Global functioning of inpatients with obsessive-compulsive disorder, schizophrenia, and major depression

In April and May 1996, two cases of PDA ligation were performed firstly in Turkey by the method of video assisted thoracoscopic surgery (VATS) in Dokuz Eylül Medical Faculty, Thoracic and Cardiovascular Surgery Department. There was not any complication in these patients in the postoperative period and they were discharged on the second day in symptom-free condition by the detection of closed ductus in their echocardiographic examination. Between February 1993 and October 1996, a total of 46 patients have undergone interventional application by VATS. While in six of these patients the procedure could not be manipulated because of massive pleural fibrosis, there was no mortality or morbidity among the patients, and they were discharged on average on the second day. The ratio of complications, such as bleeding, air leak, arrhythmia and empyema are so low in these operations, and hospital stay, with return to work time are shorter than with the open technique.     

Influence of temperature variation on the metabolism of pig muscle in situ and after excision

The experiment involved six halothane-positive (HP) and six halothane-negative (HN) pigs of about 100 kg liveweight. Under general anaesthesia the tibialis cranialis was exposed. The temperature of the muscle was maintained at either 35 or 40°C (in situ). The muscle was stimulated via the peroneal nerve at 0·1 Hz for 10 min then 1 Hz for 10 further min. Twitch contractions were recorded throughout the stimulation, after which the muscle was excised and split into two parts which were kept in paraffin oil at either 35 or 40°C (post-excision temperature) for 2 h. Samples were taken just before and after the 20 min stimulation period, and at 1 and 2 h after muscle excision for determination of pH and concentrations of PC, ATP, IMP, glycogen, G-6-P and lactate. As soon as one muscle was removed, the operation was repeated on the other leg. Both temperatures (35 and 40°C) were applied to each animal in a balanced design. However data were obtained from only 11 pigs at 40°C as one HP pig died accidentally at the beginning of the 40°C experiment. Halothane sensitivity influenced the pH value and the levels of PC, G-6-P and lactate of the muscle in situ (P < 0·01 in all cases). Temperature affected contrction time (P < 0·01). Both halothane sensitivity and Post-excision temperature affected the pH values and the levels of PC, ATP, IMP, G-6-P and lactate (P < 0·01 in all cases) in the excised muscle. By contrast, the in situ temperature treatments did not affect any of the muscle traits measured after excision. It was concluded that the effects of the various treatments on the rate of metabolism in the excised muscle were wholly explainable in terms of temperature from the time of excision, and that the in situ temperature treatments may not be responsible for the differences after excision.     

Stable chronic disease: a behavioral model

A three-year study was undertaken in the general medical clinic of a private community hospital, to assess the health behavior, health status, and profile of function of stable chronic disease was developed and tested. It was shown that these patients used a disproportionate amount of health care services. Half of the group was treated by a nurse practitioner/physician team and half by a house officer/preceptor team. Patients in both groups behaved similarly. These patients: 1) made frequent demands for outpatient services but did not need more than average hospital care; 2) tended to have problems of socio-economic indigency; 3) were likely to have hypertension, obesity, arthritis, and functional disease; 4) were chiefly women; 5) required special visits 9 percent of the time, usually for exacerbations of illness or intercurrent health problems; 6) made greater demands if they had functional complaints as a primary or secondary health problem; and 7) viewed their health more positively and functioned at a higher level if they were over 65 years of age. It was also found that the nurse practitioner, working in consultation with a physician, was able to provide high-quality health care.     

Identification of a secretomotor centre in the brain of Locusta migratoria, controlling the secretory activity of the adipokinetic hormone producing cells of the corpus cardiacum

After retrograde filling of axons terminating in the glandular lobe of the corpus cardiacum (CC) of Locusta migratoria with cobalt chloride, a paired group of about 15 cobalt containing cells was demonstrated in the lateral area of the protocerebrum. The axons of these cells run via the NCC II into the glandular lobe of the CC. These small neurons have the characteristics of secretory cells; they contain secretory granules of about 1000 A in diameter. The axon terminals in the glandular lobe, making synaptic contacts with the glandular cells, contain secretory granules of the same size. It is therefore concluded that the cell groups in the protocerebrum control the activity of the glandular cells which produce an adipokinetic hormone. Arborizations of fibers of the lateral secretomotor cells are present in the dorsal neuropile of the protocerebrum, ventral of the mushroom bodies and along the tracts of the NCC I within the brain. It is proposed that these arborizations are sites of synaptic input. It is discussed that the axons of these cells might receive additional synaptic input in the storage lobe of the CC. The localization of cell bodies, the axons of which enter the storage part of the CC is described. The course of the axon tracts of the various cell groups in the protocerebrum and their connections with the NCC I and NCC II are demonstrated.