In our study, none of the formulas appears reliable in discriminating between TT and IDA patients. The evaluation of iron status and measurement of hemoglobin A(2) (HbA(2)) remain the most reliable investigations to differentiate between TT and IDA patients.
In conclusion, we established that TTN is an independent risk factor for wheezing. In addition we also hypothesized that genetic and environmental interactions synergistically predisposed these children for future wheezing.
Aim: Bisphenol-A (BPA) is an endocrine disrupting compound and may exacerbate or induce allergic diseases. To the best of our knowledge, there is little evidence regarding the effects of BPA exposure on allergic rhinitis (AR) in children. In the present study, we sought to examine whether exposure to BPA in children is associated with AR. Methods: This study was designed as a case controlled clinical study. 140 children diagnosed as allergic rhinitis and 140 healthy children as control group were recruited. BPA, interleukin-4, interleukin-13, total IgE and interferon-gamma levels were determined. Skin prick tests were performed in patient group. Total nasal symptom score and ARIA classification were used to predict disease severity. Results: Serum IL-4, IgE and BPA levels of children with allergic rhinitis were found to be significantly higher than the control group. BPA and IL-4 levels were significantly higher in moderate to severe-persistent group. There was a positive correlation between total nasal symptom scores and Bisphenol A levels in children with allergic rhinitis. Conclusions: The present study is the first to observe statistically significant relationship between BPA concentrations and allergic rhinitis in children. Also increased levels of BPA are associated with disease severity.
Objective: Emotion regulation difficulties (ERD) such as anger, irritability and frustration intolerance leading to severe functional losses may be observed in attention deficithyperactivity disorder (ADHD). The purpose of this study was to compare children and adults diagnosed with ADHD and a healthy control group in terms of emotion regulation characteristics and to examine factors potentially associated with ERD. Methods: The study was performed with 72 children/adults aged 6-18 diagnosed with ADHD based on DSM-V diagnostic criteria at the Namık Kemal University Medical School of Child and Adolescent Psychiatry Polyclinic, Turkey, and 30 healthy controls. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), a semi-structured interview form, was used to determine comorbidities. ERD scores (ERD=attention+anxiety/depression+aggression subscales) were determined using the Childhood Behavior Checklist (CBCL). Results: Mean ERD scores were 189.45±19.33 in the ADHD group and 164.13±9.94 in the healthy control group. A significant difference was determined in ERD scores between the two groups (p˂0.001**). When the ADHD group was evaluated in terms of clinical characteristics, comorbid psychiatric disorders were not associated with ERD, but combined type ADHD characteristics emerged as significant predictors for ERD (p=0.011*). Conclusions: The results of this research revealed significantly greater ERD in individuals diagnosed with ADHD compared to healthy controls, and that combined type ADHD is a predictor for ERD. Since ERD accompanying ADHD lead to greater function loss in the individual and are associated with persistence of the disorder in adulthood, these are important clinical characteristics also requiring evaluation during the diagnosis and treatment of ADHD.
Background: Recurrent aphthous stomatitis is one of the most prevalent oral mucosa diseases and the etiology is unclear. As a potent anti-inflammatory and immunomodulating agent, vitamin D can significantly affect oral cavity homeostasis. However, to the best of our knowledge, no study has been conducted in pediatric population on the potential role of vitamin D in recurrent aphthous stomatitis to date. The aim of the present study is to determine the vitamin D status in recurrent aphthous stomatitis in children. Methods: This study is conducted retrospectively. Seventy-two patients with minor recurrent aphthous stomatitis and 70 age-matched healthy controls included in the study. 25-Hydroxyvitamin D levels were measured in all patients using enzyme immunoassay. Results: Serum vitamin D levels were 16.4 (8.6) ng/mL in patient group and 23.1 (11.5) ng/mL in healthy controls. There was a statistically significant difference between the groups in terms of serum vitamin D levels ( P = .002). There was no significant correlation between serum vitamin D levels and the severity of the recurrent aphthous stomatitis ( r = 0.54, P = .76). Conclusions: Our study showed a significant difference in vitamin D levels between patients with recurrent aphthous stomatitis and the healthy control group. We also found no correlation between vitamin D status and the severity of the disease.
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