Turkiye Klinikleri Pediatri最新文献_第10页

School Based Psychological First Aid 校本心理急救

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/pediatr.2020-74139

N. Kılıç

引用次数: 0

Otizm Spektrum Bozukluğunda D Vitamini D维生素在自闭症谱系障碍中的作用

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/PEDIATR.2020-74191

Tuğçe Özlü, E. Arslan, E. Kenger, Can Ergün

引用次数: 0

Evaluation of Sensory Processing Skills of Children with Autism Spectrum Disorder 自闭症谱系障碍儿童感觉加工技能的评价

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/pediatr.2019-71761

Remziye Akarsu, Merve Savaş, F. Karali, Y. Çelik

引用次数: 1

The Preparticipation Sports Examination of Healthy Children: When Should be Referred to Pediatric Cardiologist? 健康儿童赛前运动检查:何时应转诊小儿心脏病专家?

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/pediatr.2019-72710

Ş. Kayalı, Nuran Belder

{"title":"The Preparticipation Sports Examination of Healthy Children: When Should be Referred to Pediatric Cardiologist?","authors":"Ş. Kayalı, Nuran Belder","doi":"10.5336/pediatr.2019-72710","DOIUrl":"https://doi.org/10.5336/pediatr.2019-72710","url":null,"abstract":"ABS TRACT Objective: Sudden cardiac death (SCD) that may occur during sports activation of young healthy athletes is a painful condition and impose responsibilities on both families and physicians. Although, there is not an established standard protocol in medical screening of sports preparticipation, any of the screening procedure cannot completely rule out the presence of cardiovascular disease and prevent from SCD. The aim of this study is to evaluate the frequency of cardiac anomalies in healthy children evaluated by electrocardiography (ECG) and transthoracic echocardiography before sports participation and to question the necessity of pediatric cardiologist evaluation in the light of the available data. Material and Methods: All children who were admitted to Pediatric Cardiology Department of Keçiören Training and Research Hospital to get certificate to conform sports activation and underwent cardiac examination, ECG and echocardiography between October 2018 and October 2019 were enrolled in the study and findings were evaluated retrospectively. Results: A total of 785 children and adolescents with median age of 12 (minumum 5-maximum 18) years were enrolled in the study in one year period. A total of 27 (3.4%) participants showed abnormal findings on physical examination. ECG abnormalities were detected in 48 (6.1%) participants. Structural cardiac anomalies were observed in 53 (6.7%) participants by echocardiography. None of the echocardiographic diagnoses were hemodynamically significant. Conclusion: Echocardiography allows to diagnose cardiomyopathies or hemodynamically significant structural heart diseases which lead to decision of sports disqualification. However, in such a case, symptoms and ECG abnormalities may occur earlier and may be a guide for physicians for further examination. Comprehensive cardiac evaluation by a pediatric cardiologist including echocardiography should be performed in patients with suspected personal and family history, pathological findings in physical examination and/or pathological ECG findings.","PeriodicalId":39104,"journal":{"name":"Turkiye Klinikleri Pediatri","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Fokal Konjenital Hiperinsülinemik Hipoglisemi Olgusunda 18F-Fluoro-L-DOPA PET/BT Görüntülemesi ile Tedavi Yönetimi Olgus 18F-氟-L-DOPA PET/BT显像中局灶性常规高胰岛素血症低血糖症的治疗管理

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/PEDIATR.2020-76245

Sirmen Kizilcan Cetin, Zeynep Şıklar, Çiğdem Soydal, Elif Ozsu, Zehra Aycan, Aydın Yağmurlu, R. Uyanik, M. Bilici, Ayşegül Ceran, M. Berberoğlu

引用次数: 1

Çocuklarda Çiğneme Bozukluklarına Yaklaşım 儿童汉语障碍的研究

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/PEDIATR.2020-77155

S. Arslan

引用次数: 0

Recurrent Small Bowel Intussusceptions an Uncommon Presentation of Celiac Disease 复发性小肠肠套叠是乳糜泻的罕见表现

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/pediatr.2020-73954

Melike Arslan, N. Balamtekin

{"title":"Recurrent Small Bowel Intussusceptions an Uncommon Presentation of Celiac Disease","authors":"Melike Arslan, N. Balamtekin","doi":"10.5336/pediatr.2020-73954","DOIUrl":"https://doi.org/10.5336/pediatr.2020-73954","url":null,"abstract":"reylerde gluten ve ilgili prolaminler tarafından ortaya çıkan ve glutene bağlı klinik belirtilerin, ÇH'ye özgü antikorların, HLA-DQ2 veya HLA-DQ8 haplotiplerinin ve enteropatinin değişken bir kombinasyonunun varlığı ile karakterize immün aracılı sistemik bir hastalıktır. Gluten, buğday ve diğer tahıllarda (arpa, çavdar, yulaf) bulunan bir proteindir.1 ÇH’nin klasik semptomları arasında kronik ishal, kilo kaybı ve büyüme-gelişme geriliği sayılabilir. Daha yaygın olarak görülen klasik olmayan semptomları arasında demir eksikliği, şişkinlik, kabızlık, kronik yorgunluk, baş ağrısı, karın ağrısı ve osteoporoz bulunur.2 ÇH’nin psödoobstrüksiyon gibi atipik gastrointestinal şikâyetle prezante olduğu da bildirilmektedir.3 İnvajinasyon 5 yaşın altındaki çocuklarda ince bağırsak tıkanıklığının yaygın bir nedenidir ve klasik semptomları arasında akut karın ağrısı, kırmızı jöle şeklinde dışkı ve karın kitlesi bulunur. Bununla birlikte, bu klasik semptomlar her zaman mevcut değildir ve bazen ishal ve kusma ile akut viral gastroenteriti taklit eder. Çocuklarda invajinasyon etiyolojisinin neredeyse %90'ı ileokolik ve idiyopatiktir. İdiyopatik invajinasyon, 3 ay ile 5 yaş arasındaki çocuklarda ince bağırsak tıkanıklığının yaygın bir nedenidir ve son zamanlarda ÇH’nin invajinasyon ile prezante olabileceğine dair olgu sunumu şeklinde bildirimler rapor edilmiştir.4","PeriodicalId":39104,"journal":{"name":"Turkiye Klinikleri Pediatri","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Cutaneous Mastocytosis: Single-Center Experience 儿童皮肤肥大细胞增多症:单中心经验

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/pediatr.2019-73027

Süheyla Ocak, E. Yücel, H. Şen

{"title":"Pediatric Cutaneous Mastocytosis: Single-Center Experience","authors":"Süheyla Ocak, E. Yücel, H. Şen","doi":"10.5336/pediatr.2019-73027","DOIUrl":"https://doi.org/10.5336/pediatr.2019-73027","url":null,"abstract":"ÖZET Amaç: Mastositoz, bir veya daha çok organda mast hücrelerinin birikmesi sonucu oluşan bir hastalıktır. Deri, en sık tutulan organdır. Bu çalışmada, kutanöz mastositozu olan çocuk olguların klinik ve izlem bulgularının tanımlanması amaçlanmıştır. Gereç ve Yöntemler: Ocak 2015-Haziran 2019 tarihleri arasında, 0-18 yaş arasında histopatolojik değerlendirme ile mastositoz tanısı alan 27 olgu çalışmaya dâhil edildi. Olguların yaş, cinsiyet, döküntü süresi, hastalık seyri ve döküntüye ek yakınmaları kaydedildi, ilaç, besin alerjisi, anafilaksi öyküleri sorgulandı. Bulgular: Tüm olgularda, ciltte sınırlı döküntü ile seyreden kutanöz mastositoz görüldü. Makülopapüler kutanöz mastositoz ve soliter mastositoma sırasıyla 24 ve 3 olguda görüldü. Ortanca tanı yaşı 11,5 ay (3 ay-12 yaş) olarak bulundu; 26 olguda döküntü 1 yaş altında ortaya çıkmıştı. Üç olguda, doğum anından itibaren döküntü mevcuttu. Döküntüye ek olarak 11 olguda kaşıntı ve 6 olguda atopik dermatit, 2 olguda astım/reaktif havayolu ve birer olguda tekrarlayan ürtiker ve yüzde sıcak basması atakları öyküsü mevcuttu. Olguların hiçbirinde patolojik boyutta lenfadenopati, splenomegali ya da tam kan sayımında anormal bulgu, eozinofil saptanmadı. Sistemik tutulum olmaması nedeni ile olgular tedavisiz izleme alındı; 6 olguda döküntü sayısında belirgin azalma saptandı ancak hiçbir olguda lezyonlar tamamen gerilemedi. Soliter mastositoma tanılı 3 olgunun lezyonu lokal tedavi ile kayboldu. Atak dönemlerinde lokal ve sistemik tedavi ile tüm olgularda semptom kontrolü sağlandı. Takip süresince hiçbir olguda anafilaksi veya sistemik mastositoza ilerleme görülmedi. Sonuç: Bulgularımız pediatrik mastositozun cilt bulgularıyla sınırlı olduğu ve nadiren sistemik mastositoza dönüştüğü bilgisini desteklemektedir.","PeriodicalId":39104,"journal":{"name":"Turkiye Klinikleri Pediatri","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70792907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Çocuklarda Çölyak Hastalığının Klinik Spektrumu Değişiyor mu 它是否改变了儿童沙漠疾病的临床谱？

Turkiye Klinikleri Pediatri Pub Date : 2020-01-01 DOI: 10.5336/PEDIATR.2019-73141

Burcu Güven, Elif Sağ, M. Çakir

引用次数: 0

Prevalence and Severity of Color Vision Deficiency Among Turkish Children 土耳其儿童色觉缺陷的患病率和严重程度

Turkiye Klinikleri Pediatri Pub Date : 2019-08-07 DOI: 10.31525/ct1-nct04048499

F. Dikkaya, A. Özpınar

{"title":"Prevalence and Severity of Color Vision Deficiency Among Turkish Children","authors":"F. Dikkaya, A. Özpınar","doi":"10.31525/ct1-nct04048499","DOIUrl":"https://doi.org/10.31525/ct1-nct04048499","url":null,"abstract":"ABS TRACT Objective: To determine the prevalence of color vision deficiency, ratio of deutan/protan and the distribution of the severity of color vision deficiency among Turkish children and to evaluate the usability the Color Assessment and Diagnosis (CAD) test in children. Material and Methods: A total of 1374 children (627 girls and 747 boys) of age 6-16 years were included in this study. The first 15 plates of the Ishihara test were used to evaluate to screen for color defi- ciency. Those who made three or more errors had their color vision examined using the CAD test to determine the type and severity of color vision deficiency. The prevalence of color vision deficiency in boys and girls, ratio of deutan and protan deficieny and the distribu- tion of the severity of loss were calculated. The correlations of the CAD test result and number of mistakes on the Ishihara test with age were also evaluated. Results: Thirty seven boys (4.95%) and 3 girls (0.47%) made 3 or more errors and were categorized as having color vision deficiency. In total, 32 subjects completed the CAD test, 22 subjects (68.7%) were classified as deutan and 10 (31.2%) as protan with the ratio of 2.2:1. In terms of the CAD based color vision grading system for red-green deficiency 3 subjects (9.3%) were classed as color vision (CV) category 3, 5 subjects (15.6%) as CV category 4 and 24 subjects (75%) as CV category 5. There was no significant correlation between the CAD test result and number of mistakes on the Ishihara test with age (r=-0.075, p=0.684 and r=-0.191, p=0.295 respectively). Conclusion: The results reveal severe loss of red-green color vision in 75% of the children with color vision deficiency. The study also demonstrates that the CAD test can be used in children as young as six years.","PeriodicalId":39104,"journal":{"name":"Turkiye Klinikleri Pediatri","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47010679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1