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Sagittal plane analysis of the open and closed methods in children with displaced supracondylar fractures of the humerus (a radiological study)

Turhan E. | Aksoy C. | Ege A. | Bayar A. | Keser S. | Alpaslan M.

Article | 2008 | Archives of Orthopaedic and Trauma Surgery128 ( 7 ) , pp.739 - 744

Objectives: The aim of this study was to compare the radiological outcome of open and close reduction and osteosynthesis methods in the treatment of type II and III supracondylar humerus fractures in childhood with respect to the immediate post-operative reduction quality in sagittal plane. Method: One hundred and forty four-pediatric patients with type IIb and III supracondylar humerus fractures treated at two centers between 1995 and 2005 were evaluated radiologically within a retrospective study. Seventy-six patients (54 boys, 22 girls, mean age 7.6, range 2-12) were treated by closed reduction and cross percutaneous pinning whil . . .e 68 (49 boys, 19 girls, mean age 7.3, range 2-13) were treated by open reduction. The reduction quality of the open and closed groups was compared on immediate post-operative lateral radiographs by measuring of lateral humerocapitellar angle, anterior humeral line and anterior coronoid line criteria. The reduction quality was classified excellent, good, fair and poor according to the achievement of three, two, one or none of the criteria, respectively. Reductions classified as excellent and good were introduced as acceptable results. Results: At least one criterion was achieved in all the patients of both the groups. The mean humerocapitellar angle was 30.1° in closed reduction group while the mean of it was 29.8° in open reduced group. Radiograph of 48 (63.1%) patients with closed reduction were found to display the anterior humeral line intersecting the middle one-third of capitellum while this criteria was 45 (66%) in open reduction group. The anterior coronoid line was disturbed in three patients in each of both the groups. The reduction quality was evaluated to be excellent in 32 patients, good in 31, fair in 13 at the closed reduction group while these evaluations were 31, 20 and 17 in open reduction group, respectively. Successful reduction was achieved in 74.9% of the patients in closed reduction group and 75% of the patients in open reduction group. Conclusion: It is concluded that there was no significant difference between closed and open reductions of pediatric displaced supracondylar fractures with regard to the radiological criteria of reduction quality in sagittal plane. © Springer-Verlag 2007 Daha fazlası Daha az

Effects of parent's presence on pain tolerance in children during venipuncture: A randomised controlled trial

Ozcetin M. | Suren M. | Karaaslan E. | Colak E. | Kaya Z. | Guner O.

Article | 2011 | Hong Kong Journal of Paediatrics16 ( 4 ) , pp.247 - 252

Introduction: The aim of this study is to determine whether presence of parents can change tolerance of pain and distress in children. Materials and Methods: A hundred thirty five children (62 girls, and 73 boys) between 3-6 years who were admitted to the paediatric outpatient clinic were included in the study. The cases were randomised into two groups: those who were accompanied by a parent (group 1), and those who were accompanied by a hospital staff member (group 2). We used the Wong-Baker FACES Pain Rating Scale to evaluate pain. Analyses were performed using commercially software (PASW ver. 18, ID:33478001 SPSS inc. Chicago, IL . . .). A p-value Daha fazlası Daha az

Apheresis-inducible cytokine pattern change in children with homozygous familial hypercholesterolemia

Küçükçongar A. | Yenicesu I. | Tümer L. | Kasapkara C.S. | Ezgü F.S. | Paşaoglu O. | Demirtaş C.

Article | 2013 | Transfusion and Apheresis Science48 ( 3 ) , pp.391 - 396

Familial hypercholesterolemia is a genetic disorder that leads to severe atherosclerosis related cardiovascular complications in young adults. Extracorporeal elimination is a method of LDL-lowering procedures effective in patients with homozygous or severe heterozygous FH utilized in cases. The recruitment of leucocytes into the arterial intima is dependent on a cascade of events mediated through a diverse family of adhesion molecules. Several pro-inflammatory adhesion molecules are cleared by various lipid apheresis methods. This study showed that, LDL-apheresis led to several changes in circulating inflammatory factors which induc . . .ed antiinflammatory and antiatherogenic changes in the plasma profile in homozygous familial hypercholesterolemic patients. © 2013 Elsevier Ltd Daha fazlası Daha az

Comparison of medial and posterior surgical approaches in pediatric supracondylar humerus fractures

Sahin E. | Zehir S. | Sipahioglu S.

Article | 2017 | Nigerian Journal of Clinical Practice20 ( 9 ) , pp.1106 - 1111

Objectives: The aim of the current study was to compare the clinical results of pediatric supracondylar humerus fracture cases requiring open reduction through medial approach with posterior approach. Patients and Methods: Retrospective cohort of 67 cases of pediatric supracondylar fractures was reviewed. Thirty-three patients (20 males, 13 female, average age: 8.3 ± 3.131) were treated with medial approach were compared with 34 patients (19 males, 15 females, average age: 7.5 ± 3.146) treated with posterior exposure. Median follow-up period of the first group was 35.04 months (range: 17-76 months) and of the second group was 36.04 . . .(range: 16-65 months). Radiological evaluation included Baumann angle, carrying angles, and lateral humero-capitellar angles. Functional and cosmetic evaluation was assessed with range-of-motion measurements and the criteria defined by Flynn et al. Results: No differences between groups were noted regarding gender, age, and follow-up periods. Operative time was significantly shorter in medial approach group [60.0 ± 14.5 vs. 75.8 ± 17.6 min (P = 0.002)]. Radiological measurements (Baumann, humero-capitellar, and carrying angles) were also similar between groups. When evaluated patients according to Flynn's criteria, for medial group, 31 cases (93.9%) had good-perfect result regarding ROM loss, whereas for posterior group 33 cases (97%) had good-perfect result. Regarding carrying angle change and posterior group were slightly better than medial group (perfect result observed in 91.1% vs 81.8%, respectively). The differences did not show statistical significance. Conclusion: In the treatment of supracondylar humerus fractures in children, both surgical approaches revealed similar functional and radiological outcomes with shorter operative time when medial approach was utilized. © 2017 Nigerian Journal of Clinical Practice | Published by Wolters Kluwer - Medknow Daha fazlası Daha az

Clinical and epidemiological characteristics of children with germ cell tumors: A single center experience in a developing country

İncesoy-Özdemir S. | Ertem U. | Şahin G. | Bozkurt C. | Yüksek N. | Ören A.C. | Balkaya E.

Article | 2017 | Turkish Journal of Pediatrics59 ( 4 ) , pp.410 - 417

Germ cell tumor (GCT) is a rare malignancy accounting for 2-3% of all pediatric tumors. The overall survival rate of children and adolescents with GCT is more than 80% after adopting combined therapy. The aim of this study is to review clinical presentation, management, and outcome in a single-center series with extracranial GCT. Clinical characteristics, pathologic presentations, and survival outcomes of 101 children with GCT, treated at our hospital from 1988 to 2011, were analyzed. Sixty-two of patients were female and 39 of them were male. Fifty-eight (57%) patients had gonadal tumor (24 testicular, 34 ovarian), 43 (43%) extrago . . .nadal. Histologically, teratomas were found most frequently (26 mature, 10 immature), followed by yolk sac tumors (n: 33), mixed malignant tumors (n: 13), embryonal carcinoma (n: 10), disgerminoma (n: 8) and seminoma (n: 1). Twenty-six patients were diagnosed as mature teratoma and we excluded them in the evaluation of staging and survival. Five-year overall and relaps-free survival were 80.3% (mean follow-up time: 215.8 months) and 73.4% (mean follow-up time: 176.2 months), respectively. Five-year survival rates were 93.2% and 90.2% in malign GCTs diagnosed after 1999. © 2017, Turkish Journal of Pediatrics. All rights reserved Daha fazlası Daha az

Early cardiac abnormalities and serum N-terminal pro B-type natriuretic peptide levels in obese children

Battal F. | Ermis B. | Aktop Z. | Can M. | Demirel F.

Article | 2011 | Journal of Pediatric Endocrinology and Metabolism24 ( 09.Oct ) , pp.723 - 726

Objective: The aim of this study was to evaluate early cardiac abnormalities in obese children by the conventional echocardiography and to verify whether N-terminal pro B-type natriuretic peptide (NT-proBNP) differ between obese and healthy children. Methods: We started this study with 68 obese children and 35 healthy controls matched for age and sex. Body mass index (BMI) was calculated. Children with a BMI ?95th percentile were considered obese. Thirty children in the obese group were also diagnosed with metabolic syndrome, according to the International Diabetes Federation criteria. Standard echocardiographic study was performed . . .on each patient and control subject. Diastolic filling parameters were evaluated using pulsed-wave tissue Doppler method. Blood samples were taken at 8 a.m. to study blood biochemistry tests, including insulin, lipids, glucose, and NT-proBNP. Serum NT-proBNP levels were measured by a solid-phase, enzymelabeled chemiluminescent immunometric assay. Homeostasis model assessment of insulin resistance (HOMA-IR) was calculated. Children with HOMA-IR >3.16 were considered insulin-resistant. Results: There were diastolic filling abnormalities in obese children, as shown by a decreased mitral valve early filling (E) wave/late filling (A) ratio and a prolongation in E-wave deceleration time. The levels of NT-proBNP were not statistically different among the groups. The levels of NT-proBNP were not different between obese children with and without metabolic syndrome, those with and without hypertension, and those with and without insulin resistance, respectively. Conclusion: Although there were diastolic filling abnormalities in obese children, their NT-proBNP levels were not different from healthy controls. It seems that there is no diagnostic value in NT-proBNP levels between obese children and healthy controls © 2011 by Walter de Gruyter • Berlin • Boston Daha fazlası Daha az

Liver function tests in children and adolescents receiving risperidone treatment for a year: A longitudinal, observational study from Turkey a

Karaman M.G. | Erdogan A. | Tufan E. | Yurteri N. | Özdemir E. | Ankarali H.

Article | 2011 | International Journal of Psychiatry in Clinical Practice15 ( 3 ) , pp.204 - 208

Objective. To determine the changes in liver function tests after long-term risperidone treatment in a child and adolescent population. Methods. Weight, alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transpeptidase, alkaline phosphatase and serum bilirubin of the patients were assessed in pre-treatment period, and at the sixth and 12th months of treatment. One hundred children and adolescents (aged between 3 and 18 years) were enrolled to the study. Results. Liver enzyme and bilirubin levels are higher than normal in 21.0% of the patients without clinical symptoms. No cases of hepatic failure or jaundice were s . . .een. Only in an 8-year-old boy were there ALT level increases up to three-fold and AST level increases up to two-fold. After discontinuation of the risperidone treatment, enzyme levels were normalized in this patient. Alkaline phosphatase, alanine and aspartate aminotransferases were the most frequently increased enzymes. Conclusion. In this study, after long-term risperidone treatment of children and adolescents there was no evidence of clinically significant increases of liver enzymes and bilirubin levels. These results indicate that risperidone treatment may rarely cause serious liver enzyme increases, and may commonly cause clinically insignificant changes in liver function tests. © 2011 Informa Healthcare Daha fazlası Daha az

Intracranial haemorrhage due to late-onset vitamin K deficiency

Karaci M. | Toroslu E. | Karsli T. | Kanber Y. | Uysal S. | Albayrak D.

Article | 2015 | Hong Kong Journal of Paediatrics20 ( 2 ) , pp.80 - 85

Objective: Deficiency of vitamin K predisposes to bleeding and it can be divided into early, classical, or late vitamin K deficiency bleeding (VKDB) according to their onset. Late VKDB occurs after 7th day of life at neonatal period and is associated with intracranial bleeding, serious neurological sequels and death. This retrospective study reviewed the clinical presentations, demographic features and radiological findings of infants with intracranial haemorrhage due to late-onset VKDB. Materials and methods: We identified 26 cases of late VKDB admitted to our hospital from February 1992 to November 2006. Cranial computerised tomog . . .raphy was performed in all patients at diagnosis and at subsequent evaluation. Results: Sixteen of twenty-six patients with late VKDB (61.5%) had intracranial haemorrhage (ICH). The mean age of these 16 patients with ICH was 1.6±0.7 months. All of them were on breastfeeding. Eighteen of them received one mg of vitamin K intramuscularly (IM) shortly after birth. None of them received any other medication. The most common sign and symptom of patients with ICH was bulging fontanel (69%). The most common bleeding site was parenchymal (n=7, 43.7%). The mortality rate was 44% among patients with ICH. Conclusion: For neonates on strict breast-feeding, despite some with vitamin K prophylaxis, some patients still may suffer from intracranial and extracranial bleeding due to vitamin K deficiency. Therefore, additional IM dose of vitamin K may be needed. However, further evidence from larger prospective study is needed to verify this observation. © 2015, Medcom Limited. All Rights Reserved Daha fazlası Daha az

The use of complementary and alternative therapies in childhood cancer: A questionnaire based on a descriptive survey from the western black sea region of Turkey

Kurtuncu M. | Yildiz H. | Akhan L.U.

Article | 2016 | African Journal of Traditional, Complementary and Alternative Medicines13 ( 3 ) , pp.66 - 74

Background: The objective of this study was to determine what complementary and alternative therapies are used in cases of childhood cancer, the frequency of their use and the factors that affect the tendency to resort to these therapies. Materials and Methods: The study, of cross-sectional design, was conducted with the parents of 101 children diagnosed with cancer, using a questionnaire and the technique of face-to-face interviews. Mean scores, percentages, chi-square and Kruskal-Wallis tests were used in the statistical analysis. During the study, interviews were held with 42.6% of the children's mothers and with the fathers of 4 . . .4.6%. Results: The mean age of the children was 8.66±4.52 years. A group of 33.7% of the parents was making use of complementary and alternative medicine (CAM) for their children. Of the parents, 76.5% stated that CAM had been instrumental in reducing a tumor, 53.8% said that their child's general condition had improved and 15.4% expressed an increase in morale. Another 41.2% concealed their use of CAM from their doctors and nurses. The parents that were interviewed: the age of the mother, the age of the father and the family's economic status were determining factors in the parents' use of CAM. The prevalence of the use of CAM among parents with children with cancer is not negligible. Conclusion: It is the researchers' belief that health professionals must be informed about the use of CAM and its methods and that the patients should be evaluated with an impartial approach and given information about the use of CAM, together with conventional treatment.tudy was to determine what complementary and alternative therapies are used in cases of childhood cancer, the frequency of their use and the factors that affect the tendency to resort to these therapies. The study, of cross-sectional design, was conducted with the parents of 101 children diagnosed with cancer, using a questionnaire and the technique of face-to-face interviews. Mean scores, percentages, chi-square and Kruskal-Wallis tests were used in the statistical analysis. During the study, interviews were held with 42.6% of the children's mothers and with the fathers of 44.6%. The mean age of the children was 8.66±4.52 years. A group of 33.7% of the parents were making use of complementary and alternative medicine (CAM) for their children. Of the parents, 76.5% stated that CAM had been instrumental in reducing a tumor, 53.8% said that their child's general condition had improved and 15.4% expressed an increase in morale. Another 41.2% concealed their use of CAM from their doctors and nurses. The parent that was interviewed, the age of the mother, the age of the father and the family's economic status were determining factors in the parents' use of CAM. The prevalence of the use of CAM among parents with children with cancer is not negligible. It is the researchers' belief that health professionals must be informed about the use of CAM and its methods and that patients should be evaluated with an impartial approach and given information about the use of CAM, together with conventional treatment. © 2016, African Ethnomedicines Network. All rights reserved Daha fazlası Daha az

The evaluation of the effect of air pollution on the health status of children in Zonguldak City, Turkey

Tecer L.H. | Tomaç N. | Karaca F. | Kaplan A. | Tunçer T. | Aydin H.

Article | 2009 | International Journal of Environment and Pollution39 ( 03.Apr ) , pp.352 - 364

Air pollution affects human health, particularly sensitive groups such as children, pregnant women, elderly people and patients with chronic respiratory diseases in many ways, including reduced lung function, increased morbidity and infant mortality. Many epidemiological studies have shown positive association between respiratory health and ambient air pollution. This study tries to assess the associations between Occurrence of Respiratory Symptoms and Diseases (ORSD) and those parameters: Particulate Matter (PM), sulphur dioxide (SO2), pollen and meteorological variables in the mining city of Zonguldak, Turkey. The finding of the s . . .tudy shows significant association between ORSD, and ambient level of PM, SO2 and pollen. Copyright © 2009 Inderscience Enterprises Ltd Daha fazlası Daha az

Factors affecting the prevalence of obesity among primary school students in Turkey

Ayyildiz T.K. | Kurtuncu M. | Kulakci H. | Celik S.

Article | 2014 | Iranian Red Crescent Medical Journal16 ( 12 ) , pp.352 - 364

Background: Obesity is an energy metabolism disorder which results in the excessive storage of fat and may also lead to physical and psychological problems. Since the 1980s, obesity has drastically increased across all age and socio-economic groups around the world.Objectives: The purpose of the study was to investigate the risk factors affecting obesity in students in the age group of 6-15 years.Patients and Methods: This was a population-based cross-sectional study on 868 students in Bahçelievler elementary school in Zonguldak, Turkey from March to April in 2010. Data was collected using demographic questionary forms and weight-le . . .ngth measurements.Results: The median age was 10.3 ± 2.1; 47.6% of the children were female and 52.4% of them were male. About 70.2% of the students consumed fast food. It was identified that 67.1% of the students in the 6-10-year age group and 32.9% in 11-15-year age group were obese (P = 0.000). The obesity prevalence of children with one or two siblings was higher than the ones with more than two siblings (P = 0.001).Conclusions: The study concluded that there were certain criteria related to development of obesity during a specific period of childhood and taking certain precautions could be effective in preventing it. © 2014, Iranian Red Crescent Medical Journal Daha fazlası Daha az

Effects of intramuscular and peritonsillar injection of tramadol before tonsillectomy: A double blind, randomized, placebo-controlled clinical trial

Ugur M.B. | Yilmaz M. | Altunkaya H. | Cinar F. | Ozer Y. | Beder L.

Article | 2008 | International Journal of Pediatric Otorhinolaryngology72 ( 2 ) , pp.241 - 248

Background/aims: Our objective was to investigate the efficacy of intramuscular injection and peritonsillar infiltration of tramadol to prevent pain in children undergoing tonsillectomy. Methods: In a double-blinded trial, 45 children were randomized into three groups: infiltration anesthesia with tramadol (2 mg kg-1) to the peritonsillar area (INF group, n = 15), intramuscular analgesia with tramadol (2 mg kg-1) (IM group, n = 15), and the placebo controls (PL group, n = 15). Visual analog scale (VAS) scores for pain assessment, heart rate (HR) and mean arterial pressure (MAP) during and after anesthesia were recorded. Results: Mea . . .n HR values were higher in INF than PL group at 10th, 20th, and 30th minutes of operation (P < 0.05). Nine children required analgesics within the first hour after surgery in PL compared to 1 child in INF group (P = 0.036). VAS scores on awakening were significantly better in INF than PL group (P = 0.015). The difference between IM and PL groups was not significant for any of the parameters. Conclusion: Peritonsillar infiltration with tramadol provided good intraoperative analgesia, less postoperative pain on awakening and lower analgesic requirement within the first hour after surgery. © 2007 Elsevier Ireland Ltd. All rights reserved Daha fazlası Daha az

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