Browsing by Author "Tansuǧ N."
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Item Evaluation of the location of the anus by a modified technique in the neonate(2002) Genç A.; Taneli C.; Tansuǧ N.; Kasirga E.; Yilmaz D.; Küçükoǧlu T.; Onaǧ A.Purpose: The aim of the current study was to bring to notice the anterior displacement of the anus and to recommend the measurement of anal position index in the neonate by a modified method. Methods: Sixty newborns (34 girls and 26 boys) were taken into study, and the anal position index (API), which is the ratio of anus-fourchette (scrotum) distance to coccyx fourchette (scrotum) distance, was measured. To obtain the measurement, a transparent adhesive tape was placed along the midline on the long axis, covering the anus. The upper and lower tips and the center of the anal circle was marked and measured using a caliber. Results: API was found as 0.46 (SD ± 0.08) and 0.53 (SD ± 0.05) in female and male neonates, respectively. Because an index of 0.34 in girls and 0.46 in boys are considered abnormal, the 3 female babies in the study group with API indices of 0.18, 0.28, and 0.33 were subjected to further examination. The abnormality was seen not to be rare in the Aegean region. Conclusions: An abnormal index alone cannot be the sole cause of constipation mentioned in the literature and therefore not an indication for operation. Anal position index in the neonates could be measured more accurately by the current modified method. If an anterior location of the anus is found early in infancy the baby should undergo follow-up accordingly. © 2002 Elsevier Science Ltd. All rights reserved.Item Retinol and α-tocopherol concentrations in breast milk of Turkish lactating mothers under different socio-economic status(2008) Tokuşoǧlu Ö.; Tansuǧ N.; Akşit S.; Dinç G.; Kasirga E.; Özcan C.Retinol and α-tocopherol levels in breast milk of Turkish mothers under different socio-economic status were investigated. Mature milk samples were collected from 92 lactating mothers living in Izmir and in Manisa, cities of Turkey, who were at 60-90 days of the lactating period. Socio-economic, anthropometric, and dietary data were collected by means of a questionnaire. The body mass index was used to determine the nutritional status. The retinol and α-tocopherol contents of breast milk were determined by high-performance liquid chromatography; the concentration of α-tocopherol was 9.84 μg/ml whereas retinol levels were 81.5 μg/100 ml. The questionnaire survey was used to determine the level of these vitamins in the daily ration of the women. No significant differences were found in terms of milk retinol and α-tocopherol levels for the variables income, educational level and mothers' body mass index.Item Vitamin A status of healthy children in Manisa, Turkey(2010) Tansuǧ N.; Polat M.; Çeşme S.; Taneli F.; Gözmen S.; Tokuşoǧlu Z.; Ylmaz D.; Dinç G.Background: Vitamin A deficiency is a major public health nutrition problem in the developing world. Even subclinical Vitamin A deficiency is associated with increased childhood mortality. Severe maternal vitamin A deficiency may cause increased mortality in the first months of life. There have been a limited number of studies regarding vitamin A status in Turkey. The aim of this study was to assess vitamin A status of healthy children in Manisa, Turkey. Methods: Vitamin A status of 100 healthy children aged 36-48 months is evaluated. The children were seen during routine examination. Serum retinol concentrations were measured by high-performance liquid chromatography. Duration of breast feeding, age solid foods introduced, use of supplementary vitamins, weight and height, and intake of specific groups of nutrients on a daily, weekly and monthly basis were collected from a questionnaire completed by the mothers. Height and weight z-scores were calculated according to national standards. Mothers of 20 of the 100 children were known to have normal serum and breast milk retinol concentrations. Children with normal serum retinol concentration were compared with the children with VAD. Student's t-test and Mann-Whitney test were used to compare independent variables. The Pearson correlation analysis test was used to test relation between numeric variables. Results: Mean retinol concentration was 0.98 ± 0.32 mol/L in the whole study group. Serum retinol concentrations were normal (>0.70 mol/L) in 89% of the children. When children with normal serum retinol concentrations were compared with those with retinol concentrations lower than 0.70 mol/L, there was no difference in terms of age, gender, weight and height at the time of study, z-scores, birth weight, birth length, duration of breast feeding, time to begin solid food, rate of supplementary vitamin use, and rate of infections (P > 0.05). There was not any relation between vitamin A concentrations and weight and height at the time of study, z-scores, birth weight, birth length, duration of breast feeding, time to begin solid food, vitamin use, and frequency of intake of specific groups of nutrients (P > 0.05). Conclusions: This study showed that VAD is a moderate health problem in Manisa. © 2010 Tansu et al; licensee BioMed Central Ltd.Item Staphylococcal scalded skin syndrome in a neonate: Case report; [Neonatal stafilokoksik hasļanmiş deri sendromu](2012) Tanriverdi S.; Tansuǧ N.; Pirim Ü.; Yangin E.Staphylococcal scalded skin syndrome is a toxin-mediated exfoliating skin condition predominated by desquamation and blistering, s aresult of exfoliative toxin productions by Staphylococcus aureus. Exfoliative exotoxins A and B produced by some of strain of S. aureus caused localized (bullous impetigo) or generalized (scalded skin syndrome) skin lesion. Scalded skin syndrome develops generalized erythema and is accentuated in flexural. At this stage areas of epidermis may separate in response to gentle shear force (Nikolsky sign). Scalded skin syndrome develops bullae with full of clear water briefly. The brightly erythematous skin may rapidly acquire by rupture bullae. Rupture lesions dries within 48 hours. We report a case of staphylococcal scalded skin syndrome after to draw heel blood for metabolic screening in a neonate. Copyright © 2012 by Türkiye Klinikleri.Item Prediction of neurodevelopmental outcome in term neonates with hypoxic-ischemic encephalopathy(2013) Polat M.; Şimşek A.; Tansuǧ N.; Sezer R.G.; Özkol M.; Başpinar P.; Tekgül H.Background: Hypoxic ischemic encephalopathy may result in many neurological deficits. It is crucial to make early diagnosis and assess the prognosis correctly. Aims: We aimed to determine the factors to evaluate the prognosis of hypoxic ischemic encephalopathy. Methods: Electroencephalography, neuroimaging, periodic neurological exams and a developmental test at 44-48 months after discharge from the hospital were performed on twenty five term newborn infants with clinical evidence of hypoxic ischemic encephalopathy. Results: Normal/mildly abnormal neonatal electroencephalography correlated with favorable outcome, particularly if neuroimaging was normal. The cranial MRI sensitivity was 83.3%, while the specificity was 57.9%, the positive predictive value was 38.5%, and the negative predictive value was 91.6%. Moderate/severely abnormal electroencephalography and multifocal/diffuse cortical or deep gray matter lesions correlated with poor outcome. Conclusions: Newborn infants with hypoxic ischemic encephalopathy should be treated in neonatal intensive care units, assessed with periodic neurological examination, electroencephalogram and brain imaging. This would help to initiate early intervention and improve the outcome of patients. © 2012 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.Item An unusual association of Goldenhar syndrome(2013) Seymenoǧlu G.; Başer E.; Tansuǧ N.; Demireli P.Goldenhar syndrome is well known for its classical triad of epibulbar dermoids or lipodermoids, auricular appendages and pretragal fistulas. Here we report a case of Goldenhar syndrome with an unusual association of a fibroepithelial polyp attached to a limbal dermoid. A case of Goldenhar syndrome in a 5-month-old male infant presented with the features of a fibroepithelial polyp attached to a limbal dermoid, right-sided polydactylia with hypoplastic thumb, and accessory preauricular appendages on the left side. The association of a fibroepithelial polyp attached to a limbal dermoid with Goldenhar syndrome is a rare report in the literature. In these cases, regular follow-up with an ophthalmologist is important to monitor the visual development of the patient. Ideally, a multidisciplinary approach is required to manage the other associated anomalies. © 2012 Springer Science+Business Media Dordrecht.