% 2020 Physical & occupational therapy in pediatrics
* Participation in Everyday Activities of Children with and without Specific Learning Disorder.
- Aim: To evaluate the participation in everyday activities of school-aged children with and without Specific Learning Disorder (SLD) in two samples using two different standardized measures of participation.Methods:Study 1 comprised 60 children between 8 and 12 years (M = 10.2, SD = 1.2), 30 of them with and 30 without SLD. Participation was assessed by the LIFE-H questionnaire. Study 2 comprised 30 children between 8 and 12 years (M = 10.1, SD = 1.3), 14 of them had SLD, and 16 were typically developing children. Participation was assessed using the Child Participation Questionnaire.Results: As expected, the participation of children with SLD was significantly decreased in the learning domain compared with children without SLD as well as most other occupational domains. Parents of children with SLD reported lower child's enjoyment and lower parental satisfaction compared to parents of children without SLD.Conclusions: Participation and satisfaction of children and families was lower in children with SLD. We suggest measuring participation and addressing it in evaluations and interventions with this population in order to support their engagement in daily activities beyond school participation and to focus on additional needs of this population.
% 2020 Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
* The Possible Beneficial Effect of Breastfeeding on the Clinical Course of Urolithiasis Detected During Infancy.
- Aim: To evaluate the possible effect of breastfeeding duration on the clinical course and treatment of stones detected during infancy. Materials and Methods: Forty-eight infants with renal stones diagnosed between 0 and 23 months were included in this retrospective cohort study. The children were called for regular follow-up visits for the evaluation of physical examination findings, renal size and parenchymal thickness measured by ultrasonography, localization, size and number of stones, spot urine analysis data, metabolic evaluation findings, and duration of breastfeeding and formula use. The relationship between the disease course (progression or stability) and the duration of breastfeeding were assessed from different aspects by considering the original characteristics of the stones at the time of first diagnosis. Results: The mean follow-up period was 46.21 ± 23.22 months, and the most important metabolic risk factor was hypercalciuria with a rate of 29.2%. The mean duration of breast milk intake was longer in children with no disease progression and in those with a reduced size and/or number of stones. The children receiving only breast milk for the first 6 months of life required treatment less and had less growth retardation. Conclusions: Our findings suggest that breastfeeding has critical effects on infantile urolithiasis. Breastfeeding should be encouraged in children with stones particularly detected during infancy. Further studies with a larger case series are needed to reveal the positive effects of breast milk on the clinical course of urolithiasis in children.