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Yayın Adenovirus and Rotavirus in Children with Acute Gastroenteritis(Aves Yayincilik, Ibrahim Kara, 2007) Akıncı, Nurver; Ercan, Tuğba Erener; Yalman, Nevin; Eren, Aynur; Severge, Burcu; Ercan, GokmenAim: Infectious diarrhea is one of the most important causes of mortality during childhood period in our country. Little is known about the epidemiology of rotavirus and adenovirus infections in Turkey. With this study, we aimed to determine the incidence of rotavirus and enteric adenovirus gastroenteritis in patients admitted to our pediatrics outpatient clinic. Material and Method: Stool specimens of 307 cases, who admitted to our pediatrics outpatient clinic during April 2004 and March 2005 due to diarrhea, were analyzed. Group A rotavirus and adenovirus serotype 40-41 were investigated in the stool specimens with the immunochromatographic test. Results: In 113 of the 307 stool specimens, viral antigens were determined. Of these 113 specimens, adenovirus was identified in 14.9 %, rotavirus in 13.7 %, both rotavirus and adenovirus in 8.2 %. Viral gastroenteritis cases were mostly seen during early spring and winter. The incidence of dehydration was significantly more common in rotavirus cases. Conclusion: Although rotavirus is the most common etiologic agent in viral gastroenteritis, rate of adenoviral gastroenteritis was comparable to that of rotavirus in our study. So, it is advisable to look also for adenovirus antigens since enteric adenoviruses have been recognized as an important cause of gastroenteritis in children.Yayın The Effect of Vitamin D Prophylaxis on 25-OH Vitamin D Levels in Children(Aves, 2021) Gül, İhsan; Gur, Emel; Ercan, Tuğba Erener; Can, GunayBackground: Vitamin D deficiency is a major public health problem. The aim of our study was to determine serum 25-hydroxyvitamin D levels among healthy children aged 3-36 months in a setting where vitamin D prophylaxis is a national policy for infants during the first year of life and among pregnant women. Methods: A total of 190 healthy children with a mean age of 15.9 +/- 10.4 months were prospectively enrolled. Results: The mean 25-hydroxyvitamin D level of children was 38.1 +/- 16.2 ng/mL. 25-Hydroxyvitamin D level was >= 20 ng/mL in 87.4% of children while it was between 12 and 19 ng/mL in 10.5% and <12 ng/mL in 2.1% of the children. Children who were on vitamin D prophylaxis were found to have significantly higher 25-hydroxyvitamin D levels than those who were not on prophylaxis (41.6 +/- 17.6 vs 33.6 +/- 13.1 ng/mL; P = .001). None of the children >1 year of age who were on prophylaxis had 25-hydroxyvitamin D levels <20 ng/mL. No significant difference in 25-hydroxyvitamin D levels was found between children who were receiving different vitamin D doses (400 IU vs >400 IU). Analysis of covariance revealed that vitamin D prophylaxis and vitamin D supplementation of the mother during lactation had significant effects on 25-hydroxyvitamin D levels (P = .034 and P = .009, respectively). Conclusion: Although vitamin D prophylaxis at a dose of 400 IU seems to be sufficient to prevent vitamin D deficiency, we suggest that continuing vitamin D supplementation beyond 1 year of age with supplementation of pregnant and especially lactating mothers could have an impact on a replete vitamin D status among infants.Yayın Peritoneal dialysis as a life-saving procedure in an extremely low birth weight infant: case report and review of the literature(Turkish J Pediatrics, 2020) Çetinkaya, Merih; Ercan, Tuğba Erener; Yavuz, Sevgi; Özaydin, SeyithanBackground. Acute kidney injury (AKI) is a common condition in the neonatal intensive care unit (NICU), particularly in preterm infants. Management of AKI in neonates is challenging. Peritoneal dialysis (PD) has been preferred as the most applicable modality in neonates when medical therapy fails. Case. A female infant was born at 24 and 4/7 weeks with a birth weight of 460 grams after an emergency cesarian section from a preeclamptic pregnacy. She developed AKI secondary to sepsis. A neonatal, straight single-cuff Tenckhoff catheter was inserted and PD was started on day 12. PD was discontinued after 6 days, on day 18 with adequate urine output and normalization of kidney function tests. However, the patient died on day 152 secondary to a nosocomial infection. Conclusion. To the best of our knowlegde, our case is the smallest infant in whom PD was performed succesfully with a PD catheter. PD is a relatively safe, effective and a feasible therapy in the neonatal population even in the smallest infants. PD may be a live-saving procedure in extremely low birth weight infants with severe AKI.Yayın SPONTANEOUS INTESTINAL PERFORATION IN AN EXTREMELY LOW BIRTH WEIGHT INFANT: A CASE REPORT(Bmj Publishing Group, 2019) Pervanlar, Ayşe; Sozen, Ayca; Ercan, Tuğba Erener; Thomas, David Terence[Abstract Not Available]
