Biomedical subjects
Publications and source records attributed to H Tsur.
We report the use of micturating cystourethrography to demonstrate complications of the urethra in hypospadias. We recommend MCU to evaluate hypospadias, both before and after the surgical repair.
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During the October 1973 military conflict, 41 burned patients hospitalized at the Sheba Medical Center were closely followed up. All the patients who had burns occupying 20% or more of the body surface developed wound infections. Pseudomonas aeruginosa was the major pathogen isolated. Most infections occurred during the second week following the injury. Serial cultures revealed that only the isolation of Proteus species and P. aeruginosa from wounds could predict an infection caused by those microorganisms. During treatment with gentamicin and carbenicillin a marked increase in carbenicillin-resistant P. aeruginosa and gentamicin-resistant Klebsiella strains was noted. Cross-infections with carbenicillin-resistant P. aeruginosa was not a major cause in the development of resistant strains.
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Thirty patients underwent arthrodesis of the distal interphalangeal (DIP) joint for various injuries. Fixation with K-wires was compared to fixation by compression screws. The screw method came to be preferred by us, principally because the immobilization time was significantly less and the patients returned to work more quickly. The success rate of fusion and the time required for it were about the same.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Relating to the patient with burns as being posttraumatic calls for specific guidelines in emotional therapy. But it seems that burn injury differs from other posttraumatic situations in that it confronts the patient with a much more complex situation, including not only the actual burn experience but also the ensuing difficult period of hospitalization and the subsequent renewed encounter with the social environment. That is why we see the patient with burns as suffering from a Continuous Traumatic Stress Disorder rather than from a Posttraumatic Stress Disorder. Although both disorders confront the patient with the same symptoms and with the experience of shattering the stimulus barrier and that of the basic assumptions, like the concept of self, invulnerability, and the world, they still differ in duration of the trauma. This calls for "dos and don'ts" as treatment principles at the time of the hospitalization, which help the patient's ability in coping with the continuous trauma.
Limitation of movement of vocal cords developed in a 38-year-old man after he received a 45% second- and third-degree burn with ossification about the cricoarytenoid joints, which indicated that the lesion had been caused by heterotropic ossification. To the best of our knowledge, this is the first report in medical literature of heterotopic ossification as a mechanical cause of vocal cords dysfunction in the patient with critical burns. Diphosphonate (Didronel) treatment has improved the function of the vocal cords after 11 months of therapy.
Existing literature demonstrates a relationship between selected personality traits and coping, a relationship explored here in a sample of 61 male Israeli patients with burns. Successful coping was assessed by the 5-item Satisfaction With Life Scale and 2 single-item measures of adjustment to the specific injury. Results suggest that adjustment to the traumatic experience of a burn injury is strongly related to specific personality traits rather than to the physical features of the injury. As predicted, successful coping was found to be positively related to the personality dimensions of extroversion, optimism, self-mastery, and hope, and negatively related to neuroticism and social anxiety. The importance of a patient's ability to elicit social support as a means of coping was also considered. Psychologic intervention is suggested as a consequence of the results obtained.
Imprints were prepared from 73 pigmented skin lesions, 19 of which were diagnosed as malignant melanoma. The cytologic findings in malignant melanoma, large clusters of cells with loss of cellular cohesiveness and large pleomorphic nuclei, were positive in 17 of the 19 cases. In other malignant and benign pigmented lesions the few cells adherent to the glass showed characteristic cytologic features of the particular lesion. Imprint cytology seems to be a valuable adjunct to the examination of frozen sections for the intraoperative diagnosis of malignant melanoma.