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I Yaprak

Publications and source records attributed to I Yaprak.

4 recordsLinked to original sources

Sigtuna score versus Apgar score: simple and practical evaluation of the newborn.

In this prospective study, we investigated the relation between the Apgar and Sigtuna scores in 1605 newborns. In 169 of them, umbilical arterial blood specimens were analysed for blood gases. There were significant correlations between the Sigtuna and Apgar scores at 1, 5 and 10 minutes after birth (P less than 0.001). Umbilical arterial blood pH (pHua) values were shown to be correlated with both the Sigtuna and Apgar scores. The Sigtuna score was similar to the Apgar score in respect of sensitivity, specificity, positive predictive value and negative predictive value in relation to pH level. We conclude that because of the simplicity of the Sigtuna score, it may be used in place of the Apgar score to establish a rapid diagnosis of asphyxia.

Apgar Score

Management of suppuration in regional lymph nodes secondary to BCG vaccination.

We describe 50 patients with suppurative regional lymphadenitis following intradermal BCG vaccination. For non-drained suppurations we performed needle aspiration in twenty-three patients (aspiration group). Of the remaining 27 patients (drainage group) 16 had spontaneous drainage and 11 incisional drainage. In the drainage group, 17 patients were followed up conservatively. Ten patients from the drainage group and 3 patients from the aspiration group (drained after needle aspiration) accepted total surgical excision to terminate the drainage. Twenty of twenty-three patients in the aspiration group recovered after needle aspiration. Average period of cessation of drainage and healing of wound was 7.5 weeks in patients with drainage (spontaneous and incisional). Healing was complete after total surgical excision of draining suppurations in all of 11 patients. We concluded that simple needle aspiration was sufficient for the treatment of suppurating but non-drained BCG lymphadenitis. For suppurating lymph nodes that were surgically (not recommended) or spontaneously drained, a more invasive procedure, total surgical excision, was proposed to terminate the long and disturbing drainage period.

BCG Vaccine

A different approach to sleep problems of infancy: swaddling above the waist.

Daytime sleep and wake periods of ten swaddled infants were periodically recorded by their mothers. The babies were swaddled above the waist for the first four days of the second, third and fourth months of life. During the next four days of the same months, the same infants were monitored with no swaddling. Comparison of the two sleep situations (swaddled and unswaddled) demonstrated that the increase in the total daytime sleep was statistically significant when the baby was loosely swaddled above the waist.

Circadian Rhythm

Ectopic thoracic kidney.

A five-month-old female infant was hospitalized for bronchopneumonia. Ultrasonography and other studies demonstrated the presence of an ectopic thoracic kidney with normal anatomical structures.

Female