INTRODUCTION: The most vulnerable victims of natural disasters are children. Health professionals have made great efforts to improve the health and psychosocial conditions of children from this region after the great earthquake disaster we experienced. This study aimed to evaluate the earthquake victims who were referred to Ege University Faculty of Medicine, Department of Pediatrics, in terms of health services and share the results.


METHODS: Children who were transferred to Ege University Faculty of Medicine, Department of Pediatrics after the earthquake were included in this study. It was recorded from which province these children came from, age, gender, whether they were crushed or not, their physical health status, the duration of stay in the hospital, vaccination status, and whether there was a loss of parents.
RESULTS: Three earthquake victims were referred three from Hatay, one from Malatya, and one from Iskenderun. Of the children between 16 months and 16 years, 4 were boys, and 1 was a girl. In two of our patients, both lower extremities were amputated due to being under the rubble. The tetanus vaccine was administered to all children. It was learned that 4 of our five patients hospitalized lost their parents or siblings. The mean duration of stay in hospital of the patients was determined as 10.2 days.
DISCUSSION AND CONCLUSION: It is crucial to determine earthquake survivors' needs during treatment, work as multidisciplinary teams, and make a follow-up plan after discharge.

INTRODUCTION: Unforeseeable disasters such as earthquakes can lead to significant catastrophes. Early and effective treatment methods are life-saving in reducing post-earthquake mortality and morbidity. The aim of this study was to evaluate the treatment and outcomes of patients with crush injuries in the Izmir earthquake.
METHODS: 8 patients, 2 were male, and 6 were female were admitted to the intensive care unit. The medical records of 8 crush injury patients were retrospectively reviewed.
RESULTS: Eight children rescued from the rubble were admitted to the pediatric intensive care unit, and one of them died. The median age of the patients was 148,5 (range, 35 to 210) months and the median PRISM score was 4 (Interquartile range [IQR] 0-31). The median duration of being trapped under the rubble was 23 (range, 4 to 92 ) hours
DISCUSSION AND CONCLUSION: Crush syndrome is a life treatening event. The authors believe that early transportation and immediate intensive care therapy would have improved the survival rate.

INTRODUCTION: Background: Natural disasters related injuries result in deaths and disabilities like as a great earthquake for victims. The object of this case series study is to detect the demographic characteristics, injuries, and clinical outcomes of victims admitted to the General Pediatrics Unit within the first weeks after an earthquake.
METHODS: This is a retrospective case series study carried out on Kahramanmaras earthquake victims into a tertiary medical faculty in İzmir from February 13 through March 29, 2023.
RESULTS: Of the followed up 9 earthquake victims, the mean age was 3.8 years. Of all victims were transferred from other earthquake affected provinces to Izmir. In all, 9 of the victims were admitted to the emergency services of the disasters area hospital and 5 (55.5%) of 9 victims were rescued from under rubble. For all age groups that extracted from under the rubble, the extremities were most injured (44.5%). All survivors trapped under the rubble were needed fluid therapy, renal support treatment (hemodialysis), and 2 victims required amputation.
DISCUSSION AND CONCLUSION: The description of the demographic characteristics and clinical outcomes of earthquake victims is important to consider noteworthily the medical amelioration and rehabilitation services for future disasters.

INTRODUCTION: This study aimed to reveal the characteristics of patients who were rehabilitated in a pediatric rehabilitation clinic after an earthquake disaster.

METHODS: The records of the earthquake victims who were affected by the earthquakes in Kahramanmaraş on February 6, 2023 and hospitalized in our Pediatric Rehabilitation Clinic between February 6 - June 6, 2023 were retrospectively reviewed. Patients' demographic data such as age, gender, the city they live in, duration of stay in the wreckage, Crush Syndrome and dialysis needs, fasciotomy and hyperbaric oxygen therapy (HBOT) history, amputation status and levels, accompanying fracture, peripheral nerve damage, brain injury and the presence of spinal cord injury were noted.
RESULTS: Of the 60 inpatients rehabilitated in our clinic, 31 (51.7％) were girls and 29 (48.3％) were boys. The mean age of the patients was 10 (±0.76) years. 22 (36.7％) of the patients had experienced earthquakes in Hatay, 21 (35％) in Adıyaman, 13 (21.6％) in Kahramanmaraş and 4 (6.7％) in Gaziantep. The length of stay in the wreckage of 50 patients was recorded, with a median of 12 (1-96) hours. Crush Syndrome developed in 25 (41.6％) of the patients, and 14 (23.3％) of them needed dialysis. HBOT was applied to 10 (16.6％) children. Peripheral nerve damage was detected in 42 (70％) children by electroneurophysiological or physical examination methods. The most damaged nerve was sciatic (16％). 34 (56.6％) patients underwent fasciotomy. There were fractures in a total of 13 (21.6％) children. 7 (11.6%) patients had amputations in various parts of the extremities. Five (8.3％) of the patients had varying degrees of traumatic brain injury. Spinal cord damage was not detected in any of our patients.
DISCUSSION AND CONCLUSION: In the pediatric population, musculoskeletal injuries caused by earthquakes and their complications are very important in the development and realization of disaster rehabilitation strategies.

INTRODUCTION: Aim: To determine the risk factors associated with chronic childhood immune thrombocytopenia (ITP).
METHODS: Material and methods: We retrospectively analyzed the medical records of 123 children with ITP who were admitted to our Pediatric Hematology Department between May 2006 and May 2019. We evaluated their demographic, clinical, and laboratory characteristics, and assessed the risk factors associated with chronic ITP in childhood.
RESULTS: Results: Of the 123 children with ITP, 60.2% were male, with an average age of 6.4 ± 4.0 years. At follow-up, 93 (75.6%) patients were diagnosed as acute ITP, whereas 30 (24.4%) progressed to chronic ITP with a platelet count of lower than 100 × 109/L at the end of the 12-month follow-up period. Older age at admission (OR: 1.4, 95% CI: 1.2-1.6, p<0.001), female gender (OR: 4.1, 95% CI: 1.5-10.3, p=0.003), and insidious onset of the symptoms (OR: 5.0, 95% CI: 1.1-22.6, p=0.03) were determined to be risk factors for chronic ITP.
DISCUSSION AND CONCLUSION: Conclusion: Our study indicates that older age, female gender and insidious onset of the disease at admission may predict the chronic ITP in childhood.

INTRODUCTION: The aim of this study was to compare the inpatient and outpatient cases diagnosed with Autism Spectrum Disorder (ASD) and to show which factors were more associated with hospitalization in children and adolescents.
METHODS: We included 85 outpatient and 34 inpatient children and adolescents with ASD. Psychiatric diagnoses were assessed with the K-SADS-PL. Factors relevant with hospitalization of ASD cases were evaluated with logistic regression model.
RESULTS: CARS scores (p=0.002), comorbid psychopathology (p=0.04), multiple psychotropic medication (p=0.001), and psychopathology of the parents (p<0.001) and sibling (p=0.029) were higher, and education level of mothers (p=0.017) were lower in Inpatient-ASD group. The logistic regression model showed that psychopathology of the mother (OR=10.293, p<0.001) was associated with psychiatric hospitalization.
DISCUSSION AND CONCLUSION: It is very important to have providing psychiatric and psychosocial support to especially mothers during inpatient treatment process besides outpatient family support.

Neonatal purpura fulminans due to severe congenital protein C deficiency is a rare autosomal recessive disorder which can be fatal if untreated. Here, we discuss a case report of a 10-month-old male child, born via 3rd degree consanguineous marriage, with history of tractional retinal detachment and persistent fetal vasculature (PFV) now presented with neonatal purpura fulminans and DIC who was managed with fresh frozen plasma (FFP) and Low molecular weight Heparin (LMWH). Genetic evaluation identified a novel PROC mutation c.125G>A(p.Arg42His). This report also emphasizes the significance of molecular analysis in genetic counselling and prenatal diagnosis.