Experimental and clinical observations indicate a certain participation of the cerebral cortex in the genesis of the main forms of the periodic rhythm of respiration (Cheyne-Stokes, Biot and wave-like respiration).
42 years have passed as a prof. Kozhevnikov identified a special form of epilepsy called epilepsia partialis continua. His theoretical considerations about the etiology of this suffering., As a syndrome that can give “painful changes, different in nature and similar only in their effect on the brain, cysticercus, chronic. infection, etc.", found their confirmation in a number of works by subsequent authors.
Myotonia is one of those diseases of the nervous system that still cannot be considered sufficiently studied in terms of their essence, their pathogenesis, their topics.
In his work “Chemical method of differentiation I. vagus from n. sympathicus “(Kazan medical jury., No. 11-12, 1934 and Wiener klin. Wochenschrift, No. 50, 1936) Dr. Manoilov reported that he was able to chemically distinguish between these nerves and high He said the position that they differ from each other chemically: n. Vagus is acidic, and n. Sympathicus is alkaline, and their chemistry is embedded in the conductors themselves. Chikovani comes to the same conclusions, who investigated the nerves of 70 human corpses and confirmed this position in all cases; Iosefovich investigated the nerves of both humans and animals (cat, dog, rabbit); from 15 human corpses (30 pairs of nerves) in 14 cases, the nerves were taken by her immediately after death (15 minutes or more), and the results were positive; in one case, the nerves were taken from a 5-month old drug and the result was also positive. On animal material, Iosefovich received the same answer in all cases (58 pairs).
One of the topical issues of neuropathology and special medical literature is the study of the tabes of the spinal cord. Exchange of experience in the field of treatment, comparative data on individual countries and segments of the population, study of statistical material allow us to judge the dynamics of this disease, the severity and predominance of individual symptoms and forms. On the other hand, the data of numerous authors about a particular duration of the incubation period, the presence or absence of primary manifestations of syphilitic infection, and other questions leave many aspects of this interesting disease insufficiently illuminated. In recent years, our acquaintance with the blood-brain barrier, with its changes in various organic diseases of the central nervous system, data on the biology of pallidum spirochete, on the so-called latent nervous syphilis, on the pathogenesis of tabic crises allow us to explain some aspects of the clinical picture of the tabes of the spinal cord , which remained unclear until now.
Despite frequent cases of visceral lues, gastric syphilis was diagnosed very rarely not so long ago. Since the time of Andral, who first described syphilitic lesions of the stomach, enough clinical and pathological-anatomical material has accumulated. Recently, the issue of visceral syphilis has received vivid coverage in the systematization of material in valuable works, both among clinicians from other countries and here, especially in the works of Luria, Gausman, Kogan-Yasny, Totsky, etc.
Currently, a number of reactions are used to diagnose syphilis — Wasserman, Kahn, Meinike, cytocholic, Sachs-Georgi and Saks-Vitebsk.
The complement binding reaction can be used for diagnostic purposes in two ways: either, having a known antigen, an antibody corresponding to this antigen is determined in the patient's body, or, conversely, having a known antibody, an antigen corresponding to this antibody is sought in the patient's body.
Our observations were made on 76 patients with acute mountain complications. 28 patients were from the inpatient department of the Veninstitute, and the rest were from outpatient admission, all patients were between 18 and 54 years old. According to the localization of foci, our patients are divided into patients with epididymitis — 46, prostatitis — 23 and arthritis — 6. Out of 46 patients with epididymitis, 8 had epididymitis alone without other complications, in 21 epididymitis was accompanied by prostatitis, in 8 patients we diagnosed epididymitis with prostatitis and vesiculitis, in 9 patients had epididymitis complicated by funiculitis.
From numerous statistical data, we know about the enormous achievements in the fight against venereal diseases in the USSR. But it should be noted that in the fight against gonorrhea, our success is less significant than in the fight against other sexually transmitted diseases.
The issue of mixed infection with tuberculosis has its own history. If at first the researchers Koch, Cornet, Petrushki, Vysokovich, Brauer and Peters, Maraliano, Baumgarten attached great importance to mixed infection during tuberculosis, then a number of authors, especially recently, and mainly the French school, assign it a secondary role (Besançon, Layden, Jochmann, Schrader and Manles). I. Hollo in his review article on mixed infection with tuberculosis (1930) comes to the conclusion that the question of mixed infection in general is resolved; in the cavity itself and in the respiratory tract of a tuberculosis patient, there can always be various microbes, but they behave like saprophytes or semi-parasites. It can be considered established, says Hollo, that the entire course of tuberculosis is due exclusively to the tubercle bacillus and that "there are no such forms of tuberculosis, such phases in its course, and there is not a single symptom that would depend on the action of other microbes." Even if such an impact is possible, he says, it is very insignificant and inconsistent.
In November 1936 Scientific research. chemical pharmaceutical company. Institute named after Sergo Ordzhonikidze suggested that our clinic test the effect of the anesthetic dicaine on clinical material.
Inflammation of the appendix is the most common form of inflammation in the abdominal cavity. According to statistical data, 30-35% of all surgical patients are operated on for appendicitis. Studies by various authors have proven that appendicitis develops as a result of the action of virulent bacteria on the mucous membrane of the appendix. Until now, it has not been possible to establish whether a specific causative agent of appendicitis exists, although numerous studies in this area would allow this to be done, if such in fact existed (Rushev). Rosenov in his studies in 70% of cases of appendicitis discovered a special type of streptococci, which, in his opinion, cause appendicitis. Will identified an anaerobe that looks like you. perfringens and bac. oedematis (in acute appendicitis): According to Ashof (1927), appendicitis is caused by Diplostreptococcus (enterococcus) and gram-positive rods. Fonio (1923) believes that appendicitis is caused by a special gram-positive diplococcus and a special thin stick; Fischer is of the same opinion. However, all these data have not received general confirmation and the presence of a specific pathogen has not been proven. According to the research of many authors (Dejen and Michiner, Jings, Brutt, etc.) we have a mixed infection with appendicitis with a predominance of streptococci and E. coli in acute cases. There are many works devoted to the bacteriology of appendicitis, which cannot be listed in our brief work, the conclusion can be drawn as follows: diseases of the appendix are caused by a mixed infection. The normal process always contains various microbial forms. Chronic appendicitis also always contains various types of microbes. What are the ways of appendicitis? Enterogenic pathway — the disease of the appendix is caused by microbes located in the appendix itself, due to abnormal conditions for its nutrition and position. This includes all kinds of closure of the lumen by the contents, whether it is the semi-liquid contents of the appendix, fecal calculus, swelling of the mucous membrane, or something else. The same mechanical obstacles can create bends of the appendix and its retroperitoneal position. All these points are reduced to the theory of the so-called. "Cavité close" (Talamon) (1892), Dielafoy (1896). Despite various objections and conflicting facts, the thought expressed by Dielafoy remains valid to this day. This position is confirmed by numerous studies of Boseno (1897), Rouville, Bois-Heyd (1912), Geil, Mordvinkin and others, not as the only cause of appendicitis, but as a factor contributing to it.
Even Hippocrates taught that seizures can occur both from an excess of blood in the brain, and from its lack. Many centuries later, this view received its experimental substantiation in the classical experiments of Cooper (1836), Panum (1856), Kussmaul and Tenner (1857). These authors experimentally proved that when the lumen of the carotid and vertebral arteries is closed, animals develop convulsive seizures that develop as a result of brain anemia. Opening the lumen of these vessels leads to the cessation of seizures. Convulsive phenomena were observed by M. Gall and when both jugular veins were clamped.
Krol in his well-known book "Neuropathological syndromes" says: "The more thoroughly we get acquainted with diseases, the more we are convinced that the typical picture of the disease, which led to the isolation of a given nosological group, is much less common than not typical." As an example, he points to epidemic encephalitis. This relatively new nosological unit still does not yet have its comprehensive description; therefore, very often we meet with new symptoms and combinations of symptoms of this disease. From this point of view, our case is of certain interest.
In the work of Lyadsky, statistics of Volya is given, who by 1928 had collected 27 cases of spontaneous rupture of the spleen in various acute infections; he also gives the material of prof. Finkelstein in more than 100 splenectomies in a malarial area, including only one case of spontaneous rupture of the malarial spleen.
The absence of evidence-based, pathological, anatomical and radiological changes gives a. reason to consider the mechanical factor to be the main point in the etiology of the rupture.
The average amount of ejaculated sperm at a time is 3-5 cubic meters. see The viscosity of the ejaculate does not matter, the pH of the ejaculate is 7.7-8.5.
The author divides pathological changes in sperm into the following groups: 1) azoospermia, 2) oligospermia, 3) necrospermia, 4) aspermia or complete absence of semen.
A. studied the causes of childlessness in 190 marriages.
In 1937, there were 44 members of the Kazan branch of the Society of Neuropathologists and Psychiatrists.
The society had 9 meetings in the past year, at which 9 reports and 37 demonstrations of patients were heard.