Browsing by Author "Caliskan, Hilal"
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Item Evaluation of the Knowledge Level, Practice and Attitudes of the Caregivers on Ketogenic Diet Management(2022) Bayram, Sinem; Caliskan, HilalObjective: Patients with intractable childhood epilepsy may benefit from ketogenic diet treatment. Management of ketogenic diet depends on the knowledge level and practice and attitudes of their caregivers. Although advances have been made on early diagnosis and treatment options, there is still a lack of knowledge in children with epilepsy and their caregivers. Methods: In the study, 40 voluntary individuals caring for a child with intractable childhood epilepsy who is under a ketogenic diet were included. The visual analog scale was used to determine adherence to the ketogenic diet for both caregivers and children. Dietary adherence of young children (<10 years) was assessed by the caregiver. Ketogenic diet knowledge of caregivers was determined to form with 40 questions (free/prohibited foods, meal contents, any form of carbohydrate sources, label reading, side effect awareness, and management practices). Results: Availability of ketogenic products, feeling of hunger, frequent glucose, and ketone measurement were determined to be the most difficulties in adherence to the ketogenic diet. According to the visual analog scale results, the mean knowledge level of the caregivers was 3.55 +/- 3.67, ketogenic diet adherence was 7.52 +/- 2.40 for the caregivers, and 8.42 +/- 1.62 for the patients. 25% of the caregivers have high, 65% of them have low knowledge. The number of antiepileptic drugs used decreased. The number of seizures per week was 32.65 +/- 21.15 before the ketogenic diet, it decreased to 21.54 +/- 15.69. Conclusions: The effectiveness of the ketogenic diet was better in medium and high knowledge levels. As the competence increases, ketogenic diet management will be easier. Therefore, it would be beneficial to visit a dietitian during clinic visits and to seek answers to food-related problems.Item The Relationship Between Body Image and Anthropometric Measurements Among Adolescent Girls During Menstrual and Non-menstrualtime Periods: A Cross-Sectional Study(2022) Turker, Perim Fatma; Caliskan, Hilal; Bayram, SinemIntroduction: In recent studies, it has been suggested that anxiety about body image increases during menstruation in adolescents and may affect nutritional status. This study aimed to evaluate the relationship between adolescents' body images, body perceptions and anthropometric measurements during menstrual and non-menstrual time periods.Methods: This cross-sectional study was carried out in a private high school between September November 2021. Participants were adolescent girls aged 14-18. The questionnaire included information about menstruation, anthropometric measurements, and the Body Cathexis Scale (BCS) and Stunkard Figure Rating Scale.Results: The mean age (total=291) was 15.9(1.13) years, body mass index (BMI) was 21.13(3.33) kg/m2, waist circumference was 70.48(8.87) cm and the BCS was 97.39(24.59). The majority of students have normal BMI. However, according to waist circumference 28.5% of the them were obese (>= 90th percentile). Difference between actual BMIs and body image in the menstrual period was significant (p<0.001), the agreement with each other was slight (K=0.172). There was a significant difference (p<0.001) between actual BMIs and body image in the non-menstrual period and the agreement with each other was moderate (K=0.474). During non-menstrual periods, 79.7% of students with normal BMI perceived their body images as normal, and 70.5% of overweight students perceived as overweight.Conclusions: Since the menstruation is a period in which body image is perceived differently than it is, special consideration of adolescent girls in terms for eating disorders should be encouraged.