Özet Distal renal tübüler asidozlu hastalarda nefrokalsinoz sık bir bulgu olmasına rağmen bu hastalar genellikle normokalsemiktir Çocukluk çağında hiperkalseminin bir nedeni olarak distal renal tübüler asidoz nadir bir durumdur Bu yazımızda hiperkalsemi ve distal renal tübüler asidozlu dört aylık bir süt çocuğu tanımlandı ve literatür bilgileri eşliğinde patojenezi gözden geçirildi Süt çocuklarında hiperkalseminin nedenine yönelik değerlendirmede distal renal tübüler asidozun da göz önünde bulundurulması gerektiğini düşünmekteyiz Türk Ped Arş 2010; 45: 380 3 Anahtar sözcükler: Distal renal tubuler asidoz hiperkalsemi nefrokalsinoz süt çocuğu

Malpractice has gained an alarming dimension especially along with the introduction of compulsory professional liability insurance On the other hand it is quite difficult to say that malpractice is discussed by considering all responsible determinants According to individual focused approach the error is caused by single individual so the solution can be achieved by punishing the individual It is known that this approach does not reduce errors and adversely affect services due to high compensations and increased insurance premiums In Turkey malpractice is simply considered in the customer seller relationship context and individual focused approach is adopted However it is well established that this ldquo;blame culture rdquo; has negative effects on service provided social perception of the profession and job satisfaction Beside recognizing individual professional responsibilities basically it should be stressed that declaring healthcare workers as mainly responsible would not be fair In addition it violates right to health because of increasing the preventable errors and harms Turk Arch Ped 2011; 46: 6 11