Adana State Hospital

Adana, Turkey

Adana State Hospital

Adana, Turkey
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Background: Visual recording of surgical procedures is a method that is used quite frequently in practices of plastic surgery. While presentations containing photographs are quite common in education seminars and congresses, video-containing presentations find more favour. For this reason, the presentation of surgical procedures in the form of real-time video display has increased especially recently. Appropriate technical equipment for video recording is not available in most hospitals, so there is a need to set up external apparatus in the operating room. Among these apparatuses can be listed such options as head-mounted video cameras, chest-mounted cameras, and tripod-mountable cameras. The head-mounted video camera is an apparatus that is capable of capturing high-resolution and detailed close-up footage. The tripod-mountable camera enables video capturing from a fixed point. Certain user-specific modifications can be made to overcome some of these restrictions. Among these modifications, custom-made applications are one of the most effective solutions. Methods: The article makes an attempt to present the features and experiences concerning the use of a combination of a head- or chest-mounted action camera, a custom-made portable tripod apparatus of versatile features, and an underwater camera. Results: The descriptions we used are quite easy-to-assembly, quickly installed, and inexpensive apparatuses that do not require specific technical knowledge and can be manipulated by the surgeon personally in all procedures.Conclusion: The author believes that video recording apparatuses will be integrated more to the operating room, become a standard practice, and become more enabling for self-manipulation by the surgeon in the near future. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors © 2017 Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery

Elboga G.,University of Gaziantep | Sahin S.K.,Adana State Hospital | Sahin A.Z.,Adana Askim Tufekci State Hospital | Altindag A.,University of Gaziantep
Acta Medica Mediterranea | Year: 2017

Introduction: A growing body of evidence suggests that inflammatory markers elevate in schizophrenia, bipolar disorder, major depression. The purpose of this study is to evaluate the association between schizoaffective disorder and serum levels of IL-2, IL-4, IL-6, TNF- α, hs-CRP, including the comparison between the affective episodes of the disease. Materials and methods: The study group consisted of 40 patients with bipolar type schizoaffective disorder as defined by DSM-IV criteria and 39 healthy control subjects. IL-2, IL-4, IL-6, TNF- α and hsCRP serum levels were examined by ELISA. Their clinical symptoms were rated using the Hamilton Depression Rating Scale and Young Mania Rating Scale. Univariate analysis of covariance controlled for possible confounders was used to compare cytokines and hsCRP levels among the groups. Results: hsCRP levels were significantly higher in patients compared to controls and IL-4 levels were significantly lower in patients compared to controls. hsCRP levels were significantly higher during the depressive phase, and IL-4 levels were significantly lower during the manic phase in patients compared to controls. No statistically significant differences were found in IL-2, IL-6, TNF- α. Conclusion: The results suggest that inflammatory dysregulation is associated with the schizoaffective disorder, and these changes may be related to affective phases of the bipolar type schizoaffective disorder.

Kapi E.,Adana State Hospital | Dogan Z.D.A.,Marmara University | Seyhan T.,Adana Numune Training and Research Hospital
European Journal of Plastic Surgery | Year: 2017

Background: Necrotizing fasciitis is a rare, destructive soft tissue infection which starts on the skin and subcutaneous tissue, and spreads quickly towards the deeper tissues. Its etiology includes trauma, surgical intervention, perineal abscess, soft tissue infection, minor invasive procedures, abrasion, contusion, burn, laceration, bite, and penetrating injuries. The mortality of the disease can increase in the presence of predisposing factors such as diabetes, hypertension, immunodeficiency, self-care insufficiency, alcoholism, and advanced age. The clinical presentation of necrotizing fasciitis may vary. It is often observed in the abdominal region, the lower extremity, the perineal, perianal, scrotal and genital regions. Methods: Between December 2011 and September 2016, a retrospective study of all patients admitted due to necrotic wounds and/or tissue defects was undertaken. Their clinical records were reviewed with respect to age, sex, associated morbidities, defect localization, treatment, and outcomes. Results: Thirteen cases were admitted to the emergency department. There were 10 female and 3 male patients. The defects were located in the gluteal (one), trochanteric (one), thoracic (two), upper extremity (three), lower extremity (two) and perineal region (four). Pressure sores, insect bites, trauma, diabetes mellitus and perineal infections were detected in the etiology of the cases. As observed in our study, NF can present with very different etiological, demographical and clinical findings. Conclusions: The cases presented some rarely observed characteristics in terms of age, sex, etiology, and infection localization. Therefore, it should be kept in mind that necrotizing fasciitis can exhibit extraordinary characteristics causing confusion with other soft tissue infections, and a detailed and meticulous evaluation must be performed for diagnosis. Level of Evidence: Level IV, therapeutic study. © 2017 Springer-Verlag Berlin Heidelberg

PubMed | Tarsus State Hospital, Ceyhan State Hospital, Cukurova Dr Askm Tufekci State Hospital, Dr Ekrem Tok Psychiatry Hospital and 2 more.
Type: Journal Article | Journal: Turkish journal of medical sciences | Year: 2016

The most common hepatitis C virus (HCV) genotype in Turkey is genotype 1. However, there has not been a study about the distribution of HCV genotypes among intravenous drug users (IVDUs) in the ukurova region of Turkey. This study was planned to understand if there is a difference between IVDUs and the normal population.Between May 2010 and May 2014, anti-HCV positive IVDUs who applied to the 6 hospitals in the ukurova region of Turkey were included in this study. Their HCV genotypes were studied.Ninety-seven anti-HCV positive IVDUs were screened in terms of HCV RNA and genotype. Ten were excluded from the study because their HCV RNA results were negative. Fifty-one of the 87 patients (58.6%) had genotype 3. Genotype 2 was detected in 26 (29.9%) and genotype 1 was detected in 10 (11.5%) patients.HCV genotypes seem to be different between the normal population and IVDUs according to studies worldwide. Among IVDUs, we detected a dominance of genotype 3 and genotype 2, which is apparently different from the normal population. The reason for this difference can be simply explained by infection through shared needles. However, there may still be a different immunological response in IVDUs, the investigation of which may lead to further studies.

PubMed | Cukurova University, Medicana International Hospital and Adana State Hospital
Type: Journal Article | Journal: Balkan medical journal | Year: 2016

Cardiopulmonary bypass is known to cause inflammatory events. Inflammation occurs due to many known important biological processes. Numerous mechanisms are known to be responsible for the development of inflammatory processes. Currently, there are many defined mediators as a tumor necrosis factor- (TNF-) playing an active role in this process.This research was to investigate the effects of pre-operative steroid use on inflammatory mediator TNF- and on time to extubation postoperatively in ventricular septal defect patients undergoing cardiopulmonary bypass surgery.Controlled clinical study.This study included 30 patients. These patients were assigned into two groups, each containing 15 patients. 5 micrograms/kg methylprednisolone was injected intravenously 2 hours before the surgery to Group I, whereas there was no application to the patients in Group II. TNF- (pg/mL) level was measured in arterial blood samples obtained at four periods including: the preoperative period (Pre TNF); at the 5(th) minute of cross-clamping (Per TNF); 2 hours after termination of cardiopulmonary bypass (Post TNF); and at the postoperative 24th hours in cardiovascular surgery intensive care unit (Post 24 h TNF).The mean cross-clamp time was 6640 and 5527 minutes in Group I and Group II respectively. No significant difference was found between the groups in terms of cross-clamp time (p>0.05). The mean time to extubation was 6.12.3 hours in Group I and 10.63.4 hours in Group II. Group I extubation time was significantly shorter than Group II. Group I TNF- levels at Post TNF and Post24h TNF was lower than Group II. These differences are also statistically significant (p<0.05).There is a strong indication that preoperative steroid treatment reduced the TNF- level together with shortens duration of postoperative intubation and positively contributes to extubation in ventricular septal defect patients operated in cardiac surgery with cardiopulmonary bypass. ( Identifier: TCTR20150930001).

PubMed | Cukurova University and Adana State Hospital
Type: Journal Article | Journal: Acta biochimica Polonica | Year: 2015

The aim of this study is to examine uric asid (UA) and high sensitive C-Reactive protein (Hs-CRP) levels in patients with coronary artery ectasia (CAE).Ninety-eight patients with isolated CAE (mean age 57.510.3), (group-I), 110 patients with CAD but without CAE (mean age 56.310.7), (group-II), and 105 patients with normal coronary angiographies (mean age 58.110.8), (group-III) were included in the study. Blood samples of all individual were taken after coronary angiography from an antecubital vein, the patients uric acid and Hs-CRP levels were assessed. The severity of ectasia was evaluated and categorized according to Markis.A significant difference was not seen in serum uric acid and Hs-CRP levels between CAE and CAD groups. However, relative to the control group, uric acid and Hs-CRP levels in CAE and CAD groups were higher to a significant degree (p=0.001, p<0.001, respectively), (p<0.001, p<0.001, respectively). The statistical significant was detected between subgroups type I and type IV, Hs-CRP and UA were statistically high in subgroup type I. (p=0.012, p=0.033, respectively) In multiple regression analysis, CAE and CAD were independently associated with UA (=0.76; p<0.001, =0.68; p<0.001, respectively) and Hs-CRP (=0.66; p<0.01, =0.62; p<0.01, respectively) along with diabetes mellitus (=0.61; p=0.039, =0.94; p=0.028, respectively).In conclusion, the blood uric acid and Hs-CRP values in our study have been observed to be higher in the individuals with coronary arteri ectasia in comparison to normal individuals, and the increase in these values were found to be parallel to the extent of the ectasia.

PubMed | Cukurova University, Medicana International Hospital and Adana State Hospital
Type: Journal Article | Journal: Cardiology and therapy | Year: 2016

Abnormal communication between the ascending aorta and the cardiac chambers is rare, diverse in origin, and can be congenital or acquired. We report a case of a 10-year-old boy with acquired aorta-to-left atrial fistula associated with an air gun pellet injury and his successful treatment.

PubMed | Cukurova University and Adana State Hospital
Type: Journal Article | Journal: Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery | Year: 2016

Left ventricular pseudoaneurysm is a rare complication of aneurysmectomy. We present a case of a surgically treated left ventricular pseudoaneurysm, which was diagnosed three years after coronary artery bypass grafting and left ventricular aneurysmectomy. The presenting symptoms, diagnostic evaluation, and surgical repair are described.

PubMed | Canakkale Onsekiz Mart University, Bursa Yuksek Ihtisas Education and Resarch Hospital and Adana State Hospital
Type: Journal Article | Journal: Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia | Year: 2015

White blood cells are reported as important not only in plaque vulnerability but also in thrombus formation and thrombus growth in acute coronary syndromes. Eosinophils contain granules that promote thrombus formation and thrombus growth in some heart diseases. In this study we aimed to investigate the relation of eosinophil count with coronary thrombus formation in patients with non ST-elevated acute coronary syndrome (NST-ACS).A total of 251 consecutive patients were hospitalized in our hospital with a diagnosis of NST-ACS. Venous blood is collected for measurement of hematologic indices in all patients undergoing the coronary angiography. Coronary angiographies were performed in our clinic using the standard Judkins technique and angiographic assessment of the presence of thrombus was made.During coronary angiography, coronary thrombus was not detected in 82 patients (Group 1). In the coronary angiography of 169 patients, coronary thrombus was detected at various grades (Group 2). While the neutrophil count (6.841.94 vs. 5.531.37; P<0.001) and eosinophil count (0.2570.125 vs. 0.1630.114; P<0.005) was significnatly increased in the group with coronary thrombus, the lymphocyte count (1.870.66 vs. 2.000.70; P<0.001) was significantly decreased in the group with coronary thrombus as compared to the patient group without coronary thrombus. In the correlation analyzes; presence of coronary thrombus is correlated with total cholesterol, LDL-C, total CK, CK-MB, troponin, total number of diseased coronary, platelet count, neutrophil count, lymphocyte count and eosinophil count. On multivariate linear regression analysis, total leukocyte count, neutrophil count, lymphocyte count, eosinophil count, troponin and total cholesterol was found to be independent predictor of coronary thrombus in patients with NST-ACS.Beside the increased neutrophil count, increased eosinophil count in CBC should alert the clinician about coronary thrombus development in patients with NST-ACS in order to make early medical interventions at acute phase of the disease.

PubMed | Dr Lutfi Krdar Kartal Training and Research Hospital, Marmara University and Adana State Hospital
Type: Journal Article | Journal: Journal of plastic surgery and hand surgery | Year: 2016

Purpose The most important problem in fat transplantation is the durability, which is closely associated with the applied technique. This study includes the comparison of different centrifugation speeds on the survival of autogenous fat grafts in rats. Materials and methods Forty-nine Sprague-Dawley rats were divided into seven groups and the left inguinal fat pad was extracted and re-implanted under the scalp after performing appropriate preparation processes. In the first group the fatty tissue was re-implanted in en-bloc fashion and in the second group it was re-implanted after trimming. After trimming, centrifugation with a G-force of 111.8 (1000rpm) was performed in the third group, 447.2 (2000rpm) in the fourth group, 1006.2 (3000rpm) in the fifth group, 1788.8 (4000rpm) in the sixth group, and 2795 (5000rpm) in the seventh group for 4minutes. The fat grafts were taken after 3 months and histopathological and statistical evaluations were performed. Results The rate of viable fat grafts was significantly higher in the 4th and 5th groups comparing to the first three groups. Total weight and volume amounts of the 4th and 5th groups were also significantly higher comparing to the first three groups. Conclusion Maximal long-term durability and fat cell viability results were obtained in the groups with 2000rpm or 447.2G-force/4minutes and 3000rpm or 1006.2G-force/4minutes centrifugation speed, indicating that 4minutes centrifugation with an average G-force of 698.75 or 2500rpm provides the best results for the survival of autogenous fat grafts.

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