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Öğe The Impact of COVID-19 Pandemic on Patient Admissions to the Developmental Pediatrics Unit: An Outpatient Clinic in Eastern Turkey(Aves, 2023) Ahat, Tugba Karaca; Gencer, Tugba Yilmaz; Baysal, Senay Guven; Baz, Halise Metin; Durak, Umut; Canaloglu, Sinem Kortay; Buyukavci, Mehmet AkifObjective: The aim of this study was to analyze the impact of coronavirus disease 2019 pandemic on the number and diagnosis of patients admitted to the Developmental Pediatrics Unit. Materilas and Methods: We compared the number and the diagnosis of patients admitted to the Developmental Pediatrics Unit by using International Classification of Diseases and Related Health Problems 10th revision (ICD-10) codes of our institution's electronic health data before and after 18 months from March 16 2020, when coronavirus disease 2019 pandemic was declared in Turkey. Statistical analyses were performed by using International Business Machines Statistical Package for Social Sciences for windows version 22.0 (Armonk, NY) program. Results: We found that the number of patients admitted to the Developmental Pediatrics Unit decreased during the pandemic period (pre-coronavirus disease 2019 n = 1107, during coronavirus disease 2019 n = 761). There was no significant difference between the ratio of the most common diagnosis (prematurity) before and during the pandemic period (32% and 30.6% respectively). It was observed that the ratio of children with speech delay (17.4%-23%, P =.003) increased during the pandemic, while there was a significant decrease in the ratio of admissions with Down syndrome (11.6%-6.6%, P <.001). Conclusion: We found that the number of admissions to the Developmental Pediatrics Unit with developmental difficulties decreased significantly during the pandemic. The ratio of admissions of speech delay increased during the same period, while admissions with Down syndrome decreased. This increase may be due to lockdown, increase in electronic screen exposure, and lack of stimuli and the decrease may be due to the risk of severe illness from coronavirus disease 2019. The decrease in admissions of patients who require developmental follow-up reveals the need for additional efforts such as implementing tele-health to our daily practice.Öğe Neurodevelopmental evaluation of newborns who underwent hypothermia with a diagnosis of hypoxic ischemic encephalopathy based on the Bayley-III scale(Tubitak Scientific & Technological Research Council Turkey, 2023) Deveci, Mehmet Fatih; Baysal, Senay Guven; Alagoz, Meral; Gokce, Ismail Kursad; Dogan, Derya Gumus; Ozdemir, RamazanBackground/ aim: Hypoxic ischemic encephalopathy (HIE) is one of the common causes of mortality and morbidity in newborns. Despite therapeutic hypothermia, an important treatment with proven efficacy, the morbidity and mortality rates remain high. The aim of this study was to neurodevelopmentally evaluate patients who underwent therapeutic hypothermia.Material and method: Included herein were patients who underwent hypothermia between 2018 and 2020. Their medical files were reviewed retrospectively, and their demographic and clinical information was recorded. Patients whose contact information was available were called to the developmental pediatrics outpatient clinic for a neurodevelopmental evaluation. The Bayley Scales of Infant and Toddler Development 3rd Edition (Bayley-III) was used as the evaluation tool. Laboratory values and clinical parameters of the patients were further analyzed.Results: It was found that 42 patients underwent hypothermia in 3 years, of whom 14 (33.3%) had died. Of the 28 patients who were discharged, 20 children could be reached, and a neurodevelopmental evaluation was performed. Developmental delay in the cognitive area was detected in 11 (55%) patients, delay in the language area was found in 9 (45%) patients, and delay in the motor area was found in 11 (55%) patients. The correlation and regression analysis results determined that the time to start cooling was the most effective common factor in all 3 fields of scoring. Conclusion: The time to start cooling is related to the neurodevelopmental outcomes of patients with HIE. The earlier cooling is started, the better the neurodevelopmental results. Despite therapeutic hypothermia, the neurodevelopmental development of infants may be adversely affected. These patients should be followed-up neurodevelopmentally for a long time.Öğe Parenting knowledge of child development in Turkish mothers and fathers(Galenos Publ House, 2023) Baysal, Senay Guven; Dogan, Derya Gumus; Kortay, Sinem; Arslan, Feyzullah Necati; Ozturk, Yesim Demirkiran; Yagin, Fatma HilalObjective: Many studies have shown a positive relationship between parenting knowledge and early childhood development. We aimed to assess parenting knowledge about early childhood development and child-rearing in a sample of Turkish mothers and fathers. Methods: A total of 106 married Turkish couples with children under the age of three participated in our study. Mothers and fathers completed 45 questions of the Knowledge of Infant Development Inventory (KIDI) and a sociodemographic questionnaire, individually. The KIDI is widely used in the international literature on child development and parenting knowledge. Permission to use the inventory was obtained from its author. Results: The median KIDI questionnaire scores were 8 (min -max: (-10)- 20) for mothers and 6 (min -max: (-14)- 20) for fathers (maximum score 30). The average knowledge score obtained by mothers was significantly higher than the average score obtained by fathers (p=0.024). Maternal education is associated with parenting knowledge (p<0.001). Mothers had the most experience in changing diapers and dressing their children, while fathers had the most experience in playing with their children. The least experience for mothers and fathers was reading books with their children. It was found that mothers learned the information about their children mostly by talking to their families and fathers learned mostly by talking to their wives. Conclusion: The results of the study show that Turkish couples' parenting knowledge, especially in child development, is an area that needs to be reinforced. Education level played an important role in parenting. Policies to improve parental education may also include increasing parental knowledge of child development.Öğe Shared Reading of the Families With the Children With Chronic Disease(Sage Publications Inc, 2024) Baysal, Senay Guven; Buyukavci, Mehmet Akif; Akdemir, Esra; Yagin, Fatma Hilal; Dogan, DeryaThe aim of the study is to evaluate shared reading of families of children with chronic diseases. The mothers of children aged 2 to 6 years with chronic health problems who applied to the pediatric outpatient clinic between January and May 2022 were the study group, and the mothers of children with an acute health problem were the control group. The sociodemographic information form and Child-Parent Shared Reading Activities Scale were applied. At the end of the interview, 3 questions about shared reading were asked. A total of 187 children were enrolled in the study: 92 and 95 in the chronic disease group and control group, respectively. 57.6% of mothers of chronically ill children reported that the parents almost never did shared reading with their child. It was found that all mothers knew the importance of reading, but they could not support especially in the risky chronic disease group.
