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  • Küçük Resim
    Öğe
    İnfantil kolikli bebeklerin annelerinde postpartum depresyon
    (İstanbul Üniversitesi, 2014) Erdo?an, Fırat; Kadak, Muhammed Tayyib; Kartal, Vural; Arıcı, Neslihan; Eliaçık, Mustafa; Demirel, Ömer Faruk; İpek, İlke Özahi
    Amaç: Doğum sonrası depresyon, hem anne hem de çocukta birçok soruna yol açarak anne-çocuk ilişkisini, annenin bakım verme ve ebeveynlik becerilerini olumsuz etkiler. Erken çocukluk döneminde görülen sorunlardan biri de infantil koliktir (İK). Bu çalışmamızda İK ile postpartum depresyon (PPD) arasındaki ilişki araştırılmıştır. Yöntem: Çalışmamızda 3 aylıktan küçük bebeklerin anneleri (n=102) Edinburgh Doğum Sonrası Depresyon Ölçeği (EDSDÖ) ile değerlendirilmiştir. Bulgular: İK olan bebeklerin (n=55) annelerinde EDSDÖ skor ortalaması (12,7±4,8) İK olmayanlara (n=47) göre (8,44±5,62) anlamlı derecede yüksek bulunmuştur (p<0.001). Daha genç annelerde depresyon skorunun arttığı görülmüş, buna karşın eğitim seviyesi, sahip olunan çocuk sayısı, çalışma hayatına dönüş süresi ve beslenme tipleri ile EDSDÖ skoru arasında bir ilişki bulunamamıştır. Tartışma: İK yakınması olan bebeklerin annelerinin depresyon açısından değerlendirilmesi anne-çocuk sağlığı açısından önemlidir.
  • Küçük Resim
    Öğe
    The influence of the sleep-wake cycle on primary monosymptomatic nocturnal enuresis: A non-randomized comparative study
    (Taylor and Francis Ltd., 2016) Erdoğan, Fırat; Kadak, Muhammed Tayyip; Selvi, Yavuz; Kartal, Vural; Şenkal, Evrim; Ateş, Burçin; Akgül, Murat
    Backround: Enuresis implies severe stress in affected children, and impairs quality of life and sleep. Children with enuresis experience difficulties in their arousal from sleep, possibly associated with disturbances of the circadian rhythm. In this study, we aimed to evaluate the sleep-wake cycle and sleep disturbances in children with monosymptomatic enuresis nocturna (MEN). Method: The study comprised 70 children with MEN who were admitted to the pediatrics and urology outpatients department and 94 age-matched healthy controls. Parents completed "Strengths and Difficulties Questionnaire," Children's Sleep Habits Questionnaire (CSHQ), Children's Chronotype Questionnaire scale. Results: Children with enuresis had significantly more sleep and psychological problem. Enuresis group reported higher bedtime resistance, parasomnias, breathing-related problems, and daytime sleepiness in CHSQ (p < 0.05). Although circadian preference did not differ statistically between the groups (p > 0.05), sleep duration on school days and awakening and mid-sleep points, both on scheduled and free days, were found to be significantly different in the enuretic group (p < 0.05). In logistic regression analysis, age, sleep period on scheduled days, sleep inertia on scheduled and free days were significant predictor for enuresis. Discussion: Children with enuresis were more likely to experience problematic sleep. This may reflect that enuretic children have impaired sleep-wake cycles, leading to dysregulation of daily functional changes of bladder capacity and related hormones such as ADH. These findings might imply a sleep-wake disturbance in enuresis.
  • Küçük Resim
    Öğe
    Tooth eruption and symptomatology: Are the symptoms assumed to be related to the tooth eruption really associated with teeth?
    (Yuzuncu Yil University of Medical Faculty, 2015) Erdo?an, Fırat; Eliaçık, Başak Kızıltan; Paçal, Yakup; Kartal, Vural; Ceylan, Nesrin; İpek, İlke Özahi
    Despite little evidence, many various complaints might be associated with teething in children. Symptoms related with teething mostly result in delay diagnosis of underlying disease. In this study we explore the relationship between teething and symptoms commonly seen in pediatric clinics. Children less than 36 months of age, who came to Medipol University Faculty of Medicine, between October 2013 and May 2014 for routine well-child visit, were recruited in the study. At visit time 318 infants (60.5%) had one or more visible tooth eruption. Participants were divided in five subgroups according to their age. Parents of infants (mean age 11.5 months) completed questionnaires. The most commonly reported symptom was irritability in 12-18 months (74%), 24-30 months (57%) and 30-36 (44%) months’ periods, drooling in 6-12 months (87%), loss of appetite in 18-24 months (64%). Irritability was statistically significant in all groups except 18-24 month. (p=0.54). Febrile fever was only statistically significant in 6-12 and 12-18 months groups. Increase in biting was become statistically significant after 12 months. Although rates vary according to age group, many mild symptoms previously thought to be associated with teething were found temporally correlated with teething. Before parents/caregivers attribute these symptoms to tooth eruption other possible causes must be ruled out. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi, Universitas Indonesia. All rights reserved.