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    Abdominal pain, nausea, vomiting, and ascites in a 14-year-old girl with systemic lupus erythematosus: Answers
    (Springer, 2019) Elmas, Ahmet Taner; Tabel, YilmazYilmaz; Selimoglu, Ayse; Kenc, Senay; Kutlu, Ramazan
    [Abstract Not Available]
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    Abdominal pain, nausea, vomiting, and ascites in a 14-year-old girl with systemic lupus erythematosus: Questions
    (Springer, 2019) Elmas, Ahmet Taner; Tabel, Yilmaz; Selimoglu, Ayse; Kenc, Senay; Kutlu, Ramazan
    [Abstract Not Available]
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    Predicting Outcome in Mechanically Ventilated Pediatric Patients
    (Georg Thieme Verlag Kg, 2020) Kesici, Selman; Kenc, Senay; Yetimakman, Ayse Filiz; Bayrakci, Benan
    To apply and determine whether standardized mortality scores are appropriate to predict the risk of mortality in mechanically ventilated pediatric patients, 150 patients were retrospectively evaluated. Pediatric risk of mortality (PRISM) III-24 and pediatric index of mortality (PIM)-2 scores were unable to discriminate survivors and nonsurvivors; the observed mortality rate was lower than expected mortality rates. Oxygenation index (OI) was calculated at 0, 12, 24, and 72 hours of ventilation. OI-12 and OI-72 were found to be higher in nonsurvivors. PRISM III-24 and PIM-2 scores failed to predict mortality risk in mechanically ventilated pediatric patients. OI can be used to predict degree of respiratory failure and mortality risk.
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    Ultrasound and shear wave elastography assessment of diaphragm thickness and stiffness in malnourished pediatric patients
    (Springer, 2024) Sinanoglu, M. Selcuk; Gungor, Sukru; Dag, Nurullah; Varol, Fatma Ilknur; Kenc, Senay; Gok, Emre
    Our objective was to obtain information about diaphragm muscle mass, strength, and quality using conventional US and US-based imaging method shear wave elastography (SWE) in pediatric patients with primary malnutrition. We also sought to evaluate the usability of SWE in the diagnosis and follow-up of sarcopenia. We evaluated the diaphragm thickness and stiffness of patients diagnosed with primary malnutrition in the pediatrics and pediatric gastroenterology outpatient clinic using US and US-based SWE. The data were compared with those of an age- and gender-matched healthy control group. The study included 115 volunteers. Of the cases included, 53 were healthy controls and 62 (54%) were patients with primary malnutrition. There was no significant difference between the groups in terms of age and gender (p = 0.891 and p = 0.923, respectively). The malnourished patient group had significantly lower diaphragm thickness and stiffness. There is a significant positive correlation between anthropometric measurement Z scores and diaphragm thickness and stiffness.Conclusion: Our study indicated that there was a reduction in the thickness of the diaphragm and a decline in its stiffness, which could be an indirect indicator of the quality and strength of the diaphragm muscle. These findings suggest that US and SWE evaluation of the diaphragm muscle may have the potential for use in the diagnosis and follow-up of sarcopenia. However, further comprehensive randomized controlled studies are needed to confirm this. What is Known: center dot Magnetic resonance imaging, computed tomography, and dual-energy x-ray absorptiometry are commonly used in the evaluation of sarcopenia. center dot The psoas and paraspinal muscles are commonly used in the evaluation of sarcopenia. What is New: center dot Ultrasound and shear wave elastography can be used in the evaluation of pediatric sarcopenia. center dot Diaphragm muscle can be used in the evaluation of pediatric sarcopenia.