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Introduction: Child abuse and neglect is a widespread and pressing issue, with serious and long-term adverse effects on children's physical and psychological health. Pediatricians play a crucial role in detecting and addressing cases; however, studies have shown challenges in reporting cases encountered in clinical practice. This study aims to examine pediatricians' attitudes towards reporting cases of child abuse and neglect encountered in their clinical practices, as well as the factors influencing these attitudes. Materials and Methods: A descriptive cross-sectional study was conducted among pediatricians in Istanbul. Data collected included sociodemographic characteristics, knowledge and formal training about child neglect and abuse, attitudes about dealing with it, experience, and reporting behavior. The data was collected through a self-administered online questionnaire. The study provides insights into the current awareness and response of Istanbul's pediatricians towards child neglect and abuse. The data were analyzed using SPSS 22, employing descriptive and comparative statistics such as frequency, mean, standard deviation, and correlation tests. Ethical approval was obtained from the Istanbul Medipol University Ethics Committee. The study was conducted in accordance with the Declaration of Helsinki and online consent was obtained from the participants. Results: The study involved 126 pediatricians. Results showed that pediatricians had generally positive attitudes toward reporting child neglect and abuse. Gender and marital status did not significantly influence attitudes, but pediatricians who were parents scored higher on reporting Responsibility. Additionally, it was shown that those with more professional experience had a higher reporting responsibility score. Structured training on child abuse and neglect has been shown to increase pediatricians' reporting responsibility scores and exhibit less anxious attitudes. Conclusion: This study highlights pediatricians' positive attitudes toward reporting child abuse and neglect and identifies influencing factors such as training, professional experience, and collaboration. It emphasizes the importance of addressing challenges like awareness of reporting procedures and concerns about negative consequences. Comprehensive training, clear reporting protocols, and multidisciplinary collaboration are essential for increasing reporting rates and improving the detection of child abuse and neglect. The study contributes to enhancing child protection systems in Turkey by providing insights into pediatricians' attitudes toward reporting child abuse and neglect. [ABSTRACT FROM AUTHOR]

Aim: Complementary medicine has been used with increasing frequency worldwide recently. In our country, phytotherapy, one of the complementary medicine practices among children, is increasing daily among patients and physicians. The study determined the frequency of phytotherapy application by physicians seeing pediatric patients. Methods: This cross-sectional study was conducted via an online survey. The study was carried out between June 2021 and August 24, 2021. The pediatricians, family physicians, general practitioners, and other specialists who treat children were included in the study. The survey questions were distributed to all of the pediatricians registered on a platform with over 2,000 members. Results: A total of 547 physicians participated in the study. The participants were divided into three groups, including pediatricians, family physicians, and general practitioners (28%, 33.6%, and 38.2%, respectively). The most common group of physicians practicing phytotherapy was family physicians. The proportion of physicians who applied phytotherapy to their patients was 65.3%. A total of 75.3% of physicians believe that phytotherapy is effective, and 76.1% of participants want to learn more about it. A total of 70.7% of physicians stated that patients requested phytotherapy treatment from them. Phytotherapy is mostly applied to respiratory diseases. Aromatherapy is practiced by 43.3% of physicians and is mainly used for respiratory diseases and inhalation. Conclusion: More than half of the physicians practiced phytotherapy with pediatric patients. Physicians reported that there is a demand from patients and that they want to receive training in this area. Phytotherapy training should be organized for physicians. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to determine the level of knowledge and awareness of pediatricians about pre-surgical orthopedic treatment and nasoalveolar molding (NAM) of newborns with cleft lip and/or palate (CL/P). Materials and Methods: We conducted a 10-item questionnaire and sent emails to 600 pediatricians in Türkiye. The title, professional experience, institution of employment of the participants and their knowledge level about preoperative maxillary orthopedic treatment and NAM practices of newborns with CL/P were evaluated. Results: One hundred-twelve pediatricians responded to the questionnaire. There was no statistically significant difference in the knowledge level regarding the preoperative treatment of newborns with CL/P between experienced and inexperienced pediatricians (p>0.05). When the knowledge levels about preoperative treatment and NAM applications of newborns with CL/P were evaluated, no statistically significant difference was found between pediatricians with more or less than 5 years' experience (p>0.05). All pediatricians who participated in the questionnaire reported that they referred newborns with CL/P to at least one specialist (orthodontist, dentist or plastic surgeons). The most frequently referred specialist group was plastic surgeons (84%), followed by orthodontists (52%) and dentists (39%). A linear regression was found between the number of cases seen and the professional experience year of pediatricians. Conclusion: Increasing the awareness and knowledge of pediatricians about NAM, pre-surgical orthopedic and other treatment alternatives in newborns with CL/P is very important for the success of CL/P treatment. Newborns with CL/P should be referred to an orthodontist by pediatricians as soon as possible after birth to initiate the treatment process. [ABSTRACT FROM AUTHOR]

Aim: Pediatricians may be able to play an important and effective role in providing forward guidance on children's oral health. When they make the right recommendations, the erosive, cariogenic and staining effects of medications are predicted to reduce. The objective of this research is to assess the knowledge, attitude and practices of pediatricians concerning the effects of medication use on oral health. Materials and Methods: A cross-sectional, descriptive survey study was conducted on pediatricians in İstanbul, Turkey. Data were collected by distributing a questionnaire to pediatricians working in hospitals and private clinics. Differences between the proportions of categories were assessed using the chi-square tests. For the differences between two ordinal variables, rank sums nonparametric test Mann-Whitney U test was used for quantitative analysis. Results: 54.3% of the responders informed patients about oral health after prescribing drugs. Only 27% of the pediatricians felt knowledgeable about informing parents about oral care after drug use. Only 17.7% of them agreed with the statement that their training about oral health during medical school/pediatrics is adequate. Conclusion: There is a need to organize the curriculum relating to oral health in pediatrics education and to increase the level of knowledge of pediatricians through educational programmes. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Early diagnosis of congenital tooth agenesis increases the quality of treatment options and the final success of the treatment. However, in some clinical conditions, overlooking this diagnosis causes late diagnosis of these anomalies. Late diagnosis reduces the number of appropriate treatments, increases the cost of treatment and may lead to possible complications. In the diagnosis of congenital tooth agenesis, findings during the routine medical examination of the pediatric patient are beneficial. At this point, as well as pediatric dentists, pediatricians also play a great role in early diagnosis of these anomalies. The aim of this study is to draw attention to pediatric dentist-pediatrician cooperation in the early diagnosis of congenital tooth agenesis. [ABSTRACT FROM AUTHOR]

Objectives: Early diagnosis of Autistic Spectrum Disorder (ASD) is challenging and may be delayed up to preschool years since there is no pathognomonic sign or laboratory test to detect the illness. For early diagnosis and treatment, pediatricians should be aware of the psychological disorders and medical issues that children with ASD encounter. Pediatricians play an important role in the early recognition of ASD, because they are usually the first point of contact for children with ASD. Methods: This study focuses on the role of pediatricians' awareness of autism and its effects on the life events of the autistic children. The study involved 270 volunteer pediatricians (residents, pediatricians), from state and university hospitals. Results: ASD that the participants were most commonly aware of were lack of attention to social stimuli, fewer smiles, and not looking at the faces of others, not responding to their own name, delayed speech in the presence of hearing and gastrointestinal problems such as vomiting and eating. Conclusions: The results of the present study show that pediatricians do not have the through knowledge of DSM-IV autism criteria and ASD. They have stated that they are not familiar with comprehensive evaluation techniques or are not comfortable with making the diagnosis of autism spectrum disorders, have inadequate knowledge about the effect of the disease on the rest of the patient life as an adult. They have also stated that having spending some time in child and adult psychiatry clinics will make them feel more comfortable while approaching those patients. [ABSTRACT FROM AUTHOR]

Introduction: Developmental dysplasia of the hip (DDH) is the most common hip pathology which can be prevented with early diagnosis and treatment. Prevention, early diagnosis and treatment can be achieved if health professionals are endowed with adequate knowledge. Here, we aimed to evaluate the knowledge level of pediatric trainees and specialists in an education and training hospital and to review the up-to-date information about DDH. Materials and Methods: A multiple choice questionnaire about etiopathogenesis, risk factors, diagnosis and treatment of DDH was answered by the pediatric trainees and specialists in Zeynep Kamil Maternity and Children Education and Training Hospital, İstanbul. NCSS 2007®, USA Software Program is used for statistical analysis. Results: Thirty-nine pediatric residents and twenty-one pediatric specialists were enrolled to the study. Person with DDH in the family, swaddling, breech presentation, female gender, oligohydroamnios were risk factors known with rate ≥70%. Metatarsus adductus, Larsen syndrome, congenital knee dislocation were the least known risk factors (≤10%). The recognition rates of residents and specialist about torticollis, multiple gestation, first born baby and metatarsus adductus as risk factors were statistically different (p<0.05). For the diagnosis of DDH, specialist tended to use conventional methods like physical examination and direct radiographs while residents chose computerized tomography and magnetic resonance imagining. Pediatric residents thought cigarette smoking (48.7%) and factors other than mechanic pressure of femoral head for the acetabular development (30.7%) as most responsible factors (p<0.05). There was no relationship between duration of residency, duration of being specialists, bearing children and knowledge about DDH. Conclusions: The actual knowledge of pediatricians about DDH should be improved and updated for the success of prevention, diagnosis and treatment of DDH. [ABSTRACT FROM AUTHOR]

Introduction: In order to guide the improvement in the national judicious antibiotic use policy, the socio-cultural, socio-demographic, and cognitive factors that may potentially influence the prescribing habits of pediatricians, family physicians and general practitioners to upper respiratory tract infections in children were investigated. Materials and Methods: After receiving approval from ethic committee, questionnaire was sent to 7421 physicians who had been practicing in the different regions of the country. Responses obtained from 1477 of them were evaluated by multivariate analysis to demonstrate independent effect of each factor influencing the prescribing habits. Results: Our results have shown that being a pediatrician, working in medical school, and spending enough time for physical examination were independently associated with less antibiotic prescription. Family physicians and general practitioners were more likely to prescribe antibiotics for viral upper respiratory infections in children. Conclusions: The most important modifying factors about antibiotic prescription habits for upper respiratory tract infections in children were physical examination period and quality of education. [ABSTRACT FROM AUTHOR]