In this study, we investigated the relationship of demographic variables with mental disorders generally encountered by the caregivers. The cohort includes 109 caregivers (38.53 ± 9.62 year-old) of pediatric cerebral palsy patients (1–18 year-old) taken more than 3 months of caregiving. Data were obtained via face-to-face interviews and a 13-questioned survey followed by a statistical correlation with Zarit-Caregiver-Burden-Scale (Zarit-CBS), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II scores (BDI-II). BAI scores were lower in the case of collaborative caregiving (p = .034) and a better financial status (p = .045) but higher in families having more than 1 disabled child (p = .019). Zarit-CBS scores were significantly higher in caregiving mothers with older age (p = .027) and lower in families having only 1 disabled child (p = .025). Mental disorders related to caregiving are dependent on the burden directed on the caregivers and having collaboration decreases anxiety. Medical assistance should be provided to caregivers showing signs of a mental disorder.

Background/Aim: Enteric viruses (rotavirus, adenovirus, norovirus, etc.) have been reported as the most common cause of non-bacterial acute gastroenteritis. Rotavirus can cause severe fluid and electrolyte imbalance and the development of fatal complications during the course of the disease if not diagnosed and treated early. The aim of study was to evaluate the frequency, epidemiological characteristics, clinical and laboratory data of rotavirus and enteric adenovirus agents in children presenting with diarrhea. Material and Method: The records of patients with diarrhea between ages of 0-12 who applied to Halfeti State Hospital between July 2017 and July 2019 and diagnosed with acute gastroenteritis and whose rotavirus and enteric adenovirus tests (examined by immunochromatographic methods) were requested were evaluated retrospectively. The frequency of rotavirus and adenovirus gastroenteritis, demographic data, clinical status, laboratory findings of these patients; age groups, gender and seasonal distribution were examined. SPSS 25.0 package program was used for statistical analysis. Results: 640 patients were included in the study. The median age of the patients was 22 months and 57% were male. Rotavirus was detected in 40% of the patients and adenovirus was found in 10.2% of the patients. It was found that the hospitalization rates of children with positive rotavirus were higher than other groups. The children with rotavirus are mostly in winter; children with adenovirus mostly in spring; rotavirus and adenovirus negative children were admitted to the emergency department mostly during the summer months. Conclusion: Viral agents constitute an important part of acute gastroenteritis in our region. It was found that stool examinations were important in the diagnosis of rotavirus and adenovirus gastroenteritis causing high mortality and morbidity. We think that unnecessary antibiotic use will decrease with appropriate treatment and the incidence of the disease and hospitalization cost burden will decrease with increasing rotavirus vaccination rates for Turkey.

Aim: Toxoplasmosis in pregnancy may cause ophthalmologic and neurological sequelae in the fetus. However, this screening is not clearly included in routine screening protocols in our country. Therefore, there is no general information about the exact prevalence of the disease. In this study, it was aimed to evaluate the toxoplasmosis seroprevalence studies conducted in Turkey during pregnancy using the pool analysis method and to show the differences between seroprevalence rates by region. Material and method: Published literature in English and Turkish language on toxoplasmosis seroprevalence in pregnancy from Turkey in the last 30 years were elevated. Four international databases were scanned by using the keywords " Toxoplasmosis " OR " Toxoplasma gondii" OR " TORCH" and " seroprevalence" OR "IG G" and " pregnant women” OR " pregnancy” OR " pregnant” and ''Turkey''or 'Turkish'. The publications were evaluated in terms of the general frequency, city, region, year, sample size, diagnostic method. Conference papers were not included in the study. Studies involving refugee women in the sample group were excluded. Results: A total number of 58 studies and 256612 test results were included. ELISA (n=22) was the most preferred laboratory diagnostic method. The average Anti-Toxo IgG seroprevalence rate in the pregnant population in Turkey was found to be 36.76%. And the average of Anti-Toxo IgM rate was found to be 2.91%. As a result of our study, the highest Anti-Toxo IgG test results were; It was found in studies conducted in Southeastern Anatolia (59.43%), Mediterranean (43.95%), and Eastern Anatolia (40.89%). The regions with the lowest Anti-Toxo IgG test results are respectively; Aegean Region (30.25%), Marmara Region (31.21%), and Black Sea Region (31.80%). Anti-Toxo IgM ratios are highest respectively; It was detected in Aegean Region (5.65%), Mediterranean Region (2.77%), and Southeastern Anatolia (2.21%). Conclusion: It has been determined that western Turkey (Aegean Region) is riskier in terms of congenital toxoplasmosis due to its high susceptibility to Toxoplasma infection associated with low toxoplasma seroprevalence compared to the east, and it is considered important to perform at least region-based prenatal toxoplasma screening to prevent this.

Metabolic syndrome (MetS); is defined as a life-threatening endocrinopathy in which systemic disorders such as insulin resistance, abdominal obesity, glucose intolerance, diabetes mellitus, dyslipidemia, hypertension, and coronary artery disease are combined. Although, it is generally known as a problem of adults, it emerges as an essential problem in childhood and adolescence. MetS, closely related to obesity, is increasing due to bad eating habits and sedentary lifestyles. The pathophysiology of MetS has yet to be elucidated. Therefore, lifestyle changes, especially diet and physical activity, are the cornerstones of MetS treatment. In general, both physical activity and fitness; appear to be separately and independently associated with metabolic risk factors in children and adolescents. Although, studies show that activities that increase physical activity levels and improve aerobic fitness cause a decrease in the risk of MetS; a definitive prescription for exercise has not been established at this time. This review aimed to review the definition, classification, and factors playing a role in the pathogenesis of MetS, as well as to evaluate the relationship between MetS and physical activity and aerobic fitness in children.