Pub Date : 2021-05-25DOI: 10.4274/JPR.GALENOS.2020.35403
M. Sözbilen
Aim: This study aimed to examine the results of the Winograd technique applied in the treatment of ingrown toenail cases, which are frequently encountered in childhood, especially in adolescence. The recurrence, satisfaction, and complication rates in pediatric age groups were evaluated with the surgical matrixectomy application of the Winograd technique, a frequently used one in adult age groups. Materials and Methods: Ingrown toenail cases that had undergone surgical matrixectomy with the Winograd technique between September 2016 and December 2018 were evaluated. Those detected to be stage 2-3 according to the Heifetz classification were operated on. Demographic information was recorded. The cases were divided into three groups as 3-7, 7-12, and ≥12 years as age groups. Such data as recurrence, post-operative infection, osteomyelitis, long term complication and return to regular activity were evaluated. The visual analog scale was used for the satisfaction scale. Results: A total of 162 operated ingrown toenails from 142 children were followed for an average of 21 months (12-38). The mean age of patients was 13.8 years. When the ingrown toenail location was evaluated, the lateral sides (98, 61.2%) of the patients were seen to have been affected more. According to age groups, 65% (105) of the cases were in the group aged 12 years and over. While the frequency of all complications was 8.1% (13), no chronic complications or osteomyelitis were encountered. Recurrence was observed in 3.1% of cases and also early infection (<15 days) was observed in 10 cases, while late infection (<15 day) was observed in 3 cases. According to the visual analog scale scores, 135 (95.0%) cases were found to be satisfactory or very satisfactory. Conclusion: The Winograd technique (surgical matrixectomy) has low recurrence, low complication and high satisfaction rates in all pediatric age groups even with advanced ingrown toenail complaints. Complete excision of the affected matrix with magnification increases the success of the Winograd technique.
{"title":"Is the Winograd Technique an Effective Method in the Treatment of Ingrown Toenails among the Pediatric Population?","authors":"M. Sözbilen","doi":"10.4274/JPR.GALENOS.2020.35403","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.35403","url":null,"abstract":"Aim: This study aimed to examine the results of the Winograd technique applied in the treatment of ingrown toenail cases, which are frequently encountered in childhood, especially in adolescence. The recurrence, satisfaction, and complication rates in pediatric age groups were evaluated with the surgical matrixectomy application of the Winograd technique, a frequently used one in adult age groups. Materials and Methods: Ingrown toenail cases that had undergone surgical matrixectomy with the Winograd technique between September 2016 and December 2018 were evaluated. Those detected to be stage 2-3 according to the Heifetz classification were operated on. Demographic information was recorded. The cases were divided into three groups as 3-7, 7-12, and ≥12 years as age groups. Such data as recurrence, post-operative infection, osteomyelitis, long term complication and return to regular activity were evaluated. The visual analog scale was used for the satisfaction scale. Results: A total of 162 operated ingrown toenails from 142 children were followed for an average of 21 months (12-38). The mean age of patients was 13.8 years. When the ingrown toenail location was evaluated, the lateral sides (98, 61.2%) of the patients were seen to have been affected more. According to age groups, 65% (105) of the cases were in the group aged 12 years and over. While the frequency of all complications was 8.1% (13), no chronic complications or osteomyelitis were encountered. Recurrence was observed in 3.1% of cases and also early infection (<15 days) was observed in 10 cases, while late infection (<15 day) was observed in 3 cases. According to the visual analog scale scores, 135 (95.0%) cases were found to be satisfactory or very satisfactory. Conclusion: The Winograd technique (surgical matrixectomy) has low recurrence, low complication and high satisfaction rates in all pediatric age groups even with advanced ingrown toenail complaints. Complete excision of the affected matrix with magnification increases the success of the Winograd technique.","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"139-144"},"PeriodicalIF":0.3,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41568577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-07DOI: 10.4274/JPR.GALENOS.2020.26918
A. Tekin, S. Tiryaki, Ezgi Altun Tanıl, İ. Ulman
Spina bifida (SB) is a condition that may result in chronic kidney disease secondary to bladder dysfunction. Despite a worldwide varying incidence, 1-6 cases are seen in every 1000 live births (1). Several studies reported better results with pro-active management strategies. (2,3). Different urodynamic parameters or scoring systems were suggested to detect patients who are at risk of upper urinary tract damage (4–6). In 2016, the Centers for Disease Control and Prevention (CDC) published a management algorithm for SB ABS TRACT Aim: In 2016, the Centers for Disease Control and Prevention (CDC) published a management algorithm for spina bifida (SB) cases from birth and started collecting data prospectively. They designated risk factors from urodynamic studies as end filling pressure or detrusor leak point pressure (DLPP) ≥40 cmH2O or neurogenic detrusor overactivity (NDO) with detrusor sphincter dyssynergia (DSD), and named this type of bladder dysfunction as “hostile bladder” (HB). They recommended the immediate start of clean intermittent catheterization and anticholinergics in these patients. Having similar concerns on this patient population, we designed a retrospective study to identify and reveal long-term outcomes of SB patients with HB.
{"title":"Long-term Outcome of Infants with Spina Bifida Through Assessment of the Prognostic Value of Hostile Bladder Parameters","authors":"A. Tekin, S. Tiryaki, Ezgi Altun Tanıl, İ. Ulman","doi":"10.4274/JPR.GALENOS.2020.26918","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.26918","url":null,"abstract":"Spina bifida (SB) is a condition that may result in chronic kidney disease secondary to bladder dysfunction. Despite a worldwide varying incidence, 1-6 cases are seen in every 1000 live births (1). Several studies reported better results with pro-active management strategies. (2,3). Different urodynamic parameters or scoring systems were suggested to detect patients who are at risk of upper urinary tract damage (4–6). In 2016, the Centers for Disease Control and Prevention (CDC) published a management algorithm for SB ABS TRACT Aim: In 2016, the Centers for Disease Control and Prevention (CDC) published a management algorithm for spina bifida (SB) cases from birth and started collecting data prospectively. They designated risk factors from urodynamic studies as end filling pressure or detrusor leak point pressure (DLPP) ≥40 cmH2O or neurogenic detrusor overactivity (NDO) with detrusor sphincter dyssynergia (DSD), and named this type of bladder dysfunction as “hostile bladder” (HB). They recommended the immediate start of clean intermittent catheterization and anticholinergics in these patients. Having similar concerns on this patient population, we designed a retrospective study to identify and reveal long-term outcomes of SB patients with HB.","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"1 1","pages":"0-0"},"PeriodicalIF":0.3,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42112032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.4274/JPR.GALENOS.2020.68736
Deniz Tanyeri, A. Anık, A. Cengiz, Yasemin Durum Polat, Tolga Ünüvar, A. Anık
Ad dress for Cor res pon den ce Ahmet Anık MD, Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Endocrinology, Aydın, Turkey Phone: +90 256 214 54 00 E-mail: ahmet.anik@yahoo.com ORCID: orcid.org/0000-0002-7729-7872 Re cei ved: 17.03.2020 Ac cep ted: 02.04.2020 ABS TRACT Aim: To evaluate cases referred from the congenital hypothyroidism (CH) new-born screening program. Materials and Methods: One hundred and thirty-five cases which were referred between January 2017 and July 2019 were included in the study. Results: Fourty eight of 135 cases (35.6%) were diagnosed as CH. The mean onset of treatment was 17.31±9.92 days. Clinical findings suggesting hypothyroidism were detected in 27 patients (56.2%) and goiter was detected in 2 patients (4.1%). According to imaging findings, 16 (35.5%) patients were diagnosed as dysgenesis, [1 (2.2%) as agenesia, 3 (6.7%) as ectopia, and 12 (26.6%) as hypoplasia], 11 were diagnosed as dyshormonogenesis (24.5%), and 18 were diagnosed as eutopic thyroid (40%). The mean levothyroxine dose was 12.7±2.5 mcg/kg/day and the mean onset of treatment in 30.4% of diagnosed patients was within the first 14 days and 93.3% were within the first 30 days. Conclusion: Dysgenesis and dyshormonogenesis are the most common detectable causes of CH. The normal localization of the thyroid gland in about half of the patients suggests that transient causes of CH may be more common than expected. Considering that only 1/3 of the patients were treated in the first 2 weeks, it was thought that the referral of patients is still an important problem and it should be done more promptly.
Cor res pon den ce Ahmet Anık医学博士广告连衣裙，Aydın Adnan Menderes大学医学院，儿科内分泌学系，Aydşn，土耳其电话：+90 256 214 54 00电子邮件：ahmet.anik@yahoo.comORCID：ORCID.org/0000-0002-7729-7872接收日期：2020年3月17日Ac cep ted：2020年4月2日ABS TRACT目的：评估先天性甲状腺功能减退症（CH）新生儿筛查项目转诊的病例。材料和方法：研究包括2017年1月至2019年7月期间转诊的135例病例。结果：135例患者中48例（35.6%）被诊断为慢性阻塞性心脏病，平均发病17.31±9.92天。临床表现显示甲状腺功能减退27例（56.2%），甲状腺肿2例（4.1%）。根据影像学表现，16例（35.5%）患者被诊断为发育不良，[1例（2.2%）为发育不全，3例（6.7%）为远视，12例（26.6%）为发育不良。11例被诊断为激素生成不良（24.5%），18例被诊断为主位甲状腺（40%）。左甲状腺素的平均剂量为12.7±2.5 mcg/kg/天，30.4%的确诊患者的平均治疗开始时间在前14天内，93.3%在前30天内。结论：发生障碍和激素生成障碍是CH最常见的可检测原因。大约一半的患者甲状腺的正常定位表明，CH的短暂原因可能比预期的更常见。考虑到只有1/3的患者在前两周接受了治疗，人们认为患者的转诊仍然是一个重要问题，应该更迅速地进行。
{"title":"Etiological Evaluation of Congenital Hypothyroidism in Cases Referred from the National Screening Program","authors":"Deniz Tanyeri, A. Anık, A. Cengiz, Yasemin Durum Polat, Tolga Ünüvar, A. Anık","doi":"10.4274/JPR.GALENOS.2020.68736","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.68736","url":null,"abstract":"Ad dress for Cor res pon den ce Ahmet Anık MD, Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Endocrinology, Aydın, Turkey Phone: +90 256 214 54 00 E-mail: ahmet.anik@yahoo.com ORCID: orcid.org/0000-0002-7729-7872 Re cei ved: 17.03.2020 Ac cep ted: 02.04.2020 ABS TRACT Aim: To evaluate cases referred from the congenital hypothyroidism (CH) new-born screening program. Materials and Methods: One hundred and thirty-five cases which were referred between January 2017 and July 2019 were included in the study. Results: Fourty eight of 135 cases (35.6%) were diagnosed as CH. The mean onset of treatment was 17.31±9.92 days. Clinical findings suggesting hypothyroidism were detected in 27 patients (56.2%) and goiter was detected in 2 patients (4.1%). According to imaging findings, 16 (35.5%) patients were diagnosed as dysgenesis, [1 (2.2%) as agenesia, 3 (6.7%) as ectopia, and 12 (26.6%) as hypoplasia], 11 were diagnosed as dyshormonogenesis (24.5%), and 18 were diagnosed as eutopic thyroid (40%). The mean levothyroxine dose was 12.7±2.5 mcg/kg/day and the mean onset of treatment in 30.4% of diagnosed patients was within the first 14 days and 93.3% were within the first 30 days. Conclusion: Dysgenesis and dyshormonogenesis are the most common detectable causes of CH. The normal localization of the thyroid gland in about half of the patients suggests that transient causes of CH may be more common than expected. Considering that only 1/3 of the patients were treated in the first 2 weeks, it was thought that the referral of patients is still an important problem and it should be done more promptly.","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"1-6"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47512528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.4274/JPR.GALENOS.2020.26042
P. Malecki, A. Mania, Katarzyna Mazur-Melewska, W. Służewski, M. Figlerowicz
Ad dress for Cor res pon den ce Pawel Malecki MD, Poznan University of Medical Sciences, Department of Infectious Diseases and Child Neurology, Poznan, Poland Phone: +48618491319 E-mail: pmalecki@ump.edu.pl ORCID: orcid.org/0000-0002-0651-4454 Re cei ved: 02.08.2020 Ac cep ted: 28.09.2020 Introduction Non-alcoholic fatty liver disease (NAFLD) is currently the most common chronic liver illness in children (1). This term describes a broad spectrum of liver disorders, ranging from simple steatosis to non-alcoholic steatohepatitis. Its estimated prevalence ranges from 3% to 12% in the general pediatric population and up to 70% in obese children (2). Suspicion of liver steatosis is usually based on imaging studies a characteristic, hyperechogenic picture of the liver in abdominal ultrasound is the most commonly used mode of assessment. Diagnosis is established by excluding other causes of liver damage (drug poisoning, viral hepatitis, autoimmune liver disease, inborn errors of metabolism, alcoholism) (3,4).
{"title":"A Decline in Aminotransferase Activity Due to Lifestyle Modification in Children with NAFLD","authors":"P. Malecki, A. Mania, Katarzyna Mazur-Melewska, W. Służewski, M. Figlerowicz","doi":"10.4274/JPR.GALENOS.2020.26042","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.26042","url":null,"abstract":"Ad dress for Cor res pon den ce Pawel Malecki MD, Poznan University of Medical Sciences, Department of Infectious Diseases and Child Neurology, Poznan, Poland Phone: +48618491319 E-mail: pmalecki@ump.edu.pl ORCID: orcid.org/0000-0002-0651-4454 Re cei ved: 02.08.2020 Ac cep ted: 28.09.2020 Introduction Non-alcoholic fatty liver disease (NAFLD) is currently the most common chronic liver illness in children (1). This term describes a broad spectrum of liver disorders, ranging from simple steatosis to non-alcoholic steatohepatitis. Its estimated prevalence ranges from 3% to 12% in the general pediatric population and up to 70% in obese children (2). Suspicion of liver steatosis is usually based on imaging studies a characteristic, hyperechogenic picture of the liver in abdominal ultrasound is the most commonly used mode of assessment. Diagnosis is established by excluding other causes of liver damage (drug poisoning, viral hepatitis, autoimmune liver disease, inborn errors of metabolism, alcoholism) (3,4).","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"41-48"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48025225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.4274/JPR.GALENOS.2020.80270
J. Kıyak, S. Köse, Melek Hande Bulut Demir, B. Özbaran
{"title":"Differential Diagnosis of Recurrent Hypersomnia: A Case Report of Primary Narcolepsy and Acute Transient Psychotic Attack","authors":"J. Kıyak, S. Köse, Melek Hande Bulut Demir, B. Özbaran","doi":"10.4274/JPR.GALENOS.2020.80270","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.80270","url":null,"abstract":"","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"93-97"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48845013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.4274/JPR.GALENOS.2020.98705
Seçil Çalışkan, E. Delikan, S. Kızılaslan, Ö. Özbek
Introduction Traumatic dental injuries resulting from home/school/ playground accidents, sports activities, fights, or traffic accidents are a serious oral health problem. Although they can be seen during any period of life, such injuries are more common in infancy, childhood and adolescence (1). Dental avulsion, defined as the complete displacement of the tooth from its socket, is one of the most severe traumatic dentoalveolar injuries. According to the American Academy of Pediatric Dentistry, avulsion is one of the most common traumatic dental injuries seen in children (2), and is usually experienced by children aged 2-4 and 8-12 years (3). The frequency of dental avulsion varies between 0.5% and 16% in permanent dentition and between 7% and 13% in primary dentition. These injuries usually affect the incisors, especially the maxillary central incisors (4).
{"title":"Knowledge of Dental Avulsion Among Emergency Physicians: A Survey Study","authors":"Seçil Çalışkan, E. Delikan, S. Kızılaslan, Ö. Özbek","doi":"10.4274/JPR.GALENOS.2020.98705","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.98705","url":null,"abstract":"Introduction Traumatic dental injuries resulting from home/school/ playground accidents, sports activities, fights, or traffic accidents are a serious oral health problem. Although they can be seen during any period of life, such injuries are more common in infancy, childhood and adolescence (1). Dental avulsion, defined as the complete displacement of the tooth from its socket, is one of the most severe traumatic dentoalveolar injuries. According to the American Academy of Pediatric Dentistry, avulsion is one of the most common traumatic dental injuries seen in children (2), and is usually experienced by children aged 2-4 and 8-12 years (3). The frequency of dental avulsion varies between 0.5% and 16% in permanent dentition and between 7% and 13% in primary dentition. These injuries usually affect the incisors, especially the maxillary central incisors (4).","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"62-68"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47808231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.4274/JPR.GALENOS.2020.88609
Derya Aydın, Eser Doğan, Zülal Ülger, E. Levent
Cardiac muscle involvement is one of the most important causes of death in muscular dystrophies. Heart transplantation and ventricular assist device applications are controversial in these patients due to their neurological prognosis. In this article, 2 cases successfully treated with heart transplantation and VAD applications are presented (1). Permission was obtained from patients to share their medical informations.
{"title":"Successful Orthotopic Heart Transplantation in Patients with Becker Muscular Dystrophy","authors":"Derya Aydın, Eser Doğan, Zülal Ülger, E. Levent","doi":"10.4274/JPR.GALENOS.2020.88609","DOIUrl":"https://doi.org/10.4274/JPR.GALENOS.2020.88609","url":null,"abstract":"Cardiac muscle involvement is one of the most important causes of death in muscular dystrophies. Heart transplantation and ventricular assist device applications are controversial in these patients due to their neurological prognosis. In this article, 2 cases successfully treated with heart transplantation and VAD applications are presented (1). Permission was obtained from patients to share their medical informations.","PeriodicalId":42409,"journal":{"name":"Journal of Pediatric Research","volume":"8 1","pages":"98-101"},"PeriodicalIF":0.3,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47682480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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