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Article ; Online: Efficacy of Adenosine in the Differential Diagnosis of Narrow QRS Complex Tachyarrhythmia

Aziz Zeytin / Çapan Konca / Celal Varan

Journal of Pediatric Emergency and Intensive Care Medicine, Vol 10, Iss 2, Pp 143-

A Case Diagnosed with Atrial Flutter After Adenosine

2023 Volume 146

Abstract: The most common tachyarrhythmias in childhood are narrow QRS complex tachyarrhythmias. The majority of these are supraventricular tachycardia (SVT). If electrocardiography is inconsistent with typical SVT, another underlying arrhythmia should be ... ...

Abstract	The most common tachyarrhythmias in childhood are narrow QRS complex tachyarrhythmias. The majority of these are supraventricular tachycardia (SVT). If electrocardiography is inconsistent with typical SVT, another underlying arrhythmia should be considered. In this case, a patient with narrow complex tachycardia who was diagnosed with atrial flutter after adenosine was presented to increase awareness on the subject.
Keywords	adenosine ; atrial flutter ; childhood ; tachycardia ; Medicine ; R ; Pediatrics ; RJ1-570 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
Language	English
Publishing date	2023-08-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Evaluation of Patients with Acute Respiratory Distress Syndrome Followed on Mechanical Ventilator in a Tertiary Pediatric Intensive Care and the Factors That May Be Associated with Death in These Patients.

Geyik, Mehmet / Konca, Çapan / Tekin, Mehmet

Turkish archives of pediatrics

2023 Volume 58, Issue 3, Page(s) 302–307

Abstract: Objective: We aimed to evaluate the clinical, demographic, and laboratory characteristics of the patients followed up with pediatric acute respiratory distress syndrome in our pediatric intensive care unit and to determine the factors that have an ... ...

Abstract	Objective: We aimed to evaluate the clinical, demographic, and laboratory characteristics of the patients followed up with pediatric acute respiratory distress syndrome in our pediatric intensive care unit and to determine the factors that have an effect on the outcomes. Materials and methods: The medical records of 40 patients with acute respiratory distress syndrome who were followed up on mechanical ventilators in the pediatric intensive care unit of Adıyaman University were retrospectively scanned. From the medical records, the demographic data, clinical features, and laboratory characteristics were recorded. Results: Eighteen of the patients were female and 22 were male. The mean age was 45.25 ± 56.63 months. A total of 27 (67.5%) of the patients were classified as pulmonary and 13 (32.5%) as extrapulmonary acute respiratory distress syndrome. Sixteen (40%) patients were followed in pressure-controlled mode only, 2 (5%) patients in volume-controlled mode only, and 22 (55%) patients in alternate modes. A total of 17 (42.5%) patients died. The median pediatric index of mortality, pediatric index of mortality-II, pediatric risk of mortality, and pediatric logistic organ dysfunction score values of the surviving patients were significantly lower than the dead patients. Median aspartate aminotransferase (P = .003) and lactate dehydrogenase (P = .008) values were found to be significantly higher in patients who died, while median pH values (P = .049) were found to be lower. The median length of stay in pediatric intensive care unit and duration of mechanical ventilators were significantly shorter in patients who died. Also, the median pediatric index of mortality, pediatric index of mortality-II, pediatric risk of mortality, and pediatric logistic organ dysfunction values of pulmonary acute respiratory distress syndrome patients were significantly lower than those of extrapulmonary acute respiratory distress syndrome patients. Conclusion: Despite advances in follow-up and management, mortality due to acute respiratory distress syndrome is still high. Mechanical ventilator duration, length of stay in pediatric intensive care unit, some mechanical ventilator parameters, mortality scores, and laboratory tests were associated with mortality. Alternatively, mechanical ventilator applications may reduce mortality rates.
Language	English
Publishing date	2023-04-18
Publishing country	Turkey
Document type	Journal Article
ISSN	2757-6256
ISSN	2757-6256
DOI	10.5152/TurkArchPediatr.2023.22196
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Article ; Online: Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit

Capan Konca / Mehmet Tekin / Ahmet Kucuk

Turkish Thoracic Journal, Vol 23, Iss 4, Pp 277-

2022 Volume 283

Keywords	Internal medicine ; RC31-1245
Language	English
Publishing date	2022-07-01T00:00:00Z
Publisher	AVES
Document type	Article ; Online
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Article ; Online: Should aortic stiffness parameters be used in MIS-C patient follow-up?

Uygun, Hatice / Varan, Celal / Konca, Capan / Erdem, Nurettin / Kazaz, Tanyeli Guneyligil / Turgut, Mehmet

The international journal of cardiovascular imaging

2024

Abstract: We evaluated the short- and long-term effects of multisystem inflammatory syndrome in children (MIS-C) on their cardiovascular system. The study population consisted of 38 MIS-C patients and 55 control patients. Standard echocardiographic measurements ... ...

Abstract	We evaluated the short- and long-term effects of multisystem inflammatory syndrome in children (MIS-C) on their cardiovascular system. The study population consisted of 38 MIS-C patients and 55 control patients. Standard echocardiographic measurements and aortic stiffness parameters were compared between the two groups at different time points. During the standard echocardiographic examination at the time of diagnosis, mitral valve insufficiency was detected in 42% of the cases, left ventricular systolic dysfunction in 36%, aortic valve insufficiency in 3%, tricuspid valve insufficiency in 13%, and coronary artery dilatation in 31%. The ejection fraction, pulse pressure of the experimental group were significantly lower than the control group (p < 0.01, p = 0.045, respectively). When aortic stiffness parameters were compared, it was seen that the parameters increased in the experimental group and the difference was significant for aortic distensibility. (p = 0.105, p = 0.029 respectively). When comparing the experimental group's results at diagnosis and at the sixth month, there was a decrease in aortic stiffness parameters at the sixth month compared to the time of diagnosis, but the difference wasn't significant (p = 0.514, p = 0.334). However, no statistically significant difference was detected when comparing the aortic distensibility results of the experimental group with the control group at the sixth month (p = 0.667). Our results showed that many pathological echocardiographic findings detected at diagnosis in MIS-C patients returned to normal within six months. Therefore, we believe that the cardiovascular follow-up period of MIS-C cases should be at least six months.
Language	English
Publishing date	2024-05-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2055311-0
ISSN	1875-8312 ; 1573-0743 ; 1569-5794 ; 0167-9899
ISSN (online)	1875-8312 ; 1573-0743
ISSN	1569-5794 ; 0167-9899
DOI	10.1007/s10554-024-03133-8
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Article ; Online: Incidence of Mechanical Ventilation Adverse Events in Critically Ill Children in a Tertiary Pediatric Intensive Care Unit.

Konca, Capan / Tekin, Mehmet / Kucuk, Ahmet

Turkish thoracic journal

2022 Volume 23, Issue 4, Page(s) 277–283

Abstract: Objective: Despite the clinical use of mechanical ventilation having well-documented benefits, it can be associated with complica- tions and adverse physiological effects that can impact mortality rates. There are few studies that examine complications ... ...

Abstract	Objective: Despite the clinical use of mechanical ventilation having well-documented benefits, it can be associated with complica- tions and adverse physiological effects that can impact mortality rates. There are few studies that examine complications associated with mechanical ventilation in children and the factors associated with complications in detail. This study aimed to investigate adverse events associated with mechanical ventilation in pediatric patients and to compare the epidemiology of complications associated with mechanical ventilation. Material and methods: The medical records of patients in a tertiary care pediatric intensive care unit who were mechanically ventilated between January 1, 2013, and July 31, 2017, were evaluated. Results: A total of 187 patients were included in the study, 105 boys (56.1%) and 82 girls (43.9%), and 45 (24.1%) patients experienced complications. The total number of mechanical ventilation days was 1100. Atelectasis (12.3%), post-extubation stridor (8.5%), ventilator- associated pneumonia (5.4%), and pneumothorax (5.4%) were most commonly observed complications. Conclusion: Complications of mechanical ventilation in the pediatric population still occur frequently. In this study, the incidence of atelectasis was high, and also, incidences of ventilator-associated pneumonia and pneumothorax were low.
Language	English
Publishing date	2022-07-17
Publishing country	Turkey
Document type	Journal Article
ISSN	2149-2530
ISSN (online)	2149-2530
DOI	10.5152/TurkThoracJ.2022.21253
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Article ; Online: Ultrasonography Results in First Urinary Tract Infection During Childhood: Which Age Group Should Be Screened?

Kayak, Davut / Tekin, Mehmet / Konca, Capan

Indian journal of pediatrics

2022 Volume 90, Issue 7, Page(s) 671–676

Abstract: Objectives: To determine the frequency of urinary system anomaly in children aged 0-18 y suffering from first urinary tract infection (UTI) and to establish which age group requires urinary ultrasonography (USG) screening.: Methods: Age and gender, ... ...

Abstract	Objectives: To determine the frequency of urinary system anomaly in children aged 0-18 y suffering from first urinary tract infection (UTI) and to establish which age group requires urinary ultrasonography (USG) screening. Methods: Age and gender, urine culture, urinary USG, and urological imaging results among 247 children in the 0-18 y age group with a first diagnosis of UTI were investigated retrospectively. Results: Anomaly was detected at USG in 68 (27.5%) of the 247 patients suffering from first UTI. The most common anomaly was hydronephrosis. Non-E. coli micro-organisms were the pathogenic agents in 61.8% of patients with anomalies detected at USG. Being in the 0-5 y age group (OR: 0.524, 95% CI 0.284-0.970, p = 0.040) and presence of atypical UTI (OR: 4.746, 95% CI: 1.675-13.450, p = 0.003) emerged as independent predictive markers of severe urinary system pathologies on multiple regression analysis. Conclusion: Based on the data in the present study, routine USG screening is recommended for children suffering from first UTI under the age of 5 y and for the children suffering from atypical UTI at all ages.
MeSH term(s)	Child ; Humans ; Infant ; Infant, Newborn ; Child, Preschool ; Adolescent ; Retrospective Studies ; Urinary Tract Infections/diagnostic imaging ; Urinary Tract Infections/epidemiology ; Urinary Tract ; Ultrasonography ; Hydronephrosis
Language	English
Publishing date	2022-06-30
Publishing country	India
Document type	Journal Article
ZDB-ID	218231-2
ISSN	0973-7693 ; 0019-5456
ISSN (online)	0973-7693
ISSN	0019-5456
DOI	10.1007/s12098-022-04213-0
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Article ; Online: A Case of Measles Initially Diagnosed as MIS-C in the COVID-19 Pandemics

Doğa Lüleyap / Ayşe Berna Anıl / Pınar Küllüoğlu / Çapan Konca / Fadiye Gökmen Uyanık / Gülnihan Üstündağ / Barış Güven / Dilek Yılmaz Çiftdoğan

Journal of Pediatric Emergency and Intensive Care Medicine, Vol 10, Iss 1, Pp 57-

2023 Volume 61

Abstract: Fever and rash are a common symptom combination in children. Etiological studies are carried out primarily for the most common diseases. For this reason, in the period of the new Coronavirus disease-2019 (COVID-19) pandemic, especially COVID-19-related ... ...

Abstract	Fever and rash are a common symptom combination in children. Etiological studies are carried out primarily for the most common diseases. For this reason, in the period of the new Coronavirus disease-2019 (COVID-19) pandemic, especially COVID-19-related multi-inflammatory syndrome (MIS-C) comes to mind in children with this combination. Measles infection was detected in an 18-monthold Syrian girl who was hospitalized with the diagnosis of fever, conjunctivitis, pneumonia, maculopapular rash during the COVID-19 pandemic period. The case died with pneumonia and septic shock. With this case, we wanted to emphasize that during the COVID-19 pandemic, and measles should also be considered in the differential diagnosis of MIS-C in cases with fever, maculopapular rash and conjunctivitis.
Keywords	measles ; covid-19 ; mis-c ; pediatric intensive care ; pneumonia ; Medicine ; R ; Pediatrics ; RJ1-570 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
Language	English
Publishing date	2023-04-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
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Article ; Online: Determination of predictive risk factors for severe bronchiolitis.

Caliskan, Muhammed Nebi / Tekin, Mehmet / Konca, Capan

International journal of clinical practice

2021 Volume 75, Issue 11, Page(s) e14760

Abstract: Background: The aim of this study was to determine the predictive risk factors for development of severe bronchiolitis in patients with acute bronchiolitis with no previous chronic disease.: Methods: Four hundred forty children aged 1-24 months ... ...

Abstract	Background: The aim of this study was to determine the predictive risk factors for development of severe bronchiolitis in patients with acute bronchiolitis with no previous chronic disease. Methods: Four hundred forty children aged 1-24 months hospitalised with acute bronchiolitis, were examined between February 2018 and February 2019 in this prospective study. Results: Eighty-five cases were regarded as severe bronchiolitis and 355 as mild-moderate bronchiolitis. Statistically significant differences were observed between the severe and mild-moderate bronchiolitis groups in terms of weight-for-age z-scores, history of bronchiolitis, haemoglobin levels, and time elapsed between the onset of symptoms and admission. Weight-for-age z-scores, the mean time interval between the onset of symptoms and admission, and mean haemoglobin values were lower in the severe bronchiolitis group while the mean number of bronchiolitis attacks was higher than in the mild-moderate bronchiolitis group. Logistic regression analysis determined that a low weight-for-age z-score increased the risk of severe bronchiolitis development 0.56-fold (CI: 0.409-0.760), a short duration between the onset of symptoms and admission increased the risk 0.62-fold (CI: 0.519-0.735), a frequent history of bronchiolitis increased the risk 1.81-fold (CI: 1.135-2.968) and low haemoglobin levels increased the risk 0.72-fold (CI: 0.537-0.969). Conclusion: Low weight-for-age z-scores, a short duration between the onset of symptoms and admission, a high number of previous attacks and low haemoglobin levels were identified as independent parameters of severe bronchiolitis development.
MeSH term(s)	Bronchiolitis/epidemiology ; Child ; Hospitalization ; Humans ; Infant ; Prospective Studies ; Risk Factors
Language	English
Publishing date	2021-09-08
Publishing country	England
Document type	Journal Article
ZDB-ID	1386246-7
ISSN	1742-1241 ; 1368-5031
ISSN (online)	1742-1241
ISSN	1368-5031
DOI	10.1111/ijcp.14760
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Article ; Online: Susceptibility Patterns of Multidrug-Resistant Acinetobacter baumannii.

Konca, Capan / Tekin, Mehmet / Geyik, Mehmet

Indian journal of pediatrics

2020 Volume 88, Issue 2, Page(s) 120–126

Abstract: Objectives: To investigate the antimicrobial resistance patterns of multidrug-resistant Acinetobacter baumannii (MDRAB) in patients in pediatric intensive care units (PICU) in order to determine a guide for the empirical antibiotic treatment of MDRAB.!## ...

Abstract	Objectives: To investigate the antimicrobial resistance patterns of multidrug-resistant Acinetobacter baumannii (MDRAB) in patients in pediatric intensive care units (PICU) in order to determine a guide for the empirical antibiotic treatment of MDRAB. Methods: The authors retrospectively evaluated the medical records of patients with MDRAB infections in the PICU during a follow-up period, between January 2015 and January 2017. The identification of A. baumannii was performed using a BD Phoenix 100 Automated Microbiology System. A BD Phoenix NMIC/ID-400 commercial kit was used to test antibiotic susceptibility. All data was entered into Microsoft Excel, and the data was analyzed using SPSS version 23.0. Results: The mean age of the patients was 8.1 ± 6.2 y. In all, 46 isolates were obtained from 33 patients. The most effective antimicrobial agents were colistin, trimethoprim/sulfamethoxazole, and tigecycline. Nevertheless, with the exception of colistin, no antibiotic was associated with a susceptibility rate of >45% for the isolates. Low sensitivities in 2015 to tigecycline, aminoglycosides, levofloxacin, and carbapenems had been lost in 2016. Conclusions: Many drugs that were previously effective against MDRAB, have lost their effectiveness. Currently, there is no effective drug to fight MDRAB, apart from colistin. Thus, it is clear that new drugs and treatment protocols should be developed urgently.
MeSH term(s)	Acinetobacter Infections/drug therapy ; Acinetobacter Infections/epidemiology ; Acinetobacter baumannii ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Child ; Drug Resistance, Multiple, Bacterial ; Humans ; Microbial Sensitivity Tests ; Retrospective Studies
Chemical Substances	Anti-Bacterial Agents
Keywords	covid19
Language	English
Publishing date	2020-06-04
Publishing country	India
Document type	Journal Article
ZDB-ID	218231-2
ISSN	0973-7693 ; 0019-5456
ISSN (online)	0973-7693
ISSN	0019-5456
DOI	10.1007/s12098-020-03346-4
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Article: Concurrence of Two Rare Conditions: Simultaneous Bilateral Spontaneous Pneumothorax and Congenital Pulmonary Airway Malformation.

Konca, Capan / Tekin, Mehmet / Elmas, Oksan Cebeci

Journal of pediatric intensive care

2019 Volume 8, Issue 3, Page(s) 178–180

Abstract: Simultaneous bilateral spontaneous pneumothorax (SBSP) is a very rare type of pneumothorax. Most reported cases are associated with underlying lung diseases. In a small number of pediatric studies, SBSP was found to be associated with human bocavirus ... ...

Abstract	Simultaneous bilateral spontaneous pneumothorax (SBSP) is a very rare type of pneumothorax. Most reported cases are associated with underlying lung diseases. In a small number of pediatric studies, SBSP was found to be associated with human bocavirus bronchiolitis, Langerhans cell histiocytosis, and
Language	English
Publishing date	2019-01-25
Publishing country	Germany
Document type	Case Reports
ISSN	2146-4618
ISSN	2146-4618
DOI	10.1055/s-0039-1677814
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