Vol 27, No 1 (1931)
On the use of antigens from sp. pallida cultures for the sero-diagnosis of syphilis
Abstract
Since the production of pure cultures of sp. pallida, the question arose about the use of these cultures as an antigen in WaR. The possibility of using such an antigen seemed very tempting, since in this case, WaR would methodically fully satisfy the requirements of the Bordet-Gengou complement binding reaction, on the theoretical basis of which the WAR technique was developed by Wassermann, Neisser and Vgisk at the time.
3-14
14-18
18-22
On the classification and nomenclature of chronic "rheumatic" joint diseases
Abstract
Each rational classification consolidates the knowledge and understanding of the studied phenomena achieved at the time of its compilation. Being the formulation of this understanding, the classification, in turn, becomes the starting point for further progress. That is why from time to time it is necessary to revise the nomenclature and classification of the studied phenomena in order to raise them to the level of new knowledge, in order to pour the accumulated new observations into them. In clinical medicine, the classifications of painful forms cannot, of course, have the accuracy and certainty that they have, for example, in the mathematical sciences. Insufficient knowledge of etiological factors, their multiplicity and interference, the abundance of transitional and combined forms, compensatory adaptations that equalize functional disorders-all this makes every step on the path of classification extremely difficult. However, if there is no data for making more or less complete classifications, it is often necessary to make working classifications that are obviously only temporary. These difficulties of classification especially increase when we are dealing with such vaguely differentiated painful phenomena as joint diseases. Here, an unimaginable "confusion" (Umber) prevails among practitioners. Practical doctors drown their inability to understand the intricate forms of disease in vague diagnoses of "rheumatism", "gout". Meanwhile, the great social significance that "rheumatic" joint diseases acquire-social diseases par excellence-requires more careful differentiation and consideration of joint diseases, and the latter are possible only when building a more or less rational classification.
23-33
Materials on the issue of joint auscultation
Abstract
The question of the meaning of listening to the joints cannot be considered resolved. So far, we are in the stage of accumulating facts in this regard. In the literature, auscultation of the joints, as a method of research for the disease of the latter, has so far been given little attention. Not only the question of how valuable this research method is for the clinic is not sufficiently clarified, but also what data in the sense of sound phenomena we have when listening to normal and pathologically altered joints. Therefore, I consider it possible to report on the data that I received during auscultation of the knee joints in 373 people. The technique was as follows: a phonendoscope was placed on the knee joint area, after which the subject slowly performed flexion and extension movements while sitting on a couch (Prof. The doctor advises putting the patient's hands under the leg, this has not been done in my experiments). The movements were made repeatedly. Both joints were ausculted. Most patients have a hearing. it was performed several times (2-4) with different intervals: from a few days to 1½ months.
33-37
Transduodenal expulsion of tapeworms in children
Abstract
The wide application that the duodenal probe has found in clinical studies recently is well deserved. There is no need to dwell in detail on the great importance of this method in diagnostics, it is only necessary to note that in the therapeutic context, the clinic has been able to use a duodenal probe for the administration of a number of drugs, acting directly, in an unchanged form, on the 12-duodenum and neighboring organs (liver, bile ducts, pancreas). According to some authors, the duodenal probe was used to expel ribbon worms Gantt and West1), Schottmfiller 2), Schneider3), Kurakin4), Shafir 5) , etc. One of the first were the American authors Gantt and West, who used large doses of fern with great success. Schneider received a positive result out of 87 cases in 62 cases, he attached great importance to preliminary training and diet. The dose did not exceed 3.0 extra, fern. Kurakin-out of 88 cases, 83 received a positive result, the hoax was detected in 66 cases. The dose did not exceed 2.5 ferns. The day before, a laxative, an enema in the morning, then a duodenal probe was inserted and, when the olive was in the 12-duodenum, 25.0 inf was injected. Sennae, after ¼ hours of extr. fil. maris and then again 25.0 inf. Sennae. Kornev used large doses of extr. fil. maris up to 8.0; preliminary preparation lasted 2 days, and the removal of the worm was observed after 20-40 minutes. Shafir out of 40 cases in 100% showed the removal of the worm in an average of 2 21/2 hours. There was no preliminary preparation. The dose of fern in most cases did not exceed 4.0.
37-39
A rare case of ascariasis
Abstract
Recently, helminthic infestations have affected a huge part of the villages of our Union and it is no coincidence that every year the contingent of patients in whom gel-mintiasis plays a certain etiological role in their diseases increases in the Essentuk group of K. M. V. In recent years, a number of classical works by Prof. Fülleborn, Weinberger, Scriabin, etc. have been published, confirming the above.
39-43
On the issue of studying the functional activity of the heart in surgery
Abstract
In surgical practice, when the body is subjected to such a great trauma as an operation—all its forces, all organs participate in restoring the balance of the body, which is disturbed by surgical intervention. Some organs receive more requests, some less, but the heart is one of the most responsible organs, which bears almost the entire burden of the surgical and postoperative period.
43-47
On the issue of subdiaphragmatic abscesses and operations with them
Abstract
Diagnosis of a subdiaphragmatic abscess, especially early, is extremely often extremely difficult. This difficulty is further compounded by the fact that a subdiaphragmatic abscess is a secondary suffering that complicates some disease, such as: from the growth of the caecum, ulcers of the stomach and duodenum, diseases of the liver and bile ducts, less often diseases of the spleen, exceptionally rarely diseases of the pancreas, kidneys, respiratory tract, female genital organs, other parts of the intestine.
47-51
On the issue of interstitial pregnancy of the late stage of development
Abstract
Despite the fact that nowadays ectopic pregnancy is a disease that occurs dozens of times a year in more or less significant clinics and hospitals, it still attracts medical attention: they are interested in its quantitative growth from year to year, they reveal the incompletely clarified etiology of this disease, they continue to argue about some methods of its treatment, etc.If general questions about ectopic pregnancy arouse interest, then the identification of some of its children attracts no less attention. From this point of view, interstitial memory, as a rare form of ectopic memory in general, serves as the subject of casuistic messages in order to accumulate material for conclusions. The recently observed case of interstitial b-ost, among other things, has some specific features that give me the right to publish it.
52-58
On the question of indications for antrotomy in acute mastoiditis
Abstract
IF the operative technique, as a more independent part of the teaching about mastoiditis, has now reached a significant height, then this cannot be said about the indications for mastoiditis surgery, which is very closely dependent on the amount of clinical experience in general and the accuracy of clinical diagnosis in particular. The last word is far from being said here, there is no consensus. To date, there is a sharp contradiction in the views of what should be understood by mastoiditis when operating with one or another form of mastoiditis. Some consider the mastoid process surgery to be a safe intervention, others continue to treat it with great caution, as serious and unsafe for life
59-65
"The operation of inversion of the eyelids according to the method of prof. V. P. Ivanov"
Abstract
Speaking about trachoma, it is impossible not to talk about the complications that it causes, because trachoma is terrible not so much by itself as by its complications. Among the complications of trachoma, the most common, apparently, are inversions and trichiasis. For 11,815 primary patients who passed through the outpatient clinic of the Kazan Trachomatous Institute in 1928, there were 1,926 people who were trachomatous, 317 of them with complications, i.e. 16.5%. According to Relman -) inversions complicate trachoma in the II-th stage in 30%, in the III-th in 50%, and according to the material of our Institute, there were 312 people (i.e. 42%) with a twist for 743 people diagnosed with trachoma III. This complication is very painful for the patient, because wrapped eyelashes rub against the eye and give a feeling of a foreign body. Without treatment, the inversion, causing pannous keratitis with subsequent opacity of the cornea, often leads to incurable blindness, which is why the inquisitive thought of optometrists gives so much time and energy to finding new ways to radically eliminate this complication. Back in the 16th century BC, the Egyptians proposed to treat the inversion of the eyelids with resets to the eye by pulling them out and applying a composition of myrtle, echidna blood and bat. The Indian Brahmin caste has been treating the inversion for many centuries before our era, cutting out strips of skin in the lower third of the upper eyelid and stitching the wound with hair sutures, and if this did not help, they burned out the bulbs of eyelashes , ). Without wanting to load our brief note with a stream of dates and names, we will not mention the numerous old and new, sometimes very ingenious ways that various authors have proposed at different times to quickly eliminate the inversion. Let us note only one thing, that a number of new operations, which we read about without exaggeration in almost every new volume of our special literature, serve as an indicator that existing operations do not fully satisfy oculists, and this same fact is an excellent illustration of the idea expressed by Prof. At a meeting of the Moscow Institute of Eye Doctors back in 1925, Odintsov said that with trichiasis "there is not a single completely satisfactory operation... that would radically eliminate changes, guarantee against relapses and give a perfect cosmetic effect"). The abundance of new operations, so generously offered to the overloaded practitioner, sometimes make them forget the old proven methods. So to say, to restore, to remind our workmates about one of these undeservedly forgotten ways of promptly eliminating trichiazama, we would like to use this brief note.
66-69
69-75
Toxidermia nodosa (Erythema nodosum) from the use of kalii jodati
Abstract
In addition to the well-known Acne bromica njododerma tuberosum, various skin rashes were also observed, which owed their existence to various iodine preparations. These include, for example, rashes similar to Pemphigus, described by—Vespieg, Szadkk, Géin y, Feu-lard, Russel, Trapeznikov, Hynes, etc., Pemphigus vegetans-Hallopeau, Arnozan, du Castel, Hallopeau et Fouquet. Urticaria (Besnier, G & m, etc.), Purpura—(Fou'r - nier, Besnier, Duffey, Lemoine, etc.), Dermatitis herpetiformis (Dühring-Dangos), Mycosis fungoides (Rosin, etc.), hydroa (Huts chi ns on), tuberculoid - like exanthemes (Hallopeau et Lehret), multiple disseminated skin gangrene (Ch. Andry), rashes resembling measles (Gerson), scarlet fever (Lippmann-Wolf), Erythema exsudativum multiforme (Welander), anthrax (Besnier).
75-82
The Manoilov reaction in venereal diseases
Abstract
The sex determination reaction proposed by Manuilov in 1923 still attracts the attention of researchers. Here we will not touch on the reaction technique, since it is analyzed in detail by Solovtsova, and its chemistry, which was developed by Perevozskaya, Galvyalo and Gusev. We will only point out that the reaction of M a n o y l o v a, apparently, depends on the difference in oxidative processes in men and women, which in turn is associated with both hormones and different blood content of proteins and iron.
83-84
Ulcus vulvae acutum Lipschutz-Chapin
Abstract
Do ulcers occasionally occur on the external female genitalia? which without bacterioscopic examination are dvagnossvruyug either as a soft chancre, or as a gangrenous ulcer. Not being in direct connection with intercourse, ONP more often affects older girls, virgins and only occasionally young women. I first noticed these ulcers in 1904. Lipschutz at the Finger clinic; during the bacteriological examination of smears from ulcers in and out of leukocytes, singly or in groups, he found Gram-positive short cells with crooked ends; later they were called bac. crassus; autoinoculation was negative. Lipschutz called these ulcers of the lodes noveneric; further observations of 4 cases in 1907-1909 allowed him in 1912 to establish a special nosological unit, to which he gave the name-ulcus vulvae acutum. A number of observations that appeared in the press, and most importantly 20 of his own, made it possible for the author to sharply distinguish this disease from other venereal and non—venereal ulcerative processes, such as those described in 1895 by Neumann aft of the female genital organs, or from the superficial ulcers of the anus and genitals described by Welan deg in women: these ulcers, despite similar features—soreness, development in virgins-differed in the development of vesicles on touching places etc.
84-88
To the casuistry of benign tumors of the gallbladder
Abstract
Benign neoplasms of the gallbladder are extremely rare (according to Finkelstein in 1 % of all surgically treated cases) and are detected, almost as a rule, accidentally during operations or autopsies. Most often, papillomas are observed in the gallbladder, which sometimes degenerate into cancer (P e ls-Leusden, HruSka, etc.); about 15 cases of them are described in the European literature. Fibroids, fibromyomas, fibroids, fibromyomas, papillary fibroepitheliomas, subserous lipomas, adenomas, cystadenomas and adenomyomas are much less common. The etiology of these neoplasms is still unknown: according to a number of authors (Savy, Maya, Finkelstein, etc.), the possibility of their development as a result of chronic rupture of the bladder wall by stones or infection is not excluded. Clinically benign tumors of the gallbladder quite often occur under the guise of chronic, recurrent cholecystitis or cholelithiasis.
88-90
90-90
Adenocarcinoma uteri in a girl 1 year 6 months
Abstract
On October 28, 1925, Nadya Kuzmetsova, 1 year 6 months old (ist. bol. No. 3512/256), the daughter of a railway employee, was admitted to the Gynecological Department for bloody discharge from the vagina. According to the mother, the patient has 14 months of t. naz. at first, dirty white spots appeared in a small amount, and after 2 weeks they took on the character of bloody discharge with an admixture of pus, which made my mother show me the patient.
90-91
91-92
To the pharmacology and physiology of veins
Abstract
Numerous factors play a role in the movement of blood through the veins, the residual strength of the heart, negative pressure in the chest cavity and the right heart are those moments that create a difference in the initial and final pressure in the veins and which provide siphon phenomena in them. At the same time, we should not forget about the role played by atmospheric pressure and due to which the phenomena of the siphon (Bogomolets) are possible. Among other factors contributing to the movement of blood through the veins, it is necessary to point out the venous valves and skeletal muscle contractions (Tigerstedt, Burton-Opitz). The significance of the latter can be seen at least from the fact that when drugs are injected into the veins, the patient is often forced to alternately clench his fingers into a fist and unclench them. However, the value of muscle contractions has recently been subjected to some authors to a certain doubt. So, according to Jones Wood, muscle contractions can contribute to blood flow only if they go evenly from segment to segment; but even if this were the case in an ideal case, then even then there could be stagnation and overflow of blood of the superficial veins, which, according to the author, are not exposed to the action of the muscular press.
93-98
Prof. G. G. Genter. Obstetric Seminary. Volume II, with 144 figures in the text. Publishing house "Practical Medicine", Leningrad. Page + 310-616. Price -5 rubles.
Abstract
Prof. G. G. Genter. Obstetric Seminary. Volume II, with 144 figures in the text. Publishing house "Practical Medicine", Leningrad. Page + 310-616. Price -5 rubles.
The 2nd volume of the "Obstetric Seminary" by Prof. G. G. Genter contains a list of 43 cases from different departments of pathological obstetrics.
98-98
P.-A. Carrié. Les syndromes ictériques. page 448. Paris. G. Don & Cie. The price is 85 fr.
Abstract
P.-A. Carrié. Les syndromes ictériques. page 448. Paris. G. Don & Cie. The price is 85 fr. The question of jaundice has always interested French scientists, and the author of the book rightly points out that many modern views are available, although still in a rudimentary form, in the works of Trousseau, Jaccoud, Hanot, Haye m'a, Gilbert'a, Chauffard'a, Wida, who foresaw the infectious origin of many jaundice.
98-98
98-99
R. Lehishe, A. Rolisagd. Physiologie pathologique chirurgicale. Inflammations, effet des traumatismes, preparation des pluies, greffes, maladie de sous, des articulations, des vaisseaux et des nerfs. page 212. Masson et Cie Paris. c. 26 fr.
Abstract
R. Lehishe, A. Rolisagd. Physiologie pathologique chirurgicale. Inflammations, effet des traumatismes, preparation des pluies, greffes, maladie de sous, des articulations, des vaisseaux et des nerfs. page 212. Masson et Cie Paris. c. 26 fr. The name of both authors is well known to the Russian medical reader.
99-99
Society of Doctors at Kazan University. Surgical section. Meeting on November 21, 1930
Abstract
Opening the meeting, the chairman of the section, Prof. V. L. Bogolyubov, announced the upcoming 50th anniversary of the scientific and pedagogical activity of Prof. Vasily Ivanovich Razumovsky, described the highly useful work of Prof. Razumovsky for Russian surgery and offered to send congratulations to the venerable hero of the day. The offer was accepted.
99-101
On January 19, a solemn meeting was held at the Academic Tatar Theater in Kazan on the occasion of the allocation of
Abstract
On January 19, a solemn meeting was held at the Academic Tatar Theater in Kazan on the occasion of the separation of the Medical Institute from the University and the first graduation of doctors of the Medical Institute. On February 5, 190 doctors graduate from the Kazan Medical Institute.
102-104
104-104
104-104