Publications by authors named "Evrim Kiray Bas"

Objective: To compare the frequency and distribution of healthcare-associated infections (HAI) in the neonatal intensive care unit (NICU) during COVID-19 infection.

Methods: We compared all cases hospitalized in the NICU and diagnosed with HAIs between 1 March - 1 September 2019 (pre-COVID-19 pandemic) and 1 March - 1 September 2020 (during the COVID-19 pandemic).

Results: We evaluated a total of 957 babies, 427 babies in the pre-COVID-19 period and 530 babies during the COVID-19 pandemic.

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Ovarian cysts are one of the most common pathologies in the infancy period. Approximately 15% of intraabdominal masses seen in this period are genital origined and one-third of these masses are ovarian cysts. The incidence of ovarian cysts has been reported as 1 in 2500 live births.

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Objective: The study aims to evaluate the etiological distribution and prognosis of newborn infants with hydrops fetalis (HF).

Methods: All infants born in our hospital within the past 10 years and hospitalized with the diagnosis of HF were included in this retrospective descriptive study. Demographic characteristics, etiological distributions, treatment interventions, and prognosis information of the infants were recorded retrospectively.

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Article Synopsis
  • Hemolytic disease of the fetus and newborn is caused by maternal antibodies targeting the fetus, often linked to blood group incompatibilities.
  • The use of anti-D gammaglobulin has reduced cases of Rh (D) sensitization, but minor blood group incompatibilities are increasingly significant in hemolytic disease cases.
  • Clinical symptoms can range from mild hemolysis to severe conditions like hyperbilirubinemia, as illustrated in a case study involving hemolytic anemia due to anti-c antibody incompatibility.
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Objectives: This study aimed to evaluate the neuromotor development of premature babies and to determine the risk factors affecting neuromotor development in the middle time (3 years).

Methods: All babies with ≤34 weeks gestational age and born between 2011-2014 and hospitalized in our neonatal clinic were included in this study. Prenatal, perinatal and postnatal features of the babies were recorded.

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Article Synopsis
  • COVID-19 has significantly impacted global health, infecting around 22 million people and causing 770,000 deaths as of August 2020, with unclear effects on newborns due to limited data.
  • Recent studies indicate that mothers infected in the last trimester can breastfeed, provided they follow hygiene protocols, but these infections pose risks like increased maternal mortality and preterm births.
  • There are concerns about vertical transmission of the virus, symptoms in newborns, and various transmission pathways, but comprehensive understanding and treatment guidelines for COVID-19 in newborns remain insufficient.
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Purpose: To evaluate the foveal development in preterm children with optical coherence tomography and OCT angiography.

Design: Retrospective cohort study.

Methods: This study included children aged 6-8 years who were born prematurely and who did not receive retinopathy treatment.

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The majority of abdominal masses detected in the neonatal period are benign (85%) and usually originate in the urinary tract (50%), genital system (15%), gastrointestinal system (15%), or the hepatobiliary tract (5%). Ovarian cysts comprise one-third of the masses with a genital origin. Presently described is a case of an ovarian cyst that developed during the antenatal period and transformed into a hemorrhagic cystic mass as a result of torsion.

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Objectives: The aim of this study was to evaluate risk factors used for the assessment of neonatal hypoglycemia and to examine the follow-up outcomes observed in the first 48 hours of postnatal life.

Methods: The records of infants born between 2015 and 2017 (3 years) at Şişli Hamidiye Etfal Training and Research Hospital who had a blood glucose level test performed within the first 24 hours after birth and who had follow-up results for 48 hours were included in the study. Data of gestational age; birth weight; gender; antenatal, natal and postnatal characteristics; blood glucose measurement method and time during the first 48 hours postpartum; glucose values and follow-up; nutritional status; and the need for hospitalization due to a low blood glucose value were recorded.

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Objective: To evaluate the impact of preterm birth on bone health in preschool children.

Methods: A total of 166 preschool children (aged 7-8 years) born preterm ( = 86, <37-week gestation) and at term ( = 80, ≥37 weeks of gestation) in our hospital were included in this prospective cross-sectional study. Data on antenatal, perinatal, and early postnatal characteristics and maternal obstetric history were obtained from medical records.

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BACKGROUND Adolescent pregnancy remains a global public health issue with serious implications on maternal and child health, particularly in developing countries The aim of this study was to investigate maternal characteristics and obstetric and neonatal outcomes of singleton pregnancies among adolescents. MATERIAL AND METHODS A total of 241 adolescent women who gave birth to singletons between January 2015 and December 2015 at our hospital were included in this descriptive cross-sectional study. Data on maternal sociodemographic and obstetric characteristics as well as neonatal outcome were recorded.

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Context: Limited data are available on the exact incidence of disorders of sex development (DSD) with genital ambiguity at birth.

Objective: To determine frequency of ambiguous genitalia in newborns.

Design: Prospective multicenter study.

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Article Synopsis
  • The study compares early nasal intermittent positive pressure ventilation (nIPPV) and nasal continuous positive airway pressure (nCPAP) for treating respiratory distress syndrome (RDS) in preterm infants born between 24 and 32 weeks of gestation.
  • A total of 84 infants were randomized into two groups, with 42 receiving nIPPV and 42 receiving nCPAP, showing similar birth weights and gestational ages.
  • The results indicated that the nIPPV group had a significantly lower need for endotracheal intubation and invasive mechanical ventilation compared to the nCPAP group, leading to the conclusion that nIPPV is more effective in this context without increasing early morbidity rates.
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Background: We aimed to determine the knowledge and attitudes of Turkish pediatricians concerning vitamin D supplement.

Methods: The study was planned cross-sectional to be carried out between April-May 2015 in Turkey. A questionnaire form that determined the participants' opinions and practices concerning vitamin D supplement was completed via face-to-face interview.

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Aims: This study compared the early-term outcomes of mechanical ventilation (MV)/surfactant treatment with nasal-continuous positive airway pressure (nCPAP) in preterm infants with respiratory distress syndrome (RDS).

Materials And Methods: Data from newborns born between ≥24 and ≤32 weeks of gestation, hospitalized at our newborn intensive care unit, and diagnosed with RDS between January 2009 and February 2012 were analyzed.

Results: Of 193 newborns with RDS who were enrolled in the study, 113 were treated with nCPAP and 80 with MV at a level of 57.

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BACKGROUND The emergence of infections related to multidrug-resistant Gram-negative bacilli (MDR-GNB) reintroduced the use of colistin, an antibiotic that was previously abandoned due to adverse effects. However, because of its limited use in neonatal intensive care units, there is very little data about the effectiveness and safety of colistin in children and newborns. In this study, which will be the largest case study in the literature, we aimed to evaluate the effectiveness and safety of colistin in full-term and preterm newborns.

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Background: The aim of this study was to describe the effect of factors on time to reach a pulse oxygen saturation (SpO2) level of 90% in preterm infants in the delivery room.

Methods: Preterm (<35 gestational age) infants who did not require supplemental oxygen were included in the study. Continuous recordings were taken by pulse oximetry during the first 15 min of life.

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Neisseria meningitidis is one of the major causes of meningitis in children and adolescents, but it is rarely found during the neonatal period. Here, we describe a neonate with meningococcal sepsis who was admitted to the hospital on postnatal day 10, and we discuss the clinical features of neonatal infection with N. meningitidis in relation to the literature (analysis of a 97-year period).

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Urticaria is one of the most common dermatoses during the childhood, but it is very rare in the neonates. A 17-day-old infant with a generalized urticaria was admitted to our pediatric emergency unit. The mother of the infant reported having applied water boiled with stinging nettle (Urtica dioica) onto her nipples twice a day (before and after each breastfeeding) for 2 days in order to heal her nipple cracks.

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