Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Personified Orthodontic Treatment of Adults with Malocclusions and Deformations in Dentition Depending on the Degree of Caries Resistance of the Dental Enamel
12143
12150
EN
Ippolitov Yuri
Alekseecich
00000001-9922-137x
DSc, Professor, head of the Department of pediatric dentistry with Orthodontics of the Federal State Budgetary Educational Institution of Higher Education «Voronezh State Medical University. N. N. Burdenko» of the Ministry of Health of the Russian Federation, Voronezh, Russian Federation.
dsvgma@mail.ru
Bondareva Ekaterina
Nikolaevna
0000-0002-2281-4510
Graduate Student of the Department of Pediatric Dentistry with Orthodontics, Orthodontist of Budgetary Institution of Health Care of the Voronezh region "Voronezh children's dental clinic №2" Russian Federation.
bondarekate@ya.ru
Tatarintsev Michail
Michailovich
PhD, Associate Professor of pediatric dentistry with orthodontics of the Federal State Budgetary Educational Institution of Higher Education «Voronezh State Medical University. N. N. Burdenko» of the Ministry of Health of the Russian Federation, Voronezh, Russian Federation.
saeidim911@mums.ac.ir
Makhmudi Abbas
Alireza
0000-0003-2474-0727
Graduate Student of the Department of Pediatric Dentistry with Orthodontics, Orthodontist of Budgetary Institution of Health Care of The Voronezh Region "Voronezh children's dental clinic №2" Russian Federation.
dr.makhmudi@mail.ru
Lesnikov Roman
Vladimirovich
PhD, Chief Medical Officer of Voronezh Children's Dental Clinic №2, Voronezh, Russian Federation.
10.22038/ijp.2020.49505.3961
<strong><em>Background: </em></strong>To increase the effectiveness of orthodontic treatment in children with various degrees of dental enamel caries resistance using a personified orthodontic treatment.<br /> <strong><em>Materials and Methods: </em></strong>The present study included 108 adults (6-16 years old) with the first class of occlusion who referred for the Department of Pediatric Dentistry with orthodontics in Voronezh pediatrics’ dental clinic №2" Russian Federation. According to the study design, it can be characterized as open, prospective, and clinical. The electrometric diagnostics of dental enamel and electromyography of the masseter and temporalis were recorded.<br /> <strong><em>Results: </em></strong>Functional therapy with the proposed personified orthodontic treatment normalized the mean number of biopotential masseters and temporalis muscles and improved caries resistance of hard dental tissues. However, the examination on the group of children with a low degree caries resistance of dental enamel resulted in the decrease in the mean number of electrometric diagnostics from 4.0 (3.6; 6.0) μA-1.6 (1.5; 3.37) μA (differences are statistically significant, p˂0.05) after 18 months of replacement therapy. In turn, the mean number of bioelectric activity of masseter and temporalis muscles changed from 324.25 (303.75; 345.75) μV-332.5 (318.75; 347.25) μV, p˂0.05.<br /> <strong><em>Conclusion: </em></strong>Employing the personified orthodontic treatment depending on the degree of caries resistance of the tooth enamel, determination of the functional state of the masseter and temporalis, and electrometric diagnosis of dental hard tissues enhanced the effectiveness of orthodontic treatment.
Electromyography,Teeth,Transformable treatment,Mouthguard,Remineralization
https://ijp.mums.ac.ir/article_16286.html
https://ijp.mums.ac.ir/article_16286_7e7d4a560f883de9e689cff91cf8f9aa.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Effect of LI14 Acupressure on Children Undergoing Painful Procedures and Infants’ Apgar score: An Overview
12151
12156
EN
Benyamin
Seyfari
0000-0003-4437-9465
Department of Surgery, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
benyaminseyfari1369@yahoo.com
Ziba
Mohsenpour
Kowsar Hospital, Department of Gynecology and Obstetrics, Shiraz University of Medical Sciences, Shiraz, Iran.
Somayeh
Moeindarbary
0000-0003-2421-2203
Assistant professor, Department of Obstetrics and Gynecology, Neonatal and Maternal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
moeins@mums.ac.ir
Rahele
Rahimi
0000-0001-6080-5642
Fellowship of Pediatric Intensive Care, Department of Pediatrics, Faculty of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran.
Amirreza
Dehghan Tarazjani
0000-0002-1238-4107
General Physician, Mashhad University of Medical Sciences Mashhad, Iran.
Mohammad Reza
Hadipanah
Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Fatemeh
Hesari
orcid.org/0000-0002-8770-9631
Medical Science Branch, Islamic Azad University, Qeshm, Iran AND Student Research Committee, Faculty of Medicine, Islamic Azad University of Qeshm, Iran.
mahya.hesarii@gmail.com
Fahimeh
Khorasani
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
10.22038/ijp.2020.50366.4008
<strong><em><span>Background: </span></em></strong><span>Non-pharmacological methods of pain relief are widely used in some societies/places today. They are readily available, inexpensive and uncomplicated methods that have an acceptable efficacy. Acupressure is one of these methods which is a branch of acupuncture. The aim of this study is to assess the effect of LI14 acupressure on children and infants undergoingpainful procedures and infants’ Apgar score.</span><br /> <strong><em><span>Materials and Methods: </span></em></strong><span>In this overview, the research was conducted by screening the relevant articles evaluating the effect of LI14 acupressure on children undergoingpainful procedures and the application of LI14 acupressure during labor on infants’ Apgar score. The electronic databases included Scopus, EMBASE, Cochrane, Web of Science, and Medline with no language or time restrictions (until March 10, 2020). </span><br /> <strong><em><span>Results: </span></em></strong><span>LI14 acupressure is safe and effective in improving pain in children undergoing tonsillectomy<span>,</span> insertion of cannula, immunization, and IV insertion in pediatric patients with thalassemia. However, LI14 acupressure changed Apgar scores at one and five minutes.<span> </span></span><br /> <strong><em><span>Conclusion: </span></em></strong><span>LI14 acupressure is a safe and effective method in improving pain relief in children undergoing painful procedures. According to the results, the use of He Gu point acupressure can be suggested as a non-pharmacological method to relieve pain in children.</span>
Acupressure,Apgar score,LI14,Children,Pain
https://ijp.mums.ac.ir/article_16148.html
https://ijp.mums.ac.ir/article_16148_4374b34e2fef0ab61a38a64a0f58f9fb.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
A Single-center Randomized Clinical Trial Comparing the Treatment Efficacy of High Dose Oral Prednisolone with Intramuscular Adrenocorticotropic Hormone in Patients with Infantile Spasm
12157
12163
EN
Shima
Imannezhad
0000-0002-5537-2763
Department of Pediatric Neurology, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran
imannezhadsh@mums.ac.ir
Javad
Akhondian
0000-0002-8469-3523
Department of Pediatric Neurology, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran
akhondianj@mums.ac.ir
Farah
Ashrafzadeh
0000-0002-8345-5646
Department of Pediatric Neurology, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran
ashrafzadehf@mums.ac.ir
Mehran
Beiraghi Toosi
0000-0002-0569-1117
Department of Pediatric Neurology, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran
beiraghitm1@gmail.com
Narges
Hashemi
0000-0002-1767-7873
Department of Pediatric Neurology, Faculity of Medicine, Mashhad University of Medical Siences, Mashhad, Iran
hashemin@mums.ac.ir
Maryam
Emadzadeh
Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
maryamemadzadeh@yahoo.com
Mohammad Reza
Akhondian
Mashad University of Medical Sciences, Mashhad, Iran.
Background<br /> Infantile spasm is a rare condition in infants from 4 to 7 months old. Treatment varies in different cases. Corticosteroids and adrenocorticotropic hormone (ACTH) are the most widely used treatment options; however, there are debates on their efficacy. The aim of our study is to compare corticosteroid treatment with ACTH in patients with infantile spasm. <br /> Materials and Methods: In a randomized clinical trial, 51 patients with infantile spasm were enrolled in the study and distributed into two groups, including the corticosteroid (twenty-six patients), and ACTH (twenty-five patients) groups. The patients in the corticosteroid group received a dose of 8 mg/kg/day (max: 60 mg) of prednisolone in three divided doses for three weeks, and the dose was later tapered in responders. Non-responders after two weeks received 2-3 U/kg/day of ACTH (max: 100 U) for five days. The outcome was assessed using EEG and clinical remission of the disease. The comparison of the two groups was made using SPSS software version 20.0. <br /> Results: Twenty-six patients were treated with prednisolone and 25 patients with ACTH. There was no significant difference in gender, age, age of seizure onset, and growth abnormalities. At the end of the study, 13 patients in the prednisolone group and 17 patients in the ACTH group had normal EEG rhythm with no significant difference (p=0.33). As to clinical response, 18 patients in the prednisolone group (69.2%), and 19 in the ACTH group (76%) responded to treatment with no significant difference regarding the treatment outcome (p=0.58).<br /> Conclusion<br /> There was no considerable difference regarding treatment of infantile spasm with high dose prednisolone or ACTH in in this study.
Adrenocorticotropic hormone,epileptic spasm,infantile spasm,Prednisolone
https://ijp.mums.ac.ir/article_15673.html
https://ijp.mums.ac.ir/article_15673_f4de2cc37dda5b46db351c3cbe944a4b.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Effects of Addiction on Children and Women: A Qualitative Study
12165
12176
EN
Hamideh
Mancheri
0000-0001-6250-5299
Ph.D. Nursing Student, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran .
hamideh.mancheri@yahoo.com
Mousa
Alavi
Associate professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
mousa_alavi@yahoo.com
Zahra
Sabzi
0000-0001-8320-9528
Assistant Professor, Faculty of Nursing & Midwifery, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
zsgorgan@yahoo.com
Jahangir
Maghsoudi
0000-0001-5129-9258
Assistant professor, psychiatric and Mental health Nursing Department, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
maghsoudi@nm.mui.ac.ir
10.22038/ijp.2019.45214.3718
<strong><em>Background</em></strong><br /> Substance abuse is regarded as a principle issue in the world which causes numerous devastating challenges for family members of the abuser. This study explores how family head addiction affects women’s and children’s lives.<br /> <strong><em>Materials and Methods: </em></strong>This is a qualitative content analysis study that was conducted in 2018 in Gorgan city, Iran. Using a qualitative study design and purposive sampling, 36 participants (11 children including 5 boys and 6 girls who had substance-dependent fathers, 15 women whose husbands were involved in substance abuse, 10 service and healthcare providers) were subjected to a semi structured, in-depth individual interview. A conventional content analysis approach using the Granheim method was employed to analyze the data.<br /> <strong><em>Results: </em></strong>Results are divided into four main categories: 1) Psychological and physical disadvantages included three subcategories of family psychological breakdown, Family deprivation in terms of emotional, physical health concern, 2) Social isolators consisted of three subcategories of disadvantaged social status, family violating norms, and addiction as a family phenomenon, 3) Disrupted family included three subcategories of decline in sex, Rule of doubt in the family and marital conflicts, and 4) Economic constraint consisted of the family deprivation financially and addiction in contrast to welfare.<br /> <strong><em>Conclusion</em></strong><br /> Given that children and women in these families have problems in various aspects, our results emphasize the importance of comprehensive interventions by therapists, healthcare providers, to maximize behavioral adaptation in children and women that live with family head substance abuser.
Addiction,Children - Substance abuse,Qualitative study,Women
https://ijp.mums.ac.ir/article_14404.html
https://ijp.mums.ac.ir/article_14404_7ec6b3e8c47b80de1e2269003fffa0a1.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Prevalence of Clinical Symptoms in Children and Adolescents with Covid-19: A Systematic Review and Meta-Analysis Study
12177
12188
EN
Ali
Gholami
0000-0003-3133-6802
Assistant Professor of Vascular Surgery, Ilam University of Medical Science, Ilam, Iran.
gholamiali57@yahoo.com
Rohollah
Hemati
Infectious Diseases Department, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
rohollah_hemati@yahoo.com
Ali
Khorshidi
0000-0002-7685-0410
Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, kermanshah, Iran.
ali_482002@yahoo.com
Milad
Borji
0000-0002-8124-9398
Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, kermanshah, Iran.
borji_milad@yahoo.com
Mohammadreza
Kafashian
0000-0001-5340-690X
Department of Nursing, Faculty of Nursing and Midwifery, Kermanshah University of Medical Science, kermanshah, Iran.
m_r_kaffashian@yahoo.com
Gholamreza
Kalvandi
0000-0002-8709-5334
Associate Professor of Pediatrics Gastroenterology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
pezeshk1351@yahoo.com
Asma
Tarjoman
0000-0002-5191-916X
Student Research committee, kermanshah University of Medical Sciences, kermanshah, IR Iran.
asmatarjoman@yahoo.com
Somayeh
Mahdikhani
0000-0002-2212-5432
Università degli Studi "La Sapienza" di Roma, Public Health and Infectious Diseases, Undergraduate, Italy.
smahdikhani@yahoo.it
Mehdi
Shokri
0000-0002-2096-1154
Assistant Professor of Pediatrics, Department of Pediatrics, Ilam University of Medical sciences, Ilam, Iran.
mehdishokri557@gmail.com
10.22038/ijp.2020.48934.3925
<sup><span style="font-size: medium;"><strong><em><span>Background</span></em></strong></span></sup><br /> <sup><span><span style="font-size: medium;">In 2019, an unknown disease called coronavirus disease 2019 (COVID-19) began to spread in China. The disease is now widespread in almost all countries and has endangered the lives of many people. For this reason, a systematic review and meta-analysis were conducted with the aim of assessing the clinical characteristics of the disease in children and adolescents with COVID-19.</span></span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Materials and Methods</em></strong>: This systematic review and meta-analysis have been conducted by reviewing most of the epidemiologic studies on the worldwide prevalence of COVID-19 in children and adolescents. The following international databases were used: EMBASE, Scopus, Web of Science, PubMed/Medline, Science Direct, and the Google Scholar Search Engine. The keywords used for searching included "child", "pediatric", "adolescents", "COVID-19", "Coronavirus", and "diagnosis”. The data were analyzed using STATA statistic software version 11.0.</span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Results</em></strong><strong>: </strong>The total number of patients was 2579, of which 1467 (56.9%) were male and 1110 (43.1) were female.All patients were in their childhood and adolescence years. At the beginning of the research, 1356 studies were reviewed, of which 987 entered the next reviewing stage. Finally, 14 studies were selected for the systematic review and meta-analysis. The prevalence of fever in children and adolescents was 55.0% (95% CI 0.55 [0.40, 0.70]), of cough 41.0% (95% CI 0.41 [0.27, 0.56]), of nasal discharge 9.0% (95% CI 0.09 [0.05, 0.12]), and of diarrhea 5.0% (95% CI 0.05 [0.02, 0.08]).</span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Conclusion</em></strong></span></sup><br /> <sup><span style="font-size: medium;">The results of this study can be a guide for pediatricians and specialists in the field of infectious diseases to identify the clinical signs of COVID-19 in children and adolescents.</span></sup>
Adolescents,Children,clinical findings,COVID-19,Diagnostic Findings
https://ijp.mums.ac.ir/article_15770.html
https://ijp.mums.ac.ir/article_15770_e527b3ef21f47e8f94452a9b41f95ded.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The effect of Aromatherapy on Pain, Itching, State Anxiety Levels and Respiratory Distress in Children with Burns: A Systematic Review
11189
11196
EN
Farzaneh
Barkhordari Ahmadi
0000-0003-0836-6712
Department of Anesthesia, Faculty of Para-medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Majid
Sezavar
0000-0001-7109-046X
Assistant Professor of Pediatric Intensive Care, Department of Pediatrics, Faculty of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran.
sezavardm@mums.ac.ir
Iman
Kashani
0000-0002-5728-6973
Fellowship of Pediatric Anesthesia, Department of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran.
imankashani@gmail.com
Sara
Ghahremani
0000-0002-7343-0429
Assistant Professor of Pediatrics, Department of Pediatrics, Faculty of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran.
Shahrzad
Sheikh
Fellowship of Pediatrics Anesthesiology, Department of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran.
Hossein
Joghatayee
Department of Pediatrics, Mashhad university of Medical Sciences, Mashhad, Iran.
Zahra
Ramazanian Bafghi
https://orcid.org/0000-0002-0815-9484
Students Research Committee, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
ramazanianzahra@gmail.com
Roozbeh
Nasibeh
Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Farzaneh
Fazeli
0002-4841-2325
Fellowship of Intensive Care Medicine, Department of Anesthesiology, Mashhad University of Medical Sciences, Mashhad, Iran.
fazelif971@mums.ac.ir
Fatemeh
Vafi sani
Master of Operating Room, Department of Operative Room and Anesthetics, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.
10.22038/ijp.2019.44997.3707
<sup><span style="font-size: medium;"><strong><em>Background</em></strong>: Search of the literature reveals that there is no published systematic review on the effect of aromatherapy therapy on the pediatric and adolescent burns. For this reason, we conducted a systematic review to inspect the effects of massage therapy on reducing pain, itching, and anxiety levels in children with burns.</span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Materials and Methods</em></strong>: In this systematic review, English databases such as Medline, Scopus, Web of Science, EMBASE and Cochrane Library, no time limitation were conducted from inception until February 2019. </span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Results</em></strong><strong>: </strong>Three studies evaluated the effect of aromatherapy in pediatric burn patients<br /> Results: In the first study, massage therapy with Johnson's Baby Bedtime Oil decreased significantly all the pain, itching, and anxiety level of adolescents in a burn unit (p < 0.001). In the second study, 284 children were massaged with aromatherapy in a burns ward, no significant difference were observed in terms of comfort behavior scores (p=0.18), or heart rates (p=0.18) among the groups’ oil. The third study was conducted on 71 pediatric burn patients, aromatherapy significantly decreased the pain, itching, and anxiety level (p <0.001). Heart rate showed a significant decrease from 118 to 109 and respiratory rate decreased significantly from 34 to 30, p </span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Conclusion: </em></strong>Inhalation with essential oils can improve the pain, itching, state anxiety, respiration, the child's falling asleep, and the calmness in the pediatric burn patients. This method of treatment can be beneficial and the findings of these studies should be interpreted with caution due to the high heterogeneity between the studies, the small number of studies and small sample sizes.</span></sup>
Aromatherapy,Anxiety,Burns,Children,Pain
https://ijp.mums.ac.ir/article_14356.html
https://ijp.mums.ac.ir/article_14356_570f1356e60a2a1dde0672a94d020e27.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Effect of Modifying the Sleep Pattern on Reducing the Math Learning Disorder among Elementary School Students
12197
12204
EN
Fatemeh Zahra
Hosseinzadeh Javary
0000-0003-4995-9792
PhD Student of Educational Psychology, Islamic Azad University, Zahedan Branch, Zahedan, Iran.
mahya30n@gmail.com
Hossein
Jenaabadi
Professor of Psychology, University of Sistan and Baluchestan, Zahedan, Iran.
hosseinjenaabadi@gmail.com
Ali
Farnam
0000-0003-2367-0229
Associate Professor, Department of Psychology, University of Sistan and Baluchestan, Zahedan, Iran.
10.22038/ijp.2020.51757.4116
<strong><em>Background</em></strong><br /> The present study aimed to evaluate the effect of sleep pattern modification on reducing the math learning disorder in the sixth-grade elementary school students in the Kerman city, Iran.<br /> <strong><em>Materials and Methods: </em></strong>This study was carried out using a semi-empirical, pre-, and post-survey method. A control group and sample population of 2,950, including all of the girl students studying in the sixth grade of the elementary school in the of Kerman in the 2019-2020 academic year, and 40 people with the highest score in the Sleep Disorder Scale for Children (SDSC), who were willing to cooperate with the researcher, were selected as samples and were randomly put into two groups of 20 individuals. The subjects participated in 45-minute sleep pattern modification sessions one day a week for six weeks, and the control group did not receive any council or treatment during this period. At the end of this period, both groups were evaluated using a post-survey approach. The tools used in this study include SDSC questionnaires and Keymath test. Multivariate Analysis of Covariance (MANCOVA), and Analysis of Covariance (ANCOVA) was used to analyze the theories.<br /> <strong><em>Results: </em></strong>The results of the study showed that sleep pattern modification has a significant effect on math learning, and the modification of sleep pattern effect coefficient on math learning was 0.974. The further results of the study showed that sleep pattern modification significantly affected learning basic concepts, mathematical operations, and applications of mathematics, and the effect of sleep pattern modification on learning basic concepts, mathematical operations, and applications of mathematics was 0.922, 0.904, and 0.935, respectively.<br /> <strong><em>Conclusion</em></strong><br /> According to the results, sleep pattern modification can reduce students’ math learning disorder; therefore, it is suggested to examine, and if needed, modify the sleep pattern of students with a math learning disorder.
Elementary school students,Sleep Pattern,Math Learning
https://ijp.mums.ac.ir/article_16492.html
https://ijp.mums.ac.ir/article_16492_71c9e79f06c9c22d4a39a4de3733df0a.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Clinical and Laboratory Symptoms of Septic Arthritis among Children Hospitalized in Imam Reza Hospital of Mashhad, Iran
12205
12211
EN
Maryam
Khalesi
0000-0002-5675-5619
Assistance Professor of Pediatrics Faculty of Medicine. Mashhad University of Medical Sciences, Mashhad Iran.
khalesim@mums.acir
Alireza
Ghodsi
0000-0002-2020-4639
Student Research Committee, Faculty of Medicine Mashhad University of Medical Sciences, Mashhad Iran.
ghodsia921@mums.ac.ir
Abdol Karim
Hamedi
0000-0002-1564-8972
Professor of Pediatric Infectious Disease, Infection Control Hand & Hygiene Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
hamedia@mums.ac.ir
10.22038/ijp.2020.51071.4054
<br /> <strong><em>Background</em></strong><br /> <br /> Septic arthritis is an acute infection of the joint space and a pediatric emergency. Delay in proper diagnosis and treatment, while prolonging the course of treatment, can have serious complications. The present study aimed to assess the clinical and laboratory profile of septic arthritis among patients hospitalized in the pediatric ward of Imam Reza Hospital of Mashhad, Iran.<br /> <br /> <strong><em>Materials and Methods: </em></strong>This retro-prospective study was conducted on the medical files of children from 2 months to 16 years old hospitalized in Imam Reza Hospital, Mashhad, Iran, from March 2011 to March 2019 due to a diagnosis of septic arthritis. A checklist capturing the age, gender, clinical symptoms, laboratory symptoms, affected joint, and type of treatment was prepared and completed according to the medical files of the patients.<br /> <br /> <strong><em>Results: </em></strong>Out of 173 studied patients, 91 (53%), and 82 (47%) of cases were boys and girls, respectively. The patient was two months to 16 years old. The hip joint was affected more in 78 patients (45%). Among the clinical symptoms, fever was the most common found in 134 cases (77%). Moreover, 11 cases had positive blood culture where staphylococcus aurous with five positive reported cases (45%) was a major observation. Furthermore, four cases were reported to have a positive joint culture. CRP was positive in 94.8% of patients.<br /> <br /> <strong><em>Conclusion</em></strong><br /> <br /> Septic arthritis is one of the pediatric emergencies that should be diagnosed rapidly, and immediate treatment should be started to prevent irreversible complications. The most common symptom of arthritis in infants is restlessness and immobility and limp in children.<br />
Children,pyogenic arthritis,Septic arthritis,suppurate arthritis
https://ijp.mums.ac.ir/article_16428.html
https://ijp.mums.ac.ir/article_16428_3d61effbf121f8d045f4d48ae647050b.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Comparison of Postoperative Pain in Two Groups of Children with Bone Fractures Receiving Pethidine and Paracetamol in Kerman Bahonar Hospital: A Clinical Trial Study
12213
12221
EN
Ali
Rokni
0000-0002-6703-055X
Orthopedic Resident, Department of Orthopedic, Kerman University of Medical Sciences, Kerman, Iran.
alirokni698795@gmail.com
Majid
Sezavar
0000-0001-7109-046X
Assistant Professor of Pediatric Intensive Care, Department of pediatrics, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
sezavar.majid@yahoo.com
Abdolmajid
Eslahtalab
Pharmacist, School of Pharmacy, Mashhad University of Medical Sciences Mashhad, Iran.
Mohammad Mobin
Mirimoghaddam
0000-0002-2839-8482
General Physician, Mashhad University of Medical Sciences Mashhad, Mashhad, Iran.
Sara
Behzadfar
0000-0001-6308-4297
General Physician, Mashhad University of Medical Sciences Mashhad, Mashhad, Iran.
Mohammad Mahdi
Jalalpour
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali
Pour Amiri
Department of Orthopedic, Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.
10.22038/ijp.2020.51516.4094
<strong><em><span>Background</span></em></strong><br /> <span><span lang="EN">Paracetamol and Pethidine are two prevailing analgesics prescribed for postoperative orthopedic patients, each having different side effects and impacts on fracture healing. The present study was conducted to compare the impacts of Paracetamol and Pethidine on postoperative pain relief of children with bone fractures.</span></span><br /> <strong><em><span>Materials and Methods: </span></em></strong><span><span lang="EN">Fifty children with orthopedic bone fracture surgery candidates were selected in a double-blinded clinical trial study. A random number table was utilized to classify children into two groups of </span></span><span lang="EN">Paracetamol or pethidine treatment. First, the pain intensity of each group was checked using the Visual Analog Scale (VAS). Six hours after the surgery, the first group received Pethidine (1mg/kg of body weight), and the second group received Paracetamol (1gr). Moreover, the VAS scales were checked for both groups 6, 12, and 24 hours later. Afterward, the pain intensity of both groups was assessed according to the VAS scale.</span><br /> <strong><em><span>Results: </span></em></strong><span lang="EN">Independent t-test results revealed a significant difference between the pain intensity of paracetamol (44.24 ± 6.44), and Pethidine (52.68 ± 10.47) groups 6 hours after the surgery (p=0.03). Moreover, there was also a significant statistical difference between the pain intensity of two groups 12 and 24 hours after the surgery.<span> </span></span><br /> <strong><em><span>Conclusion</span></em></strong><br /> <span lang="EN">Given the effectiveness of Paracetamol and Pethidine on postoperative pain, both medications can be used for children with bone fractures.</span>
Children,Pethidine,Paracetamol,Clinical Trial Study
https://ijp.mums.ac.ir/article_16478.html
https://ijp.mums.ac.ir/article_16478_7081eb56dd9327e05e5743ac60a5a08f.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Reflections on Telemedicine with an Emphasis on Ethical Aspects: A Review
12223
12233
EN
Mohammad Mobin
Mirimoghaddam
0000-0002-2839-8482
General Physician, Mashhad University of Medical Sciences Mashhad, Iran.
Fereshteh
Bahrami
Shiraz University of Medical Science, Shiraz, Iran.
Rahele
Rahimi
0000-0001-6080-5642
Fellowship of Pediatric Intensive Care, Department of Pediatrics, Faculty of Medicine, Mashhad university of Medical Sciences, Mashhad, Iran.
Reza
Ahmadi
0000-0003-4921-976X
Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
Mahdiye
Jafari
Assistant Professor, Department of Anesthesiology, Mashhad University of medical sciences, Mashhad, Iran.
dr_mahdiye_jafari@yahoo.com
Fatemeh
Vafi sani
Master of Operating Room, Department of Operative Room and Anesthetics, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Sahebeh
Dadshahi
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Masumeh
Saeidi
0000-0001-5601-9876
Department of Medical Education, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
saeidi.masumeh20@gmail.com
10.22038/ijp.2020.51695.4110
Telemedicine refers to a kind of treatment in which all medical interventions, diagnoses, treatment decisions, and recommendations are made using the patient’s data, documents, and other information transmitted through telecommunication systems. Telemedicine might run between one patient and one physician or one patient and several physicians, including other healthcare specialists. Telemedicine and E-Health have brought about great advantages to the current healthcare systems. Healthcare services are provided comprehensively through these innovative technologies. However, there are plenty of legal, ethical, security, and confidentiality concerns regarding a patient’s medical information. These concerns cause a series of complications for the patient, the medical team, and healthcare service providing systems, among which the disclosure of medical records can be mentioned, which might result in all types of discriminations, accusations, and violation of the patient’s basic rights. The present study reviews some ethical issues in the field of telemedicine.
Benefits,Telemedicine,Ethics,Review
https://ijp.mums.ac.ir/article_16477.html
https://ijp.mums.ac.ir/article_16477_0637cac0ed41b79fbd77d7f9bf7e7dc5.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Ultrasound Measurement of Kidney Dimensions in Premature Neonates
12235
12242
EN
Marjan
Esmaeili
Department of Pediatrics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
esmaeili_82@yahoo.com
Mandana
Keshaki
0000-0002-5070-8600
Department of Pediatrics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
kashakimd@gmail.com
Ladan
Younesi
Department of Radiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
ladan_yoonesi@yahoo.com
Asieh
Karimani
Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
karimania921@mums.ac.ir
Hasan
Otukesh
Department of Pediatrics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
hasanotukesh@yahoo.com
Mohammad
Esmaeili
CJASN-0673-06-15
Department of Pediatric Nephrology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
esmaeelim@mums.ac.ir
10.22038/ijp.2020.39892.3392
<strong><em>Background</em></strong><br /> Ultrasonography is a non-invasive and accurate diagnostic method to evaluate urinary system and its anomalies in the neonates. Kidney sonographic measurement can be used as an alternative method to estimate gestational age. The aim of this study was to measure kidney size in preterm neonates and to provide a guide reference for gestational age.<br /> <strong><em>Materials and Methods: </em></strong>Four hundred kidneys (in both sides) of 200 preterm neonates born with gestational age less than 37 weeks were evaluated in the present cross sectional study. Newborns with intrauterine growth retardation (IUGR), asphyxia, high grade hydronephrosis, single kidney, polycystic kidney, duplex kidney, dysplastic kidney and hydroureteronephrosis were excluded. Ultrasound investigations were performed in supine and lateral decubitus positions. Birth weight, gestational age, height and sex were recorded. Data were analyzed using SPSS software version 16.0. <br /> <strong><em>Results: </em></strong>The mean gestational age of patients was 33.8±2.2 weeks. Mean kidney length, width, and thickness were 38.8±3.8 mm, 18.9±2.6 mm, and 21.3±2.6 mm, respectively. In addition, the kidney volume was 84037±2533.4 mm3. Mean diameter of the kidney and its volume were significantly higher in male neonates (p <0.05). Kidneys length and volume had a strong correlation with neonatal birth weight (r =0.608, p <0.001, r =0.663, p <0.001, respectively).<br /> <strong><em>Conclusion</em></strong><br /> A significant positive correlation was observed between renal dimensions and birth weight, gestational age, and height of patients. The results of this study showed that the trend of kidney growth can be used as a reference guide for gestational age in premature neonates.
Newborn,Premature,Kidney size,Ultrasound
https://ijp.mums.ac.ir/article_16249.html
https://ijp.mums.ac.ir/article_16249_be834b045d7a5380d4695f0a0eb3cd69.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Relationships of Hofstede's Cultural Dimensions and Lactation Patterns in Lactating Mothers
12243
12252
EN
Elham
Alidadi- Shamsabadi
0000-0003-3112-9213
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
el.alidadi@nm.mui.ac.ir
Mitra
Savabi-Esfahani
0000-0003-0096-5542
Assistant Professor, Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
m_savabi@nm.mui.ac.ir
Ali
Hashemianfar
Associate Professor, Department of Social Sciences, University of Isfahan, Isfahan, Iran.
j.hashemian@ltr.ui.ac.ir
10.22038/ijp.2020.45614.3733
<strong><em><span>Background: </span></em></strong><span>Exclusive breastfeeding is the best pattern for feeding infants in the first 6 months of life. On the other hand, lactation patterns may be influenced by cultural factors. The present study aimed to determine relationships of Hofstede's cultural dimensions and lactation patterns in lactating mother.</span><br /> <strong><em><span>Materials and Methods: </span></em></strong><span>The present cross-sectional study was conducted on 452 mothers with infants 6 months old and younger in 2018. Eight centers were selected from all health centers in Isfahan, Iran through cluster random sampling. The samples were lactating mothers who referred to health centers for receiving self and infant care. Data was collected using two questionnaires. The first questionnaire examined personal and fertility characteristics and lactation patterns. The second questionnaire was a self-administered structured questionnaire for cultural dimensions. Content validity index and relative content validity coefficient were respectively 0.80 and 0.70 for the cultural dimension questionnaire. Data were analyzed using SPSS software version 18.0. </span><br /> <strong><em><span>Results: </span></em></strong><span>The majority of mothers (64.4%, n=291) had exclusive breastfeeding. In the masculinity-femininity dimension, the mean score of exclusive breastfeeding pattern was higher than the non-exclusive breastfeeding (3± 0.48, 2.48±0.50) and there were significant statistical differences between exclusive and non-exclusive breastfeeding groups (p = 0.03). In other cultural dimensions, despite there being a difference in mean of the dimensions in exclusive breastfeeding and non-exclusive breastfeeding groups, it was not statistically significant.</span><br /> <strong><em><span>Conclusion: </span></em></strong><span>Masculinity-femininity as a cultural dimension was associated with lactation patterns, so that mothers with greater orientation towards masculinity had higher focus on gender roles of a woman such as breastfeeding and they had greater exclusive breastfeeding. <span> </span>But others dimensions were not associated with lactation patterns.</span>
Cultural Dimensions,Lactation,Patterns,Mother
https://ijp.mums.ac.ir/article_14576.html
https://ijp.mums.ac.ir/article_14576_dad71a91dc03ded7ac3bc4392de632d7.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Electrocardiography Parameters’ Changes in Epilepsy and Breath- holding children compared to Healthy Children
12253
12263
EN
Noormohammad
Noori
0000-0002-0732-6412
Pediatric Cardiologist, Children & Adolescent Health Research Center, Resistant Tuberculosis Institute, School of Medicine, Zahedan Univ Med Sci, Zahedan 9816743111, Iran.
dr_noori_cardio@yahoo.com
Ali
Khajeh
0000-0003-2146-9345
Pediatric Neurologist, Children & Adolescent Health Research Center, Resistant Tuberculosis Institute, School of Medicine, Zahedan Univ Med Sci, Zahedan 9816743111, Iran.
aliyavar2005@yahoo.com
Alireza
Teimouri
0000-0002-8356-4260
Demographers, Children & Adolescent Health Research Center, Resistant Tuberculosis Institute, School of Medicine, Zahedan Univ Med Sci, Zahedan 9816743111, Iran.
alirezateimouri260@gmail.com
Elham
Shafighi Shahri
0000-0002-4732-8797
Pediatric Endocrinology Fellowship, Children & Adolescent Health Research Center, Resistant Tuberculosis Institute, School of Medicine, Zahedan Univ Med Sci, Zahedan 9816743111, Iran.
eshahri@yahoo.com
10.22038/ijp.2020.49120.3933
<strong><em><span>Background: </span></em></strong><span>Breath holding spells (BHS) are paroxysmal events with apnea and postural tone with Electrocardiography (ECG) abnormality and epilepsy status reports. The study aimed to compare the ECG parameters’ in epilepsy and breath-holding children compared with healthy children.</span><br /> <strong><em><span>Materials and Methods: </span></em></strong><span>This case control study conducted on 270 participants consisted of 90 children in each group of epilepsy, breath-holding and control (healthy children) that were collected from pediatric clinics of Ali Asghar Hospital, Zahedan, Iran, for a period of one year starting in 2018. QT, QTd, QTc and QTcd were recorded after ECG for participants. Data were analyzed using SPSS 20.0 and the level of 0.05 was considered significant.</span><br /> <strong><em><span>Results: </span></em></strong><span>From children, 45.6% were girls. Height and weight were the highest in controls and the lowest in breath-holding group, significantly (p <0.001). QT had the highest value in BHs, followed by epilepsy when dispersion QT, corrected QT had the highest values in epilepsy (448.62±56.14), and then BHS (433.00±32.76). QT abnormality in epilepsy, controls and BHs frequency of 16 (17.8%), 3(3.3%), and 7(7.8%), respectively (Chi-square=11.321, p=0.003). The abnormal individuals based on corrected QT frequency of 43(47.8%), 14(15.6%), and 26(28.9%) in epilepsy, controls and BHs groups and this trend was 44(48.9%), 9(10.00%), and 24 (26.70%) (Chi-square=33.611, p <0.001) for dispersion QTc, </span><br /> <strong><em><span>Conclusion: </span></em></strong><span>It was concluded that QTd, QTc and QTcd were higher in epilepticus children compared with breath-holding and controls. To maintain a good strategic treatment in patients with epilepsy, there is a need to assess alternations in ECG parameters, especially QT changes that lead to better comprehensive autonomic changes.</span>
Breath Holding,Children,Electrocardiography,Epilepsy
https://ijp.mums.ac.ir/article_15826.html
https://ijp.mums.ac.ir/article_15826_feeaefa36cf5215601119f1d0fec2430.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Relationship between Health Beliefs and Family Functioning with Drug Attitudes among High School Students in Lali city, Khuzestan Province, Iran
12265
12274
EN
Safiollah
Hezarian
Department of Psychology, Khuzestan Science and Research Branch, Islamic Azad University, Ahvaz, Iran AND Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
sahezarian@gmail.com
Saeed
Bakhtiarpour
0000-0001-7398-941X
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
bakhtiyarpours@gmail.com
Reza
Pasha
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
pashaires@gmail.com
Parviz
Asgari
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
paskarii45@gmail.com
Fariba
Hafezi
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
fhaffezi@gmail.com
10.22038/ijp.2020.50992.4049
<br /> <strong><em>Background</em></strong><br /> <br /> Drug abuse and its unfavorable consequences are considered the most important concerns and social issues of the present era, and drug abuse and its destructive consequences are challenging issues concerning the students’ health. The present study aimed to investigate the relationship between health beliefs and family functioning with drug attitudes among high school students of Lali city, Iran.<br /> <br /> <strong><em>Materials and Methods: </em></strong>This descriptive cross-sectional study was performed by path analysis. The study’s population included all the girls and boys of high school students of Lali city, Khuzestan Province, Iran, in the academic year 2017-2018. The sample included 133 male and 142 female students selected by multistage stratified sampling. The research instrument included the Health Beliefs Inventory (Thought Fusion Inventory, TFI), Family Assessment Device (FAD), and the Drug Attitude Scale (DAS). Data analysis was performed using SPSS software (version 23.0), and AMOS software (version 23.0).<br /> <br /> <strong><em>Results</em></strong>: The mean age and age range of participants were 17.06±2.40 and 15 to 20 years, respectively. The results showed a significant negative relationship between health beliefs and attitudes towards drugs in females (β = -0.46, P ≤ 0.01), and male (β = -0.49, P ≤ 0.01) students. There was no significant relationship between family functioning and drug attitudes in students (P > 0.05).<br /> <br /> <strong><em>Conclusion</em></strong><br /> <br /> In this study, it was found that health beliefs reduced attitudes toward drugs in students. Health beliefs change students’, and adolescents’ attitudes toward addiction. For instance, the adolescents, who exhibit more health behaviors, hold a higher perception of the addiction threat and more negative attitudes toward addictive drugs.<br />
Attitude,drug,health,Family,Students
https://ijp.mums.ac.ir/article_16457.html
https://ijp.mums.ac.ir/article_16457_ae8ec2a0693686e32520ea73345193f7.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Comparison of the Severity of Obsession and Working Memory in Children with Obsessive Compulsive Disorder and Healthy Children
12275
12284
EN
Leila
Safaei
0000-0002-4396-6134
Ph.D of Educational Management, Department of Educational Sciences and Psychology, Yadegar-e-Imam Khomeini (RAH) Shahre Rey Branch, Islamic Azad University, Tehran, Iran.
leila.safaee@gmail.com
Maryam
Youzbashi
MSc in Counseling and Guidance, Department of Educational Sciences and Psychology, Yadegar-e-Imam Khomeini (RAH) Shahre Rey Branch, Islamic Azad University, Tehran, Iran.
ma@yahoo.com
10.22038/ijp.2020.50337.4006
<br /> <strong><em>Background</em></strong><br /> <br /> Obsessive-compulsive disorder (OCD) is a heterogeneous condition with distinct subtypes. This study aims to compare the severity of obsession and working memory in children with obsessive compulsive disorder and healthy children.<br /> <br /> <strong><em>Materials and Methods: </em></strong>In this correlation-comparative study, 140 students (70 healthy and 70 with OCD, diagnosed according to Obsessive-Compulsive Inventory, child-version score) were selected through simple random sampling method in in Tehran, Iran, (2018-19). The multistage cluster sampling method was applied. The subjects were selected after purposeful clinical evaluation and according to the qualifications of the study. Assessments were made using the Obsessive-Compulsive Inventory, child-version (OCI – CV), and the Working Memory Rating Scale (WMRS). Data were analyzed using SPSS software version 25.0.<br /> <br /> <strong><em>Results:</em></strong> A total of 80 girls and 60 boys with a mean age of 9 ±1.36 years were studied. The correlation between working memory and obsessive-compulsive disorder of girls and boys (r= -0.482; p =0.001) at the level of p <br /> <strong><em>Conclusion</em></strong><br /> <br /> The findings showed that the working memory scores in both girls and boys increased by reducing the obsessive-compulsive disorder accompanied. Moreover, the working memory of the healthy group was higher than that of the patients.<br />
Children,Obsession Behavior,Obsessive- Compulsive Disorder,Working memory
https://ijp.mums.ac.ir/article_16396.html
https://ijp.mums.ac.ir/article_16396_d4ceb44bf17b70c9572356d8bf457a44.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Evaluation of Electrocardiography Parameters Changes in Breath‐Holding Children Compared to Controls
12285
12295
EN
Noor mohammad
Noori
0000-0002-0732-6412
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan 9816743111, Iran.
dr_noori_cardio@yahoo.com
Elham
Shafighi Shahri
0000-0002-4732-8797
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan 9816743111, Iran.
eshahri@yahoo.com
Alireza
Teimouri
0000-0002-8356-4260
Children and Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan 9816743111, Iran.
alirezateimouri260@gmail.com
10.22038/ijp.2020.48660.3910
<strong><em><span>Background</span></em></strong><br /> <span>Breath-holding spells (BHS) are brief periods when young children stop breathing for up to 1 minute and are widely recognized types of non-epileptic severe occasions in early stages of childhood. This study aimed to evaluate QTd and QTc changes in children with breath-holding spells compared with healthy children.</span><br /> <strong><em><span>Materials and Methods</span></em></strong><br /> <span>This case-control study was conducted to evaluate ECG parameters' changes in 90 children with breath-holding spells compared to 90 healthy children, who were included as controls, without any breath - holding in pediatric neurology clinic of Ali Asghar Hospital of Medical Sciences, University of Zahedan (ZaUMS), Iran, in 2018. Electrocardiography measures were measured from 12-lead surface electrocardiograms of the patients and the control group. Data were analyzed using SPSS software version 18.0. </span><br /> <strong><em><span>Results</span></em></strong><br /> <span>In the study there were 46 (51.1%), and 35(38.9%) females in controls and Breath Holding patients, respectively. QT max (p=0.002), S in V1 (p <0.001), R in V5 (p <0.001), R in aVL (p <0.001), S in V3 (p=0.002), LV mass (p <0.001), QTd (p <0.001), QTc max (p <0.001), and QTcd (p <0.001) were different in patients compared to controls, significantly (p <0.05). QTd (p <0.001), QTc max (p=0.03), and QTcd (p <0.001) were higher in pallid attacks, significantly. QT max (p=0.039), and QT min (p=0.039) were different in boys and girls so that QT max and QT min were higher in girls.</span><br /> <strong><em><span>Conclusion</span></em></strong><br /> <span lang="X-NONE">From the present study it can be concluded that QT, QTc, QTd and QTcd were higher in BHS. QTd, QTc max and QTcd were higher in pallid and QT max and QT min were higher in girls. However, in spite of what is reported in some studies, we suggest that obtaining ECG parameters is necessary to assess rhythm abnormality in children with BHS.</span>
breath‐holding,Children,Electrocardiography
https://ijp.mums.ac.ir/article_15668.html
https://ijp.mums.ac.ir/article_15668_5152c382f66d5bcaa96c49353e097699.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
Evaluation of Predictive Factors of Empyema in Children with Parapneumonic Pleural Effusion
12297
12304
EN
Nemat
Bilan
0000-0002-1849-4462
Professor of Pediatrics, Department of Pediatrics, School of Medicine, Pediatric Health Research Center, Clinical Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
bilannemat@yahoo.co.uk
Parviz
Ahmadi
Pediatrics Specialist, Department of Pediatrics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Shamsi
Zaare
Assistant Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Khaled
Rahmani
Assistant professor of Epidemiology, Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
10.22038/ijp.2020.50959.4046
<strong><em>Background</em></strong><br /> Empyema is a complication of bacterial pneumonia which has a particular importance due to its significant morbidity and mortality in children. The aim of this study was to investigate the prognostic factors of empyema in children with parapneumonic pleural effusion.<br /> <strong><em>Materials and Methods: </em></strong>This retrospective cross-sectional study investigated all patients under 14 years old with parapneumonic pleural effusion associated with community-acquired pneumonia (CAP) who were hospitalized in Tabriz Children's Hospital, Tabriz, Iran, between March 2016 and March 2020 (4 years). Demographic and clinical characteristics were collected via medical records of patients and assessed as possible factors for empyema. These included: pre-treatments with ibuprofen, antibiotic therapy before admission, duration of the disease, underling diseases, fever, tachycardia, tachypnea, and also some paraclinical variables such as leukocytosis, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), acidosis, blood, and pleural fluid culture results.<br /> <strong><em>Results: </em></strong>Empyema associated with parapneumonic pleural effusion was detected in 47 patients (41.2%) of 114 hospitalized children. Based on logistic regression modeling, ibuprofen consumption history (OR = 7.16; 95% CI: 1.35-37.80; p = 0.02), tachypnea (OR = 17.13; 95% CI: 1.63- 179.90; p = 0.01), and leukocytosis (OR= 5.66; 95% CI: 2.10-15.24; p = 0.003) had a significant relationship with empyema occurrence.<br /> <strong><em>Conclusion</em></strong><br /> Based on the findings of this study, the history of ibuprofen use, tachypnea, and leukocytosis were predictive factors for empyema in children with parapneumonic pleural effusion as a result of community-acquired pneumonia.
Children,Empyema,Parapneumonic pleural effusion,Pneumonia
https://ijp.mums.ac.ir/article_16394.html
https://ijp.mums.ac.ir/article_16394_a2a02d63d5726e5cadcbd882b2d8b507.pdf
Mashhad University of Medical Sciences
International Journal of Pediatrics
2345-5047
2345-5055
8
10
2020
10
01
The Efficacy of Meperidine for Pain Management in Orthopedic, Dental, and General Surgery in Children: A Review Study
12305
12316
EN
Ali
Rokni
0000-0002-6703-055X
Orthopedic Resident, Department of Orthopedic, Kerman University of Medical Sciences, Kerman
alirokni698795@gmail.com
Abdolmajid
Eslahtalab
Pharmacist, School of Pharmacy, Mashhad University of Medical Sciences Mashhad, Iran.
Reza
Ahmadi
0000-0003-4921-976X
Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Majid
Sezavar
0000-0001-7109-046X
Assistant Professor of Pediatric Intensive Care, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
sezavar.majid@yahoo.com
Masoud
Gharaei Jomehei
General Surgery, Department of surgery, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
Omolbanin
Heydari
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Fatemeh
Vafi sani
Master of Operating Room, Department of Operative Room and Anesthetics, School of Paramedical, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Neda
Asadi
0000-0001-7573-0452
Assistant Professor, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
n.asadi@kmu.ac.ir
10.22038/ijp.2020.51608.4101
<sup><span style="font-size: medium;"><strong><em>Background: </em></strong>The present study aimed to assess the efficacy of Meperidine for pain relief in children after orthopedic, abdominal surgery, and laceration repair.</span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Materials and Methods: </em></strong>A systematic serch was performed using the following online databases: Medline, Cochrane, Web of Science, Scopus, and Embase to 2 June 2020, with keywords: (Meperidine OR Pethidine) AND (Pain) AND (Child OR Children) with no language restriction. </span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Results</em></strong><strong>: </strong>The Acetaminophen had slightly higher pain scores compared to Meperidine after dental restoration among children. There was better sedation along with more rapid onset and recovery in the combined regimens of Atropine/Midazolam/Ketamine compared to Meperidine/Midazolam. Two studies reported the superiority of Morphine over Meperidine for pain management. A study found a significant increase in the mean pediatric pain scores in the Tramadol group compared to the Meperidine group after 24 hours. There was no difference in the Children’s Hospital of Eastern Ontario Pain Scale (CHEOPS) between MPC (Meperidine/Promethazine/Chlorpromazine), and OTFC (Oral Transmucosal Fentanyl Citrate) groups during the laceration repair. In the study on the incidence of sleep on the way home or shortly after arriving at home, there were differences in chloral hydrate, Meperidine, and Hydroxyzine regimen compared to Midazolam alone among children being sedated during endodontic procedures. </span></sup><br /> <sup><span style="font-size: medium;"><strong><em>Conclusion: </em></strong>Meperidine was effective for controlling pain in orthopedic, abdominal surgery, laceration repair, and dental restoration. However, it was only superior to the Tramadol group. Regarding dental surgery, a combination regimen were more effective compared to single Midazolam. The pain intensity during early recovery was slightly lower in Meperidine group. The regimen had better sedation with more rapid onset and recovery compared to Meperidine/Midazolam.</span></sup>
Children,dental,Meperidine,Pain,Orthopedic,Surgery
https://ijp.mums.ac.ir/article_16493.html
https://ijp.mums.ac.ir/article_16493_d4788417efb837e6bb787b045d5ceb48.pdf