ISSN 1301 - 0883 / E-ISSN 1309 - 3886

  Eastern J Med: 3 (1)
Volume: 3  Issue: 1 - 1998
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1.Transurethral incision of prostate in treatment of chronic bacterial prostatitis
A. Verit, Ö. İlbey, N. Çıkılı, B. Semerci
Pages 1 - 3
Objective We aimed to find out the efficiency of transurethral incision of the prostate in chronic bacterial prostatitis. Methods We evaluated 20 men with chronic bacterial prostatitis prospectively. Preoperative and postoperative evaluation included symptom questionnaires. Results There was significant improvement in subjective symptom analysis of the 20 patients. Conclusion Based on subjective and objective criteria, transurethral íncision of the prostate is an effective treatment option in men with chronic bacterial prostatitis who were not cured by antibacterial therapy.

2.Medium-term results of Keller-Brandes operation in hallux valgus and hallux rigidus
A. Ottersbach, J. Breitenfelder, K. Pakullat
Pages 4 - 6
Objective To find out subjective and objective functional results of treatment in patients with hallux valgus and hallux rigidus Methods 338 patients underwent 478 Keller-Brandes- operations in the Orthopaedic clinic of the St. Vincenz Hospital of Brakel. The results of 241 interventions in 163 patients were analyzed by means of a questionnaire. Results After an average follow-up period of 11.3 years, predominantly good results were found in patients with a primary diagnosis of hallux valgus, 84.6 percent of the patients under fifty years being subjectively satisfed with the result and 92.6 percent of the patients above fifty years. In the group of patients with the primary diagnosis of hallux rigidus the results in patients under fifty years were significantly worse with regard to walking capacity, movability and convalescence. While in the group of patients over fifty years, 85.7 per cent were satisfied with the result, the percentage in the group of younger patients was only 61.8 percent. Conclusion Taken together, it can be said that Keller-Brandes operation must still be considered a state- of the-art method to treat elderly hallux valgus- patients with arthrosis of the proximal joint.

3.Aspergillomas in the lung cavities
M.E. Sakarya, B. Özbay, İ. Yalçınkaya, H. Arslan, K. Uzun, N. Poyraz
Pages 7 - 9
Objective Pulmonary aspergilloma usually arise from colonization of aspergillus in preexisting lung cavities. In this study, we aimed to evaluate computed tomograpy (CT) findings in patients with pulmonary aspergilloma. Method We have reviewed 9 patients with aspergilloma, who referred to the hospital between 1991 and 1996, on their tomographic findings. Results The most common involvement site was upper lobe, which suggested the etiology of tuberculosis. All patients showed cavitary lesions due to healed tuberculosis except one. Hemoptisis was the most common complaint. Six patients underwent thoracotomy. One patient developed empyema after the operation. Conclusion CT of the chest in the patients with aspergilloma is an important diagnostic tool in the diagnosis of pulmonary aspergilloma.

4.A retrospective study on the prevalence of taenia saginata*
Z. Aşçı, A. Seyrek, A. Kizirgil, M. Yılmaz
Pages 10 - 12
Objective The determine the prevalence of taenia saginata in fecal samples brought to microbiology laboratory of Fırat University Medical School. Method A total of 25.077 fecal samples and 5.066 cellophane tape preparations were examined for Taenia saginata between 1987-93 in Microbiology Laboratory of Fırat University Medical School. Results Six hundred and seventy nine (2.3%) samples were positive for T. saginata. In positive samples 464 (68%) belonged to women and 215 (32%) belonged to men. Fecal samples were analysed by macroscopic examination, direct and sedimentation methods, and examined under the microscope. For cellophane tape preparations, the samples were taken at early morning hours and examined on the same day under the microscope. Conclusion The results indicate that T.saginata infection is still a significant public health problem in Elazığ vicinity.

5.Evaluation of blood lactate in young men after wingate anaerobic power test
M. Öztürk, K. Özer, E. Gökçe
Pages 13 - 16
Objective The aim of this study was to clarify the issues as to how long the recovery state lasted after a supramaximal exercise and when the new workload should begin. Method Eleven students from İstanbul Technical University with mean age of 19.45±0.34 year , mean height of 171.45±2.02 cm and mean body weight 68.84±2.9 kg were examined to evaluate the amount of lactat in blood at 2, 5, 8 and 10 minutes after Wingate Anaerobic Power Test. Miniphotometer of Dr.Lange was used to determine the instant amount of lactate. Results Blood lactate levels were 14.6 mmol/l, 14.25 mmol/l, 15.95 mmol/l and 13.16 mmol/l at the 2, 5, 8 and 10 minute respectively after Wingate Anaerobic Power Test. Peak power, mean power and fatigue index values were 529.32±38.70 W, 410.35±21.50 W and 45.27±3.74 % respectively. Blood lactate level increased to the 8th minute of the recovery process, and at the 10th minute it decreased compared to the 8th minute. Conclusion After the supramaximal exercise lasting 30 seconds, the increase in the blood lactat level continued up to the 8th minute of the recovery period and at the 10th minute lactat dropped and eliminated. According to our study it can be said that the recovery period must be at least 10 minutes for next supramaximal exercise.

6. Fracture of the penis
Ç. Dinçel, T. Çaşkurlu, S. Resim, Z. Bayraktar, A.İ. Tasçı, G. Sevin
Pages 17 - 19
Objective Fracture of the penis is a rare condition. The fracture is easy to recognize but the treatment remains controversial. We present 11 cases with follow up that illustrate the results of surgical form of management, and we discuss the treatment of penile fracture in the light of our experience and of the current literature. Method Between December 1991 and January 1997, eleven patients underwent emergenty operation in the first day after penile fracture. Our operative plan, consisted of immediate exploration, debridement and primary repair of the tear in the tunica albuginea. Results Their mean age was 27 years (range 21-38 yrs ). Penile fracture was due to sexual maneuvers in 8, manipulation in 2 and fall onto erect penis in one of the patients. The mean hospitalization time was 2.2 days (range 1-3 days). There was no significant early postoperative complication except wound infection in one patient. In the first month of the postoperative period, there was residual fibrosis due to nonabsorbable sutures in one patient and mild pain during coitus in another. All patients had full erection and no patient needed additional treatment. Conclusion To avoid serious complications and preserve penile functions, immediate surgical intervention is recommended.,

7. The effect of moclobemide, reversible inhibitor of monoamine oxidase-A, on the ethanolized rat brain
E. Karaöz, M. Kanter, Z. Başçı, V. Köksal
Pages 20 - 23
Objective This experiment was carried out to demonstrate the effect of moclobemide on ethanolized rat brain. Method Thirty male rats, 20-25 g and 20 days old, were used. Rats were fed with a diet (milk) containing ethanol (10%) in ethanol-only treated group and were moclobemide injected (30 mg/kg) in ethanol+moclobemide treated group daily for 21 days. Results It was found that serum ethanol level in ethanol+moclobemide treated group was significantly higher than in ethanol-only treated group at the end of the experiment. Electron microscopic examination revealed more prominent neurotoxicity in ethanol+moclobemide treated group than in ethanol-only treated group. Conclusion We concluded that moclobemide decreased the elimination of ethanol. However, more studies are needed to demonstrate its mechanism.

8.Effects of physiologic maneuvers on cardiac performance and mitral regurgitation in patients with dilated cardiomyopathy
A. Avşar, A. Doğan, T. Tavlı, S. Demir, M. Saruç, M. Kırman, A. Bayram, Ö. Kozan
Pages 24 - 26
Objective We observed systolic function by using Doppler echocardiography during valsalva (VM), handgrip, standing and leg elevation maneuvers in patients with mitral regurgitation (MR). Methods Patient population consisted with 32 patients with dilated cardiomyopathy. Patient population was consisted of only men and average age are 60 years. They were in functional class ll to lll according to the New York Heart Association classification. None of the patients had primary mitral valve disease, flail mitral leaflet or aortic regurgitation. Left ventricular ejection fraction averaged 38±12 %. Subjects with technically unsatisfactory echocardiograms were excluded from the study. Left ventricular end diastolic volume was substantially over in all patients. Results HG was increased severity of MR (+23, p<0.05), area of MR (MRA) (+28, p<0.05) and regurgitation fraction (RF) (+17, p<0.05) with increasing afterload. VM and standing were decreased mitral regurgitation volume (-15, p<0.05), MRA (-21, -20, p<0.05). Leg claration was ineffective for changing severity of MR and systolic function (p>0.05). Conclusion Our findings demonstrate that bedside maneuvers affected the systolic function and severity of MR due to loading conditios.

9.Unusual foreign bodies in urinary bladder: point of technique for their retrieval
A. K. Hemal, R. Taneja, R. K. Sharma, S. N. Wadhwa
Pages 30 - 31
Abstract | Full Text PDF

10. A case of mediastinal teratoma presenting as a cystic lesion on chest wall
Ö. Soysal, K. Saraç, R. Kutlu, A. Aydın, A. Benli
Pages 32 - 33
Abstract | Full Text PDF

11. Colovaginal fistula secondary to diverticular disease in young age: a case report
A. Akçakaya, R. Babalıoğlu, A. Karakelleoğlu, A. İntepe, B. Sıdal
Pages 34 - 36
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12.Abdominal tuberculosis: a case report
M.K. Türkdoğan, İ. Tuncer, F.H. Dilek, H. Hekim
Pages 37 - 38
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