The malformation of the tricuspid valve, known in the literature as the Ebstein anomaly, is one of the rare deformities.
Coarctation, or narrowing of the aorta, according to many researchers, occurs in 15-18% of all congenital heart defects and large vessels, and 2-3 times more often in men than in women. The most common localization of narrowing of the aorta in a limited area is its isthmus. In such cases, patients note persistent headaches, dizziness, tinnitus, shortness of breath, palpitations, throbbing in the neck, head, which is explained by increased blood circulation in the upper body, and chilliness, rapid fatigue in the legs due to insufficient blood circulation in the lower parts of the body (O. Yu. Marina - 1961, A. S. Pipko with co-authors — 1961, Yu. E. Berezov with co-authors — 1962). Of the disorders in the cardiovascular system, first of all, it should be noted that the systolic pressure on the upper extremities is increased to 280/120, 200/100, while on the lower extremities it is lowered to 70/60 or not even detected. Discovered left ventricular hypertrophy, with auscultation, the accent of the 2nd tone on the aorta and pronounced systolic murmur, heard in the 2nd or 3rd intercostal space on the left at the sternum. The noise is conducted in the interscapular space, in the carotid arteries and in the subclavian region. A very characteristic sign of coarctation of the aorta in the place of its isthmus is considered to be the usulation of the ribs, caused by the constant pressure of the dilated and tortuous intercostal arteries.
The data of G. Selye (1952), E. 3. Yusfina (1957), M. S. Konstantinova (1957), V. E. Volkov (1961) indicate the role of the thymus in the implementation of the protective and adaptive reactions of the organism.
Recently, interest in the state of veins in obliterating diseases of the arteries of the extremities has been increasing. Some authors (Wessler et al.) Even believe that with obliterating arteriosclerosis of the extremities, changes in the veins are primary, and in the arteries, secondary. In the domestic literature, several works have recently appeared on the issues of changes in the function of the veins of the extremities in obliterating arterial diseases. A. B. Maisel, studying venous pressure in obliterating endarteritis, came to the conclusion that it increases in parallel with the severity of the process. Violations of venous blood flow in the lower extremities in obliterating diseases of the arteries are reported by N.I. Krakovsky and V. Ya. Zolotarevsky. On the basis of phlebography data, H. M. Karnakova reported on the expansion of the main, venous trunks of the leg with obliterating endarteritis. Examining the veins of the amputated limbs, V.V. Ginzburg and A.G. Fedorova found their expansion in a third of the patients.
In recent years, a number of works have appeared on the origin and clinical significance of the U wave. This wave is recorded according to some authors in 11.5% of all ECGs, according to others - in 70-80%.
In cancer of the pancreas, sometimes it is necessary to resort to palliative operations, the expediency of which for inoperable cancers is beyond doubt (A.D. Vitebsky). This intervention removes the painful symptom of obstructive jaundice, eases the suffering of the big one, improves liver function. Observations are described when patients after cholecyst-enterostomy with pancreatic cancer live for several years.
For the first time obliterating endophlebitis of the hepatic veins was described pathoanatomically by the Viennese pathologist Hiari in 1899, and in 1905 - by A.I. Abrikosov and for the first time diagnosed in vivo by V.E. Nezlin in 1936.
Pancreatic stones are relatively rare.
The development of acute pulmonary heart failure in women in childbirth is a serious pathology, often ending tragically for the mother and fetus. The severity is aggravated if, with this formidable complication, an abdominal delivery is necessary.
Dimekolin was administered orally in tablets of 25 mg at first one, with good tolerance - 2 times a day and with insufficient hypotensive effect - 3 times. Treatment was usually carried out within 2-4 weeks. Patients without dismissal from work took pills in the presence of a doctor (one before the start of work, the second - in the afternoon). The third pill was handed out.
Pulmonary ventilation was determined on a spirograph type SG-1, in a sitting position of the patient, on an empty stomach, after preliminary training conducted the day before, before and 30 minutes after intravenous administration of 0.24-0.36 aminophylline (we found that the maximum changes in pulmonary ventilation after the introduction of aminophylline occurs in 30-40 minutes). To assess the parameters of pulmonary ventilation, the proper values of pulmonary volumes were calculated according to the tables of the proper basal metabolism (Harris - Benedict), taking into account the sex, age, weight and height of the patient.
Biliarin is a colloidal-dispersed emulsion prepared from animal bile with the addition of ethyl alcohol and lysoform.
Since 1953, electrophoresis of a 10% solution of novocaine has been used in the clinic of the faculty of surgery of the Izhevsk Medical Institute for the purpose of anesthesia and treatment for certain types of injuries.
According to Keller's method, two electrodes made of 10x10 cm zinc sheet were placed on a rubber sponge lining of the same size and about 1 cm thick and one was placed on the area of relative dullness of the heart, the other exactly opposite to the back. The electrode on the chest was connected to the positive pole and on the back to the negative pole of a small portable iontophoresis machine. The rubber gasket of the anode was impregnated with a 1.5% solution of MgSO4 or MgCl2, while the cathode was moistened with distilled or fresh tap water. Sessions started from 5 minutes and gradually extended to 10 minutes, initially the current was 0.5 mA, and then with sessions it also increased - up to 1.5 mA. The course of treatment consisted of 12 sessions.
In the complex treatment of burns in 22 people, the skin of 4-6-month-old fetuses with a gap for the temporary closure of extensive wound surfaces and stimulation of regenerative processes was used. The skin was stored at a temperature of +4°C in saline with penicillin and streptomycin and was applied at different times up to two weeks from the moment of its harvesting.
In 602 schoolchildren aged 7 to 14 years, spinal fluorography was performed with a standard F-58 fluorograph with a screen size of 40x40 cm, with a larger exposure and X-ray hardness. The subject stood with his back to the screen in the natural vertical position of the body. The spine was removed from the IV sacral vertebra and higher, as far as the height of the screen allowed. In children under 15-16 years of age, the photographs usually fully capture the lumbar and thoracic spine.
K., 54 years old, was hit by a truck. Delivered in a state of severe shock. Visible mucous membranes and skin are pale. Answers questions sluggishly. Pulse 110. HELL - 80/50. No pathology was found in the organs of the chest. The abdomen is soft, participates in the act of breathing, painful in the lower sections, above the pubis. Even with a slight palpation of the pelvic bones and compression, crepitus is audible and a sharp soreness is noted. The legs are bent at the knee joints, a symptom of a "stuck heel". On the anterior wall of the vagina, there is a 9x7 cm patch wound, passing to the posterior fornix and penetrating into the abdominal cavity. Urine mixed with blood flows out of the wound. Pain sensitivity on the back of the right foot and the outer surface of the right leg is reduced; paresis of the right foot.
Techniques used by prof. IV Domrachev, are as follows.
In the literature, there are often descriptions of congenital cystadenomas of the ovaries, less often - of the liver, kidneys, thyroid gland. In the literature available to us, we have not come across descriptions of congenital cystadenomas located in the maxillofacial region, in particular, originating from the parotid salivary gland.
When treating patients with pruritic dermatoses, we provide complex treatment.
As you know, the population of regions and districts supplied with water with different concentrations of fluorine does not equally often suffer from diseases such as enamel spotting and caries (T.A. Nikolaeva, R.D. Gabovich, S.I. Cherkinskiy, F.M. Zaslavskaya, L. N. Krepkogorsky and L. N. Bogusevich, F. K. Nyushko and G. D. Ovrutsky, I. O. Novik, etc.).
The rapid development of the chemicalization of the national economy in our country can be judged not only by quantitative indicators, but also by how rapidly new branches and areas of chemical production are developing, especially those related to organic synthesis. At the same time, a set of measures is being taken to mechanize work operations that were previously performed manually, new, more highly productive devices are used, the main technological processes are accelerated, remote control, and the automation of chemical production are being introduced.
At present, the range of mineral fertilizers includes over 50 different types. Depending on the content of the main nutrients (nitrogen, phosphorus and potassium) and trace elements, mineral fertilizers are subdivided into nitrogen, phosphorus, potassium, micronutrient fertilizers, etc. In addition, mineral fertilizers are classified into simple ones, containing one of the main nutrients, and complex, containing several nutritional ingredients. The most effective and promising are concentrated and complex mineral fertilizers, which are given the leading role in the design and construction of new enterprises of the nitrogen fertilizer industry.
In our previous article "Vegetative-vascular syndrome in the early stages of chronic exposure to trinitrotoluene" (TNT), we showed that an early manifestation of chronic exposure to TNT is functional changes in the nervous system, especially its vegetative parts. It was also noted there that with TNT intoxication, there are often changes in the usual ratio of pressure in the temporal and brachial arteries and poor tolerance of nitroglycerin. The use of these vascular reactions in the detection of chronic TNT intoxication is the subject of this communication.
K. A. Bushtueva, E. F. Polezhaev, A. D. Semenenko (1960) were the first to suggest using EEG to substantiate one-time maximum permissible concentrations of atmospheric pollution. The use of an electrocortical conditioned reflex allowed them to substantiate the maximum permissible concentrations of sulfur dioxide and sulfuric acid aerosol in isolated action and their joint presence (1961). This method has been successfully applied in normalizing acetates in the atmospheric air (V.A.Gofmekler, 1961), dinila (G.I.Solomin, 1962).
In the medical, technical and special literature on industrial injuries, issues related to the analysis of the causes of injuries and accidents in large-panel housing construction have not yet been covered. Meanwhile, it is this type of construction that is currently turning into the leading direction at many construction sites.
Everyone knows the importance of care in the general complex of patient treatment, why the issues of improving the organization of work and raising the professional and ideological level of service personnel are always relevant.
Chapter I of the monograph provides general information on sound and noise and their perception.
The session was attended by scientific and practical health workers from Leningrad, Moscow, Ukraine, Belarus, the cities of the Volga region, the Baltic republics, Crimea, the Caucasus, Kazakhstan, Siberia.
There were 3 problems in the congress program: 1. Some issues of acute infections in children. 2. Rickets. 3. Nephropathy.
A.L. Myasnikov (Moscow) presented a classification of heart failure (myocardium, not blood circulation in general). Two forms are distinguished according to the physiological principle - insufficiency of ejection (propulsive energy of the heart) and insufficiency of inflow (blood supply to the heart) and two forms according to the pathogenetic principle - insufficiency of overvoltage (hypersthenic form) and insufficiency of damage (asthenic form). According to the predominant localization of heart damage, the author distinguishes left ventricular, right ventricular and mixed forms. The forms of myocardial insufficiency are distinguished along its course: stage I — compensated; II - decompensated reversible; III — decompensated irreversible.
Professor A. I. Nesterov, a full member of the Academy of Medical Sciences of the USSR, delivered a major program report "Scientific foundations and prospects for the prevention of rheumatism and its relapses".
More than 400 specialists from the cities of the ages of the Union republics took part in the work of the plenum. 127 people made reports.
On 1/1 of 1965 there are 84 people in the society. From year to year, there is an increase in the number of members of society at the expense of doctors working in medical institutions in Kazan.
By the end of 1964, there were 555 general practitioners in the NOT TASSR. Of these, in Kazan - 377 people. (304 worked in medical institutions of the practical network and 73 - in the medical institute and GIDUV).
The section in Bugulma was organized in December 1963. All doctors of the Bugulma maternity hospital, as well as obstetricians-gynecologists of the Bavlinsky, Urussinsky and district hospitals, became members of the section. The society has 20 members in total.
The society consists of 98 psychiatrists, 62 neuropathologists and 4 neurosurgeons.