Surface Anatomy. The Anatomical Basis of Clinical Examination, 2nd edn. By John S. P. Lumley. (Pp....
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Transcript of Surface Anatomy. The Anatomical Basis of Clinical Examination, 2nd edn. By John S. P. Lumley. (Pp....
J. Anat. (1997) 190, p. 317 Printed in Great Britain 317
Book Reviews
New Concepts of a Blood–Brain Barrier. Edited by
J G, D J. B and
M B. S. (Pp. xi331; some figures ;
$89.50 hardback; ISBN 0 306 45204 9) New
York, London: Plenum Press. 1995.
A symposium was held in London in July 1994 tocommemorate the retirement of Professor Michael Bradburyas Professor of Physiology at King’s College London. MikeBradbury had had a substantial influence on blood–brainbarrier studies, not just on the London scene, but alsonationally and internationally. I caught up with his work inthe early 1970s, having spent a number of years investigatingthe demyelinating diseases. It was clear that a properunderstanding of the contributing role of blood–brainbarrier changes was going to be essential. Mike Bradbury’swork was at once stimulating and illuminating. It was alsoa reference source, notably his 1979 book The Concept ofa Blood–Brain Barrier, the title of which was adapted for theFestschrift held in his honour. The proceedings of thesymposium have now been published as a book containingthe 31 papers presented.
Since blood–brain barrier studies represent such anextensive and dynamic research field in neuroscience it is notsurprising that a new book appears every few years to assessthe current state of knowledge. The last major work was TheBlood–Brain Barrier: Cellular and Molecular Biology, editedby W. M. Pardridge (1993). Comparisons may be invidiousbut that is what this business is about. The Pardridge bookwas a significant landmark, being the first collection ofreview chapters on molecular aspects of the blood–brainbarrier. Both its publication and purchase were thereforewell justified. With the present book the situation is not soclear. The chapters are almost entirely presentations of theauthors’ own work, some of them are only a few pages longand several assume the conventional research paper formatof ‘Introduction ’, ‘Materials and Methods ’, etc. In no senseare the chapters reviews of our current state of knowledge ofthe blood–brain barrier topics. More likely they representresearch findings which have been or will be published inmore detail elsewhere in science journals. At a cost of £70 itis difficult to see the book selling readily. In the past librariesoften bought scientific symposia published in book form. Inthe present financial climate, hard-pressed universitylibraries are likely to be very discriminating about bookbuying and less inclined to purchase symposia books. Myown view is that this symposium and its central figure would
have been better served by the proceedings appearing as ajournal supplement. Having said that, many of the papersincluded make fascinating reading. The chapters cover avery wide range of blood–brain barrier topics and arewritten by authorities in the field from several countriesthroughout the world. Such a gathering of scientists in oneplace, plus many others attending, is no doubt a measure ofthe esteem in which Mike Bradbury and his work are held.
.
Surface Anatomy. The Anatomical Basis of Clinical
Examination, 2nd edn. By J S. P. L.
(Pp. vii110; 210 colour figures ; £13.50
paperback; ISBN 0 443 05302 2.) Edinburgh:
Churchill Livingstone. 1996.
Surface anatomy is one of the most important aspects ofanatomical teaching to preclinical students since it willform the basis of much of their appreciation of physicalsigns when they proceed to their clinical studies. Moreover,as the title of this book implies, the subject is of continuinginterest even in postgraduate years. Most medical schoolsnow appreciate this and have practical classes dedicated tothis subject (perhaps better called ‘ living anatomy’) oftensupplemented by in-house videos.
The second edition of Professor Lumley’s book will bewelcomed by teachers and students alike. It is brief, andbeautifully illustrated with really excellent colour photo-graphs, many of which have numbered overlays of under-lying structures. The text is supplemented by copious notesof the clinical significance of the anatomical features. Ofcourse, there is always room for expansion. With increasinginterest in laparoscopic surgery, and reports of massiveabdominal wall haematomas therefrom, a note on theposition of the inferior epigastric vessels would be useful.Similarly, keen house officers inserting chest tubes in a hurrycan damage the internal thoracic vessels unless reminded oftheir position.
Is there a prize for spotting pathology in the healthyyoung subjects of the photographs? The brave volunteer forthe illustration for the surface anatomy of the perineum haswhat looks to me like a resolving perianal haematoma. Thisbook, in its second edition, will reinforce its position as avaluable addition to our existing atlases of surgical anatomy.