The literary works of Chabrol, Fissenger, Partiurier and others that have appeared abroad in recent years have made me recall some of my long-term observations, under which I will try to bring a hypothetical explanation.

Over the past three kumysolechebny seasons, we have conducted several hundred gastrointestinal patients. During this time, we observed changes in the secretory function of the stomach in connection with the general condition of patients.

The fight against rickets can and should be conducted in different ways. Since the main cause of rickets is a lack of vitamin D in the child's body, it is necessary first of all to provide children with the necessary amount of the appropriate vitamin in the fight against this disease. This can be done in various ways.

The diagnosis of rheumatism, despite its apparent simplicity, often presents great difficulties for the doctor. In particular, the initial forms of heart damage, which do not manifest themselves as either noises or joint damage, often remain unrecognized, and we fix our attention on them only when we have a detailed picture of endocarditis. Meanwhile, on an outpatient appointment, we often have children with joint pain without objective phenomena from the articular apparatus and the cardiovascular system.

Blood transfusion for adults is widely used, and there is a lot of data in the Soviet medical literature that comprehensively covers this issue. Unfortunately, we are still lagging behind in the matter of blood transfusions to children. Meanwhile, for a child, especially for a young child, adult blood transfusion is a powerful therapeutic tool. The blood of an adult gives the child not only the missing red blood cells, but also immune bodies, with which the adult is in most cases richer than the child. Therefore, each blood transfusion of an adult to a child can be considered as a kind of immunotransfusion.

Early diagnosis of infiltrations in children has the same preventive value as the diagnosis of "early infiltrations" in adults.

During October-November 1935, I had the opportunity to observe a number of cases of acute spontaneous infectious damage to the nervous system. The clinical picture in my cases was typical and presented no difficulties in diagnostic terms. The current was also typical. The interesting thing is that these cases were observed for a very short period of time, in the form of an outbreak. In addition, some cases represent the cerebellar localization of encephalitis. This form, judging by the literature data and my personal experience, is relatively rare. Even with acute multiple diseases of the nervous system such as encephalomyelitis, where we have many lesions in various parts of the brain and spinal cord, foci in the cerebellum are not so common. All the more rare are cases where we have an isolated or sharply predominant lesion of the cerebellum by an encephalitic process.

Among the various forms of vascular diseases of the brain, as can be seen from various statistics, the first place in frequency is occupied by thrombosis.

"Hypnosis is a state of partial sleep, which is based on the same physiological changes in the functional relations of the cortical elements as in natural sleep, and the different forms and degrees of the hypnotic state are due solely to differences in the distribution of these changes in individual cases." (Levenfeld).

Back in 1920, Blumberg described a diagnostic symptom of acute appendicitis, consisting of a sharp abdominal pain with rapid withdrawal of fingers palpating the right iliac region, and this pain is much sharper than that noted during palpation itself. Bloomberg explains his symptom by involving the peritoneal cover in the inflammatory process.

Intrauterine interventions in the postpartum and early postpartum period (PP) are among the most serious operations in obstetrics, and the severity of the postoperative period depends on the nature of these interventions. Therefore, it becomes clear that a number of obstetricians are trying to classify intrauterine interventions and develop strictly defined indications for them.

Radiotherapy of fibroids and uterine bleeding is a very extensive and interesting chapter in the history of deep radiotherapy in general. It would not be a mistake if we say that the treatment of fibroids and menopausal bleeding was a touchstone in the development of all deep radiotherapy. It has been more than 30 years since this method of treating fibroids and menopausal bleeding has been successfully used, and yet, unfortunately, the majority of our gynecologists are still very little familiar with the clinic of radiotherapy of fibroids.

The appearance in the press of the discussion article of the assoc. Kaplan is very useful for covering the issue I have raised, the content, polemical tone and categorical nature of this article involuntarily cause me two concerns. The first of them is that assoc. Kaplan, and maybe a number of readers of the Kazan Medical Journal, did not understand the meaning of my article in the way I wanted. My second fear is that the clarification of the issue I have raised may follow the line of an irreconcilable and useless discussion between extreme adherents of X-ray therapy and extreme fans of the knife in the treatment of uterine fibromyomas. From the point of view of these two concerns, I will build my answer assoc. Kaplan.

In No. 5 of the Kazan Medical Journal for the past 1936, an article by Professor P. V. Manenkov "On the question of radical treatment of uterine fibromyomas" was published, in which the author, comparing the two main methods of this treatment, surgical and radiation energy treatment, gives preference to the first of them. Regarding this article, the editorial office received an article by associate professor A. L. Kaplan, in which the latter, on the contrary, defends X-ray therapy of uterine fibromyomas as a way of their radical treatment. Having received this article, which in turn caused objections from Prof. Manenkova, the editorial board asked me to express what view of the radical treatment of uterine fibromyomas I think is more correct.

Cases of intestinal obstruction (Ph. D.) during pregnancy have not left the stage of casuistry. The world literature on this issue has material for a little more than 200 cases, Russian literature has dozens of cases related to this.

A century ago, the Soviet health care first put the question of homeopathy on the right path.

The discovery of the tubercle bacillus by R. Koch did not give rise to doubts about the identity of the causative agent of tuberculosis in humans, cattle and birds, because in terms of their attitude to coloring substances and the conditioning of pathomorphological changes, both behaved the same way. But already in 1889, Rivolta expressed the opinion that the tube rod of birds in its morphological and biological properties differs significantly from the human VC. The opinion of Rivolta was confirmed in 1890 by Maffucia, and R. At the congress in Berlin, Koch recognized the avian tuberculosis bacillus as a separate, although very close type to the VC of human tuberculosis. Thus arose the doctrine of the duality of tuberculosis, the difference between avian and human tuberculosis. This dualistic teaching has found experienced defenders in the person of Straus and Gammalei. The main arguments were as follows: the tbc bacilli of birds give a more abundant culture and a wetter one; they grow well at t 43°. They are pathogenic for chickens and not pathogenic for dogs. They kill rabbits and guinea pigs without, however, pathomorphological changes caused by VC being detected in their organs.

Despite the fact that this year marks the thirtieth anniversary of the discovery of the Wasserman reaction, it must be recognized that a solid theoretical basis has not yet been summed up for it.

There are congenital and acquired diaphragmatic hernias (D. G.). The first ones are not of significant practical interest, since newborns with diaphragm defects usually die soon after birth.

The reason for this report is the observation of four cases of subcutaneous intestinal ruptures that passed through the surgical department of our hospital-characterized by a variety of injuries, with a known discrepancy between the strength of the injury and the disorders produced in the abdominal cavity.

Spontaneous gangrene of the external genitals was first described by Fournier in 1883 under the name "spontaneous lightning gangrene of the external genitals". Since then, this disease has been described under different names: "infected gangrene", "gangrenous erysipelas of the scrotum", "streptococcal gangrene of the scrotum" , etc.

Patient S., 45 years old, peasant, married, 15/Ѵ 1929, was admitted to the gynecological department with complaints of severe pain and a tumor in the lower abdomen, more on the right. The first monthly periods on the 17th year, were established immediately, for 4 days, every three to four weeks, are abundant and painful. The patient suffered from catarrh of the gastrointestinal tract and occasionally cuts when urinating. She began to live a sexual life at the age of 24 and does not note any deviations from the norm. The type of menstruation after marriage has not changed. I got pregnant five times. The first pregnancy was at the age of 26, the last one was 6 years ago; all deliveries are urgent, there were no abortions. During the last birth, she lay in bed for about two weeks, had a fever and bleeding. Since then, menstruation has become more abundant and more frequent. Four years ago, there was a delay in menstruation for about three months, the stomach was growing, and the patient suspected pregnancy. After lifting the weight, there were sudden severe cutting pains, vomiting; this lasted for two weeks. Then the stomach decreased somewhat, and the patient felt much better. At times, there were still abdominal pains. Three months later, there were sudden sharp pains again, general weakness, bleeding, which lasted about a week. The patient took medication and all the phenomena subsided. Her monthly periods were established relatively normally, and the patient considered herself almost recovered. Over the past five weeks, the pain has increased so much that the patient was forced to go to bed and, seeing no relief, turned to the hospital for help.

A number of physical methods of treatment have long been included in the arsenal of measures for the treatment of wounds and suppurations.

Almost 8 years have passed between the III and IV All-Union venereological congresses. Over these years, our motherland has been taking leaps and bounds along the path of socialist victories. The cultural level of the population of our Union has grown immeasurably, and the demands of workers for the protection of their health have grown immeasurably. The Fourth All-Union Congress met immediately after the adoption of the Stalin Constitution-a document of the greatest love for man and care for man. This left its mark on the entire work of the congress.

Surg., Gyn. a. Obst., (1936, October, No. 4).

Of the 117 cases of acute hematogenous osteomyelitis, pus was found 12 times in the bone, and 24 times in the bone marrow and in the subperiosteal space. In 39 cases, the bone marrow was examined and was free of pus. In the remaining 42 cases, the bone was not opened. Of the 117 cases, pus under the periosteum was in 105.

A. recommends the treatment of hydroadenitis of the armpit on an abduction splint with the laying of a hand on it, taken away at right angles from another cell; in the presence of abscesses, the latter are opened with small incisions, and the dressing is not applied to the wound.

Aa. we studied the electrocardiograms of 109 patients during 113 surgical operations with various methods of anesthesia.

The author performed pyelography with a strong inhalation and exhalation in the supine position of the patient on one or two plates.

Based on the study of modern literature and his own cases, the author analyzes the frequency, clinical significance and genesis of perforations of gastric and duodenal ulcers after feeding with contrast mass during X-ray.

Surgery in cases of appendicitis with infiltration is technically difficult and involves the risk of side damage, general infection, subsequent necrosis of the omentum and the formation of fecal fistula and splices.

The author has developed a material on facial furuncles that has passed through the Cologne University Clinic for 9 years.

The author describes a case of perforation of the cardiac part of the esophagus with a dental prosthesis during esophagoscopy.

Viruses are usually called such pathogenic agents that do not grow on artificial inanimate media, are not visible at any magnification and pass through filters.

Aa. indicate that when boiling instruments in water with the addition of soda and formalin (1.5% soda solution with an addition of 0.6% formaldehyde), their sterilization is much more reliable and is achieved faster.

A. used the rat typhus virus for his experiments.

In America, type V pneumococcus causes a severe clinical picture of the disease, with a mortality rate of up to 20%.

In 1935, during the epidemic of Japanese encephalitis in Japan, aa. several strains of the encephalitis virus were isolated.

Endoscopy of the pleural cavity allows you to study in detail various forms of pleurisy, miliary tb of the pleura and its ulcerative lesions.

The antigen for the reaction was prepared either from influenza virus cultures or from the lungs of mice infected with influenza virus (human or pig strain).

The presence of bacillary sputum for many months after the application of pneumothorax is an indisputable indication for thoracoscopy to determine the possibility of burning out the splices.

Ether is infected in an amount of 0.4 g in 3 cubic cm of saline solution.

The author, the director of the eye clinic in Strasbourg, points out that recently there has been a change in the views on the etiology of eye diseases, and tbk is assigned a much greater role in their origin.

1st case. A 30-year-old man with complaints of general weakness and decreased performance for a long time was diagnosed with neurasthenia.

Scalenotomy can only serve as an auxiliary method in the treatment of apical caverns, most often in combination with frenicoexeresis, or alcoholization of the thoracic nerve in order to immobilize the upper parts of the chest.

In 1931, Aguirre presented the first case of erythema nodosum, the tuberculous etiology of which was proved by the method of successive inoculations of a biopsied nodule.

The author performed 24 thyroidectomies in basedoviks who had asystole.

Daily use of small doses of synthetic thyroxine for a long period can cause a condition of chronic progressive thyrotoxicosis in a rabbit, which from a pathologic and anatomical point of view has a great similarity with thyrotoxicosis observed in humans.

The author gives 8 observations of patients aged 16-18 years (4 boys and 4 girls).

The author gives the medical history of a 58-year-old woman who suffers from seizures characterized by fainting, stomach pain and vomiting.