TIP, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Makale Koleksiyonu
http://hdl.handle.net/11616/11792
2024-03-28T10:31:51ZClınıcal and laboratory characterıstıcs of hyperprolactınemıc chıldren and adolescents: natıonal survey
http://hdl.handle.net/11616/13144
Clınıcal and laboratory characterıstıcs of hyperprolactınemıc chıldren and adolescents: natıonal survey
Doger, Esra; Akıncı, Ayşehan
2017-01-01T00:00:00ZAnalysis of magnetic resonance imaging findings of children with neurologic complications after livertransplantation
http://hdl.handle.net/11616/13050
Analysis of magnetic resonance imaging findings of children with neurologic complications after livertransplantation
Ozturk, Mehmet; Akdulum, Ismail; Dag, Nurullah; Sigirci, Ahmet; Gungor, Serdal; Yilmaz, Sezai
Objective To analyze the magnetic resonance imaging findings in children diagnosed with neurologic complications after liver transplantation (LT).
Materials and methods A total of 39 patients diagnosed with neurologic complications following LT between 2010 and 2016. Neuroradiologic imaging was performed using cranial magnetic resonance imaging (MRI). Descriptive statistics regarding age, gender, type of complication, diagnostic and therapeutic modalities were calculated and presented as number and percentage.
Results Our series consisted of 18 girls and 21 boys. Cryptogenic hepatitis (n = 13, 32%), metabolic diseases (Wilson's disease, tyrosinemia and glycogen storage disease) (n = 7, 18%) and fulminant toxic hepatitis (n = 4, 11%) constitute the most frequent indications for LT. The indications for neuroradiological imaging were convulsion and alteration of mental status.
Conclusion These central nervous system complications may present in a variable spectrum and convulsions and altered mental state were the most frequent clinical pictures. Imaging studies were normal in approximately one-third of cases; the most frequent pathologic findings were diffuse cerebral edema, atrophy, and PRES. Clinical history, careful examination and integrated analysis of radiologic data as well as close collaboration and multidisciplinary approach are of utmost importance for establishing the diagnosis rapidly and accurately.
2017-01-01T00:00:00ZVitamin D levels of pediatric ıntensive care patients
http://hdl.handle.net/11616/13040
Vitamin D levels of pediatric ıntensive care patients
Açık, Sait; Yakıncı, Mehmet Cengiz
Objective: By measuring serum 25-hydroxyvitamin D (25-OHVitD) levels of the patients in Pediatric Intensive Care Unit (PICU), vitamin D supplementation is aimed to those who have been determined to have vitamin D deficiency. Furthermore, it is aimed to compare the vitamin D levels of only acute disease patients with acute disease added to the chronic disease in PICU.
Methods: 327 patients (Group A) aged in the range of 1 month to 18 years, that have been hospitalized in PICU of Inonu University TurgutOzal Medicine Centre from January 2015 to June 2016, and 90 healthy subjects as a control group (Group B) were included. Group A was divided into two; patients with only acute disease (A1=125 patients) and patients with acute disease added to the chronic disease (A2=202 patients). Demographic information and 25-OHVitD, Ca, P, ALP levels of all cases were recorded retrospectively.
Results: Mean of the 25-OHVitD level was 20.9 +/- 16.4 ng/dl in Group A; 25.7 +/- 17.2 ng/dl in Group A 1 ;17.9 +/- 15.2 ng/dl in Group A2 and 25.9 +/- 14.4 ng/dl in Group B, respectively. Vitamin D deficiency was 55% in Group A, 43.2% in Group Al, 62.4% in Group A2 and 40% in Group B. In addition, vitamin D insufficiency was 16% in Group A, 17.6% in Group Al, 14.9% in Group A2 and 20% in Group B. On the other hand, vitamin D sufficiency was 29% in Group A, 39.2% in Group Al, 22.8% in Group A2, and 40% in Group B. The increase of age and presence of chronic illness were the determining factors of vitamin D level.
Conclusion: It has been found that, the incidence of vitamin D deficiency increases in prevalence, as age increases. The patients in PICU, especially those who have chronic illness, were found to have vitamin D deficiency more frequent. It is concluded that elimination of vitamin D deficiency may contribute to the treatment of the disease for the patients in PICU and the children with chronic illness.
2018-01-01T00:00:00ZNasotracheal ıntubation in children for outpatient dental surgery: Is fiberoptic bronchoscopy useful
http://hdl.handle.net/11616/12800
Nasotracheal ıntubation in children for outpatient dental surgery: Is fiberoptic bronchoscopy useful
Özkan, Ahmet Selim; Akbaş, S.
Background: The aim of our study was to compare the hemodynamic responses and adverse events associated with nasotracheal intubation (NTI) using a fiberoptic bronchoscope (FOB) and a direct laryngoscope (DLS) in children undergoing general anesthesia for outpatient dental surgery. Methods: Eighty children (aged 5u15 years) were scheduled to undergo outpatient dental surgery under general anesthesia and of these children those who required NTI were included. Results: NTI was significantly longer in the FOB group (P = 0.03). In both groups, systolic blood pressure (SBP) and heart rate (HR) significantly decreased after the induction of anesthesia when compared with the baseline values. SBP was significantly higher in both groups at intubation and 1 and 3 min after intubation when compared with postinduction. SBP significantly increased in the DLS group compared with the FOB group at intubation and 1 min after intubation. HR was significantly increased at intubation and 1 min after intubation in the DLS group compared with the FOB group. Nose bleeding after intubation was significantly more frequent in the DLS group (30%) than in the FOB group (7.5%) (P = 0.034). The incidence of sore throat 24 h after surgery was 20% (8/40) in the DLS group and 2.5% (1/40) in the FOB group (P = 0.014). Conclusions: There are fewer hemodynamic responses and adverse events in the FOB group than in the DLS group; therefore, FOB can be safely used for NTI in children undergoing outpatient dental surgery, and FOB may be more successful than DLS for NTI.
2018-01-01T00:00:00Z