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Öğe An adolescent case with unexplained ecchymosis: Munchausen syndrome(2022) Tursun, Serkan; Çelik, Cansu; Alpcan, Ayşegül; Albayrak, MeryemMunchausen syndrome (MS) is a condition in which a patient deliberately mimics signs and symptoms of health problems to gain attention\rfrom their close circle and healthcare professionals. Symptoms can be self-induced or fabricated. The paper aimed to discuss MS detected\rin an adolescent girl who presented with hematological findings and shift the interest to factitious disorders that may be confronted in\rpediatric practice. A thirteen-year-old girl was admitted to the pediatric hematology outpatient clinic with bruises spread throughout the\rbody, predominantly localized on the arms, persisting for three months and disappearing every two weeks. She had complaints of fatigue and\rloss of appetite, emerging simultaneously with the occurrence of bruises. Following elaborative examinations, we discovered that the patient\rwas painting bruises on her skin using an eye shadow. MS needs to be considered in differential diagnoses among patients with long-term,\rinconsistent, and irrational complaints, no underlying causes, and normal laboratory findings. Overall, we presented the case to underline\rthat MS is likely to be confronted in pediatric practice.Öğe Çocuklarda üriner sistem taş hastalıkları(2017) Tursun, Serkan; Çelik, Cansu; Acar, Banu Çelikelson yıllarda çok daha fazla tanı almaya başlamıştır. Erken tanı, ortaya çıkabilecek ciddi morbiditeleri önlemek açısından önem taşır. Çocuklarda taş oluşumu altta yatan anatomik veya metabolik bir bozukluktan kaynaklanabilir. Klinik bulgular, çocuğun yaşı, taşın lokalizasyonu ve büyüklüğü ve altta yatan hastalığa bağlı olarak değişmektedir. Tedavide altta yatan nedenin ortadan kaldırılması önemlidir. Tedavi sonrasında yeni taş oluşumunun önlenmesi için yeterli sıvı alımının sağlanması, diyet ve yaşam tarzının düzenlenmesi gereklidirÖğe LYSOSOMAL STORAGE DISEASES: KIRIKKALE UNIVERSITY EXPERIENCE(2020) Bülbül, Selda; Çelik, Cansu; Alpcan, AyşegülObjective: Lysosomal storage diseases which were firstdescribed in 1880; are important group of metabolic disorderscharacterized by the deposition of the substrates in lysosomesdue to defects of the activity or transport of lysosomal enzymesor a defect in the receptor proteins. LSDs usually show aprogressive clinical course and may not be represented with anyclinical signs during the neonatal period. The overall prevalenceof LSDs is 1 / 7000-8000. The aim of this study was to share theclinical characteristics of our LSDs patients and the experiencesof our pediatric metabolic diseases department.Material and Methods: This retrospective cohort study wasconducted at Kırıkkale University Hospital with 56 patientsdiagnosed as lysosomal storage disease among 315 patientsdiagnosed with metabolic diseases. Data were collected fromoutpatient clinic patient files who were diagnosed between 2011-2018.Results: A total of 315 patients diagnosed with inheritedmetabolic disease were followed in our clinic and 56 (17.7 %) ofthem were diagnosed as LSDs. The 56 patients were sufferingfrom the following diseases: 10 patients withMucopolysaccharidosis, 1 patient with mucolipidosis type 2 (Icelldisease), 41 patients with sphingolipidoses, two patients withcystinosis, one patient with Infantile Pompe Disease and onepatient with beta-mannosidosis.The mean age of the patients with Fabry Disease and the otherpatients diagnosed with other LSDs were 34.7±14.2 years(minimum 8, maximum 64) and 2.67±3.4 years (minimum 0,maximum 10.5) respectively. All diagnoses were verified byspecific enzyme analysis and/or by conducting genetic mutationanalysis.Conclusion: The most common lysosomal storage diseaseamong our patients were Mucopolysaccharidosis andsphingolipidosis. Treatment options, such as enzymereplacement therapy and bone marrow transplantation exist, and24 of these patients are receiving enzyme replacement therapy.Öğe Social media and breastfeeding: an Instagram study(2021) Bülbül, Selda; Çelik, Cansu; Kocagözoğlu, Sevim Gonca; Gülbahçe, AliyeBackground: Human milk has many proven benefits but breastfeeding rates are far below the desired optimal level. Social media plays an important role in accessing information and advice on health-related issues. There are several studies investigating how the social media has an impact on the community about health-related issues and decisions. We aimed to reveal how much Instagram has touched on breastfeeding and related contents about infant feeding. Material and Method: This is a descriptive cross-sectional study. We surveyed on Turkish Instagram accounts which only share about children health and diseases between June 2018 and January 2019. We searched the hashtags about child health and infant feeding and we enrolled the accounts that have more than 1000 followers. The obtained data were analyzed by SPSS 16.0 for Windows. The significancy level was accepted as p<0.05. Results: We enrolled 75 Turkish Instagram accounts. The mean number of posts was 743.77 (22-11349) and the mean number of posts of human milk and formula/bottle feeding were 9.80 and 2.07 (p=0.006). Human milk-related posts received a mean of 1368.3 likes, while those associated with formula/bottle feeding received 437.3 (p=0.007). Conclusion: As a result, it is seen that posts on human milk and breastfeeding were significantly more than those on formula and bottle feeding in social media. The expanding world of the internet today, led us to think that social media can be used as an important tool to increase breastfeeding rates. This should be obviously taken into consideration in future plans of policy makers.Öğe Visibility of rare diseases and neonatal screening programme on social media(Turkish National Pediatric Society, 2021) Bülbül, Selda Fatma; Çelik, Cansu; Gülbahçe, AliyeIt is evident that rare metabolic diseases, the life-saving national newborn screening, can benefit from sharing information on social media platforms and we cannot ignore the contribution of raising awareness about this issue. In this study, we planned to reveal the visibility and current situation of the rare disease and newborn screening program on social media. Accounts that share on child health and diseases in Instagram were found by using hashtags and by scanning similar account suggestions. From 76891 posts, the posts that giving information about inherited metabolic diseases and newborn screening were selected. The inclusion rates of these posts in accounts in the study, were calculated and included in the statistics. 75 Instagram pages with more than 1000 followers have been reviewed. The average number of posts per page is 743.8 (22-11349) and the number of posts related to inherited metabolic diseases and national newborn screening is 4.4 (0-203) and 0.53 (0-7), respectively. The ratio of the posts associated with inherited metabolic diseases to all posts is 433/76891 (0.005) and the ratio of those related to newborn heel blood screening is 53/76891 (0.00068). As a result of our study, it can be seen that both the inherited metabolic diseases and the heel blood screening may find itself very limited place in social media platforms that share about child health. © 2021 Turkish National Pediatric Society. All rights reserved.