The Role of Helicobacter Pylori in Upper Gastrointestinal Bleeding after Using Ibuprofen in Children Aged 1-14 Years Old
Armen
Malekiantaghi
Assistant Professor of Pediatric Gastroenterology, Pediatric Gastroenterology and Hepatology Research Centre, Department of Pediatric, Bahrami children’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.
author
Diana
Diaz
Assistant Professor of Pediatric Surgery, Department of surgery, Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
author
Kambiz
Eftekhari
Assistant Professor of Pediatric Gastroenterology, Pediatric Gastroenterology and Hepatology Research Centre, Department of Pediatric, Bahrami children’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2018
eng
Background Non-Steroidal Anti-Inflammatory Drugs(NSAIDs) including Ibuprofen is one of the most currently used drugs in all age groups and finding the relation between upper gastrointestinal bleeding and Helicobacter pylori (H. pylori) in children who used Ibuprofen, is our topic of research. Materials and Methods During the two years of the study, ten children with upper GI bleeding after Ibuprofen were selected as case group and twenty children with upper GI bleeding without history of drug usage were the control group. Their histories were obtained and compared. Helicobacter pylori (H. pylori) infection prevalence and other factors were compared by means of SPSS software, T independent test and chi square, P value less than 0.05 was significant. Results H. pylori was detected in 40% of case group and 8% of control group (P= 0.1) haemoglobin (mean ± standard deviation) in case group was lower than control group 10.5±2.1 vs 11.9 ±1.2 g/dl (P= 0.08). This level (Hb) in H pylori infected was 8.3±1.3 vs. 12 ±0.5 (P= 0.0001) in non- infected children. Conclusion Upper GI bleeding following Ibuprofen prescription is a complex matter in children. H pylori infection is more common in bleeding episodes following Ibuprofen users which show lower haemoglobin levels compared to non- infected patients.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8445
8449
https://ijp.mums.ac.ir/article_11072_d3d6f252ca6ea3fe817b9c56c5094713.pdf
dx.doi.org/10.22038/ijp.2018.32831.2899
Development and Validity of the School Interim Competency of Performance Skill Battery Scale (SICPSBS)
Monire
Nobahar Ahari
PhD Candidate in Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
author
Akram
Azad
PhD in Occupational Therapy, Assistant Professor, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
author
Mehdi
Alizadeh-Zarei
PhD in Cognitive Neuroscience, Assistant Professor, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
author
Abbas
Ebadi
PhD in Nursing, Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
author
Akram
Parand
Psychology department, Tehran University, Tehran, Iran.
author
Parvaneh
Mohammadi
MSc Student in Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
author
text
article
2018
eng
Background: The current study aimed to develop a tool to assess the performance skills of Iranian children aged 5 to 7 years in order to evaluate their school competency based on the occupational therapy practice framework and to determine its validity.Materials and Methods: Performance skills are the cornerstone of the tool. The eight-step design process of Devellis was used to develop the tool. To analyze the content validity, the content validity index, and the content validity ratio were used. Following administration of the tool in 100 children (5 to 7 years) in the pilot study, the items were analyzed. After applying the tool to 400 children aged 5 to 7 years, the construct validity of the tool was determined with confirmatory and exploratory factor analysis and differential, convergent, and divergent validity. Results: The primary item pool included 212 items which was reduced to 112 items after administrating content validity and item analysis. Based on exploratory factor analyses, Kaiser-Meyer-Olkin (KMO) index was (0.890), and five factors indicating 55.02% of the total variance were obtained. The confirmatory factor analysis confirmed the results. The discriminant validity between the age groups was statistically significant (P < 0.001). r ranged from 0.447 to 0.867 for convergent validity and 0.073 to 0.597 for divergent validity. Conclusion: The results indicated the excellent validity of the SICPSBS to assess the performance skills of 5 to7 year-old Iranian children in terms of school competency. The test evaluates all sensory-perceptual, motor-praxis, visual-perception, cognitive, social interaction, and process domains for each child.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8451
8473
https://ijp.mums.ac.ir/article_11020_97db54f0730f897616ccafb78aa1f314.pdf
dx.doi.org/10.22038/ijp.2018.32460.2860
Investigating of Moral Distress and Attitude to Euthanasia in the Intensive Care Unit Nurses
Jila
Alborzi
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
author
Fahimeh
Sabeti
Department of Pediatric Nursing, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran.
author
Shahram
Baraz
Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
author
Mojtaba
Miladinia
Bostan Nursing Faculty, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
author
Vahid
Saidkhani
Faculty of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
author
Asaad
Sharhani
Department of statistics and Epidemiology, School of Public health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
author
text
article
2018
eng
Background: Considering the religious and legal structures in Iran, the occurrence of euthanasia seems to be impossible; however, the attitude of nurses towards euthanasia and its related factors may also affect creating moral distress conditions for nurses. Therefore, this study aimed to investigate of the moral distress and attitude of Adult and Neonatal Intensive Care Units (AICU/ NICU) nurses toward euthanasia. Materials and Methods: In this descriptive-analytical study, all the nurses working in intensive care units of Educational Hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences (Ahvaz city, Iran) were selected by census. Data were collected using Corley's Moral Distress Scale and Holloway’s Euthanasia Attitude Scale. Single-variable and multivariate linear regression tests were used to analyze the data and to determine the relationships between independent and dependent variables. Analyses were done using SPSS software (version 22).Results: The attitude of all nurses towards euthanasia was negative (min score=20, max score=73, mean score= 43.78±7.99). The mean Moral distress frequency and Moral distress intensify were 47.01±12.90 and 48.42±11.62, respectively (indicates moderate ethical distress). In AICU nurses, there was a significant relationship between the frequency of moral distress and the nurses’ attitudes. However, there was no significant relationship between the intensity of moral distress and the nurses’ attitudes. In NICU nurses, there was no significant relationship between the frequency of moral distress and intensity of moral distress with nurses’ attitude toward euthanasia. Conclusion: The religious and cultural conditions of the country have caused all nurses did not consider euthanasia to be acceptable under any circumstances. Further studies are needed to better understand the attitude of nurses towards euthanasia, especially with regard to the culture of Iranian society.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8475
8482
https://ijp.mums.ac.ir/article_10176_08e6bf2b265fe865b19c7af30298e4af.pdf
dx.doi.org/10.22038/ijp.2018.28177.2439
Health-Related Quality of Life in Iranian Patients with Thalassemia Major: A Systematic Review and Meta-Analysis
Mitra
Goli
MSc in Nursing, University of Social welfare and Rehabilitation Sciences, Tehran, Iran.
author
Shahin
Salarvand
Assistant Professor, Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Lorestan University of Medical Sciences, Khorramabad, Iran.
author
Fazel
Dehvan
3MSc in Nursing, Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Houshyar
Ghafouri
MSc in Clinical Biochemistry, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Sahar
Dalvand
MSc of Biostatistics, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.
author
Reza
Ghanei Gheshlagh
6Assistant Professor, Department of Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Amir
Vahedian-azimi
Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
author
text
article
2018
eng
Background: Thalassemia is the most common genetic disorder in Iran. High treatment costs, the use of iron chelators, comorbidities and periodic visits affect the quality of life in these patients. The present study was conducted to assess the quality of life, according to the Short healthy survey (SF-36), in Iranian patients with thalassemia major.Materials and Methods In this meta-analysis, search was done in national and international databases, including SID, MagIran, Google Scholar, Web of Science, Medline (via PubMed), and Scopus until March 2018. The searched papers were screened and summarized by two independent reviewers. Based on the heterogeneity among the studies, the data were analyzed using the random effects model. Data were analyzed using STATA version 14.0.ResultsData from 18 studies, including 2,897 patients (age group 12-45 years old); were entered in the final analysis. The mean mental component scale in patients with thalassemia major (57.30; 95% confidence interval: 50.31-64.30) was lower than the mean physical component scale (62.77, 95% CI: 52.63-70.91). The mental component scale increased significantly between 2009 and 2017 (as the year of publication increased) (P = 0.043). The highest (74.77), and lowest (60.94) subscale scores of quality of life were related to physical functioning and general health, respectively.ConclusionPatients with thalassemia major have a relatively low quality of life. Providing strategies for improving the quality of life in this group of patients (particularly in terms of mental components) seems necessary.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8483
8494
https://ijp.mums.ac.ir/article_11029_b50eaa103db8099e79fac983ac0c64f7.pdf
dx.doi.org/10.22038/ijp.2018.32565.2869
A Review of the Role and Importance of Swaddling in Persian Medicine
Mohammad Hosein
Asadi
MSc. Student in the History of Medical Sciences, Arak University of Medical Sciences, Arak, Iran.
author
Saeed
Changizi-Ashtiyani
Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran.
author
Amir Hossein
Latifi
Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran.
author
Mohammad Reza
Rajabnejad
Department of the History of Medical Sciences, Iran University of Medical Sciences. Tehran, Iran.
author
text
article
2018
eng
BackgroundThere are controversial views on the advantages and disadvantages of swaddling. Perhaps an explaination on how to swaddle according to the teachings of traditional Persian Medicine will make it easier to have a better judgment of this kind of treatment.Materials and MethodsThis study was based on the books of famous Persian Traditional Medical scholars as well as modern medical literature, published or in databases.ResultsThe study showed that nowadays, the Sudden Infant Death Syndrome (SIDS), and hip joint dislocation were considered as the disadvantages of swaddling while baby's' better sleep was believed to be its advantage. However, in Persian traditional medicine, swaddling was known as a treatment for joint dislocation during labor or a means of preventing the dislocations which might occur while carrying the infant. Based on this aim, a careful method for swaddling was proposed which not only diminished the above mentioned disadvantages but also, provided positive side effects like better sleep and preserved body temperature for the newborn baby.ConclusionThere is a big difference between the ideas of traditional medical scholars and those of people on swaddling. Therefore, by reviewing the works of Iranian scholars and combining modern medical findings and Iranian experience, we can provide a different definition of swaddling. By teaching it to physicians, nurses and mothers, it can be considered as a treatment in the neonatal complications of childbirth. It is used during childbirth, and taking advantage of other benefits of this practice, also prevents its harm.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8495
8506
https://ijp.mums.ac.ir/article_10837_982f5cba9a21348126bef947432971e7.pdf
dx.doi.org/10.22038/ijp.2018.31533.2791
Normal Saline vs. Hypertonic Saline Nebulization for Acute Bronchiolitis: A Randomized Clinical Trial
Mohsen
Reisi
Pediatrics Pulmonology Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Narges
Afkande
Pediatrics Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Hasan
golmakani
Pediatric Neurology Department, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Majid
Khademian
Pediatrics Gastroenterology Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
author
text
article
2018
eng
BackgroundWe aimed to compare the efficacy of nebulized hypertonic (3%, 5% and 7%) saline with normal saline in hospitalized infants with acute bronchiolitis.Materials and MethodsIn this triple-blinded randomized clinical trial, 120 children with moderate to severe bronchiolitis randomly assigned into four groups to receive nebulized normal saline (group A), saline 3% (group B), saline 5% (group C), and saline 7% (group D). The length of hospital stay (LOS) as primary outcome and the use of oxygen, temperature, oxygen saturation (SPO2), pulse rate (PR), respiratory rate (RR), and bronchiolitis severity score were measured in the beginning of the study and during hospitalization.ResultsThe mean age of patients was 5 + 0.423 months and 79 of them (65%) were male. The length of hospital stay (LOS), and use of oxygen supplementation was not different between group A and B (P=0.36), but significantly lower than group C and D (P<0.001). Vital signs, improvement in severity score and oxygen saturation were similar between groups.ConclusionOur study demonstrated that nebulization with 3% hypertonic saline and 0.9% saline can significantly reduce hospitalization rate compared nebulization with 5% and 7% hypertonic saline.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8507
8516
https://ijp.mums.ac.ir/article_11170_2ce54730dfe575a1f744272056b34fa4.pdf
dx.doi.org/10.22038/ijp.2018.31026.2739
A Study of Features of Backpack Carrying Methods by Schoolchildren: A Population-Based Study
Ali
Alami
MD, PhD in Epidemiology, Associate Professor, Department of Public Health, School of Public Health, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
author
Elaheh
Lael-Monfared
PhD Student in Health Education and Health Promotion, Student Research Committee, Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Gholamheidar
Teimori-Boghsani
MSc, Department of Environmental and Occupational Health, School of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
author
Behzad
Fouladi
PhD, Department of Occupational Health, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
author
Alireza
Jafari
Ph.D Student in Health Education and Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran AND Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
author
text
article
2018
eng
Background: Nowadays, backpack is the best and most commonly used tool for carrying books and stationery by students. There are huge evidences which confirmed that carrying method of school backpack influences on the students’ health status. The aim of this study was to determine of features of backpack carrying methods by schoolchildren.Materials and Methods: A cross-sectional study was conducted on 650 primary schoolchildren in Gonabad city (Iran) in 2017. Using both a made researcher’s questionnaire and observation, we collected the required data. The gathered data were analyzed using SPSS software (version 22.0). Results: The results showedthat 85.87% of student carried their backpacks in the incorrect way. Although 83.13% of the students used both straps of his/her backpacks, there was a backpack between the two scapulae in only 55% of the students. Besides, just 31.3% of their backpacks were attached to back of the respondents. In terms of appropriateness of the size between students and backpacks, only 40.1% of the students used a suitably sized backpack with their own body structure. The results of multiple logistic regression analysis showed that there were significant association between backpack carrying methods of the students and their age, gender, school grade type of school (governmental, non-governmental) (P<0.001). Conclusion: Findings of the study showed that most ofthe studentsdo not carry their backpack by proper method. Therefore, educational and executive interventions are necessary in order to prevent future musculoskeletal disorders in students.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8517
8525
https://ijp.mums.ac.ir/article_11028_c096e0f6540bcef0d4f20e38a1293220.pdf
dx.doi.org/10.22038/ijp.2018.29688.2612
The Relationship between Cognitive Social Theory and Physical Activity in Pregnant Women
Mahboobe Sadat
Moosavinasab
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Fariba
Fahami
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Ashraf
Kazemi
Department of Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
text
article
2018
eng
BackgroundAlthough following a suitable sports program with mild intensity promoted the health of mother's who had healthy pregnancy and caused no harm to the growing fetus; pregnant women usually choose to live a sedentary life. This study was conducted to determine the psychological factors related to physical activity in pregnant women. Materials and MethodsThis descriptive, correlational and cross-sectional study was conducted on 201 pregnant women who referred to Isfahan health center, Iran. Data gathering tools included a questionnaire on physical activity during pregnancy and a questionnaire to evaluate variables related to social cognitive theory. The validity of socio-cognitive questionnaires was approved by expert professors and their reliability was approved using internal consistency and Cronbach's alpha (above 0.6). Data were analyzed using SPSS software (version 16.0) through descriptive statistics, correlation coefficient test and linear regression.Results: The greatest amount of physical activity was related to activities in a moderate level. The results showed that there was a significant relationship between three variables of socio-cognitive theory and several levels of physical activity. There was also a significant relationship between variable of observational learning and physical activity in a moderate level and total activity (P<0.05) and a significant relationship between variable of social norms with all three levels of physical activity and total activity. Furthermore, there was a significant relationship between outcome expectations and inactivity (P<0.05)Conclusion: Among the variables related to social cognitive theory, social norms as one of the environmental factors in interaction of the individual, the behavior and environment could be used to analyze the physical activity during pregnancy. Suitable interference focusing on social norms to promote physical activity in pregnant women should be considered.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8527
8535
https://ijp.mums.ac.ir/article_11021_560f1eca366a9a7616709de99e4e88ee.pdf
dx.doi.org/10.22038/ijp.2018.32649.2879
The Prevalence of Obesity, Technological Device Usage, Physical Activity and their Relationship with Spirometry Indicators among Children in Isfahan City, Iran
Rohola
Shirzadi
Pediatric Respiratory and Sleep Medicine Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
Farzad
Masiha
Department of Pediatrics, Mazandaran University of Medical Sciences, Sari, Iran.
author
Safoura
Navaei
Pediatric Respiratory and Sleep Medicine Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
Hosein
Rafiemanesh
Student Research Committee, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Zakieh
Ostad-Ahmadi
Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, Iran.
author
Emad
Bahraminia
Division of Allergy and Clinical Immunology, Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran.
author
Seyed Hossein
Mirlohi
Pediatric Respiratory and Sleep Medicine Research Center, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
Seyed Javad
Sayedi
Department of Pediatrics, School of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
author
Gholamreza
Azizi
Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
author
Mohammadreza
Modaresi
Research Center for Immunodeficiencies, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
text
article
2018
eng
Background: The decrease in physical activities following increased usage of computer and digital games has led to serious health consequences in children. This study investigates the prevalence of obesity, cellphone and computer usage and physical activity levels and their relationship with spirometry indicators in Iranian children. Materials and Methods: This is a cross-sectional study during 2013 to 2014 on high-school students in Isfahan, Iran. Sample size determined 1,690 students and sampling performed from 10 girls and 10 boy's high schools, based on multi-staged cluster randomized scheme. A research-made questionnaire was developed to complete by students interview and also contact with teachers and parents and measuring height and weight by researchers. If the asthma was probable (based symptoms and examined by physician) the spirometry was performed. Results: Overall 1,622 high-school students with the average age of 12.9 (+ 1.1) years were recruited. Prevalence of obesity and overweight were significantly higher in boys (P<0.05). The prevalence of obesity was 9.5% in boys and 5.3% in girls, and sever underweight was 4.2% and 2.5%, respectively. Cell phone, computer, and digital game usage were significantly higher for boys (P<0.05); while watching television (TV) was not (P=0.400). Of total, 423 students (26.1%) witch asthma was probable and the average of FVC and FEV1 was significantly higher in boys than girls (P=0.001). Conclusion:The overall prevalence of obesity in 12 to 14-year-old students was more than 7% and its prevalence was influenced by physical activity. Spirometry indicators were correlated with physical activity and lifestyle.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8537
8547
https://ijp.mums.ac.ir/article_11039_a6034b70cbcf37413748b8ff4c61d6c5.pdf
dx.doi.org/10.22038/ijp.2018.32467.2863
Translation and Psychometric Evaluation of the Iranian Version of Iowa Infant Feeding Attitude Scale (IIFAS)
Vida
Ghasemi
PHD Student of Reproductive Health, Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Abbas
Ebadi
Professor, Behavioral Sciences Research Center, Life style institute, faculty of nursing, Baqiyatallah University of Medical Sciences, Teheran, Iran.
author
Nourossadat
Kariman
Assistant Professor, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Giti
Ozgoli
Assistant Professor, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
author
Marzieh
Saei Gharenaz
PHD Student of Reproductive Health, Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Farzaneh
Rashidi Fakari
PHD Student of Reproductive Health, Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Parisa
Haghi Navand
BSc of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Fatemeh
Mahdizad Keyghobad
BSc of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
text
article
2018
eng
BackgroundThe maternal attitude toward infant feeding is one of the strong predictors of the start and continuation of exclusivebreastfeeding. According to the validity and reliability assessment of Iowa Infant Feeding Attitude Scale (IIFAS) in many countries, the purpose of this study was to examine psychometric properties of an Iranian version of this scale. Materials and MethodsThe present study was a cross-sectional and performed on 280-breastfeeding mothers in the first 48 hours after delivery. After translation with forward-Backward technique, in order to assess the structure validity, the confirmatory factor analysis (CFA) was conducted and the goodness of fit indices were calculated. Reliability of the tool was measured with the use of Cronbach’s Alpha coefficient for the measurement of internal consistency and the intra-class correlation coefficient (ICC) to assess the stability through test-retest method.Results: In the first phase of CFA, from 17 questions of the original version of the scale, six questions included 1, 4, 5, 8, 10, and 17 were removed due to the loading factor of less than 0.3. In the second phase of CFA, validity of the 11-question version with two-factor structure confirmed. The ratio of Chi- square to the degree of freedom was 2.44 that along with other goodness of fit indices of the model showed the two-factor model has excellent fit. The Cronbach’s alpha and ICC were 0 .856 and 0 .885, respectively; that represented the good reliability of the scale. ConclusionOverall, the results showed that the 11-question version of (IIFAS)is a valid, reliable, acceptable and repeatable tool for measuring infant feeding attitude in Iranian mothers.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8549
8559
https://ijp.mums.ac.ir/article_11014_a73b1947f673379b298ac5d37212d575.pdf
dx.doi.org/10.22038/ijp.2018.32372.2852
Doppler Tissue Echocardiography and Electrocardiography in Children with Celiac Disease Compared to Controls
Noor Mohammad
Noori
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences and Health Services,Zahedan, IR Iran.
author
Alireza
Teimouri
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences and Health Services,Zahedan, IR Iran.
author
Iraj
shahramian
Zabol University of Medical Sciences and Health Services, Zabol, IR Iran.
author
Turan
Shahraki
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences and Health Services,Zahedan, IR Iran.
author
text
article
2018
eng
Background Celiac disease (CD) is an autoimmune mediated gluten sensitive enteropathy and characterized by a wide range of clinical manifestations. The study aimed to compare Doppler tissue echocardiography findings between children with celiac disease and healthy children. Materials and Methods This case-control study was performed on 186 celiac and healthy children aged 6- 19 years. Celiac diagnosed by clinical findings and laboratory's tests (tTGIgA) confirmed by intestinal biopsy. Controls consisted of voluntary individuals free of any diseases. Echocardiography performed on participants. Data analyzed utilizing SPSS software version 20.0. Results Left Peak A, left S', right ICT', right IRT', right S', EF, FS, left ET', left IRT', right E'/A' left S' were higher in case when Right ET was lower. Patients with left S' < 8 were lower in left A', higher in right ICT', lower level in right S', higher in left E/E'. Patients with Left E/E' ≥9, were higher in Left Peak E velocity, lower in IVSD, higher in right E/E’, lower in left S' and lower in left E’ (P
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8561
8578
https://ijp.mums.ac.ir/article_11097_11eb828a1e86aeeafe9af88b96991a46.pdf
dx.doi.org/10.22038/ijp.2018.32405.2855
Prognostic Validity of Red Cell Distribution Width in Neonatal Sepsis
Samir Tamer
Abdullah
Department of Pediatrics, Minia University Hospital, Al-Minia, Egypt.
author
Asmaa N.
Moustafa
Department of Pediatrics, Minia University Hospital, Al-Minia, Egypt.
author
Ahmad
Mohsen Anwar
Department of Pediatrics, Minia University Hospital, Al-Minia, Egypt.
author
text
article
2018
eng
Background Neonatal sepsis is one of the most critical illness in neonates that is responsible for a great proportion of morbidity and mortality in neonates so early diagnosis and identification of high risk cases is a challenging aim of our study. The purpose of this study was to investigate the prognostic value of red cell distribution width (RDW), in neonatal sepsis at the time of admission to neonatal intensive care unit (NICU). Materials and Methods This prospective case control study included 3 groups divided into Group 1: Neonates with sepsis (78 neonates), Group 2: Neonates with severe sepsis (42 neonates) Group 3: Neonates as a control group (60 neonates) were gender, gestational and postnatal ages matched. Red cell distribution width was determined for all included neonates. The score for neonatal acute physiology (SNAP II) was determined within 12 hours of admission to the NICU. Results One hundred and two sepsis newborns (85%), including 66 (64.7%) cases from sepsis group and 36 (35.3%) cases from severe sepsis group, the mortalities were 15.4% (n= 12), and 71.4% (n= 30) for group 1 and 2, respectively. The incidence of RDW increase in survivors group (45.7%) was significantly lower than in the non- survivors group (92.9%, n=39). The score for neonatal acute physiology (SNAP II) was positively correlated with RDW increase in newborns (r= 0.735 and p<0.05), and the mortality was positively correlated with RDW increase (r= 0.598 and P<0.05). Conclusion In our studyRDW is a helpful prognostic marker for early diagnosis of neonatal sepsis and identification of high risk cases.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8579
8586
https://ijp.mums.ac.ir/article_11185_c08aeae0c4c96475de2df77c27bdce5e.pdf
dx.doi.org/10.22038/ijp.2018.33010.2917
Relationship between Pregnancy-induced Hypertension with Neonatal and Maternal Complications
Khodayar
Oshvandi
Associate Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Ali
Jadidi
Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.
author
Fazel
Dehvan
MSc in Nursing, Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
author
Fatemeh
Shobeiri
Associate Professor, Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Fatemeh
Cheraghi
Associate Professor, Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Gita
Sangestani
Ph.D in Midwifery Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Behnaz
Moghadari Koosha
MSc, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Fatemeh
Takarli
MSc, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
author
Sodabeh
Aghababaie
Assistant Professor, Mother and Child Care Research Center, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.
author
text
article
2018
eng
Background Prevalence of hypertension has a relatively high prevalence especially in developing countries. In order to prevent and control the disease, it is important to know the extent of the complications. The aim of this study was to investigate the relationship between pregnancy-induced hypertension with neonatal and maternal complications. Materials and Methods This prospective, descriptive study was conducted on 230 overweight women, with hypertension (n=115) and normal blood pressure (n=115) during pregnancy, referring to Hamedan hospitals. Researcher-made questionnaire including demographic characteristics and maternal and neonatal complications were used to collect required data. Data analysis was performed using Chi-square, t-test and ANOVA based on the difference between the data at a level of error less than 5%. Results: There was no significant difference between the two groups in terms of demographic characteristics, smoking history, and mean weight, number of pregnancies, number of births, history of abortion and the reception of care during pregnancy (P > 0.05). Significant relationship was observed between pregnancy and maternal outcomes, such as cesarean section, infection, bleeding, hydramnios, diabetes, proteinuria, edema, headache and hospitalization time, as well as neonatal outcomes such as low birth weight, preterm delivery, Apgar, and longer hospitalization (P <0.05). Conclusion Regarding the proved significant relationship between pregnancy and maternal hypertension, it is highly recommended to prevent these complications by controlling the blood pressure and providing necessary measures during pregnancy.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8587
8594
https://ijp.mums.ac.ir/article_10785_b3b40221c63904b0d359d6935d6bb915.pdf
dx.doi.org/10.22038/ijp.2018.31750.2809
The Relationship between Small for Gestational Age (SGA) at Birth and Developmental Delay in Children Aged 4 to 60 Months
Masoume
Pirhadi
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Zahra
Mohebbi Dehnavi
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Fatemeh
Torabi
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
author
text
article
2018
eng
Background Progress in medical science and success in increasing the survival rate of vulnerable infants have raised the issue of future development in these children. This study aimed to investigate the relationship between small for gestational age (SGA) status at birth and developmental delay in children aged 4 to 60 months. Materials and Methods This study was a correlation descriptive through a multistage sampling method on 419 Iranian children aged 4 to 60 months who attended healthcare centers affiliated to Isfahan University of Medical Sciences and Healthcare Services, Iran. Data collection tools included a data collection checklist and the Ages and Stages Questionnaires (ASG). The data obtained were analyzed using the SPSS software (version 18.0.( Results The results showed that 83 (19.8%) of 419 children in the study, had developmental delay and 336 (80.2%) had normal development. Comparison of developmental domains between the two groups of children based on birth weight, showed that there was a significant relationship between the birth weight of children and developmental delay in the domain of fine movements (p = 0.02, r=0.81), problem solving (p = 0.02, r= 0.73), and the total score (p =0.02, r= 0.87). In addition, the Chi-square test showed a significant relationship between small for gestational age (SGA) status at birth and developmental delay in children (p = 0.001). Conclusion Given the relationship between birth weight and developmental disorders, special attention to the birth weight of infants and performing regular care during pregnancy and afterwards for SGA children can prevent many developmental problems.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8595
9603
https://ijp.mums.ac.ir/article_10718_b07ff4a233010f7568c29b55914c1198.pdf
dx.doi.org/10.22038/ijp.2018.29650.2603
Multicentric Carpotarsal Osteolysis Mimicking Juvenile Idiopathic Arthritis
Abhishek
Somasekhara Aradhya
Departmen of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
author
Deepti
Suri
Departmen of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
author
Arjun
Prakash
Departmen of Pediatrics, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
author
text
article
2018
eng
Background Multicentric carpotarsal osteolysis (MCTO), a skeletal dysplasia presents in early childhood mimicking juvenile idiopathic arthritis (JIA). Recognition of this syndrome is essential to avoid unnecessary treatment with immunosuppressive agents because of different course and treatment. Case Report A 3-year-old boy presented with swelling and restriction of right wrist joint and left ankle joint. Possibility of Oligoarticular (or pauciarticular) JIA was considered. On evaluation his inflammatory parameters were normal. There was poor response to oral steroids and methotrexate. He was lost to follow up and presented at 9 years of age with varus deformities of hand and feet. Radiographs revealed absent carpal and tarsal bones. Based on clinical and radiological examination- MCTO was diagnosed. Oral alendronate was started and clinical improvement was noted. Conclusion Mimickers of JIA like MCTO, Farber’s disease should be actively looked when inflammatory parameters are normal or response to therapy is not appropriate.
International Journal of Pediatrics
Mashhad University of Medical Sciences
2345-5047
6
v.
11
no.
2018
8605
8609
https://ijp.mums.ac.ir/article_11127_92d69c487145932ffe4ba2fde8af419e.pdf
dx.doi.org/10.22038/ijp.2018.32810.2896