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Öğe Clinical Characterics, Laboratory Features, and Management of Odontogenic Facial Cellulitis(Aves Yayincilik, Ibrahim Kara, 2018) Kaman, Ayse; Teke, Turkan Aydin; Oz, Fatma Nur; Bayhan, Gulsum Iclal; Metin, Ozge; Aydin, Zeynep Gokce Gayretli; Durmus, Sevgi YasarObjective: Dental caries remain one of the most common chronic diseases in childhood, globally. The purpose of this study is to determine clinical characteristics and treatment modalities of pediatric patients with odontogenic facial cellulitis. Material and Methods: Medical records of children with odontogenic facial cellulitis hospitalized in pediatric infectious disease clinic were analyzed retrospectively between January 2013 and December 2017. Results: Ninety-eight patients (43 girls, 55 boys) with median age of 86 months (min-max: 19-207 months) were evaluated. Forty-five (45.9%) patients had no regular toothbrushing habits. Forty-eight (48.9%) patients had no any dental treatment procedure history. Eighteen (18.3%) patients had never recoursed to a dentist. Seventy-five patients (76.5%) were diagnosed with odontogenic facial cellulitis for the first time. Four patients (4%) were hospitalized with the same diagnosis previously. On admission, 37 (37.8%) patients had fever. On admission, the mean white blood cell (WBC) count, erythrocyte sedimentation rate, and C-reactive protein (CRP) were 11.981 +/- 4.433/mm(3), 29.1 +/- 17.6 mm/h and 35.2 +/- 39.4 mg/L, respectively. The mean duration of intravenous antibiotic treatment was 5.5 +/- 2.5 days, and total medical treatment was 12.5 +/- 2.9 days. Ampicillin-sulbactam was started to 82 (83.7%) of the patients. Clindamycin was added to 15 (15.3%) patients. Increased mean WBC count on admission was correlated with duration of hospital stay (p = 0.036), while increased CRP level was correlated with total medical treatment duration (p = 0.032). Patients who received clindamycin had longer duration of intravenous and total medical treatment (p < 0.001 and p < 0.001). Conclusion: If dental caries are not recognized and treated immediately, they may spread into surrounding connective tissue as cellulitis and may lead to hospitalization in young patients. Oral health is a mainstone of life-long well-being, so oral health problems should be considered as a major public health problem and preventive measures should be taken to improve oral health.Öğe Retinal Nerve Fiber Layer Thickness in Children With ADHD(Sage Publications Inc, 2018) Herguner, Arzu; Alpfidan, Ismail; Yar, Ahmet; Erdogan, Erkan; Metin, Ozge; Sakarya, Yasar; Herguner, SabriObjectives: The current study aims to compare retinal nerve fiber layer (RNFL) thickness, macular thickness, and macular volume between children with ADHD and a control group. Method: The study group included children with ADHD and the control group consisted of age- and gender-matched participants without any psychiatric disorder. In all participants, RNFL thickness, macular thickness, and macular volume were measured by using spectral domain-optical coherence tomography (SD-OCT). ADHD symptom severity was evaluated by using parent-report measures, including Conners' Parent Rating Scale-Revised: Short Form (CPRS-R: S) and the Strengths and Difficulties Questionnaire: Parent Form (SDQ: P). Results: We compared 90 eyes of 45 children with ADHD and 90 eyes of 45 controls. ADHD group had significantly lower RNFL thickness only in nasal quadrant than the controls. The remaining RNFL quadrants, macular thickness, and volume were not significantly different between groups. There was a reverse correlation between RNFL thickness and ADHD symptom severity. Conclusion: This is the first study examining the RNFL thickness in ADHD. Our findings showed that nasal RNFL thickness was lower, indicating reduced unmyelinated axons in the retina of children with ADHD. The results of this study support the evidence that ADHD involves a lag in cortical maturation and this is measurable in the retina.