(yabancı cisim aspirasyonu). Ev kazaları sıklığı ülkeler ve yaş gruplarına göre değişmekle beraber çocukluk çağı kazalarının %25'ni oluşturur (1-3). Türkiye'de çocukluk çağı ev kazalarının, tüm kazaların %18-25'ni oluşturduğu gösterilmiştir (4,5).Ev kazaları sık görülmeleri, ölüm ve sakatlıklara yol açmaları nedeniyle halen önemli bir halk sağlığı sorunudur. Kaza oluşumunda güvensiz çevre koşulları, güvensiz davranışlar önemli rol oynamaktadır (1, 6). Ev kazalarının nedenleri arasında insan faktörü ilk sırada yer almaktadır. Kişinin bilinçli ya da bilinçsiz bazı davranışları kaza olası-lığını arttırabilir. Aile bireylerinin kazalar konusunda eğitilmesi, kazaya neden olabilecek davranışlardan kaçınması bu açıdan önemlidir.Çocukların kazaya maruz kalmaları, yaşları ve gelişim düzeyleri ile ilişkilidir (6). Süt çocukları sözlü iletişim kuramazlar, ağızları ile araştı-rırlar. Bu çocuklar kendilerini kazalardan koruyabilecek gelişim özel-liklerine sahip değillerdir. Gereksinimlerinin karşılanmasında olduğu gibi, kendileri için güvenli bir çevrenin oluşturulması, kazalardan AbstractObjective: Determining the types of home injuries observed with children between ages 0 to 5, factors that lead to these injuries, and attitudes and behaviors of families in preventing these injuries. Materials and Methods: A questionnaire composed of 47 questions was employed for 500 families with children aged between 0 and 5 who visited the Ankara Research and Training Hospital between April and June in 2009. Results: 248 (49.6%) of the participants indicated that their children had had a home injury. 129 of the children (52.1%) were male. The risk of a home injury increased as the age of parents decreased, number of siblings increased, socioeconomic level decreased (especially with those families who live in illegally built houses), and the size of the family increased. The most frequent types of home injuries were falling and slipping, and of those injured, 56% and 60.4% were hospitalized. There was a statistically signifi cant diff erence between the types of injuries in terms of hospitalization ratios. In the families of children who had injuries, it was determined that incorrect behaviors and attitudes are more often seen in mothers who have a low level of education. Conclusions: The risk of home injury increases especially with the decrease in parental ages. Because of this, we consider that the risk of home injuries could decrease with education given to families, especially those who visit polyclinics. (JAEM 2010; 9: 129-33
In the Pediatric Intensive Care Unit, ARF is frequently seen together with multiple organ dysfunction syndrome and the mortality rate is high. Both peritoneal dialysis and hemodialysis are important renal replacement treatment modalities in patients with ARF. The age and hemodynamic status of the patients are important when choosing treatment modality; generally peritoneal dialysis is preferred in infants and toddler, while hemodialysis is preferred in older children.
Aim: The aim of our study was to investigate the relation of blood carboxyhemoglobin level with presentation finding and clinical properties and to demonstrate neurological and cardiological findings which are indicators of tissue hypoxia in patients followed up because of carbonmonoxide (CO) poisoning. Material and Methods:Three hundred and twenty-five patients who were followed up because of carbonmonoxide poisoning between 2011 and 2013 in our pediatric emergency department were evaluated prospectively. Ethics committee approval was obtained for the study on 10.19.2011 (number: 0437). The carbonmonoxide levels, source of intoxication, neurological and cardiological findings and treatment methods were recorded. Blood gases and cardiac enzymes were studied and electrocardiography (ECG) was performed. The data were analysed using SPSS for windows 16.0 package program. Results:One hundred and sixty-eight (51.7%) of the patients were female and the median age was 9 years (11 days-17 years). Two hundred and twenty-eight (70.2%) of the patients were poisoned while using heater and 78.1% presented during winter months. The median carbonmonoxide level of the patients was found to be 24.8%. Cardiac enzymes were found to be increased in 10.5% of the patients, first degree A-V block was found in 0.6% and negative T wave was found in 0.3%. Glasgow coma score was found to be below 14 in 4.6% of the patients. A significant correlation was found between the carboxyhemoglobin levels and neurological findings, cardiological findings and lactate (p<0.05). Normobaric oxygen treatment was given to 76.3% of the patients and hyperbaric oxygen treatment was given to 23.7%. Conclusions:We think that neurological disorders and cardiac findings may be closely related, since systemic involvement may be easier in carbonmonoxide poisoning in children, Glasgow coma score should be assessed in the follow-up of the patients and cardiac enzymes and serum lactate levels should be monitored closely from the time of presentation. (Türk Ped Arş 2014; 49: 314-22)
Objective: Bicytopenia is a potentially life-threatening or a temporary situation that can be seen in patients. It may develop as a result of benign or malign reasons. This study performed a clinical and hematological evaluation of children with bicytopenia and determined the etiologic reasons. Material and Methods: From 1606 patients, between 6 months and 17 years of age, hospitalized in the Ankara Research and Treatment Hospital Pediatric Clinic and intensive care unit between February 2012 and February 2013, 28 of them had bicytopenia, and they were considered in this study. The physical examination findings, total blood count findings, peripheral smear findings, viral infection findings, diagnostic findings, KI aspiration/ biopsy results, and cure time of bicytopenia for each patient were recorded. Results: We found that 57.1% of the patients were male, and the medium age was 9.2±6.9 (6 months-17 years). The etiologic causes of bicytopenia included 64.2% infection, 7.1% idiopathic thrombocytopenic purpura, 7.1% medicine use, 3.5% megaloblastic anemia, 3.5% chronic illness anemia (celiac disease), and 14.2% acute leukemia. Conclusion: We think that in patients with bicytopenia, all viral causes should be investigated, and peripheral smears should certainly be evaluated; in case of suspicion, bone marrow aspiration/biopsy should be performed, and malignity should be considered.
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