Sakrokoksigeal teratomlar yenidoğan döneminde en sık karşılaşılan teratomlardır. Sakrokoksigeal teratomlar sıklıkla doğumda tanı almakla beraber özellikle tip 1 ve 2 olanlar antenatal ultrasonografi takiplerinde fark edilebilmektedirler. Tedavi uygun cerrahi rezeksiyon ile sağlanmaktadır. Operasyon sonrası takip çocuk onkoloji birimi ile birlikte yapılmalıdır. Bu yazıda 22. Gebelik haftasında rutin ultrasonografi muayenesinde fark edilen sakrokoksigeal teratomu olan ve 34 hafta 1 günlük iken fetal distres sebebiyle acil sezaryen ile doğumu gerçekleştirilen bir yenidoğan vakası sunulmuştur.
We compared the absorption of iron from grape molasses (GM) and ferrous sulfate (FS) using the post-absorptive serum iron increase method (non-radioactive). The study involved 56 subjects, aged 6-36 months. Group I consisted of 30 subjects with iron deficiency anemia (IDA) and group II, 26 non-anemic subjects. Each group was subdivided randomly into two equal subgroups to be given either GM or FS. The absorption of the iron from GM was monitored in 15 infants with IDA and in 13 non-anemic infants, and the absorption of iron from FS was tested in the rest of the subjects in each group. In those infants in each group given GM or FS, there was no significant difference in before-test values for serum iron (SI) and total iron binding capacity (TIBC) (p > 0.05). In the group with IDA, the mean after-test SI value in FS-given infants was higher and the mean TIBC value lower than those of GM-given infants (p < 0.05). However, in the non-anemic group, there was no significant difference in the mean after-test SI and TIBC values in either GM- or FS-given infants (p > 0.05). The mean increase of serum iron in GM-given infants with IDA was 27.0 +/- 13.4 micrograms/ dl and in FS-given infants, 60.6 +/- 17.0 micrograms/dl (p < 0.05). In the non-anemic group, the mean increase of serum iron of GM-given infants was 23.0 +/- 4.3 micrograms/dl, and that of FS-given infants, 23.8 +/- 10.0 micrograms/dl (p > 0.05). We determined that in non-anemic subjects, the absorption of iron from GM was comparable to that from FS. Furthermore, we believe that grape molasses is an effective iron source in preventing iron deficiency anemia in infancy.
Morgagni hernisi restosternal yerlesimli nadir gorulen bir diyafragmatik defekttir Bu herniler siklikla asemptomatik olarak seyreder ve tani cogunlukla tesadufen konulur Basta kalp patolojileri olmak uzere bazi konjenital anomaliler ile birlikte gorulebilirler Ancak guvercin gogsu anomalisi ile birlikte gorulmesi cok nadir olarak rapor edilmistir Burada birinde guvercin gogsu anomalisi olan ikisinde herni kesesi icinde karaciger bulunan ve her ucu de transabdominal yaklasimla opere edilerek basarili bir sekilde tedavi edilen semptomatik Morgagni hernili uc vaka sunulmustur Anahtar kelimeler: Morgagni Hernisi Cocukluk Cagi Guvercin Gogsu Anomalisi
Oz Dunya Saglik Orgutu’nun (DSO) ilk 6 ay boyunca sadece anne sutu alinmasini tavsiye etmesine karsilik ulkemizde 4-5 aylik bebeklerin sadece %10’u bu sansa sahiptir. Premature ve riskli bebeklerin gastrointestinal sistemin (GIS) maturasyonunu saglamak ve enfeksiyonlardan korumak amaciyla 3-5 gun sureyle az miktarda beslenmesi minimal enteral beslenme olarak bilinir. Premature bebeklerde eger ciddi bir kontrendikasyon soz konusu degilse beslenme ilk gun hatta ilk 6-12 saat icinde baslatilmalidir. Normal yenidoganlar icin en uygun beslenme sekli kendi annesi tarafindan emzirilmesidir. Kolostrum bebegin ilk asisi ozelligindedir. 100 ml anne sutunde yaklasik 1,3 gr protein, 4,2 gr yag, yaklasik 7 gr karbonhidrat bulunmaktadir. Tensel temasin anne ve bebe karasindaki etkilesim artirdigini, emzirme icin firsat oldugu, termoregulasyon, agri yonetimi, rahim disi yasama daha kolay gecis gibi yararlari oldugunu vurgulamistir. Tarti kaybi 5-6. gunde %7’den fazla ise yakin takip edilmelidir. Beslenme desteginde ilk secenek annenin kendi sutunun sagilip verilmesidir. Ikinci secenek, varsa sut anneden temin edilecek ya da banka sutu, yoksa formul mamalardir.
Neonatal abstinence syndrome (NAS) is a complex of symptoms in newborns exposed to substances/drugs in-utero or after birth. Clonidine is a central alpha-2 agonist and recent studies have shown it can decrease NAS symptoms in opiate withdrawal.
Objective
To determine the efficacy of clonidine as an adjunctive agent to phenobarbitale (PB). To elucidate demographic factors, maternal drug profile, nature of the symptoms in infants. To compare NAS profile with PB and PB+clonidine. To show associated side effects with clonidine.
Design/Methods
Retrospective review of infants ≥ 35 weeks GA admitted to HSC, Winnipeg from January 2005 to July 2010. Abstinence scores 20 hours before and 40 hours after PB and PB+clonidine were measured by Finnegan scoring system and compared by ANOVA.
Results
Twenty four infants (GA 39.3±1.4 wks, BW 3316±595g) were treated by PB+clonidine combination. Fifty eight percent exposed to multiple drugs. Methadone was the most common drug of exposure. Tremor, increased tone, regurgitation and poor feeding were common symptoms. When PB was used alone as initial therapy, NAS scores increased from 6.9±3.3 to 7.5±3.0 (p>0.05) at pre and post medication periods respectively. Clonidine was added to PB at 3.5 to 5.3 mg/kg/day and NAS scores were decreased from 8.7±3.4 to 7±3.5 (p<0.001). There were no recorded side effects for clonidine.
Conclusions
Our study suggests that clonidine may be a useful adjunctive treatment of NAS in infants who respond incompletely to PB. Cardiovascular side effects were not common in our study.
Fulminating pneumococcal septicemia without an obvious focus of infection is very rare in previously immunocompetent children older than two years. Furthermore, pneumatocele formation in pneumococcal pneumonia is uncommon. The majority of pneumatoceles are self-limited and disappear spontaneously. Here, we report a six-year-old healthy child with occult pneumococcal septicemia and pneumococcal pneumonia secondary to septicemia. Giant pneumatoceles causing respiratory insufficiency formed secondary to the pneumococcal pneumonia and were aspirated via needle under fluoroscopic guidance.
Monitoring temperature changes of infants in the neonatal intensive care unit is very important.Especially for premature and very low birthweight infants, determining temperature changes in their skin immediately is extremely significant for follow-up processes.The development of medical infrared thermal imaging technologies provides accurate and contact-free measurement of body temperature.This method is used to detect thermal radiation emitted from the body to obtain skin temperature distributions.The purpose of this study is to develop an analysis system based on infrared thermal imaging to classify neonates who are healthy and suffering from heart disease using their skin temperature distribution.In this study, 258 infrared thermograms obtained applying data augmentation on 43 infrared thermograms captured from the Neonatal Intensive Care Unit were used.The following operations were performed: firstly, images were segmented to eliminate unnecessary details on the thermogram.Secondly, the features of the image were extracted applying Discrete Wavelet Transform (DWT), Ridgelet Transform (RT), Curvelet Transform (CuT), and Contourlet Transform (CoT) which are multiresolution analysis methods.Finally, these features are classified as healthy and unhealthy using classification methods such as Artificial Neural Network (ANN), Support Vector Machine (SVM) and Random Forest (RF).The best results were obtained with SVM as 96.12% of an accuracy, 94.05% of a sensitivity and 98.28% of a specificity.
