Amaç: İntihar gençlerde en sık ölüm nedenlerindendir ve sıklığı giderek artmaktadır. Bu araştırmanın amacı, intihar girişiminde bulunan çocuk ve ergenlerin ruhsal tanıları ile klinik ve demografik özelliklerinin saptanmasıdırYöntem: Ocak-Aralık 2017 tarihleri arasında Erciyes Üniversitesi Çocuk Acil Servisine intihar girişimi nedeniyle başvuran 18 yaş altı çocuk ve ergenler retrospektif olarak incelenmiştirBulgular: İntihar girişiminde bulunan 50 olgunun 42’si (%84) kız ve 27’si (%54) 14-16 yaş aralığındaydı. Yüksek doz ilaç alımı en yaygın intihar girişimi yöntemiydi (%96). Girişimde bulunanların % 72’sinde ruhsal bozukluk saptandı. En sık belirlenen ruhsal bozukluklar yaygın anksiyete bozukluğu, majör depresif bozukluk, davranım bozukluğu ve obsesif-kompulsif bozukluktu. İntihar girişimi için en sık tetikleyici faktör aile içi problemlerdi. Olguların % 8’inde hala ölüm isteği mevcuttu. Sonuç: Çalışmamıza göre ergenlerde intihar girişiminde psikiyatrik hastalıklar, aile içi problemler, karşı cinsle ilgili sorunlar, sosyoekonomik durum, okul başarısı gibi faktörler etkilidir. İntihar girişimleriyle ilgili risk faktörlerinin belirlenmelidir. İntihar riski olan ergenler daha sık takip edilmelidir.Aim: Suicide is the most common cause of death in young people and the incidence is increasing day by day. The aim of this study was to investigate psychiatric diagnoses, clinical and demographic characteristics of children and adolescents who attempted suicide. Materials and methods: Patients admitted to Erciyes University Pediatric Emergency Department between January and December 2017 due to suicide attempt were evaluated retrospectively. Results 42 (84%) of the 50 suicide attempts were girls and 27 (54%) were between the ages of 14-16. Drug overdose was the most common way of attempting suicide (96%). Psychopathology was diagnosed in 72 % of these patients. The most frequent psychiatric disorders were generalized anxiety disorder, major depressive disorder, conduct disorder and obsessive-compulsive disorder. The most frequent trigger factor for attempted suicide was family problems. In 8% of the cases, there was still a death wish. Conclusion: According to our study, factors such as psychiatric illnesses, family problems, sexual problems, socioeconomic status, school success in adolescents are effective in suicide attempts. Risk factors for suicide attempts should be determined. Adolescents at risk of suicide should be monitored more frequently.
Children with chronic neurological diseases,including cerebral palsy(CP)are especially susceptible to vaccine-preventable infections and face an increased risk of severe respiratory infections and decompensation of their disease.This study aims to examine age-appropriate immunization status and related factors in the CP population of our country. This cross-sectional prospective multicentered survey study included 18 pediatric neurology clinics around Turkey,wherein outpatients children with CP were included in the study.Data on patient and CP characteristics,concomitant disorders as well as vaccination status included in the National Immunization Program(NIP),administration and recommendation of in uenza vaccine were collected at a single visit.A total of 1194 patients were enrolled.Regarding immunization records,the most frequently administrated and schedule completed vaccines were BCG(90.8%),hepatitis B(88.9%)and oral poliovirus vaccine (88.5%).MMR was administered to 77.3% and DTaP-IPV-HiB was administered to 60.5% of patients.For the pneumococcal vaccines,54.1% of children had received PCV in the scope of the NIP, and 15.2% of children were not fully vaccinated for their age.The in uenza vaccine, was administered only to 3.4% of the patients at any time and had never been recommended to 1122 parents(93.9%).In the patients with severe(grade 4 and 5)motor dysfunction,the frequency of incomplete/none vaccination of hepatitis B,BCG, DTaP-IPV-HiB,OPV,MMR were statistically more common than mild to moderate(grade 1-3)motor dysfunction(p = 0.003, p < 0.001, p < 0.001, p < 0.00, and p < 0.001, respectively).In uenza vaccine recommendation by physicians was higher in the severe motor dysfunction group and the difference was statistically signi cant(p = 0.029).Children with CP had lower immunization rates and incomplete immunization programs.Clinicians must ensure children with CP receive the same preventative health measures as healthy children,including vaccines.
Objective: The aim of this study was to determine the patients who were followed up and treated in pediatric emergency service due to foreign body aspiration. Methods: Patients admitted to Erciyes University Pediatric Emergency Unit in 2017 due to foreign body aspiration were evaluated retrospectively. Results: 23.9% of the patients in the study were female and 76.1% were male and 76.1% was under three years old. The ages of the patients were between 7 and 72 months. Duration of admission to hospital after aspiration was between 15 minutes and 22 days. The most common symptom of patients was coughing (%38) and the most frequent finding of physical examination was unilateral decrease in breathing sounds (47.6%). The most common symptom of lung graph was elevation of ventilation (61.9%) and 30.9% of the patient's chest X-ray was normal. Bronchoscopy was performed in all 42 patients. Sunflower (33.3%) seed were found as the most common aspirated foreign body. The right main bronchus (33.3%) was the most common area where the foreign bodies were found. Conclusion: To suspect foreign body and getting a good medical history are the most important step in foreign body aspiration. According to our study, especially in the event of a choking cough, which starts in the story of boys under 3 years of age while playing games or eating food, the clinician must suspect foreign body aspiration. Normal radiological images do not exclude foreign body aspiration. Emergency bronchoscopy reduces morbidity and mortality in all suspected cases.
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