Search

Objectives: Complementary and alternative medicine (CAM) is widely used for individuals diagnosed with autism spectrum disorder (ASD). In our study, it was aimed to evaluate the use of CAM treatments in children with ASD and to determine the relationship between the CAM treatment methods and hopelessness, depression, and quality of life in the caregivers of patients with ASD. Materials and Methods: One hundred-twenty six patients with a confirmed diagnosis of ASD was included in the study. All patients were evaluated in detail in terms of the CAM methods used. The caregivers of the child with ASD were evaluated in terms of the quality of life, depression, hopelessness, and their opinions about the vaccine. Results: When the caregivers who did and did not use CAM were compared in terms of the scale scores, no difference was found. Vaccine refusal was more common in the parents of children who received CAM. Conclusion: The preference of CAM use was not directly related to the quality of life, depression, and hopelessness of the caregiver.

Underwater control applications, especially ones using autonomous underwater vehicles (AUVs) have become very popular for industrial and military underwater exploration missions. This has led to the requirement of establishing a high data rate communication link between base stations and AUVs, while underwater systems mostly rely on acoustic communications. However, limited data rate and considerable propagation delay are the major challenges for employing acoustic communication in missions requiring high control gains. In this paper, we propose a hybrid acoustic and RF communication framework for establishing a networked control system, in which, for long distance communication and control the acoustic link is used, and in the short range, the RF link is employed. Our scenario for testing implements a docking maneuver application, where a docking station determines the positions of the AUVs via acoustic or RF communication, and different medium access schemes are used for coordinating the transmission of the nodes according to the communication mode. Considering the full dynamics of the entire system for controlling the AUVs, the real-time behavior of the underwater networked control system is evaluated realistically using our proposed integrated cosimulation environment, which includes different simulators. Our performance results indicate that under calm water conditions, our proposed hybrid system reduces the docking time by 33% compared to the acoustic-only.

Objective:The aim of this study was to investigate the sociodemographic characteristics, results of mental state examinations and possible underlying causes of early marriages of children who referred by judicial authorities to undergo a full psychiatric examination by a child and adolescent mental health specialist.Methods:Sixty patients under 18 years of age who were referred to Adnan Menderes University Department of Child and Adolescent Psychiatry between 15.07.2012-15.07.2017 by the judicial authorities for psychiatric evaluation were enrolled for the study. Sociodemographic characteristics and psychiatric diagnoses of the patients, according to DSM-5 criteria were examined.Results:Fifty-eight (96.7%) of the cases were female and 2 (3.3%) were male. Mean age of the patients was 16.36 ± 0.38 years. Mean age difference between the patients and the individuals to whom the children were arranged to be married to was 6.04 ± 3.40 years. It was found that 35% of all cases had been pregnant at the time of assessment. Except of intellectual disability, only 6,7% of the cases had an active psychopathology. It was determined that 35% of the cases had no mental disorder that prevented him/her from marrying. The percentage of those attending formal education was 18.3%. There was a statistically signifi cant difference between the groups with and without marriage permit between pregnancy (p = 0.007), sexual intercourse (p = 0.03) and history of escape from home (p = 0.05).Discussion:Marriage in adolescence is still an important problem for our country because of its association with many risks and undesirable conditions. Prevention or minimization of early age marriages can be ensured by correct and determined policies and legal regulations to be implemented. Increasing awareness in society about the negative consequences of adolescent marriages and ensuring that children remain in the education system may have an important role in preventing this situation.

Objective: Stuttering is a communication disorder that can affect an individual’s life in many ways. This study aimed to evaluate the effects of stuttering on children and adolescents’ health-related quality of life (HRQoL).Methods: This is a cross-sectional type of case-control study. Thirty-six children and adolescents diagnosed with stuttering according to DSM-5 and 37 age- and gender-matched healthy children and adolescents were included in the study. The child and adolescent’s HRQoL in both groups was evaluated using the KIDSCREEN-52 self and proxy reports.Results: No significant difference was observed in the physical well-being, psychological well-being, moods and emotions, self-perception, autonomy, parental relationships and home life, financial resources, social support and peers, school environment, social acceptance-bullying dimensions in the KIDSCREEN-52 questionnaire between-group comparison of both report and proxy results. The parental score reports were found to be statistically significantly lower than the children with stuttering in social acceptance-bullying dimension. In contrast, the children’s scores in the dimensions of physical well-being, self-perception, parental relationships and home life, social support and peers and school environment were found to be statistically significantly lower than their parents.Conclusion: According to the study results, it was observed that the HRQoL of children between the ages of8-18 who stutter was not different from healthy children. Since factors affecting the HRQoL of children may be affected by developmental processes, the necessity of longitudinal assessment of the HRQoL of stuttering children should be considered.

Full duplex (FD) communication is one of the prominent techniques due to its potential to double throughput without increasing the used bandwidth. To enable FD communication, the self-interference (SI) signal at the transmitter should be reduced down to the noise level. The current solutions are not able to cancel SI at all power levels, especially at high power levels. In this paper, a new nonlinear digital cancellation (DC) approach is proposed by adapting support vector regression (SVR) for FD communication. The digital SI cancellation algorithms are tested on a software defined radio set-up with a single antenna. For high transmit power levels, with the proposed SVR-based solution, up to 5 dB higher total cancellation is observed in comparison to linear DC, and up to 3 dB improvement is obtained over the memory polynomial based nonlinear DC. This performance enhancement is provided by implementing the algorithm in the baseband, it does not require any additional hardware and it does not cause any extra communication overhead.

One of the steps for suppressing the selfinterference (SI) in Full-duplex (FD) communication is digital SI cancellation (DSIC). In orthogonal frequency division multiplexing (OFDM) based FD systems, despite providing significant SI cancellation, the residual SI after DSIC produces significantly high amount of periodic ripples at the transitions between two OFDM symbols. These ripples coincide with the data region of the desired signal when the propagation delay increases between two communicating nodes. In this work, digital SI cancellation performance of the previously proposed ripple reduction solution is evaluated for different communication schemes, considering various DSIC techniques over different modulation types and coding rates.

In wireless networks, clients can be steered from one access point (AP) to another for a better internet connection. Although this client steering has large potential to improve overall network service and the user experience, such steering actions may not always yield the desired result and the client may remain persistently connected to its current AP. This issue is referred to as the sticky client problem, which prevents the intended improvement in the network. In this work, in order to address the sticky client problem, Support Vector Machine (SVM) as a batch method and kernel perceptron as an online method are examined based on various network features. Nonlinear classifiers of correct steering actions have been trained to maximize the accuracy of steering actions. In particular, the online kernel perceptron performs sequential learning at APs using the cloud data to decide about steering actions in real time. This algorithm is data-driven, and able to provide optimum steering in realtime. In our experiments, we observed that our batch approach identifies successful steering actions with %95 accuracy. On the other hand, our online algorithm is able to approximate the batch performance by a small margin while allowing real time steering with significantly lower computational complexity.

Objective Risperidone has been widely used to control aggression and conduct disorder (CD) in youth; however, treatment compliance is a major problem in CD. Our aim is to evaluate the effectiveness and tolerability of long-acting risperidone (LAR) in treating nonadherent cases. Methods The medical records of children and adolescents who had CD and were nonadherent to conventional drugs and psychosocial interventions (and therefore taking LAR) were reviewed. Informed consent on offlabel use of LAR was obtained from the parents. Clinical Global Impression (CGI) Severity (CGI-S) and CGI-Improvement scales were used and baseline and end points were compared. Results The study comprised 14 children and adolescents (5 girls, 9 boys). All had comorbid disorders: substance use disorder (n=8), attention deficit hyperactivity disorder (n=6), and major depression (n=2). Mean duration of LAR use was 3.1 months (1.5–8 months). We observed significant improvements in the baseline and endpoint CGI-S scores for CD in all but one patient (Z=−3.198; p

Background The role of adrenomedullin hormone, which has been shown to be associated with many psychiatric disorders, in the etiology of ADHD and its relation to disease is not yet known. Aim In this study, it was aimed to compare plasma adrenomedullin and nitric oxide (NO) levels of newly diagnosed, treatment-naive patients with ADHD with healthy children. Methods A total of 45 children with ADHD and 45 healthy children were included. The Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS), a semi-structured interview, was applied to all cases by child and adolescent psychiatrist. Age and gender matched participants who admitted to the hospital for any other reasons without any psychiatric diagnosis according to K-SADS were selected as a control group. Sociodemographic data form and The Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale-parental form were applied to the all groups. NO and adrenomedullin levels were analysed by ELISA method with specific commercial kits. Results There was no statistically significant difference in NO and adrenomedullin levels, neither between the groups nor ADHD subtypes. A positive correlation between adrenomedullin and NO levels was found in both the case (r = 0.659) and the control groups (r = 0.494). Conclusions Besides being the first study to evaluate adrenomedullin levels to elucidate the etiology of childhood ADHD as well as NO, significant differences was not found between the case and the control groups in terms of NO and adrenomedullin levels.

Objective: The aim of this study was to investigate depression-like behaviors of juvenile rats with congenital and postnatal hypothyroidism. Methods: Twenty-seven newborn rat pups were used. First, 6-month-old Wistar Albino female rats were impregnated. Methimazole (0.025% wt/vol) was given to dam rats from the first day of pregnancy until postnatal 21 days (P21) to generate pups with congenital hypothyroidism (n=8), whereas in the postnatal hypothyroidism group (n=10), methimazole was given from P0 to P21. In the control group (n=9), dam rats were fed ad libitum and normal tap water. Offspring were fed with breast milk from their mothers. The behavioral parameters were measured with the juvenile forced swimming test (JFST). The procedure of JFST consisted of two sessions in two consecutive days: the 15-minute pre-test on day 1 and the 5-minute test on day 2. Results: Increased immobility and decreased climbing duration were observed in both congenital and postnatal hypothyroidism groups. Decreased swimming duration was detected in the postnatal hypothyroidism group. Both hypothyroidism groups had a lower body weight gain compared with the control group, while the congenital hypothyroidism group had the lowest body weight. Conclusion: Our results showed that hypothyroidism had negative effects on depression-like behavior as well as on growth and development. Both congenital and postnatal hypothyroidism caused an increase in immobility time in JFST. New studies are required to understand the differing results on depression-like behavior between congenital and postnatal hypothyroidism.

Objective: The aim of this study is to present the psychometric properties of the Turkish version of the knowledge about childhood autism among health workers (KCAHW) questionnaire. Methods: Three hundred fifteen primary health care facility workers and 28 child and adolescent mental health professionals were enrolled in this study. Participants filled out socio-demographic data forms and the KCAHW. Reliability analyses consisted of internal consistency and test–retest reliability. For validity analysis, construct validity (confirmatory factor analysis -CFA) and criterion validity were used. Results: The mean KCAHW questionnaire score was 13.83 ± 2.55. The floor effects in all domains were below 15%, the ceiling effects were over 15% in overall score and in Domain 4. Intraclass correlation coefficient and the Kuder Richardson 21 values were 0.83 and 0.683, respectively; All goodness of fit indices generated by CFA were found satisfactory (Comparative fit index = 0.79; Root mean square error of approximation = 0.056, and chi-square/degree of freedom = 1.91). Being a physician, being a CAMH specialist, having mental health clinic experience, having done a child psychiatry internship, knowing someone diagnosed with autism, follow-up experience of a patient with autism, having previous autism training, and the perception of adequate knowledge about autism, significantly increased the KCAHW scores (p < 0.001). Conclusion: The Turkish version of the KCAHW questionnaire is reliable (in terms of test-retest and internal consistency) and valid (sensitive some known/expected external criteria). Due to the insufficient internal consistency in Domain 4, the scores received from Domain 4 should be evaluated with caution. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Authors would like to thank to Hande Ayta?, Og?n ?zkaya and Ceyda ?ztabak for data collection and all participants (physicians, child and adolescent mental health specialists, midwifes and nurses). The authors have no funding to report.

EgeUn###, Aim: The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey. Method: A nation-wide, randomly selected, representative population of 5830 children (6-13 years-old) enrolled as a 2nd,3rd or 4th grade student in 30 cities were evaluated for presence of a psychiatric or mental disorder by a Sociodemographic Form, Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL), and DSM-IV-Based Screening Scale for Disruptive Behavior Disorders in Children and Adolescents scales. Impairment criterion was assessed via a 3 point-Likert scale by the parent and the teacher independently. Results: Overall prevalence of any psychopathology was 37.6% without impairment criterion, and 17.1% with impairment criterion. Attention-deficit hyperactivity disorder was the most frequent diagnosis, followed by anxiety (19.5% and 16.7% without impairment, 12.4% and 5.3% with impairment, respectively). Lower education level and presence of a physical or psychiatric problem of the parents were independent predictors of any psychopathology of the offspring. Conclusion: This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group.

WOS: 000422967300009 PubMed ID: 29276870 In this study, it was aimed to evaluate the neurological developments of preschool or school-aged children together with their school successes, intelligence quotient and symptom severity of attention deficit hyperactivity disorder who were born at the 37th gestational week and above with birth weights below tenth percentile, which is called small for gestational age (SGA). A total of 74 patients with SGA and 75 healthy children were evaluated. The patients were evaluated by child neurologist and child psychiatrist. Wechsler Intelligence Scale for Children-Revised, Ankara Developmental Screening Inventory, and The Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-S) were applied according to their age groups. SGA cases had been breastfed for shorter durations (p:0.004), had walked later (p

WOS: 000447749800005 PubMed ID: 30405252 Context: Since autism spectrum disorder (ASD) is a lifelong disease and because of its nature, the negative effects of the disease on the quality of life (QoL) of caregivers as well as patients are incontrovertible. Aims: It was aimed to evaluate the effect of the variables related to both parents and children on the QoL scores of the parents of the children with ASD. Settings and Design: This is a causality analysis study. Subjects and Methods: Questionnaire on sociodemographic/disease-related variables, QoL in Autism Questionnaire-Parent Version (QoLA-P), autism behavior checklist and Clinical Global Impression scale were assessed of 162 patients with ASD. Statistical Analysis Used: Unpaired t-test, Mann-Whitney U test, Kruskal-Wallis test, and one-way ANOVA test were used for comparing groups. The parameters found to be statistically significant for QoLA-P in different analyses were included as the independent variable in the logistic regression analysis. The backward (variable elimination) model was selected as the model in the analysis. Results: The causality has been established may be stated as the severity of autism, the presence of psychiatric disorder in the mother/father. attendance of the child at school, duration since the diagnosis of autism, and the child's medication use. Conclusions: Autism affects the QoL of caregivers. The intervention of treatment by considering the factors that affect the QoL positively or negatively may increase the QoL of caregivers.

GOKCEN, CEM/0000-0003-3824-5890; Topal, Zehra/0000-0001-8397-5636; Tural, Umit/0000-0002-1593-2180; Unal, Fatih/0000-0001-8386-9884; Acikel, Burak/0000-0002-8964-9513; Erden, Semih/0000-0002-7723-9584; Kilic, Birim Gunay/0000-0002-4566-2564; Ucar, Halit Necmi/0000-0002-2706-7454; CELIK, GONCA/0000-0001-6101-0796; Gunes, Serkan/0000-0002-8247-2145; Isik, Umit/0000-0001-6006-3247; Coskun, Murat/0000-0002-4808-5870; Tufan, ALI EVREN/0000-0001-5207-6240; Donmez, Yunus Emre/0000-0002-7785-2805; Ceri, Veysi/0000-0001-6152-0227; Uzun, Necati/0000-0003-3381-2331; Hesapcioglu, Selma Tural/0000-0002-4816-0228; Kandemir, Hasan/0000-0002-1138-4973; Gormez, Vahdet/0000-0002-2704-9520 WOS: 000439557000070 PubMed: 29936389 Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. Methods: This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents.

OBJECTIVE: The aim of this study is to evaluate the sociodemographic characteristics, complaints, and diagnoses of individuals who were admitted to a child and adolescent psychiatry outpatient clinic. MATERIALS AND METHODS: Medical charts of the patients who were admitted to the child and adolescent psychiatry unit of Adnan Menderes University between February 1st and July 31st, 2014 were retrospectively studied. RESULTS: The rate of girls and boys from a total of 832 cases who were referred to the child and adolescent psychiatry outpatient clinic in the six month period was 41.8% and 58.2%, respectively. The mean age of the girls and boys was 10.8±4.9 and 8.5±4.7 years, respectively. The most common age range was between 12 and 18 years. The proportion of patients who lived with both parents was 81.1%; however, the proportion of individuals brought in by institutional caregivers was 0.8%. The proportion of consanguineous marriages was 13.7%. The education level of mothers and fathers was mostly a primary school degree (47% and 45.6%, respectively). A positive psychiatric history was present in 13.7% of the mothers and 7.6% of the fathers. Reasons for child psychiatric assessments were as follows: 21.9% for disability report, 13.8% for forensic evaluation, 11.2% for consultation, and 52.9% for general psychiatric evaluation. Referral complaints were irritability/anger (15.7%), attention deficit/hyperactivity (14.8%), delay in speech (10.5%), fear/anxiety (5.9%), and poor school performance (5.7%). The diagnoses were as follows: attention deficit hyperactivity disorder (ADHD) (20.6%), other disruptive behaviors (12.4%), and anxiety disorder (10.2%). CONCLUSION: We revealed that the most common referring complaint was irritability/anger and that the most common diagnosis was ADHD in our patient group, which was similar to previous studies. Our results showed that a low parental educational level and a positive history for parental psychopathology were common in child psychiatry referrals. These data may be considered as risk factors for developing protective mental health services.

Objective: Speech delay should be considered in a child in case of not demonstrating the stages of language development in accordance with general developmental period or compared to the peers. Speech delay often may be a sign of a variety of mental and somatic diseases rather than a diagnosis. In this study, we aimed to investigate the demographic characteristics, psychiatric diagnoses and factors that play a role in speech delay in patients admitted to a child psychiatry outpatient clinic with a complaint of speech delay.Methods: Medical records of the patients who were admitted to the child and adolescent psychiatry outpatient clinic with complaints of “not talking”, “speech delay”, “language delay”, “not forming a sentence” between November 1, 2014 and October 31, 2015 were retrospectively evaluated.Results: Of a total of 127 cases, 22.8% were female and 77.2% were male. The mean age was determined as 3.1±1.1. Average duration of TV, tablet and smart phone exposure was 5.3±3.4 hours per day. Only 14.1% of cases were going to preschool education, primary school or special education. It was found that 38.2% were not presence in an environment where allows peer relationship; bilingualism history was present in 3.1%; 23.6% had a family history of speech delay, and21.6% of cases had no meaningful words. Developmental language delay (28.18%) as a clinical finding and pervasive developmental disorders (PDD) as a psychiatric disorder (23.64%) were the most frequent diagnoses. There were no statistically significant differences between PDD and other patients when compared in terms of TV and other virtual media exposure duration [t(55)=1.58, p=0.12].Conclusion: Different diagnoses lie under the complaint of speech delay. We emphasize that it is important to evaluate these patients multidisciplinary and refer to child and adolescent mental health experts for detection of probable psychopathology and establishing the appropriate treatment plan at an early stage.