Vol 26, No 3 (1930)

For the first time I saw S.P. Botkin in 1881. while still a student at Kiev University. Arriving by chance in Petersburg, I hurried to Botkin's lectures and was delighted with them. From the beginning of 1884, I moved to St. Petersburg for permanent residence, entered as an external student at the Clinic of Children's Diseases of the Military Medical Academy prof. N. I. Bystrova. Since that time, I have already constantly attended the lectures of S.P., whose clinic was located in the same building as the Clinic of Children's Diseases.

Interest in the study of acute articular rheumatism has increased enormously in recent years. As a more detailed study of various issues related to acute rheumatism, we are faced with certain questions of a purely practical nature, which have not yet received their final resolution, for example, when a patient who has suffered acute articular rheumatism can be considered quite able to work.

Lifetime recognition of chronic diaphragmatic hernias is rare. According to Lacher’s statistics in 1880. In 276 cases, accurate intravital recognition of diaphragmatic hernias was decreed only once - Leich tens ter n'om. Later, the number of such cases increased significantly, but nevertheless, their correct recognition is still very rare. These are the cases: Ahlfeld'a, Kaufmann'a, Abe 1'ya, A. V. Bergmann'a, Strupler'a, Pluckler'a, Herz'a. Here, recognition was possible, for the most part, thanks to fluoroscopy. Wullstein says in this regard that “the diagnosis of congenital diaphragmatic hernia was probably never made with certainty.” Thus, the description of our case in connection with the observations of other authors known from the literature may be of certain interest.

Occupational diseases play a fairly prominent role in the morbidity of workers in various sectors of our economy. Therefore, the study of etiological and contributing moments is a necessary condition for their prevention and the creation of the correct working and living conditions. Diseases of the tendon sheaths constitute one of the important chapters of occupational health and social pathology, however, our knowledge of the origin and nature of tendovaginitis is still far from complete resolution, and numerous works on this issue, which have appeared recently both in foreign literature (Frisch, Sattler, Hauck), and in Russian (Shugaev, Israilson, Golyanitsky and Obolenskaya, Konshin, etc.) they convincingly emphasize this position.

Indeed, in my aforementioned article, when listing the authors operating in the intermediate stage, I did not mention the name of Dr. VP Manuilov. This was done, of course, not for the purpose of ignoring the large statistical material of appendicitis operations in the interstitial stage, which I consider the material of Dr. V.P. Manuilov. The fact is that at the III All-Ukrainian Congress of Surgeons, where Dr. V.P. Manuylov made a report, I personally did not attend, the article of the above-mentioned author appeared, apparently, in February 1929, when it came to our Saratov (published in No. 1 N. surgery for 1929).

Attempts to actively immunize against varicella were first begun in 1875 by Steinert, who, by transferring the contents of a wind bladder to a healthy person, tried to make the latter insensitive to injection. Experiments in this direction continued and, became especially widespread over the past two or three years, when quite a few works on this issue appeared in Russian and foreign languages.

In the area with. Udeiki of the Belebey canton Bash. Republic On July 16, 1927, about 50 peasant women weeded the clover sown by the Shafranov resort administration. In the evening of the same day, some peasant women developed itching of the skin of their legs. On July 17, the regiment continued. The same peasant women worked and in addition about 30 Chuvash peasant women from the village of Slak-Bash started to work. In the evening, at the end of the work, many peasant women from. The udeyki noticed redness and swelling on the skin of the legs, accompanied by itching. By the morning of July 18, swelling, redness and subjective sensations increased. Some of the peasant women have bubbles. Skin lesions, according to respondents, were observed in all those who worked on clover, differing in some individuals only in intensity. Due to such a skin disease, work on the clover shelf was discontinued and no longer resumed.

In recent years, in connection with the malaria epidemic in our country, cases of subcutaneous rupture of the spleen are noticeably more frequent. In the years of famine, rupture of the spleen was also observed in typhoid patients. Overflowing with blood, enlarged in size, the pathologically altered organ often does not withstand insignificant physical stress. Cases of rupture of the malarial spleen during pregnancy, vomiting, during sleep, when turning on its side (the so-called spontaneous rupture of the spleen) are described. However, in most cases, the rupture occurs after one or another injury (bruise, fall). At the same time, the thin capsule of the spleen ruptures easily, and severe, often fatal, internal bleeding occurs. Mortality without surgery is huge (90-95%). Sometimes bleeding into the free abdominal cavity does not occur immediately after the injury, but several hours or even days later (secondary bleeding).

The idea of ​​going to America in order to get acquainted with the general installation 'of American surgery came to me several years ago. All this time, it was supported in me by my friend and former student of mine, Dr. A. Kolodny, who, having moved to America 8 years ago, has by now managed to advance there as a scientific surgeon. In the autumn of 1928, I received an invitation from the Rector and Dean of the Med. fac. Iowa City University to visit the named university and give a lecture or talk there on the subject of local anesthesia that interests me most. In the spring of 1929, the Glavprofobr gave me permission to travel abroad for scientific purposes. At the end of August, I left Moscow for Germany and then for America.

At the end of December 1929, the IV All-Union Meeting of the Scientific Advisory Bureau (NKB) of the Medsantrud Union was held in Moscow, dedicated to the study of professional hazards in medical labor. From the reports of the NKB in Moscow, Leningrad, Kharkov and other cities, it was revealed that, despite the scarcity of material resources, they had done quite a lot of work and accumulated a lot of scientific material in the field of studying occupational pathology and occupational health of medical labor. The work of the NKB in the last year, as before, was of a scientific and practical nature and was mainly focused on the following issues: 1) research on the labor and health of health workers in resorts, prisons, dentists, midwives, veterinarians, pharmacy workers, etc .; 2) the study of infectiousness, injury and disability; 3) a scientific survey of the load norms of certain categories; 4) the development of sanitary and hygienic standards of medical institutions, etc. The result of the work of the NKB was the implementation of a whole series of measures, such as: expanding the rights and benefits of workers in psychiatric hospitals, places of detention, light cabinets, etc.

Bibliography and reviews. Sexually transmitted diseases in children. A guide for doctors and students edited by prof. V.M.Bronner. Giz. 1929, c. 1 p. 65 r. A small volume of the book (170 pages) contains a number of articles on the main issues of the doctrine of congenital syphilis, gonorrhea of girls, non-venereal diseases of the genital organs in children and, finally, on the issues of social prevention of venous diseases in childhood.

Bibliography and reviews. Felix Peltason. Grundzuge der Rontgendiagnostik innerer Erkrankungen. (Fundamentals of X-ray diagnostics of diseases of internal organs). From 222 fig. in the text. P. 178. Ed. J. E. Bergmann, Miinchen. Price 1650 and 18 Mar. in the lane. Peltazon's book is written primarily for the practical physician. It was based on the lectures given by the author at the advanced training courses for doctors for several years at the polyclinic of the University of Würzburg. Without pretending to give exhaustive answers to all questions related to radiology, the author introduces the reader to the field of X-ray diagnostics, acquainting him with the technique of x-ray and imaging, technique and symptomatology.

Bibliography and reviews. Baumgartner K. N. Kranken-Physiognomik. Mit 70 nach der Naturgemalten Krankenbildern in erheblich verbesserten Wiedergabe. Verlag D-r Madaus & C °. Radeburg (Bez. Dresden). 1929. Preis RM. 35. The first edition of Baumgertner's book "Physiognomy of the sick" was published in 1838, that is, 92 years ago, the second edition — in 1841. A new edition, published in 1929 by Dr. Madaus & С °, there is a stereotypical imprint of the 1841 edition. Despite its antiquity, Baumgertner's book has not lost interest and value mainly due to 70 portraits of patients copied from nature, placed on separate tables.

Abstracts. Internal secretion. Metabolism in rats after removal of the adrenal glands (Artundo A. Thesis for Doctorate in Biochem. And Pharmac. Nat. Univ, of Buenos Aires, pp. 1-86, 1928). Rats can survive adrenal extirpation and remain in good health and resist cold well. But they are less mobile, get tired more easily and are more sensitive to insulin and vitamin deficiency B. An increase in glutathion is noted in their muscles.

Abstracts. Internal secretion. C. Funk and B. Harrow (Proc. Soc. Exper. Biol, et Med. V. 26, p. 325 ,. 1929) believe that they discovered the presence of a “male hormone” in the urine of young people. The extract they used was obtained after precipitation of urine with alcohol, filtration and subsequent evaporation.

Abstracts. Internal secretion. From observation of a large series of cases, Kuusaka (Japan. Med. World. V. 6. p. 147, 1928) concludes that ovulation occurs 13-17 days before menstruation. Conception occurs during the ovulation period and 3 days before it.

Abstracts. Internal illnesses. Allergic bronchitis G. L. Walbott (KI. Woch. 1930, No. 5) draws attention to a group of bronchitis, which is often encountered, but little mentioned in the literature, accompanied by phenomena similar to asthma. These bronchitis is characterized by frequent paroxysmal coughs similar to whooping cough. A. is distinguished by: 1) para-asthmatic bronchitis, which are outside the group of allergic diseases, characterized by a known etiology (whooping cough, nonspecific infections, tuberculosis, etc.) and the absence of indications of an allergic condition and 2) asthmatic bronchitis. In the last group, there are three subspecies: a) allergic bronchitis takes an independent place, as an expression of "allergic diathesis" and is distinguished by the presence of symptoms characteristic of allergies (anamnestic indications, heredity, positive skin tests, eosinphilia, reaction to adrenaline); b) intercurrent infectious bronchitis in asthmatics.

Abstracts. Internal illnesses. About a decrease in the size of the heart after bloodletting About a decrease in the size of the heart after bloodletting. Grothusen (Med. Klin. No. 27, 1929), studying orthodiagrams before and after bloodletting on 11 patients, came to the conclusion that in 63.6% the size of the heart after bloodletting decreased and that this decrease occurred in cases where the heart were comparatively compensated and had reserve strength.

Abstracts. Internal illnesses. Based on the study of metabolism in chronic arthritis in 32 patients, 8 ѵ aim (A. M. A. А.. 93 No. 4-1929) comes to the following conclusions: 1. Chronic arthritis tends to a decreased metabolism (0-20 % below 0). 2. Extremely high and low metabolic rates a. did not met. 3) Age and gender do not play a significant role in the exchange figures. 4. Previous views that atrophic and hypertrophic arthritis gave higher metabolic rates than infectious cases are not confirmed.

Abstracts. Surgery. Perkain with spinal anesthesia. M. Steinbriick (ZentrbL f. Chir. 1930, No. 5) in 12 cases used for spinal anesthesia 0.75-1.5 c. Page. 1% solution of regcap'a. In 6 cases, I observed subsequent complications from mild to severe. Anesthesia is more extensive and lasts longer than with tropocaine.

Abstracts. Surgery. A. A. Ozereliev (Zentralbl. F. Chir. 1930, No. 3) based on a comparison It is recommended to use a 5% alcoholic solution of tannin for disinfection of the operating field, since the latter, with the same disinfecting force with t. jodi does not irritate the skin. To eliminate stains, it is recommended to wash them off after surgery with 1% oxalic acid solution.

Abstracts. Surgery. On gastric resection in postoperative ulcus pepticum. Prof. F. de Gironcoli (Zentrbl. F. Chir. 1930, No. 1) proposes a modification of the radical resection of the stomach in ulcus pepticum, which consists in the fact that the site of the anastomosis is not removed together with the adjacent loops of the small intestines, but a section of the intestines remains immediately below the anastomosis with two knees: leading and abducting. After removing part of the stomach, the anastomosis and the initial part of the duodenum, the left part of the stomach is sutured directly with the intestinal lumen with two knees. Thus, ulcus pepticum remains in the removed part, and the newly formed stomach is obtained by the Billroth II resection type, with the only difference that the method proposed by the author is technically simpler and less time-consuming.

Abstracts. Surgery. Sectio alta transperitonealis in 2 divided doses. Feridum Schewket (Zentrbl. F. Chir. 1930, No. 2) successfully removed bladder stones in 2 cases, suturing the bladder to the parietal peritoneum after opening the abdominal cavity, and after 24 hours opened the bladder, removed the stone and then stitched up the wound layer by layer tightly. After 12 days, his patients (12 and 8 year old boys) recovered.

Abstracts. Pediatrics. Effect of tonsillectomy on diphtheria immunity. Schick and Topper (Am. Journ. Of dis. Of childr. 1929, vol. 38) wondered why the generally accepted fact that children with removed tonsils rarely get diphtheria. Is this just the result of the removal of an organ that provided a fertile ground for the growth of diphtheria sticks, or is it the result of increased immunity? To resolve the issue, they determined the susceptibility to diphtheria before tonsillectomy and 6 months after surgery using the Schisk'a reaction in children.

Abstracts. Pediatrics. Treatment of pneumonia in children. Epstein (Arch, of Pediatrics, vol. XLV, no. 10) prioritizes prevention in the treatment of bronchopneumonia. If the child's illness is accompanied by a change in the respiratory tract, at least a simple bronchitis, for example, with measles, flu, whooping cough, and others., The child must be immediately put to bed. The main concerns for a child already sick with bronchopneumonia should be directed to care, hygiene, etc. food; plentiful fresh air is needed; food should contain mainly carbohydrates (cereals, raw and boiled fruits, juices). The author considers the use of oanoks to be scientifically unfounded and in some cases harmful (scares children, injures the skin). The use of rubbing the skin with all kinds of oils is considered useless in relation to the pulmonary process and harmful in terms of hygiene.

Abstracts. Otorhinolaryngology. Dr. Reiermaun (D. sh. Woch., 1929, No. 9) prescribed viscysat Burger'a to patients suffering from ear noises not on the basis of local diseases and in whom blood pressure is increased., After a daily 3-time intake. 20 drops for several days, the tinnitus disappeared with a decrease in blood pressure. A large contingent of patients is women suffering from ear noise that occurs during menopause. In these patients, after 2 courses of treatment with viscisat'oM (up to 30.0), the blood pressure returned to normal and the ear sounds disappeared and never returned. In patients with arteriosclerosis, viscysat did not produce a good effect.

Abstracts. Otorhinolaryngology. To the technique of bronchography. Prof. Jarey (D.med. Woch. 1929, No. 13) recommends bronchography in the following way. An hour before the study, the patient receives an appropriate dose of morphium-skopolamin'a under the skin. After anesthesia with a 5-1O% solution of cocaine of the pharynx and nasal fissure, a bronchoscopic tube is held to bifurcation.

Abstracts. Syphilis. Experimental and clinical observations of Ві-therapy. Dorffel and Pachur (Derm. Ztschr. Bd. 55, H. 2) made their observations on the drug "Spirobismol solubile" (lod ChininLecithin Wismutpraparat), for which purpose they injected into the pigs intramuscularly different doses of it, and then using radiography they observed it absorption, while in experiments on syphilitics, the authors monitored the effect of the drug on sp. pallida. As a result of their observations, the authors believe that Spirobismol  sol. is absorbed much faster than the older drug Spirobismol, but its effect on spirochetes does not differ from that of the old drug.

Abstracts. Syphilis. Treatment of early and late syphilis with malaria. Jacobs and Vonwinkel (Derm. Ztsch. Bd. 57. H. 5) in most cases carried out a mixed course consisting of 12-15 injections of Ві and, like "Nachkur", in order to influence malaria, 4-5 gr. salvarsan'a. The intervals between vaccinations are on average 6 months. Along with the treatment, a blood test (RW, SJ, and MTR) was performed, as well as cerebrospinal fluid (Non ne, Weichbrodt or Pandy, pleocytosis and reaction with Goldsol).

Abstracts. Neuropathology and Psychiatry. Steinfeld (KI. Wochenschr., 1930, No. 8) describes the results obtained in the treatment of multiple sclerosis with gold preparations. In 5 chronic progressive cases, gait and speed improved significantly, and in 2 cases a general good remission occurred. In 3 initial stages, complete remission occurred. Of the 8 cases that were treated in 2 attacks, 5 were without disease. symptoms, in 3 chronic. cases means improvement and 2 doubts. case. no improvement.

Dr. med. died in Khabarovsk. Leonid Fyodorovich Piontk about VS k and th. L.F. was born in the Penza province. in 1875. In 1898 he graduated from Kazan University, and after a short work at the site, since 1899, he has been a resident at the Surgical Clinic of prof. Praxin in Kazan, where he undergoes a thorough surgical school. In 1903/4. L. F. works for prof. Pavlova at the Institute of Experimental. medicine, from where his scientific work ("The Influence of Soaps on the Work of the Pepsin Glands") was published, which gave him the title of Doctor of Medicine. In 1904/5 L.F. On the day of his death, Khabarovsk, the district hospital, which he created for two too decades, has continuously been in charge, and by his own efforts has by now been transformed from a small hospital with 40 beds into a completely comfortable medical institution with 300 beds.

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