Vol 20, No 3 (1924)

If you take the point of view held by my unforgettable teacher, prof. Tarkhanov, that life is the explosive decomposition of the protoplasm of the organism in response to stimuli, and its decomposition is a kind of definite and suitable reflex to a corresponding and suitable stimulus, then it must be admitted that the stimulus must be specific, for it is not always a response to stimulation that a reaction is obtained.

The issue of bleeding is so complex that, despite the considerable literature in this area, it is still poorly developed, and yet not only theoretically, but also purely practically, this issue is of great interest: we often see from everyday surgical practice that with the same size and localization of the wound, one organism bleeds profusely, while the other will have only a few drops of blood.

As you know, the weakness of uterine attempts is one of the unpleasant complications of the birth act, which in some cases can lead to more serious consequences for the mother and the fetus. From a practical point of view, it is very important to distinguish between the primary and secondary weakness of attempts. If the secondary weakness of attempts, which is usually based on overwork of the uterine muscle, often first occurs only during the period of expulsion, then the primary weakness manifests itself already from the very beginning of labor and can last throughout the entire period of opening, as a result of which labor can drag on for a very long time. Any delay in the course of the birth act, of course, is unpleasant for the woman in labor and in many cases is a real test, both for herself and for others, but she does not conclude an immediate danger either for the mother or for the fetus, since the fetal bladder still retains its integrity.

Currently, by protein therapy or Reiztherapie we mean a number of long-known therapeutic methods: vaccine therapy, serotherapy, venesection, parenteral administration of protein bodies (muscle protein, milk protein, egg white, ovalbumin'a, deuteroalbumos'bi, etc.).

When observing the development of a newborn, we at first encounter from. vases. "Physiological weight loss" of it, expressed in the fact that in the first 3 days the baby loses weight on average 150-200 grams. so that by the 7-10th day his weight reaches the original figure (Budin'a type).

The cycle of ascaris development and the mechanism of human infection with them, established back in 1887 by Grassi, and their eggs entering the stomach develop into mature sexual forms in the intestine, were considered facts that were completely clarified and did not require further research.

Prolonged increase in blood pressure in most cases depends on prolonged spasm of arterioles even in those cases where there are arteriosclerotic regional changes in the vascular walls, and, conversely, with significantly pronounced arteriosclerosis, blood pressure may not be increased in the presence of sufficient heart function.

As you know, the issue of nephrosclerosis is currently the subject of lively debate, and most authors hold a unitary point of view on this process. However, Fahr (Deut. Arch. F. Kl. Mediz., Bd. 134, J. 366) defends his doctrine of the heterogeneity of the pathological and anatomical basis of benign and malignant forms of nephrosclerosis and continues to recognize the existence of two varieties of the disease - contrary to the teachings of Löhlein'a, Aschofnʹa and his school.

On azotemic uremia there was a view that it depends on nitrogen retention in the body. However, Lax and Rohonyi (Zeitsch. F. Kl. Med., Bd. 93, p. 117) showed that there are cases of uremia in the absence of changes in renal function: the patient died with symptoms of severe uremia, despite a diet poor in nitrogen and good nitrogen excretion kidney function. Hence it follows that in the body there can be a residual nitrogen retention without subsequent uremia in nephritis, and, on the contrary, uremia may develop without a pronounced nitrogen retention.

Osteomalacia, being a rare disease in Russia in general (according to Skrobansky, 49 cases before 1908), occurs quite often in the area of ​​the former. Kazan province and, moreover, almost exclusively among the Tatars. So, Klyuchevsky (Collection of works on obstetric and gynecology, dedicated to Prof. V.S. passed during the period from 1903 to 1914. through Kazan Akush-gynek. clinic prof. VS Gruzdev, of whom 6 were traced permanently, in 4 cases surgical assistance was provided, in 4 studies of the exchange of Ca and Mg were performed, and in 3 histological changes in the ovaries were studied.

According to Zrmmermann's (ref. Zentr. F. Gyn, 1923, No. 26), the technique of this method is as follows: the bladder is emptied by catheterization; the vagina is opened with anterior and posterior spoon-shaped mirrors, the vaginal part is captured with bullet forceps and is brought down from the introitus vaginae; then the vaginal part is pulled to one side, and the wall of the vagina to the other, with the help of a lateral mirror, and the parametrium is strained; after taking the Museau forceps, the doctor applies them, sticking in the sleeve wall as high as possible, onto the uterine rib and squeezes; the same is done on the other side.

Prof. NM Kakushkin (Doctor. Gaz., 1924, No. 2) made sure that the dissection of the cervix during the operation of a vaginal caesar section is both unnecessary and even harmful, but that the uterus should be emptied by the vaginal route, opening its cavity only in the area of ​​her body. The operation is performed on a trace, arr .: having made a transverse or T-shaped incision in the anterior fornix, the operating one exfoliates the bladder from the uterine neck, opens the abdominal cavity, protects the bladder with a lifter, makes a small longitudinal incision in the midline of the uterine body, captures the edges of the incision with two teeth, tightens the opening closer to the vaginal lumen, lengthens the incision towards the bottom of the uterus with a knife or scissors, extracts the fetus with two or three fingers inserted into the uterus, first the fetus, then the afterbirth, scrapes out the cavum uteri with a spoon to remove the falling membrane, then sutures the uterine wound, peritoneum and fornix.

N. Umikov (Jahrb. F. Kinderh., V. 103, H. ½, 1923) gives a trace, a summary of 429 cases observed in Tiflis in 1914-18. Epidemics developed mainly in the fall, with boys getting sick more often and stronger than girls; most of the sick children were 5-12 years old; the younger the patient was, the easier his typhoid was.

E. Kylik (Klin. Wochenschr., 1923, No. 45) describes essential hypertension as a separate symptom of a functional disease. He sharply distinguishes between two forms of hypertension: 1) from kidney disease (glomerulo-nephritis ac.) And 2) the essential form, as a manifestation of autonomic neurosis.

R. Gasul (Doctor. Obzr., 1922, No. 8. 9, 11) builds modern radiation therapy on 2) principles: 1) on the law of irritation, which causes an increased response in the fight of cells against the pathogenic onset, and 2 on the difference in photosensitivity of pathological and normal tissues, as well as individual tissues.

As far as the physical diagnosis of the organs of the chest cavity is systematically (although still far from perfect) set out in various manuals for medical diagnosis and has been widely used in the daily practice of doctors, the situation is just as bad with the physical methods of studying diseases of the abdominal cavity.

Dr. I. S. Aluf gave a speech on psychology and reflexology at the II Congress of Psychoneurology. This speech is printed in the present issue K. M. Journal “in extenso.

Dr. BA Gusynin reported a case of a subcutaneous rupture of the neurovascular bundle under the collarbone in a 7-year-old boy. This report will be published in Kaz. Honey. The magazine “in extenso.

Department of Caucasian Mines. Vod turned to the Medical Section of the Kazan Union