ORIGINAL_ARTICLE
Child Maltreatment in the World: A Review Article
Child abuse is a recognized public health and social problem worldwide. According to the World Health Organization (WHO), child abuse includes all forms of physical and/or emotional ill-treatment, sexual abuse, neglect and negligent treatment and exploitation. Child maltreatment is a global problem with serious life-long consequences. In spite of recent national surveys in several low- and middle-income countries, data from many countries are still lacking. Estimates of child maltreatment indicate that nearly a quarter of adults (22.6%) worldwide suffered physical abuse as a child, 36.3% experienced emotional abuse and 16.3% experienced physical neglect, with no significant differences between boys and girls. However, the lifetime prevalence rate of childhood sexual abuse indicates more marked differences by sex – 18% for girls and 7.6% for boys. The lifelong consequences of child maltreatment include impaired physical and mental health, poorer school performance, and job and relationship difficulties. Ultimately, child maltreatment can contribute to slowing a country's economic and social development. We conclude that child maltreatment is a widespread, global phenomenon affecting the lives of millions of children all over the world, which is in sharp contrast with the United Nation's Convention on the Rights of the Child.
https://ijp.mums.ac.ir/article_3753_0e23d8037107a5441a5815d4d4fd8a92.pdf
2015-01-01
353
365
10.22038/ijp.2015.3753
Child abuse
Child maltreatment
violence
World
Maryam
Ajilian Abbasi
1
Ibn-e- Sina Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Masumeh
Saeidi
2
Students Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Gholamreza
Khademi
khademigh@mums.ac.ir
3
Assistant Professor, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Bibi Leila
Hoseini
4
Midwifery M.Sc., Instructor, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
AUTHOR
Zahra
Emami Moghadam
5
Faculty Member, Department of Community Health and Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
ORIGINAL_ARTICLE
Comparison of Manual and Electronic Methods of Nursing Record: A Nurse's Perspective
Recording nursing reports is considered as a quality assurance tool for patients and nurses. Nowadays, the presence of electronic health record systems is an indicator of development. Studies on advantages and disadvantages of the electronic and manual recording methods have shown different results. In this study, electronic and manual recording of nursing reports were compared from the perspective of nurses. Methods: This descriptive-comparative study included all nurses in NICUs of two health centers equipped and non-equipped with electronic nursing records. A researcher-made questionnaire was used to evaluate and compare the viewpoints of nurses from four dimensions of accuracy and quality, time, health care information exchange, and control and management of nursing reports, after determining its validity and reliability. The data were analyzed with SPSS using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (t-test, chi-square, and Fisher’s exact test). Findings: Comparison of the survey’s subscales showed a significant relationship between the two subscales of time and control and management of nursing reports between the two centers. Nurses working in the center with manual system spent more time for writing nursing activities and there was a better control in the electronic system than the manual system. Conclusion: According to the results, despite many positive aspects, the electronic recording systems have still some defects which resolution is a responsibility of the designers of these systems.
https://ijp.mums.ac.ir/article_3593_e7f134d1562f6caa5b0d99869b84bcd3.pdf
2015-01-01
367
373
10.22038/ijp.2015.3593
Nursing record
Manual and electronic methods
Viewpoint
Mahin
Rahkar Farshi
rahkarfarshim@ tbzmed.ac.ir
1
Department of Pediatric,Faculty of Nurcing and midwifery,Tabriz University of Medical Sciences
AUTHOR
Mahnaz
Jebreili
jabraeilim@tbzmed.ac.ir
2
Department of Pediatric,Faculty of Nurcing and midwifery,Tabriz University of Medical Sciences
AUTHOR
Babak
Abdinia
babdinia@yahoo.com
3
Pdiatric Health Resarch Center,Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Socioeconomic Determinants of Infant Mortality in Iranian Children: A Longitudinal Econometrics Analysis
MethodsUsing time series data of national level (1967 to 2012 years), we explored the association between total fertility rate, GDP per capita, number of physician per 1000 populations, female labor force participation rate, percentage of people living in rural regions and mean years schooling for each people with infant mortality rate of Iran. These data were obtained from Central Bank of Islamic Republic of Iran (CBI) data bank and Iranian statistical center. Time series analysis was done for this purpose. ResultsThis study showed that there are positive relationships between total fertility rate , percentage of people living in rural regions with mortality rate of infant. In addition, IMR had inverse relationships with number of physicians and mean years of schooling. The per capita GDP and female labor force participation rate had not significant correlation with IMR. ConclusionMany predictors of infant mortality were identified. The total fertility rate, number of physician per 1000 populations, percentage of people living in rural regions and mean years schooling of each people were strongly associated with infant mortality. These findings may be very useful for policy makers that how death of infant can be decreased.
https://ijp.mums.ac.ir/article_3760_817ad4f19622226a7307910fb7b35e74.pdf
2015-01-01
375
380
10.22038/ijp.2015.3760
Infant mortality
longitudinal Study
Socioeconomic Determinants
Collinearity
Satar
Rezaei
satarrezaei@gmail.com
1
1School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Behzad
Karami Matin
reza63iran@yahoo.com
2
School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Enayatollah
Homaie Rad
homaierad@gmail.com
3
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht,Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Clinical and Histopathological Profiles of Pediatric and Adolescent Oral and Maxillofacial Biopsies in a Persian Population
Introduction The frequency of pediatric and adolescent oral and maxillofacial lesions is various in different societies. The present study aimed at investigating the frequency of oral and maxillofacial pediatric and adolescent biopsies in Zahedan (southeast Iran), and compare the results with other epidemiologic studies.Methods and Materials This retrospective study reviewed oral and maxillofacial lesions in patients with 0-18 years old referring to the treatment centers of Zahedan University of Medical Sciences during 12-years period. Patients’ demographic information including age, gender and location of the lesion were collected and statistically analyzed.ResultsIn general, among 1112 oral and maxillofacial lesions, 154 (13.9%) cases were related to children and adolescents younger than 18 years old. The average age of patients was 11.4 ± 4.9, 53.2% and 46.8% of them were boys and girls, respectively. The most frequent sites of lesions were the gingiva and lip. The most prevalent lesions included inflammatory/reactive, cystic and neoplastic lesions, respectively. Benign and malignant tumors comprised 12.3% and 4.5% of cases. Moreover, pyogenic granuloma and peripheral giant cell granuloma (PGCG) were the most frequent lesions.ConclusionThe most prevalent oral and maxillofacial lesions in patients under 18 years old were inflammatory/reactive lesions in gingiva and in the 13-18 age range. Determining the characteristics of these lesions in the children and adolescents population provides a firm groundwork for proper diagnosis and treatment.
https://ijp.mums.ac.ir/article_3759_5597bc62078ca197d79f379c9f88ac62.pdf
2015-01-01
381
390
10.22038/ijp.2015.3759
Oral biopsy
Oral lesions
Children
Adolescents
Shirin
Saravani
shirin.saravani@gmail.com
1
Dental Research Center, Department of Oral & Maxillofacial Pathology, Faculty of Dentistry, Zahedan University of Medical Science, Zahedan, Iran.
AUTHOR
Hamideh
Kadeh
kadeh@zaums.ac.ir
2
Dental Research Center, Department of Oral & Maxillofacial Pathology, Faculty of Dentistry, Zahedan University of Medical Science, Zahedan, Iran.
LEAD_AUTHOR
Foroogh
Amirabadi
dr_amirabadif@yahoo.com
3
Dental Research Center, Department of Pediatric dentistry, Faculty of Dentistry, Zahedan University of Medical Science, Zahedan, Iran.
AUTHOR
Narges
Keramati
dahmardeh.85@gmail.com
4
Zahedan University of Medical Science, Zahedan, Iran.
AUTHOR
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1
2. Jones AV, Franklin CD. An analysis of oral and maxillofacial pathology found in adults over a 30-year period. J Oral Pathol Med. 2006;35(7):392-401.
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4. Servato JP, de Souza PE, Horta MC, Ribeiro DC, de Aguiar MC, de Faria PR, et al. Odontogenic tumours in children and adolescents: a collaborative study of 431 cases. Int J Oral Maxillofac Surg. 2012;41(6):768-73.
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5. Ajayi OF, Adeyemo WL, Ladeinde AL, Ogunlewe MO, Omitola OG, Effiom OA, et al. Malignant orofacial neoplasms in children and adolescents: a clinicopathologic review of cases in a Nigerian tertiary hospital. Int J Pediatr Otorhinolaryngol. 2007;71(6):959-63.
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6. Fang QG, Shi S, Li ZN, Zhang X, Liu FY, Sun CF. Epithelial salivary gland tumors in children: a twenty-five-year experience of 122 patients. Int J Pediatr Otorhinolaryngol. 2013;77(8):1252-4.
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7. Chen YK, Lin LM, Huang HC, Lin CC, Yan YH. A retrospective study of oral and maxillofacial biopsy lesions in a pediatric population from southern Taiwan. Pediatr Dent. 1998;20(7):404-10.
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8. Dhanuthai K, Banrai M, Limpanaputtajak S. A retrospective study of paediatric oral lesions from Thailand. Int J Paediatr Dent. 2007;17(4):248-53.
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9. Wang YL, Chang HH, Chang JY, Huang GF, Guo MK. Retrospective survey of biopsied oral lesions in pediatric patients. J Formos Med Assoc. 2009;108(11):862-71.
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10. Al Yamani AO, Al Sebaei MO, Bassyoni LJ, Badghaish AJ, Shawly HH. Variation of pediatric and adolescents head and neck pathology in the city of Jeddah: A retrospective analysis over 10 years. Saudi Dent J. 2011;23(4):197-200.
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11. Siadati S, Seyedmajidi M, Sharbatdaran M. Frequency of different oral lesions in children and adolescents in Babol, Northern Iran. Caspian J Intern Med. 2013;4(4):773-6.
11
12. Lima Gda S, Fontes ST, de Araujo LM, Etges A, Tarquinio SB, Gomes AP. A survey of oral and maxillofacial biopsies in children: a single-center retrospective study of 20 years in Pelotas-Brazil. J Appl Oral Sci. 2008;16(6):397-402.
12
13. Zuniga MD, Mendez CR, Kauterich RR, Paniagua DC. Paediatric oral pathology in a Chilean population: a 15-year review. Int J Paediatr Dent. 2013;23(5):346-51.
13
14. Lawoyin JO. Paediatric oral surgical pathology service in an African population group: a 10 year review. Odontostomatol Trop. 2000;23(89):27-30.
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15. Mouchrek MMM, Gonçalves LM, Bezerra-Júnior JRS, Maia EdCS, Silva RAd, Cruz MCF. Oral and maxillofacial biopsied lesions in Brazilian pediatric patients: a 16-year retrospective study. Revista Odonto Ciência. 2011;26(3):222-6.
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16. Vale EB, Ramos-Perez FM, Rodrigues GL, Carvalho EJ, Castro JF, Perez DE. A review of oral biopsies in children and adolescents: A clinicopathological study of a case series. J Clin Exp Dent. 2013;5(3):e144-9.
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17. Krishnan R, Ramesh M, Paul G. Retrospective evaluation of pediatric oral biopsies from a dental and maxillofacial surgery centre in salem, Tamil Nadu, India. J Clin Diagn Res. 2014;8(1):221-3.
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18. Kamulegeya A, Lakor F. Oral maxillofacial tumors and tumor-like conditions: a Ugandan survey. Pediatric surgery international. 2011;27(9):925-30.
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19. Shah SK, Le MC, Carpenter WM. Retrospective review of pediatric oral lesions from a dental school biopsy service. Pediatr Dent. 2009;31(1):14-9.
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20. Sousa FB, Etges A, Correa L, Mesquita RA, de Araujo NS. Pediatric oral lesions: a 15-year review from Sao Paulo, Brazil. J Clin Pediatr Dent. 2002;26(4):413-8.
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21. Gultelkin SE, Tokman B, Turkseven MR. A review of paediatric oral biopsies in Turkey. Int Dent J. 2003;53(1):26-32.
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22. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci. 2006;48(4):167-75.
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23. Urs AB, Arora S, Singh H. Intra-osseous jaw lesions in paediatric patients: a retrospective study. J Clin Diagn Res. 2014;8(3):216-20.
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24. Zhang LL, Yang R, Zhang L, Li W, MacDonald-Jankowski D, Poh CF. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada. Int J Oral Maxillofac Surg. 2010;39(9):878-82.
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25. Al-Khateeb T, Al-Hadi Hamasha A, Almasri NM. Oral and maxillofacial tumours in north Jordanian children and adolescents: a retrospective analysis over 10 years. Int J Oral Maxillofac Surg. 2003;32(1):78-83.
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26. Aregbesola SB, Ugboko VI, Akinwande JA, Arole GF, Fagade OO. Orofacial tumours in suburban Nigerian children and adolescents. Br J Oral Maxillofac Surg. 2005;43(3):226-31.
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27. Elarbi M, El-Gehani R, Subhashraj K, Orafi M. Orofacial tumors in Libyan children and adolescents. A descriptive study of 213 cases. Int J Pediatr Otorhinolaryngol. 2009;73(2):237-42.
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29. Tanaka N, Murata A, Yamaguchi A, Kohama G. Clinical features and management of oral and maxillofacial tumors in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(1):11-5.
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30. Adebayo ET, Ajike SO, Adekeye EO. Tumours and tumour-like lesions of the oral and perioral structures of Nigerian children. Int J Oral Maxillofac Surg. 2001;30(3):205-8.
30
31. Trobs RB, Mader E, Friedrich T, Bennek J. Oral tumors and tumor-like lesions in infants and children. Pediatr Surg Int. 2003;19(9-10):639-45.
31
32. Tanrikulu R, Erol B, Haspolat K. Tumors of the maxillofacial region in children: retrospective analysis and long-term follow-up outcomes of 90 patients. Turk J Pediatr. 2004;46(1):60-6.
32
33. Iatrou I, Theologie-Lygidakis N, Tzerbos F, Schoinohoriti OK. Oro-facial tumours and tumour-like lesions in Greek children and adolescents: an 11-year retrospective study. J Craniomaxillofac Surg. 2013;41(5):437-43.
33
34. Kalyanyama BM, Matee MI, Vuhahula E. Oral tumours in Tanzanian children based on biopsy materials examined over a 15-year period from 1982 to 1997. Int Dent J. 2002;52(1):10-4.
34
35. Albright JT, Topham AK, Reilly JS. Pediatric head and neck malignancies: US incidence and trends over 2 decades. Arch Otolaryngol Head Neck Surg. 2002;128(6):655-9.
35
36. Chow CW, Tabrizi SN, Tiedemann K, Waters KD. Squamous cell carcinomas in children and young adults: a new wave of a very rare tumor? J Pediatr Surg. 2007;42(12):2035-9.
36
ORIGINAL_ARTICLE
Evaluation of Causes,Frequency and Prognosis of Hydrops Fetalis: A Case- Series Study at a Referral Hospital in Tehran, Iran
Introduction Hydrops Fetalis is a serious condition in fetal period, characterized by the presence of serous fluid accumulation in at least two potential spaces in fetus including pleural effusion, pericardial effusion, and ascites. The incidence of hydrops fetalis is one per 2500-3000 pregnancies. This condition is followed by different diseases. Fetal hemolytic anemia and its hypoxemia due to hydrops fetalis are potentially life or function threatening. Mortality rate is 50-90%; this poor prognosis is improving with advances in prenatal and medical treatment. Methods and Materials This study performed on patients’ records with hydrops fetalis diagnosis in one of the neonatal referral and academic center, Vali-e-Asr Hospital Tehran, the capital of Iran from 2003 to 2010. Etiology, prognosis, and frequency of Hydrops fetalis in newborns were evaluated. Results Out of 10878 cases, 0.35% was born with hydrops fetalis:18.42% immune [Rh incompatibility (%85.71), Kell antigen system(%14.29) ] and 81.58% non-immune. Conclusion The rate of hydrops due to Rh incompatibility is significant in our center (85.71%), however, it is unusual in most of medical centers all over the world.
https://ijp.mums.ac.ir/article_3816_3780ea82dac793940a8e13bdc9b60fb4.pdf
2015-01-01
391
395
10.22038/ijp.2015.3816
Immune causes
Hydrops fetalis
Non- immune causes
Elahe
Amini
amini_el88@yahoo.com
1
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Zahra
Farahani
fetuspapyrus@gmail.com
2
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Parvin
Akbari Asbagh
paakbari@gmail.com
3
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Tahere
Esmaiil nia
4
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Sedighe
Borna
5
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Saiid
Mohammad-ali Poor Kenari
6
Maternal _ Fetal & Neonatal Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
Mohaddese
Fallahi
dr.fallahi2020@yahoo.com
7
Breast Feeding Research Centre, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
AUTHOR
ORIGINAL_ARTICLE
Developmental Delay and Its Effective Factors in Children Aged 4 to12 Months
Introduction: Over the past two decades, the incidence of cesarean section in most countries has increased.Developmental delay occurs when children do not reach their developmental milestones at the expected time. The main causes of developmental delay are often unknown. Investigation of the prevalence of developmental delay and its effective factors in children from 4 to 12 months old in Pakdasht County was the aim of this study. Methods: Material and Methods: InThis cross-sectional study was carried out among 210 children from 4 to 12 months old in Pakdasht County in 2014. For collecting the survey data, the Questionnaires of demographic and Ages and Stages (ASQ) have been used. Collected data were analyzed with descriptive statistics, χ2 test and independent t-test by SPSS18 software. Results: The scores on knowledge, attitudes, subjective norms, and Enabling factors in the intervention group than the control group showed a significant difference. Results: The study participants in the study consisted 97 girl (46.2%) and 113 boy (53.8%). The average age of children was 7.96 ± 2.83 months. There were significant relations between developmental delay with child nutrition and the mother's education level (P <0.001). Conclusion: Design and implement curriculum based on BASNEF can be effective in reducing elective cesarean section. Conclusion: According to the findings, further studies are necessary to understand the factors influencing children's developmental delays.
https://ijp.mums.ac.ir/article_3778_6a2e34a8c3cd3002081a74fc33a33962.pdf
2015-01-01
396
402
10.22038/ijp.2015.3778
ASQ
Children
Developmental delay
Faramarz
Shaahmadi
f-shaahmadi@tums.razi.ac.ir
1
Savojbolagh Health Center, Alborz University of Medical Sciences, Karaj, Iran.
LEAD_AUTHOR
Giti
Khushemehri
2
Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Zohreh
Arefi
3
School of Public Health, Kurdistan University of Medical Sciences, Sanandaj, Iran.
AUTHOR
Azimeh
Karimyan
4
Abadan School of Medical Sciences, Abadan, Iran.
AUTHOR
Fereshteh
Heidari
5
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Factors Associated With Length of Stay and Hospital Charges among Pediatric Burn Injury in Kermanshah, West of Iran
Introduction Althoughthere is a consensus that the economic burden of burn injury is high, but few studies have conducted about cost of burns injury among pediatric in developing countries. We explored the main factors influencing on hospital costs and length of stay (LOS) associated with pediatric burns injury in Kermanshah, Iran. Methods and Material We performed a review ofmedical records from 105 pediatric burn (16 years and younger) admitted to burn center at Imam Khomeini Hospital in Kermanshah, Iran. Univariate and logistic regressions were employed to identify the main factors affecting hospital costs and LOS associated with pediatric burn injury. Also, the data analysis was done by Stata statistical software. Results The results showed theoverall mean hospital costs and LOS was 9,853,758 IRR and 7.5 days, respectively. Also, the LOS, gender and Burn Body Surface (BBS) were identified as the main independent predictor of costs and the cause of burn, BBS and age were the main factors affecting LOS. Conclusion This study highlights that the independent predictors affecting hospital costs and LOS associated with pediatric burn injury in Kermanshah. Also, our study indicates the BBS was the main factors affecting hospital costs and LOS for the study population.
https://ijp.mums.ac.ir/article_3563_ad98e753086852e1c4ba1f5f6ab9f8fa.pdf
2015-01-01
403
409
10.22038/ijp.2015.3563
Hospital charges
Length of stay
Kermanshah
Pediatric
Satar
Rezaei
satarrezaei@gmail.com
1
Faculty of Public Health, Kermanshah university of Medical Sciences, Kermanshah, Iran
LEAD_AUTHOR
Behzad
Karami matin
bkm_1340@yahoo.com
2
Faculty of Public Health, Kermanshah university of Medical Sciences, Kermanshah, Iran
AUTHOR
Ali
Kazemi Karyani
alikazei2000@yahoo.com
3
Department of Health Management and Economic, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?
Introduction:ventilator- associated pneumonia(VAP),as defined by the centers for disease control and prevention (CDC),is a pneumonia that occurs in a patient receiving mechanical ventilation that develops 48 hours or more after initiation of ventilation.re-intubation which occur within 72 hours of planned extubation may effect VAP incidence.the aim of this study was to determine VAP incidence in re-intubated patients in comparision with patients underwent intubation without re-intubation to highlight re-intubation as a risk factor for VAP .Methods and materials: 1230 intubated patients ,admitted to PICU department were enrolled in this cohort observational study consecutively from may 2010 to may 2014.VAP was clinically suggested and confirmed by chest x-ray .patients demographic data,underlying disease,duration of mechanical ventilationlength of picu stayand re-intubations were recorded prospectively. This study was approved by the institute,s ethics committee.Results: 336 intubated patients out of 1230 patients admitted to PICU department developed VAP(27%) with higher incidence in reintubated patients(30% vs 12%).Conclusion: VAP developed in nearly one third of intubated patients in our study.re-intubation was significant risk factor for development of VAP.
https://ijp.mums.ac.ir/article_3774_060de831901a5432e7cd26cbc0fe0b50.pdf
2015-01-01
411
415
10.22038/ijp.2015.3774
Endotracheal intubation
Ventilator associated pneumonia
Re-intubation
Nemat
Bilan
bilannemat@yahoo.co.uk
1
Pediatric Pulmonologist, Pediatric Health Research Centre, Tabriz University of Medical Sciences,Tabriz, Iran.
LEAD_AUTHOR
Parinaz
Habibi
2
Pediatrician, Pediatric Health Research Centre, Tabriz University of Medical Sciences,Tabriz, Iran.
AUTHOR
ORIGINAL_ARTICLE
An Unusual Presentation of Annular Pancreas: A Case Report
Abstract Annular pancreas (AP) is a rare congenital malformation resulting from failure of pancreas ventral anlage rotation with the duodenum. This leads to a ring of pancreatic tissue that envelops the duodenum. Clinical manifestations of AP most commonly develop in infancy or early childhood but can present at any age. The diagnosis of AP, usually suggested by an upper GI series or abdominal CT scan, but surgery is considered the gold standard diagnostic method. Surgical bypass of the annulus in all patients with symptomatic AP is recommended. We report a one year old girl who presented with intermittent, non projectile, non bilious vomiting that occurred 1h to 2h after feeding since neonatal period. Upper GI contrast study demonstrates, a dilated duodenal bulb associated with narrowing of post bulbar area. The patient underwent surgical correction of the obstruction. A bypass of the ectopic pancreas tissue was performed by duodenoduodenostomy. Considering the rarity of this congenital abnormality, presenting with chronic partial duodenal obstruction, and its successful correction by surgical means have prompted us to report the case.
https://ijp.mums.ac.ir/article_3773_36a683a499636fb3cc196dc0c15b05bc.pdf
2015-01-01
416
420
10.22038/ijp.2015.3773
Annular pancreas
Duodenal obstruction
Saleheh
Ala
saraala15@gmail.com
1
Assistant professor of pediatric gastroenterology, Department of pediatrics, Hamedan University of Medical Sciences, Hamedan, Iran.
AUTHOR
Mahmood
Haghighat
haghighatm@sums.ac.ir
2
Professor of Pediatric Gastroenterology, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Seyed Mohsen
Dehghani
3
Professor of Pediatric Gastroenterology, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran.
AUTHOR
Hassan
Bazmamoun
hbazmamoun@yahoo.com
4
Associate Professor of Pediatric Gastroenterology, Department of Pediatrics, Hamedan University of Medical Sciences, Hamedan, Iran.
LEAD_AUTHOR