2016 Cilt 14 Sayı 3

Permanent URI for this collectionhttps://hdl.handle.net/11452/8953

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    Demographics of the open-globe injuries in pediatric age group in Northwest Turkey
    (Uludağ Üniversitesi, 2016-04-21) Kıvanç, Sertaç Argun; Budak, Berna Akova; Özmen, Ahmet Tuncer; Yıldız, Meral; Çevik, Mediha Tok; Hamidi, Nagihan Amuk; Tıp Fakültesi; Göz Hastalıkları Ana Bilim Dalı
    Introduction: Our aim was to investigate the pattern of open globe injury and assess the effect of age on different parameters of open globe injury in pediatric patients. Materials and Methods: The medical records of the patients under 18 years old who had open-globe injury were retrospectively reviewed. Age, gender, the cause of the trauma, presence of intraocular foreign body and the extent of the ocular damage were recorded. Results: The study was comprised of 79 patients (23 female, 56 male) with a mean age of 7.7±4.4 (range: 2-18 years). Thirty-nine patients were injured with a blunt tip object, 27 with a sharp object and one has rupture with trauma. Thirty-five injuries occurred outside and 45 at home. The season in which most of the injuries took place was summer (32%). Seventy-five percent of the injuries were noted in 11 years and under. The mean age subject to blunt tip object injury, organic body injury and outdoor injury was significantly higher compared to that of with sharp object, inorganic body injury and indoor injury. Conclusions: The open globe-injury rates in Northwest Turkey is found to be higher in smaller age groups. Making the parents aware of the danger and consequences of the trauma and avoiding the easily accessible sharp objects may decrease the trauma rates.
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    Syncope in children: Is rhythm holter monitoring necessary?
    (Uludağ Üniversitesi, 2015-10-02) Uysal, Fahrettin; Bostan, Özlem Mehtap; Çetinkaya, Fatma; Deniz, Tuba; Çil, Ergün; Tıp Fakültesi; Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı; Çocuk Kardiyoloji Bilim Dalı
    Introduction: Holter monitoring (HM) is usually used in patients with syncope when etiology cannot be explained with history, physical examination and electrocardiography (ECG). In this study the objective was to evaluate the diagnostic value of HM in children with syncope. Materials and Methods: Databases were collected retrospectively by analyzing the HM results of 3.122 pediatric patients between 2010-2014. Gender, age at diagnosis, detailed clinical history, physical examination, 12-lead electrocardiographic and echocardiographic results were noted using standardized form. Results: The study included 323 patients with syncope with a mean age of 13.21±3.67. There were 199 female and 124 male patients in this study. Among all patients 284 (87.9%) had normal HM results, while 11 (3.4%) patients had abnormal Holter studies that consider to explain as syncope. Three of 11 patients with abnormal Holter results diagnosed through ECG before HM, hence, the diagnostic value of HM was calculated as 2.4%. In contrast, diagnostic value of HM in patients with positive family history was found to be 16.6%. In this study, 7 patients were considered to have long QT syndrome according to their HM findings. Conclusions: Detailed clinical history has a great value in children with syncope. As a result, HM has low diagnostic value if the patients are not in high risk group. However, HM was considered to be important because of concealed long QT syndrome especially if the patient had positive family history and exercise related syncope.