I titled my report as above, "not because Rüysch was really himself at the Kazan Anatomical Theater, but because the latter, along with the very few anatomical museums of the West, had the honor to preserve the anatomical relics made by this extraordinary master, who with his penetrating syringe pointed new ways for morphological research and literally showered his contemporaries with "unseen", as they put it, discoveries.
In the fall of 1924, at the suggestion of Prof. N.A. Mislavsky, I began an experimental study of the interaction of some hormones and extracts from endocrine glands. We wanted to find out: 1) whether a synergistic hormone, taken in inactivated concentration, is able to increase the action of another synergistic hormone, if a frog heart muscle strip or its heart in toto is exposed to a sequential action of both these hormones, 2) how hormone mixtures and different extracts from endocrine glands affect a frog heart muscle strip.
Pericardial diverticula is a rare phenomenon. So far, only 18 cases have been described in the literature, namely, Hart, Hird, Cruveilher, Rokitansky, Luschka, Peacok, Bristow, Cuffer, Coen, Schrotter, Seidler, Schirmer, Lauer, Grabowski had one case each and 4 cases were described by Rohn. In Russia, only one case of this anomaly was observed, by Lauer at the Kuban Pathological-Anatomical Institute. Therefore, we consider it unnecessary to describe our case of pericardial diverticulum here.
Based on the study of the physicochemical composition of the tbc virus, we can already assume a priori that the organism does not remain indifferent to one of the main chemical ingredients of the tbc bacillus. Moreover, the first reaction of the organism infected with tbc must be directed exactly against fat-lipoids, because, due to the aforementioned morphology of the tbc pathogen, the first thing the organism encounters is its fat-lipoid part.
Coma in terms of prognosis has always been rightly considered the most severe complication of diabetes mellitus. If a patient reached the point of coma, there was almost never any rescue. Only a few survived this complication. With the introduction of insulin, however, the number of those saved from coma immediately increased dramatically. Umber reports that before the insulin era, of his 48 patients with ma diabeticum, only three were temporarily saved, while of his 44 coma patients, 32 were recently saved.
The problem of pain-free surgery is not yet completely solved, especially with regard to complete safety, the simplicity of the technique and the absence of interference by those performing anesthesia on the operator. It is therefore natural that every new proposal in the field of anesthesia is of great interest to surgeons. We surgeons in the deep provinces are especially sensitive in this respect: the lack of appropriately qualified assistants, the insecurity of anaesthetica, sometimes the lack of them, the closer connection of the local surgeon with the local patients - make this sensitivity quite understandable.
Neuralgia of the sciatic nerve, along with some other nerve diseases, is a suffering that every practitioner has to face, especially in our province, where neuropathological care is generally poor. This was the reason for us to publish our observations on this issue not in the special neurological press, but in a general journal.
In spite of the fact that in recent years in our medical press began to appear reports on the beneficial effect of neosalvarsan in anthrax, this question is still insufficiently developed and requires further observations and reports. This question, it seems to me, should interest equally representatives of different medical disciplines, as anthrax until very recently has not been conclusively referred to one or another area of medicine, being thus one of the so-called borderline diseases.
The question about the best methods of staining persistent corneal opacities in order to bring the scarred cornea closer to the appearance of a normal eye and thus eliminate its cosmetic defect, is still a subject of experimental and clinical research. There is enough reason for this if we take into account both the suffering itself, which is very serious in functional and cosmetic respects, and imperfections of existing methods of staining, which are not without significant drawbacks and leave much to be desired in cosmetic respect. All this, taken together, gives the tattoo operation quite a great importance, and the desire of many researchers to achieve results that meet all the requirements of cosmetics is quite understandable.
It has long been believed that violent rupture of the umbilical cord (UCR) and its accompanying phenomena is one of the evidence in forensic medical trials. Therefore, every case of spontaneous rupture of the umbilical cord, which occurred outside of judicial relations, especially in the prone position of the woman in labor, deserves to be studied. Casuistry of this kind is not rich.
I have tried injecting sulfur under the skin, assuming that it is thereby absorbed into the blood, oxidized into sulfuric acid salt, and in the intestine gives sulfuric alkali, which causes peristalsis of the intestines, usually in a paretic state in acute peritonitis. Subcutaneously sulfur in a solution of 0.3 per 100.0 of almond oil was used by me in 8 cases of peritonitis, and in all these cases good results were obtained.
It will be more expedient to focus all attention on the issue of creation of an artificial bladder with an independent sphincter and put the resolution of this issue as the next task of modern operative gynecology In order to resolve this issue, the most valuable achievements of the last three decades in the formation of an artificial vagina from large and small intestines must be considered.
In the journal "Pediatrics" (Vol. VIII, No. 2-3), we published an article. Botkin's disease in children", in which we briefly touched the clinical picture of this still poorly studied disease in children. Now we have much more material and have the opportunity to approach and highlight the clinical features of Botkin's disease, its symptoms and course.
From the point of view of social and the possibility of spreading the infection, it is often necessary for venereologists to decide whether or not the patient's manifestations of the disease have disappeared, and whether he is no longer dangerous in the sense of infecting others. We will not dwell on the pathological and anatomical changes which develop in the urethra and in the glands adjacent to it, and which often lead to serious consequences; it is important to establish the point at which, according to Fronstein, "the repeated use of all the methods of investigation at our disposal cannot prove the presence of gonocococci in the body, nor can they be found even after a more or less long period of the usual life of the patient".
In 1903, A. Klein showed that when rabbits are immunized with an extract of red blood cells in their serum, precipitins that differ in their properties from Uhlenhuth's precipitins are formed. Klein called them erythroprecipitins, in contrast to the sulfurprecipitins commonly used in practice.
The problem of glaucoma has, for many reasons, occupied and continues to occupy a prominent place in the ophthalmic press. It is enough to recall that 19% of all blind people owe their misfortune to glaucoma to understand why interest in this affliction has never faded among ophthalmologists. Furthermore, no ophthalmologist is quite sure that a certain method of treatment, even if the patient has timely applied for medical attention, can definitely prevent a sad outcome in every single case. This plus the absence of a unified and correct view of the essence of glaucoma keeps ophthalmologists in a constant state of flux, constantly striving to uncover the hidden springs of the disease process on the one hand, and to find a more radical means to combat it on the other.
The author, together with В. Schröder, divides cancers into 6 groups: 1) immature cancers, 2) cancers with a tendency to form glands, 3; pronounced adenocarcinomas, 4) moderately mature cancers with a tendency to form squamous epithelium. 5) cancers with a clear tendency to form squamous epithelium and 6) squamous cell carcinomas with keratinization.
The author used this method of treatment in 2 patients with uterine cancer and in 2 patients with gastrointestinal cancer.
The author recommends transfusing blood according to Dupuy-de-Fresnel's method in small quantities, mixing it with a significant volume of glucose solution. For this purpose, the author used Bobrov's apparatus and a glass beaker, which were pre-boiled in 5-7% solution of sodium citric acid.
Based on experimental studies and 52 cases of successful use in human surgeries, the author considers malachite green to be a powerful bactericidal agent that kills all microorganisms in a 1% aqueous solution in the raw sale catgut.
The author notes that shortly before the onset of regurgitation in tbc patients: there is a deterioration of auscultatory and percussive picture, as well as a slight increase in temperature. More significant increases in t° before and during regulae indicate the activity of the process in the lungs. High fever at the end of menses or shortly after their appearance is particularly serious.
The author believes that genital tbc in women is slightly more common than in men; conversely, peritonitis in women is 4½ times more often associated with genital tbc than it is in men.
The author cites a case where, after a blood transfusion from a donor suffering from malaria, a patient suffered several typical attacks, the latter with plasmodia found in her blood.
The authors exposed tissue cultures from human white blood globules to tbc infection with typus humanus and found that human white blood globules were more sensitive to tbc bacilli of this type than rabbit leukocytes.
Almost half of all esophageal cancers, according to A. Klein's data show that the bifurcation area is responsible for almost half of all esophageal cancers. The disease predominates in men and ranks second in the overall cancer statistics after stomach cancer, occurring most often in the sixth decade.
Studies by M.Ya. Seresky have shown that chloroform anesthesia causes an increased content of lipoids in both gray and white matter of the brain, with the increase in cholesterol and unsaturated phosphatides being sharper in the white matter.
Headaches after lumbar anesthesia are known to occur almost always, being one of its most unpleasant companions. Vidliska considers the best remedy for these pains to be the use of salicylic preparations in general and acylpyrine.
The author believes that in the case of gallstones, early surgical intervention in the Enderlen-Hotz sense (i.e. before 40 years of age), especially during the interval between attacks, is all the more advisable, because the danger of surgery during an attack (with fever or jaundice) increases significantly with age. On the contrary, being performed during a pause, the operation becomes only slightly more dangerous with age (up to the age of 60 the mortality rate is 1-2, later - 4 to 5).
The treatment of acute purulent peritonitis was discussed as a program issue at the last meeting of German Surgeons.
According to M.V. Raskin, noma is not an absolutely fatal affliction - different authors have observed cases of recovery from this disease with different methods of treatment. We still do not have, however, a quite correct and reliable treatment for noma, and in particular the results of surgical treatment do not give it an advantage over other methods.
The author found that there is a known parallelism between the acidity of the gastric juice and the content of ptialin in saliva, namely, in persons with subacidic juice there is also a slight content of ptialin in saliva, thus by the amount of ptialin in the latter one can judge about the acidity of the gastric juice.
The function of the umbilical cord and amnion was studied by Runge by pouring Ringer's solution with Al'ethylenblau, Patentblau, Trypanblau and Kongoroth dyes at 3 centigrade of mercury into the umbilical vessels. It turned out that Trypanblau and Kongoroth did not diffuse through the vein walls, while the blue easily stained the entire tubule. Arterial walls were impenetrable for all dyes.
On the basis of clinical observations the author considers it possible to talk about menotoxin, i.e. those products of metabolism that accumulate during a month in a woman's body and must be excreted with menstrual blood. In this sense, menstruation is really a process of "purification" of the body, and accumulation of menotoxins leads to the development of menstrual toxicosis, a kind of "general dysmenorrhea".
On the basis of the material from 16 cases, the author finds that a piece of bone or fat transplant can be used to close lobular salivary fistulas of gl. parotis, localized most often behind the ascending branch of the lower jaw.
Alveolar pyorrhea is a disease of the tissues surrounding the tooth, accompanied by pus and loose teeth. A predisposing factor for its development is damage to the gums of mechanical origin, mostly by dental calculus.
In order to eliminate many of the undesirable, and sometimes severe, consequences of premature rupture of the bladder during labor, the author proposed a special instrument by which the amniotic fluid can be artificially replaced.
The author draws attention to a number of complications that may arise in connection with the Criedé method. If the placenta is attached to the anterior wall of the uterus and has not yet fully detached, strong thumb pressure on this wall in the Сrédé method can disrupt the normal separation mechanism and cause retention of some of the placental tissue.
The author studied the autonomic nervous system in 15 laboring women after a normal delivery and in 23 laboring women whose labor was complicated by primary weakness of uterine contractions and had to be terminated artificially.
The author is in favor of immediate delivery in eclampsia, which should be undertaken as quickly as surgery for a ruptured pregnant tube.
The author made the observation that light, even pressure with a finger for several seconds on the anterior surface of the pregnant uterus, especially in its lateral parts, leaves a pit that does not disappear for a long time. The depth of this pit varies depending on the consistency of the uterus and in very soft consistency can reach 1 centimeter or more.
Even cortical facial monoplegia is relatively rare in the clinic, while cortical facial diplegia is very rare. Ch. Foix and T.A. Chavanu describe two cases of diplegia of cortico-subcortical origin (without lesion of subcortical nodes) with phenomena of paralysis of the face, tongue, pharynx and masticatory muscles.
Based on the work of American authors with the isolation of scarlet streptococcus toxin, the authors made an attempt to isolate Puerperal streptococcus toxin and obtain an antitoxic serum from a horse by the American Dochez method (Agarklossmethode), which they used for therapeutic purposes in 200 women with postpartum sepsis, with strict clinical and bacteriological monitoring of each case.
Автор предлагает для остановки послеродовых и различных гинекологических кровотечений применять 5—10% раствор соды, причем пропитанной раствором марлей матка тампонируется на 12—14 часов.
In order to prevent gynecologic diseases due to postpartum disorders, Miller points out the main points in maternity care. Every woman in labor should be examined at least two months after delivery.
The author recommends weaning morphinists by gradually reducing the dose of morphine over a week.
Having applied this reaction in a number of cases (46) of progressive paralysis, brain syphilis, spinal tapeworm and other diseases of the central nervous system of syphilitic origin, B.I. Serafimov obtained positive results from it in all these cases, - the same as from RW.
The author believes that metasyphilis develops in two ways: 1) toxic - lack of protection of nerve substance by blood and CSF and 2) direct introduction and reproduction of spirochaetes in the brain. Both pathways are caused by insufficient defensive power of the infected organism in the secondary stage.
On macroscopic and microscopic examination of the testicles in 134 cases of dementiae рrаес., the author found in more than 1/2 of the cases, anatomical deviations of these organs from the norm, namely, very small testicles in 60%, insufficiency of spermiogenesis in 1/2 of all cases, reduced number of intermediate cells in 20%, frequent foci of neglected tubes without inflammatory phenomena, etc.
On the basis of literature and his own observations, the author concludes that malaria vaccination has an excellent effect on progressive paralysis. He had complete remissions in 31%, incomplete ones in 60-70%; as, however, there is no guarantee in persistence of remissions, W. avoids using the term "cure" for this method.
The author, on the basis of microscopic examination of 5 cases of dementiae рrаес.of different duration, attributed this psychosis only to changes in the cerebral cortex, denying the involvement of the basal ganglia, where he found no primary lesion.