Pertussis is an important cause of mortality and morbidity in infancy. It is recommended that close contacts of the baby be vaccinated with Tdap, and this practice is called the cocoon strategy. This ...study aimed to investigate the applicability of the cocoon strategy and to determine the factors affecting the process. Mothers of babies who were hospitalized in the neonatal intensive care unit were included in the study. In the first stage, a face-to-face questionnaire was given to the mothers to measure their level of knowledge about whooping cough and its vaccine. In the second stage, written and verbal information about the cocoon strategy was given, and then vaccination intentions for Tdap were learned. In the third stage, all mothers were contacted 3 weeks after and asked whether they had received a Tdap vaccination and why. Of these mothers, 68% could not answer any questions about pertussis disease and vaccines correctly. After the information, 35% (n = 78) of the mothers stated that they were considering getting vaccinated, while only 2% (n = 5) of the mothers were able to get the Tdap vaccine. The most important reasons for not getting vaccinated were a lack of time (24%) and the cost of vaccination (23%). It is predicted that Tdap vaccination rates may increase if the cost of vaccine, availability of vaccine, and the access of mothers to the vaccine application are facilitated.
Tracheobronchomegaly (TBM) is a rare disease of unknown etiology, characterized by dilatation of the trachea and main bronchi. Despite its rarity, TBM has been reported to accompany several ...conditions, particularly Ehlers-Danlos syndrome. Herein, we report on a 15-year-old patient who was diagnosed with TBM on the basis of radiologic and endoscopic findings and with Ehlers-Danlos syndrome type IVB presenting with marfanoid features, severe kyphoscoliosis, increased skin elasticity, and ongoing hypotonia since the neonatal period.
Pulmonary arteriovenous malformations (PAVM) are generally congenital lesions caused by abnormal capillary development. Lesions can be in the form of isolated anomaly or as part of autosomal ...dominantly inherited hereditary hemorrhagic telengiectasia (HHT). HHT is the most common hereditary vascular disease characterized by mocucutaneuos telengiectasia and visceral arteriovenous malformations. PAVMs can be asymptomatic or can present with effort dyspnea, palpitations and fatigue especially in cases with HHT. Herein, we present a 13 year-old girl diagnosed with PAVM with polycythemia, clubbing, cyanosis and radiological features; and had accompanying history of epistaxis in family and telengiectasia in oral mucosa as parts of HHT. She was treated by endovascular embolization.
: Breastfeeding provides optimal growth and development for infants. Lactating mothers may have challenges maintaining breastfeeding, and one of those challenges is being falsely advised to interrupt ...breastfeeding following radiologic studies. The aim of this study was to evaluate the knowledge, attitudes and experiences of healthcare professionals regarding breastfeeding after radiological imaging studies on lactating mothers.
: In this cross-sectional study, an online survey consisting of 29 semi-structured questions was delivered to radiology technicians and physicians in radiology and pediatrics via social media. Mixed methods were used to analyze responses descriptively.
: Of the 404 participants, 39% (n = 158) were radiology technicians, 31% (n = 125) were pediatricians, 11% (n = 46) were radiologists, 10% (n = 41) were pediatric residents and 8% (n = 34) were radiology residents. Of all healthcare professionals, 91% reported that breastfeeding does not need to be interrupted after ultrasound, 75% X-ray, 56% mammography, 62% non-contrast CT, 18% contrast-enhanced CT, 93% non-contrast MRI and 23% contrast-enhanced MRI. Interruption of breastfeeding was recommended more frequently after contrast-enhanced imaging studies (
< 0.01). After contrast-enhanced CT, 54% of participants recommended pumping and dumping for <24 h and 25% for 24-48 h; after contrast-enhanced MRI, these rates were found to be 57% and 20%, respectively. Of the healthcare professionals, 63% reported that their knowledge about management of breastfeeding after radiological studies was not sufficient.
: Situations requiring the interruption of breastfeeding after radiological studies are rare. However, recommendations in clinical practice vary in our country. Increasing the awareness and knowledge of healthcare professionals will prevent breastfeeding from being negatively affected.
Aim:The World Health Organization (WHO) recommends breastfeeding until 2 years of age or beyond. As there are no global scientific recommendations about when and how to wean, general acceptance is ...that gradual weaning could be less traumatic for baby-mother dyad. Our study aimed to determine the duration of breastfeeding, reasons for ending breastfeeding and weaning practices in Turkish physician mothers.Materials and Methods:This descriptive cross-sectional study was conducted with a web-based survey formed by the researchers. Survey asking about demographics, knowledge about WHO recommendations for breastfeeding and weaning reasons and practices in detail was electronically delivered to Turkish physician mothers over the electronic social platform group ‘physician mothers’, which had 14600 members.Results:Replies from 195 physician mothers showed a mean breastfeeding duration of 23.26±7.01 months. Almost half of the children were breastfed beyond 24 months. The main reason for ending breastfeeding was observed as thinking that breastfeeding duration was sufficient. The most common method used for weaning was talking to the child and weaning gradually. However, it was observed that 34.2% still used traditional methods, such as applying foreign substances to breasts which could cause abrupt weaning.Conclusion:In our study, physician mothers had a longer breastfeeding duration than general population and traditional weaning practices were seen in a lower ratio in this group than in general population. On the other hand, our results show that physicians still need more education about breastfeeding beyond two years of age and weaning practices. Moreover, more studies are needed in the literature about short and long term effects of weaning practices.
A rare diagnosis: Keutel Syndrome Girit, Saniye; Senol, Ebru
Medeniyet medical journal,
2019, Letnik:
34, Številka:
3
Journal Article
Recenzirano
Odprti dostop
Tracheobronchial cartilage calcification is a rare finding in the pediatric population. Keutel syndrome (OMIM 245150) is a very rare syndrome characterized with diffuse calcification of cartilage, ...brachytelephalangia, pulmonary stenosis, midline defects, stippled epiphysis in infancy, and hearing loss accompanied by recurrent respiratory infections and asthma-like attacks. Here, we present a 14-year-old patient who was followed up with the diagnosis of asthma, but did not respond to appropriate asthma treatment. She was subsequently diagnosed as having Keutel syndrome with cartilage calcification on the tracheobranchial tree and auricula, atypical facial features, recurrent otitis media, hearing loss, and recurrent asthma-like symptoms.
Objective: Immunization is the most effective preventive health measure known to protect children from serious diseases and death. However, in both developed and developing countries, parents may ...hesitate to vaccinate their children for various reasons. With this study, we aimed to report the attitudes of parents on this issue in our hospital, where patients from all socioeconomic and cultural levels applied due to its location. Methods: A questionnaire was applied to the parents of children aged 0-14 years, who applied to the pediatric outpatient clinics in the 3rd level education and research hospital between April 2016 and October 2016, to evaluate their knowledge and attitudes about vaccination. Results: It was observed that 98.1% of the parents participating in the study applied the Ministry of Health vaccination schedule. 29.5% of the parents stated that they experienced side effects after vaccination. The most common side effects are fever (19%), tenderness at the vaccination site (3.8%), diarrhea (2.9%), rash at the vaccination site (1.9%), and convulsion (1.9%), respectively. 75.2% of the parents stated that they did not hear anything negative about vaccines. The reported negative effects are fever (4.8%), allergy (4.8%), vomiting (3.8%), sterility (3.8%), paralysis (2.9%), seizure (1.9%), autism (1%), aluminum content (1%), and disease (1%), respectively. It was observed that 94.3% of the parents wanted their children to be vaccinated, 1.9% did not want to be vaccinated because of the negative news in the media, 1.9% because of different discourses among doctors, and 1.9% because they thought it would be better to pass the diseases naturally. Conclusion: It was seen that most of the parents applied the vaccination schedule of the Ministry of Health. We should not forget the importance of vaccination to protect both individual and public health, and measures should be taken to eliminate unnecessary prejudices of parents in this regard. Keywords: Child; parent; vaccination. Amac: Bagisiklama cocuklari cok ciddi hastaliklardan ve olumden koruyan, bilinen en etkili koruyucu saglik onlemidir. Ancak gerek gelismis gerek gelismekte olan ve gelismemis ulkelerde cesitli nedenlerle ebeveynler cocuklarini asilamaktan cekinebilmektedirler. Bu calisma ile konumu itibariyle her sosyoekonomik ve kultur duzeyinden hastalarin basvurdugu hastanemizde ebeveynlerin bu konudaki tutumlarini raporlamayi hedefledik. Gerec ve Yontem: Nisan 2016-Ekim 2016 tarihleri arasinda 3.duzey egitim arastirma hastanesinde cocuk polikliniklerine cesitli nedenlerle basvuran yaslari 0-14 arasinda degisen cocuklarin ebeveynlerine asilama konusundaki bilgi duzeylerini ve tutumlarini degerlendirmek amaciyla bir anket uygulandi. Bulgular: Calismaya katilan ebeveynlerin %98.1'nin Saglik Bakanligi asi takvimini uyguladiklari gorulmustur. Ebeveynlerin %29.5'i asilama sonrasi yan etki gorduklerini belirtmistir. En sik gorulen yan etkiler sirasiyla; ates (%19), asi bolgesinde hassasiyet (%3.8), ishal (%2.9), asi bolgesinde kizariklik (%1.9) ve havale (%1.9) olarak belirlenmistir. Ebeveynlerin %75.2'si asilar ile ilgili olumsuz bir sey duymadiklarini belirtmistir. Bildirilen olumsuz etkiler ise sirasiyla; ates (%4.8), alerji (%4.8), kusma (%3.8), kisirlik (sterilite) (%3.8), felc (%2.9), havale (%1.9), otizm (%1), aluminyum icermesi (%1) ve hastalik yapmasi (%1) olarak belirtilmistir. Ebeveynlerin %94.3'nun cocuklarina asi yaptirmak istedikleri, %1.9'nun medyada cikan olumsuz haberler nedeniyle, %1.9'nun doktorlar arasinda farkli soylemler olmasi nedeniyle, %1.9'nin ise hastaliklari dogal yolla gecirmenin daha dogru oldugunu dusunmeleri nedeniyle asi yaptirmak istemedikleri gorulmustur. Sonuc: Bu calismamiz ile ebeveynlerin cok buyuk kisminin Saglik Bakanligi asi takvimini uyguladiklari gorulmustur. Gerek bireysel gerek halk sagliginin korunmasi amaciyla asilamanin onemini unutmamali, bu konuda ebeveynlerin gereksiz on yargilarini yok etmek icin onlemler alinmasi gerektigini dusunmekteyiz. Anahtar Sozcukler: Asilama; cocuk; ebeveyn.
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