Vol 33, No 1 (1937)
The problem of endocarditis in connection with the doctrine of allergy
Abstract
The works of Ashoff, Klinge and Talalaev firmly linked the problem of endocarditis with acute rheumatism. The discovery of specific anatomical and histological changes in the form of Aschoff's granuloma in the heart and blood vessels in various forms of acute rheumatism has brought the lesion of the cardiovascular system to the fore in the clinic of acute rheumatism. Davydovsky believes that almost all endocarditis is of rheumatic origin. In the same way, the etiopathogenesis of rheumatic endocarditis is recognized to be identical with the pathogenesis of other forms of rheumatism, and the differences in the clinical picture between endocarditis and acute rheumatic polyarthritis are explained by differences in the localization of painful changes. As the authors who stand on the point of view of the nonspecific etiology of acute rheumatism, and most of those who recognize the presence of a specific causative agent for acute rheumatism, agree that the allergic reaction of the macroorganism is important for the pathogenesis of acute rheumatism.
The experience of treating cardiac decompensation with a modified Karelian regime
Abstract
Back in 1866, Karel proposed a regimen consisting of one milk for the treatment of cardiac decompensation. Milk was given in the amount of 800 cubic meters. cm per day in small portions and gradually increased to 2 liters per day. Later, this regime, which underwent changes, was recommended by many clinicians, both abroad (Kengartz, Jacobi, Guushar, etc.) and in our country (Botkin, Inozemtsev, Sirotinin). Recently, a number of authors (Schroth, Noorden, Pevzner, etc.) have been studying this issue.
To the clinic and cytology of hemothorax
Abstract
Hemorrhages in the pleural cavity are most often due to traumatic damage to the blood vessels of the chest, pleura, lung, mediastinum. In the absence of a previous injury, hemorrhages in the pleural cavity may be due to diseases of the chest organs, entailing a violation of the integrity of the blood vessels - tuberculosis, neoplasm, or due to general bleeding in hemorrhagic diathesis, scorbut. Sometimes there is a bloody effusion in cachetic persons and occasionally with nephritis.
On a kind of dysentery caused by the paratyphoid bacillus
Abstract
For a long time, many authoritative scientists, such as Hirsch, Brauer, Frenkel, and others, expressed the position that the dysentery symptom complex can be caused not only by specific microbes of the dysentery group, but also by a number of other microorganisms: paratyphoid bacillus B., bac. Pyocyareus and other microbes, as well as protozoa (Amoeba Hystolitica, balantidia and lamblia). In 1891, during one dysentery epidemic, Grigoriev isolated a microorganism from the feces of 10 patients and from the mesenteric glands of dysentery corpses, which, according to the author's description, fits into the framework of E. coli. Macao Abe during the epidemics of dysentery in southern Japan in all 42 cases isolated a bacillus from the feces of patients. coli comm. and not once in this epidemic did he manage to find either amoeba or dysentery bacillus.
To the treatment of rickets with seal oil
Abstract
On the issue of the use of seal oil for the treatment of rickets in children, several works have already appeared in the Russian medical literature. So, in 1929, Levit and Mikhlina, in a work that came out of our clinic, reported on the basis of observations on 13 children about the satisfactory results of using this fat. In 1935, E. M. Lepsky and G. S. Tyamina published observations that also speak of the satisfactory effect of seal oil on children's rickets, despite the fact that when tested on rats, the content of vitamin D in this preparation was low.
Treatment of syphilis with osarsol
Abstract
Osarsol, an arsenic drug used per os, was introduced into the therapy of syphilis more than 10 years ago. In 1924 - 1927, when osarsol was tested in some clinics, the opinions of the authors about the therapeutic and toxic effects of the drug were very contradictory. Some authors were inclined to believe that the therapeutic effect of osarsol is insignificant, and the side effects of osarsol do not justify its introduction into everyday practical work.
On the question of processing the stump of the appendix during appendectomy
Abstract
Over the past three decades, appendectomy has become one of the most popular operations. “Appendicitis is undoubtedly the most frequent acute abdominal process” (Deaver). Thousands of appendectomies are performed annually both in major metropolitan centers and in the most remote corners of the Soviet Union. Every novice surgeon inevitably faces this operation, just at the very beginning of his activity. All of the above sufficiently explains the need to develop a wide variety of issues related to appendicitis.
Treatment of frostbite in an open way (without dressings)
Abstract
The harsh climatic conditions of the coast of the Tatar Strait make explainable the large number of patients with frostbite who passed under our supervision during the winter of 1935-36 and amounted to 2.8% (26 people) of the total contingent of inpatients. The variety of recommended methods for treating frostbite, on the one hand, and the relatively long recovery period for all of them, on the other hand, made us take a critical approach to the proposed methods of treatment. All currently existing methods are reduced to the treatment of frostbite areas with bandages; and on the locus morbi apply indifferent or slightly disinfecting ointments, or a similar property of a powder, or wipes moistened with slightly disinfecting solutions, for example, Sol. kalii hyperm. 1: 1000. The apparent similarity of the external manifestations of frostbite and burns inspired us with the idea of conducting frostbite therapy in an "open way", which has long occupied a well-deserved place in the treatment of burns.
The case of fibrous osteodystrophy (Recklinghausen disease)
Abstract
In 1891, Recklinghausen first accurately described fibrous osteodystrophy, putting forward five main provisions that determine the essence of this disease: 1) replacement of cellular and adipose bone marrow with fibrous connective tissue; 2) resorption of bone tissue by lacunar suction; 3) metaplastic and partially osteoblastic neoplasm of osteoid and bone tissue; 4) tumor-like growths of fibrous and giant cell tissue, such as epulids, resembling giant cell sarcomas with a brown tint due to the presence of hemosiderin in the growths - "Braune tumoren" - by German authors.
A case of traumatic hernia of the lung
Abstract
To the surgical room of the Ardatov hospital 18 / X s / g. a boy C-v, 12 years old, a shepherd was brought. Four days ago, while grazing cattle, he was attacked by a bull, which hit him with a horn in the chest area. An eyewitness - the boy's father said that after the injury the boy was coughing badly and complained of pain in his side. A few hours later, the boy was found to have a tumor on the left side of his chest that increased with coughing. The boy was taken to hospital on the 7th day after the injury.
The value of examination in the diagnosis of internal diseases
Abstract
“Of course, Hippocrates was a genius doctor for his time. Well, and we, after all, since then have gone so far that ... we can not even look. " There are the most serious reasons to fear that doctors and in particular therapists (in the mass) hold just such a view. The facts speak for this. We have to constantly observe how they go directly from the anamnesis, for example, to auscultation. One would think that they make an examination while questioning the patient, as, for example, advises Zakharyin. But it turns out that this is not the case either. Changes in the appearance of patients, and sometimes very pronounced, elude their attention, and, thus, do not appear at all in the construction and discussion of the conclusion. Meanwhile, such neglect of the examination is extremely harmful to the diagnosis. I am well aware of several cases when a severe anemia was observed when a pregnant tube was ruptured. Moreover, several doctors looked at one of the patients. And they were quite surprised when, after some time, they learned that the patient had been sent for surgery. In another such case, there was an embarrassing circumstance in the form of vomiting, which B-Naya associated with the allegedly poor-quality sausage.
S. Lepsky and A. Lyaker. Physiotherapy of diseases of the nervous system. Biomedgiz. 1936, 233 pp. Tyr. 5200. Ts. 4 p. 60 k
Abstract
The authors, well known for their numerous works on physiotherapy, set themselves the task of giving the doctor a guide on the use of physiotherapeutic factors in the treatment of nervous diseases in the light of modern advances in this field.
Woutek. Streptotrichosis and its importance in surgery. (Deutsche Zeitschrift i Chir., Bd. 247, H. S. 1-81, 1936)
Abstract
The lesions caused by streptotrix, belonging to the group of surgical mycoses, can produce extensive purulent tissue fusion in almost all organs. In the bacteriological part of the work, the author gives an exhaustive description of the properties of individual fungal strains, emphasizing the importance of the differential bacteriological diagnosis of streptotrix with tubercle bacilli and diplobacils, in view of their great similarity. In the clinical part of the work, the author reviews the hitherto known extremely diverse forms of localization of fungal diseases.
Nils Backer - Gröndahl. Filling for pulmonary tuberculosis. (Acta Chirurgica Scandinavica, Vol. LXXVIII, Fasc. I-III, S. 1-27)
Abstract
Filling for pulmonary tuberculosis is an operative method that gives excellent results relatively soon in suitable cases. This operation is a gentle, painless intervention for patients with almost no complications. The best results are achieved with unilateral non-widespread apical fibrous-type processes with a small cavity without thick walls.
Stren. A case of melorheostosis. (Acta Chirurgica Scandinavica Vol. LXXVIII, Fasc. I-III, S. 94-102)
Abstract
The author reports a case of melorheostosis (osteosclerotic process) in the right lower limb in a 13-year-old girl. The case of the author. fourteenth in literature. With this disease, a significant shortening of the entire limb is found, and 3/4 of the shortening refers to the lower leg, the damaged part of which is more affected.
Smidt. Fracture of the thoracic vertebrae and breathing. (Zbl. F. Chirurgie, 63 Jahrg. No. 20, 1936, S. 1153)
Abstract
A., on the basis of the research of Murk Jansena and the case he observed, comes to the conclusion that with imperceptible fractures of the thoracic vertebral body, when there is no kyphosis, hump, limitation of mobility and even pain with pressure and beating, the only symptom is a violation of the act of breathing: shortness of breath , increased inspiration with insufficient sigh; X-ray confirms this symptom.
Hamilton. Parathyroid hormone in the blood of pregnant women. (J. Clin. Investigation. New-Jork. V. 15.1936)
Abstract
The authors determined the amount of parathyroid hormone in the blood of pregnant women by injecting this blood into a rabbit and monitoring the fluctuation of the calcium mirror of its serum. The blood of non-pregnant women, as well as those of pregnant women before the 15th week, did not cause noticeable changes in serum. A large increase in the amount of calcium was obtained when the rabbit was injected with blood taken from women 24-34 weeks of gestation.
Graham. Thymus syndrome in newborns. (Oklahoma State m. Assoc. J. V. 26, 1936)
Abstract
The author cites his observations on children aged 6 days to 6 weeks, revealing pathological symptoms from the thymus. In addition to such signs as cyanosis, stridor, dyspnea, dyspnoea attacks, which are considered characteristic of thymus disease, the author noted 4 more symptoms: 5 out of 7 children were blue from the moment of birth.
Cramer, Horning, Collier, Zondek. Effect of estrin on tumor growth. (Lancet, N 5875, V. CCXXX, 1936)
Abstract
There is a lot of experimental material that suggests that there is some kind of connection between the ovarian hormone, the pituitary gland and the growth of neoplasms. Noteworthy is the fact that estrin is chemically related to carcinogenic substances. The carcinogenic effect of estrin manifests itself in a peculiar way.
Dyachenko. On the problem of the virulent "Vi" antigen of the typhoid bacillus. (J. Hygiene, 1936)
Abstract
The works of A. Felix, devoted to the "Vi" -antigen of typhoid bacilli, are of great theoretical and practical interest. They open up new perspectives for serotherapy and specific prevention of this disease. The data obtained by the author in his research confirms the conclusions of Felix.
Shоhe. The presence of antibodies that neutralize the swine influenza virus in sera of people of different ages. (J. Exper. Med. 63, 5, 1936)
Abstract
The author studied the content of antibodies that neutralize the swine influenza virus in the sera of 137 healthy people. It turned out that sera belonging to persons over 12 years old contain these antibodies regularly, while in younger ones they are very rare.
Chronicle
Abstract
In the Baltasi region of the ATSSR, a continuous clinical examination of trachomatous patients is carried out. In addition to the full coverage of patients with systematic treatment, sanitary and preventive work will be carried out. 6 teams of doctors, trachomatous nurses and registrars were sent to the district. In the Baltasi region, 30 trachomatous points are opened, in which nurses will work under the guidance of 4 doctors. A trachomatosorium with 30 beds and an eye department with 15 beds are being opened at the Tsip'insky hospital.