Demographic and clinical features of child abuse and neglect cases: one year experience of The Hospital Based Child Protection Team of Ege University Turkey

Yıl 2012, , 119 - 124, 01.06.2012

Feyza Koç Sadık Aksit Arda Tomba Cahide Aydın Güldane Koturoğlu Aslı Aslan Saniye Korkmaz Çetin Oya Halıcıoğlu Yusuf Erşahin Tuncer Turhan Ahmet Çelik Ender Şenol Sinan Kara Ufuk Solak

https://doi.org/10.4274/tpa.640

Öz

Aim: Glazmann thrombasthenia is a rare autosomal recessive disease characterized by a defect in platelet aggregation Here we report the management of children with Glazmann thrombasthenia followed up at Cerrahpasa Medical Faculty Pediatric Hematology Department Material and Method: The files of nineteen patients 42 girls 58 boys; median age: 10 months were retrospectively reviewed Results: The median age of onset of bleeding symptoms was 9 months 2 weeks 24 months All patients presented with easy bruising and mucosal bleeding Fourteen patients rsquo; parents were consanguineous In 15 patients flow cytometry was performed According to this seven patients had type I six patients had type II and two patients had type III disease Nine patients were treated with thrombocyte transfusion tranexamic acid recombinant active factor VII and fibrin glue as a single or combined therapy; none of them had a major bleeding complication Conclusions: Bleeding control during invasive procedures may be challenging in children with Glazmann thrombasthenia; local treatments desmopressin steroid and antifibrinolytics may be used with success Turk Arch Ped 2012; 47: 104 6

Anahtar Kelimeler

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Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

Öz

Amaç: Çocuk istismarı olgularının tanınmasında ve yönetilmesinde en uygun yaklaşım çok merkezli bir ekip çalışması ile sağlanabilir Bu çalışmada çocuk istismarı tanısı alan olgularımızın demografik ve klinik özelliklerinin değerlendirilmesi amaçlandı Gereç ve Yöntem: Ağustos 2009 2010 yılları arasında Ege Üniversitesi Çocuk Koruma Birimi rsquo;ne yönlendirilip çocuk istismarı tanısı alan olguların demografik ve klinik özellikleri geriye dönük olarak değerlendirildi.

Bulgular: Bu çalışmada çocuk istismarı tanısı alan yaşları 1 17 yaş arasında değişen 46 rsquo;sı 51 7 kız 48 rsquo;i 48 3 erkek toplam 89 çocuk değerlendirildi Cinsel fiziksel duygusal istismar ve ihmal oranları sırasıyla 49 25 11 14 bulundu İstismarı gerçekleştiren kişi fiziksel istismar olgularının 67 rsquo;sinde baba iken cinsel istismar olgularının 59 rsquo;unda yabancı birisinin olduğu saptandı Fiziksel istismar kız ve erkek cinsiyette eşit sıklıkta iken cinsel istismar olgularının çoğunluğunu 56 8 kız çocukları oluşturmaktaydı.

Çıkarımlar: Ülkemizde çocuk istismarı ve ihmaline ilgi ve duyarlılığın artması ile birlikte tanı alan olgu sayısında artış olmuştur ve pek çok hastanede çocuk koruma birimleri ldquo;multidisipliner rdquo; olarak hizmet vermeye başlamıştır Bütün bunlar olumlu gelişmeler olsa da ülkemizde çocuk istismarı olgularının tanınması ve doğru yönlendirilmesi konusunda daha alınacak çok yol vardır.

Anahtar Kelimeler

Çocuk, istismar, multidisipliner

Kaynakça

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