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Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine 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.)

Aim: To evaluate the effect of umblical cord clamping time on lymphocyte subgroups in term and late preterm infants. Material and Methods: Seventy-four infants between 34 and 41 weeks of gestation were included in the study. Of these, 37 were umbilical cord clamped immediately after birth and the remaining 37 were clamped after waiting one minute. Babies were divided into two groups as term and preterm. The prenatal, natal, postnatal characteristics of the infants were recorded. Hematologic and lymphocyte subgroups were investigated in cord blood and venous blood at day 7. Lymphocyte subgroups were evaluated using flow cytometry. Results: With the delay of cord clamping, the leucocytes count and the percentage of CD3+T lymphocytes in cord blood of preterm infants decreased and this decrease continued at day 7. On the contrary, CD19+B lymphocyte levels in the cord blood of preterm infants increased, and this increase continued at day 7. Also, the percentage of CD4+T lymphocytes of preterm infants decreased with the delay of cord clamping at day 7. There was no difference between groups for the rate of sepsis development. Conclusion: With the delay of cord clamping, the leucocytes count, the percentage of CD3+T, and CD4+T lymphocytes decreased, and the percentage of CD19+B lymphocytes increased in preterm infants. The delay in cord clamping time in term and preterm infants seems to have no impact on the rate of sepsis development. Larger series of studies are needed to assess the effect of these findings on the development of infection in late preterm infants who have delayed cord clamping. [ABSTRACT FROM AUTHOR]

Chylous ascites is a rare condition due to the extravasations of chylous fluid through the peritoneal space. Congenital form of chylous ascites is extremely rare. Delay in diagnosis and treatment of congenital ascites creates medical problems. The main approach of treatment is conservative. Drainage of peritoneal chylous fluid, replacement of volume and protein loss, cessation of enteral feeding and parenteral nutrition, rich in middle chain fatty acids and somatostatin are recommended. If these conservative treatment alternatives are ineffective, then surgery can be considered. Fibrin adhesives can be used in surgery to decrease lymphatic leakage. Due to the rarity and difficulty in management of congenital chylous ascites, here we present a case who did not respond to conservative treatment for two months and benefited from catheterization of the lymphatic leakage areas and adhesive fibrin therapy during explorative laparotomy. [ABSTRACT FROM AUTHOR]

Pneumomediastinum is due to air penetration in to the mediastinum. In children it is mostly due to asthma, however in newborns pneumonia or meconium aspiration syndrome are the predisposing factors. Pneumomediastinum is recognised by chest radiography, in newborn babies -spinnaker sign- an upwards and outwards deviation of thymic lobes can be seen due to raising of thymus above the heart by pneumomediastinal air. Babies may be asymptomatic or they may have respiratory distress. Pneumomediastinum usually resorbs spontaneously over one or two weeks. Here we report two newborn babies with pneumomediastinum. Although pneumomediastinum was obvious in the chest X-rays, both babies had mild respiratory distress and mediastinal air resorbed spontaneously. [ABSTRACT FROM AUTHOR]

Copyright of Archives Medical Review Journal / Arsiv Kaynak Tarama Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Copyright of Cukurova Medical Journal / Çukurova Üniversitesi Tip Fakültesi Dergisi is the property of Cukurova University, Faculty of Medicine 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.)

Meconium-stained amniotic fluid occurs in approximately 13% of normal pregnancies and 5% of these infants develop meconium aspiration syndrome. Meconium aspiration syndrome is mostly a problem of term and postterm infants. There may be mild tachypnea or dispnea, respiratory insufficiency and persistant pulmonary hypertension in meconium aspiration syndrome. Meconium aspiration syndrome has a complex pathophysiology. Babies with meconium aspiration syndrome have both acute effects and long term morbidities such as bronchial reactivity and wheezing. Although there is improvement in pathophysiology and treatment modalities, it is still difficult to treat meconium aspiration syndrome. In this paper, management of newborns with meconium stained amniotic fluid and meconium aspiration syndrome in antenatal, natal and postnatal period are reviewed. [ABSTRACT FROM AUTHOR]

Purpose: The iam of this study was to investigate the effect of healthcare associated infections (HAIs) and broad spectrum antibiotic use in newborn period on asthma, allergic rhinitis and atopic dermatitis. Material and Methods: Seventy three children treated for HAIs in newborn period in Neonatal Intesive Care Unitin a 6 years period, and their 41 siblings who were healthy in newborn period were included in the study. Parents answered a detailed questionnaire, children were examined and complete blood count, serum total Ig E and specific Ig E levels were studied. Results: Ventilator associated pneumonia was observed in 32 (45.2%), blood stream infection in 28 (38.4%) and clinic sepsis in 12 (16.4%) of 73 children with HAIs. Asthma was significantly higher in HAIs group compared to sibling group (32.9% vs. 4.9), whereas there was no significant difference in allergic rhinitis (4.1% vs.2.4%) and atopic dermatitis (6.8% vs. 0%) among groups. When nonallergic 85 subjects and allergic 29 children compared, children who had been hospitalised and treated with broad-spectrum antibiotics in newborn period were almost 11.5 times as likely to have an allergic disease. Conclusion: Asthma was significantly higher in HAI group, and allergic disease risk seems to increase in children treated with broad-spectrum antibiotics for HAIs in newborn period. [ABSTRACT FROM AUTHOR]

Midaortic syndrome is an uncommon disease characterized by segmental or diffuse narrowing of abdominal or distal descending thorasic aorta. Majority of the cases are idiopathic but some are secondary to fibromuscular dysplasia, giant cell arteritis, Moyamoya disease or genetic diseases such as neurofibromatosis, Williams' syndrome and Alagille syndrome. It is very rare in newborn period. Here we present a 40 days old infant who admitted to hospital for respiratory distress, hypertension, heart failure and was diagnosed as midaortic syndrome. She had medical treatment but unfortunately died due to heart failure when she was two months old age. [ABSTRACT FROM AUTHOR]

Umbilical venous catheterization is frequently used for treatment, monitorization, blood sampling and total parenteral nutrition in neonatal intensive care units. During umbilical catheterization, complications such as occlusion, bleeding, breaking, leaking, thrombosis, infection, distal embolization, perforation and cardiac tamponade may be observed. For this reason great attendence should be given to catheter complications especially during catheterization and catheter removal. Accidentally cutting or breaking of catheter may be observed. The catheter piece inside can be removed by transumbilical catheterization or surgical attempt. Here we report a preterm infant with 28 gestational weeks of age whose umbilical catheter was broken or accidentally cut during removal of catheter. The piece of catheter inside was removed surgically. [ABSTRACT FROM AUTHOR]

Surfactant replacement therapy has been the mainstay of treatment for preterm infants with respiratory distress syndrome for more than twenty years. In recent years, the growing interest in noninvasive ventilation has led to novel approaches of administration. Non-invasive techniques of respiratory support were developed in order to reduce the adverse effects associated with ventilation via an endotracheal tube. Noninvasive surfactant administration technique during spontaneous breathing along with nasal continous positive airway pressure support successfully reduces the need for further respiratory support and bronchopulmonary dysplasia rate in very low birth weight infants. In this article, new approaches to surfactant administration have been briefly reviewed. [ABSTRACT FROM AUTHOR]

Respiratory distress syndrome in premature babies is one of the most common and most important health problems in newborns. Respiratory distress syndrome of newborn is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. Respiratory distress syndrome begins shortly after birth and is manifest by tachypnea, tachycardia, chest wall retractions, expiratory grunting, nasal flaring and cyanosis during breathing efforts. Respiratory distress syndrome or complications caused by respiratory distress syndrome are the most important causes of mortality and morbidity in premature infants. This article briefly reviews respiratory distress syndrome and its complications. [ABSTRACT FROM AUTHOR]

Conjoint twins are rarely seen. Although the etiology is not clear yet, it is more common in girls. Environmental and genetic factors might play role in the etiology. Treatment and management can change according to the time of diagnosis, shared organs and expectance of the family. Here we present three conjoint twins followed at our clinic within in a two year period. Treatment management and ethical approach of conjoint twins are still under discussion. [ABSTRACT FROM AUTHOR]

Because of the increase in ceserean section, assited fertilization and multiple births, late preterem births was suspected to be increased. We aimed to investigate the incidence of late preterm births in our hospital and evaluate their postnatal medical problems in this study. Late premature infants born alive between 340/7-366/7 pregnancy weeks between January 1, 2013 and December 31, 2014 in Çukurova University Faculty of Medicine Hospital Gynecology and Obstetrics Clinic were included in this study. Problems faced by these infants in the first 15 days were evaluated retrospectively. A total of 3716 infants (97 twins and 22 triplets) were induced in the study. Late premature 641 infants (30 twins and 7 triplet births) constituted 17.2% of all infants born. Jaundice in 208 late premature infants (44.6%), feeding intolerance in 124 infants (26.6%), transient tachypnea of newborn in 60 infants (12.9%), hypoglycemia in 48 infants (10.3%), respiratory distress syndrome in 41 infants (8.8%), pneumonia in 36 infants (7.7%), early neonatal sepsis in 18 infants (3.9%), nosocomial sepsis in 6 infants (1.3%) and necrotizing enterocolitis in one baby (0.2%) were detected. 59 infants (12.7%) were hospitalized longer than postnatal 15 days. 44 (10.8%) of the infants who reapplied to the hospital again were rehospitalized. As a result, it is significantly important to evaluate late preterm infants in newborn period for diseases which may develop such as feeding intolerance, hypoglycemia, respiratory problem and infection risk. [ABSTRACT FROM AUTHOR]

Neuroenteric cysts are rare congenital lesions and they appear due to defect in leaving of notocord from foregut. A definitive diagnosis is made by histopathological examination. Here is a case of a neonate with neuroenteric cyst that is presented by both the thoracic and spinal canal component. Spinal canal component of the neuroenteric cysts must not be forgotten, if there is a suspicion of posterior mediastinal neuroenteric cysts in prenatal ultrasonographic examination. In the diagnosis and treatment of neuroenteric cyst, radiology, surgery, pathology, and neonatology disciplines have to work together. [ABSTRACT FROM AUTHOR]

Diagnosis and treatment of acute hematogenic osteomyelitis, a very rare disease in neonatal period, is very difficult. The incidence of neonatal osteomyelitis is 1-3 in 1000 cases, that is higher in preterm babies. 23 days old, term neonate admitted to hospital because of swallowing and color change at right gluteal and left thoracal regions. He was hospitalized for six days at another hospital on postnatal day 2, due to hypoglycemia and feeding problems, where only IV cannula was inserted among invasive procedures. Family recognized swelling on right leg on discharge from that hospital. He did not get any treatment until admission to our hospital. Osteomyelitis risk must be in mind in invasive procedures of neonates, and it is important to diagnose and treat these babies as early as possible to decrease sequels. [ABSTRACT FROM AUTHOR]

Fluid and electrolyte balance and acid-base homeostasis are essential components of normal cellular and organ functions, both in the intrauterine and postnatal developmental period. Knowledge of physiologic changes and appropriate management are important aspects of neonatal intensive care. The aim is to ensure successful transition from the fetal to neonatal period and maintain a normal fluid-electrolyte and acid-base balance. In this paper, fluid and electrolyte requirements in the neonate, treatment of sodium and acid-base disorders on which some controversy exists, and also perioperative fluid-electrolyte management are reviewed., Competing Interests: Conflict of Interest: No conflict of interest was declared by the authors.