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    Evaluation of the quality of life of patients followed up with diagnosis of type 1 diabetes mellitus
    (Galenos Yayincilik, 2018) Duras, Ensar; Bezen, Diğdem; Özkaya, Ozan; Dursun, Hasan
    INTRODUCTION: Quality of life level is very important in chronic diseases. We aimed to determine the quality of life level in children and adolescents diagnosed with type 1 diabetes mellitus and to conduct a comparative study with healthy peers. We also evaluated the relationship between the results and socio-demographic characteristics of the children and their families. METHODS: Forty-five children aged between 4-16 who were followed-up with the diagnosis of type 1 diabetes mellitus and a control group of 45 healthy children who were referred to the general pediatrics outpatient clinic with the similar demographic characteristics were included in the study. Sociodemographic form and the Quality of Life for Children Scale (KINDL) had been applied to all children. We also recorded the background data like diagnosis, age or any additional diseases. RESULTS: The total quality of life score was found to be 73,9 +/- 9,1 in children with type 1 diabetes mellitus, and 81,7 +/- 10,2 in the control group. Comparing the subscales of the quality of life scale, the emotional well - being, self - esteem, friend and school subscale scores of 8-12 year-old children with type 1 diabetes mellitus were statistically significantly lower than healthy group (p=0,032, p=0,041, p=0,047, p=0,029, respectively). On the other hand, there was a statistically significant difference with the scores of friend subscale in children at the age of 13-16 (p=0,043). DISCUSSION AND CONCLUSION: The quality of life of children with type 1 diabetes mellitus was significantly lower than that of the healthy children. We believe that psychosocial support from the time of diagnosis is needed for these children to improve the level of quality of life.
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    The role of alvarado and pediatric appendicitis score in acute appendicitis in children
    (Galenos Yayincilik, 2020) Türkmenoğlu, Yelda; Kaçar, Alper; Duras, Ensar; Kök, Sevilay; Gözübüyük, Attila Alp; Arat, Cem; Özkaya, Ozan
    Aim: Acute appendicitis (AA) is the condition that most commonly requires a surgical procedure in children presenting to the emergency department with acute abdominal pain. Alvarado and Pediatric Appendicitis scores (PAS) are the most widely used scoring systems in the diagnosis of AA in children. This study aims to evaluate the effectiveness of Alvarado and PAS scores in the diagnosis of AA in children. Materials and Methods: One hundred and two patients aged 3-17 years, who were admitted to the pediatric emergency department with acute abdominal pain and had a clinical suspicion of AA were included in this retrospective study. The demographic characteristics, laboratory and radiological findings, and Alvarado and PAS scores were obtained from the records of the patients, retrospectively. According to the results of pathology, n=48 patients for the AA group and n=54 patients for the non-AA group were identified. The AA and non-AA groups were compared in terms of PAS and Alvarado scores. Results: The mean age of the 102 patients was 9.38 +/- 3.90 years, and 62 (60.85%) of them were male. The median PAS score was 7.79 +/- 1.2 and 5.52 +/- 1.34, and the median Alvarado score was 7.98 +/- 1.14 and 5.89 +/- 1.53 in the AA and N-AA groups, respectively (p<0.001; p<0.001). For the PAS, the cut-off score was >7 with a sensitivity of 66.7%, a specificity of 94.4%, a positive predictive value (PPV) of 91.4%, and a negative predictive value (NPV) of 76.1% (p<0.001). For the Alvarado score, the cut-off was also >7, with a sensitivity of 77.1%, a specificity of 85.2%, PPV of 82.2%, and NPV of 80.7% (p<0.001). Conclusion: Although both PAS and Alvarado scores provide useful diagnostic information in patients suspected of AA, neither of them is enough to diagnose AA alone.