Okul Öncesinde Özel Gereksinimli Olan ve Normal Gelişen Çocukların Sosyal Kabul Düzeylerinin İncelenmesi

Bu çalışmanın amacı okul öncesi sınıflara devam eden özel gereksinimli (ÖG) ve normal gelişen (NG) çocukların sosyal kabul düzeylerini incelemektir. Bu amaçla iki grubun sosyal kabul, gelişimsel işlevler, problem davranış, sosyal beceri, öğrenci-öğretmen ilişkisi ve okula uyumları karşılaştırılmış, bu değişkenler arasındaki ilişkiler incelenmiş ve sosyal kabulü yordayan değişkenler belirlenmiştir. Çalışmada veriler okul öncesi sınıflara devam eden 47 ÖG ve 47 NG çocuk Sosyometrik Dereceleme Ölçeği, Yeterlik İndeksi, Okulöncesi ve Anaokulu Davranış Ölçeği, Öğrenci-Öğretmen İlişki Ölçeği-Kısa Formu ve Okula Uyum Öğretmen Derecelendirme Ölçeği-Kısa Formu kullanılarak toplanmıştır. Çalışmanın bulguları incelendiğinde ÖG çocukların NG akranlarına göre sosyal kabul, öğrenci-öğretmen ilişkisi, sosyal beceri ve okula uyum puanlarının daha düşük olduğu, buna karşın yeterlilik indeksi ve problem davranış puanlarının daha yüksek olduğu ve tüm çocuklar için sosyal kabulü en güçlü şekilde yordayan değişkenin problem davranışlar olduğu belirlenmiştir

Quality of Inclusive Preschool Classrooms: Predictive Variables

Preschool inclusion is an issue that has become more prominent and is frequently targeted in the literature in recent years. Previous studies regarding preschool inclusion were conducted with teachers, typically developing children, and children with disabilities as well as about how the inclusive practices could be more effective and which variables would affect the quality of preschool inclusion. Recently, the concept of ``quality{''} in inclusive preschool becomes one of the current issues in the field. The quality of the inclusion is examined as the process quality, structural quality, and global quality it is influenced by several factors such as experience and education of teachers, teacher/child ratio and knowledge of teachers related to implementation of inclusive practices. The purpose of this study, which utilized correlational screening model, was to reveal the variables which predict the overall quality of inclusive preschool classrooms in Turkey. The data were collected by Teacher Information Form, Student-Teacher Relationship Scale, Opinions Relative to Integration of Students with Disabilities, and Abilities Index in 47 preschool classrooms as well as the third researcher assessed the quality of the classrooms by using Inclusive Classroom Profile. To test the predictive value of all variables, a stepwise regression model was used. Analyses showed that the overall quality of the inclusive preschool classrooms was predicted by the teachers' opinions regarding inclusion, having courses related to preschool inclusion, and teachers' relationships with their students. The results are discussed in the framework of the existent literature and suggestions related to implications and future research are offered

Evaluation of growth in children and adolescents after renal transplantation

Despite the advances in the last decades, it is well-known that optimal growth is usually not achieved in children with chronic kidney disease (CKD) even after successful renal transplantation (RTx). In this study, our aim was to evaluate growth patterns and factors affecting growth in pediatric and adolescent renal transplant recipients (RTR). Thirty-seven prevalent RTR with mean age of 17.0 +/- 2.9 years and mean post-RTx duration of 4.2 +/- 2.0 years were evaluated. Growth parameters, height velocities and factors affecting growth at the time of RTx (baseline) and in the post-RTx follow-up were also retrospectively assessed. Cumulative corticosteroid ( CS) doses were calculated. Mean height and weight standard deviation score (SDS) values were negative (-1.4 +/- 1.1 and -1.2 +/- 1.5, respectively), whereas height SDS was positive in 16\% of the patients. Mean weight, height, and BMI (body mass index) SDS of the RTR were significantly higher than the values at transplantation (p<0.001 for weight and height SDS; p<0.05 for BMI SDS). Height SDS was <-2.0 in 19\% of the patients while 60\% at the baseline. Main factors associated with post-RTx height SDS were pre-RTx height SDS (B: 0.448, p<0.01) and CKD duration (B: -0.01, p<0.05). Although it was much better than the pre-RTx period, the present study reveals that postRTx growth was less than anticipated. As well as minimizing post-RTx CS doses and preserving graft function in the post-RTx follow-up, performing early transplantation and all efforts for minimizing pre-RTx growth deficit are crucial for an optimal post-RTx growth

Urodynamic disorders and renal scarring in pediatric patients with nonmonosymptomatic nocturnal enuresis

Background/aim: In nonmonosymptomatic nocturnal enuresis (NMNE), the incidence of organic abnormality and urodynamic disorder is more frequent than the general population. The aim of this study is to identify urodynamic disorders and renal scarring in children with NMNE. Materials and methods: This study evaluated the urodynamic disorders and renal scarring of a total of 30 patients who were diagnosed with NMNE. A video-urodynamic test and Tc-99m dimercaptosuccinic acid renal scintigraphy were applied. Results: Records of 605 patients who had been diagnosed with enuresis were analyzed, and 215 (33.5\%) of them had been diagnosed with NMNE. Thirty patients older than 6 years old with NMNE were included in the study. Detrusor overactivity was identified in 10 patients. Bladder capacity was low in 5 patients and bladder compliance was low in 2 patients. Renal scarring was identified in 1 patient. Unilateral vesicoureteral reflux was found in 4 patients. Conclusion: Bladder function disorder is also a significant risk factor for the development of renal scarring, besides other risk factors. Organic abnormalities are seen more often in patients with NMNE than patients with monosymptomatic nocturnal enuresis, so urodynamic studies should be remembered for patients with NMNE

Association of genetic polymorphisms with endothelial dysfunction in chronic heart failure.

OBJECTIVES: Endothelial dysfunction can be shown very early in the cardiovascular disease. In the present study the association between congestive heart failure (CHF), endothelial function and 3 gene polymorphisms was investigated

Familial Mediterranean fever (FMF) in Turkey - Results of a nationwide multicenter study

Familial Mediterranean fever (FMF) is an autosomal recessive disease that is prevalent among eastern Mediterranean populations, mainly non-Ashkenazi Jews, Armenians, Turks, and Arabs. Since a large proportion of all the FMF patients in the world live in Turkey, the Turkish FMF Study Group (FMF-TR) was founded to develop a patient registry database and analyze demographic, clinical, and genetic features