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Öğe Assessment of Healthcare-Associated Infections in Pediatric Intensive Care Unit(Aves Yayincilik, Ibrahim Kara, 2021) Cataltas, Elif Damla Oz; Ciftdemir, Nukhet Aladag; Duran, RidvanObjective: In this study, it was aimed to determine the incidence and rate of healthcare-associated infections, and to determine the susceptible microorganisms and antibiotic susceptibilities by examining the patients hospitalized in our Pediatric Intensive Care Unit retrospectively. Material and Methods: Patients who were hospitalized for more than 48 hours between January 2014 and June 2019 at Trakya University Hospital Pediatric Intensive Care Unit were examined retrospectively and criteria and formulas for Centers for Disease Control and Prevention were used in calculations. Results: A total of 49 healthcare-associated infections were detected in 6825 patient days in a total of 725 patients. Healthcare-associated infection rate was found to be 6.76%. 29 invasive device related infections were detected. Ventilator usage rate was 38%, ventilator associated pneumonia rate was found to be 11.19 per 1000 interventional device days, central venous catheter usage rate was 40%, central venous catheter related hospital infection rate was found to be 0.73 per 1000 interventional device days and urinary catheter usage rate was 26%, catheter related urinary tract infection rate was found to be 0.56 per 1000 interventional device days. The most common agents were Acinetobacter baumannii (37%), Pseudomonas aeruginosa (16.6%), Klebsiella pneumoniae (16.6%), Escherichia coli (9.2%), respectively. Conclusion: The healthcare-associated infection rates of our Pediatric Intensive Care Unit were found at the level of developed countries when compared to other countries. However, our rate of ventilator-associated pneumonia was high. The common problem of pediatric intensive care units is multi-antibiotic resistant microorganisms.Öğe A case of cebocephaly associated with abnormal genitalia(Elsevier Ireland Ltd, 2007) Duran, Ridvan; Aladag, Nukhet; Vatansever, Ulfet; Acunas, Betul; Puyan, Fulya Oz; Varol, Fusun G.Holoprosencephaly is frequently accompanied by midline facial abnormalities such as hypotelorism, cyclopia, etmocephaly, and cebocephaly. Cebocephaly is a very rare congenital anomaly combining alobar holoprosencephaly, ocular hypotelorism, and a proboscis-like nose with single nostril. There is only one cebocephaly case with abnormal genitalia. We report to our knowledge the second case of cebocephaly associated with abnormal genitalia in the relevant literature. (C) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe A case of diastrophic dysplasia associated with mega cysterna magna(Aves Yayincilik, Ibrahim Kara, 2007) Duran, Ridvan; Vatansever, Uelfet; Aladag, Nuekhet; Acunas, Betuel; Tuysuz, BeyhanSkeletal dysplasias comprise a large group of hereditary disorders characterized by abnormal growth, short stature and malformations and deformations of bone and cartilage. Diastrophic dysplasia is a skeletal-disorder characterized by short stature, foot and spinal deformities, hitchhiker's thumb and ear abnormalities. Internal organs develop normally. The physical examination of the newborn referred to our hospital for multiple abnormalities revealed a poor general condition with cyanosis, disproportionate short stature, large front fontanel, short neck, misshapen upper ear and 'cauliflower' deformity, cleft palate, hitchhiker's thumb, long and slim fingers except the thumb, proximally located toes, flexion contractures in the large joints, bilateral talipes equinovarus and left scrotal hernia. Mega cysterna magna was demonstrated in,the posterior fossa in the cranial tomography. With these clinical and radiological findings, the newborn was diagnosed as diastrophic dysplasia. The infant was discharged on day 19 after genetic counseling to the family and was to be followed up by the newborn outpatient clinic.Öğe Case of The Month(Aves, 2005) Vatansever, Ulfet; Duran, Ridvan; Acunas, Betul[Abstract Not Available]Öğe Changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic(Wiley, 2023) Duran, Sedef; Duran, Ridvan; Acunas, Betul; Sahin, Erkan MelihBackground: Concerns about the safety and adverse reactions of rapidly-developed vaccines against COVID-19 contributed to parents' vaccine hesitancy and this situation created an opportunity for anti-vaccine campaigners. The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic. Methods: In this cross-sectional study, parents of children who applied to the outpatient clinic of pediatric department of Trakya University Hospital, Edirne, Turkiye, between August 2020 and February 2021 were recruited into two study groups according to COVID-19 peak time in Turkiye. Group 1 included parents of children who applied after first peak of the COVID-19 pandemic and Group 2 included parents of children who applied after second peak. The World Health Organization 10-item Vaccine Hesitancy Scale (WHO-VHS) was applied to each group. Results: A total of 610 parents agreed to participate in the study. Group 1 and 2 consisted of 160 and 450 parents, respectively. While the number of parents who were hesitant about childhood vaccines was 17 (10.6%) in Group 1, it was 90 (20%) in Group 2. A statistically significant difference was found between the two groups ( p = 0.008). The (WHO-VHS) mean +/- SD score was found to be higher in Group 2 (23.7 +/- 6.9) than Group 1 (21.3 +/- 7.3) (p < 0.001). The WHO-VHS-mean +/- SD scores of parents who experienced COVID-19 infection themselves or their family or acquaintances were significantly lower than those who did not (20.0 +/- 6.5 vs. 24.7 +/- 6.9) (p < 0.001). Conclusions: The hesitant attitudes towards childhood and COVID-19 vaccines were low in parents who directly or indirectly experienced COVID-19 or were worried about the devastating effects of this disease. However, it was shown that as the COVID-19 pandemic progressed, parents' hesitations towards childhood vaccines increased.Öğe Comparison of respiratory morbidity in late preterm infants and intrauterine growth retarded infants at school-age(Marmara Univ, Fac Medicine, 2022) Us, Mahmut Caner; Vatansever, Ulfet; Duran, Ridvan; Acunas, BetulObjective: We aimed to determine respiratory morbidity of late pretenn infants versus infants with intrauterine growth retardation (IUGR) at school-age. Patients and Methods: Late preterm appropriate for gestational age (AGA) infants (34-36, 6/7 weeks) (Group 1), IUGR infants (Group 2), extremely preterm AGA (Group 3) and term AGA infants (Group 4) born between 2004 and 2008 were included in this case-control study and assessed for respiratory morbidity at school-age. We evaluated the impact of late preterm compared with IUGR and term gestation on respiratory morbidity by using validated American Thoracic Society - Division of Lung Diseases (ATS-DLD-78-C) and the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires. Questionnaires on wheezing, infectious respiratory morbidity, and physician-diagnosed asthma panels were constituted and groups were compared. Results: A total of 160 patients were enrolled in the study and 97 (60.6%) of them were boys. Respiratory morbidities at school-age were found to be significantly higher in both late preterm and IUGR groups when compared to term controls. Each weekly increase in gestational age reduced the risk for wheezing episodes (OR perGW:0.82,95%CI:0.71-0.97, p:0.02). Regarding infectious respiratory morbidities, there was a significant increase when the number of people living at home increased (OR perperson:1.79,95%CI:1.12-2.87, p:0.01), and a decrease in female gender (OR:0.41,95%CI:0.17-0.99, p:0.04) and in the week of gestation (OR perGW:0.84,95%CI:0.71-1.00, p:0.04). Atopic dermatitis (OR:5.26,95%CI:1.57-17.69, p<0.01) and maternal asthma (OR:5.38,95%CI:1.17- 24.60, p:0.03) history were found to be risk factors for asthma. Conclusion: Being IUGR may be an important risk factor for respiratory morbidity at school-age. Further studies are needed on this subject.Öğe Comparison of sleep problems between term and preterm born preschool children(Elsevier, 2020) Durankus, Ferit; Ciftdemir, Nukhet Aladag; Ozbek, Ulfet Vatansever; Duran, Ridvan; Acunas, BetulObjectives: Sleep disorders are common problems among all age groups. If sleep problems detected in childhood are not resolved successfully, they become sleep disorders and a chronic state. In this study, we aimed to compare sleep problems between preterm-born and term-born preschool-age children. Methods: In the cross-sectional study, children were grouped according to whether they were born preterm or at term. The preterm group included 137 children aged four to six years. The control group comprised 145 age-matched term-born preschool children. The prenatal, natal, demographical, and clinical characteristics of preterm- and term-born preschool-age children were compared. The Children's Sleep Habits Questionnaire (CSHQ) was used to identify sleep problems. The total score and subscores of the CSHQ were compared between the groups. Results: The percentage of gastroesophageal reflux (GER) symptoms and obstructive sleep apnea (OSA) symptoms were significantly higher in the preterm group. According to the cutoff point of the CSHQ, 97 children in the preterm group (70.8%) and 88 children in the control group (60.7%) had a sleep disorder. The total score of the CSHQ was significantly higher in the preterm group compared with the control group; however, the scores of the subscales were similar between the groups. In the regression analysis, a significant association was found between being born preterm and having sleep disorder (beta = 0.308, OR = 1.36, p = 0.04). Conclusions: Our study reported a high percentage of sleep problems in preterm-born preschool children. We suggest that prematurity is associated with sleep problems even if the etiology of sleep problems is heterogeneous. Symptoms regarding GER and OAS should be investigated, and precautions, such as prohibiting maternal cigarette smoking, should be taken in preterm infants. (C) 2020 Elsevier B.V. All rights reserved.Öğe Comparison of temporal artery, mid-forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight*(Wiley, 2009) Duran, Ridvan; Vatansever, Uelfet; Acunas, Betuel; Suet, NecdetAim: Preterm infants are prone to temperature maintenance problems due to immature thermoregulatory mechanism and relatively large body surface area. The objective of the present study was to evaluate the performance of a new non-invasive infrared thermometer applied to the mid-forehead and temporal artery in comparison with axillary temperature recordings by mercury-in-glass thermometer, and to determine the discomfort caused by these procedures in preterm infants on incubator care. Methods: The present comparative prospective study was composed of 34 preterm infants < 1500 g of birthweight nursed in an incubator. Temperature recording from mid-forehead, temporal artery and axilla were recorded six times a day for 7 days since the end of the first week of life. For pain assessment, the premature infant pain profile (PIPP) was used. Results: The mean mid-forehead, temporal artery and axillary temperatures were 36.72 +/- 0.08, 36.81 +/- 0.09 and 36.71 +/- 0.07 degrees C, respectively. No statistically significant difference was noted between the means of mid-forehead and axillary temperatures. The mean temporal artery temperature was statistically higher than the means of the mid-forehead and axillary temperatures. The PIPP scores of the mid-forehead, temporal artery and axillary temperature measurements were 5.07 +/- 0.36 degrees C, 5.18 +/- 0.43 degrees C and 7.59 +/- 0.84 degrees C, respectively. The mean PIPP score of axillary temperature measurements was statistically higher than the means of mid-forehead and temporal artery measurements. Conclusions: The infrared skin thermometer applied to the mid-forehead is a useful and valid device for easy and less painful measurement of skin temperature in preterm infants < 1500 g of birthweight.Öğe Comparison of temporal artery, nasopharyngeal, and axillary temperature measurement during anesthesia in children(Elsevier Science Inc, 2012) Sahin, Sevtap Hekimoglu; Duran, Ridvan; Sut, Necdet; Colak, Alkin; Acunas, Betul; Aksu, BurhanStudy Objective: To evaluate the accuracy and precision of a new, noninvasive infrared thermometer applied to the temporal artery. Design: Prospective randomized study. Setting: Trakya University Hospital. Patients: 60 ASA physical status 1 and 2 children undergoing surgery. Interventions: During anesthesia, temperature measurements were recorded with three different techniques: temporal artery, nasopharynx, and axillary temperature. Measurements: Temperatures measured from the nasopharynx, temporal artery, and the axilla were recorded at 15-minute intervals for the first hour, then at 30-minute intervals until the completion of surgery. During each measurement, heart rate and midarterial pressure were recorded. Main Results: There were no statistically significant differences between temperatures recorded at the temporal artery and nasopharynx at 15, 30, 45, 60, 90, and 120 minutes, and the completion of surgery. Axillary temperatures were statistically lower than those recorded at the nasopharynx and the temporal artery (P < 0.001). Bland-Altman plots showed a correlation of temperature measurements between the temporal artery and nasopharyngeal methods. The axillary method had a lower correlation with the temporal artery and the nasopharyngeal methods. Conclusions: The temporal artery thermometer is a substitute for the nasopharyngeal thermometer for core temperature measurement during anesthesia in children. (C) 2012 Elsevier Inc. All rights reserved.Öğe Cranial mr venography findings of severe hypernatremic dehydration in association with cerebral venous thrombosis in the neonatal period(Taylor & Francis Inc, 2007) Duran, Ridvan; Aladag, Nukhet; Vatansever, Uelfet; Temizoz, Osman; Genchallac, Hakan; Acunas, BetulSevere neonatal hypernatremia is an important electrolyte disorder that has serious effects on the central nervous system, including brain edema, intracranial hemorrhage, hemorrhagic infarct, and thrombosis. Cerebral venous thrombosis is relatively rare in severe neonatal hypernatremic dehydration. The English literature contains only a few reports of the cranial radiological findings in severe neonatal hypernatremia. The authors report cranial MR venography findings of a newborn infant with severe hypernatremic dehydration. To the best of their knowledge, this is the first such report in the English literature.Öğe Distal 3p Duplication and 22q13.3 Deletion with Severe Hypotonia Originating from a Paternal Balanced Translocation (3;22)(Karger, 2020) Yalcintepe, Sinem; Atli, Emine I.; Atli, Engin; Demir, Selma; Ciftdemir, Nukhet A.; Duran, Ridvan; Ozdemir, JansetIn this study, we present a case with distal 3p duplication and 22q13.3 deletion due to unbalanced meiotic segregation in her father carrying a balanced translocation. The 2-month-old girl was examined for her severe hypotonia, developmental delay, and mild dysmorphic appearance. Clinical features include broad forehead, hypertelorism, laterally extended eyebrows, long eyelashes, a depressed nasal root, bifid nasal tip, long philtrum, thin lips, posteriorly rotated ears, short neck, partial syndactyly of the right hand (fingers 3, 4) , and partial syndactyly of the right foot (toes 2, 3). After examination, the final karyotype was reported as: 46,XX,der(22)del(22)(qter)dup(3)(p22pter), and the array-CGH results showed arr[GRCh37] 3p26.3p22.1(93949_41518607)x3 and arr[GRCh37] 22q13.31q13.33(44554083_51224252)x1. The mother has a 46,XX karyotype, and her father carries a balanced translocation, 46,XY,t(3;22)(p26.3;q13.3). This is the first case with a distal 3p duplication and 22q13.3 deletion with severe hypotonia and developmental delay.Öğe Eating Behaviors of Late and Moderately Preterm Infants at Two Years of Age and Their Associations With Mothers' Mental Health(Lippincott Williams & Wilkins, 2021) Duran, Sedef; Duran, Ridvan; Acunas, Betul; Cesur, Gulay; Ciftdemir, Nukhet AladagObjectives: Preterm infants are at high risk for nutritional difficulties during the neonatal period and early childhood. Long-term nutritional difficulties contribute to unbalanced food intake and growth disorders and are the source of major emotional stress for the family. The aim of this study is to investigate the eating problems of late and moderately preterm (LMPT) infants at the age of 2 years, and to examine the association of these problems with the mental status of their mothers. Methods: In this cross-sectional study, group 1 included LMPT infants born between 32 and 36 + 6 weeks of gestation and Group 2 included term infants born between 37 and 41 + 6 weeks of gestation. Children's Nutrition Difficulties Questionnaire and 21-item Depression Anxiety and Stress Scales (DASS 21) were used for the detection of nutritional difficulties of infants and mothers' mental health status. Results: Groups 1 and 2 were consisted of 79 LMPT and 38 term infants, respectively. Late and moderately preterm infants were found to have a lower drive-to-eat and food repertoire scores as well as lower appetite and food enjoyment than term infants. Pickiness and food neophobia were found to be higher in LMPT infants than term infants. The DASS-21 scores of the mothers of the LMPT infants were higher than those of the term ones. Conclusions: These findings suggest that LMPT infants have more nutritional difficulties at the age of 2 years than term infants and their mothers exhibit more emotional distress than term infant's mothers.Öğe Effect of neonatal resuscitation courses on long-term neurodevelopmental outcomes of newborn infants with perinatal asphyxia(Wiley-Blackwell, 2012) Duran, Ridvan; Gorker, Isik; Kucukugurluoglu, Yasemin; Ciftdemir, Nukhet Aladag; Ozbek, Ulfet Vatansever; Acunas, BetulBackground: In previous studies, it has been demonstrated that Neonatal Resuscitation Program (NRP) courses improve the early outcomes of infants with perinatal asphyxia, but there has been no evidence to demonstrate the effect of NRP on long-term outcomes of perinatal asphyxia. The goal of the present study was to determine the effect of NRP courses on the long-term neurodevelopmental outcome of perinatal asphyxia. Methods: This prospective study included infants referred to the Neonatal Unit during the years 2003-2005. Those patients who were referred before NRP courses (pretraining period) were designated as group 1, those who were referred after the first NRP course (transition period) as group 2, and those who were referred after the second NRP course (post-training period) as group 3. Neurodevelopmental outcomes were assessed and compared at 4-6 years of age. Results: The study involved 40 patients: 23 in group 1, nine in group 2 and eight in group 3. The number of patients who had been diagnosed with cerebral palsy was 13 in group 1, two in group 2, and one in group 3, which was a significant decrease. The number of patients with seizures and electroencephalography abnormality was 12 and 14 in group 1, three and two in group 2, and one and one in group 3, respectively, which was also a significant decrease. Conclusions: NRP courses have positive effects on short-term as well as long-term neurodevelopmental outcomes of infants with perinatal asphyxia. Further studies are required to determine the effects of NRP courses on minor deficits, such as cognitive and behavioral disturbances.Öğe The effect of prenatal breast-feeding and breast-milk training given to expectant mothers on the behaviour of breast-feeding(Turkish Pediatrics Assoc, 2011) Onbasi, Senay; Duran, Ridvan; Ciftdemir, Nukhet Aladag; Vatansever, Ulfet; Acunas, Betul; Sut, NecdetAim: At present, training given during pregnancy has been shown to affect the beginning, percentage and duration of breast-feeding. The present study aims to inform expectant mothers about breast-milk and breast-feeding via a prenatal training and to emphasize the advantages of the training. Material and Method: Trainings on and breast-milk were held for the pregnant womens on two days in a week. Each expectant mother was given prenatal training once. Data were collected via a questionnaire composed of 42 questions about breast-milk and breastfeeding. Statistical 7.0 package was used for statistical analysis. All numeric values were expressed as mean +/- SD and n (%). A p value of < 0.05 was considered statistically significant. This study was approved by the Trakya University Local Ethics Committee. Results: A total of 190 mothers, 90 in training group and 100 in control group were included in the study. A significant difference in the breast-feeding percentage was found in the first six months. The bottle feeding was found to be the case of breast-feeding for less than six months. Conclusions: It is concluded in the present study that the percentage and duration of feeding only with breast-milk could be increased if pregnant women are given training about breast-milk. (Turk Arch Ped 2011; 46: 75-80)Öğe The effects of noise reduction by earmuffs on the physiologic and behavioral responses in very low birth weight preterm infants(Elsevier Ireland Ltd, 2012) Duran, Ridvan; Ciftdemir, Nukhet Aladag; Ozbek, Ulfet Vatansever; Berberoglu, Ufuk; Durankus, Ferit; Sut, Necdet; Acunas, BetulObjective: Preterm infants are exposed to loud noises during their stay in the neonatal intensive care unit which can lead to physiologic and behavioral alterations and even hearing loss. The use of earmuffs can reduce sound level and these changes. The objective of the present study is to evaluate the effectiveness of the earmuffs in preterm infants solely cared for in closed incubators. Methods: A comparative prospective study comprising 20 clinically stable preterm infants weighing less than 1500 g cared in closed incubator was conducted. Preterm infants acted as their own controls whereby they were observed without earmuffs (Group 1) for 2 days and with earmuffs (Group 2) on consecutive 2 days. The preterm infants' physiologic responses and Anderson Behavioral State Scoring System (ABSS) scores were assessed over 30 s every 2 h for 8 h during daytime for 4 days. Results: Out of 20 preterm infants, 6 were male and 14 female with a mean birth weight of 1220 +/- 209 g, gestational age of 29.9 +/- 2.1 weeks. The total number of measurements was 320. The mean ABSS scores of Group 1 and 2 were 3.07 +/- 1.1 and 1.34 +/- 0.3, respectively. Statistically significant difference was noted between the means of ABSS scores (p < 0.001). Preterm infants with earmuffs (87.5%) were more frequently observed in a quiet sleep state of ABSS compared with those without earmuffs (29.4%). Conclusions: Noise level reduction was associated with significant improvement in behavioral states of ABSS. We suggest that noise reduction in preterm infants with earmuffs is helpful by improving sleep efficiency and increasing time of quiet sleep. (C) 2012 Elsevier Ireland Ltd. All rights reserved.Öğe Etiology of neonatal gastric perforations(Wiley, 2007) Duran, Ridvan; Inan, Mustafa; Vatansever, Uelfet; Aladag, Nuekhet; Acunas, BetuelBackground: Neonatal gastric perforation (NGP) is a rare event and its etiology is still controversial. Although it has previously been described as spontaneous, recently some risk factors have been reported to be associated with the development of NGP including prematurity and nasal ventilation. The purpose of the present paper was to report and discuss etiology, clinical features, and outcome of the authors' NGP cases over a 10 year period. Methods: Charts of five infants with NGP was reviewed in terms of gender, birthweight, gestational age, time of diagnosis, associated disease, site of perforation, type of surgery performed, and clinical outcome. Results: There were three boys and two girls with a mean birthweight and gestational age of 1650 g and 32 weeks, respectively. Three of them were premature. Mean perforation time was day 10 postnatally. Three infants had associated problems including prematurity, respiratory distress syndrome type 1, necrotizing enterocolitis, mechanical ventilator support, and one of them had tracheaesophageal fistula. Mothers of two out of these three infants had chorioamnionitis. One full-term infant received dexamethasone because of brain edema. Only one patient had no associated problem. Perforation occurred in the lesser curvature in three infants and in the greater curvature in two infants. Mortality rate was 60%. Conclusions: Contrary to previous literature, and similar to recent publications, it was found that essentially low-birthweight infants with tracheaesophageal fistula or chorioamnionitis and full-term babies on steroid therapy may have a risk for NGP, suggesting that an infant with contributing factors should be monitored more carefully for the development of NGP.Öğe Evaluation of Clinical and Laboratory Features of Epstein-Barr Virus-Associated Acute Infectious Mononucleosis in Children(Aves Yayincilik, Ibrahim Kara, 2008) Celtik, Coskun; Kuecuekugurluoglu, Yasemin; Balci, Demet Benek; Oener, Naci; Duran, Ridvan; Karasalihoglu, SerapObjectives: The various symptoms of infectious mononucleosis associated with Epstein-Barr virus may confuse physicians in differential diagnosis. The aim of this study is to evaluate the clinical and laboratory findings of this disease in symptomatic children. Patients and Methods: This study was retrospectively performed on 52 cases (31 boys, 21 girls; mean age 5.4 +/- 3.4 years; range 1 to 13 years) with acute Epstein-Barr virus infection. The clinical and laboratory findings were evaluated according to admission time after initial complaints (<= 5/>5 days) and the age groups of the cases (<= 2/>2 years). Results: The major symptoms were fever, lymphadenopathy and tonsillopharyngitis in the classical triad. Moreover, atypical cases who had ascites, arthritis and severe abdominal pain were defined. No case had a poor prognosis. The most frequent laboratory finding was lymphocytosis. While the major symptoms were more frequent in the group admission time <= 5 days, the count of atypical lymphocyte were higher in the group admission time > 5 days. However, these differences could not be defined between age groups. Conclusion: Infectious mononucleosis due to Epstein-Barr virus is a disease with good prognosis in children. The features of the disease may vary according to admission time, and this fact should be taken into consideration in the diagnosis.Öğe Factor V Leiden mutation, deficiency of antithrombin III and elevation of factor VIII in a child with ischemic stroke(Elsevier Science Bv, 2006) Duran, Ridvan; Biner, Betul; Demir, Muzaffer; Celtik, Coskun; Karasalihoglu, Serap; Acunas, BetulA 4-year-old boy was admitted with left hemiplegia. Thrombophilia marker examination resulted with factor V Leiden mutation heterozygosity, a deficiency of antithrombin III and a high level of factor VIII. Cranial computed tomography scan revealed an ischemic infarct in the region of right anterior cerebral artery. In the literature, combinations of multiple thrombophilia risk factors that trigger cerebral ischemic stroke in children have been emphasized. To our knowledge, this is the first child with these combinations of thrombophilia risk factors and ischemic stroke to be reported in the literature. (c) 2006 Elsevier B.V. All rights reserved.Öğe Factor VIII levels in children with ischemic stroke(Sage Publications Inc, 2007) Duran, Ridvan; Biner, Betul; Demir, Muzaffer[Abstract Not Available]Öğe Gastric pneumatosis intestinalis(Lippincott Williams & Wilkins, 2006) Duran, Ridvan; Vatansever, Ulfet; Aksu, Burhan; Acunas, Betul[Abstract Not Available]