Background/Aims: Earlier research has indicated a positive association between Celiac disease and some mental disorders in both adults and children. The aim of this study was to explore the diet compliance and depression and anxiety levels of pediatric celiac children and their families after a gluten-free diet. Materials and Methods: A total of 30 celiac pediatric patients (17 children [57%] and 13 adolescents [43%]) were enrolled in the study, and 20 healthy controls (11 children [55%] and 9 adolescents [45%]) were studied as controls. Depression was assessed with the Children's Depression Inventory (CDI) form, and anxiety was assessed with the Screen for Child Anxiety Related Disorders (SCARED) form. Diet compliance was measured with a diet compliance form, and the families were asked to complete the Beck Depression Measurement (BDI) form for depression and the State-Trait Anxiety Inventory I-II (STAI-I and STAI-II) forms for anxiety. Results: There was no significant difference in depression and anxiety between pediatric celiac patients consuming a gluten-free diet and the healthy control group. We observed no difference in depression and anxiety in the Celiac CD group patients. Diet compliance was 73.3% in the study group. Conclusion: The depression and anxiety levels of pediatric celiac patients and their parents did not differ from those in the healthy group.
The "Body Safety Training Program" is an education program aimed at ensuring children are informed about their body and acquire self-protection skills. In this study, a total of 83 preschoolers were divided into experimental and control groups; based on a power analysis, 40 children comprised the experimental group, while 43 children comprised the control group. The "Body Safety Training Programme" was translated into Turkish and content validity was determined regarding the language and cultural appropriateness. The "What If Situations Test" (WIST) was administered to both groups before and after the training. Mann-Whitney U Test, Kruskal-Wallis Variance Analysis, and the Wilcoxon Signed Ranks Test were used to compare between the groups and the Spearman correlation analysis was used to determine the strength of the relationship between the dependent and independent variable. The differences between the pretest and posttest scores for the subscales (appropriate recognition, inappropriate recognition, say, do, tell, and reporting skills), and the personal safety questionnaire (PSQ) score means for the children in the experimental group were found to be statistically significant (p < .001). The posttest-pretest difference score means of the experimental group children for WIST saying, doing, telling and reporting, total skills, and PSQ were found to be statistically significant as compared to that of the control group (p < .05). The "Body Safety Training programme" is effective in increasing the child sexual abuse prevention and self-protection skills in Turkish young children.
Dispersive and expansive soils are considered problematic, and these soil properties cause serious problems for many engineering structures. For many years, comprehensive studies have been carried out with the aim of improving the swelling and dispersive qualities of soils by using additives. Each feature in the literature associated with the improvement of the dispersive and swell properties of clay soil with additives was separately evaluated. In this study, the effect of cement and natural zeolite additives on the characteristics of dispersibility and swelling potential of clay soils were investigated. A fixed percentage of cement (3%) plus different percentages of natural zeolite (1%, 3%, 6%, 10%, 15%, and 20%) were mixed with four different clay soil samples. In this context, first, the physical and chemical properties of the soil samples were determined. Next, the swell percentage, swell pressure, crumb, pinhole and unconfined compressive strength tests at different curing times were performed on samples with and without the additive by compressing the sample to achieve particular compaction characteristics. Significant strength value increases depended on curing time, and the properties were improved with the mixture of cement and zeolite additives, depending on the sodium adsorption ratio (SAR) and exchangeable sodium percentage (ESP) values of clay soil samples with different plasticity characteristics that exhibit dispersive and swell properties. This study not only showed that a mixture of cement and zeolite additives improved the dispersive and swell properties of clay soil samples with four different plasticity characteristics, depending on their SAR and ESP values, but also significant increases in strength values were observed.
Aims: This study aimed to determine the use of complementary and alternative medicine (CAM) by mothers with a chronically ill child and their anxiety levels. Methods: This study used a descriptive design. The study was conducted with 135 mothers of a chronically ill child at a general pediatric and oncology unit in Uludag University Hospital, Bursa, Turkey. A questionnaire, including sociodemographic items and the State-Trait Anxiety Inventory, were given to the mothers. Results: In the study, 42.29% of the mothers reported using one or more CAM therapies for their child with a chronic disease, including herbal medicine, taking the child to hodja (prayers), a special diet, and a special massage. The mothers experienced anxiety and the presence of a disease within the close family circle increased the anxiety level of the mothers. Conclusion: Herbs and other alternative supplements were used by some children with a chronic disease in Turkey. The most commonly used CAM therapies included oral herbal medicine, taking the child to hodja, massage, and diets. Therefore, it is important to consider the implications of the popularity of complementary therapies. Most of the mothers used more than one of these therapies for their child and the anxiety level of the mothers was found to be moderate.
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