Kayi Eliacik - Academia.edu (original) (raw)

Papers by Kayi Eliacik

Cureus, Jan 25, 2023

Background: Internet use, which provides the opportunity to access information from anywhere, and... more Background: Internet use, which provides the opportunity to access information from anywhere, and anytime, is increasing among adolescents and young adults. In studies examining the effect of technology use in adults, it has been observed that there is a relationship between cyberchondria and vaccine hesitancy. This study aimed to uncover the potential relationship between cyberchondria and vaccine hesitancy in adolescents and to obtain data for combating anti-vaccination in this age group. Materials and methods: A total of 2.353 high school students were enrolled within the scope of this research. The forms were delivered to the students online and 531 volunteers participated in the survey. The Cyberchondria Severity Scale and Vaccine Hesitancy Scale were used to evaluate the details of the relationship between cyberchondria and vaccine hesitancy levels in adolescents. Results: The compulsion subscales of the Cyberchondria Severity Scale in males and vaccine repugnance subscales of the Vaccine Hesitancy Scale in females were statistically significantly higher. Cyberchondria and vaccine hesitancy have a strong relationship with each other except benefits and protective value of vaccines subscale of vaccine hesitancy. Conclusion: Health policymakers should be aware of this relationship and there is a need to develop novel online intervention programs for combating anti-vaccination, particularly among cyberchondriac adolescents who have relatively high vaccination hesitancy, particularly during the pandemic.

International Journal of Pediatric Otorhinolaryngology, Jul 1, 2022

Journal of Tropical Pediatrics, Jun 6, 2022

Aims The influenza virus is an infectious disease with acute respiratory tract infections, caused... more Aims The influenza virus is an infectious disease with acute respiratory tract infections, caused secondary bacterial infections and death. In this study, we aimed to determine which predictors were associated with the need for high-flow nasal cannula oxygen therapy (HFNC) and transition to intensive care for influenza virus and also to compare single viral pathogens with multiple ones. Methods Inpatients under the age of 5 with influenza virus-related respiratory tract infections between November 2015 and March 2019 were included in the study. Demographic features, comorbidities, symptoms, secondary bacterial infection, need for HFNC and pediatric intensive care unit and respiratory support system, length of hospital stay, polymerase chain reaction tests were recorded. Results A total of 93 patients were included in the study. It was determined that 53.8% of the cases were male and 84.9% were under the age of 2. Comorbidities were present in 50.5% of the cases. Secondary bacterial pneumonia developed in 56.9% of the cases. Patients with secondary bacterial pneumonia had higher PICU need, HFNC need and hospital stay (p = 0.014, p ≤ 0.001 and p ≤ 0.001, respectively). Patients with comorbidity had longer hospital stays and a higher need for HFNC (p ≤ 0.001 and p = 0.001, respectively). Conclusions In this study, it was determined that especially comorbidity and secondary bacterial infection aggravated the clinical treatment of hospitalized patients. Therefore, it was concluded that patients with comorbidity should be followed closely and secondary bacterial pneumonia should be recognized and treated early.

Journal of Tropical Pediatrics, Jan 7, 2021

Background: We investigated the practical use of procalcitonin (PCT), erythrocyte sedimentation r... more Background: We investigated the practical use of procalcitonin (PCT), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and complete blood count (CBC) parameters in distinguishing periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) attacks from exudative tonsillitis associated with group A streptococcus (GAS) and Epstein-Barre virus (EBV). Methods: The study population consisted of cases with exudative tonsillitis who had been subsequently diagnosed as PFAPA, EBV, and GAS tonsillitis through a period of 6 years. We retrieved the CBC, ESR, CRP and PCT data from patients' medical records. Results: Of the patients, 47 (35.6%) had PFAPA, 36 (27.3%) had GAS and 49 (37.1%) had EBV tonsillitis. Median CRP, ESR and PCT values of patients with PFAPA were 78 (17-92) mg/dl, 44 (11-83) mm/h, 0.16 (0.01-1.45) ng/ml, respectively. The CRP and ESR levels were significantly higher in PFAPA and GAS groups compared with the EBV group (p ¼ 0.001). There was no significant difference between the groups regarding the PCT levels. Conclusion: The study indicated no benefit of PCT in distinguishing PFAPA from the others. However, we found that CRP, ESR, and CBC parameters could be useful in identifying PFAPA and GAS than EBV tonsillitis.

![Research paper thumbnail of Father`s role in infantile anorexia](https://attachments.academia-assets.com/110382403/thumbnails/1.jpg)

Turkish Journal of Pediatrics, 2018

Organic diseases account for only 16-30% of early feeding disorders. During the infancy period, m... more Organic diseases account for only 16-30% of early feeding disorders. During the infancy period, mother-child relationship is in the center of feeding and disturbances in this relationship can also cause feeding disorders. Infantile anorexia (IA) usually begins within the first three years of age, but it has most commonly been observed to emerge between 9 and 18 months of age, a time during which babies transition to spoon and self-feeding. It is also worth noting that babies start to gain autonomy during this time frame. The present study discusses the case of an 8-month-old girl diagnosed with IA after ruling out food allergies, gastro-esophageal reflux disease, malrotation, and neurological problems. The patient was diagnosed with IA was treated with the relational regulation of parents and active participation of her father during the treatment process. It is found that mother-child relational disturbances and conflicts decreased dyadic reciprocity and non-appropriate affects in feeding times are associated with IA. Effective treatment strategies for non-organic feeding disorders might be developed by giving importance to maternal mental health and providing paternal involvement in baby caregiving.

Cureus

Background: Despite significant advancements in immunization over the last century, vaccine hesit... more Background: Despite significant advancements in immunization over the last century, vaccine hesitancy is a major threat to world health. Health-related information available from a variety of sources, including new media such as social media platforms, can encourage vaccine hesitancy. The aim of this study is to determine the level of vaccine hesitation among adults, specifically their belief in the advantages of vaccination and their perceptions of vaccine-related dangers in relation to social media addiction and coronavirus disease 2019 (COVID-19) anxiety. Materials and methods: Between December 2021 and January 2022, 454 adults participated in an online cross-sectional survey consisting of the social media use disorder scale, the vaccine hesitancy scale, and the coronavirus anxiety scale. Results: The results of the study revealed a strong correlation between social media addiction, vaccine hesitation, and COVID-19 anxiety. Conclusion: Given the potential for misinformation to spread through social media, especially in a situation like a pandemic, the conscious use of social media should be emphasized and anti-addiction measures are required. Novel programs including online interventions should be developed to promote vaccination among social media addicts who have relatively high vaccination hesitancy.

The Journal of Tepecik Education and Research Hospital

Objective: Facing the critical situation of the pandemic, healthcare professionals are directly i... more Objective: Facing the critical situation of the pandemic, healthcare professionals are directly involved in the diagnosis, treatment, and care of patients with COVID-19 in the front line and they are at risk of developing psychological distress and other mental health symptoms. Here it is aimed to determine where the child clinic staff stand in terms of the psychological burden of the disease.

The Journal of Tepecik Education and Research Hospital, 2021

Objective: Electrophysiological study (EPS) has been widely used in the diagnosis and treatment o... more Objective: Electrophysiological study (EPS) has been widely used in the diagnosis and treatment of tachycardia. The objective of this study was to determine the anxiety levels in children before EPS procedure. Method: Patients (n=45) who were hospitalized for EPS between March and September of 2019 were included n this cross-sectional study, The patient group consisting of children aged 8-18 years old was compared with age- and sex- matched controls (n=46). We evaluated the severity of anxiety at the time of assessment using the Screen for Child Anxiety Related Emotional Disorders (SCARED) scale. The forms were filled out by both children and their parents. Results: The mean age of the patients in the study group consisting of 23 girls and 22 boys was 13.91±2.84 years. Diagnoses of cases treated due to arrhythmia were as follows: atrioventricular reentrant tachycardia (44.4%), atrioventricular nodal reentrant tachycardia (31%), ventricular tachycardia (11.2%), sinus tachycardia (8.8...

The journal of Tepecik Education and Research Hospital, 2018

Cat Eye Syndrome (CES) or Schmid-Fracccaro syndrome is a genetic disorder characterized by mutati... more Cat Eye Syndrome (CES) or Schmid-Fracccaro syndrome is a genetic disorder characterized by mutations in the long arm of chromosome 22, first described by Schachenmann et al. in 1965. Its classic triad consists of iris coloboma, anal malformation and ear anomalies. In this case, a 3-year-old male patient with a 30-second tonic clonic seizure was presented. On physical examination, he had downslanting palpebral fissures, micrognathia and microphthalmia. His family told that he was monitored with mild retardation in cognitive development by the department of pediatric psychiatry. Karyotypic analysis was performed for cat eye syndrome, because of the presence of neuropsychiatric findings and eye / facial anomalies. DNA microarray analysis revealed a gain involving 3 OMIM genes in the 22q11.1 region of about 548 Kb was detected. In this case, there were no major anomalies, but followed by genetic consequence analysis, and diagnosed with Cat-Eye Syndrome. Therefore, genetic analysis should be requested in case of clinical suspicion in atypical cases without classic triad.

Journal of Experimental & Clinical Medicine, 2021

Chest pain is highly prevalent in adolescence, represents a considerable burden for health servic... more Chest pain is highly prevalent in adolescence, represents a considerable burden for health services, and rarely associated with cardiac disease. Since psychosocial factors are related to chest pain there is a need for exploring the accompanying family functioning and mental health problems in adolescents with non-cardiac chest pain. Here, we assessed these determinants in 68 adolescents with non-cardiac chest pain and 68 age and-sex matched control participants using the 4-item Patient Health Questionnaire-4 for a brief screening for anxiety and depression and the Family APGAR Scale to assess the perception of family functioning. Adolescents with non-cardiac chest pain reported more depression, anxiety, and experienced impaired family functioning (p=0.003, p<0.001, p<0.001). The results indicated that non-cardiac chest pain is a warning sign of an underlying mental health problem with accompanying family issues and it deserves further psychosocial investigation including anxie...

Forbes Journal of Medicine, 2021

Objective: Breast milk is considered to be natural, reference nutrition for infants. The American... more Objective: Breast milk is considered to be natural, reference nutrition for infants. The American Academy of Pediatrics and World Health Organization recommend that infants should be exclusively breastfed for about 6 months and breasteeding should be continued at least for 12 months as long as both the mother and the infant desire. It is known that mothers who started to work during breastfeeding period have difficulty in continuing breastfeeding due to inconvenient workplace conditions and breastfeeding breaks. Social support, known to have a role in coping with stress, has also been shown to be effective in maintaining breastfeeding. The aim of our study is to evaluate the problems faced by the mothers working in a training and research hospital related to the workplace environment and conditions and their social support. Method: The study group consisted of mothers who had children under three years of age and working in a training and research hospital. Eighteen questions prepar...

The Journal of Tepecik Education and Research Hospital, 2020

INTRODUCTION: Quality of work life affects health service and employee satisfaction is seen as an... more INTRODUCTION: Quality of work life affects health service and employee satisfaction is seen as an important factor in ensuring patient satisfaction and sustainability of quality in the health system. Literature studies of doctor's quality of work life in Turkey are limited. In this study, we aimed to give resolution ideas in the light of scientific data. METHODS: Quality of Work Life Scale was applied to the pediatric residents and specialists in İzmir Tepecik Teaching and Research Hospital between 01.03.2018-01.04.2018. RESULTS: During the study period, 49 (90%) specialists and 47 (72.3%) residents were reached in the hospital. When the results were evaluated, it was found that the residents gave more negative feedback on the ‘continuous improvement and progress opportunities’ ve ‘social integration in the organization’ while the specialists gave more negative feedback on the ‘discrimination at work’ subscale. When male and female doctors were compared, it was seen that male em...

Journal of Dr. Behcet Uz Children s Hospital, 2021

Objective: The conflicts in the Middle East during the last decade displaced millions of people a... more Objective: The conflicts in the Middle East during the last decade displaced millions of people and led to a serious population movement. Many Syrians have had to leave their country and became a refugee in Turkey. Over the last decade, migration has become one of the most important social, political and public health issues in Turkey. In this study, we aimed to review pediatric refugee cases who were consulted to the Social Service at a Tertiary Hospital. Methods: A retrospective study was performed with refugees admitted to our hospital between January 2012 and December 2018. The socio-demographic data (age, sex, birthplace), medical diagnosis, the reason for the social work consultation and the classification of the social problems were recorded. Results: The number of refugee children that were detected from the medical records was 88; the median age was 10 months (IQR 60.5), and nearly half of them were female. The most frequent diagnosis of the cases obtained from the medical ...

Journal of Asthma, 2020

The aim of this study is to investigate the peer victimization and anger expression in adolescent... more The aim of this study is to investigate the peer victimization and anger expression in adolescents with asthma. The relationship between asthma control and psychological features was also examined. Methods: The study was a cross-sectional study with a healthy control group. The sample of the study was composed of 61 adolescents who were previously diagnosed by a physician with asthma of various intensity. Sixty adolescents with no chronic disorders were enrolled as the control group. Peer victimization was examined using the Multidimensional Peer Victimization Scale (MPVS). The State-Trait Anger Expression Inventory (STAXI) was used to assess anger expression styles. Emotional and behavioral symptoms of the adolescents were measured using the Strengths and Difficulties Questionnaire (SDQ). Results: Adolescents with asthma reported more peer victimization in the subscales of physical, social, verbal, attacks on property, and frightening in the MPVS; and having more problems in emotional, social, and peer relations areas in the SDQ (p< 0.001 for all subscales) compared to the control group. The results were similar between the groups regarding the conduct problems and hyperactive behaviors. The adolescents with asthma reported more anger repression and less anger expression than the control group (p< 0.001 for both subscales). Conclusions: The results indicated that the adolescents with asthma were subjected to more peer victimization and experienced more difficulties in anger expression than the controls. Based on the findings of this study, we suggest that these psychological factors should be kept in mind during the management of asthma in adolescents.

Journal of Pediatric Infection, 2019

Çocuk aşılama programları sonucunda sağlık alanında ölümcül veya kalıcı sakatlıklar ile sonuçlana... more Çocuk aşılama programları sonucunda sağlık alanında ölümcül veya kalıcı sakatlıklar ile sonuçlanabilecek birçok hastalıklara karşı korunma sağlanmaktadır. Aşılama programlarında teknik altyapı ve personel en önemli kriter olsa da bakım verenlerin aşı programlarına uyumu önemi artan bir durum haline gelmiştir.Çalışmamızda ebeveynlerin aşı yaklaşımlarını etkileyen faktörleri belirlemek ve aşı isimlerini bilme düzeylerini saptamak amaçlanmıştır. Gereç ve Yöntemler: Bu kesitsel-tanımlayıcı çalışmada hastanemiz çocuk sağlığı ve hastalıkları polikliniğine altı aylık dönemde herhangi bir nedenle başvuran ebeveynlerin aşılar hakkındaki bilgi ve tutumları değerlendirildi. Ankette ebeveynlerle yüz yüze görüşme tekniği ile ailelerin demografik özellikleri, gelir ve eğitim düzeyleri, çocuk sayıları, çocukların aşı kartı varlığı sorgulandı. Ankette T.C. Sağlık Bakanlığı tarafından yapılan ve çocukluk çağında önerilen rutin olmayan aşıların isimleri karışık olarak sunuldu, bildikleri aşıları belirtmeleri istendi. Bulgular: Araştırmaya 302 anket dahil edildi. Katılımcı olan ebeveynlerin 268'i anneydi. Olguların çoğunluğunun (254; %84.1) aşı kartı olduğu görüldü. Tek çocuk olmanın aşı kartı varlığını, aşıların düzenli yapılmasını, rutin olmayan aşıyı bilme ve yaptırmayı olumlu yönde etkilediği görüldü. Ebeveynlerin %84.1 (n= 254)'inin aşılamayı gerekli bulduğu saptandı. Ebeveynlerin en çok kızamık aşısından haberdar olduğu, hiçbir aşı ismini bilmeyen 91 (%30.1) ebeveyn olduğu görüldü. Ebeveynlerin %35.8'inin rutin

The Journal of Tepecik Education and Research Hospital, 2016

Mastit ve meme apsesi, yenidoğan döneminde oldukça ender görülen enfeksiyonlardır. Fizyolojik mem... more Mastit ve meme apsesi, yenidoğan döneminde oldukça ender görülen enfeksiyonlardır. Fizyolojik meme hipertrofisi olan yenidoğan bebeklere uygulanan meme masajı cilt bütünlüğünü bozarak mikroorganizmaların yayılımını kolaylaştırmakta ve neonatal mastit gelişimine neden olmaktadır. Bu olgu sunumunda meme masajı sonrası neonatal mastit gelişen bir yenidoğan olgusu sunularak, erken dönemde tanı ve tedavisi gerçekleşmediği takdirde ciddi komplikasyonlara yol açabilen neonatal mastite dikkat çekilmek istenmiştir.

The Journal of Tepecik Education and Research Hospital, 2015

Hiatus hernisi diafragmanın gelişimsel defekti sonucu oluşan, çocukluk yaş grubunda ender olarak ... more Hiatus hernisi diafragmanın gelişimsel defekti sonucu oluşan, çocukluk yaş grubunda ender olarak görülen bir durumdur. Hastalarda asemptomatik seyredebileceği gibi, solunum ve gastrointestinal sistem bulguları ve anemi görülebilir. Bu makalede başvurusunda periferik nabızlar zayıf, kapiller dolum zamanı 2 sn.'den uzun, kardiak nabız 168/dk. ve ritmik, kan basıncı 70/50 mmHg olan, tetkiklerinde ağır demir eksikliği anemisi saptanan, akciğer grafisinde diafragma üstünde serbest hava görülmesi ile hiatal herni tanısı alan iki yaşında bir erkek olgu sunulmuştur. Bu olgu nedeniyle şok tablosu ile başvuran derin anemili olgularda hiatus hernisi ve gastrointestinal sistem hastalıklarının ayırıcı tanıda akılda tutulması gerektiği vurgulanmıştır.

The Turkish journal of pediatrics

Congenital erythropoietic porphyria is a rare autosomal recessive disorder of porphyrin metabolis... more Congenital erythropoietic porphyria is a rare autosomal recessive disorder of porphyrin metabolism in which the genetic defect is the deficiency of uroporphyrinogen III cosynthase (UIIIC). Deficiency of this enzyme results in an accumulation of high amounts of uroporphyrin I in all tissues, leading to hemolytic anemia, splenomegaly, erythrodontia, bone fragility, exquisite photosensitivity, and mutilating skin lesions. We discuss a female infantile case who was admitted for jaundice; bullous lesions appeared on her trunk during phototherapy in the neonatal period. The skin biopsy findings were consistent with epidermolysis bullosa. Due to persistent hepatosplenomegaly and cholestasis, metabolic tests and liver biopsy were performed. During the follow-up, hemolytic anemia and red urine were detected. The levels of porphyrin metabolites were determined at high concentrations in plasma, stool and urine analysis, which were suggestive of congenital erythropoietic porphyria.