Browsing by Subject "child hospitalization"
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Item A pediatric case of pyomyositis presenting with septic pulmonary emboli(2007) Yuksel H.; Yilmaz O.; Orguc S.; Yercan H.S.; Aydogan D.Pyomyositis is a suppurative infection of skeletal muscle most commonly caused by Staphylococcus aureus. It is mainly encountered in children and immunocompromised. Eight year old previously healthy girl presented with confusion, fever and swelling of the right knee two days after a trauma. Abdominal ultrasonography and computerized tomography taken upon development of hematemesis revealed no pathology in the abdomen, but potential bleeding sites in lung sections. Thorax CT images were interpreted in favor of septic pulmonary emboli due to the presence of peripheral nodular consolidation areas with central cavitation, mostly pathchy in medial areas. S. aureus was isolated in the blood culture. At the end of third week of hospitalization, gadolinium enhanced contrast MRI of right extremity was taken to evaluate right extremity swelling and revealed abcess formation as expected in the clinical progress of pyomyositis. Pyomyositis and septic pulmonary emboli are a rare association. This case demonstrates that the high index of suspicion in pediatric cases with muscle findings and septic pulmonary findings and early institution of therapy may improve the prognosis. © 2007 Elsevier Masson SAS. All rights reserved.Item Clinical significance of lung perfusion defects in children with post-infectious bronchiolitis obliterans(2009) Yüksel H.; Yilmaz Ö.; Ürk V.; Yüksel D.; Göktan C.; Savaş R.; Sayit E.Clinical significance of segmental lung perfusion defects in children with bronchiolitis obliterans (BO), have not been reported before. The aim of this study was to evaluate clinical significance of lung perfusion defects in children with BO and to reveal its impact on follow up. The study included 38 children aged 9 to 60 months (17.8 ± 13.4 months) with BO. Diagnosis was based on persistent respiratory findings beyond six weeks and oligemic-mosaic pattern in lung high resolution computerized tomography. Chest X-ray, 24 hour esophageal pH monitoring, sweat chloride test, immunoglobulin levels and respiratory viral screening were carried out in all. Lung perfusion scintigraphy was carried out at least three months after the first clinical sign of BO. Perfusion defects were scored. Scintigraphy demonstrated perfusion defects in 24 (63.2%) patients but was normal in 14 (36.8%). Number of segments having perfusion defects was 2.9 ± 2.6. Mean number of exacerbations and days of hospitalization during the first year of follow up were 4.7 ± 4.4 and 26.9 ± 29.8 respectively. It was detected that number of perfusion defects correlated significantly with the number of exacerbations and duration of hospitalization (r= 0.66 and p= 0.00). In conclusion, number and extent of segments with perfusion defects in lungs of children with BO are correlated with clinical severity. Therefore, evaluation of lung perfusion status may aid in clinical determination of disease severity and its follow-up.Item Assessment of pulmonary artery pressure and right ventricular function in children with adenotonsillar hypertrophy using different parameters(Elsevier Ireland Ltd, 2014) Çetin M.; Yilmaz M.; Özen S.; Bozan N.; Coşkun T.Objective: Our aim was comparison of preoperative and postoperative right ventricular functions of children with adenotonsillar hypertrophy (ATH) who have findings of upper airway obstruction, using new echocardiographic parameters. Methods: Forty-one children who have admitted to our hospital with symptoms suggestive of upper airway obstruction, whose history and physical examination findings suggest upper airway obstruction and who have undergone adenoidectomy/adenotonsillectomy and 40 healthy children, all of whom between 2 and 12 years of age, were included in the study. Patient group was evaluated by pulsed wave tissue Doppler echocardiography as well as with conventional echocardiography before the operation and 6 months after the operation. Results: Of 41 children in study group, 26 (63.4%) had adenotonsillectomy and 15 (36.6%) had adenoidectomy. Tricuspid annular plane systolic excursion (TAPSE) was significantly lower in preoperative group compared to control group (18.46. ±. 1.67, 19.77. ±. 1.62; p=0.000, respectively). Myocardial performance index (MPI) was significantly higher in preoperative group than postoperative and control group (0.40. ±. 0.07, 0.36. ±. 0.06, 0.35. ±. 0.07; p= 0.032, respectively). Tricuspid isovolumic acceleration (TIVA) was significantly lower in preoperative group than preoperative and control group (2.97. ±. 0.8, 3.43. ±. 0.7, 3.43. ±. 0.9; p= 0.020, respectively). Disappearance of this difference was found between postoperative and control groups (p= 0.984). Pulmonary acceleration time (PAcT) was found to be significantly lower in preoperative group compared to postoperative and control group (109.68. ±. 18.03, 118.93. ±. 17.46, 120.0. ±. 14.07; p= 0.010, respectively). Mean pulmonary artery pressure (mPAP) was significantly higher in preoperative group than control group (29.64. ±. 8.11, 24.95. ±. 6.33; p= 0.010, respectively). In postoperative group mPAP was found to be similar to control group (25.48. ±. 7.85, 24.95. ±. 6.33; p= 0.740, respectively). Conclusions: TAPSE, PAcT, MPI and TIVA are useful markers for evaluation of preoperative and postoperative ventricular function in children with ATH who have findings of upper airway obstruction. We think that using these practical and easy-to perform parameters may be relevant for evaluation and postoperative follow-up of patients with ATH who have findings of upper airway obstruction. Besides adenotonsillectomy is a beneficial treatment option for these patients. © 2014 Elsevier Ireland Ltd.Item The relationship between physical restraint and the diagnosis and drug use in the patients receiving inpatient treatment in a child and adolescent psychiatry clinic; [Bir çocuk ve ergen psikiyatrisi kliniğinde yatarak tedavi gören hastalarda fiziksel tespitin tanı ve ilaç kullanımı ile ilişkisi](Cukurova University, Faculty of Medicine, 2019) Önder A.; Sürer Adanir A.; Kavurma C.; Bilaç Ö.; Bölük Uzunoğlu G.; Yalin Sapmaz Ş.; Gizli Çoban Ö.Objective: The aim of this study is to evaluate the characteristics such as the diagnosis and medication of the physically restrained patients in our inpatient unit, which is one of the few inpatient units for children and adolescents in Turkey, and the effect of the physical restraint on the treatment of them. Methods: The medical records of 102 inpatients treated in our mental health hospital during the year 2016 had been retrospectively reviewed. Patients who were restrained at least once during the hospitalization period were compared with patients who were not, in terms of diagnosis, medication, presence of comorbidity, duration of hospitalization and the way of discharge. Results: Comparing the groups that were restrained and not restrained, it was found that multiple drug use was more common in the restrained group. The use of antipsychotics, anxiolytics and mood stabilizer drugs and haloperidol-biperiden injections were found to be significantly higher in the restrained group. The rate of multiple psychiatric diagnoses was significantly higher and major depression, conduct disorder, bipolar disorder and self-injurious behaviors were more frequent in the restrained group. Although the duration of hospitalization for both groups was similar, discharge with the request of the family or caregivers before the end of treatment was more frequent in the restrained group. Clinical global improvement scores were lower in the restrained group. Discussion: There are many differences in terms of diagnosis, medication and the way of discharge between the restrained and non-restrained groups. More strategies are needed to reduce the restriction rates. (Anatolian Journal of Psychiatry 2019; 20(5):530-538). © 2019, Cukurova University, Faculty of Medicine. All rights reserved.