ObjectiveTo assess the effectiveness of resistin in predicting the severity of acute pancreatitis.MethodsPatients with acute pancreatitis who presented at the Gastroenterology Clinic, Erzurum Education and Research Hospital, Turkey were enrolled in this prospective study. White blood cell (WBC), C-reactive protein (CRP) and resistin levels were measured on admission and at 24 h, day 3 and day 7 following admission, along with other blood parameters. Patients were divided into two groups: mild acute pancreatitis and moderate/severe acute pancreatitis.ResultsOf 59 patients with acute pancreatitis (mild, n = 37; moderate/severe, n = 22), significant between-group differences were found in terms of resistin and CRP levels. Receiver operating curve analysis showed that resistin levels were better for predicting severe cases of acute pancreatitis than CRP or WBC levels on day 3 (area under the curve [AUC], 0.88 versus 0.81 and 0.63, respectively). Resistin levels on day 3 were better than CRP levels for predicting necrosis development (AUC, 0.70 versus 0.69, respectively).ConclusionsResistin may represent a new, effective indicator to predict the severity of acute pancreatitis and presence of necrosis in patients with acute pancreatitis.
OBJECTIVES: This is the first study to evaluate the efficacy of parent training in attention-deficit/ hyperactivity disorder (ADHD) in Turkey. The aim of this study was to evaluate the effectiveness of the positive parenting programme (Triple P) on ADHD symptoms, functionality, severity of disease, and behavioural and emotional problems of children. An additional aim was to evaluate the potential effects of Triple P on parental attitudes and family functioning of children with ADHD. METHODS: The study was a randomized controlled study. A total of 48 subjects aged between 7 and 12 years, who were diagnosed as ADHD by Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Kiddie (K-SADS-PL). Following randomization into two equal groups, mothers of the first group participated to Group Triple-P Programme while the second group was receiving no treatment. The two groups were compared right before and after the intervention on rates of ADHD symptoms, emotional, behavioural variables, family functioning and parental attitudes. RESULTS: When we compared the results before and after the implementation of Triple P in the intervention group, there was a statistically significant increase in CGAS scores, and a statistically significant decrease in CGI scores. There was a statistically significant decrease subscale scores of SDQ; and total score of the DuPaul Questionnaire; a statistically significant decrease in problem solving, communication, roles in family, affective sensitivity, behaviour controlling, and general functioning subscale scores in FAD; a statistically significant decrease of parenting attitude, hostility, and rejecting attitude, and authoritarian attitude subscale scores; and a statistically significant increase in democratic attitude subscale scores of PARI. CONCLUSION: The results of our study suggest that Triple P could be useful in the treatment of children with ADHD, but further studies about Triple P on children with ADHD are needed.
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