sistant physician, or in his absence one of the senior assistant physicians, conducted the meetings. Hydrotherapeutic procedures.-Hydrotherapeutic procedures consisted principally of hot or cold wet packs, continuous or prolonged baths and shower baths. Improvement has been noted in many patients receiving hydrotherapy; the treatments have assisted in making the chronic disturbed patients more comfortable and more quiet, and the general condition of the wards has thus been improved. Surgical operations.-Numerous operations were performed by Dr. John M. Lee and Dr. George T. Moseley, consulting surgeons; and Drs. E. V. Gray, F. P. Schenkelberger and P. M. Champlin of the resident staff. Scientific research.-Dr. P. R. Vessie has been conducting an investigation in reference to the therapeutic value of certain remedies in cases of epilepsy. Laboratory work. The laboratory work included examinations for diagnoses as follows: Sputum, 40; urine, 426; blood pressures, 84; lumbar punctures, 90; blood examinations, 50. Wassermann tests were made at the Psychiatric Institute, New York City, and 89 specimens of blood and 109 specimens of excreta were examined by the State Department of Health in connection with the typhoid epidemic. During the year, 104 deaths occurred and of these 76 came to autopsy, or a percentage of 73.08. A large number of patho logical tissues were examined and preserved. Prevention and after-care work; out-patient department.-Miss Florence A. Armstrong, the field worker and after-care agent, visited paroled patients, investigated the welfare of discharged patients, secured family histories for the case records in newly admitted cases and attended all hospital clinics. She interviewed the relatives of the patients, whenever they visited the institution; attended staff meetings and familiarized herself with the history and condition of all patients brought to staff meeting for parole or discharge. The following clinics were held monthly: first Thursdays, at 267 Elmwood avenue, Buffalo, 10-12 a. m.; second Wednesdays, at Brooks Memorial Hospital, Dunkirk, 1-4 p. m.; third Wednesdays, at W. C. A. Hospital, Jamestown, 1-3 p. m.; fourth Wednesdays, at Higgins Memorial Hospital, Olean, 2-4 p. m.; fourth Thursdays, at the hospital in Salamanca, 1-4 p. m. BUILDINGS AND Grounds Total acreage (including 150 acres rented).... Acreage under cultivation Value of real estate, including buildings. 650 396 $847,596 00 Extraordinary improvements made.-Old wood reservoirs at the Indian springs were replaced with cement structures. Slate roofs were repaired and exterior of buildings repainted where necessary. Collins spring house was enlarged, and a new pump and motor installed. A new milk house was constructed at the dairy barns of cement blocks from the old cement fire house. Extensive alterations were made at the hennery, and new colony houses built. Construction of the pathological laboratory and mortuary, for which the Legislature appropriated $10,000, was commenced in the fall of 1916. Several hundred feet of cement drain tile were made by the patients during the past winter, 647 feet being used to drain the fields south of the main buildings. Several acres near the piggery were enclosed as a new range for the swine and 4 acres adjoining the hennery were enclosed with chicken wire to provide sufficient cultivation of green fodder for fowls. A feed-water heater was purchased, but installation at power house was delayed owing to insufficient funds in the appropriation. The wood stanchions in the old dairy barn were removed and 30 steel stanchions installed. Expenditures: Maintenance FINANCIAL $265,666 25 Special fund Annual per capita cost of maintenance. RE-EDUCATION 9,385 14 209 77 84 1 to 15.62 Miss Bernice M. Applegate has continued in charge of the class for the re-education of dementia praecox cases. The class meets daily from 8 a. m. to 5 p. m., with one and one-half hours at noontime for dinner and recreation. The average attendance was 35. The patients derive much pleasure and benefit from their work. Many useful articles were made for the hospital, and exhibits of the work done were displayed at the State and county fairs. AMUSEMENT AND RECREATION OF PATIENTS The usual program of amusements was provided during the year, under the supervision of Dr. Percy R. Vessie. Band concerts and motion pictures were enjoyed once a week throughout the year. Forty orchestra concerts were given on the different wards, and 60 band concerts were held in the grove adjoining the hospital buildings. During the very hot weather in July and August, chapel exercises were held in this grove on Sunday afternoons. The change from the amusement hall to the open air service was much enjoyed by patients and employees, as well as the officiating clergymen. The usual dances were held on Monday evening during eight months of the year. July 4th, Thanksgiving Day and Christmas Day were celebrated with fitting entertainments, and during the year card parties, amateur and professional entertainers, pool, billiards and various card games afforded a variety of amusement for all patients. NOTEWORTHY OCCURRENCES Escapes. During the year, 23 patients left the hospital without permission. These patients had the freedom of the grounds |