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Full-Text Articles in Medicine and Health Sciences
Minipuberty Period Of Children With Atopic Dermatitis Compared To Healthy Children, Serkan Bilge Koca, Hatice Eke Güngör, Murat Cansever
Minipuberty Period Of Children With Atopic Dermatitis Compared To Healthy Children, Serkan Bilge Koca, Hatice Eke Güngör, Murat Cansever
Turkish Journal of Medical Sciences
Atopic dermatitis (AD) is an inflammatory, pruritic, noncontagious, chronic relapsing skin disease. Skin barrierabnormalities, excessive T helper 2 activity, and immune dysregulation are held responsible. Androgens have a negative effect on theintegrity of the epidermal skin barrier, while estrogen has a positive effect. We aimed to investigate whether hormones make a differencebetween healthy children and children with AD during minipuberty.Materials and methods: A total of 96 infants (postnatal 4–13 weeks), 48 diagnosed with AD and 48 controls, were included. Each groupconsisted of 23 girls (47.9%) and 25 boys (52.1%). Anthropometric examinations and hormone measurements were compared.Results: The two groups, having …
Predictive Values Of Mallampati Score, Tonsillar Size, And Bmi Z-Score In The Presence And Severity Of Obstructive Sleep Apnea In Pediatric Population, Ayşe Kaçar Bayram, Ahu Paketçi̇, Melek Nur Şahbaz, Sevde Daşdelen, Serkan Bilge Koca
Predictive Values Of Mallampati Score, Tonsillar Size, And Bmi Z-Score In The Presence And Severity Of Obstructive Sleep Apnea In Pediatric Population, Ayşe Kaçar Bayram, Ahu Paketçi̇, Melek Nur Şahbaz, Sevde Daşdelen, Serkan Bilge Koca
Turkish Journal of Medical Sciences
Obstructive sleep apnea (OSA) is a common sleep-related breathing disorder in children. Determination of riskfactors for the development of OSA is essential for early diagnosis and treatment of the disease and decreases the risk of negativeconsequences. This study aimed to investigate the predictive values of Mallampati score, tonsillar size, and BMI z-score in the presenceand severity of OSA in children.Materials and methods: This prospective cross-sectional study included 114 children with OSA symptoms. All children were assessedby BMI z-score, Mallampati score, and tonsillar size and underwent overnight polysomnography. They were consecutively selected andassigned to 4 groups as follows: Group 1 included …
Alterations In B And Nk Cells Highly Correlate With Disease Severity In Children With Covid-19, Ezgi̇ Topyildiz, Nesli̇han Karaca, Razi̇ye Burcu Taşkin, Ayşe Aygün, Zümrüt Şahbudak Bal, Eylem Ulaş Saz, Nuri̇ Zafer Kurugöl, Neci̇l Kütükçüler, Güzi̇de Aksu
Alterations In B And Nk Cells Highly Correlate With Disease Severity In Children With Covid-19, Ezgi̇ Topyildiz, Nesli̇han Karaca, Razi̇ye Burcu Taşkin, Ayşe Aygün, Zümrüt Şahbudak Bal, Eylem Ulaş Saz, Nuri̇ Zafer Kurugöl, Neci̇l Kütükçüler, Güzi̇de Aksu
Turkish Journal of Medical Sciences
Background/aim: Children with coronavirus disease 2019 (COVID-19) present milder symptoms than adults and are at lower risk of hospitalization and life-threatening complications. However, the kinetics of lymphocyte subsets and serum immunoglobulins in the peripheral blood during COVID-19 infection remains unclear. In this study, it was aimed to determine the changes in hematological and immunological parameters, especially in the lymphocyte subsets, in the peripheral blood of children with different COVID-19 disease severity. Materials and methods: The study was planned as a prospective cohort and included 68 children aged 0?18 years who were admitted to Ege University Faculty of Medicine Department of …
Unraveling The Impact Of Primary Immunodeficiency Disorders On The Microbiota Of Dental Caries In Children Through 16s Rrna Gene-Based Metagenomic Analysis, Bushra Al-Kebsi̇, Gökhan Kars, Hazal Özer, Şükrü Nai̇l Güner
Unraveling The Impact Of Primary Immunodeficiency Disorders On The Microbiota Of Dental Caries In Children Through 16s Rrna Gene-Based Metagenomic Analysis, Bushra Al-Kebsi̇, Gökhan Kars, Hazal Özer, Şükrü Nai̇l Güner
Turkish Journal of Medical Sciences
Background/aim: Dental caries is a frequently occurring and multifactorial chronic disease in children resulting from the interaction of cariogenic bacteria and host susceptibility. The aim of this study was to elucidate the impacts of primary immunodeficiency disorders (PIDs) on microbiota of dental caries in children by 16S rRNA gene-based metagenomic analysis. Materials and methods: Enrolled in this study were 15 children with primary PID with caries (PID group) and 15 healthy children with caries as a control (CG). The DMFT index, saliva flow rate, and buffering capacity of each participant were assessed before the metagenomic analyses were conducted. For taxonomic …
Clinical Characteristics And Predictors For Recurrence In Chronic Nonbacterial Osteomyelitis: A Retrospective Multicenter Analysis, Kadi̇r Ulu, Rana İşgüder, Şeri̇fe Gül Karadağ, Esra Bağlan, Gülşah Kavrul Kayaalp, Gülçi̇n Otar Yener, Kübra Öztürk, Hafi̇ze Emi̇ne Sönmez, Semanur Özdel, Ferhat Demi̇r, Balahan Makay, Şevket Erbi̇l Ünsal, Betül Sözeri̇, Nuray Aktay Ayaz, Mustafa Çakan
Clinical Characteristics And Predictors For Recurrence In Chronic Nonbacterial Osteomyelitis: A Retrospective Multicenter Analysis, Kadi̇r Ulu, Rana İşgüder, Şeri̇fe Gül Karadağ, Esra Bağlan, Gülşah Kavrul Kayaalp, Gülçi̇n Otar Yener, Kübra Öztürk, Hafi̇ze Emi̇ne Sönmez, Semanur Özdel, Ferhat Demi̇r, Balahan Makay, Şevket Erbi̇l Ünsal, Betül Sözeri̇, Nuray Aktay Ayaz, Mustafa Çakan
Turkish Journal of Medical Sciences
Background/aim: Chronic nonbacterial osteomyelitis (CNO) is a rare disease of unknown etiology and most commonly occurs during childhood or adolescence. The purpose of this study is to collect data on the clinical features, outcomes, and management of the disease and to identify the factors affecting recurrence. Materials and methods: This is a retrospective multicenter cross-sectional study of pediatric patients diagnosed with CNO. A total of 87 patients with a diagnosis of CNO followed for at least 6 months in 8 pediatric rheumatology centers across the country between January 2010 and December 2021 were included in this study. Results: The study …
Cupressus Arizonica: An Emerging Aeroallergen For East Mediterranean Children, Hi̇lal Ünsal, Ümi̇t Murat Şahi̇ner, Özge Uysal Soyer, Bülent Eni̇s Şekerel
Cupressus Arizonica: An Emerging Aeroallergen For East Mediterranean Children, Hi̇lal Ünsal, Ümi̇t Murat Şahi̇ner, Özge Uysal Soyer, Bülent Eni̇s Şekerel
Turkish Journal of Medical Sciences
Background/aim: Cupressus sempervirens is a tree native to the Mediterranean region. We aimed to investigate the frequency of sensitization/allergy to Cupressus arizonica pollen, which is not native to Anatolia. Materials and methods: Patients aged 5?18 years who underwent respiratory allergy screening in Türkiye?s largest referral center over a 1-year period were reviewed retrospectively for a diagnostic study of Cupressus allergy. Results: Of 246 patients, 207 (67.6% male) with a median age of 11.7 (IQR 9.2?15) years were found to be aeroallergen-sensitive and C. arizonica (32%) was the second most common sensitivity after grass pollen (83.6%). In the C. arizonica-sensitive subgroup, …
Reporting The Clinical Spectrum Of Children With Igav In A Retrospective 24-Year Cohort: Influences Of Age And Sex On Clinical Presentation, Sema Yildirim, Müferet Ergüven
Reporting The Clinical Spectrum Of Children With Igav In A Retrospective 24-Year Cohort: Influences Of Age And Sex On Clinical Presentation, Sema Yildirim, Müferet Ergüven
Turkish Journal of Medical Sciences
Background/aim: Immunoglobulin A vasculitis (IgAV) is one of the most common types of vasculitis in children. The aims of this study were to investigate the clinical characteristics of the disease, and the effects of age and sex on the clinical course in children with IgAV. Materials and methods: This was a retrospective study including pediatric patients diagnosed with IgAV who attended follow-ups at the pediatric rheumatology department of a tertiary healthcare institution between January 1997 and December 2020. The patients were grouped and compared according to sex and age at diagnosis (<7 years vs. ?7 years). Results: The study included 709 children with IgAV, 392 (55.3%) of whom were male. The mean age at diagnosis was 7.9 ± 3.2 years. The most common disease onset season was autumn (31.2%). Upper respiratory infections (27.8%) were the most common predisposing factors. Gastrointestinal system (GIS), joint, and renal involvement were observed in 52.8%, 47.5%, and 17.5% of patients, respectively. Renal involvement, GIS involvement, and disease relapse were significantly more common among those diagnosed after 7 years of age compared to those diagnosed before the age of 7 (p < 0.001, p = 0.033, and p < 0.001, respectively). Scrotal involvement and subcutaneous edema were more common among those diagnosed at younger than 7 years compared to those aged ?7 years at diagnosis (p < 0.001 and p = 0.016, respectively). GIS involvement was more frequently seen in males compared to females (p = 0.046). Conclusion: It was demonstrated that being ?7 years of age at diagnosis or being a male were associated with higher likelihood of renal and GIS involvement in children with IgAV.
Is The Pediatric Eosinophilic Esophagitis Symptom Score V2.0 Reliable For Telemedicine?, Si̇nem Polat Terece, Di̇lek Yapar, Hacer İlbi̇lge Ertoy Karagöl, Gi̇zem Köken, Demet Teker Düztaş, Ödül Eğri̇taş, Si̇nan Sari, Buket Dalgiç, Arzu Bakirtaş
Is The Pediatric Eosinophilic Esophagitis Symptom Score V2.0 Reliable For Telemedicine?, Si̇nem Polat Terece, Di̇lek Yapar, Hacer İlbi̇lge Ertoy Karagöl, Gi̇zem Köken, Demet Teker Düztaş, Ödül Eğri̇taş, Si̇nan Sari, Buket Dalgiç, Arzu Bakirtaş
Turkish Journal of Medical Sciences
Background/aim: Eosinophilic esophagitis (EoE) is a chronic immune-mediated disease. Telemedicine is a healthcare technology used when a patient is separated by distance. The reliability of the Pediatric Eosinophilic Esophagitis Symptom Score, version 2.0 (PEESS v2.0) for telemedicine applications, has not been studied yet. Therefore, we aimed to evaluate the reliability of PEESS v2.0 for telemedicine. Materials and methods: We sent a telesurvey using questionnaires via electronic telecommunication as the telemedicine method. Children with EoE and their parents were asked to complete PEESS v2.0 with the telesurvey method (unsynchronized with the physician) and attend in-person visits one week apart. Intraclass correlation …
Clinical Characteristics And Outcomes Of Continuous Renal Replacement Therapy Performed On Younger Children Weighing Up To 10 Kg, Emrah Gün, Anar Gurbanov, Özlem Saritaş Naki̇p, Ahmet Yöntem, Ayşen Durak Aslan, Edi̇n Botan, Fevzi̇ Kahveci̇, Serhan Özcan, Ebru Azapağasi, Serhat Emeksi̇z, Mutlu Uysal Yazici, Selman Kesi̇ci̇, Özden Özgür Horoz, Ömer Erdeve, Benan Bayrakci̇
Clinical Characteristics And Outcomes Of Continuous Renal Replacement Therapy Performed On Younger Children Weighing Up To 10 Kg, Emrah Gün, Anar Gurbanov, Özlem Saritaş Naki̇p, Ahmet Yöntem, Ayşen Durak Aslan, Edi̇n Botan, Fevzi̇ Kahveci̇, Serhan Özcan, Ebru Azapağasi, Serhat Emeksi̇z, Mutlu Uysal Yazici, Selman Kesi̇ci̇, Özden Özgür Horoz, Ömer Erdeve, Benan Bayrakci̇
Turkish Journal of Medical Sciences
Background/aim: This study aimed to investigate the clinical features, modality, complications, and effecting factors on the survival of children weighing up to 10 kg who received continuous renal replacement therapy (CRRT). Materials and methods: This study was a retrospective observational study conducted in five pediatric intensive care units in tertiary hospitals in Turkey between January 2015 and December 2019. Results: One hundred and forty-one children who underwent CRRT were enrolled in the study. The median age was 6 (range, 2-12) months, and 74 (52.5%) were male. The median weight of the patients was 6 (range, 4-8.35) kg and 52 (36.9%) …
A Prospective Study For An Alternative Probe Site For Pulse Oximetry Measurement In Male Patients With Severe Burn Trauma: Penile Shaft, Yeşi̇m Andiran Şenayli, Gülsen Keski̇n, Mi̇ne Akin, Ati̇lla Şenayli, Rabi̇a Ata, Gökhan Demi̇rtaş, Emrah Şenel
A Prospective Study For An Alternative Probe Site For Pulse Oximetry Measurement In Male Patients With Severe Burn Trauma: Penile Shaft, Yeşi̇m Andiran Şenayli, Gülsen Keski̇n, Mi̇ne Akin, Ati̇lla Şenayli, Rabi̇a Ata, Gökhan Demi̇rtaş, Emrah Şenel
Turkish Journal of Medical Sciences
Background/aim: Authors widely use pulse oximetry in clinical monitoring of heart rate (HR) and peripheral oxygen saturation (SpO2) by attachment to the fingers; however, there can be a need for an alternative attachment site, especially for burned patients. We investigate the availability of a pulse oximeter probe attached to the penile shaft as an alternative site in pediatric male patients if all extremities became unavailable for pulse oximetry measurement due to severe burn and/or trauma. Materials and methods: We designed a prospective comparative study in a training and research hospital. After local ethical committee approval, pediatric male cases eligible for …
Turkish Validity And Reliability Of The Level Of Sitting Scale In Children With Cerebral Palsy, Kami̇le Uzun Akkaya, Sabi̇ha Bezgi̇n, Debra Field, Bülent Elbasan
Turkish Validity And Reliability Of The Level Of Sitting Scale In Children With Cerebral Palsy, Kami̇le Uzun Akkaya, Sabi̇ha Bezgi̇n, Debra Field, Bülent Elbasan
Turkish Journal of Medical Sciences
Background/aim: The Level of Sitting Scale (LSS) is a valid and reliable classification index that categorizes sitting ability. The aim of this study is to establish the Turkish validity and reliability of the LSS in children with cerebral palsy (CP). Materials and methods: In total, 165 children (75 girls and 90 boys) between the ages of 4 and 18 years who were diagnosed with CP were included in the study. All children were evaluated by two independent physiotherapists for the interrater reliability analysis of the LSS and were reevaluated 1 week later by the same physiotherapist for the intrarater reliability …
Different Age Groups Present Different Clinics In Anaphylaxis With Children: One Size Does Not Fit All Children, Nevzat Başkaya, Ayşegül Ertuğrul, Sali̇ha Esenboğa, Serap Özmen
Different Age Groups Present Different Clinics In Anaphylaxis With Children: One Size Does Not Fit All Children, Nevzat Başkaya, Ayşegül Ertuğrul, Sali̇ha Esenboğa, Serap Özmen
Turkish Journal of Medical Sciences
Background/aim: Childhood anaphylaxis presents with a heterogeneous clinic. Elicitors and epidemiologic factors associated with anaphylaxis differ with age, geographic location and lifestyle. This study aimed to determine the clinical features and age-specific patterns of childhood anaphylaxis in a single referral center in Turkey. Materials and methods: We conducted a retrospective study of anaphylaxis in children aged between 0 and 18 years of age, attending an allergy department in a children's hospital. Results: A total of 95 children diagnosed with anaphylaxis were analyzed. Among all, 35.8% of the first anaphylaxis episodes occurred in infancy and 57.9% in preschool age. Foods were …
Return Visit Characteristics Of Sars-Cov-2 Pcr-Positive Cases In A Pediatric Emergency Department, Ni̇han Şik, Durgül Özdemi̇r, Murat Duman
Return Visit Characteristics Of Sars-Cov-2 Pcr-Positive Cases In A Pediatric Emergency Department, Ni̇han Şik, Durgül Özdemi̇r, Murat Duman
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to evaluate return visits to the pediatric emergency department (ED) for children who were detected to be positive for SARS-CoV-2 by polymerase chain reaction (PCR). Materials and methods: Between April 2, 2020, and January 20, 2021, children aged 0 to 18 years who were detected to be SARS-CoV-2 PCR-positive and discharged from the ED were evaluated. Among them, patients who returned to the ED within 14 days of quarantine were included in the study. For the first presentation and return visit, demographics, clinical findings, laboratory and radiologic investigations, and ward/pediatric intensive care unit …
Monitoring Renal Oxygenation Status By Near-Infrared Spectroscopy During Ureterorenoscopy In Children, Sema Şanal Baş, Meryem Onay, Çi̇ğdem Arslan Alici, Umut Alici, Baran Tokar
Monitoring Renal Oxygenation Status By Near-Infrared Spectroscopy During Ureterorenoscopy In Children, Sema Şanal Baş, Meryem Onay, Çi̇ğdem Arslan Alici, Umut Alici, Baran Tokar
Turkish Journal of Medical Sciences
Background/aim: Near-infrared spectroscopy (NIRS) monitoring demonstrates renal blood flow, perfusion, and oxygenation changes. This study aimed to evaluate the effects of pediatric endourological interventions (PEI) on regional oxygen saturation value (rSO2 ) using renal NIRS monitoring. Materials and methods: Patients having bilateral inguinal surgery (group I), cystoscopy (group II), and ureterorenoscopy (group III), 20 patients in each group, were included in the study. NIRS values before induction (T0) and at 5 min (T5), 10 min (T10), 15 min (T15), 20 min (T20), 25 min (T25), 30 min (T30) of the surgical procedure, and at the postextubation (Tend) were determined. The …
Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap
Determination Of The Relationship Between Major Histocompatibility Complex Alleles Andchildhood Onset Obsessive-Compulsive Disorder, Hüsnü Ümi̇t Lüleyap, Gökhan Karacaoğlan, Ayşegül Tahi̇roğlu, Akgün Yaman, Perçi̇n Pazarci, Sali̇h Çeti̇ner, Davut Alpteki̇n, Yaşar Sertdemi̇r, Gülşah Evyapan, Doğa Lüleyap
Turkish Journal of Medical Sciences
Background/aim: About half of the cases of obsessive-compulsive disorder (OCD) occurring in childhood/adolescence occur with similar symptoms both in childhood and adulthood. Immunologic stress is claimed to be a risk factor in the etiology of childhood onset OCD. Our aim was to elucidate the relationship between childhood onset OCD risk and MHC complex I and II alleles. Materials and methods: MHC alleles of 49 OCD children together with 277 healthy children (aged 4-12) were analyzed by PCR. Results were evaluated by using univariate analysis and multivariate logistic regression analysis. Results: A2, A29, C4, DRB3.1, and DRB1*16 alleles were found to …
The Impact Of Bone Marrow-Derived Mesenchymal Stem Cells On Experimental Testiculartorsion In Rats, Ahmet Ertürk, Sabri̇ Demi̇r, Yasemi̇n Dere Günal, Mehmet Zengi̇n, Mi̇yase Çinar, Di̇nçer Yildiz, Si̇yami̇ Karahan, Emrah Şenel
The Impact Of Bone Marrow-Derived Mesenchymal Stem Cells On Experimental Testiculartorsion In Rats, Ahmet Ertürk, Sabri̇ Demi̇r, Yasemi̇n Dere Günal, Mehmet Zengi̇n, Mi̇yase Çinar, Di̇nçer Yildiz, Si̇yami̇ Karahan, Emrah Şenel
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to investigate the healing effects of bone marrow-derived mesenchymal stem cells (BMMSCs) on experimental testicular torsion in rats. Materials and methods: Three groups consisting of 10 Wistar albino rats were created. In Group I, the left testicle was explored and relocated in the scrotum without any attempt to modify it. In Group II, the left testicle underwent torsion for three h and then was detorsed and relocated. In Group III, in addition to torsion and detorsion, BM-MSCs were administered intratesticularly. The rats were sacrificed on the seventh day, and the healing status of …
Covid-19 In Pediatric Nephrology Centers In Turkey, Emre Leventoğlu, Yeşi̇m Özdemi̇r Ati̇kel, Hülya Nalçacioğlu, İsmai̇l Dursun, Hasan Dursun, Zeynep Nagehan Yürük Yildirim, Nurdan Yildiz, Gülşah Kaya Aksoy, Mehmet Taşdemi̇r, Mehtap Çelakil, Belti̇nge Demi̇rci̇oğlu Kiliç, Şenay Zirhli Selçuk, Nur Canpolat, Evri̇m Kargin Çakici, Sare Gülfem Özlü
Covid-19 In Pediatric Nephrology Centers In Turkey, Emre Leventoğlu, Yeşi̇m Özdemi̇r Ati̇kel, Hülya Nalçacioğlu, İsmai̇l Dursun, Hasan Dursun, Zeynep Nagehan Yürük Yildirim, Nurdan Yildiz, Gülşah Kaya Aksoy, Mehmet Taşdemi̇r, Mehtap Çelakil, Belti̇nge Demi̇rci̇oğlu Kiliç, Şenay Zirhli Selçuk, Nur Canpolat, Evri̇m Kargin Çakici, Sare Gülfem Özlü
Turkish Journal of Medical Sciences
Background/aim: There is limited data on COVID-19 disease in children with kidney disease. We aimed to investigate the characteristics and prognosis of COVID-19 in pediatric nephrology patients in Turkey. Materials and methods: This was a national, multicenter, retrospective cohort study based on an online survey evaluating the data between 11th March 2020 and 11th March 2021 as an initial step of a detailed pediatric nephrology COVID-19 registry. Results: Two hundred and three patients (89 girls and 114 boys) were diagnosed with COVID-19. One-third of these patients (36.9%) were between 10-15 years old. Half of the patients were on kidney replacement …
Comparison Of Two Different Minimally Invasive Techniques Used In Bladder Stone Surgery For Preschool-Aged Children, İsmai̇l Yağmur, Mehmet Demi̇r, Bülent Kati, Eyyup Sabri̇ Peli̇t, Eser Ördek, Hali̇l Çi̇ftçi̇
Comparison Of Two Different Minimally Invasive Techniques Used In Bladder Stone Surgery For Preschool-Aged Children, İsmai̇l Yağmur, Mehmet Demi̇r, Bülent Kati, Eyyup Sabri̇ Peli̇t, Eser Ördek, Hali̇l Çi̇ftçi̇
Turkish Journal of Medical Sciences
Background/aim: This study was designed to compare the outcomes of mini-percutaneous cystolithotomy (mPCL) and transurethral cystolithotripsy (TUCL) in treating bladder stones in preschool-aged children (≤6 years old). Materials and methods: Twenty-four patients treated with mPCL and 28 patients treated with TUCL for bladder stones were compared retrospectively. The operative and postoperative outcomes of both groups were analyzed. Results: The mean age and gender distribution were similar between the groups. The mean stone size was 16.5 ± 0.5 mm for the mPCL group and 14.9 ± 5.7 mm for the TUCL group (p = 0.318). The mean operative time was 41.1 …
Multisystem Inflammatory Syndrome In Children, Selda Hançerli̇ Törün, Di̇lek Yilmaz Çi̇ftdoğan, Ateş Kara
Multisystem Inflammatory Syndrome In Children, Selda Hançerli̇ Törün, Di̇lek Yilmaz Çi̇ftdoğan, Ateş Kara
Turkish Journal of Medical Sciences
As the COVID-19 pandemic continues, children can be infected with the virus that causes COVID-19. Clinical symptoms of children with COVID from China, where the disease was first reported, generally were less severe than adults. However, at the end of April 2020 in Europe, it was observed that some children with SARS-CoV-2 infection developed fever, abdominal pain, shock, myocardial insufficiency and they needed to be taken care of in intensive care unit. This new disease has been called multisystem inflammatory syndrome in children (MIS-C). Although the pathogenesis of MIS-C is unclear, it progresses with signs of multiorgan involvement as a …
From Asymptomatic To Critical Illness - Different Clinical Manifestations Of Covid-19 Inchildren, Hasan Tezer, Meli̇s Deni̇z
From Asymptomatic To Critical Illness - Different Clinical Manifestations Of Covid-19 Inchildren, Hasan Tezer, Meli̇s Deni̇z
Turkish Journal of Medical Sciences
The global pandemic infectious disease that was named the new coronavirus disease (COVID 19), spread throughout the world, causing a major public health emergency. The causative virus of COVID-19, called SARS CoV-2, can infect all age groups. Various clinical signs and symptoms have been observed in neonates, children, and adolescents during the COVID-19 outbreak. The clinical manifestations of COVID-19 might be different due to the medical conditions and comorbid status in elderly and pediatric patients. The rise in cases among children has been reported during the COVID-19 pandemic. Although infected children generally appear to be asymptomatic or have only mild …
Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz
Nontraumatic Coma In The Pediatric Intensive Care Unit: Etiology, Clinical Characteristicsand Outcome, Muhterem Duyu, Zeynep Karakaya Altun, Seli̇n Yildiz
Turkish Journal of Medical Sciences
Background/aim: The purpose of this study was to evaluate the etiology, clinical characteristics, and outcome of nontraumatic coma (NTC) among children admitted to a pediatric intensive care unit (PICU). Materials and methods: A total of 159 children with NTC were included in the study. The modified Glasgow coma scale (GCS) was used to assess consciousness. Patients were classified with regard to etiology. For each patient, demographic and clinical characteristics, survival and degree of disability at PICU discharge were recorded. Results: Median age was 55 months (IQR: 17.0 - 109.0). The most common cause of NTC was neuroinfection (31.4%) followed by …
Demographic And Clinical Characteristics Of Children With Autosomal Dominantpolycystic Kidney Disease: A Single Center Experience, Belde Kasap Demi̇r, Fatma Mutlubaş, Eren Soyaltin, Caner Alparslan, Merve Arya, Demet Eğlenoğlu Alaygut, Seçi̇l Arslansoyu Çamlar, Afi̇g Berdeli̇, Önder Yavaşcan
Demographic And Clinical Characteristics Of Children With Autosomal Dominantpolycystic Kidney Disease: A Single Center Experience, Belde Kasap Demi̇r, Fatma Mutlubaş, Eren Soyaltin, Caner Alparslan, Merve Arya, Demet Eğlenoğlu Alaygut, Seçi̇l Arslansoyu Çamlar, Afi̇g Berdeli̇, Önder Yavaşcan
Turkish Journal of Medical Sciences
Background/aim: In children with autosomal dominant polycystic kidney disease (ADPKD), clinical manifestations range from severe neonatal presentation to renal cysts found by chance. We aimed to evaluate demographic, clinical, laboratory findings, and genetic analysis of children with ADPKD. Materials and methods: We evaluated children diagnosed with ADPKD between January 2006 and January 2019. The diagnosis was established by family history, ultrasound findings, and/or genetic analysis. The demographic, clinical, and laboratory findings were evaluated retrospectively. Patients
What Plays A Role In The Severity Of Atopic Dermatitis In Children?, Murat Cansever, Çi̇ğdem Oruç
What Plays A Role In The Severity Of Atopic Dermatitis In Children?, Murat Cansever, Çi̇ğdem Oruç
Turkish Journal of Medical Sciences
Background/aim: Determining the characteristics and risk factors of severe disease is extremely important to combat atopic dermatitis (AD), which has recently shown increasing prevalence. In this study, we aimed to investigate the clinical characteristics of pediatric patients with AD and identifying the factors associated with the severity of the disease. Materials and methods: A total of 304 pediatric patients diagnosed with atopic dermatitis were included in the study. The patients' age at admission, age at onset of symptoms, the presence of atopy history in their family, eosinophil levels obtained from blood counts were recorded, together with the data of cigarette …
Impact Of Covid-19 On Serum Melatonin Levels And Sleep Parameters In Children, Özlem Yayici Köken, Pembe Gültutan, Merve Si̇bel Güngören, Gülsüm İclal Bayhan, Deni̇z Yilmaz, Esra Gürkaş, Hami̇t Özyürek, Ayşegül Neşe Çitak Kurt
Impact Of Covid-19 On Serum Melatonin Levels And Sleep Parameters In Children, Özlem Yayici Köken, Pembe Gültutan, Merve Si̇bel Güngören, Gülsüm İclal Bayhan, Deni̇z Yilmaz, Esra Gürkaş, Hami̇t Özyürek, Ayşegül Neşe Çitak Kurt
Turkish Journal of Medical Sciences
Background/aim: This study aimed to analyze the serum melatonin levels and changes in sleep patterns in pediatric patients with coronavirus disease 2019 (COVID-19). Materials and methods: This study was designed as a descriptive, cross-sectional study. Serum melatonin levels and sleep parameters of children with the diagnosis of COVID-19 who had mild and moderate disease (i.e., COVID-19 group) were compared with those of children admitted with non-COVID-19 nonspecific upper respiratory tract infection (i.e., control group). The sleep disturbance scale for children (SDSC) questionnaire was applied to the participants' primary caregivers to analyze their sleep patterns at present and six months before …
Pediatric Extracorporeal Cardiopulmonary Resuscitation: Single-Center Study, Tanil Kendi̇rli̇, Serhan Özcan, Merve Havan, Çağdaş Baran, Mehmet Çakici, Burcu Arici, Özlem Selvi̇ Can, Zeynep Eyi̇leten, Tayfun Uçar, Hasan Ercan Tutar, Ahmet Rüçhan Akar
Pediatric Extracorporeal Cardiopulmonary Resuscitation: Single-Center Study, Tanil Kendi̇rli̇, Serhan Özcan, Merve Havan, Çağdaş Baran, Mehmet Çakici, Burcu Arici, Özlem Selvi̇ Can, Zeynep Eyi̇leten, Tayfun Uçar, Hasan Ercan Tutar, Ahmet Rüçhan Akar
Turkish Journal of Medical Sciences
Background/aim: Extracorporeal cardiopulmonary resuscitation (ECPR) is defined as the venoarterial extracorporeal membrane oxygenation (VA-ECMO) support in a patient who experienced a sudden pulseless condition attributable to cessation of cardiac mechanical activity and circulation. We aimed to evaluate the clinical outcomes of our ECPR experience in a pediatric patient population. Materials and methods: Between September 2014 and November 2017, 15 children were supported with ECPR following in-hospital cardiac arrest (IHCA) in our hospitals. VA-ECMO setting was established for all patients. Pediatric cerebral performance category (PCPC) scales and long-term neurological prognosis of the survivors were assessed. Results: The median age of the …
Clinicopathologic Comparisons Of Iga Nephropathy And Iga Vasculitis Nephropathy Inchildren: A Ten-Year Single-Center Experience, Qingxiao Su, Yuheng Liang, Na Wang, Zhiyan Dou, Zanhua Rong, Xue Zhao, Bo Yu, Yuxue Wang, Xinliang Wang
Clinicopathologic Comparisons Of Iga Nephropathy And Iga Vasculitis Nephropathy Inchildren: A Ten-Year Single-Center Experience, Qingxiao Su, Yuheng Liang, Na Wang, Zhiyan Dou, Zanhua Rong, Xue Zhao, Bo Yu, Yuxue Wang, Xinliang Wang
Turkish Journal of Medical Sciences
Background/aim: To investigate the similarities and differences of renal clinical and renal pathology between IgA nephropathy (IgAN) and IgA vasculitis nephritis (IgAVN) in children. Materials and methods: A total of 237 children with IgAN and 190 children with IgAVN were included. The general conditions, clinical characteristics, final diagnosis, clinical and pathological classification of the children were intercepted at the time of admission, and the retrospective comparative analysis was carried out. Results: The results showed that the median course of disease in IgAN group was longer than that in IgAVN group (p = 0.02). Patients with IgAN had a significantly higher …
Prevalence And Characteristics Of Hymenoptera Venom Allergy In Urban School Childrenaged 6 To 18 Years Living In Trabzon, Özge Baba, Gülay Kaya, Mehtap Haktanir Abul, Neşe Kaklikkaya, Murat Çakir, Fazil Orhan
Prevalence And Characteristics Of Hymenoptera Venom Allergy In Urban School Childrenaged 6 To 18 Years Living In Trabzon, Özge Baba, Gülay Kaya, Mehtap Haktanir Abul, Neşe Kaklikkaya, Murat Çakir, Fazil Orhan
Turkish Journal of Medical Sciences
Background/aim: Hymenoptera venom allergy is one of the leading causes of systemic allergic reactions in both adults and children. The present study was conducted to evaluate the prevalence and characteristics of Hymenoptera venom allergy in urban school children aged 6 to 18 years living in Trabzon. Materials and methods: In this cross-sectional, two-level survey study, children were recruited using random sampling of public primary and secondary schools. Firstly, parents were asked about their child's age and sex and whether their child had ever been stung by any kind of bee. When they responded "yes" to the last question, they attended …
How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut
How Safe Are Children With Covid-19 From Cardiac Risks? Pediatric Risk Assesment;Insights From Echoc, Berna Şaylan Çevi̇k, Şule Arici, Zeynep Ergenç, Eda Kepenekli̇ Kadayi̇fci̇, Özge Günal, Nurhayat Yakut
Turkish Journal of Medical Sciences
Background/aim: Approximately 40 million individuals worldwide have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). Despite the current literature about the cardiac effects of COVID-19 in children, more information is required. We aimed to determine both cardiovascular and arrhythmia assessment via electrocardiographic and echocardiographic parameters. Materials and methods: We evaluated seventy children who were hospitalized with COVID-19 infections and seventy children as normal control group through laboratory findings, electrocardiography (ECG), and transthoracic echocardiography (TTE). Results: We observed significantly increased levels of Tp-Te, Tp-Te/QT, and Tp-Te/QTc compared with the control group. Twenty-five of 70 (35.7%) patients …
Retrospective Evaluation Of The Pediatric Multicystic Dysplastic Kidney Patients:Experience Of Two Centers From Southeastern Turkey, Mehtap Akbalik Kara, Aysel Taktak, Caner Alparslan
Retrospective Evaluation Of The Pediatric Multicystic Dysplastic Kidney Patients:Experience Of Two Centers From Southeastern Turkey, Mehtap Akbalik Kara, Aysel Taktak, Caner Alparslan
Turkish Journal of Medical Sciences
Background/aim: The objective of this study is to determine the clinical features of unilateral multicystic dysplastic kidney (MCDK) patients. Materials and methods: The demographic, clinical, laboratory, and radiologic features of MCDK patients at Diyarbakır Children's Hospital and Diyarbakır Gazi Yaşargil Training and Research Hospital between January 2008-June 2019 were retrospectively evaluated. Results: A total of 111 [59 (53.2%) male and 52(46.8%) female] patients with MCDK were followed for a mean period of 41.89 ± 32.03 months. MCDK was located on the left and right sides in 46 (41.4%) and 65 (58.6%) of the children, respectively (p > 0.05). A total of …
Evaluation Of S100a12 Protein Levels In Children With Familial Mediterranean Fever, Yelda Türkmenoğlu, Eli̇f Güney, Di̇ğdem Bezen, Ahmet İrdem, Bi̇ray Ertürk, Hasan Dursun
Evaluation Of S100a12 Protein Levels In Children With Familial Mediterranean Fever, Yelda Türkmenoğlu, Eli̇f Güney, Di̇ğdem Bezen, Ahmet İrdem, Bi̇ray Ertürk, Hasan Dursun
Turkish Journal of Medical Sciences
Background/aim: Familial Mediterranean fever (FMF), the most common autoinflammatory disease in children, is characterized by recurrent febrile episodes. FMF is known to progress with chronic inflammation, particularly during attack periods. This study aimed to investigate the relationship of S100A12, an inflammatory marker, with attacks and inflammatory events in FMF patients. Materials and methods: The study included 57 patients diagnosed with FMF, 43 in an attack-free period and 14 in an attack period, and 31 healthy children as the control group. Only white blood cell (WBC) count, C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), and S100A12 level were analyzed in …