Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Related Factors of Physical Activity Preventive Behavior of Osteoporosis Based on Health Belief Model among Teen Girls in Qom City, Iran
3579
3586
EN
Zeynab
Karimi
MSc, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
z_karimi315@yahoo.com
Zabihollah
Gharlipour
Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
gharlipourz@yahoo.com
Mohammad Hossein
Kaveh
Department of Health Education and Promotion, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
kaveh@sums.ac.ir
Elahe
Tavassoli
Department of Public Health, Faculty of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
10.22038/ijp.2016.7432
<strong><em>Background</em></strong> <br/>Although osteoporosis is a disease of adulthood, it can start from childhood and adolescence. Lifestyle, especially physical activity, mobility, and proper nutrition during adolescence are among the important osteoporosis preventive factors. Therefore, this study aimed to determine related factors of physical activity preventive behavior of osteoporosis based on the Health Belief Model (HBM) among teen girls in Qom city, Iran. <br/><strong><em>Materials and Methods</em></strong> <br/>This cross-sectional descriptive analytical study was conducted on 265 tenth to twelfth grade girl students in Qom city. The participants were selected via multistage sampling method. A researcher-made questionnaire based on Health Belief Model used for data collection. Data were analyzed using SPSS-20. <br/><strong><em>Results</em></strong> <br/>The current study, knowledge and perceived self-efficacy had a significant and positive relationship with physical activity behavior (r=0.13, P0.05). <br/><strong><em>Conclusion</em></strong> <br/>The results of the study showed that educational interventions and programs must focus on increasing knowledge and perceived self-efficacy to enhance physical activity behavior and reduce the perceived barriers associated with osteoporosis preventive physical activity.
Adolescents,Health belief model,Physical Activity,Osteoporosis
https://ijp.mums.ac.ir/article_7432.html
https://ijp.mums.ac.ir/article_7432_565b55f4943068f73f2e3cd440cf88bd.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Iranian Women’s Experiences of Breastfeeding Support: a Qualitative Study
3587
3600
EN
Shahnaz
Kohan
Assistant Professor, Nursing & Midwifery Care Research Center, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
kohan@nm.mui.ac.ir
Zeinab
Heidari
0000-0002-4461-3437
PhD of Reproductive Health, Nursing & Midwifery Care Research Center, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
zeinab_heidari@nm.mui.ac.ir
Mahrokh
Keshvari
Assistant Professor, Nursing & Midwifery Care Research Center, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
keshvari@nm.mui.ac.ir
10.22038/ijp.2016.7435
<strong><em>Background </em></strong><br/>The positive effect of breastfeeding on the health of the mother, child and community has been globally accepted, but the rate of breastfeeding is still not at an acceptable level. Breastfeeding support can greatly influence the continuity and success of breastfeeding. This qualitative study aimed to explain the Iranian women’s experiences of breastfeeding support. <br/><strong><em>Materials and Methods </em></strong><br/>This study was designed as a qualitative content analysis. The participants were selected purposefully, and 33 semi-structured interviews were conducted with 18 mothers with breastfeeding experience, 5 key family members (3 grandmothers and 2 husbands) and 10 providers of breastfeeding services. Data were analyzed by using five-step method of Hsieh and Shannon content analysis, simultaneously with data collection. <br/><strong><em>Results</em></strong> <br/>The results of the analysis of the participants’ description and experiences revealed four major categories: spousal support for breastfeeding, family support for breastfeeding, health professionals’ support for breastfeeding and community support for breastfeeding, which indicated the dimensions of breastfeeding support. <br/><strong><em>Conclusion</em></strong> <br/> In participants’ experiences, spousal support and family support for breastfeeding had key role in the success of breastfeeding and made the mothers more encouraged to initiate and continue breastfeeding. Further, the participants attributed the success of breastfeeding to receiving adequate knowledge and skill for breastfeeding from the healthcare system. From their perspective, community support for breastfeeding, especially among the working women played a pivotal role in the continuity of breastfeeding.
Breastfeeding,Experiences,Qualitative study,Support
https://ijp.mums.ac.ir/article_7435.html
https://ijp.mums.ac.ir/article_7435_7a64d4beae0e7de799fe7f7ae45b2aae.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Evaluation of the VANRIS Injection Success Rate in Vesicoureteral Reflux (VUR) Treatment in Children
3601
3608
EN
Helina
Janpanah
Urology Resident, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
h.janpanah@gmail.com
Mohsen Mohammad
Rahimi
Kidney Transplant Fellowship, Kidney Transplant Division, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran
mohsenrahimi273@gmail.com
Ahmadali
Nikibakhsh
Professor of Pediatric Nephrology, Nephrology and Kidney Transplant Research Center, Urmia University of Medical Sciences, Urmia, Iran
anikibakhsh@yahoo.com
Rohollah
Valizadeh
MSc Student Of Epidemiology, Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran
rohvali4@gmail.com
Roya
Zakeri
Pediatrics Specialist, Urmia University of Medical Sciences, Urmia, Iran
dr_zakeri1359@yahoo.com
Mohammadreza
Mohammadi Fallah
Professor of Kidney Transplant, Nephrology and Kidney Transplant Research Center, Urmia University of Medical Sciences, Urmia, Iran
mmohammadifallah@gmail.com
Sanam
Fakour
Medicine Faculty and Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran.
sanam.fakour@gmail.com
10.22038/ijp.2016.7525
<strong><em>Background: </em></strong>Vesicoureteral reflux (VUR) is a common condition among children. Although, subureteral injection is a minimally invasive new method for VUR treatment, ideal bulking agent in endoscopic treatment still remains controversial. We aimed to evaluate VANTRIS subureteral injection efficacy in VUR treatment in pediatric patients. <br/><strong><em>Materials and Methods: </em></strong>All patients who referred to Imam Khomeini hospital in Urmia-Iran, Urology ward with VUR diagnosis that had indications for open surgery, enrolled study (during Mar 2013 to Mar 2015). Prior to intervention, VUR severity, urinary tract infection (UTI) and subsequent complications determined using urine analysis and imaging. Subsequently, single injection of the VANTRIS performed for all patients and patients underwent six-month follow up including several clinical and paraclinical evaluations. <br/><strong><em>Results: </em></strong>31 patients with VUR diagnosis participated; of 31 patients, 18 (58.06%) children with primary UTI who had surgery indication enrolled study; of 18 patients, seven patients (38.88%) were boy and eleven patients (61.12%) were girl with mean age of 6.88 ± 2.61 years, and out of 29 refluxing rental units (RRU), 13 (44.8%) were right and 16 (55.2%) were left kidney. In current study, patients divided to two subgroups regarding their age older than five or younger than five years old and there was no significant difference between the resolution rates following VANTRIS injection in two groups (P>0.05). Eleven (38.88%) RRU detected in boy patients, nonetheless VUR resolved in all of them, postoperatively. On the other hand, of 18 RRU in female patients, complete VUR resolution observed in 16 kidneys (88.8 %), but only 2 (11.11%) kidneys had incomplete, but significant VUR resolution, where no significant difference observed. The prevalence of reflux in patients with UTI was 30% and in patients without UTI was 17%. <br/><strong><em>Conclusion: </em></strong>The current study indicated that in all age groups of patients, the subureteral injection of the VANTRIS was an accurate and effective treatment modality for VUR
Children,Subureteral injection,VUR,VANTRIS,UTI
https://ijp.mums.ac.ir/article_7525.html
https://ijp.mums.ac.ir/article_7525_1d2809f2d0891a1e78f93ced46d31271.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Conservative Management of Duodenal Perforation with Toothpick in a 9- Year Old Girl; a Case Report
3609
3613
EN
Shahsanam
Gheibi
Associate Professor of Pediatric Gastroenterology, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
drgheibi@yahoo.com
Mohammad
Baluch
Assistant Professor of Pediatric Surgery, Department of Surgery, Urmia University of Medical Sciences, Urmia, Iran.
mohammadvalibaluch@yahoo.com
10.22038/ijp.2016.7509
<strong><em>Background</em></strong> <br/>Foreign body ingestion is a relatively common in children. Most ingested foreign bodies spontaneously pass out of the body via the gastrointestinal (GI) system but sharp materials may perforate the GI tract and need to surgical intervention. <br/><strong><em>Case Presentation</em></strong> <br/> The patient was a 9-year-old girl with progressive abdominal pain for one month and admitted with acute abdomen impression. She underwent esogastroduodenoscopy (EGD) due to severe epigastric tenderness. Upper GI endoscopy revealed duodenal ulceration and perforation by a toothpick while she had no history of foreign body ingestion. Toothpick was removed by endoscopy. She was successfully managed conservatively and had no abdominal pain during the one month follow-up period. <br/><strong><em>Conclusion</em></strong> <br/>We recommend the endoscopic approach as the preferable method for the extraction of duodenal foreign bodies in children, even in the case of intestinal perforation.
Duodenal perforation,Foreign body,Gastrointestinal,Pediatrics
https://ijp.mums.ac.ir/article_7509.html
https://ijp.mums.ac.ir/article_7509_f57ccd88cc75d63074fda9843b35dd8e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Evaluation of Brain Natriuretic Peptide plasma levels in children with Congenital Heart Diseases
3615
3626
EN
Noor Mohammad
Noori
0000-0002-0732-6412
Children and Adolescent Health Research Center, Zahedan University of Medical Sciences, Zahedan- Iran.
dr_noori_cardio@yahoo.com
Alireza
Teimouri
0000-0002-8356-4260
Children and Adolescent Health Research Center, Zahedan University of Medical Sciences, Zahedan- Iran.
alirezateimouri260@gmail.com
Iraj
Shahramian
0000-0002-4134-1405
Department of Pediatric, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran.
ir_buper@yahoo.com
Samaneh
Akhavan Sales
Department of Pediatric, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
s.akhavansales@gmail.com
10.22038/ijp.2016.7517
Objective<br/>This study aimed to assess Brain Natriuretic Peptide in early diagnose of cardiac function in children with Congenital Heart Diseases.<br/>Methodology<br/>This study was performed on children with CHD and healthy. Severity of heart failure modified Ross classification system was used for grouping patients in four classes. For all participants, height, weight and head circumference were measured. From participants 3 cc blood samples was taken and after separation, the plasma placed at temperature of -80 c. After collecting all samples they were in testing using an ELISA BNP kit. For 50 children in control group statistical methods used to generate RV and PA pressure randomly. The data were analyzed using SPSS for Windows, Version, 15.0 (Chicago,SPSS Inc. USA) with 0.05 for the level of significant. <br/>Results<br/>BNP, RV pressure, PA pressure, HB and O2 saturation had different means in cyanotic, Acyanotic and and control significantly. BNP, RV, PA , HB and O2Sat had different means in case and control significantly. , RV, HB and O2 saturation had different means significantly acordance with the sevirity of disease.BNP had correlation with PA and PA had correlation with Qp/Qs ratio ,Rp/Rs ratio , RV and O2Sat significantly .<br/>Conclusion<br/>At the end from the results of the study concluded that BNP levels in children with chd increased. <br/>in patients with pulmonary hypertension , with increasing the level of pulmonary hypertension the BNP will increase. BNP increasing had high association with the severity of heart failure.
BNP,Diagnostic,CHD,Children
https://ijp.mums.ac.ir/article_7517.html
https://ijp.mums.ac.ir/article_7517_c264e43a7f1fb056280537c1b7660cda.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Association between Aggressive Behaviors, Life Satisfaction, Self-rated Health and Counseling with Family Members among Children and Adolescents: The CASPIAN- IV Study
3627
3637
EN
Hossein
Ansari
Health Promotion Research Center, Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran
mansou8rian55@gmail.com
Ramin
Heshmat
Epidemiology Department, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
mansouriahn55@gmail.com
Mohsen
Jari
Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
mansourian555@gmail.com
Mostafa
Qorbani
0000-0001-9465-7588
Dietry Supplement and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran & Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
mqorbani1379@yahoo.com
Mehrdad
Kazemzadeh Atoofi
School of Behavioral Sciences and Mental Health, Tehran Psychiatric Institute, Iran University of Medical Sciences, Tehran, Iran
Shirin
Djalalinia
Development of Research & Technology Center, Deputy of Research and Technology, Ministry of Health and Medical Education, Tehran, Iran
mansourhian55@gmail.com
Mohammad Esmaeil
Motlagh
Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
mansouriakn55@gmail.com
Elham
Samami
Dietry Supplement and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran & Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
manshourian55@gmail.com
Mojtaba
Keikha
Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
mansoujrian55@gmail.com
Asal
Ataie-Jafari
Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran.
mansouriahnj55@gmail.com
Omid
Safari
Department of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
mansohurian55@gmail.com
Morteza
Mnaourian
0000-0002-2482-5424
Department of Health Education and Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran.
mansourian55@gmail.com
Roya
Kelishadi
Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
mansoujriajn55@gmail.com
10.22038/ijp.2016.7300
Objectives: This study aims to assess the relationship between the frequency of aggressive behaviors, life satisfaction (LS) and self- rated health (SRH) and counseling with family members in a representative sample of Iranian children and adolescents. <br />Methods: In this nationwide study, 14880 school students, aged 6-18 years, wereselected by cluster and stratified multi-stage sampling method from 30 provinces inIran. The World Health Organization Global School-based Health Survey questionnaire(WHO-GSHS) was used.Mental disorders were assessed through the WHO-GSHSquestionnaire that consisted of worthless, angriness, anxiety, insomnia, confusion, depression, and worried.<br />Results:.The results showed that 45.7% of boys and 44.8% of girls share their problem with their brother or sister. The prevalence of physical fight, victim, and bully was not different in children and adolescents who consulted with their brother or sister compared with those who did not consult (p> 0.05). In addition, 60.4% of boys and 66.0% of girls share their problems with friends. Physical fight and bully were less prevalent in children and adolescents who consulted with their friends compared with those who did not consult (p< 0.001). According to this study, the prevalence of LS and SRH “good” was also lower in children and adolescents who share their problem with their father or mother compared with those who did not consult (p< 0.001).<br />Conclusion:Children and adolescents should be encouraged to consult with their parents about their problems. Parents should offer their children an opportunity to express their views and wishes about their problems.
aggressive behaviors,Self-rated Health,Life Satisfaction,Children and adolescents
https://ijp.mums.ac.ir/article_7300.html
https://ijp.mums.ac.ir/article_7300_442d2336344a33d8200e969730be797e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Infant and Young Child Feeding Status in Iran Compared the Different United Nation Regions
3639
3641
EN
Salman
Khazaei
0000-0001-5918-2310
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
salman.khazaei61@gmail.com
Kamyar
Mansori
2Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
kamyarmansori@yahoo.com
Zaher
Khazaei
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
zaher.khazaei@yahoo.com
Mohadeseh
Sani
School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
mohadeseh66@gmail.com
Erfan
Ayubi
Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
aubi65@gmail.com
10.22038/ijp.2016.7396
Promote and support breastfeeding is an essential element for the health and development of infants so that, it introduced as most cost-effective intervention to reduce infant mortality in developing countries (1). Breastfeeding has an important role to ensure food security for maintain a healthy and productive life for a large proportion of babies in the world, in addition, it is associated with improves intelligence quotient (IQ), school attendance and higher income in adult life (2). <br/>World Health Organization (WHO) indicated exclusive breastfeeding for the first six months of life with starting in the first half hour after delivery for optimal growth and development (3). Early initiation of breastfeeding (first hour after birth) has positive effects on biological and emotional health for mother and child and reduces child mortality (4). It is estimated that if breastfeeding in children aged at 0-23 months have been considered optimally, among children under 5 years old globally over 800,000 life could be saved every year (2). In other hand, protect effects of breastfeeding for mothers against breast and ovarian cancer, osteoporosis have been identified (5).
Breastfeeding,Exclusive Breast Feeding,Children,Iran,United Nation Regions
https://ijp.mums.ac.ir/article_7396.html
https://ijp.mums.ac.ir/article_7396_5b8cc50c1fe3fbada9a7533be2801d62.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Robinow Syndrome: a Rare Case Report from a Tertiary Care Hospital in Eastern India
3643
3649
EN
Shruti
Saraswat
Department of Paediatrics, Hi Tech Medical College, Utkal University, Bhubaneswar, Odisha, India.
shruti.medico@gmail.com
Satish
Mohanty
Department of Paediatrics, Hi Tech Medical College, Utkal University, Bhubaneswar, Odisha, India.
satishmohanty@gmail.com
10.22038/ijp.2016.7476
<strong><em>Background</em></strong> <br/>Robinow syndrome is a rare congenital disorder with phenotypically heterogeneous abnormalities. Two modes of inheritances are known for this syndrome namely autosomal recessive and autosomal dominant. <br/><strong><em>Case Report</em></strong> <br/>We describe here an eighteen-month-old child who had mesomelic short stature, abnormal facial features, clinodactyly, micropenis and vertebral changes which were further supported radiologically. The case was the first of his kind, which came to our hospital. The diagnosis was challenging and ascertained only after confirmation with multiple specialties and various interdepartmental discussions. <br/><strong><em>Conclusion</em></strong> <br/>The syndrome is rare and hence is less known among health care workers. Also, the prenatal testing which is available for the entity needs to be explained to the suspected mothers.
autosomal recessive,Child,Facial dysmorphism,Short stature
https://ijp.mums.ac.ir/article_7476.html
https://ijp.mums.ac.ir/article_7476_19a6ff43d2881be4e378204c9babe5b6.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Risk Factors of Premature Infants in the Rural Areas of Azadshahr City: a Case-Control Study
3651
3660
EN
Marzieh
Gorzin
Master of Counseling in Midwifery, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
mansouriabn55@gmail.com
Morteza
Mansourian
0000-0002-2482-5424
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
mansourian55@gmail.com
Abdurrahman
Charkazi
Assistant Professor, Ph.D of Health Education and Promotion, Environmental Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
mansourirran55@gmail.com
Hassan
Rahimzadeh
MD, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
mansssourian55@gmail.com
Aref
Rezaee Node
International Campus, Tehran University of Medical Sciences, Tehran, Iran.
mansourssssian55@gmail.com
Mostafa
Qorbani
Departments of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
manxsourian55@gmail.com
Omid
Safari
Departments of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
mahhnsourian55@gmail.com
Babak
Rastgari Mehr
MSc, Abadan School of Medical Sciences, Abadan, Iran.
mansoghghurian55@gmail.com
Hamid
Asayesh
Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.
mansosssurian55@gmail.com
Mohammadreza
Mansouri Arani
MSc, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
mansouriadn55@gmail.com
Hossein
Ansari
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
maaaansourian55@gmail.com
Tahereh
Pashaei
Department of Public Health, School of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran.
pashaeit@gmail.com
Hesamedin
Hesamedin Askari Majdabadi
Department of Nursing, Nursing and Allied Health Faculty, Semnan University of Medical Sciences, Semnan, Iran.
Kamal
Mirkarimi
Assistant Professor, Ph.D of Health Education and Promotion, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
mansofdgurian55@gmail.com
10.22038/ijp.2016.7255
<strong><em>Background</em></strong><strong>:</strong> Preterm birth is one of the most remarkable reasons for neonatal and infant mortality and morbidity across the world. This study aimed to determine risk factors of premature infants in the rural area of Azadshahr city, Iran. <strong><em>Materials and Methods</em></strong><strong>:</strong> Acase-control study was conducted on all premature and low birth neonates (less than 37 weeks and weight less than 2500 grams). Data were collected by records in 30 health houses located in the rural areas of Azadshahr city durring 2013 to 2016. Two groups (case and control) were matched by gender and health houses. A trained midwife was collected data by using of a researcher-made checklist. To describe mean and standard deviation of the demographic characteristics, descriptive methods were used.To analyze, inferential statistic tests such as Chi- square, and independent t-test were implemented through SPSS (version,16). Significant level was also taken <0.05.<strong> <em>Results</em>: </strong>In total, 112 girl infant and 101 boy infant were explored. The mean age of mother in the case and control groups was 26.14<span style="text-decoration: underline;">+</span> 8.4 and 25.67<span style="text-decoration: underline;">+</span> 9.1 years old respectively.There was a significant difference between the two groups in terms of prenatal care and pregnancy complications. In addition, a remarkable relations was found between polytocous and delivery time (P<0.05). <strong><em>Conclusion:</em> </strong>Providing mothers with necessary information in terms of interval between births, and the importance of prenatal cares in the pregnancy period to prevent complication seems to be likely useful.
fetus,Infant,Premature,pregnancy,prenatal care,Risk factors
https://ijp.mums.ac.ir/article_7255.html
https://ijp.mums.ac.ir/article_7255_4b7f6e1c56c0075c7508098391173ceb.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Measles from the Perspective of Rhazes and Traditional Iranian Medicine: a Narrative Review
3661
3668
EN
Mojdeh
Khodabakhsh
PhD Student, Students Research Committee, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
khodabakhshm931@mums.ac.ir
Mohammadreza
Mehri
PhD Student, Students Research Committee, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
mehrimr1@mums.ac.ir
Fariba
Ghorbani
School of Persian Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran.
fgh6538@yahoo.com
Zohre
Feyzabadi
Assistant Professor of Persian Medicine, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
feyzabadiz@mums.ac.ir
10.22038/ijp.2016.7628
<strong><em>Background</em></strong> <br/>Measles is a contagious illness with symptoms including fever, cough and rash. Although after the start of vaccination, its mortality rate has decreased significantly, but in some countries, the disease still leads to dangerous complications. Since infectious diseases such as measles has long been of interest to practitioners, in this study the perspective of Traditional Iranian Medicine (TIM) scholars, especially Razi (Rhazes) about measles was examined. <br/><strong><em>Materials and Methods</em></strong> <br/>In the present study, we reviewed Rhazes’ viewpoint about symptoms and treatment of measles in the book entitled "Al jodari - Al hasbah", and other TIM books. In addition, using scientific online databases, the latest studies in this regard are investigated. <br/><strong><em>Results</em></strong> <br/>Rhazes was the first physician who described measles scientifically in a separate book called "Al jodari - Al hasbah". In addition to the disease symptoms, its complications and treatment strategies that includes three areas of general recommendations, nutritional measures and topical treatments such as laxatives, foods, fruits, vegetables and herbs with cold nature (based on TIM), he also explained the prognosis of the measles according to the division of skin rashes. Some other Iranian medicine scholars such as Avicenna in addition to the mentioning other therapeutic strategies also pointed out the contagious nature of measles. <br/><strong><em>Conclusion</em></strong> <br/>Given that some of the diagnostic, therapeutic and preventive perspectives in TIM textbooks, especially Rhazes’ "Al jodari - Al hasbah" have been supported by evidence of new studies, it seems that the opinion of these scientists in the field of infectious and contagious diseases such as measles can be helpful.
Complementary Medicine,Measles,Persian Traditional Medicine,Rhazes
https://ijp.mums.ac.ir/article_7628.html
https://ijp.mums.ac.ir/article_7628_d06dd5a67cb162a10b8698ef156c2de3.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Clinical Pharmacology of Teicoplanin in Neonates: Effects and Pharmacokinetics
3669
3684
EN
Gian Maria
Pacifici
via San Andrea 32, 56127 Pisa, Italy
pacifici@biomed.unipi.it
10.22038/ijp.2016.7629
Teicoplanin is a glycoside antibiotic which consists of five closely related glycopeptide antibiotics with similar antibacterial properties to vancomycin that were first isolated in 1976. Teicoplanin is active against many gram-positive anaerobe microorganisms and is particularly potent against clostridium species. It is also active against most Listeria, enterococci and staphylococci including methicillin-resistant strains. Nonviridans and viridans streptococci, Streptococcus pneumoniae, and enterococci are inhibited by teicoplanin. Teicoplanin has been used to treat a wide variety of infections, including osteomyelitis and endocarditis caused by methicillin-resistant and methicillin-susceptible staphylococci, streptococci, and enterococci. Teicoplanin has a spectrum of antimicrobial action similar to vancomycin, but teicoplanin has some advantages in that it only needs to be given once a day, does not need to be given as slowly as vancomycin and can be given by intramuscular injection. Teicoplanin cannot be given by mouth. Teicoplanin is excreted unchanged in the urine. The half-life of teicoplanin is 100 hours in adults and 21/2 days in children. Teicoplanin has a large distribution volume and long half-life and a loading dose is recommended. In infants, the loading dose of teicoplanin is 16 mg/kg administered intravenously followed by 8 mg/kg once daily. The target trough concentration of teicoplanin ranges from 15 to 30 µg/ml. The incidence of hepatic dysfunction, renal impairment and thrombocytopenia is 14.8%, 20%, and 14%, respectively, when the serum teicoplanin concentrations range from < 20 µg/ml and ≥ 20 µg/ml. The aim of this study is to review the effects and the pharmacokinetics of teicoplanin in neonates.
effects,neonate,Pharmacokinetics,Teicoplanin
https://ijp.mums.ac.ir/article_7629.html
https://ijp.mums.ac.ir/article_7629_3fc3b4e7b29531633eb66e48c400d2c2.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Effect of Caffeine Co-Ingested with Carnitine on Weight, Body-Fat Percent, Serum Leptin and Lipid Profile Changes in Male Teen Soccer Players: a Randomized Clinical Trial
3685
3698
EN
Saeed
Shirali
Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
saeed.shirali@gmail.com
sevana
daneghian
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran and Sama Technical & Vocational Training College, Islamic Azad University, Tabriz branch, Tabriz, Iran.
sevana_d@yahoo.com
Seyed Ahmad
Hosseini
Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
seyedahmadhosseini@yahoo.com
Damoon
Ashtary-Larky
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
damoon_ashtary@yahoo.com
Marina
Daneghian
Sama Technical & Vocational Training College, Islamic Azad University, Tabriz branch, Tabriz, Iran.
marina_daneghian@yahoo.com
Maryam-Sadat
Mirlohi
Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
maryammirlohi@gmail.com
10.22038/ijp.2016.7532
<strong><em>Background: </em></strong>Weight loss and decreasing the Body fat percentage (BF%) is motivated to optimize performance. In order to achieve these, many supplements are used by athletes, however the possible negative or synergic effects have not been fully described in the literature, specifically in humans. The present study was conducted to investigate the co-administration effects of two common used supplements in body weight and BF% management to recommend athletes for safe weight and BF% reduction. <br/><strong><em>Materials and Methods: </em></strong>In the present double-blind, randomized, parallel, placebo-controlled study, the effect of six-week co-administration of caffeine and carnitine was determined on changes in body weight (BW), BF%, serum leptin concentration and lipid profile (triglyceride, HDL Cholesterol, LDL Cholesterol and Total Cholesterol), fasting blood glucose (FBG), and free fatty acid (FFA) changes. Twenty eight male teen soccer players from Ahvaz-Iran, were divided in three groups (group CafPlc, caffeine (6 mg/kg/day) + dextrose; group CafCar, caffeine (6 mg/kg/day) + carnitine (2g); and group Plc, dextrose). <br/><strong><em>Results: </em></strong>Caffeine-carnitine had a lowering effect on BW (P=0.02) and BF% (P=0.03), compared to caffeine alone and placebo in male teen soccer players (mean age of 16.92 ± 0.76 years). TG was significantly decreased in CafCar (P=0.04). FFA levels were increased in CafCar (P=0.04) and there was significant differences between CafCar and Plc groups (P=0.01). FBG was increased in both CafPlc and CafCar (P=0.01 and P=0.02, respectively), with no significant differences between groups. <br/><strong><em>Conclusion: </em></strong>The synergistic effect of caffeine-carnitine might be suggested to decrease the BF% and BW, besides it may prevent the increment of FFA levels; however it should be prescribed cautiously since it increased FBG levels.
Adolescents,Aggression,Children,Life Satisfaction,Self-rated Health
https://ijp.mums.ac.ir/article_7532.html
https://ijp.mums.ac.ir/article_7532_438b1794cb924a5ed87ae4f29b1fa333.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Investigation of the Knowledge and Skill of Proper Consumption of Fruit and Vegetables among Shahrekord Adolescent Girls
3699
3707
EN
Ali
Ramezankhani
0000 0001 9180 4386
Professor, Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
aramezankhani@sbmu.ac.ir
Elahe
tavassoli
Assistant Professor, Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
tavassoli.eb@gmail.com
Akbar
Babaei Heydarabadi
Assistant Professor, Department of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
babaeinmz2056@gmail.com
Masoumeh
Alidosti
Lecturer, Department of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
m_alidosti@hlth.mui.ac.ir
Zabihollah
Gharlipour
Assistant Professor, Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
gharlipour@yahoo.com
10.22038/ijp.2016.7323
<strong><em>Background: </em></strong>The life style is formed and stabilized in adolescence. Since consumption of fruits and vegetables may affect the risk of chronic diseases, their low consumption during adolescence is very important. Knowledge and skill is considered as one of the main determinants of this behavior. This study aimed to investigate the Knowledge and skill of proper consumption of fruit and vegetables among adolescent girls in Shahrekord, Iran. <br/><strong><em>Materials and Methods: </em></strong>This study was a descriptive-analytic investigation conducted on high school girls in Shahrekord city during 2013 to 2014. 308 female students were selected randomly from 8 high schools and a researcher made questionnaire was used to collect the demographic, Knowledge and skill related data. Validity and reliability of the questionnaire was evaluated by internal consistency method (Cronbach's alpha = 0.70, Cronbach's alpha= 0.76), respectively. The collected data was analyzed by SPSS-21 software. <br/><strong><em>Results: </em></strong>The mean age of students was 13.86 ± 1.3 years. There was no statistically significant association between consumption of fruit and vegetables and fathers’ education level, mothers’ job and parents’ age. However, there was a significant association between fathers’ job and adolescents’ skill of fruit and vegetables consumption (P< 0.05). In addition, a significant association between mothers’ education level and adolescents’ knowledge and skill of fruit and vegetables consumption was observed (P<0.05). There was a significant direct association between knowledge and skill (P=0.01 and r=082), so that adolescents with more knowledge, had a better skill as well. <br/><strong><em>Conclusion: </em></strong>Considering the adolescents’ low knowledge and skill in proper consumption of fruit and vegetables and also the direct association between knowledge and skill, it seems necessary to implement educational programs according to the health education and promotion theories and models, with contribution of parents and school personnel, to improve the knowledge and skill and empower adolescent girls in consumption of fruit and vegetables.
Adolescent,Behavior,Fruit,Knowledge,Vegetables
https://ijp.mums.ac.ir/article_7323.html
https://ijp.mums.ac.ir/article_7323_e415f635d07b8f000bc27b0733c822ea.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Association between Metabolic Syndrome Criteria and Body-composition Components in Children with Type 1 Diabetes Mellitus
3709
3717
EN
Forough
Saki
0000-0003-1900-5242
Shiraz Endocrinology and Metabolism Research Center,Shiraz University of Medical Sciences, Shiraz, Iran.
forughs@yahoo.com
Zahra
Setoodehnia
Student Research Committee, Pediatric Endocrinology and Student Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
z.setoodeh74@gmail.com
Haniyeh
Javanmardi
Student Research Committee, Pediatric Endocrinology and Student Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
haniejavanmardi.sums@gmail.com
Gholamhossein
Omrani
0000-0003-2224-7250
Shiraz Endocrinology and Metabolism Research Center,Shiraz University of Medical Sciences, Shiraz, Iran.
hormone@sums.ac.ir
10.22038/ijp.2016.7433
<strong><em>Background</em></strong> <br/>Metabolic syndrome (MES) consists of central obesity, hypertension, reduced high density lipoprotein (HDL), elevated serum triglycerides and high Fasting blood sugar (FBS). They are susceptible to cardio-vascular disease, and insulin resistance. The goal of present research was to assess any relation between the composition of the body in Type 1 Diabetes Mellitus (T1DM) children and having components of metabolic syndrome. <br/><strong><em>Materials and Methods</em></strong> <br/>This cross sectional study included all T1DM children who were referred to the pediatric clinic of diabetes, affiliated to the Shiraz University of Medical Sciences, Iran during Jul 2013 to Aug 2014. Anthropometric data, blood pressure, fasting blood glucose, lipids and body mass indices like android and gynoid fat mass was done by one physician with standard scale and techniques. The obtained data were analyzed using SPSS-18. <br/><strong><em>Results</em></strong> <br/>Overall 87cases with definite diagnosis of T1DM were admitted in this duration (2013-2014).There was a positive correlation appeared between hypertriglyceridemia and Android fat mass (r=0.1 and P =0.046). Otherwise, there wasn’t any relation between body composition criteria and the reduced HDL level, high blood pressure, Abdominal obesity and elevated FBS (P>0.05) . <br/><strong><em>Conclusion</em></strong> <br/>It was revealed that hypertriglyceridemia was associated with Android fat mass. However, more pathophysiological research is needed to reveal the association of MES components and body-composition in T1DM children.
Adolescents,Aggression,Children,Life Satisfaction,Self-rated Health
https://ijp.mums.ac.ir/article_7433.html
https://ijp.mums.ac.ir/article_7433_f9ba750cac901ad52a9c222ba9022a91.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
Assessment Sleep Quality and its Relationship with Test Anxiety among High School Students in Qom- Iran
3719
3726
EN
Saman
barmeh ziyar
Young Researchers & Elites Club, Qom Branch, Islamic Azad University, Qom, Iran.
samansoft@gmail.com
Zeynab
Karimi
Department of Public Health, Qom University of Medical Sciences, Qom, Iran.
karimi_z315@yahoo.com
Ahmad
Massoumi
Department of Medical Sciences, Qom Branch, Islamic Azad University, Qom, Iran.
ahmad_massoumi@yahoo.com
siamak
Mohebi
Department of Health Education and Promotion, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
mohebisiamak@yahoo.com
10.22038/ijp.2016.7475
<strong><em>Background</em></strong> <br/>Test anxiety is a special case of a general anxiety which is of particular importance in students, because students will be the future of the country and the society activists. On the other hand, sleep quality and sleep disorders, have correlation with ailments, poor performance, decreased quality of life and increase of associated costs; This study aimed to determine the quality of sleep and its relationship with test anxiety among students in Qom city, Iran. <br/><strong><em>Materials and Methods</em></strong> <br/>This study was a cross-sectional study, which was performed among 250 students who were going to pass the exam preparation classes. In order to collect data Pittsburgh Sleep Quality Index (PSQI) questionnaires and Test Anxiety Inventory (TAI) questionnaire were used. Data were analyzed using SPSS-16 with descriptive statistics and statistical methods, independent t-test, ANOVA and Pearson correlation coefficient. <br/><strong><em>Results</em></strong> <br/>In this study, 50% of participants were boys (n=125) and 50 percent were girls (n=125). 81.4% of subjects had poor sleep quality and 69.6% had average to high score for test anxiety. Based on the results of anxiety test and sleep quality index there was a significant correlation between anxiety and sleep quality with gender (P=0.003, r=0.447). <br/><strong><em>Conclusion</em></strong> <br/>School children had poor sleep quality and high test anxiety, and due to their direct and significant correlation, attention to this category of students, especially for girls, is important. Therefore, anxiety and promoting sleep quality control programs are recommended in this group.
Iran,Sleep Quality,Students,Test anxiety
https://ijp.mums.ac.ir/article_7475.html
https://ijp.mums.ac.ir/article_7475_e2c3915d8de37b4d7c9836eb41d4d39e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
4
10
2016
10
01
The Role of Pathological Staging in Selection of Appropriate Treatment Option for Autoimmune Hepatitis: Findings of a prospective Observational Study
3727
3733
EN
Seyed Mosal reza
Hosseini
Assistant Professor Gastroenterology, Department of Medicine Internal, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hassan
Saadatnia
Professor Gastroenterology, Department of Medicine Internal, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abbas
Esmaelzadeh
Assistant Professor Gastroenterology, Department of Medicine Internal, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Omid
Ghanaei
Assistant Professor Gastroenterology, Department of Medicine Internal, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
ghanaei1@gmail.com
10.22038/ijp.2016.7524
<strong><em>Background</em></strong> <br/>This prospective study was designed to examine the role of fibrosis staging on selection and success of treatment options for autoimmune hepatitis (AIH). <br/><strong><em>Materials and Methods</em></strong> <br/>The project was conducted on 110 selected AIH patients who, based on the results of liver biopsy, had been assigned into one of the three groups (mild, stages 1 and 2, moderate, stages 3 and 4, and severe, stages 5 and 6 fibrosis). The patients received prednisolone alone or in combination with azathioprine and the response to the treatment were assessed. <br/><strong><em>Results</em></strong> <br/>The number of patients who were identified to have mild, moderate and severe fibrosis were 34 (31%), 35 (32%), and 41 (37%), respectively. Of 110 patients, 56 patients (51%) received prednisolone alone and 54 patients (49%) received combined drugs protocol. In total, 77 patients (70%) showed response to the treatment. The response rate for both modalities was much lower in the third group (P<0.05). However, compared to the prednisolone single therapy, the response rate of combination therapy was higher in this group. <br/><strong><em>Conclusion</em></strong> <br/>Our results clearly showed that response to treatment in AIH patients is decreased as hepatic fibrosis becomes more severe. Our findings indicate that pathological staging could navigate the selection of appropriate therapy, i.e. prednisolone alone is used for mild and moderate fibrosis while combination therapy is reserved for severe cases.
Autoimmune hepatitis,Liver fibrosis,Treatment regimen
https://ijp.mums.ac.ir/article_7524.html
https://ijp.mums.ac.ir/article_7524_660a08b075265936722d1ca70029d526.pdf