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.

Patients with β-thalassemia major (β-TM), a disease that emerges due to disorder of hemoglobin (Hb) synthesis, require life-long erythrocyte transfusion. The purpose of this study was to evaluate skin color and iron levels of patients with β-TM using a visual skin color chart. Each patient's skin color was matched on a skin color chart under a fluorescent lamp by the same physician on each occasion. Iron, iron binding capacity, ferritin and complete blood count (CBC) were studied for each patient enrolled. Colors marked on the visual skin color chart were compared with the laboratory results. Thirty-five patients being monitored at our hospital were included, 19 (54.3%) males and 16 (45.7%) females. The colors marked on the chart darkened as patients aged (p = 0.002, r = 0.49), the frequency of annual transfusions (p = 0.022, r = 0.385), ferritin levels (p < 0.001, r = 0.72) and iron levels increased (p = 0.001, r = 0.538) and as total iron binding capacity (TIBC) decreased (p < 0.001, r = -0.709). On the basis of this study, iron deposition in patients with β-TM was correlated with the colors on the chart.

Amaç: Trafik kazalarına bağlı ölüm ve yaralanmalardan çocuklarımızı korumanın en önemli yolu araç içi güvenlik önlemleri almaktır. Bu çalışmada çocuk acil servisine başvuran ailelerin çocuk oto güvenlik koltuğu ve emniyet kemeri kullanımını Adıyaman iline özgü değerlendirmeyi amaçladık. Yöntemler: Çocuk acil servisine başvuran 200 hastanın ebeveynine çocuk oto güvenlik koltuğu ve emniyet kemeri kullanımı ile ilgili anket formu uygulandı. Uygulanan ankette çocuk oto güvenlik koltuğu olanlar grup 1, olmayanlar grup 2 olarak ayrıldı. Bulgular: Çalışma anketini verdiğimiz 200 hastanın 102'si (%51) çalışmaya dahil edildi. Grup 1'de 38 (%37,3) ve grup 2'de 64 (%62,7) hastanın olduğu görüldü. Grup 1'de ve grup 2'de formu dolduran ebeveynlerin (anne veya baba) yaş ortalamaları sırası ile 30,2±6 ve 35,6±7,8 idi (p<0,001). Ailedeki çocuk sayısı arttıkça (r=0,381 ve p<0,001), taşıtla yapılan seyahatlerde emniyet kemeri kullanım alışkanlığı arttıkça (r=0,286 ve p<0,001), çocuk oto güvenlik koltuğu kullanımının yasal zorunluluk olduğunu bilme oranı arttıkça (r=0,342 ve p<0,001) çocuk oto güvenlik koltuğuna sahip olma oranı yükselmektedir. Sonuç: Çocuk oto güvenlik koltuğu ve emniyet kemeri kullanımı bir tercihten ziyade zorunluluktur. Çocuk oto güvenlik koltuğu sahip olma oranının çalışmamıza dahil ettiğimiz olgularda oldukça düşük saptanması ailelerin çocuklarının güvenliği ile ilgili yeterli düzeyde bilgiye sahip olmamasına bağlandı. Bu konuda sağlık çalışanları tarafından yapılacak aile eğitimlerinin bu oranları artırmada en etkili faktör olacağı kanısındayız. Ayrıca çocuk oto koltuğu veya bunun gibi güvenlikle ilgili konularda vergilerin azaltılması kullanım sıklığının artışına katkılar sunabilir. Anahtar Kelimeler: Çocuk oto güvenlik koltuğu, emniyet kemeri, çocuk, ebeveyn Introduction: In-car safety precautions are the most important means of protecting children against traffic accident-related death and injury. The purpose of this study was to perform an evaluation of the use of child car seats and safety belts by families presenting to the pediatric emergency department in the province of Adıyaman. Methods: A questionnaire concerning child car seat and safety belt use was administered to the parents of 200 patients presenting to the pediatric emergency department. Those with child safety seats were classified as group 1 and those without as group 2. Results: One hundred-two (51%) of the 200 patients given the questionnaire were included in the study, 38 (37.3%) in group 1 and 64 (62.7) in group 2. The mean age of the parents (mother or father) completing the questionnaire in groups 1 and 2 was 30.2±6 and 35.6±7.8, respectively (p<0.001). The rate of having a child car seat increased in line with the number of children in the family (r=0.381 and p<0.001), use of safety belts when traveling in the vehicle (r=0.286 and p<0.001), awareness of the legal obligation concerning the use of child seats (r=0.342 and p<0.001) and the age of the parents completing the questionnaire (r=0.364 and p<0.001). Conclusion: The levels of ...

Aim: Having a healthy child is the most basic concern for parents, and their children being ill or showing signs of illness therefore causes them anxiety. Parents cannot generally be objective in assessing the growth of their own children. Children's growth must be evaluated solely with appropriate measurements and assessment criteria. The purpose of this study is to investigate the growth of patients with suspected retarded growth presenting to the children's health and diseases clinic. Material and Methods: One hundred patients presenting with retarded growth to the Adıyaman University Training and Research Hospital children's health and diseases clinic were included in this study. Patients were evaluated for retarded growth through measurement of weight, height and head circumference. Results: One hundred patients, 49 boys (49%) and 51 girls (51%) presenting with retarded growth were enrolled in the study. Patients' mean age was 47.62 ± 43.1 (3-192) months. The mean weight was 14.51 ± 7.9 (4.5-46.9) kg and mean height was 95.61 ± 23.14 (57-164) cm. Mean head circumference was 43.97 ± 2.6 (37-49) cm. In our observed population, the following measurements fell below the third percentile: Weight: 4 patients (4%); Weight and Height: 12 patients (12%); and Weight, Height and Head Circumference: 4 Patients (4%). Conclusion: An increasing number of concerned parents does not necessarily indicate any actual problem, or any abnormally high incidence of actual retarded growth and development than that might be expected from the literature. Well child visits must be performed and parents provided sufficient information on normal development.

In the follow-up of ventilation, invasive blood gas analysis and noninvasive monitoring of end-tidal carbon dioxide (ETCO2) are used. We aimed to investigate the relationship between capillary partial pressure of carbon dioxide (PcCO2) levels and ETCO2 and also to investigate ETCO2's predictive feature of PcCO2 levels. This study included 28 female and 30 male pediatric patients; 28 patients were type-1 respiratory failure (RF), 16 patients were acute respiratory distress syndrome, and 14 patients were type-2 RF. Our results showed a significant correlation between ETCO2 and PcCO2. Although the strength of the correlation was weak throughout the measurements, the strength of this correlation increased significantly in type-2 RF.