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Fikri Alican

Turkish scientist and physician From Wikipedia, the free encyclopedia

Fikri Alican
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Fikri Alican (2 April 1929 – 19 August 2015) was a Turkish scientist and physician with various contributions to medical science, ranging from organ transplantation to physiology.[a]

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Early life and career

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Alican was born in Adapazarı, a city in northwestern Turkey, 150 km east of Istanbul. He left his hometown after middle school, attending high school and college in Istanbul, where he graduated from Robert College with a B.S. (1949) and from Istanbul University with an M.D. (1955).[b][1] He did his residency at the Istanbul University Medical Center's Clinic of Treatment and Exploratory Surgery, also known as Surgical Clinic #4, headed by Şinasi Hakkı Erel.[2] It is there that he met his future wife, Halide Ihlamur, later Halide Alican, a surgical nurse working at the same clinic.[3]

After completing his residency in general surgery at Istanbul University, his growing interest in the field of organ transplantation, then in its heyday, took him to Jackson, Mississippi, where he joined the University of Mississippi team leading the world in transplantation research, including the first lung transplant (11 June 1963) and the first heart transplant (23 January 1964), under the leadership of James D. Hardy.[c][4] A few weeks after his arrival there in the summer of 1960, he proposed to Ihlamur, as he always called her, even after she took his name and dropped hers, and they got married in Jackson in November 1960, remaining married for fifty-five years (1960–2015) until his death at age eighty-six.[5] He also obtained a master's degree (M.S., 1962) in physiology at the University of Mississippi, studying with Arthur C. Guyton, while working as a research fellow (soon to become a research associate) in Hardy's department of surgery.[6]

Best known for his work in organ transplantation, though with some notable initiatives in physiology as well, Alican later established a successful private practice as a general surgeon. His professional career was divided between medical research in the United States and private practice in Turkey.

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Main Contributions

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Alican's main contributions came in the 1960s (1960–1971) when he worked at the University of Mississippi Medical Center (UMMC) in the pioneering days of laboratory research and clinical studies in organ transplantation.[7][8] His research focused largely on the lungs[9][10][11][12][13][14][15][16][17][18][19] and on the liver,[20][21][22][23][24][25][26][27] though he is also known for his work on intestinal transplantation.[28] He performed the first ever simultaneous bilateral lung transplantation in canines, one of many such operations paving the way for the procedure in humans.[15][16][17][18][19]

His role in the development of surgical techniques in transplantation was complemented by his work in physiology,[29][30][31][32][33] including transplantation biology in general[34] as well as a particular specialty in the physiology of shock.[35][36][37][38]

Relocating to Istanbul in 1971, he held a professorship in surgery at Istanbul University until 1979, turning to private practice upon the institution of legal and regulatory changes barring academic physicians from working outside the university.[39] At the time of his departure from the University of Mississippi, he was an attending surgeon at the university hospital as well as associate director of the transplantation program there.[40] Twenty years later, he became a founding member ("fellow") of the James D. Hardy Society[permanent dead link], established in 1991.[41][42]

He has published extensively both in English and in Turkish. His journal articles, mostly in English, are almost exclusively in the areas of organ transplantation and physiology. His monographs, all in Turkish, are more diverse, ranging from general surgery to organ transplantation to cancer research and the in-depth study of various other diseases. The division mirrors the transformation of his career from medical research in the United States to general surgery in Turkey.

His autobiography (2000/2007) describes that transformation as coming with a natural obstacle to research: the relative scarcity of institutional resources in Turkey at that time.[43] He notes that this not only held back progress in laboratory and clinical studies but also impeded scholarly initiatives inevitably undermined by the inadequacy of academic libraries. The solution he reports having implemented is the creation and maintenance of his own library, complete with a card catalog, populated with entries from leading medical journals acquired with his own funds.[44] Specifically, he reports having maintained personal subscriptions to twenty-two medical journals for over thirty years.[d] He identifies these periodical holdings, supplemented by the selective acquisition of books on an ongoing but less regular schedule, as the main flow of information for the wall-to-wall card catalog in his office where he would personally enter the bibliographic details of each article in every issue. Alican credits this makeshift system for enabling him to publish a combined total of 3,000 pages on top of his output in the United States.[e][47]

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Selected publications

Books

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Articles

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Notes

  1. Alican's official record of birth, 2 April 1930, is off by one year, a relatively common practice at the time by Turkish families hoping to secure, through late declaration of male births, an extra year of growth for their sons prior to conscription (formally at age eighteen).
  2. Biographical details are available in Alican's autobiography (2000/2007), cited below in the references and listed above among his publications.[1]
  3. The world's first heart transplant into a human was performed by James D. Hardy at the University of Mississippi Medical Center on 23 January 1964. The heart was that of a chimpanzee. As further progress in the United States awaited the resolution of ethical and legal issues in organ transplantation, other countries picked up the pace, and Christiaan Barnard became the first to use a human heart for the procedure, performing the operation in his native South Africa on 3 December 1967.[4]
  4. His autobiography places the duration at twenty-five years. That figure originates in the first edition (2000), never updated in the second edition (2007).[45] The preface to his Genel Cerrahi (2007) gives the current figure as "more than thirty years."[46]
  5. The combined page count of Alican's medical monographs (close to 5,000 pages) actually exceeds his own estimate of 3,000 pages[47] by more than 60%, which shows that the total he reports is a net figure excluding the 2007 compilation in order to avoid redundancy.
  6. Alican, in his autobiography, identifies this volume (1968) as his first book, adding that he failed to attract attention (from publishers) to it for eight years between its completion in 1960 and its eventual publication in 1968.[48] This suggests that the first two entries listed among his monographs in the corresponding section above may, especially since the two titles are almost identical, at least in meaning, actually refer to the same work, perhaps the first (1960) being a printed manuscript and the second (1960) a proper publication. As against this possibility, the autobiography (2007) comes with a picture of the cover page of the first book (1960), where a publisher is in fact listed, along with a book series and the number of the specific title in that series.[49]
  7. Alican's preface to Genel Cerrahi (2007), appearing in both volumes, introduces the entirety of that work as a compilation of previously published monographs with minor emendations. His tally in the preface is eleven books, counting as separate works both of the two editions of his study on cancer (1993/1997) as well as each volume of his trilogy on surgery (1994–1995), all listed above in the section on his publications.[50]
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References

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