Person: GÜNAL, ÖZGE
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GÜNAL
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ÖZGE
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Publication Metadata only How safe are children with COVID-19 from cardiac risks? Pediatric risk assesment; insights from echocardiography and electrocardiography(TUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY, 2021) ŞAYLAN ÇEVİK, BERNA; Cevik, Berna Saylan; Arici, Sule; Ergenc, Zeynep; Kepenekli, Eda; Gunal, Ozge; Yakut, NurhayatBackground/aim: Approximately 40 million individuals worldwide have been infected with SARS-CoV-2, the virus responsible for the novel coronavirus disease-2019 (COVID-19). Despite the current literature about the cardiac effects of COVID-19 in children, more information is required. We aimed to determine both cardiovascular and arrhythmia assessment via electrocardiographic and echocardiographic parameters. Materials and methods: We evaluated seventy children who were hospitalized with COVID-19 infections and seventy children as normal control group through laboratory findings, electrocardiography (ECG), and transthoracic echocardiography (TTE). Results: We observed significantly increased levels of Tp-Te, Tp-Te/QT, and Tp-Te/QTc compared with the control group. Twenty-five of 70 (35.7%) patients had fragmented QRS (fQRS) without increased troponin levels. On the other hand, none of the patients had pathologic corrected QT(QTc) prolongation during the illness or its treatment. On TTE, 20 patients had mild mitral insufficiency, among whom only five had systolic dysfunction (ejection fraction < 55%). There was no significant difference between the patient and control groups, except for isovolumic relaxation time (IVRT) in terms of mean systolic and diastolic function parameters. IVRT of COVID patients was significantly lower than that of control group. Conclusion: Despite all the adult studies, the effects of COVID (R) 19 on myocardial function are not well established in children. The thought that children are less affected by the illness may be a misconception.Publication Metadata only Besi̇n alerji̇si̇ olan çocuklarda yaşam kali̇tesi̇ ve tedavi̇ memnuni̇yeti̇ni̇n değerlendi̇ri̇lmesi̇(2022-05-26) GÜNAL, ÖZGE; ÜTÜK, BURAK; BARIŞ, SAFA; ÖZEN, AHMET OĞUZHAN; AYDINER, ELİF; GÜNAL Ö., SEFER A. P. , ÜTÜK B., BİLGİÇ ELTAN S., YORĞUN ALTUNBAŞ M., BARIŞ S., ÖZEN A. O. , AYDINER E.Publication Open Access Universal depressive symptom screening in middle schools in Istanbul: An epidemiologic study(2025-01-01) BARIŞ, HATİCE EZGİ; GÜNAL, ÖZGE; ÜTÜK, BURAK; ARMAN, AYŞE; BORAN, PERRAN; KARAVUŞ, MELDA; Yıldız Silahlı N., Barış H. E., Qutranjı L., Yorgancı Kale B., Günal Ö., Ütük B., Karavuş M., Arman A., Boran P.Introduction: Depression is a significant public health concern, with severe adolescent morbidity and mortality. Promoting adolescents’ mental health is increasingly recognized, and schools are proposed as screening and preventive intervention sites. This cross-sectional study aimed to screen self-reported elevated depressive symptom prevalence among secondary school students in Istanbul, Turkey. The secondary objectives were determining behavioral problems, resilience, positive attitudes, and risk factors associated with depressive symptoms. Methods: Data collection was conducted between April–June 2022. Six thousand one hundred ten students from nine randomly selected schools from different city districts were approached. Depression was screened by the Centre for Epidemiological Studies Depression Scale for Children (CES-DC). The Strengths and Difficulties Questionnaire (SDQ) was used for screening behavioral problems and positive attitudes. Resilience was evaluated by the Child and Youth Resilience Measure (CYRM). Results: The final study sample comprised 2780 participants (response rate 47.7 %) with a mean age of 12.4 ± 1.1 years (females:52.7 %). Elevated depressive symptoms were detected in 31.2 % of the students. Female students exhibited higher scores in CES-DC and total difficulties but lower resilience scores in CYRM than male students. In a multiple regression analysis, female gender, higher total difficulties score, lower resilience score, and lower perceived academic performance significantly predicted CES-DC [F(6,2279) = 421, p < 0.01]. Discussion: Our findings showed high rates of elevated self-reported depressive symptoms in a city sample among Turkish adolescents at middle schools, in addition to coexisting behavioral difficulties and decreased resilience indicating poor psychosocial functioning. Given the prevalent depressive symptoms, screening and intervention programs involving resilience promotion may involve school systems to prevent adolescent depression.