178
[ J a n u a r y , 1929
TUBERCLE
BOOK N O T I C E S A N D Book Notices. Association of Tuberculosis Clinics of the City of New York. Annual Report, 1927. New York Tuberculosis and Health Association, 1928. Summarising the volume of tuberculosis clinic work done during 1927, Mr. Godias J. Drolet states that the 29 tuberculosis clinics examined between them during the year more than 37,000 persons, among whom were 9,362 cases of tuberculosis. The record of attendance shows a total of 93,356 visits paid by patients, and 46,436 visits paid by the clinic nurses to the tuberculous cases or their families. This latter activity of the clinics at the very source of the disease is, in the writer's opinion, one of the most important continuous services in the prevention of tuberculosis rendered in the city. During the year 18,149 new persons came to the clinics for a first examination, and, in addition, 8,964 more were readmitted. Twentythree per cent. of all those examined were found to be tuberculous. This diagnostic work Mr. Drolet looks upon as one of the most fundamental and essential services for the discovery and control of tuberculosis, pointing out that if it was not done regularly its absence would at once be felt by the tuberculosis institutions, and, shortly after, by the community itself. Another important point brought out is that no less than 14 per cent. of all the tuberculous patients remaining under the care of the clinics ultimately reached a condition of arrest, a proportion not very much lower than the one reached under the much more costly sanatorium treatment. Mr. Drolet urges that the tuberculosis clinics of New York City should be recognised as valuable institutions, and as permanent centres for diagnosis, for proper institutional placement, for home treatment and follow-up, for preventive work, and for practical health education.
ABSTRACTS.
Ultra-Violet l~adiation and Aetinotherapy. By Dr. Eleanor ]~t. Russell and Dr. W. Kerr Russell. Third Edition. 1928. Pp. 648. Price 21s. net. Edinburgh : E. and S. Livingstone. Since the publication last year of the second edition of this book, a good deal of new work has been done on both the theory and the practice of actinotherapy in its many branches. The writers have now incorporated a large amount of this new matter in the new and enlarged edition of their work, and in its present form the book contains all that a general practitioner is lik31y to need on this subject. The biological effects of ultra-violet radiation are most adequately dealt with, another excellent chapter being that concerned with the technique of radiation. Dealing with ultra-violet treatment in tuberculosis, the writers give a table comparing the results!obtained at Leysin, where natural sunlight is used, and at the Finsen Institute, Copenhagen, where only artificial sunlight is used. Although 70 per cent. of patients attending the Finsen Institute are over 15 years of age, and the great majority are outpatients, often living in unhygienic surroundings, yet the results obtained in Copenhagen in all kinds of surgical tuberculosis are, if anything, better than at Leysin, where the.patien.~s live under constant supervision m hospitals situated in the high Alps. With regard to lupus, Sir Norman Walker is quoted as stating that for extensive cases of lupus no other method even approaches ultra-violet treatment in efficiency. The book concludes with chapters on ultra-violet radiotherapy in diseases of the genito.urinary system, in dermatology, in diseases of the special sense organs, and in dental and veterinary practice. The illustrations number 259, as compared with 168 in the previous edition, and these, as in the earlier editions, add much to the value and interest of the work.