Derya Gumus Dogan

Human milk banking and milk kinship: Perspectives of mothers in a Muslim country

AIM The present study aims to determine the knowledge, attitudes and views of mothers regarding infant feeding, breast milk, wet-nursing, milk kinship and human milk banks. METHODS This descriptive cross-sectional study was composed of 1042 mothers who delivered at two different hospitals in Turkey. RESULTS Almost half of the participating mothers, 49.9%, agreed with the establishment of alternative HMBs in Turkey. Only 7.7% of the mothers in this study expressed views in favour of the establishment of Western-style HMBs. Approximately half of the mothers (42.4%) indicated that they were against the establishment of any kind of HMBs in Turkey. Only 9.2% of the mothers in this study stated that they would volunteer to donate their breast milk to the Western-style HMBs, and only 6.9% of the mothers approved obtaining milk from this type of HMB. Finally, 44.2% of the mothers stated that they would donate their breast milk to the alternative HMBs, and 31.9% of the mothers approved obtaining milk from this type of HMB. CONCLUSION This is the first study conducted among mothers in a Muslim community about issues such as infant feeding, breast milk, wet-nursing, milk kinship and HMBs. The majority of the mothers in this study are against the establishment of Western-style HMBs, whereas they have a more positive response to an alternative HMB when their religious concerns are relieved.

Sleep patterns of young children with newly diagnosed atopic dermatitis

Introduction Even though atopic dermatitis (AD) most often begins in the first year of life, it is not well known whether sleep disturbances occur following the onset of the disease or whether they develop later. Aim To determine the sleep patterns of young children already diagnosed with AD in comparison to a control group by using a validated questionnaire, the Brief Infant Sleep Questionnaire (BISQ). Material and methods Forty-six children with a new diagnosis of AD and 60 healthy children, aged 3–36 months, participated in the study. Their sleep behaviors were assessed using the BISQ along with a structured sociodemographic data form. Results It was found that when compared with healthy children, children with AD did not have decreased daily total sleep duration (p = 0.1); however, it was found that they woke up more frequently at night (52.2% vs. 40%, p = 0.4) and they stayed awake significantly longer than 60 min when they woke up (41.3% vs. 11.7%, p < 0.05). In addition, mothers of children with AD reported that their children had three times as many sleep problems compared to the reports of mothers of healthy children. Conclusions The findings of this study showed that sleep disturbance was more common in young children with already diagnosed AD, and the BISQ provided a practical way to assess the sleep patterns. The use of a screening tool to enable early identification and treatment of childhood sleep problems among patients with AD should be encouraged.

A Newborn with Massive Congenital Astroblastoma

1Department of Pathology, Inonu University School of Medicine, Malatya, Turkey; 2Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas; 3Department of Radiology, Inonu University School of Medicine, Malatya, Turkey; 4Department of Pediatrics, Inonu University School of Medicine, Malatya, Turkey; 5Division of Neonatology, Department of Pediatrics, Inonu University School of Medicine, Malatya, Turkey

An unusual cause of rectal bleeding: intestinal myiasis.

530 a common problem in The most common R ectal bleeding is pediatric gastroenterology practice. causes in school-age children include anal fissure, infectious colitis, polyps, HenochSchönlein purpura, and inflammatory bowel diseases (1). Except for these conditions, some elusive etiologies may also lead to rectal bleeding. In this case report, we present an 8-year-old girl with rectal bleeding due to intestinal myiasis, which persisted despite treatment with purgatives, albendazole, and levamizole.

Comparison of brain apparent diffusion coefficient value in naturally and assisted conceived newborns.

Background: Our aim was to assess the value of brain apparent diffusion coefficient (ADC) in Intra Cytoplasmic Sperm Injection (ICSI) and spontaneously conceived preterm singletons. Methods: Twenty ICSI-conceived preterm singletons and 20 gestational age matched spontaneously conceived preterm singletons were studied. All subjects underwent diffusion-weighted imaging (DWI). The main outcome measure was the brain ADC value in the in ICSI-conceived and naturally conceived newborns. Results: Children born after ICSI had an increased ADC value than the controls. The ADC values of ICSI-conceived singletons were higher than those of spontaneously conceived singletons at cerebellum, corpus striatum, frontal lobe, occipital lobe, and temporal lobe white matter. The mean Apgar score, birth weight, height, and head circumference of ICSI children were found to be similar to naturally conceived children. Conclusions: Measuring ADC value may be a promising marker in identifying neurological outcome of ICSI-conceived newborns.

Fludrocortisone therapy in a newborn with cerebral salt wasting due to hypernatremia and severe hyperbilirubinemia

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In reference to Improved outcomes after low-concentration hypochlorous acid nasal irrigation in pediatric chronic sinusitis.

We read the article by Cho et al. entitled “Improved Outcomes After Low-Concentration Hypochlorous Acid Nasal Irrigation in Pediatric Chronic Sinusitis” with great interest. The authors have studied the effectiveness of low-concentration hypochlorous acid (HOCl) nasal irrigation compared to isotonic normal saline for pediatric chronic rhinosinusitis. In their randomized, prospective study, 13 patients in the HOCl group received nasal irrigation two times daily with 30 mL of low-concentration HOCl that was produced by electrolysis of isotonic 0.9% NaCl/H2O (normal saline) using a Salicid device (Dolki Korea, Wonju, South Korea). Thirteen patients in the placebo group also received normal saline with sham Salicid equipment as an irrigant. The authors concluded that nasal irrigation with HOCl is an effective adjuvant treatment compared to isotonic normal saline for pediatric sinusitis. However, a major drawback of this study is their study methods. Nasal irrigation with normal saline should not have been used as a placebo in this study. It is well known that nasal washing with saline solution facilitates nasal drainage and cleans the airway of any postnasal discharge (including allergens). Furthermore, it can be effective when applied appropriately (5 dropperfuls in each nostril at least 4 times a day). Saline solution irrigation has been found to reduce inflammatory mediators (histamine, prostaglandin D2, and leukotriene C4) and allergens in nasal secretions. Because of these findings, nasal saline washing with the correct technique is very effective for treating inflammatory conditions of the upper respiratory tract, such as the common cold, acute and chronic sinusitis, and especially chronic rhinitis. As a result, nasal saline administration can be used as a drug, and thus it cannot be used as a placebo in this type of study.

Letter to the Editor: Regarding “Neurologic Complications Caused by Epstein-Barr Virus in Pediatric Patients”

We read with great interest the original article titled ‘‘Neurologic Complications Caused by Epstein-Barr Virus in Pediatric Patients’’ authored by Katarzyna Mazur-Melewska and published in the April 2016 issue of Journal of Child Neurology. In this retrospective article, 194 children infected with EpsteinBarr virus were analyzed. Patients with severe neurologic complications who underwent neurologic examination, magnetic resonance imaging (MRI), and electroencephalography (EEG) were described. Herein, we demanded some corrections in this article as your readers may be misled by technical problems. We have noticed that there are common mistakes in figure legends of Figures 2, 3, and 4 as well. The definitions of lesions in both MRI and computed tomography (CT) images have been described as hyperechoic or increased echogenicity, which is absolutely wrong. Lesions are basically described as intensity in MRI, as density in CT, and as echogenicity in ultrasonography. According to this knowledge, figure legends should be corrected as follows. Figure 2: Hyperintense (instead of hyperechoic) focal lesion located in the dorsolateral part of the thalamus in T2-related (A) and fluid-attenuated inversion recovery (B) magnetic resonance image. Figure 3: (A) Computed tomography shows (brain window) increased density (instead of echogenicity) of cerebellar white matter. (B, C, D) T2-related and fluid-attenuated inversion recovery magnetic resonance image showed hyperechoic lesions in both cerebellar hemispheres. Figure 4: (A, C) T2-related magnetic resonance image shows the thickened thoracic spinal cord with focal lesions. (B, D) T1-related, postcontrast MRI shows hyperintense (instead of hyperechoic) filum terminale. Additionally in Figure 3, the images B, C, and D are described as T2 and fluid-attenuated inversion recovery sequences but Figure 3B is clearly a T1-weighted image. We believe that correction of these mistakes will increase this original article’s value. Metin Dogan, MD Department of Radiology, Inonu University School of Medicine, Malatya, Turkey

Foramen magnum meningioma: The midline suboccipital subtonsillar approach

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Letter to the Editor: regarding "Lipomatous ependymoma: report of a rare differentiation pattern with a comprehensive review of literature".

We read with great interest the case report titled ‘‘Lipomatous ependymoma: report of a rare differentiation pattern with a comprehensive review of literature’’ authored by Kavita Gaur published in the February 2016 issue of Brain Tumor Pathol [1]. In this case report, a ‘‘13-year-old girl presenting with left-sided hemiparesis altered sensorium and episodic headache with bouts of projectile vomiting’’ was described. The authors have expressed that a large heterogeneous intraventricular mass lesion displaying focal calcification and hyperintensity on T1and T2weighted fluid attenuated inversion recovery (FLAIR) magnetic resonance images suggested the presence of intratumoral fat. Herein, we demand a correction, in case your readers may be misled by a technical problem. The image which is presented in Fig. 1a as a T1-weighted image is a FLAIR magnetic resonance image, because vasogenic edema surrounding the mass effect in the parenchyma of the right lateral ventricle is hyperintense in Fig. 1a. In T1-weighted images, vasogenic edema is hypointense. Evaluating brain parenchyma and ventricular images together also shows that this is a FLAIR-weighted sequence instead of a T1-weighted sequence. We thought that this mistake is a wrong message given to the readers of your journal, most of whom are not radiologists.