Serebral palsili çocukların tedavisinde Aile odaklı yaklaşım

Engelli çocukların yaşantısında ailenin önemli bir rolü olduğu gittikçe önem kazanan bir görüştür. Aile odaklı bakım, özel ihtiyaçları olan çocukların bakım sürecini kolaylaştırmak ve ailelerine yardımcı olmak için geliştirilmiştir. Aile odaklı bakım çocuk sağlığı alanında yaygın olarak kullanılmakta olup sonrasında pediatrik rehabilitasyon alanında da uygulanmaya başlanmıştır. Aile odaklı bakım anlayışının kabulü ve motor gelişim konusunda yeni teorilerin ortaya çıkması, serebral palsili çocuklara tedavi yaklaşımını etkilemiş, yapılan uygulamalar çocuk yerine daha çok aile ve fonksiyon merkezli hale gelmiştir. Bu derlemenin amacı serebral palside uygulanan tedavi yaklaşımlarının teorik zeminlerini, bir kavramsal yapı olarak aile odaklı bakım anlayışını ve serebral palsili çocukların tedavisinde kullanılan terapi yaklaşımlarına etkilerini anlamak için genel bir bakış sağlamaktır. Türk Fiz T›p Re hab Derg 2012;58:229-35.There has been a growing understanding that the family has an important role in the life of children with disabilities. Family-centered care was developed to facilitate the process of care of children with special needs and their families. Since then, it has been widely used in child health and afterward implemented to the pediatric rehabilitation. The acceptance of family-centered care and the emergence of new theories on motor development have influenced the management of children with cerebral palsy. The interventions have become more family- and function-focused, rather than child-focused. The purpose of this review is to provide an overview of the theoretical background of the approaches to cerebral palsy, family-centered care as a conceptual framework and its implications for therapy approaches that are used in the management of children with cerebral palsy. Turk J Phys Med Re hab 2012;58:229-35

Investigation of the diabetic patients’ knowledge on diabetes and the role of clinical pharmacist in providing pharmaceutical care to them

Type 2 Diabetes is a common incurable metabolic disorder with worldwide increasing prevalence. International Diabetic Association noticed that there is a very fast and alarming increase in the worldwide prevalence of Diabetes. In 2012, diabetic popu-lation around the world has reached 371 million people. Untreated or undertreated Type 2 Diabetes does affect the quality of life of the patients both directly by symp-toms and indirectly by short term and long-term complications. In addition to the direct effects of type 2 diabetes mellitus, affects the patient’s life in a bad way, if the treatment process is not followed carefully, the quality of life of the patient will be re-duced. At this point, clinical pharmacist has an extremely important role in determin-ing and executing the correct clinical treatment. Besides that, the importance of the patient’s level of knowledge about the disease and its impact on the treatment process is very important. The major goal of this thesis is evaluating the diabetic patients` knowledge on diabetes and the effect of this point on treatment process. This study has been done in Merve Pharmacy of Muğla/Turkey between January and March of 2018. A questionnaire consisting of 20 multiple choice questions has been used to evaluate 50 participants who are clinically diagnosed diabetics. SPSS 23.0 statistical program was used for the statistical analysis of the data and the findings were evaluated at and 5% significance level. It has been statistically observed that knowledge levels of patients affected the treatment process. Recognizing the importance of this factor by clinical pharmacists and other health professionals will increase the training for diabetes and prevent the problems arising from the patient’s low-level knowledge

Evaluation of the contribution of inpatient services and experiences on improvement in child and adolescent psychiatry practice

Amaç: Bu çalışmada Mart 2013-Eylül 2014 tarihleri arasındaki dönemde çocuk ve ergen psikiyatrisi yataklı servisinde tedavi görmüş olan hastaların, sosyodemografik özellikleri, psikiyatrik tanıları, tedavi seçenekleri ve yatış sonrası iyileşme düzeylerinin değerlendirilmesi amaçlanmıştır.Yöntem: Mart 2013-Eylül 2014 tarihleri arasında, Ege Üniversitesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Yataklı Servisi'nde yatarak tedavi gören ve taburcu edilen 149 hasta değerlendirmeye alınmıştır. Verilerin elde edilmesinde, yatış sırasında her hasta için ayrı olarak hazırlanmış olan hasta dosyalarından yararlanılmış, uygun hastalar Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi ve Yaşam Boyu Şekli ile değerlendirilmiştir. Yatış sırasında ve taburculukta hastalık şiddetini ve iyileşme düzeylerini değerlendirmek için Klinik Global İzlenim Ölçeği-Şiddet (KGİÖ-Ş) ve Klinik Global İzlenim Ölçeği-İyileşme (KGİÖ-İ) kullanılmıştır. Bulgular: Hastaların yaş ortalaması 14.2 idi. Hastaların %63.1'i kız, %36.9'u erkekti. Hastaların tanı dağılımlarına bakıldığında en sık tanılar duygudurum bozuklukları %57.7, dikkat eksikliği hiperaktivite bozukluğu %10.7, şizofreni ve diğer psikotik bozukluklar %8.1 idi. Hastaların ortalama yatış süreleri 24.4 gündü. Yatış süresi uzadıkça KGİÖ-İ'de iyileşme düzeylerinin arttığı belirlenmiştir. Hastaların tümünde yatışı sırasında psikotrop ilaçlar kullanılmış, en sık kullanılan ilaç grubu antipsikotik ilaçlar olarak belirlenmiştir. İlk yatış sırasındaki muayenede değerlendirilen KGİÖ-Ş ortalama değeri 5 (belirgin hasta) ; taburculuk sonrası KGİÖ-Ş ortalama değeri 3 (hafif düzeyde hasta) olarak saptanmıştır. Hastaların yatış ve çıkış KGİÖ-Ş puanları karşılaştırıldığında anlamlı fark bulunmuştur. Sonuç: Türkiye'de sınırlı sayıda bulunan çocuk ve ergen psikiyatrisi yataklı servislerinin, çocuk ve gençlerin ruh sağlığına olumlu katkısı tartışılmazdır. Bu çalışma yataklı servislerle yapılacak ileriki çalışmalar için bir ön çalışma niteliğindedir.Objective: In this study it's aimed to evaluate the sociodemographic characteristics, psychiatric diagnoses, treatment options and improvement levels of the patients who were treated in Child and Adolescent Psychiatry inpatient service. Methods: One hundred and forty-nine patients between who were treated in Ege University Child and Adolescent Psychiatry inpatient service between March 2013 and September 2014 were evaluated. The patients' files were used for data collection and Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime version (K-SADS) was used for appropriate patients. Clinic Global Impression ScaleSeverity (CGIS-S) was used for all cases for determining the psychiatric disorder severity and Clinic Global Impression Scale-Improvement (CGIS-I) was used for evaluating the treatment effect. Results: The age mean was 14.2. %63.1 of the patients were girls and %36.9 boys. The common diagnoses were mood disorders %57.7, attention deficit and hyperactivity disorder %10.7, schizophrenia and other psychotic disorders %8.1. The mean treatment duration was 24.4 days. It is founded that the longer duration of hospitalization has positive effect on CGI improvement scores. All patients get psychopharmacological medication during inpatient follow up. The most used medication were antipsychotics. First CGIS-S median level of the patients was 5 (markedly ill) and 3 when discharging. When we compare the hospitalization and discharge CGI-S score medians of patients', a statistically significant difference was founded. Results: Although there is a limited number of inpatient services for children, the positive contribution of inpatient services on children and adolescents' mental health is incontrovertible unquestionable. This study is a preliminary report for forthcoming studies with special inpatient services for children and adolescent

KABUKSUZ ÇEREZLİK KABAK (CUCURBİTA PEPO VAR. STYRİCA) HATLARININ MEYVE ÖZELLİKLERİ VE TOHUM VERİMİ

ÖzetSeleksiyon ıslah yöntemi ile geliştirilen 24 adet kabuksuz çerezlik kabak hattı Kırşehir koşullarında meyve özellikleri ve tohum verimi yönünden incelenmiştir. Bitki başına ortalama meyve sayısı en yüksek 22’nolu hatta (5.29 adet) elden edilirken, en yüksek ortalama meyve ağırlığı ise 24’nolu hatta (4.070 kg) elde edilmiştir. 24 hattın meyve boyu 14.00-46.33 cm arasında değişirken, meyve çapı ise 8.87- 19.75 cm arasında değişmektedir. Islah hatların meyve eti kalınlığı ortalaması 2.65 cm iken, tohum evi genişliği ortalaması ise 14.00 cm olarak bulunmuştur. Meyve başına elde edilen en yüksek tohum verimi sırasıyla 7 (57.64 g) ve 24 (56.25 g) nolu hatlardan elde edilmiştir. 1000 tane tohum ağırlığı ortalaması ise 121.56 g olarak tespit edilmiştir. Bitki başına ortalama tohum verimi en yüksek 22’nolu hatta elde edilirken, dekara verim ise yine aynı şekilde 22’ nolu hattan (116.34 kg) elde edilmiştir. Deneme sonucunda 3, 4, 7, 12 ve 22’nolu hatlar meyve ve tohum verimi yönünden öne çıkmıştır. Öne çıkan bu hatlar önümüzdeki yıllardaki ıslah çalışmalarında materyal olarak kullanılabilecektir.ABSTRACTTwenty-four naked seed pumpkin lines developed by selection breeding method were investigated in terms of fruit characteristics and seed yield in Kırşehir conditions. The highest average fruit number per plant was obtained from breeding line no. 22 (5.29 units), and the highest average fruit weight was obtained from breeding line no. 24 (4.070 kg). Fruit length of 24 breeding lines varies between 14.00-46.33 cm, while fruit diameter ranged from 8.87 to19.75 cm. While the average fruit flesh thickness of the lines was 2.65 cm, the average seed cavity width was found to be 14.00 cm. The highest seed yield per fruit was obtained from breeding lines 7 (57.64 gr) and 24 (56.25 gr),&nbsp; respectively. The average 1000 seed weight of the lines was 121.56 g. While the average seed yield per plant was obtained from the breeding line no. 22, the yield perdecare was obtained from breeding line no. 22 (116.34 kg) in the same way. As a result of the experiment, breeding lines 3, 4, 7, 12, 22 were found to be promising for investigated parameters. These prominent breeding lines can be used as materials in the pumpkin breeding programs for naked seed.</p

Investigation of appropriate grafting method and plant applications to increase grafting success in cucumber

In grafted seedling production, in addition to the compatibility and performance of the rootstock, the correct selection of the grafting method and the treatments to the rootstocks nd scion are effective on the success of the graft. A three-stage trial was conducted to determine the appropriate grafting method, the effect of root cutting, and some treatments on grafting success in cucumber (Cucumis sativus L.). In Experiment I, it was aimed to determine the most appropriate grafting technique for cucumber by using single cotyledon, hole insertion, and tube grafting techniques. The effect of rooted and rootless grafting on grafting success and seedling growth in Experiment II was determined by using the most appropriate grafting technique determined in Experiment I. In experiment III, the effect of sucrose, IBA (Indole-3-butyric acid) and antitranspirant applications on rootstocks on the success of grafting was determined. The graft success rate of the grafted plants was evaluated 14 days after grafting. While the most appropriate grafting technique was the single cotyledon grafting method with a success rate of 76%, the grafting success rate was 67.8% and 55.6% in hole insertion and tube grafting methods, respectively. The effect of grafting with rooted or rootless rootstock on grafting success was found to be insignificant. The highest stem fresh and dry weight were recorded in rooted grafting with 28.00 and 2.30 g/plant, respectively. The highest root fresh and dry weights were found in rooted grafting with 19.30 and 1.93 g/plant, respectively. In Experiment III, the highest grafting success was obtained from sucrose+antitranspirant (98.82%) and sucrose+antitranspirant+IBA (97.65%) applications, respectively. The lowest grafting success was determined in antitranspirant (74.86%) and control (78.24%) applications. According to the results te highest grafting success was achieved by using rooted rootstocks and single cotyledon grafting method. In addition, the combined application of sucrose and antitranspirant and the triple combination of sucrose, antitranspirant, and IBA to rootstocks before grafting is recommended because they increase the success of grafting in cucumber.</p

The Effect of Prenatal Invasive Tests on Neonatal Birthweight

OBJECTIVE: The aim of this study is to investigate the effect of prenatal invasive procedures on neonatal birth weight. STUDY DESIGN: The present study consists of three group of pregnancies; 1) Amniocentesis group (n=97), 2) Chorionic Villus Sampling group (n=36), 3) Control group (matched patients without any intrauterine intervention, n=100). “Hacettepe University Perinatology Datae Base” is used in this study (January 2013-January 2014 interval is used for the extraction of datae). Singleton pregnancies without maternal complications (which may affect fetal birthweight) were included to this study. Exclusion criteria also includes cases with perinatal complications and fetuses with congenital abnormalities, cytogenetical problems and gene disorders. Consent forms were signed by patients prior to prenatal diagnosis and intrauterine interventions. RESULTS: Matched patient groups were compared in terms of maternal age, gestational week and neonatal birth weight. We have demonstrated that “control” group and “chorionic villus sampling” group babies are statistically significantly heavier than “amniocentesis” group babies (p=0.01). The mean (±SD) birthweight values are 3009 ±428 gr, 3178±409 gr and 3283±358 gr for the “amniocentesis” group, “chorionic villus sampling” group and “control” group respectively. Decreased birthweight values in “chorionic villus sampling” group is not statistically significant. (p=0.74 ). CONCLUSION: In this study, we have demonstrated that amniocentesis possibly influences the birthweight values. Decreased birthweight values may be due to the direct affect of amniocentesis itself through the depression and/or activation of various cytokines or growth factors, or the result of obstetrical problems behind the amniocentesis indications

Association study of CFH Y402H functional variant with genetic susceptibility to nicotine dependence and schizophrenia in Turkish population

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