1
|
Çelik K, Arayıcı S, Zarif NÖ, Kıhtır Z, Ongun H, Aydınlı B. Early neonatal outcomes in infants of mothers with organ transplantation under immunosuppressive treatment. Turk J Pediatr 2024; 66:17-24. [PMID: 38523375 DOI: 10.24953/turkjped.2023.748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
Abstract
BACKGROUND This study aimed to examine early clinical and laboratory findings in infants born to mothers who had organ transplants and received immunosuppressive treatment. METHODS Between 2016 and 2023, the study examined infants of mothers who underwent organ transplantation and were receiving immunosuppressive treatment, and followed at the Department of Neonatology at Akdeniz University. Demographic, clinical, and laboratory characteristics of mothers and infants were recorded. On the first day of life, complete blood count values were examined, as well as potassium levels on the first, third, and seventh days, and creatinine levels on the third and seventh days. The tacrolimus blood level was calculated by taking the average of the tacrolimus blood values of the mother measured during the pregnancy. The infants were evaluated for any potential morbidities caused by intrauterine immunosuppressive drug exposure. RESULTS The study included 21 mothers (some with multiple pregnancies) and 27 infants. According to the findings of this study, 74% of these infants were born premature, 67% had low birth weight, and all were delivered via cesarean section. Prematurity was associated with the morbidities found in the infants. In the early period, lymphopenia was detected in 37%, neutropenia in 25.9%, thrombocytopenia in 11.1%, hyperkalemia in 18.5%, and creatinine elevation in 7.4%, all of which returned to normal within a few days. There was no significant relationship between maternal tacrolimus blood levels and infant potassium and creatinine levels. CONCLUSION Apart from an increased risk of prematurity, low birth weight, and cesarean delivery, no effects were observed in these infants during the early period. However, long-term follow-up is necessary to monitor for any potential morbidities.
Collapse
Affiliation(s)
- Kıymet Çelik
- Department of Neonatology, Akdeniz University Faculty of Medicine, Antalya
| | - Sema Arayıcı
- Department of Neonatology, Akdeniz University Faculty of Medicine, Antalya
| | - Nurten Özkan Zarif
- Department of Neonatology, Akdeniz University Faculty of Medicine, Antalya
| | - Zeynep Kıhtır
- Department of Neonatology, Akdeniz University Faculty of Medicine, Antalya
| | - Hakan Ongun
- Department of Neonatology, Akdeniz University Faculty of Medicine, Antalya
| | - Bülent Aydınlı
- Department of General Surgery, Akdeniz University Faculty of Medicine, Antalya, Türkiye
| |
Collapse
|
2
|
Okulu E, Hirfanoglu IM, Satar M, Erdeve O, Koc E, Ozlu F, Gokce M, Armangil D, Tunc G, Demirel N, Unal S, Ozdemir R, Deveci MF, Akar M, Demirel MK, Çetinkaya M, Buker HSC, Karagöl BS, Yaprak D, Akcan AB, Anik A, Narter F, Arayici S, Yildirim E, Akin IM, Sahin O, Ozdemir OEB, Ovali F, Akin MA, Celik Y, Orman A, Uslu S, Ozkan H, Koksal N, Tastekin A, Gunduz M, Arisoy AE, Gurpinar R, Ors R, Altunhan H, Kececi R, Yildizdas HY, Terek D, Ates M, Kader S, Mutlu M, Çelik K, Yucesoy E, Mert MK, Gulasi S, Kucuktasci K, Arman D, Hekimoglu B, Gultekin ND, Celik HT, Kahvecioglu D, Akyildiz C, Taşkın E, Ciftdemir NA, Uygun SS, Kaya TB, Akdag A, Yilmaz A. An observational, multicenter, registry-based cohort study of Turkish Neonatal Society in neonates with Hypoxic ischemic encephalopathy. PLoS One 2023; 18:e0295759. [PMID: 38096201 PMCID: PMC10721008 DOI: 10.1371/journal.pone.0295759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 11/28/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Hypoxic ischemic encephalopathy (HIE) is a significant cause of mortality and short- and long-term morbidities. Therapeutic hypothermia (TH) has been shown to be the standard care for HIE of infants ≥36 weeks gestational age (GA), as it has been demonstrated to reduce the rates of mortality, and adverse neurodevelopmental outcomes. This study aims to determine the incidence of HIE in our country, to assess the TH management in infants with HIE, and present short-term outcomes of these infants. METHODS The Turkish Hypoxic Ischemic Encephalopathy Online Registry database was established for this multicenter, prospective, observational, nationally-based cohort study to evaluate the data of infants born at ≥34 weeks GA who displayed evidence of neonatal encephalopathy (NE) between March, 2020 and April 2022. RESULTS The incidence of HIE among infants born at ≥36 weeks GA (n = 965) was 2.13 per 1000 live births (517:242440), and accounting for 1.55% (965:62062) of all neonatal intensive care unit admissions. The rates of mild, moderate and severe HİE were 25.5% (n = 246), 58.9% (n = 568), and 15.6% (n = 151), respectively. Infants with severe HIE had higher rates of abnormal magnetic resonance imaging (MRI) findings, and mortality (p<0.001). No significant difference in mortality and abnormal MRI results was found according to the time of TH initiation (<3 h, 3-6 h and >6 h) (p>0.05). TH was administered to 85 (34.5%) infants with mild HIE, and of those born of 34-35 weeks of GA, 67.4% (n = 31) received TH. A total of 58 (6%) deaths were reported with a higher mortality rate in infants born at 34-35 weeks of GA (OR 3.941, 95% Cl 1.446-10.7422, p = 0.007). CONCLUSION The incidence of HIE remained similar over time with a reduction in mortality rate. The timing of TH initiation, whether <3 or 3-6 h, did not result in lower occurrences of brain lesions on MRI or mortality. An increasing number of infants with mild HIE and late preterm infants with HIE are receiving TH; however, the indications for TH require further clarification. Longer follow-up studies are necessary for this vulnerable population.
Collapse
Affiliation(s)
- Emel Okulu
- Ankara University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
| | - Ibrahim Murat Hirfanoglu
- Gazi University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
| | - Mehmet Satar
- Cukurova University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Adana, Türkiye
| | - Omer Erdeve
- Ankara University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
| | - Esin Koc
- Gazi University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
| | - Ferda Ozlu
- Cukurova University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Adana, Türkiye
- Department of Neonatology, Seyhan State Hospital, Adana, Türkiye
| | - Mahmut Gokce
- Department of Neonatology, Seyhan State Hospital, Adana, Türkiye
| | - Didem Armangil
- Department of Pediatrics, Neonatal Intensive Care Unit, Koru Hospital, Ankara, Türkiye
| | - Gaffari Tunc
- Cumhuriyet University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Sivas, Türkiye
| | - Nihal Demirel
- Yildirim Beyazit University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
- Department of Neonatology, Etlik Zubeyde Hanim Women’s Health Teaching and Research Hospital, Ankara, Türkiye
| | - Sezin Unal
- Department of Neonatology, Etlik Zubeyde Hanim Women’s Health Teaching and Research Hospital, Ankara, Türkiye
| | - Ramazan Ozdemir
- Inonu University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Malatya, Türkiye
| | - Mehmet Fatih Deveci
- Inonu University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Malatya, Türkiye
| | - Melek Akar
- Department of Neonatology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir Türkiye
| | - Melike Kefeli Demirel
- Department of Neonatology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir Türkiye
| | - Merih Çetinkaya
- Department of Neonatology, University of Health Sciences, Basaksehir Çam and Sakura City Hospital, Istanbul, Türkiye
| | - Halime Sema Can Buker
- Department of Neonatology, University of Health Sciences, Basaksehir Çam and Sakura City Hospital, Istanbul, Türkiye
| | - Belma Saygılı Karagöl
- Gulhane Faculty of Medicine, Department of Pediatrics, Division of Neonatology, University of Health Sciences, Ankara, Türkiye
| | - Deniz Yaprak
- Gulhane Faculty of Medicine, Department of Pediatrics, Division of Neonatology, University of Health Sciences, Ankara, Türkiye
| | - Abdullah Barıs Akcan
- Adnan Menderes University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Aydin, Türkiye
| | - Ayse Anik
- Adnan Menderes University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Aydin, Türkiye
| | - Fatma Narter
- Department of Neonatology, University of Health Sciences, Kartal Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Türkiye
| | - Sema Arayici
- Department of Neonatology, Eskisehir State Hospital, Eskisehir, Türkiye
| | - Egemen Yildirim
- Department of Neonatology, Eskisehir State Hospital, Eskisehir, Türkiye
| | - Ilke Mungan Akin
- Department of Neonatology, University of Health Sciences, Umraniye Training and Research Hospital Istanbul, Istanbul, Türkiye
| | - Ozlem Sahin
- Department of Neonatology, University of Health Sciences, Umraniye Training and Research Hospital Istanbul, Istanbul, Türkiye
| | - Ozgul Emel Bulut Ozdemir
- Medeniyet University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Istanbul, Türkiye
| | - Fahri Ovali
- Medeniyet University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Istanbul, Türkiye
| | - Mustafa Ali Akin
- Ondokuz Mayis University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Samsun, Türkiye
| | - Yalcin Celik
- Mersin University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Mersin, Türkiye
| | - Aysen Orman
- Mersin University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Mersin, Türkiye
| | - Sinan Uslu
- Department of Neonatology, University of Health Sciences, Sisli Etfal Hamidiye Training and Research Hospital, Istanbul, Türkiye
| | - Hilal Ozkan
- Uludag University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Bursa, Türkiye
| | - Nilgun Koksal
- Uludag University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Bursa, Türkiye
| | - Ayhan Tastekin
- Medipol University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Istanbul, Türkiye
| | - Mehmet Gunduz
- Medipol University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Istanbul, Türkiye
| | - Ayse Engin Arisoy
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Türkiye
| | - Resat Gurpinar
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Türkiye
| | - Rahmi Ors
- Department of Pediatrics, Neonatal Intensive Care Unit, Ozel Medova Hospital, Konya, Türkiye
| | - Huseyin Altunhan
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Konya, Türkiye
| | - Ramazan Kececi
- Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Konya, Türkiye
| | - Hacer Yapicioglu Yildizdas
- Cukurova University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Adana, Türkiye
| | - Demet Terek
- Ege University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, Türkiye
| | - Mehmet Ates
- Ege University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, Türkiye
| | - Sebnem Kader
- Karadeniz Technical University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Trabzon, Türkiye
| | - Mehmet Mutlu
- Karadeniz Technical University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Trabzon, Türkiye
| | - Kıymet Çelik
- Akdeniz University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Antalya, Türkiye
| | - Ebru Yucesoy
- Harran University Faculty of Medicine, Department of Pediatrics Division of Neonatology, Sanliurfa, Türkiye
| | | | - Selvi Gulasi
- Department of Neonatology, University of Health Sciences, Adana, Türkiye
| | - Kazım Kucuktasci
- Adana City Training and Research Hospital, Department of Pediatrics, Neonatal Intensive Care Unit, Ozel Saglik Hospital, Denizli, Türkiye
| | - Didem Arman
- Department of Neonatology, Istanbul Training and Research Hospital, Istanbul, Türkiye
| | - Berna Hekimoglu
- Department of Neonatology, University of Health Sciences, Kanuni Training and Research Hospital, Trabzon, Türkiye
| | - Nazlı Dilay Gultekin
- Department of Neonatology, Van Regional Training and Research Hospital, Van, Türkiye
| | - Hasan Tolga Celik
- Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Türkiye
| | - Dilek Kahvecioglu
- Department of Neonatology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Türkiye
| | - Can Akyildiz
- Dokuz Eylul University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir, Türkiye
| | - Erdal Taşkın
- Fırat University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Elazıg, Türkiye
| | - Nukhet Aladag Ciftdemir
- Trakya University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Edirne, Türkiye
| | - Saime Sundus Uygun
- Necmettin Erbakan University Selcuk Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Konya, Türkiye
| | - Tugba Barsan Kaya
- Osmangazi University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Eskisehir, Türkiye
| | - Arzu Akdag
- Department of Neonatology, University of Health Sciences, Yuksek Ihtisas Teaching Hospital, Bursa, Türkiye
| | - Aslan Yilmaz
- Cerrahpasa University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Istanbul, Türkiye
| |
Collapse
|
3
|
Okulu E, Koç E, Erdeve Ö, Akdağ A, Aktaş S, Aydemir Ö, Aygün C, Tanyeri Bayraktar B, Cebeci B, Çelik HT, Çelik K, Engür D, Ertuğrul S, Dinlen Fettah N, Gültekin ND, Taviloğlu Güçyetmez ZŞ, Gülen P, Hirfanoğlu İM, İnce Z, Kader Ş, Kahvecioğlu D, Kanburoğlu MK, Saygılı Karagöl B, Kılıç İ, Altun Koroğlu Ö, Melekoğlu NA, Narter F, Olukman Ö, Ongun H, Ovalı F, Arun Özer E, Özyazıcı Özkan E, Yavuzcan Öztürk D, Özüdoğru E, Sarıcı D, Satar M, Takçı Ş, Tanrıverdi S, Taşkın E, Tayman C, Tekgündüz KŞ, Tunç G, Kaynak Türkmen M, Tüzün F, Uslu S, Ünal S, Ünkar ZA, Yaman A, Yaşa B, Yıldırım Ş, Yılmaz A, Yılmaz FH, Yücesoy E. Neonatal Resuscitation Practices in Turkey: A Survey of the Turkish Neonatal Society and the Union of European Neonatal and Perinatal Societies. Turk Arch Pediatr 2023; 58:289-297. [PMID: 37144262 DOI: 10.5152/turkarchpediatr.2023.22281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
OBJECTIVE Optimal care in the delivery room is important to decrease neonatal morbidity and mortality. We aimed to evaluate neonatal resuscitation practices in Turkish centers. MATERIALS AND METHODS A cross-sectional survey consisted of a 91-item questionnaire focused on delivery room practices in neonatal resuscitation and was sent to 50 Turkish centers. Hospitals with <2500 and those with ≥2500 births/year were compared. RESULTS In 2018, approximately 240 000 births occurred at participating hospitals with a median of 2630 births/year. Participating hospitals were able to provide nasal continuous-positiveairway-pressure/high-flow nasal cannula, mechanical ventilation, high-frequency oscillatory ventilation, inhaled nitric oxide, and therapeutic hypothermia similarly. Antenatal counseling was routinely performed on parents at 56% of all centers. A resuscitation team was present at 72% of deliveries. Umbilical cord management for both term and preterm infants was similar between centers. The rate of delayed cord clamping was approximately 60% in term and late preterm infants. Thermal management for preterm infants (<32 weeks) was similar. Hospitals had appropriate equipment with similar rates of interventions and management, except conti nuous-positive-airway-pressure and positive-end-expiratory-pressure levels (cmH2O) used in preterm infants (P = .021, and P = .032). Ethical and educational aspects were also similar. CONCLUSIONS This survey provided information on neonatal resuscitation practices in a sample of hospitals from all regions of Turkey and allowed us to see weaknesses in some fields. Although adherence to the guidelines was high among centers, further implementations are required in the areas of antenatal counseling, cord management, and circulation assessment in the delivery room.
Collapse
Affiliation(s)
- Emel Okulu
- Division of Neonatology, Department of Pediatrics, Ankara University, Faculty of Medicine, Ankara, Turkey
| | - Esin Koç
- Division of Neonatology, Department of Pediatrics, Gazi University, Faculty of Medicine, Ankara, Turkey
| | - Ömer Erdeve
- Division of Neonatology, Department of Pediatrics, Ankara University, Faculty of Medicine, Ankara, Turkey
| | - Arzu Akdağ
- Department of Neonatology, University of Health Sciences, Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Selma Aktaş
- Department of Neonatology, Acıbadem Mehmet Ali Aydınlar University, Maslak Hospital, İstanbul, Turkey
| | - Özge Aydemir
- Zekai Tahir Burak Women's Health Education and Research Hospital, Neonatology Clinic, Ankara, Turkey
| | - Canan Aygün
- Division of Neonatology, Department of Pediatrics, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
| | - Bilge Tanyeri Bayraktar
- Division of Neonatology, Department of Pediatrics, Bezmialem Vakif University Faculty of Medicine, Denizli, Turkey
| | - Burcu Cebeci
- Department of Neonatology, Haseki Teaching and Training Hospital, İstanbul, Turkey
| | - Hasan Tolga Çelik
- Division of Neonatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Kıymet Çelik
- Department of Neonatology, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | - Defne Engür
- Department of Neonatology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir Turkey
| | - Sabahattin Ertuğrul
- ivision of Neonatology, Department of Pediatrics, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Nurdan Dinlen Fettah
- Department of Neonatology, University of Health Sciences, Dr Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey
| | - Nazlı Dilay Gültekin
- Neonatal Intensive Care Unit, Van Regional Training and Research Hospital, Van, Turkey
| | - Zatigül Şafak Taviloğlu Güçyetmez
- Division of Neonatology, Department of Pediatrics, Marmara University Faculty of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey
| | - Pelin Gülen
- Neonatal Intensive Care Unit, Forum Yaşam Hospital, Mersin, Turkey
| | - İbrahim Murat Hirfanoğlu
- Division of Neonatology, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Zeynep İnce
- Division of Neonatology, Department of Pediatrics, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
| | - Şebnem Kader
- Division of Neonatology, Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | - Dilek Kahvecioğlu
- Department of Neonatology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey
| | - Mehmet Kenan Kanburoğlu
- Division of Neonatology, Department of Pediatrics, Recep Tayyip Erdogan University School of Medicine, Rize State Hospital, Rize, Turkey
| | - Belma Saygılı Karagöl
- Division of Neonatology, Department of Pediatrics, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Turkey
| | - İlknur Kılıç
- Department of Neonatology, Ataşehir Florence Nightingale Hospital, İstanbul, Turkey
| | - Özge Altun Koroğlu
- Division of Neonatology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey
| | | | - Fatma Narter
- Department of Neonatology, University of Health Sciences, Kartal Dr Lütfi Kirdar Education and Research Hospital, İstanbul, Turkey
| | - Özgür Olukman
- İzmir Dr. Behçet Uz Pediatrics and Pediatric Surgery Education and Research Hospital, Department of Pediatrics, Neonatology Clinic, İzmir, Turkey
| | - Hakan Ongun
- Division of Neonatology, Department of Pediatrics, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Fahri Ovalı
- Division of Neonatology, Department of Pediatrics, Medeniyet University Faculty of Medicine, İstanbul, Turkey
| | - Esra Arun Özer
- Division of Neonatology, Department of Pediatrics, Celal Bayar University Faculty of Medicine, Manisa, Turkey
| | - Elif Özyazıcı Özkan
- Department of Neonatology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Dilek Yavuzcan Öztürk
- Department of Neonatology, Esenler Maternity and Children Hospital, İstanbul, Turkey
| | - Ebru Özüdoğru
- Division of Neonatology, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Dilek Sarıcı
- Department of Neonatology, Keçioren Training and Research Hospital, Ankara, Turkey
| | - Mehmet Satar
- Department of Neonatology, Çukurova University Faculty of Medicine, Adana, Turkey
| | - Şahin Takçı
- Division of Neonatology, Department of Pediatrics, Gaziosmanpaşa University Faculty of Medicine, Tokat, Turkey
| | - Sema Tanrıverdi
- Division of Neonatology, Department of Pediatrics, Celal Bayar University Faculty of Medicine, Manisa, Turkey
| | - Erdal Taşkın
- Division of Neonatology, Department of Pediatrics, Fırat University Faculty of Medicine, Elazığ, Turkey
| | - Cüneyt Tayman
- Division of Neonatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Kadir Şerafettin Tekgündüz
- Division of Neonatology, Department of Pediatrics, Atatürk University Faculty of Medicine, Erzurum, Turkey
| | - Gaffari Tunç
- Division of Neonatology, Department of Pediatrics, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
| | - Münevver Kaynak Türkmen
- Division of Neonatology, Department of Pediatrics, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Funda Tüzün
- Division of Neonatology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Sinan Uslu
- Department of Neonatology, University of Health Sciences, Şişli Etfal Hamidiye Training and Research Hospital, İstanbul, Turkey
| | - Sezin Ünal
- Department of Neonatology, University of Health Sciences, Etlik Zübeyde Hanım Women's Health Teaching and Research Hospital, Ankara, Turkey
| | - Zeynep Alp Ünkar
- Department of Neonatology, Beykoz State Hospital, İstanbul, Turkey
| | - Akan Yaman
- Neonatal Intensive Care Unit, Özel Güngören Hospital, İstanbul, Turkey
| | - Beril Yaşa
- Department of Neonatology, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey
| | - Şükran Yıldırım
- Department of Neonatology, Okmeydanı Training and Research Hospital, İstanbul, Turkey
| | - Aslan Yılmaz
- Department of Neonatology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey
| | - Fatma Hilal Yılmaz
- Division of Neonatology, Department of Pediatrics, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
| | - Ebru Yücesoy
- Neonatal Intensive Care Unit, Şanlıurfa Traning and Research Hospital, Şanlıurfa, Turkey
| |
Collapse
|
4
|
Kihtir Z, Çelik K, Tayfun Küpesiz F, Küpesiz OA, Kocacik Uygun DF, Arayici S, Ongun H, Acarbulut İ, Sağlam C, Ceylaner G, Bingöl A. Specific Granule Deficiency Due To Novel Homozygote SMARCD2 Variant. Pediatr Allergy Immunol Pulmonol 2022; 35:43-46. [PMID: 35320004 DOI: 10.1089/ped.2021.0070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Background: Specific granule deficiency (SGD) is a rare immunodeficiency associated with CCAT/enhancer-binding protein epsilon (CEBPE) gene variants. It can cause severe recurrent infections and is lethal without successful stem cell transplantation. Few cases with SGD of both type 1 and type 2 have been described in the literature. In this study, we present the first report of a case with a novel homozygous c.511 C > T (p.Gln171Ter) mutation in the SMARCD2 gene of SGD type 2, which was successfully treated with bone marrow transplantation. Case: A male infant presented to our neonatal intensive care unit on the second day of life with an icteric appearance and mild hypotonia. He was evaluated for immunodeficiency as the cause of delayed cord separation and refractory neutropenia. At 6 weeks of age, SGD type 2 with a new variant was diagnosed and successfully treated by bone marrow transplantation. Conclusion: SGD is an immunodeficiency disease that is quite rare. However, we believe that SGD diagnosis and associated new variants can be detected more frequently with the widespread use of all whole-exome sequencing techniques.
Collapse
Affiliation(s)
- Zeynep Kihtir
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Kıymet Çelik
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Funda Tayfun Küpesiz
- Department of Pediatric Hematology and Oncology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Osman Alphan Küpesiz
- Department of Pediatric Hematology and Oncology, Akdeniz University Medical Faculty, Antalya, Turkey
| | | | - Sema Arayici
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Hakan Ongun
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - İpek Acarbulut
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Celal Sağlam
- Department of Neonatology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Gülay Ceylaner
- Intergen Genetic and Rare Diseases Diagnosis and Research Center, Ankara, Turkey
| | - Ayşen Bingöl
- Department of Pediatric Allergy and Immunology, Akdeniz University Medical Faculty, Antalya, Turkey
| |
Collapse
|
5
|
Seymen-Karabulut G, Günlemez A, Gökalp AS, Hatun Ş, Kaya Narter F, Mutlu M, Kader Ş, Terek D, Hanta D, Okulu E, Karadeniz L, Kanmaz Kutman HG, Zenciroğlu A, Özdemir ÖMA, Sarıcı D, Çelik M, Demir N, Turan Ö, Çelik K, Kılıçbay F, Uslu S, Erol S, Ertuğrul S, Er İ, Çelik HT, Çetinkaya M, Aktürk-Acar F, Aslan Y, Tunç G, Güran Ö, Engin Arısoy A. Vitamin D Deficiency Prevalence in Late Neonatal Hypocalcemia: A Multicenter Study. J Clin Res Pediatr Endocrinol 2021; 13:384-390. [PMID: 34013710 PMCID: PMC8638626 DOI: 10.4274/jcrpe.galenos.2020.2021.0169] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE Late neonatal hypocalcemia (LNH) is a common metabolic problem associated with hypoparathyroidism, high phosphate intake and vitamin D deficiency, often presenting with seizures. In this cross-sectional study, we aimed to evaluate the role of vitamin D deficiency in LNH in Turkey and to describe the characteristics of affected newborns. METHODS Conducted with a cross-sectional design and with the participation of 61 neonatal centers from December 2015 to December 2016, the study included term neonates with LNH (n=96) and their mothers (n=93). Data were registered on the FAVOR Web Registry System. Serum samples of newborns and mothers were analyzed for calcium, phosphate, magnesium, albumin, alkaline phosphatase, intact parathyroid hormone (iPTH) and 25 hydroxyvitamin D [25(OH)D] levels. RESULTS The median (range) onset time of hypocalcemia was 5.0 (4.0-8.0) days of age, with a male preponderance (60.4%). The median (range) serum 25(OH)D levels of the neonates and their mothers were 6.3 (4.1-9.05) and 5.2 (4.7-8.8) ng/mL, respectively. The prevalence of vitamin D deficiency (<12 ng/mL) was high in both the neonates (86.5%) and mothers (93%). Serum 25(OH)D levels of the infants and mothers showed a strong correlation (p<0.001). While the majority (93.7%) of the neonates had normal/high phosphorus levels, iPTH levels were low or inappropriately normal in 54.2% of the patients. CONCLUSION Vitamin D deficiency prevalence was found to be high in LNH. Efforts to provide vitamin D supplementation during pregnancy should be encouraged. Evaluation of vitamin D status should be included in the workup of LNH.
Collapse
Affiliation(s)
- Gülcan Seymen-Karabulut
- University of Health Sciences Turkey, Ümraniye Training and Research Hospital, Clinic of Pediatrics, Division of Pediatric Endocrinology, İstanbul, Turkey
| | - Ayla Günlemez
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Turkey
| | - Ayşe Sevim Gökalp
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Turkey
| | - Şükrü Hatun
- Koç University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Endocrinology, İstanbul, Turkey
| | - Fatma Kaya Narter
- Dr. Lütfi Kırdar Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İstanbul, Turkey
| | - Mehmet Mutlu
- Karadeniz Technical University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Trabzon, Turkey
| | - Şebnem Kader
- Trabzon Kanuni Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Trabzon, Turkey
| | - Demet Terek
- Ege University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, İzmir, Turkey
| | - Deniz Hanta
- Adana Women and Children Hospital, Clinic of Pediatrics, Division of Neonatology, Adana, Turkey
| | - Emel Okulu
- Ankara University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Leyla Karadeniz
- University of Health Sciences Turkey, Ümraniye Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İstanbul, Turkey
| | - H Gözde Kanmaz Kutman
- Zekai Tahir Burak Maternity Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Ayşegül Zenciroğlu
- University of Health Sciences Turkey, Ankara Dr. Sami Ulus Maternity Women and Children Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Özmert M. A. Özdemir
- Pamukkale University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Denizli, Turkey
| | - Dilek Sarıcı
- Keçiören Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Muhittin Çelik
- Diyarbakır Children Hospital, Clinic of Pediatrics, Division of Neonatology, Diyarbakır, Turkey
| | - Nihat Demir
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Van, Turkey
| | - Özden Turan
- Başkent University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Kıymet Çelik
- Dr. Behçet Uz Children Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İzmir, Turkey
| | - Fatih Kılıçbay
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Turkey
| | - Sinan Uslu
- Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İstanbul, Turkey
| | - Sara Erol
- Etlik Zübeyde Hanım Maternity Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Sabahattin Ertuğrul
- Dicle University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Diyarbakır, Turkey
| | - İlkay Er
- Derince Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Kocaeli, Turkey
| | - Hasan Tolga Çelik
- acettepe University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Merih Çetinkaya
- Kanuni Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İstanbul, Turkey
| | - Filiz Aktürk-Acar
- Karadeniz Technical University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Trabzon, Turkey
| | - Yakup Aslan
- Trabzon Kanuni Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, Trabzon, Turkey
| | - Gaffari Tunç
- Ankara University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Ankara, Turkey
| | - Ömer Güran
- University of Health Sciences Turkey, Ümraniye Training and Research Hospital, Clinic of Pediatrics, Division of Neonatology, İstanbul, Turkey
| | - Ayşe Engin Arısoy
- Kocaeli University Faculty of Medicine, Department of Pediatrics, Division of Neonatology, Kocaeli, Turkey
| |
Collapse
|
6
|
Uygur Ö, Öncel MY, Şimşek GK, Okur N, Çelik K, Bozkurt Ö, Yücesoy E, Terek D, Arslan MK, Pekçevik Y, Akar M, Köroğlu ÖA, Oğuz S, Kültürsay N. Is Nasal Septum-Tragus Length Measurement Appropriate for Endotracheal Tube Intubation Depth in Neonates? A Randomized Controlled Study. Am J Perinatol 2021; 38:728-733. [PMID: 31858502 DOI: 10.1055/s-0039-3400982] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE Endotracheal intubation is a frequent procedure performed in neonates with respiratory distress. Clinicians use different methods to estimate the intubation insertion depth, but, unfortunately, the improper insertion results are very high. In this study, we aimed to compare the two different methods (Tochen's formula = weight in kilograms + 6 cm; and nasal septum-tragus length [NTL] + 1 cm) used to determine the endotracheal tube (ETT) insertion depth. STUDY DESIGN Infants who had intubation indications were enrolled in this study. The intubation tube was fixed using the Tochen formula (Tochen group) or the NTL + 1 cm formula (NTL group). After intubation, the chest radiograph was evaluated (above T1, proper place, and below T2). RESULTS A total of 167 infants (22-42 weeks of gestational age) were included in the study. The proper tube placement rate in both groups was similar (32.4 vs. 30.4% for infants < 34 weeks of gestational age and 56.8 vs. 45.0% in infants > 34 weeks of gestational age). The ETT was frequently placed below T2 at a higher rate in infants with a gestational age of <34 weeks, especially in the NTL group (46% in the Tochen group and 60.7% in the NTL group). CONCLUSION The NTL + 1 cm formula led to a higher rate of ETT placement below T2, especially in infants with a birth weight of <1,500 g. Therefore, more studies are needed to determine the optimal ETT insertion depth.
Collapse
Affiliation(s)
- Özgün Uygur
- Division of Neonatology, Department of Pediatrics, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Mehmet Yekta Öncel
- Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Izmir Katip Çelebi University, Izmir, Turkey
| | - Gülsüm Kadıoğlu Şimşek
- Clinic of Neonatology, Zekai Tahir Burak Women's Health and Research Hospital, Ankara, Turkey
| | - Nilüfer Okur
- Clinic of Neonatology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | - Kıymet Çelik
- Clinic of Neonatology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
| | - Özlem Bozkurt
- Clinic of Neonatology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey
| | - Ebru Yücesoy
- Clinic of Neonatology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey
| | - Demet Terek
- Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Meltem Koyuncu Arslan
- Division of Neonatology, Department of Pediatrics, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Yeliz Pekçevik
- Department of Radiology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey
| | - Melek Akar
- Division of Neonatology, Department of Pediatrics, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
| | - Özge Altun Köroğlu
- Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Suna Oğuz
- Clinic of Neonatology, Zekai Tahir Burak Women's Health and Research Hospital, Ankara, Turkey
| | - Nilgün Kültürsay
- Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Ege University, Izmir, Turkey
| |
Collapse
|
7
|
Demiral M, Demirbilek H, Çelik K, Okur N, Hussain K, Ozbek MN. Neonatal diabetes due to homozygous INS gene promoter mutations: Highly variable phenotype, remission and early relapse during the first 3 years of life. Pediatr Diabetes 2020; 21:1169-1175. [PMID: 32656923 DOI: 10.1111/pedi.13079] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Revised: 05/03/2020] [Accepted: 06/30/2020] [Indexed: 02/02/2023] Open
Abstract
Neonatal diabetes mellitus (NDM) is a rare form of monogenic diabetes presenting within the first 6 months of life. INS gene promoter mutations have been shown to cause both remitting/relapsing and permanent NDM. We, herein, present three interesting patients with INS gene promoter mutations. Two cousins with an identical homozygous c.-331C > G mutation presented with NDM. The first cousin had nonremitting diabetes and still requires multidose insulin injections at the current age of 6.1 years. However, the other cousin's diabetes remitted at the age of 9 months, and she is still in remission at the age of 3 years with no medication or dietary intervention required (latest HbA1c was 4.9%). The third patient had NDM also due to a homozygous INS promoter c.-331C>A mutation. Her diabetes remitted at the age of 2 months and relapsed at the age of 2.6 years with severe diabetic ketoacidosis (DKA). Distinct clinical phenotype and relapse with severe DKA in one of the three cases suggest that INS promotor mutations can cause a heterogeneous phenotype and even cases exhibiting remission can relapse unpredictably. Therefore, as the age of relapse is unpredictable, close follow-up and family education on diabetes symptoms are essential for cases with remitting/relapsing diabetes due to INS gene mutations.
Collapse
Affiliation(s)
- Meliha Demiral
- Gazi Yaşargil Research and Training Hospital, Pediatric Endocrinology, Diyarbakır, Turkey
| | - Huseyin Demirbilek
- Hacettepe University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey
| | - Kıymet Çelik
- Gazi Yaşargil Research and Training Hospital, Neonatology, Diyarbakır, Turkey
| | - Nilufer Okur
- Gazi Yaşargil Research and Training Hospital, Neonatology, Diyarbakır, Turkey
| | - Khalid Hussain
- Department of Pediatrics, Division of Endocrinology, Sidra Medicine, Doha, Qatar
| | - Mehmet Nuri Ozbek
- Gazi Yaşargil Research and Training Hospital, Pediatric Endocrinology, Diyarbakır, Turkey
| |
Collapse
|
8
|
Çelik K, Asena M, İpek MŞ. The trends in the usage of breast milk in neonatal intensive care setting. Pediatr Int 2020; 62:1064-1072. [PMID: 32315473 DOI: 10.1111/ped.14263] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 04/06/2020] [Accepted: 04/16/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Many interventions have been designed to increase breast milk (BM) consumption among preterm and critical-term infants in neonatal units. The aim of this study was to determine the trends in the usage of BM in a neonatal unit and the risk factors for insufficient breast-milk feeding at discharge. METHODS This retrospective study included newborn infants who hospitalized in the neonatal unit during two periods in different years, a 15-month period in 2012-2013 and in 2017-2018. The primary outcomes were the availability of BM within 24 h after delivery and the status of infant feeding at discharge. RESULTS During two periods of the study, a total of 3,018 infants were included in the study. The rate of BM expression within the first 24 h after delivery was 92.9%, and it was found that the first period of the study, caesarean section delivery, very low birth weight, being first-time mother, and young maternal age were each independently associated with the delayed initiation of BM expression (P < 0.05). At discharge, 87.6% of the infants had been feeding with BM. Multiple births, the delayed initiation of BM expression, and the length of hospital stay were associated with inadequate BM feeding at discharge (P < 0.001). CONCLUSION This study showed that interventions supporting BM feeding, which have recently been carried out, made improvements to the initiation of BM expression among mothers whose babies were admitted to the neonatal unit, and in the rate of BM feeding among infants at discharge.
Collapse
Affiliation(s)
- Kıymet Çelik
- Division of Neonatology, Department of Pediatrics, University of Health Science Gaziyaşargil Education and Research Hospital, Diyarbakir, Turkey
| | - Muhammed Asena
- Department of Pediatrics, University of Health Science Gaziyaşargil Education and Research Hospital, Diyarbakir, Turkey
| | - Mehmet Şah İpek
- Division of Neonatology, Department of Pediatrics, Memorial Dicle Hospital, Diyarbakir, Turkey
| |
Collapse
|
9
|
Ergon EY, Çelik K, Çolak R, Özdemir SA, Olukman Ö, Kundak S, Çalkavur Ş. A rare vascular lesion of newborn: cutis marmorata telangiectatica congenital. Turk Pediatri Ars 2019; 54:133-136. [PMID: 31384150 PMCID: PMC6666354 DOI: 10.5152/turkpediatriars.2018.5557] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2017] [Accepted: 07/06/2017] [Indexed: 11/22/2022]
Abstract
Cutis marmorata telangiectatica congenita is a rare, benign, sporadic and cutaneous vascular disease. A newborn female baby whose mother was aged 29 years and used propylthiouracil during pregnancy was hospitalized because of varicose lesions on the skin of the lower extremity and on the back, which were present at birth. It was observed that the lesions did not disappear, although appropriate room temperature was provided. The patient was diagnosed as having cutis marmorata telangiectatica congenita and screened for additional anomalies. She had no additional anomalies, and she was discharged and monitored. At the postnatal sixth month, the cutaneous vascular lesions disappeared spontaneously. Cutis marmorata telangiectatica congenita, which is a rare condition, should be kept in mind in the differential diagnosis of physiologic cutis marmoratus, which occurs frequently in the neonatal period.
Collapse
Affiliation(s)
- Ezgi Yangın Ergon
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey,Corresponding Author / Sorumlu Yazar: Ezgi Yangın Ergon E-mail / E-posta:
| | - Kıymet Çelik
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| | - Rüya Çolak
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| | - Senem Alkan Özdemir
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| | - Özgür Olukman
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| | - Selcen Kundak
- Department of Dermatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| | - Şebnem Çalkavur
- Department of Neonatology, İzmir Dr. Behçet Uz Children’s Hospital, İzmir, Turkey
| |
Collapse
|
10
|
Zorlu M, Kiskac M, Güler EM, Gültepe I, Yavuz E, Çelik K, Kocyigit A. Serum obestatin and omentin levels in patients with diabetic nephropathy. Niger J Clin Pract 2018; 20:182-187. [PMID: 28091434 DOI: 10.4103/1119-3077.181350] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Diabetic nephropathy is the leading cause of chronic kidney disease and accounts for almost 45% of all new patients requiring renal replacement therapy. Omentin and obestatin, two novel proteins were suggested to be associated with insulin resistance, type 2 diabetes and cardiovascular risk factors. Thus, we postulated that they may also have an association with diabetic nephropathy which is known to be an independent cardiovascular risk factor. In order to investigate such an association we compared serum omentin and obestatin levels in type 2 diabetic patients with normoalbuminuria (NA) and macroalbuminuria (MA). MATERIALS AND METHODS A total of 81 type 2 diabetic patients were separated into two groups according to their proteinuria status; patients with NA (n = 39) and patients with MA (n = 42). Two groups were compared in terms of serum omentin and obestatin levels. RESULTS While s erum omentin levels did not differ among two groups (P = 0.407), serum obestatin levels were significantly higher in MA group (P = 0.001). CONCLUSION The results of this study showed that higher serum levels of obestatin were associated with macro albuminuria suggesting that obestatin may have a role in underlying pathogenic mechanisms that leads to diabetic nephropathy.
Collapse
Affiliation(s)
- M Zorlu
- Department of Internal Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - M Kiskac
- Department of Internal Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - E M Güler
- Deparment of Medical Biochemistry, Bezmialem Vakif University, Faculty of Medicine, 34093 Fatih, Istanbul, Turkey
| | - I Gültepe
- Department of Internal Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - E Yavuz
- Department of Family Medicine, Samsun Teaching and Research Hospital, 55100 Samsun, Turkey
| | - K Çelik
- Department of Internal Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - A Kocyigit
- Deparment of Medical Biochemistry, Bezmialem Vakif University, Faculty of Medicine, 34093 Fatih, Istanbul, Turkey
| |
Collapse
|
11
|
Yangın Ergon E, Alkan Özdemir S, Çolak R, Çelik K, Olukman Ö, Çalkavur Ş. A Newborn Case of “c” Subgroup Mismatch Presenting with Severe Hemolysis and Anemia. jpr 2017. [DOI: 10.4274/jpr.42650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
12
|
Özdemir R, Olukman Ö, Karadeniz C, Çelik K, Katipoğlu N, Muhtar Yılmazer M, Çalkavur Ş, Meşe T, Arslanoğlu S. Effect of unconjugated hyperbilirubinemia on neonatal autonomic functions: evaluation by heart rate variability. J Matern Fetal Neonatal Med 2017; 31:2763-2769. [PMID: 28707558 DOI: 10.1080/14767058.2017.1355901] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
BACKGROUND Serum bilirubin levels beyond the physiological limits, may lead to alterations in autonomic regulation in a newborn infant. Heart rate variability (HRV), is a noninvasive and quantitative marker of the activity of the autonomic nervous system (ANS). To date, few studies have demonstrated the undesirable effects of severe unconjugated hyperbilirubinemia (UHB) on autonomic functions, and only one study has used HRV as a marker of the autonomic activity. However, the relationship between altered cardiac autonomic functions and UHB by using the HRV derived from 24-hour Holter electrocardiography (ECG) recording has not been investigated previously. OBJECTIVE We aimed to assess whether a relationship exists between severe UHB and cardiac autonomic dysfunction by evaluating HRV via 24-hour Holter ECG recording. METHODS This single-center, prospective, case-control study was conducted on 50 full-term newborn infants with severe UHB requiring phototherapy and 50 healthy infants as controls. HRV assessment was performed by using 24-hour Holter ECG recording. RESULTS There was no significant difference in terms of mean average heart rate, mean maximum heart rate and mean RR duration between the groups. However, mean minimum heart rate was significantly lower in the study group. When 24-hour time and frequency domain parameters were compared, time and frequency domain parameters rMSDD as well as high frequency (HF), which represent parasymphathetic activity, were significantly higher in the study group. Furthermore, low frequency to high frequency (LF/HF) ratio, that serves as an indicator of sympathovagal balance, was significantly lower in the study group. CONCLUSION Severe UHB may cause cardiac autonomic dysfunction in favor of parasympathetic predominance in jaundiced neonates.
Collapse
Affiliation(s)
- Rahmi Özdemir
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Özgür Olukman
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Cem Karadeniz
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Kıymet Çelik
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Nagehan Katipoğlu
- c Department of Pediatrics , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Murat Muhtar Yılmazer
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Şebnem Çalkavur
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Timur Meşe
- a Division of Pediatric Cardiology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| | - Sertaç Arslanoğlu
- b Division of Neonatology , Izmir Dr. Behcet Uz Children's Hospital , Izmir , Turkey
| |
Collapse
|
13
|
Çelik K, Terek D, Olukman Ö, Kağnıcı M, Keskin Gözmen Ş, Serdaroğlu E, Çalkavur Ş, Arslanoğlu S. Urea Cycle Disorders in Neonates: Six Case Reports. jpr 2017. [DOI: 10.4274/jpr.52724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
14
|
Zorlu M, Kiskac M, Cakirca M, Karatoprak C, Güler E, Çelik K, Gültepe İ, Cikrikcioglu M, Kocyigit A. Evaluation of the Relation between Vitamin D and Serum Omentin and Vaspin Levels in Women. Exp Clin Endocrinol Diabetes 2016; 124:440-3. [DOI: 10.1055/s-0042-108853] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- M. Zorlu
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - M. Kiskac
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - M. Cakirca
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - C. Karatoprak
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - E. Güler
- Deparment of Medical Biochemistry, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - K. Çelik
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - İ. Gültepe
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - M. Cikrikcioglu
- Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| | - A. Kocyigit
- Deparment of Medical Biochemistry, Bezmialem Vakif University, Faculty of Medicine, Fatih, Istanbul, Turkey
| |
Collapse
|
15
|
Çelik K, Darcan N, Güney O, Firat MZ. Effect of Diet with Different Lasalocid Sodium Levels on the Fattening Performance and Carcass Characteristics of Crossbred Male Kids. Journal of Applied Animal Research 2011. [DOI: 10.1080/09712119.1999.9706281] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|
16
|
|
17
|
Çelik K, Denli M, Ertürk M, Öztürkcan O, Doran F. Evaluation of Dry Yeast (Saccharomyces cerevisiae) Compounds in the Feed to Reduce Aflatoxin B1(AFB1) Residues and Toxicity to Japanese Quails (Coturnix coturnix japonica). Journal of Applied Animal Research 2001. [DOI: 10.1080/09712119.2001.9706759] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|