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5. Unmasking bocavirus: is it a co-infectious agent or an actual respiratory pathogen?

Author

Hanalioglu, Damla, Cetin, Selin, Cetin, Meltem, Dinc, Bedia, Akcan Yildiz, Leman, Kaynak, Mustafa Oguz, Kurt, Funda, Akca, Halise, Senel, Saliha, and Karacan, Can Demir

Subjects
RHINORRHEA, RESPIRATORY infections, RESPIRATORY syncytial virus, C-reactive protein, VIRUS diseases
Abstract

Objectives: Although human bocavirus (HBoV) is primarily linked to respiratory tract infections, its exact role as a respiratory pathogen remains unclear. This study aims to investigate HBoV detection rates, as well as clinical, laboratory, microbiological, and radiological characteristics, length of stay in the emergency department (ED), rate of hospitalization, and severity of illness in cases where HBoV is detected in respiratory secretions. Methods: We conducted a retrospective analysis of all consecutive patients under 18 years who visited a large-volume tertiary pediatric ED from January to December 2023 and tested positive for HBoV in their respiratory viral panel (RVP). Results: Among the 14,315 patients who underwent RVP testing during the study period, 591 (4%) tested positive for HBoV. After excluding those with incomplete data, 528 patients (57% male) were included in the analyses. The median age was 2.8 [1.2–4.9] years. The most common symptoms were cough (67%), fever (58%), runny nose/nasal congestion/sore throat (34%), and respiratory distress (24%). Thirty percent of the patients had a history of antibiotic use before admission. Thirteen percent of the patients had at least one chronic illness. Co-infection with HBoV occurred in 37% of the patients, with respiratory syncytial virus (RSV) being the most frequently co-detected virus (45%). Lymphopenia was documented in 12% of patients, and 36% had elevated C-reactive protein levels (median 21 [12–38] g/dl). Abnormal chest X-rays were noted in 85% of patients. The management approach included outpatient care for more than half of the patients (69%). Clinical severity was classified as high in 11% of patients (n = 60), necessitating ICU admission. Conclusion: Although typically mild, HBoV infections can escalate to severe respiratory illnesses, requiring respiratory support and intensive care. [ABSTRACT FROM AUTHOR]

Published
2024
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9. Evaluation of the Effect of Fluid and Electrolyte Therapy on Electrolytes and Acidosis Resolution Time in Diabetic Ketoacidosis.

Author

SEZER, Müge, KARACAN, Can Demir, TUYGUN, Nilden, and ŞENEL, Saliha

Subjects
*ELECTROLYTE therapy, *ACIDOSIS, *ANIONS
Abstract

Objective: Fluid replacement and insulin infusion are the cornerstones of treatment of diabetic ketoacidosis, but the optimal volume, rate of infusion, and electrolyte content of fluid replacement have been controversial. The aim of this study was to investigate the effects of treatment on pH, bicarbonate (HCO3), anion gap, chloride, and potassium levels as well as time to resolution of acidosis in children with diabetic ketoacidosis. Material and Methods: Ninety-six episodes with diabetic ketoacidosis between January 2015-December 2017 were evaluated. Results: The mean resolution time of acidosis was 13.4±7.1 hours. Anion gap was returned to normal in 68 (70.8%) episodes at the 4th hour of treatment with a mean of 11±4.2 mmol/L. Episodes with potassium phosphate (KPO4) replacement resulted in a faster increase in pH and a significantly shorter resolution time of acidosis (p<0.001). Acidosis persisted at the 16th hour of treatment in episodes with lower pH, lower serum bicarbonate (HCO3) and higher white blood cell (WBC) counts on admission (p<0.001, p=0.003 p=0.033, respectively). Hyperchloremia (Cl/Na ratio > 0.79) was observed in 97% of cases after 8 hours of treatment. Conclusion: Although the value of the anion gap in predicting acidosis is controversial, severe DKA episodes and high white blood cell count at admission; potassium replacement with high amounts of chloride and KCl containing fluids given during treatment have been associated with a longer recovery time of acidosis. [ABSTRACT FROM AUTHOR]

Published
2024
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13. An analysis of cardiology consultation requests in infants presented to the pediatric emergency department of a tertiary children’s hospital

Author

Öztürk, Betül, primary, Güneylioğlu, Mustafa Muhammed, additional, Yaradilmiş, Raziye Merve, additional, Aydın, Orkun, additional, Yasar, Deniz, additional, Güngör, Ali, additional, Bodur, İ̇lknur, additional, Göktuğ, Aytaç, additional, Sayici, İ̇lker Ufuk, additional, Örün, Utku Arman, additional, Karacan, Can Demir, additional, and Tuygun, Nilden, additional

Published
2023
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14. The initial psychological impact of the COVID-19 pandemic on healthcare professionals in a children's hospital

Author

ÖZTÜRK, Betül, primary, AÇIKEL, Sadettin Burak, additional, GÜNGÖR, Ali, additional, GÜNEYLİOĞLU, Muhammed Mustafa, additional, YARADILMIŞ, Raziye Merve, additional, BODUR, İlknur, additional, TEKELİ, Aysun, additional, AKCA ÇAĞLAR, Ayla, additional, GÖKTUĞ, Aytaç, additional, TUYGUN, Nilden, additional, and KARACAN, Can Demir, additional

Published
2023
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26. Levothyroxine poisoning in children -- should we really be afraid?

Author

Ozturk, Betul, Bodur, Ilknur, Tekeli, Aysun, Gungor, Ali, Yaradilmis, Raziye Merve, Guneylioglu, Muhammed Mustafa, Goktug, Aytac, Karacan, Can Demir, and Tuygun, Nilden

Subjects
LEVOTHYROXINE, DRUG toxicity, PEDIATRIC toxicology, EMERGENCY medical services, MEDICAL care costs
Abstract

Copyright of Anatolian Clinic Journal of Medical Sciences is the property of Hayat Saglik ve Sosyal Hizmetler Vakfi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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29. Covid-19 Vaccine Acceptance Among Parents: Are They Willing to Vaccinate Their Children?

Author

GÜNGÖR, Ali, GÖKTUĞ, Aytaç, ÖZTÜRK, Betül, GÜNEYLIOĞLU, Muhammed Mustafa, YARADILMIŞ, Raziye Merve, BODUR, İlknur, TEKELI, Aysun, KARACAN, Can Demir, and TUYGUN, Nilden

Subjects
PARENT attitudes, VACCINATION, COVID-19, PSYCHOLOGY of parents, ECONOMIC impact, COVID-19 vaccines, ATTITUDE (Psychology), RESEARCH methodology, CROSS-sectional method, VACCINE refusal, CHILDREN'S hospitals, SEX distribution, PATIENT-family relations, DECISION making, VACCINE hesitancy, QUESTIONNAIRES, CHI-squared test, DATA analysis software, LONGITUDINAL method, EDUCATIONAL attainment, CHILDREN
Abstract

Copyright of Ahi Evran Medical Journal is the property of Ahi Evran University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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39. Rapid sequence intubation experiences in the pediatric emergency department.

Author

Yaradilmis, Raziye Merve, Bodur, Ilknur, Guneylioglu, Muhammed Mustafa, Ozturk, Betul, Goktug, Aytac, Aydin, Orkun, Gungor, Ali, Karacan, Can Demir, and Tuygun, Nilden

Subjects
PATIENT selection, PATIENT management, INTRACRANIAL hemorrhage, BRAIN damage, NEUROLOGY
Abstract

Copyright of Anatolian Clinic Journal of Medical Sciences is the property of Hayat Saglik ve Sosyal Hizmetler Vakfi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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43. The Variation of The Rate of Child Abuse Cases During The Course of Covid-19 Pandemics: Turkish Sample

Author

TEKİN, DENİZ, DERİNÖZ GÜLERYÜZ, OKŞAN, ULUKOL, BETÜL, İLARSLAN, EDA, ACAR, NURDAN, AKÇABOY, MELTEM, AKGÜL, FATMA, AKYÜZ ÖZKAN, ESRA, ALMİŞ, HABİP, APA, HURŞİT, AYÇİÇEK DİNÇER, TUĞBA, AYDIN, BERİL, AYDIN, ORKUN, BAĞ, ÖZLEM, BALTALI HIDIR, OYA, BARUTÇU, ADNAN, BERKSOY, EMEL, BUCAK, İBRAHİM HAKAN, ÇALIŞKAN, FATİH, ÇUHACI ÇAKIR, BAHAR, DİNLEYİCİ, MELTEM, DURMAZ, NİHAL, DUYAN ÇAMURDAN, AYSU, ELİBOL, PELİN, ERKEK, NİLGÜN, EVLİYAOĞLU, NURDAN, GÖKÇAY, EMİNE GÜLBİN, GÜLTEKİNGİL, AYŞE, GÜNAY, FATİH, GÜNGÖR, ALİ, ISIYEL, EMEL, KARAKAŞ, AZMİ MUTLU, KESKİNDEMİRCİ, GONCA, KILIÇ, AYŞE, OĞUZ, MELAHAT MELEK, ORHAN KILIÇ, BETÜL, ÖZER, UTKU, ŞAHİN, SABİHA, ŞAHİN DAĞLI, FİGEN, ŞEN, FADİME, ŞENEL, SALİHA, TEKŞAM, ÖZLEM, TOPÇU, SEDA, TUYGUN, NİLDEN, TÜRE, ŞENAY, UYSALOL, METİN, ÜNAY, BÜLENT, ÜNVER KORĞALI, ELİF, VATANSEVER, GÖKSEL, VELİPAŞAOĞLU, SEVTAP, YALÇIN, SONGÜL, YILDIZ, RAİF, KOÇTÜRK, NİLÜFER, SOFUOĞLU, ZEYNEP, CANKARDAŞ, SİNEM, and KARACAN, CAN DEMİR

Published
2021

49. Evaluation of Epidemiological, Demographic, Clinical Characteristics and Laboratory Findings of COVID-19 in the Pediatric Emergency Department

Author

Göktuğ, Aytaç, primary, Güngör, Ali, additional, Öz, Fatma Nur, additional, Akelma, Zülfikar, additional, Güneylioğlu, Muhammed Mustafa, additional, Yaradılmış, Raziye Merve, additional, Bodur, İlknur, additional, Öztürk, Betül, additional, Tekeli, Aysun, additional, Karacan, Can Demir, additional, and Tuygun, Nilden, additional

Published
2021
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