In this country it is our custom, and lias been for many years, to make our patients as nearly emmetropic as possible. We have made no exception of the high myope, and have found that by accurately correcting his astigmatism, and not ovcrcorrecting his myopia, we have made him comfortable. We feel confident that those who have hnd Ilirschherg's experience in the full correction of myopia have ignored astigmatism, overcorrected the myopia, and given too little consideration to the muscle

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... Wo are much disappointed to find no reference to American literature. Gastroscopy. Hill has written a monograph on gastroscopy and esophagoscopy in which he recommends strongly the combination of direct and indirect or periscopic vision in gastric work. His latest apparatus consists of a Killian esophagogastroscope which he has modified so that it can be inflated, and a Heymann indirect periscopic tube, 9 mm. in diameter and 70 cm. in length, which is passed through the Killian tube. He advises in addition that the operator have at hand, as a matter of convenience, two outer tubes both 60 cm. in length, one being oval in section, with diameters of 13 and 15 mm. and the other a thicker one, circular in section, with a diameter of 16 mm. The new principles involved in the procedure are the direct esophagogastroscopy under inflation and the combination of direct and indirect vision methods by passing the indirect vision periscope through the esophagogastroscope. General information as to the position of the patient, anesthesia, etc., is given, and considerable space is devoted to the appearance of the gastric walls in various diseased conditions. The work is well illustrated and a complete, bibliography of gastroscopy is appended. Gonococcal Infection, This book covers the main features of our present clinical knowledge of gonococcal infections. The authors discuss the older-established methods of treatment and the recent developments in our knowledge of gonococcal immunity. The characteristics of the gonococcus and the pathologic changes which it causes in the body tissues are taken up. Methods of treatment are outlined in a practical way, each being fully described and its therapeutic value discussed. The specific treatment by vaccines is advised especially for the prevention or cure of complications. There is a full explanation of the primary anatomic lesions and complications by extension and general infection. They are separately and fully discussed, with suggested treatment in each instance. The book is designed for the practitioner who wishes a general up-to-date knowledge of the infections by the gonococcus. The work is a brief, concise, yet comprehensive treatise on pathogenic bacteriology, written with special emphasis on the practical side of the subject as seen in the large medical clinics of the University of Berlin. The author gives importance to points which pertain to diagnosis, and describes in detail such technical methods as are of practical value. Questions of a purely scientific nature and methods which have no clinical usefulness are given little attention. The work is fully illustrated and contains a number of colored plates in which much care and pains have been used to reproduce faithfully minute details of form and color. The last four chapters are devoted to a consideration of the pathogenic organisms of higher order, including amebas, plasmodia, spirochetes, trypanosomes and other protozoa. The work can be heartily recommended as a practical handbook of clinical bacteriology. [Roberts vs. Anheueci'-Buach iircicino Association [Mass.), art N. B. 1{. 96) The Supreme Judicial Court of Massachusetts holds that this case, brought to recover da muges for alleged ptomain poisoning from a bottle of Malt Nutrine. whereby the plaintiff's wife was made ill and his young son died, should have been submitted to the jury, instead of a verdict being directed for the defendant. The form of action was what is called in tort, or for a non-contract liability; and not for a breach of warranty. As there was no contractual relation between the plaintiff and the defendant, the Mult Nutrine having been purchased from a druggist, the action against the defendant could not be maintained on the ground tliut there was any warranty by the defendant.of the good qualities of its mixture. There cannot he a warranty where there is no privity of contract. There was evidence that the defendant bad by advertisements represented that its mixture was healthful, tree from all injurious substances, beneficial to women and children and to those needing strength and nourishment, und that it was compounded With great, care, 'fliese représentât ions could be found to have been made as of the defendant's own knowledge. It could be found that the plaintiff had seen some of these advertisements, and the court cannot say that the jury might not have found that his purchase of n bottle of the mixture was on the faith of and in reliance on these representations. There was also evidence, although inenger. tending to show (hut this bottle had been put on the market by the defendant and bad come from il through a wholesale dealer to the druggist who sold it to the plaintill'. it also could be found that the sickness of the plaintiff's wife and child was due to ptomain poisoning, caused by the contents of this bottle, though as to the last point it was true that the evidence was but meager. Still it was for the jury to pass on. If this sickness was due to ptomain poisons contained in a hot lie which had come from the defendant, there was evidence of the falsity of its representations. If these facts were found ill accordance with the plaintiff's contention, there might have been a verdict in his lavor. If the defendant made such représentât ions as of its own knowledge, and put its mixture on the market to come through wholesale und retail deniers to the ultimate consumers, who in reliance on such representations bought and drank the mixture in the manner intended by the defendant, these representations must be regarded as continuous, intended to he accepted and. relied on by all who finally should purchase the article for their own consumption, This rule often has been declared. It was claimed that these representations should not ba given an indefinite continuance, and that this buttle oither Downloaded From: http://jama.jamanetwork.com/ by a Michigan State University User on 06/09/2015