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Öğe Clinical Spectrum of Acute Poisoning Cases Admitted to the Pediatric Emergency Department(2023) SİNANOĞLU, Muhammed Selçuk; Berk, ErhanIntroduction: Pediatric poisoning is a common emergency worldwide. Routine surveillance is necessary for public health officials and physicians to update strategies for pediatric poisoning prevention and management. In this study, we aimed to investigate the epidemiology of poisoning among children admitted to the emergency department. Methods: In this study, the epidemiological features of 110 cases of poisoning brought to Malatya Training and Research Hospital Pediatric Emergency Service between March 2020 and December 2021 were retrospectively reviewed and examined. Results: Hospital admissions are most frequently seen in the age groups of 1–3 (52.7%) and 12–18 (23.6%) years. Of 110 poisoning cases, 56.4% were drug poisoning and 54.5% of them were girls. While there are no symptoms in 74.5% of the cases, the most common symptom is abdominal pain with 40.7%. 92.7% of the patients needed intensive care. Only 45.5% of the cases were followed up and gastric lavage was performed with activated charcoal in 23.6% of them. Discussion and Conclusion: Childhood poisoning has an important place among the reasons for admission to the hospital. Early detection of poisonings and appropriate approach are lifesaving. Parenting advice and protective safety measures are important.Öğe COVID-19 GEÇİREN ÇOCUK OLGULARIN DEĞERLENDİRİLMESİ(2022) Berk, Erhan; SİNANOĞLU, Muhammed Selçuk; Melekoğlu, Nuriye AslıSon dönemde çocuk yaş gurubu Covid-19 hastalarının artması nedeni ile çocuk hastalar için tanı ve tedavi kriterlerinin oluşturulması önem kazanmaktadır. Bu çalışmamızda, hastane başvurusu sonrası Covid-19 tanısı konulan çocuk hastalarımızın tanı, tedavi ve laboratuar bulgularını değerlendirerek çocuklardaki Covid-19 tanı ve tedavi kriterlerinin oluşumuna katkı sağlamayı amaçladık Bu çalışmaya, pandemi sürecinde acil servis ve polikliniğe başvuruları sonrasında Covid-19 tanısı konularak ayaktan veya yatırılarak tedavi edilen çocuk yaş gurubu 220 olgu dahil edildi. Hastaların 142’si (%64.5) erkekti ve 18’inin (%8.1) kronik hastalığı vardı. Hastaların yaşları 7-17 arasında değişmekte olup, yaş ortalamaları 13,4±2,26 yıl idi. Klinik ve laboratuar bulgularının değerlendirilmesi sonucu 38 çocuk hastaneye yatırılarak tedavi edildi. Covid-19 enfeksiyonu tanı ve tedavisi için vakaların sınıflandırılması ve bu sınıflandırmaya göre tedavi ve takibinin yapılması mortalite ve komplikasyonların önlenmesi açısından önemlidir.Öğe Effect of post-acute COVID-19 on motor performance and attention in children(2025) SİNANOĞLU, Muhammed Selçuk; SİNANOGLU, BERÇEM; buğday, burak; Ozdemir, Filiz; İnceoğlu, FeyzaStudy was conducted to investigate motor performance and attention levels of children who had experienced post-acute coronavirus disease 2019 (COVID-19) infection. The study included children aged 6-14 years who were diagnosed with post-acute COVID-19 at least four weeks prior and had no history of orthopedic or neurological conditions (Group I). A control group (Group II), composed of children in the same age range, had never been diagnosed with COVID-19 and had no familial history of the virus, nor any orthopedic or neurological disorders. Demographic information for both groups was collected using a descriptive questionnaire. Motor performance was assessed through Timed Up and Go Test (TUG), Stair Climbing Test (SCT), while attention was measured using Conners' Parent Rating Scale-Revised, Short Form (CPRS-R:S). Difference in the CPRS-R:S scores of the participants based on their post-acute COVID-19 infection status was found statistically significant (p0.05). Accordingly, children who recover from post-acute COVID-19 would have a CPRS-R:S score 0.955 times as high as the score of those who have not had COVID-19 (OR= 0.955, 95% CI 0.919-0.993). The attention levels of children diagnosed with post-acute COVID-19 are affected negatively, considering relationship between attention and motor performance, it is needed to assess children holistically.Öğe Evaluation of pneumothorax in the neonatal intensive care unit(2022) Melekoğlu, Nuriye Aslı; SİNANOĞLU, Muhammed Selçuk; Berk, ErhanObjective: Pneumothorax is one of the most common pulmonary air leak syndromes and appears more often in the newborn period than at any other time of life. In this study, we aimed to determine and compare the demographic characteristics, clinical courses and outcomes of newborns with primary and secondary pneumothorax. Method: In this single-centre retrospective study, maternal and neonatal data were collected from medical records at Turgut Ozal University Hospital between January 2020 to July 2021. Results: Twenty-nine newborns diagnosed with pneumothorax, and of these, 16 were male (55.2%), 19 (65.5%) were born by cesarean section, and six (20.7%) were premature. The mean gestational age was 37.5±2.6 weeks, and birth weight was 3063.4±53 grams. The median age at diagnosis was 5 h (1-96), and the mean hospital stay was 9.55±4.38 days. The mean drainage time was 4.1±2.13 days. 13 (44.8%) neonates were classified as primary, while 16 patients (55.2%) had an underlying pulmonary disease or predisposing factor. Our study showed a statistically significant difference between groups regarding Apgar score 5th min and SNAP-II scores (p < 0.05). The occurence of pneumothorax was significantly earlier in the primary group (p<0.05). Our study revealed significantly longer total oxygen, continuous positive airway pressure and mechanical ventilation durations in the secondary pneumothorax group (p<0.05). Conclusion: Neonatal pneumothorax is still associated with significant morbidity and mortality, and primary pneumothorax had more favorable outcomes than secondary pneumothorax.Öğe HFNC EXPERIENCE IN A NEWLY ESTABLISHED PEDIATRIC INTENSIVE CARE UNIT IN EASTERN ANATOLIA(2024) SİNANOĞLU, Muhammed Selçuk; Aslan, Nagehan; arıkanoğlu, emrullah; AVCI, NİZAMİ; Saraç, Uğur; yildizdas, dincerHigh-flow nasal cannula oxygen therapy (HFNC) is increasingly used in the treatment of acute respiratory failure. It has important effects in patients with respiratory distress. In our study, we planned to share our HFNC experiences in our newly established pediatric intensive care unit. All children between the ages of 1 month and 18 years were included in this retrospective study. Of the 126 patients, 74 (58.7%) were male. The mean age was 59.8±66.7 months. Significant differences were observed between the heart rate, oxygen saturation and respiratory rate of the patients before treatment and at the 1st, 8th and 24th hours after treatment. 16 (12.7%) of the patients were intubated due to HFNC failure. The SpO2/FiO2 ratio at presentation of those who were intubated was found to be significantly lower than the value of those who were not intubated (p<0.001). The admission HFNC FiO2 value, intensive care unit stay and hospital stay of intubated patients were found to be significantly higher than the values of non-intubated patients (p<0.001). We believe that HFNC can be used successfully in pediatric intensive care units for various etiologies of acute respiratory distress, paying attention to treatment failure and possible complications.Öğe Parents' attitudes and refusal towards childhood vaccinations and associated factors(2024) Berk, Erhan; Taş, Ayşe; Vicnelioğlu, Elanur; SİNANOĞLU, Muhammed Selçuk; KURT, HARUNThe aim of this study is to determine the demographic characteristics of vaccine refusals in Malatya province, identify reasons for vaccine hesitancy, and guide future intervention efforts. Data for this descriptive study were collected through face-to-face interviews using a socio-demographic form developed by researchers, reasons for non-vaccination, and the short form of the \"Turkish Vaccine Hesitancy Scale\" and \"Parental Attitudes towards Childhood Vaccinations\" (PACV) scales. Statistical analysis included chi-square test, Mann-Whitney U test, and Spearman correlation test. Vaccine hesitancy was found in 86.0% of parents who did not vaccinate their children. The most common reasons for non-vaccination were \"lack of confidence in vaccine content\" (65.1%), \"observation of side effects in others after vaccination\" (19.8%), and \"exposure to negative statements about vaccines on social media\". As the educational level of both parents increased, nonvaccination due to a lack of confidence in vaccine content was more common. There was no relationship found between the presence of vaccine hesitancy and socio-demographic characteristics. Parents who do not vaccinate have low confidence in vaccines, and the influence of media, particularly press and social media, is significant in vaccination decision-making. Efforts should be made by both healthcare professionals and policymakers to increase confidence in vaccines and prevent access to misinformation about vaccines, thus minimizing vaccine hesitancy.
