Recently, the teams of the All-Union Central Council of Trade Unions, the People's Commissariat for Health, the NK RCI and the State Planning Commission examined a number of hospitals both in Moscow and Leningrad, and in the regions - Ural, Ivanovo, Central Chernozem, Moscow and along the edges - North Caucasian, Western Siberian and Gorkovsky. On the results of this examination by the Collegium of the People's Commissariat of Health on April 15, p. A report was heard and a number of measures were developed to improve the organization of hospital affairs in the RSFSR.

In this work, we attempt to provide an analysis of morbidity and injury rates in the main enterprises of Kazan in order to use this material to outline ways to reduce the incidence in 1933. The material for the analysis was the reports of health posts on the movement of morbidity and traumatism for 1931 and 1932, compiled by health posts on a monthly basis on the basis of their registration of sick leave. We consider it necessary to point out that not all health centers registered sick leaves accurately, along with flawless data, there were also defective ones, therefore, for control, we used the data of the insurance office and its payment points.

People's Commissar of Health Comrade Vladimirsky in his report at the Moscow city-wide party meeting of medical workers 4 / II 1933 "On the results of the January plenum of the Central Committee and Central Control Commission of the All-Union Communist Party of Bolsheviks" noted the major achievements in the field of health care, which were the result of the general successes of socialist construction, and led to a significant increase in the inpatient fund, reached in the USSR in 1932 - 800,000 beds, which changed the very type of institution and the system of medical care; at the same time outlined a number of measures aimed at strengthening the health of the workers of our country.

On the threshold of the second five-year plan, when the Union, under the leadership of the party, is fighting for mastering the achievements of the first five-year plan and for building a new way of life, we, ophthalmologists, have big tasks before us to eliminate social eye diseases — trachoma and blennorrhea.

With a typical and generally favorable course of pneumonia, there are many cases that do not require any medical intervention. Most pneumonia goes away with any, one might say, even in spite of any therapy. As the former method of bloodletting, so also now sometimes used medicines can only cause harm, but in no way benefit. Still, patients recover often with this treatment. (Strumple).

The paths of modern therapy are numerous and versatile, but undoubtedly the most beneficial results are given by those searches that are directed in the tracks of pathogenesis, the aftermath of the study of biology and pathophysiology. The brilliant advances in the study of hormones, various nutritional factors, such as vitamins, etc., are vivid examples of how mastering the knowledge of natural regulators of the life process provides modern therapy with an instrument of action not only for specific diseases of a certain narrow area, such as for endocrinopathies or eating disorders. but they allow the use of these natural regulators for wider and more distant purposes, leveling and changing the direction of latent and complex pathological reactions. Examples are the use of thyroidin not only for myxedema, but also for metabolic disorders such as obesity, as a diuretic for edema, the use of the manifold action of insulin on the absorption of carbohydrates and acid-base balance, not only in pancreatic diabetes, but also in order to increase appetite. , beneficial effects on nutritional status, improving liver function, etc .; Likewise, we resort to vitamins not only as a specific remedy for vitamin deficiencies, but also for the purpose, for example, to raise the body's defenses against infectious diseases.

Questions of indications and contraindications for kumis treatment are still. are still in the center of attention of insurance and tuberculosis organizations. Existing instructions for the selection of patients and accounting for the results of sanatorium treatment, resp. kumis treatment, do not give satisfactory indications. For kumis treatment, tbc pulm is usually considered indicated. A I, II, III, B I, II, III. Any doctor working on TBK knows that each of these groups (A I, II, III, B I, II, III) can include and usually include pulmonary processes of different genesis, course and immuno-biological nature. So, for example, relatively benign forms of tbc — tbc fibrosa densa, tbc fibro- nodosa and prognostically unfavorable phtisis fibro-caseosa and phtisis ulcero-fibrosa — forms that are extremely different in clinical course and prognosis — according to the existing classification, are included in the same group A II, III or B II, III.

The microbe that causes epidemic abortion in cows and other domestic animals (goats, sheep, pigs), since its discovery by Bang and Stribolt in 1896, has long been considered pathogenic only for animals and non-pathogenic for humans; and only after the works of Kiefer (1924) and Gabby (1928) it was, with no doubt, established that this microbe is pathogenic for humans. The first managed to obtain a blood culture of this microbe from the blood of one patient with an unclear prolonged febrile illness, and the second managed to prove its pathogenicity for humans on the basis of experiments with vaccinations.

The causative agent of acute rheumatism has not been found. The peculiar reaction of the macroorganism with allergic biases, noted during the process, suggests that, even when the pathogen is found, the macroorganism will attract no less attention. Therefore, attempts to use means that enhance the protective forces of him have their raison d'etre, although their (means) action would be hypothetical.

The vibrational nature of energy is the basis of every life phenomenon. The molecular-kinetic structure of matter has the significance of a biological factor that is very important for the vital activity of the organism in general and the nervous system in particular.

Under the name urethritis non gonorrhoica, or, as some authors call, urethritis pseudogonorrhoica, they mean inflammation of the urethra, which clinically resembles gonorrhoid urethritis, but is not caused by gonococcus, regardless of whether they appear in connection with intercourse or in connection with by whatever other external or internal reasons (Pechersky).

Interest in phrenicotomy, proposed by Sturz'eM in 1911 to treat lesions of the lower lobe of the lungs, was revived by Goetz. who proposed to combine radical phrenicotomy together with transection of the subclavian nerve, from which, in his opinion, the branches branch off to the diaphragm. Soon the question gave rise to a number of works, both anatomical, experimental and clinical, on the abdominal nerve, and the main attention of the authors was paid to determining the nature of the function of the nerve and its connection with the sympathetic nerve. At the 3rd All-Ukrainian Congress of Surgeons on the treatment of pulmonary tuberculosis with artificial diaphragm paralysis, many valuable considerations were expressed on the basis of large, comparatively clinical digital data (Mutti, Frayerman). The issue of phrenicotomy, as you can see, does not lose practical interest over time, which is why we decide to illuminate it from our point of view.

The bureau of this congress invited me to make a report on the methods of treating bone tuberculosis in Odessa resorts. I do it all the more readily because this question is now very topical, very burning and modern, and that on this issue, for the success of the case, some agreement, some unanimity is needed.

Among the factors that are important in the study of the epidemiology and prevention of typhus, the Weil-Fefix'a reaction (Weil-Felix) plays, along with the virus and its carrier, an important role.

Except for the artificial factory preparations of vitamin D such as vigantol, radiostol and others, which we do not currently have on sale, the main drug substance containing significant amounts of the antirachitic vitamin is cod oil. Before the revolution, almost all of our country's need for this fat was covered by fat imported from abroad, mainly from Norway. Meanwhile, we have a number of opportunities to use the internal resources of the country and thus free the USSR from economic dependence and in this respect from foreign capital.

The idea of ​​the possibility of transferring nervous excitation by humoral means was first expressed by Langley. His suggestion was related to vasodilation caused by irritation of sensory fibers. Several years later, this assumption was confirmed experimentally. H. Dale and J. Gaddum have established in their experiments that both the vasodilation resulting from irritation of sensory fibers and parasympathetic nerves, and the contractures of denervated muscles accompanying this action, are very similar to the vasodilation and contractures caused by acetylcholine. This gives reason with a high probability to assume. That this vasodilating effect of sensitive fibers. The “antidromic” conductive, and parasympathetic nerves are due to the peripheral release of acetylcholine. We also came to the conclusion about the humoral transfer of the vasodilating action of sensory fibers in our previous work, where we showed that when the posterior sensory roots are irritated, the blood of the corresponding limb acquires vasodilating properties. The same properties are acquired by Ringer's solution, passed through the vessels of the extremities, when the posterior sensitive roots are irritated.

The lack, in sufficient quantity, of funds for local anesthesia, novocaine and its homologues, directs the surgeon's thought to find means to replace them.

Until recently, more and more new drugs and methods have been proposed for the treatment and prevention of throat diseases.

Primary sclerosis, according to the generally accepted opinion, in most cases is single, less often in the amount of 2-3, very rarely in the amount of 4-8 and, as an exception, 19-23 sclerosis was observed. This is confirmed by the statistical data of A. Fournier and our compatriot prof. G. e.

The casuistry of traumatic neck injuries and, in particular, destruction of the upper airway tube cannot exhaust all individual clinical observations. There are still quite a few cases of peculiar forms and nature of injuries and, in terms of their content, sharply different from each other, often complex in their volume, fatal in their consequences and dangerous in complications. Each such individual case needs a detailed description and description in order to analyze this case with greater completeness and clinical coverage.

Those peculiar metabolic disorders, which we now call avitaminosis, have been known for a long time for a long time. Tsynga. for example, described in detail several hundred years ago; back in the XII century, during the time of the Crusades, it became widespread. Pellagra is also described over 300 years ago in America.

In a concise, but exhaustive form, Erich Leschke sets out in his small book all known endocrine diseases, which, as the title of the book shows, are, in essence, a violation of the normal mutual correlation of the endocrine glands. In the author's opinion, in any endocrine disease one should consider a pluriglandular disease. In certain cases, the endocrine disease is plurigular from the very beginning; in others, it turns into plurigondular during the course of the disease.

Prof. L. Ya. Pine s, whose name became known far beyond the borders of the USSR thanks to his outstanding work in the field of innervation of the endocrine glands, gives in the collection a generalization of the head. them by the sector of normal histological data on the innervation of the endocrine glands and a number of works by the employees of the sector that replenish this data. The collection contains a preface by Pines, 7 articles (L. Pines, Narovchatova, R. Maiman, I. Pis, M. Sheftel, B. Shapiro, M. Kurepin) and the minutes of the meetings of the morphology sector of the I-that of the brain for 1930/31 G.

Binswanger's book on the leap of ideas is also of interest to the Soviet reader, although it belongs to philosophizing psychiatric books. The main interest of the book lies in the fact that the author in a peculiar way weaves the Hegelian dialectic into his psychiatric constructions, but he does not know how to “put Hegel on his feet, takes Hegel, as they say, au pied de la lettre, literally, and here the Soviet reader does not follow the author have to. In any case, the book is written in a rather original way and acts on the reader “anregend”, as the German says, or, in Russian, makes the reader “wiggle their brains” and look for a real solution to the problem posed, a quality that is not found in all books.

In this volume, which quickly followed the fourth (which we referred to in 1930), we find a number of fundamental works on radiobiology, X-ray and radiotherapy, and X-ray diagnostics. The largest work on biology is the monograph by Timofeev-Resovsky (from the genetic department. And neti that for the study of the brain in Berlin) on the results of the use of radiant energy in genetics.

The new lecture series on Freud's psychoanalysis is a continuation of the lectures he gave 15 years ago at the University of Vienna, and consists of the following seven lectures: XXIX. Revision of the teaching about dreams; XXX. Sleep and the occult; XXXI. The constituent parts of the mental personality; XXXII. Fear and the life of drives; XXXIII. Femininity (Weiblichkeit); XXXIV. Clarification, application, orientation; XXXV. About worldview.

The book is divided into two parts. The first physiological part examines the growth and development of a healthy child, his metabolism, natural and artificial feeding of infants. There is also a section on feeding premature and retarded children. The second part begins with a chapter giving an overview of the conditions observed in eating disorders. The following is a detailed presentation of the clinic of acute digestive disorders and chronic disorders, developing on the basis of malnutrition. In the same section, a brief description of vitamin deficiencies A, B and CL is given. A separate chapter is devoted to nutritional issues with constitutional anomalies. Relatively little space is devoted to digestive disorders in children who are breastfeeding. Under the general name of secondary eating disorders, rickets, tetany and various forms of anemia that occur in infants are described.

Bakk and Tamasescu (A. Bakk & Gh. Tamasescu Ueber die Aetiologie und Pathogenese der Epilepsie und deren Therapie. Wiener Med. W. No. 17, 1933) give a good concise overview of the etiology, pathogenesis and treatment of epilepsy. Epilepsy is an organic syndrome with a different etiology and multiple pathogenetic factors, which explains that the methods of treatment for epilepsy vary enormously.

Mikhal treats epileptics with Salyrgan injections, a treatment he borrowed from gynecologists who treat eclampsia with salirgan. Treatment was carried out by M. in 22 cases of genuinic epilepsy. With a moderate limitation of the amount of fluid taken 6-mi, they were given daily for 2 weeks, one diuretic injection. To intensify the dehydration of the body, M. for some time after that applied a thorough purgation to the sixth, in order to then once again administer a course of diuretic injections to them.

Byug used hypoventilation using artificial bilateral pneumothorax as a therapeutic measure in 4 cases of severe epilepsy, and he was convinced that hypoventilation had a beneficial effect on the epileptic process.

Klimke (W. Euipan-Natrium als Narkotikum bei Lumbalpunktionen. Ps.-NW No. 8. 1933) recommends in cases where the lumbar puncture cannot be performed without anesthesia (for example, in agitated souls), evipanodium , which is achieved by short-term deep anesthesia (7-10 sst. 10% solution).

The renowned Viennese psychiatrist Wagner-Jaureg, who received the Nobel Prize for the introduction of malaria in progress. paralysis, expressed (Wagner-Jaugegg. Bemerkungen zer Bshandlung der progressiven Paralyse Wiener Med. W. No. 1. 1933) in the sense that of all pyrogenic remedies, malaria tertiana should be considered the most effective, and febris recurrens only where Noah remains immune to malaria (eg, in countries and areas with endemic malaria). If possible to dose malaria, the danger of using malaria in case of steam, which is pointed out by the advocates of the benefits. the use of any other pyrogenic agents does not exist.

Sheksedi (Szecsodv E. Thrapeutische Versuche mit Bluttransfusionen bei progressiver Paralyse. Ps.-N. W. No. 13. 1933) suggests making blood transfusions to paralytics in a state of vegetative crisis. Thanks to blood transfusion, the author managed in some cases to keep such paralytics alive.

Ostmann (Ostmann. Das Blutbild bei chronisch glimmenden schizophrenen Krankheitszustanden Ps.-N. W. No. 8. 1933) gives a picture of blood in chronic schizophrenia, proceeding without violent phenomena. This picture is as follows. High rates of erythrocytes and hemoglobin in the general usual Farbeindex.

Kessler (Kessler Fritz. Ueber psychische Stbrungen bei Anaemie und ihren Verlauf bei Leberbehandlung. Wiener Med W. No. 4. 1933) describes 3 cases of anemia with mental changes. The first case is pernicious anemia with paranoid mental disorders. The second case is also malignant anemia, but with Korsakov's syndrome (memory disorder, lack of orientation, confabulation), the difference of which from that in alcoholism was that the second was aware of his painful state.

The female psychiatrist Stransky (Erwin Stransky. Ueber Erlernbarkeit arztlicher Psychoterapie. Wiener Med. W. No. 20. 1933) says that one study of the theory and technique of medical psychotherapy, even if this study goes very far, is not enough to make a doctor a good psychotherapist.

Simon (Hermann Simon. Arbeit und Leistung als therapeutisches Hilfsmittel bei der Behandlung geistig abnormer ausserhalb der Heilanstatt "Fortschritfe der Therapie". H. 23. 1932), known in the world of psychiatrists, as the founder of modern labor therapy for the mentally ill * ("Aktivere Krankenbehandlung in der Jrrenanstalt". Berlin, de Gruyter) expressed in the refereed article very interestingly and categorically on some issues that excite the best minds of doctors. In the part in which a. talks about the biological foundations of labor therapy, he takes a negative position towards the doctrine that we in the USSR is known as the doctrine of "acquired disability", and condemns the idea that shock work can be the cause of undermining the strength and health of a worker. The fatally widespread doctrine of the exhaustion of strength and health from shock (tiichtige) work, "says Simon literally.

A. prepared mucin by precipitation of gastric mucosa dissolved in HC1 at pH 4.5 by adding an equal amount of alcohol.

The pituitary gland and sleep (H. Zondek and A. Bier. Klin. Woch. No. 18. 1932). A.a. investigated the content of bromine in various parts of the brain. Having established, after numerous studies, normal numbers for various departments, they put the animals to sleep and examined the brain for bromine content. It turned out that in some parts of the brain (medulla oblongata) the amount of bromine increased, while in others (in the pituitary gland) it decreased.

The relative% of bromine in the pituitary gland compared with other organs is sharply increased (1-2 mg% and 15-30 mg%). Comparative studies on men and women have shown that at the age of 45-60 years, the percentage of bromine in the pituitary gland drops significantly, while in men it is up to 15 mg 7.

Study on 4 dogs with chronic a fistula of the gallbladder according to Schwann and on 1 dog with a fistula according to Schiffy (with uncut duct, choled.). Thyroxine causes a decrease in the secretion of bile, and after subcutaneous injections, this already affects within the first 2 hours; lowering the secretion of bile can be achieved with prolonged per os administration.

A. describes the way by which the gallbladder becomes visible 1-2 hours after the injection of tetraiodine. Dissolve tetraiodine in 125 K. c. 40% glucose solution or glucose is injected earlier, and after 10 m tetraiodine solution. You can then inject insulin.

Proceeding from the fact that clinically the most justified are cases of intoxication with chronic stagnation of intestinal contents, a, a. offered their own method of creating stagnation. On a loop of the intestine 50-60 cm long, enteroanastomosis is formed, the intestine stagnates. sod. (up to 7 o'clock).

A number of dyspepsias, accompanied by motor and secretory disorders from the digestive system. tract, liver, skin and nervous system, are based on hypersensitization. They are little or not inferior to internal treatment, but inferior to parenteral treatment.

Intradermal injections of atropine cause an almost immediate and permanent, sometimes temporary, hiccup stop.

A.a. a preparation was prepared from the liver as follows: 1000.0 of a finely cut liver was mixed with 5 liters of 1/50 HC1 solution, 25 to. s were added. chloroform (for canning) per kilo of liver.

Method so. called plasmapheresis a. caused a decrease in blood proteins and edema of the whole body. By adding various salts to food, Barker found that in the period of edema, Na increases the edema, and K - diuresis.

The acidic urine reaction caused by diet is much more valid than that caused by drugs. Acidic urine does not irritate the bladder; on the contrary, the irritation caused by the infection is mitigated by the increase in acidity.

The method consists in the fact that 0.05 bilirubin is injected into the b-nome and the bilirubin of the blood is examined before the injection, after 3 minutes. and after 3 hours. Normally after: 3 hours, the blood bilirubin reaches its previous values.

Mittermaier and Marchionini (Zeitschrift f. Hals-NasenOhren-Heilkunde, 1928. B. 20) investigated the state of the mucous membranes and secretions in acute inflammation of the paranasal sinuses, and found a displacement of Pu towards the acidic reaction; so, with acute inflammation of the frontal sinus, Rn 6.63; with severe acute and purulent sinusitis Pn — 6.4. With the transition of an acute process into a chronic one, the pH also shifts towards alkalinity; so. polypoidly degenerated mucosa in chronic sinusitis gave Pn = 7.9; These studies have, in addition to the theoretical and practical result, the widely practiced washing of the inflamed sinuses with various solutions receive certain indications, namely: in acute inflammations, the lavages should be performed with weakly alkaline solutions, and for chronic inflammations, with weakly acidic solutions.