To the treatment and cure of gonorrhea

Schollz (D. m. W. No. 31, 29), on the basis of his many years of experience in the treatment of gonorrhea, indicates that Protargol and Albargin remain the best drugs to this day, because they act not only in a killing manner on gonococci, but also exert their influence on mucous membrane in the sense of its impregnation. In cases where gonococci sit deep in tissues (prostata, epididymis, ovaries), the author recommends using protein therapy. In stubborn cases, it is recommended to "Fieberbehandlung" with hot baths or inoculation with malaria. To establish the fact that gonorrhea has been cured, the author uses microscopic examination after a series of provocations, and also examines the patient with the help of cultures. An excellent means for establishing the cure of gonorrhea is the B.-G. reaction, and a negative reaction that occurred after the previous positive one is more likely to speak for a cure, while a persistent positive reaction indicates the need for a series of repeated microscopic and bacteriological studies.

Adherence of professionals to good obstetric practices and interventions performed with parturients

Objective: to analyze the association between good obstetric practices and types of delivery. Methods: a cross-sectional study, carried out with 207 pregnant women admitted to two reference maternity hospitals, whose data were collected through a questionnaire and chart analysis and analyzed by Pearson’s chi-square test. Results: it was observed that the parturients with vaginal delivery were oriented about relaxation techniques and non-pharmacological measures for pain relief, encouraged not to remain in bed and to use the Swiss ball. In contrast, women who underwent a cesarean section reported not receiving such interventions. The use of squatting exercises, massages, hot baths and encouragement not to wander were mentioned less frequently by the participants, regardless of the route of delivery. Conclusion: it was observed that good obstetric practices were associated with the normal delivery route, while in cesarean delivery, such practices were implemented less frequently.

Heat therapy: Mechanistic underpinnings and applications to cardiovascular health

Cardiovascular diseases (CVD) are the leading cause of death worldwide, and novel therapies are drastically needed to prevent or delay the onset of CVD in order to reduce the societal and healthcare burdens associated with these chronic diseases. One such therapy is 'heat therapy', or chronic, repeated use of hot baths or saunas. Although using heat exposure to improve health is not a new concept, it has received renewed attention in recent years as a growing number of studies have demonstrated robust and widespread beneficial effects of heat therapy on cardiovascular health. Here, we review the existing literature, with particular focus on the molecular mechanisms that underscore the cardiovascular benefits of this practice.

M. M. Mironov. - Warm and hot baths during menstruation. - (Weekly, 1895, No. 22).

Wanting to test Makaveev's observations on the indifferent and beneficial action of warm baths during the month, the author exposed the action of salty baths in 27 -28 menstruating women on the Slavic mineral waters and describes briefly seven such baths. Conclusions from the last ones are as follows: common salt baths at 27 -28 R. With the addition of several buckets of lye, they do not produce any bad effects, on the contrary, they even quench pain, and the amount of blood lost either does not change, or decreases. Another series of observations by the author dulal with general or zone warm baths at 31 -33 R., without the addition of salt; From five observations the author concludes: in women with a normal sexual apparatus, baths at 32 -33 R., lasting 20 minutes, do not produce any harmful effects on the course of regulation and even reduce the amount of blood lost. In the third row (21 cases), the observation of the effect of baths on menstruating, with inflammatory changes in the pelvic organs, the same result was obtained: baths do not increase blood loss, sometimes they reduce the amount of blood lost, and what is most important, they are effective.

Cannabinoid hyperemesis syndrome: definition, pathophysiology, clinical spectrum, insights into acute and long-term management

Although cannabinoid hyperemesis syndrome (CHS) was first reported more than 15 years ago, it still remains an unfamiliar clinical entity among physicians worldwide. CHS is categorized by Rome IV classification as a functional gastroduodenal disorder. It is characterized by stereotypical episodic vomiting in the setting of chronic, daily cannabis use, with cycles decreasing by the cessation of cannabis. CHS is also associated with abdominal pain reduced by hot baths and showers with comparative well-being between attacks. Thus, its clinical presentation resembles ‘classic’ cyclic vomiting syndrome, but eliciting a cannabis history is crucial in diagnosing this entity. In acute attacks, parenteral benzodiazepines are very effective. For prevention and long-term management, tricyclic antidepressants such as amitriptyline are the mainstay of therapy requiring doses in the range of 50–200 mg/d to achieve symptom control. In addition, counseling to achieve marijuana cessation, accompanied by antianxiety medications, is necessary for sustaining clinical outcomes. Once the patient is in remission and off marijuana for a period of 6–12 months, then tapering the dose of amitriptyline can be implemented, with the goal of no therapy being achieved in the majority of patients over time. With the legalization of marijuana in many states, CHS will become an increasingly prevalent clinical entity, so educating about CHS is an important goal, particularly for emergency department physicians who generally first encounter these patients.

Cannabinoid hyperemesis syndrome in the pregnant patient: clinical case and literature review

Background Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home, and she continued her pregnancy and childbirth without peculiarities. Conclusion Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.

Cannabinoid Hyperemesis Syndrome in the pregnant patient: clinical case and literature review

Background Cannabis use is on the rise. Several cases of cannabinoid hyperemesis syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid hyperemesis syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities. Conclusion Cannabinoid hyperemesis syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhat unacceptable socially or medically. Consumption must be stopped to manage symptoms.

Cannabinoid Syndrome in the Pregnant Patient: Clinical Case and Literature Review

Background:Cannabis use is on the rise. Several casesof cannabinoid syndrome, secondary to chronic cannabis intoxication, have been described worldwide, but few cases have described this entity in pregnant women. Case presentation: We describe a 29-year-old pregnant patient that had consumed cannabis and experienced uncontrolled vomiting. The use of hot baths, the rapid improvement in symptoms, and results of complementary examinations suggested a diagnosis of cannabinoid syndrome. The patient could return home and she continued her pregnancy and childbirth without peculiarities. Conclusion:Cannabinoid syndrome should be considered in the differential diagnosis of vomiting in pregnancy. Consumption of cannabis must be systematically included in the anamnesis. However, it seems to be somewhatunacceptable socially or medically. Consumption must be stopped to manage symptoms.

Fire and Brimstone

Sulfur has long been associated with the fiery domain of hell, and with its god. In the fifteenth-century poem The Assembly of Gods, after describing Othea, the goddess of wisdom, the anonymous author continues with an account of the god of the underworld: . . . And next to her was god Pluto set Wyth a derke myst envyroned all aboute His clothynge was made of a smoky net His colour was both wythin & wythoute Full derke & dӯme his eyen grete & stoute Of fyre & sulphure all his odour waas That wo was me while I behelde his faas . . . Even more terrifying is the account from the Vatican Mythographers, in which Pluto is described as ‘an intimidating personage sitting on a throne of sulphur, holding the sceptre of his realm in his right hand, and with his left strangling a soul’. This association between sulfur and the fiery underworld is perhaps understandable given that the element is often found in the vicinity of volcanoes. In Mundus Subterraneus, one of many books written by the seventeenth-century polymath Athanasius Kircher (1602–80), the author describes a night-time visit to Vesuvius in the year 1638—just seven years after the great eruption of 1631. He tells us that after arriving at the crater, ‘I saw what is horrible to be expressed, I saw it all over of a light fire, with an horrible combustion, and stench of Sulphur and burning Bitumen. Here forthwith being astonished at the unusual sight of the thing; Methoughts I beheld the habitation of Hell; wherein nothing else seemed to be much wanting, besides the horrid fantasms and apparitions of Devils.’ Kircher believed that the volcanoes were fed by massive fires deep underground, as he tells us in the opening of his book: . . . That there are Subterraneous Conservatories, and Treasuries of Fire (even as well, as there are of Water, and Air, &c.) and vast Abysses, and bottomless Gulphs in the Bowels and very Entrals of the Earth, stored therewith, no sober Philosopher can deny; If he do but consider the prodigious Vulcano’s, or fire-belching Mountains; the eruptions of sulphurous fires not only out of the Earth, but also out of the very Sea; the multitude and variety of hot Baths every where occurring. . . .

Wilhelm Uhthoff and Uhthoff’s phenomenon

Wilhelm Uhthoff, known for his contributions to both neurology and neuro-ophthalmology, was a German ophthalmologist who specialized in neurologic disorders. The eponym “Uhthoff’s phenomenon” was first used to describe the reversible, transient blurring of vision in patients with multiple sclerosis during exercise. Subsequently, it was discovered that this neurologic sign not only was triggered by physical exertion but also by other homeostatic disruptions such as hot baths, menstruation, and high external temperatures. Here, we take a look at the life and career of Wilhelm Uhthoff and discuss the basis behind this phenomenon.