Çocuk Gelişimi Bölümü Koleksiyonu

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    Effect of Limosilactobacillus reuteri DSM17938 to prevent antibiotic-associated diarrhea in children: prospective, multi-center, randomized, placebo-controlled clinical trial (PEARL Study)
    (Springer, 2025-06) Dinleyici, Ener Çağrı; Özen, Metehan; Güven, Şirin; Dalgıç, Nazan; Karbuz, Adem; Sütçü, Murat; Yazar, Ahmet Sami; 243394
    Antibiotic-associated diarrhea (AAD) is one of the side effects that occur during and after antibiotic use. Some probiotics have strain-specific beneficial effects on AAD development when used in combination with antibiotics. The aim of this study was to evaluate the effect of Limosilactobacillus reuteri DSM 17938 on the prevention of AAD in children. This is a prospective, multicenter, randomized, double-blind, placebo-controlled clinical trial in T & uuml;rkiye between 2017-2019, among outpatient children with acute otitis media (AOM) or acute rhinosinusitis (ARS). Group 1 (n = 330) received amoxicillin-clavulanate and L. reuteri DSM 17938 (2 x 10(8) CFU) and Group 2 (n = 324) received amoxicillin-clavulanate and a placebo during the antibiotic treatment or continued for 21 days after antibiotic cessation. The primary end point of this study was the percentage of children with AAD in the first 14, 21, and 56 days of follow-up. Secondary endpoints are the percentage of children with AAD regarding the AOM vs ARS, amoxicillin-clavulanate dose, age groups, and the comparison between 14- and 21-days use of L. reuteri. The percentage of children with AAD was significantly lower in the L. reuteri group compared to the placebo group at 14 days (7.9% vs. 16.7%; RR: 0.47, 95%CI 0.30-0.7; p < 0.001); at 21 days (8.8% vs. 17.9%; RR: 0.49, 95%CI 0.32-0.74;p < 0.001); and at 56 days (9.1% vs. 19.6%; RR: 0.46, 95%CI 0.30-0.69;p < 0.001). The incidence of AAD was also significantly lower in the L. reuteri group at 14, 21 and 56 days among children aged between 6-24 months (p < 0.01, p < 0.01, p < 0.001) or children with AOM (p = 0.0001,p < 0.0001,p < 0.0001). When AAD was observed, the mean duration of diarrhea was longer in the placebo group(p < 0.05). Conclusions: This first study with L. reuteri DSM 17938 in a large pediatric outpatient setting showed significant reduction of AAD during the first 14 days of antibiotic use and the 8-week follow-up period. Trial Registration: NCT02765217 (First Submitted 02.05.2016) (https://clinicaltrials.gov/study/NCT02765217?term=NCT02765217&rank=1).
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    An examination of the psychological resilience of preschool children with and without Montessori education
    (Wiley, 2024-08) Sezgin, Elif; Şener, Tülay; 157389
    This study aims to compare the psychological resilience of children who receive Montessori education with those who do not receive Montessori education(the group attends a school where education is provided according to the Preschool Education Programme of the Ministry of National Education). The study used the Relational Scanning Model Comparison Types to compare the psychological resilience of children who received Montessori education with those who did not. The research involved 99 children aged 3–6 years who received regular preschool and Montessori education during the 2021–2022 academic year. It is reported that no developmental or neurological defects were observed in any of the participants. The study group comprised 50 children aged 3–6 years from a private kindergarten affiliated with National Education in Nilüfer district and 49 children aged 3–6 years from a private Montessori kindergarten in Nilüfer district. According to the study, children who received Montessori education demonstrated comparatively higher levels of psychological resilience than those who did not receive Montessori education. It has been observed that there exists a weak but meaningful correlation between the psychological resilience of children and their social relationships/social performance, particularly in those who have received Montessori education for an extended duration. As a result, it can be inferred that Montessori education positively impacts children's psychological resilience.
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    Çocuğun hastane ortamına hazırlanması
    (Eğiten Kitap, 2023) Sezgin, Esin; 230880
    Çocukluk dönemi, bireyin gelişiminde kritik bir aşamadır. Ancak, bazı durumlarda bu süreç, hastalıklar, patolojiler, ağrılı ve invaziv prosedürler, travmalar veya uzun süreli hastanede yatışlar gibi olumsuz olaylarla kesintiye uğrayabilir (Gordiona-Iáñez ve diğerleri, 2020). Özellikle erken çocukluk döneminde hastalık, hastane ziyareti ve hastaneye yatış çocuklar için korkutucu bir deneyimdir (Burns-Nader & Hernandez-Reif, 2016; Delvecchio ve diğerleri, 2019; Gültekin & Baran, 2005; Kaminski, Pellino & Wish, 2002; Jeyamurugan & Basak, 2020). Bu deneyim, çocuğun yaşı, bilişsel ve duygusal özellikleri, mizacı, önceki hastane deneyimleri, hastalığın algılanma şekli, bilinmezlik, ayrılıklara tepkiler, hastalığın etkileri gibi bir dizi faktörden etkilenebilir. Çocukların ebeveynlerinden, günlük rutinlerinden ve güvenli ev ortamından uzaklaşması, yaşam tarzlarında değişikliklerin ortaya çıkması, tanıdık olmayan görüntü, ses ve kişilerin varlığı, ağrı ve işlem korkusu, normal yaşamdan uzaklaşma hastanede yatan çocuklarda stres ve kaygıyı tetikleyebilir (Kaminski, Pellino & Wish 2002; Burns-Nader & Hernandez-Reif, 2016) ve hastaneye yatma ve tedavi görmeye bağlı olarak fiziksel ve duygusal zorluklar yaşayabilirler. Çocukların hastaneye yatışı sırasında ve sonrasında gösterdikleri tepkiler arasında endişe, regresyon, bağlanma sorunları, aşırı hareketlilik, yalnız kalmak isteği gibi davranışlar bulunmaktadır (Li ve diğerleri, 2016). Bu davranış problemlerinin azaltılması için çocukların ve ailelerinin hastaneye, tedaviye ve girişimlere hazırlanması önemlidir. Bu hazırlık sürecinde güven oluşturmak, çeşitli yöntem ve teknikler kullanarak bilgi vermek, duygularını ifade etmeye teşvik etmek ve başa çıkma becerilerini geliştirmek amaçlanır.
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    The mediating role of emotion lability and emotion regulation in the relationship between social-emotional adaptation with behavior regulation and social skills among preschool children
    (Muhammed Yıldız, 2023-12) Sezgin, Esin; Bilge, Yıldız; Çelik, Burçin; Sevuk, Esma Nur; 230880
    Self-regulation is defined as an individual's ability to control and regulate their own behavior; this skill, forming the foundation of social adjustment, influences one's ability to interact with their environment and manage relationships. Emotion regulation, on the other hand, involves the ability to manage emotional responses and is believed to establish a critical connection between social adjustment and self-regulation. In this study, the aim is to determine the mediating role of emotion regulation in the relationship between behavioral regulation, social skills, and social-emotional adjustment skills using two different models.The study included a total of 216 children aged 5 and 6. Data were collected using the Socio-Demographic Information Form, Emotion Regulation Scale (ERS), Child Behavior Rating Scale (CBRS), and Marmara Social-Emotional Adaptation Scale (MSEAS). When socio-demographic variables were evaluated in terms of social competence and social-emotional adjustment scores according to gender, significant differences were found in favor of girls. Significant differences were also found in favor of children with working mothers when evaluated based on the mother's employment status. There were moderate significant correlations found between emotion regulation, child behavior assessment, and social-emotional adjustment. According to the mediation analyses, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between behavior regulation and social-emotional adjustment. Similarly, there was a partial mediating effect of emotion variability/negativity and emotion regulation in the relationship between social competence and social-emotional adjustment. It is thought that the finding that children's emotion regulation and emotion variability/negativity mediate the relationship between social-emotional adjustment, social competence, and behavior regulation will contribute to the literature.
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    Value education in elementary ages
    (IGI Global, 2023) Sayan, Hamiyet; 140851; Demircioğlu, Aytekin
    Value education is the teaching and learning of values as empathy, respect, responsibility, etc. in schools. It aims to feed moral development and ethical advances to array students and equip them with the skills to navigate complex social situation. As an important part of education, value education is interested in developing moral values and ethics of the students. It also helps these students develop understanding and evaluating of the importance of these values like respect, honesty, empathy, and the like. They understand how to manage and live satisfactory quality lives.