resmiye oral | The University of Iowa (original) (raw)

Papers by resmiye oral

… Klinikleri Journal of …, Jan 1, 1998

A twelve years old girl was referred to the pediatric emergency care unit because of suicide atte... more A twelve years old girl was referred to the pediatric emergency care unit because of suicide attempt. When we examined her story carefully, we noticed that she had been abused physically and psychologically by her father for a long time. She and her family have been consulted ...

… Turkish journal of …, Jan 1, 2009

Şahin F, Çepik-Kuruoğlu A, Demirel B, Akar T, Duyan-Çamurdan A, İşeri E, Demiroğulları B, Paslı F... more Şahin F, Çepik-Kuruoğlu A, Demirel B, Akar T, Duyan-Çamurdan A, İşeri E, Demiroğulları B, Paslı F, Beyazova U, Oral R. Six-year experience of a hospital-based child protection team in Turkey. Turk J Pediatr 2009; 51: 336-343.

Drug Testing and Analysis, Jan 1, 2009

… Klinikleri Journal of …, Jan 1, 1996

The clinical and laboratory responses to cephoperasonesulbactam treatment of 30 premature septic ... more The clinical and laboratory responses to cephoperasonesulbactam treatment of 30 premature septic infants (12 girl, 18 boys) were evaluated in this study. The gestational ages of the infants ranged between 31-37 weeks, and birth weights ranged between 1300-2500 grams. 76% ...

journals.tubitak.gov.tr

Data on child maltreatment in Turkey would appear to be scarce. This manuscript aims to address t... more Data on child maltreatment in Turkey would appear to be scarce. This manuscript aims to address the prevalence and severity of child maltreatment in Turkey.

Journal of Burn Care …, Jan 1, 2009

Middle East Journal of …, Jan 1, 2007

... Child Abuse Negl 2001;25(2):279-290. 7. Ozkara E, Karatosun V, Gunal I, Oral R. Trans-metatar... more ... Child Abuse Negl 2001;25(2):279-290. 7. Ozkara E, Karatosun V, Gunal I, Oral R. Trans-metatarsal amputation as a complication of child sexual abuse. ... 2005; 11-14, Berlin, Germany. 15. Orsal M,Yucel F. Dovulmus Cocuk Sendromu (DÇS): birine otopside tani konulan iki olgu. ...

$Research paper thumbnail of Intentional avulsion fracture of the second cervical vertebra in a hypotonic child$

Pediatric emergency …, Jan 1, 2006

Children uncommonly present with cervical fractures due to high-impact injuries. A 4-year-old chi... more Children uncommonly present with cervical fractures due to high-impact injuries. A 4-year-old child with developmental delay and chronic hypotonia presented to the hospital with acute onset of irritability and transient difficulty in walking. Lateral neck x-rays showed avulsion fracture of the second cervical vertebra. Neck magnetic resonance imaging study showed injury to the interspinal ligaments between the first and second cervical vertebrae in addition to confirming the acute avulsion fracture of C-2. The child was injured after he was thrown onto a bed from a distance of 1 to 2 ft according to his babysitter&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s admission. This is the first reported pediatric case presenting this type of inflicted fracture in a hypotonic child, although hypotonia may not have played a causal role.

Pediatric emergency care, Jan 1, 2000

A 7-year-old, female with mental retardation and seizure disorder was admitted with burns. Report... more A 7-year-old, female with mental retardation and seizure disorder was admitted with burns. Reportedly, her brother who was 12 years old was cooking dinner for himself. A towel caught fire. He threw the towel over his head, and the patient's diaper ignited. She had partial thickness second-degree burns over her right elbow, upper abdomen, both inner thighs, and buttocks with multiple blistering, which was estimated to be 7% of the total body surface. The child abuse team took a diaper similar to the one the child was wearing at the time of injury and found that it easily ignited and melted in several seconds. This is the first medically reported burn case due to a disposable diaper.

Journal of Clinical Forensic …, Jan 1, 2004

A case of chronic physical abuse and acute sexual abuse via anal penetration complicated with dis... more A case of chronic physical abuse and acute sexual abuse via anal penetration complicated with disseminated intravascular coagulation (DIC), acute respiratory distress syndrome (ARDS), and subsequent bilateral trans-metatarsal amputation is reported. A 13-year-old male presented with old cigarette burns on his chest and acute anal laceration. Four days after laceration repair, he developed DIC and ARDS. The child had to undergo bilateral trans-metatarsal amputation. Due to the systemic defects of the child protection system in Turkey, sexual and physical abuse were recognized by medical personnel 45 days after admission, child protective services never got involved, and prosecution failed to punish the perpetrator(s) of this extreme victimization. This is the only reported case of bilateral trans-metatarsal amputation due to sexual abuse complicated with DIC and ARDS. Social and medico-legal management of sexual abuse is suboptimal in Turkey. Within that context, professionals should be trained on how to recognize, assess, diagnose and manage victims of child abuse and neglect.

Indian journal of …, Jan 1, 1998

Efficacy and safety of imipenem/cilastatin in neonatal Klebsiella pneumonia sepsis was investigat... more Efficacy and safety of imipenem/cilastatin in neonatal Klebsiella pneumonia sepsis was investigated in 45 infants compared to 39 control infants on conventional antibiotic regimen. Sensitivity to imipenem was 94% followed by cephoxitin (88%), quinolons (80%), and amikacin (52%) according to susceptibility results in the study group. Treatment duration of surviving infants was 16.5 +/- 4.6 and 20.3 +/- 6.4 days in the study and control groups respectively (p < 0.05). Five infants (11%) vs 27 (69%) were unresponsive (septic deaths) to treatment in the study and control groups respectively (p < 0.001). The cure rates were 73% and 28% respectively (p < 0.001). Sequelae free discharge rates were 67% and 23% respectively (p < 0.001). The most frequent adverse effects of imipenem/cilastatin were Candida albicans superinfection (20%); Candida albicans colonisation (10%); impairment of liver and renal functions (19% and 10% respectively); seizures (5%); thrombocytosis (3%); thrombophlebitis (3%); urine discoloration (3%); and Staphylococcus epidermidis colonisation (2%). Imipenem is considered a good alternative for neonatal Klebsiella pneumonia sepsis with these results, however, one must be aware of the increased risk of Candida albicans superinfection.

Pediatric emergency …, Jan 1, 2008

Missed diagnosis of child abuse may lead to chronic abuse with potential for death. This paper re... more Missed diagnosis of child abuse may lead to chronic abuse with potential for death. This paper reports 3 such cases. This is a retrospective chart review of 38 cases diagnosed as abusive head trauma between January 1, 2004 and December 31, 2006 at a university hospital. We sought to identify fatal cases with a past medical history of physical abuse that was missed by the medical staff. Three cases (7.9%) had a past medical history of physical abuse that was missed by the medical staff. Infants were 2 males and 1 female. Their ages were 2.5, 3.5, and 6 months, respectively. Missed abuse episodes involved rib fractures, a metaphyseal tibial fracture, and a shaking episode, respectively. The intervals that had elapsed between the missed and the fatal abuse episodes were 24 hours, 12 days, and 6 weeks, respectively. Perpetrators of fatal head trauma were all biological fathers. One plead guilty, and 2 were convicted of involuntary manslaughter. The infants were in the care of the perpetrators of the fatal abuse episodes at the time the missed abuse episodes occurred. Physicians assessing children, especially infants, should be alert to indicators of abusive trauma to recognize abuse early on. Including abusive trauma in the differential diagnostic list and taking appropriate steps to rule out or confirm the diagnosis are of paramount importance in establishing child protective services and preventing further abuse and neglect that may at times be fatal.

Indian journal of pediatrics, Jan 1, 1999

Diabetes mellitus (DM) alters carbohydrate and lipid metabolism to a great extent. This study was... more Diabetes mellitus (DM) alters carbohydrate and lipid metabolism to a great extent. This study was planned to determine whether infants of insulin dependent and gestational diabetic mothers have abnormal lipid metabolism. Three groups of newborns were included in the study; group I consisted of 7 infants of diabetic mothers (IDM) with insulin dependent DM (Type 1 DM), group II of 18 infants of gestational diabetic mothers and group III of 20 control neonates whose mothers had no history of DM. Total cholesterol (TC), triglyceride (TG) and high density lipoprotein-cholesterol (HDL-C) values in groups I and II were no different compared to those in group III (p > 0.05). However, low density lipoprotein-cholesterol (LDL-C) and LDL-C/HDL-C ratio were similar between groups I and II (p > 0.05) but significantly higher in both infants of type 1 diabetic mothers and gestational diabetic mothers compared to control infants (p < 0.05). Apolipoprotein A-I (Apo A-1) and apolipoprotein B (Apo B) levels, Apo A-I/Apo B and HDL-C/Apo A-I ratios were similar in between groups. However, Apo B/LDL-C ratio was significantly lower in groups I and II compared to control group (p < 0.05). In conclusion, diabetes in pregnant women causes a tendency to LDL hypercholesterolemia in the offspring. These infants should be longitudinally followed up to assess whether this observation imposes an increased risk for atherosclerosis for advanced ages.

Clinical …, Jan 1, 1996

The Schinzel-Giedion syndrome is a rare autosomal recessive condition with typical facial feature... more The Schinzel-Giedion syndrome is a rare autosomal recessive condition with typical facial features, skeletal manifestations and congenital hydronephrosis and/or hydroureter. We report a male infant with Schinzel-Giedion syndrome, also showing the karyotypic abnormality 47,XXY. Agenesis of the corpus callosum and laryngeal stenosis were determined at autopsy. Besides typical Schinzel-Giedion syndrome, our propositus was found to be affected by Klinefelter syndrome. This represents a fortuitous anomaly, which is probably of no importance in the phenotype of the patient.

Pediatrics …, Jan 1, 1998

Background: The role of bronchodilators in the treatment of bronchiolitis remains controversial. ... more Background: The role of bronchodilators in the treatment of bronchiolitis remains controversial. M e t M : A double-blind, placebo controlled trial was performed to evaluate the clinical response to nebulized salbutamol. One hundred and fifty-six infants aged between 7 weeks and 24 months who had had an episode of wheezing and other signs and symptoms of bronchiolitis were randomized to three groups as follows: (i) nebulized salbutamol was administered to 52 patients in group I at a dose of 0.15 mgkg in 2 mL saline: (ii) saline was nebulized to 52 patients in group I1 and (iii) in group 111 52 patients received mist in a tent. All three groups were administered oxygen during the procedures. Treatment was repeated with the same agent after 30 min if the respiratory score was 5 or more. Respiratory rate, heart rate, oxygen saturation and presence of cyanosis, wheezing, retractions were recorded before and after each treatment.

… : official journal of the …, Jan 1, 1995

A case of neonatal craniopharyngioma diagnosed by fetal ultrasonography at 29 weeks and by magnet... more A case of neonatal craniopharyngioma diagnosed by fetal ultrasonography at 29 weeks and by magnetic imaging at 35 weeks of gestation is presented with clinical and neuroradiologic findings. This is a rare tumor and only 10 cases of neonatal craniopharyngioma have ...

Pediatric emergency care, Jan 1, 2003

Design: Descriptive, retrospective chart review. Setting: Pediatric emergency department and orth... more Design: Descriptive, retrospective chart review. Setting: Pediatric emergency department and orthopedic clinic of an urban teaching hospital.