Vitamin D Status in Turkish Children During the Covid-19 Pandemic; A Single Center Experience

Objective: COVID-19-related lockdown decreased the children's exposure to sunlight, and they were susceptible to 25-hydroxyvitamin D [25(OH)D] deficiency. The present study aimed to examine the 25(OH)D levels 2 years before and during the first year of the pandemic. Materials and Methods: This study included children who underwent health checks between the equivalent period during 2018 October–2020 March, and they were categorized according to the date vitamin D was checked; 2018 October -2019 March (Group 1), 2019 October and 2020 March (Group 2), 2020 October, and 2021 March (Group 3). We compared the children’s 25(OH)D levels and vitamin D deficiency rates between Groups 1, 2, and 3. Results: We found that the mean of the children's 25(OH)D levels was lower during COVID-19 than in the last two years before the pandemic (p=0.039). The present study showed that the rates of 25(OH)D deficiencies among ages 0-1, and 4-7 were higher during the pandemic than before (p= 0.013, p=0.011). Conclusion: Reduced sunbathing time during confinement is associated with lower 25(OH)D levels among children aged 4–7. Although increased rates of 25(OH)D deficiency in infants are worrying

Characteristics of food allergy in children: National multicenter study

Conference: Congress of the European-Academy-of-Allergy-and-Clinical-Immunology (EAACI) Location: Lisbon, PORTUGAL Date: JUN 01-05, 2019Background : Food allergies impose a significant burden on the life of the child and the family. In this study, to determine the demographic characteristics of food allergies, we investigated the characteristics of patients with food allergies in different regions of Pediatric Allergy- Immunology departments in Turkey. Method : Turkey ' s National Study of Allergy and Clinical Immunology Society has conducted a Study Group on Food Allergies. 25 centers participated in this multicenter, cross- sectional and descriptive study.European Academy of Allergy and Clinical Immunolog

Fever Physiopathology and Management

Fever is body temperature which is above the normal circadian rhythm. It's a biological response as secondary to the infection that occurs through the central nervous system to defend the body. Although fever is often associated with self-limiting viral infections in children, it may be a sign of life-threatening serious infections, so pediatricians worry as well as parents. It is important that the physician should have enough knowledge about the approach and the management of the fever as well as the the parents. For this reason, we have discussed the pathogenesis of pediatric fever as well as its management.Ateş, vücut ısısının olması gereken sirkandiyen ritim aralığının üstünde seyretmesi olup genellikle enfeksiyona sekonder olarak vücüdu savunmaya yönelik santral sinir sistemi aracılığılıyla oluşan biyolojik bir cevaptır. Çocuklarda sıklıkla kendini sınırlayan viral enfeksiyonların, bazen de yaşamı tehdit edebilen ciddi enfeksiyonların bir bulgusu olabileceği için ebeveynler kadar çocuk hekimlerini de endişelendirebilmektedir. Bu nedenle ebeveynlerin aydınlatılması'nın yanı sıra hekimin de ateşe yaklaşım ve ateşin yönetimi konusunda yeterince bilgiye sahip olması önemlidir. Bu nedenle pediatride ateş'i patogenezi yanısıra yönetimi ile de ele aldık

New Entity of Skull Lesions due to Birth Trauma: Kanat (Wing) Fractures

AIM: To discuss a special type of skull lesion detected after delivery. We reviewed our experience on scalp swelling in term neonates to further investigate the relationship between cranial injuries and labor process. MATERIAL and METHODS: A total of 55 newborns with scalp swellings were assessed with medical records retrospectively between January 2007-July 2017. A radiologist and a pediatric neurosurgeon re-analyzed all skull X-ray images via picture archiving and communication system of the hospital. RESULTS: A special type of skull fracture, called Kanat (wing) fracture, was detected. The fractures appeared unique, were located in the midline parietal bone, and were difficult to detect by X-ray. Kanat fractures accounted for 12.7% of the 55 cases (n=7). Patients without (group-1) and patients with (group-2) Kanat fractures were compared based on the head circumference of the newborns (p=0.881), fetal birth weight (p=0.20), maternal age (p=0.04), duration of second stage of labor (p=0.217), maternal body mass index (p=0.278), total labor time (p=0.922) and parity (p=0.375). No statistically significant difference between the two groups was determined for the compared parameters. CONCLUSION: The present study is the first research describing and discussing the possible effects of maternal, fetal and delivery characteristics on Kanat fractures. Designing clinical and experimental researches to enhance awareness and acknowledgement of skull injuries and labor process could improve the clinical outcome of the newborns