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Turkish Archives of Pediatrics

Publisher:
—
ISSN:
2757-6256
Category:
PEDIATRICS
Impact factor:
1.3
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6 parsed articles

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Latest articles

Investigation of the Association of the Attitudes and Beliefs of Adolescents and Their Parents with the Aggression Behaviours of Adolescents

2026-03-29

Ayfer Gozu Pirinccioglu, Savaş Mert Darakçi, Suleyman Yildiz, Orhan Derman

Objective : Violent behavior is prevalent among adolescents and represents a leading cause of morbidity and mortality. Understanding the factors contributing to adolescent aggression is essential for developing effective prevention strategies and promoting public health. This study aims to examine the association of the beliefs and attitudes of adolescents and their parents with the aggression of adolescents. Materials and Methods : This cross-sectional study includes 413 adolescents aged 13-19 and their parents (408 mothers and 383 fathers). The Buss–Perry Aggression (BPA) scale was employed to assess aggression levels in adolescents, while the Attitude Toward Violence (ATV) and Belief in Violence (BIV) scales were used to evaluate the attitudes and beliefs of adolescents and their parents. Results : The mean BPA score of 409 adolescents (aged 13-19 years) was 2.56 ± 0.58, with 41 (10%) classified as low, 321 (78.5%) as medium, and 47 (11.5%) as high. Given that the overall aggression score was at a moderate level, subscale scores were not examined. The BPA scores were significantly associated with adolescents’ ATV and BIV scores, as well as mothers’ ATV scores. Correlation analysis revealed significant positive relationships among all scales, except between BPA and the BIV scores of both mothers and fathers. Conclusion : The findings suggest that the attitudes and beliefs regarding violence held by adolescents and their parents significantly influence the development of aggressive behaviors in adolescents within their immediate social environment.

Musculoskeletal Ultrasound in Juvenile Idiopathic Arthritis: Advances in Imaging and Clinical Practice

2026-03-29

Şeyma Türkmen, Betül Sözeri

Musculoskeletal ultrasound (MSUS) has become a cornerstone imaging modality in pediatric rheumatology, providing a safe, non-invasive, and highly sensitive method for assessing musculoskeletal pathology. Reliable interpretation of MSUS requires awareness of developmental anatomy, optimization of technical parameters, and recognition of common artifacts. These considerations are especially important in children, where physiological vascularization and agerelated changes in cartilage or bone can mimic pathology. MSUS enables the detailed visualization of synovitis, tenosynovitis, enthesitis, and early structural abnormalities, often detecting both overt and subclinical inflammation that may be missed on clinical examination. These subclinical observations can offer additional context during follow-up and support more informed decisions in disease monitoring and management. In addition to its diagnostic and prognostic roles, MSUS also enhances interventional approaches. Ultrasound-guided intra articular corticosteroid injections improve precision, safety, and patient comfort compared with landmark-based techniques, while also expanding therapeutic access to joints that are otherwise difficult to inject. Altogether, MSUS is increasingly recognized not only as a complementary tool but as an integral component of juvenile idiopathic arthritis (JIA) management. This review will provide an updated overview of MSUS in the context of JIA, with a particular focus on practical aspects of scanning in children, the differentiation between physiological and pathological findings, the main disease-related sonographic features, and the expanding role of ultrasound in guiding intra-articular procedures. Current challenges, limitations, and future perspectives regarding standardization and integration into clinical care will also be discussed.

Isolated and Syndromic Talipes Equinovarus in Children: Differences in Clinical Presentation and Quality of Life

2026-03-23

Ulkar Huseyinova, Muhammed Doğukan Kalenderoğlu, Ece Eker, Göksel Vatansever, Hatice Mutlu

Objective : Talipes equinovarus (TEV) is a congenital foot deformity that can present either in an isolated form or as part of a syndromic condition. In syndromic TEV, dysmorphic features, systemic anomalies, and developmental delay are more frequently observed. This study aims to evaluate the differences in clinical characteristics, dysmorphic findings, and quality of life between isolated and syndromic forms of TEV in children. Materials and Methods: Ninety TEV patients (37 syndromic, 53 isolated) diagnosed between 2010 and 2022 were included. Demographic and clinical data were retrospectively reviewed. Additional anomalies and dysmorphic features were prospectively assessed. Quality of life in children aged ≥2 years and their caregivers was evaluated using the Pediatric Quality of Life Inventory (PedsQL). Results : Consanguinity, low birth weight and developmental delay were significantly more frequent in the syndromic TEV group (P=.005, P=.014, P=.014), with central nervous system anomalies being the most common. The PedsQL scores were highest in controls, followed by isolated TEV, and lowest in syndromic TEV (P < .001, P < .001). Quality of life was negatively correlated with dysmorphic feature count (P < .001). Conclusion : Quality of life in children with syndromic TEV is significantly affected by physical and psychosocial factors. Syndromic TEV is associated with a more complex clinical course and lower quality of life compared to the isolated form. Early diagnosis, clinical genetic evaluation, multidisciplinary management, and psychosocial support may enhance treatment success and quality of life.