Objective: Serum sodium levels change in patients with lung infections. This study aimed to evaluate serum sodium levels in patients who were admitted to the hospital with a lower respiratory tract infection (LRTI) and to assess its association with C-reactive protein (CRP) levels. Material and Methods: A cross-sectional study was designed. A total of 549 inpatients (207 females, 37.7%; 342 males, 62.3%) aged 1-15 years who were diagnosed with LRTI (pneumonia, bronchitis, and bronchiolitis) at the Kars State Hospital's pediatric ward between 01.01.2011 and 30.06.2014 were included in the study. The records of these patients were retrospectively reviewed. Age, gender, white blood cell (WBC) count, absolute neutrophil count (ANC), sodium levels, and CRP levels were recorded. The patients were classified into five groups according to serum sodium levels as severe hyponatremia, moderate hyponatremia, mild hyponatremia, normonatremia, and hypernatremia. Results: There was no significant difference for age or gender between the hyponatremia and normonatremia groups. There was one patient with severe hyponatremia (≤125 mmol/L), nine with moderate hyponatremia (126-130 mmol/L), 90 with mild hyponatremia (131-134 mmol/L), 446 with normonatremia (135-145 mmol/L), and three with hypernatremia (≥146 mmol/L). There was a negative correlation between serum sodium levels and CRP levels (r=-0.178; p<0.001), WBC counts (r=-0.121; p=0.004), and ANC (r=-0.100; p=0.048). Conclusion: There was a statistically significant negative correlation between serum sodium levels and acutephase reactants in patients with pneumonia. Serum sodium levels must be closely monitored in these patients, particularly when acute-phase reactant levels are high.
Familial Mediterranean Fever (FMF) is an autosomal recessive hereditary disease that affects mainly the people of Jewish, Arabic, Turkish, and Armenian origins. FMF is a disease characterized by recurrent fever, abdominal pain, pleuritis, arthritis, and erysipelas-like skin lesion. The diagnosis of FMF is based on clinical manifestations; therefore, diagnostic difficulties are experienced in many FMF patients. This article is focused on a diagnostic approach to the FMF disease. (JAREM 2015; 5: 89-93)
Objective: To share our experince from demographic and labaratory results of 46 patients who applied to our policlinic with complaints of fever and rash and diagnosed as roseola infantum between 2012-2016. Material and Methods: Labaratory and demographic findings of 41 patients who diagnosed as roseola infantum clinically had been evaluated. Roseala infantum cases were diagnosed as 10 mo old infant with high temperature over three days and nontoxic maculopapuller rash on the trunk and after making differential diagnosis of other diseases that courses with skin rash and high body temperature. Neutrophil counts between 0-500, 500-1000 and 1000-1500 were accepted as high, medium and low, respectively. Results: 25 of the patients were female (54.3%), 21 of them were male (45.7%), mean age was 11.5 ± 7.02 (3-36 months) and peak age of onset was 9-11 months. 76% of patients were (35/46) under one years of age. Disease was seen all year round but it was seen least at September and October and was seen mostly at December. Mean labaratory leves were found as: Hb 11.
Aim: We aim to study the quality of sedation and complications ratios during anesthesia applied with sodium thiopental and propofol and the reason of the magnetic imaging requests on pediatric patients retrospectively according to the hospital data. Material and Method GirişGünümüzde yüksek görüntü kalitesi ve bilinen bir zararının olmaması nedeniyle klinisyenler tarafından tanı amaçlı manyetik rezonans görüntüleme (MRG) istemi giderek artmaktadır. Optimum görüntü sağla-nabilmesi için görünteleme esnasında tam bir hareketsizlik gerekmektedir. Bu nedenle hareketsiz kalamayan, zihinsel özürlü olan, klostrofibisi bulunan çocuklarda ve erişkinlerde sedasyon veya genel anestezi uygulamaları gerekli olmaktadır 1 . Ameliyathane dışı uygulamalar anestezistler için özel sorunlar ve potansiyel komplikasyonları beraberinde getirmektedir. Ameliyathane dışında kullanılan ajanlarla yapılan anestezik işlemler-de hasta idamesinde vital fonksiyonların stabil olması, anestezi sonrası hastanın çabuk uyanması, hızlı derlenme, derlenme sonrası fizik ve mental aktivitelerin en kısa sürede normale dönmesi ve taburculuğu geciktirecek bulantı, kusma, baş dönmesi ve ağrı gibi yan etkilerin olmaması çok önemli yer tutmaktadır 2 .Biz çalışmamızda 2013-2016 yılları arasında pediatrik hastalarda manyetik rezonans görüntüleme istem sebepleri ve ameliyathane dışı anestezi işlemleri sırasında kliniğimizce uygulanan anestezi tekniklerini ve ortaya çıkan komplikasyonları sunmayı amaçladık. Materyal ve MetotKafkas Üniversitesi Uygulama ve Araştırma Hastanesinde 2013-2016 yılları arasında tanısal amaçlı MRG işlemi için anestezi uygulaması yapılan 109 pediatrik hastanın dosyaları retrospektif olarak incelendi. Hastaların MRG istem sebepleri, uygulanan anestezi yöntem-leri ve gelişen komplikasyonlar incelendi. MRG ünite-sinde MRG uyumlu anestezi cihazı (Aestiva/5MRI, Datex/Ohmeda, Helsinki, Finland) ile hasta başı monitörü (S/5 MRG monitör; Datex-Ohmeda, Helsinki, ARAŞTIRMA MAKALESİ / RESEARCH ARTICLE
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