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Article ; Online: What do children aged 12-18 think about COVID-19 vaccines?

Güneysu, Songül Tomar / Güleryüz, Okşan Derinöz / Karakaş, Nazmi Mutlu / Çağlar, Ayla Akca / Çolak, Özlem

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie

2023 Volume 30, Issue 8, Page(s) 586–590

Abstract: Objectives: Vaccines are crucial for preventing the spread of the coronavirus pandemic and controlling its effects. We aimed to determine the desire of children aged 12-18 to be vaccinated with the current vaccines, the reasons for wanting or not ... ...

Abstract	Objectives: Vaccines are crucial for preventing the spread of the coronavirus pandemic and controlling its effects. We aimed to determine the desire of children aged 12-18 to be vaccinated with the current vaccines, the reasons for wanting or not wanting to be vaccinated, where they had learned about the vaccine, how many of the children with a history of chronic disease want to be vaccinated, and which factors affect them. Methods: A questionnaire form was completed for children aged 12-18 years who applied to Gazi University Pediatric Emergency Department and the Child Health and Diseases Polyclinic between April 1, 2022, and September 30, 2022. Results: A total of 924 children participated in the study. The mean age of the participants was 14.64±1.77 years. The willingness to be vaccinated was 83.1%. Being older, living in the city, having a mother, father, or sibling who was vaccinated, information about vaccines obtained from health personnel, a completed national vaccination program, and the presence of a first-degree relative in the healthcare field significantly increased the probability of the child being vaccinated. The most important factors affecting the desire to be vaccinated in children were the vaccination status of the mother, father, or sibling and the completed national vaccination program. Conclusion: We found that the immunization status of the parents is the most important factor guiding the child's desire to be vaccinated and that the most common reason for vaccine hesitancy is the side effects of the vaccine.
MeSH term(s)	Adolescent ; Child ; Humans ; Child Health ; COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Emergency Service, Hospital ; Parents ; Vaccination
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-09-28
Publishing country	France
Document type	Journal Article
ZDB-ID	1181947-9
ISSN	1769-664X ; 0929-693X
ISSN (online)	1769-664X
ISSN	0929-693X
DOI	10.1016/j.arcped.2023.09.003
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Article: Successful intraosseous adenosine administration in a newborn infant with supraventricular tachycardia.

Fidancı, İlknur / Güleryüz, Okşan Derinöz / Yenice, Ömer Doğan

The Turkish journal of pediatrics

2020 Volume 62, Issue 6, Page(s) 1064–1068

Abstract: Background: Supraventricular tachycardia (SVT) is the most common type of tachycardia in childhood. The incidence is 1-4/1000 in childhood and 0.6/1000 in newborns.: Case: Here we report a 28-day-old male newborn who was diagnosed SVT, admitted to ... ...

Abstract	Background: Supraventricular tachycardia (SVT) is the most common type of tachycardia in childhood. The incidence is 1-4/1000 in childhood and 0.6/1000 in newborns. Case: Here we report a 28-day-old male newborn who was diagnosed SVT, admitted to the Pediatric Emergency Department after restlessness that had started three hours before admission and measurement of the heart rate was above 250 beats/min. Conclusions: This case is presented in order to emphasize that SVT is rare in the neonatal period and SVT is successfully terminated with the administration of intraosseous adenosine.
MeSH term(s)	Adenosine ; Anti-Arrhythmia Agents/therapeutic use ; Child ; Electrocardiography ; Emergency Service, Hospital ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Tachycardia, Supraventricular/diagnosis ; Tachycardia, Supraventricular/drug therapy
Chemical Substances	Anti-Arrhythmia Agents ; Adenosine (K72T3FS567)
Language	English
Publishing date	2020-12-05
Publishing country	Turkey
Document type	Case Reports
ZDB-ID	123487-0
ISSN	0041-4301
ISSN	0041-4301
DOI	10.24953/turkjped.2020.06.019
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Article ; Online: Traumatic brain injury detection performance of the infant scalp score in children younger than 2 years in the pediatric emergency department.

Güneysu, Songül Tomar / Güleryüz, Okşan Derinöz / Kürklü, Ece / Çağlar, Ayla Akca / Çolak, Özlem

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2022 Volume 49, Issue 4, Page(s) 1673–1681

Abstract: Background: Our study sought to externally validate the Infant Scalp Score (ISS) within an international pediatric emergency department (PED) setting. The ISS for pediatric Closed Head Injury (CHI), includes age, hematoma localization, and size, and has ...

Abstract	Background: Our study sought to externally validate the Infant Scalp Score (ISS) within an international pediatric emergency department (PED) setting. The ISS for pediatric Closed Head Injury (CHI), includes age, hematoma localization, and size, and has the potential to predict the presence of Traumatic Brain Injury (TBI) on computed tomography. We aimed to describe a potentially low risk cohort of children younger than 24 months with CHI and scalp hematomas, where clinicians may limit diagnostic radiation exposure to this vulnerable patient population. Methods: This single-center retrospective study was conducted in Gazi University. Faculty of Medicine, Pediatric Emergency Department, a tertiary trauma care hospital. We reviewed patients (< 24 months) with CHI and scalp hematoma who visited the PED of our institution between January 1, 2019, and June 30, 2021 for rates of TBI and clinically important TBI (ciTBI). Results: 380 cases met inclusion criteria for this study. The median age was 11 months and 58.7% were male children. 121 (31.8%) patients underwent CT, and 57% (n:69) of these studies were normal. TBI on CT was found in 26 (21.5%) patients with ciTBI was detected in 5 (1.3%) patients. All children with TBI were noted to have ISS scores of ≥ 5. Hematoma location OR 18.9 (95% CI, 3.4-105.1) and hematoma size OR 3.0 (95% CI, 1.2-7.3) were positively associated with presence of TBI. Conclusions: Children with ISS scores of ≥ 5 were noted to have increased rates of both TBI and ciTBI. CHI related scalp hematomas located in the temporal/parietal region or with a size greater than 3 cm were associated with increased rates of TBI. Within the context of this study, ISS scores of 4 or less represented a lower risk for TBI and ciTBI. Future research on this potentially low risk pediatric CHI cohort is needed.
MeSH term(s)	Child ; Humans ; Infant ; Male ; Female ; Retrospective Studies ; Scalp ; Brain Injuries, Traumatic/diagnostic imaging ; Head Injuries, Closed ; Emergency Service, Hospital ; Hematoma
Language	English
Publishing date	2022-09-03
Publishing country	Germany
Document type	Review ; Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-022-02085-9
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Zs.A 1221: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: A retrospective study to describe the clinical pattern of dermatologic lesions from the pediatric emergency department: our experience from a tertiary care hospital in Turkey.

Çolak, Özlem / Güleryüz, Okşan Derinöz / Men Atmaca, Yasemin / Şenkalfa, Burcu / Akca Caglar, Ayla / Tomar Güneysu, Songül

Postgraduate medicine

2023 Volume 135, Issue 6, Page(s) 601–606

Abstract: Background and objectives: Dermatologic lesions that occur primarily or are secondary to disease are among the most common reasons for referral to the Pediatric Emergency Department (PED). This study aims to reveal the clinical features, diagnostic ... ...

Abstract	Background and objectives: Dermatologic lesions that occur primarily or are secondary to disease are among the most common reasons for referral to the Pediatric Emergency Department (PED). This study aims to reveal the clinical features, diagnostic distribution, and management of patients who presented to the PED with dermatologic lesions. Methods: The study was a retrospective cross-sectional study involving children aged 0-18 years who presented to Gazi University Faculty of Medicine, PED, in 2018 with dermatologic lesions. The SPSS-20 program was used for data analysis. Results: A total of 1590 patients, 57.8% (919) male, were included in the study. The median age was 75 (minimum: 4 days; maximum: 17 years, 11 months) months. The frequency of dermatologic lesions was 4.33% (433/10,000). Allergic and infectious dermatologic lesions, which are the two most common skin lesions in all age groups, were seen in 46.2% (735) and 30.5% (485) (patients, respectively. Urticaria ( Conclusion: Urticaria and viral eruptions are common dermatologic lesions in our PED. Both conditions are easily recognized and treated by physicians. Most lesions do not require hospitalization. Dermatologic emergencies, although rare, should be well-known to physicians.
MeSH term(s)	Child ; Humans ; Male ; Cross-Sectional Studies ; Emergencies ; Emergency Service, Hospital ; Retrospective Studies ; Tertiary Care Centers ; Turkey/epidemiology ; Urticaria ; Female ; Infant, Newborn ; Infant ; Child, Preschool ; Adolescent
Language	English
Publishing date	2023-06-19
Publishing country	England
Document type	Journal Article
ZDB-ID	410138-8
ISSN	1941-9260 ; 0032-5481
ISSN (online)	1941-9260
ISSN	0032-5481
DOI	10.1080/00325481.2023.2225301
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Article ; Online: Are laboratory evaluations required in every case admitted to the pediatric emergency department with epistaxis?

Güneysu, Songül Tomar / Güleryüz, Okşan Derinöz / Ceylan, Elif / Çağlar, Ayla Akça / Çolak, Özlem

International journal of clinical practice

2021 Volume 75, Issue 11, Page(s) e14749

Abstract: Background: Epistaxis is a mostly self-limiting condition common among children and is rarely severe. In this study, it was aimed to evaluate the incidence, demographic characteristics, causes of bleeding and treatment methods of patients who presented ... ...

Abstract	Background: Epistaxis is a mostly self-limiting condition common among children and is rarely severe. In this study, it was aimed to evaluate the incidence, demographic characteristics, causes of bleeding and treatment methods of patients who presented to the pediatric emergency department (PED) with epistaxis, and to determine in which cases a laboratory test should be used. Method: Admitted to Gazi University Faculty of Medicine, PED which provides trauma care and is a tertiary hospital, from 1 January 2019 to 31 December 2019, 452 patients aged 0-18 years who presented with epistaxis for any reason or secondary to systemic disease were analysed retrospectively. Results: The annual incidence was found at 1.23%. The median age was 5.25 years, 258 of the cases (57.1%) were male. It was found that the cases most frequently applied to the hospital in the autumn months (37.6%). Sixty of the patients (13.3%) had a chronic disease and 54 (11.9%) had a history of drug use. Bleeding time was less than 5 minutes in 75.2% and 84.4% of the bleeding was unilateral. Nasal bleeding is local in 73.4%; 4.7% of them developed because of systemic reasons. The most common cause of epistaxis; while they were trauma at the first 10 years of age, they were idiopathic causes after the age of 10 years. In 434 (96%) of the patients, epistaxis spontaneously stopped and there was no need for additional treatment. Conclusion: As a result of this study, it was concluded that laboratory tests should be performed in cases with chronic disease history, bilateral bleeding, active bleeding and nontraumatic epistaxis. The situation that causes epistaxis in the childhood age group should be determined with a good history and physical examination, laboratory tests should not be used in every patient.
MeSH term(s)	Child ; Child, Preschool ; Emergency Service, Hospital ; Epistaxis/diagnosis ; Epistaxis/epidemiology ; Epistaxis/etiology ; Humans ; Incidence ; Laboratories ; Male ; Retrospective Studies
Language	English
Publishing date	2021-09-01
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.14749
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Article: Anaphylaxis to levetiracetam in an adolescent: a very rare occurence.

Kahraman, Şeyma / Değermenci, Şeyda / Oktay, Mehmet Ali / Menderes, Deniz / Güleryüz, Okşan Derinöz / Arhan, Ebru / Bakırtaş, Arzu / Ertoy-Karagöl, Hacer İlbilge

The Turkish journal of pediatrics

2021 Volume 63, Issue 3, Page(s) 506–509

Abstract: Background: Antiepileptic drugs (AEDs) are among the most common causes of severe delayed-type hypersensitivity reactions such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and Drug Reaction with Eosinophilia and Systemic Symptoms( ... ...

Abstract	Background: Antiepileptic drugs (AEDs) are among the most common causes of severe delayed-type hypersensitivity reactions such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and Drug Reaction with Eosinophilia and Systemic Symptoms(DRESS) in children. These reactions are more commonly seen with aromatic AEDs such as phenytoin and carbamazepine than the non-aromatic or new generation AEDs. However immediate-type hypersensitivity reactions such as urticaria/angioedema, anaphylaxis are very rare with AEDs. Case: Levetiracetam is an increasingly used new non-aromatic antiepileptic drug and reported to have a better safety profile in daily practice. We present the first adolescent case who developed an anaphylactic reaction with intravenous levetiracetam, not reported in this age group before in the literature. Conclusion: Hypersensitivity reactions in the form of anaphylaxis can be rarely observed with new generation AEDs. Therefore, when any antiepileptic drug is started on any patient, immediate type serious reactions such as anaphylaxis should be kept in mind, not only focusing on delayed reactions such as SJS, TEN,or DRESS.
MeSH term(s)	Adolescent ; Anaphylaxis/chemically induced ; Anaphylaxis/diagnosis ; Anticonvulsants/adverse effects ; Carbamazepine ; Child ; Humans ; Levetiracetam/adverse effects ; Stevens-Johnson Syndrome
Chemical Substances	Anticonvulsants ; Carbamazepine (33CM23913M) ; Levetiracetam (44YRR34555)
Language	English
Publishing date	2021-07-13
Publishing country	Turkey
Document type	Case Reports
ZDB-ID	123487-0
ISSN	0041-4301
ISSN	0041-4301
DOI	10.24953/turkjped.2021.03.019
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Article ; Online: Clinical characteristics of firearm-related injuries in children in Turkey.

The Turkish journal of pediatrics

2022 Volume 64, Issue 6, Page(s) 971–984

Abstract: Background: A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive ... ...

Abstract	Background: A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive care units (PICU) with firearm injuries. This study is the most comprehensive analysis of firearm injuries sustained by children in Turkey to date. Methods: This multicenter, retrospective, cohort study was conducted between 2010 and 2020 with the contributions of the PEDs, PICUs, intensive care units, and surgery departments of university hospitals and research hospitals. Results: A total of 508 children were admitted to hospital with firearm-related injuries in the research period, although the medical records of only 489 could be obtained. Of the total admissions to hospitals, 55.0% were identified as unintentional, 8.2% as homicide, 4.5% as self-harm, and 32.3% as undetermined. The Glasgow Coma Scale (GCS) and ventilation support were found to be the most significant predictors of mortality, while head/neck injury, length of stay (LOS) in the hospital and surgical interventions were found to be the most significant predictors of disability. The overall mortality of firearm-related injuries was 6.3%, and the mortality for children admitted to the PICU was 19.8%. The probability of disability was calculated as 96.0% for children hospitalized with firearm injuries for longer than 75 days. Conclusions: Head/neck injury, LOS in the hospital, and surgical interventions were found to be the most significant parameters for the prediction of disability. Hospitalization exceeding 6 days was found to be related to disability.
MeSH term(s)	Child ; Humans ; Infant ; Firearms ; Wounds, Gunshot/epidemiology ; Wounds, Gunshot/therapy ; Cohort Studies ; Retrospective Studies ; Turkey/epidemiology ; Intensive Care Units, Pediatric ; Neck Injuries
Language	English
Publishing date	2022-12-30
Publishing country	Turkey
Document type	Multicenter Study ; Journal Article
ZDB-ID	123487-0
ISSN	2791-6421 ; 0041-4301
ISSN (online)	2791-6421
ISSN	0041-4301
DOI	10.24953/turkjped.2021.4564
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Article ; Online: COVID-19 Disease in Presenting to the Pediatric Emergency Department: A Multicenter Study of 8886 Cases.

Duman, Murat / Şık, Nihan / Tekşam, Özlem / Akça, Halise / Kurt, Funda / Çağlar, Ayla Akca / Yıldız, Leman Akcan / Taşar, Medine Ayşin / Fidancı, İlknur / Yayla, Burcu Ceylan Cura / Yılmaz, Durgül / Güngör, Emre / Demir, Şule / Çokuğraş, Haluk / Cebeci, Sinem Oral / Önal, Pınar / Saz, Eylem Ulaş / Yurtseven, Ali / Uysalol, Metin /

Yıldız, Raif / Gümüş, Süheyla / Bal, Alkan / Bayturan, Semra Şen / Zengin, Neslihan / Atik, Sinem / Çiftdoğan, Dilek Yılmaz / Berksoy, Emel / Çiçek, Alper / Şahin, Sabiha / Kızıl, Mahmut Can / Kara, Yalçın / Apa, Hurşit / Ulusoy, Emel / Kara, Aybüke Akaslan / Yesil, Edanur / Erdem, Meltem / Turan, Caner / Arslanoglu, Sertac / Duyu, Muhterem / Besli, Gulser Esen / Arslan, Gazi / Oflu, Ayşe Tolunay / Çeleğen, Mehmet / Buldu, Ebru / Pişkin, İbrahim Etem / Kardeş, Hakan / Yılmaz, Hayri Levent / Yıldızdaş, Dinçer / Gökulu, Gamze / Çay, Pınar / Özer, Utku / Güleryüz, Okşan Derinöz / Çolak, Özlem / Güneysu, Songül Tomar

The American journal of emergency medicine

2022 Volume 59, Page(s) 133–140

Abstract: Background: The aim was to evaluate the epidemiological, clinical, laboratory, and radiologic data of children with SARS-CoV-2 positivity by polymerase chain reaction (PCR) together with treatment strategies and clinical outcomes and to evaluate cases ... ...

Abstract	Background: The aim was to evaluate the epidemiological, clinical, laboratory, and radiologic data of children with SARS-CoV-2 positivity by polymerase chain reaction (PCR) together with treatment strategies and clinical outcomes and to evaluate cases of multisystem inflammatory syndrome in children (MIS-C) in this population. Methods: This was a multicenter retrospective observational cohort study performed in the pediatric emergency departments of 19 tertiary hospitals. From March 11, 2020, to May 31, 2021, children who were diagnosed with confirmed nasopharyngeal/tracheal specimen SARS-CoV-2 PCR positivity or positivity for serum-specific antibodies against SARS-CoV-2 were included. Demographics, presence of chronic illness, symptoms, history of contact with SARS-CoV-2 PCR-positive individuals, laboratory and radiologic investigations, clinical severity, hospital admissions, and prognosis were recorded. Results: A total of 8886 cases were included. While 8799 (99.0%) cases resulted in a diagnosis of SARS-CoV-2 with PCR positivity, 87 (1.0%) patients were diagnosed with MIS-C. Among SARS-CoV-2 PCR-positive patients, 51.0% were male and 8.5% had chronic illnesses. The median age was 11.6 years (IQR: 5.0-15.4) and 737 (8.4%) patients were aged <1 year. Of the patients, 15.5% were asymptomatic. The most common symptoms were fever (48.5%) and cough (30.7%) for all age groups. There was a decrease in the rate of fever as age increased (p < 0.001); the most common age group for this symptom was <1 year with the rate of 69.6%. There was known contact with a SARS-CoV-2 PCR-positive individual in 67.3% of the cases, with household contacts in 71.3% of those cases. In terms of clinical severity, 83 (0.9%) patients were in the severe-critical group. There was hospital admission in 1269 (14.4%) cases, with 106 (1.2%) of those patients being admitted to the pediatric intensive care unit (PICU). Among patients with MIS-C, 60.9% were male and the median age was 6.4 years (IQR: 3.9-10.4). Twelve (13.7%) patients presented with shock. There was hospital admission in 89.7% of these cases, with 29.9% of the patients with MIS-C being admitted to the PICU. Conclusion: Most SARS-CoV-2 PCR-positive patients presented with a mild clinical course. Although rare, MIS-C emerges as a serious consequence with frequent PICU admission. Further understanding of the characteristics of COVID-19 disease could provide insights and guide the development of therapeutic strategies for target groups.
MeSH term(s)	COVID-19/complications ; COVID-19/diagnosis ; COVID-19/epidemiology ; Child ; Emergency Service, Hospital ; Female ; Fever/etiology ; Humans ; Male ; Retrospective Studies ; SARS-CoV-2 ; Systemic Inflammatory Response Syndrome
Language	English
Publishing date	2022-06-09
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2022.06.015
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