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    Analysis of Pediatric Patients Presenting to a Reference Child Hospital with Complaint of Poisoning
    (Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2020) Ceylan, Gokhan; Keskin, Meliksah; Sandal, Ozlem; Tunc, Gaffari; Tuygun, Nilden; Yilmaz, Gonca
    Objective: Although it has different mortality and morbidity rates all over the world, childhood poisoning has an important place among childhood health problems. Considering increase in health expenditures, duration of hospital stay and loss of labor caused by poisonings, the problem has not only medical but also social aspects. Method: In addition to demographic data of 1043 pediatric patients admitted to our hospital with complaints of poisoning, pre-admission intervention, place of poisoning, admission time, agent and time of poisoning, time elapsed after poisoning, admission findings, hospitalization period, diagnostic tests applied and treatment modalities were evaluated retrospectively with their prognosis. Results: Of the 1043 cases, 54.5% were female. Female ratio increased to 82% in 139 cases of suicide. When the causes of poisoning were examined, they occurred due to use of pharmaceutical agents drugs (47.2%), industrial (41.5%), and agricultural products (5.4%), CO (2.7%), foods (2.6%), unknown factors (0.5%), and animal bites (0.2%). Gastric-lavage, activated-charcoal, intravenous-fluid regimen (33%) were the most common treatment modalities. Two of the three mortal cases were due to colchicine, and the third one was caused by CO poisoning. Conclusion: Although the development in the diagnosis and treatment of poisonings is pleasing, the most accurate approach to this issue will be to increase the protective measures. In addition to these standard measures, each country should set priorities in line with its own epidemiological study. Regarding the higher mortality rate (22%) we may suggest that clinicians should be more careful and aggressive in the diagnosis and treatment of colchicine intoxications, which can be associated with mortality even at low doses.
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    Nutritional Status of Pediatric Intensive Care Patients with Chronic Disease
    (Galenos Publ House, 2022) Sandal, Ozlem Sarac; Ongun, Ebru Atike; Ceylan, Gokhan
    Objective: This study aims to evaluate the relationship between enteral nutrition and mortality in children with chronic diseases who need to be hospitalized in the pediatric intensive care unit (PICU).Method: The data of the patients who were admitted to intensive care between January 2014 and December 2019 were retrospectively supplied from the hospital database. Demographic data, the presence of underlying diseases, the diagnoses during intensive care admission, the history of previous hospitalization, homecare requirement, the presence of gastrostomy, feeding type during homecare before hospitalization, the amount and type of nutrition were recorded.Results: A total of 186 patients hospitalized in the PICU due to an acute critical illness and with an underlying chronic disease were included in the study. The median age was 49 (17.75-104.5) months, it was observed that 53.8% of the patients were required homecare. The most common chronic disease was central nervous system pathologies accompanied by neurological impairment in swallowing functions (37. 3%), while the most common cause of the acute disease was lower respiratory tract infections (48.9%). The overall mortality was 9.7%, and it was found that the majority of the patients who were died were the patients requiring homecare and fed with nasogastric tube at home (p=0.002, p=0.014).Conclusion: It is observed that patients with percutaneous endoscopic gastrostomy are relatively low, hence feeding tube is frequently preferred in children with dysphagia during homecare. However, it is demonstrated that the feeding tube is an independent risk factor for mortality.
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    THE EFFECT OF COVID-19 OUTBREAK ON THE MENTAL STATUS OF HEALTH CARE PROFESSIONALS IN THE PEDIATRIC INTENSIVE CARE UNIT
    (Medicinska Naklada Zagreb, 2021) Topal, Sevgi; Yilmaz, Onat; Ceylan, Gokhan; Sandal, Ozlem Sarac; Karaarslan, Utku; Atakul, Gulhan; Colak, Mustafa
    Background: Coronavirus disease 2019 (COVID-19) may affect the mental status of health care professionals. The purpose of our study is to evaluate the mental health effects of the COVID-19 epidemic on health care professionals in the pediatric intensive care units (PICUs). Subjects and methods: Our study was conducted prospectively between 01.04.20 and 10.04.20. The created questionnaire was applied to health care professionals through online platforms. Thus it was involved in 5 different institutions that participated from different regions of Turkey. With the questionnaire, we applied; the participants' age, gender, the general status of contamination and the level of COVID-19 knowledge were questioned. Besides; Beck Anxiety Scale, Acute Stress Scale (PCL-5), STAI-1 and STAI-2 (State and Trait Anxiety Inventory 1-2) scales were used to determine the anxiety levels. Results: A survey of 210 participants, 86 (41%) doctors, 124 (59%) nurses, were included in our study. When we evaluate the Beck anxiety levels, the majority of the participants (44%) were normal, while about one third had mild anxiety. When we evaluated the acute stress scale, all participants had a certain amount of stress levels. The majority (80 people each (38%)) experienced mild and moderate acute stress. Being female and having chronic disease poses a high risk for anxiety (OR, 0.330; 95% CI, 0.087-1.250, p <0.05 and OR, 0.246; 95% CI, 0.068-1.116, p<0.05), preoccupation (OR, 0.603; 95% CI 0.261-1.395, p<0.05 and OR, 0.433; 95% CI, 0.122-1.538, p<0.05) and acute stress (OR, 0.294; 95% CI, 0.033-2.649, p<0.05 and OR, 0.317; 95 % CI 0.060-1.679, p<0.05). Professional definition, marital status and having a child do not pose any risk factors. Conclusion: Our study has shown that the COVID-19 outbreak affects the mental status of health care professionals working at PICU at various levels. © 2021 Medicinska Naklada Zagreb. All rights reserved.