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    Cognitive home environment of infants, toddlers and preschoolers: A study from a hospital setting
    (2021) Kortay Canaloglu, Sinem; Gumus Dogan, Derya; Buyukavci, Mehmet Akif; Arslan, Feyzullah Necati
    Aim: The purpose of this study was to determine the Cognitive Home Environment (CHE) of young children who apply to the hospital for various reasons. Material and Methods: In total 121 mothers participated. CHE was measured by The StimQ – (Infant, Toddler and Preschool) Home Environment Assessment Tools and sociodemographic characteristics of the families were noted. Results: Averages of total StimQ scores were lowest in Infant Group (IG) with 13.7 points out of 43; 15.9 points out of 39 in Toddler Group (TG); 27.78 points out of 49 in Preschool Group (PG). There was a significant difference in the Total StimQ scores of mothers with high level of education in Toddler (p=.005) and Preschool (p=.000) groups. Looking at childrens' books increased with age. Only 15% of the mothers in the IG, 32.5% in the TG, and 90% in the PG were looking at children's books with their children. Conclusion: The CHE of young children is not enough to serve for optimal development, especially the infants. High maternal education iseffects CHE positively. Applying STIMQ can be a good opportunity to explore CHE of children in hospital settings.
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    Developmental assessment of children with Down syndrome
    (2019) Dincer, Serpil; Gumus Dogan, Derya; Kivilcim, Meltem; Kortay Canaloglu, Sinem
    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
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    Developmental characteristics of Williams-Beuren syndrome and evaluation of adaptive behavioral skills
    (Tubitak Scientific & Technological Research Council Turkey, 2023) Guven Baysal, Senay; Arslan, Feyzullah Necati; Buyukavci, Mehmet Akif; Yagin, Fatma Hilal; Ekici, Cemal; Esener, Zeynep; Gumus Dogan, Derya
    Background/aim: Williams-Beuren syndrome (WBS) is a rare genetic disorder with delays in language and cognitive development, but, with increased awareness of clinical features and a reliable diagnostic test, WBS is becoming more widely recognized in childhood. Adaptive behavior skills and/or maladaptive behavior are important for the prognosis of individuals with WBS. The aim of this study was to investigate the clinical and developmental characteristics of patients with WBS and further increase awareness about it by evaluating the adaptive skills and maladaptive behaviors of the patients.Materials and methods: The data of WBS patients followed-up at the Developmental Behavioral Pediatrics Unit were reviewed. Patient data on perinatal and postnatal history, developmental stages, physical and neurological examination findings were collected. The International Guide for Monitoring Child Development (GMCD) was administered to each child. In addition, semistructured interviews were conducted with the parents using the Vineland Adaptive Behavior Scales, Second edition (Vineland-II).Results: A total of 12 patients diagnosed with WBS via detection of the 7q11.23 deletion, of whom 6 were girls, were retrospectively reviewed. The mean age at the time of review was 54.6 +/- 32.5 months. The mean age at first presentation to the Developmental Behavioral Pediatrics Outpatient Clinic was 15 +/- 11.5 months. In the first developmental evaluation using the GMCD, there was a delay in fine and gross motor domains in 6 patients, in the language domains in 4 patients, and in all of the domains in 2 patients. Findings with Vineland-II showed socialization and communication domains as strengths, but the daily living skills and motor skills domains were weaknesses. In terms of maladaptive behavior, the patients tended to frequently have behavioral problems, neurodevelopmental disease, anxiety disorders, eating problems, and sleeping problems.Conclusion: This retrospective review of 12 patients indicated a general delay in overall development, and confirmed impairment in both adaptive and maladaptive functioning in WBS.
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    Diagnostic value of “t sign” on MRCP-MIP imaging in the evaluation of pancreas divisum
    (2019) Kivilcim, Meltem; Gumus Dogan, Derya; Kortay Canaloglu, Sinem; Varol, Fatma Ilknur; Selimoglu, Mukadder Ayse
    Aim: Feeding difficulties are common in typically developing children and the prevalence ranges from 25% to 45%. Although using an assessment tool is the best approach when planning an intervention, assessment of feeding disorders is mostly accomplished by informal parent interviews in clinical practice. This study was designed to assess the mealtime behaviours of young children with ‘Feeding Difficulties’ (FD) by an instrument and to compare the results with ‘Typically Developing’ (TD) children.Material and Methods: A total of 61 children with FDs and 63 TD children aged 6-42 months were included. The Behavioral Pediatric Feeding Assessment Scale (BPFAS) was completed to describe the child’s feeding behaviors and the parents’ mealtime strategies. Results:FD group had higher scores than TD group in all BPFAS subtests’ scores. The mean ‘Total Frequency Score’ was 104.6 in FD group whereas 72.9 in TD group (p=0.0001). The FD group had more problematic feeding behaviours in comparison to TD group. The mean ‘Total Problem Score’ of TD group was 6.1 whereas 20.1 in children with FD (p=0.0001).Conclusion: This study supports the BPFAS to be a useful and practical feeding assessment tool and also has the advantage of incorporating parents’ feelings about child’s feeding behaviors.