1987-1993 yýllarý arasýnda aþý istasyonumuza hayvan ýsýrýklarý ve temaslar nedeniyle baþvuran 6238 kiþiye kuduz proflaksisi uygulanmýþtýr. Olgularýn 4530 (%73)'u erkek, 1708 (%27)'i kadýn ve 3150 (%51)'si 15 yaþýn altýndadýr. Hayvan ýsýrýklarýnýn 4458 (%71)'ini köpek, 1218 (%19)'ini kedi, 498 (%8)'ini fare, ve 63 (%2)'ünü diðer hayvan ýsýrýklarý oluþturmaktadýr. Þüpheli indirekt temas nedeniyle de 85 (%2) olgu aþý programýna alýnmýþtýr. Vakalarýn 5272 (%85)'sine HDCV aþýsý, 966 (%15)'sýna Semple aþýsý ve 430 (%7)'una da ilaveten antirabies serum uygulanmýþtýr. Temas sonrasý ilk 72 saatteki baþ vuru oraný % 84.5, planlanan aþý programýna uyum oraný ise % 89.7 dir. Bu yedi yýllýk dönemde incelemeye alýnan 25 hayvanýn 18'inde kuduz yönünden pozitiflik saptanmýþ, ayrýca aþý programýna aldýðýmýz iki vakada kuduz geliþmiþtir. Sonuçlarýmýza göre, Kartal ve çevresi; evcil hayvanlara baðlý ýsýrýklarýn çok yüksek oluþu, hayvan ve insan kuduz vakalarýnýn görülmesi nedeniyle riskli bir bölge kabul edilebilir. Bu nedenle maliyet dikkate alýnmaksýzýn, insan hayatýnýn önemi göz önüne alýnarak profilaksi indikasyonu geniþ tutulmuþ ve çoðunlukla daha güvenli ve koruyucu aþý olan HDCV uygulanmýþtýr.Ayrýca bölge halkýmýzýn, insanlara uygulanan kuduz profilaksisine karþý yeterli duyarlýlýða sahip olduðu gözlenmiþtir.

Rabies prophylaxis was administered to the 6238 people who applied to our station for animal contacts or bites between 1987 and 1993. Males composed 73% (4530) of the cases; females composed 27% (1708) of the cases; people under age of 15 composed 15% (3150). The sources of animal bites are dogs which are 71 %(4458) of the animals, cats which are 19 % (1218), mice which are 8 % (498) and other animals which are 2% (63). Two percent (85) of the cases was included in the vaccine programme because of a likely contact with a rabies animal or person 85 % (5272) of the cases received HDCV, 15 % (966) of the cases received Semple-Type vaccine and 7% (430) of the cases received also antirabies serum (ARS). The application rate in the first 72 hours after the contact was84.5%. The percentage of the adaptation to the planned vaccine programme was 89.7 %. Rabies was determined at the 18 of the 25 animals investigated in the six years. Also, the rabies was detected in 2 cases who received vaccine. According to our results, Kartal and its environment can be accepted as a risky region because there are animal and human rabies cases and the bites of domestic animals are seen frequently. Because of the importance of human life, the indication of prophylaxis was broadened and HDCV, which is generally much more protective and safer, was applied. It is also observed that the people of that region are sensitive enough to this rabies prophylaxis applied to human.

Lenfoma tanýsý konulan 19 Hodgkin, 21 Non Hodgkin toplam 40 hastaya batýn ve toraks ultrasonografisi yapýldý. Ýki Non Hodgkin lenfoma ve iki Hodgkin lenfomalý dört hastada (%10) plevral effüzyon tespit edildi.

Abdominal and thoracic ultrasonography carried out in 40 patients with lymphoma (19 Hodgkin's, 21 Non-Hodgkin). Pleural effusion was found in four (10% of 40 patients with 2 Non-Hodgkin and 2 Hodgkin lymphoma.

Enuresis, gerek altýnda yatan organik patolojiler, gerek hasta ve ailesinde oluþturduðu psikolojik rahatsýzlýk nedeniyle irdelenmesi ve tedavi edilmesi gereken bir saðlýk sorunudur. Bu çalýþmada, Kartal Eðitim Araþtýrma Hastanesine baþvuran 5 yaþýn üstündeki toplam 126 enüretik hasta irdelenmiþ ve altta yatan sebepler ortaya konmuþtur.

Enuresis is a medical problem both for organic pathology causing it and also for psychologic discomfort at the patient and his or her family. In this study, 126 enuretic patients under 5 years of age were evaluated for the reasons of this problem.

Sistinozis, Fanconi sendromunun klinik ve laboratuvar bulgularýný gösterir. Ýlave bulgu olarak çeþitli dokularda anormal sistin birikimi mevcuttur. Nedeni bilinmeyen bu klinik tablo, büyüme geriliði ve kronik renal yetmezlik ile sonuçlanmaktadýr. Bu yazýda bir olgu nedeni ile sistinozisi gözden geçirmeyi amaçladýk.

Cystinosis presents with clinical and laboratory findings of Fanconi syndrome. Additional finding is the abnormal accumulation of cystin in several tissues. This clinical picture with unknown etiology results in growth delay and chronic renal failure. Some aspects of the diagnosis and management of a patient with cystinosis are discussed.