Background: The risk of morbidity and mortality increases in newborns requiring postpartum transport. Various scoring systems have been developed to determine mortality risk, such as the Transport Risk Index of Physiologic Stability (TRIPS) and Mortality Index for Neonatal Transportation (MINT) scores. This study aimed to evaluate the efficiency of MINT and TRIPS scores by comparing them with the Score for Neonatal Acute Physiology-Perinatal Extension (SNAPPE-II) scoring system in preterm and term infants transported within the first 24 h after birth. Methods: This retrospective study included neonates transported within the first 24 h of life to the NICU of Etlik Zübeyde Hanım Women’s Health Training and Research Hospital between 2016 and 2021, following ethics approval. Perinatal data, admission clinical and laboratory parameters, and TRIPS, MINT, and SNAPPE-II scores calculated within the were recorded. Mortality and short-term morbidities were analysed. Group comparisons were conducted using Mann–Whitney U and chi-square tests. Predictive performance and optimal cut-off values were determined by receiver operating characteristic curve analysis using the Youden index. p value <0.05 was considered significant. Results: A total of 137 newborns were included in the study. Seventy-two cases (52.6%) were preterm, and 65 cases (47.4%) were term newborns. The median gestational age and birthweight were 35.6 weeks and 2485 g, respectively. A total of 10 patients died. For mortality prediction, the areas under the curve for TRIPS, MINT, and SNAPPE-II were 0.919, 0.907, and 0.973, respectively (p < 0.001). The determined cut-off values for TRIPS, MINT, and SNAPPE-II were >19, >4, and >35, respectively. The TRIPS score showed the best accuracy for prediction of mortality in preterm infants. Conclusions: Our data show that MINT and TRIPS scores are efficient beyond SNAPPE-II. They demonstrated high diagnostic effectiveness in predicting mortality in preterm and term infants. The TRIPS score exhibits superior mortality prediction in preterm infants.

Amaç: Yenidoğan yoğun bakım ünitesinde çalışan hemşire ve doktorların damar yoluna bağlı ekstravazasyon bilgi birikimi ve yönetiminin incelenmesi hedeflenmiştir. Bu çalışma ekstravazasyon bilgisini ve yönetimini değerlendiren ilk anket çalışmasıdır. Yöntem: Kesitsel anket çalışması olarak tasarlanan bu araştırmaya yenidoğan yoğun bakım ünitesinde görev alan 300 sağlık çalışanı dahil edilmiştir. Yenidoğan sağlık çalışanlarına pandemi sürecinin gerekliliği nedeni ile mobil telefonlara, mail adreslerine “Google Forms” aracılığıyla hazırlanan 28 soruluk anketin yer aldığı formun sayfa uzantısı gönderilerek doldurulması sağlanmıştır. Bulgular: Çalışmaya katılan sağlık çalışanları, ekstravazasyon gelişimi ve sağlık bakımı ile ilgili en önemli risk faktörünün yüksek riskli ilaçlar verilirken yetersiz takip yapılması (%51.7, p=0.028) idi. Bebek ile ilgili risk faktörünü ise prematürite (%33.3) ve hipotansiyon/hipoperfüzyon (%34.7) olarak belirledi (p<0.001). Ekstravazasyon tedavisinde ilk yaklaşım infüzyonun durdurulması ve damar yolunun çekilmesi oldu (p<0.001). Sağlık çalışanlarının meslek hayatları boyunca %91.6 oranında ekstravasyon, %58 oranında ise uzuv kaybı veya plastik cerrahi tedavisi gerektirecek kadar ciddi komplikasyonlar ile karşılaştıkları görüldü. Sonuç: Yenidoğan yoğun bakım ünitesinde çalışan tüm sağlık çalışanlarına hizmet içi eğitime devam edilerek bilgilerin güncelliği sağlanmalı, farklı yaklaşımların önüne geçmek için ekstravazasyon tedavi protokolleri geliştirilmelidir.

Objective: Brucellosis is a zoonotic infectious disease that is widely prevalent and remains a major public health concern worldwide. Although endemic in our country, there are limited pediatric case series concerning this disease. This study aims to analyze pediatric cases of brucellosis diagnosed in our clinic and to provide a contribution to the current body of medical literature. Methods: This study included 181 cases diagnosed with brucellosis who were followed up in the Pediatric Infectious Disease Department of Mersin University Faculty of Medicine between January 1, 2013, and July 1, 2023, in Turkey. The cases were retrospectively evaluated based on their demographic and epidemiologic characteristics, clinical symptoms, physical examination findings, laboratory and microbiologic results, complications and treatment responses from medical records. Brucellosis was diagnosed in patients through an integrated assessment of clinical manifestations, microbiologic culture results and serologic testing (Coombs anti-Brucella agglutination test). Results: In this study, a total of 181 patients were included, of which 98 (54.1%) were male and 83 (45.9%) were female. The mean age of the patients was 10.52 ± 4.23 years, ranging from 1 to 17 years. Living in rural areas was identified in 48.1% of the cases, while 42.2% had contact with animals, 64.1% consumed unpasteurized milk/dairy products and 34.3% had a family history of brucellosis. Of the patients, 92.3% were diagnosed with acute brucellosis and 7.7% were diagnosed with subacute brucellosis. Standard tube agglutination at a titer of 1/160 or higher was observed in 71.8% of the cases. Brucella spp. growth was detected in 24.3% of blood cultures and 0.56% of bone marrow cultures, while no growth was observed in cerebrospinal fluid cultures. Patients with bacteremia exhibited significantly higher rates of fever, night sweats, abdominal pain, lymphadenopathy, positive standard tube agglutination test results and disease relapse. When evaluating brucellosis-related complications, bone and joint involvement was the most common, observed in 22.1% (n = 40) of the patients, followed by neurobrucellosis in 2 patients and pleuritis in 1 patient. All patients were treated with a combined regimen. Relapse was observed in 4 patients, while no mortality was reported. Conclusions: Brucellosis remains a major public health concern in Turkey. While brucellosis is frequently observed in adults engaged in livestock farming, children are also at risk due to the possibility of foodborne transmission.

Objective: The aim of the study is to evaluate the usability of information about stainless steel crowns (SSCs) in YouTube videos both in student education and in informing patient parents.Methods: A search was made on YouTube on September 17, 2023, using the term ‘Stainless Steel Crown in Pediatric Dentistry. The first 199 videos were preevaluated, and 118 videos were included in the study. The length of videos, number of views, number of likes and dislikes, number of months aploaded, and whether they were animated or not were evaluated. The quality of videos was evaluated and analyzed with Global Quality Score (GQS), Usefulness Score (US), and The Journal of American Medical Association (JAMA) Scores.Results: A positive correlation was found between viewers' interaction and video duration (r=.283, p

Objective: In mediation analysis, the use of effect size measures is extremely important to understand the strength and direction of the relationship between variables in depth and to determine the importance of the mediating variable effect. In the literature, it is seen that there are few studies comparing the performance of effect size measures for mediation analysis. The aim of this study is to investigate the relationships between continuous variables and to compare the performances of effect size measures for mediation model. Material and Methods: In line with the objective of the study, the performance of effect size measures for the mediation model was examined through a simulation study, considering different sample sizes and small, medium, and large effect sizes. The comparison of effect size measures for the mediation model was conducted by examining bias values. Results: For the mediation model, it was observed that R2 , as a measure of explained variance, had the least bias across all scenarios considered in the simulation. While mediation ratio measures required a minimum sample size of 500, R2 as a measure of explained variance exhibited good performance even with smaller sample sizes, such as 100. Conclusion: In models involving mediator variables, it is recommended to use alternative effect size measures in research, in addition to a single measure, to comprehensively capture the strength of the relationship between variables.