2024-03-29T09:34:54Z
https://ijp.mums.ac.ir/?_action=export&rf=summon&issue=462
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Effectiveness of Group Cognitive-Behavioral Therapy on Anxiety, Depression and Glycemic Control in Children with Type 1 Diabetes
Somaye
Ahmadi
Zahra
Tabibi
Ali
Mashhadi
Peyman
Eshraghi
Foad
Faroughi
Parisa
Ahmadi
Introduction: The present study aimed to investigate the effectiveness of group cognitive behavioral therapy in reducing anxiety and depression and glycemic control in children with type I diabetes. Methods and Matherials: The study was quasi- experimental with a pre-test, post-test design with control group. For this purpose, 30 children with diabetes were selected from Imam Reza Hospital in Mashhad. The children were randomly assigned into two experimental group (15) and control group (15). The experimental group was undergone eight 2-hour sessions of cognitive-behavioral training. Before and after the intervention, the Multidimensional Anxiety Scale for Children, which included four components of social anxiety, physical symptoms, harm avoidance, and separation anxiety, and Children Depression Inventory was administrated in both groups. Results: The findings from the covariance analysis test revealed that depression and anxiety and glycemic control in experimental group was controlled at post-test and depression score in experimental group compared to the control group at post-test was decreased. The findings from the multivariate covariance analysis test between components of, physical symptoms, harm avoidance, separation anxiety, and social anxiety revealed meaningful differences between the two groups in social anxiety post-test score. Conclusions: According to the article, cognitive behavior therapy can be effective for depression, anxiety, and blood sugar control in children.
Cognitive-behavioral therapy
Depression
Anxiety
Glycemic control
Children
2014
07
01
165
171
https://ijp.mums.ac.ir/article_2555_3490805e21c1692d78f86f5f4a1c4daf.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Study of Maternal Knowledge and Attitude toward Exclusive Breast Milk Feeding (BMF) in the First 6 Months of Infant in Yazd-Iran
Razieh
Esfandtari
Mohammad Hosein
Baghiani Moghadam
Ali
Khakshour
Foad
Faroughi
Behjat
Zarif
Masumeh
Saeidi
Introduction: Breast milk is a complete food for growing children until 6 months of age, and mothers, as the most important child health care, play a decisive role in their growth. So promoting their attitude toward the benefits of breastfeeding ensures guarantee child health in the future. This study aimed to assess maternal knowledge and attitude of Mashhad toward exclusive Breast Milk Feeding (BMF)in the first 6 months of infant life. Materials and Methods: This cross-sectional descriptive-analytic study was conducted on 190 mothers who referring to Yazd health-care centers for monitoring their 6-24 month year old infants. They completed questionnaire. Participants were selected by cluster and simple random sampling. Data were analyzed by descriptive- analytic tests and using SPSS 11.5. Results: Mean score of maternal attitude toward exclusive BMF was 10.14±2.00 (out of 14) and maternal knowledge score toward advantages of breast milk was 10.12±2.015 (out of 14). The incidence of exclusive BMF in the first 6 months of life study was 72.9%. Child growth was as follows: excellent growth (24.5%) and good growth (55.3%). ANOVA showed a significant difference between parents' education and maternal attitude and maternal knowledge towards exclusive BMF; whatever higher education of parents, more positive knowledge and attitude towards exclusive BMF (P<0.05). There was a significant direct relationship between knowledge and attitude (Spearman test, P-value= 0.000& r= 0.4). Conclusion: Maternal knowledge and attitude towards exclusive BMF was moderate. It is essential to plan for mothers by officials in order to promote breast-feeding in the first 6 months of baby's life to enhance positive maternal attitude in this regard.
Attitude
Exclusive Breast Milk Feeding
Infant
Knowledge
Yazd
2014
07
01
175
181
https://ijp.mums.ac.ir/article_2484_7bd6b377048fbe29225ffc151942aa72.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Effects of Nutritional variables in children with iron deficiency anemia
Ali
Ghasemi
Bijan
Keikhaei
Introduction: Iron deficiency (ID) is the most prevalent nutritional disorder in the world. The prevalence of iron deficiency anemia (IDA) is about 9% in toddlers, 9-11% in adolescent girls and less than 1% in teenage boys. IDA presents when there is not sufficient iron for haemoglobin synthesis. In particular it has negative effects on the behavior, cognitive performance, immune system and physical growth of infants, preschool and school age children. Material and Methods: Blood samples of 337 randomly selected children (6-59 months) living in the Ahwaz, Khuzestan province, were taken. Serum ferritin, Complete Blood Cell (CBC) and hematological indices were measured Results and Discussion: In this study 61.1% of the children had serum ferritin less than 12mcg/dl. Prevalence of IDA were 29.1 %. The results showed that most children with IDA were at 12-23 months. Families with more than 6 children had 4.49 times greater chance of IDA. The mean of breast-feeding in non-IDA children was higher than IDA children (17.6 and 16.3 months respectively, P>0.05). In this study families who gave tea to their children for 1-11 months had the highest prevalence of IDA. Conclusion: There are several main risk factors for ID & IDA in the children. Parent's illiteracy, family income and using cow's milk before 12 months are among most important risk factors for iron deficiency for children.
Nutrition
Children
Iron deficiency
Anemia
2014
07
01
183
187
https://ijp.mums.ac.ir/article_2619_a99e9ccebf1439cdd99c0e0173a22d35.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Pathological evaluation of ganglion cells in biopsies from upper side of the dentate line in patients with perianal problems
Marjan
Joudi
Alireza
Sabzevari
Reza
Nazarzadeh
Reza
Sharifi Noghabi
Ameri
Leila
Mohsen
Vaziri
Amin
Dalili
Azra
Izanloo
Mehdi
Fathi
Introduction: Constipation is one of the most common complaints of individuals, which may present with complication like hemorrhoid and fissure. Hirschsprung is a disease presenting with chronic constipation and its diagnosis may be delayed until adulthood. It is diagnosed by biopsies from anorectal transitional zone. This study aimed to evaluate the association between Hirschsprung and anorectal problems. Method: Sixty three patients with anorectal problems who underwent surgery enrolled in this study. Some consecutive biopsies were obtained from anal canal at 2, 4 and 6 cm above the dentate line. Biopsies were assessed for ganglion cells changes. Patients' data and biopsies results were analyzed with SPSS version18. Results: Out of 63 patients 29 (46 %) patients were female and 34 (54 %) were male with the mean of 32.65 ± 13.73 years. Fifty six (73 %) patients complained from constipation with the mean time of 57.65 ± 45.21 months. Aganglionic zone were reported in six patients with the mean length of 43.33 mm. There was not any relation between anal ganglion cells pathology and constipation (p=0.363), but there was a significant relation between duration of constipation and pathologic changes (p=0.001). The ratio of constipation duration to age was related to anal ganglion cell pathology (p=0.001). Hemorrhoid degree was also affected anal ganglion cells pathology (p=0.037). Conclusion: The relation between Hirschsprung's disease and anorectal problems in adults were significant. The pathologic findings were more presented in younger patients, and those with longer history of constipation and lower degree hemorrhoids. Key words: Anal ganglion cells, Hemorrhoids, Constipation
Anal ganglion cells
Hemorrhoids
Constipation
2014
07
01
189
193
https://ijp.mums.ac.ir/article_2775_004db14038eefd3f53ab7f0943ab0523.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
The Effectiveness of Acceptance and Commitment Therapy for Children with Chronic Pain (CHACT) on the Function of 7 to 12 Year-Old children
Soheila
Ghomian
Mohammad Reza
Shairi
Purpose: The purpose of this study is to evaluate the effect of Acceptance and Commitment Therapy for Children with Chronic Pain (CHACT) on the function of 7 to 12 year-old children. Thus, the basic problem of the current study is whether CHACT can improve the function level of 7 to 12 year-old children with chronic pain? Method: According to the criteria of chronic pain, a number of children with chronic pain were selected by available sampling method from specialty and subspecialty pediatric hospitals of Tehran. Then, among the children, 20 children who according to their parents prepared to participate in this study and met the inclusion criteria, were selected. They were placed in the experimental group (n = 10) and control group (n = 10). The child and parent versions of Function Disability Inventory (FDI) were answered by children and parents in both groups at the pre-test, post-test, first and second follow-up. Result: The result showed that the experimental group compared with the control group showed significant change in function in multiple stages. These changes continued after the treatment, first and secondary follow-up. Conclusion: Regarding the impact of CHACT on the function of children with chronic pain, it can be said that this protocol can be used in clinical fields, especially in the area of improving the function that appears that is one of the most vulnerable areas that children with chronic pain are faced with it.
Chronic pain
Acceptance
Treatment
Function
2014
07
01
195
203
https://ijp.mums.ac.ir/article_2569_a9f4666c4bf34a1145558b64d711ec3f.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Evaluation of the Effect of Amino Acid Administration on Hypothermia during General Anesthesia in Hypospadias Surgery on Children Aged 2 to 6 Years
Mohammad
Gharavi fard
Arash
Peivandi
Shahram
Amini
Tayebeh beygom
Haji Seyed Abootorabi
Saeed
Bayyenat
Alireza
Sabzevari
Background: Hypothermia is an important complication during surgery, especially in children and is highly associated with serious adverse outcomes. One of the preventive methods is the intraoperative administration of amino acids, which can be effective through increasing thermogenesis and stimulating energy consumption. No studies have been conducted in this regard on children; therefore, we evaluated the preventive effect of intraoperative administration of amino acid on hypothermia in children. Methods: Forty children, aged 2 to 6 years, who were candidates for hypospadias surgery, were divided into two groups. In the case group, 10% amino acid (2 cc/kg/h) was administered two hours before the operation, and in the control group, normal saline was given as required. All patients underwent a similar method of anesthesia. body temperature was recorded before the anesthesia, immediately after it, and every ten minutes. Results: The mean age and weight had no difference between the groups. Duration of patients' awakening time was 13.60 ± 4.91 min, which in the case and control groups was reported as 11.90 ± 5.27 and 15.30 ± 3.96 min, respectively(p
amino acid therapy
Hypothermia
General anesthesia
2014
07
01
203
210
https://ijp.mums.ac.ir/article_2649_5499111c70879ed9ea8e48572edd388a.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Spinal Muscular Atrophy: A Short Review Article
Farah
Ashrafzadeh
Ariane
Sadr-Nabavi
Nazanin
Asadian
Javad
Akhondian
Mehran
Beiraghi Toosi
Spinal muscular atrophy (SMA) is a genetic disorder which affect nervous system and is characterized with progressive distal motor neuron weakness. The survival motor neuron (SMN) protein level reduces in patients with SMA. Two different genes code survival motor neuron protein in human genome. Skeletal and intercostal muscles denervation lead to weakness, hypotony, hyporeflexia, respiratory failure, symmetric muscle atrophy and paralysis in patients with SMA. Manifestations are prominent in proximal muscle of lower extremities. There is no curative treatment for spinal muscular atrophy, and supportive treatment should be considered to improve patients’ quality of life and independency. New treatment strategies focus on gene therapy or invent method to increase survival motor neuron protein level. The aim of this study is to review Spinal muscular atrophy (SMA) clinical and molecular manifestations.
Molecular analysis
Spinal muscular atrophy
Survival motor neuron protein
2014
07
01
211
215
https://ijp.mums.ac.ir/article_2570_e68bd26dfc9a3db7c165a8f0ce22d993.pdf
International Journal of Pediatrics
ijp ; Int J Pediatr
2345-5047
2345-5047
2014
2
3.1
Bilateral Spontaneous Hemothorax with PNET: a case report and review
Ali
Ghasemi
Bijan
Keikhaee
Background: Neuroectodermal Tumors (PNET) are malignant small cells neoplasm mainly occurring in children but can occur at any age. Extensive bleeding into the pleural cavity is rare In Children. Hemothorax would be compatible with a variety of congenital anomalies including sequestration, patent ductus artreiosus, and pulmonary arteriovenous malformation. Case report: A 2.5-years old girl who was known a case of PNET with dyspnea and tachypnea referred to our hospital. The chest X-ray revealed bilateral opacity. After consulting the general surgeon, the bilateral chest-tubes inserted and 200cc blood drained. Discussion: The diagnosis of a hemothorax can be made only by thoracentesis. The symptomatology of the Peripheral Primitive Neuroectodermal Tumors is related to size and their location. We did not find any residue of cancer as a cause of hemothorax, and the hemothorax was not related to side effects of chemotherapy, infection and trauma. Therefore, PNET should be included as a cause of children hemothorax.
PNET
Bilateral Spontaneous
Hemothorax
2014
07
01
217
219
https://ijp.mums.ac.ir/article_2620_22a4a37ce0c47e5b1fd3e6dd43fadd95.pdf