Delayed Diagnosis of an Intraurethral Foreign Body Causing Urosepsis and Penile Necrosis

Cases of self-inserted foreign bodies in the male urethra and urinary bladder are unusual. In most cases, the type of foreign body can be identified by taking a history or from radiological findings; sometimes, however, it is difficult to identify the foreign body because of decreased mental capacity of the patient or unknown radiological characteristics of the foreign body. We experienced a chronic alcoholic patient with septicemia and penile necrosis in whom a fragment of mirror glass had passed through the urethra into the bladder. The glass, 2 cm in length and 0.7 cm in diameter, was detected by cystoscopy and was removed by using a resectosope

Urodynamic and Histological Changes in a Sterile Rabbit Vesicoureteral Reflux Model

This study aimed to investigate pressure changes of renal pelvis and histological change of kidneys in a surgically induced sterile rabbit vesicoureteral reflux (VUR) model. Five rabbits served as a control group, 7 as the sham-operated group, and 8 served as the VUR group. Three weeks later, urodynamic studies were performed, and histological examinations evaluated degree of inflammation, fibrosis, and tubular damage in the kidneys. At a low infusion rate, renal pelvic pressure in the VUR group was stable until late filling phase and then increased slightly. At a high infusion rate, the renal pelvic pressures of the sham-operated and control groups were stable until late filling phase and then increased slightly, whereas the renal pelvic pressure in the VUR group steadily increased from mid filling phase. Focal thinning of the tubular epithelium and interstitial widening were observed in certain cortical areas of refluxing kidneys, without inflammatory cell infiltration. Obvious changes in the mean diameters of distal tubules and extracellular matrix volume fractions were observed in two highly refluxing kidneys. High pressure reflux with bladder instability may result in renal cortical changes

The Socio-Political Dynamics of Corruption: An Analysis on the EU Countries

WOS: 000290501300007The roots of corruption are grounded in a country's economic, political, legal, social and cultural history. The aim of this paper is to empirically test a model that associates non-economic factors such as democracy, law system, education, ethnic fractionalization and Protestant tradition with average corruption rates in a cross-section of 25 Europe countries between the years 2004 and 2007. The empirical results of the study found that democracy, law system, education and Protestant tradition were statistically significant determinants of corruption. In this respect, a country's transition from weak democracy and powerful democracy reduces corruption. An effective law system and education system also decrease corruption. Moreover, it was found that corruption was low in countries with the dominant Protestant tradition. However, in this study, ethnic fractionalization was not found to be statistically significant determinant of corruption