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two by the Judges of the Superior Court, and two by the Judges of the Court of Common Pleas of Hamilton county-their term of service being five years each, and the term of one member expiring each year. The Hospital Committee of the City Council is now composed of Messrs. C. S. Schultz, Thomas Smith and A. H. Hinkle.

Plans for the Building.

As the first step to be taken, the Board offered three premiums for the best three plans that might be submitted to them for adoption. The first was $1,200, for the most acceptable plan; the second, $800 for the next; and $500 for the third. In due time four plans were submitted, which were thoroughly examined, and the first premium was awarded to Mr. A. C. Nash, an architect who has recently located in our city, and produced some designs that have been greatly admired by builders and others. The other two premiums were awarded to other architects resident here. Each of their plans had merits, and were creditable to the artists who drew them; but on the whole they were regarded as not so desirable as the one adopted. The plans of Mr. Nash have undergone some slight modifications, at the suggestion of different members of the Commission, but not in any way to effect the original features of the design.

The drawing herewith is of the first or main floor of the building, by means of which the reader obtains a pretty good idea of the outward appearance and internal arrangement of the Hospital, which is agreed by all to be a magnificent ornament to the city, as well as a most useful, humane and much needed institution.

Eligibility of the Location.

Before referring to the plan we will say, that the somewhat central location of the old Hospital was deemed by the Commission more desirable than to have gone into the suburbs of the city, for more room and better air, even if they could have done 80. Applicants for admission to such a hospital are generally patients who have been struck down suddenly with violent and dangerous diseases, or the victims of accidents, whose sufferings are painful in the extreme, and the less transportation they have to endure the better. For the convenience of visiting physicians and the attendance of medical students from the various colleges of the city, at the clinical lectures and operations in the hospital,

it is also advantageous, almost necessary, to have it centrally located.

The lot on which the hospital stands is a parallelogram, 448 feet long on Plum street and Central Avenue, its eastern and western lines, and 340 feet wide on Twelfth and Ann streets, its southern and northern lines; so that the building is entirely isolated from other property, and obtaining light and ventilation from every quarter. The canal on Plum street is a little objectionable now, but before many years it will undoubtedly be filled up, and made an extension of Eggleston Avenue all the way to Brighton, becoming the finest boulevard in any American city.

Twelfth Street Front.

The front of the building is on Twelfth street; we say building, regarding the structure as a whole, though in fact it is composed of a series of eight almost wholly disconnected parts, and not one compact solid edifice. Several advantages are secured by this arrangement; first, better ventilation; second, greater security from conflagration; and third, more architectural beauty and effect. But these several divisions are so arranged, bordering the four sides of the square, twenty-five feet from the pavement at their nearest points, as to present the appearance of unity, and at a little distance they seem like one immense edifice.

On Twelfth street, midway between Central Avenue and Plum street, stands the head or central portion of the structure, termed the Administration Department, marked A. It is a building 75 feet front by 50 feet deep, with a main entrance and hall in the center. This administration block contains on the first floor, rooms for the Superintendent and family, reception rooms, apothecary and dispensary, resident physician, library and pathological museum. The basement contains rooms for storing and examining drugs, a laboratory, family and officers' dining rooms, bath rooms, laundry and drying chamber, family kitchen, cellars, etc. In the second story are the Trustees room, sleeping rooms for Superintendent's family, and private wards for pay patients. Operating Lecture Room.

In the third story is the operating theatre, with seats for 750 students. This room is lighted mainly from the roof. In connection with the theatre is a room for operators, instrument room, bath and lavatory, rooms for patients before and after operation. There is also a lift communicating with each story below.

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F-Fountain in the center park or court, which will be kept in grass, with curved walks from side to side, and end to end.

The figures in the drawing indicate the dimensions in feet of the several departments.

The pavilions are designed for three stories. The wards in the central pavilions are calculated for thirty-six beds each, and the remainder twenty-four beds each, making about six hundred in all, the wards being so located as to secure a direct current of air through them. At one end of the wards are rooms for the physician and nurse, with water closet, kitchen, pantry and fuel and convalescent dressing rooms, linen and clothes rooms, patients' lifts, dumb-waiter and foul linen shoot. At the other end of the pavilion are water closets, slop sinks, bath and lavatory. These rooms have a direct ventilation through them, and a downward draught in connection with the main chimney stack. At one end of the central pavilions are private rooms for pay patients. The basement of the pavilions are devoted to accident and temporary wards, dormitories for domestics, coal depots, store and baggage rooms, etc.; also in the basement there is a railway for the conveyance of the sick, and for distributing coal, food, etc., to the various lifts.

The central building on Ann street contains the kitchen, bakery, servants' hall and dormitorios, engine room, porter's lodge, postmortem room and a mortuary.

Patients will be taken into the hospital on Ann street, near Central Avenue. Visiting physicians will, also, generally enter here, as it is intended to erect a neat carriage house and stable on the line of Ann street, some distance from the kitchen, for the safety of their horses and buggies.

The whole establishment is heated by steam-in the wards, by means of coils of pipe in heated air chambers-in the basement, in the halls by means of direct radiation from steam tables or radiators.

Corridors connect the various buildings. These corridors are

intended to be open in summer for the free circulation of air, and they may be closed in winter.

Elevation and General Appearance.

The walls of the whole edifice are brick, belted at each story with sandstone work, the door and window openings being ornamented with the same material. The central building has the appearance of four stories above the basement, on account of the hight of the lecture room in the third story; the pavilions are but three stories above the basement. The lecture room is surmounted by a dome and spire reaching 110 feet from the paveEach of the outer ends of the pavilion is surmounted by a turret, for ornament and to promote ventilation. The top stories all around are finished in French style, with Manzard roof of slate.

The whole square is surrounded by an iron fence, standing on & substantial but neat stone foundation.

The Staff

Of the Cincinnati Hospital, at present, is as follows:

Surgical-W. H. Mussey, W. W. Dawson, H. E. Foote, Wm. Clendenin.

Medical-C. G. Comegys, Jno. A. Murphy, Jno. Davis, J. F.

White.

Obstetrical-George Mendenhall, M. B. Wright.
Ophthalmological-E. Williams, W. W. Seely.

Pathologists-Wm. H. Taylor, Roberts Bartholow. (Wm. Carson, pro tem).

These gentlemen are on duty three months at a time, alternating, and giving clinical instruction during the sessions of the medical colleges. It is further proposed to give the clinical teaching, hereafter, daily, which will greatly add to its importance and value to the student.

SMALL-POX IN CINCINNATI.-We observe that variola is prevalent, at various points, to an unusual extent. Thus, we see that it has been epidemic in San Francisco to an alarming degree. In the five months, ending with October, there had been 260 deaths in that city from small-pox, and the disease was pronounced increasing at the rate of ten per cent. In this city it has prevailed as an epidemic for some months past, and is still prevalent to an

unusual degree; but we believe it to be steadily under the control of the usual means for its prevention and treatment; indeed, the fatality has not been remarkable. Again and again, during the past few months, the positive and complete efficacy of vaccinnation, as a complete preventive or protection, has been exhibited.

RECITATIONS IN MEDICAL COLLEGES.-We shall undoubtedly come, by degrees, to very important changes in our plans of medical teaching in this country. The growth and age of the country will materially facilitate these desirable revolutions; but they can only be reached by degrees. Many of the proposed changes are worthy of attention, and will doubtless come, step by step, to be engrafted on our present system. Thus, most of our respectable schools have lengthened out the term of the sessionfrom three and a half months of actual teaching, to about five months.

A few years ago it was not out of the way to have a faculty of six professors; our best schools now quite uniformly number from seven to ten. These additions add materially to the efficiency of the course, enabling the teachers to present a fuller and more thorough plan of instruction. Then, again, clinical instruction is now made a more prominent feature of all our best schools, so that those schools, which are not situated so as to give the prominence due this important part of medical education its place, become second rate. We call up these steps, by way of reminder to those carpers who whine that we are stationary in medical teaching in this country. Now about modes of imparting instruction: Some of our friends urge that the details of literary grading and recitation should be introduced into our medical schools. We are glad that these points are being urged and agitated. By and by, we shall come to these advance steps with many others of importance. In the Miami Medical College, of this city, considerable attention is given to systematic recitations, and we presume other schools pursue a similar course. Thus, about one-third of the hour is occupied in a review "quiz" of the previous lecture, or one evening in the week is thus set apart. With us, in addition to these regular examinations, there is a private course of examinations conducted by the adjuncts chiefly, which gives a further and complete review of the course as it progresses. As the country grows older, there will continually be thrown about

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