The Relationship Between Children's Masturbation Behavior and Their Mothers' Temperament and Character Dimensions: A Case-Control Study

The relationship between children's masturbation behavior and their mothers' temperament and character dimensions: a case-control study Objective: Childhood masturbation (CM) is the self-stimulation of the genitalia by a child with the intention of obtaining pleasure and is frequently associated with physical distress signs and symptoms. In this study, we aimed to examine the temperament and character traits of mothers of a clinical sample of infants and young children, who presented with the complaint of masturbation compared to a control group. Sociodemographic and clinical features of the children in the study group were also assessed. Methods: Fifty two infants and children (36 girls and 16 boys) with a mean age of 4.4 +/- 1.7 years exhibiting masturbation and their mothers were included in this study together with a control group consisting of 52 age, gender, and age of mother-matched infants and children. Socio-demographic data and clinical information was obtained through interviews by the researchers and the Temperament and Character Inventory (TCI) was completed by the mothers. All statistical analyses were performed using SPSS for Windows, Version 20.0. Results: The Total Novelty Seeking (NS), Impulsivity subscale (NS2) of Novelty Seeking, Attachment (RD3) subscale of Reward Dependence, and Transpersonal Identification (ST2) subscale of Self-Transcendence scores were significantly higher in the study group; while the Total Self-Directedness and Responsibility subscale of the (SD1) Self-Directedness scores were significantly lower in the mothers of CM compared to control group. According to the logistic regression model, the odds of exhibiting masturbation increased in a child as the scores of Impulsiveness subscale of Novelty Seeking dimension and the Attachment subscale of Reward Dependence scores increased and the scores of Responsibility subscale of Self-Directedness scores were decreased in the mothers of CM group. Conclusions: The findings may indicate a relationship (as a mediator) between problematic childhood masturbation and the temperament and character traits of their mothers, but it should be further studied in large samples

Patients with cystic fibrosis who could not receive the CFTR modulator treatment: What did they lose in 1 year?

Background: Cystic fibrosis (CF) is an autosomal recessive disorder caused by CF transmembrane conductance regulator (CFTR) genetic variants. CFTR modulators improve pulmonary function and reduce respiratory infections in CF. This study investigated the clinical and laboratory follow-up parameters over 1 year in patients with CF who could not receive this treatment. Methods: This retrospective cohort study included 2018 and 2019 CF patient data from the CF registry of Turkey. Demographic and clinical characteristics of 294 patients were assessed, who had modulator treatment indications in 2018 but could not reach the treatment. Results: In 2019, patients younger than 18 years had significantly lower BMI z-scores than in 2018. During the 1-year follow-up, forced expiratory volumes (FEV1) and FEV1 z-scores a trend toward a decrease. In 2019, chronic Staphylococcus aureus colonization, inhaled antipseudomonal antibiotic use for more than 3 months, oral nutritional supplement requirements, and oxygen support need increased. Conclusions: Patients who had indications for modulator treatments but were unable to obtain them worsened even after a year of follow-up. This study emphasized the importance of using modulator treatments for patients with CF in our country, as well as in many countries worldwide

Impact of COVID-19 infection on lung function and nutritional status amongst individuals with cystic fibrosis: A global cohort study

International audienceBackground: Factors associated with severe COVID-19 infection have been identified; however, the impact of infection on longer-term outcomes is unclear. The objective of this study was to examine the impact of COVID-19 infection on the trajectory of lung function and nutritional status in people with cystic fibrosis (pwCF).Methods: This is a retrospective global cohort study of pwCF who had confirmed COVID-19 infection diagnosed between January 1, 2020 and December 31, 2021. Forced expiratory volume in one second percent predicted (ppFEV 1 ) and body mass index (BMI) twelve months prior to and following a diagnosis of COVID-19 were recorded. Change in mean ppFEV 1 and BMI were compared using a t-test. A linear mixed-effects model was used to estimate change over time and to compare the rate of change before and after infection.Results: A total of 6,500 cases of COVID-19 in pwCF from 33 countries were included for analysis. The mean difference in ppFEV 1 pre-and post-infection was 1.4 %, (95 % CI 1.1, 1.7). In those not on modulators, the difference in rate of change pre-and post-infection was 1.34 %, (95 % CI -0.88, 3.56) per year (p = 0.24) and -0.74 % (-1.89, 0.41) per year (p = 0.21) for those on elexacaftor/tezacaftor/ivacaftor. No clinically significant change was noted in BMI or BMI percentile before and after COVID-19 infection.Conclusions: No clinically meaningful impact on lung function and BMI trajectory in the year following infection with COVID-19 was identified. This work highlights the ability of the global CF community to unify and address critical issues facing pwCF