The volume treating ionization by collision and gaseous discharge completes the third edition of this well-known work originated by Sir J. J. Thomson.In spite of, or rather because of, the vast amount of material dealt with, the reviewer gets the impression that this, the third edition, cannot occupy the commanding position which the first edition did thirty years ago in the then much newer and narrower

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Patients in Intensive Care Unit (ICU) often require sedatives which commonly include midazolam and the more recently developed α2-receptor agonist, dexmedetomidine. It was our aim to compare the sedative and clinical effectiveness of dexmedetomidine vs midazolam in adults admitted to ICU, using an objective appraisal of randomized control trials. Medline, Embase, SCOPUS, Web of Knowledge, Cinhal, the United States National Library of Medicine, and the Cochrane Database of Systematic Reviews were searched using keywords: 'dexmedetomidine', 'midazolam', and 'intensive care'. These were limited to human studies and adults (>18 yr old). Six randomized controlled trials were found and were critically appraised using a standardized appraisal method. Two papers described the time spent by each intervention group within a specified target sedation range and both found no statistically significant difference between midazolam and dexmedetomidine (P=0.18 and P=0.15). A third paper found no statistically significant difference in the length of time that patients were sedated within a target zone (P=0.445). Two additional pilot studies did not report P values as they were insufficiently statistically powered. A final paper found that, of the eight occasions measured, patients on dexmedetomidine were more often within the target sedation range than patients on midazolam. The sedative benefits of dexmedetomidine vs midazolam remain inconclusive. While some secondary outcomes showed clinical effectiveness of dexmedetomidine, more research is needed to validate the findings of these studies.

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[Plate 19.]1.M. L. de Broglie has introduced a theory of mechanics according to which a moving particle behaves as a group of waves whose velocity and wave-length are governed by the speed and mass of the particle. In fact if m0 is the mass for slow speed and v the speed of a freely moving particle, the wave-length is given by X = -v2!c2/m 0v, and the wave velocity V group velocity being v, the velocity of the particle. Here c is the velocity of light and it will be seen that the wave velocity is greater than c. There is nothing impossible in this because the waves are regarded as purely geometrical -" phase waves "-not as carrying energy. Compare, in ordinary optical theory, the case of substances, such as sodium, for which the refractive index , is less than unity. The above is for free space ; in the presence of a field of force V varies, and the consequent bending of the waves by refraction corresponds, on the new theory, to the deviation of the path of the particle by the field of force, on the old. The consequences of this theory have been worked out by de Broglie, Schrodinger and others and applied to problems in spectroscopy where they have provided the solution of several outstanding difficulties left by the older theory of orbits. In view, however, of the extremely fundamental nature of the theory it is highly desirable that it should rest on more direct evidence, and, in particular, that it should be shown capable of predicting as well as of merely explaining. Dymond* has obtained some remarkable results on the scattering of slow elec trons in helium which are of the general nature to be expected in this theory, but our knowledge of the structure of helium, together with the mathematical difficulties of the problem have so far prevented any exact comparision of the theory with experiment. Davisson and Kunsmanf and Davisson and GermerJ have obtained results on the reflection of slow electrons from the surfaces of crystals, especially nickel, which show good qualitative agreement with the