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    A case of Gianotti Crosti syndrome with HBV infection
    (Medical Univ Bialystok, 2008) Dikici, Bünyamin; Uzun, Hakan; Çapan, Konca; Kocamaz, Halil; Yel, Servet
    Gianotti-Crosti syndrome (papular acrodermatitis of childhood), which was first described in 1955, is a nonspecific rash that usually consists of the abrupt onset of pink flesh coloring, smooth or lichenoid, flat-topped papules. It was first related to hepatitis B virus (HBV) infection; however, cases not associated with HBV infection were reported as well. Although a type of delayed hypersensitivity reaction is speculated as a cause, exact pathogenesis still remains unclear. The prognosis is favorable and successful management relies upon general supportive and symptomatic care. We report a seven-year-old boy diagnosed with Gianotti-Crosti syndrome with monomorphous papules on his cheeks, buttocks and extremities associated with hepatitis B virus infection.
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    Evaluation of Patients Hospitalized in Pediatric Intensive Care Unit
    (Düzce Üniversitesi, 2011) Tutanç, Murat; Başarslan, Fatmagül; Karcıoğlu, Murat; Yel, Servet; Kaplan, Metin; Arıca, Seçil; Karakuş, Ali
    Objective: The patients hospitalized in Pediatric Intensive Care Unit (PICU) were evaluatedfor the diagnosis, gender, length of stay, months at which they were hospitalized and discharged.Method: In this study, 698 patients hospitalized and followed-up in the Pediatric Intensive CareUnit of Pediatric Health and Diseases of Dicle University Faculty of Medicine between datesof November 2002 – February 2005 were evaluated.Results: 95 (13.6%) of patients were hospitalized with the diagnosis of pulmonary infection,84 of those (%12) with sepsis, 70 (10%) with poisoning, 49 (7%) with infection of central nervesystem, 44 (6.3%) with status epilepticus, 28 (4%) with hepatic coma, 27 (3.9%) with snakebite,24 (3.4%) with scorpion bite, 18 (2.6%) with trauma, 17 (2.4%) with intracranial bleeding, 15(2.1%) with meningococcemia, 12 (1.7%) with drowning, 8 (1.14%) with electric shock, and 7of patients (1%) with malignancy. While most frequent hospitalization was recorded in January(10.7%) and June (10.4%), the least frequent hospitalization was observed in October (5.7%).Number of female patients was 300 (42.8%), whereas number of male patients was 398 (57.2%).Mean length of stay was 5.3±6.1 days. 363 (51.8%) of patients were transferred to other servicesafter their general condition had been stabilized, 86 (12.3%) of patients were discharged fromthe intensive care unit, 8 (1.14%) of patients were referred to an advanced center, and 238(34.4%) of patients died.Conclusion: In this study, it is intended to highlight the fact that the pulmonary infection andthus the respiratory support are the most frequently recorded conditions in the intensive careunit and that preventable diseases such as poisoning in childhood, trauma, drowning, and electricshock take an important place in hospitalization
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    Pediatric Urolithiasis: An Evaluation of 342 cases
    (Düzce Üniversitesi, 2009) Bozkurt, Yaşar; Ece, Aydın; Yolbaş, İlyas; Sancaktutar, Ahmet Ali; Kelekçi, Selvi; Güneş, Ali Güneş; Yel, Servet
    Urinary Stone disease may lead to progressive kidney damage. The aim of this study was to evaluate the clinical features and possible risk factors for pediatric urolithiasis.Data belong to 342 children (205 boys, 137 girls) that followed up for the last 10 years was retrospectively reviewed. The mean age of patients was 7.2±5.1 years at presentation. Renal insufficiency was detected in 79 (23.1%) at diagnosis. Of whom 79% had prerenal and 21.1% postrenal renal failure. Stone locations were as follows: 124 patients (36.6%) right sided, 98 (28.7%) left sided and 120 (35.1%) bilateral. Of all, 89.6% of stones were localized in kidney and pelvis renalis. Family history of urolithiasis was found in 25.4% of children. The foremost complaints are abdominal pain (64.3%), irritability (58.2%), dysuria (48.7%) and renal colic (32.4%). Urinalysis revealed leukocyturia in 46.2%, haematuria in 43.6%, proteinuria 32.2% and crystalluria in 18.1% of patients. Urine culture yielded E.coli in 65.4% of patients with urinary tract infection. Stone analysis most frequently showed calciumoxalate stones. The most common encountered metabolic risk factors are hypercalciuria (25.4%) and hypocitraturia (14.0%). In 26.3% of patients there was an additional urinary tract abnormalities. Urolithiasis is important because leading to renal insufficiency. Metablic studies should be performed and additional urinary tract abnormalities should be sought in children with urolithiasis
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    The prevalence of malnutrition and obesity in choolchildren in the Southeast Anatolia Region of Turkey
    (2010) Kara, İsmail Hamdi; Dikici, Bünyamin; Yel, Servet; Özdemir, Özcan
    Amaç: Bu çalışmada, Güneydoğu Anadolu Bölgesinde, ilköğretim okullarındaki çocuklarda, vücut kitle indeksi (VKI) ile hesaplanan malnutrisyon, kilolu olma ve obezite sıklığının belirlenmesi sosyodemografik özelliklerin belirlenmesi amaçlandı. Yöntem:Araştırma, kesitsel tipte epidemiyolojik bir çalışma olup, “Tabakalı rasgele örnekleme yöntemi” kullanılarak belirlenen 7-16 yaş grubundaki ilköğretim okul çocuklarını kapsamaktadır. Diyarbakır ve Mardin iI merkezlerinde, toplam 20 okul ve 1912 öğrenci anket formlarını doldurdu. Vücut ağırlığı ve boy ölçümlerinden elde edilen vücut kitle indeksi (VKI), çocukların demografik özellikleri, kardeş sayısı, konut-yaşam koşulları, anne ve baba çalışma ve eğitim durumlarına ilişkin ile ilgili soruların yer aldığı bir anket uygulandı. VKI, International Obesity Task Force (IOTF) ve Center for Disease Control and Prevention (CDC-US) gelişim kartlarının persentil değerlerine göre sınıflandırıldı. Bulgular: 1040 erkek (%52,3) ve 872 kız (%47,7), toplam 1912 öğrencinin yaş ortalaması 10,82,4 yıl ve VKI ortalaması 17,62,8 kg/m2’dir. CDC sınıflamasına göre, erkek öğrencilerin %7,2’si “düşük kilolu” %12,3’ü “aşırı kilolu ve %3,4’ü “obez” iken; IOTF sınıflamasına gore bunların %5,5’u “aşırı kilolu”, %0,6’sı ise “obez” olarak sınıflandırılmıştı. Kız öğrencilerin, CDC sınıflamasına göre %8,4’ü “düşük kilolu” %11,1’i “aşırı kilolu ve %3,3’ü “obez” iken; IOTF sınıflamasına gore bunların %5,2’si “aşırı kilolu”, %1,2’si ise “obez” olarak sınıflandırılmıştı. Kız ve erkek öğrenciler arasında prevalanslar açısından fark bulunmuyordu (p0.05). Sonuç: Güneydoğu Anadolu Bölgesinde, ilköğretim okullarındaki çocuklarda en önemli sağlık problemlerinden birisi malnutrisyondur; ancak aşırı kilo ve obezite prevalansı da ihmal edilmeyecek düzeylerdedir.
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    The prevalence of malnutrition and obesity in schoolchildren in the Southeast Anatolia Region of Turkey
    (2010) Kara, İsmail Hamdi; Dikici, Bünyamin; Yel, Servet; Özdemir, Özcan
    Objective: The aim of this study was to determine the frequency of malnutrition, obesity and overweight, calculated by body mass index (BMI), in elementary school children in the Southeast Anatolia Region of Turkey. Method: This research is a cross-sectional epidemiological study and elementary school children with aged 7-16 years were included randomly by layered random sampling method. A total of selected 20 schools and 1912 students filled the questionnaires in Diyarbakir and Mardin City Centers. A questionnaire included questions related to the educational and professional status of parents, siblings, household conditions, children's demographic characteristics and body mass indexes, body weight and heights was applied to each student. Determined BMIs were classified according to the percentile values of Center for Disease Control and Prevention (CDC-US) growth charts and International Obesity Task Force (IOTF). Results: Mean age of 1040 boys (52,3%) and 872 girls (47,7%), totally 1912 students was 10,8±2,4 years and mean BMI was 17,6±2,8 kg/m2. According to CDC classification, 7,2% of male students were categorized as "underweight", 12,3% of them as "overweight", and 3,4% of them as "obese" whereas 5,5% of them were categorized as "overweight" and 0,6% of them as "obese" according to IOTF classification. In female students, 8,4% were categorized as "underweight", 11,1% "overweight", and 3,3% as "obese" according to CDC classification whereas 5,2% were categorized as "overweight" and 1,2% "obese" according to IOTF. The prevalences were not between boys and girls (p>0.05). Conclusion: In school children in the Southeast Anatolia Region, one of the most important health problems was malnutrition; however prevalances of overweight and obesity had also nonignorable levels. © 2010 Düzce Medical Journal.
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    Smoking Initiation in Primary School Students in Southeast of Turkey: the Roles of Sociodemographic Factors, Gender and Parental Characteristics
    (Düzce Üniversitesi, 2010) Dikici, Bünyamin; Yel, Servet; Kara, İsmail Hamdi
    Aim: The objective of this survey was to determine the socio-demographic and the parentalfeatures and the extent of active and passive smoking among primary school children inDiyarbakır Province in Southeast Anatolian Region of Turkey. Material and Methods: This survey is an epidemiological study with cross-sectional design.According to the layered random sampling method, 15 schools were visited and taking intoaccount the age and gender distribution a total number of 1124 students filled the questionnaire.The survey included questions about the parental and the socio-demographic features, the socialand economic status of the family, number of brothers and sisters, the housing and livingconditions, as well as the smoking status of students. Results: 1124 students, consisting of 630 boys (%56.0) and 494 girls (%44.0) had an averageage of 11.1±2.4 yr. A total of 771 (68.6%) students told that there were smoking family membersliving in their houses (p
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    Smoking initiation in primary school students in Southeast of Turkey: The roles of sociodemographic factors, gender and parental characteristics
    (2010) Kara, İsmail Hamdi; Dikici, Bünyamin; Yel, Servet
    Aim: The objective of this survey was to determine the socio-demographic and the parental features and the extent of active and passive smoking among primary school children in Diyarbakir Province in Southeast Anatolian Region of Turkey. Material and Methods: This survey is an epidemiological study with cross-sectional design. According to the layered random sampling method, 15 schools were visited and taking into account the age and gender distribution a total number of 1124 students filled the questionnaire. The survey included questions about the parental and the socio-demographic features, the social and economic status of the family, number of brothers and sisters, the housing and living conditions, as well as the smoking status of students. Results: 1124 students, consisting of 630 boys (%56.0) and 494 girls (%44.0) had an average age of 11.1±2.4 yr. A total of 771 (68.6%) students told that there were smoking family members living in their houses (p<0.0001). The number of students with smoking habit was 136 (92 male, 44 female) (%12.2). The number of family members and sleeping rooms were 7.5±2.8, 4.5±2.1 and 2.1±0.9, respectively. The reason behind smoking addiction was generally related with either peers (45 person, 52.3%) or relatives (10 person, %11.6). The rate of smokers among boys is 1.38 times (OR: 1.38, %95 CI: 1.070-1.778) greater than that of girls. Conclusions: The survey results show that smoking among primary school students is becoming prevalent, the rate of passive smoking is increasing, and the number of family members living in the house is generally beyond the shelter capacity. Especially most of the mothers are found to be uneducated. Therefore, more effort should be directed to address the problems of smoking and lack of education which have the utmost importance among these related negative factors. © 2010 Düzce Medical Journal.