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Permanent URI for this collectionhttps://hdl.handle.net/11443/932

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Author: search.filters.author.Sarici, DilekHas files: Yes

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    Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society
    (PUBLIC LIBRARY SCIENCE, 2019-01-01) Koc, Esin; Demirel, Nihal; Bas, Ahmet Yagmur; Isik, Dilek Ulubas; Hirfanoglu, Ibrahim Murat; Tunc, Turan; Sari, Fatma Nur; Karatekin, Guner; Ozdemir, Ramazan; Altunhan, Huseyin; Cetinkaya, Merih; Ozcan, Beyza; Ozkiraz, Servet; Calkavur, Sebnem; Tekgunduz, Kadir Serafettin; Tastekin, Ayhan; Ozlu, Ferda; Ozyurt, Banu Mutlu; Ozdemir, Ahmet; Cetinkaya, Bilin; Demirelli, Yasar; Koklu, Esad; Celik, Ulker; Tarakci, Nuriye; Armangil, Didem; Okulu, Emel; Narter, Fatma; Mutlu, Birgul; Mert, Mustafa Kurthan; Bulbul, Ali; Asker, Huseyin Selim; Uygur, Ozgun; Uslu, Ilker Sait; Ertugrul, Sabahattin; Aydemir, Cumhur; Celik, Hasan Tolga; Kucuktasci, Kazim; Arslan, Selda; Ergin, Hacer; Zenciroglu, Aysegul; Yurttutan, Sadik; Orman, Aysen; Tuncer, Oguz; Yasa, Beril; Acunas, Betul; Takci, Sahin; Gokmen, Zeynel; Ozkan, Hilal; Comert, Serdar; Ustun, Nuran; Mutlu, Mehmet; Bayraktar, Bilge Tanyeri; Bilgin, Leyla; Tuzun, Funda; Aydemir, Ozge; Gursoy, Tugba; Akdag, Arzu; Memisoglu, Asli; Can, Emrah; Terek, Demet; Beken, Serdar; Turan, Ozden; Guzoglu, Nilufer; Ors, Rahmi; Kale, Yusuf; Hekimoglu, Berna; Aylanc, Hakan; Eroglu, Funda; Sahin, Suzan; Konak, Murat; Sarici, Dilek; Kilic, Ilknur; Hakan, Nilay
    Objective To investigate the early neonatal outcomes of very-low-birth-weight (VLBW) infants discharged home from neonatal intensive care units (NICUs) in Turkey. Material and methods A prospective cohort study was performed between April 1, 2016 and April 30, 2017. The study included VLBW infants admitted to level III NICUs. Perinatal and neonatal data of all infants born with a birth weight of.1500 g were collected for infants who survived. Results Data from 69 NICUs were obtained. The mean birth weight and gestational age were 1137 +/- 245 g and 29 +/- 2.4 weeks, respectively. During the study period, 78\% of VLBW infants survived to discharge and 48\% of survived infants had no major neonatal morbidity. VLBW infants who survived were evaluated in terms of major morbidities: bronchopulmonary dysplasia was detected in 23.7\% of infants, necrotizing enterocolitis in 9.1\%, blood culture proven late-onset sepsis (LOS) in 21.1\%, blood culture negative LOS in 21.3\%, severe intraventricular hemorrhage in 5.4\% and severe retinopathy of prematurity in 11.1\%. Hemodynamically significant patent ductus arteriosus was diagnosed in 24.8\% of infants. Antenatal steroids were administered to 42.9\% of mothers. Conclusion The present investigation is the first multicenter study to include epidemiological information on VLBW infants in Turkey. Morbidity rate in VLBW infants is a serious concern and higher than those in developed countries. Implementation of oxygen therapy with appropriate monitoring, better antenatal and neonatal care and control of sepsis may reduce the prevalence of neonatal morbidities. Therefore, monitoring standards of neonatal care and implementing quality improvement projects across the country are essential for improving neonatal outcomes in Turkish NICUs.
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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.