Korkmaz MF, et al. J Korean Med Sci. 2020 May;35(25):e236. https://doi.org/10.3346/jkms.2020.35.e236

Objective Psychiatric diagnoses of patients with type 1 diabetes mellitus (T1DM), the severity of Attention Deficit/Hyperactivity Disorder (ADHD) symptoms of the patients and their primary caregivers, and the effects of these factors on treatment were investigated. Methods Sixty‐one patients with T1DM were included in the study along with their parents. Psychiatric diagnoses of the patients were determined using a semi‐structured psychiatric interview, and their depression and ADHD symptom severities were evaluated with self‐report scales. The ADHD symptom severities of the parents were evaluated using self‐report scales. The relationships among the psychiatric symptoms and the HbA1c, fasting blood glucose (FBG), and postprandial blood glucose (PBG) levels of the patients were investigated. Results HbA1c levels were found to correlate with the hyperactivity levels of children and the number of diagnoses they had. FBG and PBG values of patients diagnosed with ADHD were found to be higher than in those who did not have ADHD. HbA1c, FBG, and PBG values of the patients who had any disruptive behavior disorder were found to be higher than in those who did not. ADHD total scores, gender (being female), having diagnoses of ADHD or depression were found to be predictive of HbA1c levels according to the regression analyses. No relationship between the clinical findings of the children and their parents’ ADHD levels was found. Conclusions The findings of this study implicate that children with T1DM should be evaluated in terms of ADHD which could have negative effects on the treatment.

Amaç: Çocuk acil kliniğimize başvuran kronik hastalığı olan çocukların bakım verenlerinin epidemiyolojik özelliklerini ve bakım verme yükünü araştırıp, bunlar arasındaki ilişkiyi değerlendirmeyi amaçladık.Gereç ve Yöntem: 18 yaş altında, kronik hastalık nedeni ile takip edilen hastaların bakım verenleri çalışmaya dahil edildi. Bakım verenlerin yaşadığı stresi değerlendirmek amacıyla Zarit Bakım Verme Yükü Ölçeği (ZBYÖ) kullanıldı. Bulgular: ZBYÖ puanları 24–83 arasında değişmekte olup ortalama 47,64±15,31 olarak bulundu. Bakım yükü ile bakım verenlerin yaş grupları incelendiğinde, >40 yaş olan 21 bakım verenin 13’ü (p= 0,001) ağır derecede yüke, 18-25 yaş arasındaki 25 bakım verenin 14’ü istatistiksel anlamlı olarak (p= 0,001) hafif derecede yüke sahip idi. Bakım verenlerin gelir düzeyi incelendiğinde; ağır derecede yüke sahip 41 hastanın 19’u istatistiksel anlamlı olarak <1000 TL gelire sahip idi (p= 0,004). Hastane ziyaret sayıları incelendiğinde; 10/yıl hastane ziyareti olan 25 hastanın bakım vereninin 16’sı (p= 0,001) istatistiksel anlamlı olarak ağır yüke sahip idi. Sonuç: Bakım verenlerinin bakım verme yüklerini belirlemek, yaşadıkları güçlükleri tanımlamak, gerekli sosyal ve ekonomik desteği sağlamak, yaşam kalitelerini artırmak ve hastaların daha kaliteli hizmet alması için gereklidir. Anahtar Kelimeler: Bakım veren; bakım verme yükü; kronik hastalık

Purpose: To describe our experience concerning lung ultrasound (LUS) in the pediatric emergency clinic, and to investigate the diagnostic value of LUS in coronavirus disease‐2019 (COVID‐19).Methods: Patients aged under 18 admitted to the pediatric emergency clinic with suspicion of COVID‐19, who underwent point‐of‐care LUS and from whom COVID‐19 reverse transcription polymerase chain reaction (RT‐PCR) samples were collected, were included in the study.Results: Point‐of‐care LUS was performed on 74 patients in the emergency room. LUS findings were more sensitive than chest X‐ray in the early stages of the disease and in mild cases. Involvement was observed at LUS despite RT‐PCR being negative in some symptomatic patients with a COVID‐19 contact history.Conclusions: We think that LUS can be beneficial in terms of identifying patients with lung involvement and staging their severity in this new disease in pediatric emergency clinics. The procedure is noninvasive, rapid, reproducible, and low cost, involving simple sterilization. Based on the current literature and our own practical experience, we think that increased use of point‐of‐care LUS can protect patients from unnecessary radiation and treatment delays during the COVID‐19 pandemic.