Vol 29, No 4 (1933)

The significance of the Paris Commune "lay in the fact that it was essentially a government of the working class" (Marx). The Parisian workers give the revolution a social impetus. Karl Marx from gloomy London sends greetings to Paris. The bourgeoisie, once progressive, which earlier spoke with pride the names of Pinel and Holbach, in the days of the Paris Commune, mobilizes and organizes counterrevolution.

The tempting idea of ​​chemotherapy for urinary infections has attracted understandable attention of urologists over the past decade. Among the various chemotherapy drugs, much attention has been paid to trypoflavin (gonacrine) for gonorrhea and its complications. Barbellion provides the following theoretical justifications for the use of chemicals (triggoflavin, gotsacrine). The introduction of the drug into the body provides: 1) complete and rapid impregnation of the entire body through the hemotogenic system; 2) long-term permanent impregnation of the body as opposed to short-term local therapy; 3) the constant presence of the drug in the urine makes it bactericidal, antiseptic and allows you to disinfect the entire urogenital tract; 4) the simplicity and unity of the treatment method with all possible localization of the process makes it possible to discard all the other numerous methods; 5) simplification of the doctor's work, who often remains helpless in search of hidden foci of infection, the possibility of standardization, the ease of use of the drug, which allows it to be used in the most modest dispensary, facilitates the fight against gonorrhea.

As the title suggests, the present communication concerns an area where the interests of the surgeon and therapist are alike. At the present time, when voices in favor of closer cooperation between these two vast specialties are being heard more and more, the content of our work, it seems to us, corresponds in the closest way to this direction. How often does it happen that patients who seek help from a surgeon and have undergone surgery again turn to a therapist with the same complaints, but with a scar on their abdomen. And this is not surprising. The very nature of the ailments of such patients is so stubborn that either does not give in to the knife, or gives relapses, or else forces this kind of intervention, which in itself is far from indifferent to the patient and creates his antiphysiological conditions in the body. Such are, for example, cancer and stomach ulcers with complex and daring operations and subsequent ulcuspepticum and circulus vitiosus, such are unrecognized diseases and inappropriate operations that were unnecessary and could therefore not eliminate the patient's basic and initial complaints.

Recognition of visceral syphilis, with the exception of the lobular liver, until recently presented significant difficulties for clinicians, and the early forms of the disease, even on the section, were completely visible. Prophet. R. A. Luria in his monographs "Syphilis and the stomach" writes: "The early forms of syphilitic diseases of internal organs have been studied very little, especially since the very recognition of functional changes encounters great obstacles in the clinic and admits with the same picture of the disease completely different interpretations about the pathogenesis and their origin. "

Used by many doctors as a method of treating chronic inflammation of the I and II tonsils, tonsillotomy consists in cutting off the part of the tonsil that protrudes inward from the palatine arches. Often, during this operation, life-threatening and even fatal bleeding can occur if the large blood vessels of the tonsil are damaged. Therefore, it is necessary to start this operation with certain caution: it is necessary to take all measures to prevent bleeding and prepare everything necessary to stop it. Tonsillotomy should not be done: in hemophiliacs, in acute-inflammatory condition of the tonsils, in women during menses. When performing an operation on the cut off part of the amygdala, tonsillitis should be applied in such a way that it would as little as possible capture the area of ​​the lower pole of the amygdala, where branches of large vessels usually pass. The wound surface, after cutting off a part of the tonsil, is well extinguished with alcohol.

Until now, the journal was of a general neuropathological nature. From this volume, the journal will be dedicated specifically to nervous surgery and will involve, in addition to Estonian authors, foreign ones as well.

An interesting and original book, the content of which is much richer than the title suggests. This is not a monograph devoted to a narrow dermatological topic, but a series of master sketches conveying the results of the Heidelberg School of Pediatrics research on various clinical and immunological issues, grouped around the central problem of allergy.

Pellagra is caused by intoxication with dioxyphenylalanine in individuals who consume large amounts of maize beans.

Various substances introduced into the vein of the dog (met. Blue, sodium, salic., Bromine, mercury, etc.) begin to be released after 5 minutes of the gastric mucosa, duodeni and coeco-appendicular'floro area. The rest of the intestines are not secreted. The selection ends at 30-40. After 15 after the introduction into the vein, absorption begins by those parts of the intestine that are not secreted. Suction continues 50 '. With such a double passage, there is a change in the excreted and absorbed substances.

Anemia often occurs with mixadema and is very often accompanied by a lack of hydrochloric acid in gastric juice. In some cases, thyroidin is enough to eliminate anemia, in others anemia persists and only the number of erythrocytes returns to normal.

A. operated on 3 patients with thrombocytopenia. The number of plates increased, reached a maximum (up to 1,000,000) on the 11th day after the operation, then decreased and remained at numbers close to the initial ones.

The injection of a solution of trypoflavin and histidine in healthy people caused an increase in the number of erythrocytes, an increase in% Hb, mild leukocytosis, a decrease in blood pressure (followed by a slight increase ;, an increase in blood clotting.

Dick (Znbl. F. Chir. 1931) saw favorable results in the treatment of coli peritonitis — serum, especially in cases of peritonitis due to perforated appendicitis. Mortality rate - 25%; In the pre-sympathetic period of treatment of peritonitis on the same material and with the same technique, the mortality rate was 3%.

Genkin (Soviet surgery, 1933. T. IV, issue 1) with infiltration local anesthesia recommends using a 0.01% solution of cocaine with the addition of adrenaline. To obtain good anesthesia with 0.01% solution of cocaine m. A. must be technically correct, and the operation must not begin until 10 minutes ... after the end of the production of anesthesia.

Fuss and Faber (Deutsch. Z. L. Chir. 1931), on the basis of experiments on animals, believe that the center of gravity in the fusion of fractures is the state of blood circulation.

Adler (Zntribl. F. Chir 1931) to strengthen the sutures during the operation according to the Bassini method cuts out a rectangular flap from the aponeurosis m. obliq. externi, and the base of the flap is 3 cm above the external inguinal ring.

The author points out that hemolytic streptococcus is often found in the pus and secretions in inflammation of the ear and nose and its accessory cavities, to which he attributes etiological significance with frequent outbreaks of erysipelas in the postoperative period. Hence, he recommends a number of measures carried out both during the production of the operation itself and during subsequent dressings.

The author describes a convenient, folding, easily sterilized instrument in the form of a bore, replacing a trocar when opening the jaw cavity through the nose, the device of this puncher guarantees, in the author's opinion, the impossibility of passing through the sinus, which happens with a trocar.

The authors describe an interesting case of a laryngopele, of a rather large size, causing fits of suffocation from pressure on the larynx; after the operation, which went well, the patient returned to work, but after 8 months he had a relapse, requiring a secondary operation.

The author recommends omnadine, a protein supplement, as opposed to various milk preparations, which causes only a mild reaction. In 4 years, the author has made over 5000 intramuscular infections with good results.

The author points out that the majority of unsuccessful adenotomy results from ignoring the morphology of the nasopharynx. There is no doubt that the size of the nasopharynx is always individually different, which is why it is necessary to familiarize yourself with the shape of the nasopharynx before the operation. It may be narrow or low, or not deep enough, or even asymmetrically constructed, which is often an expression of its inadequacy with the preservation of the type of infantile nasopharynx.

Attended by employees of the eye clinic, the Trachomatous Institute and some of the seconded doctors in the amount of 24 people.

Attended by the staff of the Eye Clinic Med. Internet., Trachomatology. Institute, school nurse. doctors and 2 representatives of the island of the blind. A total of 25 people.