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Copyright of Acibadem Saglik Bilimleri Dergisi is the property of Acibadem University Medical School 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.)

Objective: In our study, we aimed to test the preventability of radial nerve injury in the ultrasound-guided lateral cross pinning technique. Methods: The study included 30 patients who were admitted to our clinic between September 2019 and September 2020 due to supracondylar humerus fractures and underwent closed reduction with the lateral cross pinning technique under ultrasonography. Demographic and clinical data of the patients were retrieved from the patient files and recorded. Results: Fifteen (50%) of the 30 patients included in the study were girls. The patients' mean age was 59.2±33.9 months. While 3.3% of the patients had flexion-type injuries, 30.0% had Gartland Type 2, 40.0% had Type 3, and 26.7% had Type 4 injuries. Eighteen patients (60%) had fractures in their left extremities. Type 4 fractures exhibited the biggest difference among all fracture types in comparison of the arm diameters of the fractured and contralateral sides (17.1%±5.5%; p=0.013). In the comparison of the proximal K-wire and the radial nerve (PWRN) to the lateral condyle and the radial nerve (LCRN) distance ratio, the difference was the highest in Type 2 fractures (23.3%±8.0%; p=0.027). None of the patients encountered postoperative iatrogenic radial nerve injury. Conclusion: In pediatric patients with supracondylar humerus fractures, the swelling of the extremity increases with the severity of the fracture. The ultrasound-guided lateral cross pinning technique is a reliable method in terms of ease of application and the determination of the nerve line to create a safe zone, especially in elbow injuries with excessive swelling. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Objective: Transcatheter closure of patent ductus arteriosus (PDA) has taken its place as the first choice in the treatment of PDA thanks to the development of new devices and techniques. In this study, we present our cases with PDA closed with Amplatzer duct occluder I (ADO I), Amplatzer duct occluder II (ADO II) and discuss the efficacy and safety of transcatheter PDA closure with these devices in children. Method: Between January 2010 and January 2023, a total of 373 patients underwent PDA closures using ADO I (n=40), and ADO II (n=333) devices in the Pediatric Cardiology Clinic of our hospital and PDA closure was successfully performed in 370 patients. These cases were analysed retrospectively. Results: The mean age of our patients was 3 (0.2-17) years. The mean narrowest diameter of the PDA was 2.48±0.80 mm. Median procedure and fluoroscopy times were 55, and 11 minutes, respectively. The procedure was successful in 99.1% of the cases. PDA was successfully treated in 387 patients using ADO I (n=39), ADO II (n=331) devices. Minimal residual shunt was detected as a minor complication only in 7 patients in the acute phase. In 4 of these 7 patients, residual shunt disappeared completely in the follow-up period, but it persisted in 3 patients. Major complications in our study were device embolisation in 2 patients who underwent ADO I and infective endocarditis that developed in 1 patient 2 weeks after the procedure. In our patient with device embolisation, the device was tried to be removed with the help of a snare, but it failed, so it was surgically removed and the PDA was closed surgically. In our case with infective endocarditis, the device was surgically removed and the PDA was surgically closed. In one patient, the mean pulmonary artery pressure measured during the procedure was found to be high with 29 mmHg, but the procedure was continued because the pulmonary vasoreactivity test was positive. In the procedure performed with ADO I device, the PDA was closed by opening the first disc without releasing the device, but the procedure was not continued because the patient developed desaturation. Conclusion: Transcatheter PDA closure can now be successfully performed in many centres. In this study, we evaluated the cases of PDA closure performed with ADO I and ADO II devices, in the last 13 years. As a result of our study, in accordance with the literature data, we have shown that transcatheter PDA closure using ADO I, ADO II devices is an effective and safe method with low complication rates in children. [ABSTRACT FROM AUTHOR]

Copyright of Ümraniye Pediatri Dergisi is the property of KARE Publishing 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.)

Objective: Varicella is a highly contagious illness with potentially severe complications, especially in young children. In Turkey, the varicella vaccine was integrated into the Universal Varicella Vaccination program in 2013, targeting 12-month-old infants. While officially reported varicella cases have decreased considerably in the past two decades, underreporting remains a challenge. This study aimed to investigate varicella seropositivity in a tertiary center. Material and Methods: A qualitative immunoassay, the enzyme-linked immunosorbent assay (ELISA), was employed to detect anti-varicella antibodies. Serum samples were collected from individuals aged 4 to 18 residing in Turkey. Information on vaccination records, varicella history, and disease notification was also collected. Results: The varicella IgG antibody records were accessed for a total of 90 children. The overall prevalence of positive varicella antibodies was 58.0% (n=47) in the study population. Seropositivity rates were 67.2% for the 4-6 age group and 30% for the 7-12 age group. Notably, the 4-6 age group showed a significant association between seropositivity and age [p=0.005; OR=4.85; 95%CI (1.614-14.569)]. Conclusion: The seropositivity rate of 58% for chickenpox is concerning. In light of this, conducting more extensive studies will provide valuable guidance. It may be worth considering the administration of an additional dose of the varicella vaccine within the age range of 4-6 years. Further research is necessary to assess the potential benefits and feasibility of implementing such a vaccination strategy. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Objective: This study investigates electrocardiographic (ECG) findings in pediatric patients diagnosed with Multisystem Inflammatory Syndrome in Children (MIS-C) during the coronavirus disease-2019 pandemic, offering valuable insights into the diagnostic process. Method: Demographic, clinical, and laboratory data of 71 MIS-C cases and 27 Kawasaki disease cases between January 2019 and December 2021 were retrospectively collected from hospital records, following ethics committee approval. MIS-C diagnosis adhered to World Health Organization criteria, and Kawasaki disease diagnosis followed American Heart Association guidelines. Results: Seventy one MIS-C cases and 27 Kawasaki disease cases were included. MIS-C patients exhibited a significantly shorter duration of fever, higher C-reactive protein levels, and elevated serum cardiac troponin T troponin values compared to Kawasaki disease cases. Transthoracic echocardiographic evaluation revealed specific cardiac abnormalities in MIS-C patients, including mitral regurgitation and aortic regurgitation. ST segment changes, T-wave negativity, and QRS changes were observed significantly in MIS-C patients. Conclusion: Results provide crucial information about the ECG profile of MIS-C cases. Particularly, indicators such as ST segment changes and T-wave negativity play a critical role in distinguishing MIS-C from other similar conditions and understanding its cardiac effects. These data offer valuable clinical markers that can be utilized in the diagnosis and treatment of MIS-C. [ABSTRACT FROM AUTHOR]

Anak penderita hidrosefalus dengan penurunan kesadaran rentan mengalami gangguan integritas kulit, seperti luka tekan akibat tirah baring lama, imobilisasi dan terpasang alat medis. Studi kasus ini bertujuan mengevaluasi intervensi pencegahan luka tekan pada pasien hidrosefalus di ruang Pediatric Intensive Care Unit RSUP Dr. Wahidin Sudirohusodo Makassar. Metode yang digunakan adalah single case design dengan instrumen pedoman pencegahan luka tekan dari National Pressure Injury Advisory Panel pada subjek studi kasus. Pengumpulan data dilakukan dengan observasi dan intervensi serta dokumentasi mulai 19-22 Juni 2023. Hasil studi kasus menunjukkan skala Braden Q berada pada skor 15 di hari pertama dan kedua serta skor 14 di hari ketiga dan keempat (risiko luka tekan sedang). Intervensi pemeriksaan kulit didapatkan terjadi perubahan suhu menjadi normal, tidak ada ruam kulit, tidak ada indurasi, tidak edema dan tidak nyeri akibat tekanan serta tidak ada luka akibat peralatan medis. Selain itu, tidak ada luka pada area tonjolan tulang setelah pemberian posisi miring kanan dan kiri serta pemberian bantalan sebagai penyangga dapat mencegah risiko luka tekan. Penilaian dan standar dari manajemen nutrisi adalah tidak terjadi penurunan berat badan dan tidak ada tanda-tanda dehidrasi. Dapat disimpulkan skor skala Braden Q berada pada risiko sedang sehingga diberikan intervensi sesuai pedoman.

Purpose: Aortic root and ascending aortic aneurysms are rarely encountered in pediatric patients. Our aim in this study was to compare our surgical approach and results in this patient group with similar studies in the literature. Materials and Methods: This study retrospective in design and its cohort consists of pediatric patients who were operated on due to the diagnosis of aortic root and/or ascending aortic aneurysm. The etiologies of the patients that caused the aneurysm were investigated preoperatively, and the severity of the disease in the aortic valve and ascending aorta and surgical indications were revealed with detailed imaging methods. Operative data was then retrieved and early postoperative morbidity and mortality, as well as post-discharge aortic valve functions were evaluated. The obtained data was compared with those of similar articles in the literature. Results: A total of eight pediatric patients were operated on with the diagnosis of aortic root and ascending aortic aneurysm. The average age of the patients was eleven (±4.03) years. The underlying cause of three (37.5%) patients was Marfan syndrome, two (25%) had bicuspid aortic valve and one (12.5%) had Wiscott-Aldrich Syndrome, previously operated sinus valsalva aneurysm and operated truncus arteriosus. There was 3rd degree aortic valve insufficiency in six patients (75%). The average aortic annulus diameter, mean sinus of valsalva diameter and ascending aorta diameter of the patients were 26.7 mm (±5.3), 40.9 mm (±9.7) and 37.8 mm (±9.2), respectively. The David I procedure was performed in three (37.5%) patients, while the Bentall procedure or aortic valve and ascending aorta replacement was performed on the other five patients. Non-cardiac mortality was observed in one (12.5%) patient, whereas native and mechanical valve dysfunction was not observed in any patient after discharge. Conclusion: Both valve-sparing surgical procedures and other replacement techniques can be used safely in pediatric patients with aortic root and ascending aortic aneurysms. [ABSTRACT FROM AUTHOR]

Background: Headache in pediatric age group is one of the common causes of admission to both general pediatrics and pediatric neurology outpatient clinics. The aim in this study was to retrospectively evaluate the clinical and laboratory findings of our cases diagnosed with migraine. Material and methods: Between 2013 and 2016, patients who applied to the Pediatric Neurology Outpatient Clinic of Dr. Sami Ulus Pediatrics Training and Research Hospital and were diagnosed with migraine were included. Statistical comparison was made between subgroups, which were migraine with aura and migraine without aura. Results: In present study, 11.6% of the patients who applied with the complaint of headache consisted of patients diagnosed with migraine. It was determined that 18.8% (n:27) of migraine patients were under the age of 10, and 81.3% (n:117) were over the age of 10. Forty-four (48.4%) female patients and 13 (24.5%) male patients had migraine with aura, and there was a statistically significant difference in terms of gender (p=0.008). Also there was a statistically significant difference between the mean age and gender of migraine patients with aura and migraine without aura (p=0.017). Conclusion: Since migraine is a chronic disease which is observed more frequently than estimated during childhood. We shared the results of the findings that may make us think of the diagnosis of migraine at the first admission, and may also guide us for migraine with aura in a patient followed up with a diagnosis of migraine.

Objective: Differentiated thyroid cancer accounts for 1.5% of all pediatric malignancies. Papillary thyroid cancer (PTC) is the most common subtype and is associated with more advanced disease at diagnosis compared to adults. This study aimed to identify long-term outcomes of pediatric PTC. Material and Method: Records of 30 patients with PTC diagnosed in childhood and adolescence and followed up at the Istanbul Faculty of Medicine were reviewed retrospectively. Result: The mean age of 30 patients (21 females, 9 males) at diagnosis was 14.7±2.3 years. The mean duration of follow-up was 10.6±3.8 years. The patients underwent total thyroidectomy (n=9), total thyroidectomy with central lymph node dissection (n=9), or total thyroidectomy with central and lateral lymph node dissection (n=12). The mean tumor diameter was 1.6±1.5 cm and was microcarcinoma in 12 of the patients. There were five patients with T2 and two patients with T3 disease. At diagnosis, half of the patients had lymph node metastasis to the neck or upper mediastinum (N1a=5, N1b=10), and two also had lung metastasis. Post-operative radioactive iodine (RAI) treatment was administered to 22 patients, the median cumulative dose was 150 mCi (range 50 to 1100)]. Sixteen patients had excellent responses following single (n=13) or multiple (2 for persistent and 1 for recurring disease after 8.3 years) RAI administrations. The remaining three patients had structural incomplete and three had indeterminate responses. Conclusion: Although PTC presented at a more advanced stage in childhood and adolescence, the response to treatment was fairly good with appropriate management. [ABSTRACT FROM AUTHOR]

Objective: Separation from parents, a bad anaesthesia history, the operating room and all invasive procedures may cause psychological trauma in pediatric patients. Given these negative effects, it is seen that psychological evaluation and support in the preoperative period are as important as pharmacological and physiological evaluation. In this study, we aimed to evaluate the validity and reliability short form of the The modified Yale Preoperative Anxiety Scale (mYPAS) in Turkish children aged 0-2. Methods: After obtaining the ethical approval of Mersin University Clinical Research Ethics Committee, 264 pediatric patients aged 0-2 were included. Median age was 13.5 months (range 0.6-24 months). We used mYPAS for 200 patients and Comfort Behavior Scale for 64 patients. Evaluations were made twice by three different observers, in the playroom and in the operation room. Observers were pediatric anesthetist and 5th year residents of the Department of Anesthesiology and Reanimation. Results: The ICC (Intraclass Correlation Coefficient) value calculated to evaluate the agreement between the three observers was 0.9857 (95% CI 0.9748-0.9865) for the measurements made in the children’s playroom, and for the measurements made in the operation room was 0.9902 (95% CI 0.9894-0.9912). It was determined that those who were not sedated in the age group ≥ 1 years old had higher anxiety symptoms than those in the age group < 1 years old (p<0.05). Conclusion: It has been determined that the Turkish version of mYPAS can be used with high validity and reliability to evaluate preoperative anxiety levels in Turkish children aged 0-2 years. Preoperative anxiety levels may increase depending on many factors. In our study, we focused on the family factor, and it was shown that the effects of mother education, socioeconomic level, and nuclear family type on the preoperative anxiety of children were important. [ABSTRACT FROM AUTHOR]

Copyright of Acibadem Saglik Bilimleri Dergisi is the property of Acibadem University Medical School 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.)

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing 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.)

Copyright of Current Retina Journal / Güncel Retina Dergisi is the property of Anadolu Kitabevi Basim Yayim Medikal Turizm Kirtasiye 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.)

Perioperative paediatric major urology surgery pain management remains challenging. These surgeries require general anaesthesia (GA) combined with either regional analgesia technique or systemic morphine infusion for optimal pain relief. We aimed to compare and evaluate the effectiveness of both analgesic techniques. This single centre retrospective descriptive study involved 88 patients, aged 3 months to 12 years old with American Society of Anaesthesiologists (ASA) I or II status, who underwent major urology surgery under GA. Group A patients received perioperative systemic morphine while Group B received regional anaesthesia blocks (continuous caudal epidural infusion, single-shot caudal blocks or singleshot erector spinae blocks). We measured requirements of perioperative rescue intravenous (IV) fentanyl, pain scores using Face, Leg, Activity, Cry, Consolability (FLACC) scale, perioperative non-opioid IV analgesia usage and associated complications. Intraoperative rescue fentanyl in both groups was comparable. Intraoperative non-opioid analgesia and postoperative rescue fentanyl requirement were significantly higher in Group A compared to Group B (p<0.001). Median FLACC scores in Group A were higher than Group B (p<0.001) for first 12 hours post-surgery. Commonest complications in Group A was vomiting (38.6%) and peri-catheter leak in Group B (6.81%). Regional anaesthesia technique is superior to systemic morphine in providing analgesia in the first 12 hours post paediatric major urology surgery and is devoid of opioid side effects. [ABSTRACT FROM AUTHOR]

Aim: Posterior fossa epidural hematoma (PFEDH) in the pediatric age group is a very rare condition and the treatment method is still a matter of debate. The aim of this study is to evaluate the observation results in the management of pediatric patients with PFEDH in our tertiary care hospital and to investigate the importance of the relationship of the hematoma with the cerebral venous sinuses, which has not been investigated before in the literature, in the treatment decision. Materials and Methods: This is a retrospective study conducted at Selcuk University, Faculty of Medicine. All patients (≤ 17 years) diagnosed with PFEDH between January 2010 and May 2022 were included in this study. Demographic data, clinical signs, trauma type and symptoms at presentation, CT findings, type of treatment, and outcomes were collected. CT findings including hematoma thickness, hydrocephalus, presence of fourth ventricular compression, relation with cerebral venous sinuses and other associated brain injuries were evaluated. Results: The patient group consists of two girl and six boy. The most common cause of PFEDH was a fall from a height resulting in a blow to the back of the head in four patients. Vomiting was the most frequent presenting symptom. Four patients had a relation between cerebral venous sinuses and hematoma, and two of these patients underwent surgical treatment Conclusion: In addition to criteria such as hematoma thickness, GCS, hydrocephalus, and compression of the fourth ventricle, we determined that the relationship of hematoma with venous sinuses is a criterion to be evaluated.

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing 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.)

Introduction: In our study, we evaluated the demographic and clinical characteristics of patients with pediatric Behçet's disease (BD) and our treatment approaches in these patients. In addition, we aimed to determine the predictive factors in patients who need additional immunosuppressive therapy in addition to colchicine and short-term corticosteroid therapy in the treatment of BD. Materials and Methods: Pediatric patients followed up with BD between 2004- 2022 were included in the study. The patients were divided into two groups: those receiving colchicine and/or short-term corticosteroids (group A) and those needing additional immunosuppressive treatments (group B). Results: Of a total of 103 patients, 57 (55.3%) were being followed up with a diagnosis of BD, and 46 (44.7%) with a diagnosis of incomplete BD. The most preferred drug in the treatment was colchicine (92.2%). Corticosteroids (55.3%) were often preferred with additional immunosuppressive agents in patients with major organ involvement. Biologic agents were used in 15 (14.6%) patients who were resistant to other immunosuppressive treatments. There were 56 patients in group A and 47 patients in group B. Ocular involvement and venous thrombosis were more common in group B. In addition, acute phase reactants and BHAAF scores at the diagnosis were higher in group B than in group A patients. As a result of multivariate analysis, ocular involvement [odds ratio (OR) 4,045, 95% CI 6,205-525,470; p=0.001], venous thrombosis (OR 2,497, 95% CI 3.048-48.358; p=0.001) and elevated acute phase reactants (OR 1.312, 95% CI 0.086-0.842; p=0.024) were identified as independent factors predicting the need for additional immunosuppressive therapy. Conclusion: Correct management of pediatric BD cases is very important in order to prevent complications that may develop. Our results showed that patients with ocular or vascular involvement, high acute phase reactants, and BHAAF scores may need additional immunosuppressive therapy at admission. Determining the factors that predict the need for treatment is important in making the appropriate treatment and follow-up plan for patients. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Objective: The aim of this study was to evaluate the clinical characteristics of children with cerebral palsy (CP) and to Srws investigate possible risk factors and prognosis of epilepsy in children with cerebral palsy (CP) with a special emphasis on drug-resistant epilepsy (DRE). Material and Methods: A total of 145 pediatric patients who were followed up with a diagnosis of CP between 2019 and 2022 were evaluated. Demographic features, prenatal/perinatal history, etiology and type of CP, degree of impairment in motor and cognitive functions, seizure type, neuroimaging, and electroencephalography (EEG) findings were obtained retrospectively from hospital records. The patients were divided into two groups: CP patients with epilepsy and patients without epilepsy. Study variables were compared between these two groups and also between DRE and controlled epilepsy groups. Results: There were 91 (63%) boys and 54 (37%) girls with a mean age of 11.1±4.2 years (3-18 years). Epilepsy was present in 107 (73.7%) cases and 40.1% of them had refractory epilepsy. Epilepsy was most common in the tetraplegic form of CP (p=0.028). Term gestation, birth weight of ≥2500 g, and history of neonatal seizures were significantly higher in patients with epilepsy (p=0.030, 0.010, and 0.030, respectively). Children with DRE were more likely to have tetraplegic CP (50%) and severe intellectual disability (56%). Conclusion: Determination of potential risk factors is important in predicting the development of epilepsy in patients with CP, as it may provide closer follow-up of patients at high risk. Particular attention should be paid to the early identification and treatment of comorbid epilepsy in children with CP. [ABSTRACT FROM AUTHOR]

Copyright of Meandros Medical & Dental Journal 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.)

Aim: Posterior fossa epidural hematoma (PFEDH) in the pediatric age group is a very rare condition and the treatment method is still a matter of debate. The aim of this study is to evaluate the observation results in the management of pediatric patients with PFEDH in our tertiary care hospital and to investigate the importance of the relationship of the hematoma with the cerebral venous sinuses, which has not been investigated before in the literature, in the treatment decision. Materials and Methods: This is a retrospective study conducted at Selcuk University, Faculty of Medicine. All patients (≤ 17 years) diagnosed with PFEDH between January 2010 and May 2022 were included in this study. Demographic data, clinical signs, trauma type and symptoms at presentation, CT findings, type of treatment, and outcomes were collected. CT findings including hematoma thickness, hydrocephalus, presence of fourth ventricular compression, relation with cerebral venous sinuses and other associated brain injuries were evaluated. Results: The patient group consists of two girl and six boy. The most common cause of PFEDH was a fall from a height resulting in a blow to the back of the head in four patients. Vomiting was the most frequent presenting symptom. Four patients had a relation between cerebral venous sinuses and hematoma, and two of these patients underwent surgical treatment. Conclusion: In addition to criteria such as hematoma thickness, GCS, hydrocephalus, and compression of the fourth ventricle, we determined that the relationship of hematoma with venous sinuses is a criterion to be evaluated. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to determine consumption status and the factors affecting the consumption of hospital meals in pediatric burn patients. Methods: The study was conducted with 50 orally fed children (19 girls, 31 boys) between the ages of 2-18 who were hospitalized in a burn center between June 2016-December 2017. A questionnaire was given to the voluntary children and the voluntary caregiver of the child. Results: The most common type of burns was scalding with hot water (68.0%) and the mean percentage of burns was 15.1±8.0%. It was determined that the burn grade, percentage, and burn area didn't affect appetite (p>0.05). Restlessness (66.0%), pain (63.0%), and stress (56.0%) were found to be the factors that caused decreased appetite. It was reported that pediatric burn patients sometimes (34.0%) and very rarely/never (32.0%) consumed hospital food. It was found that 38% of children who couldn't consume hospital meals mostly were supplied with food and drink from outside. Pediatric burn patients stated that they found the variety, consistency, temperature, hygiene, freshness, portion size, appearance, and hospital atmosphere of the hospital meals appropriate. Conclusion: Serving foods suitable for the consumption and needs of pediatric burn patients in a hospital and controlling their consumption will support meeting the nutritional needs and medical treatment of patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Ankara University Faculty of Medicine / Ankara Üniversitesi Tip Fakültesi Mecmuasi 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.)

Purpose: The goal of this study is to explain the characteristics of COVID-19 in this demographic, as well as the impact it had on pediatric cancer care during the pandemic. Materials and Methods: Fifteen COVID-19 patients diagnosed were studied retrospectively. Clinical, laboratory and radiological data were collected in relation to 15 patients under the age of 18 who tested positive for Sars-CoV-2. Results: Of the 12117 pediatric hemato-oncological patients tested for COVID-19, 1125 patients showed symptoms, and 14 tested positive. The majority of cases suffered minor illnesses. A total of ten children required inpatient care, five needed oxygen support, and four required mechanical ventilation and later died. It was noted that the duration of real-time polymerase chain reaction (RT-PCR) positivity was prolonged in patients receiving intensive chemotherapy and/or immunosuppressive therapy. Patients’ chemotherapy was delayed in all 15 (100%) Sars-CoV-2-positive patients. Although changes visible on chest computed tomography (CT) imaging of children were mainly milder than in adults, radiological findings were more severe in patients who received relatively intensive cancer treatment. Conclusion: Children who have been treated for cancer or who have undergone a hematopoietic stem cell transplantation (HSCT) may be at greater risk of severe COVID-19 and should be under constant observation.

Amaç: Bu sistematik derleme, pediatrik hastalarda ağrı yönetiminde sanal gerçeklik uygulamalarının etkinliğini incelemek ve pediatrik hastaların ağrı düzeyleri üzerine etkilerini bilimsel olarak ortaya koymak amacıyla yapılmıştır. Yöntem: Pediatrik hastalarda ağrı yönetiminde sanal gerçeklik uygulamalarının etkinliğini belirlemek için Scholar, PubMed, Science Direct ve Web Of Science veri tabanları taranmıştır. Tarama aşamasında "pediatric", "pain management", "virtual reality", "randomized controlled" anahtar sözcükleri kullanılarak 2015-2020 yılları arasındaki araştırmalar incelenmiştir. Bulgular: Yapılan veri tabanı taraması ile konu ile ilgili “1236” çalışmaya ulaşılmıştır. Çalışmada başlık ve özete göre bir ön değerlendirme yapılmış ve 1218 çalışma dahil edilme kriterlerine uymadığı için çıkarılmıştır. Dahil edilme kriterlerine uyan 18 çalışma dört veri tabanından elde edilmiş ve ortak çalışmaların çıkarılmasıyla beraber değerlendirmeye alınan makale sayısı 11 olarak bulunmuştur. 1 makale ücretli erişim olduğundan tam metnine ulaşılamamış ve araştırma dışı bırakılarak 10 makale karşılaştırma ve sonuçlar açısından değerlendirilmiştir. Değerlendirmeye alınan 10 çalışma, 2015-2020 yılları arasında yayınlanmış, pediatrik hastaların örneklem grubunu oluşturduğu, randomize kontrollü çalışmalardır. Çalışmalardan elde edilen bulgular doğrultusunda, sanal gerçekliğin pediatrik hastalarda nonfarmakolojik yöntem olarak kullanımı ve ağrıyı gidermede etkin bir araç olduğu sonuçları ortaya konulmuştur. Uygulamada Kullanım: Sanal gerçeklik uygulamasının pediatrik hastalarda ağrıyı gidermek için non-farmakolojik bir yöntem olarak kullanılmasının yaygınlaştırılması ve alandaki yeniliklerin takip edilerek hemşirelik uygulamalarına dahil edilmesi önerilmektedir.

Background: In this study, we aimed to investigate the demographic data and trauma mechanisms of pediatric patients aged 0-18 years who presented to our emergency department due to blunt abdominal trauma and developed solid organ damage. Materials and Methods: Demographic data, trauma mechanisms, and affected solid organs of 70 pediatric patients aged between 0-18 years old who were admitted to our emergency department due to blunt trauma between January 2017 and December 2020 were retrospectively analyzed. Results : Of the 70 children included in the study, 51 (72.9%) were male and 19 (27.1%) were female. Among the age groups, the 0-6 age group was the most exposed to trauma. The most frequent application time was 08:00-15:59. The most common cause of injury was falling from a height, followed by traffic accidents. While the number of applications increased in the summer months, this rate decreased in the winter months. The most frequently injured solid organ was the liver with 44.3%. The most common injury accompanying solid organ damage was thoracic injury with 18.5%. Conclusions: In child traumas, falls from a height and traffic accidents continue to be the most common traumas that cause solid organ damage. In the light of these data we have determined, we think that the trainings to be made and the protective measures to be taken will reduce these rates. [ABSTRACT FROM AUTHOR]

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