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Pulmonary Emphysema
222
TUBERCLE
From Further Memories. The Works of Robert Louis Stevenson. Tusitala Edition, Vol. 3 o, London, t923, p. x43 , l~qlliam Hebmnann. ~r
-it
4t
The following extract needs no comment: '2IIany of those, who had been led by blhzd guides to roam abroad bz a vahz search after that health which, under judicious treatment, they might have preserved here,.., m a k e . . . the reflection that occurred to honest Touchstone, "Ay, now ant I in Arden- the more fool I; when I was at home, I was hz a better place".' From Consumption Curable etc, by F. H. Ramadge, 3rd edit, p. x4o, London, Longman, Rees, etc. The Library, Institute of Diseases of the Chest, Brompton.
P.
JAMESBISHOP.
MASS M I N I A T U R E R A D I O G R A P H Y The Joint Tuberculosis Council at its meeting on March l, 1957, considered a report by its Radiological Committee. The Council strongly supported the views expressed in this report, namely, that much more extensive use should be made of mass radiography and that in industry both employei-s and employees s h o u l d - i n their own i n t e r e s t - arrange for pre-employment x-rays and that, for the protection of the public, annual x-rays should be required of staff employed on public transport and in the catering trades. T h e report also recommends that the present mass x-ray service should be improved by providing miniature x-ray units in all chest clinics for the examination of persons referred by general practitioners and of others who wish to have a chest x-ray. The extension of the miniature x-ray service in this way would make chest x-rays easily available for everyone, and pre-employment x-rays could be provided either by the chest clinic service or by private arrangement with industry. T U B E R C U L O S I S C O N F E R E N C E IN M O S C O W A Tuberculosis Conference is being held in Moscow from June 9 to 15. Among the subjects to be discussed arc the epidemiology of tuberculosis in the U.S.S.R. and vaccination and immunological problems. Visitors from other countries will be welcome and a number of physicians from Great Britain are attending the Conference at the invitation of the Organlsing Committee.
REVIEWS Pulmonary Emphysema Edited by A L V A N L. B A R A C I t and I I Y L A N A. BICKER.MAN; Columbia University College of Physicians and Surgeons; London: Bailli6re, Tindall and Cox. 1956, PP- 55 °. £4T h e first half of this book concerns the treatment of patients with emphysema that is carried out by Drs Baracb, Bickerman and Beck at tim Presbyterian Hospital in New York. The second deals with the investigation and nature of the physiological disorders of the disease, and is written by several experts in this field of study. Both are interesting and the whole is well balanced; but the value of tile physiological
223
REFILL NEEDLES
section m a y possibly be more lasting than that of the therapeutic chapters. T h e book would have been more useful if the m a n y original articles had been specifically referred to in the text instead of being presented only as a bibliography.
Brorapton Hospital Reports Volume 24; London: Lloyd Luke. 1955. Pp. 324 . I5S. This volume contains 15 reprinted articles b y members of the staff of the Brompton Hospital, the London Chest Hospital and tile Institute of Diseases of the Chest. T h e r e are 4 on the treatment of tuberculosis, 4 on lung cancer, 2 on sarcoidosis and others on chronic bronchitis, disseminate lung lesions and p r i m a r y tumours of rib; 2 articles deal with cardiological subjects. It is difficult to review volumes of collected papers such as this. I f the function of the reviewer is to say only whether the book he has been given should be purchased by others, the task is easy; for in spite of the delay since the articles were originally published, this collection contains much of present and future value. But if a critical appreciation is required the task is difficult; a critique of the whole could not do justice to the parts, for the articles were not written to be read in conjunction with each other. T h e price is moderate and the style pleasing. T h e r e is, therefore, little to prevent speculative purchase and personal review.
LETTER
TO
THE
EDITOR
REFILL NEEDLES T h e illustration shows a box which I have devised and found useful for holding Morland needles at refill clinics. T h e measurements are I2 × 9 × 6 em. and three boxes, each holding 15 needles, can be placed in a small standard circular sterilizing d r u m together with an adequate supply of swabs. T h e needles are .kept steady by a fold of llnt in the lid of the box a n d this can be used to cover the needles when the lid is removed. The advantages over the usual lint roll for holding needles are: (I) The points are always protected during sterilization and in transit at that time J and after re-sharpen[.........................i ...................................................... - . . . . . . . . . . . . . . . . . . . ing. (2) T h e needles are more easily accessible for use at the refill clinic. The box is made by Messrs Alexander and Fowler, Pembroke Place, Liverpool 33 ° BucklandCrescent, G . A . BACK. London, N.W.3.
TUBERCLE
From Further Memories. The Works of Robert Louis Stevenson. Tusitala Edition, Vol. 3 o, London, t923, p. x43 , l~qlliam Hebmnann. ~r
-it
4t
The following extract needs no comment: '2IIany of those, who had been led by blhzd guides to roam abroad bz a vahz search after that health which, under judicious treatment, they might have preserved here,.., m a k e . . . the reflection that occurred to honest Touchstone, "Ay, now ant I in Arden- the more fool I; when I was at home, I was hz a better place".' From Consumption Curable etc, by F. H. Ramadge, 3rd edit, p. x4o, London, Longman, Rees, etc. The Library, Institute of Diseases of the Chest, Brompton.
P.
JAMESBISHOP.
MASS M I N I A T U R E R A D I O G R A P H Y The Joint Tuberculosis Council at its meeting on March l, 1957, considered a report by its Radiological Committee. The Council strongly supported the views expressed in this report, namely, that much more extensive use should be made of mass radiography and that in industry both employei-s and employees s h o u l d - i n their own i n t e r e s t - arrange for pre-employment x-rays and that, for the protection of the public, annual x-rays should be required of staff employed on public transport and in the catering trades. T h e report also recommends that the present mass x-ray service should be improved by providing miniature x-ray units in all chest clinics for the examination of persons referred by general practitioners and of others who wish to have a chest x-ray. The extension of the miniature x-ray service in this way would make chest x-rays easily available for everyone, and pre-employment x-rays could be provided either by the chest clinic service or by private arrangement with industry. T U B E R C U L O S I S C O N F E R E N C E IN M O S C O W A Tuberculosis Conference is being held in Moscow from June 9 to 15. Among the subjects to be discussed arc the epidemiology of tuberculosis in the U.S.S.R. and vaccination and immunological problems. Visitors from other countries will be welcome and a number of physicians from Great Britain are attending the Conference at the invitation of the Organlsing Committee.
REVIEWS Pulmonary Emphysema Edited by A L V A N L. B A R A C I t and I I Y L A N A. BICKER.MAN; Columbia University College of Physicians and Surgeons; London: Bailli6re, Tindall and Cox. 1956, PP- 55 °. £4T h e first half of this book concerns the treatment of patients with emphysema that is carried out by Drs Baracb, Bickerman and Beck at tim Presbyterian Hospital in New York. The second deals with the investigation and nature of the physiological disorders of the disease, and is written by several experts in this field of study. Both are interesting and the whole is well balanced; but the value of tile physiological
223
REFILL NEEDLES
section m a y possibly be more lasting than that of the therapeutic chapters. T h e book would have been more useful if the m a n y original articles had been specifically referred to in the text instead of being presented only as a bibliography.
Brorapton Hospital Reports Volume 24; London: Lloyd Luke. 1955. Pp. 324 . I5S. This volume contains 15 reprinted articles b y members of the staff of the Brompton Hospital, the London Chest Hospital and tile Institute of Diseases of the Chest. T h e r e are 4 on the treatment of tuberculosis, 4 on lung cancer, 2 on sarcoidosis and others on chronic bronchitis, disseminate lung lesions and p r i m a r y tumours of rib; 2 articles deal with cardiological subjects. It is difficult to review volumes of collected papers such as this. I f the function of the reviewer is to say only whether the book he has been given should be purchased by others, the task is easy; for in spite of the delay since the articles were originally published, this collection contains much of present and future value. But if a critical appreciation is required the task is difficult; a critique of the whole could not do justice to the parts, for the articles were not written to be read in conjunction with each other. T h e price is moderate and the style pleasing. T h e r e is, therefore, little to prevent speculative purchase and personal review.
LETTER
TO
THE
EDITOR
REFILL NEEDLES T h e illustration shows a box which I have devised and found useful for holding Morland needles at refill clinics. T h e measurements are I2 × 9 × 6 em. and three boxes, each holding 15 needles, can be placed in a small standard circular sterilizing d r u m together with an adequate supply of swabs. T h e needles are .kept steady by a fold of llnt in the lid of the box a n d this can be used to cover the needles when the lid is removed. The advantages over the usual lint roll for holding needles are: (I) The points are always protected during sterilization and in transit at that time J and after re-sharpen[.........................i ...................................................... - . . . . . . . . . . . . . . . . . . . ing. (2) T h e needles are more easily accessible for use at the refill clinic. The box is made by Messrs Alexander and Fowler, Pembroke Place, Liverpool 33 ° BucklandCrescent, G . A . BACK. London, N.W.3.