As statedby theeditorin the preface, the purpose of thistext is to review "issuesin various aspects of antimicrobial resistance thatchallenge our ability to slowits inexorable progress, andhowwe can make the bestuseof theeffectiveness of currently available antimicrobials." Content: Three sectionsof the text focus on specificpathogens,includingcommunity-associated methicillin-resistant Staphylococcus aureus,organisms that produce extended-spectrum~-I actamase, and bacterial pneumonia during influenzapandemics. Four of the sectionsfocus on resistance within the fluoroquinolone, antifungal,anthelmintic, and antiretroviral drug classes.Twoadditional sections focus uponlocationspecific concerns,including boththe outpatient and hospital health-care settings, and I section examines the costimplications associated withantimicrobial resistance. In general,each sectionprovides an overviewof the mechanisms of resistance, highlights the current limitations to pharmacologic treatment of resistant pathogens, reviews strategies for the prevention and controlof the spreadof resistant pathogens, and provides insight intothe future direction of research in theseareas. Usability: Overall, the text is compact, well organized,and easy to read.The text includes an index for easy identification of topics,as well as up-to-date reference lists. Highlights: Due to the multidimensional approach to the information included withineach section,this text would be of particularinterestto practitioners who desireantimicrobial stewardship withintheir practice or institution. Limitations: Because this text does not providea comprehensive review,but insteadprovides an overview of selected resistance issues,it is limitedin scope.Therefore, this text may be of limitedutility, particularly for those desiring an inclusivereview of resistant pathogens.While each section provides the reader witha thorough overview of the topic.a functional knowledge of infectious diseases and associated terminology is required. Comparison to Other Related Books: Other textbooks available on this topic, namely,AntimicrobialResistance:Problem Pathogensand Clinical Countermeasures, and Antimicrobial Drug Resistance (a 2-volume set), providecontent similar to that presented within this text, although it is much further expanded and inclusive of many more pathogens. Additionally, several generalinfectious disease textbooks include information related to antimicrobial resistanceamong additional topics. Reviewer's Summary: As stated withinthe book's text, "Antibiotic resistant bacteriaare a significant problemof public healthimportance, and are responsible for substantial morbidity, mortality, and cost." While• limited in scope,this text provides a multidimensional overview of some of the pressing issues in infectiousdisease today and would serve as a useful toolto thoseinterested inexpanding theirknowledge on thesespecifictopics.

pp, with illus, $49.95, ISBN 0-226-46957-3, Chicago, III, University of Chicago Press, 1994. This survey of sexual practices in the United States has been combed by the media for items of interest to the public: monogamous sex is much more widespread in this country than has been thought; infidelity is less frequent than presumed; vaginal intercourse is the defining experience ofheterosexual behavior; watching one's partner undress is stimulating to many people; married couples have more sex than single people (unmarried, cohabiting couples have the most sex of all); the majority of couples experience sex twice a week to several times a month; 2.8% of men identify themselves as homosexual and 1.4% of women do so, but a higher percentage of people consider a same-gender experience to have some appeal; 75% of men always experience orgasm compared with 28.6% of women, but more nearly equal numbers of men and women declare themselves satisfied with their sexual experiences. The book is, in fact, a compendium of information about the sexual behavior of a representative sample of men and women aged 18 to 59. The survey was conducted by the Na¬ tional Opinion Research Center of the University of Chicago with 3432 sub¬ jects chosen by the same methods poli¬ ticians and market researchers use to sample populations.The four authors come from the social sciences. Edward Laumann and John Gagnon are professors of sociology, Rob¬ ert Michael is an economist and dean of The Harris School of Public Policy Stud¬ ies at the University of Chicago, and Stuart Michaels is a sociologist and re¬ search analyst. They present their data in a social context, as evidenced by the book's title. They recognize the signifi¬ cance of individual biological and psy¬ chological contributions to sexual behav¬ ior, but they assert that it "is funda¬ mentally structured by social factors."The variables that are used as social correlates for sexual behavior are gen¬

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