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Biomedical subjects

E Shemesh

Publications and source records attributed to E Shemesh.

At least 73 records · Page 4Linked to original sources

A comparative study of infective endocarditis.

A survey of hospitalizations at the Chaim Sheba Medical Center, covering two nonconsecutive decades (1951-60 and 1970-79), included 213 patients (228 episodes) with infective endocarditis. The increase in the age of patients and in the frequency of atherosclerotic heart disease, as well as the introduction of techniques such as heart catheterization and open-heart surgery, are responsible for the differences in clinical course, microbiology and therapy. Despite the changed pattern, rheumatic heart disease remained the principal underlying disease in both periods and Streptococcus viridans remained the most common pathogen. Not a single case of drug addiction appeared in our material, despite its increasing frequency in Israel.

Adolescent↗

Ketamine anesthesia for pediatric gastrointestinal procedures.

Ketamine HCl anesthesia was used for gastrointestinal therapeutic and diagnostic procedures in 26 children aged 3 mo to 16 yr. In addition, atropine was used for the gastroscopies and diazepam for the colonoscopies. Ketamine, 5 to 8 mg/kg body wt administered i.m., produced rapid anesthesia of short duration which allowed easy performance of the procedure. No serious side effects were noted, but care must be taken as ketamine is a general anesthetic with potential side effects during and after the period of anesthesia. This satisfactory initial experience should be confirmed by a controlled study of anesthetic agents for pediatric gastrointestinal procedures.

Adolescent↗

[Treatment of recurrent ulcer with cimetidine].

The most effective treatment of recurrent ulcer is re-operation, which is associated with high rates of mortality or complications, and of recurrences. Antacid treatment is disappointing. There are conflicting reports of the effect of cimetidine. We present a prospective study of 10 patients with recurrent ulcer treated with cimetidine, 1.0 g/day for six weeks, with endoscopic follow up. The ulcer healed in five after six weeks of treatment and in seven after 12 weeks, but recurred 2-8 months later. We conclude that cimetidine has a shortterm effect in recurrent ulcer and is indicated only in high risk patients.

Adult↗

Pulmonary functional abnormalities after upper dorsal sympathectomy. A comparison between the supraclavicular and transaxillary approaches.

Results of pulmonary function studies were compared in two groups of 12 patients each, in whom upper dorsal sympethectomy was performed by the supraclavicular or by the transaxillary approach. Patients were evaluated clinically, radiologically and functionally before operation and again three weeks, three months and six months after denervation. Findings suggest that an increase in small airway resistance concomitant with some degree of pneumoconstriction occurred after upper dorsal sympathectomy by both routes. Musclar transection and possible phrenic nerve retraction damage due to the operative procedure could not be the cause of the above abnormalities because the inspiratory and expiratory forces, inspiratory peak flow and diaphragmatic movement were not significantly reduced after operation by both approaches. However, in a few cases, extrapleural hematomas, segmental atelectasis and relaxation of the daiphrgm could have contributed to the loss of the lung volume. This was evident only in the early period and was obvious in the transaxillary approach group.

Adult↗