The health authorities have been tasked with eliminating diphtheria, poliomyelitis, tularemia, rabies and tetanus in the coming years and dramatically reducing the incidence of dysentery, whooping cough, typhoid fever and brucellosis.
The possibility of restoring normal contractions of the fibrillating heart by exposure to a strong electric current was proved, as is known, back in 1899 by the experiments of Prevost and Batelli. Further study of this issue led to the improvement of the method of electrical defibrillation of the heart and the proposal for the use in clinical practice of various types of defibrillators based on the use of alternating current and a single electrical pulse. The last type of defibrillator that generates a single pulse of 0.01 sec duration. (by discharging a capacitance of 20 microfarads through an inductance of 0.3 henry), was designed by N.L. Gurvich in 1940 and began to be used in the clinic since 1952. Studies have shown the advantage of the Soviet pulse defibrillator (type ID - I - VEI) over the used in foreign clinics with alternating current defibrillators. NL Gurvich's scheme formed the basis for the design of foreign samples of impulse defibrillator - "PREMA I" in Czechoslovakia and Lone's "Cardioverter" in the USA.
A subcutaneous rupture of the biceps brachii is quite rare, often unrecognized, and the victim does not receive the necessary assistance.
Here is our observation. M., 23 years old, was admitted on 13/I 1959 with complaints of sharp pains in the lower third of the right shoulder when trying to bend the elbow. In the morning of that day, he was hit by a steel cable across his right shoulder when he was lifting a load. On the antero-outer surface of the lower third of the right shoulder, there is a deep transverse groove of the skin and soft tissues, in the middle section of which there is a bleeding bruised wound 1.5x0.5 cm with crushed edges. Passive movements in the elbow joint in full, active ones are impossible due to sharp pain at the site of injury. Skin sensitivity of the right forearm was preserved, there was no paresis of the hand.
According to our observations, at 872 humerus fractures, damage to the radial nerve occurred in 43 patients (4.9%). In total, we currently have data on 67 injuries of the radial nerve in fractures of the humerus and pseudarthrosis of the shoulder. Of these, in 22 patients, nerve injuries were obtained during medical procedures (with immobilization of a limb, transportation, closed repositions of bone fragments, surgical interventions) for fractures of the humerus and their consequences.
B., 23 years old, at 14 o'clock on 24 / III 1963, while skiing from the mountain at high speed, she fell and injured her left leg in the ankle joint. Delivered in 1 hour 10 minutes.
Before the use of antibiotics, such processes were fatal, but the danger with them is great even now.
S., 49 years old, was admitted on 14 / VІІ 62, about exacerbation of chronic cholecystitis. Complains of constant severe pain in the right hypochondrium, nausea. Since January 1962, there were 3 attacks of similar pains, which lasted 3-4 days.
With destructive forms of appendicitis with a retrocecal arrangement of the process, such a serious complication as retroperitoneal phlegmon can occur. VF Voino-Yasenetsky notes that these phlegmons can sometimes have the character of gas phlegmons.
P., 2 years 3 months, playing with a child's table fork with a beautiful plastic broken handle, accidentally swallowed it.
We observed 33 patients with penile induration, whom we treated with cortisone, hydrocortisone and adresone according to the method proposed by the Bulgarian author Dobrev. The course of treatment consists of 14 injections of cortisone, which are made directly into the thickened tissue of the penis every other day. The first 6 injections - 0.5 ml in each corpus cavernosum alternately, the next 7 injections - 0.5 ml in each corpus cavernosum at the same time. To determine the patient's tolerance to cortisone, 0.2-0.3 ml of the drug is injected into the seal before treatment. In total, 250 ml of cortisone is injected for the course of treatment.
Preoperative diagnosis of the renal carbuncle is difficult due to the absence of cardinal clinical symptoms. In the literature available to us, we did not find a description of the carbuncle of a double kidney. Here is our observation.
Among leptospirosis diseases in the USSR, one of the first places belongs to water fever, 85% of infections occur when swimming in open reservoirs and 10% when using river water for drinking and 5-7% when caring for farm animals (M.A.Buslaev , 1960).
The presumptive diagnosis of toxoplasmosis should be confirmed by laboratory research methods, intradermal test with toxoplasmin and a complement binding reaction (CBR) with a specific antigen.
According to a number of authors, the strength of immunity against diphtheria drops sharply after suffering infectious diseases, in particular influenza. To clarify this question, in March — April 1962, we 1252 children aged 7 to 12 years 6 months after the initially delivered Schick reaction (all of them negative), 1½ — 2 months after the flu, we repeated the Schick reaction. It turned out that only in 7 children it was possible to associate a drop in immunity to diphtheria (up to a weakly positive Schick reaction) with an influenza infection.
We processed the case histories of patients in whom the analysis of gastric juice coincided with the beginning of treatment with collapsotherapy and gastric secretion was re-examined during the period of their treatment with puffing up. Gastric juice was taken in the morning 1 hour after Ewald-Boas breakfast. The examined patients during the analysis of gastric secretion received only collapsotherapy (inflation) for pulmonary tuberculosis. In total, we studied 12 patients in whom the analysis of gastric juice was carried out 3-4 times. Patients were blown into the chest cavity after 7-10 days, 500 ml of air and into the abdominal cavity - 800 ml. Of the 12 patients, 2 were blown into the chest cavity and 10 into the abdominal cavity. The age of the patients is from 25 to 45 years. There were 3 men and 9 women.
In the literature, there are indications of epidemic outbreaks caused by food contamination with E. coli, which produces a strong heat-resistant endotoxin.
We observed separate professional groups of workers with acute crepitant tendovaginitis. Among them were: locksmiths — 158, turners — 45, riveters — 20, foremen — 23, milling cutters — 24, handymen — 20, construction workers — 25, loaders — 11, grinders — 15, non-physical workers — 50, other physical workers - 197.
The International Democratic Federation of Women in November 1949 decided June 1 to be considered International Children's Day.
The idea of the unity and integrity of the organism has been reflected in the works of pathologists and clinicians of our country since the turn of the 18th-19th centuries.
Local anesthesia is being improved both in the search for new painkillers and in the improvement of equipment. In order to facilitate the work of the surgeon and reduce the duration of operations performed under local anesthesia according to the method of A.V. Vishnevsky, many semi-automatic syringes and automatic devices have been proposed that provide a continuous supply of anesthetic solution, improve aseptic conditions, facilitate the operator's work, reduce the time of operations and contribute to a full pain relief.
The book examines in detail the bruises of muscles, bones, nerve trunks, the ligamentous apparatus of the joints of the limbs and the spine. At the same time, attention is paid not only to macro-, but also to microtraumas, which is very important: the latter, as happens with irrational training, are often repeated and lead to the emergence of various chronic diseases of the musculoskeletal system.
At present, it has become possible to determine the activity of more than 40 different enzymes in blood serum, which expands the possibility of studying the pathogenesis of certain cardiovascular diseases and contributes to the creation of new diagnostic tests. Coenzymes, enzymes and their inhibitors are used as therapeutic agents for correcting disturbed metabolic processes (M. G. Kritsman - Moscow).
As of 1/1 1965, the society consisted of 129 people, of which 53 were employees of the medical institute and GIDUV, 76 were practical doctors. A branch of the Surgical Society operates in Bugulma. The following professors were elected to the board of the society: R. A. Vyaselev, P. V. Kravchenko, N. P. Medvedev, Yu. A. Ratner, I. F. Kharitonov, V. N. Shubin, L. I. Shulutko, chief surgeon of the Ministry of Health of the TASSR M. Yu. Rosengarten, leading surgeon V. G. Basov. The chairman of the society was elected prof. I.F. Kharitonov.
In March 1965, in Kazan, a Republican meeting of pharmacists from Tatarstan was held with the participation of doctors, at which issues of further improvement of medical care and public health protection were discussed.
19 / VI-65 by the staff of the laboratory of experimental physiology for the revitalization of the body of the USSR Academy of Medical Sciences, headed by prof. V. A. Negovsky, a seminar on resuscitation was held in Kazan.
The issues of resuscitation in obstetric and gynecological practice were highlighted in the introductory speech by prof. V. A. Negovsky and at a sectional lesson conducted by VS Berman, head of the Moscow Center for Resuscitation in Obstetrics.
The problem of newborn asphyxia is one of the most important in obstetrics. In a state of asphyxia, up to 5-8% of all children are born (L. S. Persianinov, V. F. Matveeva and M. I. Koretsky, and others), and asphyxiation of the fetus and newborn in 50-60% is the cause of perinatal mortality ( M. Voyta, 1958; S. L. Keilin, 1964; A. N. Morozova, 1961; A. M. Foy, 1963; etc.).
Among all injuries, open fractures occur in 8-10%. With these injuries, the numbers of amputations are quite high, both directly at the scene of the accident and at a later time.
Pituitrin was first used in obstetric practice by Blair Bell in 1909 for uterine atony and postpartum hemorrhage.
A traumatic shock is understood as such a state of the body when the phenomena of oppression of life - hypobiosis - come to the fore (A.P. Alferov, D.M. Sherman). In the clinic of shock, the dysfunctions of the nervous-humoral apparatus, the cardiovascular system, metabolism in general and gas exchange in particular are clearly manifested.
Minister of Health of the USSR, candidate member of the Central Committee of the CPSU, deputy of the Supreme Soviet of the USSR, Doctor of Medical Sciences, Professor, Head of the Department of Health Organization of the 1st Moscow Order of Lenin Medical Institute, Corresponding Member of the USSR Academy of Medical Sciences, Honored Doctor of TASSR