Browsing by Author "Yikilmaz, Ali"

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    Abusive Head Trauma in Turkey and Impact of Multidisciplinary Team Establishment Efforts on Case Finding and Management: Preliminary Findings
    (AVES, 2016-01-01) Yaylaci, Serpil; Dallar, Yildiz; Sayar, Yavuz; Tasar, Medine Aysin; Tiras, Ulku; Tekin, Deniz; Unlu, Agahan; Ulukol, Betul; Beyaztas, Fatma Yucel; Butun, Celal; Ozum, Unal; Buken, Bora; Kandemir, Ferhan; Gokoglu, Ahmet; Kondolot, Meda; Menku, Ahmet; Patiroglu, Turkan; Tunc, Aydin; Yagmur, Fatih; Yikilmaz, Ali; Akar, Taner; Beyazova, Ufuk; Degirmenci, Bulent; Iseri, Elvan; Sahin, Figen; Isir, Aysun Baransel; Bilen, Ayse Gul; Oral, Resmiye; Gazioglu, Nurperi; Balci, Yasemin; Eryuruk, Mesut; Karagoz, Feyza
    Aim: Abusive head trauma (AHT) is the most common cause of death as the result of child abuse. A task force is planned to provide training on AHT to professionals in different disciplines on clinical presentation, diagnostic workup, and organization of multidisciplinary evaluation at the hospital and community levels. This study reports on the preliminary findings of the pre-intervention phase of a larger study. Materials and Methods: This is a descriptive, retrospective study exploring the rates of documentation of relevant data in charts, including risk factors for abuse, family demographics, completeness of diagnostic workup, and case finding. Results: Overall, 345 cases were found in hospital databases that were eligible for the retrospective study from 10 participating hospitals. In total, 305 cases (88.4\%) were younger than 2 years of age. The most common documented risk factors were low parental education level in 82 families (23.8\%), more than three children under 7 years of age in 76 families (22.0\%), and bad child temper in 16 families (4.6\%), among others. The rate of complete diagnostic workup in hospitals with a multidisciplinary team (MDT) (25.7\%) was statistically significantly higher than in hospitals without an MDT (2.9\%) (p=0.001). Etiology was identified as inflicted in 78 cases (22.6\%), possibly inflicted in 24 (7.0\%), undetermined in 79 (22.9\%), and accidental in 164 (47.5\%) by the researchers, compared to only three cases (0.8\%) diagnosed as inflicted by the treating physicians (p<0.0001). In two of the three cases, the perpetrator was convicted
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    Evaluation of aortic intima-media thickness in newborns with Down syndrome
    (WROCLAW MEDICAL UNIV, 2017-01-01) Sarici, Dilek; Kurtoglu, Selim; Sarici, Serdar Umit; Yikilmaz, Ali; Akin, Mustafa Ali; Gunes, Tamer; Ozturk, Mehmet Adnan; Narin, Nazmi; Dundar, Munis; Serdar, Muhittin
    Background. Health care programs for children with Down syndrome (DS) help improve the overall outcome and quality of life of these children. It is therefore very important to focus on the most common and serious problems of these patients, such as congenital heart defects and cardiac problems, and to keep medical guidelines updated with regard to these problems. Objectives. The aim of this study was to evaluate aortic intima-media thickness (aIMT), lipid profiles and blood pressure in DS patients in comparison with a control group of age-and gender-matched neonates without DS. Material and methods. Serum concentrations of lipids (total cholesterol, LDL-cholesterol, HDL-cholesterol, and triglyceride), blood pressure and abdominal aIMT were measured in newborns with DS, and compared with the measurements from age-and gender-matched newborns without DS. Results. No statistically significant differences between the 2 groups of newborns were detected with respect to aIMT, lipid levels or blood pressure. Conclusions. This study represents the first investigation of aIMT - one of the most important indicators of atherosclerosis - in DS patients, but neither a significantly increased aIMT, nor any significant changes in lipid profiles or blood pressure were detected in this group of patients. Whether aIMT differs according to the type of congenital heart defect (such as atrial septal defect, ventricular septal defect, patent ductus arteriosus, and atrioventricular septal defect) among DS patients remains to be determined in future studies.