Vol 22, No 5-6 (1926)

February 16 tech. the 35th anniversary of the medical, scientific and teaching activities of the executive editor of the "Kazan Medical Journal", Professor Victorin Sergeevich Gruzdev.

Speech delivered at the jubilee meeting of the Council of Kazan Medicines. F-ta, Council of State. Institute for perfection. doctors. Council of Veterin. Institute and scientific societies of Kazan February 16, 1926

It is with the greatest joy that I go to meet the proposal of prof. Aristovsky to write an article on the treatment of amoebic dysentery for the anniversary issue in honor of my highly esteemed friend, Professor Gruzdev. I remember with gratitude during these hours that comradely-friendly welcome which I, together with the expedition of the German Red Cross, found in 1921-22. it was in the circle of persons of the Medical Faculty of Kazan University, grouped around prof. Gruzdev.

Dissecting the muscles of the right lower limb of an unknown corpse, we found an accessory muscle on the posterior surface of the lower leg. This muscle (see Fig.) Was bordered behind in. soleus and with the tendon m. plantaris, in front - with in. flexor hallucis longus, medially - c m. flexor digitorum longus and laterally - c m. peroneus brevis.

The reason for this research was the report published in "Medical Deal" in 1925, No. 12-14, by Drs Vakulenko, Sheffer and Dashkevich from Vinnitsa, that a malaria-specific antigen can be obtained in an alcoholic extract from dried blood of a malaria.

Reported at the solemn meeting of the Isa of Doctors at the Kazan University, dedicated to the memory of V.A.Manassein.

The discovery of insulin made possible a causal treatment for diabetes mellitus, and in some cases this treatment seems to have a decisive influence on the course of diabetes mellitus. Thanks to the introduction of this remedy, diabetics can eliminate metabolic disorders with all its manifestations and immediate consequences and restore the normal state of affairs.

Report read on 16 / I 1926 at an extraordinary meeting of the Donskoy Obstetrician-Gynecologist. Society, organized on the occasion of the 35th anniversary of Professor V.S.Gruzdev

In recent years, the question of the treatment of purulent wounds has been widely discussed in the medical press and debated at surgical congresses. Obviously, in a number of cases with the treatment of purulent wounds, the situation is still not good. Aseptic management of these wounds does not always satisfy the surgeon and leads to the goal - it does not weaken the causative agent of the infection, and the body's defenses are not toned.

How often lateral knee dislocations prevail over all other dislocations can be seen from Karl's statistics. This author could collect in the literature before 1921 296 dislocations of the patellae, of which only 5 were medial, yet the rest were lateral. As for the only possible dislocations of the patella, upwards, we do not have to talk about them, because they are even rarer than the medial ones.

Reported at the meeting of the Student Ak.-Gin. circle 20 / X 1925, at a meeting of doctors of maternity hospitals in Moscow 1 / II 1926 and at a meeting of the Moscow Obstetric and Gynecological Society 10 / II.

Published in Russian in 1914, the physiologist M. Fischer's book "Edema and Nephritis" remained little known, and yet the main issue raised by the author - the absorption of water by colloids - is essential for pathology.

If for the pathological phenomenon known as missed labor, the definition first given by Oldham and Clixton has remained in science to this day, namely, this name means that pathological state of uterine pregnancy when, at mature or almost In a mature fetus, contractions occurring at the time of labor do not lead to labor, the fetus dies and the dead remains in the uterus (after the termination of contractions) for longer than the normal period, the concept of missed abortion still suffers from inaccuracy.

Reported at the Scientific Conference Rod. Houses 28 / XII 1925.

In connection with the work of recent times, belonging mainly to American authors, the question of endometri-like growths occurring both in the uterus itself and outside of it has attracted special attention of researchers, and the modern literature is very rich in reports concerning this area of ​​pathology. In connection with the study of the genesis of these growths, new original theories of their origin have been put forward, for example, by Halban and Sampson. However, much still in this issue remains not fully clarified, and therefore the accumulation of factual material that can shed light on individual details in this area is desirable and timely.

Recently, the issue of adenomyomas has been intensely discussed in the special literature. A new theory has been put forward, which gives it a topical character. As you know, according to the generally accepted calculation (Schröder), adenomyomas “make up 1 - 2% of all uterine fibroids, and according to the works of some Russian authors (clinic of prof. K. K. Skrobansky) - up to 9%

If there are still many unclear questions in the doctrine of tumors in general, the same should be said in relation to tumors of the female genital area in particular. Particularly poorly illuminated from the scientific point of view is the question of those tumors of the female genital area, the extraordinary size of which set them apart from the rest. We mean the so-called. colossal or giant tumors of the female genital area.

In 1906 prof. V. Khoroshko, after a thorough analysis of the clinical phenomena in epilepsia corticalis continua, began to assert that the described prof. A. Ya. Kozhevnikov, a form of epilepsy is "a symptom complex that can be caused by various disease processes and, in all likelihood, by different localization of disease processes, and not only a product of a nested disease, motor zone or the area of the cortex closest to it."

This brief report is prompted, on the one hand, by the desire to arouse interest in the latest achievements of oncology, on the other, by the desire to promote the creation of an organization in the Republic of Tatarstan to study and combat cancer.

In the fall of 1925, thanks to the assistance of the NCH and the Hygienic Section of the League of Nations, I got the opportunity to visit a number of Western European institutions for children. Since I had relatively little time at my disposal - only 2 months - I decided to limit my task and get acquainted only with institutions for young children, leaving aside institutions for older children, school hygiene issues, etc. Thanks to the letters with which I supplied the Hygienic Section to the relevant central bodies in England, Germany and France, namely the Central Council for the Protection of Mothers and Infants and the Ministry of Health in London, the Ministry of Health (Reichsgesundheitsamt) in Berlin and the National Committee for Child Welfare and the National Committee for the Protection of tbc in Paris, I could get acquainted both with the institutions that interested me for a long time, and with other show institutions, which were indicated to me by the named organizations.

Magnus (Handb. D. Biol. Arbeitsmethoden, 1923, Abt. V, Bd. 2) uses an aqueous solution of hydrogen peroxide for this purpose. Free oxygen, released when the solution comes into contact with catalase contained in the lymphatic vessels, fills these vessels and lymphatic spaces.

The nerves of the lungs with surgical points of vision were examined in 18 children's and 6 adult corpses of Taft (V. Hir., 1926, kn. 17-18) and came to the following conclusions.

In the squeezed juice of the endocrine glands, Bock discovered the presence of anisotropic substances in the form of spherical birefringent bodies, which are visible in the darkened field of view of a polarizing microscope and which have a specific ability to deflect light: the juice of the thyroid gland, for example, contains bodies with a rotation of 15 °, the cerebral appendage - little bodies with 22 ° rotation, etc.

W. Lampe (Wiener kl. Woch., 1926, No. 1) prepared from the posterior lobe of the human pituitary gland, by extraction with acetone, a dry preparation, which in its effect on blood pressure, diuresis and uterine muscle was similar to the pituitary extract obtained from the pars posterior hypophysis of animals.

On the basis of experiments with parabiosis in rats, N. Goto (Arch. F. G., Bd. 123) established that a special "castrohormone" circulates in the blood of a castrated animal, which is never found in a normal animal.

The female sex hormone, on which the onset of puberty, the frequency of the sexual cycle and the persistence of the corpus luteum during pregnancy depend, according to the experiments of Frank, Hobert and Gustavson (Jour. Of Amer. Med. Assoc., Vol. 84, no. 23, 1925) is contained in the fluid of the follicle and in the endocrine products of the corpus luteum and placenta.

The chemical nature of the sex hormone was studied by Gustavson (Journ. Of Am. Med. Ass., 1925) who considers it to be a specific substance, soluble in lipoids. This substance is highly resistant to high temperatures. It contains neither nitrogen nor phosphorus. In the light, it oxidizes and loses its effect. It is not an ester or a fatty acid. It does not give a reaction to cholesterol and does not contain a CO group.

Schumacher (ref. In Pharm. Centr., 1926. 139) succeeded in making the parasites visible in cancerous tissue using new staining methods. His preliminary work, as well as the work of Warhurg and Erdmann, indicated definitely that lipoproteins play a role in the etiology of cancer.

According to E. Becher (Münch. Med. W., 1926, No. 12), both experimental studies and clinical observations give a negative answer to this question: with kidney failure and real uremia, the amount of intermediate products of protein breakdown and intestinal putrefaction products in the blood of patients after bloodletting does not decrease.

Peterfi and Wamoscher (Zeit. Für Hygiene, 1926, Bd. 106, H. 1), in order to obtain pure cultures, carried out the finest manipulations with bacteria under control in Dunkelfeld: using a special chamber from glass slides and a micropipette, any bacterial cell and, transferring it to another similar chamber with a liquid nutrient medium, the process of reproduction of the microbe (Einzellkulturen) was observed under a microscope. Using this method, the authors also succeeded in infecting experimental animals with only one pneumococcal cell in a number of cases.

Methods for the preparation of therapeutic vaccines, as is known, are very diverse, and their therapeutic effect to a certain extent depends on the choice of one or another method.

Finding in water, in addition to the usual form of Eberth's stick, its still invisible, filtering form and concluding that it could get into the water from the feces of patients, Hauduroy (S. r. Soc. De Biol., 1926, No. 10) began to investigate feces of typhoid convalescents for the presence of a filtering form there and really found it in them.

Vaccination of a person against dysentery (bacillary) by subcutaneous injections of killed cultures of dysentery bacillus was, as is known, unsuitable due to the strong reaction of the vaccinated.

D'Herelle (Presse med. 1925, no. 84) reports the excellent results he has received from this treatment.

Suranyi and Putnoky (Zentr. F. Bakt., 1925, Bd. 94) tested Löwenstein's and Sumyoshi's method of direct growing thc bacilli.

Blazy (ref. Zentr. F. Tbc., Bd. XXV, 11 7/8) reports that upon the arrival of Senegalese troops in Europe, only 5% of the soldiers tested positive for tuberculin.

Mikhailov (Questions of Tuberculosis, 1925, 3) observed that when injecting tuberculin in healthy people, the number of eosinophils in the blood does not change, while in tuberculosis and those suspicious for tbc falls.

Rupprecht (D. m. W., 1926, No. 11) investigated 122 cases of infantile tbc using the complement rejection reaction and came to negative conclusions. Likewise, the question of the activity of the tbc process of the precipitation and agglutination reaction according to Fornet is not resolved.

Arikhbaev (Vesti. Khir., 1926, book 17-18), having established the normal state of the lipolytic index in 30 people with various diseases and then proceeding to the determination of lipase in the blood of 9 various patients and 1 healthy subject exposed to irritating doses of X-ray rays on the adrenal gland, which caused its hyperfunction, finished his research by observing 5 patients with various forms of surgical tuberculosis, of whom three underwent simultaneous x-rays of the adrenal glands with subcutaneous injections of fish oil neutralized from fatty acids, one - only injections of neutralized fish oil and one - only an operational aid.

Bayor (Wien. Klin. Woch., 1926. No. 12) received very good results from the treatment of obesity with novazurol, administered intraglutaneously in an amount of 1-2 cubic meters. sant. every 6 days.

P. M. Kamenetsky and I. S. Rabinovich (Münch. M. Woch., 1926, 12) consider an increased displacement of the area of cardiac dullness and cardiac shadow (when examining an X-ray) as an important diagnostic sign of this disease when the patient changes the position of the body, especially when inclinations of the body to the right and to the left. Pathognostic is with exudative pericarditis and a change in the outlines of cardiac dullness and cardiac shadow.

A new method of treating bronchial asthma with breathing exercises was described by K. Sigfried (Ther. D. Gegenw., 1925, No. 8). Starting the exercise, the patient makes a movement with the closed glottis with the abdominal muscles, as if exhaling, with great force and holds his breath: then, opening the glottis, slowly releases air.

Scharff (Klin. Voch., 1926, No. 4), based on his previous work, which proved that the intake of 80.0 levulose in 300 cc of water leads to an increase in blood sugar in people with a vasoneurotic constitution, produced a similar a study in 15 patients with gastric and duodenal ulcers.

In order to study the objective changes with the obtained good sub'jective results after treatment with Novoprotin for gastric and duodenal ulcers, Rothschild (Klin. Woch., 1926, No. 3) applied his fractional method for the study of gastric contents.

The most reliable remedy for tapeworms, male fern extract, when it enters the stomach, often causes pain in the epigastric region, nausea and persistent vomiting. In view of this, DA Kogan (Sredne-Az. Med. Zh., 1926, No. 1) recommends to enter it, through a duodenal probe, directly into the duodenum. The day before, 2-3 hours after lunch, the patient receives 25.0-30.0 Na sulfurici and an enema at night, and the next morning, on an empty stomach, a probe is introduced to him - first (40-45 s.) In a sitting position of the patient, and then (another 25 s.) - in its position, without a pillow, on the right side.

FA Kopylov (West. Khir. And Burial. Obl. 1926, kn. 17-18) described four cases of strangulated hernias, where the organs that were in the hernial sac were unchanged, and protruding from it back into the abdominal cavity, - sharply stagnant, with large bruises and even serosa defects.

Analyzing this issue, prof. Opokin (Collection of prof. V. M. Mysh) dwells on the tampon and saline treatment of this kind of wounds. Tampon-free wound treatment, which has so far been used more often in minor surgery, should be extended to surgery of the abdominal and thoracic cavities, as well as to other departments of major surgery, especially in the form of limiting wound tamponade.

Iodine-protein therapy, applied by Vasiliev (V. Khir .. 1926, kn. 17-18) in the form of a 10% mixture of t-rae jodi with milk, administered annually, in the amount of 5.0-10.0 for each injection through 1-2 days, sometimes somewhat less often, gave favorable results in a number of well-traced (clinically and laboratory) surgical cases of purulent and septic infections. Out of a large number of cases, the author gives a detailed account of 19, of which the method gave recovery in 13.

II Chizhov (Sov. Med. On the North. Kavk., 1926, No. 3) recommends for this purpose a slightly modified method of prof. Sitkovsky (see "Kaz. Med. Zh.", 1925, p. 996).

One-story suture during gastroenterostomy, both anterior and posterior, according to Dr. Mikuli (Nov. Khir. Arch., No. 35) turned out to be at the height of its appointment.

The original operation of synostosis for pseudarthrosis is offered by Khakhutov (V. Khir., 1926, book 17-18). Its essence boils down to the fact that, after removing the scar tissue and refreshing the surfaces of the pseudarthrosis of the double tubular bone, a graft 10-12 cm long is cut along the length of a larger fragment in half its thickness; the same, but half as long, the graft is cut out from a smaller fragment.

A. V. Martynov (Vesti. Khir., Vol. VI. Book. 16, 1926), who operated on 64 patients since 1910, expresses a number of provisions on this issue, which can be briefly formulated in this way: the best operational results are obtained before the onset of persistent changes in the heart muscle.

Fonyo (Zentr. F. Gyn., 1926, No. 8), on the basis of his experience (63 pages), warmly recommends parenteral administration of 2 k. Sant to combat postoperative intestinal atony. peristalsis with 0.001 physostigmine. Injections are given immediately after surgery, then in the evening on the day of surgery, and finally in the morning and noon the next day. Baron praises frequent gastric lavage through a tube inserted through the nose to combat postoperative vomiting and flatulence. Geisenhofer advises the operated patients to use intramuscular injections of 0.05 neucesol on the day of the operation.

Aubaret, Rouslacroix and Hermann (Arch. D'opht., 1924), examining tissue affected by fresh forms of trachoma, and pieces of granular conjunctiva that were in a thermostat in contact with the serum of a trachomatous patient, observed the presence of special cells not yet described separating epithelial cells, and special epithelial elements that have emigrated into the follicle.

Vancea (C. r. De la Soc. De Biol., 1925, No. 4) repeated Sojrosso's studies with an adenoid antigen to produce a complement fixation reaction in trachoma, and he made sure that this reaction could not be used for the differential diagnosis of trachoma.

Absorption through the vagina was studied by Robinson (Journ. Of obs. A. Gyn. Of Brit. Emp., 1925, v. 32, No. 3), who investigated solutions of potassium iodide, salicylic sodium, quinine, glucose, phenolrot and methylene blue.

The dependence of the content of potassium and calcium in the blood on the activity of the ovary was studied by Schultze (Arch. F. G., Bd. 126, 1925), according to whose studies, 1-2 days before the onset of regulation, the content of K decreases.

The morphological changes in vaginal secretions, as a diagnostic sign of pregnancy, are indicated by Papanicolaou (ref. Berich, u. D. Gesam. Gyn., Bd. IX, N. 8). With the onset of pregnancy, the deflated cells of the vaginal epithelium take on the characteristic appearance of elongated, concave elements with elongated, collapsed nuclei with signs of plasmolysis and vacuolization.

Hochenbichler (Monat, f. G. u. G., Bd. 69, H. 3/4) recommends the prevention of eclampsia by lighting with a quartz lamp. Of the 80 cases of preeclampsia treated in this way, none developed seizures.

Grabich (Münch, med. Woch., 1925, no. 41) is in favor of expanding the indications for Caesar section on the basis of his 300 cases. The general mortality rate of his mothers is 2.3%; narrow pelvis - 1.7%. The general mortality rate of children is 7.7%, the reduced mortality rate is 5.3%. The author prefers the transperitoneal cervical method over the extraperitoneal one.

Fleischer (Therapia, Budapest, 1925, no. 7) recommends the following measures for this purpose.

Zickraf (Deut. Med. Woch., 1925, No. 42) on the basis that saponin acts irritatingly on the protoplasm, etc. is an easy cauterizing agent, used douching with saponin in various dilutions.

Leriche (Presse med., 1925. No. 29) successfully stripping off adventitia aa. hypogastriraxum considers this operation useful for metrorrhagias without an anatomical substrate, amenorrhea due to ovarian adhesions, dysmenorrhea with a small mobile uterus, vulvar bloom and pain after radiotherapy for cervical cancer (according to the ref. in Journal for whiskers. Time, 1926, No. 1).

V. Dumas (Arch, de med. Des enfants, vol. XXIX, № 1) considers honey as a means of restoring some important properties of milk lost during boiling.

AL Dynkin (Vrach. Delo, 1926, № 5), analyzing the clinic of this disease in childhood, finds that epidemic encephalitis affects children much less frequently than adults, although it can occur even in infants and newborns.

AM Mostvilishker (J. Nevr. And Psych., 1925, № 3-4), studying this reflex, first described by Zhukovsky, in no case observed the absence of lesions of the pyramidal pathways. According to his conclusion, the plantar and finger reflex exceeds all other pathological reflexes in its frequency, except for the Babinsk River.

Prof. Osokin and Goncharov (Klin. J. Sarat. Univ., 1925, № 4) recommend treating parkinsonism after lethargic encephalitis with intravenous injections of 25% Na cacodylici solution, in a dose of 4.0 to 8.0 cubic meters. s., repeating injections 1-2 times a week. Spa treatment in the Caucasus is carried out jointly.

H. Planner (Derm. Woch., 1925, № 9), with intravenous administration of luetin’a prepared from organs containing a large amount of sp. pallida, in all 16 cases studied by him observed a more or less strong general and focal reaction.

C. Levaditi and S. Nicolau (C. r. Soc. De Biol., 1926, No. 12) experienced the therapeutic effect of tellurium salts in experimental syphilis of rabbits and other spirochetosis.

Prof. Tsytovich (Vesti, Rhinolaryngo-Otiatrii, No. 1) notes that correct nasal breathing is a powerful factor in blood circulation, and a variety of diseases can cause its disorders, in particular, a) heart disease (expansion of its cavities and degeneration of the heart muscle); b) vascular disease in general, especially cerebral vessels (arteriosclerosis); c) brain diseases (sclerosis, epilepsy, headaches, decreased mental performance, etc.); d) diseases of the peripheral nerves; finally, e) blood diseases.

Prof. IP Voloshin (West. Rhinolaryngo-otiatry. 1925, No. 1), taking into account the well-known works of Bezredk on local immunity, finds that the protective role of the nasal mucosa and upper respiratory tract is reduced to the development of natural local immunity of these organs than the general immunity of the whole organism is acquired from all microorganisms inhabiting the mucous membrane of these pathways.

In recent years, when surgeons began to take an active part in questions about angina pectoris, with an operational therapeutic approach, a number of monographs about this disease appeared (A. Martinet, Danielopulo, Vaquez, etc.), and it was natural to expect the publication in Russian language monograph devoted to this burning issue.

The author has divided this brochure into two parts. The first part contains a brief historical description of the method of ion therapy using electric current; in the same part, the scientific side of the method of electroionotherapy is described in detail from a modern point of view. The second part, clinical, contains a description of a number of typical cases treated with electroionotherapy. The brochure is lively and easy to read; in addition, it contains a lot of very valuable information from the field of electroionotherapy, which is so poor in Russian literature.

A new Pharmacopoeia of 1925 was published and sent to all institutions. The publication was revised again by a special commission of Uch. Medical Council.

On February 16, 1926, Kazan honored the Honored Professor of Kazan University, one of the oldest members of its Medical Faculty, Viktorin Sergeevich Gruzdev, on the occasion of the 35th anniversary of his service to science and society. The ceremonial meeting of the Council of the Medical Faculty of the University in conjunction with the Council of the State Institute for the improvement of doctors named after V.I.Lenin, the Council of the Veterinary Institute and scientific societies of the mountains. Kazan, with the participation of representatives of party, Soviet and professional organizations, took place in the Comclub (formerly the Noble Assembly). The vast Column Hall and the Komclub choirs barely accommodated everyone who wanted to be present and take part in the common celebration. The entire scientist and medical world of Kazan, students, patients and admirers of the popular professor were present.

Meetings of medical societies. Society of Physicians at Kazan University.

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