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Öğe Developmental assessment of children with Down syndrome(2019) Dincer, Serpil; Gümüş Doğan, Derya; Kıvılcım, Meltem; Canaloglu, Sinem KortayAbstract: Aim: Morbidity and mortality of children with Down syndrome (DS) have decreased and their quality of life has increased with modern medicine. The purpose of this study is to assess the developmental characteristics and activities of children with DS and also their participation to life, the environmental factors, the services they receive and their health and sociodemographic characteristics by using Expanded Guide for Monitoring Child Development (E-GMCD) Material and Methods: Children diagnosed with DS who were admitted to hospital were assessed with E-GMCD. Health information and the family’s sociodemographic features were supplied from families and hospital files. Results: The study included a total of 100 children diagnosed with DS, 41 girls and 59 boys, who were between 2-59 months of age. The mothers of the 63 children stated that they were concerned about their children’s learning, motor skills, communication, relationships with others, and senses (sense of hearing and seeing). Of the 57 (81%) children were found to have delay in expressive language and were older than 1 year old (p<0.05). The delay in gross motor domain seemed to decrease with the increase by age, it was not found to be statistically significant (p>0.05). A majority of children who received specialized education and physiotherapy were between ages of 2 and 4. Conclusion: Children with DS should be monitored regularly beginning from the day they are born. These children should get early education to speed up their cognitive development. Family centered early support programs should start as early as possible.Öğe Evaluation of the Attitudes of Pediatric Residents and Medical Students Towards Child and Death(Galenos Yayincilik, 2014) Kivilcim, Meltem; Dogan, Derya Gumus; Canaloglu, Sinem Kortay; Serbes, MahirIntroduction: The aim of this study was to determine the experiences and attitudes of pediatric residents and medical students about approaching to child who encounters with death and to the family who have lost their child. Materials and Methods: Totally 50 pediatric residents and medical students from the Department of Pediatrics at Inonui University included in this study. A 5-part evaluation form that was prepared by the authors was applied. These parts consist of questions about frequency of experiences with child death, competency levels related to sharing bad news and explaining death to children and family. Results: The mean age of the participants was 26.9 +/- 4.0 years and 56% of them were males. The percentage of experiencing child death was 92%. Of the respondents 80% reported that they didn't feel adequately trained about sharing bad news. 68% of the residents and 76% of the students stated that they haven't been trained on approaches on death and on fatal disease and all of the participants agreed on necessity of taking education. Of the respondents 46% consider that children begin to perceive death issue at ages of 6-7. Conclusions: In this study, it was detected that with the increase of frequency of experiencing child death, the rate of competency level wasn't rising as well as having difficulty with sharing bad news wasn't decreasing. There are misconceptions in communities about how to explain death concept to child and how to console families who have lost their child. The results of this study showed that experiencing death frequently alone isn't effective in increasing the competency level on sharing bad news but education constitutes a significant part. Physicians should learn the developmental characteristics of death during medical education and should have necessary knowledge and skills to manage the process after loss.Öğe Forgotten fathers in child healthcare(2022) Baysal, Şenay Güven; Canaloglu, Sinem Kortay; Arslan, Feyzullah Necati; Karakuş, GürkanAim: Father involvement is a largely unexplored area in health literature. The purpose of this research was to investigate how pediatric residents and mothers perceive fathers’ participation in health monitoring, fathers’ self-assessment of their participation in their child’s health monitoring, and to examine mothers and fathers’ views on "fatherhood roles". Materials and Methods: Between March and May 2019, a total of 155 individuals, including pediatrics residents (n=45), mothers (n=55) and fathers (n=55) of children admitted to the outpatient clinic of pediatrics participated survey, in Inonu University, Turkey. Results: It was found that 44% of the children had attended with their parents (40% only with their mother, and 16% only with their father), but the perceptions of the residents were not in this direction and residents did not care for the fathers and assigned them to a second role. The questions were asked to mothers and fathers about the role of fathers, adapted using the Role of the Father and it was concluded that giving moral and ethical guidance, showing love and affection, and providing financial care to children were more important for fathers, respectively. Conclusion: As suggested by American Academy of Pediatrics, residents should be aware of the importance of the fathers’ participation and include them.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 The relationship between motor performance and femoral cartilage thickness in children with Down syndrome(Springer Heidelberg, 2021) Buyukavci, Raikan; Buyukavci, Mehmet Akif; Akturk, Semra; Arslan, Feyzullah Necati; Dogan, Derya; Canaloglu, Sinem KortayDown syndrome (DS) is a genetic disorder associated with mental and motor developmental delays in childhood. The aim of this study was to investigate the relationship of the femoral cartilage thickness with motor performance in children with Down syndrome (DS). A total of 39 children with DS in the age range of 12-42 months were included in the study (female/male: 21/18; mean age: 23.4 +/- 8.2 months). Femoral cartilage thickness was measured with ultrasound in the medial and lateral condyles and intercondylar areas of both knees. Gross motor subtest scaled scores of the Bayley Scales of Infant and Toddler Development III were used for the motor performance assessment. There was a positive correlation between the gross motor scaled scores and the femoral cartilage thickness in both knee joints (p < .05; r = 0.415 for the right medial condyle; r = 0.323 for the right lateral condyle; r = 0.339 for the right intercondylar area; r = 0.369 for the left medial condyle; r = 0.364 for the left lateral condyle, and r = 0.590 for the left intercondylar area). The study demonstrated that the femoral cartilage thickness was positively correlated with gross motor functioning in children with DS.Öğe Sleep patterns of young children with newly diagnosed atopic dermatitis(Termedia Publishing House Ltd, 2017) Dogan, Derya Gumus; Canaloglu, Sinem Kortay; Kivilcim, Meltem; Kum, Yunus Emre; Topal, Erdem; Catal, FerhatIntroduction: Even though atopic dermatitis (AD) most often begins in the first year of life, it is not well known whether sleep disturbances occur following the onset of the disease or whether they develop later. Aim: To determine the sleep patterns of young children already diagnosed with AD in comparison to a control group by using a validated questionnaire, the Brief Infant Sleep Questionnaire (BISQ). Material and methods: Forty-six children with a new diagnosis of AD and 60 healthy children, aged 3-36 months, participated in the study. Their sleep behaviors were assessed using the BISQ along with a structured sociodemographic data form. Results: It was found that when compared with healthy children, children with AD did not have decreased daily total sleep duration (p = 0.1); however, it was found that they woke up more frequently at night (52.2% vs. 40%, p = 0.4) and they stayed awake significantly longer than 60 min when they woke up (41.3% vs. 11.7%, p < 0.05). In addition, mothers of children with AD reported that their children had three times as many sleep problems compared to the reports of mothers of healthy children. Conclusions: The findings of this study showed that sleep disturbance was more common in young children with already diagnosed AD, and the BISQ provided a practical way to assess the sleep patterns. The use of a screening tool to enable early identification and treatment of childhood sleep problems among patients with AD should be encouraged.
