Biomedical subjects

M Culha

Publications and source records attributed to M Culha.

13 recordsLinked to original sources

PubMed2001

Covalently bound ionene polyelectrolyte-silica gel stationary phases for HPLC.

Micelle-mimetic ionene-based stationary phases for high-performance liquid chromatography (HPLC) are prepared by attaching [3,16]- and [3,22]-ionenes to aminopropyl silica through a carbon-nitrogen bond. These [x,y]-ionenes are polyelectrolytic molecules consisting of dimethylammonium charge centers interconnected by alternating alkyl chain segments containing x and y methylene groups, some of which can form aggregate species whose properties mimic those of conventional surfactant micelles. These ionene-bonded stationary phases were characterized using different recommended HPLC test mixtures. Test solute chromatographic behavior on the ionene phases was found to be similar to that of intermediate oligomeric or polymeric C-18 and/or phenyl phases, depending upon the specific test mixture employed. In addition, the phases exhibit significant solute shape recognition ability. The ionene stationary phases were successfully employed for the separation of the components of the recommended ASTM reversed-phase test mixture, as well as for ortho-, meta- and para-disubstituted benzenes and other positional or geometric isomeric compounds. The ionene materials allow for chromatographic separations under either reversed-phase or ion-exchange conditions. The retention mechanism on these multimodal phases can occur by hydrophobic partitioning or electrostatic interactions, depending upon the characteristics of the components of the analyte mixture (neutral or anionic). The effects of alteration of the percent organic modifier, flow rate and temperature of the mobile phase on chromatographic retention and efficiency on these phases were briefly examined.

Journal Article↗

PubMed2000

Selectivity in capillary electrochromatography using native and single isomer anionic cyclodextrin reagents.

Separations of naphthalene compounds that differ in position of substitution and type of substituent were accomplished using cyclodextrin distribution capillary electrochromatography. Separation systems composed of running buffers containing mixtures of native neutral and single isomer anionic cyclodextrins (CDs) were employed yielding efficiencies of approximately 200,000 plates/meter. Solute migration rates and relative orders can be readily modified by changing CD types and concentrations. Experiments were performed to determine distribution coefficients between each of the CDs used in these studies and an aqueous running buffer. For this work, naphthalene-CD cavity inclusion is assumed to be the principal mode of interaction. The distribution coefficients for carboxymethyl-beta-cyclodextrin (CM-beta-CD), degree of substitution 1, were 10-70% larger than those for native beta-CD and 75-1800% large than those for gamma-CD. The CM-beta-CD was singly charged and yielded a narrow elution window. Nevertheless, baseline resolution was achieved for several substituted naphthalene compounds using CM-beta-CD in conjunction with beta-CD or gamma-CD. Under certain conditions, the gamma-CD system yielded an elution order that differed from that of the beta-CD system. Heptakis-(2,3-dimethyl-6-sulfato)-beta-CD with its -7 charge produced a much larger elution window. The extensive substitution with sulfonic groups at the truncated bottom of the CD seemed to inhibit inclusion as the distribution coefficients for the naphthalene compounds were generally more than an order of magnitude smaller than those for CM-beta-CD. Moreover, there was evidence that this sulfato-CD interacted with both the capillary wall and neutral beta-CD. This work differs from prior uses of CDs in that relatively complicated mixtures of neutral, achiral compounds are separated using combinations of recently developed single-isomer CDs as running-buffer additives. The single-isomer CDs, as opposed to most highly complex derivatized CD products, facilitate predictions of separation performance for multicomponent samples. In this manner, the ability to use knowledge of distribution coefficients to predict elution characteristics for a ternary CD system is demonstrated.

Anions↗

PubMed2000

The role of intraoperative antibiotic irrigation and postoperative antibiotic therapy for contaminated implantable prosthesis: in a rat model in vivo.

The aim of this study was to determine the usefulness of intraoperative antibiotic irrigation solution and long-term effective antibiotic therapy for the infected prostheses. Forty-five male Wistar albino rats were divided into three equal groups and a small piece of silicone prosthesis contaminated with Staphylococcus epidermidis was implanted into the scrotum. In the first group, the silicone pieces were irrigated with an antibiotic solution intraoperatively and antibiotic therapy was applied for 20 days postoperatively. The second group underwent only antibiotic therapy. In the third group (control) neither intraoperative irrigation nor postoperative antibiotic therapy was applied. Postoperative clinical infection was determined as follow-up. All implants were extracted 20 days after the implantation and cultured to observe the bacterial growth. In the first group, in 13 rats the cultures were negative and in two rats, the cultures revealed positive bacterial growth. In the second group, in four rats the cultures were negative, in five rats the cultures were positive and six rats revealed infectious findings. In the third group, 13 rats revealed infectious findings, and in the remaining two rats the cultures were positive. The differences between three groups are statistically significant (P < 0.05). We conclude that intraoperative antibiotic irrigation and postoperative antibiotic therapy are highly beneficial in the infected prosthesis surgery.

Animals↗

PubMed1999

Diphallus with urethral duplications.

We report a case of glandular diphallus with incomplete urethral duplication associated with rotation anomaly in the right kidney, complete ureteral duplication and ectopic ureteral orifice in the left. The bladder was single with good sphincter control. At operation, the hypoplastic glans was resected and the urethra opening into this glans was anastomosed side by side with the other urethra. Diphallus and incomplete urethral duplication are discussed in the light of evidence in the literature.

Child↗

PubMed1999

Patient-partner satisfaction with intracavernous medication supported with oral agents in selected cases of Peyronie's disease. A ten-month follow-up study.

We attempted to find the most adequate treatment option for some selected cases of Peyronie's disease. Between 1993 and 1996, 38 patients with Peyronie's disease and erectile dysfunction were treated with intracavernous medication, supported with oral colchicine and vitamin E. None of the cases had severe angulation of penis and intolerable pain during erection. Quality of sexual life was assessed by CWRU questionnaire. After ten-month follow-up we found improvement in all parameters, in CWRU. The symptoms of 24 cases diminished. The 21 partners examined were also satisfied with the therapy. We conclude that intracavernous medication combined with oral agents is a useful alternative treatment in selected cases of Peyronie's disease.

Adult↗

PubMed1999

Priapism induced by chlorpromazine.

Priapism is a pathologically prolonged and painful penile erection, usually unassociated with sexual desire or intercourse. Causes include certain oral medications, although the mechanism for drug-induced priapism is unknown. We describe two cases of priapism attributed to chlorpromazine who have presented within the past two years.

Adrenergic alpha-Antagonists↗

PubMed1998

The relationship between diabetes mellitus, impotence and veno-occlusive dysfunction in Peyronie's disease patients.

Peyronie's disease is an ill-defined condition that often leads to severe penile deformity and sometimes erectile dysfunction. Penile Doppler studies indicate veno-occlusive dysfunction as the principal cause of poor rigidity in Peyronie's disease patients. Diabetes mellitus is also a known cause of impotence and its prevalence tended to be higher in patients with Peyronie's disease. We evaluated 143 patients with Peyronie's disease, also 92 impotent men (37 diabetic, 55 nondiabetic) as control group. Penile vascular studies were performed on each group. Diabetes mellitus was also investigated in patients with Peyronie's disease. Veno-occlusive dysfunction was found as the main cause of impotence in both groups (81.1% in diabetic, 89% in nondiabetic control group and 88.8% in Peyronie's disease patients). In our study group the prevalence of diabetes mellitus tended to be higher than in the control population but it did not alter the ratio of veno-occlusive dysfunction and impotence in Peyronie's disease patients. We believe there is a close relationship between diabetes mellitus and Peyronie's disease, considering our high incidence. We also conclude that diabetes mellitus is not the main cause of impotence in patients with Peyronie's disease.

Adult↗

PubMed1998

Comparison of testicular volumes before and after varicocelectomy.

We attempted to determine the testicular volume changes in patients with unilateral varicocele, before and after varicocelectomy. Testicular volume differences were correlated for each group of varicocele grade. 123 men with a unilateral left varicocele were presented for surgery: 36 had grade I, 49 had grade II, and 38 had grade III varicoceles. A Prader orchidometer was used for testicular volume determination before and after varicocelectomy in each patient. Both left and right testicular volumes were compared. After the repair of grade I varicoceles, an improvement in testicular volumes was noticed, but the difference was not statistically significant (p > 0.05). Both right and left testicular volumes increased significantly after operation in patients with grades II and III varicoceles (p < 0.001). Right testicular volume improved more than left in most of the patients. Men with large varicocele had significantly decreased testicular volumes than men with small varicocele before operation. So testicular growth arrest was more significant in patients with large varicocele and postoperative results indicated a more dramatic improvement.

Adult↗

PubMed1998

Management of buried penis in adults.

Buried penis is rarely managed in adults. Two patients with buried penis were treated at 18 and 20 years of age. An autolog split-thickness graft was used for covering the dermal defect of the penis. Results were successful without any evidence of postoperative complications.

Adolescent↗

PubMedDate not supplied

Burch bladder neck colposuspension, comparison of early and late results.

PURPOSE: Suprapubic or endoscopic Burch colposuspension is a preferred technique for the treatment of stress urinaly incontinence in selective cases. We have attempted to investigate the early and long term results of suprapubic surgery for the treatment of stress incontinence and cystocele. PATIENTS AND METHOD: 98 patients with grade 1-2 stress urinary incontinence and grade 1-2 cystocele were included in this study. Preoperative testing include the Boney test, pad test, cystography, cystometry, leak point pressure, and urethral pressure profile studies. RESULTS: Our success rate was 93% three months after surgery for stress incontinence, 81% after twelve months (range 11 to 14) and 67% after 48 months (range 44-55). Grade 1 cystocele was corrected with a 76% success rate and Grade 2 cystocele was corrected with a 70% success rate 3 months after surgery. Twelve months later, these rates were 68% and 56% respectively. At the time of the last control these rates were 59% and 37% for cystocele, respectively. CONCLUSION: Burch colposuspension is an effective method for the treatment of Grade 1-2 stress incontinence and grade 1 cystocele in the early and late control examinations, but is not effective in patients with grade 2 cystocele in the long-term follow up examinations.

Adult↗

PubMedDate not supplied

The role of Chlamydia trachomatis in patients with non-bacterial prostatitis.

The numbers of patients with chronic prostatitis are increasing in all countries. The aim of this study was to determine the prevalence of chlamydia in patients with non-bacterial prostatitis. Fifty-five patients suffering with back pain, discomfort on voiding and ejaculation and perineal ache, and 35 normal patients, were examined between December 1995 and July 1997. Urine samples and prostatic secretions after prostate massage were collected from all patients. Chlamydia antigens were tested for with Chlamyphast. Chlamydia antigen was positive in 14 of the 55 (25.4%) patients with non-bacterial prostatitis, but positive in only 2 (6%) patients in the control group. The difference between the two groups was statistically significant (p = 0.0268). After treatment with doxycycline 100 mg twice daily for 10 days, the clinic cure rate was 80%.

Chlamydia Infections↗

PubMedDate not supplied

Diphallus with urethral duplication: a rare case.

We report on a case of glandular diphallus with incomplete urethral duplication associated with rotation anomaly in the right kidney, and a bifid pelvis and an ectopic ureteral orifice in the left kidney. The bladder was single with good sphincter control. At operation, the hipoplasic glans was resected and the urethra which opened into this glans anastomosed alongside the other urethra. Diphallus and incomplete urethral duplication are discussed.

Child↗

PubMedDate not supplied

Cobb's collar and syringocele with stone.

We report a case of unusual syringocele with a stone and Cobb's collar. Tubular or cystic dilatation of Cowper's gland duct has been called a syringocele. Congenital urethral narrowing is known as Cobb's collar. This paper presents a rare case of adult syringocele with stone and Cobb's collar. We analysed the clinical, radiological and therapeutic aspects of this entity.

Adult↗