Dudak damak yarıkları ve genetik

Dudak damak yarñklarñ genetik ve çevresel olmak üzere multifaktoriyal bir etiyolojiye sahip, önemli medikal, psikolojik, sosyal ve ekonomik kollarñ olan yaygñn konjenital anomalilerdir. Dudak damak yarñklarñ gibi doßumsal defektlerin etiyolojisinin bilinmesi, tedavilerin geliğtirilmesi ve koruyucu yaklağñmlar açñsñndan önemli bir adñmdñr. Birçok doßumsal defektin altñnda yatan sebep genetiktir. Bu derlemede dudak damak yarñklarñnñn genetik altyapñsñ detaylñ bir ğekilde deßerlendirilecekti

Musculoskeletal system problems and quality of life of mothers of children with cerebral palsy with different levels of disability.

OBJECTIVE: The objective of this study is to investigate musculoskeletal system problems and quality of life of mothers of children with cerebral palsy with different levels of disability. METHODS: 100 children (37 girls and 63 boys) with cerebral palsy (CP) and their mothers were included in this study. Functional levels of children with CP were assessed by using the Gross Motor Function Classification System (GMFCS) and the Pediatric Functional Independence Measure (WeeFIM). Quality of life of mothers regarding health was assessed by using the Nottingham Health Profile (NHP). Musculoskeletal system problems of mothers were assessed by using the Neck Disability Index (NDI) and the Roland-Morris Disability Questionnaire (RMDQ). RESULTS: No statistical significance was found when GMFCS levels of children with CP and the NHP, DASH-T, RMDQ, NDI and the BAE values of mothers were compared in an inter-group way (p> 0.05). When the NHP parameters and the existence of lower and arm pains of mothers were compared with their BAI, NDI, RMDQ and DASH-T scores, a statistically significant relationship was found among them (p< 0.05). CONCLUSION: As functional levels of children with CP get worse, upper extremity, lower back and neck problems and anxiety levels of mothers increase and this situation negatively affects mothers' quality of life

Hiccup Due To Gastroesophageal Reflux Disease

Hiccup is a spasmodic, involuntary contraction of the inspiratory muscles, associated with delayed, abrupt glottic closure, causing a peculiar sound. There are numerous causes of hiccup, includ-ing diseases of the gastrointestinal tract. Hiccup is reported to represent an atypical manifestation of the gastroesophageal reflux disease (GERD). We report two cases with hiccup due to GERD. Endoscopic exami-nations showed esophagitis, Los Angeles class grade A and B, in two cases whose hiccups were improved by proton pump inhibitors (PPI). Hiccup is atypical symptom of GERD. If hiccup is due to GERD, then it may be improved with ppi therapy

Endoscopic retrograde ciiolangiopancreatograpfiy experience: Prospective study Endoskopi̇k retrograd kolanji̇opankreatografi̇ deneyi̇mi̇: Prospekti̇f çalişma

Objective: Endoscopic Retrograde Cholangio Pancreatography (ERCP) is a method that helps to show pancreas, gall bladder and intra and extra hepatic bile ducts. Recently ERCP is used for the treatment of pancreaticobilier system pathologies rather than diagnosis. • Material and Method: With extra hepatic cholestasis, 118 patients who hospitalized to the Gastroenterology Clinic of Stileyman Demirel University Medical Faculty were included in to the study. Forty-eight (40.7%) of patients were men and 70 (59.3%) of them were women. • Results: Totally 123 FRCP procedures were performed; seventy-one choledochal stone, 20 malign stenosis, 8 benign stenosis, 9 Oddi fibrosis, 7 postoperative biliary fistulas, 1 choledochoduodenal fistula, 1 ectopic opening anomaly, 1 Fasciola hepatica were found. There was more than one pathology in some patients; totally 93 patients were having choledochal stone. Diverticulum was detected in 22 patients. Mild complications were seen in six patients. ERCP was unsuccessful in 17 patients. • Conclusion: Serious complications may be seen such as perforation, sepsis and even mortality during the ERCP procedure. More experienced endoscopist and team, careful follow-up during ERCP procedure and in service may increase the success of procedure as well as decrease the complications to the minimal

Expectations from Rehabilitation of Children with Cerebral Palsy: The Agreement between the Physiotherapists and Mothers

Abstract. [Purpose] The aim of this study was to examine the agreement between physiotherapists (PTs) and mothers (Ms) about the treatment of children with cerebral palsy (CP) who received treatment in special education and rehabilitation centers. [Subjects] Ms of 130 children with CP (75 boys, 55 girls) and 130 PTs who applied reha-bilitation programs were interviewed. [Methods] Clinical types and gross motor function levels of the children were recorded. A questionnaire consisting of 6 open-ended questions was used to describe the expectations and views of the PTs and Ms about the physiotherapy and rehabilitation programs for the children. [Results] The mean age of the children was 89.80±52.05 months. The mean treatment period for the children was 73.62±42.11 months. The mean age of the mothers was 35.47±5.79 years, and the mean age of the PTs was 28.07±7.28 years. We found a statistically moderate level of agreement between the PTs and Ms regarding the appropriateness of the treatment provided to the children. There was statistically insignificant agreement regarding the applied treatment methods and the ap-propriateness of the applied rehabilitation programs. [Conclusion] We believe that the views and expectations of the Ms should be taken into account by the PTs when preparing a treatment program for children with CP

Stress and depression levels of mothers who give care to children with cerebral palsy and mental retardation: a comparison study

Purpose:Assessment of mothers who give care to children with Cerebral Palsy (CP) and mentally retarded children (MR) by Bakas Caregiving Outcomes Scale and Caregiver Strain Index. Materials and methods: Fifty-six mothers living in Denizli (children with CP n=33, children with MR n=23) were included the study. Stress of mothers of CP and MR children at the process of giving care, were assessed with Bakas Caregiving Outcomes Scale and Caregiver Strain Index and conditions of depression were assessed with Beck Depression Inventory. Motor development levels of children with CP and MR were determined with Classic Motor Development Level. Results: When Classic Motor Development Level of children with CP were compared with Bakas Caregiving Outcomes Scale of mothers, a statistically significant and negative correlation was found (p=0.01). In comparison of Bakas Caregiving Outcomes Scale of mothers having children with CP and MR, there was a statistically significant difference towards stress burden of mothers with cerebral palsy children was higher (p=0.03). Conclusion: We found that caregiving stress of mothers of children with CP was higher. Better motor development level provides less burden of caregiving and depressive symptoms of mothers in disabled childre

Stress and depression levels of mothers who give care to children with cerebral palsy and mental retardation: a comparison study

Purpose:Assessment of mothers who give care to children with Cerebral Palsy (CP) and mentally retarded children (MR) by Bakas Caregiving Outcomes Scale and Caregiver Strain Index. Materials and methods: Fifty-six mothers living in Denizli (children with CP n=33, children with MR n=23) were included the study. Stress of mothers of CP and MR children at the process of giving care, were assessed with Bakas Caregiving Outcomes Scale and Caregiver Strain Index and conditions of depression were assessed with Beck Depression Inventory. Motor development levels of children with CP and MR were determined with Classic Motor Development Level. Results: When Classic Motor Development Level of children with CP were compared with Bakas Caregiving Outcomes Scale of mothers, a statistically significant and negative correlation was found (p=0.01). In comparison of Bakas Caregiving Outcomes Scale of mothers having children with CP and MR, there was a statistically significant difference towards stress burden of mothers with cerebral palsy children was higher (p=0.03). Conclusion: We found that caregiving stress of mothers of children with CP was higher. Better motor development level provides less burden of caregiving and depressive symptoms of mothers in disabled children