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Atriyal flattere neden olan hamak mitral kapak: Üç aylık bebek olgu
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.570
F. Tunaoglu, Ayşe Yıldırım, A. Akça
Hammock mitral valve is a very rare congenital valve disorder It may lead to mitral stenosis or insufficiency in the pediatric age group These patients generally present with the symptoms of congestive heart failure or sometimes sudden death may occur Our case was a 3 month old female infant who presented to our clinic with the symptoms of heart failure Her cardiac evaluation revealed hammock mitral valve left atrial dilatation severe mitral valve insufficiency and atrial flutter In contrast to adult patients atrial flutter is a very rare type of cardiac aryhtmia in the pediatric age group We present this case because no such case with atrial flutter resulting from hammock mitral valve has been reported in the literature Turk Arch Ped 2013; 48: 244 247
吊床二尖瓣是一种非常罕见的先天性瓣膜疾病,它可能导致儿童年龄组的二尖瓣狭窄或不全,这些患者通常表现为充血性心力衰竭的症状,有时可能发生猝死。我们的病例是一个3个月大的女婴,她以心力衰竭的症状来到我们的诊所,她的心脏检查显示吊床二尖瓣左心房扩张严重的二尖瓣不全和心房颤振成人心房扑动是一种非常罕见的儿童心绞痛,我们提出这个病例,因为文献中没有报道过这种由吊床二尖瓣引起的心房扑动。48: 244 247
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引用次数: 1
Kolon perforasyonu ve ventrikülo peritoneal şantın anüsten sarkması: İki olgu sunumu
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.715
A. Gedik, Selçuk Uzuner, Ergül Cindemir, Suleyman Bayraktar
Hydrocephalus represents a diverse group of conditions that are characterized with dilatation of the ventricular system and increased cerebrospinal fluid pressure Ventriculo peritoneal shunt placement is a commonly used treatment method for hydrocephalus for diverting the cerebrospinal fluid into the peritoneal cavity The most common complication of ventriculo peritoneal shunt is dysfunction of the shunt mainly due to catheter obstruction or infection Spontaneous bowel perforation is a rare complication of ventriculoperitoneal shunt This article aims to discuss ventriculo peritoneal shunt complications and the significance of colon perforation among these complications by presenting two cases of anal protrusion of ventriculoperitoneal shunt catheter that is inserted in order to reduce the hydrocephalus detected in the neonatal period Turk Arch Ped 2013; 48: 255 258
脑积水是一种以脑室系统扩张和脑脊液压力升高为特征的多种疾病,放置脑室腹腔分流器是脑积水常用的治疗方法,将脑脊液转移到腹腔。脑室腹腔分流器最常见的并发症是分流器功能障碍,主要是由于导管阻塞或感染,自发性肠穿孔很少见本文通过介绍两例新生儿期为减少脑积水而插入脑室腹腔分流管肛门突出的病例,探讨脑室腹腔分流管并发症及结肠穿孔在这些并发症中的意义;48: 255 258
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引用次数: 1
Mardin ili ilköğretim okulu öğrencilerinin fiziksel şiddete maruziyetleri ve yaklaşımları
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.508
Betül Battaloğlu-İnanç, Sema Çifçi, V. Değer
Aim: This study was performed to determine the frequency of physical violence and to be exposed the opinion attitude and behaviors of the primary education students about the physical violence Material and Method: All of the primary education schools were included the study at Mardin Province Center Whole fifth and eigth class of the schools were chosen randomized and questionnaire was applied to 1351 students Results: 50 6 of girls and 49 4 are boys The mean age was 11 9 counts of people who lives their home was 7 average child count was 3 of the students The 13 1 of the students were expressed that their mother was beaten by their fathers The 42 6 of the students were exposed to violence even a time of all their whole life; the 30 7 of them were still exposed to violence from time to time The physical violence rate of the boys are more than the girls p lt;0 01 The violence rate applied to children reduce with their classes that they educated in p lt;0 01 and fathers rsquo; educational situation advanced p lt;0 01 Children exposed to violence higher that lives in their family in which present the domestic violence p lt;0 01 The 15 7 of the students are still carrying on fight that includes physical violence 5 0 of them consider that the violence is a solution Conclusions: The rate of the violence that exposed and considering the violence is very common For that reason inside of the basic health service supply; child exploitation and neglect attach importance for at primary secondary and tertiary prevention studies official and volunteer organizations must study together multidisciplinary for solving the problem the programs must supported with legal arrangements and take part at government policies Turk Arch Ped 2013; 48: 226 234
目的:了解小学生身体暴力的发生频率,了解小学生对身体暴力的看法、态度和行为。资料与方法:选取马尔丁省中心所有小学,随机抽取学校全部五、八班1351名学生进行问卷调查。其中,女生506人,男生494人,平均年龄为11.9人,同住在一起的人为7人,平均子女数为3人,其中有13.1人表示母亲曾被父亲打过,426人一生中有一次遭受过暴力;2001年,男孩的身体暴力率高于女孩。2001年,儿童的暴力率随着他们所受教育的班级和父亲的增加而降低。受暴力侵害儿童的教育状况高于其家庭中存在家庭暴力的儿童受暴力侵害的儿童受暴力侵害的儿童受家庭暴力侵害的儿童受暴力侵害的儿童中有15.7人仍在进行包括身体暴力在内的打架行为,其中有50.0人认为暴力是一种解决办法。结论:受暴力侵害和考虑暴力的比率非常普遍,因此在基本卫生服务供应中;儿童剥削和忽视重视初级、二级和三级预防研究,官方和志愿者组织必须共同研究解决问题的多学科,项目必须得到法律安排的支持,并参与政府政策。48: 226 234
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引用次数: 1
Ağır beslenme bozukluğu ile başvuran birincil polidipsi olgusu
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.695
Gülseren Şahin, Pelin Zorlu, Nilgun Caylan, Ş. Uçar, Esma Altinel Açoğlu, Gürses Şahin
Primary polydipsia is a clinical status with excessive fluid consumption without any physiological need A seventeen month old male infant with severe malnutrition and developmental retardation was found to have polyuria and polydipsia in the follow up The urine density was found to be 1001 Na was found to be 124 mEq L and the serum and urine osmolarity was found to be low The patient was diagnosed with primary polydipsia and was treated by gradual water restriction This case is presented to emphasize that primary polydipsia changes nutritional habits which may lead to malnutrition and developmental retardation Turk Arch Ped 2013; 48: 251 254
主要烦渴是临床状态过度流体消费没有任何生理需要一百一十七个月大男婴患有严重营养不良和发育缺陷被发现在跟进尿多尿、烦渴密度被发现1001 Na被发现124毫克当量L和血清和尿液渗透性被发现低病人被诊断为主要烦渴和被逐步限制这种情况下了水强调原发性多饮会改变营养习惯,可能导致营养不良和发育迟缓;48: 251 254
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引用次数: 0
Acil servise başvuran çocuk adli olguların analizi
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.266
Omer Demir, Kemalettin Aydin, Feruza Turan, Aynur Yurtseven, B. Erbi̇l, Betül Gülalp
Amac: Acil servisler adli olgularin ilk basvurdugu tetkik tani ve tedavilerinin yapildigi yerlerdir Bu calismanin amaci bir egitim arastirma hastanesi acil servisine basvuran cocuk adli olgularin demografik epidemiyolojik ozelliklerini ortaya koymak basvuru nedenlerini basvuru zamanlarini ve yatis ve olum oranlarini belirlemektir Gerec ve Yontem: Bir egitim arastirma hastanesinde acil servise bir yil icinde basvuruda bulunan 16 yas alti olan cocuk adli olgular geriye donuk olarak degerlendirildi Cocuk adli olgular; travmatik olan trafik kazalari darp is kazasi kesici delici alet yaralanmasi yuksekten dusme atesli silah yaralanmasi ve diger ve travmatik olmayan cocuk adli olgular intihar girisimi karbonmonoksit entoksikasyonu olarak iki grupta incelendi Bulgular:Bu calismada degerlendirilen 1494 cocuk adli olgularin yas ortalamasi 8 8 plusmn;4 37 yil olup bu cocuk adli olgularin 66 rsquo;si erkekti n=986 Calismada en fazla basvuru 7 10 yas grubunda idi 29 5 En sik basvuru nedeni trafik kazasi 76 4 olarak saptandi bunu 12 7 ile yuksekten dusme ve 6 1 ile darp izledi Cocuk adli olgularin en fazla yaz aylarinda ve aksam saatlerinde basvurdugu gozlendi Olgularin 9 2 rsquo;sinin yatirilarak tedavi edildigi ve 1 9 rsquo;una yogun bakim yatisi gerektigi ve olum oraninin 0 4 oldugu saptandi Cikarimlar: Cocukluk cagindaki adli olgularin buyuk cogunlugu onlenebilir saglik sorunlaridir Yeni yontemlerin gelistirilmesi koruyucu onlemlerin alinmasi ve acil servislerde uygun tibbi yaklasim saglanabilmesi icin her bolgenin adli olgu tutumlarinin belirlenmesi onemlidir Turk Ped Arfl 2013; 48: 235 40
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引用次数: 15
Çocukluk çağı kronik nörogelişimsel hastalıklar ile kan kurşun ve cıva düzeyleri arasındaki ilişki
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.296
Gürcan Dikme, Ahmet Arvas, Emel Gür
Aim: The aim of our study was to investigate the relation between lead and mercury exposure and some chronic neurodevelopmental diseases in children Material and Method: In the Departments of Pediatric Neurology and Pediatric Psychiatry clinics children diagnosed with motor mental retardation epilepsy attention deficit hyperactivity disorder and autism were included in the study as the study group 39 boys and 20 girls Age and sex matched healthy children were used as controls Blood lead and mercury levels were measured using the atomic absorption spectrophotometry method The possible effect of environmental factors that could cause exposure to heavy metals such as vaccination fish consumption and the number of dental fillings the mother had were also considered Results: The average age was 7 66 years and 7 68 years in the study and the control groups respectively The average lead level in the blood was 1 91 micro;g dl in the study group 2 19 micro;g dl in the control grocup The average mercury level in the blood was 0 84 micro;g L in the study group and 0 99 micro;g L in the control group No significant difference was found between the study and control groups in terms of blood mercury and lead levels When the relation of vaccination the frequency of fish consumption and the number of dental fillings in the mother with blood lead and mercury levels was evaluated no significant difference was found between the study and control groups Conclusions: Our study shows that the heavy metal levels of children with chronic neurodevelopmental diseases are not different from those of healthy children Yet this conclusion does not lower the significance of enviromental heavy metal hazard on human health Turk Arch Ped 2013; 48: 221 225
目的:探讨儿童铅汞暴露与某些慢性神经发育疾病的关系。在儿科神经内科和儿科精神科门诊,诊断为运动智力迟钝、癫痫、注意缺陷多动障碍和自闭症的儿童被纳入研究,作为研究组,以年龄和性别匹配的健康儿童39名男孩和20名女孩为对照,采用原子吸收分光光度法测定血铅和汞的含量作为疫苗接种,鱼的摄入量和母亲的补牙次数也被考虑在内。平均年龄为7 66年68年和7年的学习和对照组分别平均血铅水平为1 91微;g dl的研究小组2 19微;g dl在血液中控制grocup平均汞水平是0 84微;g L在研究组和0 99微;g L对照组之间没有发现显著差异方面的研究和对照组血汞和铅水平当疫苗接种鱼的频率的关系结论:我们的研究表明,慢性神经发育疾病儿童的重金属水平与健康儿童没有显著差异,但这一结论并不降低环境重金属危害对人体健康的重要性。48: 221 225
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引用次数: 5
Hipofiz kanamasına ikincil merkezi diabetes insipidus gelişen çok düşük doğum ağırlıklı erken doğmuş bir bebekte başarılı intranazal desmopresin asetat tedavisi
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.933
Hasan Kahveci, Muge Payasli, Fuat Laloğlu, H. Keskin, B. Aksoy, Zeynep Turkyilmaz
Central diabetes insipidus is characterized by polydipsia polyuria dehydration irritability poor feeding failure to thrive and hypernatremia This disease is caused by lack of antidiuretic hormone Here a very low birth weight premature infant who developed central diabetes insipidus secondary to pituitary hemorrhage in the newborn period and was treated successfully with intranasal desmopressin acetate was presented It was emphasized that desmopressin acetate might be an effective method also in the treatment of very low birth weight premature infants Turk Arch Ped 2013; 48: 241 243
中枢性尿囊症以多饮、多尿、脱水、烦躁不安、摄食不良、发育不全、高钠血症为主要特征,是由于缺乏抗利尿激素所致。本文报道1例新生儿体重过低,在新生儿期发生垂体出血继发中枢性尿囊症,经鼻用醋酸去氨加压素治疗成功的病例,强调醋酸去氨加压素可能也是治疗中枢性尿囊症的有效方法极低出生体重早产儿的治疗;Turk Arch Ped 2013;48: 241 243
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引用次数: 0
Selektif IgA eksikliği ve X’e bağlı agammaglobülinemi olgularında ağız mikroflorasının sağlam grupla karşılaştırılması
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.438
Ayça Kıykım, Nursen Topcuoğlu, Guven Kulekci, Haluk Çokuğraş, Necla Akçakaya, Yıldız Camcıoğlu
Aim: X linked agammaglobulinemia and selective IgA deficiency are predominantly antibody deficiency syndromes Recurrent sinopulmonary infections are common problems observed in both diseases IgG IgM and salivary IgA which are present especially in gingival crevice are involved in the defense of the oral cavity The aim of our study was to investigate oral mucosa dental health and variation in the microflora in selective IgA deficiency and XLA patients by comparison with the healthy group Material and Method: We reviewed 18 selective IgA deficient subjects 12 66 7 boys and 6 33 3 girls 12 patients with Bruton rsquo;s disease and 31 age matched healthy children aged 2 18 years with normal leucocyte and immunoglobuline levels Oral mucosal investigation dental caries plaque and gingival indices were assessed and all patients were evaluated for S mutans Lactobacillus and yeast colonization in Istanbul University Faculty of Dentistry Results: No significant differences were detected between the groups in terms of high MS level and other parameters Significantly higher lactobacillus and yeast levels were found in XLA patients compared to the selective IgA deficient subjects and healthy group respectively High lactobacillus and yeast levels were correlated with frequent consumption of starch rich food Presence of dental caries was correlated with high plaque and gingival indices Conclusions: The higher frequency of Lactobacillus and yeast colonization in XLA patients indicates that antibodies have a major influence on oral microbiota and antibacterial defense The similar frequency of dental caries and oral mucosal lesions among the groups suggests the importance of neutrophils and antibacterial substances taking part in innate immunity Turk Arch Ped 2013; 48: 204 209
目的:X连锁无球蛋白血症和选择性IgA缺乏症是主要的抗体缺乏症,复发性肺感染是这两种疾病的常见问题,IgG IgM和唾液IgA尤其存在于龈沟,参与口腔的防御。本研究的目的是通过与健康组比较,研究选择性IgA缺乏症和XLA患者的口腔黏膜、牙齿健康和微生物群的变化方法:回顾性分析了18例选择性IgA缺乏患者(男孩12 66例,女孩6 33例)和12例布鲁顿氏病患者(年龄2 ~ 18岁,白细胞和免疫球蛋白水平正常)和31例年龄匹配的健康儿童(年龄2 ~ 18岁,白细胞和免疫球蛋白水平正常)的口腔黏膜检查、龋齿、菌斑和牙龈指标,并对所有患者进行了突变s、乳酸菌和酵母菌定植检测。两组间MS高水平及其他参数差异无统计学意义,但XLA患者乳酸菌和酵母菌水平分别高于选择性IgA缺乏组和健康组。乳酸菌和酵母菌水平高与频繁食用富含淀粉的食物相关。龋齿的存在与菌斑和牙龈指数高相关。乳酸菌和酵母菌定殖在XLA患者中的频率较高,表明抗体对口腔微生物群和抗菌防御有重要影响。两组患者龋齿和口腔黏膜病变的频率相似,表明中性粒细胞和抗菌物质参与先天免疫的重要性;48: 204 209
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引用次数: 2
Deri altı nodülleri olan yenidoğan
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.1183
Gulen Tuysuz, Nihal Özdemir, M. Kıvılcım, Hilal Aki, Yıldız Perk, Tiraje Celkan
Hydrocephalus represents a diverse group of conditions that are characterized with dilatation of the ventricular system and increased cerebrospinal fluid pressure Ventriculo peritoneal shunt placement is a commonly used treatment method for hydrocephalus for diverting the cerebrospinal fluid into the peritoneal cavity The most common complication of ventriculo peritoneal shunt is dysfunction of the shunt mainly due to catheter obstruction or infection Spontaneous bowel perforation is a rare complication of ventriculoperitoneal shunt This article aims to discuss ventriculo peritoneal shunt complications and the significance of colon perforation among these complications by presenting two cases of anal protrusion of ventriculoperitoneal shunt catheter that is inserted in order to reduce the hydrocephalus detected in the neonatal period Turk Arch Ped 2013; 48: 255 258
脑积水是一种以脑室系统扩张和脑脊液压力升高为特征的多种疾病,放置脑室腹腔分流器是脑积水常用的治疗方法,将脑脊液转移到腹腔。脑室腹腔分流器最常见的并发症是分流器功能障碍,主要是由于导管阻塞或感染,自发性肠穿孔很少见本文通过介绍两例新生儿期为减少脑积水而插入脑室腹腔分流管肛门突出的病例,探讨脑室腹腔分流管并发症及结肠穿孔在这些并发症中的意义;48: 255 258
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引用次数: 0
West sendromu ve psikomotor gerilik
IF 1.5 Q3 Medicine Pub Date : 2013-10-01 DOI: 10.4274/TPA.V48I4.5000011941
H. Yavuz, Vesile Betul Ayyildiz
Hydrocephalus represents a diverse group of conditions that are characterized with dilatation of the ventricular system and increased cerebrospinal fluid pressure Ventriculo peritoneal shunt placement is a commonly used treatment method for hydrocephalus for diverting the cerebrospinal fluid into the peritoneal cavity The most common complication of ventriculo peritoneal shunt is dysfunction of the shunt mainly due to catheter obstruction or infection Spontaneous bowel perforation is a rare complication of ventriculoperitoneal shunt This article aims to discuss ventriculo peritoneal shunt complications and the significance of colon perforation among these complications by presenting two cases of anal protrusion of ventriculoperitoneal shunt catheter that is inserted in order to reduce the hydrocephalus detected in the neonatal period Turk Arch Ped 2013; 48: 255 258
脑积水是一种以脑室系统扩张和脑脊液压力升高为特征的多种疾病,放置脑室腹腔分流器是脑积水常用的治疗方法,将脑脊液转移到腹腔。脑室腹腔分流器最常见的并发症是分流器功能障碍,主要是由于导管阻塞或感染,自发性肠穿孔很少见本文通过介绍两例新生儿期为减少脑积水而插入脑室腹腔分流管肛门突出的病例,探讨脑室腹腔分流管并发症及结肠穿孔在这些并发症中的意义;48: 255 258
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引用次数: 0
期刊
Turk Pediatri Arsivi-turkish Archives of Pediatrics
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