavonoids have not yet been found as normal ronstitutents of the animal bodl.. The monograph has many references, contains discussions of each paper, is well written and Make-up of Capillnr). \\.all,” should be of illustrated. 13. \\.. Zweifach’s article on, “Structural The booklet is \.er>. useful to anyone \vho wishes to stud!interest to persons in man)- tields. the bioflavonoids. Frederick
I)OC’I‘OK ;iNI> P;\TIENT .\NI) THE L=\\l‘. B!r Louis J, liegan, M.I)., LL.B.. indexed. St. Louis, 1956, The C. 1.. Mosby Company. Price $12.50.
\\‘. Harlles, Jr.
Ed. 3.
Pp. 716;
‘l‘he third edition of I>r. Kegan’s classical test on Medical Jurisprudence was completed just before his untimel>. demise in December, 1955. It represents an extensive re\vriting and revision of the previous edition, bringing up to date the important judicial decisions in the various states which have altered previous concepts of the physician’s responsibility in his relationships with his patients. The twenty-one chapters cover not only medicolegal problems arising between the physician and patient, but also hospitals, expert testimony, admissibility of evidence, and all There is competent discussion of operative permits, excellent section on malpractice prophylaxis. the important criminal laws affecting doctcrs, the present status of coroners and hledical Esaminers, Federal Food, Drug, an d Cosmetic Acts, and matters of confinement of insane persons. .\ section is devoted to the duties and liabilities of dentists analogous to those of physicians, and another to nurses and malpractice action. The general format followed throughout the chapters is a presentation of -basic detinitions and problems with the use of extensive case citations to illustrate the varicus attitudes espe‘I‘he cited cases are referrienced in different Appeals Court decisions at the end of each section. enced at the end and an excellent index makes the subject matter readily available. The test is \vritten primarily for professicnal people in the practice of medicine and hospital administration hut a great deal cf it is of interest to laymen, to patients, and those who ma!’ become patients. I)r. Iiegan’s concept of the problem of malpractice is summarized ill conclusions at the end His suggestions for ;tlleviatilq of the text and is abundantly reflected throughout its entiret).. the problem are worthy of quotation. that the conditions created by it “There must be recognition of malpractice as a problem: are harmful to the physician and injurious to the public; and that action must be taken to counteract it. The public should be infcrmed as to what constitutes malpractice and how really few cases The average medical man does not need to he urged to follow the of actual malpractice occur. dictates of good practice but it seems that he does have to be urged to take precautions to protect ‘I‘c he in a position to do so effectiveI>, recluires a little study.” himself against malpractice claims. In this revielver’s opinion, ever). physician should take the self test on malpractice vulnerability included in Chapter 16 of this test and then study the remainder of the Doctor and Patienf and the LUTIJsuRciently to reassure himself that he can intelligently inform the public of the truth about malpractice actions as well as protect himself against unjust accusations. Russell S. Fisher.
11.1).