Vol 22, No 1 (1926)

In January of the current 1926, exactly 25 years have passed since the first book of the "Kazan Medical Journal" was published, which is, therefore, one of the oldest modern Russian medical journals.

The rapid development of pathology, which began in the second half of the 19th century and continues to the present time, was the result of the improvement of the microscope and the introduction of the experimental method into scientific research. The significance of these two fundamental foundations of modern scientific progress is clear to everyone; a good illustration is the tremendous impetus that Cohnheim's pathology received in 1867.

Over the past five years, we have observed four cases of complete transverse heart block at the Faculty Therapeutic Clinic. One of these cases has already been described by Dr. Rufimsky on the pages of Kazan Medical Journal (1921, No. 2), and two new cases where transverse dissociation of the heart was found in patients in a rare combination with other pathological conditions from this body, we consider it interesting to describe in this article.

The divergence of the rectus abdominis muscles is a frequent occurrence that the surgeon has to meet and which has to be eliminated in one way or another by surgery. A similar diastasis of the rectus muscles we meet primarily not only in adults and the elderly. especially in multiparous women, but also in young subjects and even children. If you pay systematically attention to the condition of the rectus muscles in carriers of inguinal hernias, then it is not so rare to find in them, along with the inguinal hernia, also the divergence of the rectus abdominis muscles. Although such a discrepancy does not essentially represent a hernia, it is an expression of a weakening of the abdominal wall and must be corrected by surgery. In addition to the cases mentioned, as is known, we often meet cases of divergence of the rectus muscles, combined with hernias of the white line, incisional and umbilical hernias.

Over the past decade, blood transfusions in Western Europe and especially in America have become a common remedy, and they are successfully used at the bedside of sick children. So, we can name the names Opitz'a in Germany, Halbertsma in Holland and Kerr Gross'a, Oxon'a and Edin'a in Canada, who used intravenous infusions (homotransfusions) in sick children with anemia. The last of the listed authors expand the indications for blood infusion, using them also for severe hemorrhages, for shock from various reasons, as a preparatory agent before operations in weak patients and with significant weakness, and with septicemia and intoxication from burns or in connection with gastric diseases preferring to do infusions after partial exsanguination of patients.

The practical side of the issue of the use of nonspecific therapy forces clinicians, without waiting for the comprehensive theory of substantiation of nonspecific immunity, to study the phenomena observed at the patient's bedside. In establishing indications for the use of non-specific resp. protein therapy, as well as in assessing the strength of its therapeutic effect, the observations of numerous authors are full of contradictions. There are still no generally accepted conclusions in the field of application of nonspecific therapy for gonorrhoid diseases. Therefore, we allow ourselves to share the observations made by us on a relatively large stationary material of the Skin and Venereal Clinic of the Kazan State. Institute for the mustache. doctors.

Antimony has been used since ancient times in the East, in China and Babylon, for cosmetic purposes and as a protective agent for endemic eye diseases. As a medicine, antimony has long enjoyed wide popularity there in the treatment of tumors ("Baghdad bump"), in gynecological, laryngological practice, etc. This medicine from the Arabs was borrowed by doctors in Western Europe in the Middle Ages. The famous Theophrastus Paracelsus (1493-1541) especially highly appreciated it and warmly recommended it; “Mineralium, Quorum summum ac posissimum arcanum in se claudit Antimonium:” he says. Another great physician and chemist of this era, Basilius Valentinus (1604), glorifies the beneficial effects of antimony in French disease (syphilis), leprosy, plague, cancer, malaria, asthma, persistent cough, and stomach ailments. skin diseases, wounds, as well as melancholy, etc.

As you know, this hole is formed due to the rotation of the stomach and connects the posterior gastric space or the upper peritoneal sac with the rest of the abdominal cavity, and normally it has about 8 cm., In circumference.

D. Kadanov (Zeit. F. Anat. And Entw., Bd. 73) investigated the mesenteric nerves of humans and various animals using the Schultze method. He distinguishes between the nerves passing through the mesentery, intended for the innervation of the intestine, and the nerves of the mesentery proper.

Digestive leukocytosis and leukopenia are considered by everyone at the present time, as a result of distributional fluctuations in the content of leukocytes in the vascular bed.

Mattei and Escudier (Presseméd, 1925, no. 66; according to the report in Pr. Br., 1925, no. 8) report excellent results obtained by them from the use of an emetic stone in pulmonary hemorrhages that did not respond to conventional therapy.

Glaessner (Klin. Woch. 1925, No. 34), investigating the effect on gastric secretion of parenteral administration of chemical and bacterial products (nuclein, typhoid and gonococcal vaccines, various tuberculins, etc.), established their different effects on the stomach. Especially the typhoid vaccine and tuberculins have the ability to reduce the secretion of hydrochloric acid and gastric acid enzymes. The author considers it possible to use this in the therapy of hyperaciditas.

Torday (Zentr. F. Tbc., Bd. XXIV) attaches great importance to hemograms at tbc.

According to Sorgo (Med. Kl., 1925, Nos. 2-4), there are no differences between the effect of tuberculin and the effect of protein bodies: with both, absolutely identical local, focal and general reactions are obtained at an appropriate dosage.

Samson (Beitr. Z. Kl. Tbc., Bd. 61. H. 5) reports two severe cases of pulmonary tbc, where bilateral pneumothorax was imposed. The operation resulted in a drop in temperature, weight gain, and improved well-being. The patients, previously bedridden, returned to their household after the operation. They received no other treatment.

Having thoroughly studied the literature related to this, OF Belits (Klin. Med., 1925. No. 8-9) found, by the way, that lumbar anesthesia, even with the correct technique, cannot be considered completely safe: mortality from it, according to the latest data, not less, but even more than with inhalation anesthesia.

M. M. Fedorovich and A. F. Kaiser (Turk. Med. Zh., 1925, No. 9), wishing to check the significance of the Steinach operation, decided to perform it in a number of persons with normal or premature old age, who, however, were -will be free from neuropathic and psychopathic heredity, organic lesions of the nervous system, sharp organic lesions of internal organs and organic lesions of the genital area.

T. P. Krasnobaev (Nov. Khir. Archive., No. 31) on the basis of his own material in 428 cases of acute osteomyelitis, which gave him 22.4% mortality, concludes that in severe cases of this disease in its initial stage avoid serious surgical interventions associated with general anesthesia, limiting ourselves to early opening of the abscess with an incision that penetrates up to the periosteum inclusive; in the future, all the attention of the surgeon should be focused on the treatment of phlegmon. 

I. Rabinovich (Klin. Med., 1925, No. 8-9) had, in the clinic prof. Peacekeepers a (Saratov).

Grimingen (Zeit. F. Augenheilk., 1925, Bd. 55) reports on a new preparation of copper - tracumin, which, in the form of a 5% ointment, proved to work better than all the other methods of copper treatment known so far for eye diseases and in particular with trachoma, both complicated by corneal lesions and not complicated. Good results from tracumin were obtained by the author and with pannus, as well as with eczematous pannus and follicular catarrh.

Sellheim (Zentr. F. Gyn., 1925, no. 32) the trace describes this reaction, which he calls the Lüttge-Mertz-Berger reaction: 1 cubic meter is poured into a test tube. sant. the blood serum of a woman in whom pregnancy is suspected, or the sex of the fetus of which they want to find out, then add here a certain amount (the amount of this S. does not indicate) extracts from the placenta or testicles, mixed with a solution of sodium chloride (in what proportion - S. also does not indicates, but only says that this extract can be obtained ready-made, in ampoules, from the Wolff company in Bielefeld).

Feeling of the uterine cavity immediately after childbirth in order to determine the retention of parts of the placenta is principally used in the Zangemeister'a clinic, at the slightest suspicion of a delay in the placenta. Wiemann (Zentr. F. G., 1924, no. 51) indicates that with this course of action, the retained remnants of the placenta are never viewed.

Analyzing complications arising after an abortion operation, prof. Tsomakion (Zentr. F. G., 1925, No. 31) comes to the conclusion that a simple curettage in the first months of pregnancy, in addition to the danger of severe side injuries, can lead to a number of severe functional disorders of the reproductive system in women and general disorders.

The technical details of the implantation of tubes into the uterus are given by Volkmann (Zentr. F. G., 1925, no. 33) The most suitable segment of the tube from a functional point of view is its lateral part, which may be quite suitable for transplantation, for example, in cases of an ectopic pregnancy and inflammatory tube changes. During the operation, damage to the vessels must be avoided. Stopping bleeding must be done carefully. Any mechanical damage to the pipe should be avoided by grasping it with tweezers or pulp.

Dresel (Kün. Woch., 1924, no. 49) found that when striati was removed on one side, the dogs had involuntary movements on the operated side; turning the body in the direction opposite to the operation was impossible for them.

Petzitacis (Revue Neur., 1925, No. 1; according to the ref. In Sovr. Neur., 1925, No. 5) received in 2 pages. epilepsy excellent results from the use of intravenous fluids of calcium chloride.

Considering delirium tremens as an infectious delirium with alcoholism in etiology and alcoholic traits in the clinical picture, Damaje (L'encephale, 1925, No. 3; according to the ref. In Modern Psych., 1925, No. 5) recommends treating it first of all attention to t ° and the patient's nutritional status. If the temperature is increased, and the nutrition is bad, you need to immediately start anti-infectious therapy, - injections of electralgol and antistreptococcal serum; in non-streptococcal cases, the antistreptococcal serum is replaced with antipneimococcal. In this case, in no case should you deprive the patient of alcohol.

Practical value of WR provocation in blood. A major drawback of WR is a 50% negative result in latent syphilis. Hence the methods of provocation. The Gennerich-MilLian method, proposed for the first time (provocation with the introduction of neosalsarsan), gives a positive result infrequently. Oppenheim suggests provocation with milk, tuberculin, Konradi - typhoid vaccine.

To this end, Ganducheau (Presse med., 1925, No. 30; according to the ref. BP. Gaz., 1925, No. 19) recommends lubricating the skin of the penis after suspicious copulation and rubbing it for 2 s. in the urethra lipstick trace. composition: Hg. oxycyanati 0.1; thymoli 1.75; calomeli 25.0; lanolini 50.0; ol. vaselini 4.0; vaselini ad 100.0.

Sternberg (Ven. And Derm., 1925, No. 4) distinguishes between clinical and etiological curability. If the first is achieved through various therapeutic measures (which is reflected in a number of subjective signs), then it is much more difficult to resolve the issue of ethnological curability, that is, the absence of gonococci, which is extremely important from a preventive and social point of view.

The colossal influx of gonorrhoid b-s into dispensaries, with a lack of medical staff, forces dispensaries to allow the b-s to perform deep rinsing of the urethra for themselves according to Janet, that is, to perform autojanetisation.

The investigations carried out in this direction by A.T. Bondarenko (Zhurn. Usn., Nose. And throat, bol., 1925, No. 9-10) allowed him to come to the following, important in practical terms, conclusions.

The appearance of the first book "The Library of the Practical Physician" should be especially welcomed, since the task of the editorial board is to give a number of small essays on current issues of medicine to a wide range of practitioners.

“Non multa, sed multum” - this is how briefly this masterly written brochure, reminiscent in its form and talent of the book of prof. R. Zander'a "Die Leibsübungen und ihre Bedeutung für die Gesundheit". (Lepzig, 1911) Considered over seven chapters: a historical outline of the doctrine of physical education, ways to strengthen the body (gymnastics, sports, games), anatomical and physiological data on the motor apparatus, the physiological significance of movements for humans, hardening of the body (cooling, aeration), the influence of light on the body and the author's own system of free movements.

The Congress, which took place from 13 to 18 September last year in Moscow, gathered up to 170 participants from all over the Soviet Union. In total, up to 150 reports related to various departments of pathology and pathological anatomy were heard. There were no software themes. Such a large number of reports involuntarily caused a strong time limit for both speakers (up to 10 minutes) and for those who spoke in the debate (up to 3 minutes), which, of course, could not but affect the completeness of the reports.

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