Such patients as had no gifts from home or were without relatives were remembered through the generosity of the board of managers and other thoughtful friends of the hospital, who contributed donations.

A complete and thoroughly modern building for a laboratory and mortuary is soon to be erected. The appropriation is $35,000. It will be a brick building of fireproof construction, 40 x 60 feet, two stories in height, consisting of receiving room and cold vaults, autopsy and lecture room, library and museum, photographic department, chapel and several laboratory rooms.

At a cost of $126,000 contracts have been let for remodeling the power house and boiler plant. There will be installed four 400-horsepower boilers of the water-tube type.

Dr. H. L. Palmer, who has been superintendent of the hospital since October 25, 1899, and who had served at the hospital since January 26, 1893, has tendered his resignation to take effect April 1, 1919. At a meeting of the board of managers held March 17, 1919, the members collectively and individually gave expression to their regret at Dr. Palmer's departure, and to the warm feeling of friendship held by them for Dr. and Mrs. Palmer.

-Willard State Hospital, Willard.—Influenza broke out at the hospital October 16, and from that time until the epidemic subsided about the end of December, 486 patients out of a total of 2400, and 177 officers and employees were ill with it. Pneumonia developed in 121 patients and II employees. Ninety patients and two employees died.

Out of a total of 127 places for women, and 131 for men nurses and attendants engaged in ward service, there have been 33 vacancies for women and 52 for men. Twenty-six men were absent on military service, five of whom have returned. Applications for work are now being received from men who have been discharged from the army and others from munition factories, but as yet no applications are being received from women. A new greenhouse, with concrete walls and beds, has been constructed in the garden for propagating vegetables. New roofs have been put on the kitchens and boiler-houses at Sunnycroft and Edgemere. A contract has been awarded for new tile floors for the dining rooms at The Pines.

The budget for the coming year, which has recently been introduced in the legislature, contains an item of $35,000, with $20,000 immediately available, for the construction of a tuberculosis hospital for men, to accommodate 45 patients.

NORTH CAROLINA.-State Hospital at Goldsboro.-There has been constructed in the last two years a steel tower with two tanks of 115,000gallon capacity, a cannery 36 x 40 feet, equipped with all necessary conveniences. An addition has been made to the kitchen, and a room built for preparing vegetables.

There is now under construction a building for the accommodation of 90 patients, and a new system of pipe lines for supplying the above, and other buildings to be erected, with water and heat.

OHIO.-Steps are being taken to form a state society for mental hygiene to co-operate with the national organization. Drs. Erl Baber, Emerson A. North, and Ora O. Fordyce, form a committee in charge of the move

ment.

-Longview Hospital, Cincinnati.-The report of the directors of this hospital for the triennial period ending November 15, 1918, contains an account of, and reports upon, the investigation ordered by Judge A. K. Nippert of the physical condition of every patient in the hospital. This was conducted by 76 physicians and 22 nurses summoned by the judge, and despite popular feeling in the matter these reports were not made public by the court. The Academy of Medicine of Cincinnati appointed a committee to investigate conditions and suggest more scientific treatment. Their recommendations are given and the management was held guiltless of any wrongdoing. Among the former, the impossibility of securing proper medical service at the inadequate recompense paid the hospital physicians was emphasized.

PENNSYLVANIA.-A state commission has purchased land in the neighborhood of Selinsgrove for the erection of a new $1,000,000 hospital.

-Friends Hospital, Frankford, Philadelphia.-By the will of Margaret H. Jones this hospital will receive a sum sufficient for the erection of a memorial cottage.

SOUTH CAROLINA.-State Hospital for the Insane, Columbia.-The hospital has continued to be conducted along the lines indicated in the "HalfYearly Summary," which appeared some months ago in the JOURNAL.

Progress has been made in remodeling the old wards of the white female department, though the work has been greatly handicapped on account of the difficulty in securing building material and sufficient help. The seventh, eighth, ninth, and tenth wards were finished and occupied September 25, 1918. The wards all conform to a definite plan, which has been carefully studied, the object being to supply the patients with accommodations that are best suited for their care. It is difficult for one not familiar with the situation to appreciate the striking comparison between the new and the old. The new, clean and attractive wards at once appeal to the patients, and not infrequently a careless, untidy patient, stimulated by his improved environment, will show marked improvement. Within a short time wards four, five, six and twelve will be ready for occupancy, and work of remodeling the remaining wards of the white female department is now well advanced.

Since the work of remodeling has begun, nothing has been accomplished that supplies a greater need to the hospital than the building of a tubercular cottage, which was occupied on September 15. The building is located in the northern part of the grounds, being about two hundred yards from the

nearest building. It is a one-story, frame building, one hundred and sixty feet long, and twenty-six feet wide. It is divided into two compartments or wards, one for female and the other for male patients. Each ward will accommodate, without crowding, twenty-five patients. The building is especially designed to meet the cardinal requirements of caring for tubercular patients, which are supplying them with an abundance of fresh air and sunshine.

The medical work has been conducted with the same clinical standards outlined in former reports, with the essential point of view that the mentally sick patient is one to be studied and treated as an individual rather than one who merely belongs to a certain disease category requiring only custodial care. Continuous baths and packs have been resorted to for excitement. All mechanical restraint has been abolished and seclusion reduced to the minimum. The continuation of suitable occupation and amusement for patients has demanded much time and thought.

Probably one of the most beneficial changes that have occurred in the medical department during the past year, was the placing of graduate female nurses in charge of six of the white male wards. There is much to speak for the character of their work, both in caring for the patients and the manner in which they have kept the wards.

WISCONSIN.-Central State Hospital for the Insane, Waupun.-This hospital is overcrowded, and the legislature has been asked for an appropriation of $100,000 to erect two new hospital wings.

CANADA. A new military hospital for mental cases is to be established at London, Ontario. An administrative and six ward buildings are to be erected.

Appointments, Resignations, Etc.

ALLEN, DR. HENRY, appointed Assistant Physician at Manhattan State Hospital at Ward's Island, N. Y., February 1, 1919.

ATKINS, DR. HENRY SKILLMORE, formerly Superintendent of St. Louis Asylum for the Insane, at St. Louis, Mo., died in St. Luke's Hospital, St. Louis, December 25, 1918, aged 51.

AUBRY, DR. WALLACE J. C., Medical Interne at Manhattan State Hospital at Ward's Island, N. Y., promoted to Assistant Physician November 1, 1918.

BABER, DR. ARMITAGE, Superintendent of Dayton State Hospital at Dayton, Ohio, granted an indefinite leave of absence.

BAKER, DR. JANE ROGERS, formerly Superintendent of Chester County Hospital for the Insane at Embreeville, Pa., died at her home in Chester, Pa., October 23, 1918, from typhoid fever, aged 51.

BARTRAM, DR. NELL W., Assistant Physician at Kings Park State Hospital at Kings Park, N. Y., resigned February 15, 1919, to go to Servia with the American Red Cross.

BECKER, DR. DEFOREST, Dental Interne at Manhattan State Hospital at Ward's Island,
N. Y., resigned October 30, 1918.

Beemer, Dr. NELSON H., Superintendent of Mimico Hospital for the Insane at Toronto,
Ontario, elected Vice-President of the Aesculapian Club of Toronto.
BENTLEY, DR. INEZ, Woman Physician at Kings Park State Hospital at Kings Park,
N. Y., left October 21, 1918, for service with the American Committee for De-
vastated France.

BENTON, DR. GEORGE H., appointed Medical Interne at St. Elizabeth's Hospital at
Washington, D. C., December 20, 1918.

BERRY, DR. WALTER D., appointed Assistant Superintendent of Gardner State Colony,
at East Gardner, Mass., and assumed his duties December 20, 1918.
BLACKBURN, DR. ELLA, Assistant Physician at Kenilworth Sanitarium at Kenilworth,
Ill., resigned

BLAISDELL, DR. RUSSELL, Senior Assistant Physician at Kings Park State Hospital at
Kings Park, N., Y., promoted to First Assistant Physician, August 1, 1918.
BOGDONOFF, SAMUEL, D. D. S., appointed Dental Interne at St. Elizabeth's Hospital at
Washington, D. C., February 14, 1919.

BOONE, DR. J. E., Interne at State Hospital for the Insane at Columbia, S. C., promoted to Assistant Physician, July 1, 1918.

BOULDEN, DR. GEORGE P., Assistant Physician at Manhattan State Hospital at Ward's Island, N. Y., resigned October 30, 1918.

BROWN, DR. JOHN F., appointed Superintendent of Central State Hospital at Waupun, Wis.

BROWN, DR. Louis R., Assistant Physician at Connecticut Hospital for the Insane at Middletown, appointed First Assistant Physician at New Jersey State Hospital at Trenton, December 4, 1918.

BRUSH, DR. NATHANIEL HAWLEY, formerly Assistant Physician at Henry Phipps Psychiatric Clinic at Baltimore, Md., and recently Captain, M. C., U. S. A., has been ordered from Fort Oglethorpe, Ga., to Debarkation Hospital No. 51, National Soldiers' Home, Va.

BUSHONG, DR. R. E., Assistant Superintendent of Athens State Hospital at Athens, Ohio, appointed Acting Superintendent of Dayton State Hospital at Dayton, Ohio.

CAMBPELL, DR. GEORGE B., First Assistant Physician at Utica, State Hospital at Utica, N. Y., and recently Major, M. C., U. S. A., on overseas duty, has returned to

CHANDLER, DR. HENRY M., appointed Assistant Physician at Connecticut Hospital for the Insane at Middletown, October 13, 1918.

CHANDLER, DR. JENNIE S., appointed Assistant Physician at Connecticut Hospital for the Insane at Middletown, October 23, 1918.

COFFIN, DR. HARRIET F., Assistant Physician at Kings Park State Hospital at Kings Park, N. Y., resigned December 9, 1918.

COON, CAPTAIN GEORGE B., M. C., U. S. A., appointed Assistant Physician at State Hospital for Mental Diseases at Howard, R. I.

COVEY, DR. CLYDE V., Assistant Physician at State Hospital for Mental Diseases at Howard, R. I., commissioned Lieutenant, M. C., U. S. A., and is on duty at Camp Meade.

CRANZ, DR. ALVAN H., formerly of Public Health Service, appointed Assistant Physician at Connecticut Hospital for the Insane at Middletown, January 3, 1919. DEWEY, DR. RICHARD, Physician in Charge of the Milwaukee Sanitarium at Wauwatosa, Wis., has become Medical Director of the same.

DIAMOND, DR. BERT B., Assistant Physician at Manhattan State Hospital at Ward's Island, N. Y., resigned February 28, 1919.

DOMINGO, DR. E., appointed Medical Interne at St. Elizabeth's Hospital at Washington, D. C., October 5, 1918, and resigned November 18, 1918.

DURSCHMIDT, DR. ELIZABETH WELLS, Assistant Physician at Kings Park State Hospital at Kings Park, N. Y., resigned September 1, 1918.

DUVAL, DR. LEON E., Assistant Physician at St. Elizabeth's Hospital at Washington, D. C., promoted to Senior Assistant Physician, December 1, 1918.

EASTON, DR. FLORA ESTELLA PAKKER, for eight years Assistant Physician at State Hospital for the Insane at Norristown, Pa., died in the institution, October 25, 1918, from pneumonia following influenza, aged 46.

ENGZELIUS, DR. A. E., Assistant Physician at Craig Colony for Epileptics at Sonyea, N. Y., resigned December 31, 1918.

EVANS, DR. EDWARD E., formerly Assistant Superintendent of State Hospital Number at Fulton, Mo., died at Memorial Hospital at Rosedale, Kan., December 12, 1918, from pernicious anemia, aged 50.

EVARTS, DR. ARRAH B., Senior Assistant Physician at St. Elizabeth's Hospital at Washington, D. C., resigned October 31, 1918.

EYMAN, DR. HENRY C., Superintendent of Massillon State Hospital at Massillon, Ohio, for thirty-four years, resigned.

FERRIS, DR. GEORGE NEWTON, from 1881 to 1889 Superintendent of Kings County State Hospital at Brooklyn, N. Y., died at the home of his sister in Brooklyn, January 28, 1919, from heart disease, aged 64.

FINKLE, DR. BEVERLY A., Assistant Superintendent of Norfolk Hospital for the Insane at Norfolk, Neb., appointed Superintendent of State Orthopedic Hospital at Lincoln, Neb.

FOULKS, DR. SARA E., appointed Medical Interne at Kings Park State Hospital at Kings Park, N. Y., January 7, 1919, and resigned February 5, 1919, to go to Servia with the American Red Cross.

FRANZ, DR. CHARLES H., formerly Assistant Superintendent of the Elgin State Hospital at Elgin, Ill., and recently in private practice in Aurora, has removed to San Francisco, Cal., where he is Assistant Surgeon in the United States Public Health Service.

FRY, DR. CHAUNCEY B., Dental Interne at Binghamton State Hospital at Binghamton, N. Y., returned from military service March 3, 1919.

FURMAN, DR. ISAAC J., Senior Assistant Physician at Kings Park State Hospital at Kings Park, N. Y., resigned November 23, 1918.

GANNON, DR. CHARLES H., Assistant Physician at State Hospital for Mental Diseases at Howard, R. I., commissioned Lieutenant, M. C., U. S. A., and is stationed at U. S. Hospital No. 34, East Norfolk, Mass.

GARVIN, DR. WILLIAM C., Senior Assistant Physician at Manhattan State Hospital at Ward's Island, N. Y., appointed Superintendent of Kings Park State Hospital at Kings Park, N. Y., August 1, 1918.