Is there a relationship between thyroid hormone levels and suicide attempt in adolescents?

Background: Thoughts about suicide are quite common in adolescent. While such thoughts can be caused by many reasons, the most wellknown of these are mood disorders. There are studies related to coexistence of thyroid pathologies and mood disorders in adult. Objectives: In this study, we aimed to investigate the difference of thyroid hormone levels in between adolescents with suicide attempt history and normal population. Methods: The study was prospective and was designed as a case-control study. Demographic characteristics of the patients were obtained and Serum fT3, fT4 and TSH levels were examined. Results: 222 cases were included in the study, including 101 cases and 121 controls. As for TSH levels, the mean serum levels of the whole group was 1.96 ± 1.08 mU/L, while the mean serum levels of the control group was 2.33 ± 1.5 mU/L and the mean serum levels of the case group was 0.50 ± 0.3 mU/L which revealed that the mean serum levels of the case group was significantly lower (p<0.01). Conclusion: It was found that serum TSH levels were significantly lower in case group than control group and the individuals with subclinical hyperthyroidism had more suicide attempts than the ones in control group

Caustic Burns Affecting Multiple Systems

Poisoning with corrosive and caustic substances is still one of the most common poisonings in childhood due to the fact that household cleaning products are sold in easily accessible packages for children in our country and families do not take adequate safety precautions to keep household chemicals out of sight and reach of children. We present a case of caustic poisoning affecting multiple body systems

Late-presenting Congenital Diaphragmatic Hernia: Case Report

Congenital diaphragmatic hernia (CDH) is a developmental defect of the diaphragm. It becomes evident as a result of the entrance of the abdominal organs into the chest cavity. Generally, respiratory symptoms appear in the first few hours or days of life in affected newborns. Events diagnosed after one month are considered as late-onset CDH and these constitute 5-25% of all diaphragmatic hernia cases. In late diagnosed cases, left posterolateral CDH is seen most commonly (79.4%), and 65% of patients show symptoms within one year. The most common symptom and evidence are vomiting and dyspnea. During the infancy period, respiratory complaints are seen frequently while in the older ones gastrointestinal complaints are seen more often. In this article, we present a case of a 9-year-old patient who presented with the complaint of cough only and was diagnosed with diaphragmatic hernia. The patient was admitted to our emergency department with a preliminary diagnosis of pneumonia. In the physical examination of the patient, it became evident that breath sounds were decreased in the left hemithorax. Chest X-ray showed left hemithorax opacity and suspicious intestinal appearance. The patient was diagnosed with diaphragm hernia after ultrasonograhphy and thorax tomography. The patient was transferred to the pediatric surgery department and operated. Patients with CDH may not always be diagnosed at an early stage and may come up with different clinical symptoms at different ages. It is more difficult to diagnose in late-onset cases and it is important to make differential diagnosis. This case report was presented due to rarity of late onset CDH with only complaint of cough

A Life-threatening Environmental Emergency: Childhood Drowning

Objective: Childhood drowning is a common environmental emergency worldwide. In this study, we examined drowning and non-fatal drowning (NFD) cases and tried to determine which parameters could predict prognosis during follow-up. Methods: This study was conducted in a tertiary pediatric emergency room. The study population comprised cases of drowning/NFD between 2008 and 2021. Age, gender, and drowning mechanisms. Laboratory examinations, and the outcomes of these cases were analyzed. The data were obtained from the hospital automation system. The Szpilman score (SC) of each patient was calculated. Results: A total of 150 cases were included in the study. The ages of the cases were 5.2±3.8. The mean Glasgow Coma Scale (GCS) score was found to be 12.2±3.8. Cardiopulmonary resuscitation (CPR) was performed in 75 cases (50%), and 30 cases (20%) patients were intubated. Cases were divided into two groups: those in the intensive care unit and those followed in the emergency department. The mean SC of the follow-up group was 1.4±0.6, and the mean SC of the intensive care group was 4.6±1.4 (p<0.01, T=19.3). A strong negative correlation was found between the SC and GCS (p<0.01, r=-929) and a strong positive correlation was found between the respiratory support system ranking-from simple to complex-and the SC (p<0.01, r=827). Conclusion: High SC, CPR, low GCS, young age, and low blood pH were associated with an increased rate of intensive care unit admission

A Rare Cardiotoxicity: Butane Inhalation

The number of cases of voluntary inhalation of volatile substances is increasing all over the world and in our country. This is a social health problem that can be encountered in different socioeconomic and cultural levels. The number of applications to pediatric emergency services cannot be underrated because the age of first use of such illegal substances has decreased gradually. Inhalation of volatile substances can cause pathologies in a very broad spectrum, including sudden death. In this paper, we report a case of cardiac arrest developing after lighter fluid inhalation

Epidemiology of pemphigus in Turkey: One-year prospective study of 220 cases

Pemphigus is a group of rare and life-threatening autoimmune blistering diseases of the skin and mucous membranes. Although they occur worldwide, their incidence shows wide geographical variation, and prospective data on the epidemiology of pemphigus are very limited. Objective of this work is to evaluate the incidence and epidemiological and clinical features of patients with pemphigus in Turkey. All patients newly diagnosed with pemphigus between June 2013 and June 2014 were prospectively enrolled in 33 dermatology departments in 20 different provinces from all seven regions of Turkey. Disease parameters including demography and clinical findings were recorded. A total of 220 patients were diagnosed with pemphigus during the 1-year period, with an annual incidence of 4.7 per million people in Turkey. Patients were predominantly women, with a male to female ratio of 1:1.41. The mean age at onset was 48.9 years. Pemphigus vulgaris (PV) was the commonest clinical subtype (n=192; 87.3%), followed by pemphigus foliaceus (n=21; 9.6%). The most common clinical subtype of PV was the mucocutaneous type (n=83; 43.2%). The mean Pemphigus Disease Area Index was 28.14±22.21 (mean ± Standard Deviation).  The incidence rate of pemphigus in Turkey is similar to the countries of South-East Europe, higher than those reported for the Central and Northern European countries and lower than the countries around the Mediterranean Sea and Iran. Pemphigus is more frequent in middle-aged people and is more common in women. The most frequent subtype was PV, with a 9-fold higher incidence than pemphigus foliaceus.   </p

EFFECTIVENESS OF COMPLETE BLOOD COUNT PARAMETERS FOR PREDICTING INTRACRANIAL INJURY IN CHILDREN WITH MINOR HEAD TRAUMA

Objective: We aimed to investigate the relationship between trauma severity and platelet indices (PI) and white blood cell (WBC) count to identify traumatic brain injury (TBI) in children with minor head trauma (MHT). Materials and methods: This prospective study included children with acute isolated MHT who underwent head computed tomography (CT) based on Pediatric Emergency Care Research Network (PECARN) criteria. Mean platelet volume (MPV), platelet distribution width (PDW), MPV to platelet ratio (MPV/PL), MPV to white blood cell ratio (MPV/WBC), and MPV to Neutrophil ratio (MPV/Neu) were evaluated. Results: 86 children with MHT and 245 controls were included the study. WBC, Neu count, MPV, MPV/WBC, MPV/Neu and MPV/PI ratios were statistically different among patients with abnormal CT, patients with normal CT and healthy controls (p 1, the AUC values of WBC, neutrophil, MPV/WBC and MPV/Neu were 0.746, 0.739, 0.726 and 0.724, respectively. Conclusion: In children with MHT who underwent CT, WBC, Neu counts, MPV/WBC and MPV/Neu ratios may be helpful for predicting the severity of trauma in pediatric emergency department

Elektrik Yaralanması Nedeniyle Başvuran Çocukların Klinik, Demografik Özellikleri ve Klinik Sonucu Etkileyen Faktörler: Tek Merkez Çocuk Acil Kliniği Deneyimi

Giriş ve amaç: Bu çalışmada çocukluk çağı elektrik yaralanmalarının demografik ve klinik özelliklerinin belirlenmesi, klinik sonucu etkileyen faktörlerin saptanması amaçlanmıştır. Gereç ve yöntem: Ocak 2008- Aralık 2015 tarihleri arasında elektrik yaralanması nedeniyle acil servise başvuran 112 hastanın dosya verileri geriye dönük incelenmiştir. Olgular 5 yaş ve altı, 6-10 yaş arası ile 10 yaş ve üstü olarak üç gruba ayrılarak elektrik kaynağı ve gücü, yaralanmanın oluş şekli, izlem yeri, klinik yakınmalar ve laboratuvar değerleri açısından gruplar arası ilişki incelenmiştir. Bulgular:Hastaların 78’i (%69,6) erkek, 34’ü (%30,4) kız olup ortanca yaş 5 yıl (11 ay-15 yıl) idi. Hastaların 101’i (%90,2) düşük voltajlı akım ile 88’i (%78,6) ev içi ortamda yaralanmıştı. Elektrik kaynağına göre altı yaş altında en sık prizlerin (%67,9), 6-10 yaş arasında elektrik kablosunun (%39,4), 10 yaş ve üstü grupta elektrikli ev aletlerinin (%41,6) neden olduğu görüldü. İki hastada sinüs bradikardisi, dört hastada fırlatılmaya bağlı yumuşak doku travması vardı. Hiçbir hastada derin doku hasarı, ileri derecede yanık ve böbrek yetmezliği gözlenmedi. Troponin I, karaciğer ve böbrek fonksiyon testleri, serum elektrolitleri, lökosit düzeyleri hastaların tamamında normaldi. Sonuç:Çocuklarda elektrik yaralanmaları çoğunlukla önlenebilir ev içi düşük voltajlı akım ile gerçeklemiştir. Başvuru anında bilinci açık, derin doku hasarı ve disritmisi olmayan düşük voltajlı elektrik yaralanmalarında ileri incelemeler gerekmeyebilir

Evaluation of the patients admitted to the pediatric emergency service: Cross-sectional analysis of the pediatric emergency and trauma clinic of a tertiary training hospital in Turkey

BACKGROUND: This study aims to carry out a cross-sectional analysis of the applications during three months to the Pediatric Emergency Service of Izmir University of Health Sciences, Tepecik Training and Research Hospital and determination of demographical features and distribution of cases in line with provided data and planning the positive changes and innovations in the current service and functioning of the Pediatric Emergency Service

Cholelithiasis Developing after Rapid Weight Loss in an Adolescent

Gallbladder and bile duct stones are rarely diagnosed conditions during childhood. However, the number of diagnosed patients has begun to increase due to widespread use of ultrasound in recent years. Hemolytic disease, inflammatory bowel disease, parasites, parenteral nutrition, diabetes, cystic fibrosis, metabolic diseases, chronic liver disease, rapid weight loss, and drug use may lead to cholelithiasis. In this paper, we present a 16-year-old girl who had lost weight due to improper diet and was admitted to the pediatric emergency room with the complaints of vomiting and abdominal pain, and then, was diagnosed with cholestasis and cholelithiasis