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Öğe The evaluation of children with monosymptomatic nocturnal enuresis for attention deficit and hyperactivity disorder(Taylor & Francis Ltd, 2012) Okur, Mesut; Rüzgar, Hacer; Erbey, Fatih; Kaya, AvniObjective. Monosymptomatic nocturnal enuresis (MNE) and attention deficit and hyperactivity disorder (ADHD) are multifactorial disorders and biological, social, and psychological factors may play significant roles in the development of both. Children with enuresis display a higher prevalence of ADHD compared to the normal population. This study aimed to evaluate the relationship between MNE and ADHD. Methods. A total of 64 children between the ages of 6 and 13 years who were referred due to primary MNE, their parents, and 42 healthy control cases, were evaluated in terms of attention deficit and hyperactivity by a child psychiatrist using the DSM-IV-2000-TR diagnosic scale. Results. Of the children with enuresis, 17 had predominantly inattentive type (26.6%), nine had predominantly hyperactive-impulsive type (14.1%), and eight had combined type (12.5%). In the control group, two cases had predominantly inattentive type (4.8%), two cases had predominantly hyperactive-impulsive type (4.8%), and one had combined type (2.4%). Conclusions. The prevalence of ADHD is higher in children with MNE compared to the normal population. As attention deficit may also negatively effect the treatment of enuresis, children with MNE should be evaluated in terms of attention deficit and those with positive symptoms should be provided with psychosocial support.Öğe H1N1 influenza A virus Related Pneumonia and Respiratory Failure(Springer India, 2013) Okur, Mesut; Erbey, Fatih; Yazıcıoğlu, Özlem; Çelik, Ali; Tükenmez, Barış; Sünnetçioğlu, Mahmut; Kaya, AvniInfluenza viruses are common respiratory pathogens in humans and can cause serious infection that leads to the development of pneumonia. In this study, the clinical and laboratory features of 36 patients from Turkey who are hospitalized in intensive care unit due to pandemic influenza A (H1N1) associated pneumonia and respiratory failure were retrospectively evaluated. The most common symptoms were cough and fever. Consolidation (36.1 %) and interstitial changes (30.6 %) were the most frequently identified findings on chest radiographs at the time of admission. Six of the patients (16.7 %) died. Mortality occurred in 3 of 13 patients (23.1 %) with underlying disease, whilst it occurred in only 3 of 23 patients (13 %) who were previously healthy. Mortality was found to be significantly associated only with an elevated lactate dehydrogenase level. A significant relationship was determined only between the presence of lymphopenia and acute respiratory distress syndrome and the need for intensive care treatment. The average time elapsed from the onset of the symptoms until admission was 8.67 +/- A 2.87 days for the patients died, and 6.0 +/- A 3.8 days for the patients survived.Öğe Retrospective clinical and laboratory evaluation of children with brucellosis(Wiley, 2012) Okur, Mesut; Erbey, Fatih; Bektaş, Mehmet Selçuk; Kaya, Avni; Doğan, Murat; Acar, Mehmet Nuri; Uzun, HakanBackground: Acute brucellosis is a zoonotic disease seen in childhood, with non-specific complaints and clinical findings that can affect the locomotor, gastrointestinal, genitourinary, hematologic, cardiovascular, respiratory, and central nervous systems. Particularly in endemic regions, it occurs as a result of consumption of unpasteurized milk and dairy products. In this study, clinical and laboratory findings of children with acute brucellosis are presented. Methods: Data for 147 patients, aged 2-16 years, were evaluated retrospectively. Results: The most frequent complaints and clinical findings were abdominal pain and fever. Other complaints and clinical findings included arthralgia, myalgia, loss of appetite, weakness, sweating, fatigue, headache, arthritis, hepatomegaly, and splenomegaly. Anemia was the most frequent hematological abnormality detected; other abnormalities included leukopenia, thrombocytopenia, and pancytopenia. Conclusion: Childhood brucellosis can cause non-specific complaints and particularly anemia and leukopenia as hematological abnormalities. It is easily treated, however, with appropriate antibiotics.Öğe Risperidona bağlı lökopeni ve nötropeni gelişen 7 yaşında bir olgu(2011) Erbey, Fatih; Rüzgar, Hacer; Okur, Mesut…Öğe The risperidone-induced leukopenia and neutropenia: a case at 7 years old(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2011) Erbey, Fatih; Rüzgar, Hacer; Okur, Mesut…