Vol 30, No 5 (1934)

High-quality methods must permeate the entire work of the physician. The work on the book, the research work in the clinic, the improvement of the methods of writing the usual medical history, all these different areas of medical work must be equipped with new, rational methods. Among the varied and complex processes that make up the entire system of our intellectual work, one of the most important places belongs to the process of reading.

The issue of functional diagnosis of the cardiovascular system is currently an unresolved problem, despite numerous studies conducted in this regard. Most studies have been carried out in the direction of solving this problem by using data from simple hemodynamic studies.

In 1915/19. Frank drew attention to a special disease he called "hemorrhagic aleukemia. In Frank's opinion, the picture of the disease is expressed as: 1) severe anemia with a sharp fall in the number of leukocytes, especially granular and platelets, in the absence of phenomena of regeneration on the part of the bone marrow; 2) necrotic inflammation of the mucous membranes, most often of the mouth and throat, followed by sepsis: 3) bleeding tendency.

The use of CO2 in neonatal asphyxia dates back to ancient times. Used empirically in folk medicine, this method has recently occupied one of the first places among various methods of struggle against asphyxia, and not only occupied, but also received quite a scientific substantiation, radically changing existing up to now, "firm" so to speak, established scientific truths about the essence of asphyxia in general. At present, the process of asphyxiation therefore stands before us in a different light, otherwise substantiated.

The results of an experimental study of the bactericidal effect of aniline dyes (a.k.) obtained in our clinic (Kondratyev) set us the task to verify the therapeutic value of some a/c in the treatment of pyoderma. For clinical verification we chose a number of a.c, with different bactericidal properties in vitro: genzian violet (g.v.), methyl violet (m.v.) crystallviolet (c.v.) methylene blue (m.c.), methyl green (m.z.), vesuvine (c) and acidic fuchsin (f. K), which were used as aqueous and alcoholic solutions (96°, 70°, 50°) of 1-5% concentration in the form of lubrications, injections and lotions, and in some cases in pure form (powder). A total of 190 patients were under our observation: inpatients - 57, outpatients - 133.

At the present time to the health centers of industrial enterprises and to the polyclinics attached to the latter a great number of wounds, diverse in their complexity and origin, are received as a result of traumatism. The latter, as statistics show, is decreasing year by year, with every quarter, in our Union, and this decrease, with the further strengthening of health centers, as the main link of health care in the enterprise, on the one hand, and the slogan of mastering technology, on the other hand, will invariably step forward. Nevertheless, industrial accidents remain and will continue to occur to some extent in the future.

There are still different views on the use of koumiss during menstruation. Some doctors consider the use of koumiss during menstruation contraindicated because, according to their opinions, menstruation under the influence of koumiss seems to become more abundant and prolonged. There are no observations on this issue in old and recent literature.

The study of cases of endocrine system disease is still one of the difficult areas of clinical medicine and the description of each individual case is of considerable interest. Therefore, we consider it necessary to describe one rare case of endocrine system disease in a child, which was observed in our clinic.

Anastasia Yun-na, 33 years old, was admitted to the department on 7/XII, 1932, with the diagnosis "Pregnancy at 9 weeks", for an abortion. The patient was of medium height, regular build, well-fed. Complaints: pain in the lower back, left groin, continuous vomiting and headaches.

Until recently, the acid-alkaline balance of the body was understood to be a balance of the total amount of acids and alkalis introduced into and excreted from our bodies. Colossal advances in the development of physical chemistry at the beginning of this century have changed our ideas fundamentally. First of all, it became quite obvious that the effect of acids and alkalis on cells, on processes going on in cells, depends not on the total amount of acid, but only on the amount of hydrogen ions (H). And in this respect not all acids are the same.

The first edition of Astvatsaturov's guide-book was published in 1925, the fifth edition in 1933. The success is undoubted, and the secret of this success is simple: a clear, accessible to everyone presentation of the often difficult to understand extensive material in a concise and at the same time exhaustive form.

In rats in which Jensen's sarcoma usually grows rapidly, pituitaryectomy performed at least 3 weeks before tumor inoculation causes tumor growth to stop and even develop backwards. The fact that growth hormone injection again causes the tumor to stop growing further emphasizes the role of growth hormone in tumor development.

A 38-year-old woman with a severe form of Graves' disease (large goiter, exophthalmos, tremor, tachycardia-pulse 140, nervousness, and severe emaciation) is indicated for emergency surgery.

The author offers a relatively simple method of determining pain sensitivity in diseases of the abdominal cavity organs.

To make a more objective judgment about the nature of the fasting stomach contents in normal and pathological conditions of its secretory activity and to exclude numerous unaccountable factors influencing the quantity and quality of the fasting juice, the authors examined the contents of the stomach from 10-11 a.m. to 8-9 a.m. with a thin probe in 91 patients.

The author, outlining the main guidelines in the treatment of gastric and 12 duodenal ulcers, says that to understand the therapeutic measures one should pay attention to the nature of the ulcer, its localization and complications. The distinction between immediate and long-term results of treatment is of fundamental importance for evaluating the efficacy of any treatment method.

The authors give a detailed description of gastroscopy as a method of examining the stomach, which should occupy an equal place along with esophagoscopy and bronchoscopy. The historical part of this method is outlined, followed by a description of the instrumentation.

The authors observed 30 cases of anus and rectal atresia with and without fistula formation over a period of 25 years. Further fate is known in 23 cases.

The author describes a relatively rare postoperative complication after thoracoplasty - a pendulous displacement of the mediastinum, which develops as a result of unequal pressure in both pleural cavities.

The author had 129 (64.5%) phlegmonas per 200 cases of tendinous panaricles. After panaricle function was restored completely in 46.5%, moderately—23.9, poor function—29.6% while after phlegmon good function-20.9%, moderate—13.2%, poor—65.9%.

D-r Goldmann, on the basis of literature data and his own cases, points out the danger of swallowing processes - hummus, cysts, abscesses - which, purely mechanically, can close the larynx and thus cause strangulation.

The authors studied the method of displacement for diagnosing and treating sinusitis, having visited Rroetz personally. The principle of this method is based on replacing the air contained in the sinuses with a fluid.

The authors were able to show that the most uncomplicated sounds, vowels, and consonants represent a rather complex act of neuromuscular physiology of the entire larynx.

Priv-doc. Domrachev.-Demonstrates a patient operated by him for nodular goiter. Upon removal of the solid nodule it turned out to be a rare form of ossification of the goiter. The ossified tumor is irregularly oval in shape-length of 2.5 centimeters and 2.3 centimeters across. The sawing clearly shows the spongy structure of the tumor. On the radiograph, the bony trabeculae are loose and evenly distributed throughout the tumor. A 32-year-old patient. She had noticed the tumor when she was a child. Recently, she complained of difficulty swallowing. She was treated by radiologists, who presumed she had a malignant tumor.

Chairman prof. V.K. Trutnev, secretary Shcherbatov. Present: prof. V.K.Viktorov, Assoc. Yakhontov, Wolfson, Matveev, Tambovtsev, Mukoseeva, Viktorova, Borshchev, Nikitin, Petrulevich, Tumanov, Petrulevich, Gontsov, Lebedinsky, Romanov.

Dr. Ter-Ayrapetyan G.S. Demonstrated a patient with lupus erytematdes. Localization and clinical picture of the disease are usual. But the patient undoubtedly has hereditary syphilis. Anamnesis: progressive paralysis in the mother, four spontaneous abortions, guttschinsonism, cardiac defect with sharply pronounced early vascular sclerosis, especially of the abdominal aorta. This circumstance prompted the speaker to hold the idea that hereditary syphilis played a decisive role in the etiology of this disease.