Selçuk Tıp Dergisi Arşiv

The lipofuscin pigment in neurons of the cervical, thoracal and lumbal paris of the spinal cord and of the nucleus dentatus, fastigii, globosus of the cerebellum of the 12, 18, 24 months old rats was observed as polar, bipolar, diffuse and perinucleer. Although the lipofuscin accumulation was obviousiv high in neurons of the spinal cord, this increase in neurons of the cerebellar nucleus was less atan that of the spinal card.

The newborn infants with IUGG are an important problem for pediatritions today, Because of the fact that this kind of births are releated to the socioeconomic status of population, it has been shown that these births are especially seen in the underdeveloped countries. In this investigation, we have searched the IUGG incidence and the re/ationship between IUGG and rnother's age, the number and the fri-quency of delivery.

Various materials and techniques have been used to obtain an ideal graft ta replaced within the venous system in experimental "and ainica/ researches. In this study autogenous vein, spiral composite autogenous yein and knitted Dacron have been replaced segmentaly in canine femoral veins and the potantiality of these grafts has been investigated. Continuous patency was determined by venogram then by exploring on the fifteenth day. From the patency point of view autogenous vein was found to be significantly better than knitted Dacron (p< 0.01). And the spiral compsite ven was found to give better result than Dacron. Since long term observation was not avalible, recanalization could not be deminstrated.

Consanguineous marriges are frequently seen, in our country. There are several investigations on it's incidance. In this article the results of investigation which has been done in Konya maternity hospital are given.

Hyperbilirubinemia in Newborn infants is an important problem. İf it isnt treated it may cause kernicterıs. The most effective treatment of hyperbilirubinemia is exchange transfusion. in this investigation_ analise of 2.33 lıyperbdirubinemias which were performed in our hosbital has been presented.

During nine years (1976 - 1985) 80 patients with upper extremity arterial injuries after shotgun, cunt trauma etc. were treated surgically. Earliest admission was two his and latest was 18 his. 66 of patients had uneventful recovery and 14 were palliated with acceptable results. This article emphasises the importance of such injuries and early admission to a vascular surgical unit.

One hundred female patients alt of who had breast cancer were applied Madden's modified radical mastectomy technque. The cases were examined considering the age of the patient, the localisation and size of the tumor, axillary metastasis and classification. Complications and the rate of mortality and survival were studied. The results were as hopeful as radical mastectomy.

2250 patients who vere diagnosecl calcilus stone disease admitted to the Urology Clinic of Medical Faculty of Dicle University, during a period of last 12 years (1970 - 1983), are presented. The patients with the stone disease are reported according to age, sex, localisation and region. Bladder stones are seen predoırıinanay in males, especially in, early childhood and common in our area.

391 cases were examined by US (Ultrasonography) at the department of Radiology of Medical Faculty of Selçuk University, between May 25, 1985 and December 30, 1985. Hydatid csyt to have localized in the liver in twenty three cases, in the liver and abdomen in one case, in the liver and left kidney in one case, liver ci.rrhose characteriezd by splenomegaly, acsites and the increase of connective tissue in twenty cases and solid (tumour) lesion in eight cases were determined in the liver. US findings were compared wi.th operation findigns. The diagnosed csyt. US has become a guide for clinical diagnostic studies and to determine operation indication.

19. yüzyılda venöz onarım için bazı teknikler uygulanmıştır. 20. yüz-yılın başlarında, venöz sistem cerrahisi arteriel sistem cerrahisine paralel olarak gelişme göstermiştir. Eck (1877) iki kan damarı arasında ilk anastomozu denedi. (V. porta ile V. cava inferior). İlk defa Murphy 1897'de bir hastada superfisial fe-moral ven laserasyonunda ve femoralis communisteki laserasyonda (de-vamlı sütür ile) lateral sütür tamirini tarif etti. Haimovic (1899) da ven ve arter tamiri metodlarını tavsiye etmiştir. Clermont 1901'de ayrılmış V. cava inferior uçlarını devamlı ince ipekle sütüre ederek başarılı bir operasyon gerçekleştirdi. Goodman (1918)'de iki femoral, iki popliteal yen laserasyonunu lateral sütürle tamir etti. Dorfler 1899 yılında yen tamiri için, yuvarlak tel iğnesi ince ipekle, arter duvarına yakın sağlam-lıkta olan yen duvarının tüm tabaklarından dikkatlice geçirilerek devamlı dikilmesi tekniğini tavsiye etti.

In this investigation, it has been introduced Orle kundred and thirty five cases wich vere retrospective//y diagvosed as Sydenham Chorea iri cleparment of pediatric cardiology of Hacettepe medical faculty between 1975 and 1980. It has been reviewed its relation with the heart disease and it has been discussed t.he results.

Extensive surgical excision, free skin graft and regio•al lymphadeno-idectomy for therapeutic or prophylactic reasons were performed in fifteen malign skin melanoma cases. They were kept under postoperative chemotherapy, radiotherapy, immunotherayp afterwards and various aspects of melanomas were examined.

onary Cryptococcosis is a rare entity in Turkey. Diagnosis of the presented rare case made microbiologically from the aspirated bronchia/ lavage and histologically taken from the bronchial biopsy. Excellent result was achieved with Misteklin (Tetracyclin+Mycos-tatin) with uneventful recovery.

Paroxysmal supra ventricular tachycardia is a cardiae aritmia which can alsa be occurred in pediatric popullation. in this article a patient with supra ventricular tachycardia has been presented and this subject has been shortly reviewed.

Künt travmayı izleyen perikard rüptürü çok nadir olarak meydana gelmektedir. Perikard rüptürünün tarihçesi 19. yüzyıla dayanmaktadır. Stokes, 1831 yılında, su çarkının kolu tarafından yaralanan genç bir has-tada perikard yaralanmasını teşhis etmiştir (2). Morel Lavalle, 1864 yılında, düşme sonucu göğüs travmasına maruz kalan 3 hastanın birinde dinleme bulgusu olarak su çal kahin suya çarpması sonucu çıkan sese benzeyen bir ses bulmuştur. Otopside bu 3 vak'ada da perikard yırtığı görülmüştür (2). Crynes ve Hunter, 1939 yılında, «travmatik perikard rüptürü» teşhisini almış 58 vak'anın raporlar= topladılar, fakat bunla-rın hiçbirisi ölümden önce tespit edilernemişti. Perikardial yırtıklar ancak otopsi ile teşhis edilmiş ve vak'aların ölüm nedeni bu .yırtıklardan oluşan kalp herniasyonuna baglanmıştır. Bu yazarlar kendi kurumlarındaki 4107 otopside. 22 pelikard rüptürü vak'ası gördüler. Crynes ve Hunter'in gözlemlerinden bugüne kadar literatür taraması sonucunda 142 vak'a toplanmıştır (2).

Trisomy 18 syndrome is detected at the end of a chromosorne study of an infant - boy admitted to our hospital. Related chnical and cytoge-netic findings have been reviewed and discussed in the light of literature.

F. Nafiz Uzluk, a doctor from Konya, was told in our previous issue under the heading of our great physicians. The exemplary figure to be described in this issue is Süheyl Ünver, the teacher of the teachers, who is not only known in science but also in the world of art.