Quality of Life in Children with Cerebral Palsy

Cerebral palsy is a complex and serious disease that can affect all age groups around the world. There is no prevalence differentiation between developed and developing countries. Preeclampsia, maternal trauma, low birth weight, gestational age, birth asphyxia, intrauterine infection, etc. can also be included in the list of risk factors. Functional limitations, self‐care difficulties, behavioral problems, seizures, cognitive, sensory, social and emotional impairments and difficulties of daily life activities can affect health‐related quality of life in children and adolescents with cerebral palsy. So, it is important to evaluate health‐related quality of life in cerebral palsy. It is stated that there are many generic instruments to evaluate health‐related quality of life. However, using specific instruments for cerebral palsy is more sensitive than generic instruments to evaluate effect of cerebral palsy in children\u27s health‐related quality of life. The aim of this chapter is to investigate health‐related quality of life instruments in children and adolescents with cerebral palsy

Comparison of health-related quality of life between children with cerebral palsy and spina bifida

This study has two aims the first is to compare the Health Related Quality of Life (HRQoL) between children with cerebral palsy (CP) and children with spina bifida (SB); the second is to investigate the relationship between HRQoL and age, sex, body mass index (BMI), level of ambulation, cooperation, family income and the mother's education level in both groups of children. The study included 96 children with CP and 70 children with SB (aged 5-18) who attended a physiotherapy and rehabilitation program at an institute of special training and rehabilitation. Socio-demographic information was obtained within the study. The Child Health Questionnaire (CHQ-PF50) was used to evaluate HRQoL. A significant difference was found in terms of age and BMI between children with CP and SB (p < 0.05). HRQoL was lower for children with CP. There was a significant difference between the two groups in terms of role/social limitations - emotional behavioral, behavior, global behavior, parental impact-emotional and parental impact-time (p < 0.05). A positive correlation was found between BMI and self-esteem in children with SB, unlike children with CP. The HRQoL of children with CP was lower than children with SB. The parameters of behavior and parental impact were particularly affected in the children with CP. Minimizing behavioral problems (which can improve with advancing age) of the children with CP and reducing parental impact are important for improving the HRQoL of both the child and parents. There is a need for further studies on this issue. (C) 2013 Elsevier Ltd. All rights reserved

Examination of the relationship between body mass index (BMI) and functional independence level in children with spina bifida

© 2015 Informa UK Ltd.Objective: The aim of this study is to examine the relationship between body mass index (BMI) and functional independence level in children with spina bifida (SB). Methods: The study included 116 children between 5 and 18 years. Subjects' socio-demographic characteristics, BMI values and functional independence levels were recorded. Results: There was negative correlation between BMI and communication and social cognition in girls (p0.05). Conclusion: The results indicated that body weight in children with SB affected functional independency and that precautions to control weight important in these children

The Pre-Service Science Teachers’ Pre-Knowledge About The Concept Of The Electrical Resistance

Bu çalışmanın amacı, fen bilimleri öğretmen adaylarının elektriksel direnç kavramı hakkındaki ön bilgilerini incelemektir. Buçalışma bir devlet üniversitesinde 2014-2015 akademik yılı bahar döneminde 74 fen bilimleri öğretmen adayı ilegerçekleştirilmiştir. Veri toplama aracı olarak üç açık uçlu sorudan oluşan yapılandırılmış bir test kullanılmıştır. Çalışmadanelde edilen veriler üzerinde içerik analizi gerçekleştirilmiştir. İçerik analizinin sonucunda, öğretmen adaylarının, direncin akımakarşı “bir şey” olduğu ve direncin potansiyel fark ve akım ile tanımlanabileceği görüşüne sahip oldukları baskın olarak ortayaçıkmıştır. Ayrıca direncin bağlı olduğu değişkenler ile ilgili olarak direncin devre elemanlarına, iletken özelliklerine, potansiyelfarka ve akıma bağlı olduğu görüşleri ortaya çıkmıştır. Genel sonuca bakıldığında, öğretmen adaylarının elektriksel dirençkavramı hakkında önbilgilerinin çoğunlukla hatalar içerdiği anlaşılmaktadır.The aim of this study is to investigate the pre-service science teachers’ pre-knowledge about the concept of electrical resistance.This study was carried out with the 74 pre-service science teachers during the spring semester of 2014-2015 academic year ata state university. A structured test with three open-ended questions was used as data collection tool. Data obtained from thetest was subjected to content analysis. As a result of the content analysis, it was dominantly found out that the pre-serviceteachers have the opinion that the resistance is “something” against the current and that the resistance can be defined by thepotential difference and the current. Furthermore, regarding the variables related to the resistance, the opinions were found outthat the resistance is connected to the circuit elements, the conductor properties, the potential difference and current. As ageneral result, it is understood that pre-service science teachers’ pre-knowledge about the concept of the electrical resistanceinvolves many mistakes

The forensic cases applied to an education and research hospital's child psychiatry department

WOS: 000294932500008Objective: The stressful experiences, especially sexual abuse, damage the child's psychology, mental health and quality of life. Forensic psychiatric evaluation includes the expertness, provides information for judicial decision and also is important to diagnose the psychiatric disorder of the child and protect him. Because of these reasons we were aimed to examine the characteristics of children applied to our department for criminal report. Methods: The files of 73 cases aged 4-18 years have been examined retrospectively who referred to Erenkoy Psychiatry Hospital Child Psychiatry Outpatient Department between January 2007 and December 2009 for criminal reports. Beside the sociodemographic characteristics, psychopathology, intelligence levels and crime characteristics of these children were also examined. Results: The prosecutor's request was the evaluation of the psychiatric status in 86.3% of cases. Eighty-nine percent (65 cases) of 73 cases were applied for evaluation after sexual abuse. The rates of psychiatric diagnoses in sexually abused children were 32.3% posttraumatic stress disorder, 20% adjustment disorders, 16.9% acute stress disorder, 13.8% depressive disorders. We did not find any active psychiatric disorder in 16.9% of the cases. Intelligence Quotient were normal in 64.6% of the cases (n=42). 56.6% of the sexual offenders were acquaintance (9 incest cases-13.8%), 17% were friend-related people, 26.4% were stranger, 20.4 % were under 18 years of age. Discussion: The psychiatric evaluation after sexual abuse was the most frequent request of the prosecutors'. 83.1% of the children had active psychiatric disorders that were evaluated because of sexual abuse. The most common diagnosis was posttraumatic stress disorder and this result is consistent with earlier findings. It is clear that stressful experiences especially sexually abuse damage the child's psychology, mental health and quality of life. (Anatolian Journal of Psychiatry 2011; 12:221-225

Bir eğitim ve araştırma hastanesi çocuk psikiyatrisi polikliniğine yönlendirilen adli olgular

Objective: The stressful experiences, especially sexual abuse, damage the child;amp;#8217;s psychology, mental health and quality of life. Forensic psychiatric evaluation includes the expertness, provides information for judicial decision and also is important to diagnose the psychiatric disorder of the child and protect him. Because of these reasons we were aimed to examine the characteristics of children applied to our department for criminal report. Methods: The files of 73 cases aged 4-18 years have been examined retrospectively who referred to Erenkoy Psychiatry Hospital Child Psychiatry Outpatient Department between January 2007 and December 2009 for criminal reports. Beside the sociodemographic characteristics, psychopathology, intelligence levels and crime characteristics of these children were also examined. Results: The prosecutor;amp;#8217;s request was the evaluation of the psychiatric status in 86.3% of cases. Eighty-nine percent (65 cases) of 73 cases were applied for evaluation after sexual abuse. The rates of psychiatric diagnoses in sexually abused children were 32.3% posttraumatic stress disorder, 20% adjustment disorders, 16.9% acute stress disorder, 13.8% depressive disorders. We did not find any active psychiatric disorder in 16.9% of the cases. Intelligence Quotient were normal in 64.6% of the cases (n=42). 56.6% of the sexual offenders were acquaintance (9 incest cases-13.8%), 17% were friend-related people, 26.4% were stranger, 20.4 % were under 18 years of age. Discussion: The psychiatric evaluation after sexual abuse was the most frequent request of the prosecutors;amp;#8217;. 83.1% of the children had active psychiatric disorders that were evaluated because of sexual abuse. The most common diagnosis was posttraumatic stress disorder and this result is consistent with earlier findings. It is clear that stressful experiences especially sexually abuse damage the child;amp;#8217;s psychology, mental health and quality of life. (Anatolian Journal of Psychiatry 2011; 12:221-225)Amaç: Çocukluk çağında yaşanan stres verici yaşantılar, özellikle cinsel istismar, çocuğun psikolojisine ve yaşam kalitesine zarar vermektedir. Adli psikiyatrik değerlendirme, mahkeme karar süreci için bilgi sağlama ve bilirkişiliği içerdiği gibi, çocuktaki olası psikiyatrik bozukluğun saptanması ve çocuğun korunabilmesi açısından da önemlidir. Bu nedenle polikliniğimize adli makamlarca rapor düzenlenmesi amacıyla yönlendirilen çocukların incelenmesi amaçlanmıştır. Yöntem: Adli makamlarca Ocak 2007-Aralık 2009 tarihleri arasında haklarında rapor düzenlenmesi amacıyla hastanemizin çocuk psikiyatrisi polikliniğine yönlendirilen 4-18 yaşları arasındaki 73 olgunun (45 kız, 28 erkek) dosya bilgileri geriye dönük olarak incelenmiştir. Sosyodemografik özellikler, psikopatoloji, zeka düzeyi, doğum yeri, adli istekler ve zanlının özellikleri her olgu için ayrı bir kayıt formu tutularak değerlendirilmiştir. Sonuçlar: Olguların 65’i (%89) cinsel istismar sonrası değerlendirilmek üzere gönderilmiştir. Olguların %61.6’sı, cinsel istismar grubunun %66.2’si kızdır. Mahkeme isteklerinin %86.3'ü çocuğun ruhsal durumunun değerlendirilmesidir. Cinsel istismara uğramış çocuklarda saptanan psikiyatrik tanılar travma sonrası stres bozukluğu (%32.3), uyum bozukluğu (%20), akut stres bozukluğu (%16.9), depresif bozukluklardır (%13.8). Olguların %16.9’unda aktif psikiyatrik bozukluk saptanmamıştır. Zeka düzeyi 42 (%64.6) olguda normaldir. Cinsel istismar zanlılarının %20.4'ü 18 yaşından küçük, %26.4’ü yabancı, %56.6’sı tanıdık (9 olgu ensest mağduru-%13.8) ve %17’si arkadaşlarının aracılığı ile tanışılan kişilerdir. Tartışma: Mahkemenin en sık isteği cinsel istismarın ardın-dan ruhsal durumun değerlendirilmesi olarak saptanmıştır. Cinsel istismar ardından değerlendirilen çocukların %83.1’inde aktif psikiyatrik bozukluk saptanmıştır. En sık saptanan tanı travma sonrası stres bozukluğudur ve bu bulgu literatür bilgileri ile tutarlıdır. Özellikle cinsel istismar gibi stres verici yaşam olaylarının çocukların ruh sağlığını olumsuz etkilediği açıktır. (Anadolu Psikiyatri Dergisi 2011; 12:221-225