Browsing by Publisher "TURKISH PEDIATRICS ASSOC"

Now showing 1 - 8 of 8
  • No Thumbnail Available
    Item
    The prevalence of habitual snoring in Aegean region of Turkey and associated risk factors
    (TURKISH PEDIATRICS ASSOC) Yilmaz, O; Dinc, G; Sögüt, A; Aktulun, S; Arslan, B; Kocacan, M; Ozdel, B; Ozen, S; Yasli, G; Yuksel, H
    Aim: The aim of this study was to determine prevalence of snoring in children younger than 18 years of age and to identify associated risk factors and complications in a population based study. Material and Method: This cross sectional study was conducted in Manisa, Turkey. Questionnaires about snoring and associated risk factors were applied to 650 children who were determined using cluster sampling method (339 females, 311 males). Results: Prevalence of habitual snoring was 4.9%. Current history of wheezing or allergic rhinitis increased the odds of habitual snoring 3.1 times when compared to children without current wheezing (p=0.006; OR: 3.11, 95% CI: 1.3-7.3 and p=0.002; OR: 3.11, 95% CI: 1.5-6.6 respectively). Grade 3 tonsil hypertrophy increased odds of habitual snoring 22.5 times compared to no tonsil hypertrophy (p<0.001; OR: 22.4, 95% CI: 6.0-83.9). Nighttime symptoms like apnea were more frequent in habitual snorers when compared to non-snorers (28.1% vs 3.6%; p<0.001; OR: 10.5, 95% CI: 4.3-25.6). Conclusions: Current wheezing, allergic rhinitis and tonsil hypertrophy are significant risk factors for habitual snoring. Therefore, children with these disorders need to be assessed for snoring that may influence their development. (Turk Arch Ped 2010; 45: 280-5)
  • No Thumbnail Available
    Item
    Attention deficit and hyperactivity symptoms in children with monosymptomatic nocturnal enuresis
    (TURKISH PEDIATRICS ASSOC) Ertan, P; Gönülal, D; Sögüt, A; Yilmaz, Ö; Bozgül, A; Dinç, G; Aydemir, Ö; Yüksel, H
    Aim: Monosymptomatic nocturnal enuresis in children may cause psychological and behavioral problems. The aim of this study was to assess symptoms of attention deficit and hyperactivity in children with monosymptomatic nocturnal enuresis. Material and Method Fifty-seven children (23 male, 34 female) with monosymptomatic nocturnal enuresis and 57 healthy controls (25 male, 32 female) aged 6 to 12 years participated in the study. Conners' Parent Rating Scale-48 (CPRS), a 48-item multiple-choice questionnaire, was completed by the mothers to identify the attention deficit and hyperactivity symptoms in children. Results: Mean age of the children with enuresis was 8.54 +/- 2.18 years and that of the control group 9.12 +/- 2.13 years. Attention deficit score in the enuretic group was significantly higher than that in the control group (p=0.02). Hyperactivity scores were not significantly different between the groups (p=0.36). Bedwetting frequencies were not different between enuretic children with and without attention deficit or hyperactivity symptoms (p=0.06). Conclusions: Psychological and behavioral assessment may be indicated in children with monosymptomatic nocturnal enuresis since the results of this study demonstrate increased attention deficit symptomatology. (Turk Arch Ped 2010; 45: 37-40)
  • No Thumbnail Available
    Item
    The importance of stool tests in diagnosis and follow-up of gastrointestinal disorders in children
    (TURKISH PEDIATRICS ASSOC) Kasirga, E
    Stool is not just a simple waste material. Some stool tests can be easily used in primary care in the differential diagnosis of disorders such as gastrointestinal infections, malabsorption syndromes, and inflammatory bowel diseases. Stool tests can prevent unnecessary laboratory investigations. Stool analyses include microscopic examination, chemical, immunologic, and microbiologic tests. Stool samples can be examined for leukocytes, occult blood, fat, sugars (reducing substances), pH, pancreatic enzymes, alpha-1 antitrypsin, calprotectin, and infectious causes (bacteria, viruses, and parasites). Stool should also be macroscopically checked in terms of color, consistency, quantity, shape, odor, and mucus.
  • No Thumbnail Available
    Item
    Difficult asthma and its treatment in pediatrics
    (TURKISH PEDIATRICS ASSOC) Yüksel, H
    Difficult asthma which constitutes less than 5% of all childhood asthma cases is defined as presence of daily symptoms, frequent oral corticosteroid requirement and frequent exacerbations for longer than six months, despite the use of inhaled steroid equivalent to 500 mcg fluticasone propionate, long acting beta 2 agonist or theophylline and leukotriene antagonists. Difficult asthma is not expected in childhood due to the absence of remodelling, rapid restoration of the airway, use of efficacious inhaled techniques and steroids and absence of occupational exposures. Therefore, it may be thought that pediatric difficult asthma is a differential diagnosis and treatment adherence problem. It has been shown that difficult asthma cases that have been filtered from this aspect have a non-eosinophilic inflammatory phenotype characterized by defective beta 2 receptor responses and high steroid resistance. Increased thickness of the basal membrane supports the view that dysfunctional mechanisms play a more important role than inflammatory mechanisms. Environmental control and elimination of risk factors should be achieved in these cases and proper education for treatment modalities and inhalation techniques need to be provided. (Turk Arch Ped 2010; 45: 80(th) Year: 1-5)
  • No Thumbnail Available
    Item
    Knowledge and practice of general pediatricians about childhood asthma and its treatment
    (TURKISH PEDIATRICS ASSOC) Yilmaz, Ö; Sögüt, A; Alkan, S; Yüksel, H
    Aim: It is essential educate general pediatricians about childhood asthma and its treatment to standardize care. The aim of this study was to evaluate knowledge and practice of pediatricians about childhood asthma and its treatment. Material and Method: The study included 52 pediatricians who attended one of the seven meetings about asthma treatment. A questionnaire of 42 questions, 23 about asthma and its treatment and 19 about their practice were given before meeting. Results: Hospital of residency did not change answers to the questions, but presence of private office and duration of practice did. Among pediatricians who owned private office, 82.4% said the sentence: systemic steroids have a role in acute asthma exacerbation treatment was true, compared to the 47.1% of the ones without private office (p = 0.014). Referral to pediatric allergy center during or after acute asthma exacerbation was significantly lower among the pediatricians who owned private Office (p = 0.002 and p = 0.016 respectively). Duration of practice as a pediatrician influenced knowledge about use of inhaled steroids in asthma (p = .005). Conclusions: In conclusion, duration of practice and presence of private office influence knowledge and practice of general pediatricians about asthma and its treatment. The essence of postgraduate education to provide children more standardized treatment was emphasized with these results. (Turk Arch Ped 2009; 44: 29-34)
  • No Thumbnail Available
    Item
    Evaluation of sleep quality in mothers of children with bronchiolitis obliterans
    (TURKISH PEDIATRICS ASSOC) Yüksel, H; Çiftdogan, DY; Yilmaz, Ö; Sögüt, A
    Aim: The aim of this study was to evaluate the quality of sleep in mothers of children with bronchiolitis obliterans. Material and Method: The study group consisted of 36 mothers with a child who had bronchiolitis obliterans and 62 mothers with healthy children. All mothers enrolled in the study filled in the Pittsburgh Sleep Quality Index (PSQI). Results: The mean ages of the children of the mothers enrolled in the study were statistically similar (3.57 +/- 2.58 vs 3.85 +/- 1.46 years, p>0.05). Total Pittsburgh Sleep Quality Index scores and subjective sleep quality scores in the mothers of children with bronchiolitis obliterans were significantly higher than those in the mothers of healthy children (both p=0.015). Conclusions: In this study, it was found that mothers of children with bronchiolitis obliterans have poor sleep quality. Therefore, assessment may be needed for the requirement of support regarding sleep quality in them. (Turk Arch Ped 2009; 44: 99-102)
  • No Thumbnail Available
    Item
    Life quality of children with congenital heart diseases
    (TURKISH PEDIATRICS ASSOC) Sertçelik, T; Alkan, F; Sapmaz, SY; Coskun, S; Eser, E
    Aim: We aimed to evaluate the effects of the severity and symptoms of congenital heart disease and the emotional and behavioral problems of affected children on their quality of life. Material and Methods: The study was performed by interviewing 80 children aged between 6 and 16 years (40 with cyanotic heart disease and 40 with acyanotic disease) and their mothers. A sociodemographic data form, quality of life questionnaire, strength and difficulties questionnaire, and family life and parenting attitudes scale were used in the research. Life quality was the dependent variable of this research. Results: No significant relation was found between age, sex, and education level of the parents and all quality of life subscale scores (p>0.05). In terms of quality of life, total quality of life subscale, emotional well-being and self-esteem subscales were significantly lower in children with cyanotic congenital heart disease p=0.02, p=0.007, p=0.006, respectively). The total quality of life subscale was significantly lower in children with a medical treatment and surgical history. In terms of clinical symptoms, self-esteem, friendship and school life quality subscales were affected in the presence of dyspnea. As scores from strength and difficulties questionnaire increased, which is used for the assessment of children's psychological symptoms, all quality of life scores were significantly lowered except for school and family subscales. Conclusion: It was found that symptoms of congenital heart disease affected the psychosocial quality of life subscales rather than the physical subscales. In addition, it was observed that mental symptoms in both the mother and child negatively affected quality of life rather than disease-related parameters.
  • No Thumbnail Available
    Item
    Awareness and intervention approaches related to smoking addiction among child and adolescent psychiatrists
    (TURKISH PEDIATRICS ASSOC) Erten, T; Sapmaz, SY; Güleç, AG; Hesapçioglu, ST; Kandemir, H; Yilmaz, Ö; Yüksel, H
    Aim: To determine the attitudes of child and adolescent psychiatrists working in different institutions throughout Turkey towards smoking addiction and intervention steps. Material and Methods: An information form assessing physicians' 5As approach was established considering the studies included in the literature, and this form was applied to physicians working in the area of child psychiatry by way of e-mail and phone. Results: Although most physicians (52.5%) asked about smoking status, which is included in the first step in the 5As approach used in smoking cessation, it was observed that they implemented further steps of the 5As with gradually decreasing rates in our study. Only 15% of the physicians performed follow-up in smoking cessation treatment. Conclusion: Physicians who work with pediatric and adolescent patients in Turkey have low levels of awareness about smoking addiction and they do not feel competent. Considering that tobacco and related addictions are gradually increasing in children and adolescents, physicians must receive training in the area of smoking cessation methods and start practicing these methods. It was thought that organizing smoking cessation training for physicians would contribute positively to the treatment of patients.