On January 21, 1924, Vladimir Ilyich Lenin died. The working people of the whole world bowed their heads in deep sorrow before the tomb of their brilliant leader, teacher and friend.

Prediction in hypertension, as long as there are no formidable signs complicating the course of this disease, often encounters great difficulties. It is complicated both by the impossibility of sometimes strictly distinguishing the so-called essential forms of hypertension from organic ones, and by the extremely different development of this painful process in individual cases.

Prediction in hypertension, as long as there are no formidable signs complicating the course of this disease, often encounters great difficulties. It is complicated both by the impossibility of sometimes strictly distinguishing the so-called essential forms of hypertension from organic ones, and by the extremely different development of this painful process in individual cases.

Chlorine was first used as a poisonous substance on April 22, 1915 by the Germans near Ypres. From that time on, the use of chlorine for military purposes began to be repeated, but by the end of the year chlorine lost its importance as a weapon and was replaced by substances that were more persistent and more poisonous. The use of chlorine in a military environment has aroused great interest in it and has led to extensive study. Chlorine is widely used for disinfection of indoor air, sterilization of water, prevention and treatment of various infectious diseases (especially influenza, whooping cough, diphtheria bacilli) and is one of the most active means for disinfection and treatment of skin lesions with toxic substances. Chlorine was first used as a poisonous substance on April 22, 1915 by the Germans near Ypres.

While studying cardiovascular reactions in lobar pneumonia (percussion, orthocardiography, auscultation, electrocardiography, study of arterial and venous pressure), we came to the conclusion that with this severe infection not only the peripheral circulation is affected, as is usually believed, but also the myocardium .

The long-standing dispute over the question of who has the leading role in the treatment of gastric ulcers - the therapist or the surgeon - has now been finally resolved in favor of the therapist. Supporters of this solution to the issue were the surgeons themselves (Levit, Spasokukotsky, etc.). Prof. Luria points out that even deep and old ulcers, calciferous in appearance and course, can be finally cured conservatively.

Among the causes of intestinal obstruction, intussusception occupies a relatively small place. From this we can conclude that intussusception is not a common disease in the Soviet Union, while in other countries (England, Denmark, America) it is much more often the cause of intestinal obstruction.

Getting acquainted with the issue of echinococcus disease in our USSR, I involuntarily drew attention to the fact that echinococcus disease in Kyrgyzstan is not covered anywhere in our press. There are instructions only in the proceedings of the First North Caucasus Regional Congress of Surgeons. I analyzed 20 cases of echinococcus disease that went through surgery. branch of the Karakol mountains. hospitals indicate the unique ways of spreading echinococcus in the Issyk-Kul Valley. In the works of I North Caucasus. Congress of Surgeons mentions that echinococcus diseases in the Kyrgyz Republic account for 1:559 thousand.
Our 20 cases of echinococcus relate to residents of 10 communities in the areas we serve.

Several works are devoted to lysate therapy for ankylosing spondylitis in Soviet literature. Their authors carried out polyisate therapy with various combinations of lysates and in some cases saw undoubted success. The authors' observations concern the physiological effect of lysates prepared by acid hydrolysis at pressures from 2 to 10 atmospheres or higher. The final products of hydrolysis in some contained high-molecular protein fractions, in others they were reduced to abiuretic fractions.

At the VI Ukrainian Congress of Surgeons, prof. Kefer, in his speech on improperly healed fractures, pointed out that it would be wrong to assume that the entire art of treating fractures comes down to the skillful application of plaster casts and traction.
One cannot but agree with this position; it is especially clear to every surgeon who encounters patients immediately or shortly after removing the plaster cast with a fresh fusion at the fracture site, with swelling, stiffness and limitation of movements in one or more joints. The surgeon knows that the subsequent management of such patients, i.e., their follow-up treatment, plays a big role in restoring the function of the limb and restoring the working capacity of the victims.

A lot of works have been devoted to the issues of mud therapy methods. Until very recently, various new or modifications of old methods of mud treatment have been put forward and recommended: “the rich method of application mud therapy” (Cherkess, Nalbandov), the method of intensive short-term mud procedures (Dryagin), etc. Shortening the patient’s stay at the mud resort from 45 up to 30 days revealed an urgent need to reconsider many generally accepted methods of mud therapy.

Treatment of chronic purulent inflammation of the middle ear is still a far unfinished chapter in otolaryngology. Chronic otitis media is the most common ear disease. So, for example, for 27,535 visits to the outpatient clinics of Kazan ear clinics in 1925-30. there were 5314 such patients. Tolokonnikov’s 7,200 visits included 980 for chronic otorrhea.

In this work, we analyze 101 cases of labor anesthesia, in which in 72 cases we used the Soviet Hexenal and in 29 cases the identical foreign drug Evipin-Na.

Anesthesia n. n. pudendorum, first introduced by Ilmar in 1910, was tested and technically improved by Selheim in the same year.

Despite the significant period that has elapsed since the introduction of this method, it has been used relatively little both abroad and here in the USSR.

At the beginning of 1936, we began to anesthetize childbirth with pyramidon in combination with microenemas (NaBr + Mg. sulf + Ext. Bellad.) and liquor.

In February 1936, we first used pyramidon as an anesthetic, first in microenemas, then orally.

Weinstein pointed out the effectiveness of intravenous use of antipyrine as an anesthetic. Greenberg has some data on antipyrine.

At the suggestion of Prof. P.V. Manenkova, we tested a simple and accessible method of labor pain relief, based on one of the modifications of Prof. Lurie1), described below, but with the addition of Veronal. We set out to identify the clinical harmlessness of this method of labor pain relief for mother and child, its effect on labor, as well as the effectiveness of its analgesic effect.

In order to reduce pain during childbirth, an important goal is to reduce the duration of labor. Artificially shortening the duration of labor will naturally reduce pain and make it possible to reduce the amount of substance needed for pain relief.

The issue of reducing the duration of labor has been of concern to obstetricians for a very long time. Doderlein's position that the sun should not set twice on a woman giving birth is a very moderate requirement to which we cannot limit ourselves, and the question of reducing the act of childbirth must be raised in its entire breadth.

Prevention of postpartum diseases, which often accompany the act of childbirth, is of very great practical importance.

Local doctors often find themselves in a particularly difficult situation when life requires them to resolve such issues in conditions that are very unfavorable and far from the comfort of our clinics.

By involving the general medical network in the fight against sexually transmitted diseases, we will inevitably experience certain difficulties for some time in providing local doctors with the opportunity to widely use seroreactions to syphilis. This is especially true in medical districts of those remote areas, where, in the absence of a serologist on site, the doctor is forced to send sera by mail to the regional or district laboratory. In these cases, the possibility of a seroreaction with sera whose expiration date has already expired cannot be excluded.

In his work “On the shelf life of serums for seroreactions in syphilis.”

Syphilis progresses very differently in people. This difference is found in relation to the development, clinical manifestations and outcome of syphilitic infection. There is reason to believe that the course of syphilis is greatly influenced by the properties of the infected organism, primarily its reactive ability.

The development and course of syphilis is associated with sensitization of the body; the nature of syphilitic manifestations is in a certain connection with the characteristics of the allergic reaction that develops during the course of the disease at different periods of syphilis.

The altered reactivity of the body under the influence of a previous infection determines the condition that is called allergy according to Pirquet. These phenomena of altered reactivity include the concept of increased and decreased sensitivity.

Local tissue inflammatory processes have made it possible to study more deeply the various forms of reactivity of the body. A classic example of such allergic inflammation is the Arthus phenomenon.

When studying the effect of alkalis on acid catarrhs of the stomach and on hyperacid ulcers of the stomach and duodenum, we conducted a number of experiments with the rectal use of alkalis. The patient remained on a possibly light, non-irritating diet: milk or vegetable soups, milk porridges, vegetable (potato, pumpkin, carrot) purees, in rare cases eggs, stale white or Ukrainian bread. Internal administration of any medications was not allowed. Treatment consisted of rectal alkalization of the body with soda enemas.

In 1935, a patient with a diagnosis of malignant reticuloendotheliosis was treated at the faculty therapeutic clinic of the Russian State Medical Institute. The interest of this case lies in the rarity of this disease and its intravital recognition. Diagnosing reticuloendotheliosis is not easy even on a dissecting table. During autopsy of our case, pathologists were hesitant to make a microscopic diagnosis, and only histological examination confirmed the clinical diagnosis.

Due to the recent increase in interest in the clinic and pathological anatomy of alveolar echinococcus of the liver, we consider it useful to give a description of a relatively rare case of alveolar echinococcus of the liver observed in our clinic with its germination into the gallbladder and subsequent disintegration.

In the practical work of a doctor during blood transfusion, the most rare, but at the same time severe, complication is “hemolytic shock”.

The picture of hemolytic shock appears on the operating table or immediately after a blood transfusion. This complication is sometimes so severe that it requires immediate action.

In most cases, the cause of hemolytic shock is the transfusion of incompatible blood of a different group, which occurs due to errors in determining groups.

There is no comprehensive description of dysenteric arthritis to this day, despite the fact that joint damage due to dysentery has been described for a long time and, according to Mukler, was known to Hippocrates.

Over a relatively short period of time, we observed 3 cases of dysenteric arthritis. In two of them, articular lesions developed during dysentery, confirmed bacteriologically (Shiga and Kruse bacillus were detected); in the third case, the joint disease developed immediately after suffering from dysentery and was successfully treated with anti-dysenteric serum.

There is no consensus on the existence of perforated bile peritonitis: some deny the possibility of their occurrence, others, on the contrary, have observed them and categorically state the possibility of bile entering the abdominal cavity without perforation of the bile ducts.

The health authorities of the Kazakh SSR have done a lot of work to improve the health of the population of the republic. Medical institutions equipped with the latest medical equipment and a systematic fight against childhood fungal diseases made it possible to cure thousands of sick children within 3 years. During the two years of its operation, the Kyzyl-Orda children's hospitals admitted a large number of fungal patients who were subjected to radiotherapy.

The first vaccinations of the BCG vaccine in children were carried out in France by Weil-Halle and Turpin in 1921. Since 1924, this vaccine has been widely used in France and other countries.

In the USSR, the Calmette-Guerin strain for the preparation of the BCG vaccine was obtained from the Paris Pasteur Institute GNKI in 1925; Since IX 1925, it begins to be studied and applied in the Ukrainian SSR.

The study of the toxin of the dysentery bacillus has long led researchers to the conclusion that, on the one hand, it is an endotoxin associated with the body of the microbe and released during its autolysis, and on the other, it reveals the properties of a classical exotoxin, reminiscent of tetanus and diphtheria toxins. Recently, the greatest clarity on this problem has been brought by the work of French authors (Boivin and co-workers, as well as Raistrick and Topley), who have developed a technique by which it is possible to obtain both toxins separately.

The author conducted experiments on rabbits actively immunized with typhoid bacillus. He concluded that carbohydrates, especially dextrose, enhance the body's self-defense, stimulate cellular functions and a specific immunization process.

Severe complications, sometimes observed after the prophylactic administration of tetanus serum, indicate that the injection of tetanus antitoxin is not completely harmless and should therefore be carried out according to strictly established indications. Of these complications a. indicates very persistent nephritis, paralysis and renal bleeding.

A number of studies have shown that when 1-ascorbic acid is added to diphtheria toxin, polio virus, encephalitis virus, or tobacco mosaic disease, the toxin or virus is inactivated. Moreover, the “antitoxic” and “antiviral” effect does not depend on the acidic reaction of crystalline vitamin C, since this also occurs when the pH is harmless to the toxin or virus. The mechanism of this phenomenon in vitro has not yet been studied, but there is reason to believe, at least in relation to plant viruses, that inactivation occurs only when reduced ascorbic acid undergoes aerobic oxidation.

The author draws attention to the fact that children's skin can be very sensitive to ointments containing salicylic acid. He gives the medical history of a 7-year-old child who was admitted to the hospital in excellent general condition with symptoms of moderate psoriasis.

The author obtained good results by giving infants who suffered from eczema acidified and fat-rich milk 3-4 times a day, 100-200 cm³ with the addition of 5 cm³ of water and 5-10 g of sugar.

Pleural empyema in newborns is a consequence of general septicemia, and in later life it is the result of pneumonia; primary pleurisy in children occurs only in exceptional cases; The causative agent is mostly pneumococcus. The prognosis is more favorable for purely pneumococcal than for mixed forms; in addition, it depends on age and general condition, the course of the pulmonary process, etc.

Throughout 1930, the author carefully examines the skin of children at the moment of birth and in the following days.

As a result of the produced aa. Determining the absolute amounts of vitamin C in the urine and milk of nursing mothers who received various amounts of ascorbic acid with food, it turned out that for the vast majority of them the content of vitamin C in their milk was not enough to meet the daily requirement of the newborn.

The author draws attention to the fact that in infants who come from a family burdened with allergies and subsequently display increased sensitivity to various allergens, in the vast majority of cases a kind of linear erythema appears in the retroauricular fold, secreting a clear serous fluid, then drying and covered with scales. He considers this erythema to be a pathogmonic sign of latent allergy.

Reporting data on the etiology (infected instruments and hands, soapy water), pathological anatomy and bacteriology of tetanus after abortion, aa. indicate an absolutely poor prognosis of the disease and the absence of any preventive measures against post-abortion tetanus.

Speakers at the debate included Prof. B. G. Hertsberg, associate professor P. A. Gulevich, prof. S. A. Alekseev, prof. Yu. A. Ratner, Dr. V. M. Osipovsky, who pointed out the practical and theoretical interest of the demonstrations.

The author performed blood tests using the Marshall method to determine sulfanilamide in 17 pregnant women who received sulfanilamide for various infectious diseases.

Speeches by Dr. P. A. Nikiforov, Dr. G. S. Samoilov, Dr. S. S. Lylova, A. F. Parkhimovich.

During the reporting period, 6 plenary meetings and 7 meetings of the branch board were held.

November 6, 1938 marked 10 years since the death of one of the founders of Soviet medicine, Zinovy Petrovich Solovyov.

For 10 years, from the first days of the October Revolution, he created the cause of Soviet healthcare, forged new forms of socialist medicine, which the best doctors of the past had dreamed of for many years.

On November 30, 1938, after a long and serious illness, Roman Ivanovich Moshin, assistant at the clinic for ear, throat, and nasal diseases of the Kazan State Medical Institute, candidate of medical sciences, candidate member of the All-Union Communist Party of Bolsheviks, died.