Objective: The aim of this study was to evaluate the preoperative and postoperative management of patients with surgical field infection and to evaluate the factors related to the host. Material and Methods: The study was planned as prospective, cross-sectional and descriptive. Patients who were operated by different departments in the Faculty of Medicine of Kahramanmaras Sütçü Imam University and who developed infection were included in the study. Results: The study included 67 patients (59.7% male, 40.3% female). While 19.4% (n = 13) of the cases had blood transfusion in the preoperative period, 80.6% (n = 54) had no blood transfusions. 97% (n = 65) of the patients had antiseptic shower in the preoperative period and 53.7% (n = 36) of the cases had hair cleansing preoperatively. When the distribution of the patients who developed infection at the wound site after the operation is examined, 61 % Gram (-) bacteria, 25.5 % Gram (+) bacteria and 4.5 % fungus were found. Conclusion: Surgical site infections increase the length of hospital stay and cause loss of labor and economic loss. Surgical site infections are preventable causes. Therefore, maximum attention should be given to taking the necessary measures.

Objective: Inflammation has a crucial role in the pathogenesis of stroke, and in recent years, complete blood parameters and their derivatives have led to poor prognosis in the course of various diseases. We aimed to elucidate the relation of various whole blood parameters and derivatives with the functional levels of stroke patients. Matherial and Methods: Patients diagnosed with stroke in our clinic between 2016 and 2017 years were retrospectively analyzed. All patients were recorded for age, gender, etiology, involved side, spasticity, functional ambulatory scale (FAS), upper and lower extremity Brunnstrom grades. Acute phase reactants, erythrocyte sedimentation rate (ESR), C-reactive protein (RBC), and complete blood count and sub-parameters of all patients at the time of admission, white blood cell (WBC), erythrocyte distribution width (RDW), platelet distribution width (PDW), mean platelet volume reactive protein (CRP) were recorded.Results: Fifty-five (55) male (63.2%) and 30 female (34.5%) were included in the study at the age range of 32-85 years. Sixty-four percent (64%) of the patients were diagnosed with stroke for less than 1 year, 86.2% was ischemic, and 50.6% was right-sided. There was no spasticity in 25.3% of the patients. Ashworth grade 1 spasticity was the most frequently observed in 23% of the cases with spasticity. Functional levels were most frequently with a ratio of 20.7% FAS 3, upper extremity with a ratio of 32.2% was Brunnstrom grade 3, at lower extremity was Brunstrom grade 5 with a ratio of 28.7%. Conclusion: Inflammatory parameters provide information about the functional level in stroke patients. Systemic inflammation that triggers an inflammatory reaction or inhibition of neuronal pathways is a potential future therapeutic target in stroke patients.

Objective: War is a disaster that disrupts normal life, which causes physical, social, cultural and economic losses in society. People are exposed to devastating effects of war in many parts of the globe and thousands of civilians are losing their lives.The war causes serious injuries and significant changes in the types and distribution due to large waves of immigration. In this study demographic characteristics, frequency of diseases and treatment types of the Syrian patients whom admitted to our clinic between January 2015 and May 2018 were retrospectively reviewed. Materials and Methods: 479 Syrian patients who had been examined in the Plastic Reconstructive and Aesthetic Surgery outpatient clinic, underwent in-hospital treatment or surgical intervention were included. The diseases were classified into 6 groups as acute or chronic wounds, congenital anomalies, scar (contracture), maxillofacial traumas, skin tumors and aesthetic procedures. 3.4% of the total number of patients (479 patients) were found to be Syrian patients. Results: Plastic reconstructive and aesthetic surgery is a surgical branch that has emerged and advanced during the wars hence it is essential in the treatment of acute injuries, burns and maxillofacial traumas as well as deformities and anomalies due to war or adverse environmental conditions. Conclusion: Due to wars or disasters, mass migration of people affects especially neighbouring countries the most. As a result of these facts; health problems as well as economic problems arise. Plastic reconstructive and aesthetic surgery have always played a leading role in helping war victims and people affected by wars .

Urinary bladder presenting as an inguinal hernia is an uncommon condition found in about 1-3% of inguinal hernia. Most are asymptomatic, but symptoms such as dysuria, urgency, nocturia and haematuria can be seen. Computed tomography seems the best imaging choice to outline the details of herniation. This study aims to raise awareness for emergency physicians for the inguinal bladder herniation and to avoid misdiagnosis.

Objective: This study has been carried out with the purpose of determining and evaluating how women benefit from care and education services prior to giving birth. Material and Methods: The samples of the study consist of 200 women who have given birth at the Kahramanmaras Maternity and Children’s Hospital and volunteered to participate in our study.Data has been collected through the survey forms consisting of 28 questions and evaluated with the SPSS software program using the percentage and Chi-Square tests.The statistical significance level has been accepted as p<0.05. Results: The age average of women who participated in our study is 26.0 ± 5.8. It has been determined that 56.5% of the women have received education prior to giving birth and that 57.4% of this education has been given by doctors. 55.0% of the women who participated in the study have been examined for 6 times and more, 62.5% have had regular check-ups each month and 45.5% have preferred the state hospital for their examinations. It has been seen that the mothers were given information about the development of their babies, care, feeding, cleaning during pregnancy, periods and hygiene after giving birth, where and how the delivery would be and nursing their babies. In the statistical analysis, a relationship has been determined between the distance of the place the women were examined and the number of examinations, the babies’ birth weight and the mothers’ receiving education during their pregnancies and the duration of nursing their babies after giving birth for women who have received information about nursing babies(p<0.05). Conclusion: As a result of the study, it has been concluded that the women have benefited from the care services at a standard level prior to giving birth and that the care and education given prior to giving birth have positively affected the health of the mothers and their babies.

Thrombocytes play an active role in the development of acute coronary syndromes. The use of Glycoprotein (II) IIb / IIIa inhibitors for platelet inactivity during Percutaneous Coronary Intervention (PCI) may lead to major cancers with critical preservation of ischemic complications. Diffuse alveolar hemorrhage is a rare but life-threatening complication that can be caused by glycoprotein IIb / IIIa inhibitors. We have a 46-year-old woman with acute inferior myocardial infarction who underwent primary PCI and developed diffuse alveolar haemorrhage after tirofiban therapy. We present the patient are trying to treat with ECMO device application.

Objective: To evaluated and compare the prevalence of physical activities in asthma and chronic obstructive pulmonary disease (COPD) patients. Materials and Methods: This cross-sectional study included 97 patients (44 with COPD and 53 with asthma). Patient’s socio-demographic characteristics and awareness about asthma or COPD were determined. The COPD and asthma patient’s regular exercise habits and level of participation in physical activities were evaluated using the short form of the International Physical Activity Questionnaire (IPAQ). The Mann-Whitney U test was used for statistical analysis of the variables that did not have normal distribution. Results: The mean age of patients with COPD was 65.3±3.4 years, and their mean body mass index value was 25.8±2.5 kg/m². The mean age of asthmatic patients was 50.7±5.1 years, and their mean body mass index value was 29.2±3.4 kg/m². There was a significant difference between the mean body mass index values of adult asthma and COPD patients (p=0.01). The weekly energy expenditure of patients with COPD due to physical activity was 1564.2±615 MET-min, and it was 2130±842 MET-min for individuals with asthma. In this study, no statistically significant difference was found between the physical activity levels of adult asthma and COPD individuals (p=0.09). Conclusion: This study found the physical activity levels of individuals with adult asthma or COPD to be low. Physical inactivity is known to be a modifiable risk factor for asthma and COPD. Specific programs for this population should be developed so that individuals with COPD and asthma can be more active.