Y. Kenan HASPOLAT, Müsemma KARABEL, Duran KARABEL, Selvi KELEKCİ, Tuba TUNCEL, Velat ŞEN, Ünal ULUCA, İlhan TAN

The Assessment of Children’s Socio-Demographic Features at the Adolescent Outpatient Clinic

Objective: In this study, we investigated socio-demographiccharacteristics of adolescents living in our region.Methods: Were analyzed, retrospectively, patients admittedDicle University Faculty of Medicine’ adolescent outpatientclinic. Demographic data, body mass index (BMI), medical history and family background, school status, academic achievement, habits, trauma and psychosocial status were recorded.Results: Of the 244 adolescents, 124/%) were females. The average age of cases was 12.99 ± 1.89 years (10-18 years). 48.3% of adolescents were low BMI. The smoking rate of 32.4% (n=79) and was higher in men. In smokers, school performance was lower (p = 0.002), and the rate of suicidal idea was higher (p < 0.001). In those with family history of suicide, the rate of suicidal thoughts or attempted suicide was higher (p = 0.005, p = 0.022, respectively). Similarly, in cases exposed to physical violence,the rates of attempted suicide or suicidal thoughts were higher (p=0.011, p=0.001, respectively). In addition, in cases exposed to psychological violence the rates of attempted suicide or suicidal thoughts were higher (p<0.001, p<0.001, respectively).Conclusion: Adolescents, for they can complete this period in a healthy way, health-care services, education units, especially their parents, should be made aware of the adolescence period-specific problems. Additionally, special centers customized adolescents, should be created and supported by state and private institutions.Key words: Adolescent, sociodemographic features, cigarette, malnutrition.

Anahtar Kelimeler:

Ergen, sosyodemografik özellikler, sigara, malnütrisyon

Determining a Safe Time for Oral Intake Following Pediatric Sedation

Objective: While there are suggestions for oral hydration times after general anesthesia, there is no published study with regard to sedation. The aim of this prospective study was to determine a safe time for oral intake after pediatric sedation and its association with nausea and vomiting after discharge.Methods: A total of 180 children (aged 1 month to 13 years) sedated for magnetic resonance imaging were randomly assigned into three groups. All patients fasted for 6 hours and were allowed to take clear fluids until 2 hours before sedation with thiopental (3 mg/kg). After the patients were transported to the recovery room, we allowed the patients to drink as much clear fluids as they wanted prior to discharge in group I, 1 hour after the patients met the discharge criteria for group II, and 2 hours after the patients met the discharge criteria for group III. All patients were assessed for vomiting in the recovery room until 1 hour after their first oral hydration. The parents were then telephoned the next day and questioned regarding nausea/vomiting and any unanticipated hospital admission.Results: There were no statistically significant intergroup differences with respect to age, sex, weight, or the ASA status. There was no nausea and vomiting in either the recovery or post discharge period in any group. In the telephone questionnaire, no hospital admissions were reported.Conclusion: Oral hydration just before discharge is safe, and fasting children after discharge for a period of time is unnecessary for patients sedated with thiopental.Key words: Sedation, oral intake, postoperative nausea and vomiting

Keywords:

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Altıparmak S, Taner Ş, Türk Soyer M, Eser E. İzmir/Bornova
ilköğretim ikinci kademe devlet okullarındaki ergenlerde yaşam
kalitesi. Anadolu Psikiyatr Derg 2012;13:167-173.
Alikaşifoğlu M. Approach to adolescent. Turk Arch Pediatrics
;40:191-198.
Aksoydan E, Çakır N. Adölesanların beslenme alışkanlıkları,
fiziksel aktivite düzeyleri ve vücut kitle indekslerinin değerlendirilmesi. Gulhane Med J. 2011;53:264-270.
Ercan O, Alikaşifoğlu M, Erginöz E, ve ark. İstanbul lise gençlerinde riskli davranışların sıklığı ve cinsiyete göre dağılımı
-Cerrahpaşa Gençlik Sağlığı Araştırması- 2000. Türk Pediatri
Arşivi 2001;36:199-211.
Özcan S, Kurdak H, Akpınar E, et al. Adolesanlarda Cinsel
Sağlık ve Sorunlar. http://www.ailehekimligi.com.tr/userfiles/
Adolesanda cinsel saglik ve sorunlar.doc/6. Aruoba O. Benlik. İstanbul: Metis Yayınları, 2005;12-50.
Özenoğlu A, Kumcağız H, Tokay A, et al. Relationships of
body image and eating attitudes with sociodemographic, psychologic and nutritional factors in university students attending
first classes. Turk Klinikleri J Med Sci 2013;33:972-980.
Kayhan EŞ, Şahin TK. Konya’da iki yetiştirme yurdunda barınan adölesanların beslenme durumları. Beslenme ve Diyet
Dergisi 2000;29:25-33.
Şanlıer N, Güler A. İlköğretimin ikinci kademesinde eğitim
gören öğrencilere verilen beslenme eğitiminin öğrencilerin
beslenme bilgi düzeyi ve alışkanlıklarına etkisi. Beslenme ve
Diyet Dergisi 2005;32:31-38.
Karadağ Çaman Ö, Özcebe H. Ankara’da yetiştirme yurtlarında yaşayan ergenler: Ruhsal belirtileri, fiziksel etkinlik düzeyi ve ilişkili etkenler. Türk Psikiyatri Derg 2011;22:93-103.
Havlioğlu S, Koruk İ. Göçebe mevsimlik tarım işçisi ergenlerde yaşam kalitesi düzeyi ve sorun davranışları. Türkiye Halk Sağlığı Dergisi 2013;11:11-22.
Kelleci M, Gölbaşı Z, İnal S, Kavakcı Ö. Sigara içen ve içmeyen üniversite öğrencilerinin stresle başa çıkma tarzları:
Cinsiyetin etkisi. Cumhuriyet Tıp Derg 2012;34:9-16.
Mc Ardle P, Wiegersma A, Gilvarry E, et al. European dolescent substance use: the roles of family structure, function and gender. Addiction 1997;97:329-336.
Arslan HN, Terzi Ö, Dabak Ş, Pekşen Y. Substance, cigarette
and alcohol use among high school students in the provincial
center of Samsun, Turkey. Erciyes Med 2012;34:79-84.
Thirlaway K, Benton D. Participation in physical activity and
cardiovascular fitness have different effects on mental health
and mood. J Psychosom Res 1992;36:657-665.
Lampe A. The prevalence of childhood sexual abuse, physical
abuse and emotional neglect in Europe. Z Psychosom Med
Psychother 2002;48:370-380.
Zoroğlu SS, Tüzün Şar V, Kora M, et al. Probable results
of childhood abuse and neglect. Anadolu Psikiyatr Derg 2001;2:69-78.
Taner H.A, Çetin F.H, Işık Y, İşeri E. Cinsel istismara uğrayan
çocuk ve ergenlerde psikopatoloji ve ilişkili risk etkenleri.
Anadolu Psikiyatr Derg 2015;16:294-300.
Gould MS, Greenberg T, Velting DM, Shaffer D. Youth suicide
risk and preventive interventions: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 2003;42:386-405.
Yalaki Z, Çakır İ, Taşar A, et al. Anne ve ergenlerdeki depresif belirtilerin ergen intiharları ile ilişkisi. Dicle Med J
;39:350-358.
Duman M, Özdemir D, Demir K, et al. Çocuk acil servisine
intihar girişimi ile başvuran olguların özellikleri. Dokuz Eylül
Üniversitesi Tıp Fakültesi Dergisi 2004;18:236-240.