Turkish archives of pediatrics最新文献_第2页

Possible Factors Affecting Breast Milk Feeding Status Of Preterm Infants Monitored in the Neonatal Intensive Care Unit. 影响新生儿重症监护病房监测早产儿母乳喂养状况的可能因素

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24265

Funda Emren Yakar, Elif Ünver Korğalı

{"title":"Possible Factors Affecting Breast Milk Feeding Status Of Preterm Infants Monitored in the Neonatal Intensive Care Unit.","authors":"Funda Emren Yakar, Elif Ünver Korğalı","doi":"10.5152/TurkArchPediatr.2025.24265","DOIUrl":"10.5152/TurkArchPediatr.2025.24265","url":null,"abstract":"Objective: The aim was to investigate the rates, duration, and possible influencing factors of breast milk feeding (BMF) in preterm infants in the neonatal intensive care unit (NICU) at discharge and in the first year of life. Materials and Methods: In a retrospective cohort study, 173 preterm infants <37 weeks who were hospitalized in the NICU were evaluated. Information was obtained from hospital records and mothers via telephone. Results: The BMF rate was 90.7% with 62.4% exclusively breastfeeding (EBF) and 28.3% partially breastfeeding at discharge. The exclusive, partial, and formula feeding rates were 53.7%, 27.7%, 18.5% and 43.9%, 37%, 19.1% at 4 and 6 months, respectively. The median EBF and total BMF durations were 4 (1-6) and 12 (4.5-24) months, respectively. Very preterms were weaned at a higher rate in the first 6 months compared to moderate and late preterms (50%, 26.3%, 33.3%, P=.046, respectively). EBF at discharge was significantly associated with EBF at 4 and 6 months by chronological and corrected age. The BMF rate for >12 months was higher for multiparous mothers (56.40%, 36.10%, P=.02). Total BMF duration was shorter in preterms with sepsis compared to those without sepsis (median 5 (1-12) and 12.5 (5-24) months, P=.02). It was positively correlated with gestational age (P=.046, r = 0.13), birthweight (P=.012, r=0.17), APGAR (Appearance, Pulse, Grimace, Activity, Respiration) scores 1-minute (P=.002, r = 0.22) and 5-minutes (P=.016, r = 0.16), and maternal age (P < .001, r = 0.25) and negatively correlated with the length of stay in the NICU (P=.031, r=-0.14) and the intubation time (P=.006,r= -0.41). Conclusion: To improve breastfeeding, EBF should be aimed at discharge in all preterms. After discharge, breastfeeding support and close follow-up should be continued for all preterms, especially very preterms.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 2","pages":"280-288"},"PeriodicalIF":1.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059460","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

Insights Into Pediatric Non-congenital Adrenal Hyperplasia: A Review Based on 5 Different Rare Cases with Primary Adrenal Insufficiency. 小儿非先天性肾上腺增生：基于5例罕见原发性肾上腺功能不全的回顾。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24339

Sirmen Kizilcan Cetin, Zeynep Siklar, Elif Ozsu, Zehra Aycan, Merih Berberoglu

{"title":"Insights Into Pediatric Non-congenital Adrenal Hyperplasia: A Review Based on 5 Different Rare Cases with Primary Adrenal Insufficiency.","authors":"Sirmen Kizilcan Cetin, Zeynep Siklar, Elif Ozsu, Zehra Aycan, Merih Berberoglu","doi":"10.5152/TurkArchPediatr.2025.24339","DOIUrl":"10.5152/TurkArchPediatr.2025.24339","url":null,"abstract":"Adrenal insufficiency presents a significant clinical challenge due to its diverse etiologies and potentially life-threatening consequences. This review highlights the spectrum of adrenal insuf- ficiency, focusing on primary adrenal insufficiency (PAI). Childhood PAI, predominantly con- genital, presents unique diagnostic and management considerations. An aspect of this review is the discussion of PAI related to non-congenital adrenal hyperpla- sia, particularly adrenocorticotropic hormone (ACTH) resistance syndromes and autoimmune adrenal insufficiency. The clinical presentation, diagnosis, and treatment management of these rare childhood PAI types are assessed through 5 case studies. Despite advancements in genetic understanding, some cases are unsolved and remain diag- nostic mysteries. There is a need for further research and elucidation of molecular etiopatho- genesis in adrenal insufficiency. Clinicians are pivotal in identifying these rare diseases and providing lifesaving outcomes.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 3","pages":"258-267"},"PeriodicalIF":1.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058635","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

Growth Hormone Therapy in Neurosecretory Dysfunction. 神经分泌功能障碍的生长激素治疗。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24319

Ebru Barsal Çetiner, Zeynep Donbaloğlu, Berna Singin, Kürşat Çetin, Yasemin Funda Bahar, Hale Tuhan, Mesut Parlak

{"title":"Growth Hormone Therapy in Neurosecretory Dysfunction.","authors":"Ebru Barsal Çetiner, Zeynep Donbaloğlu, Berna Singin, Kürşat Çetin, Yasemin Funda Bahar, Hale Tuhan, Mesut Parlak","doi":"10.5152/TurkArchPediatr.2025.24319","DOIUrl":"10.5152/TurkArchPediatr.2025.24319","url":null,"abstract":"Objective: Growth hormone neurosecretory dysfunction (GH-NSD) is a rare cause of short stat- ure. Diagnosis is established by evaluating nocturnal growth hormone secretion in patients with normal growth hormone stimulation tests. The aim of this study was to evaluate the first- and second-year treatment responses and final height in patients diagnosed with GH-NSD and treated with recombinant human growth hormone (rhGH). Materials and Methods: This retrospective study examined 500 patients treated with rhGH for short stature at a pediatric endocrinology clinic at Akdeniz University. Among them, 18 patients diagnosed with GH-NSD were included in the study. At the time of treatment initiation, param- eters such as insulin-like growth factor 1 (IGF-1), growth hormone (GH) stimulation test results, mean GH level during sleep, height standard deviation score (SDS), mid-parental height (MPH), and predicted adult height (PAH) were assessed. Treatment responses during the first and second years, as well as final height data, were analyzed. Results: GH therapy improved height velocity (HV) and overall height. The mean baseline height SDS of the patients was -3.13 ± 0.36. In the first year, Δheight SDS was 0.72 ± 0.44, and in the second year, Δheight SDS was 1.00 ± 0.70. Patients who reached their final height had a mean height SDS of -1.72 ± 0.83 and Δheight SDS of 1.46 ± 0.62. A correlation was found between the baseline height SDS, PAH SDS, MPH SDS, and first-year HV. Conclusion: Patients with GH-NSD treated with rhGH respond well to treatment, achieving genetic height potential.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 3","pages":"294-300"},"PeriodicalIF":1.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060757","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

Hemodynamic Changes in the Transition Period in the Preterm and Term Infant: Basic Concepts. 早产儿和足月儿过渡期的血流动力学变化：基本概念。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24256

Fahri Fahri

引用次数: 0

Cardiovascular Response to Active Standing Test in Children with Overweight and Obesity. 超重和肥胖儿童对主动站立试验的心血管反应。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24243

Yasemin Nuran Donmez, Kutay Sel

{"title":"Cardiovascular Response to Active Standing Test in Children with Overweight and Obesity.","authors":"Yasemin Nuran Donmez, Kutay Sel","doi":"10.5152/TurkArchPediatr.2025.24243","DOIUrl":"10.5152/TurkArchPediatr.2025.24243","url":null,"abstract":"Objective: The aim of this study was to assess active standing test responses in ovewrweight or obese children and to determine the factors that contribute to orthostatic abnormalities. Materials and Methods: Orthostatic responses were investigated in bothobese and overweight children. To provide an overview of the autonomic nervous system (ANS), blood pressure and heart rate measurements, laboratory parameters, and anthropometric measures were analyzed. Results: A total of 123 overweight or obese children, with a median age of 15.03 (range from 6.9 to 17.9), were included in this study. Seventy-seven patients (63%) were obese, whereas 46 (37%) were overweight. Orthostatic disturbances were observed in 78 patients (63%). In the standing test, 73 patients (59%) exhibited an abnormal response. Orthostatic hypotension (33%), ortho- static hypertension (30%), and postural orthostatic tachycardia syndrome (18%), were detected in the patients. The group that had orthostatic hypotension had a lower systolic pressure in the standing test after 10 min. The group with orthostatic hypertension had higher body mass index. Furthermore, the orthostatic group displayed significantly higher levels of Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), insulin, and HbA1c. Conclusion: The results of this study signifies a connection between obesity or being overweight and ANS, . highlighting the need for evaluation of the ANS in obese or overweight children to predict the adverse consequences and to prevent occuring during childhood.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 3","pages":"268-273"},"PeriodicalIF":1.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051879","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

Psychometric Properties of the Turkish Version of the Movement Imagery Questionnaire for Children. 土耳其语版儿童动作意象问卷的心理测量特征。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-05-02 DOI: 10.5152/TurkArchPediatr.2025.24244

Nursena Şengün, Burcu Dilek, Handan Ankaralı, Çiğdem Ayhan Kuru

{"title":"Psychometric Properties of the Turkish Version of the Movement Imagery Questionnaire for Children.","authors":"Nursena Şengün, Burcu Dilek, Handan Ankaralı, Çiğdem Ayhan Kuru","doi":"10.5152/TurkArchPediatr.2025.24244","DOIUrl":"10.5152/TurkArchPediatr.2025.24244","url":null,"abstract":"Objective: The Movement Imagery Questionnaire for Children (MIQ-C) was developed as a tool to evaluate children's imagery capabilities. It comprises 3 subcomponents: internal visual imagery, external visual imagery, and kinesthetic imagery. This study aimed to cross-culturally adapt the MIQ-C to Turkish. Materials and Methods: A total of 120 healthy children (mean age 9.43 ± 1.66 years; 67 males and 53 females) were enrolled. The structure of the questionnaire was confirmed by the use of both construct and criterion validity. The questionnaire was administered to the children at intervals of 1 week to assess internal consistency and test-retest reliability. Results: The confirmatory factor analysis validated the 3-factor construct of the MIQ-C, and the model showed a satisfactory fit to the data set. The internal consistency of the Turkish MIQ-C (Cronbach's α coefficient = 0.94) and the intraclass coefficient (ICC) reliability (ICC values ranging from 0.93 to 0.96) were found to be excellent. Conclusion: The present findings suggest that the Turkish version of the MIQ-C is a valid and reliable instrument for the assessment of imagery ability in Turkish-speaking children.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 3","pages":"326-333"},"PeriodicalIF":1.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060723","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

Point-of-Care Ultrasound in Pediatric Emergency Setting: Description of a Complicated Case in a Pediatric Emergency Department. 儿科急诊现场超声：儿科急诊科一例复杂病例的描述。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-04-14 DOI: 10.5152/TurkArchPediatr.2025.24259

Maria Elena Cucuzza, Maria Paola Sambataro, Vita Antonella Di Stefano

引用次数: 0

Subcutaneous Pediatric Nasal Glial Heterotopia. 皮下儿童鼻胶质异位。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-04-14 DOI: 10.5152/TurkArchPediatr.2025.24261

Gabriele Gaggero, Margherita Concardi, Marco Pavanello, Andrea Rossi, Jacopo Ferro, Valerio Gaetano Vellone

引用次数: 0

Uncovering Intracranial Pathology: Olfactory Hallucinations in a Young Boy with Aneurysmal Hemorrhage. 揭露颅内病理：动脉瘤性出血男童的嗅觉幻觉。

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-04-14 DOI: 10.5152/TurkArchPediatr.2025.24270

Eymen Pinar, Damla Gürleyik, Cem Çakmak, Ender Vergili, Gamze Başak, Bora Korkmazer, Güntülü Şık

引用次数: 0

Preschool Asthma Children: Navigating COVID-19's Impact on Treatment Adherence. 学龄前哮喘儿童：应对COVID-19对治疗依从性的影响

IF 1.3

Turkish archives of pediatrics Pub Date : 2025-03-07 DOI: 10.5152/TurkArchPediatr.2025.24129

Gamze Yalcin, Sinem Polat Terece, Sevilay Ozerden Ozcan, Hacer Ilbilge Ertoy Karagol, Arzu Bakirtas

{"title":"Preschool Asthma Children: Navigating COVID-19's Impact on Treatment Adherence.","authors":"Gamze Yalcin, Sinem Polat Terece, Sevilay Ozerden Ozcan, Hacer Ilbilge Ertoy Karagol, Arzu Bakirtas","doi":"10.5152/TurkArchPediatr.2025.24129","DOIUrl":"10.5152/TurkArchPediatr.2025.24129","url":null,"abstract":"Objective: Investigating long-term asthma treatment adherence and influencing possible factors in preschool children with persistent asthma during the coronavirus disease 2019 (COVID-19) pandemic, this study compared the year before and the first year of the pandemic. Materials and Methods: Preschoolers on daily inhaled corticosteroids (ICSs) for at least a year before the pandemic due to persistent asthma, were surveyed to assess treatment adherence, its causes, and possible factors like respiratory infections, and preschool attendance. Medical records were used to assess exacerbations and control. Results: Out of 229 screened cases, 62 were included. During the first pandemic year, 51.6% discontinued daily inhaler treatment, with most discontinuations occurring in the first 3 months. The most common reason for discontinuation cited is the absence of asthma symptoms (90.6%). In the year before the pandemic, only ICSs dosage (P: .010) significantly impacted asthma treatment adherence. During the first pandemic year, possible factors like respiratory infections, COVID-19, preschool attendance, and smoking didn't affect adherence (P > .05). Conclusion: In preschool children with persistent asthma, adherence to ICSs treatment decreased by half during the first pandemic year. Traditionally influential possible factors on treatment adherence did not show significant differences between those who discontinued and those who continued treatment, likely due to the exceptional circumstances resulting from the pandemic.","PeriodicalId":75267,"journal":{"name":"Turkish archives of pediatrics","volume":"60 2","pages":"226-232"},"PeriodicalIF":1.3,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652511","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