Akelma, Hakan
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akelma, hakan
Akelma, Hakan
Akelma, Hakan
Job Title
Doç. Dr.
Email Address
hakanakelma@artuklu.edu.tr
Main Affiliation
Department of Surgical Medical Sciences / Cerrahi Tıp Bilimleri Bölümü
Status
Current Staff
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ORCID ID
Scopus Author ID
Turkish CoHE Profile ID
Google Scholar ID
WoS Researcher ID
Sustainable Development Goals
3
GOOD HEALTH AND WELL-BEING
2
Research Products
10
REDUCED INEQUALITIES
0
Research Products
Documents
27
Citations
145
h-index
7
Documents
32
Citations
115
Scholarly Output
12
Articles
10
Views / Downloads
53/1542
Supervised MSc Theses
0
Supervised PhD Theses
0
WoS Citation Count
14
Scopus Citation Count
15
WoS h-index
2
Scopus h-index
3
Patents
0
Projects
1
WoS Citations per Publication
1.17
Scopus Citations per Publication
1.25
Open Access Source
9
Supervised Theses
0
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| Journal | Count |
|---|---|
| Medicina | 2 |
| Artuklu International Journal of Health Sciences | 2 |
| Burns | 1 |
| HRU International Journal of Dentistry and Oral Research | 1 |
| Journal of Infection in Developing Countries | 1 |
Current Page: 1 / 2
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Now showing 1 - 10 of 12
Article Healthcare-Associated Infections in Patients With COVID-19: Is It Different From the Pre-Pandemic Period(J Infection Developing Countries, 2024) Solmaz, Ihsan; Kavak, Seyhmus; Arac, Songul; Akelma, Hakan; Basgoz, Bilgin Bahadir; Koyun, Sedrettin; Kaya, SafakIntroduction: Healthcare-associated infections (HAIs) are common in intensive care unit (ICU) patients and may cause devastating consequences. However, the prevalence of HAI and its effects on in-hospital mortality among critically ill COVID-19 patients is ambiguous. We determined the prevalence of HAI and the rate of mortality in critically ill COVID-19 patients and compared it with pre-pandemic ICU patients. Methodology: This retrospective study was conducted with adult ICU patients admitted to Gazi Ya & scedil;argil Training and Research Hospital (Diyarbakir,Turkey) in April-November 2019 (defined as the pre-pandemic period) and in April-November 2020 (defined as the pandemic period). All patients in the pandemic period had COVID-19, while none in the pre-pandemic period did. Patients diagnosed with HAIs during the in-hospital follow-up period were recorded. Results: Of 4596 enrollees, 3386 (73.7%) were pandemic-period patients and 1210 (26.3%) were pre-pandemic-period patients. HAI prevalence was significantly higher at 5.9% (n = 71) in the pandemic-period patients and 2.7% (n = 91) in the pre-pandemic-period patients (p < 0.001). Comorbidities including hypertension (63.4% vs 14.2%, p < 0.001), diabetes mellitus (39.4% vs 8.8%, p < 0.001), and coronary artery disease (30.9% vs 10.9%, p = 0.002) were significantly more frequent in pandemic-period HAI-positive patients. The most common HAI was catheter- related bloodstream infection in both groups, with similar frequency (p = 0.652). In-hospital mortality rate was 85.9% versus 65.9% in pandemic- versus pre-pandemic-period HAI-positive patients (p < 0,05). Conclusions: The prevalence of HAI and the in-hospital mortality rate was significantly higher among pandemic-period patients.Article Citation - WoS: 2Citation - Scopus: 3Examining the effect of COVID-19 vaccines on the menstrual cycle: A study from Turkey(LWW, 2023) Toktaş, İzzettin; Akelma, Hakan; Araç, EşrefConcerns about a possible relationship between vaccination against Coronavirus Disease 2019 (COVID-19) and menstrual disorders have been raised in the media. In addition, different studies have shown that the COVID-19 vaccine may be associated with menstrual changes. This study was conducted to investigate the effects of COVID-19 vaccines on the menstrual cycle in women. This cross-sectional descriptive study was conducted between August 16 and September 17, 2021. Data were collected through a self-administered questionnaire via an online form sent to the participants through social media. Data of 586 women were included in this study. A total of 82.4% (n = 483) of the participants were aged between 31 and 50 years. The BioNTech vaccine (2 doses) was administered to 75.8% (n = 444), Sinovac (3 doses) to 9.0% (n = 53) of the participants. 53.1% (n = 311) of the women experienced changes in their menstrual cycles. The most common menstrual changes after vaccination were delayed menstruation (n = 176; 30.0%) and prolonged menstrual duration (n = 132; 22.5%). Menstrual delay, prolonged menstrual duration, heavy bleeding, and early menstruation were more common in women than prior to receiving the vaccine (P < .05). More than half of the women experienced menstrual cycle changes after receiving the COVID-19 vaccine. Women experienced significantly higher rates of menstruation delay, prolonged menstrual duration, heavy bleeding, and early bleeding compared to before vaccination.Article Citation - WoS: 2Citation - Scopus: 2Association of Inflammatory and Metabolic Markers With Mortality in Patients With Postoperative Femur Fractures in the Intensive Care Unit(Mdpi, 2025) Kilinc, Metin; Celik, Enes; Demir, Ibrahim; Aydemir, Semih; Akelma, HakanBackground and Objectives: Postoperative femur fracture in elderly patients is associated with high morbidity and mortality, especially in the intensive care unit (ICU). Various factors, including demographic and laboratory parameters, may influence mortality in this population. The aim of this study was to evaluate the association of inflammatory and metabolic markers with mortality in ICU patients with postoperative femur fractures and to identify key predictors to enhance risk stratification and improve patient outcomes. Materials and Methods: In this retrospective single-center study, we analyzed 121 patients aged over 65 years with postoperative femur fractures who were admitted to the ICU between January 2023 and January 2024. Demographic and clinical data, including comorbidities, Charlson Comorbidity Index (CCI), and Acute Physiology and Chronic Health Evaluation (APACHE II) score, were collected. Laboratory parameters such as white blood cell count (WBC), albumin, C-reactive protein (CRP), D-dimer, Pan-Immune-Inflammation Value (PIV), CRP-to-albumin ratio (CAR), neutrophil-to-lymphocyte ratio (NLR), and others were analyzed. Linear regression, logistic regression, and Receiver Operating Characteristic (ROC) analyses were performed to determine the predictive value of these markers for ICU mortality. Results: The mean age of the patients was 76.3 +/- 9.6 years, and 52.1% were female. The most common comorbidities were hypertension (67.8%) and diabetes (49.6%). ICU mortality occurred in 24 patients (20%). Significant predictors of mortality included higher CRP (>62.8 mg/L), NLR (>10.0), PIV (>450), and APACHE II scores (>23) (p < 0.001 for all). Lower albumin levels (<2.5 g/dL) were strongly associated with increased mortality (p < 0.001). ROC analysis demonstrated that the APACHE II score had the highest predictive accuracy for mortality (AUC = 0.83), followed by albumin (AUC = 0.79) and PIV (AUC = 0.76). Extended ICU stay (>10 days) was also significantly correlated with increased mortality (p < 0.001). Conclusions: This study successfully demonstrates the utility of combining traditional clinical markers, such as APACHE II score, with novel inflammatory markers, such as PIV, CAR, and NLR, in predicting mortality in ICU patients following femur fracture surgery. The integration of emerging biomarkers with well-established scoring systems offers enhanced predictive accuracy and provides valuable insights into patient management.Book Part Yoğun Bakım ve Bilinci Kapalı Hasta İle İletişim(AKADEMİSYEN YAYINEVİ, 2023)Yoğun bakım hastaları ile iletişim ile ilgili henüz kabul görmüş genel bir yaklaşım bulunmamaktadır. Yeni yayınlarda özellikle teknolojik gelişmelerden yararlanılması dikkat çekmektedir. Hasta yakınlarının bir çok yayında yeteri kadar bilgilendirilmediklerini düşündüğü vurgulanmıştır. Çoğu hasta yakını ve yoğun bakımdan taburcu olan hastada posttravmatik stres bozukluğu yaşandığı belirtilmiştir. Tüm dünyada bu konudaki eksiklikler çalışmalara konu olmuştur. Hemşire ve doktorların standart eğitim müfredatlarının bu konuda eksik katıldığı eleştirilmektedir. Bu sebeple yoğun bakım ünitesi çalışanları iletişim konusunda ek eğitimler almalı ve eğitimde öğrendiklerini günlük pratiklerine eklemelidir. Hasta yakınlarına anlaşılır ve kapsamlı bilgi verilmelidir. Soru sormaları teşvik edilmelidir. Bu amaçla multidisipliner ekipler kurulabilir. Yoğun bakımlarda hasta ve yakını ile iletişime önem verilmesi yanında ekip içi iletişime de dikkat edilmelidir. Ekibe yeni dahil olanların korkmadan, çekinmeden soru sorabileceği ortam sağlanmalıdır.Article Citation - WoS: 7Citation - Scopus: 7Hydrogel burn dressing effectiveness in burn pain(Elsevier Sci Ltd, 2024) Celik, Enes; Akelma, HakanSevere burns are painful and dramatic injuries. Studies show that pain is underestimated and often not adequately treated. This study aims to evaluate the analgesic efficacy of hydrogel burn dressing and silver sulfadiazine, which are two agents commonly used in first-aid dressings for burn patients. This study, designed as a prospective, observational, and cross-sectional study. Study included 64 pediatric patients admitted to our burn center between 01.03.2020 and 01.09.2020 who were examined by our burn service after their first treatment in the emergency dressing room. Two groups of patients were included in the study. Pain level was assessed in the dressing room before and 10 min after the procedure using the Visual Analog Scale and FLACC (Face, Legs, Activity, Cry, Consolability) pain assessment scales.During the study period, Burnaid (R) was applied to 62.5% of patients (40 patients) and silver sulfadiazine to 37.5% (24 patients). In terms of pain scores, pre-dressing FLACC values were higher in Group B (p = 0.039); post-dressing VAS and FLACC values were significantly lower in group B (p 0.001; p 0.001). In terms of additional analgesia, we found more patients in Group S received analgesics (p 0.001).We believe that its effect on burn wound pain is superior to that of silver sulfadiazine.(c) 2023 Elsevier Ltd and ISBI. All rights reserved.Article Evaluation of the Satisfaction of Relatives of Patients Being Treated in the Intensive Care Unit(2024) Kılınç, Metin; Çelik, Enes; Akelma, HakanAims: There has been no previous study on the satisfaction of relatives of patients receiving treatment in the intensive care unit of our hospital. Our study was conducted to improve quality and service in our intensive care unit. A survey was conducted to evaluate the satisfaction of the relatives of patients receiving treatment. Methods: The satisfaction of the relatives of the patients who were treated for at least 3 days in the 3rd Step general intensive care unit at Mardin Training and Research Hospital between 01. February 2023 and 01. June 2023 was evaluated in line with the surveys. A questionnaire was given to each patient’s relative by the attending physician to be filled out. Results: 114 patient relatives participated in the study. 12 patient relatives did not agree to fill out the survey. 102 patient relatives filled out the satisfaction survey. Conclusion: Waiting room in intensive care unit conditions need to be improved. In our study, we think that patient relatives have confidence in the treatments applied to their patients and are satisfied with the skills and abilities of doctors and nurses.Article Vatanından Uzakta Ölmek” Palyatif Bakım Kliniğinde Ölen 7 Suriye Uyruklu Hasta ve Ülkemizin Sığınmacıların Sağlık İhtiyaçlarını Karşılamadaki Rolü(2022) Akelma, Hakan; Karahan, Mehmet ZülkifSavaşlar, iç çatışmalar telafisi mümkün olmayan yıkımlara neden olup, en çok da sivilleri etkilemektedir. Yıkımın etkisi başta ikincil şahıslara ihtiyaç duyan çocuk, yaşlı ve kadınlar için daha belirgindir. Şu anda dünyadaki sığınmacıların yarısından fazlası Suriye’de hayatlarını kurtarmak için ülkelerinden ayrılmak zorunda kalan sığınmacılardan oluşmaktadır. Siyasal, sosyal, kültürel ve ekonomik açıdan toplumu ve bireyleri etkileyen yurdundan edilme durumu sağlık sorunlarını da beraberinde getirmektedir. Sığınmacılar zor yaşam koşulları, barınma, beslenme, şiddet ve psikolojik travmalar gibi birçok neden ile sağlık bakım sisteminde en kırılgan ve savunmasız gruplardandır. Kendi yaşam alanlarından zorunlu olarak ayrılan bireylerin yaşam konforlarının azalması ve yaşadıkları psikolojik yıkım, beraberinde bulaşıcı hastalıklar, kardiyovasküler hastalıklar, diyabet, kanser ve akciğer hastalıkları gibi kronik hastalıkların riskini artırmaktadır. Bu hastalıklara bağlı palyatif bakım ünitelerine yatışlar artmakta ve bu kliniklerde yaşam koşullarından daha iyi şartlarda sağlık hizmeti almakta ancak hastalıklarının şiddetine göre ölümler gerçekleşmektedir. Türkiye, sığınmacılara mümkün olan en iyi yaşam koşullarını ve kapsamlı insani yardımı sağlamaktadır. Sığınmacılar hem kamplarda hem de barındıkları iskânlarda tüm sağlık hizmetlerini sürdürmektedir. Bu sığınmacılar aynı şekilde gerekli durumlarda palyatif bakım hizmetlerinden faydalanmaktadır. Bu çalışmanın amacı palyatif bakım kliniklerde özellikle kanser, diyabet ve diğer kronik hastalıklar sonucu hayatını kaybeden sığınmacı hastaların değerlendirilmesi ve bunun yanında ülkemiz sağlık bakımındaki desteğini vurgulamaktır.Article The Effect of Lumbar Disc Hernia Operations in Prone Position on Endotracheal Cuff Pressure and Tracheal Morbidity(2023) İpek,Yusuf; Baysal Yıldırım,Zeynep; Çelik,Enes; Akelma,HakanBackground: When the cuffs of endotracheal tubes are inflated with high pressure, serious morbidities are encountered. The aim of our study is to monitor the values of endotracheal tube cuff pressure, which can change in different positions, during the operation and to investigate its effects on tracheal morbidity. Materials and Methods: Prospective observational study. The age at which general anesthesia with endotracheal intubation was applied to the study; Sixty randomly selected patients in the ASA 1-2 group, 18-80 years old, and Mallampati class 1-2 were included between July 2016 and July 2017. Thirty patients with lumbar disc herniation surgery were divided into 2 groups as group 1 in the prone position, and group 2 in the supine position of 30 patients with lower or upper extremity surgery. After the patients in both groups were intubated in the supine position, the pilot balloon was inflated with an endotracheal cuff manometer between 28-30 cmH2O. Endotracheal tube cuff pressure was continuously monitored throughout the entire operation and recorded every 5 minutes. The patients were evaluated in terms of cough, dysphonia and sore throat at 1, 8 and 24 hours postoperatively. Results: Hemodynamic and respiratory parameters and temperature values of the groups were recorded during the operation. Cuff pressures, postoperative cough, hoarseness and sore throat were statistically significantly higher in group 1 (p:0.0001). Conclusion: In order to minimize tracheal morbidity and related complications that may develop due to endotracheal intubation, it was concluded that cuff pressure monitoring should become standard and continuous measurement is required, especially in operations in the prone position.Other Maksillofasiyal Travma ve Zor Havayolu Yönetimi: İki Olgu Sunumu(Mardin Artuklu Üniversitesi, 2022)Giriş ve Amaç: Maksillofasiyal travmalı hastalarda bozulan anatomi ve travmaya sekonder gelişen ödem nedeniyle hava yolu yönetimi hızla müdahale edilmesi gereken bir durumdur. Travma hastasının değerlendirilmesinde ve yönetilmesinde öncelikle, hava yolu güvenliği sağlanmalı ve servikal omurga stabilize edilmelidir. Bu yazıda; ateşli silah yaralanması sonucu maksillofasiyal travma gelişen iki olguda uygulanan anestezi yönetiminin literatür eşliğinde tartışılması amaçlandı. Gereç ve Yöntem: Bu çalışmada iki hastanın hastane bilgi sistemindeki kayıtları ve anestezi kayıtları incelendi. Hastaların perioperatif özellikleri, cerrahi endikasyonu, anestezi tekniği ve komplikasyonları kaydedildi. Bulgular ve Sonuç: Maksillofasiyal travmalı hastalar; yüz kemikleri ve yumuşak dokulardaki hasarlanmaya bağlı olarak kısa sürede gelişebilen hava yolu ödemi, kan, pıhtı, yabancı cisim, kırık kemik fragmanları gibi hasarlı doku veya travmaya neden olan ana materyalin hava yolunu kapatabilmesinden kaynaklı aspirasyon riski nedeniyle hızla hava yolunun garantiye alınması gereken özellikli hasta grubudur. Yazımızda ateşli silah yaralanması sonucu maksillofasiyal travma gelişen iki olgudaki hava yolu yönetimini tartışmayı amaçladık.Article Bacterial Isolation and Antibiotic Susceptibility Test Results from Burn Wound Infection in the Southeastern Anatolia Region of Turkey(2023) Akelma,Hakan; Demir Yiğit,Yasemin; Yiğit,EbralThis study was conducted to find the bacterial profile isolated from the wound areas of the patients hospitalized in our burn center, which is the only one in our region and to find the sensitive antibiotics to be used in the treatment. In this study, the culture reports of 395 patients, whose wound culture results were (+), obtained from 1415 patients hospitalized in Gazi Yaşargil Training and Research Hospital burn center between January 2010 and January 2020, were included. Of the 394 patients, 217 (55%) were male and 117 (45%) were female. The average age of the patients is 12,86±17,34 years. The average burn degree is 2,67. In the wound culture results, 70,55% of gram (+) and 28,68% of gram (-) bacteria were found. Candida albicans were found in wound culture growth results with a rate of 0,07%. The most common gram (+) pathogen is Staphylococcus aureus with 23,09% (n: 91). In our study, the resistance rate of Staphylococcus aureus to methicillin was 20,31%. The most common gram (-) pathogen was E. coli with 9,13% (n: 36) and Pseudomonas aeruginosa with 9,13% (n: 36). Gram (+) organisms were mostly isolated with a rate of 78,95% in the culture results of patients who needed intensive care clinically due to infection. Staphylococcus aureus is the most common bacteria with 21,05%. As a result of our study, it was found that the most common cause of burn infection in our region was S. aureus, P. aeruginosa, and E. coli. We hope that the use of broad-spectrum antibiotics that can be effective against these bacteria will contribute to clinical treatment until culture results are available.
