Biomedical subjects
A Farkas
Publications and source records attributed to A Farkas.
Over-transfusion ascites.
A 12-year-old girl was injured in a traffic accident and suffered fractures of all the long bones of both legs. During the operation she received 10 l of lactated Ringer's solution, 3 l of 0.9% NaCl, and 2 l of 5% glucose, until blood was available, because of difficulty in its cross-matching. Her hemoglobin dropped to 4.9 g%. After the operation a distension of the abdomen was noted. An abdominal tap confirmed ascites. A simultaneous intravenous pyelogram and retrograde cystogram revealed no leakage from the urinary tract. An over-transfusion ascites was diagnosed combined with pulmonary edema. The patient was treated for 2 days in the ICU, until she was transferred to the orthopedic department with no signs of ascites.
Neonatal solitary renal cysts associated with posterior urethral valves.
Large simple cysts of the kidney are common findings in adults but are extremely rare in neonates. Three cases of large solitary renal cysts in newborn boys associated with posterior urethral valves are described. The pathogenesis, diagnosis, treatment, and differentiation from urinoma secondary to spontaneous urinary extravasation are discussed.
Transvaginal milking of lower ureteric stones into the bladder.
In a selected group of adult female patients, stones in the lower ureter were transvaginally milked into the bladder. The transvaginal milking of lower ureteric calculi into the bladder is easy and safe and is recommended in the poor surgical risk patient.
Detrusor hyperreflexia in multiple sclerosis. Alleviation by a combination of imipramine and propantheline, a clinico-laboratory study.
16 patients with multiple sclerosis, complaining of urgency, frequency and urge incontinence were studied urologically. They all suffered from detrusor hyperreflexia. We managed to improve this disturbance by lowering the parasympathetic tone and at the same time increasing the sympathetic tone of the urinary outlet, using a combination of imipramine and propantheline. The subjective clinical alleviation was also corroborated by cystomanometry and urethral pressure profile before and after treatment.
[Consequences of cannulation of the umbilical vein].
Explore the source record for details and available documents.
Fluctuations of the bile oxytetracyclin level on regional administration of the antibiotic.
The elimination of oxytetracyclin on regional administration was studied. The time course of the appearance of the antibiotic in different body fluids determined by a microbological assay method. On the data reported here it is assumed that regional antibiotic treatment can efficiently applied in bacterial cholangitis therapy.
Crossed renal ectopia with crossed single ectopic ureterocele.
Explore the source record for details and available documents.
Oxytetracycline concentration of bile after systemic and regional administration.
Oxytetracycline concentration of bile was determined after systemic and regional (intraportal) infusions. A single dose of 3.60 mg/kg of oxytetracycline was infused into the brachial vein of 8 dogs and into the portal vein of 9 dogs in 120 minutes. Bile samples taken at 30, 60, 120 and 180 minutes showed that the liver excretes into the bile higher concentrations of oxytetracycline in the case of intraportal infusion. The results suggest that treatment of inflammatory diseases of bacterial origin of the biliary tree might be more effective when the antibiotic is applied in intraportal infusion.
Transvesical submucosal diverticulectomy. Experience with 48 cases.
An intravesical, submucosal technique, without peri- or transvesical drainage, for surgical treatment of large bladder diverticula was successfully used in 48 patients. This is a recommeded procedure, easily performed, without fear of endangering the adjacent organs.
Interstitial cystitis in adolescent girls.
Two cases of interstitial cystitis with typical, large bladder ulcerations in adolescent girls are reported. The specific diagnosis was confirmed histologically after full-thickness segmental resection of the bladder wall at the site of the ulceration during subsequent operations. Contrary to other reports based on subjective clinical findings, interstitial cystitis in children is rare when rigid criteria, including careful histological study, are applied. Treatment in children is the same as in adults and should be conservative. A conscientious attempt should be made to exclude infection and tuberculosis as possible contributors to the symptoms of urinary frequency and discomfort, as well as other causes of bladder abnormality. If conservative management fails to relieve symptoms the bladder may be enlarged in some cases by using a segment of intestine.
Posterior urethral valves in siblings.
Explore the source record for details and available documents.
[Letter: Poetry and didactics in medicine].
Explore the source record for details and available documents.
Congenital neuropathic bladder: practicalities and possibilities of conservational management.
Upper urinary tract and renal deterioration in the child with congenital neuropathy is due to high intravesical pressure associated with urinary retention. Preservation of kidney function often can be achieved when bladder emptying is improved by lowering the urethral resistance, when reflux is cured, and when infection is controlled. Since incontinence is most often of the overflow type, complete bladder evacuation can allow the child to remain dry for a socially acceptable period of time between voidings. Success depends greatly on the child's motivation and on his cooperation in a bladder training regimen. Diversion is sometimes unavoidable but should be considered only when conservational methods have failed.
The congenital refluxing megaureter: experiences with surgical reconstruction.
A series of 17 children with congenital refluxing megaureters underwent ureteric tailoring and reimplantation. The results obtained suggest that such surgery should be restricted to those cases in which an obstructive element is introduced as a result of the reflux or in which ascending infection is further damaging the already prenatally defective kidney parenchyma.
Effect of calcium bodesilate (doxium) on circulatory disorders of the retina with special emphasis on diabetic retinopathy.
The authors examined the effect of calcium dobesilate (Doxium ¿) on 85 subjects with diabetic retinopathy, occlusion of the central vein of the retina and other retinopathies of vascular origin. Capillary resistance measured on the skin and conjunctiva showed, as compared with 100 healthy subjects, a significant decrease. The efficacy of long-term treatment with Doxium was highly significant in restoring CR to normal. Visual acuity improved in 45.8% of simple DR cases, and became stabilized in 27.5% of cases with malignant DR. Hyperpermeability of retinal vessels decreased in 60% of simple DR cases. It is pointed out that glaucoma did not develop in cases of venous occlusion and the diagnostic value of capillary resistance measurement in diabetes. As a highly effective vasoprotective drug, Doxium¿ is the treatment of choice in all retinopathies of vascular etiology.
[Urological problems in patients suffering from multiple sclerosis (author's transl)].
Despite the many urological problems which are to be found in patients suffering from multiple sclerosis, not much attention has been drawn upon this problem. We have done a complete urological evaluation of 25 patients suffering from this disease, and after reviewing the pathophysiology suggested a possible treatment.