The aim of this study is to determine the functioning of adults with autism spectrum disorders (ASDs) diagnosed in childhood and depression and burnout levels among their parents. A total of 261 adults with ASDs and their parents were recruited for the study. Both parents completed the Beck Depression and Maslach Burnout Inventories and reported the functioning of their adult offspring with ASDs. Only 5.4 % of our sample reported “good” or “very good” outcomes. The most common psychiatric comorbidities were intellectual disabilities and attention-deficit/hyperactivity disorder. Maternal burnout and depression scores were significantly elevated compared to those of fathers. There is an undeniable urgent need for more research to identify the needs of adults and families suffering from ASD. Modifications for those with 10.13039/100007726 ASD may have to be made for support in workplaces, achieving driving licenses, using public transportation and attendance at tertiary education.

Objective: This study aimed to examine the clinical and sociodemographic characteristics of children and adolescents whom juvenile courts have given health measures. Methods: The data of 351 cases that were followed up and treated in the Child and Adolescent Mental Health and Diseases Outpatient Clinic of Mersin City Training and Research Hospital between March 2017 and June 2022 were retrospectively analyzed. Results: The mean age of the cases was 12.71±3.61, and the majority (66.1%) were girls. The family’s inadequacy in care was the most common reason for health measure decisions (35.3%). 54.7% of children and adolescents belonged to broken families. While the rate of having at least one psychiatric diagnosis was 63.2%, the most common diagnosis was anxiety disorder, with 23.9%. Nearly half of the cases (46.7%) were not followed up regularly within the scope of health measures. Conclusion: The frequency of health measure decisions for children and adolescents is increasing. This study exhibited the high rates of psychopathology and family problems in children with health measure decisions. A holistic approach that includes the family and social environment should be developed in these cases’ follow-up and treatment processes.

Aim: It was aimed to evaluate the hematological inflammatory markers in treatment-naive and comorbidity-free children and adolescents with attention deficit and hyperactivity disorder (ADHD) in this study.Material and Methods: One hundred sixty-nine children aged 6-18, who were diagnosed with ADHD according to DSM-5 criteria were included in the study. Age and sex-matched 59 healthy children without any psychiatric and/or medical disorder were included as a control group. The children who had an intellectual disability and/or autism spectrum disorder, acute, chronic or inflammatory diseases were excluded from the study. Smoking, obesity and using psychotropic medications and lack of data in records were other exclusion criteria. ADHD and control groups were compared in terms of sociodemographic characteristics, inflammatory markers and hematological parameters.Results: Mean platelet volume (MPV) and Basophil (BASO) levels were significantly higher in the ADHD group compared to the control group and this statistical difference was only observed for boys. In hyperactivity subtype, red cell distribution width (RDW), lymphocyte (LYMPH) and monocytes (MONO) were higher; in attention deficit subtype mean platelet volume-to-lymphocyte ratio (MPVLR) was higher than all other subtypes and control group. MPV was similar in three subtypes, and were higher in all of them than the control group.Conclusion: This study revealed that MPV and BASO tend to be higher in the ADHD group especially in boys. Hematological biomarkers may be useful for diagnosis of ADHD and determination of ADHD subtypes but data on this subject are insufficient and more comprehensive studies are needed.

Bu eserimizde; diare ile gelen hastalardan yola çıkılarak multidisipliner yaklaşım ile olası patolojiler ve güncel tanı ile tedavi yöntemleri ele alınmaktadır. Günde üç defadan fazla sulu dışkılama durumu, diare olarak kabul edilir. Çok ağır diare vakalarında günde 13-14 litre kadar sıvı kaybedilebilir. Sulu veya cıvık dışkılama, acil ve sürekli olarak tuvalete gitme ihtiyacı, büyük tuvaleti tutamama, susuzluk, kusma, bulantı, halsizlikle karın bölgesinde gaz şikayeti de diarenin en büyük belirtilerinden sayılmaktadır.Pek çok farklı nedene bağlı olarak ortaya çıkabilen diare, çoğunlukla çevresel faktörlerle gelişir. Su ve gıda oral alım yolu ile gerçekleşen, bağırsağın mikrobik hastalıkları, süt ve süt ürünleri gibi gıdalara intolerans, çeşitli sindirim sistemi parazitleri, laksatifkullanımı, çeşitli ilaçların intestinal yan etkileri, inflamatuar bağırsak hastalığı gibi bağırsak yapısını bozan hastalıklar, irritabl bağırsak hastalığı gibi bağırsağın işlevini bozan rahatsızlıklar gibi patolojilere bağlı diare gelişebilmektedir. Bu sebeple de diareye sebep olan patolojilerde multidisipliner yaklaşım önem taşımaktadır.

It has been reported that self-harm behaviour and suicidal ideation are more prevalent among adolescents with gender dysphoria compared to the general adol