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.
Amaç: Bu çalışmada malnütrisyonlu çocukların prevalansının, demografik özelliklerinin, ilişkili risk faktörlerinin ve kullanılan enteral beslenme ürünlerinin etkilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Primer malnütrisyona bağlı büyüme yetersizliği olan ve hiperkalorik enteral beslenme rejimi başlanmış 1-18 yaşları arasında toplam 229 pediatrik hasta çalışmaya dahil edildi. Büyümesi normal 73 sağlıklı çocuk kontrol grubunu oluşturdu. Antropometrik ölçümlere; boy (cm), ağırlık (kg), vücut kitle indeksi (kg/m2), yaşa göre boy Z skoru ve yaşa göre ağırlık Z skoru dahil edildi. Bulgular: Malnutrisyonlu hastalar kontrol grubu ile kıyaslandığında; daha küçük yaşta ve doğum ağırlığı >3001 g olanlarda malnütrisyonun görülme olasılığının daha fazla olduğu, bu hastaların emzirme sürelerinin daha kısa, kardeş sayısının daha az, ailelerinin düşük aylık gelirli ve annelerinin okuma yazma bilmiyor oldukları gözlendi. Malnütrisyonlu grupta boy, ağırlık (, vücut kitle indeksi, yaşa göre boy ve yaşa göre ağırlık Z skorları; cinsiyet, kardeş sayısı, anne eğitimi ve aylık gelir düzeyinden bağımsız olarak, başlangıç değerlerine kıyasla, 3. ve 6. ay kontrollerinde önemli ölçüde iyileşmiştir. Sonuç: Bulgularımız başlangıç semptomları ve sosyo-ekonomik risk faktörlerinden bağımsız olarak, primer malnutrisyonlu çocuklarda verilen 6 aylık yüksek kalorili enteral beslenme desteğinin etkililiğini ve tolere edilebilirliğini göstermektedir.
Purpose: Though there are gaps in the relationship between COVID-19 and newborns no bibliometric analysis was published until now. This study aims to perform a bibliometric overview of literature of the relationship between newborns and COVID-19 in order to guide future studies addressing the same problem. Materials and Methods: Web of science was used to scan the published literature on newborns & COVID-19 by searching studies with and bibliometric networks were visualized by VOSviewer software. COVID-19, SARS-CoV-2, 2019-nCoV with perinatal, neonatal, newborn and infant were used as keywords. Results: 912 keyword-coherent publications were found in the period 1970-2021, (491; 54.43% high quality studies) mostly about pediatrics and obstetrics gynecology with most frequent keywords; COVID-19, Sars-Cov-2, Pregnancy, Vertical Transmission and Newborn. United States, China, England and Italy have the highest number of studies as well as highest number of citations. COVID-19 on neonatal outcomes and pregnancy had highest citation. Conclusion: Scientific network monitoring via bibliometric analysis is crucial and proved highly beneficial during COVID-19 crisis. Despite the articles on COVID-19 & newborn have a decent number of citations, it vastly lower compared to the other studies about adults or clinical features and should be increased while it is still early.
Background and Objectives: There is no standardised approach to toilet training in children. This study aimed to determine the factors affecting the duration of toilet training in children aged 0–5 years and to develop a tool to assess the child’s readiness to start toilet training. Materials and Methods: This cross-sectional study was conducted on 409 children aged 0–5 years. Social, economic, behavioural, and developmental characteristics that are effective in toilet training in healthy children were evaluated. A scale assessing children’s readiness for toilet training (Toilet Training Readiness Scale-TTRS) was developed and content validated. Results: The mean age of the 409 children included in this study was 44.69 ± 13.07 months (min = 4; max = 60 months). The mean age of initiation of toilet training was 26.8 months. Most frequently, urine and faeces trainings were started together (52.1%). In the logistic regression analysis performed to evaluate the factors affecting the duration of toilet training, it was found that the TTRS score, mother’s employment status, family type, child’s first reaction, toilet type, and continuity of training were important predictors. The duration of toilet training showed a weak negative correlation with the scores obtained from the TTRS and the number of children in the family but a weak positive correlation with the age at the beginning of toilet training. The TTRS scores were inversely proportional to the duration of toilet training. Conclusions: Family characteristics, socioeconomic conditions, and readiness of the child for and no interruption in toilet training are important in completing toilet training in a short time and successfully. If a child-focused approach is adopted, evaluating the child from this point of view and initiating the training at the appropriate time may help to complete a more successful and shorter toilet training. We recommend that the scale we have developed be studied in other studies and different groups.
Vitamin ve Minerallerin Günlük Hayatımızdaki Yeri Murat ERSOY Vitamin ve Minerallerin İlave Olarak Alınması Gereken Durumlar Güldane Aylin İNAL Gebelikte Kullanılması Gereken Vitamin ve Mineraller Utkucan OKUDUCU Vitamin A Saliha BARUTÇU Adnan BARUTÇU Vitamin B1 (Tiamin) Burcu KÖŞECİ Vitamin B2 (Riboflavin) Nazmiye TÜZEL GÜNDÜZ Vitamin B3 (Niasin) Engin AYDIN Vitamin B5 (Pantotenik Asit) Nahide HAYKIR Vitamin B6 (Piridoksin) Merve YOLDAŞ ÇELİK Vitamin B7 (Biyotin) Fatma Derya BULUT İrem KEKEÇ Vitamin B9 (Folik Asit) Necla İPAR Vitamin B12 (Kobalaminler) Feza SARI ŞEN Vitamin C Hüseyin GÜMÜŞ Halil ASLAN Vitamin D Abdullah GÜNDÜZ Deniz KOR Vitamin E Sevinç GARİP Vitamin K Aysel Burcu İBİLİ Demir Cüneyt UĞUR Çinko Melis AKPINAR Kalsiyum Hilmi Onur KABUKÇU Magnezyum Merve KİŞİOĞLU Sodyum Hülya NALÇACIOĞLU Klor Gözde ATASEVER YILDIRIM Potasyum Mihriban İNÖZÜ Fosfor Ali Emre ÇETİNKOL İyot Mehmet Deniz ERHAN Selenyum Adnan BARUTÇU Krom Atilla GÜRAY Bakır Esra EREN Flor Enes Kaan KILIÇ Manganez Furkan KALAYCI Molibden Esra KARA Bor Fatma Derya BULUT Omega-3 Ümit ECE Omega - 6 Mehmet ALMACIOĞLU Koenzim Q10 Ezgi BURGAÇ Kolin-İnositol-PABA Zeliha HAYTOĞLU