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    The anxiety of children and their mothers waiting for examination in the paediatric outpatient clinic: a cross-sectional descriptive correlational study
    (Routledge Journals, Taylor & Francis Ltd, 2024) Arslan, Seymanur Ozdemir; Sahin, Ozlem Oztuerk; Dogan, Erkan
    The study was conducted with 330 children and their mothers waiting in line for examination in pediatric outpatient clinics. Child and Mother Information Forms, State-Trait Anxiety Inventory for Children, and State-Trait Anxiety Inventory were used as data collection tools. The study revealed that both children and their mothers experience moderate anxiety during the waiting period in the outpatient clinic and that there is a positive relationship between state and trait anxiety levels of children and mothers. The study observed that the state anxiety levels of children and their mothers were higher in children with previous hospitalization experience. Both state and trait anxiety levels were lower in children informed about visiting the hospital. It was concluded that prolonging the outpatient clinic waiting period increases anxiety levels in children and their mothers.
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    The Frequency of Atopic Dermatitis and Other Skin Manifestations in Infants with Cow's Milk Protein Allergy in Karabuk, Turkey
    (Mashhad Univ Med Sciences, 2021) Dogan, Erkan; Sevinc, Eylem; Gamsizkan, Zerrin; Korkut, Burcu; Sevinc, Nergiz
    Background Atopic dermatitis (AD) is the most common skin disease in childhood, and Cow's milk protein allergy (CMPA) is the most common cause of food allergies in infancy and may be characterized by atopic dermatitis with skin involvement as the first finding. The aim of this study is to determine the serum eosinophil cationic protein (sECP) levels, eosinophil counts and the frequency of AD and other skin manifestation among infants with CMPA. Materials and Methods: This cross-sectional study was conducted in Karabuk province, Turkey. Eighty-three infants who were diagnosed with CMPA and followed at the Karabuk Training Hospital Pediatric outpatient clinic. The first group consisted of 52 infants presenting with skin manifestations. The second group consisted of 31 infants who were not presenting skin manifestations. The sECP level of infants in both groups was measured using an Immulite 2000 XPi analyzer Immunoassay System (Germany). Results: Of 83 infants with CMPA, 62.6% (n=52) were detected skin involvement as the first finding. The proportions of atopic dermatitis and urticaria in CMPA infants with skin involvement were 90.4% and 9.6% respectively. The median sECP level and eosinophil counts (56.5 ng/mL vs 470/mm(3), p-value=0.001), in skin manifestations with CMPA group were significantly higher than that in the CMPA group without skin manifestations (33.1 ng/mL vs. 270/mm(3), p-value=0.006). Conclusion This study revealed that AD is the most common skin manifestation of CMPA and also found higher sECP levels in infants with skin involvement. The frequency of both diseases, which are easily treated with elimination diet, is increasing day by day.