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Öğe A very rare cause of apnea in the neonatal period: Joubert syndrome(Medecine Et Hygiene, 2016) Demirel, Gamze; Yılmaz, Aslan; Vatansever, Binay; Karavar, Hande Nur; Gündoğdu, Semra; Vatansever, Saniye; Turanlı, Güzide; Taştekin, Ayhan[Abstract Not Available]Öğe Is early cord clamping, delayed cord clamping or cord milking best?(Taylor and Francis Ltd., 2018) Vatansever, Binay; Demirel, Gamze; Çiler Eren, Elif; Erel, Özcan; Neşelioğlu, Salim; Karavar, Hande Nur; Gündoğdu, Semra; Ülfer, Gözde; Bahadır, Selcen; Taştekin, AyhanPurpose: To compare the antioxidant status of three cord clamping procedures (early clamping, delayed clamping and milking) by analyzing the thiol-disulfide balance. Patients and methods: This randomized controlled study enrolled 189 term infants who were divided into three groups according to the cord clamping procedure: early clamping, delayed clamping and milking. Blood samples were collected from the umbilical arteries immediately after clamping, and the thiol/disulfide homeostasis was analyzed. Results: The native and total thiol levels were significantly (p<.05) lower in the early cord clamping group compared with the other two groups. The disulfide/total thiol ratio was significantly (p=.026) lower in the delayed cord clamping and milking groups compared with the early clamping groups. Early cord clamping causes the production of more disulfide bonds and lower thiol levels, indicating that oxidation reactions are increased in the early cord clamping procedure compared with the delayed cord clamping and milking procedures. Conclusion: The oxidant capacity is greater with early cord clamping than with delayed clamping or cord milking. Delayed cord clamping or milking are beneficial in neonatal care, and we suggest that they be performed routinely in all deliveries.Öğe Staphylococcal scalded skin syndrome in a preterm infant(Jpms Publisher, 2017) Demirel, Gamze; Şahin, Şifa; Karavar, Hande Nur; Gündoğdu, Semra; Vatansever, Binay; Yüksel, Mavişe; Taştekin, AyhanA male infant was delivered by cesarean section at 26 weeks and 3 days gestational age and weighed 1020 grams. Apgar scores were 7 and 8 at 1st and 5th minutes, respectively. The baby was hospitalized for prematurity, and given one dose of surfactant therapy on the first day of life. Empirical ampicillin and gentamicin therapy was started on the first day of life and continued for ten days. He also received high-flow oxygen through nasal cannula. The patient had neither clinical nor culture-proven sepsis attacks. On the 25th day of his life, the patient developed diffuse blanching erythema which started around the nose followed by appearance of bullous lesions on the extremities, neck and upper back regions (Figure 1).











