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of the colon. A large dilated caecum is the usual picture. Whether or not, there is a high obstruction toxin, due to a dragging at the head of the pancreas across the duodenum, as a result of a result of a ptosis of the colon, as suggested by Sweet and others, remains to be seen, but duodenal dilatations have been met with frequently.

Because of the possible relationship between a hypopituitarism and epilepsy, we have made a number of radiographs of the sella turcica. Johnson of Pittsburg first called attention to a roofing over of the sella in the epileptic, he believing that there was an overgrowth of the clinoids, with a contraction of the fossa and thickening of the bone in this neighborhood. As our radiographs will show, a large number do present a roofing over of the anterior and posterior clinoids, but an equally large number show a spacing between the clinoids. At autopsy Dr. Munson has taken tracings of the sella, which are at variance with the radiographic findings. The clinoids when viewed from above, are often overlapped, but there is a spacing between the lateral clinoids, and no bony vault over the pituitary gland.

We have taken the carbon dioxide tension of the alveolar air in a number of cases, and have been interested in finding the very lów readings followed status and even single seizures. We hope to report a larger series of these cases later. All of which is respectfully submitted.

G. KIRBY COLLIER,

First Assistant Physician.

Statistics of the Institution for Year Ending June 30, 1917 Number of patients in institution July 1, 1916...... 1,466 Number of patients received during the year.

234

Total number cared for during the year. .....

1.700

4

Discharged During the Year Ending June 30, 1917
Recovered.
Improved.
Unimproved

19

34

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Since the opening of the Colony in January, 1896, there have been 4,687 patients under treatment. Of these there have been discharged as Recovered.

80 Improved...

628 Unimproved.

779 Insane..

152 Died.

1,579 Otherwise discharged

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Occupations Previous to Admission in the Case of 234 Patients

Admitted During the Year Laborer.

18 Farmer.

9 Motorman.

1 Housework,

23 School. . .

24 Painter,

2 Driver,

1 Glass blower

1 Moulder,

1 Cigarmaker..

1 Packer..

1 Clerk.

7 Porter..

1 Draftsman.

1 Mason.

2 Train dispatcher

1 Presser. .

1 Butter maker

1 Laundress.

1 Conductor.

1 Salesmen.

3 Mill operator

1 Bartender. .

1 Inspector .

1 Factory worker

1

Tailor. . .

1.

No occupation

128

234

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ADMISSIONS AND DISCHARGES ARRANGED ACCORDING TO AGE AND SEX

Patients in institution July 1, 1916:

By judicial commitment. By acceptance of poor law officers.

Received during year ending June 30, 1917:

By judicial commitment.
By acceptance of poor law officers

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34

21
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Discharged during year ending June 30, 1917:

Returned to parents or guardians
Returned to committing officer
Transferred to other institutions
Discharged by court order
Died

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Patients remaining in institution June 30, 1917:

By judicial commitment By acceptance of poor law officers.

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