Introduction: Health literacy is defined as the extent to which individuals can find, understand, and utilize information and amenities to inform health-related decisions and actions for themselves and others. Diabetes regulation in children and adolescents is an issue that requires family participation and supervision. This study was conducted to investigate the relationship between the glycemic outcomes of children diagnosed with type 1 diabetes and the health literacy levels of their parents. Materials and Methods: Parents of 103 children aged 2-18 years who were given the diagnosis of type 1 diabetes at least 6 months ago participated in this study
{"title":"The Role of the Health Literacy Levels of Parents in the Management of Type 1 Diabetes in Children and Adolescents","authors":"H. Mutlu, Elif Söbü, Aşan Önder Çamaş","doi":"10.4274/jcp.2023.36024","DOIUrl":"https://doi.org/10.4274/jcp.2023.36024","url":null,"abstract":"Introduction: Health literacy is defined as the extent to which individuals can find, understand, and utilize information and amenities to inform health-related decisions and actions for themselves and others. Diabetes regulation in children and adolescents is an issue that requires family participation and supervision. This study was conducted to investigate the relationship between the glycemic outcomes of children diagnosed with type 1 diabetes and the health literacy levels of their parents. Materials and Methods: Parents of 103 children aged 2-18 years who were given the diagnosis of type 1 diabetes at least 6 months ago participated in this study","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43239569","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}
İlknur Sürücü Kara, Necla Aydın Peker, İlke Dolğun, C. Mertoğlu
{"title":"Vitamin B12 Level in Children","authors":"İlknur Sürücü Kara, Necla Aydın Peker, İlke Dolğun, C. Mertoğlu","doi":"10.4274/jcp.2023.75688","DOIUrl":"https://doi.org/10.4274/jcp.2023.75688","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43418201","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}
Introduction: Although there are well defined guidelines in the literature for diagnosis and treatment of acute gastroenteritis which is common diseases in children, most of time patients are not managed according to these guidelines and unnecessary tests and treatments are performed. The unnecessary tests and treatments costs account for a significant percentage of healthcare spending. We aimed to analyze the diagnostic and therapeutic cost of patients with acute gastroenteritis who admitted to the tertiary center in Turkey. Materials and Methods: A total of 342 patients, aged under 18 years were admitted to Gazi University Hospital and diagnosed with acute gastroenteritis were included to the study. The clinical features, diagnosis and treatment approach and medical costs of the patients were recorded and analyzed. The medical costs were calculated according to the bills which were sent to Social Security Foundation known as SGK. Results: According to the bills which were sent to SGK the mean total cost was calculated $22.99±13.40, the mean laboratory test cost was $11.14±9.72 and the mean cost of the treatment in the hospital was $2.64±6.21. 70% of testing cost and 90% of treatment cost were inappropriate according to the current guideline recommendation about diagnose and treatment of acute gastroenteritis. Conclusion: Health professionals, especially pediatricians, should aim to apply appropriate diagnostic and therapeutic approaches, taking into account current guidelines. In this way, it will be possible to reduce medical costs and avoid waste in acute gastroenteritis cases.
{"title":"Diagnosis and Treatment Approach of Children with Acute Gastroenteritis in A Tertiary Center: Medical Cost Analysis","authors":"Serkan Atıcı, B. Dalgıç","doi":"10.4274/jcp.2023.68335","DOIUrl":"https://doi.org/10.4274/jcp.2023.68335","url":null,"abstract":"Introduction: Although there are well defined guidelines in the literature for diagnosis and treatment of acute gastroenteritis which is common diseases in children, most of time patients are not managed according to these guidelines and unnecessary tests and treatments are performed. The unnecessary tests and treatments costs account for a significant percentage of healthcare spending. We aimed to analyze the diagnostic and therapeutic cost of patients with acute gastroenteritis who admitted to the tertiary center in Turkey. Materials and Methods: A total of 342 patients, aged under 18 years were admitted to Gazi University Hospital and diagnosed with acute gastroenteritis were included to the study. The clinical features, diagnosis and treatment approach and medical costs of the patients were recorded and analyzed. The medical costs were calculated according to the bills which were sent to Social Security Foundation known as SGK. Results: According to the bills which were sent to SGK the mean total cost was calculated $22.99±13.40, the mean laboratory test cost was $11.14±9.72 and the mean cost of the treatment in the hospital was $2.64±6.21. 70% of testing cost and 90% of treatment cost were inappropriate according to the current guideline recommendation about diagnose and treatment of acute gastroenteritis. Conclusion: Health professionals, especially pediatricians, should aim to apply appropriate diagnostic and therapeutic approaches, taking into account current guidelines. In this way, it will be possible to reduce medical costs and avoid waste in acute gastroenteritis cases.","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43152818","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":"Alt Solunum Yolu Enfeksiyonu Geçiren Altı-yirmi dört Aylık Çocuklarda D Vitamini Düzeyi ve Demir Eksikliğinin Değerlendirilmesi","authors":"B. Yılmaz, V. Energin, S. Pekcan","doi":"10.4274/jcp.2023.73549","DOIUrl":"https://doi.org/10.4274/jcp.2023.73549","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45564413","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":"Bir Üniversite Hastanesi Yenidoğan Yoğun Bakım Ünitesi Kan Kültürlerinden İzole Edilen Etkenler ve Antimikrobiyal Duyarlılıklarının İncelenmesi","authors":"Kübra Fırtına Topcu, Mürşit Hasbek, Aslı Çabuk","doi":"10.4274/jcp.2023.01069","DOIUrl":"https://doi.org/10.4274/jcp.2023.01069","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41592068","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}
Uğur Altaş, Ayşen Çetemen, Zeynep Meva Altaş, Fatih Çiçek, M. Y. Özkars
{"title":"The Effect of House Dust Mite Immunotherapy on Quality of Life and Symptom Scores in Patients with Allergic Rhinitis","authors":"Uğur Altaş, Ayşen Çetemen, Zeynep Meva Altaş, Fatih Çiçek, M. Y. Özkars","doi":"10.4274/jcp.2023.79106","DOIUrl":"https://doi.org/10.4274/jcp.2023.79106","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41565733","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}
Metin Pıçakçıefe, Onur Muhammet Vatandaş, Hande Aytaç, Raziye Ülkü Kıcalı, Şeyma Ata
{"title":"0-6 Yaş Çocukların Denver Gelişimsel Tarama Testi 2 Sonuçları ve Etki Eden Faktörler","authors":"Metin Pıçakçıefe, Onur Muhammet Vatandaş, Hande Aytaç, Raziye Ülkü Kıcalı, Şeyma Ata","doi":"10.4274/jcp.2023.37431","DOIUrl":"https://doi.org/10.4274/jcp.2023.37431","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43630794","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}
Introduction: While the World Health Organization (WHO), the American Academy of Pediatrics (AAP) and the United Nations Children’s Fund (UNICEF) recommend exclusive breastfeeding in the first 6 months of life, the AAP recommends continuity of breastfeeding beyond the age of 1 and WHO beyond the age of 2 years. We aimed to determine the rate, causes and contributing risk factors of early formula milk supplementation (FMS) both in hospital setting during early postpartum and post-discharge follow-up in a baby friendly hospital. Materials and Methods: The study was done retrospectively by collecting the recorded data of mothers and their healthy infants that were born in a private baby-friendly hospital from January 2020 to January 2021. Results: FMS rate during hospital stay was 13.78% (n=128). C/S delivery is significantly higher in formula milk supplemented group. While breast milk insufficiency was determined as the most common cause for FMS, as a result of logistic regression analysis, pregnancy with assisted reproductive technique, multiple pregnancy, birth weight less than 2500 g, gestational age less than 37 weeks, maternal/obstetrical diseases, gestational diabetes mellitus and smoking mother were determined as potent factors on FMS. Conclusion: The negative effects of possible risk factors can be significantly reduced if adequate support is given to the mother by health professionals after birth, the hospital’s written breastfeeding policy is followed, FMS is not given other than medical indications and breastfeeding counseling continues after discharge.
{"title":"Determinants of Formula Milk Supplementation at a Baby Friendly University Hospital During Hospital Stay","authors":"S. Aktaş, E. Kazancı, A. Korkmaz","doi":"10.4274/jcp.2023.39206","DOIUrl":"https://doi.org/10.4274/jcp.2023.39206","url":null,"abstract":"Introduction: While the World Health Organization (WHO), the American Academy of Pediatrics (AAP) and the United Nations Children’s Fund (UNICEF) recommend exclusive breastfeeding in the first 6 months of life, the AAP recommends continuity of breastfeeding beyond the age of 1 and WHO beyond the age of 2 years. We aimed to determine the rate, causes and contributing risk factors of early formula milk supplementation (FMS) both in hospital setting during early postpartum and post-discharge follow-up in a baby friendly hospital. Materials and Methods: The study was done retrospectively by collecting the recorded data of mothers and their healthy infants that were born in a private baby-friendly hospital from January 2020 to January 2021. Results: FMS rate during hospital stay was 13.78% (n=128). C/S delivery is significantly higher in formula milk supplemented group. While breast milk insufficiency was determined as the most common cause for FMS, as a result of logistic regression analysis, pregnancy with assisted reproductive technique, multiple pregnancy, birth weight less than 2500 g, gestational age less than 37 weeks, maternal/obstetrical diseases, gestational diabetes mellitus and smoking mother were determined as potent factors on FMS. Conclusion: The negative effects of possible risk factors can be significantly reduced if adequate support is given to the mother by health professionals after birth, the hospital’s written breastfeeding policy is followed, FMS is not given other than medical indications and breastfeeding counseling continues after discharge.","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41930654","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 Increased Vitamin B12 Levels in Children: Is it Clinically Significant?","authors":"Özlem Akbulut, Fatma Burcu Belen Apak, Tuğçe Şençelikel","doi":"10.4274/jcp.2023.36450","DOIUrl":"https://doi.org/10.4274/jcp.2023.36450","url":null,"abstract":"","PeriodicalId":41880,"journal":{"name":"Guncel Pediatri-Journal of Current Pediatrics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46200737","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}
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