Guncel Pediatri-Journal of Current Pediatrics最新文献

{"title":"Evaluation of Red Blood Cell Distribution Width-Platelet Ratio as an Early Predictor of Late-Onset Sepsis in Preterm Infants","authors":"P. Doğan, İpek Güney Varal, Atahan Ararat, Elif Güler Kazancı","doi":"10.4274/jcp.2022.55376","DOIUrl":"https://doi.org/10.4274/jcp.2022.55376","url":null,"abstract":"Introduction: Late-onset sepsis (LOS) is a major cause of death and neurodevelopmental impairment in preterm infants. In this study, our aim was to review the role of red cell distribution width to platelet ratio (RPR) to predict LOS in preterm infants. Materials and Methods: Preterm infants with ≤366/7 gestational weeks who were admitted to the neonatal intensive care (NICU) between January 2018 and 2020 were accepted in this observational cohort study. LOS group had culture-proven LOS and the control group with no LOS during their NICU stay. Complete blood cell parameters were recorded on the day of culture growth in the groups. The study cohort was classified into two groups according to the type of the growing microorganism and the RPR levels were then evaluated in intra- and inter-group analyses. Results: Eighty -five infants were included in the final analysis. RPR values were significantly higher in the LOS group (p<0.001) In the subgoup analyses, RDW and RPR values were significantly higher in the group with Gram-negative sepsis (p<0.001). The sensitivity and specificity of an RPR cutoff value of 0.17% were found to be 60% and 92% (p<0.001), respectively for predicting LOS. Conclusion: This study defined that RPR is a practical and useful marker to predict LOS in preterm infants. Future prospective studies with large study groups are needed to evaluate the role of RPR in the prediction of late-onset sepsis. red cell platelet","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44818543","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}

{"title":"Investigation of Anxiety Levels and Fever Management of Parents of Children with Fever","authors":"P. Yiğit, Arzu Sarıalioğlu","doi":"10.4274/jcp.2021.57614","DOIUrl":"https://doi.org/10.4274/jcp.2021.57614","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49142721","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}

{"title":"Clinicopathological Analysis of Our Ten-Year Pediatric Percutaneous Kidney Biopsies","authors":"Şenay Zırhlı Selçuk, A. Elmas, N. Akpolat, Y. Tabel","doi":"10.4274/jcp.2022.78736","DOIUrl":"https://doi.org/10.4274/jcp.2022.78736","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46835336","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}

{"title":"Effects of Levothyroxine Treatment on Cardiac Functions in Infants with Compensated Hypothyroidism","authors":"Ebru Barsal Çetiner, Özlem Turan, İsmail Çetiner, S. Akçurin, G. Akçurin","doi":"10.4274/jcp.2022.68815","DOIUrl":"https://doi.org/10.4274/jcp.2022.68815","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48188458","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}

{"title":"Could Vaccine Hesitancy be a Global Health Threat After Pandemics?: A Observational Study at Early Phase of COVID-19 Pandemic in 2020","authors":"Fırat Erdoğan","doi":"10.4274/jcp.2021.91668","DOIUrl":"https://doi.org/10.4274/jcp.2021.91668","url":null,"abstract":"Introduction: World Health Organization stated that \"vaccine hesitancy\" is an essential global health threat worldwide. The aim of the present study is to establish the number of families that refuse the hepatitis B vaccine and evaluate the impact of the coronavirus pandemic and the debates about vaccines. Materials and Methods: This retrospective study examined hospital's birth records covering the last ten years. The number of births per each year was recorded. A list was made of the patients who declared that they did not want their babies to be given the hepatitis B vaccine after birth. Results: The total number of families who refused the first dose of hepatitis B vaccine was 103 in the last ten years. Vaccine refusal increased to 15 times in 2016, and 18.5 times in 2021, compared to the first years covered by the study. The most common reasons to refuse vaccination were websites (34.27%) and social media (24.51%). While the majority of the participants refused vaccination due to alleged harmful ingredients in the vaccine while others due to their religious or philosophical beliefs. The mothers had a significantly higher level of education with 71% having a bachelor's degree or higher. Conclusion: Contrary to expectation of increased belief in vaccines during coronavirus pandemic, vaccine refusal has increased. Reasons for vaccine refusal are both traditional and social media features and both personal accounts and healthcare professionals in these sources can mislead the society with confusing claims. The failure to effectively provide accurate information leads to an exponential increase in false information, thus risking public health and the gains of long-lasting struggles. Giriş: Dünya Sağlık Örgütü, \"aşı tereddütünün\" dünya çapında temel küresel sağlık tehdidi olduğunu belirtti. Bu çalışmanın amacı, hepatit B aşısını reddeden aile sayısını tespit etmek ve koronavirüs pandemisinin etkisini ve aşı tartışmalarını değerlendirmektir. Gereç ve Yöntem: Bu retrospektif çalışmada, hastanenin son on yılı kapsayan doğum kayıtları incelendi. Her yıl başına düşen doğum sayısı kaydedildi. Doğumdan sonra bebeklerine hepatit B aşısı yapılmasını istemediklerini belirten hastaların listesi yapıldı. Bulgular: Son on yılda hepatit B aşısının ilk dozunu reddeden ailelerin toplam sayısı 103'tür. Aşı reddi, çalışmanın kapsadığı ilk yıllara kıyasla 2016'da 15'e ve 2021'de 18,5 katına çıkmıştır. Aşıyı reddetmenin en yaygın nedenleri web siteleri (%34,27) ve sosyal medyadan (%24,51) edinilen bilgilerdi. Katılımcıların çoğunluğu aşının içerdiği zararlı maddeler nedeniyle aşılamayı reddetmiş, diğerleri ise dini veya felsefi inançları nedeniyle aşıyı reddetmiştir. Reddeden annelerin %71'i lisans veya daha yüksek eğitim derecesine sahip olmak üzere önemli ölçüde yüksek eğitim düzeyine sahipti. Sonuç: Koronavirüs pandemisi sırasında aşılara olan inancın artması beklentisinin aksine aşı reddinin arttığı görülmektedir. Aşı reddine neden olan bilgilerin kaynağı hem gel","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49387472","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}

{"title":"The Assessment of Factors Related to Family Life in Children with Cerebral Palsy","authors":"Kamile Uzun Akkaya, Sabiha Bezgin, Bülent Elbasan","doi":"10.4274/jcp.2022.48802","DOIUrl":"https://doi.org/10.4274/jcp.2022.48802","url":null,"abstract":"Introduction: Many permanent problems can be seen together in children with cerebral palsy (CP). Therefore they need lifelong care and there are many factors that affect the family life of children with CP. The aim of this study was to investigate the relationship between factors such as the level of independence in daily living activities in children with CP, motor function levels, type of CP, and emotional state, cooperative activities, self-time, and family adjustment in the family. Materials and Methods: Two hundred and sixteen children with CP in an age range of 4-18 years were included in the study. The relationship between the WeeFIM, motor function levels, the number of siblings, and the parental impact-emotional, parental impact-time, family activities, and family cohesion domains of the CHQ-PF50 were examined. The effects of the type of CP on family life were investigated. Results: A positive weak correlation was observed between the WeeFIM, the number of siblings and CHQ-PF50 values (p<0.05). A negative weak correlation was observed between the motor function levels and parental impact-time (p<0.05). Conclusion: It was concluded that family life was positively affected with the increase in the independence levels of the children with CP in daily living activities. As the motor function levels of children with CP deteriorated, families were negatively affected in terms","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49443090","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}

{"title":"Underlying Factors of Childhood Vaccine Refusal and Hesitancy: A Population Based Study","authors":"B. Çatak, Hayrunnisa Bekis Bozkurt, Can Öner","doi":"10.4274/jcp.2021.70446","DOIUrl":"https://doi.org/10.4274/jcp.2021.70446","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45874241","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}

{"title":"The Effect of Plasma Endocan and Asymmetric Dimethyl Arginine Levels on Endothelial and Cardiac Functions in Children with Beta-Thalassemia Major","authors":"Utku Aygüneş, Ü. Can, M. Doğan, Merter Keçeli, Hatice Koçak Eker","doi":"10.4274/jcp.2022.88557","DOIUrl":"https://doi.org/10.4274/jcp.2022.88557","url":null,"abstract":"Introduction: Beta-thalassemia major (BTM) is an autosomal recessive disease characterized by hemolytic anemia. Increased iron load accumulating in the body as a result of frequent erythrocyte transfusions leads to endothelial dysfunction and cardiovascular complications. High asymmetric dimethylarginine (ADMA) levels disrupt endothelial function. Endocan is a soluble proteoglycan synthesized in vascular endothelial cells in many organs. High levels of endocan indicate endothelial dysfunction. We aimed to determine whether there is a correlation with cardiac evaluation instruments by evaluating circulating ADMA and endocan levels in BTM patient group and healthy control group and whether they can be a prognostic marker in terms of endothelial dysfunction and cardiovascular risk stratification. Materials and Methods: A total of 39 patients with BTM and 39 age and gender-matched healthy children were enrolled in the study. Medical histories of all patients were recorded and physical examinations were performed. Complete blood count, reticulocyte count, serum ferritin and the iron level, liver, renal function tests, plasma ADMA and endocan, and proBNP. Cardiac examination results were evaluated on all children in both patient and control groups by a pediatric cardiologist. Results: Mean ADMA level in the BTM group is higher than in the control group. Endocan levels in patients with BTM were not found to be statistically different. Serum endocan and ADMA levels were not associated with cardiovascular functions. Conclusion: Although serum levels of ADMA were found to be significantly higher in BTM patients, high serum endocan and ADMA levels were not associated with cardiovascular functi-ons.","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47562825","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}

{"title":"Assessing How Pediatricians, General Practitioners and Family Physicians Take an Approach to Seizure in Children","authors":"E. Tekin, Betul Diler Durgut, Ilgım Yaman","doi":"10.4274/jcp.2022.54926","DOIUrl":"https://doi.org/10.4274/jcp.2022.54926","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46321249","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}

{"title":"Psychopathological Evaluation In Children with Chronic Idiopathic Trombocytopenic Purpura","authors":"Utku Aygüneş, Ayla Uzun Çiçek","doi":"10.4274/jcp.2022.72677","DOIUrl":"https://doi.org/10.4274/jcp.2022.72677","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47796109","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}