The Journal of child psychiatry最新文献

Genel Pediatri Polikliniği Vakalarında B12 Vitamini Eksikliği

The Journal of child psychiatry Pub Date : 2021-09-21 DOI: 10.26650/jchild.2021.956537

Muhammet Ali Varkal

引用次数: 1

Fixed Drug Eruption in Children: a 24-Year, Single-center, Retrospective Cohort Study from Turkey 儿童固定药疹:一项来自土耳其的24年单中心回顾性队列研究

The Journal of child psychiatry Pub Date : 2021-09-07 DOI: 10.26650/jchild.2021.925276

G. Babuna Kobaner, E. Özkaya

{"title":"Fixed Drug Eruption in Children: a 24-Year, Single-center, Retrospective Cohort Study from Turkey","authors":"G. Babuna Kobaner, E. Özkaya","doi":"10.26650/jchild.2021.925276","DOIUrl":"https://doi.org/10.26650/jchild.2021.925276","url":null,"abstract":"Amac: Fiks ilac erupsiyonu (FIE), sik gorulen ve her yasi etkileyebilen bir ilac dokuntusu olmasina ragmen cocuklarda nadiren bildirilmistir. Calismamizda, Turkiye’de ucuncu basamak bir referans merkezde FIE tanisi konulmus olan pediatrik hastalarin karakteristik ozelliklerinin degerlendirilmesi amaclanmistir. Gerec ve Yontem: Bu tek-merkezli, retrospektif kohort calismasi, klinigimizde 1996-2019 yillari arasinda FIE tanisi konularak takip ve tedavi edi\u0002len cocuk hastalarin, standart olarak hazirlanmis hasta takip formlarindaki verilerinin analiz edilmesiyle gerceklestirilmistir. Bulgular: Calismamizda pediatrik FIE’nin genel prevalansi %10,4 (n=22/212) olarak bulundu. Cocuklarda FIE’nin en sik nedeni 2003 yilindan once kotrimoksazol iken daha sonraki yillarda non-steroidal antienflamatuvar ilaclar (ozellikle naproksen) on plandaydi. Ates dusurucu supozituvarlar icinde bulunan fenobarbital de ozellikle kucuk cocuklarda FIE’nin bir diger onemli nedeniydi. Cocuklarda en cok tutulan alanlar sirasiyla govde (%68,2), dudaklar (%54,5) ve ekstremiteler (%45,5) olarak bulundu. Hemen her bolgede FIE’nin en sik nedeni kotrimoksazol iken, perioral bolgede fenobarbitaldi. Cocuklarin %36,4’unde oral mukoza tutulumu goruldu. Oral mukoza lezyonlari genellikle multiple olup ic dudak mukozasini tutmaktaydi (%75,0) ve en sik gorulen morfolojik formu bulloz/erozif (50,0%) idi. Cocuklarda genital mukoza tutulumuna daha nadir (%31,8) rastlandi. Kotrimoksazole-bagli FIE’si olan ve HLA tiplendirilmesi yapilan 9 cocuktan 5’inde (%55,6) komplet haplotip (HLA-A30 B13 Cw6) veya tek basina antijen (HLA-A30 veya HLA-Cw6) pozitiflikleri saptandi. Bu bulgu, kotrimoksazole bagli FIE ile HLA-A30 arasinda potansiyel bir iliski oldugunu destekler nitelikteydi. Sonuc: Calismamiz, FIE’nin pediatrik yas grubunda sik gorulen bir ilac erupsiyonu oldugunu ortaya koymustur. Ayrica, cocuklarda gorulen FIE’nin, klinik bulgular, ilaca-spesifik bolge tutulumu ve en sik neden olan ilaclar acisindan eriskinlerde gorulen FIE’ye buyuk olcude benzerlik gosterdigi saptanmistir","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88407697","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

Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.768460

Muhammet Fatih Sebirli, Gülçin Canbeyli, Nalan Karabayır

{"title":"Evlat Edindim, Emzirmek İstiyorum: Olgu Sunumu","authors":"Muhammet Fatih Sebirli, Gülçin Canbeyli, Nalan Karabayır","doi":"10.26650/jchild.2020.3.768460","DOIUrl":"https://doi.org/10.26650/jchild.2020.3.768460","url":null,"abstract":"Breastfeeding has numerous health benefits for both the mother and the baby. Apart from mothers wanting the best for their babies, breastfeeding symbolizes motherhood in the society. Thus, mothers are urged to breastfeed. In addition, breastfeeding has a positive effect on the motherbaby bond, which also encourages adoptive mothers to breastfeed. Breastfeeding is achieved with induced lactation in adoptive mothers. In this article, the application of a mother who adopted a 10-week-old baby to the breastfeeding outpatient clinic for breastfeeding support was evaluated. Domperidone was started for the mother who had no pregnancy or breastfeeding history. Consequently, skin contact, milking every 3 h, and formula feeding with the finger-feeding method were recommended. The mother, who started milk secretion 1 week later and continued milking, stated that the baby started sucking while sleeping. Thus, the requirement for formula milk decreased. On the 45th day of the process, skin contact, regular milking, and use of domperidone were recommended to the mother whose milk decreased after domperidone cessation. Conversely, the baby whose mother did not use domperidone was also supported with complementary feeding because the baby refused to suck. The mother’s milk secretion stopped after 1 month, and continued pumping was recommended. It was found that the mother breastfed her 20-month-old baby for 5 months. In this case report, a mother with no pregnancy and breastfeeding history was able to feed her baby with breast milk. The baby’s age being younger than 3 months and the mothers’ strong motivation and being closely monitored and supported are few of the most important factors in being successful with the process of induced lactation. Thus, health professionals having information about induced lactation and relactation are integral in starting and continuing with the process.","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"37 Suppl 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78330042","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

İdiyopatik Nefrotik Sendromda İlk Atakta Steroid Bağımlılığı Öngörülebilir mi?

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.807529

A. Taktak, Neslihan Çiçek

{"title":"İdiyopatik Nefrotik Sendromda İlk Atakta Steroid Bağımlılığı Öngörülebilir mi?","authors":"A. Taktak, Neslihan Çiçek","doi":"10.26650/jchild.2020.3.807529","DOIUrl":"https://doi.org/10.26650/jchild.2020.3.807529","url":null,"abstract":"Objective: Idiopathic nephrotic syndrome (INS) is the most common glomerular disease in children. Approximately 80% of INS is steroid sensitive (SSNS), and half of SSNS patients are steroid dependent (SDNS). This study determines the risk factors that may predict steroid dependence in patients with SSNS. Material and Method: Patients with SSNS who followed in our Pediatric Nephrology clinic between September 2016 and September 2018 were retrospectively evaluated. The demographic characteristics, albumin, creatinine values, blood pressure, white blood cell, lymphocyte count, lymphocyte/white blood cell ratio, urine protein–creatinine ratio, time to remission, and triggers of the attack were recorded. Results: Twenty-three patients were diagnosed as SSNS and 16 as SDNS. The mean age at presentation was 77.34±32 months in the SSNS group and 73.62±27.32 months in the SDNS group (p=0.690). No significant difference was observed between the two groups in terms of blood albumin, creatinine, lymphocyte count, and lymphocyte/white blood cell ratio. Trigger initiating the attack was more common in the SDNS group (p=0.001). The most common trigger was upper respiratory tract infection. Urine protein/creatinine ratio and white blood cell levels were significantly higher in the SDNS group (p=0.014, p=0.004, respectively), and the time to remission was also longer in the SDNS group (p=0.001). Conclusion: Upper respiratory tract infection may be a trigger, and severe proteinuria and late remission time may be risk factors for the development of SDNS in INS. Early use of steroid-sparing agents in these patients can prevent long-term adverse effects of steroid therapy.","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86276342","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

Kateter Enfeksiyonlarına Alternatif Çözüm: Kilit Tedavisi

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.772803

Ayşenur Kardaş, Nazan Dalgıç, Dilek Güller, Sibel Değim İlgar, Banu Bayraktar, Ömer Naci Tabakçı

引用次数: 0

Comparison of Risk Factors and Neonatal Outcomes in Early-Onset and Late-Onset Preeclampsia 早发型和晚发型子痫前期的危险因素和新生儿结局的比较

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.809801

Ozgul Bulut, M. Hocaoğlu, Nurgul Bulut, Selin Demirer, A. Turgut, F. Ovalı

{"title":"Comparison of Risk Factors and Neonatal Outcomes in Early-Onset and Late-Onset Preeclampsia","authors":"Ozgul Bulut, M. Hocaoğlu, Nurgul Bulut, Selin Demirer, A. Turgut, F. Ovalı","doi":"10.26650/jchild.2020.3.809801","DOIUrl":"https://doi.org/10.26650/jchild.2020.3.809801","url":null,"abstract":"Amac: Erken baslangicli ve gec baslangicli preeklampside maternal risk faktorleri ve erken donem neonatal sonuclarin karsilastirilmasi. Gerec ve Yontem: Hastanemizde preeklampsi tanisi almis hastalar retrospektif olarak degerlendirildi. Hastalar erken baslangicli preeklampsi (≤34 hafta) ve gec baslangicli preeklampsi (>34 hafta) olmak uzere 2 gruba ayrildi. Iki grup arasinda demografik data, maternal risk faktorleri ve neonatal sonuclari karsilastirmak icin istatistiksel analiz yapildi. Bulgular: Preeklampsi tanisi alan 92 hastanin, 45 (%49)’i erken baslangicli preeklampsi ve 47 (%51)’si gec baslangicli preeklampsi idi. Erken baslangicli preeklampsi grubunda, sezaryen dogum ve intrauterin buyume kisitliligi (IUBK) oranlari anlamli sekilde daha yuksek bulundu (p=0.01, p=0.025). Lojistik regresyon analizinde, gebelikte yuksek vucut kitle indeksinin gec baslangicli preeklampsi icin bagimsiz bir risk faktoru oldugu saptandi (p=0.012). Erken baslangicli preeklampsi grubunda, neonatal morbidite ve yenidogan yogun bakim unitesine (YDYBU) yatis oranlari anlamli sekilde daha yuksek bulundu (p<0.05, p=0.005, sirasiyla). Bunun yaninda, lojistik regresyon analizinde erken baslangicli preeklampsinin, IUBK (OR 2.96; 95% CL: 1.12–7.81), SGA (OR 2.5; 95% CL: 1.05–5.95), respiratuar distres sendromu (OR 15.34; 95% CL: 3.06–76.99), patent duktus arteriosus (OR 11.43; 95% CL: 1.36–96.16) ve YDYBU’ne yatis (OR 2.48; 95% CL: 1.06–5.77) riskini anlamli sekilde artirdigi saptandi. Sonuc: Calismamizda, erken baslangicli preeklampsi, olumsuz neonatal sonuclar icin onemli bir risk faktoru olarak bulunurken, gebelikte yuksek vucut kitle indeksi gec baslangicli preeklampsi ile iliskili bulundu.","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74889431","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

Çocukluk Çağı Bruselloz Özellikleri ve Hastaneye Yatışta Laboratuvar Belirteçlerinin Tanısal Rolü

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.819575

Ayşe Büyükcam

{"title":"Çocukluk Çağı Bruselloz Özellikleri ve Hastaneye Yatışta Laboratuvar Belirteçlerinin Tanısal Rolü","authors":"Ayşe Büyükcam","doi":"10.26650/jchild.2020.3.819575","DOIUrl":"https://doi.org/10.26650/jchild.2020.3.819575","url":null,"abstract":"Amac: Insan brusellozu, bircok hastaligi taklit eden sistemik bir hastaliktir ve cocuklarda da teshis edilmesi cok zor olabilmektedir. Cocukluk cagi brusellozu, ciddi klinik tablolarla karsimiza gelebilir ve komplikasyonlara neden olabilir. Bu calismada, cocukluk cagi bruselloz hastalarinin ozellikleri ile hastaneye yatista laboratuvar belirteclerin tanisal rolunun arastirilmasi amaclandi. Gerec ve Yontemler: Geriye donuk olarak 1 Ocak 2018 ile 31 Aralik 2019 tarihleri arasinda bruselloz tanisi alan 0-18 yas 60 cocuk hasta degerlendirildi. Ayaktan ve hastaneye yatis verilerek izlenen bruselloz hastalarinin demografik ozellikleri ve klinikleri ile mikrobiyolojik ve diger laboratuvar bulgulari incelendi. Bulgular: Hastalarin yas ortalamasi, 9.3±4.3 yildi ve %41,7’si kiz, %58,3’u erkek idi. Hastalarin %83,3’unde eklem tutulumu mevcuttu. Hastalarin %33,3’u yatirilarak izlendi. Kan serum eozinofil sayilari yatan hastalarda ortanca degeri 60/µL (10-90/µL) iken ayaktan hastalarda 110/µL (55-205/ µL) degerleri arasinda idi (p=0,022). Kan eozinofil sayisi kesme seviyesi ≤90/µL icin; (CI %95, 54,4-93,9) duyarlilik %78,95 (Cl %95, 54,4-93,9) ve ozgulluk %60,00, (Cl %95,43,3-75,1) olarak bulundu. Sonuc: Cocukluk cagi brusellozu ulkemiz icin onemli bir halk sagligi sorunu olmaya devam etmektedir. Kan eozinofil duzeyleri, cocukluk cagi brusellozunda hastalik derecesini gostermede ve yatisa karar vermede bir role sahip olabilir ama bu iliskinin daha iyi anlasilmasi, ozgulluk ve duyarliliginin degerlendirmesi icin daha fazla sayida hasta ile yeni calismalara ihtiyac vardir.","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81688064","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

GvHH Patogenezi ve Biyolojisi

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.780358

Demet Kivanç, Fatma Oğuz

引用次数: 0

Atopik Dermatit Tanılı Çocuklarda Banyo Alışkanlıkları ve Egzama Şiddetine Etkisi

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.778936

Didem Yayla Karakurt, Esra Yücel, Deniz Özçeker, F. Beşer

{"title":"Atopik Dermatit Tanılı Çocuklarda Banyo Alışkanlıkları ve Egzama Şiddetine Etkisi","authors":"Didem Yayla Karakurt, Esra Yücel, Deniz Özçeker, F. Beşer","doi":"10.26650/jchild.2020.3.778936","DOIUrl":"https://doi.org/10.26650/jchild.2020.3.778936","url":null,"abstract":"Amac: Atopik dermatit tanili hastalarda banyo aliskanliklarinin ve nemlendirici kullaniminin hastaligin siddetine etkisinin saptanmasi ve ailelerin bu konudaki tutumlarinin belirlenmesi amaclandi. Gerec ve Yontem: Tanimlayici kesitsel tipteki calismamizda Okmeydani EAH Cocuk Alerji Poliklinigine basvuran atopik dermatit tanili hastalarin annelerine banyo sikligi, yikanma sekli, banyo suresi, banyoda kullanilan urunler ve nemlendirici kullanimi ile ilgili sorulari iceren anket uygulanarak veriler toplandi. Atopik dermatitin agirligini belirlemek icin Atopik Dermatit skorlamasi SCORAD (SCORing Atopic Dermatitis) skoru kullanildi. Hastalara ait serum total immunglobulin (Ig) E, eozinofil yuzdesi ve deri delme testi sonuclari hasta dosyasindan elde edildi. Bulgular: Calismaya 6 ay- 15 yas arasi 49’u erkek ve 51’i kiz hastanin annesi katilmistir. SCORAD skoruna gore hastalar gruplandirildiginda 48 hastanin hafif, 49 hastanin orta ve 3 hastanin ciddi atopik dermatiti (AD) oldugu goruldu. Atopik dermatit agirligi SCORAD’a gore gruplanan hastalarda banyo ile yikanma orani dus almaya oranla yuksek saptandi (p=0,001). Kisin her gun yikanma orani SCORAD skor sonucu agir dermatit ile uyumlu olanlarda; hafif ve orta olanlara (%22,45) gore daha yuksek saptandi (p=0,034). Nemlendirici kullanimi, sikligi ve kullanilan urunler ile AD agirligi arasinda anlamli iliski bulunmadi. Sonuc: Banyo seklinde yikanmanin dus almaya gore daha etkili olabilecegi tespit edilmistir. Atopik dermatit tedavisinde nemlendirici kullanimi ve ilac tedavisine ek olarak yikanma sekli ve kullanilan urunler onem tasiyabilir, bu durum ayrintili degerlendirilmelidir.","PeriodicalId":86257,"journal":{"name":"The Journal of child psychiatry","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88725194","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 Kötü Ağız Alışkanlıkları ve Tedavi Yöntemleri

The Journal of child psychiatry Pub Date : 2020-12-28 DOI: 10.26650/jchild.2020.3.822677

İ. Dönmez, Cengiz Haluk Bodur

引用次数: 0