Selçuk Tıp Dergisi Arşiv

In recent years, there are extensive investigations, written books and papers on macrophages and especially their roles on immunity. Espe-cially their role on cellular immunity is a large subject to be discussed.

Effects of truncal (TV) and proximal gastric vagotomy (PGV) on secretin secretion, 15 in TV., 13 in PGV. It has been investigated in 28 dogs. Secretin secretion was stimulated by administering 0.1 N. HCL to the duodenum, and secretin levels in the portal plasma were determined by RIA method just before this stimulation and at the 3rd, 5th, 10th, 15th, 30th and 45th minutes following the stimulation. When the results obtained before, immediately and one month after vagotomy were compared, it was found that the groups gave different responses to HCI perfused into the duodenum. Immediately after TV, response to duodenal acidification in secretin secretion was found to be significantly less, whereas a significant increase was observed in the response one month later, but this increase was not enough to reach the pre-operative level. Responses in the group with PGV were affected by surgery in the early stage, a decrease was found in the late stage of the response one month later.

The Analysis Of 127 Patients With Congenital Dislocation Of The Hip 127 cases with congenital dislocation of the hip were determined at tlıe Department of Orthopedic Surgery of the Medical School of Selçuk University, between March 12, 1983 and November 11, 1984. 23 (18 per cent) were boys, 104 (82 per cent) were girl.s of the patients. The dislo-cation of the hip was on the right hip in 24 cases (18 per cent), on the left hip in 28 cases (23 per cent), and on the bilateral hip in 75 cases (59 per cent). 57 per cent of the cases were firt child of the family. The diag-nosis of congenital dislocation of the hip was made in 0 age period in 62.3 per cent of the cases. it has been determined that swadling clothes has been applicated in 97 per cent of the cases between one to eighteen months. 40 per cent of the cases were treated concervatively 26 per cent of the cases were treated by surgery (iliac osteotomy), in 15 per cent of the cases the treatment was delayed. and no treatment was performed in 19 per cent of the cases.

The frequency of MVP in childer with innocent murmurs and inci-dence of innocent murmurs in schooling aged children have been inves-tigated during this study. The incidence of innocent murmur has been found to be 40.6 percent. This result is consistent with the other researches which have been pub-lished in the literature. The incidence of MVP in children with innocent murmurs is found to be 16 percent. This shows that MVP in children with innocent murmurs is not frequent than normal child population.

Between 1977 - 1984, 120 foreign bodies were extracted from 120 patients at the bronchoscopy at the Department of Cardia -Thoracic Surgery of the two University Haspitals. 72 foreign bodies were extracted from right, and 45 from left bronchial tree. Three foreign bodies were löcalized in trachea. All foreign bodies were removed with, forceps. In three cases, removel of the foreign body was carried out with Thoracotomy.

35 cases with congenital dislocation of the hip were treated conser-vatively. 7 of the cases (20 per cent) were boys and 28 (80 per cent) were girls. The average age of the cases was 7.5 months (range, 2 to 24 months). The left hip was dislocated in 8 (23 per cent), the right in 7 (20 per cent) and both in 20 (57 per cent) patients. 14 cases were treated with von Rosen splint. In the other cases, skin traction was applied first. Then closed reduction and hip spica cast was applied ender general anesthesia in 19 cases, open reduction was applied in two cases. Adductor tenetorny was nessary in 7 patients (ten hips). The patients were followed average 6.5 months and avascular necro-sis was not determined. The conservative treatment was not sufficient in 2 patients.

Acute rheumatic Sever is stili maintaining current vczlue. Rheumatic heart disease is a result of acute rheumatic fever. The case notes of the patients suffering from acute rheumatic fever for the last sıxteen years who attended out patent ciiinics have been retrospectively investigated in order to contibute to the topic and the incidence of acute rheumatic fever and the sequels which occur as a result of acute rheumatic fever.

Nowaclays in some cases we come across that the patients feels what happens at the operation. In our study we search the preventive effect oj larozepam and morphine ta this position. As a result we come to a conclu-sion thet larozepam is rnore effective than morphine.

We performed Salter innominate osteotomy in 29 patients with Congenital dislocation of the hip (34 hips) between March 1983- January 1985. We examined the secondary adaptive changes of the hip in 25 (30 hips) of these patients. 24 patients were girls (%96) and one patient was boy (%4) and the patients' ages ranged from 1.5 -6 (average, 3,1) yedı s. The findings of femoral head, anteversion, limbus, ligaınentum teres and ilio - psoas were presented and the results were discussed.

A case with left bundie brach block caused by brucella infection is presented. In this case, left bundle branch block, zvhich is always known to be due to myocardial damage, was reversed to normal rhythm by treatment of the inteeton.

Torsion of appendix epididymis is a rare entity and the possibilitıj of this condition should be considered in differantial diagnosis of acute scrotal pain and swelling. A few torsions of appendix epididymis have been reported with the most of torsions of appendix testis when the literature is reviewed.

Hydatid disease is common in Turkey. The common sites of invol-vement are lungs and liver. Localisation of csyts in face and the neek are exceptionally rare. A. case of hydti.cl csyt which was localised in masseter muscle is reported.

Patients with rnalignant melanoma are usually referred to Derma-tology and Plastic Surgery Clinies. In this case a patient with malignant melanoma on the dorsal aspect of the right foot with diffused metastases complained of severe cough and to the lungs discussed. The patient hemoptysis.

The Total dislocation of talus is a traurna that results always alrnos disabling. Fortunately it is rare. In this paper a cese 'with total dislocation of talus was presented and the subject was reviewed.

Chylothorax is the effusion of the chyle into thoracic cavity as a result of rupture of «ductus thoracicus» or branches there of due to a severer fit a coughing arising from such etiologic factors as tuberculosis, cancer, metastasis of cancer, trauma, parasite, etc. In the case in present article, abdominal and thoracic branches of «ductus thoracicus» have been per-forated due to parasites. This article has been published because the case is seen rarely.

A 9 - year - old girl and a 69 - year - old male with xanthofranulo-matous pyelonephritis vere presented. A 9 - year - old girl had an abdo-minal mass, which, was suspected of being a Willm's Tumor. xanthogranu-iomatous Pyelonephritis occurs in patients of al/ ages. Patients usually have a large non - functioning kidneys with, ealeuli. The females are pre-dominant. Xanthogranu/omatous Pyelonephritis in the ehildren is a rare phenomenon. xanthorganu/omatous Pyelonephritis is always associated with infee-tino (usually proteus) and there are some signs of obstruction. There has never been reported bilaterally.

Pericardial drainage is the best method of treatment of patients whose general conditions are extrem,ely poor. In such patients surgical operation is too difficuit and spreading of infection to surrounding tissues is unavoidable. During pericardiocentesis, examination of pericardium can not be made and taking of tissue samples for histopathoiogicai diag-nosis is irrıpossible. In view of the superiority of the method sa far as above - mentioned hindrances are concerned, we have perform,ed pericardial drainage in 5 ca.ses with excellent results.

Several putmonary and cardiovascular reactions may be appeared during the surgery of the hip replacement. Many clinical and experimen-tal investigations have been made to explain the causes of these reactions and many views have been suggested. In this paper, the subject has been reviewed in the light of clinical and experimental studies.

Konya is the capital of the Anatolian Seljuk State; Seljuk is the leading city in the medical world. Just like Sivas, Kayseri and Çankırı, which have an important place in the S21çuklu medicine, Konya has brought famous personalities and made important contributions to the history of Turkish medicine. Among the institutions operating in the field of medicine in the capital city of Konya, we know especially Kemaliyye and Şadi Bey Dar'uş - Healing. It is certain that there are other large and small institutions. With the exception of Kemaliyye, who can only show his existence with his "iwan" today, all of them have disappeared. The excavation to be made after the determination of the location will provide information, documents and support suitable for restoration. Medical establishments have immunities today, even during war days. They are immune and immune from all kinds of rape and attack. But this principle has been abandoned from time to time in history. As a matter of fact, despite all humanitarian principles and agreements, in distant and recent conflicts, medical institutions, albeit from time to time, could not save themselves from various rape and assault. We are of the opinion that such attacks and rapes suffered in their past of seven hundred years had a great effect when the Seljuk medical institutions in the capital Konya were destroyed and could not survive today. Because Konya has a very important and key position in both the capital and Anatolian strategy. It is the crossroads of Anatolia's political, military and commercial roads. Throne and crown fights, religion and sect conflicts, rebellions, internal rebellions, siege and rape of Mongols and Beyliks were staged in Konya and its vicinity for this reason.

While working on the serological diagnosis of tuberculosis over the last 20 years I developed a very simple test that can show in one minute whether a person has any of the serious infectious and suppurative dis-eases including tuberculosis, cancer, leukemia and lymphoma or not. This test basically consists of placing a drop of blood obtained from the fin-gertip on a slide, adding a drop of each of two different solutions into it and observing whether a small red presipitations occur in the mixture or not.

While I have been working on the serological diagnosis of tuberculosis for nearly 20 years, serious infectious and inflammatory diseases including tuberculosis, cancer, in a person. I have developed a very simple test that can distinguish between leukemia and lymphoma in one minute. The essence of the test consists of placing a drop of blood taken from the fingertip on a slide and dropping a drop of two separate solutions on it, and then investigating whether small red precipitations occur in the mixture.