Vol 35, No 1 (1939)

Prediction in hypertension, as long as there are no formidable signs complicating the course of this disease, often encounters great difficulties. It is complicated both by the impossibility of sometimes strictly distinguishing the so-called essential forms of hypertension from organic ones, and by the extremely different development of this painful process in individual cases.

Chlorine was first used as a poisonous substance on April 22, 1915 by the Germans near Ypres. From that time on, the use of chlorine for military purposes began to be repeated, but by the end of the year chlorine lost its importance as a weapon and was replaced by substances that were more persistent and more poisonous. The use of chlorine in a military environment has aroused great interest in it and has led to extensive study. Chlorine is widely used for disinfection of indoor air, sterilization of water, prevention and treatment of various infectious diseases (especially influenza, whooping cough, diphtheria bacilli) and is one of the most active means for disinfection and treatment of skin lesions with toxic substances. Chlorine was first used as a poisonous substance on April 22, 1915 by the Germans near Ypres.

The long-standing dispute over the question of who has the leading role in the treatment of gastric ulcers - the therapist or the surgeon - has now been finally resolved in favor of the therapist. Supporters of this solution to the issue were the surgeons themselves (Levit, Spasokukotsky, etc.). Prof. Luria points out that even deep and old ulcers, calciferous in appearance and course, can be finally cured conservatively.

Getting acquainted with the issue of echinococcus disease in our USSR, I involuntarily drew attention to the fact that echinococcus disease in Kyrgyzstan is not covered anywhere in our press. There are instructions only in the proceedings of the First North Caucasus Regional Congress of Surgeons. I analyzed 20 cases of echinococcus disease that went through surgery. branch of the Karakol mountains. hospitals indicate the unique ways of spreading echinococcus in the Issyk-Kul Valley. In the works of I North Caucasus. Congress of Surgeons mentions that echinococcus diseases in the Kyrgyz Republic account for 1:559 thousand.
Our 20 cases of echinococcus relate to residents of 10 communities in the areas we serve.

At the VI Ukrainian Congress of Surgeons, prof. Kefer, in his speech on improperly healed fractures, pointed out that it would be wrong to assume that the entire art of treating fractures comes down to the skillful application of plaster casts and traction.
One cannot but agree with this position; it is especially clear to every surgeon who encounters patients immediately or shortly after removing the plaster cast with a fresh fusion at the fracture site, with swelling, stiffness and limitation of movements in one or more joints. The surgeon knows that the subsequent management of such patients, i.e., their follow-up treatment, plays a big role in restoring the function of the limb and restoring the working capacity of the victims.

Treatment of chronic purulent inflammation of the middle ear is still a far unfinished chapter in otolaryngology. Chronic otitis media is the most common ear disease. So, for example, for 27,535 visits to the outpatient clinics of Kazan ear clinics in 1925-30. there were 5314 such patients. Tolokonnikov’s 7,200 visits included 980 for chronic otorrhea.

Anesthesia n. n. pudendorum, first introduced by Ilmar in 1910, was tested and technically improved by Selheim in the same year.

Despite the significant period that has elapsed since the introduction of this method, it has been used relatively little both abroad and here in the USSR.

At the suggestion of Prof. P.V. Manenkova, we tested a simple and accessible method of labor pain relief, based on one of the modifications of Prof. Lurie1), described below, but with the addition of Veronal. We set out to identify the clinical harmlessness of this method of labor pain relief for mother and child, its effect on labor, as well as the effectiveness of its analgesic effect.

Prevention of postpartum diseases, which often accompany the act of childbirth, is of very great practical importance.

Local doctors often find themselves in a particularly difficult situation when life requires them to resolve such issues in conditions that are very unfavorable and far from the comfort of our clinics.

In his work “On the shelf life of serums for seroreactions in syphilis.”

The altered reactivity of the body under the influence of a previous infection determines the condition that is called allergy according to Pirquet. These phenomena of altered reactivity include the concept of increased and decreased sensitivity.

Local tissue inflammatory processes have made it possible to study more deeply the various forms of reactivity of the body. A classic example of such allergic inflammation is the Arthus phenomenon.

In 1935, a patient with a diagnosis of malignant reticuloendotheliosis was treated at the faculty therapeutic clinic of the Russian State Medical Institute. The interest of this case lies in the rarity of this disease and its intravital recognition. Diagnosing reticuloendotheliosis is not easy even on a dissecting table. During autopsy of our case, pathologists were hesitant to make a microscopic diagnosis, and only histological examination confirmed the clinical diagnosis.

In the practical work of a doctor during blood transfusion, the most rare, but at the same time severe, complication is “hemolytic shock”.

The picture of hemolytic shock appears on the operating table or immediately after a blood transfusion. This complication is sometimes so severe that it requires immediate action.

In most cases, the cause of hemolytic shock is the transfusion of incompatible blood of a different group, which occurs due to errors in determining groups.

There is no consensus on the existence of perforated bile peritonitis: some deny the possibility of their occurrence, others, on the contrary, have observed them and categorically state the possibility of bile entering the abdominal cavity without perforation of the bile ducts.

The first vaccinations of the BCG vaccine in children were carried out in France by Weil-Halle and Turpin in 1921. Since 1924, this vaccine has been widely used in France and other countries.

In the USSR, the Calmette-Guerin strain for the preparation of the BCG vaccine was obtained from the Paris Pasteur Institute GNKI in 1925; Since IX 1925, it begins to be studied and applied in the Ukrainian SSR.

В литературе имеются указания, что введение морским свинкам непосредственно перед пробой на анафилаксию больших доз аскорбиновой кислоты (витамин С) в подавляющем большинстве случаев препятствует развитию анафилактического шока. По вопросу же о влиянии витамина С на развитие шока при введении его до сенсибилизации имеются значительные разногласия.

Аа. изучили вопрос о влиянии аскорбиновой кислоты на выработку ряда антител, причем, с одной стороны, применялись различные антигены, а с другой — вариировались время и длительность введения витамина. Аскорбиновая кислота вводилась только внутрибрюшинно, так как при опытах с кормлением нет возможности точно контролировать ни количество, ни время введения изучаемого вещества. Опыты показали, что даже введение больших доз аскорбиновой кислоты до сенсибилизации ни в какой мере не отражается на развитии анафилактического шока. То же имело место, если аскорбиновая кислота вводилась длительно, но промежуток времени между Последним введением и пробой удлинялся (т. е. не непосредственно перед пробой). Установить какую-либо связь между титром преципитинов и остротой шока авторам не удалось.

Что касается образования преципитинов против сыворотки лошади или человека, а также антитоксинов при иммунизации дифтерийным анатоксином, то и здесь какого-либо изменения титра под влиянием введения аскорбиновой кислоты отметить не удалось.

Severe complications, sometimes observed after the prophylactic administration of tetanus serum, indicate that the injection of tetanus antitoxin is not completely harmless and should therefore be carried out according to strictly established indications. Of these complications a. indicates very persistent nephritis, paralysis and renal bleeding.

The author conducted experiments on rabbits actively immunized with typhoid bacillus. He concluded that carbohydrates, especially dextrose, enhance the body's self-defense, stimulate cellular functions and a specific immunization process.

The author draws attention to the fact that children's skin can be very sensitive to ointments containing salicylic acid. He gives the medical history of a 7-year-old child who was admitted to the hospital in excellent general condition with symptoms of moderate psoriasis.

The author draws attention to the fact that in infants who come from a family burdened with allergies and subsequently display increased sensitivity to various allergens, in the vast majority of cases a kind of linear erythema appears in the retroauricular fold, secreting a clear serous fluid, then drying and covered with scales. He considers this erythema to be a pathogmonic sign of latent allergy.

Reporting data on the etiology (infected instruments and hands, soapy water), pathological anatomy and bacteriology of tetanus after abortion, aa. indicate an absolutely poor prognosis of the disease and the absence of any preventive measures against post-abortion tetanus.

Speakers at the debate included Prof. B. G. Hertsberg, associate professor P. A. Gulevich, prof. S. A. Alekseev, prof. Yu. A. Ratner, Dr. V. M. Osipovsky, who pointed out the practical and theoretical interest of the demonstrations.

During the reporting period, 6 plenary meetings and 7 meetings of the branch board were held.

On November 30, 1938, after a long and serious illness, Roman Ivanovich Moshin, assistant at the clinic for ear, throat, and nasal diseases of the Kazan State Medical Institute, candidate of medical sciences, candidate member of the All-Union Communist Party of Bolsheviks, died.