Journal of Dr. Behcet Uz Children's Hospital最新文献

{"title":"Evaluation of demographic characteristics in childhood poisoning cases.","authors":"E. Berksoy, T. Çelik, Rana İşgüder, U. Karaaslan, H. Ağın, A. Yilmaz, N. Ünal","doi":"10.5222/buchd.2014.025","DOIUrl":"https://doi.org/10.5222/buchd.2014.025","url":null,"abstract":"Objective: Poisoning is considered among avoidable causes of morbidity and mortality of childhood emergencies. The aim of this study was to evaluate the epidemiological characteristics in childhood poisoning cases. Methods: Poisoning cases (n:216) aged between 1 month-194 months (mean: 69.33±60.34 months) who applied to pediatric emergency unit of Dr. Behçet Uz Children Hospital between January 2012-December 2012 were evaluated retrospectively. Results: 216 (8%)intoxication cases out of 2641 cases applied to the emergency unit, and hospitalized for observation during one year period (girls, 59.3%, and boys, 40.7%). The highest incidence of poisoning was detected in the 2-5 years of age group (52.8%) and pharmaceutical agents (52.8 %) were the most commonly ingested agents in this age group. Poisonings were related to suicidal (21%) or accidental (79%) events . When evaluated according to the season they occurred , 31.1% of the patients presented in autumn, 26.7% in the summer, 22.2% in the winter, 20% in the spring. There was no report of mortality in these 216 cases who underwent proper monitorization, and supportive treatment. Conclusion: We think that it is important to determine the poisoning profile of our region in order to undertake preventive measures.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115486335","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":"Comparison of perception of breastfeeding self-efficacy of mothers with healthy and sick children.","authors":"Hasret Yalcinoz Baysal, Nihan Türkoğlu, S. Kucukoglu","doi":"10.5222/BUCHD.2014.031","DOIUrl":"https://doi.org/10.5222/BUCHD.2014.031","url":null,"abstract":"Objective: This study was carried out to compare perception of breastfeeding self-efficacy of mothers with healthy and sick children. Methods: The study was carried out as a descriptive survey. The population of the study was composed of 62 mothers of healthy infants, and 63 mothers of sick infants who were hospitalized in Yakutiye Training and Research Hospital and agreed to participate in the study between February-April 2013 were included in the study. The data were collected via informative features form prepared by the researchers and by using Breastfeeding Self-Efficacy Scale. In the evaluation of data, percentages, mean±SD, Mann-Whitney U, and Kruskal-Wallis tests were used. Results: In the study, 89.6% of the mothers were housewives, primary school graduates (54.4%), and 61.6% of them had middle income. It was found that breastfeeding self-efficacy of mothers with healthy infants (55.48±9.87) was higher than breastfeeding self-efficacy of mothers with sick infants (52.25±7.85) and the difference between them was found to be statistically significant (p<0.05). Furthermore, it was found that mothers who had higher education and better economic level, and those breastfeeding their babies without formulas, in addition to those who received proper assistance for postpartum breastfeeding and proper baby care had higher breastfeeding self-efficacy perceptions (p<0.05). Conclusion: As a result, mean breastfeeding self-efficacy scores were higher in mothers with healthy infants when compared with mothers having sick children with a statistically significant difference between groups Since breastfeeding self-efficacy scores of the mothers with sick children are comparatively lower, it is important to develop mother-infant relationship during earlt postnatal period, to encourage these mothers about breastfeeding, and to determine factors effecting their breastfeeding self-efficacy.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122584925","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":"Early onset neonatal problems of late preterm infants that require hospitalization to the Neonatal Intensive Care Unit.","authors":"H. Helvacı, Arda Bozgül, Yasemin Onursal Helvaci, Burcak Tatli Gunes, Dilek Orbatu, S. Güneş","doi":"10.5222/buchd.2014.044","DOIUrl":"https://doi.org/10.5222/buchd.2014.044","url":null,"abstract":"Objective: Prematurity is one of the major reasons of neonatal morbidity and mortality. Late preterm birth is defined as birth at 34 (0/7) and 36 (6/7) weeks of gestation starting from the first day of the mother’s last menstrual period. Though late preterm infants are not evaluated in the high-risk categories, they result in short-, and long-term risks of morbidity, and mortality which cause critical social burden. In this study, we examined early onset problems of 150 late preterm newborns that were born at İzmir Tepecik Education And Research Hospital, and treated at the 2nd stage newborn intensive care unit. Methods: 150 late preterm infants that were born in our hospital between November 2012 and November 2013 and treated at the 2nd stage neonatal intensive care unit were included in the study. Maternal risk factors of patients, indications, and durations of hospitalizations, and problems encountered during hospitalization were recorded and the results were statistically evaluated. Results: The mean gestational age at birth was 35,17±0,79 weeks. The patient population consisted of 64 (42.7%) female, and 86 (57.3%) male infants. Indications of hospitalizations were respiratory distress (n=115; 76.7%), feeding intolerance (n=8; 5.3%), and neonatal infections (n=8; 5.3%), and the remaining indications were hypogycemia, congenital anomalies, hyperbilirubinemia, and asphyxia. The major maternal risk factors were preeclampsia (n=14; 9.3%) and maternal diabetes (10 patients, 6.7%). Early (n=13;8.7%), and late (n=14; 9.3%) onset sepsis have been detected, and 66 (44%) patients required phototherapy, and apnea was diagnosed amongt 5 (3.3%) patients during hospitalization. Conclusion: Findings of the study have revealed that late preterm infants often need hospitalization in newborn intensive care units as having respiratory distress, feeding intolerance and newborn jaundice indications. The findings of this study provide data supporting the previous findings of the relevant literature. Results suggest that neonatal intensive care units tend be engaged more in such cases due to the increase in the rate of early preterm births.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127364170","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":"A rare complication related to ventriculoperitoneal shunt in a child: Scrotal hydrocel","authors":"G. Gökalp, Alkan Bul, F. Can, A. Anıl, M. Anıl","doi":"10.5222/BUCHD.2014.075","DOIUrl":"https://doi.org/10.5222/BUCHD.2014.075","url":null,"abstract":"Altı ay 10 günlük erkek hasta, sağ skrotumda ani şişme yakınmasıyla hastanemiz çocuk acil servisine başvurdu. Hastanın miadında normal spontan vajinal yol ile 3500 gr doğduğu; doğum sonrası araknoid kiste bağlı hidrosefali teşhisini aldığı, postnatal 4. günde ventriküloperitoneal şant (VPŞ) takıldığı ve bir komplikasyon yaşanmadığı belirtildi. Olgunun yapılan fizik bakısında vücut ağırlığı 7200 g (%14 persentil), boy 65 cm (%15 persentil) ve baş çevresi 56cm (%97 persentil) olarak saptandı. Vücut sıcaklığı: 36,5°C; kalp tepe atımı: 100/dk.; solunum sayısı: 32/ dk.; kan basıncı: 95/56 mmHg ölçüldü. Fizik bakıda geçirilmiş VPŞ operasyonuna ait bulgular ve sağ skrotumda hassasiyet ve hiperemi olmaksızın ödem olduğu görüldü. Sol testisin fizik bakısı olağandı. Işık kaynağı ile yapılan skrotal muayenede sağda transluminasyon (+) gözlendi. Ultrasonografi incelemesinde batın içinde serbest sıvı artışı, sağ skrotumda tübüler bir yapıya ek olarak sıvı artışı görüldü. Ayakta direk batın grafisinde VPŞ’ın abdominal ucunun sağ skrotumun içinde olduğu belirlendi (Resim 1). Bunun üzerine hasta operasyona alındı ve VPŞ abdominal ucunun revizyonu gerçekleştirildi. Kateterin ucu skrotumdan çıkartılıp batın içinde serbest bırakıldı. Açık olan processus vaginalis kapatıldı. Ameliyat sonrası 4. günde ek bir sorunu olmayan olgu poliklinik kontrolüne gelmek üzere taburcu edildi. Skrotal şişme ve ağrı yakınmasıyla başvuran bir çocukta hekimin ilk değerlendirmesi gereken nokta, hastanın yaygın ödemi olup olmadığıdır. Yaygın ödem varlığında nefrotik sendrom gibi patolojiler ön planda düşünülmelidir. Skrotuma lokalize yakınmaları olan hastalar ise ağrı varlığına göre iki gruba ayrılmaktadır. Bebeklerde ağrısız skrotal şişmenin en sık iki nedeni fıtık ve hidroseldir. Bebeklik dönemin-","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121995354","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":"Alterations in intraocular pressure and central corneal thickness in premature newborns.","authors":"N. Zengin, M. Zengin, E. Karahan, I. Tuncer","doi":"10.5222/BUCHD.2014.020","DOIUrl":"https://doi.org/10.5222/BUCHD.2014.020","url":null,"abstract":"","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128941197","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":"Severe axonal neuropathy resulting from folic acid deficiency in a case with restrictive type anorexia nervosa.","authors":"E. Bayram, U. Yiş, Ibrahim Oztura, O. Akdogan, Y. Topçu, P. Karaoğlu, S. Kurul","doi":"10.5222/BUCHD.2014.072","DOIUrl":"https://doi.org/10.5222/BUCHD.2014.072","url":null,"abstract":"An adolescent patient with eating disorder and three months history of severe weight loss presented with signs of neuropathy. She had severe symmetrical weakness of proximal and distal muscles and electromyography revealed axonal type sensorimotor neuropathy. Serum folic acid level was low (1.5 ng/ml; normal values 5-16 ng/ml). Although peripheral neuropathy is a rare late complication of anorexia nervosa, clinicians dealing with anorexia nervosa should be aware that peripheral neuropathy may also develop in the early course of disease.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132265404","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":"Antibiotic resistance in childhood Helicobacter pylori infection.","authors":"C. B. Erdur, I. Isik","doi":"10.5222/BUCHD.2014.010","DOIUrl":"https://doi.org/10.5222/BUCHD.2014.010","url":null,"abstract":"","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128359642","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":"Ventriculoperitoneal shunt malfunction: presentation of 2 case reports and review of the literature.","authors":"V. Erikçi, O. Ganiusmen, M. Hoşgör","doi":"10.5222/BUCHD.2013.219","DOIUrl":"https://doi.org/10.5222/BUCHD.2013.219","url":null,"abstract":"Objective: This study was carried out to focus on two unusual complications due to ventriculoperitoneal shunts (VPSs) performed in hydrocephalic children. Management of these patients with a special emphasis on the foregoing literature concerning the migration of shunt catheter into the scrotum is reviewed and discussed. Methods: A retrospective clinical study performed in patients with complications of VPS causing acute abdomino-scrotal conditions in two different centers between 20022012 is presented in the current study. Results: There are two pediatric cases with diagnosis of hydrocephaly and complications of VPS during the study period. Age, mode of presentation, results of treatment were studied. Apart from physical examination and radiological investigations, diagnosis of VPS complication was confirmed during surgical procedures in our patients. Conclusion: Complications of intestinal obstruction and protrusion of the VPS catheter into the scrotum are rarely seen in hydrocephalic children with VPS. Early identification and management of these complications is recommended for that they may cause lifethreatening acute abdomino-scrotal conditions.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124340228","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":"Percutaneous nephrostomy application in neonatal period: a case report.","authors":"M. Kanğın, C. Alparslan, Mehmet Onur Kahya, Hale Çitlenbik, E. Kose, T. Özdemir, A. Anıl, O. Yavascan, N. Aksu","doi":"10.5222/BUCHD.2013.215","DOIUrl":"https://doi.org/10.5222/BUCHD.2013.215","url":null,"abstract":"Percutaneous nephrostomy is a well-known therapy for urinary drainage in patients with supravesical urinary tract obstruction. This procedure which was firstly applied by Goodwin et al in 1955 is known to be performed in patients with various urologic problems for many years, especially in adults. Percutaneous nephrostomy has generally been performed by urologists or interventional radiologists and it is recognized as a difficult procedure to apply, especially in the neonatal period. As discussed in this neonatal case, PN have a very effective role in the diagnosis and management of neonatal hydronephrosis, even it might be a life-saving procedure which can also be performed by an experienced pediatric nephrologist.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114224067","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":"Concurrence of protracted febrile myalgia syndrome and Mycoplasma pneumoniae infection: Case report","authors":"D. Alaygut, S. Kılıc, H. Gursu","doi":"10.5222/BUCHD.2013.207","DOIUrl":"https://doi.org/10.5222/BUCHD.2013.207","url":null,"abstract":"Familial Mediterranean Fever (FMF) is characterized by recurrent attacks of inflammation in predominantly serosal and synovial membranes, is caused by MEFV gene mutations resulting in the emergence of abnormal pyrin production. Protracted febrile myalgia syndrome (PFMS), a kind of vasculitis requiring corticosteroid treatment, is associated with M694V mutation of MEFV gene. Patients with FMF are susceptible to certain antigens, some of which cause mild stimulation of immune response leading to typical FMF attack. Here we report a case where the patient developed PFMS with FMF concurrently with atypical pneumoniae secondary to Mycoplasma pneumoniae. Mycoplasma pneumoniae-associated cytokine release may be a predisposing or triggering factor for FMF and we aimed to discuss the possible mechanisms of concomitant M.pneumonia infection and FMF-associated PFMS.","PeriodicalId":428200,"journal":{"name":"Journal of Dr. Behcet Uz Children's Hospital","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121211462","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}