Half-Pearly Summary.

ARIZONA.-Territorial Asylum for the Insane, Phoenix.-This asylum has just completed a new hospital building of reinforced concrete, with accommodations for 160 patients, equipped for hydrotherapy treatment, and with a modern well-equipped operating room. An ice and cold storage plant will be erected this spring.

CALIFORNIA.-Mendocino State Hospital, Talmage.-This hospital has just completed a large concrete dairy barn with modern improvements. There is also under construction a convalescent cottage for 60 male patients which is nearly completed.

The kitchen and dining room are being enlarged and refurnished. An artesian well has recently been driven which will increase the water supply considerably.

-Napa State Hospital, Napa.—During the past year there has been inaugurated an open-door system for many of the patients, there being no locks or window guards, and the patients are privileged to go and come as they desire, placing those who live in such cottages on their honor not to run away and not to leave the premises unless they have permission of one of the medical officers. The plan has been successful, and it is proposed to inaugurate the same system for a certain class of the female patients.

A portion of the receiving and treatment building is about ready to open. This is a separate and distinct building, away from the main buildings of the institution, and in it are located the hydrotherapeutic department and also a well-equipped surgical department. Connected with this is a building which is being fitted up as a laboratory to carry on scientific and research work; and to accomplish the best results along those lines there was recently appointed to the position of pathologist and bacteriologist, Earnest Dozier, M. D., who has come highly recommended, and it is felt that the Napa State Hospital within a few years will be found among the leading hospitals of the country.

The daily clinics which are being carried on by the medical staff have proven a source of great benefit, not only to the staff, but has had a tendency to cause a feeling of contentment among the patients and has received encouragement from relatives and friends of those under our care.

The completion of the water system has proven of great value, as the institution now has a sufficient supply during the dry summer months. The remodeling and furnishing of the general kitchen has placed our culinary department among the best of its kind in this state.

COLORADO.-Colorado State Insane Asylum, Pueblo.-This hospital with 920 patients is at present overcrowded. Three new dormitories are to be erected, each of which will accommodate 75 patients. They will cost $50,000 each and it is intended to use two for women and one for men. Even when these are completed there will not be sufficient room and the erection of another hospital has been recommended by the Colorado Association of County Commissioners.

CONNECTICUT.-At the last session of the legislature an appropriation of $25,000 was made to purchase a site for an epileptic colony, and a commission was appointed to select it.

DISTRICT OF COLUMBIA.-Government Hospital for the Insane, Washington. The new boiler house, which was under erection six months ago, has now been completed. Four 300-horsepower boilers have been installed and set up, and are now waiting for the necessary pipe connections. Several of the buildings have already been rewired in process of changing them over from direct to alternating current. The first contract for changes in the electrical generating machinery in the power house has been let and already considerable progress has been made in the laying of terra cotta conduit to contain the lead-covered cables which will carry the alternating current.

The circulating library for patients has proved of great value. We have constantly in circulation on the wards upwards of 800 volumes. This amount of literature in daily use must bring a great deal of comfort to the patients.

Because of the extreme difficulty in getting medical men for the staff of the hospital that have any training whatever in neurological or psychiatric technique, and because the young men who do come to the hospital under ordinary circumstances are of little service for a number of months, it was decided, beginning the first of this year, to give a regular course of instruction to the younger medical men. Accordingly a course was outlined and given by the scientific department of the hospital. In this way the new-comers to the staff are given, with as little delay as possible, the tools which it is required that they shall use in their daily routine ward work. The results of the instruction have been eminently satisfactory, as the young men have been made useful in a minimum length of time. One of the main features of the instruction was the outlining of a systematic course of neurological and psychiatric examinations, which could be placed in the hands of the medical interne and which would enable him to go through an examination with very little instruction, and yet present a case record that will contain all of the essential features necessary for making a diagnosis and for passing upon the case in its various administrative phases.

As set forth in a previous summary, the army has assigned a medical man to the hospital for the study of psychiatric problems, as related to questions of military organization. The navy has recently followed the same course, and on the first of the present month assigned Dr. Heber

Butts to the hospital for the study of conditions here which affect the naval organization.

Three evening staff meetings were held during the winter and in accordance with the custom started last year, members of the profession in the City of Washington were invited and it is gratifying to note that a large number were in attendance. The subjects discussed at these meetings were as follows: On the Examination of Mental Cases, by Wm. A. White, M. D.; The Psychological Approach to the Problems of Art, by Wm. A. White, M. D.; Huntington's Chorea, with Demonstration of Case, by Henry W. Miller, M. D.; Some Considerations of the Architecture of the Cerebral Cortex, by Nicolas Achucarro, M. D.; Some Difficulties in the Diagnosis of Paresis, by George H. Schwinn, M. D.; Nervous and Mental Diseases During the Russo-Japanese War, by Robert L. Richards, M. D., U. S. A.; The Present Status of the Wassermann Reaction, by Wm. H. Hough, M. D.; The Functions of the Cerebellum, by Shepherd Ivory Franz, Ph. D.; The Functions of the Thalamus, by Smith Ely Jelliffe, M. D., of New York City.

FLORIDA.-State Hospital for the Indigent Insane, Chattahoochee.-The present white women's disturbed ward is to be converted into a modern receiving hospital, equipped with operating rooms, hydrotherapeutic and electrotherapeutic appliances, receiving wards and other modern conveniences commonly found in like institutions.

A nurses' training school, under the direction of a trained nurse; lectures by members of staff, course of instruction in dietetics and special nursing of the insane, is also planned.

A new three-story building has recently been added to the chain of buildings. This building is modern in the details of its construction, steam heat, electric lights, abundant ventilation, broad verandas, ample bathing facilities, vermin proof construction and elimination to a great degree of iron bars before windows, are its principal advantages. This building is being occupied by the convalescent white women.

A new two-story building for colored women is nearing completion, and it also has most of the conveniences above detailed.

A three-story addition for the new white women's building will soon be under course of construction and will conform in its style of architecture to the other buildings recently completed.

Extensive parkings of the grounds will be introduced in the near future. The interne system has been adopted by the hospital, thus adding two clinical assistants to the present medical staff.

During the year Dr. Randolph represented the hospital at the HookWorm Conference held at Tampa. Dr. Greene attended the National Pellagra Conference at Columbia, S. C., also the meeting of the State Medical Society at Pensacola.

A systematic microscopical investigation is being made of the feces of the white patients in the hospital, and this will be the basis of a report upon

the percentage of intestinal parasitic infection among the patients, with observations upon the mental symptoms caused thereby.

More thorough classification of psychiatric diagnosis, elimination of restraint, segregation of the classes and more scientific care of the insane, are the things being worked for by the entire hospital staff.

ILLINOIS.-Jacksonville State Hospital, Jacksonville.-There has been built and opened a hospital for tubercular patients; this building is about 210 feet long and 30 feet wide; open on one side and the roof so arranged that the sun's rays will, some time during the day, come into all portions of the rooms. This building will comfortably accommodate about 24 patients12 of each sex.

There is also under construction two hospital additions—one in connection with the male and the other the female departments. These are for the care of the physically sick and acute cases.

Special arrangements are being made for the use of hydrotherapy.
Each hospital will accommodate about 50 patients.

The institutions of Illinois are now controlled by a Board of Administrations, doing away with boards of trustees.

-Kankakee State Hospital, Hospital.-The new hospital building of the Kankakee State Hospital, erected for the special care and treatment of the insane sick requiring individual treatment, will be opened soon. This building is modern in every respect, and located to give the maximum amount of sunlight at all times, with ample space and facilities to provide for the care of patients demanding individual treatment. The wards and single rooms are fitted with specially designed beds, which will add greatly to the comfort of the patient, and likewise give to the nurses better opportunity for access to him.

The laboratory facilities are modern; the baths are also fitted with modern appliances; a passenger elevator will contribute to the facilities for handling patients; the operating room, located so as to give plenty of light at all times, is modern in every respect, with complete facilities for sterilizing and giving anæsthestics and baths. It is situated in a detached portion of the building, reached by a corridor. On the ground floor are located sterilizing apparatus. In one room is found an apparatus for sterilizing bedding, clothing, etc., in large quantities, and the other portion of the building is arranged for an outdoor patient service for surgical dressings and emergency work. It is equipped with modern sterilizing apparatus also.

The heating and ventilating facilities are modern, and arranged so as to automatically regulate the temperature in the rooms and wards. This building is one of the most complete in the hospital service of this country. It is a great credit to the Board of Trustees, which went out of service January 1, 1910, and Dr. J. L. Greene, former superintendent, and now a member of the Board of Administration of the state.

The work of the Psychopathic Institute for the first three months of the year of 1910, has been to instruct the assistant physicians of the state in methods of diagnosis, laboratory work and studies in etiology and treatment. The assistant physicians have been coming to the institute for a term of two weeks' instruction, comprising about 10 hours a day, and consisting of lectures, demonstrations, laboratory work and reports on cases. At the end of their course a promotional examination is conducted by the Examining Board of the State Civil Service Commission in practical work. This is in accordance with a recent classification of medical service in the state. This classification is as follows: assistant superintendents, physicians, assistant physicians and internes, the object being to have the physician enter as an interne, after one year's service take an examination for assistant physician, and then in due time the assistant physician takes a promotional examination for physician. The physician takes the examination for promotion to the grade of assistant superintendent. The readjustment of salaries in the state will be based upon the class of service rendered.

The instruction in the Psychopathic Institute has been conducted by Dr. H. Douglas Singer, director of the Psychopathic Institute; Dr. Addison Bybee, in charge of the laboratory work; Dr. Charles F. Read, in charge of the psychopathic ward; and Dr. Frank P. Norbury, lecturer upon etiology and treatment.

IOWA.-Cherokee State Hospital, Cherokee.-The new Psychopathic Hospital building is now very nearly ready for occupancy. There has been much delay in the completion of this building, due to failure on the part of the contractor to procure necessary material. The new fire station has been completed and is now being occupied. Contract has recently been let for the installation of three Scharf automatic smoke preventers, under a guarantee on the part of the contractors to save not less than 10 per cent of the fuel consumption. The poultry industry has been materially strengthened during the winter by the erection of additional buildings.

KANSAS.-Topeka State Hospital, Topeka.-During the past year two modern cottages, with a capacity of 55 patients each, were completed, equipped and fully occupied, for the accommodation of female patients. These cottages are also provided with an especially attractive congregate dining room and kitchen.

Enlargement of the institution also includes additional room for 150 male patients.

There is also under construction a building especially adapted for treatment of male tubercular patients, with a capacity of 25 beds, and plans are being made for a reception hospital with a contemplated capacity of 120 beds. It is proposed that this hospital shall be thoroughly modern and complete in all of its details and equipment.