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Öğe 4-YEAR-OLD CASE WAS ADMITTED TO HOSPITAL WITH DELIRIUM CAUSED BY DEHYDRATION AND METABOLIC ACIDOSIS(2023) Özcan, Eda Gül; Kaymaz, Nazan; Aylanç, Hakan; Şehitoğlu, M.Hilal; Kurtuluş, ŞenayDelirium, a potentially reversible, acute-onset organic brain syndrome, is a behavioral manifestation of acute brain dysfunction associated with underlying medical conditions. It presents as marked and inconsistent mental changes characterized by dysregulated states of focus and cognition. It can be caused by several different causes, including infections, drugs, toxins, metabolic disorders, and a number of other medical conditions. This case report presents a 4-year-old girl with short bowel syndrome, who developed hyperactive delirium due to acute metabolic acidosis.Öğe A case of anorexia nervosa whose body image deteriorated after being weighed with classmates at school(2022) Kaymaz, Nazan; Uzun, Mehmet ErdemAnorexia nervosa is an eating disorder characterized by a heightened desire to have a lean body structure that leads to an extreme fear of becoming fat. The patients with this disorder have a severely impaired perception of their bodies. Negative behaviors and attitudes in peer communication may hugely impact the affected individual at every stage of this disorder. The level of peer communication quality could be shaped by the conditions prevalent in the school, particularly the approaches undertaken by the educators and the staff at school. However, it would be incorrect to state that wrong communication styles adopted by the friends of an individual or unsuitable conditions in the school environment alone would be sufficient for the development of anorexia nervosa in adolescents. A 16-year-old girl with anorexia nervosa was followed up for 1.5 years after the diagnosis of the disorder, a period during which she had begun exhibiting improvement in her condition. However, her symptoms reappeared after she underwent height and weight measurements at school during the physical education and sports class to determine her physical health. This case is presented (1) to remind that anthropometric measurements are personal data and (2) to emphasize that it would be appropriate to provide privacy in this respect at schools.Öğe 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, NazanKawasaki 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.Öğe A rare cause of respiratory distress in newborns: Case report of a premature infant with congenital cystic adenomatoid malformations type 3(2014) Reşorlu, Mustafa; Topalo?lu, Naci; Uysal, Fatma; Adam, Gürhan; Karata?, Ozan; Kaymaz, Nazan; Yildirim, ŞuleCongenital cystic adenomatoid malformations (CCAMs) are hamartomatous lesions of pulmonary airway which are characterized by proliferations of terminal brochioles. They are usually infiltrated to one lobe. These patients are during the postnatal period at a level of 80% and adult patients are rare. We report a case of Stocker type 3 CCAM which caused respiratory distress in a premature born infant weighing 1940 g who was delivered by emergency caesarean section. Radiological imaging results revealed CCAM. He subsequently underwent right lobectomy. Pathological examination showed immature airspaces and interstitium, including bronchioles and cartilage as type 3 CCAM. CCAM should be considered in newborns with respiratory distress.Öğe 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, EsraViral 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.Öğe An uncommon cause of anterior knee pain in a child: Osteoid Osteoma of the patella and a review of the literature(2022) Kaymaz, Nazan; Kaymaz, BurakIntroduction: Osteoid osteoma (OO) is a small, benign bone neoplasm that has a well demarcated nidus surrounded by a reactive zone of sclerosis. It is most common in the long bones and only rarely in the patella. Case Presentation: An eight-year-old girl was admitted to the outpatient clinic with the complaint of anterior knee pain. She had been suffering from pain for approximately one year. The patient had a patellar osteoid osteoma. Surgical curettage of the lesion was performed, and the patient was free of pain the day after the surgery. Conclusions: Although Patellar OO is rare, it should be included in the differential diagnosis of persistent knee pain in children and young adults.Öğe An Uncommon Cause of Anterior Knee Pain: Patellar Chondroma(Lippincott Williams & Wilkins, 2014) Kaymaz, Burak; Eroglu, Mehmet; Kaymaz, Nazan; Ucar, MehmetA 16-year-old boy presented with a patellar mass and anterior knee pain without any trauma. On physical and radiologic assessment, a mass at the superolateral edge of the patella and a hyperintense lesion on T2 sequences of magnetic resonance imaging was detected. Excisional biopsy revealed a chondroma of patella. Primary bone tumors of the patella are extremely rare and occurence of chondroma in this localization is very uncommon. Although anterior knee pain is a very frequent and usually harmless, it is essential to consider the more severe disorders such as bone tumors.Öğe Are Mental Health Problems and Mindfulness Awareness Related to Levothyroxine Replacement in Adolescent Patients With Hashimoto's Thyroiditis?(SAGE Publications Inc., 2023) Uzun, Mehmet Erdem; Kaymaz, Nazan; Kara, Özlem; Kasap, TolgaConsidering the possible adverse effects of thyroid autoantibodies on the brain, the present study aimed to investigate whether there was a difference in mental health difficulties and mindfulness awareness levels between subclinical Hashimoto’s thyroiditis patients with and without levothyroxine (LT4) use. A case-control study was conducted. The Strengths and Difficulties Questionnaire (SDQ) and the Mindful Attention Awareness Scale (MAAS) were used to screen mental health difficulties and mindfulness awareness. Scale scores were compared by performing correlation analysis between the groups with respect to LT4 use and thyroid autoantibodies. Levothyroxine alone does not affect scale results. Higher thyroid peroxidase antibody (TPOAb) titers were positively correlated with the behavioral problems subscale of the SDQ, while awareness level in patients was inversely correlated with higher thyroglobulin antibody (TgAb) levels.Öğe Association between teething and independent walking in healthy children(Turkish J Pediatrics, 2015) Kaymaz, Nazan; Yildirim, Sule; Cevizci, Sibel; Cimen, Mehmet; Topaloglu, Naci; Binnetoglu, Fatih Koksal; Tekin, MustafaDeveloping teeth provide a reliable indication of maturation and biological age. The objective of this study was to establish whether there is any association between the time of emergence of the first primary tooth and the time when independent walking occurs. A cross-sectional study was conducted with a sample of 206 healthy children (95 girls and 111 boys) aged 12 to 60 (mean: 29.79 +/- 0.66) months who were able to walk independently. The study was conducted using a questionnaire that was filled out by the parents. The first primary tooth emerged at 6.86 +/- 0.14 (min: 3-max: 13) months; the mean independent walking time was 12.58 +/- 2.15 (min: 8.50-max: 24.00) months. There was no correlation between the first teething and independent walking times (r=0.045, p=0.523). Factors such as breastfeeding status, intake of vitamins, walker usage and body mass index were found not to affect the time of either emergence of the first deciduous tooth or independent walking. To the best of our knowledge, this is the first paper in literature to have researched the relationship between the time of emergence of the first deciduous tooth and that of independent walking. It should be explained to parents that there is no relationship between the two in order to resolve anxiety when their child acquires a tooth but does not walk, or vice versa.Öğe Association between teething and independent walking in healthy children(2015) Kaymaz, Nazan; Yıldırım, Şule; Cevizci, Sibel; Çimen, Mehmet; Topaloğlu, Naci; Binnetoğlu, Fatih Köksal; Tekin, MustafaKaymaz N, Yıldırım Ş, Cevizci S, Çimen M, Topaloğlu N, Binnetoğlu FK, Tekin M, Özmert EN. Association between teething and independent walking in healthy children. Turk J Pediatr 2015; 57: 53-59.Developing teeth provide a reliable indication of maturation and biological age. The objective of this study was to establish whether there is any association between the time of emergence of the first primary tooth and the time when independent walking occurs. A cross-sectional study was conducted with a sample of 206 healthy children (95 girls and 111 boys) aged 12 to 60 (mean: 29.79±0.66) months who were able to walk independently. The study was conducted using a questionnaire that was filled out by the parents. The first primary tooth emerged at 6.86±0.14 (min: 3–max: 13) months; the mean independent walking time was 12.58±2.15 (min: 8.50–max: 24.00) months. There was no correlation between the first teething and independent walking times (r=0.045, p=0.523). Factors such as breastfeeding status, intake of vitamins, walker usage and body mass index were found not to affect the time of either emergence of the first deciduous tooth or independent walking. To the best of our knowledge, this is the first paper in literature to have researched the relationship between the time of emergence of the first deciduous tooth and that of independent walking. It should be explained to parents that there is no relationship between the two in order to resolve anxiety when their child acquires a tooth but does not walk, or vice versaÖğe 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]Öğe Central Anticholinergic Syndrome Following Excessive Mydriatic Use in an Eight-Year-Old Patient(Galenos Publ House, 2021) Kaymaz, Nazan; Uzun, Mehmet Erdem; Battal, Fatih; Guzel, Yusuf; Aylanc, HakanCyclopentolate 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.Öğe Central Anticholinergic Syndrome Following Excessive Mydriatic Use in an Eight-Year-Old Patient(2021) Kaymaz, Nazan; Uzun, Mehmet Erdem; Şehitoğlu, M.Hilal; Güzel, Yusuf; Aylanç, HakanCyclopentolate hydrochloride, belonging to a class of drugs known as anticholinergics, is an ophthalmic solution frequently used in ophthalmology clinics\rbecause of its cycloplegic and mydriatic effects in both refractions as well as fundus examinations. After application, the maximum cycloplegic effect begins\rapproximately after 30-60 min, which can further continue up to 24 h. Due to a dose-dependent relationship, cyclopentolate hydrochloride’s side effects\rcan 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\ranticholinergic syndrome due to the administration of excessive amounts of cyclopentolate hydrochloride in a child.Öğe Comment on the Article When Breast Milk Alone Is Not Enough: Barriers to Breastfeeding Continuation among Overweight and Obese Mothers(Sage Publications Inc, 2016) Kaymaz, Nazan; Yildirim, Sule[Anstract Not Available]Öğe Comment on the interaction of personality profile and lactation differs between mothers of late preterm and term neonates(Taylor & Francis Ltd, 2017) Kaymaz, Nazan; Yildirim, Sule[Anstract Not Available]Öğe Delayed time of atrial conduction in children with Familial Mediterranean Fever(2021) Şehitoğlu, M.Hilal; Binnetoğlu, Fatih Köksal; Aylanç, Hakan; Yıldırım, Şule; Kaymaz, Nazan; Özdemir, ÖztürkIntroduction: Familial Mediterranean Fever (FMF) is a disease with recurrent fever, characterized by painful, noninfectious inflammation of the serous membranes. It mostly affects Armenians, Turks, Arabs and Jews. Prolonged inflammation in FMF may lead to atrial fibrosis which can cause the deterioration of atrial conduction time and refractory periods of atrial myocardium. In the present study we aimed to assess atrial conduction time in children with FMF. Methods: The study included 36, children diagnosed with FMF(17 males/19 females, 13 (7-15) years) and 20 control(7 males/13 females, 11 (9- 16) years) cases in our Pediatric Outpatient Clinic between October 2015 and October 2016. Tissue Doppler Echocardiography (TDE) measurements of intra-and interatrial electromechanical delay were done. P wave dispersion (Pdisp) was calculated from the 12-lead electrocardiogram. Results: Inter-atrial (Lateral PA– Tricuspid PA) and Intra-left (Lateral PA-Septal PA) atrial electromechanical delay were significantly longer in FMF patients (P<0.001,respectively). (PA: the time range between the beginning of the P wave in the surface electrocardiogram and the beginning of the tissue Doppler late diastolic wave A). Also, P-wave dispersion (Pdisp) were significantly higher in FMF patients ( p= 0.002). Conclusions: This study shows that atrial electromechanical delay and Pdisp are prolonged in children with FMF. We recommend that atrial conduction time be measured for children diagnosed with FMF.Öğe 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, FatihObjective: 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.Öğe Doctors Need Different Doctors to Treat Their Relatives: A Subject That Does Not Receive Enough Attention in Medical Education(2022) Kaymaz, Nazan; Yıldırım, Şule; Aylanç, HakanDue to having medical knowledge, sometimes doctors may not need to refer to other doctors in case of illness of themselves or their relatives. Therefore,\rthe 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\rdiseases 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\rof the disease, by the patient, and sometimes by physicians, as in our patient.Öğe 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, HakanDue 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.Öğe 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, EsraBackground: 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.
