Abstract Although the differential diagnosis of hemoptysis is extensive, consideration of a factitious cause is rarely contemplated. Factitious hemoptysis is uncommon in children. We report a dramatic case of factitious hemoptysis in a 12-year-old girl. The features of Munchausen's syndrome are also reviewed.

Abstract A case of Beckwith-Wiedemann Syndrome is presented here in a two-month-old female with macroglossia, macrosomia, visseromegalia, anomaly of ear, umbilical hernia, and characteristically hemihypertrophy. Radiological finding included increased cardiothrosic ratio. ECO was normal. The aim of this presentation is to emphasize the need of being kept in mind BWS which is rarely seen in patients with umbilical hernia hemihypertrophy and macroglossia

Secondly, the authors cited a population-based study by Dalgic et al. (2) that reported the prevalence of biopsy-proven CD in Turkey was 1:212, and that together with those previously diagnosed as CD and those with high anti-endomysium and/or tissue transglutaminase titers but without biopsy findings, the prevalence was estimated to be 1:58. As such, the authors then concluded that the high prevalence of CD in Turkey might possibly explain why the prevalence of CD in children with IDA in their study was the highest reported. But, in order to avoid bias and be more accurate, the former prevalence of 1:212 should be taken into account, because the latter prevalence of 1:58 includes cases without confirmatory biopsy and those diagnosed as CD based on questionnaires only.

p e A 16-year-old boy, diagnosed as having blue rubber bleb nevus syndrome (BRBNS) when he was 1 year old, was admitted to the emergency department with fatigue, paleness, and dark-colored stools, which started approximately 1 week ago. He had mild tachycardia (110 beats/min) with normal blood pressure for age (110/70 mmHg) and extensive blue rubber nevi throughout his skin on physical examination. Blood work showed anemia (Hb 9.8 g/dL), with normal coagulation parameters (international normalization ratio 0.96). Upper gastrointestinal endoscopy was performed. Starting at the level of vocal cords, blue rubber bleb nevi were identified in FIGURE 1. Blue rubber bleb nevi identified by endoscopy.

OBJECTIVE Newborn infants, particularly preterm infants, are at greater risk of oxidative stress because of an imbalance between high oxidant loads and immature antioxidant defenses. In several studies, the activities of serum paraoxonase (PON) and arylesterase (ARE) have been found to decline in patients under increased oxidative stress. We investigated the relationships between PON-1 and ARE with fasting and postprandial in premature newborns in this study. PATIENTS AND METHODS Serum paraoxonase-1 and arylesterase levels were investigated in premature infants less than 37 weeks, after birth while they were fasting and postprandial. RESULTS The paraoxonase-1 and arylesterase values of infants in fasting were significantly lower than the values in postprandial (for paraoxonase-1, p = 0.034, 0.002, and 0.002, respectively; for arylesterase, p < 0.001, 0.002, and p < 0.001, respectively). CONCLUSIONS In premature infants, paraoxonase-1 and arylesterase values are increased in postprandial and reduced in fasting, showing that these neonates are subjected to oxidative stress. Thus, starting feeding as soon as possible in premature newborns is vital to protect them from oxidative damage.

Budd-Chiari sendromu (BCS), hepatik venöz çıkışın tıkanıklığıyla karakterize konjestif bir hepatopatidir. Nadir görülmesine rağmen hematolojik veya malign hastalıklar gibi birçok hastalık ile komplike olabileceğinden BCS'ye neden olabilecek altta yatan hastalıkların araştırılması önemlidir. Dört yıldan fazla süredir BCS tanısı ile izlenen, düzensiz takiplere gelen 14 yaşındaki erkek olguda, tekrarlayan hemolitik anemi kliniği yanı sıra hipertansiyon ve yüzünde kızarma atakları saptandı. Yapılan ileri incelemede karaciğere metastaz yapmış feokromasitoma saptandı. Trombozu olan bir hastada hemolitik anemi varlığı paroksismal noktürnal hemoglobinüri (PNH)'yi hatırlatmalı ve BCS'ye neden olabileceği düşünülmelidir. Olgumuz literatürde nadir görülen bir olgu olması sebebiyle sunulmuştur.

Pigmentary mosaicism is a term used to encompass all of these different types of pigmentary patterns. Among these mosaic patterns, there have been only a few reports of the phylloid presentation in the literature. On the other hand, autoimmune disorders can be associated with neurocutaneous markers and syndromes. A fifteen-year-old girl was presented for chronic diarrhea and abdominal pain. Her physical examination had determined multiple hypopigmented patches. Finally, she was diagnosed phylloid hypomelanosis together with partial trisomy 13 accompanying celiac disease and autoimmune thyroiditis.

OBJECTIVE:To investigate relationship between anthropometric values of premature babies with their's glucose, insulin, leptin, and ghrelin at birth and on day 15. METHODS:We analyzed fasting and postprandial glucose, insulin, leptin, and ghrelin levels at birth and on day 15 in babies born prematurely between 24 and 37 weeks, and who did not have serious problems aside from prematurity at birth. RESULTS:Fasting glucose, insulin, leptin and ghrelin values of babies at birth and on day 15 were significantly lower than postprandial values (all p values p < 0.001). There were positive correlations between the mean insulin, leptin, and ghrelin levels with the gestational age, birth weight, body mass index, head circumference of babies at birth, and anthropometric values on day 15 (all r values > 0.400, all p values < 0.05). Fasting glucose, leptin, and ghrelin values of mothers birth were significantly lower than post-prandial values (all p values p < 0.05). CONCLUSIONS:The positive correlations between the insulin, leptin, and ghrelin values of babies at birth with gestational age and anthropometric values suggest that both hormones play important roles in fetal and neonatal growth and development.

Information literate person are aware of where and how they can obtain the information they need. Little is known about student nurses information literacy skills in different education programs.To find out how final year nursing students rated their own abilities to acquire new information.This study used comparative and descriptive cross-sectional surveys. Participants were final year students in two different programs, in two different universities in Turkey.The study sample consisted of final year nursing students who received training in Classic Learning (N: 61) and Problem-Based Learning (N: 96). As an evaluation instrument for the perceptions of the students their own information literacy, a scale consisting of 28 questions with 7 Likert ratings for each was used (min: 28, max: 196).The return rates of the surveys were 96.7% in the school with classic training and 81.2% in the school with PBL. It was found that the average scores of the students were high, with a mean of 137 ± 29 in the school where the classic training program was carried out, and 163 ± 21 in the school where the training was PBL. A statistically significant difference was found by comparing the average scores of the two independent groups (t : − 6.0; p < 0.05).Students in both of the training programs rated themselves as high. However, PBL training had a stronger influence on the development of their self-perceptions regarding information literacy. We conclude that training programs should be reviewed, and new methods should be developed based on these concepts.

OBJECTIVE Coeliac disease is a chronic disease and is common all over the world. It has many other associated systemic side effects. This study investigated the effect of paternal and maternal silent coeliac disease on birthweight and gestational age in newborns. METHODS The study group consisted of 81 newborns who were hospitalized for prematurity or term-intrauterine growth retardation. The parents of premature and/or small for gestational age babies born with coeliac disease-specific antigens were investigated. RESULTS The differences were not statistically significant in fathers' tissue transglutaminase levels between premature appropriate gestational age, premature small gestational age and term small gestational age infants (p > 0.05), but statistically significant in mothers (p < 0.05). CONCLUSIONS Silent coeliac disease may occur in parents, especially in mothers of preterm and small for gestational age infants, even in the absence of apparent clinical indications.

Holoprozensefali, serebral hemisferlerin iki loba tam olarak ayrilamamasi sonucu olusan, ileri derecede fasiyal anomalilerle karakterize gelisimsel bir defekttir. Hastalik, siddetine gore alobar, semilobar ve lobar tip olmak uzere uc gruba ayrilir. Siklopi ve premaksillanin agenezisi en siddetli olgularda rastlanan fasiyal bulgular iken, mikrosefali ve hipoteleorizm hafif siddetli olgularda rastlanir. Tek basina izole olabildigi gibi sendromlara da eslik edebilen holoprozensefalinin prognozu, beyin ve fasiyal deformitelerin siddetine ve ilgili anomalilerin varligina baglidir. Maternal diabet, toksoplazmosis, hamilelikte gecirilen viral enfeksiyonlar ve kullanilan cesitli ilaclarin (fenitoin, salisilat iceren) risk faktorleri olabilecegi bildirilmistir. Hastanin yarik damak ve yarik dudagi vardi. Bu nedenle beslenme problemleri ve aspirasyona bagli sik tekrarlayan pnomoni oykusu vardi. Bu calismada, alobar holoprozensefali tanisi ile izlenen 4 aylik bir kiz cocugu sunuldu