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Iseri Nepesov M, Kilic O, Sali E, Yesil E, Akar A, Kaman A, Metin Akcan O, Kilic Cil M, Ozlu C, Lacinel Gurlevik S, Ulusoy E, Cetin BS, Akici N, Cakir D, Uslu Aygun FD, Hancerli CO, Tekin Yilmaz A, Alkan G, Uygun H, Bucak IH, Bursal B, Celik T, Sutcu M, Oz FN, Gayretli Aydin ZG, Karbuz A, Akturk H, Kepenekli E, Emiroglu M, Oncel S, Nuhoglu C, Korucu IH, Incesu M, Kaya A, Bombaci H, Dinleyici M, Carman KB, Duman M, Turel O, Yilmaz D, Alabaz D, Belet N, Tanir G, Turgut M, Celebi S, Kuyucu N, Arisoy ES, Durmaz G, Kaya M, Kara A, Dinleyici EC. Pathogens in Pediatric Septic Arthritis: A Multi-Center Study in Turkiye (PEDSART Study). Children (Basel) 2024; 11:134. [PMID: 38275444 PMCID: PMC10813905 DOI: 10.3390/children11010134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 12/29/2023] [Accepted: 01/17/2024] [Indexed: 01/27/2024]
Abstract
OBJECTIVES Septic arthritis (SA) is a serious bacterial infection that must be treated efficiently and timely. The large number of culture-negative cases makes local epidemiological data important. Accordingly, this study aimed to evaluate the etiology, clinical characteristics, and therapeutic approach of SA in children in Turkiye, emphasizing the role of real-time polymerase chain reaction (PCR) techniques in the diagnosis. METHODS In this multi-center, prospective study, children hospitalized due to SA between February 2018 and July 2020 in 23 hospitals in 14 cities in Turkiye were included. Clinical, demographic, laboratory, and radiological findings were assessed, and real-time PCR was performed using synovial fluid samples. RESULTS Seventy-five children aged between 3 and 204 months diagnosed with acute SA were enrolled. Joint pain was the main complaint at admission, and the most commonly involved joints were the knees in 58 patients (77.4%). The combination of synovial fluid culture and real-time PCR detected causative bacteria in 33 patients (44%). In 14 (18.7%) patients, the etiological agent was demonstrated using only PCR. The most commonly isolated etiologic agent was Staphylococcus aureus, which was detected in 22 (29.3%) patients, while Streptococcus pyogenes was found in 4 (5.3%) patients and Kingella kingae in 3 (4%) patients. Streptococcus pyogenes and Kingella kingae were detected using only PCR. Most patients (81.3%) received combination therapy with multiple agents, and the most commonly used combination was glycopeptides plus third-generation cephalosporin. CONCLUSIONS Staphylococcus aureus is the main pathogen in pediatric SA, and with the use of advanced diagnostic approaches, such as real-time PCR, the chance of diagnosis increases, especially in cases due to Kingella kingae and Streptococcus pyogenes.
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Affiliation(s)
- Merve Iseri Nepesov
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Türkiye; (M.I.N.); (O.K.)
| | - Omer Kilic
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Türkiye; (M.I.N.); (O.K.)
| | - Enes Sali
- Department of Pediatric Infectious Diseases, Umraniye Training and Research Hospital, Istanbul 34764, Türkiye
| | - Edanur Yesil
- Department of Pediatric Infectious Diseases, Mersin City Hospital, Mersin 33240, Türkiye
| | - Asuman Akar
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Mersin University, Mersin 33110, Türkiye
| | - Ayse Kaman
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara 06080, Türkiye
| | - Ozge Metin Akcan
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Necmettin Erbakan University, Konya 42090, Türkiye
| | - Merve Kilic Cil
- Department of Pediatric Infectious Diseases, Adana City Hospital, Adana 01230, Türkiye
| | - Canan Ozlu
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Dokuz Eylul University, Izmir 35210, Türkiye
| | - Sibel Lacinel Gurlevik
- Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara 06230, Türkiye
| | - Emel Ulusoy
- Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Health Sciences Izmir Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital, Izmir 35210, Türkiye
| | - Benhur Sirvan Cetin
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri 38030, Türkiye
| | - Narin Akici
- Department of Pediatrics, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul 34668, Türkiye
| | - Deniz Cakir
- Department of Pediatric Infectious Diseases, Umraniye Training and Research Hospital, Istanbul 34764, Türkiye
| | - Fatma Deniz Uslu Aygun
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Cerrahpaşa University, Istanbul 34098, Türkiye
| | - Cafer Ozgur Hancerli
- Department of Orthopedics and Traumatology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul 34303, Türkiye
| | - Ayse Tekin Yilmaz
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Kocaeli University, İzmit 41001, Türkiye
| | - Gulsum Alkan
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Selcuk University, Konya 42130, Türkiye
| | - Hatice Uygun
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Adıyaman University, Adıyaman 02040, Türkiye
| | - Ibrahim Hakan Bucak
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Adıyaman University, Adıyaman 02040, Türkiye
| | - Burcu Bursal
- Department of Pediatrics, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul 34303, Türkiye
| | - Taylan Celik
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale 17020, Türkiye
| | - Murat Sutcu
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Istinye University, Istanbul 34010, Türkiye
| | - Fatma Nur Oz
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara 06080, Türkiye
| | - Zeynep Gokce Gayretli Aydin
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Karadeniz Technical University, Trabzon 61080, Türkiye
| | - Adem Karbuz
- Department of Pediatric Infectious Diseases, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul 34384, Türkiye
| | - Hacer Akturk
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Koc University, Istanbul 34010, Türkiye
| | - Eda Kepenekli
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Marmara University, Istanbul 34854, Türkiye
| | - Melike Emiroglu
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Selcuk University, Konya 42130, Türkiye
| | - Selim Oncel
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Kocaeli University, İzmit 41001, Türkiye
| | - Cagatay Nuhoglu
- Department of Pediatrics, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul 34668, Türkiye
| | - Ismail Hakki Korucu
- Department of Orthopedics and Traumatology, Faculty of Medicine, Necmettin Erbakan University, Konya 42090, Türkiye
| | - Mustafa Incesu
- Department of Orthopedics and Traumatology, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir 35020, Türkiye
| | - Ahmet Kaya
- Department of Orthopedics and Traumatology, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir 35020, Türkiye
| | - Hasan Bombaci
- Department of Orthopedics and Traumatology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul 34668, Türkiye
| | - Meltem Dinleyici
- Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Türkiye
| | - Kursat Bora Carman
- Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Türkiye
| | - Murat Duman
- Division of Pediatric Emergency Medicine, Department of Pediatrics, Faculty of Medicine, Dokuz Eylul University, Izmir 35160, Türkiye
| | - Ozden Turel
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Medeniyet University, Istanbul 34700, Türkiye
| | - Dilek Yilmaz
- Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir 35020, Türkiye
| | - Derya Alabaz
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Cukurova University, Adana 01330, Türkiye
| | - Nursen Belet
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Dokuz Eylul University, Izmir 35210, Türkiye
| | - Gonul Tanir
- Department of Pediatric Infectious Diseases, Dr. Sami Ulus Maternity and Children’s Training and Research Hospital, Ankara 06080, Türkiye
| | - Mehmet Turgut
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Adıyaman University, Adıyaman 02040, Türkiye
| | - Solmaz Celebi
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Uludag University, Bursa 16059, Türkiye
| | - Necdet Kuyucu
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Mersin University, Mersin 33110, Türkiye
| | - Emin Sami Arisoy
- Division of Pediatric Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Kocaeli University, İzmit 41001, Türkiye
| | - Gul Durmaz
- Department of Microbiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskisehir 26040, Türkiye
| | - Mucahit Kaya
- Diagen Biotechnological Systems Healthcare and Automation Company, Ankara 06070, Türkiye
| | - Ates Kara
- Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara 06230, Türkiye
| | - Ener Cagri Dinleyici
- Department of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Türkiye
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Bucak IH, Tanrıverdi H, Kılıç FE. An evaluation of childhood carbon monoxide intoxications in a rural area using the Beaufort wind scale. Environ Monit Assess 2023; 195:1204. [PMID: 37702873 DOI: 10.1007/s10661-023-11748-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 08/18/2023] [Indexed: 09/14/2023]
Abstract
Climatic changes are known to affect CO intoxications. The purpose of this study was to examine childhood CO intoxications with the Beaufort wind scale (BWS) classification of wind speeds. The demographic data (age and sex) and information concerning the hour, day, and month of presentation to the emergency department for cases diagnosed with CO intoxication over a 7-year period between 2015 and 2021 in the pediatric emergency department of a tertiary training and research hospital in a rural area were examined. Wind speeds (m/s) measured on the days of presentation to the emergency department were recorded. The wind category on the BWS on the day of intoxication was then determined. Four hundred twenty-two patients, with a mean age of 95.12 ± 59.4 (1-215) months, 218 (51.7%) girls and 204 (48.3%) boys were diagnosed with CO intoxication over the 7-year study period. A comparison of wind speeds on the days of presentation to hospital revealed a significantly higher wind speed in 2020 than in the other years (p<0.001). A comparison of the groups in terms of the BWS revealed a significant difference between the years of presentation to hospital (p:0.001). This is the first study to investigate CO intoxications in the pediatric emergency department with the BWS. A significant association was observed between wind speed based on the BWS and childhood CO intoxications. Further studies evaluating wind in the rural setting and CO intoxications are now needed for protection against such intoxications.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Adiyaman University School of Medicine, Altınsehir Neighborhood 3012 Street Manas Site G Bloc Floor: 7 No: 32, Postal Code: 02040, Adiyaman, Turkey.
| | - Hüseyin Tanrıverdi
- Department of Pediatrics, Adiyaman University School of Medicine, Altınsehir Neighborhood 3012 Street Manas Site G Bloc Floor: 7 No: 32, Postal Code: 02040, Adiyaman, Turkey
| | - Fedli Emre Kılıç
- Department of Pediatrics, Adiyaman University School of Medicine, Altınsehir Neighborhood 3012 Street Manas Site G Bloc Floor: 7 No: 32, Postal Code: 02040, Adiyaman, Turkey
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Aydin H, Bucak IH. The effect of the lunar cycle on migraine: preliminary findings from a retrospective study. Acta Neurol Belg 2022; 122:1583-1588. [PMID: 36029436 DOI: 10.1007/s13760-022-02073-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 08/18/2022] [Indexed: 11/30/2022]
Abstract
AIM The purpose of this study was to evaluate the relationship between the lunar cycle and attacks observed in patients diagnosed with migraine and under follow-up in our pediatric neurology clinic. METHODS Cases diagnosed with migraine and under follow-up at the Balıkesir University Medical Faculty Pediatric Neurology Clinic, Turkey, undergoing attacks between 01.09.2019 and 01.09.2021, and whose attacks were recorded were included in the study. Patients' migraine attacks were investigated retrospectively, and the stage of the lunar cycle at which they occurred, based on the lunar calendar, was determined. RESULTS The mean age of the patients in the study was 13.39 ± 2.64 (8-17) years. Female gender was observed in the majority of attacks in all lunar cycles, and was most common in the first quarter. Headache was most common in the frontal region during the first quarter and full moon, and auras were also most frequent in the first quarter. Stress and exercise were the most frequent migraine-triggering factors in the first and third quarters, and in the full moon. Migraine attacks were shortest in duration in the full moon, and longest in the first quarter. The frequency of attacks (per week) was highest in the new moon and third quarter, and lowest in the full moon. CONCLUSIONS This study investigated the relationship between migraine attack characteristics in children and the lunar cycle. It represents the first such investigation of the association between the lunar cycle and pediatric migraine attacks.
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Affiliation(s)
- Hilal Aydin
- Department of Pediatric Neurology, Faculty of Medicine, Balikesir University, 10145, Balikesir, Turkey.
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, Faculty of Medicine, Adiyaman University, 02200, Adiyaman, Turkey
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Abstract
Kleefstra syndrome (KS), previously referred to as 9q subtelomeric deletion syndrome (9qSTDS), is characterised by moderate to severe developmental delay/mental retardation, childhood hypotonia, and brachy-microcephaly (main clinical phenotype), midface hypoplasia, prognathism, lip and eyebrow shape anomalies. The true prevalence of KS is unknown, but it is estimated that it occurs with a frequency of 1/200.000 in cases with mental retardation. On literature search, approximately 110 patients have been reported so far. Genetic analysis should be planned and interdisciplinary monitoring should be provided in cases suspected to have KS. Key Words: Child, Genetic disorder, Kleefstra Syndrome, Dysmorphism.
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Affiliation(s)
- Hilal Aydin
- Department of Pediatrics, Balikesir University, Faculty of Medicine, Balikesir, Turkey
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Haydar Bagis
- Department of Genetics, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
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Abstract
Children are exposed to large amounts of information and high levels of stress and anxiety from adults around them, the media, and social communication networks during the Covid-19 period. The purpose of this study was to compare the anxiety and depression levels of the children of health workers following the declaration by the World Health Organization (WHO) of Covid-19 as a global pandemic with those of age-matched children of non-health worker parents. This prospective, case-controlled, cross-sectional study was performed between July and September 2020. One hundred forty-six participants were enrolled, 71 children of health worker parents in the study group, and 75 age- and sex-matched children of non-health worker parents in the control group. While no significant difference was determined between the children of health workers and non-health workers in terms of CDI scores, total STAI-C scores were higher among children of health workers (70.36 ± 12.43) than in children of non-health worker parents (65.62 ± 11.83) (p = .02). This study shows that since their parents work in intensive and high-risk environments during the Covid-19 pandemic, the children of health workers may be at greater psychological risk than other children.
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Affiliation(s)
- Habip Almis
- Division of Social Pediatrics, Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Behice Han Almis
- Department of Psychiatry, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
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Bucak IH, Tumgor G, Almis H, Kose S, Dogan CN, Turgut M. Evaluation of Burden and Anxiety in Caregivers of Patients with Pediatric Celiac Disease in the COVID-19 Pandemic. Avicenna J Med 2021; 11:152-155. [PMID: 34646792 PMCID: PMC8500068 DOI: 10.1055/s-0041-1735382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Background
Anxiety and caregiver burden increase among caregivers for individuals with chronic disease. The purpose of this study was to compare the anxiety levels and caregiver burden among caregivers for cases with pediatric celiac disease (CD) before and during the COVID-19 pandemic.
Materials
The Zarit Burden Interview (ZBI) and the Beck Anxiety Inventory (BAI) were applied to 29 parents caring for pediatric CD patients in January 2020, when COVID-19 cases had not yet been seen in Turkey. The study was designed prospectively. The scales were also reapplied to the same study group online during the COVID-19 pandemic (May 2020). The results were then compared.
Results
Parents caring for 29 cases of pediatric CD; 21 mothers (72.4%), six fathers (20.7%), and two aunts (6.9%) took part in the study. Mean ZBI scores before and during the COVID-19 pandemic were 27.51 ± 14.12 (8–73) and 38.68 ± 10.95 (21–57), respectively (
p
< 0.01). Mean BAI scores before and during the COVID-19 pandemic were 13.27 ± 7.65 (1–27) and 23.48 ± 12.40 (2–48), respectively (
p
< 0.01).
Conclusion
Increased anxiety and caregiver burden among caregivers of pediatric CD cases during the COVID-19 pandemic were identified for the first time in the literature in this study.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Gokhan Tumgor
- Department of Pediatric Gastroenterology, Cukurova University School of Medicine, Adana, Turkey
| | - Habip Almis
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Sumeyye Kose
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Cagla Nur Dogan
- Department of Pediatrics, Cukurova University School of Medicine, Adana, Turkey
| | - Mehmet Turgut
- Department of Pediatric Infectious Disease, Adiyaman University School of Medicine, Adiyaman, Turkey
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Oygar PD, Büyükçam A, Bal ZŞ, Dalgıç N, Bozdemir ŞE, Karbuz A, Çetin BŞ, Kara Y, Çetin C, Hatipoğlu N, Uygun H, Aygün FD, Törün SH, Okur DŞ, Çiftdoğan DY, Kara TT, Yahşi A, Özer A, Demir SÖ, Akkoç G, Turan C, Salı E, Şen S, Erdeniz EH, Kara SS, Emiroğlu M, Erat T, Aktürk H, Gürlevik SL, Sütçü M, Aydın ZGG, Atikan BY, Yeşil E, Güner G, Çelebi E, Efe K, İşançlı DK, Durmuş HS, Tekeli S, Karaaslan A, Bülbül L, Almış H, Kaba Ö, Keleş YE, Yazıcıoğlu B, Oğuz ŞB, Ovalı HF, Doğan HH, Çelebi S, Çakır D, Karasulu B, Alkan G, Yenidoğan İ, Gül D, Küçükalioğlu BP, Avcu G, Kukul MG, Bilen M, Yaşar B, Üstün T, Kılıç Ö, Akın Y, Cebeci SO, Bucak IH, Yanartaş MS, Şahin A, Arslanoğlu S, Elevli M, Çoban R, Öz ŞKT, Hatipoğlu H, Erkum İT, Turgut M, Demirbuğa A, Özçelik T, Çiftçi D, Sarı EE, Akkuş G, Hatipoğlu SS, Dinleyici EÇ, Hacımustafaoğlu M, Özkınay F, Kurugöl Z, Cengiz AB, Somer A, Tezer H, Kara A. SARS-CoV-2 seropositivity among pediatric health care personnel after the first peak of the pandemic: nationwide surveillance in Turkey. Int J Infect Dis 2021; 113:184-189. [PMID: 34592441 PMCID: PMC8474801 DOI: 10.1016/j.ijid.2021.09.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 08/31/2021] [Accepted: 09/22/2021] [Indexed: 11/19/2022] Open
Abstract
Background Understanding SARS-CoV-2 seroprevalence among health care personnel is important to explore risk factors for transmission, develop elimination strategies and form a view on the necessity and frequency of surveillance in the future. Methods We enrolled 4927 health care personnel working in pediatric units at 32 hospitals from 7 different regions of Turkey in a study to determine SARS Co-V-2 seroprevalence after the first peak of the COVID-19 pandemic. A point of care serologic lateral flow rapid test kit for immunoglobulin (Ig)M/IgG was used. Seroprevalence and its association with demographic characteristics and possible risk factors were analyzed. Results SARS-CoV-2 seropositivity prevalence in health care personnel tested was 6.1%. Seropositivity was more common among those who did not universally wear protective masks (10.6% vs 6.1%). Having a COVID-19-positive co-worker increased the likelihood of infection. The least and the most experienced personnel were more likely to be infected. Most of the seropositive health care personnel (68.0%) did not suspect that they had previously had COVID-19. Conclusions Health surveillance for health care personnel involving routine point-of-care nucleic acid testing and monitoring personal protective equipment adherence are suggested as important strategies to protect health care personnel from COVID-19 and reduce nosocomial SARS-CoV-2 transmission.
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Abstract
Objective: Migration is a problem affecting all family members, but particularly children. Child refugees are the highest risk group for the health systems of receiving countries. We investigated the health of 104 Syrian child refugees presenting to a tertiary hospital in Turkey. Settings and Design: A retrospective study was conducted in the pediatric clinic. Materials and Methods: The medical files of Syrian refugee children (0–18 years) presenting to Adiyaman University Hospital, Pediatric Clinic between 01 and 30 November 2015, were investigated. Demographic data, body measurements, and laboratory results obtained from patients' medical records were evaluated. Results: Mean age of patients was 53.5 ± 49.6 (2–198) months; 63 were male and 41 were female. Seventy-two patients (69.2%) were under 5 years of age. Weight in 20 patients (19.2%), height in 33 (31.7%), head circumference in 2 (1.9%), and body mass index in 7 (6.7%) were below the third percentile. All patients with body weight below the third percentile had chronic malnutrition. Anemia was present in 35 (50%) of the 70 patients for whom complete blood count data were available. Conclusion: Health workers involved with Syrian refugee children must consider the two preventable conditions; malnutrition and anemia.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Habip Almis
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Samet Benli
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
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Aydin H, Bucak IH. Neurofibromatosis Type 1 and Vitamin B12. J Coll Physicians Surg Pak 2021; 31:353-355. [PMID: 33775033 DOI: 10.29271/jcpsp.2021.03.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 05/29/2020] [Indexed: 11/11/2022]
Abstract
The aim of this study was to evaluate vitamin B12 levels in the patients diagnosed with neurofibromatosis type 1 (NF1) and to compare them with a healthy group. In this study, the files of the patients, who were admitted to the pediatric neurology outpatient clinic of a tertiary university hospital and were followed up after being diagnosed with neurofibromatosis type 1 during the 15-month period, were evaluated retrospectively (Study group). Demographic data, and laboratory test results (complete blood count, iron, iron-binding capacity, ferritin, vitamin B12 and folate) were recorded from the patient files. The cases admitted to the hospital for routine child health examination in the same period were taken as the control group. Vitamin B12 levels were statistically significantly lower in the study group compared to the control group (p=0.012). This study is the first study evaluating vitamin B12 levels in NF1 patients. Key Words: Neurofibromatosis type 1, Neurofibromin, Nutrition, Vitamin B12.
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Affiliation(s)
- Hilal Aydin
- Department of Pediatric Neurology, Balikesir University, Faculty of Medicine, Balikesir, Turkey
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
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Bucak IH, Almis H, Tasar SO, Uygun H, Turgut M. Have the sleep habits in children of health workers been more affected during the COVID-19 pandemic? Sleep Med 2021; 83:235-240. [PMID: 34049042 DOI: 10.1016/j.sleep.2021.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 02/11/2021] [Accepted: 05/01/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Changes have occurred in children's sleep habits during the coronavirus disease 2019 (COVID-19) pandemic. The purpose of this study was to compare the sleep patterns during the COVID-19 pandemic of school age children of health worker parents (Group 1) and non-health worker parents (Group 2). METHOD One hundred twenty-two participants were included in Group 1 and 250 in Group 2. The families' sociodemographic characteristics (education levels and occupations of mothers and fathers, parental shift-working status, monthly family income, number of children in the family, and place of residence), general information for the children taking part (diagnosis of COVID-19 or COVID-19 related isolation, distance education, participation in sporting activities, time spent watching TV, time devoted to reading, time spent on telephones/tablets/computers, and time spent on indoor activities), and the responses given to the Children's Sleep Habits Questionnaire (CSQH)-abbreviated form were all examined. RESULTS Group 1 consisted of 122 individuals, 66 (54.1%) female and 56 (45.9%) male, and Group 2 of 250 individuals, 129 (51.6%) female and 121 (48.4%) male. Statistically significant differences were determined between the groups in terms of parental education levels and occupations, family monthly income, number of children in the family, place of residence, parental shift-working status, and length of time spent on indoor activities. Total CSHQ scores were 41.57 ± 7.57 (20-60) in Group 1 and 39.6 ± 8.47 (17-68) in Group 2 (p:0.03). CONCLUSION Greater impairment of sleep habits of school age children of health workers compared to those of non-health workers in the COVID-19 pandemic is proved for the first time in this study. Further assessment of the effects of the COVID-19 pandemic on children's sleep habits is now required, and appropriate measures must be taken in the light of the results obtained.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Adiyaman University School of Medicine, Department of Pediatrics, Adiyaman, Turkey.
| | - Habip Almis
- Adiyaman University School of Medicine, Department of Pediatrics, Adiyaman, Turkey.
| | - Songül Okay Tasar
- Adiyaman University School of Medicine, Department of Pediatrics, Adiyaman, Turkey.
| | - Hatice Uygun
- Adiyaman University School of Medicine, Department of Pediatric Infectious Disease, Adiyaman, Turkey.
| | - Mehmet Turgut
- Adiyaman University School of Medicine, Department of Pediatric Infectious Disease, Adiyaman, Turkey.
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11
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Abstract
Background: The aim of this study was to evaluate surplus drugs left over from medications used via the intravenous and intramuscular routes in a pediatric emergency unit of a tertiary hospital in Turkey and to determine the financial burden imposed by drug wastage. Materials and Methods: The study was planned prospectively on patients presenting to the pediatric emergency department of a tertiary university hospital between January 1 and April 30, 2017, on weekdays and between 08:00 and 16:00, for any reason, and receiving intravenous and/or intramuscular drug administration resulting in drug wastage after treatment. Results: The number of patients enrolled in the clinical trial was 1620 (35.9%). Twenty-one different medications were administered via the intravenous or intramuscular (IM) routes during the study. The proportion of total medication wastage at the end of trial was estimated to be 0.425. The drug with the highest proportion of mean wastage to drug form was paracetamol (1000mg vial) at 0.79. The total cost of the drugs used for the patients in the study was US$580.98, and the overall burden of drug wastage was US$288.09. The three medications involving the highest wastage costs were methylprednisolone, ondansetron, and dexamethasone. The total wastage cost/total drug cost ratio was 0.495. Conclusion: If commercial drugs with intravenous and IM formulations are used by the pediatric age group, then dosage formulations appropriate for pediatric age group use also need to be produced. The development by manufacturers of ampoules and similar products suitable for multiple use will also reduce drug wastage. Reducing levels of drug wastage will inevitably reduce the drug expenditure.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Habip Almis
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Cagla Nur Dogan
- Department of Pediatrics, Çukurova University School Medicine, Adana, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
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12
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Bucak IH, Almis H, Turgut M. Varicella pseudo-Koebner phenomenon associated with vascular access opening. Clin Exp Dermatol 2017; 43:203-205. [PMID: 29214657 DOI: 10.1111/ced.13306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2017] [Indexed: 11/27/2022]
Affiliation(s)
- I H Bucak
- Department of Pediatrics, Adiyaman University School of Medicine, Altınşehir Neighborhood, Uygur site, G-Bloc No. 32, 02040, Adiyaman, Turkey
| | - H Almis
- Department of Pediatrics, Adiyaman University School of Medicine, Altınşehir Neighborhood, Uygur site, G-Bloc No. 32, 02040, Adiyaman, Turkey
| | - M Turgut
- Department of Pediatric Infectious Disease, Adiyaman University School of Medicine, Altınşehir Neighborhood, Uygur site, G-Bloc No. 32, 02040, Adiyaman, Turkey
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13
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Almis H, Bucak IH, Caliskan MN, Turgut M. Response to the letter to the editor regarding ''Evaluation of vitamin D levels in children with primary epistaxis''. Int J Pediatr Otorhinolaryngol 2017. [PMID: 28647162 DOI: 10.1016/j.ijporl.2017.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Habip Almis
- Adiyaman University, School of Medicine, Department of Pediatrics, Adiyaman, Turkey.
| | - Ibrahim Hakan Bucak
- Adiyaman University, School of Medicine, Department of Pediatrics, Adiyaman, Turkey
| | | | - Mehmet Turgut
- Adiyaman University, School of Medicine, Department of Pediatric Infectious Diseases, Adiyaman, Turkey
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Bucak IH, Almis H, Dogan F, Turgut M. A Retrospective Analysis of Central Physician Appointment System Data in a Tertiary Health Center in Turkey. Telemed J E Health 2017; 24:216-221. [PMID: 28686511 DOI: 10.1089/tmj.2017.0109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION Considerable advances have been made in hospital appointment systems in the past 60 years. In Turkey, the Central Physician Appointment System (CPAS) is used together with appointments made through direct presentations to the hospital. This study evaluated CPAS data. MATERIALS AND METHODS CPAS data for the previous 2 years (2015, Group 1; 2016, Group 2) were evaluated retrospectively. Department-based analysis was also performed. Total number of clinics, CPAS capacity, number of appointments through CPAS, and numbers of patients keeping appointments and "no shows" and ratios calculated from these were investigated. RESULTS Overall, 1,704,594 patients were examined in 20 departments during the 2-year period (January 1, 2015-December 31, 2016). Mean CPAS capacity per department was 12,831 ± 7,691 in Group 1 and 11,573 ± 6,849 in Group 2 (p = 0.588). Ratios of appointments made through CPAS to CPAS capacity were 0.7 in Group 1 and 0.84 in Group 2 (p = 0.009). The ratio of patients keeping appointments made through CPAS to the number of appointments made through CPAS was 0.772 in Group 1 and 0.775 in Group 2 (p = 0.831). The departments with the highest number of appointments made through CPAS to CPAS capacity were Neurosurgery in Group 1 (0.99) and Ophthalmology in Group 2 (0.99). The department with the lowest ratio was Infectious Disease and Clinical Microbiology in Group 1 (0.28) and Group 2 (0.45). CONCLUSIONS The use of CPAS has increased. However, some CPAS vacancies remain unfilled, and some appointments are not kept. CPAS capacities must be adjusted in line with take-up rates through regular department-based analysis.
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Affiliation(s)
- Ibrahim Hakan Bucak
- 1 Department of Pediatrics , Adiyaman University School of Medicine , Adiyaman, Turkey
| | - Habip Almis
- 1 Department of Pediatrics , Adiyaman University School of Medicine , Adiyaman, Turkey
| | - Fatih Dogan
- 2 Department of Plastic Surgery, Adiyaman University School of Medicine , Adiyaman, Turkey
| | - Mehmet Turgut
- 1 Department of Pediatrics , Adiyaman University School of Medicine , Adiyaman, Turkey
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Konca C, Tekin M, Uckardes F, Akgun S, Almis H, Bucak IH, Genc Y, Turgut M. Antibacterial resistance patterns of pediatric community-acquired urinary infection: Overview. Pediatr Int 2017; 59:309-315. [PMID: 27542568 DOI: 10.1111/ped.13139] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Revised: 08/10/2016] [Accepted: 08/17/2016] [Indexed: 12/01/2022]
Abstract
BACKGROUND Urinary tract infection (UTI) is common in children. The aim of this study was therefor to construct a guide for the empirical antibiotic treatment of community-acquired UTI by investigating the etiology and antimicrobial resistance patterns of uropathogens and analyzing the epidemiological and clinical patient characteristics. METHODS A total of 158 children with positive urine culture were included in the study. Antibiotic susceptibility testing was performed with Vitek 2 Compact for 28 commonly used antimicrobials. RESULTS Mean age was 3.36 ± 3.38 years (range, 45 days-15 years). Escherichia coli (60.1%), and Klebsiella spp. (16.5%) were the most common uropathogens. For all Gram-negative isolates, a high level of resistance was found against ampicillin/sulbactam (60.1%), trimethoprim/sulfamethoxazole (44.2%), cefazolin (36.2%), cefuroxime sodium (33.5%), and amoxicillin/clavulanate (31.5%). A low level of resistance was noted against cefepime (8.7%), ertapenem (4.6%), norfloxacin (1.3%), and meropenem (0.7%). There was no resistance against amikacin. CONCLUSIONS There is high antibiotic resistance in children with UTI. The patterns of uropathogen antimicrobial resistance vary in susceptibility to antimicrobials depending on region and time. Thus, the trends of antibiotic susceptibility patterns should be analyzed periodically to select the appropriate regimen for UTI treatment.
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Affiliation(s)
- Capan Konca
- Division of Pediatric Intensive Care Unit, School of Medicine, Adiyaman University, Adiyaman, Turkey.,Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Mehmet Tekin
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Fatih Uckardes
- Department of Statistics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Sadik Akgun
- Department of Microbiology, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Habip Almis
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Yeliz Genc
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey
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16
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Almis H, Bucak IH, Konca C, Turgut M. Risk Factors Related to Caregivers in Hospitalized Children's Falls. J Pediatr Nurs 2017; 32:3-7. [PMID: 27802878 DOI: 10.1016/j.pedn.2016.10.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2016] [Revised: 10/19/2016] [Accepted: 10/21/2016] [Indexed: 12/23/2022]
Abstract
PURPOSE This study aimed to evaluate the risk factors for falls in hospitalized children in relation to their caregivers. METHODS This was a case control study to evaluate the risk factors for falls in hospitalized children in relation to their caregivers. The children included in our study were at the hospital between June 2014 and June 2015. Demographic data of patients, caregivers, some habits; education level; and number of siblings were recorded. RESULTS The data of 117 patients were evaluated, and there were 39 patients with a fall event and 78 patients who did not experience a fall. The mean age for the fall group and the non-fall group were 14.71±9.36 and 15.62±10.65months, respectively. The mean age for the caregivers of the fall group and the non-fall group were 29.33±5.89 and 29.53±5.56years, respectively. There was a statistically significant difference in fall risk related to the caregivers' education level (p<0.01) and caregivers' habit of smoking (p<0.01). The analysis of risk factors related to caregivers for pediatric inpatient falls, by multivariate logistic regression, showed that low educational level of caregivers (OR=0.361; CI=0.196-0.665; p<0.01), caregivers' smoking (OR=4.863; CI=1.058-22.358; p<0.05) and increased length of stay for the children (OR=1.994; CI=1.475-2.696; p<0.01) carried a higher risk for pediatric inpatient falls. CONCLUSIONS AND PRACTICE IMPLICATIONS The data obtained in our study have shown that caregivers play a key role in fall events in hospitalized children. Nurses and other health workers should consider children's caregivers educational level and habits for prevention of hospitalized children falls.
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Affiliation(s)
- Habip Almis
- Adiyaman University, School of Medicine, Department of Pediatrics, Adiyaman, Turkey.
| | - Ibrahim Hakan Bucak
- Adiyaman University, School of Medicine, Department of Pediatrics, Adiyaman, Turkey
| | - Capan Konca
- Adiyaman University, School of Medicine, Department of Pediatrics, Adiyaman, Turkey
| | - Mehmet Turgut
- Adiyaman University, School of Medicine, Department of Pediatric Infectious Diseases, Adiyaman, Turkey
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17
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Bucak IH, Almis H. Does Abnormal Laboratory Results Notification with the Short Message Service Shorten Length of Stay in the Pediatric Emergency Department Observation Unit? Telemed J E Health 2016; 23:539-543. [PMID: 27935745 DOI: 10.1089/tmj.2016.0213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
BACKGROUND A new age in communications began with the entry into use of cell phones and their applications. Cell phones and their various applications must be actively used in patient monitoring in the healthcare system. INTRODUCTION The purpose of this study was to determine the length of stay in the pediatric emergency department observation unit (PEDOU) based upon the notification of abnormal laboratory results (ALRs) via the short message service (SMS). MATERIALS AND METHODS Patients with ALRs notified through the SMS (April-May-June 2015: study period) were evaluated retrospectively, and those admitted to hospital after such notification were enrolled as the study group (SG). Patients presenting to the pediatric emergency department (April-May-June 2014: control period), whose ALRs were not notified through the SMS, and who were hospitalized for treatment, were enrolled as the control group (CG). Age, sex, length of stay in the PEDOU (min), admission diagnosis, and receiving department were recorded for both groups. RESULTS Number of patients monitored in the PEDOU was 8584 during the study period and 8507 during the control period (p = 0.27). Length of stay of patients monitored in the PEDOU during the control period (n = 8507) and study period (n = 8584) was 136.4 and 133.5 min, respectively (p = 0.92). One hundred forty-seven patients were enrolled as the SG and 154 as the CG. Length of stay in the PEDOU was 221.1 ± 86.9 (65-542) min in the CG and 154.8 ± 76.6 (15-442) min in the SG (p < 0.001, 95% confidence interval: 47.5-84.8). CONCLUSIONS Notification of ALRs through the SMS does not affect length of stay in the PEDOU. Use of this method reduces length of stay of patients who require more rapid hospitalization.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Adiyaman University School of Medicine , Adiyaman, Turkey
| | - Habip Almis
- Department of Pediatrics, Adiyaman University School of Medicine , Adiyaman, Turkey
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18
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Dogan F, Bucak IH. Rare Giant Angiokeratoma of Vulva: A Case Report. Balkan Med J 2016. [DOI: 10.5152/balkanmedj.2016.140724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Bucak IH, Almis H, Tepe B, Turgut M. A rare cause of emergency department visit: Euphorbia helioscopia contact dermatitis. Turk J Emerg Med 2016; 16:121-122. [PMID: 27857991 PMCID: PMC5103056 DOI: 10.1016/j.tjem.2016.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Revised: 10/15/2015] [Accepted: 11/06/2015] [Indexed: 11/24/2022] Open
Abstract
Emergency department visits due to dermatologic disease is quite rare. Euphorbia helioscopia is a widely distributed plant in rural areas. E. helioscopia related contact dermatitis (Irritant contact dermatitis or allergic contact dermatitis) are known however only a few case reported in literature. We are reporting on three patients with contact dermatitis from E. helioscopia. Irritant contact dermatitis was occurred only one of these cases. This case refused to wash face with water. We recommend washing the face with water after contact with E. helioscopia.
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Affiliation(s)
| | - Habip Almis
- Department of Pediatrics, Adıyaman University, Adıyaman, Turkey
| | - Birgul Tepe
- Department of Dermatology, Adıyaman University, Adıyaman, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, Adıyaman University, Adıyaman, Turkey
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Simsek A, Tekin M, Bilen A, Karadag AS, Bucak IH, Turgut M. Evaluation of Choroidal Thickness in Children With Iron Deficiency Anemia. ACTA ACUST UNITED AC 2016; 57:5940-5944. [DOI: 10.1167/iovs.15-18713] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Ali Simsek
- Department of Ophthalmology, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Mehmet Tekin
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Abdurrahman Bilen
- Department of Ophthalmology, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Ayse Sevgi Karadag
- Department of Ophthalmology, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Ibrahim Hakan Bucak
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey
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21
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Almiş H, Bucak IH, Çelik V, Tekin M, Karakoç F, Konca Ç, Turgut M. Mean platelet volume in hepatitis A. Eur Rev Med Pharmacol Sci 2016; 20:2310-2314. [PMID: 27338056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
OBJECTIVE Hepatitis A virus (HAV) still continues to be a serious public health problem worldwide. Mean platelet volume (MPV) is a marker of platelet function and activation. This study aimed to evaluate the relationship between MPV in acute hepatitis A patients as compared to the control group and to assess MPV as an acute phase reactant in acute hepatitis A. PATIENTS AND METHODS Seventy-six patients were enrolled in this study. The control group consisted of 41 healthy age- and sex-matched individuals. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), bilirubin, prothrombin time (PT), platelet count (PC), serum albumin (ALB), and mean platelet volume (MPV) levels were recorded. The diagnosis of HAV infection was based on anti-HAV Ig M positivity. RESULTS The mean levels of MPV in the study group were significantly statistically lower than in the control group (p < 0.001). The MPV levels revealed no correlation with the ALT, AST, ALP, and GGT levels (p > 0.05), but the MPV levels correlated with the platelet counts (p < 0.05). A 9.75 fL [area under the curve (AUC: 0.756)] optimal cutoff level of MPV with a sensitivity of 69.7% and specificity of 68.3% was determined in the children with acute hepatitis A. CONCLUSIONS MPV levels were significantly lower in the patients with acute hepatitis A as compared to the healthy control group. This study demonstrated that MPV may be a negative acute phase reactant for acute hepatitis A. Further studies will explain the role that MPV plays in inflammation and other viral infections.
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Affiliation(s)
- H Almiş
- Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, Turkey.
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Bucak IH, Ozturk AB, Almis H, Cevik MÖ, Tekin M, Konca Ç, Turgut M, Bulbul M. Is there a relationship between low vitamin D and rotaviral diarrhea? Pediatr Int 2016; 58:270-3. [PMID: 26287796 DOI: 10.1111/ped.12809] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2015] [Revised: 08/05/2015] [Accepted: 08/12/2015] [Indexed: 12/14/2022]
Abstract
BACKGROUND For children under 5 years of age, 1700 000 000 episodes of diarrhea are seen worldwide, and death occurs in 700 000 of these cases due to diarrhea. Rotavirus is an important cause of diarrhea in this age group, and many studies have shown that vitamin D plays a pivotal role in the immune system, as well as in antimicrobial peptide gene expression. In addition, lower vitamin D has been correlated with higher rates of infectious diseases such as respiratory tract infection, tuberculosis, and viral infection. METHODS Seventy patients with rotaviral diarrhea and 67 healthy patients were enrolled in this study. Serum 25-hydroxy vitamin D(3) (25(OH)D(3)), parathormone, calcium, phosphate, alkaline phosphatase, complete blood count parameters, and C-reactive protein were compared between pre-school children hospitalized due to rotaviral diarrhea and healthy children. Additionally, birthweight, feeding habits in the first 6 months of life, vitamin D and multivitamin supplements, and rotaviral vaccinations were also evaluated in each group. RESULTS There were no differences between the groups with regard to gender and age, but 25(OH)D(3) was significantly different: 14.6 ± 8.7 ng/mL in the rotaviral diarrhea patients versus 29.06 ± 6.51 ng/mL in the health controls (P < 0.001), and serum 25(OH)D(3) <20 ng/mL (OR, 6.3; 95%CI: 3.638-10.909; P < 0.001) was associated with rotaviral diarrhea. CONCLUSIONS Low vitamin D is associated with rotaviral diarrhea. This is the first study in the literature to show this, and this result needs to be repeated in larger controlled clinical studies.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Agah Bahadır Ozturk
- Department of Family Medicine, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Habip Almis
- Department of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Muhammer Özgür Cevik
- Department of Medical Genetics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Mehmet Tekin
- Department of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Çapan Konca
- Department of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Mehmet Turgut
- Department of Pediatrics, Adıyaman University School of Medicine, Adıyaman, Turkey
| | - Mehmet Bulbul
- Department of Obstetrics and Gynecology, Adıyaman University School of Medicine, Adıyaman, Turkey
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Bucak IH, Tumgor G, Canoz PY, Leblebisatan G, Turgut M. A Case Report: Hallermann-Streiff Syndrome. Erciyes Med J 2014. [DOI: 10.5152/etd.2013.5413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Turgut M, Demirhan O, Tunc E, Bucak IH, Canoz PY, Temiz F, Tumgor G. Diagnosis of chromosomal abnormalities in a patient with thanatophoric dysplasia (TD) type I: The first report describing an important association between cytogenetic findings and TD. Am J Case Rep 2012; 13:109-13. [PMID: 23569503 PMCID: PMC3615938 DOI: 10.12659/ajcr.883026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2012] [Accepted: 05/10/2012] [Indexed: 11/11/2022]
Abstract
Background: Thanatophoric dysplasia (TD) is the most lethal and most severe type of dysplasia. It has distinct features, the most important of which is short tubular bones and short ribs with platyspondyly, allowing a precise radiologic and prenatal ultrasonographic diagnosis. It has been reported to be caused by mutations in the FGFR3 gene, but exactly how cytogenetic abnormalities might lead to TD is unclear. Case Report: We report a case of TD with different prenatal sonographic features compatible with the classification of type I. In the result of cytogenetic examination, we found de novo CAs in 28% of cells analyzed from the affected infant; 75% of the abnormalities were numerical, and of those, 25% were structural aberrations; 21% of cells revealed predominantly numerical aberrations. Monosomy 18, 21 and 22 was observed in 4% of cells, monosomy 20 in 2%, and monosomy 7, 8, 14, 17 and 19 in 1%. Structural changes were observed in 7% of cells. Conclusions: It appears that these chromosomes may be preferentially involved in and important for TD development.
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Affiliation(s)
- Mehmet Turgut
- Department of Pediatrics, Faculty of Medicine, Adıyaman University, Adiyaman, Turkey
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Bucak IH, Tümgör G, Mengen E, Temiz F, Turgut M. Ecthyma gangrenosum in a previously healthy pediatric patient and associated facial paralysis and persistent hyperplastic primary vitreous. Am J Case Rep 2012; 13:250-3. [PMID: 23569541 PMCID: PMC3615913 DOI: 10.12659/ajcr.883503] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2012] [Accepted: 07/20/2012] [Indexed: 11/09/2022]
Abstract
Background: Ecthyma gangrenosum is an infective lesion of the skin and mucosal membranes. It is most commonly caused by Pseudomonas aeruginosa, and the most important risk factors are malignancy and neutropenia. However, it has rarely been reported in children who were previously healthy. Persistent hyperplastic primary vitreous has been described as the persistence of the fetal hyaloid vascular system. Acute otitis media with facial paralysis is an infrequent association. Case Report: We report the case of a 5-month-old boy hospitalized because of fever, otorrhea and necrosis on his body. He had peripheral facial paralysis on the same side as otorrhea. Leukocoria was determined in the right eye. He had many gangrenous ulcers on the extremities and body. Conclusions: We present a previously healthy pediatric patient diagnosed with persistent hyperplastic primary vitreous, ecthyma gangrenosum (by the septicemia of P. aeruginosa), and peripheric facial paralysis (a complication of acute otitis media), admitted to hospital.
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Affiliation(s)
- Ibrahim Hakan Bucak
- Department of Pediatrics, Faculty of Medicine, Adýyaman University, Adýyaman, Turkey
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Çiftçi E, Tuygun N, Özdemir H, Tezer H, Şensoy G, Devrim İ, Dalgiç N, Kara A, Turgut M, Tapisiz A, Keser M, Çelebi S, Bayram N, Kocabaş E, Dinleyici EÇ, Özen M, Soysal A, Kuyucu N, Tanir G, Çelikel E, Belet N, Evren G, Aytaç DB, Cengiz AB, Canöz PY, Derinöz O, İnce E, Hacimustafaoğlu M, Anil M, Özgür Ö, Kuzdan C, Özaydin E, Aşilioğlu N, Dizdarer C, Ceyhan M, Bucak IH, Kendirli T, Yakut Hİ, Fişgin T, Ünal N, Altindağ H, Kilinç AA, Zöhre SU, Elhan AH, Doğru Ü. Clinical and epidemiological features of Turkish children with 2009 pandemic influenza A (H1N1) infection: Experience from multiple tertiary paediatric centres in Turkey. ACTA ACUST UNITED AC 2011; 43:923-9. [DOI: 10.3109/00365548.2011.598872] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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