Turkish Journal of Pediatric Disease最新文献

{"title":"Relation of Antioxidant Native Thiol Level with Inflammatory Markers and Disease Activity Index in Pediatric Ulcerative Colitis","authors":"S. Dereci, Fatih Duran, S. Neşelioğlu, Burcu Hidimoglu, D. İSKENDER MAZMAN, Aysel Ünlüsoy Aksu, A. Demir, Ö. Erel, Ş. Hizli","doi":"10.12956/tchd.1260388","DOIUrl":"https://doi.org/10.12956/tchd.1260388","url":null,"abstract":"Objective: Pediatric ulcerative colitis (PUC) is an inflammatory disease. PUC pathogenesis is associated with an imbalance between reactive oxygen species and antioxidant activity which creates oxidative stress. Native thiol (NT) level is antioxidant capacity which is practical and repeatable marker of inflammation and antioxidan level. We aimed to analyse the relation of NT level with inflammatory markers and pediatric ulcerative colitis activity index (PUCAI).\u0000Material and Methods: Thirty-eight PUC patients (SG) and 33 control group (CG) participants were included in the study. PUC patients grouped as in remission, mild, moderate and severe activity according to disease activity according to PUCAI. NT, hemoglobin (Hb), white blood cell (WBC), platelet (PLT), mean platelet volume (MPV), albumin, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), interleukin 6 (IL-6) levels of all participants were measured at the time they were enrolled in the study and recorded.\u0000Results: Mean age and gender ratio of groups were similar (p>0.050). NT level of SG statistically high compared to CG (p=0.001). Hb, PLT, MPV, CRP, ESR, IL-6 levels of SG were statistically different than CG (p=0.045, p=0.026, p=0.001, p=0.001, p=0.001, p=0.001). NT level of SG was positively correlated with Hb, MPV, albumin (p=0.001, for all). NT level of SG was negatively correlated with PLT, CRP, ESR, IL-6 and PUCAI (p=0.001).\u0000Conclusion: NT level of PUC is significantly lower than CG. NT level of SG was positively correlated with albumin which is a good prognostic factor in PUC patients. NT may be repeatable, noninvasive candidate serum biomarker for PUC management.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127107281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kistik Fibrozisli Çocuklarda Karaciğer Tutulumunun Shear-Wave Elastografi ile Non-invaziv Değerlendirilmesi","authors":"Sanem ERYILMAZ POLAT, Mina Hizal, Beste Özsezen, G. D. Tuğcu, Ayşe Gül Alimli, Guzin Cinel","doi":"10.12956/tchd.1274367","DOIUrl":"https://doi.org/10.12956/tchd.1274367","url":null,"abstract":"Objectives: Hepatobiliary complications commonly occur in cystic fibrosis with increasing prevalence due to longer life expectancies and widespread screening efforts. Shear-wave elastography is a novel noninvasive method that involves application of local mechanical compression on soft tissue using focused ultrasonography and acquiring strain images that show tissue response. We aimed to compare abdominal ultrasonography and Shear-wave elastography and also clinical and laboratory findings of children with cystic fibrosis prospectively. \u0000Methods: This study is a prospective study conducted in 13 cystic fibrosis patients followed between February 2018 and March 2019. The severity of cystic fibrosis-related liver disease was categorized according to international criteria. Elastography measurement was performed in the same session with the evaluation of the liver by abdominal ultrasonography in the patients. The liver stiffness measurements were compared with clinical data, biochemistry parameters and ultrasound findings.\u0000Results: Measurements were performed in 13 cystic fibrosis children (3 boys, 10 girls). The mean kiloPascal values of liver stiffness measurements with shear-wave elastography were 8.68 (4.1-20.2). The median liver stiffness measurement in subjects without cystic fibrosis-related liver disease was 7.79 kiloPascals (n=5); The median liver stiffness measurement in subjects with cystic fibrosis-related liver disease was 9.23 kiloPascals. \u0000Conclusion: Cystic fibrosis-related liver disease has a significantly varying disease burden, its prevalence is increasing, and its early recognition is crucial for treatment and follow-up. Although there are no clear range values determined for children in tissue stiffness measurements in Shear-wave elastography, clinical and other laboratory and imaging methods and follow-up and evaluation are important.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"AES-16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126541007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiological Findings of Babies Born to Mothers with Connective Tissue Disease","authors":"Kutay Sel, T. Celik, I. Ertugrul, H. Aykan, Ahmet Öktem, Can Akal, Ş. Yiğit, D. Alehan, M. Yurdakök, T. Karagöz","doi":"10.12956/tchd.1218104","DOIUrl":"https://doi.org/10.12956/tchd.1218104","url":null,"abstract":"Objective: Cardiac conduction system is affected and heart blocks can be seen in newborns whose mothers have connective tissue disease, especially with systemic lupus erythematosus (SLE) and Sjögren's syndrome (SS). Anti-SS-A (Ro), anti-SS-B (La) antibodies in the mother's circulation are responsible for this situation. In this study, it was aimed to evaluate the clinical features and long-term follow-up results of babies born to mothers with connective tissue disease in our hospital.\u0000Materials and methods: Patients who were hospitalized in the neonatal intensive care unit between January 2001 and January 2016 due to the diagnosis of SLE, SS or connective tissue disease in their mothers were retrospectively screened, and their demographic and clinical characteristics and electrocardiographic findings were recorded.\u0000Results: A total of 49 babies from 48 mothers were included in the study. Mean age of mothers at birth was 30.8±5.0 years (28-41), mean gestational week of patients was 35.8±2.5 weeks (28-41), mean birth weight was 2614±680 g (730-3810 g). Ten newborns (20.4%) had 3rd degree atrioventricular (AV) block, and 1 baby had 1st degree AV block. Permanent pacemaker was implanted in five patients in the neonatal period, two of these patients died in the neonatal period. A pacemaker was inserted in a patient who was followed up with AV block in the 6th month. One baby who had no cardiac conduction problem died due to reasons related to prematurity. The mean follow-up period of 46 living babies was 4.6±3.1 (1.2-10.75) years, and the follow-up period of the patients with complete AV block and without a pacemaker was 5.6±2 years.\u0000Conclusion: Complete AV block in the neonatal period is a serious cardiac problem that requires rapid intervention. Expectant mothers with known connective tissue disease should be followed in tertiary care centers and the fetus should be followed closely. It is possible for newborns in need to return to their normal lives by inserting pacemakers.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128191742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dokuz Maddeli Kaçıngan/Kısıtlayıcı Gıda Alım Bozukluğu Tarama Ölçeği (NIAS) Ebeveyn Bildirimi’nin Türkçe Versiyonunun Geçerlik ve Güvenirliği","authors":"Elif Akçay, Özge PARLAK GÖZÜKARA, Büşra Bahadir, Funda Seher ÖZALP ATEŞ, Gülser ŞENSES DİNÇ, Eda Özaydin, Esra Çöp","doi":"10.12956/tchd.1271162","DOIUrl":"https://doi.org/10.12956/tchd.1271162","url":null,"abstract":"Background and aims: The current study aimed to evaluate the psychometric properties of a Turkish version of The Nine Item Avoidant/Restrictive Food Intake Disorder Screen Parent Report (NIAS-PR), which measures the avoidant/restrictive food intake disorder (ARFID) symptoms by parents. NIAS-PR includes three subscales picky eating, poor appetite/limited interest in eating, and fear of aversive consequences from eating. Also, our secondary aim was to assess the relationship between ARFID-related eating behaviours and emotional-behavioural symptoms of children and parents' psychological status.\u0000Methods: The NIAS-PR was translated into Turkish with standard procedures. Two hundred sixty-eight children (133 girls, 49.6%; mean age 8.62, age range from 2 to 18 years) and parents (175 mothers, 65.2%) were included in the study. The factor structure was confirmed using confirmatory factor analysis (CFA). The results were compared to the validated Turkish Children’s Eating Behavior Questionnaire (CEBQ) to determine the convergent validity. Internal consistency (Cronbach alpha coefficient) analysis was used to determine the reliability of the NIAS-PR. \u0000Results: The current study provided evidence for the validity of the translated Turkish version of the NIAS-PR in the pediatric population. The three-factor structure of the NIAS—Picky eating, Appetite, and Fear—was replicated in the Turkish NIAS-PR. The NIAS-PR subscales showed the expected patterns of correlations with the CEBQ subscales. The reliability of the Turkish version of NIAS-PR proved to be satisfactory (total Cronbach's alpha=0.90) in the pediatric population (2-18 years).\u0000Conclusions: This study demonstrated a good internal consistency of the Turkish version of the NIAS-PR. We confirmed the three-factor structure of the Turkish version of NIAS-PR. NIAS-PR is a brief, reliable instrument for ARFID research in Turkish children and adolescents. The NIAS-PR is developed as a screening questionnaire, so health professionals should use it to investigate ARFID-related eating behaviours further. It is worth mentioning that deepening these eating symptoms with clinical interviews is necessary.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129733742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antinükleer Antikor Pozitif Hastalarda Test İsteme Nedenleri ve Hastaların Nihai Tanıları","authors":"Nimet Öner, Elif Çeli̇kel, Zahide EKİCİ TEKİN, Vildan Güngörer, Serkan Coşkun, Melike Mehveş Kaplan, Cüneyt Karagöl, Nilüfer Tekgöz, Müge Sezer, Merve Cansu Polat, Banu Acar","doi":"10.12956/tchd.1266045","DOIUrl":"https://doi.org/10.12956/tchd.1266045","url":null,"abstract":"Background: The aim of this study was to determine the reasons for the request for antinuclear antibody (ANA) in ANA-positive patients and to determine the final diagnosis of these patients and whether they developed a rheumatologic disease.\u0000\u0000Method: In this retrospective study, the files of 559 patients with positive ANA were reviewed. Demographic, laboratory and clinical characteristics of the patients were noted. At the end of follow-up, the final diagnosis was recorded.\u0000\u0000Results: The study included 346 patients. 233 of the patients were female, and 113 were male. The mean age at the time of ANA positivity was 9.4  4.7 years, and the mean follow-up period was 19  5.7 months. The most common symptom was myalgia/arthralgia (21.7%). Other common reasons were urticaria, abdominal pain, thrombocytopenia, and proteinuria. Extractable nuclear antigens (ENA) panel results were negative in 170 patients (49.1%). In the ENA panel, dense fine speckled antigen 70 antibodies were most frequently positive in 135 patients (39.2%). At the end of follow-up, 234 patients had no disease. One hundred and one patients were diagnosed with non-rheumatologic diseases, and 11 patients were diagnosed with rheumatologic diseases. Eleven patients with rheumatologic diseases were girls. Rash was the most common symptom in patients with rheumatologic diseases. The positive predictive value of ANA positivity for rheumatologic disease was 3.2% and 1.7% for systemic lupus erythematosus.\u0000\u0000Conclusions: Due to the low positive predictive value of ANA testing, patients at risk for autoimmune diseases should be identified and carefully evaluated before ANA is requested.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127806292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Child Development Knowledge Among Medical Students","authors":"Şenay GÜVEN BAYSAL, D. Dogan, F. Arslan, Sinem KORTAY CANALOĞLU","doi":"10.12956/tchd.1239039","DOIUrl":"https://doi.org/10.12956/tchd.1239039","url":null,"abstract":"Objective: With the developments in the world, a significant decrease in the death rates of chronic or fatal diseases causes the problems that affect the development of children to be seen more frequently. Physicians must be aware of the basic developmental stages and information of children during medical education for early diagnosis and intervention. This study aimed to determine the knowledge of medical students about child development.\u0000\u0000Material and Methods: A total of 482 3rd and 4th-year medical faculty students who did not take the Developmental Pediatrics lecture in the Department of Pediatrics of İnönü University Faculty of Medicine between 2018 and 2019 were included in the study. Our study included socio-demographic information and questions on “Caregiver Knowledge of Child Development Inventory”. \u0000\u0000Results: 227 (47.09%) 3rd year and 255 (52.90%) 4th-year students were included in the study. The mean Caregiver Knowledge of Child Development Inventory total score was 14.44±5.89 for 3rd-year students and 16.10 ± 5.90 for 4th-year students. More than 50% of the third and fourth year students answered 5 of the 10 questions in the developmental skills component section correctly. It was observed that the developmental skills and stimulation component knowledge of the third and fourth year medical students were not sufficient. It was also understood that the general pediatrics courses given in the third year did not increase the knowledge of the fourth year students about child development.\u0000\u0000Conclusion: Evaluating the child development knowledge of medical students is important for interventions and studies to ensure that medical students are familiar with and detect developmental delays in infancy and early childhood.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114764196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Reason of Increasing Puberty Precocious Cases During the Pandemic Period: Obesity or Not?","authors":"Seçil ÇAKIR GÜNDOĞAN, Aylin KILINÇ UĞURLU, F. Gurbuz, Gönül Büyükyılmaz, Gönül Yardimci, Abdurrahman Bitkay, E. Özer, Keziban Toksoy Adıgüzel, E. Isık, P. Kocaay, Derya Tepe, M. Boyraz","doi":"10.12956/tchd.1250939","DOIUrl":"https://doi.org/10.12956/tchd.1250939","url":null,"abstract":"Objective: Publications have shown increased rate of precocious puberty and rapidly progressing puberty during the pandemic period. During the pandemic period, obesity has become widespread in children due to sedentary life, an increase in the time spent at home, and prolonged use of mobile devices. Obesity is a significant contributor to early puberty in females.We aimed to investigate whether obesity is a factor in the increase of puberty precocious cases during the pandemic.\u0000\u0000Material and Methods: In the study, female patients diagnosed with Puberty precocious /Rapidly Progressive Puberty in our clinic were divided into three groups August 2019-February 2020 before the pandemic (Group1-G1), August 2020-February 2021 during the pandemic (online education - Group2-G2), August 2021-February 2022 during the pandemic (face-to-face education -Group3-G3). The groups were retrospectively compared in terms of clinical, laboratory, and imaging findings. \u0000\u0000Results: A total of 495 female patients were included in the study. There was no difference between the groups in terms of age at the presentation. The most common complaint at presentation in the three groups was thelarche. Also, presentation with combination of thelarche and pubarche was more common in G3, and presentation due to menarche was more common in G2 (p=0.011). No difference was found between the groups regarding body weight SDS, and height SDS. The BMI SDS was 0.69±1 SD for all patients, 0.78±0.94 SD for G1, 0.67±1 SD for G2, and 0.67±1 for G3, and the BMI SDS of the groups were comparable (p=0.630). The majority of patients at the presentation were Breast Tanner stage 3. G2 (9%) and G3 (9%) were presented with Breast Tanner stage 4 at a higher frequency compared to G1 (2%). There was no difference between the groups’ FSH, LH, estradiol, LHRH test peak FSH, peak LH, and LH/FSH values. There was no difference between the bone ages of the groups at the presentation. The uterus size, right and left ovary volumes of G2 and G3 were significantly bigger than those of G1 (p=0.001). No difference was found between the groups in the rates of precocious puberty and rapidly progressing puberty cases.\u0000\u0000Conclusion: In our study, the age at presentation and BMI were similar pre-pandemic group G1 and during the pandemic, online education (G2) and pandemic face-to-face education (G3). We determined that obesity may not be one of the factors triggering precocious puberty cases during the pandemic period.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116038547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bloody Stool in Infants: A Pediatric Allergy View","authors":"G. Atakul, S. Şirin, Özge Atay, Özge Kangallı Boyacıoğlu, S. Al, S. Asilsoy, N. Uzuner, Ö. Karaman","doi":"10.12956/tchd.1198501","DOIUrl":"https://doi.org/10.12956/tchd.1198501","url":null,"abstract":"Objective: The prevalence of food allergy (FA) has gradually increased. Bloody stool is among the symptoms associated with non-immunoglobulin E (IgE) mediated FA in infants. In our study, we shared the clinical characteristics of the patients who applied to our clinic with bloody stool.\u0000\u0000Material and Methods: The data of the patients with bloody stool were reviewed. Patients’ characteristics and the time of onset of tolerance in patients with FA were recorded, retrospectively. \u0000\u0000Results: The 110 patient files were reviewed. 68% of the patients were diagnosed with FA (63 proctocolitis/12 enterocolitis), 22% with an anal fissure, and 9% with nonspecific colitis. The most common causative food was cow milk (57%), the second was the combination of egg and milk (24.2%), and the third was egg (18.2%). The presence of atopic dermatitis (AD) and eosinophil count at the time of admission did not affect tolerance development time but it was shown that skin prick test (SPT) positivity and the high level of total IgE at the time of admission delayed the development of tolerance [(p=0.02), (r=0.510, p=0.009)].\u0000\u0000Conclusion: Bloody stool is one of the common complaints in infants. It does not always indicate a FA. The clinic is mild when the underlying disease is non-IgE mediated FA. However, accompanying IgE-type sensitivities negatively affect the prognosis. Elevated total IgE and SPT positivity at the time of diagnosis may give an impression that tolerance of baked products could be delayed in this type of allergy.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129187295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Yanığı Olan Adölesanlarda Benlik Saygısı ile Sosyal Anksiyete Arasındaki İlişkinin Belirlenmesi","authors":"","doi":"10.12956/tchd.1254730","DOIUrl":"https://doi.org/10.12956/tchd.1254730","url":null,"abstract":"Objective: Burns are complex, traumatic incidents including significant morbidity and impairment of psychological, emotional, and physical well-being. This study aimed to determine the relationship between self-esteem and social anxiety in adolescents with burns. \u0000\u0000Material and Methods: A cross-sectional, descriptive research design was used. The research was carried out in the 12-bed Pediatric Burn Center with 86 adolescents. The data collection form, Rosenberg Self-Esteem Scale and the Social Anxiety Scale for Children was used. Comparisons were made at the p<.05 significance level for statistical analyses. \u0000\u0000Results: Hot liquid (31.4%), chemicals (22.1%), flames (17.4%), electricity (16.3%), and contact with hot objects (12.8%) were burn factors. It was determined that 81.4% of the participants had a scar/mark. The total body surface area of the burn was determined as 1%-10% (61.6%), 10%-25% (32.6%), ≥50% (3.5%), and 25%-50% (2.3%). The multiple linear regression model established according to the effects of self-esteem scores and socio-demographic variables on children’s social anxiety was statistically significant (F(20.65)=2.384, p<.05). In the study, 42.6% of the variance in the scores on the social anxiety scale for children was explained by self-esteem scores and socio-demographic variables. Self-esteem scores predicted children’s social anxiety scores statistically positively and significantly (B=4.413, t=4.139, p<.05).\u0000\u0000Conclusion: The study revealed that there was relation between low self-esteem and high social anxiety in adolescents with burns in line with our study question, while there is no relation between characteristics of children and burn history in children.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121996247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship of Screen Exposure with Sleep Quality and Self-Regulation Skills in Preschool Children","authors":"Çağla Özdemi̇r, S. Keleş","doi":"10.12956/tchd.1220617","DOIUrl":"https://doi.org/10.12956/tchd.1220617","url":null,"abstract":"Objective: We aimed to investigate possible links between screen time, self-regulation skills and sleep quality in preschool children.\u0000\u0000Material and Methods: The study was carried out with 140 mothers with 4-6 years old children who visited the family medicine outpatient clinic between March and May 2022. Children’s age, gender, existing chronic diseases, the most used technological product, purpose of use, time and duration were recorded. Children’s sleep habits were evaluated with the “Children’s Sleep Habits Questionnaire (CSHQ)”, and their self-regulation skills were evaluated with the “Self-Regulation Skills Scale for 4-6 Years-Old Children(Mother Form)(SrSS)”. \u0000\u0000Results: The median age of the children in our study was 60 (48-72) months. 75/140 of the participants were girls. The most used technological product at home was the smartphone (48.2%). 64% of the participants reported less than 2 hours screen time, 21.6% of them reported between 2-4 hours and 14.4% of them reported over 4 hours. Educational status of mothers (p=0.003) and fathers (p<0.001) of those with a lot of screen exposure was lower. Delay in falling asleep score, one of the CSHQ subscales, was higher in those with screen exposure over 4 hours (p<0.001). Self-regulation skills scale total score (p=0.001), attention (p=0.014), inhibitory control-emotion (p=0.004), and inhibitory control-behavior (p=0.029) sub-scale scores were lower in children with longer screen time. \u0000\u0000Conclusion: Excessive screen exposure in preschool children is associated with delay in falling asleep and low self-regulation skills.","PeriodicalId":246612,"journal":{"name":"Turkish Journal of Pediatric Disease","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131959552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}