Selçuk Tıp Dergisi Arşiv

The morphomethri• analysis of fetal adrenal glands development vvas studied by fifty-two human fetuses.ranging in age fi-om 13 ta 24 weeks of ges-tation. The)' were collected fi-om spontaneous. The adrenal glands weight in•reased fi-om 0_1 gr. ta 1.0 gr during the second trimestr. The lenght (L1). the height (L2) and the thickness (L3) at the adrenal glands were measured and the results were com-pared ıı'ith previous sttıdies in the literature.

In this article the restdts of a research study the relations between jealousy-divorce murdering the spouse done hy Psychian-ic Speciality Committee of the Supreme Council of Forensic Medicine of Turkey aı-e discussed.From 242 cases (207 male and 35 lemale) examined hy the Committee, the 138 were found as not possessing penal respons.ihility for psychiatric ı-easons; on the other hand, the rest 104 cases were accepted tü possess a full res-ponsibility tovvards the erime the)' committed. The main goal of the study was the determination of the percentage of the criıninals, who. before committing the erime had attempted to divorce their spouses. These people were forced to continue their common maı-ital life, eithe• becatıse their attemptsr were re-jected by the Court as not heing based on an ac-curate cause, ni- their wishes for divor-ce were found tü be unsuitable with te current social norms by their families. it is ve)); interesting tü find that. in both groups -sane or insane, responsible or ir-responsible- about the same percentage of 41. before conımitting crimes. tried to prevent themselves fr onı becoming murderers and their spouses Irom being kil-led, hy trying to get divorced. However, as their at-tempts 1,1,ere rejected. they had tü continue their for-ced coe.vistence and forced cohabitation, and as a result, after a while, not heing ahle to master their normal or delusion jealousy anymore. had to commit crimes. From this point of view. it is put forward that, such cases in which jealous people -sane ni" in-sane- reach to the point of asking for divorce, ac-cepting it will prohahly have a positive qffect on the prevention of such crimes.

This study was performed among high school and university students in Konya hetween 1 May 1996-31 December 1996. Totally 1922, 872 (45.4 %) lemak, 1050 (54.6%) male students were luded in the study. Composed International Di-agnose Interwiev (CIDI) was applied to subjects. According to DSM-IV diagnostic criteria 2.5 % of students were diagnosed as OCD Although there was no relation hetween OCD and sex (p<0.05), the prevalance of OCD was ..signıticantly higher in low economic status (p<0.05), subject with family his-tory of OCD in first-degree relatives (p<0.05) and in cases of cigarette smoking and alcohol-drug ahuse (p<0.01).

From stools of 113 childiren, who carne owing to complain of diarı-hoea to ouı- outpatient depaı-tment. microbiolojic cultures have heen made to identify the etiologic agent. From this cultures, 28.3 % Ro-tavirus has heen identıfied. The otheı- agents were S. typhimurium (10.6 %), EPEC (7 %), S. flexneri (2.7 %), Candida (0.8 %) and Giaı-dia (0.8 %). C jejuni has heen searched, but from nobody could be ide-ified. 83.2 % of this childı-en wer-e 1-12 monts old. In autumn, the incidence qf pathologic agents were sig-nificantly higheı- as in winter (p< 0.05). According to our fiı-ıdings, diarrhoea is stili an important di-sease among the childiren who are 0-2 vears old and the rotavirus is the most fi-equent cause of di-arrhoea rn childiren, specially in cold seasons.

In this study, left ventricular systolic function pa-rameters including cardiac index (CI), stroke index (SI), ejection fraction (EF) and fr-actional shortening (FS), diastolic inflow and peak systolic velocity of the umhilical artery were evaluated using Doppleı-echocardiography in IS pregnant women with pre-eclampsia and IS normal pregnant women and their fetus. Although systolic and diastolic blood pressures, resistance indices were sigmficantly higher in preg-nant women with preeclampsia (p<0.05). Umblical peak systolic and diastolic flow were lower com-pared ta the conn-ol group (p<0.05). The difterence regarding left ventricular end-diastolic and end-systolic dimensions and syswlic function paı-ameters was insignificant (p>0.05), except foı- left vent-ricular mass which was found tü be significantly higher in the preeclampsia group (p<0.05). There were no signıficant difference regarding left vent-ricular end-systoli• and end-diastilic dimensions (p>0.05). In conclusion. despite var-iations in the umblical arterial systolic and diastolic flow. fetal systolic function is preserved

Thirty patients scheduled for elective coronary aı-tery hypass grafting (CABG) were randoınly al-located tü two groups foı- myocaı-dial preservation: crystalloid cardioplegia (group 1), blood car-dioplegia (group 2). In group 1 ,2.4±0.6 distal anas-tomoses for each patient were performed. In the next group (group 2), the numher of distal anastomoses was 2.4±0.7. The demographic pı-ofiles were iden-tical. Crystalloid and hlood cardioplegia were de-livered thı-ought the aortic root intermittently. The patient temperature was kept at 30°C. The study pto-tocol compı-ised recording of the following pa-rameteı-s: 1. Postoperatively positive inotropic and IABP suppoı-t 2. Postoperatively CK-MB, LDH, SGOT and CK enzyme studies 3. ECG changes (rhythm disturbances) 4. Spontaneous sinus rhythm (after removing cross-clamp). The low enzyme values in concerning injury was taken in the blood cardioplegia gı-oub. The results in this study suggest that betteı- myo-cardial pr-otection may be thought to occur hy hlood cardiopegia. We can say that blood cardiopegia is a safi. alternative way of myocaı-dial protection 1,vith good clinical r-esults and lower enzyme levels.

TENS is low frequency siniizoidal electric sti-mulation for the use of treatment pain and chronic inflamation in the recent past. We report on 38 pa-tients who were treated TENS, TENS with nıedical treatment and only medical treatment. In result we estahlished TENS should be seen as effective by tretmen of pain and sinüs drainage. There were any complication in patients who the use of TENS.

A total of 122 consecutive patients underwent valve replacement with a Sjörk-Shiley-Convexo-Concave (BSCC) and Sorin Allearhon (SA) prostheses from Au-gust 1, 1990 through. June 30, 19%. ,4 total of 102 pa-tients had a mitral valve replacement with SA, others had mitral valve replacement with BSCC at Selçuk Universty Hospital. AlI survivors were prospeetively lallowed hy regular clinical examinations every 3 months lbr 5 years. The mean follow-up time was 32 months_ Overall hospital mortality ?vere 5.8 % for pa-tients with SA and 15 % for patients with BSCC. Res-pectivel- lale mortality was due to thromhoemholic events (n=6), sudden death (n=3), noneardiae death (n=1 ). Khi square test eAplained that thromhotic events was a different hetween SA and BSCC (P=0.425, P<0.05). Khi square test explained that there was a significant difierent ahout late mortality rate hetween SA and BSCC (P=0.218, P<0.05). The er-hocardiographic study was carried out on 92 cases (17 BSCC. 75 SA). During the first months of ohservation no sık-nificant an actuarial differences hetween there rnec-hanical pı-ostheses could he ohserved however, afteı- 5 years of long - term follow-up the actuarial rates vere ınore favorahle for the BSCC pı-osthesis.

Between Januar). 1994 to Septemher 1996. 16 patients with mediastinal mass were surgically eAp-Iored. Among them 11 of them were males and 5 were .female. Their ages ranged 35 ta 68 vears (mean 53.8). For 13 patients right anterior me-diastinotomy were pe)formed (81.25%) and left an-terior mediastinotomy were perforıned for 3 pa-tients, respectiyely. 117 one case the right anterioı-mediastinotomy procedure failed and thoracotomy required. In 14 cases of 16 (87.50 %) pathologi• di-agnosis was made hy ınediastinal exploration. Par-hologic extıminations revealed that epidermoid can-cinonıa in 3 patients, sarcoidosis in 3 patients, oat cell carcinoma in 2 patients, lenfoğna in 2 patients. tuberculosis in 2 patients. adenocarcinoma in 1 pa-tient, and chronic nonspesıfic inflamation in 1 pa-tient refflectively. The patient who required tho-racotomy was diagnosed as sarcoidosis. Opeıyuive complication and moı-tality occured,

Initially extracmporeal shock wave lithotripsy (ESWL) was used for mechanical stimulation of asy-stolic heart and was larer to be used routinelv for urinary and gall bladder stone extraction. Soıne re-ported preliminary studies imply that ESWL can be used to treatment pseucloarthrosis, delayed union. epicondilitis, tendinosis calcarea and prostetic re-vision. Between July 1994- October 1995, in de-partment of Orthopedics and Traumatology, Me-dical Faculty, Selçuk University a study was undertaken for 5 patients with tihial pseudoarthrosis. For this purpose Dornier MFL 9000 lithotripter was used. An intensity of 20-22 kV. totalling 3000 pul ses were applied to the end of each fracture. Solid ttili011 was achieved on an average of 4 months (ranging 3-6 months). As a result of Iliis study, the technique ofkrs a potantial altrenative rreatment modality for cases for whom other techniques can be used with difficulty and for pseudoarthrosis which mav develop after opeıı fractures.

Between 1983 and 1996 splenic surgerv was peıfonned irr a tatar` of 47 .children in the Research Hospital of Medical Faculty of Selçuk Unive•sity. The age• of the patients were betıveen one and 16 vc'ars. Of the patients 38 under•ent splenectomy. of. which 17 were pelforıned general sur.,!:;eons be-Pre 1991_ Pediatric surgeons have been performin these procedures since rhen. When these two periods are coınpared It is frJldlrfl that. the most U)/i dication.v for ,splenectomy are trannut and he-motological diseases before 1991 aml cıfıer tlıen. respectivelv. Wc' suppusod that. the ı-eason of the (lif-frrence between tvı,o periods is the impo•tance of- the jımetions of the spleen is not elem- in adults as iır (.-hildren and therefrre. .fi)r the menagemenı of the trattmatic children, the methocl used hrgenaral sur-geons i.s different from ılıaı (ıf pedian-k:surgeons_

Trisomy 13 (Patau syndrome) is a rare chro-mosomal abnormality. In this study. we investigated phenotype variations and phenot>pelkaryotype cor-relation in two cases with trisomy 13 under the light of. literature.

A case of ectopically located parathyroid ade-noma was reported. It was stated that, in the cases of primer hyperparathyroidism who have no pat-hological findings at the normal anatomical lo-cation; the parathyroid glands nıaş be in an ectopic location and that anatomical variation may cause diagnostic delay and techni•al difficulties during surgical procedure.

Nasal angiofihromas are usually seen as an ea.-- tensinıı of the juvenile nasofaringeal angiofibroma originating fi-onı the posterolateral nasal roof irr ta the nasal cavity. We are presenting a nasal an-giofibroma case originating fi-om the 17oor and sep-tum of the anterior nasal cavity and supplied hy the superior lahial artery and located in the right nasal cavity Ilke a polyp