The Trail, 1988-09-08

https://soundideas.pugetsound.edu/thetrail_all/2487/thumbnail.jp

Üriner İnkontinanslı Çocukların Tuvalet Eğitiminde Ebeveynlerin Tutumu: Araştırma Makalesi

Introduction and Objective: In this research, we aimed to elucidate parents’ knowledge, attitude, and behavior of parents regarding toilet training of children with urinary incontinence and compare the results with normal children. Method: The study was conducted among 100 pediatric patients aged between 5 – 17 years who applied to our institution with complaints of urinary incontinence (night and daytime). The participants were requested to answer a 2-part-questionnaire including 50 questions prepared by two specialist physicians. Results: The rate of mothers who trainin starting toilet training before two years of age was 19.7% in the study group and significantly lower than the control group (33.4%, p=0.03).  The rate of children whose toilet training lasted over three months was 56 % in the study group and 10.8% in the control group (p<0.05). Completing toilet training after three years of age was 76% and 32% in the study and control groups, respectively (p<0.05). The rate of starting toilet training together during the day and night in the study group was significantly lower than in the control group (5.5% vs. 27.4% in the control group, p <0.05). Similarly, 65.3% of mothers of children with UI continued to tie diapers while toilet training, while only 37.3% of mothers of the control group tied diapers at night (p=0.002). Conclusion: The duration of toilet training of children varies considerably according to the age of the person responsible for toilet training, whether she had given toilet training before and received training on this subject.Giriş ve Amaç: Bu araştırmada, ebeveynlerin idrar kaçırma (enürezis nokturna ve gündüz enürezisi) olan çocukların tuvalet eğitimine ilişkin bilgi, tutum ve davranışlarını ortaya çıkarmak ve idrar kaçırması olmayan çocuklarla karşılaştırmayı amaçladık. Yöntem: Çalışma, kurumumuza idrar kaçırma (gece ve gündüz) şikâyeti ile başvuran 5 – 17 yaş arası 100 çocuk hasta üzerinde gerçekleştirildi. Katılımcılardan iki uzman hekim tarafından hazırlanan ve 50 sorudan oluşan 2 bölümden oluşan bir anketi yanıtlamaları istenmiştir. Bulgular: Tuvalet eğitimine 2 yaşından önce başlamayı destekleyen annelerin oranı çalışma grubunda %19.7 olup, kontrol grubuna göre anlamlı olarak düşüktü (%33.4, p=0.03). Tuvalet eğitimi 3 aydan uzun süren çocukların oranı çalışma grubunda %56 kontrol grubunda %10,8 idi (p<0.05). Ayrıca tuvalet eğitimini 3 yaşından sonra tamamlama oranı çalışma grubu ve kontrol grubunda sırasıyla %76 ve %32 idi (p<0.05). Çalışma grubunda gece ve gündüz birlikte tuvalet eğitimine başlama oranı kontrol grubuna göre anlamlı olarak düşüktü (çalışmada %5.5, kontrol grubunda %27.4, p<0.05). Benzer şekilde Üİ olan çocukların annelerinin %65.3'ü tuvalet eğitimi sırasında gece bez bağlamaya devam ederken, kontrol grubundaki annelerin sadece %37.3'ü gece bez bağlamaya devam etti (p=0.002). Sonuç: Çocukların tuvalet eğitimi süresi, tuvalet eğitiminden sorumlu kişinin yaşına, daha önce tuvalet eğitimi verip vermediğine ve bu konuda eğitim alıp almadığına göre oldukça değişmektedir. Çocuğun tuvalet eğitimine hazır olduğuna karar vermek ve belirli metodolojilerle sakin ve sabırlı bir şekilde ilerlemek önemlidir

Parenting Attitude on Toilet Training of Children with Urinary Incontinence

<p><strong>Abstract</strong></p><p><strong>Introduction and Objective:</strong> In this research, we aimed to elucidate parents' knowledge, attitude, and behavior of parents regarding toilet training of children with urinary incontinence and compare the results with normal children.</p><p><strong>Method:</strong> The study was conducted among 100 pediatric patients aged between 5 – 17 years who applied to our institution with complaints of urinary incontinence (night and daytime). The participants were requested to answer a 2-part-questionnaire including 50 questions prepared by two specialist physicians.</p><p><strong>Results:</strong> The rate of mothers who trainin starting toilet training before two years of age was 19.7% in the study group and significantly lower than the control group (33.4%, p=0.03).  The rate of children whose toilet training lasted over three months was 56 % in the study group and 10.8% in the control group (p<0.05). Completing toilet training after three years of age was 76% and 32% in the study and control groups, respectively (p<0.05). The rate of starting toilet training together during the day and night in the study group was significantly lower than in the control group (5.5% vs. 27.4% in the control group, p <0.05). Similarly, 65.3% of mothers of children with UI continued to tie diapers while toilet training, while only 37.3% of mothers of the control group tied diapers at night (p=0.002). </p><p><strong>Conclusion:</strong> The duration of toilet training of children varies considerably according to the age of the person responsible for toilet training, whether she had given toilet training before and received training on this subject. </p><p><strong>Keywords:</strong> Toilet Training, Urinary İncontinence, Enuresis Nocturna, Daytime Enuresis, Diaper.</p&gt

Can Urinary Nerve Growth Factor and Brain-Derived Neurotrophic Factor be used in the Diagnosis and Follow-Up of Voiding Dysfunction in Children?

WOS: 000380525900005PubMed ID: 27351324Purpose: We investigated the utility of urinary nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) levels as non-invasive markers for diagnosis and evaluation of treatment efficacy in children with over-active bladder (OAB). Materials and Methods: This prospective study included 24 children with OAB and 30 healthy controls. At the time of diagnosis, micturition disorder symptom scores (MDSS) were determined, blood and urine samples were collected, and anticholinergic therapy was initiated. Clinical responses were evaluated, at the third and sixth month of treatment, by MDSS and urinary NGF, BDNF, and creatinine levels. Results: The patient group had significantly higher urine NGF/Cr ratio (975 +/- 827 and 159 +/- 84; respectively, P 360 was found to have 87.5% sensitivity and 100% specificity, and BDNF/Cr > 1.288 was found to have 87.5% sensitivity and 83.3% specificity for OAB diagnosis. Conclusion: In conclusion, urine NGF/Cr and BDNF/Cr ratios may be useful markers for diagnosis of OAB. The BDNF/Cr ratio was found to be more significant in monitoring treatment response

The early cardiovascular changes in pediatric patients with systemic lupus erythematosus

WOS: 000314038000014PubMed ID: 23135607In patients with systemic lupus erythematous (SLE) late-onset deaths are due to morbid cardiovascular changes (CVCs). Inflammatory and immune-mediated mechanisms are involved in promoting atherosclerosis development in SLE that is reflected in both functional and morphological changes in the cardiovascular system. The aim of our study was to determine the presence of these changes in pediatric SLE patients. Fifty-one consecutive patients (13 male, 38 female) with SLE and 25 healthy controls were included in the study. Arterial stiffness was assessed by carotid-femoral pulse wave velocity (PWVcf) and augmentation index (AIx), as measured by the Vicorder. Carotid intima-media thickness (cIMT) and the left ventricular mass index (LVMi) were also determined. Patients with SLE, despite equivalent exposure to "traditional" cardiovascular risk factors, presented a higher mean PWVcf and AIx than controls (6.56 +/- 1.45 vs. 5.29 +/- 0.67 m/s, P =0.01 and 14.7 +/- 8.1 vs. 9.36 +/- 3.59 %, P = 0.02, respectively). SLE patients had greater values of cIMT and LVMi than controls (0.54 +/- 0.06 vs. 0.35 +/- 0.12 mm, P = 0.00 and 32.4 +/- 10.8 vs 28.8 +/- 1.5, P = 0.01, respectively). Nine patients had left ventricular hypertrophy (LVMi > 38 g/m(2.7)). There was no significant difference in PWV, AIx, cIMT and LVMi values between presence of hypertension or nephritis within SLE patients. We found significant correlations between all parameters and activity scores. Our results demonstrate that functional and morphological CVCs are independent of traditional risk factors in pediatric SLE patients and correlate with SLE disease activity scores in the early disease stages

Can Urinary Ngf And Bdnf Be Used In The Diagnosis And Treatment Follow-up Of Bladder Dysfunction In Children?

WOS: 00034137770049

Growth Impairment and Nutritional Status in Children with Chronic Kidney Disease

Objective: Malnutrition is closely linked to chronic kidney disease (CKD) in adult patients with poor outcome. But data on pediatric patients is inadequate. The aim of this study was to describe the prevalence of growth failure and malnutrition in pediatric CKD patients and explore the relationship of these parameters to each other and to other clinical parameters. Methods: This study included 42 patients and 29 healthy children matched for age and gender. Patients were classified firstly in age group and secondly in therapy modalities. Nutritional evaluations were performed according to the Kidney Disease Outcomes Quality Initiative guidelines, and we performed adjustments using values from children with the same chronological age as reference. Findings: In pubertal group, the mean height SDS was lower than in pre-pubertal period while it was higher than in early childhood (P=0.4 and P=0.03 respectively). In all groups, 45% of patients had malnutrition: 20 patients on predialysis, 22 patients with end stage renal disease (14 on hemodialysis, and 8 on peritoneal dialysis). The mean weight SDS was lower in end stage renal disease groups (P<0.001). The height SDS was lower in end stage renal disease groups (P<0.001). Conclusion: Growth failure and malnutrition remain a significant clinical problem as age and therapy modalities are dependent in children with CKD