Vol 26, No 9 (1930)

Regarding the appeal of the Central Committee of the All-Union Communist Party (b.) Of September 3, pp. g.

At the Sergiev Mineral Waters resort, as well as at other mud resorts, the vast majority of therapeutic patients are patients with joint diseases. So, in the 1929 season, out of 518 patients who passed through the therapeutic sanatoriums No. 3, 4, 5 ^. 396 people suffered from various joint diseases. Almost all of these patients, with very few exceptions, arrived at the resort with a conventional diagnosis of chronic articular rheumatism.

This message is only part of the work on the study of pulmonary abscesses, developed by the therapeutic clinic and that, and concerns mainly the cases of their surgical treatment, observed in conjunction with the surgical clinic of that.

The diagnosis of mesenteric vascular thrombosis to this day does not go beyond the limits of assumptions, since the recognition of this suffering is extremely difficult even with modern research methods. Usually, in such cases, we have a clinical picture of intestinal obstruction proceeding according to the type of strangulation, and an accurate diagnosis of the disease is often placed on the operating table or on the sectional table. Acute colicky pain in the epigastric region, which is considered characteristic of mesenteric thrombosis, is often absent; most often we see them with embolism of these vessels. This will become clear if we remember that thrombosis in most cases occurs slowly, and therefore / and the clinical picture will not have an acute onset, as is the case with an embolus, where the onset is usually always acute. An exception to this is thrombosis of an infectious nature.

Cases of general nervous alopecia are very rare, their etiology is not clear enough. We present two cases of significant interest. Case 7. M. V., 56 y., Tatar, shoemaker. Married for the 2nd time. Of the 6 children from his first wife, one is alive, the rest died in early childhood from infectious diseases. Grew and developed normally. Moderate alcoholism. Lues denies. Typhus in 1921. In 1927, amid complete health, the patient developed a loud noise in the head and pain in the back of the head. The dream was upset. Slept at this time for 2-3 hours a day. No fever. He did not quit his job. The noise in the head lasted for about 3 weeks. At the end of 3 weeks, before the noise disappeared, he felt “scratching” in the scalp area, and the hair began to fall out in strands. Not a single hair remained from a solid head of hair in three days. At the same time, his long mustache was easily pulled out. The previously shaved beard has not grown. Eyelashes and eyebrows fell out. Armpit and pubic hair disappeared. All this happened within 3 days. After 3 weeks from the onset of the disease, the noise in the head disappeared and did not recur. Sleep became normal. The hair has not yet grown.

The huge army of tractor drivers, already exceeding tens of thousands and scattered over the vast area of our union, requires a vigilant attitude towards its health. The work of the tractor driver has not yet been sufficiently studied. Meanwhile, to know about the dangers of this work is necessary not only for the doctor serving with. x. workers, an agronomist, an instructor, trade-union organizations, but also the tractor drivers themselves, who often extremely frivolously claim that the tractor is an innocent child's toy.

In-depth study of the so-called. vitamin A showed that this substance consists of two different substances that are not identical to each other either in chemical and physicochemical properties (for example, with respect to thermolability), or in biological effect, or, finally, in their content in various food products ... Fish oil, for example, contains both, but some other fats (butter) contain vitamin A but do not contain this supposed second substance. Regarding the latter, further experiments found that its introduction to young animals, in which a violation of the ossification process, similar to rickets of childhood, was experimentally caused, causes a rapid improvement or even complete disappearance of the pathological process. Therefore, this new substance, isolated from vitamin A under the name "vitamin D", is also called the antirachitic factor. To what extent both the names are correct, we will see below.

Bibliography and reviews. A. Carrie. Les syndromes icteriques, p. 348. c. 85 fr. Paris, G. Doin et Cie, 1930

Bibliography and reviews. Rosenfeld, M. Die Storungen des Bewusstseins, klinisch diagnostische Studien fiir Aerzte und Studierende. 347 Seiten. Verlag Georg Thieme. Leipzig, 1929. Preis geh. RM. 16. — geb. RM. eighteen.

Abstracts. Internal illnesses. Angina pectoris and cardiac asthma. Prof. J. Pa1 (Die arztliche Praxis, No. 9, 1929) considers the main common feature for these 2 diseases that seizures fall out during a feverish state.

Abstracts. Internal illnesses. Acute heart weakness in infectious diseases occurs according to T. Brugsch'y and W. Ghunke (Mediz. K1. No. 14. 1929) or due to depletion of cardiac activity, or due to paralysis of vasomotors with predominant expansion and blood filling of arterioles in the splanchnicus area, or due to anemia of the centers of blood pressure due to the outflow of blood to the abdominal organs. Clinical and pathological anatomical study by the authors of those cases of acute heart weakness, which led to death, showed that with diphtheria, influenza and erysipelas, depletion of cardiac activity most often occurs, with typhoid fever and scarlet fever, cerebro-toxic collapse predominates, less often primary capillary paralysis.

Abstracts. Internal illnesses. Hepatic extract administered per rectum. Keznikoff (Journ. Of Am. M. Ass. V. 93, No. 5) gives a case history of one patient with anemia perniciosa, complicated by pneumonia.

Abstracts. Internal illnesses. On the basis of a clinical examination of 37 patients with secondary anemia, treated with liver and iron, Keefer and Jang (Journ. Of Am. Med. Ass. V. 93, No. 8) come to the following conclusion: iron increases hemoglobin regeneration in anemia secundaria, and the liver and iron given together to the same patient makes this regeneration faster than when given one of these drugs (a similar reaction was found in dogs Robschiet Robbins and Whiple, and in humans - M inot, Murphy, Stetson, Powers).

Abstracts. Internal illnesses. Treatment of pernicious anemia. Wilkinson (Brit. Med. Journ., No. 3605), proceeding from the theory that anemia perniciosa is the result of some defect in the gastric juice of the patient, unable to produce the necessary substances from food proteins, treated a. p .: 1) normal gastric juice, 2) raw and 3) dried pig stomach. A. came to a trace, conclusions: 1) normal gastric juice gives an improvement in the general condition and blood picture more pronounced than with hepatic therapy; 2) hydrochloric acid and pepsin did not give any effect in the hematological state of the patient; 3) the mucous membrane and the muscular layer of the pig's stomach, both are active in the treatment of a; R.; 4) the dried preparations of these both parts give the same results: 5) the results obtained from this gastric therapy are better than those from the hepatic therapy; 6) so. peptic enzyme, which contains the gastric mucosa and does not contain pepticenzyme, the muscular layer of the stomach, as well as the liver and kidneys, are a source of active hematopoietic substance.

Abstracts. Surgery and X-ray therapy. Radical removal of varicose and thrombosed large cutaneous veins of the thigh with a skin flap. Prof. Voznesensky (Zentr. F. Chir., 1930, No. 33) in sharply expressed cases suggests removing the vein along with the skin, based on the considerations that the thinned skin of the vein area at. leaving it does not do much good. The author calls his method the stripe method.

Abstracts. Surgery and X-ray therapy. About ethereal chloroform anesthesia with Ombredan's mask. F. Hild (Zentr. F. Chir., 1930, No. 30) performed about 2000 anesthesia using the Ombredan mask.

Abstracts. Surgery and X-ray therapy. The combined use of spinal and local anesthesia in abdominal operations. Prof. Hortolomei (Zntrb. F. Chir., 1930, No. 3) produced 5100 spinal anesthesias within 10 years without one death, and in 2600 cases. chloroform anesthesia — 3 deaths.

Abstracts. Surgery and X-ray therapy. One-stage or two-stage thoracoplasty? K. Andersen (Zentrb. F. Chir. 1930, L® 9) in order to avoid a great risk of collapse in a single operation suggests removing all edges (from XI to I) except for Vl ro of the corresponding side. Thus, the entire chest does not suddenly collapse, the balance of the mediastinum is not lost, and the circulatory system is not overfilled with toxins. After the patient recovers from the shock of the first operation, the author suggests resecting the sixth rib; the latter operation is very easy under local anesthesia.

Abstracts. Surgery and X-ray therapy. Experimental reproduction of artificial pleural fusion. Dеinеl (54 Tag. D. Deutsch. Gesellsch. F. Chin, ref. Zentr. F. Chin, 1930, no. 24) on animals exposed pleura costalis and rubbed turpentine or eucalyptus oil.

Abstracts. Surgery and X-ray therapy. On the milking knots. E. Lehmann. (Zentr. F. Chir., 1930, no. 25) examines the disease of milkers and gives his case. This suffering consists in the appearance of painful nodular thickenings on various parts of the arms in persons milking cows. Some authors refer to this suffering as vaccinia. Nodules can persist for a long time and then disappear; after the incision, the nodule quickly disappears.

Abstracts. Surgery and X-ray therapy. Bleeding nipple. E. Orbash (Zentrb. F. Chin, 1930, No. 33) offers to distinguish, in addition to the bleeding breast, bleeding only from the nipple. A 16-year-old looking healthy girl began to develop first blood spots on her underwear, and later bleeding from the nipple. Histological examination of the removed nipple revealed a picture of hemorrhagic diphtheria inflammation on the basis of a small skin abscess, degenerative changes predominated, invisibly due to malnutrition.

Abstracts. Surgery and X-ray therapy. Air embolism of the pulmonary artery during the opening of the spinal canal. Prof. SP Fedorov and others AS Vishnevsky (Zentr. F. Chir., 1930, No. 34) give three cases where, when the spinal cord was exposed at the level of I-V thoracic vertebrae, an air embolism of the pulmonary artery occurred.

Abstracts. Surgery and X-ray therapy. A rare consequence after subcutaneous injury is described by F. Schmidt (Zentr. F. Chir., 1930, No. 29). A 22-year-old female patient presented with a tumor of the big toe of her left foot that had existed for years. This swelling caused pain when walking, especially in shoes.

Abstracts. Otorhinolaryngology. Kindler (D. med. Woch. 1929, No. 18, S. 741) after a detailed analysis of the literature on the surgical and conservative treatment of injuries of the esophagus recommends the following method of treatment. After esophagoscopic removal of foreign bodies of the esophagus, the author applied therapeutic lavage of the esophagus with a disinfectant liquid (manganese sour potassium) to remove food debris and reduce the number of microorganisms. To reduce the risk of getting a new infection through food, the author considers it necessary to feed such patients extraesophageally through nutritional enemas intravenous injections of grape sugar, etc.

Abstracts. Otorhinolaryngology. W. Joёl (D. med. Woch. 1929, No. 51), on the basis of numerous autopsies of those who died due to pyemia after angina and on the basis of experimental work, comes to the conclusion that pyemia after tonsillitis comes from tonsillas or tissues surrounding the tonsils in the form of phlegmon and retracts the corresponding veins in the process; secondary formation of blood clots with subsequent pyemia. comes from the periphlebitic process. Thrombosis of small veins of peritonsillar tissue, according to the author, in contrast to Frankel'io plays a very insignificant role in pyemias after angina.

Abstracts. Otorhinolaryngology. On the question of mucous otitis media. Dr. Vogel (Z. f. Hals Nasen und Ohren heilkunde. 1929. B. 22. H. 4. S. 357) studied 288 patients who were operated on in the clinic of prof. Elken'a for acute chronic ear diseases. On the basis of bacteriological research, V. distinguishes 52 cases (18.2%) of mucosus otitis.

Abstracts. Ophthalmology. F. Narog (Archives d'ophtalmologie, 1928) in his work on the pathogenesis of xerosis essent. and keratomalacia gives 7 case histories and, on the basis of his observations and literature data, comes to the conclusion that the etiological moment is vitamin deficiency. Studying his cases with a slit lamp, the author observed crystals of cholesterol on the conjunctiva and cornea in the epithelial layer, which he considers as a result of the breakdown of cells and fats. Under the influence of vitamin deficiency, degenerative changes occur in the conjunctiva and cornea, the secretory functions of the epithelium decrease or disappear, and the lacrimal glands atrophy.

Abstracts. Ophthalmology. N. Frenkel (Arch, d'ophtalm., 1928), studying his materials on one-sided myopia (596 cases), comes to the conclusion that it is more common in women, more often in the right eye. Strabismus, external or internal, has an incidental effect on unilateral myopia and depends on general (nervous predisposition) or local (amblyopia) causes. It is not necessary to correct unilateral myopia at a very early age; when correcting anisometropia, individual characteristics must be taken into account.

Abstracts. Venereology and Dermatology. The histology of acne conglogata is described by Selitsky (Arch. F.D u. S. Bd. 158, H. 2) and finds that the constitution, the tendency of the epithelium of follicles to proliferate and keratosis, plays a role in the occurrence of the process; the process is based on the abnormal formation of comedones, depending on the pathological changes in the secretion of the sebaceous glands; in the formation of double and multiple comedones, the previous purulent process does not play a role.

Abstracts. Venereology and Dermatology. Histological changes in the skin after the administration of salvarsan. Еhert (D. Z. Bd. 57, N. 4) administered salvarsan solutions intradermally and on incisions on the skin and then examined these areas histologically. It turned out that the changes affect both the epidermis and the skin itself; they are partially inflammatory, proliferative and degenerative in nature up to the onset of pre-cancerous phenomena.

Abstracts. Venereology and Dermatology. Psoriasis and the endocrine system. W. Schmidt. (Derm. Ztschr.Bd. 57r H. 5) gives a picture dependence of pooriasis’a on the endocrine glands; the data of roentgenograms obtained in the study of hypophys, data concerning the treatment of scaly lichen with extracts from the ovaries, thyroid gland, thymus and adrenal glands are given. The author examined 23 patients and found that the pituitary gland was normal in 9 persons, shields, gland in 3, thymus in 19, sexes, glands in 14, adrenal glands in 17, and the rest was marked by fluctuations in functions in one direction or another. ... Deviations from the norm are especially striking on the side of the thyroid gland and pituitary gland.

Abstracts. Venereology and Dermatology. Gonorrhea, syphilis and malaria. Rosenberg (Arch f. Schiffs und Tropenkr. Bd. 33. H. 19). for a number of years observed the beneficial effect of acute natural malaria on the course of gonorrhea, syphilis and neurosyphilis. Cases of acute gonorrhea that did not respond to conventional remedies (protargol, urotropin, gonosan) were quickly cured from the addition of acute malaria. Briefly dwelling on the existing theories of nonspecific therapy (high temperature, activation of protoplasm, etc.), the author does not give preference to any one and strongly recommends the theme "malaria and gonorrhea" to the attention of doctors (primarily doctors of the tropics).

Abstracts. Venereology and Dermatology. Nagel. Is gonovitan a live gonococcal vaccine? (Munch, med. Woch. 1928, II. 1961-1962). Already a priori one could doubt the possibility of a long-term existence of gonococcus in a vaccine marketed under the name gonovitan’a. Microscopic examination of three ampoules of gonovitan'a, carried out separately by the author and others in two other laboratories, surpassed all expectations: instead of gonococcus, Micrococcus catar / halis was found. To eliminate any doubt, the author instilled gonovitan into his urethra with a negative result. Conclusion: gonovitan is dangerous, i.e. £. Mic roc. catarr. can lead to sepsis.

Abstracts. Neuropathology and Psychiatry. Prof. Kure and Dr. Okinaka (Tokyo) tried the treatment of dystrophiae 'musculorum progressivae with combined injections of epinephrine and pilocarpine (KI. W., 1930, No. 25). Adrenaline was injected in 0.1% solution. in the amount of 0.2-0.3 kb. N of page, pilocarpine in 1% solution of 0.1-0.2 kb. from.; injections were made daily or every other day, at least 50 injections without interruption, in one case 120 injections were made.

Society of Physicians at Kazan University. Rino laryngo otiatric section. Session 2 / VI 1930 Dr. PD Buev reported a case of phosgene poisoning. Having dwelt in detail on the symptoms of poisoning, pathological anatomy and histological changes in the lungs, he read out the history of the disease and demonstrated the patient. - Regarding the demonstration, questions were asked by Dr. him in future wars, why he called doctors to a careful study of the case; noted that chronic bronchitis and bronchiolitis, which often ends with pneumonia after phosgene poisoning, are very difficult to treat. Prof. Trutnev reported a case of gas poisoning described by prof. Commandant, where cauterization of the tracheal mucosa with solutions of silver nitrate gave a favorable effect.

Society of Physicians at Kazan University. Rino laryngo otiatric section. Session 2 / VI 1930 Dr. I.F. Gerasimov demonstrated a patient with nasopharyngeal sarcoma, which developed within P / 2 years; over the past 3 weeks, the tumor has increased sharply and metastasized in the neck. — Debate: prof. V.K. Trutnev spoke in favor of the possibility of surgical treatment in the indicated patient.

Scientific meetings of doctors of the State Institute for Advanced Medical Studies named after V.I. Lenin in Kazan. 121st collection May 20, 1930 Dr. V. A. Preobrazhenskaya. About hysterical amaurosis.

Kazan Society of Radiologists and Radiologists. Joint meeting with the O vom of neuropathologists 27 / XI 1929 M.F. Kreitsberg. Demonstrating patient with cervical sympathetic nerve injury after frenico exeresis for pulmonary tuberculosis. There were symptoms of paresis of sympathicus on the operated right side, which were considered by the speakers as a secondary injury during surgery on n. phrenicus.

Kazan Society of Radiologists and Radiologists. Joint meeting with the O vom of neuropathologists 27 / XI 1929 A. Sarygin. Demonstration of one sl. Encephalitis letargica with pathoanatomical preparations.

Meeting on December 26, 1929 R. Gasul. Demonstration of Holfelder's voter field, his method of irradiation in deep X-ray therapy. The speaker notes the great importance of this method in teaching X-ray therapy. The young radiologist learns about precise dosage and measurement and, with the help of special templates, an accurate understanding of incorrect installation and the associated burn hazard. In conclusion, the speaker reported on his personal experience with Holfelder's measuring method, which he met during a visit to the X-ray Institute in Frankfurt headed by N. Holfelde (in 1927). - Debate: Segal, Formozov, Margolis, Gefen.

Report of the Commission for the Study of Rickets at the Moscow Regional Society of Pediatricians. The commission was organized in November 1926. Considering it necessary, first of all, to study the issue of the distribution and forms of manifestation of rickets in children in the USSR, the Commission drew up a draft questionnaire for collecting mass homogeneous material throughout the Union.

Questions and answers

Letters to the editor