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    A case of IVIG-resistant Kawasaki disease with gallbladder hydrops
    (OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2015) Yildirim, Şule; Binneto?lu, Fatih Köksal; Tekin, Mustafa; Battal, Fatih; Aylanç, Hakan; Aylanç, Nilüfer; Kaymaz, Nazan
    Kawasaki Disease is an acute systemic vasculitis of childhood affecting small and medium-sized arteries particularly coronary arteries. Intravenous immunoglobulin therapy decreases the major cardiovascular complication of the disease. Atypical clinical conditions may accompany to the disease and these cases seem to be more prone to intravenous immunoglobulin resistance which is an important problem in the management of the cases. Herein, we presented a case of 4-year-old boy admitted to our emergency department with fever of 5 days duration and diagnosed as Kawasaki disease based on the clinical, laboratory and imaging findings. He was resistant to intravenous immunoglobulin treatment and in the follow up resulting abdominal tenderness was explained by gallbladder hydrops. Copyright © 2015 by Türkiye Klinikleri.
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    A case of Takayasu arteritis presenting with renovascular hypertension
    (OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2016) Battal, Fatih; Yildirim, Şule; Adam, Gürhan; Aylanç, Nilüfer; Binneto?lu, Fatih Köksal; Kasapçopur, Özgür
    Takayasu arteritis (TA) that affects aorta and large vessels is rare rheumatological disease. In patients with Takayasu arteritis, hypertension is an important symptom which occurs as a result of narrowing of renal arteries and/or aorta. A 14-years-old girl was referred with facial flashing and tenderness on her face. Hypertension was found in upper limbs. Femoral pulses were weak and there was an abdominal murmur. On MR angiography, there was occlusion in aorta and renal arteries. The patient was diagnosed as TA, with increased acute phase reactants. After an antiinflammatory, an antihypertensive and immunsuppresive treatment, patient's clinical complaints and laboratory findings were under control. In this case, we want to emphasize the importance of blood pressure measurement and four limb pulse examination in childhood in routine physical assesment. In differential diagnosis of secondary hypertension, TA should be kept in mind. © Copyright 2016 by Türkiye Klinikleri.
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    Acil Servise Başvuran Ergenlerin Anksiyetesini Etkileyen Faktörler
    (2019) Battal, Fatih; Yıldırım, Veli
    Giriş: Çocuk acil serviste değerlendirilen ergenlerin stres faktörleri ile anksiyete ve kaygı düzeyleri arasındaki ilişkiyi araştırmak amaçlanmıştır.Yöntemler: Çocuk acil servise başvuran ve süreğen ya da psikiyatrik bir hastalığı olmayan 10-18 yaş arası ergenler çalışmaya alındı. Aile içinde ölüm ve anne-baba ayrılığı/boşanma gibi stres faktörleri ile, iğne olmak, kan görmek/kan aldırmak veya soyunma korkusu gibi yatkınlaştırıcı faktörleri değerlendiren kişisel bilgi formu uygulandı. Çocuklar için anksiyete bozukluğunu tarama ölçeği (ÇABTÖ), anlık ve sürekli kaygı ölçekleri ile kısa semptom envanteri ölçekleri uygulandı.Bulgular: Çalışmamızda %57'si (n=73) kız olmak üzere 128 kişiye ulaşıldı. Katılımcıların yaş ortalamaları 13,3±2,4 yıl idi. Belirlenen 8 stres faktör arasında en yüksek oranda kendisine yakın arkadaşı olmama ve son 6 ay içinde okul değişimi (%17,2) bulundu. Yatkınlaştırıcı 9 faktörden en yüksek %53 ağrı çekme korkusu saptandı. Katılımcıların ÇABTÖ ortalaması 29,5±12,1 puan, sürekli kaygı ölçekleri 42,8±7,0 ve 44,9±6,4 puan, kısa semptom envanteri toplam puan ortalaması 37,6±34,6 idi.Sonuç: Acil servis deneyimi özellikle ergen yaş grubunda korku ve endişeye neden olabilir. Acil servis çalışanları ergenlerde kaygı azaltmaya yönelik davranışsal müdahaleler geliştirmelidir.
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    Ailevi Akdeniz Ateşi gen mutasyonu olan çocuklarda makula ve koroid kalınlıkları
    (Yusuf Haydar ERTEKİN, 2018) Battal, Fatih; Aylanc, Hakan; Yildirim, Sule; Ekim, Yeliz; Silan, Fatma; Ozdemir, Ozturk
    Giriş: Bu çalışmanın amacı, MEFV gen mutasyonlu çocuklarda maküla ve koroid kalınlıklarının değerlendirilmesidir.Yöntem: MEFV gen mutasyonlu 35 çocuk ve kontrol grubu olarak 40 sağlıklı çocuk çalışmaya alındı. MEFV gen profilleri Pyrosequencing ve direct Sanger sequencing sekanslama teknikleri ile genotiplendirildi. Her bir hastanın sağ göz maküla ve koroid kalınlıkları spektral-alan optik koherens tomografi kullanılarak ölçüldü.Bulgular: Ortalama arteriolar ve venüler çaplar  sırasıyla MEFV gen mutasyonu olan çocuklarda  95,75±11,98 µm ve  127,61±10,44 µm, kontrol grupta 110,19±11,10 µm ve 138,54±10,04 µm idi. MEFV gen mutasyonu olan çocuklarda sağlıklı kontrollere göre ortalama arteryol çapları (p<0,001), ortalama venüler çapları (p<0,001) daha ince idi ayrıca maküler kalınlık (p=0,016) ve koroid kalınlık (p=0,014) azalmıştı. Sonuç: MEFV gen mutasyonları olan çocuklarda retinal arteriyollerin, retinal venüllerin ve maküler ve koroidal incelmenin olduğu görüldü. Gelecekteki çalışmalar, Ailesel Akdeniz Ateşi olan çocuklarda endotel disfonksiyonunu invazif olmayan ve etkili yöntemlerle araştırmayı amaçlamalıdır
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    Akut Gastroenteritli Çocuklarda Rotavirüs Sıklığı
    (Çanakkale Onsekiz Mart Üniversitesi, 2014) Tekin, Mustafa; Topaloğlu, Naci; Yıldırım, Şule; Binnetoğlu, Köksal; Kaymaz, Nazan; Aylanç, Hakan; Battal, Fatih; Vural, Ahmet; Başer, Esra
    Viral gastroenteritlerin ve özellikle rotavirüse bağlı ishallerin epidemiyolojik ve klinik özelliklerinin takip edilmesi ve buna göre korunma ve tedavi stratejilerinin geliştirilmesi önemlidir. Bu nedenle biz de kliniğimize akut ishal nedeniyle başvuran olgularda rota virüs ishallerini araştırdık. 2011-2013 tarihleri arasında ÇOMÜ Tıp Fakültesi Hastanesi çocuk polikliniği ve acil servisine akut ishal nedeniyle baş vuran ve dışkı örnekleri incelenen 263 olgunun hastane kayıt verileri geriye dönük olarak tarandı. Dışkı örnekleri, kalitatif monoklonal antikorlarla kaplanmış kromatografik immunoassay yöntemi ile çalışan ticari bir test kiti (Rota-Adeno Virus Combo Test Device, Ecotest, Çin) ile incelenmişti. Toplam 263 akut ishalli olgu dosyası incelendi. Rota antijen pozitifliği bütün olguların 62’sinde (%23,6) saptandı. 2 yaş altı çocuklarda sıklık %34,5 olarak saptandı. Rota pozitifliğinin mevsimlere göre sıklığı sırasıyla ilkbaharda %27,8, yazın %14,6, sonbaharda %26,3 ve kışın %21,4 idi. Sonuç olarak akut ishalli olgu yönetimi yaşa ve mevsime göre yapılmalıdır. Bu tür ishalli olgularda gerekirse hızlı tanı testleri kullanılarak gereksiz antibiyotik kullanımından kaçınılmalıdır.
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    Benign Acute Childhood Myositis due to Toxoplasmosis
    (All India Inst Medical Sciences, 2016) Yildirim, Sule; Battal, Fatih; Aylanc, Hakan; Tekin, Mustafa; Kaymaz, Nazan; Binnetoglu, Fatih Koksal; Topaloglu, Naci
    [Anstract Not Available]
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    Bronşta diş: Anamnez ve akciğer grafisinin önemi
    (2015) Battal, Fatih; Aylanç, Hakan; Bahadır, Gökhan Berktuğ; Tekin, Mustafa; Yıldırım, Şule
    Çocuklarda kronik öksürüğün nadir nedenlerinden birisi de bronşta yabancı cisim bulunmasıdır. Dokuz yaşında kız hasta, altı aydır süren öksürük şikayeti ile başvurdu. Anamnezde hastanın dişini yuttuğunu daha önce başvurduğu merkezlerde ifade etmesine rağmen astım ve pnömoni tanısı aldığı ve ilaçlarla şikayetlerinin geçmediği ve herhangi bir tetkik yapılmadığı öğrenildi. Fizik muayenesinde dinlemekle sağda ekspiryum uzunluğu olup sağ hemitoraksta dinlemekle solunum sesi azalmıştı. Kan tetkiklerine hafif lökositoz dışında özellik yoktu. Akciğer grafisinde sağ bronşial alanda opak görünümü mevcuttu. Hasta bu bulgularla solunum yolunda yabancı cisim tanısı aldı. Çocuk cerrahisine konsülte edildi ve bronkoskopi yapıldı. Sağ bronştan bir adet molar diş çıkartıldı. Öksürük şikayeti müdahale sonrasında gerileyen hastanın takiplerinde şikayeti tekrarlamadı. Olgu kronik öksürük şikayeti ile başvuran okul çağı çocuğunda anamnezin, fizik muayenenin ve akciğer grafisinin ne kadar önemli olduğunu vurgulamak amacıyla sunulmuştur.
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    Central Anticholinergic Syndrome Following Excessive Mydriatic Use in an Eight-Year-Old Patient
    (Aydın Pediatric Society, 2021) Kaymaz, Nazan; Uzun, Mehmet Erdem; Battal, Fatih; Güzel, Yusuf; Aylanç, Hakan
    Cyclopentolate hydrochloride, belonging to a class of drugs known as anticholinergics, is an ophthalmic solution frequently used in ophthalmology clinics because of its cycloplegic and mydriatic effects in both refractions as well as fundus examinations. After application, the maximum cycloplegic effect begins approximately after 30-60 min, which can further continue up to 24 h. Due to a dose-dependent relationship, cyclopentolate hydrochloride’s side effects can be observed both in an ocular and systemic manner which may occur if solutions more than 0.5% concentration are used. Herein, we report central anticholinergic syndrome due to the administration of excessive amounts of cyclopentolate hydrochloride in a child.
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    Children with urİnary tract isolated from cultures of microorganisms and antibiotic resistance rates
    (Anatolian Journal of Clinical Investigation, 2014) Aylanç, Hakan; Topaloğlu, Naci; Battal, Fatih; Yildirim, Şule; Bİnnetoğlu, Fatih Köksal; Tekİn, Mustafa; Tekİn, Satı Zeynep
    Urinary tract infections (UTI) are one of the most common infections in childhood. Resistance is a major problem due to common use of wide-spectrum antibiotics. In the present study we aimed to identify the pathogens of UTI in our clinic and define the resistance pattern of these pathogens.We scanned the urinary cultures and antibiograms of the children applied to our outpatient clinic between August 2011 and December 2013. Urinary cultures of 217 children were studied. Of the 217 studied children 176 (81.1%) were girls and 4 (18.9%) were boys. Of the 52 patients under one year 38 (73%) were girls and 14 (27%) were boys. The age of the cases were between 0.01 and 17.80 decimal years (mean: 5.6). The pathogens were E. Coli in 64.1%, Klebsiella spp. İn 16.1%, Pseudomonas aeruginosa in 6.5%, Enterococcus spp in 4.6%, Enterobacter spp in 3.2%, Proteus spp in 2.8%, Staphylococcus spp. İn 1.9%, Streptococcus spp in 1%. there was a high resistance against ampicillin, amoxicillin-clavulanate and trimethoprin-sulfamethoxazole. The present study proved the importance of culture and antibiogram. Until antibiogram results oral cephalosporins can be used as a first line empirical treatment. If the antibiogram could not be done regional resistance status should be known for the succesful treatment. © 2014, Anatolian Journal of Clinical Investigation. All rights reserved.
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    Çocukluk çağı obezitesinin demir eksikliğine etkisi ve hepsidin, leptin, interlökin-6 ile ilişkisi
    (2016) Seyrek, Burak; Örnek, Zuhal; Battal, Fatih
    Amaç: Obezitenin son yıllarda demir eksikliği ile ilişkisi gösterilmiştir. Bunun nedeni olarak adipoz doku kaynaklı oluşan kronik inflamasyonun neden olduğu düşünülmüştür. İnflamasyonla hepsidin artışı çesitli çalışmalarda gösterilmiştir. Çalışmamızda, obezite ve demir eksikliği arasındaki ilişki, obezitede hepsidin ve leptinin demir homeostazında yeri ve obezitede oluşan inflamasyonun saptanıp demir parametrelerine etkisinin gösterilmesi amaçlanmıştır.Yöntem: Elli dört obez (vücut kitle indeksi (VKİ)>95p) ve 51 normal kiloda (VKİ: 5p-95p) olan 5-16 yaş arası çocuklarda yapılan bir olgu kontrol çalışmasıdır. İki grupta demir, total demir bağlama kapasitesi (TDBK), ferritin, tam kan sayımı, transferrin saturasyon indeksi (TSİ), interlökin-6 (IL-6), C- reaktif protein (CRP), leptin ve hepsidin çalışıldı. Bulgular: Obez grup kontrol grubuyla karşılaştırıldığında, azalmış serum demir (p=0,004), hemoglobin (Hb) (p=0,010), TSİ (p=0,001) düzeyi, artmış hepsidin (p=0,001), TDBK (p=0,041), leptin (p=0,001), CRP (p=0,001) düzeyleri bulundu. Obez grubunda Hb düzeyleri 18 (%33,3) olguda düşük saptanırken, bunların 8 (%14,8)'inde demir eksikliği anemisi (DEA) ile uyumlu parametreler saptanmıştır. Beş (%9,2) olgu ise kronik hastalık anemisi kabul edilmiştir. Obez grubunda DEA saptananların sayısı istatistiksel olarak anlamlı derecede yüksek saptanmıştır (p=0,032). Hasta grubu Hb düzeyine göre karşılaştırıldığında, anemisi olan olguların VKİ'nin artmış (p=0,001), hepsidin (p=0,008) ve ferritin (p=0,006) düzeylerinin ise azalmış olduğu saptanmıştır. Sonuç: Çalışmamızda, demir eksikliği ile obezite birbiriyle ilişkili bulundu. Demir eksikliği nedeni olarak hepsidinin etkisi gösterildi. Obezite, inflamasyon ve eritropoez arasındaki ilişkiyi anlamaya yönelik olarak yapılacak her çalışma, obez hastalarda demir eksikliği ortaya çıkmasını engellemek için nütrisyonel ve/veya farmakolojik terapiler geliştirilmesine katkı sağlayacaktır.
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    Confirmation of Brain Death with Positron Emission Tomography
    (Georg Thieme Verlag Kg, 2020) Ozdemir, Semra; Tan, Yusuf Ziya; Ozturk, Fulya Koc; Battal, Fatih
    After recent advances regarding organ transplantation, accurate and timely diagnosis of brain death has gained importance. In the diagnosis of brain death, in addition to clinical findings, various ancillary tests are very crucial. In this study, the scintigraphic imaging of the brain death of an 8-year-old girl with both Tc-99m diethylenetriaminepentaacetic and 18F-fluorodeoxyglucose (FDG) has been presented. This case study shows that 18F-FDG positron emission tomography-computed tomography imaging can be a useful technique in evaluating brain death in patients.
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    Diagnostic agreement of pediatricians and radiologists on chest x-rays in pediatric emergency department Diagnostic agreement of pediatricians and radiologists on chest x-rays
    (Bayrakol Medical Publishing, 2021) Aylanç, Nilüfer; Battal, Fatih; Güzel, Yusuf; Öz, Koray
    Aim: In this study, we aimed to investigate the diagnostic agreement on chest x-rays between pediatrician and radiologist in anatomical and pathological evaluation.Material and Methods: Chest radiographs of 700 cases from the pediatric emergency clinic were included in the study. The radiographs were evaluated by the pediatrician and radiologist as double-blind from a technical point of view (posture-position, inspiration adequacy, X-ray dose) and interpretation (hilar, mediastinal, parenchymal pathologies and cardiothoracic ratio). For results, Kappa analysis was used.Results: The mean age of the patients was 4.5 ± 4.5 (min 0-max 18) years, 335 (47.9%) were females and 365 (52.1%) were males. The diagnostic agreement was found as moderate level with adequate inspiration, optimal position, mediastinal width, and left hilar fullness; low level of disagreement was found in optimal dose, pleural fluid, consolidation, mediastinal fullness, right hilar fullness, infiltration, peribronchial thickening, reticular signs and very good agreement was found in CTR. It was statistically significant in terms of all parameters (p <0.001). Discussion: There may be differences, especially between interpretations of radiological examinations. To minimize these differences and to establish an accu-rate and precise diagnosis, the clinician and radiologist should have close contact. Compliance and consensus in the evaluation in the radiological assessment will help to manage the treatment process precisely and correctly.
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    Do we really ponder about necessity of intravenous hydration in acute bronchiolitis?
    (Corporacion Editora Medica Valle, 2016) Yildirim, Sule; Kaymaz, Nazan; Topaloglu, Naci; Binnetoglu, Fatih Koksal; Tekin, Mustafa; Aylanc, Hakan; Battal, Fatih
    Objective: The goal was to establish the role of intravenous hydration therapy on mild bronchiolitis. Methods: This was a retrospective case control study. Infants between 1 month and 2 years of age admitted to our general pediatrics ward between June 2012 and June 2013 with a diagnosis of uncomplicated acute bronchiolitis were enrolled to the study. Hospital medical files were reviewed to get information about children personal history, symptoms of the disease, disease severity scores and their management. Patients were classified into 4 groups according to the management; nebulized short-acting beta 2-agonist (salbutamol) +hydration; nebulized short-acting beta 2-agonist (salbutamol); hydration and neither bronchodilator nor hydration. We examined length of stay in the hospital as an outcome measure. Results: A total of 94 infants were studied. There was no significant difference between groups in terms of length of stay in hospital. Conclusions: IV hydration is not effective on length of stay in hospital in mild acute bronchiolitis patients.
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    Doctors Need Different Doctors to Treat Their Relatives: A Subject That Does Not Receive Enough Attention in Medical Education
    (Galenos Publ House, 2022) Kaymaz, Nazan; Yildirim, Sule; Battal, Fatih; Aylanc, Hakan
    Due to having medical knowledge, sometimes doctors may not need to refer to other doctors in case of illness of themselves or their relatives. Therefore, the correct diagnosis may be delayed. This paper discussed this issue from the perspective of a daughter whose father, a doctor, caused the diagnosis of her diseases to be delayed. However, delay in diagnosis is difficult to measure, reasons for the delay can originate from the system or can be caused by the course of the disease, by the patient, and sometimes by physicians, as in our patient.
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    Does intrauterine tobacco exposure increase the pain perception of newborns?
    (Dove Medical Press Ltd, 2016) Tekin, Mustafa; Yildirim, Sule; Aylanc, Hakan; Kaymaz, Nazan; Battal, Fatih; Topaloglu, Naci; Baser, Esra
    Background: This study aimed to assess whether there was a difference in the pain-perception levels of newborns born to mothers who smoked during pregnancy and newborns born to mothers who were not exposed to active or passive smoking during pregnancy. Materials and methods: A total of 60 newborns born by normal spontaneous vaginal birth between June 2013 and June 2014 were included in the study: 30 born to mothers who smoked during pregnancy, and 30 born to mothers not exposed to smoking. Mothers or newborns who had taken analgesics or sedative medications in the previous 24 hours, newborns not born at term, and sick newborns were not included in the study. During the routine hepatitis B-vaccination injection given at postnatal 48 hours, the newborns' behavior was monitored and recorded by video camera. The data obtained from the recordings were evaluated according to the Neonatal Pain, Agitation, and Sedation Scale and analyzed with SPSS 20. Results: The median pain score of the group exposed to tobacco smoke in utero was 8.5, while the median pain score of the unexposed group was 6 (P<0.001). Conclusion: Exposure to tobacco smoke in utero may increase the pain-perception levels of newborns.
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    Effect of delivery mode on postpartum neonatal body temperatures
    (Taylor & Francis Ltd, 2016) Topaloglu, Naci; Binnetoglu, Fatih Koksal; Yildirim, Sule; Tekin, Mustafa; Kaymaz, Nazan; Aylanc, Hakan; Battal, Fatih
    Objective: It is known that general and local anesthesia practices disrupt the delicate balance of thermoregulation center which is already sensitive to very tiny differences of temperatures in a normal subject. We aimed to evaluate and compare the rectal temperatures of newborns born with normal vaginal delivery and cesarean section.Methods: We performed a prospective study of 106 term newborn - 40 born with normal vaginal delivery (group 1) and 66 born with cesarean section [51 spinal anesthesia (group 2), 15 general anesthesia (group 3)]. Only term babies were included in the study. Babies of eclamptic, pre-eclamptic and diabetic mothers and babies with chronic systemic diseases were excluded. Pregnants who underwent elective cesarean section were included in the study. Adolescent pregnants, pregnants with increased risks and pregnants with complicated operations were excluded. Mothers' temperatures were measured before and after the interventions. Rectal temperatures of the babies were measured immediately after birth.Results: Environmental temperature was maintained at 22-24 degrees C. Pre-operative mother temperatures were 36.310.30 degrees C in group 1, 36.36 +/- 0.26 degrees C in group 2 and 36.39 +/- 0.19 degrees C in group 3 (p=0.414). Post-operative mother temperatures were 36.39 +/- 0.27 degrees C in group 1, 36.29 +/- 0.31 degrees C in group 2 and 36.25 +/- 0.28 degrees C in group 3 (p=0.215). Rectal temperatures of the babies born with normal vaginal delivery were significantly higher than the others. It was lowest in the general anesthesia group (37.5 +/- 0.6 degrees C, 37.2 +/- 0.2 degrees C and 36.8 +/- 0.4 degrees C in group 1, 2 and 3, respectively). The temperature differences between groups were statistically significant p<0.001).Conclusions: In conclusion, it is worthy to note that temperatures of the newborns can differ according to the delivery mode. Physicians and health professionals that take care of the newborns should be aware of this difference.
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    Effect of infant feeding on epicardial fat thickness in normal weighted children
    (Anatolian Journal of Clinical Investigation, 2015) Yildirim, Şule; Binnetoğlu, Fatih Köksal; Aylanç, Hakan; Battal, Fatih; Tekin, Mustafa; Kaymaz, Nazan; Topaloğlu, Naci
    EFT is an independent predictor of coronary artery disease and closely associated with increased risk of metabolic syndrome and cardiovascular complications. This study aimed to evaluate the effect of breastfeeding on EFT thickness in normal-weighted children to predict the increased risk of coronary artery disease. This study included 84 normal weighted children (aged between 5-10 years), who admitted to pediatric cardiology department from October 2013 to March 2014. The patients were divided into 3 groups according to the feeding regimen in the first 6 months of year. Group 1 consisted of children who were exclusively breastfed in the first 6 months (n: 45). Group 2 consisted of children who were fed with both breast milk and formula (n: 37) and the Group 3 included children who only fed with formula (n: 2). Transthoracic echocardiography was performed and epicardial fat tissue measured. EFT was statistically lower in Group 1 compared to Group 2. EFT was highest in Group 3. The children who breastfed for longer time had low EFT thickness and this correlation was statistically significant (r= -0,457, p<0,001). In conclusion echocardiographically measured EFT thickness is low in breastfed children compared to formula-fed children. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.
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    Emotional characteristics of mothers of children admitted with anorexia complaint
    (Bayrakol Medical Publisher, 2022) Yildirim, Veli; Battal, Fatih
    Aim: It is aimed to compare the emotional characteristics of the mother and the emotional characteristics of the mother mostly in the families of children with no appetite. Material and Methods: Among the children who came to the outpatient clinic for routine checks, mothers of 56 first consecutive children between the ages of 3-8 who had been suffering from anorexia for the last three months were included in the study. The first 39 consecutive healthy children were taken as the control group. A personal information form, Eating Attitude Test (EAT), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Brief Symptom Inventory (BSI), Young Schema Questionnaire (YSQ) and Family Assessment Device (FAD) that measures anxiety levels were given to all mothers who agreed to participate in the study. Results: There was no difference between the control group and the mothers of children with anorexia in terms of EAT, STAI and BDI. According to the BSI scores of the mothers of children with anorexia, depression and anxiety symptom levels were found to be higher than in the control group (p<0.05). The scheme of abandonment from the subtests of YSQ was found to be different between the case and the control group (p=0.041). According to the subtests of FAD, it was determined that the mothers of children with anorexia had problems with family functions, problem solving, communication and roles. Discussion: We suggest that all family members should be involved, especially in communication, roles and problem solving in the family. In the anorexia problem, especially the approach in which the child and father will be evaluated is especially useful.
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    Evaluation of the Relationship Between Adolescents’ Internet Addiction Risks and Prosocial Behaviors
    (Galenos Publishing House, 2023) Kasap, Tolga; Kaymaz, Nazan; Aylanç, Hakan; Battal, Fatih
    Introduction: Prosocial behavior is defined as behavior that is done voluntarily, aiming to benefit another person or group. Prosocial behavior appears in preschool, around age two, and increases in frequency and variety throughout life. While the internet can provide many positive prospects, exposure to negative behaviors on the internet may cause an individual to normalize them over time, which eventually could cause humans to lose certain senses. As a fast-growing addictive behavior, internet addiction (IA) can lead to poor social communication, loneliness, depression, etc. However, it should be remembered that many positive behaviors may be learned through the internet. The present study aimed to evaluate the relationship between IA and prosocial behavior in adolescents. Materials and Methods: A cross-sectional study was conducted with healthy adolescents aged 10 to 18. The participants were asked to answer a questionnaire including socio-demographic information and two scales; i) Young’s Internet Addiction Scale-Short Form (YIAS-SF); for evaluating IA, ii) Child Prosociality Scale (CPS); for evaluating the tendency to engage in prosocial behaviors. The scale scores were compared with each other through the socio-demographic features of the participants. Results: The study sample consisted of 488 adolescents (292 females, 196 males) with a mean age of 13.75. The parameter that affected the YIAS-SF score most was found to be the adolescent’s duration of daily internet use (p<0.01 and ?=0.396), and it was determined that the parameter that affected the CPS score the most was school success (?=-0.166, p<0.001). A negative correlation was found between CPS and YIAS-SF (p=0,001, r=-0,269). Furthermore, there was a negative correlation between the adolescent’s CPS score and the mother’s daily internet use duration in comparison to the adolescent’s and the father’s (p=0.344 and r=-0.043). Conclusion: Since there is an inverse relationship between the risk of IA and prosocial behaviors, prosocial behaviors should be motivated in adolescents at high risk of IA. To promote prosocial behaviors in adolescents, mothers should be informed that the duration of their own daily internet time has a more significant effect on the adolescent’s prosocial behavior than the adolescent’s daily internet use time. ©Copyright 2023 by Bursa Uludağ University, Department of Pediatrics.
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    First meconium time may be a predictive factor for infantile colic: a prospectivestudy
    (2018) Aylanç, Hakan; Kaymaz, Nazan; Köpük, Şule Yıldırım; Cevizci, Sibel; Vurur, Gülşen; Battal, Fatih
    Objective: Meconium passage is a good marker of a normal gastrointestinal tract and the general health of a neonate.There are both gastrointestinal and non-gastrointestinal hypotheses for the etiology of infantile colic. The aim of thepresent study was to determine whether first meconium time could predict infantile colic (IC) later.Method: A follow-up study was conducted with 248 consecutive singleton full-term healthy neonates. The demographicvariables, age at first feed, time of first meconium, number of feeds until the first meconium, and number of defecationsduring the first 3 days of life were recorded. The characteristics of the neonates were analyzed for association with IC.Results: First meconium time was 9.7±10.2 h and 6.8±7.8 h in the IC and non-IC groups, respectively (p=0.014). Therisk of IC was increased by 1.99 times for those who did not have their first meconium until 5.75 h after birth (95% CI:1.13–3.51) and by 2.11 times for those who did not have more than 17 defecations in the first 72 h (95% CI: 1.19–3.74).Conclusions: Neonates who do not have their first meconium in the first 5.75 h after birth and who have fewer than 17defecations in the first 72 h of life are at risk of IC development.