5 results on '"Demirtaş, Ferhan"'
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2. Effect of Antenatal Magnesium Sulfate Exposure on Patent Ductus Arteriosus in Premature Infants
- Author
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Okulu, Emel, additional, Kraja, Elvis, additional, Kostekci, Yasemin Ezgi, additional, Seker, Erdal, additional, Ozisik, Mehmet Seckin, additional, Sarısoy, Doğacan, additional, Aslan, Batuhan, additional, Çakır, Maide Selin, additional, Demirtaş, Ferhan, additional, Ramoğlu, Mehmet Gökhan, additional, Uçar, Tayfun, additional, Erdeve, Omer, additional, Atasay, Begum, additional, Koc, Acar, additional, and Arsan, Saadet, additional
- Published
- 2024
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3. Where Should the Transition of Newborns Who are Technology Dependent and in Need of Support to Home Care in Turkey?
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Demirtaş, Ferhan, Havan, Merve, Köstekci, Yasemin Ezgi, Özen, Hasan, Gurbanov, Anar, Kahveci, Fevzi, Okulu, Emel, Erdeve, Ömer, Atasay, Begüm, Kendirli, Tanıl, and Arsan, Saadet
- Subjects
HOME care services ,METABOLIC disorders ,MORTALITY ,TRACHEOTOMY ,PALLIATIVE treatment ,DATA analysis ,HUMAN abnormalities ,STATISTICAL significance ,CHRONIC diseases in children ,NEONATAL intensive care units ,RESPIRATORY insufficiency ,NEONATAL intensive care ,CONTINUUM of care ,DESCRIPTIVE statistics ,DISCHARGE planning ,TERTIARY care ,RETROSPECTIVE studies ,CHI-squared test ,MANN Whitney U Test ,TRANSITIONAL care ,PEDIATRICS ,HOSPITAL care of newborn infants ,NEUROLOGICAL disorders ,BURDEN of care ,SEPTIC shock ,INTENSIVE care units ,ARTIFICIAL respiration ,GASTROSTOMY ,FAMILY-centered care ,MEDICAL needs assessment ,LENGTH of stay in hospitals ,COMPARATIVE studies ,DATA analysis software ,CARDIAC arrest ,CHILDREN - Abstract
Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
4. Üriner sistem taş hastalığı olan çocuklarda demografik ve klinik özellikler, etiyoloji ve tedavi yaklaşımları
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Demirtaş, Ferhan, Çakar, Nilgün, and Çocuk Sağlığı ve Hastalıkları Anabilim Dalı
- Subjects
Çocuk Sağlığı ve Hastalıkları ,Child Health and Diseases - Abstract
Üriner sistem taş hastalığı; böbrek, üreter, mesane ve/veya üretrada taş görülmesi ve/veya kalsifikasyon ile karakterize bir hastalıktır. Çocuklarda üriner sistem taş hastalığı etiyolojisinde daha çok genetik, metabolik ve anatomik nedenlerin saptandığı [6-8] ve metabolik nedenlere bağlı gelişen üriner sistem taşlarının tekrarlama oranlarının yüksek olduğu bildirilmektedir. Bu nedenle etiyolojinin anlaşılması, çocuklarda taş oluşumunu önlemek ve nedene yönelik tedavi uygulanması açısından önemlidir. Amaç: Üriner sistem taş hastalığı ile takipli çocuk hastaların demografik ve klinik özelliklerini, etiyolojilerini ve tedavi yaklaşımlarını değerlendirmektir.Metod: Ankara Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Nefroloji Bilim Dalı'nda Ocak 2013 ve Ocak 2018 yılları arasında izlenen 364 hasta retrospektif olarak değerlendirildi. Hastaların cinsiyeti, yakınması, tanı yaşı, aile öyküsü, İYE öyküsü, başvuru anında fizik muayene bulguları, spot idrar analizi, 24 saatlik idrar analizi, biyokimyasal parametleri, ultrasonografi bulguları (taşın yeri, boyutu, sayısı), saptanan üriner sistem anomalileri, taş analizi, hastalara uygulanan medikal ve cerrahi tedaviler ve son kontrolde taşsızlık değerlendirildi.Bulgular: Tanı yaş ortalaması 4,97 ± 5,00 yıl, %49'u kız, %51'i erkek olan hastaların en sık başvuru yakınmaları, idrar yolu enfeksiyonu (%23), hematüri (%12) ve karın ağrısıydı (%11). Üriner sistem taş hastalığının etiyolojisine yönelik değerlendirme yapılan 351 hastanın 194 (%55)'ünde metabolik neden saptandı. Bunlar içinde en sık saptanan nedenler hiperkalsiüri (%58) ve hiperokzalüri (%31) idi. Analizi yapılan 58 taşın %65,5'i kalsiyum taşı, %20,6'sı sistin taşı, %5'i sitrüvit taşıydı. Tüm hastaların 141 (%39)'inin medikal tedavi aldığı, en sık kullanılan ilaçların da K-sitrat (%72) ve hidrokloro-tiazid (%29)'u olduğu görüldü. Cerrahi girişim uygulanan 86 hastanın %81'ine ESWL, %53'üne URS, %17'sine PCNL ve %7'sine açık cerrahi uygulanmıştı. Metabolik etiyoloji saptanan hastalarda, etiyoloji saptanmayanlara kıyasla son kontrolde taşsızlık oranı daha düşük bulundu (p=0,007). Beş mm'den küçük taşı olan hastaların %71'inin 5 mm'den büyük taşı olan taşı olanların ise %54'ünün son kontrolde taşsız oldukları saptandı (p=0,002). Sonuç: Üriner sistem taş hastalığı olan çocuklarda metabolik nedenler sıktır. Bu taşların tekrarlama oranları yüksek, kendiliğinden kaybolma oranları ise düşüktür. Etiyolojiye yönelik tedavilerin planlanabilmesi için metabolik tetkiklerin yapılması gereklidir. Anahtar kelimeler: çocuklarda üriner sistem taş hastalığı, metabolik ürolitiazis, prognoz, tedavi Urinary stone disease is characterized by the appearance stones in the kidney, ureter, bladder, urethra and/or calcification. Genetic, metabolic and anatomical factors mostly cause urolithiasis in children [6-8]. The recurrence rates of stones caused by metabolic disorders are high. Therefore, understanding the etiology is important to prevent stone formation and to treat the cause.Objective: To evaluate the demographic and clinical features, etiological causes and treatment approaches of pediatric urolithiasis.Method: 364 patients who were followed up between January 2013-January 2018 in the Department of Nephrology, Ankara University Faculty of Medicine, Department of Child Healt and Diseases were evaluated retrospectively. Patients' gender, complaints, age of diagnosis, family history, UTI history, physical examination findings at the time of admission, spot urine analysis, 24-hour urine analysis, biochemical parameters, ultrasonographic findings (location, size, number of stone), urinary system anomalies, stone analysis, medical and surgical treatments, and loss of stones were evaluated.Results: The mean age of diagnosis of patients was 4,97 ± 5,00 years, 49% were girls and 51% were boys. The most common complaints were urinary tract infection (23%), hematuria (12%) and abdominal pain (11%). In the evaluation of stone etiology, metabolic causes were found in 194 (55%) of 351 patients. The most common causes were hypercalciuria (58%) and hyperoxaluria (%31). Of the analyzed 58 stones, 65,5% were calcium stones, 20,6% were cystine stones, 5% were citruvite stones. It was observed that 141 (39%) of patients received medical treatment, and the most commonly used drugs were potassium citrate (72%) and hydrochloro-thiazide (29%). Surgical treatment was done to 86 patients. %81 of these patients were treated with ESWL, 53% were URS, 17% were PCNL and 7% were open surgery. In patients with metabolic stones, stone-free rate was lower in the final control compared to those idiopathic stones (p=0,007). %71 of patients with stones smaller than 5 mm, and %54 of those with stones larger than 5 mm were stone free at the last control (p=0,002). Conclusion: Metabolic causes are common in children with urinary stone disease. The recurrence rates of these stones are high and rate of disapperance is low. Metabolic examinations are required to plan effective treatments.Keywords: children urinary tract stone disease, metabolic urolithiasis, prognosis, treatment, 77
- Published
- 2020
5. Complications of epicutaneo-caval catheters: Pericardial effusion and cardiac tamponade in three preterm infants.
- Author
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Köstekci YE, Bayram Ö, Mertek S, Bakhtiyarzada J, Aydın A, Yılmaz MM, Murt B, Demirtaş F, Ramoğlu MG, Okulu E, Erdeve Ö, Uçar T, Atasay B, Eyileten Z, and Arsan S
- Abstract
In the neonatal intensive care units (NICU), epicutaneo-caval catheters (ECCs) are common alternative vascular routes. Pericardial effusion (PCE) and cardiac tamponade (CT) are rare but serious complications in infants with ECCs. It may be asymptomatic or present with a variety of significant clinical signs, including dyspnea, bradycardia, sudden asystole, and hypotension. If untreated, PCE can be fatal. This report presents, three cases of ECC-associated PCE/CT during NICU stay. All three patients were born before 30 weeks of gestation and weighed less than 1500 g. Echocardiography was used for diagnosis all patients. PCE/CT was detected incidentally in one patient and after hemodynamic deterioration in the other two. In one patient, CT was developed due to catheter malposition, and the other two patient, the catheter tip was found in the right atrium. PCE did not recur in any of the patients after pericardial fluid was drained and the catheters were removed. No PCE/CT-related deaths were observed. In all three patients, X-ray was used to evaluate the location of the catheter tips. However, after clinical deterioration, echocardiography showed that in the first two cases the tips were actually in the right atrium. Real-time ultrasound was suggested with strong evidence to evaluate the location of the catheter tip and to detect secondary malapposition. PCE/CT should be considered in the presence of unexplained and refractory respiratory distress, abnormal heart rate and blood pressure, and metabolic acidosis in a neonate with ECC. Early diagnosis and prompt pericardiocentesis are essential to reduce mortality and improve prognosis. Prospective studies with educational interventions should be designed to demonstrate that the use of point-of-care ultrasound (POCUS) can be easily acquired and may reduce complications.
- Published
- 2023
- Full Text
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