Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Congenital Pulmonary Malformations in Children: Diagnosis and Management in a Pediatric Department in a Low Source Country
6781
6782
EN
Faiza
Safi
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
fayyzasafi@yahoo.com
Hamdi
Louati
Hedi Chaker Hospital
drhamdilouati85@yahoo.com
Mohamed Ali
Zghal
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
dalyzghal@yahoo.fr
Manel
Hsairi
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
mannelhsairi@gmail.com
Hamdi
Abid
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
hamdiabiid@gmail.com
Lamia
Gargouri
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
gargourilamiaa@yahoo.com
Abdelmajid
Mahfoudh
Department of Pediatric emergency and reanimation. Hedi Chaker Hospital. 30219 Sfax, Tunisia
abdelmajiddmahfoudh@yahoo.fr
10.22038/ijp.2017.27786.2406
Congenital pulmonary malformations (CPM) comprise a group of anatomical abnormalities of the respiratory tree including congenital cystic malformations, bronchopulmonary sequestrations, bronchogenic cyst, bronchial atresia and congenital lobar emphysema.<br />Socioeconomic, demographic, and hospital factors were determinants of survival of CPM. Antenatal diagnosis should be developed in order to improve management and prognosis of CPM in country with low resource.
Children,Congenital,Pulmonary malformations
https://ijp.mums.ac.ir/article_9908.html
https://ijp.mums.ac.ir/article_9908_0ec8b46865a5c73a182a31b3ec747a60.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Management of Typhoid Fever and Bacterial Meningitis by Chloramphenicol in Infants and Children
6783
6808
EN
Gian Maria
Pacifici
via San Andrea 32, 56127 Pisa, Italy.
pacificigm@tiscali.it
10.22038/ijp.2017.28254.2447
Chloramphenicol inhibits protein synthesis in bacteria and is usually bacteriostatic but is bactericidal against Haemophilus influenzae, Streptococcus pneumoniae, and Neisseria meningitis. Chloramphenicol penetrates all body tissues well. The cerebrospinal fluid concentration averages 60% of the serum level, while brain levels are 9 times higher because of high lipid solubility of this drug. Chloramphenicol acts primarily by binding reversibly to the 50S ribosomal subunit. This antibiotic is the drug of choice for the treatment of typhoid and paratyphoid fevers and bacterial meningitis. Chloramphenicol possesses a broad-spectrum of antimicrobial activity. Strains are considered sensitive if they are inhibited by chloramphenicol concentrations of ≤ 8 µg/ml. Neisseria gonorrhea, Brucella species, Bordetella pertussis, gram-positive cocci, Clostridium species, and gram-negative rods including Bacillus fragilis are inhibited by chloramphenicol. Most anaerobic bacteria including Mycoplasma, Chlamydia, Rickettsiae, Vibrio cholera, Escherichia coli and Klebsiella pneumoniae are inhibited by this antibiotic. The doses of chloramphenicol are 40.5 mg/kg/day for neonates and 75.5 mg/kg/day for older children. The therapeutic concentrations of chloramphenicol are 10-25 µg/ml. Peak therapeutic concentrations are obtained in 60% and therapeutic trough concentrations are found in 42% of children. Children affected by typhoid fever are cu red by chloramphenicol and the sensitivity to this antibiotic is 100%. Acute bacterial meningitis is the most dangerous infections disease in children. The causative organisms are gram-positive and gram-negative bacteria, and chloramphenicol is effective in killing these microorganisms. The aim of this study is to review the management of typhoid fever and bacterial meningitis in infants and children by chloramphenicol.
Children,Chloramphenicol,effects,Infants,Meningitis Typhoid-Fever
https://ijp.mums.ac.ir/article_9941.html
https://ijp.mums.ac.ir/article_9941_6ec8fd5457774650eaaf9ec9ef5ba30e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Hip Joint Trevor Disease: Literature Review and a Case Report
6809
6814
EN
Mohammad
Hallaj Moghadam
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Science, Mashhad, Iran.
hallajm@mums.ac.ir
Ali
Parsa
Rothman Orthopedic Institute at Thomas Jefferson university Hospital, Philadelphia, USA AND Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Science, Mashhad, Iran.
aliparsadr@yahoo.com
Mohammad
Hassani
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Science, Mashhad, Iran.
hassanim@mums.ac.ir
Maryam
Mirzaie
Department of Community and Preventive Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
mirzaiemarya@gmail.com
Reza
Habibzadeh Shojaei
Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Science, Mashhad, Iran.
shojaeir931@mums.ac.ir
10.22038/ijp.2017.27224.2342
<span style="font-family: Times New Roman;">Trevor disease or dysplasia epiphysealis hemimelica (DEH) is an extremely rare condition with incidence of about 1:1,000,000. Male to female ratio of reporting case is 3:1, and usually diagnosed between two and eight years old. It usually affects the medial portion of the joint, but lateral involvement is not uncommon. Hip-joint was affected in less than 4% of existing cases in the literature. It would be very important to precisely mange the hip involvement to prevent from further articular cartilage destruction in this very young age. </span><br /><span style="font-family: Times New Roman;">We report an infant boy with isolated DEH of hip. We found a total of 271 cases of DEH that reported between 1926 and 2017.The most sites of involvement are ankle joint and around the knee. Our search reaches out to ten cases of hip involvement. Hip involvement needs a patient specified decision. We observed our patient for three years with a desirable hip joint function.</span>
Dysplasia epiphysealis hemimelica,Hip,Trevor disease
https://ijp.mums.ac.ir/article_9884.html
https://ijp.mums.ac.ir/article_9884_3ccd913174ae453159a6561b477922e1.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Diagnosis and Antibiotic Resistance Distribution in Children with Urinary Tract Infection: A Single Center Experience
6815
6822
EN
Rahime
Renda
Antalya Research and Education Hospital, Pediatric Nephrology Department, Antalya, Turkey.
rahimeg@yahoo.com
10.22038/ijp.2017.28352.2462
Background: Urinary tract infection is a common disease in childhood. The aim of this study was to determine the diagnostic performance of urinary analysis, assess the role of urine culture in determining its necessity and evaluate etiologic agents and antimicrobial resistance patterns in children with urinary tract infection.<br />Methods: Our study was made by evaluating the patients who applied to the Antalya Research and Training Hospital- Turkey, between 2015 and 2017. A total 237 urine analysis and urine culture were retrospectively analyzed. Culture results were taken a reference for microscopic and chemical examination of urine and diagnostic accuracy of the test parameters, and the performance of urine analysis were calculated. The culture and antibiogram results were examined and antibiotic resistance with infectious agents frequency was evaluated.<br />Results: The 42.4% of culture negative samples showed leukocyte esterase, nitrite, bacterial and leukocyte counts, which are indicative of infection in urine analysis, were found in normal range. The highest sensitivity (90%) was in the presence of leucocyte esterase and bacteria, while the highest specificity (99.4%) was in the presence of nitrite alone or with other components (leucocyte or leucocyte esterase). The highest antibiotic resistance was found in beta lactam antibiotics. The lowest antibiotic resistance was detected in the carbapenem followed by fluoroquinolone group antibiotics.<br />Conclusion: Microscopic and chemical examination of urine analysis can give us information about urine culture requirement. The observation of increasing overall resistance to antibiotics authorize further studies that lead to new recommendations to antibiotic use in children and adolescents.
Antibiotic resistance,Children,urinary tract enfection,sensitivity,specificity
https://ijp.mums.ac.ir/article_9990.html
https://ijp.mums.ac.ir/article_9990_07a92d7a6cc25e3007d31ee94707938f.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Factors and Interventions Associated with Parental Attachment during Pregnancy in Iran: A Systematic Review
6823
6842
EN
Kobra
Salehi
PHD Candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
k_salehi@nm.mui.ac.ir
Shahnaz
Kohan
Associate Professor of Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
kohan@nm.mui.ac.ir
Fariba
Taleghani
Professor of Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
taleghan@nm.mui.ac.ir
10.22038/ijp.2017.26168.2232
Introduction: Parents' attachment to the child is an intimate,warm and continuous relationship which is the basis of the natural development of the child. Attachment starts long before birth, and is affected by a variety of factors that are not definitively recognized. Also, several interventions have been proposed for improving it that their effectiveness has not yet been determined. Given the evidence about the role of cultural and national differences, it is necessary to review existing studies in order to identify these factors and interventions in Iran.<br />Methods and Materials: In this review, Web of Science, Scopous, Proquest,Psycinfo, CINAHL and Pubmed databases and SID, Magiran, Irondoc, Barakat Knowledge Network System as Iranian databases were searched using English and Persian keywords such as prenatal attachment, relationship, maternal attachment between 2000 and 2017, to find articles related to prenatal attachment. The full text of the articles was studied by two reviewer and their main findings were extracted and categorized.<br />Results: Factors and interventions associated with parental attachment summarized into 12 themes: parent education, culture, anxiety, family, planning for pregnancy, history of fetal loss, substance abuse, postpartum attachment, fetal anomaly, paternal attachment, attachment measurement tools, and effectiveness of education on prenatal attachment .<br />Conclusion: the effect of education and counseling on prenatal attachment in Iranian parents suggests the use of these methods in prenatal care. Parent’s education, social support and marital satisfaction were significant associated factors with increasing maternal attachment. History of fetal loss, anxiety and smoking was associated with the poor prenatal attachment
Iran,Parental Attachment,pregnancy,Maternal-Fetal Relationship,Systematic review
https://ijp.mums.ac.ir/article_9381.html
https://ijp.mums.ac.ir/article_9381_aa3e8dcd92c1da695959b5aefd8ed40e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Mothers’ Self-Efficacy Regarding Dietary Behaviour and Physical Activity of Preschool Children
6843
6850
EN
Sofia
Kokolaki
1Physical Education Teacher, MSc., School of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece.
skokolak@phyed.duth.gr
Olga
Kouli
Assistant Professor, School of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece.
okouli@phyed.duth.gr
Evangelos
Bebetsos
Associate Professor, School of Physical Education and Sport Science, Democritus University of Thrace, Komotini, Greece.
empempet@phyed.duth.gr
Marios
Goudas
Professor, School of Physical Education and Sport Science, University of Thessaly, Trikala, Greece.
mgoudas@pe.uth.gr
10.22038/ijp.2017.28512.2479
<strong><em><span style="font-family: Times New Roman;">Background</span></em></strong><br /><span style="font-family: Times New Roman;">Obesity constitutes a crucial health issue during preschool period and has an impact on children regardless their ethnic backgrounds. The purpose of the study was to examine the self-efficacy perceptions of mothers and potential differences and correlations with dietary behaviour and physical activity of their preschool children in Finland. </span><br /><span style="font-family: Times New Roman;"><strong><em>Materials and Methods: </em></strong>The sample for this study consisted of 154 mothers from nine private nurseries who lived in greater Helsinki and have Finnish or other nationality. There were 7 categories of geographical regions from which mothers came from, according to the nationality they declared. For the data collection the "Parental Self-Efficacy Questionnaire" was used, which evaluates the self-efficacy of parents regarding the dietary behaviour and physical activity of their children. </span><br /><span style="font-family: Times New Roman;"><strong><em>Results: </em></strong>The age range of the children was between 3 up to 6 years of age (Mean=5.08 <span style="text-decoration: underline;">+</span> 0.96), while the age range of mothers was between 25 up to 54 years of age (Mean=37.7<span style="text-decoration: underline;">+</span> 4.85). Positive correlations were found between maternal self-efficacy and children’s physical activity as well as between maternal self-efficacy and dietary behaviour. As it occurs from the analysis of the results from Pearson correlations: dietary behaviour had a positive correlation with physical activity r=0.583, p <br /><span style="font-family: Times New Roman;"><strong><em>Conclusion: </em></strong>Despite the non-statistically significant differences on these two factors, the results also showed high mean score values on maternal self-efficacy so in physical activity, as in dietary behaviour. Mothers who living in the same country which offers well structured guidelines about integrating nutrition and physical activity to help prevent lifestyle related diseases, possibly explains the fact that there are no differences related to ethnicity.</span></span>
Children,Dietary behaviour,Finland,Nationality,Physical Activity
https://ijp.mums.ac.ir/article_9992.html
https://ijp.mums.ac.ir/article_9992_0db8b5ff827c7ee921ae9689e3efa04d.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Correlation of Leukocyte Count and Percentage of Segmented Neutrophils with Pathohistological Findings of Appendix in Children
6851
6859
EN
Marko
Baskovic
0000-0003-4218-6184
Department of Pediatric Surgery, Children's Hospital Zagreb, Klaićeva 16, Zagreb 10000, Croatia.
baskovic.marko@gmail.com
Bozidar
Zupancic
Professor, Department of Pediatric Surgery, Children's Hospital Zagreb, Klaićeva 16, Zagreb 10000, Croatia.
bzup@kdb.com
Ana
Dominković
University of Zagreb, School of Medicine, Šalata 3, Zagreb 10000, Croatia.
adomink23@gmail.com
Ante
Cizmic
Assistant professor, Department of Pediatric Surgery, Children's Hospital Zagreb, Klaićeva 16, Zagreb 10000, Croatia.
acizm@kdb.com
Davor
Jezek
Professor, Department of Histology and Embriology, University of Zagreb, School of Medicine, Šalata 3, Zagreb 10000, Croatia.
davjez@mef.com
10.22038/ijp.2017.26748.2304
Background<br />Appendicitis is the most common indication for an emergency operation in children's age. Although none of the laboratory values has not high sensitivity and specificity for the diagnosis of appendicitis, leukocyte count and the percentage of segmented neutrophils are most commonly used. The aim of this study was to determine whether there is a statistically significant correlation between leukocyte count and the percentage of segmented neutrophils compared to the pathohistological finding of appendix in children. <br /><br />Materials and Methods<br />We retrospectively analyzed the data in the period from 1 January 2016 to 31 December 2016. The analysis was made on 211 patients. Spearman's correlation coefficient (rs) was calculated. We determined the specificity and sensitivity of leukocyte count and the percentage of segmented neutrophils used in the calculation of Alvorado and Pediatric Appendicitis score.<br /><br />Results<br />The results of the research have shown that the correlation between leukocyte count and the pathohistological findings is weak (rs = 0.29, p = 3.61*10-8), while there is no correlation between the percentage of segmented neutrophils and pathohistological findings (rs = 0.18, p = 7.08 *10-5). The sensitivity of leukocyte count is 93% and the specificity is 30%, while the sensitivity to the percentage of segmented neutrophils is 71% and the specificity is 50%. ROC analysis for leukocytes shows area under the curve of 0.648, while for segmented neutrophils of 0.574.<br /><br /><br />Conclusion<br />Given the correlation results obtained, the clinical experience of physicians will still have one of the leading roles in diagnosing acute appendicitis in children.
Appendicitis,Children,Leukocytes,Segmented neutrophils
https://ijp.mums.ac.ir/article_9993.html
https://ijp.mums.ac.ir/article_9993_58b9691e92a583236dbc95e44f3a932d.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
The Effect of Body Position on Pain Due to Nasal Continuous Positive Airway Pressure (CPAP) in Premature Neonates: A Cross-Over Clinical Trial Study
6861
6871
EN
Mahnaz
Jabraeili
Educator, Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
mahnaz@yahoo.com
Sodabeh
Eskandari
Student, Research Committee, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
eskandari200@yahoo.com
Mohammad
Bagher Hosseini
Pediatrics Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
bagher_hosseini@gmail.com
Pegah
Rahmani
1234-1234-1234-1234
MSc Student of Neonatal Intesive Care Unit Nursing, Department of Pediatric Nursing and Student Research Committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
pegahrahmani2000@gmail.com
10.22038/ijp.2017.26364.2258
<strong><em><span style="font-family: Times New Roman;">Background</span></em></strong><br /><span style="font-family: Times New Roman;">The most common cause of admission to neonatal intensive care units (NICU) is respiratory distress syndrome. One of the respiratory assistance methods is using nasal continuous positive airway pressure (CPAP). Regarding the importance of pain control which is one of the major priorities in neonatal nursing care, this study aimed to evaluate the effect of body position on pain due to nasal CPAP in premature neonates.</span><br /><strong><em><span style="font-family: Times New Roman;">Materials and Methods</span></em></strong><br /><span style="font-family: Times New Roman;">In this cross-over clinical trial, 50 premature neonates who were receiving nasal CPAP admitted to the NICU of Imam Reza Hospital, Kermanshah, Iran, were included. The neonates were randomly placed at three body positions (fetal, supine, and prone positions). Pain was measured by Astrid Lindgren Children’s Hospital Pain Scale Neonates (ALPS-Neo) pain assessment scale. The collected data were analyzed using the SPSS software (Version 22.0). </span><br /><strong><em><span style="font-family: Times New Roman;">Results</span></em></strong><br /><span style="font-family: Times New Roman;">Significant difference existed regarding pain of nasal CPAP among body positions (p< 0.001). Mean (SD) pain was 5.15 (0.822) in fetal position, 6.260 (0.747) in prone position and 7.326 (0.792) in supine position. </span><br /><strong><em><span style="font-family: Times New Roman;">Conclusion</span></em></strong><br /><span style="font-family: Times New Roman;">Body positioning in premature neonates under nasal CPAP in NICU can be effective as a non-pharmacologic method in alleviating pain due to nasal CPAP. Among the studied positions, the lowest pain score was seen in fetal position.</span>
Body position,Continuous positive airway pressure,Premature neonates
https://ijp.mums.ac.ir/article_9422.html
https://ijp.mums.ac.ir/article_9422_6eee73cbeff3ee7a3868bfe4571a1014.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Use of Oral Sirolimus in Paediatric Patients with Serious Vascular Anomalies: Case Report
6873
6877
EN
Maria Jesus
Garcia Verde
0000-0003-0024-901X
Hospital Pharmacy Specialist, Hospital Pharmacy Department, Complexo Hospitalario Universitario, A Coruña, Spain.
maria.jesus.garcia.verde@sergas.es
Cristina
Martinez Roca
Hospital Pharmacy Specialist, Hospital Pharmacy Department, Complexo Hospitalario Universitario, A Coruña, Spain.
cristina.martinez.roca@sergas.es
Pedro
Yanez Gomez
Hospital Pharmacy Specialist, Hospital Pharmacy Department, Complexo Hospitalario Universitario, A Coruña, Spain.
pedro.yanez.gomez@sergas.es
Maria Isabel
Martin Herranz
Hospital Pharmacy Specialist, Hospital Pharmacy Department, Complexo Hospitalario Universitario, A Coruña, Spain.
isabel.martin.herranz@sergas.es
10.22038/ijp.2017.26943.2321
<strong><em><span style="font-family: Times New Roman;">Background</span></em></strong><br /><span style="font-family: Times New Roman;">Pediatric vascular anomalies comprise a heterogeneous group of clinical disorders of varying severity. These anomalies are divided into vascular tumors or vascular malformations. Different therapeutic strategies have been used depending on the pathology in question. In recent years, mammalian target of rapamycin (mTOR) inhibitors have been explored as a therapeutic option in patients with complex vascular anomalies that fail to respond to conventional therapies.<br /><br /></span><br /><strong><em><span style="font-family: Times New Roman;">Case Report </span></em></strong><br /><span style="font-family: Times New Roman;">Two patients affected by complicated vascular anomalies were treated with sirolimus. Case 1: fourteen-month-old male patient with primary congenital lymphedema in the right arm. Case 2: boy aged two years and eight months, diagnosed with a non-respectable cervical aposiform hemangioendothelioma (KHE). Both patients received sirolimus at doses of 0.8 mg/m2/12 h during 12 and 13 months respectively. Monitoring plasma sirolimus concentrations made it possible to safely deal with problems associated with the medication. Both patients experiment an important improvement of their pathology, maintained after suspending treatment. No adverse effects related to treatment with sirolimus were observed.<br /><br /></span><br /><span style="font-family: Times New Roman;"><strong><em>Conclusion<br /></em></strong>Oral sirolimus proved to be an effective strategy in the treatment of complicated vascular anomalies in our pediatric population.</span>
pediatric patients,Sirolimus,Vascular Anomalies
https://ijp.mums.ac.ir/article_9994.html
https://ijp.mums.ac.ir/article_9994_d4160839760b332a5d27ba96611d9d8c.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
School Food Environment Promotion Program: Applying the Socio-ecological Approach
6878
6890
EN
Fatemeh
Bakhtari Aghdam
Assistant Professor in Health Education and Promotion, Tabriz University of Medical Sciences. Tabriz, Iran.
bakhtari@gmail.com
Heidar
Nadrian
Assistant Professor in Health Education and Promotion, Tabriz University of Medical Sciences. Tabriz, Iran.
heidar.nadrian@gmail.com
Malihe
Sheikhsamani
MSc Health Education and Health Promotion, Department of Health Education and Health Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
malihe.sheikhsamani@gmail.com
Mohammad
Asghari Jafarabadi
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
mohammad.asghari@gmail.com
Hamed
Rezakhani moghaddam
PhD Candidate of Health Education and Health Promotion, Department of Health Education and Health Promotion, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
rezakhanih@gmail.com
Mahdieh
Abasalizad Farhangi
Assistant Professor of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
mahdieh.abasalizad.farhangi@gmail.com
10.22038/ijp.2017.23870.2018
<strong><em>Background</em></strong><br />Despite of healthy nutrition recommendations have been offered in recent decades, researches show an increasing rate of unhealthy junk food consumption among primary school children. The aim of this study was to investigate the effects of health promotion intervention on the school food buffets and the changes in nutritional behaviors of the students.<br /><strong><em>Materials and Methods</em></strong><br />In this Quasi-interventional study, eight schools agreed to participate in Tabriz city, Iran. The schools were randomly selected and divided into an intervention and a control group, and a pretest was given to both groups. A four weeks interventional program was conducted in eight randomly selected schools of the city based on the socio-ecological model. A check list was designed for the assessment of food items available at the schools’ buffets, a 60-item semi-quantitative food frequency questionnaire (FFQ) was used to assess the rate of food consumption and energy intake. Results evaluation and practice were analyzed using the Wilcoxon, Mann Whitney-U and Chi-square tests.<br /><strong><em>Results</em></strong><br />The findings revealed reduction in the intervention group between before and after intervention with regard the range of junk food consumption, except for the sweets consumption. The number of junk foods provided in the schools buffets reduced in the intervention group. After the intervention on the intervention group significant decreases were found in the intake of energy, fat and saturated fatty acids compared to the control group (p = 0.00). <br /><strong><em>Conclusion</em></strong><br />In order to design effective school food environment promotion programs, school healthcare providers should consider multifaceted approaches.
Healthy eating,school health,Students,Snacks
https://ijp.mums.ac.ir/article_8776.html
https://ijp.mums.ac.ir/article_8776_0cf19c441ac0d79ca6c370728eef824e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
A Carcinoid Tumor of the Appendix in a Child: A Case Report
6891
6895
EN
Laleh
Vahedi Larijani
Assistant Professor of Pathology, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
lalevahedi@gmail.com
Seyed Abdollah
Mousavi
Professor of Pediatric surgery, Infectious Diseases Research Center with focus on Nosocomial Infection, Mazandaran University of Medical Sciences, Sari, Iran.
dr.a.mosavi@gmail.com
Somayyeh
Sheidaie
Department of Pathology, Student of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
s.sheidaie2015@yahoo.com
10.22038/ijp.2017.27646.2389
The appendix is one of the most common sites for carcinoid tumors. Most carcinoids are found in appendices removed incidentally at laparotomy for conditions unrelated to acute appendicitis. We describe the case of a 13-year-old female who presented with abdominal pain in the right lower quadrant (RLQ), with nausea and decreased appetite for the previous 2 days. A physical examination favoreda diagnosis of acute appendicitis. A carcinoid tumor was diagnosed based on the histological examination of the removed appendix. The patient underwent an isolated appendectomy due to the small size of the lesion.
Carcinoid tumor,case report,Children
https://ijp.mums.ac.ir/article_9885.html
https://ijp.mums.ac.ir/article_9885_05c9820c54047226b7378f3e4194f766.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Postoperative Intussusception in Children after Nissen Fundoplication: A Case Report
6897
6898
EN
Manel
Wali
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
mannelwali@gmail.com
Hamdi
Louati
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
drhamdilouati85@yahoo.com
Mohamed Ali
Zghal
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
dalyzghal@yahoo.fr
Bayen
Maalej
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
bayenmaalej@yahoo.com
Hamdi
Abid
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
hamdiabiid@gmail.com
Lamia
Gargouri
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
gargourilamiaa@yahoo.com
Abdelmajid
Mahfoudh
Department of Pediatric Emergency and Reanimation, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
abdelmajiddmahfoudh@yahoo.fr
10.22038/ijp.2017.28013.2425
Postoperative intussusception is a rare complication after various kinds of operations, the incidence of POI is 0.01–0.25 % of children following laparotomy. We reported and analyzed a case of a patient who developed postoperative intussusception following laparotomy for Nissen fundoplication.<br />Postoperative intussusception differs from the other cases of invagination with respect to the pathogenesis, clinical presentation, localization, and therapeutic approach. Diagnosis must be suspected in patient who had occlusion symptoms after abdominal surgery and ultrasound was highly accurate in diagnosing postoperative intussusception in children.
Children,Nissen,Postoperative intussusception
https://ijp.mums.ac.ir/article_9852.html
https://ijp.mums.ac.ir/article_9852_62378b96015dd99d706ec2305f697f57.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Autosomal Recessive Hypohidrotic Ectodermal Dysplasia Caused by a Novel Mutation in EDAR Gene
6899
6902
EN
Nader
Ebadi
Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
nader.ebadi@sbmu.ac.ir
Sepehr
Javadi
Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
s.javadi@sbmu.ac.ir
TayyebAli
Salmani
Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
ta.salmani@sbmu.ac.ir
Mohammad
Miryounesi
Genomic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
miryounesi@gmail.com
Vahid Reza
Yassaee
Genomic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
v.yassaee-grc@sbmu.ac.ir
Soudeh
Ghafouri-Fard
Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
s.ghafourifard@sbmu.ac.ir
10.22038/ijp.2017.28529.2480
Backgrounds: Hypohidrotic ectodermal dysplasia (HED) is a rare genetic disorder, distinguished by hypotrichosis, hypohidrosis, and hypodontia. HDE can be inherited in X-linked recessive manner as a result of mutations in the ectodysplasin A (EDA) gene as well as autosomal dominant and autosomal recessive manners both of them caused by mutations in EDA receptor (EDAR) and EDAR-associated death domain (EDARADD) genes.<br />Findings: In this report, we investigated a consanguineous Iranian family with autosomal recessive form of HED. A homozygous missense mutation was detected in exon 1 of EDAR gene in the proband (c.278C>G) resulting in p.C93S that alters the sequence of the EDAR protein. <br />Conclusions: We facilitated the effective genetic counseling and prenatal diagnosis in this family through detection of the disease causing mutation.
Ectodermal dysplasia,EDAR,Mutation
https://ijp.mums.ac.ir/article_9991.html
https://ijp.mums.ac.ir/article_9991_f075c55520f922e997863f06d2cdf56e.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Diagnostic Value of Hematologic and Inflammatory Profile in Adjunction to Blood Culture in Patients Suspected to Septicemia
6903
6910
EN
Mohsen
Talebi Zadeh
School of Medicine, Qom University of Medical Sciences, Qom, Iran.
Shervin
Rashidi Nia
School of Medicine, Qom University of Medical Sciences, Qom, Iran.
sh.rashidinia@gmail.com
Sara
Shahmoradi
Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
sr.shahmoradi@gmail.com
Seyedamir
Sanatkar
Department of Pediatrics Diseases, Arak University of Medical Sciences, Arak, Iran.
hosssein.heidarii@gmail.com
Seyyed Shahin
Eftekhari
Student Research Committee, Qom University of Medical Sciences, Qom, Iran.
s.shahin.eftekhari@gmail.com
10.22038/ijp.2017.23837.2015
<strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Background</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Septicemia is a serious condition in pediatric population which highly depends on immediate diagnosis and treatment in terms of mortality and morbidity rate. Developing adjunctive laboratory tests to help clinicians make appropriate decision is of great priority. In this study we aimed to evaluate the predictive value of each biomarker to find the most valuable one based of which a reasonable empiric therapy would be initiated prior to definite diagnosis by blood culture.</span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Materials and Methods</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Hospital records of Patients who referred to the Hazrat-Masumeh hospital of Qom province were reviewed between March 2013 and March 2017. Diagnostic tests including blood culture and hematologic indices (WBC, ANC, ABC and Platelets) as well as inflammatory biomarkers (ESR, CRP) were measured for all participants. Patients over 6 year-old and those received antibiotic within a week prior to admission were excluded from the study. </span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Results</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Total number of 378 patients was enrolled in this retrospective study, of which 200 (52.91%) were boys. Positive blood culture was achieved in 171 (45.23%) patients. Significant increase observed in ANC, ABC, Platelets, ESR and CRP levels among patients with positive blood culture compared with negative blood culture (P-value of 0.0012, <0.0001, <0.0001, 0.03 and 0.018, respectively). However, there was no significant difference in WBC counts between two groups (P-value = 0.1344). The most sensitive hematologic parameter (88.89%) and the most specific parameter in our evaluations was CRP (92.27%). </span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Conclusion</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Measuring the ANC, ABC, Platelet, ESR, CRP levels as initial evaluation in adjunction to confirmative blood culture is reasonable approach with acceptable diagnostic value for patients suspected to septicemia. </span></span>
Blood culture,C-reactive protein,Erythrocyte sedimentation,Septicemia
https://ijp.mums.ac.ir/article_8775.html
https://ijp.mums.ac.ir/article_8775_8eaca5a8bf908f8e4adaf040186ba886.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Seroprevalence of Hepatitis B and C Virus Infection in Children with Chronic Kidney Diseases; A Historical Cohort Study
6911
6917
EN
Neamatollah
Ataei
0000-0001-9682-4394
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Department of Pediatric Nephrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
ataei_nm@yahoo.com
Mostafa
Hosseini
0000-0001-7932-0047
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
mhossein110@yahoo.com
Mahmoud
Yousefifard
0000-0001-5181-4985
Physiology Research Center and Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
yousefifard.m@iums.ac.ir
Alireza
Oraii
Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
alirezaoraii@gmail.com
Fatemeh
Ataei
Department of Nuclear Medicine, Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
ataei_f@yahoo.com
Arash
Abbasi
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Department of Pediatric Nephrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
arashabbasi875@gmail.com
Neda
Raeessi
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Department of Pediatric Nephrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
raeissi.n@tums.ac.ir
Mastaneh
Moghtaderi
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Department of Pediatric Nephrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
mmoghtaderi@tums.ac.ir
Behnaz
Bazargani
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran AND Department of Pediatric Nephrology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
behnazbazargani1@gmail.com
10.22038/ijp.2017.27761.2405
Background: The prevalence of hepatitis B and C in Iranian children with chronic kidney disease is limited. Therefore, the present study intends to assess the prevalence of hepatitis B and C in children with chronic kidney disease (CKD).<br />Method: The present study is a historical cohort study which was conducted in a window period of 25 years in Children’s Medical Center in Tehran, 1991-2016. Data (age, gender, duration of hemodialysis, kidney transplant, and severity of CKD) were extracted from hospital profiles of admitted patients. Infection with hepatitis B or C viruses was considered as primary outcome. At the end, results were reported as odds ratio (OR) with a confidence interval of 95 per cent (95% CI).<br />Results: Three hundred and fifty five children (50.1% boys, mean age of 54.5±89.0 months) were assessed. Hepatitis B and hepatitis C were detected in 9 (2.5%) and 5 (1.4%) children, respectively. Ten children had either hepatitis B or C infection with a prevalence of 2.8% (95% confidence interval: 1.4% to 5.1%). Multivariable analyses showed that association between the need for hemodialysis (OR=13.52; p=0.083) and severity of chronic kidney disease (OR=0.28; p=0.072) with incidence of hepatitis infection was borderline. However, risk of hepatitis B or C infection was 5.9-fold greater in girls compared to boys (OR=5.94; p=0.047).<br />Conclusion: The present study showed that the prevalence of hepatitis B and C were 2.5% and 1.4%, in children with chronic kidney disease, respectively. The prevalence of mentioned infections was significantly higher in girls compared to boys.
Child,Hepatitis B,Hepatitis C,Kidney Diseases,Prevalence,Risk factors
https://ijp.mums.ac.ir/article_9904.html
https://ijp.mums.ac.ir/article_9904_8e81d260bff7bf23a7dac680b751f7f1.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Persian version of Family Crisis Oriented Personal Evaluation Scales: Psychometric Properties
6919
6930
EN
Parkhide
Hassani
Associate Professor, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
p_hasani@sbmu.ac.ir
Parvin
Abbasi
Students Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Faculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
p_abasi2003@yahoo.com
Mansoureh
Zagheri Tafreshi
PhD Associate Professor, Nursing Management Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
m.z.tafreshi@sbmu.ac.ir
Farid
Zayeri
Proteomics Research Center and Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
fzayeri@yahoo.com
Arash
Ziapour
orcid.org/0000-0001-
Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran.
arashziapoor@gmail.com
10.22038/ijp.2017.27746.2402
<strong><em><span style="font-family: Times New Roman;">Background</span></em></strong><br /><span style="font-family: Times New Roman;">Family coping is an active process in which the family and each member of it use the available resources to decrease or control the demand. Using effective coping strategy, a family can react to stresses and adapt better to its situation. The purpose of this study was to examine psychometric properties of a Persian version of Family Crisis Oriented Personal Evaluation Scales (F-COPES) in a population of Iranian mothers with cerebral palsy children. </span><br /><strong><em><span style="font-family: Times New Roman;">Materials and Methods</span></em></strong><br /><span style="font-family: Times New Roman;">F-COPES was translated into Persian following Wild et al.’s model, face and content validities of the translated version were determined by 12 faculty board members in different nursing fields, psychology, and tool development. Afterward, to fill out the scale, 208 mothers with cerebral palsy children who had referred to Kermanshah based rehabilitation centers were selected through convenient sampling. Construct validity of the tool was determined by using confirmatory factor analysis. To examine internal consistency, Cronbach’s alpha and to examine reliability, intraclass correlation coefficient (ICC) (15 participants with 2 weeks interval) was used. The collected data was analyzed in SPSS (version 16.0) and EQS6.1. </span><br /><span style="font-family: Times New Roman;"><strong><em>Results: </em></strong>Confirmatory factor analysis supported validity of the whole tool and its five subscales. Cronbach’s alpha of the whole tool was obtained alpha=0.84 and the alpha of the five subscales ranged from 0.76 to 0.94. In addition, ICC was obtained equal with 0.89.</span><br /><span style="font-family: Times New Roman;"><strong><em>Conclusion: </em></strong>The Persian version of F-COPES was featured with acceptable psychometric properties so that it can be used to survey family coping in Iranian mothers with cerebral palsy child.</span>
Cerebral palsy,Family coping,mothers,Psychometric Properties
https://ijp.mums.ac.ir/article_9685.html
https://ijp.mums.ac.ir/article_9685_5854450543349d756f22b71decfff65d.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
The Investigation of Factors Related to Total Body Surface Area and Burn Degree in under 5-year-old Children of Kermanshah, Iran: Using Ordinal Regression
6931
6944
EN
Behzad
Karami Matin
Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
bkm_1344@kums.ac.ir
Reza
Karami Matin
Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
rkm1344@gmail.com
Abbas
Aghaei
Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
aqaei.a@gmail.com
Zahra
Shaahmadi
Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
zahra.shaahmadi@gmail.com
Bahare
Lotfi
Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
baharelotfi90@gmail.com
Farid
Najafi
Department of Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
farid_n32@yahoo.com
Mehdi
Khezeli
Department of Health Education and Promotion, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sohaila
Kazazi
Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
kazazi1368@gmail.com
Touraj
Ahmadi jouybari
Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
dr.ahmadi_jouybari@yahoo.com
10.22038/ijp.2017.28180.2436
Objective: The prevalence of burn in children is more than other age groups. This study aimed to "investigate the factors associated with the burn degree and total body surface area (TBSA) in under five-year-old children of Kermanshah ".<br />Methods: We studied under five-year-old children hospitalized in the burn center of Imam Khomeini hospital in Kermanshah from September 2014 until March 2016 for 18 months. Required Information extracted by trained staff based on existing data. Researcher-made checklist was used to obtain information. The ordinal regression has been applied to evaluate factors related to TBSA and burn degree in children. <br />Result: In general, 262 children were input of the study so that 226 cases (86.3%) were in under two-year-old group. The majority of cases were boys by 66.8% (175 cases). Hot liquid was the most reported cause of burns by 68.7% of all cases. Most of the burn incidents (43.1%) with high burn degree occurred at 7 am to 2 pm. Girls were exposed to higher burn degrees more than boys. Factors such as being boy (OR=2.83), less than 2 years old age (OR=4.91) significantly increased TBSA. Also, living in rural (OR=5.17) and delay of treatment (OR=41.35) significantly increased burn degree. <br />Conclusion: To reduce the incidence and complications of burns in children, interventions should be considered to change the environmental and individual factors.
Burn degree,Children,Iran,TBSA,Ordinal regression
https://ijp.mums.ac.ir/article_10013.html
https://ijp.mums.ac.ir/article_10013_1c76cc5308bcec82ab995aae0b983f89.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
The Effect of Prenatal Home Visiting for Adolescent Mothers on Maternal and Neonatal Outcomes: A Systematic Review and Meta-Analysis
6945
6962
EN
Taherh
Hadian
hD Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.
th.hadian@yahoo.com
Mojgan
Mirghafourvand
0000-0001-8360-4309
Associate Professor, Social determinants of Health Research Center, Tabriz University of Medical sciences, Tabriz, Iran.
mirghafourvand@gmail.com
Sakineh
Mohammad-Alizadeh Charandabi
Associate Professor, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.
alizades@tbzmed.ac.ir
Solmaz
Ghanbari
0000-0001-5105-9828
PhD Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.
narvan_s10@yahoo.com
Jila
Nahaeii
PhD Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.
jnahaee@yahoo.com
Shahla
Meedya
PhD, Lecturer, Member of South Asia Infant Feeding Research Network (SAIFRN), School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Australia.
smeedya@uow.edu.au
10.22038/ijp.2017.27340.2355
Background: Adolescence pregnancy is high risk both for mother and child. This systematic review aimed to determine the effect of home visiting on maternal and neonatal outcomes in adolescent mothers.<br />Materials and Methods: This systematic review was performed by searching English databases including Cochran library, PubMed, Google scholar, Scopus, web of science, Embase, Ovid and Persian databases including SID, Magiran, and Barakat Knowledge Network System without time limitation. The search terms included "adolescent or teen pregnancy", "adolescent or teen mothers", "home visiting", "home visitation" and "home visit". <br />Results: According to databases search, 967 papers were found that among them 913 papers were not related. Among 54 related papers, 44 abstracts and 10 full texts were studied. At the end, 7 RCT included in this systematic review. The meta-analysis result done on 375 person indicated that mental health in the home visiting group was significantly better than the control group (routine care or cares except considered intervention) (standard mean difference: -0.33; 95%CI: -0.57 to -0.10; p=0.006, I2=0%). Also, meta-analysis done on 185 persons showed that there was no significant difference between two groups in terms of repeat pregnancy (odds ratio: 0.83; 95% CI: 0.33 to 2.03; p=0.67; I2=50%) and repeat birth (odds ratio: 0.90; 95%CI: 0.35 to 2.31; P= 0.820, I2=0%). <br />Conclusion: Results indicates that home visiting can improve mental health but does not have any effect on repeat pregnancy and repeat birth. Clinical trials with accurate methodology by controlling effect of number and duration of home visiting are recommended.
Adolescent,Women,House Calls,pregnancy,Meta-analysis
https://ijp.mums.ac.ir/article_9638.html
https://ijp.mums.ac.ir/article_9638_97a4c33d8a20cada9d9f3881cc787eaf.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Fetus in Fetus in the Sacral Sac: Report of Surgical Management Case
6963
6969
EN
Halim
Berdi Taneh
Faculty Member of Pediatrics Surgery Department , Educational Center of Taleghani, Golestan University of Medical Sciences, Gorgan, Iran.
barditaneh@yahoo.com
Maryam
Chehrehgosha
Faculty Member of Surgical Technology Department, Paramedical School, Golestan University of medical Sciences, Gorgan, Iran.
Ghorban Mohammad
Kochaki
Faculty Member of Surgical Technology Department, Paramedical School, Golestan University of medical Sciences, Gorgan, Iran.
Soheila
Kalantari
Faculty Member of Surgical Technology Department, Paramedical School, Golestan University of medical Sciences, Gorgan, Iran.
maedesharghi@gmail.com
Seyyed Nima
Naleini
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
10.22038/ijp.2017.25826.2201
Background: Fetus-In-Fetu (FIF) is a rare congenital malformation, which consists of a fetus mixed with a distinct tissue that is from the other fetus of twin. FIF is defined as a mass containing a vertebral axis often associated with other organs or limbs around this central axis.<br />Case report: The patient was a two day old girl infant who due to a mass in a sacrum area measuring 8.5 x 12.5 cm with soft consistency containing a normal skin color fluid with blood streaks and hemorrhagic and bruise colored patches since birt, was admitted at the Taleghani children's Pediatric Center of Gorgan. The results of the mother's ultrasound in the fourth month of pregnancy had identified the cyst for the fetus. In the primary results of imaging, the first the diagnosis was type 2 sacrocoxigeal teratoma. However, results of post-birth graphy confirmed the presence of fetal bone structure in the infants's sacrum, so FIF was diagnosed for the infant.<br />Conclusion: In the present study, FIF has been seen in sacrum, which is a very rare case in FIF.
case report,Fetus-in-fetu,Sacrum,Infant
https://ijp.mums.ac.ir/article_9611.html
https://ijp.mums.ac.ir/article_9611_f8aa4ae225cd886b2807c8665fcf6f77.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Rate of Self-Extubation in Pediatric Intensive Care Unit Following Administration of Fentanyl, Midazolam and Midazolam-Fentanyl Combination: A Comparative Study
6971
6976
EN
Sara
Salarian
Pediatric Pathology Research Center, Research Institute for Children Health, Department of Intensive Care, Mofid Children Hospital, ShahidBehehsti University of Medical Sciences, Tehran, Iran.
sarasalarian47@yahoo.com
Bahador
Mirrahimi
Department of Clinical Pharmacy, Faculty of Pharmacy, Shahid Behehsti University of Medical Sciences, Tehran, Iran.
bmirrahimi17@yahoo.com
Bahador
Bagheri
Cancer research center, Semnan University of Medical Sciences, Semnan, Iran AND Heart and Lung Research Center, Department of Pharmacology, Semnan University of Medical Sciences, Semnan, Iran.
bahadordvm@yahoo.com
10.22038/ijp.2017.27190.2338
<strong><em>Background</em></strong><br />Self-extubation is a problem in pediatric intensive care unit (PICU) and can be harmful for children. Level of sedation is a determining factor for self-extubation. The aim of this study was to compare thr rate of self-extubation and duration of ventilation following different sedative modalities.<br /><strong><em>Materials and Methods</em></strong><br />This prospective and randomized study was done in Mofid Children Hospital, Tehran, Iran from October 2015 to September 2016. One hundred and fifty seven children from 1 month to 15 years of age with normal consciousness level requiring mechanical ventilation were included.The rate of self-extubation, and duration of ventilation were compared among 3 groups; Midazolam group (n= 50) 0.1 mg/kg/hr, Fentanyl group (n= 50) 2 mcg/kg/hr., and Midazolam-Fentanyl group (n= 57); midazolam 0.05 mg/kg/hr and fentanyl 1 mcg/kg/hr. All administrations were IV. Optimal level of sedation was 2-3 using Ramsay score. <br /><strong><em>Results: </em></strong>One hundred and fifty seven children were studied. The mean age of patients was 4.5 ± 1.5 years with an excess of boys (57.9% vs. 42.1%). Rate of self-extubation was lower in Midazolam-Fentanyl group; the difference was significant among 3 groups (p < 0.01). There was a significant difference in duration of ventilation in Midazolam- Fentanyl group compared the other groups (Midazolam group and Fentanyl group) (p < 0.001).<br /><strong><em>Conclusion</em></strong><br />This study showed that combination therapy with Fentanyl + Midazolam was associated with lower rate of self-extubation and shorter duration of ventilation. In addition, this combination therapy seems safe.
Children,Fentanyl,Midazolam,Sedation,Self-extubation
https://ijp.mums.ac.ir/article_9553.html
https://ijp.mums.ac.ir/article_9553_83c30355c458d6a06d239862c8098f23.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Ecballium Elaterium Poisoning in Pediatric Emergency Service: A Case Report
6977
6980
EN
Sinem
Sarı Gökay
0000000214678619
Çukurova University, School of Medicine, Department of Pediatric Emergency, Adana, Turkey.
sinemsr@yahoo.com
Özlem
Tolu Kendir
Çukurova University, School of Medicine, Department of Pediatric Emergency, Adana, Turkey.
otolu2@yahoo.com
Hayri Levent
Yılmaz
Çukurova University, School of Medicine, Department of Pediatric Emergency, Adana, Turkey.
hl@superonline.com
10.22038/ijp.2017.26634.2292
<strong><em>Background</em></strong><br /><em>Ecballium elaterium</em> is the only species belonging to the genus Ecballium of Cucurbitaceae family. It is native to the Mediterranean region. Despite its side effects, <em>E. elaterium </em>has still been being used as an alternative treatment agent for sinusitis, cirrhosis, rheumatic diseases and hemorrhoids for its anti-inflammatory and cathartic actions. Herein we discuss a pediatric case showing gastrointestinal side effects after ingesting <em>E. elaterium.</em><br /><strong><em>Case Report</em></strong><em>:</em> A six-year-old boy admitted to Çukurova University Medical Faculty Pediatric Emergency Department, Turkey, for vomiting one hour after ingesting a green plant which he had tasted to satisfy his curiosity. Physical examination, vital signs and laboratory tests revealed normal. The ingested plant was defined to be <em>E. elaterium</em>. Maintenance fluid infusion, 1 mg/kg ranitidine and sucralfate medications were commenced. During the follow-up, the patient developed numbness of the tongue and hyper-salivation, without any signs of uvular edema or other system findings. Further follow-up showed stable vital signs within the normal range with no additional complications. The patient was sent home with the cure and recommendations.<br /><strong><em>Discussion: </em></strong>The plants and herbs that are used as agents of alternative or complementary medicine may as well be accidentally or curiously taken by children leading to unwanted intoxication cases. Pre-encounter actions to prevent such cases are as important as any post-exposure clinical interventions to impede the unwanted consequences. One such measure might be a more intensive public information policy underscoring the fact that plants have the potential to be noxious and may cause serious side effects and even death.
case report,Children,Plant,Poisoning
https://ijp.mums.ac.ir/article_9927.html
https://ijp.mums.ac.ir/article_9927_13f7a0d183dad67b306af15d4e72328d.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Ossified Sacrotuberous Ligament and its Clinical Significance: A Case Report
6981
6985
EN
Yuvaraj
Maria Francis
Instructor, PhD Candidate, Saveetha Medical College and Hospital, Kuthambakkam, India.
sujinalways@gmail.com
Priyadarshini
Anna Durai
Instructor, PhD Candidate, Saveetha Medical College and Hospital, Kuthambakkam, India.
ghavishvedaanth@gmail.com
Sanjana
Rajkumar
Saveetha College of Physiotherapy, Kuthambakkam, India.
sanjana.vaishnav12@gmail.com
Sankaran
PonuswamyKasiragan
Associate Professor Saveetha Medical College and Hospital, Kuthambakkam, India.
drpks@live.com
Gunapriya
Raghunath
Professor Saveetha Medical College and Hospital, Kuthambakkam, India.
gunapriyar@yahoo.com
Kumaresan
Munuswamy
Instructor, PhD Candidate, Saveetha Medical College and Hospital, Kuthambakkam, India.
kumaresan1204@gmail.com
Begum
Zareena
Instructor, PhD Candidate, Saveetha Medical College and Hospital, Kuthambakkam, India.
zareenabegumm@gmail.com
10.22038/ijp.2017.26545.2283
The present study describes the morphometry of a unilateral ossified sacrotuberous ligament. It aims to discuss its Anatomical and clinical implications.The pudendal nerve, internal pudendal artery, nerve to obturator internus and coccygeal branch of inferior gluteal artery, are the important structures related to sacrotuberous ligament. An ossified sacrotuberous ligament may be an important etiological factor in neurovascular compression syndromes and its anatomical knowledge may help in the development of new treatment strategy for this common clinical problem. The ossified sacrotuberous ligament in the present case exhibits, a characteristic anterior and posterior segment, a base at the ischial tuberosity and an apex attached to alae of sacrum. The ossified sacrotuberous ligament may be important in differential diagnosis of soft tissue pain and tenderness after trauma. It may be a challenging puzzle for the present day surgeon and radiologist in interpretation of radiological problems.
Ischial tuberosity,Neurovascular compression,Sacrotuberous ligament,Surgeon
https://ijp.mums.ac.ir/article_9674.html
https://ijp.mums.ac.ir/article_9674_b8a1881a4ab9966ca784bb2ee5de8df7.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
Prevalence of Home Smoking Bans and its Determinants in Families with Infants
6987
6997
EN
Azam
Baheiraei
Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
abaheiraei@gmail.com
Morvarid
Ghasab Shirazi
0000-0002-8337-0706
PhD in Reproductive Health, Guilan University of Medical Sciences, Rasht, Iran.
morvashirazi@yahoo.com
Ziba
Raisi Dehkordi
Department of Midwifery, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran.
ziba758@gmail.com
Abbas
Rahimi Froshani
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
rahimifo@tums.ac.ir
Saharnaz
Nejat
0000-0002-0966-727X
School of Public Health, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
nejatsan@tums.ac.ir
10.22038/ijp.2017.27748.2404
<strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Background</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Exposure to cigarette smoke has numerous health risks for infants and children. Home smoking ban is a simple way to reduce the detrimental impacts of cigarette smoke. This study aimed to determine the prevalence of cigarette smoking bans in homes as well as associated factors in families with infants in Tehran, Iran.</span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Materials and Methods</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">This study was a population-based cross-sectional survey on 1,112 families with infants, selected through stratified-cluster sampling. In this study, a researcher made questionnaire including four parts: sociodemographic characteristics, smoking status, smoking restrictions, and parental awareness and belief, was completed. The multivariable logistic regression was used to investigate the relationship between smoking bans in homes and associated factors.</span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Results</span></span></em></strong><br /><span style="font-family: Times New Roman;"><span style="font-size: 11pt;">Complete smoking ban in homes was 37.3%. In the multivariable logistic regression, cigarette smoking ban in homes was significantly higher for employed mothers (odds ratio [OR] = 3.03, 95% confidence interval</span></span><span style="color: #545454; font-family: 'Arial','sans-serif'; font-size: 11pt; mso-bidi-font-family: 'Times New Roman';"> [</span><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">CI]: 1.2–7.2, P<0.001), for those who did not have any smoker friends or relatives (OR = 2.3, 95% CI: 1.3–4.4, P<0.001), for those smoking a smaller number of cigarettes (OR = 2.7, 95% CI: 1.4–5.3, P=0.003), and for parents who concurred with the impacts of thirdhand cigarette smoke on infant health (OR = 4.7, 95% CI: 1.4–14.9, P<0.001). </span></span><br /><strong><em><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Conclusion</span></span></em></strong><br /><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">This study indicates that complete smoking ban is not established in many households with infants in Iran. Furthermore, it is necessary to perform health interventions for reducing infant exposure to cigarette smoke, while considering the factors associated with smoking ban.</span></span>
Environmental tobacco smoke,Home Smoking Ban,Infant
https://ijp.mums.ac.ir/article_9850.html
https://ijp.mums.ac.ir/article_9850_66accc6a606e3c744641d51c25b36f02.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
A CDH3 Mutation is Segregated in an Iranian Family with Congenital Hypotrichosis and Juvenile Macular Dystrophy
6999
7002
EN
Soudeh
Ghafouri-Fard
Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
s.ghafourifard@sbmu.ac.ir
Majid
Fardaei
Department of Medical Genetics, Shiraz University of Medical Sciences, Shiraz, Iran.
mfardaei@sums.ac.ir
Seyed Mohammad Bagher
Tabei
Department of Medical Genetics, Shiraz University of Medical Sciences, Shiraz, Iran.
tabeismb@sums.ac.ir
Mehdi
Dianatpour
Department of Medical Genetics, Shiraz University of Medical Sciences, Shiraz, Iran.
dianatpour@sums.ac.ir
Mohammad
Miryounesi
Genomic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
miryounesi@razi.tums.ac.ir
10.22038/ijp.2017.27276.2350
<span style="font-family: Times New Roman;"><strong><em>Backgrounds</em></strong></span><br /><span style="font-family: Times New Roman;">Hypotrichosis with juvenile macular dystrophy (HJMD) is a rare genetic disorder caused from mutations in the <em>Cadherin 3 (CDH3)</em> gene. </span><br /><span style="font-family: Times New Roman;"><strong><em>Results</em></strong></span><br /><span style="font-family: Times New Roman;">In the present study, we reported an Iranian family with three affected members born to a consanguineous parent. Mutational analysis using whole exome sequencing has revealed a nucleotide change in <em>CDH3</em> gene (NM_001793:exon8:c.830delG) which leads to a frame-shift mutation (p.G277Afs*20). No intra-familial phenotypic variation was found. </span><br /><span style="font-family: Times New Roman;"><strong><em>Conclusion</em></strong></span><br /><span style="font-family: Times New Roman;">Identification of disease-causing mutation in this family facilitated the effective genetic counseling and prenatal diagnosis.</span>
Cadherin-3,Gene,Mutation
https://ijp.mums.ac.ir/article_9686.html
https://ijp.mums.ac.ir/article_9686_4366b37f036e42acc6579501eb0631f1.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
6
1
2018
01
01
The impact Atopic dermatitis on the life quality of childrens 1-6 year
7003
7011
EN
Mansoureh
Shariati
0000-0002-7869-0828
Department of Immunology and Allergy, Children Medical Center, Tehran University of Medical Sciences, Tehran, Iran
ijp@mums.ac.ir
Rasoul
Nasiri Kalmarzi
0000-0001-6351-2909
Department of Pediatrics of Beast Hospital, Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
rasool_nsr@yahoo.com
Sadegh
Abaei Hasani
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Elham
Goodarzi
Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
elhamgoodarzi.1370@yahoo.com
Jamaluddin
Hasanzadeh
Department of Pediatrics of Beast Hospital, Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
jamal.22@yahoo.com
Pedram
Ataee
Liver and Digestive Research Kurdistan University Of Medical Sceince Sanandaj, Iran.
p.ata@yahoo.com
Farokh
Rad
Associate Proffesor of Dermatology Dept Kurdistan University of Medical Science Sanandaj, Iran.
f.rad@gmail.com
Majid
Mansouri
Department of Pediatrics of Beast Hospital, Cellular and Molecular Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
mmansoor.@yahoo.com
Behzad
Khalafi
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
behzadkhalafi.@yahoo.com
Ghobad
Moradi
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
gh.mm.@yahoo.com
Yasaman
Hosseini
Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.
yhoseini@yahoo.com
Seyedeh Leila
Dehghani
Department of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
beiranvandreza@yahoo.com
Zaher
Khazaei
0000-0001-9265-9192
MSc of Epidemiology, Department of Health and Community Medicine, Faculty of Medicine, Dezful University of Medical Sciences, Dezful, Iran.
zaherkhazaei@yahoo.com
10.22038/ijp.2017.21070.1767
<span style="font-family: Times New Roman;"><strong><em>Background: </em></strong>Eczema or atopic dermatitis (AD) is one of the most prevalent skin diseases in the world. Although, the disorder is not fatal, it can cause life quality reduction. The aim of the current study was to investigate the impact of atopic dermatitis on life quality of 1-6-year-old children. </span><br /><span style="font-family: Times New Roman;"><strong><em>Materials and Methods: </em></strong>The current study is a descriptive and analytical one designed to assess quality of life (QOL) in 1-6-year-old children with atopic dermatitis in Kurdistan province (West of Iran). All the children who attended skin clinic of Besat Hospital, Sanandaj- Iran, during 2014 and 2016, participated in the study. Quality of life questionnaires were used to obtain data. Parents of the participating children were asked to complete the questionnaire. Index of Scoring Atopic Dermatitis (SCORAD) was used to determine the severity of the disease. The study data were analysis using Stata-12 software.</span><br /><span style="font-family: Times New Roman;"><strong><em>Results: </em></strong>During the study, 53 children with atopic dermatitis were identified and 66.04% were male. According to the classification of SCORAD index, 54.36% of the children (19 subjects) were included in the moderate group (SCORAD 14-40) and 63.46% (33 persons) in the severe group (SCORAD> 40). Mean of life quality score was 9.24 ± 10.48 (range 0-30) and there was no statistically significant difference between the genders (P >0.05). </span><br /><span style="font-family: Times New Roman;"><strong><em>Conclusion: </em></strong>There was a positive correlation between the quality of life and pain severity in AD children; and children with atopic dermatitis had low quality of life and itching, wound, discomfort and sleep disorder, were the factors that mainly impact on their life quality. </span>
Atopic dermatitis,Children,Pain severity,Quality of life
https://ijp.mums.ac.ir/article_8166.html
https://ijp.mums.ac.ir/article_8166_15613fdc67e7ca72762365e83c990ae7.pdf