rehabilitation and architecture

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BOOK REVIEWS

supplies knowledge and of what has happened in actual practice, as well as can
be done with maintenance of essential
national security. It brings before one,
in a most impressive and depressing
fashion, data which justify the widely
expressed concern over the possible future use of atomic military materiel.
The discussion of the biology of radiation, the pathology induced by it, including the effects on hematopoiesis,
covers most adequately both the morphological and functional aspects of the
subject. Of particular interest is the
consideration of recovery phenomena
and of delayed effects as they pertain to
the highly important matter of the hazard from fallout. It is gratifying to observe the precision and detail with which
the existing clinical experience has been
summarized. Unfortunately, the most recent studies with autologous, isologous,
and homologous bone marrow were not
available to the authors when the text
was prepared. Although providing greater
detail, however, this background adds
little in principle to the text.
The material on the diagnosis and
treatment of acute radiation injury, including that resulting from internally deposited isotopes, should be perused by
all who may be concerned with accidents or military use of atomic weapons.
This is equally true of the treatise on
protection and permissible dosage factors, since the information provided is
essential to all, from specialist to practitioner, who may be asked to express
an informed point of view on these subjects. They are of great interest to the
general population. Even the problem
of the use of x-rays in dentistry is thoroughly presented.
Four chapters deal with the use of
radioisotopes in general and in detail.
They provide an excellent general review
with a bibliography adequate enough to
give a full background to those who may
wish to enter the field or who wish convenient reference.
OCTOBER, 1959

The book, perhaps, should end with
the somber note of the discussion of survival methods in atomic disaster. Though
brief, this chapter might be considered
as an item of required reading for those
who wish to be responsible citizens in
exerting an influence on public policy.
Taken as a whole, or in detail, the material at hand in this book is of the utmost interest and most carefully prepared
and exceedingly readable. It provides a
mine of useful information and is a guide
to deeper exploration of the field.
C. P. RHOADS
REHABILITATION CENTER PLANNING. AN
ARCHITECTURAL GUIDE-By F. Cuthbert
Salmon and Christine F. Salmon. University
Park, Pa.: The Pennsylvania State University
Press, 1959. 164 pp. Price, $12.50.

This book should provide an invaluable guide for all concerned with housing, treating, and training the handicapped. It is especially written for
architects and sponsors of rehabilitation
centers contemplating new construction
or revision of existing facilities. Its publication is the result of a project sponsored by the Pennsylvania State University, the Conference of Rehabilitation
Centers, and the American Institute of
Architects. It was made possible by a
grant from the Office of Vocational Rehabilitation, U. S. Department of Health,
Education, and Welfare.
The guide contains more than 200
drawings, together with a brief discussion of the kind of activities found in
component parts of a center. Flow charts
have been used to show the interrelationship of the different areas of activities.
Accompanying the guide is a 32-page
supplement with a selection of plans and
programs of rehabilitation centers in the
United States and Canada.
The basic principles outlined in the
section on "Rehabilitation and the Community" and in "Rehabilitation Center
Programming" should be compulsory
reading for every individual in the re1417

habilitation field. It becomes apparent
that sound planning requires thoroughness.
It is not expected that this architects'
guide will have a very wide distribution,
but in the special field for which it was
written it should fill a very definite need.
It should be made available to every
health official, architect, and others planning not only rehabilitation centers but
also such facilities as acute and chronic
disease hospitals, nursing homes, and
children's treatment and training centers.
ASA BARNES
PLANNING EVALUATION OF MENTAL
HEALTH PROGRAMS-New York, N. Y.:
Milbank Memorial Fund (40 Wall St.), 1958.
104 pp. Price, $1.00.

This monograph is the report of the
second meeting of the Advisory Council
on Mental Health Demonstrations. The
participants were leading personalities in
psychiatry and public health.
The report consists of two parts. The
first part discusses methods for evaluation of programs of patients and the
difficulties in this area. It also attempts
to classify some psychiatric illnesses into
the usual epidemiological classification
of prevention and degrees of control and
relates this to community mental health
board activities. In the report of "The
Application of Control Methods to Mental Illness," questions as to where and
when some of the preventable mental illnesses can be attacked are discussed.
The discussion following lists a number
of difficulties in this area.
The second point consists of the model
of the comprehensive program for the
aged, to be carried out in Syracuse,
N. Y. This includes the design, the service elements of the program, the design
for evaluating the program, and follows
with a discussion of the problems involved.
This monograph is recommended for
those concerned with planning commu1418

nity programs, as it continually stresses
method of evaluation as an integral part
DAVID SANDERS
of the programs.
IMMUNITY AND VIRUS INFECTION-Edited
by Victor A. Najjar. New York, N. Y.: Wiley
(440 Fourth Ave.), 1959. 262 pp. Price,
$10.50.

This volume, which is based on a
symposium held at Vanderbilt University
School of Medicine, brings together recent work in the related fields of immunology and virus infection. The section devoted to each of the two fields
begins with a chapter by Sir Macfarlane
Burnet in whose honor the symposium
was held. As usual he has some very
stimulating ideas which again demonstrate not only the breadth and depth of
his knowledge, but also his ability to
approach a problem with common sense.
This book should appeal to almost
everyone in public health and medicine.
The discussions of immunologic theory,
of the properdin system, and of the separation and purification of antibodies will
be of particular interest to immunologists
and immunochemists. Other chapters
will be attractive to allergists and oncologists especially. There is even a chapter
on the genesis of fever which should appeal to physicians generally.
Throughout the discussion on immunity there is emphasis on the problems
of autoantibody production and of the
perennial question of why we do not
normally produce antibodies to our own
tissues. These discussions have renewed
meaning because of the recent discovery
that conditions such as Hashimoto's disease are due to tissue autoantibodies and
also because of the current interest in
tissue transplantation.
The section devoted to virus diseases
is less comprehensive, but includes some
excellent material on the physical and
chemical nature of viruses and on the
relation of bacteriophages to genetic
changes in bacteria. The last three chapVOL. 49. NO. 10, A.J.P.H.

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