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Öğe Clinical Spectrum of Acute Poisoning Cases Admitted to the Pediatric Emergency Department(2023) SİNANOĞLU, Muhammed Selçuk; Berk, ErhanIntroduction: Pediatric poisoning is a common emergency worldwide. Routine surveillance is necessary for public health officials and physicians to update strategies for pediatric poisoning prevention and management. In this study, we aimed to investigate the epidemiology of poisoning among children admitted to the emergency department. Methods: In this study, the epidemiological features of 110 cases of poisoning brought to Malatya Training and Research Hospital Pediatric Emergency Service between March 2020 and December 2021 were retrospectively reviewed and examined. Results: Hospital admissions are most frequently seen in the age groups of 1–3 (52.7%) and 12–18 (23.6%) years. Of 110 poisoning cases, 56.4% were drug poisoning and 54.5% of them were girls. While there are no symptoms in 74.5% of the cases, the most common symptom is abdominal pain with 40.7%. 92.7% of the patients needed intensive care. Only 45.5% of the cases were followed up and gastric lavage was performed with activated charcoal in 23.6% of them. Discussion and Conclusion: Childhood poisoning has an important place among the reasons for admission to the hospital. Early detection of poisonings and appropriate approach are lifesaving. Parenting advice and protective safety measures are important.Öğe COVID-19 GEÇİREN ÇOCUK OLGULARIN DEĞERLENDİRİLMESİ(2022) Berk, Erhan; SİNANOĞLU, Muhammed Selçuk; Melekoğlu, Nuriye AslıSon dönemde çocuk yaş gurubu Covid-19 hastalarının artması nedeni ile çocuk hastalar için tanı ve tedavi kriterlerinin oluşturulması önem kazanmaktadır. Bu çalışmamızda, hastane başvurusu sonrası Covid-19 tanısı konulan çocuk hastalarımızın tanı, tedavi ve laboratuar bulgularını değerlendirerek çocuklardaki Covid-19 tanı ve tedavi kriterlerinin oluşumuna katkı sağlamayı amaçladık Bu çalışmaya, pandemi sürecinde acil servis ve polikliniğe başvuruları sonrasında Covid-19 tanısı konularak ayaktan veya yatırılarak tedavi edilen çocuk yaş gurubu 220 olgu dahil edildi. Hastaların 142’si (%64.5) erkekti ve 18’inin (%8.1) kronik hastalığı vardı. Hastaların yaşları 7-17 arasında değişmekte olup, yaş ortalamaları 13,4±2,26 yıl idi. Klinik ve laboratuar bulgularının değerlendirilmesi sonucu 38 çocuk hastaneye yatırılarak tedavi edildi. Covid-19 enfeksiyonu tanı ve tedavisi için vakaların sınıflandırılması ve bu sınıflandırmaya göre tedavi ve takibinin yapılması mortalite ve komplikasyonların önlenmesi açısından önemlidir.Öğe Covıd-19’un Çocuk Yoğun Bakımda İzlemi(2021-04-16) Aslan, Nagehan; Berk, ErhanÇocuklarda COVID19 heterojen bir klinik tablo ile ortaya çıkabilir. Çin'in Wuhan kentinde bildirilen ilk ciddi çocukluk çağı enfeksiyonu vakası, gastrointestinal semptomlarla başlayıp belirgin solunum belirtileri göstermemiş, ancak hızla akut solunum sıkıntısı sendromuna ilerlemiştir. Solunum sistemi tutulumu hafif üst solunum yolu bulgularından ağır akut solunum sıkıntısı sendromuna (ARDS) kadar değişkenlik gösterebilir. Ayrıca Nisan 2020’nin sonlarına doğru önce İngiltere ve İtalya sonrasında pek çok ülkeden çocuklarda COVID19 ilişkili bir multisistem inflamatuar sendrom (MIS-C) geliştiği bildirilmiştir. COVID19’a bağlı olarak çocuklarda gelişen MIS-C, COVID19 ile ilişkili nadir ancak ciddi bir durumdur. MIS-C'nin kazanılmış bağışıklığın anormal gelişimi ile enfeksiyöz bir bağışıklık reaksiyonu mu yoksa yeni bir hastalık mı olduğu bilinmemektedir. MIS-C'nin klinik özellikleri Kawasaki hastalığı ve toksik şok sendromuna benzer olabilir. Bunlar arasında sürekli ateş, hipotansiyon, gastrointestinal semptomlar, döküntü, miyokardit ve artmış inflamasyonla ilişkili laboratuvar bulguları bulunur; solunum semptomları her olguda olmayabilir. COVID19 ilişkili septik şok, akut akciğer hasarı, mekanik ventilasyon gereksinimi, ekstrakorporeal solunum ve / veya dolaşım desteği ihtiyacı, akut renal hasar, ağır MIS-C, Kawasaki hastalığı gibi kritik çocuk hastaların çocuk yoğun bakım ünitesinde takip ve tedavisi gerekmektedir. Biz bu bölümde farklı klinik tablolar ile ortaya çıkabilen kritik COVID19 çocuk hastaların çocuk yoğun bakımdaki takip ve tedavisini güncel literatür bilgileri ışığında gözden geçirmeyi planladık.Öğe Evaluation of pneumothorax in the neonatal intensive care unit(2022) Melekoğlu, Nuriye Aslı; SİNANOĞLU, Muhammed Selçuk; Berk, ErhanObjective: Pneumothorax is one of the most common pulmonary air leak syndromes and appears more often in the newborn period than at any other time of life. In this study, we aimed to determine and compare the demographic characteristics, clinical courses and outcomes of newborns with primary and secondary pneumothorax. Method: In this single-centre retrospective study, maternal and neonatal data were collected from medical records at Turgut Ozal University Hospital between January 2020 to July 2021. Results: Twenty-nine newborns diagnosed with pneumothorax, and of these, 16 were male (55.2%), 19 (65.5%) were born by cesarean section, and six (20.7%) were premature. The mean gestational age was 37.5±2.6 weeks, and birth weight was 3063.4±53 grams. The median age at diagnosis was 5 h (1-96), and the mean hospital stay was 9.55±4.38 days. The mean drainage time was 4.1±2.13 days. 13 (44.8%) neonates were classified as primary, while 16 patients (55.2%) had an underlying pulmonary disease or predisposing factor. Our study showed a statistically significant difference between groups regarding Apgar score 5th min and SNAP-II scores (p < 0.05). The occurence of pneumothorax was significantly earlier in the primary group (p<0.05). Our study revealed significantly longer total oxygen, continuous positive airway pressure and mechanical ventilation durations in the secondary pneumothorax group (p<0.05). Conclusion: Neonatal pneumothorax is still associated with significant morbidity and mortality, and primary pneumothorax had more favorable outcomes than secondary pneumothorax.Öğe Factor for Changes in Eating Habits and Development of Obesity in Children in The Late Period?(Sivas Cumhuriyet Üniversitesi, 2022) Berk, Erhan; Sinanoğlu, Muhammed Selçuk; Melekoğlu, Nuriye AslıObjective: This study aims to determine how the COVID-19 pandemic process and restrictions affect eating behaviors and habits in children in the late period and the late period effects of this process on childhood obesity. Method: The study group was composed of students living and continuing their education in the province of Malatya. The survey was conducted in May 2021 on 4324 students who agreed to participate in the study and met the inclusion criteria. The way of measuring height and body weight was described, and new communication technology was used with the Google survey platform. Centers for Disease Control and Prevention Standards were used for the evaluation of height and body weight measurements. Results: 1839 (42.5%) of the participants were male. The ages of the students ranged from 9?17, and their mean age was 13.38±2.06 years. The current mean body weight of the students was 51.56 ± 15.105 kg, and the mean bodyweight one year ago was calculated as 46.02 ± 13.728 kg. When the current body mass index percentiles of the students were evaluated according to the Centers for Disease Control and Prevention standards, 1.2% were found to be thin, 87.9% normal and 10.8% obese. When the percentiles of body mass index one year ago were evaluated, 2.5% were found to be thin, 89.6% normal and 7.9% obese. When the body weights of the previous year and current were compared, there was a significant difference between the thin patients (p<0.05) and the obese ones, as well (p0.05). In the development of obesity during the pandemic process and the restriction period, it was determined that the changes in their regular eating habits, the conditions of their place and home, the time spent with technological devices, the daily physical activity time, mother's education and working status, the time they spent asleep and the fear they experienced were effective (p<0.05). It was observed that this effect of pandemic process and restrictions increasing the development of obesity was independent of personal data such as the child's blood group, breastfeeding and nutritional status in infancy, chronic disease, and birth type (p>0.05). We found that during the pandemic process and the restriction period, their regular meal habits were negatively affected, their appetite increased, convenience food and fast food consumption did not increase significantly, and fruit and vegetable consumption increased (p <0.05).Conclusions: We determined that the COVID-19 pandemic and restrictions triggered the development of obesity in children in the late period. It can be said that the effect on the development of obesity is due to the restriction of physical activities of children, changes in eating habits, increased time spent inactive by using technological devices more, and psychological effects related to the stress experienced.Öğe Parents' attitudes and refusal towards childhood vaccinations and associated factors(2024) Berk, Erhan; Taş, Ayşe; Vicnelioğlu, Elanur; SİNANOĞLU, Muhammed Selçuk; KURT, HARUNThe aim of this study is to determine the demographic characteristics of vaccine refusals in Malatya province, identify reasons for vaccine hesitancy, and guide future intervention efforts. Data for this descriptive study were collected through face-to-face interviews using a socio-demographic form developed by researchers, reasons for non-vaccination, and the short form of the \"Turkish Vaccine Hesitancy Scale\" and \"Parental Attitudes towards Childhood Vaccinations\" (PACV) scales. Statistical analysis included chi-square test, Mann-Whitney U test, and Spearman correlation test. Vaccine hesitancy was found in 86.0% of parents who did not vaccinate their children. The most common reasons for non-vaccination were \"lack of confidence in vaccine content\" (65.1%), \"observation of side effects in others after vaccination\" (19.8%), and \"exposure to negative statements about vaccines on social media\". As the educational level of both parents increased, nonvaccination due to a lack of confidence in vaccine content was more common. There was no relationship found between the presence of vaccine hesitancy and socio-demographic characteristics. Parents who do not vaccinate have low confidence in vaccines, and the influence of media, particularly press and social media, is significant in vaccination decision-making. Efforts should be made by both healthcare professionals and policymakers to increase confidence in vaccines and prevent access to misinformation about vaccines, thus minimizing vaccine hesitancy.
