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SUMMARY OF ANNUAL REPORT OF THE RIVER CREST SANITARIUM, LOCATED AT ASTORIA, LONG ISLAND, N. Y.

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Number of physicians, 3.

Ratio of all physicians to patients, 1 to 40.

Hydrotherapeutic procedures: The hydrotherapeutic department is located in the basement of the men's building. It is commodious and well arranged. The Baruch system of hydrotherapy is used. An electric light cabinet in this department is

frequently used. This department is in operation on Tuesdays, Thursdays and Saturdays throughout the year and is in charge of trained attendants. The women are treated in the forenoons and the men in the afternoons. An average of thirty patients are treated on the days specified. Cold and warm packs are given continually throughout the institution. Electric treatments are also given continually and are found beneficial.

Surgical operations: No major surgical operations have been performed in the institution during the year.

Laboratory work: The laboratory is well equipped for the examination of urine, sputum, gastric contents, feces, spinal fluid, and such examinations are being made daily by the house physicians.

Autopsies: Two autopsies have been performed.

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During the year classes have been formed in various useful occupations, including basketry, rug weaving, brass work, leather work, carpentry, chair caning, bead work, making of paper flowers, sewing and embroidery. This work has been under the supervision of Miss Sarah L. Kelley, who has taken a special course at Columbia University. A shop is provided, where certain of the patients who are well enough can have all the necessary equipment to carry on the above occupations. Special hours of instruction are given each day on the ward among the patients who are not able to visit the shop.

Various forms of amusement are provided and the patients are instructed and encouraged to participate in them. An excellent bowling alley, a club house and a separate billiard parlor are in constant use during the winter. An additional billiard parlor has been opened in the men's building for mental cases. In the

summer a great number are interested in croquet, lawn tennis, medicine ball, baseball, and golfing. During the summer months parties are sent on a boat for fishing excursions up the Sound. Social functions are largely attended and much enjoyed by all.

NOTEWORTHY OCCURRENCES

During the past year two patients who were at home on parole committed suicide. No injuries of any importance have occurred to the patients. Several patients have eloped, but in each case they were either returned to the Sanitarium or left in the custody of their relatives.

IMPROVEMENTS IN INSTITUTION

Constant improvements have been made in the institution. throughout the year in the way of renovating, painting and redecorating. No new buildings have been erected.

SUMMARY OF ANNUAL REPORT OF ST. VINCENT'S RETREAT, LOCATED AT HARRISON, N. Y.

Sisters of Charity of St. Vincent's.

Swepson J. Brooks, M. D..

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Owners

Physician in Charge

Attending Physician

..Associate Physician.

Leon E. Peeler, M. D....

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Number of voluntary inebriate cases admitted.
Number of voluntary drug cases..

9

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CAUSES OF DEATH OF PATIENTS

Operative-acute intestinal obstruction...
Pneumonia, following fractured femur.
Myocarditis ...

Exhaustion from acute mental disease..

Involution melancholia

Diarrhoea with enteritis

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Number of physicians, 3.

Ratio of all physicians to patients, 1 to 50.

Hydrotherapeutic procedures: Extensive use has been made of the hydrotherapeutic rooms, and in the wards packs and the continuous baths are in constant use.

Laboratory work: Systematic examination of urine and blood.

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