(EA-QOL) questionnaires, which were originally developed in Sweden and Germany. Methods: After translation from Swedish to Turkish and cognitive debriefings, 51 families of children aged 2-7 years (parent-reported, 17 items) and 54 families of children 8-17 years (child-reported and parent-reported, 24 items) responded to the EA-QOL questionnaires and a validated generic HRQOL instrument (PedsQL4.0). The medical records of the patients and the questionnaires were used to obtain clinical data. The Turkish version of the EA-QOL questionnaires were evaluated for feasibility (<5% missing item responses), reliability (internal consistency/retest reliability for 3 weeks), and validity (known groups/concurrent/convergent). The level of significance was P < .05. Results: The feasibility of the Turkish version of the EA-QOL questionnaires was good. The internal consistency of all scales was satisfactory, as were the levels of agreement of EA-QOL scores between the field study and the retest study. Known-group validity and concurrent validity were achieved, since the EA-QOL questionnaires showed that esophageal symptoms and feeding difficulties were negatively associated with EA-QOL total scores, both in the age-specific versions (child-reported and parent- reported), and with respect to respiratory symptoms in the version for EA children 2-7 years (parent-reported). A higher number of respiratory symptoms decreased the EA-QOL total scores in both age groups (parent-reported, P < .05). Correlations between the EA-QOL total scores and PedsQL-4.0 total scores supported convergent validity. Conclusion: The Turkish version of the EA-QOL questionnaires is feasible, valid, and reliable to assess condition-specific HRQOL in EA children.
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Aim: To investigate markers of sepsis/inflammation in twin neonates according to placental, demographic, neonatal, and twin-related complications. Materials and Methods: In this retrospective study, we compared these parameters in twins with suspected sepsis for whom laboratory data on infection markers were available on the first postnatal day. Sepsis was later ruled out in all the neonates. After obtaining institutional ethics committee approval, twin pairs who were admitted to the neonatal intensive care unit of Hacettepe University IhsanDogramacı Children's Hospital between 2005 and 2017 were screened for inclusion. Data on the twins’ sepsis markers, complete blood counts, immature to total neutrophil (I/T) ratios, procalcitonin and CRP levels, and blood culture results in the first 24 h of life were recorded.Results: In total, 194 twin pairs (388 neonates) were included in the study. Of the 194 twin pairs, 50 were monochorionic twins (25.8 %), and the remaining 144 (74.2 %) were dichorionic twins. Monochorionic and dichorionic twins, twin-to-twin transfusion syndrome with twins and discordant twins showed no significant differences in I/T ratio, procalcitonin, or CRP values in the first 24 h (p>0.05).Conclusion: Based on our findings, chorionicity (monochorionic/dichorionic placenta), twin-to-twin transfusion syndrome, and size discordance were not related to any significant differences in the CRP level, procalcitonin level, or I/T ratio.
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Aim: Childhood obesity is associated with psychosocial and medical comorbidities. Children affected by obesity have significantly lower selfesteem than children with normal weight, and families have an important role in the development of body image and body dissatisfaction. Weaimed to examine the relationship between the body esteem of obese children and their parents’ body esteem and weight status.Materials and Methods: This study was carried out in Ankara, the capital city of Turkey, and was rolled out to 9 to 11-year-old children and theirparents in 46 schools (2,066 parent-child dyads). The data were collected via parent and child questionnaires. Anthropometric measurementswere conducted by the project team. Four different logistic regression models were performed separately; body esteem and Body Mass Index(BMI) for fathers and sons, fathers and daughters, mothers and sons, and mothers and daughters.Results: Mothers obesity was associated with their daughters’ and their sons’ obesity status. Fathers’ obesity status appears to be positivelyassociated with their sons’ status only but not their daughters’. The body esteem of the obese boys was adversely affected only by their ownBMI in the models with their fathers and mothers. Compared to boys, girls were affected adversely by their own BMI, their body esteem, andtheir mothers’ and fathers’ body esteem.Conclusion: A strong association between both the mothers’ and fathers’ role in the body esteem of daughters was found. Further researchshould be conducted to better understand the socio-cultural dynamics that may be unique to the development of childhood obesity.
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Aim: This research was conducted to reveal the current situation on information requirements of the families of the mainstreaming students and sources they obtained information.Method: The research is a cross-sectional study and the population consisted of parents whose children need special education and who are in schools located in Altındağ, Yenimahalle, and Çankaya districts of Ankara, which are at low, middle, and high levels, respectively, according to the socioeconomic development. Sample selection was not made. A survey was distributed to 1,151 families of the mainstreaming students in 72 elementary schools in the selected districts, and 404 questionnaires that had been returned were evaluated. A questionnaire developed by the researchers was used as the data collection form.Results: A total of 75.1% of families are mothers and 24.9% are fathers. In total, 26.5% of families stated that they did not have sufficient information about the diagnosis of their child, 64.2% of the families stated that they want to be informed about adaptation to school life, 25.1% about daily life activities, nutrition, and care skills, and 48.2% of families stated that they are not in cooperation with health care professionals, whereas 57.8% of the families who have sufficient information about the diagnosis of the child are in cooperation with health care professionals; this rate was found to be 31.4% in those who do not have information. Among the health care professionals, where families receive information about the diagnosis of the child, physicians are the most frequently received occupational group, with 82.3%. The rate of receiving information from nurses was found to be 3.4%.Conclusion: Families of mainstreaming students have need for information regarding the diagnosis of the child. The nurse group has a very low rate among the sources they get information from. It can be said that families do not cooperate adequately with health care professionals.
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Amaç: Bu araştırmanın amacı, çocuklarda sağlıklı yeme ile ilgili aile desteği ölçeğini (SYADÖ) Türkçeye uyarlamak, geçerlik ve güvenirliğini belirlemektir.Yöntem: Bu çalışmada SYADÖ’ nün Türkçeye uyarlaması, geçerlik ve güvenirlik çalışması yapılmıştır. Ölçek yedi aşamalı dil eşdeğerliği çalışması yapıldıktan sonra Ankara ilinde üç farklı sosyo-ekonomik düzeyden seçilen altı okulda yürütülmüştür. Çalışmaya 8-10 yaş grubunda 608 ilköğretim 4.sınıf kız ve erkek öğrencileri dahil edilmiştir. Ölçeğin yapı geçerliği açıklayıcı faktör analizi ve doğrulayıcı faktör analizi ile güvenirliği test tekrar test yapılmıştır. Güvenirlik katsayısı olarak Spearman rho korelasyon katsayısı kullanılmıştır. Ölçeğin iç tutarlığı Cronbach’s alpha katsayısı ile değerlendirilmiştir.Bulgular: SYAD ölçeği, tek boyut 5 maddeden oluşmuştur. Erkek çocuklar için Spearmans’s rho= 0,721 ve Cronbach’s alpha=0,741 değerleri kız çocuklar için Spearmans’s rho=0,811 ve Cronbach’s alpha= 0,804 olarak elde edilmiştir.Sonuç: SYAD ölçeği orijinal yapıya uyum sağlamaktadır ve Türkçe geçerli ve güvenilir olduğu söylenebilir.
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Background/Aims: Pediatric intestinal pseudo-obstruction (PIPO) is the most severe form of intestinal dysmotility in children. This study aims to present the cases of PIPO to discuss its diagnosis, management, and prognosis. Materials and Methods: We retrospectively analyzed the medical records of the patients with PIPO between 2010 and 2018. Results: A total of 7 patients were included. The admission age was 3 days–10 years. The complaints were abdominal distention and constipation in all the patients. All the patients had passed meconium in the first 48 hours of their life. An upper gastrointestinal (GI) se ries revealed slow transit in 6 patients and malrotation in 2 patients. Full-thickness rectum biopsies revealed normal ganglion cells. Neu rological examination revealed postinfectious pandysautonomy in 1 patient. Furthermore, 2 patients are under follow-up with ileostomy and TPN, 1 patient is with enteral feeding and ileostomy, and 3 patients are stable with pyridostigmine, enemas. Moreover, 1 patient died because of sepsis. The prognosis was not significantly correlated with initial presentation time, lag time, and presence of extraintestinal manifestations (p>0.05). The prognosis was significantly better when fewer number of operations were performed (p=0.029) Conclusion: PIPO is a broad-spectrum disease group that is difficult to diagnose and treat. It is mandatory to rule out the secondary causes of diagnosis. Medical and surgical treatments are used to support the nutritional status, prevent sepsis, and restore the intestinal motility. The prognosis was better when the secondary causes were identified and fewer operations were performed.
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