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Öğe Cardiac perforation due to crochet hook: A pediatric patient with penetrating cardiac injury(2003) Levent E.; Arslan M.T.; Özyürek A.R.; Atay Y.; Alayunt A.; Parlar A.[No abstract available]Öğe A comparison of different scoring systems for assessing neonatal mortality risk in very low birthweight infants: CRIB and SNAP-PE-II [Neonatal mortalite riskinin belirlenmesinde farkli skorlama sistemlerinin karşilaştirilmasi: Çok düşük dogum agirlikli bebeklerde CRIB ve SNAP-PE-II](2006) Yalaz M.; Arslan M.T.; Çoşar H.; Akisu M.; Kültürsay N.Scoring systems predicting neonatal mortality risk in newly administered neonates to the neonatal intensive care unit (NICU) are useful in assessing the clinical status of the patient and determining the appropriate treatment modality as well as in making objective comparison of mortality rates among different NICU's. Score for Neonatal Acute Physiology-Perinatal Extension-II (SNAP-PE-II) and Clinical Risk Index for Babies (CRIB) are two different scoring systems derived for use in the NICU. In this study, the efficacy of these two scoring systems on predicting mortality of the neonates admitted to the NICU of Ege University within the first day of life was evaluated. 197 neonates had very low birth weight and were found to be eligible for the study of total of 532 neonates admitted to the NICU between January 2002 and December 2003. Overall mortality rate was 6.2% (33/532) and mortality rate of the study group was 9.7% (19/197). Statistical analysis revealed that high CRIB and SNAP-PE-II scores were found to be correlated with mortality score (p<0.05 and p<0.01, respectively). Cut off value for CRIB was found to be 10, while it was 33 for SNAP-PE-II. From the point of discrimination, SNAP-PE-II was found to be associated with statistically significantly higher area under the curve (AUC) value (AUC: 0.97) compared with CRIB (AUC: 0.90) (p<0.01). Even though both scoring systems are limited for birth weight, according to our results, both can be used for predicting mortality. However, SNAP-PE-II was found to have better discriminative power.Öğe Pediatric bedside tracheostomy in the pediatric intensive care unit: Six-year experience(2008) Karapinar B.; Arslan M.T.; Özcan C.In this study, we evaluated the experience of a single center pediatric intensive care unit in pediatric bedside tracheostomies performed during a six-year period. Thirty-one bedside tracheostomies were performed on 31 patients aged 2 months to 18 years. The major indication for tracheostomy was prolonged ventilator dependence. Twenty-two complications, 6 major and 16 minor, were observed in 18 patients. Early complications were observed in 5 patients and all were managed immediately without serious outcomes. Ten patients died during the study period and only one death was directly related to the tracheostomy; the remaining 9 patients died due to their underlying disease. Eleven patients were successfully decannulated, 12 patients were discharged home with their tracheostomies and 5 of these 12 patients required home ventilation. Although children who required tracheostomy had a high overall mortality (32.3%), the prognosis of these patients depends primarily on the underlying medical condition.Öğe Suicides in adolescents: Benefit/harm balance of antidepressants(2007) Saz U.E.; Arslan M.T.; Egemen A.Introduction: Depression is an important cause of suicide in adolescents. It has been speculated that antidepressants themselves can increase the risk of suicide. Method: Cases of adolescents admitted to the Ege University Pediatric Emergency Department in Turkey due to suicide attempt were assessed. Results: Nine of 13 suicide attempts during June 2005 were due to overdose of antidepressants prescribed for major depressive disorder. Conclusion: Well-designed studies are needed to elucidate the role of antidepressant drugs in suicide.
