Reproductive Endocrinology: Physiology, Pathophysiology and Clinical Management

Reproductive Endocrinology: Physiology, Pathophysiology and Clinical Management

Mayo Clin Proc, October 1986, Vol 61 of cerebral atheroembolism to stroke (chapter 2). Cutaneous manifestations of atheroembolism are given prominenc...

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Mayo Clin Proc, October 1986, Vol 61

of cerebral atheroembolism to stroke (chapter 2). Cutaneous manifestations of atheroembolism are given prominence because they may provide the clinical clue to an otherwise baffling syndrome (chapter 3). The composition of the lipids in the pultaceous core of the atheromatous plaque is described because it has an important bearing on the clinical effects of atheroembolism (chapter 4). The complex question of possible drug-treatment strategies for the condition, involving as it does the problems of antithrombosis and combating the effects of atheromatous lipids, is considered in detail in the concluding segment of the book (chapter 5). Each of the five chapters has been written by a different author. The editor (Dr. Warren) is the author of the first chapter; he has collaborated with all other four contributors to this book in studies of clinical and experimental atheroembolism. Together, they have produced an authoritative and highly readable treatise on atheroembolism, an important but not widely understood or frequently discussed clinical problem. This, to my knowledge, is the first and only available monograph on the topic of atheroembolism. Because it is such a comprehensive, up-todate, and well-referenced volume, it may never have a serious competitor. I enthusiastically recommend this monograph to all physicians irrespective of their specialty training, interests, and field of practice. J. T. Lie, M.D. Department of Pathology

Pediatric O r t h o p e d i c s (Major Problems in Clinical Pediatrics, Vol 28), by Thomas S. Renshaw, 176 pp, with illus, $29.95, Philadelphia, W. B. Saunders Company, 1986 This well-organized and well-illustrated text is directed to pediatricians, family physicians, and related health specialists who deal with pediatric and adolescent musculoskeletal problems. The author has chosen to use an outline based on regional anatomy. Thus, he covers afflictions of the head and neck, spine, upper extremities, lower extremities, and feet, in that order. In the final chapter of the book, the problem of the battered child is discussed. An added feature of

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this volume is an excellent glossary that explains orthopedic terms, which is of considerable value for the occasional reader of orthopedic literature. The references are well organized and labeled, not only by author but also by topic. This format assists the reader in a rapid perusal of the sources in the literature that pertain to the pathologic condition of interest. The reader may have benefited from inclusion of a classification of pediatric problems on the basis of age groups afflicted. Although congenital anomalies are straightforward, problems of scoliosis or other developmental disorders could have been categorized in this fashion. This minor criticism does not detract from the overall value of this book. I recommend it to the readership for which it was intended. Rudolph A. Klassen, M.D. Department of Orthopedics

Reproductive Endocrinology: Physiology, Pathophysiology and Clinical Management, 2nd ed, edited by Samuel S. C. Yen and Robert B. Jaffe, 806 pp, with illus, $85, Philadelphia, W. B. Saunders Company, 1986 The first edition of this text, which was released in 1978, received considerable acclaim as a practical review of male and female reproductive endocrinology that included substantial physiologic background information and aids in clinical management. This second edition follows and enhances that tradition. It is a comprehensive, reasonably current (references up to 1985 cited), and well-structured text that thoroughly reviews the field of male and female reproductive endocrinology. The contributing authors are highly qualified experts in endocrinology. Although the individual contributions vary in quality, each segment is an independent practical topic review. The appended bibliographies (a total of almost 4,000 citations) should be useful to readers interested in further study. The second edition is approximately 40% larger than the original edition; the major additions and expansions are on neuroendocrine hormonal control mechanisms, abnormal secretion of prolactin, male reproductive problems, and endocrinologic factors of pregnancy. Many figures and tables are interspersed throughout the individual

Mayo Clin Proc, October 1986, Vol 61

sections to aid the readers in their understanding. Some of the photographic reproductions are in color in this edition. No other available endocrinologic text approaches the comprehensiveness of this current publication. In addition, the organization of the material and the writing style should make this book pleasant reading even for those unfamiliar with this particular discipline. The major purchasers of this text will be clinical endocrinologists and obstetricians and gynecologists who are interested in reproductive function. It should also be a valuable reference source for others with questions about reproductive endocrinology. I would strongly recommend this volume for those training in endocrinology or in obstetrics and gynecology because of its thorough overview. Paul C. Carpenter, M.D. Division of Endocrinology/ Metabolism and Internal Medicine

Respiratory Infections (Contemporary Issues in Infectious Diseases, Vol 5), edited by Merle A. Sande, Leonard D. Hudson, and Richard K. Root, 377 pp, with illus, $47, New York, Churchill Livingstone (distributed by Longman, White Plains, New York), 1986 The stated philosophy of this series on infectious diseases is to bridge the gap between basic science and clinical medicine. In the 18 chapters of this book, 25 authors address topics that vary from pathogenic and defense mechanisms to descriptions of diseases and therapeutic measures in respiratory infections. The first five chapters discuss pathogenic mechanisms in bacterial and viral infections, microbial adherence, and immune defense mechanisms. The next seven chapters review the following diseases: sinusitis, epiglottiditis, the common cold, bronchitis, legionellosis, transmission and infectivity of tuberculosis, and streptococcal infections. The chapter on legionellosis is excellent. The last six chapters cover treatment of gramnegative pneumonia, immunoprophylaxis and immunotherapy, aspiration pleuropulmonary infections, opportunistic pulmonary mycoses, pulmonary infections in the acquired immunodeficiency syndrome (AIDS), and the role of "sepsis"

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in adult respiratory distress syndrome. The diagnosis and treatment of gram-negative pneumonitis are complex subjects, and recent antibiotic developments have been extensive. For these reasons, a brief chapter in a book is unlikely to do justice to these issues. Current opinion regarding aspiration pleuropulmonary infections is expressed, but the presentation is hampered by the lack of a reliable "gold standard" against which to judge cultural methods. The chapter on AIDS and its management, which is particularly well done, includes a useful diagnostic algorithm for suspected AIDS and pulmonary infection. The confusing and frustrating present-day knowledge of the adult respiratory distress syndrome is reviewed. Although the x-ray reproductions are poor, the text is easy to read. The goal of bridging the gap between basic science and clinical medicine is only occasionally achieved. In some chapters, the subject is discussed from one viewpoint or the other. This book would be suitable for medical libraries and for anyone with a specific interest in respiratory infections. It is insufficient for the basic scientist or clinical specialist in infectious diseases or pulmonary medicine; nevertheless, I found it enjoyable. Robert E. Van Scoy, M.D. Division of Infectious Diseases and Internal Medicine

Campbell's Urology, 5th ed (in 3 vols), edited by Patrick C. Walsh, Ruben F. Gittes, Alan D. Perlmutter, and Thomas A. Stamey, 3,039 pp, with illus, $275 (3-vol set), $95 (vol 1), $90 (vols 2 and 3 each), Philadelphia, W. B. Saunders Company, 1986 In the field of urology, considerable advances have been made in the treatment of genitourinary disorders since the fourth edition of Campbell's Urology was published in 1978. The fifth edition has been revised and expanded to accommodate the new concepts and techniques available to the practicing urologist. The three-volume set includes revisions and additions by 26 new authors. The basic format of the new edition is the same as that used previously. The text divides the field