Current Issue : January - March Volume : 2013 Issue Number : 1 Articles : 6 Articles
Introduction: The aim of our study is to evaluate thrombocytosis at the time of the diagnosis in the patients with\r\npneumonia, bronchiolitis and asthma, and its importance in terms of the diagnosis.\r\nMaterials and Methods: We evaluated 583 patients diagnosed as asthma (n=36), bronchiolitis (n=387) and\r\npneumonia (n=160) in pediatry clinic of GATA Haydarpasa Training Hospital and Zeynep Kamil Research Hospital\r\nbetween January 1, 2007 and January 1, 2010; and the ratio of patients with thrombocytosis at the time of diagnosis\r\nretrospectively.\r\nResults: We found that the mean thrombocyte counts in patients who had been diagnosed as pneumonia\r\nand as bronchiolitis were found significantly higher than control group (p<0.05). But, there wasn�t a significant\r\ndifference between the patients with asthma and control group (p=0.77). Otherwise, the number of patiens who have\r\nthrombocytosis with pneumonia and bronchiolitis were significantly higher than control group (p<0.005). But there\r\nwasn�t a significant difference in chronic asthma group (p=0.81).\r\nConclusion: Our study supports that, the thrombocyte counts are also another parameters that can help while\r\nmaking the diagnosis of the infectious pulmonary pathologies....
Despite continued debates about the role of Group A streptococcal infections in the etiopathogenesis of PANDAS\r\n(Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections), experts on both sides of\r\nthe controversy agree that a subgroup of children with obsessive-compulsive disorder (OCD) have an unusually abrupt\r\nonset of symptoms, accompanied by a variety of comparably severe and acute neuropsychiatric symptoms. The acuity\r\nof symptom onset is the hallmark feature of their clinical presentation and the basis for the name proposed for an\r\nexpanded clinical entity: Pediatric Acute-onset Neuropsychiatric Syndrome (PANS). Modifying the PANDAS criteria to\r\neliminate etiologic factors and to clarify the initial clinical presentation produced three potential diagnostic criteria for\r\nPANS. These three criteria are discussed in detail. The article also proposes strategies for applying the PANS criteria\r\nin clinical settings and evaluating their validity and reliability through prospective research investigations....
Background: Atopic dermatitis (AD) in elementary school children often shows resistance against ordinary\r\ntreatment. The effect of skin care using water-shower therapy was evaluated mainly by physiological methods in the\r\nearly summer season when aggravation of dermatitis by perspiration increases.\r\nMethods: Skin care with shower therapy was administered to sixteen children in six schools and performed\r\nduring school lunch breaks for six weeks. The eczema area and severity index (EASI) and physiological methods,\r\nsuch as measurement of stratum corneum hydration and the skin transparency index (STI) with a colorimeter, which\r\ndemonstrates skin barrier dysfunction were observed before and after the trial. No other on-going therapies were\r\nchanged during this study period.\r\nResults: The EASI scores were decreased after showering. Moreover, the stratum corneum hydration and the\r\nSTI were improved by shower therapy. Significant physiological and clinical improvements in AD were observed. The\r\nconclusion of parents after shower therapy was excellent.\r\nConclusions: Skin care with daily shower therapy in elementary school was effective for an improvement of the\r\nskin barrier and skin lesions of AD in children. Results of this study support the recommendation of skin care in the\r\ntreatment of children with AD....
Objective: The purpose of this study is to investigate the relationship between schools and families of children\r\nwith chronic diseases.\r\nDesign: The study conducted was designed as a descriptive and relational study.\r\nMethods: The population of the study comprised of the teachers and parents of primary school children attending\r\n28 primary schools in Central Agri, who also have a chronic disease. Two thirds (2/3) of these schools was selected\r\nusing a simple random sampling method. The study was conducted with 98 parents and 100 teachers that accepted\r\nto participate in the study. Descriptive information of the parents and teachers, and two different subject-related\r\nquestionnaires were used to gather data between 15 March and 30 April 2008 for this study. Data were evaluated by\r\nusing percentages and chi-squares.\r\nResults: Results of study concluded that 83.9% of mothers and 73.8% of fathers shared their child�s disease with\r\ntheir teachers; 43.6% of mothers and 63.9% of fathers had never met their child�s teacher prior to her/his illness; and\r\n76.9% of mothers and 61.1% of fathers met with their child�s teacher from parents� meeting to parents� meeting after\r\ntheir child became ill. In terms of illness and adaptation to school, half the mothers and 54.8% of fathers collaborated\r\nwith their child�s teacher; 61.9% of mothers and 66.7% of fathers collaborated with their child�s teacher regarding diet,\r\nmedication, and activity.\r\nConclusions: Results of study concluded that the parent-school relationship of children with chronic diseases was\r\ninadequate. It is recommended that parent-teacher and healthcare personnel collaboration is improved so that children\r\nwith chronic diseases can continue their school life in the same way as their peers, they can cope with the difficulties\r\nthey experience due to their disease, and succeed academically....
Objective: This prospective hospital base study was conducted to examine the role of chest radiography in\r\ndiagnosis of pneumonia in children and correlate the severity of the disease with radiological findings.\r\nMethods: A total of 156 cases aged 1-59 months admitted through the Emergency Room with severe pneumonia\r\nwere enrolled over 24 hours/day admissions, once every two weeks\r\nResults: The enrolled groups were 61.5% female, 38.5% were male. The chest X-ray showed pneumonia in 83\r\n(53.2%) cases with alveolar pneumonia accounting for 47 (30.12%), and non alveolar pneumonia for 36 (23.10%)\r\ncases. Factors that were found to have significant association with severe pneumonia included smoking associated\r\ndiarrheal diseases, endemic diseases, malnutrition anaemia and breastfeeding < 18 months. (P. value < 0.04; < 0.001,\r\n<0.001, <0.001, <0.01 and <0.48, respectively).\r\nIn conclusion chest X-ray is an important tool in diagnosing severe pneumonia, particularly in situations where\r\nother means of investigations are meager....
Objective: Vitamin D deficiency is estimated to affect one billion people worldwide. In the United States, 9-12%\r\nof healthy children have vitamin D deficiency. Renal calcium and phosphate excretion in healthy people is a sensitive\r\nindicator of total body mineral balance. We explored the possibility of using urine calcium-to-creatinine (Uca/Ucr) and\r\nurine phosphate-to-creatinine (Uphos/Ucr) as noninvasive biomarkers of vitamin D deficiency in at risk children.\r\nPatients and methods: This was an observational study of children with one or more risk factors for vitamin D\r\ndeficiency. Anthropometric data and a physical exam were obtained in all children and skin pigmentation, sunlight\r\nexposure, dietary history, and frequency of vitamin supplementation of both mother and child were determined by\r\nparent report. We measured serum levels of calcium, phosphate, magnesium, intact PTH, 25-hydroxyvitamin D,\r\nalkaline phosphatase, and creatinine.A random urine sample was collected for calcium, phosphate and creatinine.\r\nResults: A total of 60 healthy children were recruited. Mean age of the subjects was 1.4 (range 0.5 to 2.9) years.\r\nTwenty percent of the children were regularly given vitamin D supplements. The prevalence of vitamin D deficiency\r\n(25-hydroxyvitamin D < 50 nmol/L) was 3.4%, vitamin D insufficiency (= 50 and < 80 nmol/L) was 28.6% and vitamin\r\nD sufficiency (= 80 nmol/L) was 68%. One subject had biochemical evidence of rickets. Linear regression analysis\r\nshowed no correlation between 25-hydroxyvitamin D levels and random Uca/Ucr or Uphos/Ucr.\r\nConclusion: Random urine calcium or phosphate levels offer little promise as screening tools for vitamin D\r\ndeficiency in children....
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