Andersen KG et al. The proximal origin of SARS-CoV-2. Nature Medicine, March 2020.

Cases of Covid-19 first emerged in December 2019, when a mysterious illness was reported in in the city of Wuhan, China. The cause of the disease was soon confirmed as a new kind of coronavirus, and the infection has since caused a large-scale epidemic and spread to more than 70 other countries. Coronaviruses are a large family of viruses that are related to a broad spectrum of illnesses, the first of which was the 2003 Severe Acute Respiratory Syndrome (SARS) epidemic in China. A second outbreak of severe illnesses began in 2012 in Saudi Arabia with the Middle East Respiratory Syndrome (MERS). On December 31 of 2019, Chinese authorities alerted the World Health Organization of an outbreak of a novel strain of coronavirus named SARS-CoV-2 causing severe illness. As of February 20, 2020, nearly 167,500 Covid-19 cases have been reported, though many milder cases have likely gone undiagnosed. More than 6,600 people have already died as a result of contracting this virus – and the numbers will be much higher when you will be reading this article. Chinese scientists sequenced the genome of SARS-CoV-2 very shortly after the epidemic began and made the data available worldwide. The analyses of genomic sequence data have shown that Chinese authorities rapidly detected the epidemic and that the number of Covid-19 cases have been increasing because of human to human transmission after a single introduction into the human population.

Recently, a group of scientists used this sequencing data to explore the origins of SARS-CoV-2 and how it has become the version that it is now. The scientists specifically focused on the genetic codes for spike proteins, the mechanical framework on the outside of the virus that it uses to grab and penetrate the outer walls of human and animal cells. There are 2 major parts of the spike proteins: the receptor-binding domain (RBD), a molecular hook that grips onto host cells, and the cleavage site, a molecular can opener that allows the virus to crack open and enter host cells. The scientists found that the RBD portion of the SARS-CoV-2 spike proteins mutated to effectively target a molecular feature on the outside of human cells called ACE2, a receptor normally involved in regulating blood pressure. The SARS-CoV-2 spike protein was exceptionally effective at binding to human cells, and the scientists concluded this could only be a product after a natural selection process and not the product of human-designed genetic engineering. This evidence was further strengthened by data on SARS-CoV-2’s backbone molecular structure. If someone were to engineer a new coronavirus as a pathogen, they would have constructed it from the backbone of a virus known to cause illness. But the scientists found that the SARS-CoV-2 backbone differed substantially from those of already known coronaviruses and mostly resembled related viruses found in bats and pangolins. These two features of the virus, the mutations in the RBD portion of the spike protein and its distinct backbone, basically ruled out laboratory manipulation as a potential origin for SARS-CoV-2. Based on their genomic sequencing analysis, scientists came up with two possible scenarios as the most likely origins for SARS-CoV-2.

In the first scenario, the current pathogenic state of SARS-CoV-2 has emerged naturally in non-human hosts such as bats or pangolins and then jumped to humans. Coronaviruses are well known to undergo genetic recombination. In fact, this is exactly how previous coronavirus outbreaks have emerged, with humans contracting the virus after direct exposure to civets (SARS) and camels (MERS). The researchers proposed horseshoe bats as the most likely reservoir for SARS-CoV-2 as it is very similar to a bat coronavirus. There are no documented cases of direct bat-human transmission so far, suggesting that an intermediate host was likely involved between bats and humans.

In this particular scenario, both of the distinctive features of SARS-CoV-2’s spike protein and the cleavage site would have mutated to their current pathogenic state prior to entering humans. In this case, the current epidemic would probably have emerged rapidly as soon as humans were infected, as the virus would have already equipped with the features that make it pathogenic and able to spread between people.

In the second proposed scenario, a non-pathogenic version of the virus jumped from an animal host into humans and after a mutation process it has acquired its current pathogenic state within the human population. For instance, some coronaviruses from pangolins, armadillo-like mammals found in Asia and Africa, have a spike protein very similar to that of SARS-CoV-2. A coronavirus from a pangolin could possibly have been transmitted to a human, either directly or through an intermediary host such as civets or ferrets.

In this scenario, only the cleavage site could have mutated within a human host, possibly via limited undetected circulation in the human population for months or maybe years prior to the beginning of the epidemic. The researchers found that the SARS-CoV-2 cleavage sites have similarities that resemble strains of bird flu that can transmit easily between people. In the case of SARS-CoV-2, such a virulent cleavage site could have been formed in human cells and soon the current epidemic got initiated, as the coronavirus would possibly have become far more capable of spreading between people.

At this point, it is almost impossible to know for sure which of the scenarios is most likely. If the SARS-CoV-2 entered humans in its current pathogenic form from an animal source, it raises the probability of future outbreaks, as the illness-causing strain of the virus could still be circulating in those animal populations and might come back to humans again. It is still noteworthy that a non-pathogenic coronavirus entering the human population and then acquiring properties similar to SARS-CoV-2, the second scenario, is less likely than the first scenario.

In conclusion, this study brings an evidence-based view to the baseless rumors and conspiracy theories that the SARS-CoV-2 was deliberately manufactured in a lab and concludes that the virus has emerged after a natural process that took place in multiple hosts over time. These genetic findings are also consistent with how SARS-CoV2 is currently behaving. The virus has a low fatality rate (1% to 3.4%) and does not seem to act like a bioweapon compared to pathogens such as anthrax or Ebola. Given the previous coronavirus epidemics and the persistence of the culture of eating exotic mammals in China and other parts of the world, the current COVID19 epidemic is unfortunately not a big surprise for scientists and experts. We have to take necessary measures to be more prepared for such outbreaks that may take place in future.

Some of the incidents we are experiencing today might seem as if they have no precedent – this is both true and false; yes, no precedents on the scale we see today; and no, for violence is something we human beings have always been prone to. Thus, peacebuilding is not possible via revisions in educational policies alone; it is to a no lesser degree relevant to human character, virtue, and moral development. And these are some of the discussions you will find in our coverage in this issue.

The lead article focuses on value transmission in education of the young and how it is so critical for a nation to maintain its existence. Johnston McMaster discusses pluralist democracy and global citizenship as two main goals which education should be geared towards. Michael A. Samuel shares his observation of Turkish teachers inspired from Fethullah Gülen and the Hizmet philosophy who migrated to South Africa with a sense of “responsibility to guide the world to a better realization of its potential fullness of being; towards a greater goal of good.” Zekeriya Ozsoy warns teachers that an imbalanced conduct of reward might shift the motivation of some students to material prizes and cause them lose their intrinsic capacity to strive and achieve.

Two special contributions from Nigeria give us hope that sound-thinking leaders and scholars might enable this African star to be rescued from the current violence based on religious and ethnic differences.

The world hypertension statistics

Almost a quarter (26 percent) of the world’s adult population suffers from high blood pressure. It is estimated that this number will reach 29 percent by the year 2025. These average statistics based on the adult population of the world includes people of various age groups and from different countries. The risk of hypertension increases with age. While the figure for 20–29 year old males is 13 percent, it increases to 40 percent between the ages of 50–59, and reaches over 60 percent after the age of seventy. Although there are slight variations in women, many of the figures are almost the same (Figure 1).

These figures are quite striking; one out of every two people over the age of sixty suffers from high blood pressure. As for those in their seventies, the figures have already reached almost 70 percent and are expected to increase even further as this group ages. Many diseases in the adult population remain at 1–2 percent; therefore, these figures convey just how common and serious hypertension really is.

The regional distribution of hypertension figures

In contrast with the estimated numbers given above, the figures for hypertension in the different regions present significant variations. Statistically, the number of hypertension cases increases according to the welfare status of the society. In economically developed countries, 37 percent of the adult population has high blood pressure, which is a considerably elevated number in comparison with the world average of 26 percent. Furthermore, 70 percent of the males and 80 percent of the females over the age of seventy living in economically developed countries suffer from high blood pressure. However, in economically underdeveloped countries, the number of hypertension cases is very low.

The hypertension rates in China and India are well below the world averages, with males at 17 percent and females at just 14 percent (Figure 2). In some societies, for example in the Amazon’s catchment areas, the Yanomami Red-Indians, and tribes in the highlands of Papua New Guinea, few cases of hypertension can be found, and blood pressure among these groups does not tend to increase with age.

The reasons for the increase in hypertension

There is a genetic disposition to develop hypertension. The recent studies reveal that high calorie foods, a high level of salt intake, the lack of physical activity, and alcohol intake all play a significant role in the increase of hypertension. By examining these reasons alone, we clearly see how important the prohibition of alcohol is and the Prophet’s words of wisdom advising us to eat less bear on our lives and prosperity in both this world and the hereafter.

Excess of body fat (obesity)

Another recent health phenomenon is the huge increase in people suffering from obesity, mainly due to excessive eating and the lack of exercise. Studies related to disease outbreaks (epidemiological studies) show that obesity is clearly associated with hypertension. These studies also reveal a significant increase in people suffering from both obesity and hypertension. According to these studies, 78 percent of the male and 65 percent of the female cases of hypertension are connected to obesity. Similar studies carried out in various countries confirm that a large number of people with high blood pressure were overweight and that losing weight substantially reduced their blood pressure levels. In fact, the blood pressure in some was reduced by losing weight alone, without the need of any medication.

Many studies also evaluated the connection between obesity and hypertension by measuring the level of the leptin, the hormone that controls the appetite, in the body. High levels of leptin induce stimulation in the sympathetic nervous system and shrink the veins (causing an increase in blood pressure). Another reason for the increase in the activity of the sympathetic nervous system of overweight people is the rise in insulin levels, which in most people can be controlled by diet. Finally, the kidneys of overweight people retain greater levels of salt and water, which causes an increase in blood pressure. These conditions, which on many occasions can prove to be very serious, are in fact contrary to the intended physical state of human creation, as the Prophet Muhammad, peace be upon him, declared in these words of warning: “What I fear most for my followers is a large stomach, excessive sleep, idleness, and the lack of certainty (in faith).”

Excessive salt and alcohol

Evidence from both experiments on animals and clinical studies proves that the excessive intake of salt increases blood pressure. In animal experiments, a high intake of salt in the diet of rats showed a rise in blood pressure, which resulted in strokes. In another experiment, more than 0.50 ounces of salt was added to the diet of several chimpanzees for a period of twenty months. The studies showed an increase of 33 mmHg in the systolic blood pressure and 10 mmHg in the diastolic blood pressure, and when the salt was removed from the diet, the chimpanzees’ blood pressure returned to normal levels. Indeed, salt is an important nutrient for the human body. Sodium, potassium, and calcium salts are essential for all nerve cell activity, for muscle movement, and for the osmotic balance of body fluids. Medical science of today stresses the importance of natural foods, and bread, an important part of our diet, meets the body’s daily requirement of sodium. Thus adding salt to our food and exhausting the kidneys is not necessary.

Various clinical studies on humans have shown that excessive salt in the diet increases blood pressure levels. Salt has been used in the human diet for the past 8000 years, since the beginning of agriculture and animal farming. A human’s normal requirement of sodium is 8–10 mmol/per day. However, in economically developed countries, the daily sodium intake of most people has risen to 140–150 mmol per day (8–9 grams), almost 14–15 times more than the normal physiological requirement. In a study carried out on the subject, 10,000 blood pressure sufferers in 32 countries were closely monitored, and the results showed that as the salt intake was reduced, blood pressure levels dropped. In another study, 24 hour urine samples were analyzed, and here too, a low sodium diet showed a decline in blood pressure.

One of the many health risks of alcohol is its serious affect on blood pressure. Clinical studies have proved that the excessive intake of alcohol causes high blood pressure. The frequent cases of high blood pressure in societies of the former socialist countries and economically developed countries of the present are mainly connected to the excessive intake of alcohol.

As a result, the number of high blood pressure cases in the world has exceeded that of contagious diseases, and this is closely connected to our eating and drinking habits. If humans continue to excessively eat and drink as they are at the present, most people will be suffering from high blood pressure in the very near future.

On the basis of the omnipotence puzzle, one can reject the existence of God as an absolutely perfect, omnipotent and eternal being because the notion of such a being seems to be incoherent, thus it has no real referent. However, there are various theistic views that try to make sense of this puzzle by preserving omnipotence as an essential property of God. Let’s examine Aquinas’s and al-Ghazali’s views regarding omnipotence and see how an answer to such questions can be produced.

Aquinas

Aquinas was one of the most prominent figures of Christianity in the Middle Ages. He attempted to systematize the Christian faith within the framework of Aristotelian philosophy. His philosophy is known as Thomism and accepted as the official doctrine of the Catholic Church to this day. One of the central issues Aquinas dealt with was God’s nature and His omnipotence. Let us examine his ideas on this.

According to Aquinas, hypothetical cases such as God killing Himself or lying, imply contradictions in relation to God’s nature. God is eternal and truthful by nature. And in his terms, “anything that implies a contradiction does not fall within the power of God” (Aquinas, 1963, Q. 25, art. 3, p. 165). Contradictory cases are impossible; they could never happen. Since they are not genuine cases, divine power is not applicable to them. However, Aquinas did not carefully formulate the idea he proposed here. In expressing this intuition he used the modal verb “cannot” with the subject term “God” in most cases. Take into account the following of his remarks:

God cannot make yes and no true at the same time, not because of His lack of power, but because of the lack of possibility, such things are intrinsically impossible (Aquinas, 1952, I-18, 19).

Even though he did not think that the term “cannot” in the sentence above does not pose a limitation on divine power because the case in question is not a genuine case, the linguistic meaning of “cannot” implies that God’s power is applicable to such a case, and therefore He is unable to do it. Let’s continue with al-Ghazali’s view on omnipotence.

Al-Ghazali

Al-Ghazali can be regarded as one of the most influential Medieval theologians in the Islamic world. His criticisms directed to Avicenna’s or al-Farabi’s attempts to interpret Islam in terms of Aristotelian philosophy had a major influence on the formation of the Islamic world. He is usually considered to be a dogmatic theologian who attacked philosophy and prevented free thinking and intellectual progress in the Islamic world. However, if his criticisms are examined carefully, we see that his target was not the activity of philosophy but the false beliefs produced by certain philosophers. Avicenna and al-Farabi were critized by him on the grounds that their philosophies included some elements coming from Aristotelian philosophy, which is not accepted by Islam. It should be noted that his way of critizing them is not any less philosophical than his opponent’s way of arguing. He was certainly not dogmatic in rejecting them and engaged in philosophical activity in doing so. One of the most recurrent topics in his work was the omnipotence of God.

Like Aquinas, al-Ghazali excludes contradictions or impossibilities from the scope of divine power. That is to say, impossibilities are not objects of power. Let’s examine what he says exactly in his masterwork, Tahafut al-Falasifa (The Incoherence of the Philosophers):

The impossible is not within the power [of being enacted]. The impossible consists in affirming a thing conjointly with denying it, affirming the more specific while denying the more general, or affirming two things while negating one [of them]. What does not reduce to this is not impossible, and what is not impossible is within [divine] power (al-Ghazali, 1997, 17th Discussion, 29th paragraph, 179).

However, al-Ghazali is more sensitive than Aquinas in expressing this idea. In his main works where he analyzes omnipotence, the Tahafut and al-Iqtisad, he never uses “cannot” as a modal verb in a sentence whose subject is God. I think this was a conscious decision, because the semantics or meaning of the term “can” or “cannot” includes the idea of ability or inability to do something, which is closely linked to the notion of power. The sentence “God cannot do x” presupposes that x is included in the extension to which divine power is applicable but God is unable to do it. To avoid this, al-Ghazali simply says “the impossible is not within divine power.” The idea assumed here by al-Ghazali is expressed by the notion of category mistakes in contemporary philosophy of language.

Category mistakes

When an expression systematically misleads us because of category confusion in representing a certain fact, then it is a “category mistake” (Ryle, 1949, 16). For example, referring to faculties, libraries, museums and scientific departments as being in the same category with universities is a category mistake. The university is not a member of the class of which the listed units are members of, but it is rather the way in which all of them are organized (Ryle, 1949, 16). We can give more examples. Predicating colors of numbers is another category mistake. For example, “Number 2 is yellow” is a sentence asserted as a result of category confusion. Numbers are not the things to which the color predicates apply. In other words, color-predicates have a certain range or extension of applicability, which excludes numbers. On the other hand, the properties of “being odd” or “being even” apply to numbers but not to material objects. To say that this chair is even is another category mistake.

So each predicate has a certain extension to which this predicate legitimately applies. Things or expressions that are not in the scope (extension) of a certain predicate lead to a category mistake if they are associated with this predicate. So the sentence “God cannot do x” includes a category mistake if x is a contradiction because contradictions are not within the scope of divine power.

As a result, the question of whether or not God can kill Himself can be answered in the following way by supporting al-Ghazali’s unnamed intuition of category mistakes: this question presupposes that divine power is applicable to such a case, but this is a category mistake. Because of that, this is an illegitimate question that can be answered neither by “yes” nor by “no.” It is like the following question: How many times did you kick your dog? Assume that you don’t have a dog. If you do not have a dog, then there is no point in asking the number of times you kicked the dog that you do not even have. Considering the reality, it is an absurd question.

The notion of Omnipotence

An answer formulated in this way, in response to the puzzle, treats the notion of power as a crucial element in understanding the relation between God and the universe. It also allows us to understand the meaning of omnipotence clearly. An omnipotent agent is an agent who can perform everything that falls under the scope of the notion of divine power. An omnipotent agent cannot be characterized as a being that is able to do anything unqualifiedly. Cases that do not fall under the scope of power are not legitimate cases to which divine power is applicable. The classical criticism of this view is that God is limited by proposing such a scope of limitation. However, what is limited is not an agent, namely God, but a notion, which is divine power. Contradictions are used in determining the notion of divine power. So they put a limitation on the definition or meaning of “divine power,” rather than on the agent who is powerful. By excluding these contradictions from the scope of power and including things that are within this scope, the notion is defined. In this sense, defining is putting limitations on the notion of power. God conceptualized in this way has infinite power, i.e. He can create everything that falls under the scope of power. Otherwise, allowing such contradictions within the scope of divine power will undermine of the very concept of God. Then, for instance, we should have said that God can kill Himself. If God can kill Himself, then He could not be accepted as God anymore because God is essentially eternal by definition. In order to have an intelligible idea of God, the scope of divine power must exclude such absurdities.

Conclusion

As it is shown in the sample case of omnipotence, the apparently theological problem has logical and linguistic aspects. This puzzle can be handled by some clarification of the meanings of crucial terms regarding this puzzle. Both Aquinas and al-Ghazali were aware of this aspect of the problem even though they did not clearly express the intuition, which we call “category mistakes,” in contemporary philosophy of language. Much confusion is encountered in daily life, especially in the topic of religion, that stems from the misuse of language. If we want to get rid of such confusion and be clear in our thinking, then we should seriously ponder on the use of language.

Bibliography

• Al-Ghazali, Abu Hamid. Tahafut al-Falasifa (The Incoherence of the Philosophers). Michael E. Marmura (tr.), Utah: Brigham Young University Press, 1997.
• Al-Iqtisad fi al-Itiqad. Ibrahim Agah Cubukcu and Huseyin Atay (ed.s), Ankara: Ankara Universitesi Ilahiyat Fakultesi Yayinlari, 1962.
• Aquinas, Thomas. On the Power of God (Quaestiones disputatae de potentia Dei). Lawrence Shapcote. Trans. Westminster, Md.: The Newman Press, 1952.
• Summa Theologiae. Latin text and English Translation. T. Gilby. (ed). 60 vols. London, 1963.
• Ryle, Gilbert. The Concept of Mind. London: Taylor and Francis Books. 1949.

The family is the smallest unit of society and it should be a source of happiness for the individual. This is why a sound dialogue between parents and their children is so important. When we bring up our children, we should regard them as being entrusted to us by the Almighty. Treating them affectionately and inspiring confidence in them plays an important role in terms of preparing them for their future life as physically and psychologically healthy individuals.

In spite of the cozy atmosphere of the home, we might come across some problems that are difficult to solve. Some problems are apparent to our friends and neighbors, while others are known only by family members and are kept secret. In such cases, we may not know how to deal with a problem, and therefore need to seek help from an expert. Wetting the bed is a typical example of such problems. When such a problem persistently occurs it is only compounded if we hurt the child and cause them to feel bad or inferior because of this problem; what many people do not realize is that this is a problem that is easily solved.

Families with children who wet the bed while between the ages of 5 and 15, sometimes even up to the age of 20 have a serious problem. Every morning, these families wake up to find another problem. The nasty smell, changing the sheets and cleaning the pajamas are not things that people enjoy first thing in the morning.

Along with the burden of dealing with dirty clothes and sheets, the family members become worried, as they do not know when the problem will end. But it is the child who worries most. The problem is only compounded as the child realizes that they cannot have friends to stay, nor stay at someone else’s house, as this may lead to others finding about the problem; such worries only cause further problems such as losing self-confidence, inferiority complexes, shyness and poor performance at school.

Some families do not try to search for solutions, saying illogical things like, “His uncle used to wet the bed too. That didn’t go on for too long. The same will happen with our child as well,” or “It’s nothing unusual. Most children do it. It will be alright,” or “It will just stop without treatment. They say that there is no treatment anyway.”

Bedwetting is actually a common problem. What then, are the underlying reasons? How common is it in reality? Is there an effective treatment for it? Does it just stop on its own? If so, when and how does it stop? Or is it possible for someone to remain a bed-wetter all of their lives? Does the treatment have any side effects? What is the success rate of the treatment? We will try to answer all these questions.

Occasional cases of bedwetting until the age of five are considered as nothing unusual. If bedwetting continues after the age of five, then this indicates an illness known as “enuresis.” Research carried out on primary school aged children found that between 20-30% of children wet the bed in general. It is usually more common among boys. The percentage increases with children from families of a lower socio-economic background, mostly due to malnutrition.

The main causes for bedwetting

Genetic factors are accepted as playing a role, based on the fact that 70% of the children who wet the bed have close relatives with the same problem, and that there is a high incidence rate among identical twins. It is thought to be caused mostly by a lack of an anti-diuretic hormone that reduces urine production at night. There are other reasons as well.

If a person with diabetes has too great an intake of fluids before bedtime they may wet the bed. Moreover, urinary tract infections, kidney stones, parasites, anemia, a lack of calcium, magnesium, zinc, or vitamins (A, B, D, E), problems with adenoids, and enlarged tonsils may all cause bedwetting.

Anemia and adenoids cause hypoxia (a deficiency of the amount of oxygen available in the blood) and hypercapnia (the presence of an abnormally high level of carbon dioxide in the blood). If these conditions are present, then the patient sleeps too soundly and the control of the central nervous system over the other systems is weakened. As a result, the patient wets the bed as they have lost some control over their muscles.

At least half of people who suffer from bedwetting are considered to do so because of psychological reasons. If a child begins to wet the bed in spite of having had no such problem before, this indicates that the child subconsciously wants to return to their infancy when they were the center of attention. By wetting the bed, the child might be wishing to receive more care from the parents.

Wetting the bed might be a reaction to family problems or the birth of a sibling. Various types of anxiety may cause the child to suffer from depression, which is another reason that causes very sound sleep.

Bedwetting is thought to result from psychological problems if it is accompanied by problems like suffering from a tic, stuttering, nail-biting, over-jealousy, or failure at school. A child with a urinary tract or bladder infection or kidney stones may not be able to control their need to urinate during the day either. If no physical illness can be detected, then there may be a serious psychological disorder.

Diagnosis and treatment

Starting from the principle “every disease has a cause,” we should first of all search for any possible causes. We can begin with simple ways, such as urine and blood tests. If these do not provide a satisfactory answer, then the other possible causes that were mentioned above should be investigated. The kidneys and the bladder should be checked with an ultrasound, while the adenoids and chronic bronchitis, as well as the tonsils, should be examined. If no viral or organic cause can be found, then psychological problems should be investigated. When the reason has been found, then it is time to start the treatment.

After a diagnosis has been made, the parents should be informed about the cause of the problem. It should also be noted that enuresis may result from incorrect forms of toilet training.

In the treatment of psychologically-caused cases of bedwetting, taking the child to a doctor, carrying out blood and urinary tests, and the family’s efforts to treat the child (i.e. paying for the treatment, waiting at the doctor’s, etc) are all considered to be part of the treatment. The child sees that importance has been given to them, that efforts are being made and that money is being spent on them alone. Having seen that the parents and the doctor have played their part, it is the child’s turn to do what is expected of them. Prescribing the correct medicine, or if there is no physical problem, merely saying, “nothing is wrong” is the start of the treatment.

If the bladder turns out to be smaller than normal, the child is advised to hold their urine longer than normal in order to expand the bladder. The period of waiting is lengthened gradually. The child is asked to keep a record of “wet” and “dry” days and they are rewarded for the “dry” days. Drinking less in the evening may facilitate treatment.

Medication and treatment

The medication changes according to the diagnosis. For instance, if there is a urinary tract or bladder infection, then antibiotics are used. If there are psychological reasons, special pediatric anti-depressants will be prescribed. Anti-depressants cause the patient to sleep lighter. When the child does not sleep so soundly, they are able to control their urination, and wake up and go to the toilet.

There are drugs that help to expand the bladder capacity of people whose bladders are smaller than normal; these drugs can be very useful indeed. Some problems with the urinary tract or bladder can also be eliminated by surgery.

If the patient has trouble breathing due to adenoids or enlarged tonsils, these should be removed by surgery as well. For anemia, the patient is given substances such as vitamins, iron and zinc along with a prescribed diet. In cases of calcium deficiency, a calcium-rich diet and calcium tablets are recommended.

If a child shows more than one of the symptoms, then a combined treatment is followed. Laser acupuncture treatment can also be useful. Bedwetting can be prevented by using anti-diuretic hormone tablets or sprays as well. With the correct diagnosis and treatment, the success rate of such treatments is between 95-98%.

The most common occurrence is that children will stop wetting the bed after puberty without any need for treatment. However, it is not a good idea to wait for this to happen, because treatment that will help bedwetting stop occurring is available. Only 2-5% of patients continue to wet the bed after the age of twenty. Most often, such patients wet the bed due to some organic problem.

The medicines prescribed against bedwetting have been in use for about 30-35 years; they have been proven to be safe and to have no side effects.

A related study

In a study carried out in Bursa, Turkey, the records of 164 patients who suffered from bedwetting were examined. According to this study, the following data was obtained: 52 patients (32%) were girls and 112 patients (68%) were boys. 36 of the boys were aged 6-8, 48 of them were aged 9-12 and the remaining 28 were 13 years of age or older. 20 girls were aged 6-8, 16 girls were aged 9-12 and 16 girls were 13 or older.

When the causes were investigated, it turned out that 18 of the 112 boys (16%) had urinary tract or bladder infections and kidney stones, while 18 boys were suffering from cystitis, which can be diagnosed with an ultrasound, 12 boys (11%) had problems with their adenoids, chronic bronchitis, and tonsils, which made breathing difficult for them. No organic causes were found in 64 patients (57%); in these cases it was found that the cause was purely psychological. 24 out of 52 girls (46%) had urinary tract or bladder infections, while the other 54% had psychological reasons for wetting the bed.

Half of the patients stopped wetting the bed at the end of the first month, and almost all the patients were treated successfully by the end of the second month. The success rate was 98%.

After having examined this data, it is clear that the problem of bedwetting is not difficult to solve without blaming and hurting our children. When we confront such problems in life, we should not despair or panic. We should keep in mind that God Almighty has created a cure for every problem, and that finding the cure requires patience and determination.