The transformation of the small-fragmented peasant economy into a large socialist economy on the basis of total collectivization and the introduction of machinery, which caused the rise of the material and cultural level of the workers in the village, has made completely new demands on the rural health care, making us the most urgent task of fundamental restructuring of the entire rural health care system in order to maximize assistance to agriculture and subordinate our activities to the task of dramatically increasing productivity of agricultural labor.
With the modern growth of collective farm construction, the organization of public catering in the collective farm is a very important measure that contributes to raising labor productivity. Since collective farm production is in the field, the most important form of public catering during the spring sowing and harvesting campaigns should be considered a seasonal hearth-kitchen organized in the field in the working brigades. Interested in this issue, we can share a small experience of our work with regard to the organization of public catering in the field in the collective farms of Romanovsky district of Saratov region.
A great role in the organizational and economic strengthening of the collective farms was played by the political departments. The task of fulfilling in time the plan of spring sowing and further agricultural works and their high quality should mobilize workers of medical-sanitary affairs for the most quantitatively complete and qualitatively high service to collective and state farms. One of the most important tasks of this kind is the organization of traumatological care in collective and state farms, in particular in grain farms. The task of this article does not include questions of studying agricultural traumatism, its characteristics, qualitative features, etc.; a number of special works (Limberg, Epstein, Sosnovsky, etc.) are devoted to this. I will allow myself to highlight organizational issues.
The Urals ranked first in the USSR in copper smelting, and the Karabash plant is the most powerful. The copper-ore combine owns 5 mines (Voroshilovsky, Dzerzhinsky, Central, P.-Maysky and Stalinsky), which are located 2-3 km. from the plant and connected with the latter by narrow-gauge railway. The nature of work in the mines, where copper or sulfuric metallur is extracted, is not much different from the development of iron ore and coal.
Blood transfusion as a therapeutic method is currently used in many areas of human pathology. Having taken its due place in the treatment of acute and chronic blood loss, blood transfusion has recently been used with success in the treatment of patients with acute and chronic intoxication. The latter is of particular importance, since the development of the chemical industry in our country and the tasks in connection with the protection of the health of workers in industrial enterprises highlight the method of treatment by blood transfusion of acute (and chronic) intoxications associated with various kinds of chemical hazards. In particular, acute poisoning with aniline and CO in severe cases is an extremely serious condition and all the therapeutic agents at our disposal (oxygen, strychnine, atropine, camphor, codeine, lobelia, etc.) are of little effect in the treatment of such patients, therefore it is quite understandable that the description of even individual cases of acute severe poisoning with aniline and CO, treated with a blood transfusion with a positive result, is of interest not only from the point of view of the accumulation of factual material, but is aimed at promoting therapeutic blood transfusion in these cases, as a method that gives a quick and correct therapeutic the effect.
I.P. Vasiliev, describing below a peculiar, apparently very rare form of aortic outlet stenosis, ends his report with the assumption that this form must have a definite clinical picture. The case, which gave reason for I.P. Vasiliev to dwell on this form of endocarditis, passed through our clinic. This prompts me to dwell briefly on its clinical, namely diagnostic, analysis.
In addition to frequently occurring diffuse thickenings of the parietal endocardium, limited fibrous thickenings of the parietal endocardium - endocardial mosaics - are also well known. The latter are limited thickenings, often with depressions, so-called "pockets". Most authors explain the occurrence of these blisters as a result of hitting the inner surface of the heart with an incorrectly moving blood wave, but the method of their formation has not yet been finally elucidated.
In September 1933 there was an outbreak of paratyphoid B diseases in the Uchkombinat of N. railway station, which seems to us instructive and interesting from the epidemiological point of view, so we dare to make a short report about it.
In search of the easiest, cheapest and most effective method of treating pyoderma, we tested a number of different ointments and solutions. After experimental studies, we settled on concentrated solutions of KMnO4 and in clinical studies we got a completely unexpected result. Lubrication with saturated solutions of skin areas affected by pyoderma does not cause any unpleasant subjective sensations and quickly restores the damaged areas of the epidermis. After a number of clinical observations of the action of KMnO4 on pyodermic skin diseases, we expanded the scope of our observations and began to treat dyshydrosis, psoriasis, eczema and other dermatoses with this method, and in a large percentage of cases we obtained a brilliant effect.
In the history of surgical development, the years when ether and, following it, chloroform were first used as general narcotic agents are marked by particularly outstanding events. Against the background of almost complete absence of anesthetic agents, the use of ether and chloroform caused general acceptance. These agents enabled widespread surgical work and ensured further development of surgery in all areas of the human body. However, it was soon discovered that along with their undoubted advantages, these agents showed a number of important drawbacks based on their toxic effect on the heart, respiratory organs, liver and other important organs.
It is known that, apart from the colossal enlargement of the uterus due to hypertrophy and hyperplasia of its muscle fibers, there is no organ in the body of a pregnant woman whose cells have not changed in their structure and function on the grounds of pregnancy. The biological factors of pregnancy-attack and defense arise at the moment of implantation of the fertilized egg, hence the moment when the foreign protein enters the female body. Drawing a parallel between the body's defense in pregnancy and the phenomena of immunity presented tempting prospects.
In this article, I find it interesting to share what we did in Nizhyn surgery, the hospital for a rural woman suffering from one of the gravest ailments, uterine prolapse, to restore her ability to work.
Vascular thrombosis in obstetrics and gynecology is quite common, although not always easy to recognize. In the postpartum period, after many vaginal operations we have massive thrombus formation. Placental vein thrombosis is almost physiological; slowed blood flow, decreased vascular tone after the fetus emerges, blood loss are predisposing moments to thrombosis formation in the postpartum period.
In offering to your attention this note, I think it is not superfluous to point out the motives that prompted me to test the rationality of the adopted prescription for the manufacture of aqueous ergot infusion and to share the results of the chemical research with practitioners. The reason was, firstly, negative opinions of obstetricians-gynecologists about the therapeutic effect of the above infusion and, secondly, frequently appearing on the pages of the Kaz. med. journal indications of incompatibility of dosage forms.
Idiosyncrasy (from the Greek idios- own and syncrasis-mixture), known since ancient times, has not yet received a definite interpretation from modern scientific medicine, despite the enrichment of the latter by the successes of experiments, achievements of physics, chemistry, etc. Some authors refer idiosyncrasy to anaphylaxis, others to allergy with its complex internal mechanism.
Patient S. A., 27 years old, an employee of a hosiery factory. Complaints: general weakness, increased thirst (drinks 10 liters of water a day, increased and frequent urination, nervousness, intermittent sleep (because of thirst), chills. She had been sick since she was 2 years old. The mother began to notice that the child drank a lot, woke up several times during the night because of thirst, excreted a large amount of urine: she was left a large kettle of water at night and drank it.
The processes of hypersensitivity in tissues, hyperergic reactions, have attracted special attention since Pirke's discovery of the tuberculin test. Very soon it became obvious that the processes of hypersensitivity play a significant role in the pathogenesis of many diseases of a very different nature, often determining these or those features and phases of the course of the disease process. Now elements of hyperergic state of tissues are noted in pathology of such diverse diseases as tuberculosis, syphilis, trichophytosis, bronchial asthma, eczema, hay fever, urticaria and some others.
The author, a professor of pediatrics at the University of Munich, set out to prove that Western Europe, in particular Germany, at this period of development is suffering from the "disease of civilization," the same disease that plagued the ancient world, chiefly Rome, and by which it perished.
That vitamins are an essential ingredient, especially for children, is no longer known only by doctors, but also by the general public. However, our food still often does not contain enough vitamins. One reason for this is the inability to preserve foods so that the vitamins do not deteriorate in them for as long as possible, this is especially important with regard to the least stable anti-carcinogenic vitamin C.
Syktyvkar! How many of us have heard this euphonious, alluring with its "mysterious obscurity" name of the center of the Komi region? Soviet culture has also brought Syktyvkar out of oblivion, making it a cultural center that makes us talk about it a lot, and this time it's our turn to talk about Syktyvkar, the medical Syktyvkar.
The role of Mg in the body is poorly understood. The therapeutic effects of its salts are better known (laxative effect of Magn. sulf, and the narcotic effect of subcutaneous administration of soluble Mg salts). Me-Collum showed the role of Mg in physiology.
The collection is prefaced with a foreword by the director of the Central Institute for ODE and E. Yu. Shurpe, under whose editorship in one year the Institute published an entire library (30 books) devoted to the protection of children's health. This preface gives an overview of the glorious 50 years of activity of Prof. Kisel.
In 48 cases of artificial pneumothorax complicated by exudative pleurisy, the authors applied a salt-free diet and per os injection of calcium chloride 6.0-12.0 per day. In 50% treated cases, the authors obtained a decrease in fever, reduction of effusion, increased urine output, and improved conditions of artificial pneumothorax management.
The author cites 2 cases where hyperchromic anemia developed on the basis of chronic pancreas disease.
Skin temperature depends mainly on the amount of incoming blood and is of great practical importance. In limb artery embolism the skin temperature reveals a large difference on the healthy and diseased limb. In doubtful cases this symptom allows a diagnosis to be made after 1-2 hours and a timely operation to be undertaken.
Seizures of chest pain and acute pulmonary edema are well known to all, but the authors draw attention to the attacks of profuse sweats with pallor, coldness of limbs and palpitations, with phenomena of cardiac weakness.
The authors made comparative observations on thermoregulation and sweat secretion in a light bath with a salt-rich and salt-poor "raw" diet. It turned out that with the "raw" diet the light sweat bath was generally better tolerated.
The author concluded that the gallbladder mucosa has the ability of secretion and absorption, that one and the same cell of this mucosa functions in two opposite directions. The cells of the gallbladder mucosa secrete secretions into its lumen and absorb substances from its contents.
The authors cite their observations on the therapeutic effect of calcium in chronic cholecystitis.
The author describes the isolation of a pure culture of the microbe "Syphonospora polimorfha" he discovered and proves its relation to the genesis of cancerous tumors. This microorganism was obtained by the author from the blood of cancer patients and animals, as well as from human and animal tumors themselves.
To induce hyperglycemia, which according to Antonucci hastens the appearance of the bladder shadow, a. suggests an injection of 1-11/2 c. c. adrenaline.
At autopsies of patients who had died at Hannover City Hospital with internal tumors from 1923-32, it was found that 47 diagnoses were wrong. In some of them this was because they had no clinical symptoms when they were alive. Gastric cancer and bronchial cancer were the most frequently misdiagnosed.
The authors found 21% of the 208 school-age children had prolonged muscle pain, commonly referred to as growth pains. The onset of pain was often preceded by a sore throat. Four children developed mitral defect.
The authors divided 60 children 6-14 years old into 3 groups so that the first 2 groups consisted of children who often had colds and the last group consisted of children who rarely had colds.
The author reports an observation of a brain abscess following a fracture of a rocky bone, operated on 6 months after the injury with the outcome of complete recovery and perfect restoration of hearing function.
The author speaks about the revolution in the clinic of palatine tonsils, which has produced a new method of treatment of paratonsillar abscesses with the extensive use of tonsillectomy.
Having studied a number of anatomical preparations of the organs of interest in various sections and ages, the author arrives at the following data: the hindlimb, as a small shell-like formation, is formed by the 2nd month of embryonic life as a small projection on the lateral wall of the nose; the hindlimbs of mammalian hindlimbs correspond to those of humans and represent thickenings on the lateral walls of the nose by the end of uterine life.
Regional Scientific-Medical Association of the ATSSR. Obstetrics and Gynecology Section. Meeting January 26, 1934; February 21; April 23; May 14, jointly with the Radiology Section; June 14 and 15 at the IV Scientific Congress of Physicians of the TR and Allied Republics and Regions.
We read with the greatest interest your open letter, printed in the "Kazan Medical Journal" No. 3-4, 1934, and discussed it at a meeting of doctors and medical workers of our district.
Agenda:
1. Organization of a branch of the Scientific-Medical Association of the Tetyushy district.
2. Report of Dr. Sokolov on a scientific mission to the Clinical Institute on the eye cycle.
The CEC of the USSR adopted a decree on the training of physicians. Noting the unsatisfactory state of medical education, the decree specifies a number of measures to radically improve the training of medical personnel.