Knowledge Level of Medical, Pharmacy and Nursing Students About Vaccination and Vaccine Safety

DergiPark: 762682tmsjAims: This study aims to determine the knowledge level of medical, pharmacy, and nursing students at Trakya University regar- ding vaccination and vaccine safety. Methods: A questionnaire comprised of 8 questions was completed by 383 students in Feb- ruary 2020. Out of 383 participants, there were 143 medical, 95 pharmacy, and 145 nursing students. The relation of knowledge level with gender, faculty, and the grade were evaluated using the Chi-Square test. Results: Out of 383 students 19.9% stated that they had no knowledge about national childhood vaccination schedule of Turkey, 14.6% thought vaccines cause autism, 83.7% stated that they do not regularly get vaccines recommended for adults, and 68.6% did not have the proper answer to the question of where vaccination can be applied. Conclusion: Vaccines and vaccine safety concerns health care students closely, yet these students have insufficient knowledge about vaccines. As a solution to this problem, more time can be spared for vaccination and vaccine safety subjects in the curriculum of these faculties

A Rare Cause of Diplopia: Idiopathic Orbital Myositis

Orbital myositis is an entity affecting the ocular muscles, especially the medial rectus. These cases are usually referred to clinics with complaints such as diplopia, orbital/periorbital pain, limitation in ocular movements, increased pain with eye movements, proptosis, swelling of the eyelid and/or hyperemia in the conjunctiva. Orbital myositis is usually idiopathic and autoimmunity is often suspected in etiology. In this article, we present a 15-year-old girl who presented with diplopia, pain in both eyes, anomalous head posture, periorbital edema and was diagnosed with idiopathic orbital myositis through history, clinical findings and imaging methods

Sturge-Weber Syndrome Type III

Sturge-Weber syndrome (SWS) is a neurogenetic disease with an incidence of 1 in 20.000-50.000 live births. The less common form, which can be difficult to diagnose and only involves leptomeningeal angioma, has been defined as Type III SWS. A 5.5-month-old male patient with normal neuromotor development presented with right sided partial seizures, which had been occurring frequently for the previous two days and could not be controlled. A cranial magnetic resonance imaging showed pathological contrasts in the cortical regions involving the left hemisphere and in the leptomeningeal structures. We aim to present the case of an infant with SWS, which unlike the classical form was unidentifiable in physical examination and diagnosed using imaging methods

Determining Risk Factors of Epilepsy in Children with Cerebral Palsy: A Retrospective Study

Aim: The aim of this study is to determine the risk factors of epilepsy development in children with cerebral palsy. Materials and Methods: Data of 234 cerebral palsy patients treated at Ege University Pediatrics Department, Child Neurology Division between January 2008 and December 2015 were evaluated retrospectively. All patients were classified into two groups; Group I: cerebral palsy without epilepsy (n=116) and Group II: cerebral palsy with epilepsy (n=118). The clinical and laboratory findings of the groups were compared to each other, a p value of less than 0.05 was considered as statistically significant. Results: There was no significant difference between the two groups in terms of gender, gestastional age, birth type, birth weight, risk factors for cerebral palsy development (pre-/peri-/postnatal), duration of neonatal intensive care stay and the need for mechanical ventilation (p>0.05). The risk factors of epilepsy were determined as the following; the presence of neonatal convulsions, focal clonic and generalized tonic neonatal seizures, an abnormal baseline rhythm on neonatal electroencephalography (EEG), discharge from neonatal intensive care unit with at least one antiepileptic drug, spastic bilateral (tetraplegic) cerebral palsy, epileptic activity on the sixth month EEG, abnormal cranial magnetic resonance imaging findings, mental retardation, microcephaly and visual problems. Conclusion: Epilepsy is a common problem in children with cerebral palsy. Therefore, cases of cerebral palsy, especially those with the determined risk factors should be closely monitored for epilepsy in order to ensure a timely diagnosis and proper treatment

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

İnfantil spazmda prognostik faktörler

Amaç: İnfantil spazm, süt çocukluğu ve erken çocukluk dönemine özgü yaşa bağımlı epileptik bir ansefalopatidir. Ülkemizde infantil spazmın özelliklerini yansıtan az sayıda klinik çalışma vardır. Bu çalışmanın amacı, infantil spazm tanısı alan olguların genel demografik, semiyolojik, elektroensefalografik ve radyolojik özelliklerinin belirlenmesidir. Uygulanan tedavilerin, tedaviye alınan yanıtların araştırılması, altta yatan nedenin belirlenmesi ve etiyoloji başta olmak üzere prognoz üzerine etkisi olan faktörlerin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışma, Ege Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Nörolojisi Bilim Dalı'nda 1993-2010 yılları arasında izlenerek infantil spazm tanısı alan 216 olguda gerçekleştirildi. Retrospektif olarak yürütülen bu çalışmada veriler dosya taraması yapılarak elde edildi. Bulgular: Çalışmaya 99'u kız, 117'si erkek toplam 216 hasta dahil edildi. Olguların spazm başlangıç yaşı median değeri 7 ay olarak bulundu. Spazm öncesi gelişim geriliği %71 olguda saptandı. Tedavi öncesi en sık gözlenen interiktal elektroensefalografi bulgusu hipsaritmi (%45) ve modifiye hipsaritmi (%29) idi. Olguların %82'de anormal kraniyal görüntüleme bulgularına rastlandı. 21 (%10) olgu kriptojenik, 195 (%90) olgu semptomatik infantil spazm olarak değerlendirildi. En sık etiyolojik nedenleri, hipoksi (%37), metabolik nedenler (%20), enfeksiyöz nedenler (%11) ve serebral gelişim anomalileri (%10) oluşturdu. Olgularda en sık kullanılan ilk tedaviler % 62 oranı ile vigabatrin ve %27 oranı ile adrenokortikotropik hormondu. Bir yıllık izlem sonunda olguların yalnızca %12,5'inin gelişiminin normal, kalan kısmının ise farklı derecelerde gelişimsel gerilikleri olduğu görüldü. Bir yıllık izlem sonunda olguların %93'ünde antiepileptik ilaç tedavisi gerektiren epileptogenezisin sürdüğü, % 53'ünde tekli ya da ikili antiepileptik ilaç tedavisi ile nöbetlerin kontrol altında olduğu ve %14'ünde ilaca dirençli nöbetlerin devam ettiği görüldü. Tüm klinik parametreleri etkileyen en belirgin prognostik faktörün etiyoloji olduğu saptandı. Sonuç: İnfantil spazm tüm dünyada olduğu gibi, ülkemizde de morbiditesi yüksek bir epileptik ensefalopatidir. Bu katastrofik epileptik ensefalopatide etiyoloji en önemli prognostik faktör olarak dikkat çekmektedir