Chronic cough is one of the most common complaints of childhood to consult a doctor. There are many causes such as respiratory tract infections, gastroesophageal reflux, persistent bacterial bronchitis, asthma, cystic fibrosis, congenital malformations, and foreign body aspiration in children under the age of five. However, neither transient hypogammaglobulinemia of infancy (THI) among the causes of chronic cough, nor chronic cough among the application complaints of THI are not questioned. In this study, we aimed to draw attention to the role of THI in the etiology of chronic cough under the age of five. Our study included 55 pediatric patients under the age of five who applied to the pediatric pulmonary diseases outpatient clinic in between January 2015 and December 2020 with the complaint of chronic cough, who were excluded from other causes of chronic cough in etiology, and who met the criteria for THI according to the European Society for Immunodeficiencies (ESID). Demographic, clinical and laboratory characteristics and follow-ups of these patients were reviewed retrospectively. In our study, the mean age of 55 patients at admission was 21.73 ± 11.50 months (median age: 18 months), and the mean age of IgG recovery was 38.65 ± 16.81 months. The mean recovery time was 16.93 ± 12.85 months. Of the patients, 22.4% had a history of consanguinity, 23.4% had prematurity, and 18.2% had a frequent sickness in siblings. The most common complaint accompanying chronic cough in patients was frequent respiratory tract infection, 16.3%. Along with IgG, 26.4% of the patients had low IgA and 31.5% had low IgM in laboratory testing. In antibody responses, isohemagglutinin, anti-tetanus, anti-pneumococcal, anti-HBs vaccine responses were found to be positive in 90.6%, 63.9%, 66.7% and 97.7% of the cases, respectively. 72.7% of the patients received inhaler treatment, 45.5% received antibiotic prophylaxis, and 2.2% received intravenous immunoglobulin (IVIg) treatment. After the IgG value of the patients returned to normal, it was observed that 86.3% of the patients’ cough complaint have disappeared. Transient hypogammaglobulinemia of infancy mostly presents with recurrent lower and upper respiratory tract infections. The most common complaint is cough. It is not questioned whether the cough is chronic or not. In this study, we aimed to investigate the follow-up and prognosis of patients under the age of five who had a chronic cough complaint, when other causes of cough were ruled out and THI was detected. In the study, when the IgG levels of the patients return to normal, the cough complaints disappear to a large extent, showing that THI may also be among the causes of chronic cough.
SelamlaĢma, insanlık tarihi kadar eski bir eylemdir. Tarihin ilk dönmelerinde insanlar jest ve mimikleriyle dile getirdikleri selamlaĢma eylemini diğer dönemlerde gizli anlaĢmalar sistemi adını verdiğimiz dil ile yapmıĢlardır. SelamlaĢma eylemi, zaman içerisinde geliĢen bir olgu olduğu için insanlık tarihinin geliĢmesine paralel olarak değiĢme ve geliĢme göstermiĢtir.Arapça bir sözcük olan "selâm" sözcüğü bir barıĢ ortamı iĢaret ettiği gibi, samimiyet ve dostluğu da simgelemektedir. Türk toplumunda, selamlaĢma için Ġslamiyet"in kabulüyle birlikte "selâmün aleyküm, esselâmü aleyküm, aleyküm selâm, Allahın selâmı üzerine olsun" gibi dini kullanımlar yaygınken sonraki dönemlerde "merhaba, selam, günaydın, n"aber, ne var ne yok ?" gibi dini olmayan kullanımların da yaygınlaĢtığını görmekteyiz."SelamlaĢma" yönüyle değerlendirmeye çalıĢacağımız Bamsı Beyrek destanı, Dede Korkut Kitabı"ndaki üçüncü destan olup Kam Püre Oğlu Bamsı Beyrek Boyu adıyla bilinmektedir. Bu destan, bugün Adriyatik"ten Çin Seddi"ne uzanan Türklük coğrafyasında farklı edebi türler formunda ve farklı adlarla karĢımıza çıkmaktadır.Bamsı Beyrek Boyu, içerisinde Türk kültürüne ait sınırsız öğeler taĢıyan bir destan parçasıdır. Bugün Hazar Gölü"nün doğusunda destanî mahiyetini korurken; batı taraflarında ise daha çok halk hikâyesi ve masal formlarına dönüĢmüĢ olarak karĢımıza çıkmaktadır. ÇalıĢmamızda doğu Türklüğünde AlpamıĢ, Alıp ManaĢ; batı Türklüğünde ise Bamsı Beyrek, Bey Böyrek, Dengi Boz ve ġah Kasım gibi adlarla bilinen Bamsı Beyrek destanının varyantlarındaki selamlaĢma konusu üzerinde duracağız.
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