Vol 42, No 6 (1961)

To understand the patient's relationship to his heart, it is important to take into account the ideas about the heart that exist among the population in general.

The successful development of heart surgery is unthinkable without knowledge of the pathology of vital organs and the dangers associated with the effects of surgical trauma and anesthesia. Since the role of metabolic features in the occurrence of operational and postoperative complications is great, surgeons attach great importance to the study of the functional state of the liver.

The fight against dyskinesia of the gallbladder has not only therapeutic value, but also prophylactic in relation to the development of various organic lesions of the biliary system and, first of all, angiocholecystitis.

Phosphatase takes an active part in both hydrolysis and the synthesis of phosphoric esters, and this determines its role in metabolism.

In the pathogenesis of peptic ulcer disease, like a number of other diseases, chemical mediators of nervous activity, in particular acetylcholine, play an important role. There are indications in the literature that in patients with chronic gastric ulcer, changes in the content of acetylcholine and blood cholinesterase activity are observed.

Difficulties in diagnosing Schönlein-Genoch disease arise, firstly, due to the frequent absence of ectopic symptoms (according to Seneca and Gosse): in 30%, the rash on the body is delayed or does not occur at all; secondly, the symptom complex of "acute abdomen", which is very often observed in this disease, is very similar to appendicitis, intussusception or other types of intestinal obstruction. Considering that this disease mainly occurs in children, with whom it is sometimes extremely difficult to establish contact, a number of errors in the treatment of this disease (and unjustified surgical interventions) becomes understandable.

The operation of osteosynthesis with the help of various kinds of metal structures - blade nails, screws, screws, etc. - has established itself in recent years as the main method of treating fresh displaced medial fractures of the femoral neck. As for patients with lateral (pertrochanteric and intertrochanteric) fractures of the femoral neck, there is still no unanimity in the choice of the method of their treatment.

In recent years, the attention of obstetricians has been attracted by the Simol reaction, proposed for the diagnosis of early pregnancy. Its value lies in its ease of implementation. If the spermaturia reaction (the simplest of biological reactions) requires the presence of a frog and is readable after 3 hours, then the Simol reaction does not require animals and can be delivered within a few minutes.

The aim of this work is to study the nature of shifts in blood serum proteins in those suffering from acute and chronic inflammatory processes of the female genital area, and also to find out how mud treatment affects the protein fractions of the blood.

In recent years, many new methods of treating brucellosis have been proposed, among which vaccine therapy is the most effective in adults.

Until 1949, wide medical circles and public health authorities did not know about the existence of natural foci of tick-borne encephalitis on the territory of the Tatar ASSR.

Congenital fibroelastosis of the heart is a disease also known under the names: diffuse endocardial fibrosis, endomyocardial fibrosis, endocardial sclerosis, endocardial fibroelastosis, idiopathic cardiac hypertrophy. As an independent nosological unit, this disease was isolated relatively recently (M. Sano and N. Andersen, 1942).

Over the past decade, in connection with the general progress of surgery, operations for esophageal diverticula with good outcomes have been increasingly performed.

Multiple stomach ulcers are relatively common. Much less common are repeated perforations of gastric ulcers. NE Dudko on the material in 618 patients met repeated perforations 4 times, NS Epifanov in 271 cases - 5, VV Zharova in 277 - 2.

Mesenteric lymphangiomas, as a rare disease, are difficult to diagnose and are either an operational finding, or are found only during autopsies (D.B. Avidon, V.V. Zharova, I.M. Kudinov, A.A. Filippovich, D.I. Fairtag).

At the end of the last century, a number of proposals appeared to treat proctitis that did not respond to conservative treatment by surgery - by imposing an intestinal fistula on the S-shaped intestine or on the appendix, followed by washing with solutions of tannin and potassium permanganate. However, this technique did not always give successful results, and it was gradually forgotten. Recently, some domestic surgeons began to use it again, using phytoncides for washing the colon. So, A.I. Tolchenov (Arzamas) reported 6 observations of the application of this method with good results.

P., 27 years old, was admitted on 7/11 1955 with complaints of incontinence of feces and gases during walking and physical exertion, bedwetting and excretion of feces through the vagina. The patient considers himself from birth.

Those suffering from congenital microcephaly and dementia usually do not differ in longevity.

The variety of clinical manifestations of this disease often complicates its recognition. In this regard, we consider it interesting to describe the following observation.

The Mari ASSR has long been considered the focus of endemic goiter. The first information about goiter on the territory of the Mari Territory dates back to 1870 and 1886. (N.A. Tolmachev and M.F.Kandaratsky). In the Soviet period, for the first time in 1929, a scientific expedition was organized by the People's Commissariat for Health of the RSFSR to identify the causes, nature and size of goiter endemic. The survey results confirmed the available data. The Mari Scientific Research Goiter Station was created, which united all the work to combat goiter in the republic. In the future, iodine prophylaxis began to be carried out by supplying the population with table salt and at the same time "school" iodine prophylaxis, which affected the health of the population. New materials on thymus endemic in the MASSR, presented by prof. FG Mukha-Medyarov ten years after the 1929 expedition showed a significant decrease in the incidence rate (up to 10.6%, instead of 21.2% in 1929). During the Patriotic War and post-war years, mass surveys of the population were not carried out. For the Volzhsky District, during this time, there were only data from a sample survey of the population, carried out at the initiative of local medical workers. According to these data, an increase in the incidence rate (up to 45% of those examined) was again observed in the Volzhsky region. In 1956, the population of the Zvenigovsky region was examined by doctors D.V. Shvets and S.P. 1% (materials of the republican SES).

We used materials obtained during preventive examinations of the workers of the rubber-technical products plant by therapists, ophthalmologists and laryngologists-employees of the clinics of the Kursk Medical Institute, as well as the city and regional anti-tuberculosis dispensaries, who conduct a fluorographic examination of workers every one and a half years.

One of the elements of the dispensary methodology in the fight against sexually transmitted diseases, and, in particular, with syphilis, is the identification and involvement of persons who have served as a source of infection in compulsory treatment. As you know, contingents of sources of infection cannot be regarded as something constant, unchanged in their composition at different periods of time. Depending on changes in socio-economic conditions, the composition of sources of infection inevitably changes to some extent. Knowledge of these changes is of great epidemiological importance, since they determine the direction and nature of organizational and preventive measures.

The problem of atherosclerosis has taken one of the central places in the struggle to increase human life expectancy and health. Numerous literature, often with highly conflicting data; numerous conferences, symposiums devoted to the nature of atherosclerosis in various aspects; finally, the keen interest of a broad mass of doctors dictates the need to summarize well-known results, to compare materials and conclusions. This task was set in his monograph by B.V. Ilyinsky, well known for his work on atherosclerosis.

The report by A.A. Tamazov (Moscow) covered the issues of ensuring the further development of physiotherapeutic assistance to the population of the RSFSR in the light of the implementation of the January decree of the Central Committee of the CPSU and the Council of Ministers of the USSR. The main ones are: creating comfortable conditions for patients being treated by physical methods; measures promoting the wider use of all modern physical factors in complex treatment; creation of a network of independent physiotherapy clinics.

The conference was attended, along with medical specialists, as well as engineering and technical and trade union workers of the oil and petrochemical industry of the country. In total, the meetings were attended by about 500 people.

In this answer, it is meant to dwell on the main questions of the problem and only briefly touch on the most important particular issues raised in the discussion.