Turkish archives of pediatrics最新文献

Gut Microbiota Alterations in Autism Spectrum Disorder. 自闭症谱系障碍中的肠道微生物群变化。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24086

Annio Posar, Paola Visconti

引用次数: 0

Investigation of Physical Fitness in Children and Adolescents with Juvenile Idiopathic Arthritis: A Case-Control Study. 青少年特发性关节炎患者的体能调查：病例对照研究

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24103

Sinem Bozcuk, Bilge Basakcı Calık, Elif Gur Kabul, Zahide Ekici Tekin, Selçuk Yüksel

{"title":"Investigation of Physical Fitness in Children and Adolescents with Juvenile Idiopathic Arthritis: A Case-Control Study.","authors":"Sinem Bozcuk, Bilge Basakcı Calık, Elif Gur Kabul, Zahide Ekici Tekin, Selçuk Yüksel","doi":"10.5152/TurkArchPediatr.2024.24103","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24103","url":null,"abstract":"Swelling, effusion, tenderness, and pain seen in the joints of juvenile idiopathic arthritis (JIA). This disease may cause limitation in joint movements, muscle weakness, atrophy, balance, and gait disorders. Physical fitness is accepted as an important determinant of health in both childhood and adolescence. The aim was to evaluate the physical fitness of children/adolescents with JIA and compare it with healthy peers. Seventy children/adolescents were included (35 JIA and 35 healthy). The Childhood Health Assessment Questionnaire (CHAQ) and the Brockport physical fitness test battery were used for evaluation. The Brockport physical fitness test battery consists of dominant handgrip strength, curl-up, push-up, trunk lift, shoulder stretch, sit and reach tests, skinfold thickness (calf/triceps/subscapular) measurements, and PACER 20 m test. A significant difference was found in all sub-parameters of CHAQ (P < .05) and dominant hand grip strength (P = .037), curl-up test (P < .001), trunk lift test (P = .018), shoulder stretch (P < .001) and PACER 20 m test (P < .001) tests in favor of the healthy group. Children/adolescents with JIA demonstrated lower performance compared to their healthy peers in muscular and cardiovascular capacity tests (curl-up test, PACER 20 m test, trunk lift test, dominant hand grip strength test, and shoulder stretch test). Their functional abilities are more impaired, and they experience higher levels of pain and lower levels of general well-being compared to healthy peers.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Children with Aortic Coarctation: A Single-Center Experience. 儿童主动脉瓣狭窄评估：单中心经验

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24050

Hasan Türkmen, Fahrettin Uysal, Abdüsselam Genç, Özlem M Bostan, Işık Şenkaya Siğnak

{"title":"Evaluation of Children with Aortic Coarctation: A Single-Center Experience.","authors":"Hasan Türkmen, Fahrettin Uysal, Abdüsselam Genç, Özlem M Bostan, Işık Şenkaya Siğnak","doi":"10.5152/TurkArchPediatr.2024.24050","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24050","url":null,"abstract":"Coarctation of the aorta (CoA) accounts for 3.5% of all congenital heart diseases in children. The clinical manifestations range from heart failure to asymptomatic hypertension. Treatment options include surgical repair, balloon angioplasty, and stenting. We aimed to investigate the long-term results of surgery and balloon angioplasty to identify the possible risk factors for recoarctation and predictors associated with early success in treatment modalities. The data of 138 children who underwent examinations at a tertiary center between 2015 and 2020 with the diagnosis of CoA were evaluated. The basic demographic characteristics, clinical and echocardiographic findings, results, and treatment methods of the patients were evaluated retrospectively. The mean follow-up period was 75.1 months (range of 1-223). As initial treatment, 75 patients (60.5%) underwent balloon angioplasty, 44 (35.5%) underwent surgery, and 5 (4%) underwent stenting. The early success rate of balloon angioplasty and surgery was 72.5% and 79.5%, respectively. Recoarctation occurred in 47.6% of patients following the first therapy. The median reintervention-free survival time was 138 months for all patients and was significantly higher in the surgery group (P = .025). The recoarctation rate was slightly lower in the surgery group than in those who underwent balloon angioplasty, but it was not statistically significant. None of the clinical and echocardiographic findings were found to be associated with recoarctation or early success. The rate of recoarctation is still high in long-term follow-up after aortic coarctation treatment, and clinical and echocardiographic findings are insufficient to predict the chance of early success and the risk of recoarctation.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single-Center Experience in Patients with Mixed Gonadal Dysgenesis. 混合性性腺发育不良患者的单中心经验

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24095

Ebru Barsal Çetiner, Zeynep Donbaloğlu, Berna Singin, Bilge Aydın Behram, Kürşat Çetin, Güngör Karagüzel, Hale Tuhan, Mesut Parlak

{"title":"Single-Center Experience in Patients with Mixed Gonadal Dysgenesis.","authors":"Ebru Barsal Çetiner, Zeynep Donbaloğlu, Berna Singin, Bilge Aydın Behram, Kürşat Çetin, Güngör Karagüzel, Hale Tuhan, Mesut Parlak","doi":"10.5152/TurkArchPediatr.2024.24095","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24095","url":null,"abstract":"Mixed gonadal dysgenesis (MGD) is an uncommon chromosomal Disorder of Sexual Development (DSD). There is insufficient information regarding clinical findings and growth patterns. This study aimed to provide more information about mixed gonadal dysgenesis, which has not yet been sufficiently defined. Data from 10 patients diagnosed with mixed gonadal dysgenesis were retrospectively reviewed. Clinical presentations, complaints at admission, imaging, genetic results, and treatments received by the patients were examined. Gonadal status and the gender of the patients were reared and evaluated by a multidisciplinary council decision. If received, growth hormone treatment doses and height gains were examined. The patients' ages at admission range from 6 months to 17.5 years. The median height SDS of the patients was -0.75 (2.73), the mean body weight SDS was -0.49 (±1.46), and the mean body mass index (BMI) SDS was 0.26 (±0.97). The complaints at admission varied, including ambiguous genitalia, short stature, and absence of menstruation. Some patients are completely in the female phenotype, while some are inadequately virilized male phenotype. External Masculinization Score (EMS) ranges from 1 to 6.5. The decision to raise 6 patients as female and 4 patients as male was made by a multidisciplinary council. Growth hormone treatment was administered to patients raised as female and diagnosed with short stature. The height SDS gain in treated patients was 0.42 (±0.49). Due to its rarity and varied clinical presentation, our knowledge about mixed gonadal dysgenesis is limited. Therefore, early diagnosis and individualized treatment plans are crucial for this patient group.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic Accuracy of Ultrasound in Cholestatic Infants with Biliary Atresia. 胆道闭锁婴儿胆汁淤积症的超声诊断准确性。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24084

Hermis Arsena, Audric Kenny Tedja, Hesti Gunarti, Tiara Putri Leksono, Afina Azka Latifanisa Kuncoro, Adisrasti Rejeki Amaragati, Akhmad Makhmudi, Gunadi Gunadi

{"title":"Diagnostic Accuracy of Ultrasound in Cholestatic Infants with Biliary Atresia.","authors":"Hermis Arsena, Audric Kenny Tedja, Hesti Gunarti, Tiara Putri Leksono, Afina Azka Latifanisa Kuncoro, Adisrasti Rejeki Amaragati, Akhmad Makhmudi, Gunadi Gunadi","doi":"10.5152/TurkArchPediatr.2024.24084","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24084","url":null,"abstract":"Biliary atresia (BA) is an obstructive cholangiopathy that involves the intrahepatic and extrahepatic bile ducts. Ultrasound (US) can aid in evaluation of the biliary system and be efficiently used in daily practice. However, most studies on US for diagnosing BA have been conducted in developed countries. Therefore, we have aimed to evaluate the diagnostic accuracy of US in BA in infants with cholestasis from a developing country. This retrospective study used data collected from our hospital medical records. The US findings were compared with the gold standard intraoperative or cholangiography findings. Thirty-five BA patients (19 males and 16 females) and 36 controls (20 males and 16 females) were included in the study. Most of the patients (85.7%) were ≤ 6 months old. The absence of a gallbladder demonstrated 71.42% sensitivity (Sn), 91.67% specificity (Sp), 89.29% positive predictive value (PPV), 76.74% negative predictive value (NPV), 8.57 positive likelihood ratio (LR+), and 0.31 negative likelihood ratio (LR-) for diagnosing BA. The triangular cord sign demonstrated 14.28% Sn, 100% Sp, 100% PPV, 76.74% NPV, ∞ LR+, and 0.86 LR- for diagnosing BA. The combination of gallbladder absence and a positive triangular cord sign demonstrated 82.85% Sn, 91.67% Sp, 90.63% PPV, 84.61% NPV, 9.95 LR+, and 0.19 LR- for diagnosing BA. The diagnostic accuracy of US in BA is high, indicating that it can be the imaging tool of choice in infants with cholestasis. Ultrasound is safe and can be easily used in daily practice without the risk of radiation exposure.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association of Sociodemographic Factors and Utilization of Diabetes Technologies with Diabetes Management: An Investigation in Children and Adolescents with Type 1 Diabetes. 社会人口因素和糖尿病技术的使用与糖尿病管理的关系：对 1 型糖尿病儿童和青少年的调查。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24093

Zeynep Donbaloğlu, Ebru Barsal Çetiner, Hale Tuhan, Mesut Parlak

{"title":"The Association of Sociodemographic Factors and Utilization of Diabetes Technologies with Diabetes Management: An Investigation in Children and Adolescents with Type 1 Diabetes.","authors":"Zeynep Donbaloğlu, Ebru Barsal Çetiner, Hale Tuhan, Mesut Parlak","doi":"10.5152/TurkArchPediatr.2024.24093","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24093","url":null,"abstract":"We aimed to investigate the relationship between sociodemographic and clinical characteristics, as well as the utilization of diabetes technologies, with diabetes management in individuals with type 1 diabetes (T1D). Our study included 134 cases diagnosed with T1D who were followed for at least 1 year with T1D. Of the cases, 67.2% were using insulin pens as their insulin regimen, while 37.8% were using insulin pumps. The rate of continuous glucose monitoring (CGM) usage was 29.9%. The rate of CGM usage was 5% in families with low income levels. Glycosylated hemoglobin A1c(HbA1c) level of children with working mothers was found to be higher compared to those with non-working mothers (median 9.2% vs. 8%; P = .009). Cases with 3 or more siblings had higher HbA1c levels compared to those with 2 or fewer siblings (median 8.7% vs. 8.1%; P = .044).The median HbA1c was 8.7% in cases using insulin pens and checking fingerstick blood glucose (SMBG); 8.3% in cases using insulin pumps and SMBG; 7.6% in cases using insulin pens with CGM, and 7.5% in cases using insulin pumps with CGM (P = .003). The utilization of insulin pumps with CGM in T1D cases exhibited lower HbA1clevels. Similarly, even the usage of insulin pens with CGM demonstrated improved diabetes management. Maternal employment and having a higher number of siblings may negatively affect diabetes management due to increased caregiver burden. We believe that personalized healthcare delivery tailored to the individual needs of T1D patients based on family and clinical characteristics could have positive effects on diabetes management.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrauterine Growth References for Turkish Infants. 土耳其婴儿宫内生长参考值。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24123

Mahmood Dhahir Al-Mendalawi

引用次数: 0

The Devastating Impact of the Earthquake Doublet: An Alarming Increase in Child Mortality. 地震双重打击的破坏性影响：儿童死亡率惊人上升。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.28625

Uğurcan Sayılı, Hazal Cansu Çulpan, Ethem Erginöz

引用次数: 0

Measuring Transition Readiness of Patients After Transfer from Pediatric to Adult Care in Rheumatology. 衡量风湿病患者从儿科转到成人科后的过渡准备情况。

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24085

Ali Yağiz Ayla, Helin İdil Beşiroğlu, Feyza Nur Azman, Buğra Han Egeli, Hatice Eren, Sıla Öztürk, Sercan Ergün, Amra Adrovic, Kenan Barut, Fatih Haslak, Sezgin Şahin, Mehmet Yıldız, Huri Özdoğan, Özgür Kasapçopur, Serdal Ugurlu

{"title":"Measuring Transition Readiness of Patients After Transfer from Pediatric to Adult Care in Rheumatology.","authors":"Ali Yağiz Ayla, Helin İdil Beşiroğlu, Feyza Nur Azman, Buğra Han Egeli, Hatice Eren, Sıla Öztürk, Sercan Ergün, Amra Adrovic, Kenan Barut, Fatih Haslak, Sezgin Şahin, Mehmet Yıldız, Huri Özdoğan, Özgür Kasapçopur, Serdal Ugurlu","doi":"10.5152/TurkArchPediatr.2024.24085","DOIUrl":"https://doi.org/10.5152/TurkArchPediatr.2024.24085","url":null,"abstract":"Transitional care is essential to maintain the continuity of care in younger patients with rheumatic diseases. In this study, we aimed to assess the transition readiness of rheumatology patients who had already transferred from pediatric to adult care using a questionnaire. We included young adult rheumatology patients who had already transferred to adult rheumatology care. The Transition Readiness Assessment Questionnaire (TRAQ) was used in the adult rheumatology clinic to assess the patients' readiness; a retrospective chart review was conducted to include diagnosis, age at diagnosis, age at transfer, and current age. Three hundred and ten patients (184 female and 126 male) participated in this study. The mean age at diagnosis, the mean age at transfer, and the mean age at the time of the study were 10.7 ± 4.29, 21.1 ± 1.69, and 24.0 ± 2.26 years, respectively. Most of the patients had familial Mediterranean fever, followed by arthritis, connective tissue disorders, and other diseases. Tracking health issues was the lowest-scored domain. Females scored significantly higher than males in the tracking health issue domain (P = .006) and managing health issue domain (P = .028) but not in the overall TRAQ score (P = .053). Patients in different diagnosis and transfer age groups scored similarly across the domains. In this study, females performed better than males in 2 domains of the TRAQ questionnaire. Diagnoses or transfer age groups were not associated with TRAQ outcomes.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11391217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Intravesical Tranexamic Acid for Severe Macroscopic Hematuria in a Biventricular Assist Device-Implanted Child. 使用膀胱内氨甲环酸治疗双室辅助装置植入患儿的严重镜下血尿

IF 1.3

Turkish archives of pediatrics Pub Date : 2024-09-02 DOI: 10.5152/TurkArchPediatr.2024.24055

Eda Eyduran, Hamdi Cücan, Merve Havan, Tayfun Uçar, Ahmet Rüçhan Akar, Tanıl Kendirli

引用次数: 0