Nancy Ranton,
Volume 1, Issue 1 (12-1996)
Abstract
This article has no abstract.
Nasrin Alaei,
Volume 1, Issue 1 (12-1996)
Abstract
This article has no abstract.
Mozhgan Hashemiyeh ,
Volume 1, Issue 3 (6-1997)
Abstract
TAR syndromic is a congenital amegakoryecytic thrombocytopenia with Bilateral Absence of radii. Its inheritance is autosomal – recessive, Bilateral absence of radii manifests as a shortening of the forearms and flexion at the elbows; occasionally other limb abnormalities, such as phocomelia and radial deviation, are present. Other congenital anomalies are occasionally present, such as deformity of the digities, micrognathia, disocation of the hip and congenital heart disease. Purpura may present in first few days of life or may be delayed for weeks. Hemorrhagic manifestations range from a few petechiae to severe and even fatal intracranial hemorrhage. Platelet counts are usually in range of 10,000 – 30,000/mm3. Bone marrow examination reveals myeloid hyperplasia and almost total absence of megakaryocytes. Fifty percent of patients survive to 3 years. If patients survive beyond the first year, the platelet count stabilizes and the prognosis is such better. This condition is not premalignant. Treatment consists of transfusion of red cells for anemia and transfusion of platelet concentrates for severe bleeding from thrombocytopenia. Corticosteroids and splenectomy are of no constant benefit.
Nemat Billan , Rasol Jamali ,
Volume 1, Issue 4 (9-1997)
Abstract
This study is about the relation of malnutrition and parasitic infection which was performed by comparison of 60 malnurished children aged 6-60 month and 55 healthy ones of the same age group.
The results showed:
1.A significantrelationbetweenmalnutritionandincreasedprevalenceofparasitic .(p<0003)
2.A significantrelationbetweenmalnutritionandincreasedprevalenceofparasiticinfection.(P<0003) andnonpathogenic (p<006) parasites.
Farah Sabooni , Babak Namaee , Ali Ahamd Goudarzi,
Volume 1, Issue 4 (9-1997)
Abstract
Mumps of epidemic parotitis is a viral infection usually characterized by the develoement of parotitis. Several complications including meningoencephalitis, deafness, orchitis, oophoritis, mastitis, nephritis, and diabetes mellitus have been reported. CNS, ophthalmologic and hearing and cardiac complications are very important.The study is on 131 patients under the age of 15. More than 85percent of cases were under the age of 11 who were in school age. Male to female ratio was 3:1. The most common complaints and physical disorders were vomiting 73.75percent, fever 49.6 percent and swelling of parotid 41.22percent CSF Pleocytosis has been reported in 42.74 percent of cases and leukocyte counts were under 500cells IMM3 in more than 70 percent of patients that lymphocytes were predominant. Serum amylase increased in 70.8 percent. Vomiting, nausea, fever, headache parotid enlargement, convulsion, abdominal pain similar to appendicitis, adema of neck, face and upper ches, meningoencephalitis, encephalitis, hematemesis petechial, testicular enlargement, arthraigia and deathness also have been reported in this study.
Mozhgan Hashemieh , Mohammad Taghi Arzaniyan ,
Volume 1, Issue 4 (9-1997)
Abstract
The pattern of Hodgkins disease was studied in 82 Iranian children in Mofid childrens Hospital over a 10- year period. There were 60 boys (73.2%) and 22 girls (2608%). The mean ages was 7years. According to Ann Arbor staging system, there have been 13 stagel (15.9% ) stagell ( 36.6%), 32 stagell (39%) and 7 stage IV patients (8.5%), 35 patients (42.7%) showed constitutional symptoms ( B group). The histologic subtypes among 82 children with Hodgkins disease has been mixed cellularity(45.1%), followed by nodular sclerosis (32.9%) and Lymphocyte predominant(18.3%). Lymphocyte depletion occurred only in three patients (3.7%). Most patients complaint about indolent peripheral lymphadenopathy as the initial sign of Hodgkins disese. Primary tumor sites were in the followed frequency: cervical (91.5%) of all patients), axillary (26.8%), inguinal (9.7%) and supraclavicular (8.5%) lymphonoders. 15 patients had received radiotherapy, 32 chemotherapy and 31 combined modality treatment. The disease free survival for 66 patients under follow up was 80% with mean time of 35 months.
Nemat Billan ,
Volume 1, Issue 5 (12-1997)
Abstract
The study has been done on 56 jaundice neonates in Tabriz children hospital to determine validity (sensitivity, Specificity, Predictability) and the estimation of the severity of hyperbilirubinemia through the neonates skin with icter. The results showed: Sensitivity of the method is 85% and its specificity is between 60-100%. It means that whenever icter reaches to plantar area in 85% cases; its level is more than 20mgldl; otherwise there is no hazard emerged from the bilirubin of more than 20mgldl in 60-100% cases.
Sedighe Rafiee Tabatabaee,
Volume 1, Issue 5 (12-1997)
Abstract
A case of Pierre-Robin sequence in a 3-month infant with pulmonary infection in Amir kabir hospital. The patient had micrognathia, glossoptosis and cleft palate which is exactly adopted with pierre -Robin triad. This syndrome is relatively rare 1 in 3000.
Manizheh Kahbazi , Alireza Farahani ,
Volume 1, Issue 5 (12-1997)
Abstract
Nowadays the securing of children health and then the maintenance of community health is training programs about health, but before every health programs. Knowing the believes and tendency of people is necessary. The knowledge and attitude of mother regarding to supplementary food before and after the training were measured based on KAP study .( knowledge, Attitude , Practice ). The result of this study is as follows:
1-3.58% of studied mothers had good knowledge, 41.2% moderate knowledge, 55.38% weak knowledge before training and raised to 80.51% good knowledge, 19.48% moderate knowledge following training.
2- 95.56% of studied mothers had positive attitude and 4.46% negative attitude before training that raised to 100% positive attitude to supplementary food following training.
3- Statistically, there is no meaningful relationship between the knowledge of mothers regarding to supplementary food and number of child, job, but there is a relationship with the level of education.(0.025)
Fatemeh Dorreh,
Volume 2, Issue 6 (3-1999)
Abstract
Infants that delivered before 37th week from late menstrual period are termed premature. Prematurity is associated with increased neonatal morbidity and mortality. This research was conducted as descriptive-analytic study among 3456 newborns in Taleghani and Ghods hospital in Arak from Jan 1998 until Oct 1998. Prevalence of prematurity in this study was 8.21%. Some of risk factors for prematurity were evaluated and resulted:
From maternal factors placenta abruption increases preterm birth by 2.9, and from diseases during pregnancy preeclampsia increases preterm birth by 5.2. From fetal factors multifetal pregnancy increases preterm birth by 9.2, polyhydramnios by 82.1 and gross congenital anomalies by 6.8.
Between factors such as congestive heart failure, hydropsfetalis and subchorionic hemorrhage and preterm birth significant ralations were observed. The most common risk factors for preterm birth is twin pregnancy (19.7%) and then are placenta abruption (10.56%). 26.06% of premature newborns were died during hospitalization. Their mean gestational age was 28.4 weeks and mean weight was 1318.1 grams.
Homeyra Azymi, Minoo Rafeei, Payam Kabyri, Ali Karami,
Volume 2, Issue 6 (3-1999)
Abstract
Today's considerable improvements in health scince and medical fields, preventing infectious diseases and the lack of missfeeding, inherited disease and abnormalities caused by it have appeared much more seriously, specially in advanced countries. Accoreding to our statistics 30.000 to 40.000 abnormal infants are born in Iran every year and a considerable number of them go on plant with living difficulties, however in order to considerable improvement in diagnosing-preventing and curing the inherited diseases, detecting these disease in embryonic satage has become possible and so we can do our best not to have abnormal infants any more. Since in Iran medical universities clinical genetics and genetic syndromes have received little importance, we are to report a rare syndrome case considered in central genetics-medical consulting in Behzysti organization of central province in Arak. It was finally diagnosed.
In this investigation s four- years boy affected by Cockayne syndrome is reported. He was the result of a family marriage (daughter of uncle- son of aunt) grade three and inherited austosomal recessive. Some symptoms are: dwarfism, mental and movement relationship, protruded ears, sunkened eyes, beak nose, carioused teeth, deafness, retini pigmentosa, retina degeneration, butterfly rush on the face, photosensitivity and progeria, defect in DNA transcriptions. The goal of this investigation is getting more acquaintance of this rare syndrome, enhancing the role of diagnosing this disese and putting more importance on consulting before marriage and after the abnormal infant is born, and making the students and doctors of clinical genetics acquainted with this case more, as well.
Mehdi Mosabebi, Ahmad Shahmoradi,
Volume 2, Issue 7 (6-1999)
Abstract
This study was carried out in 1994-95 and all of the under weight children in 21 villages (447 in number as case and 447 children as control with natural weight) were studied. The results showed that 49.9% of under weight children and 39.2% children with appropriate weight were infected by intestinal parasitic infection. This difference was significant (p<0.01) The amount of infection was roughly the same in boys (45.24%) and girls (44.3%) and the highest percent pf infection was seen among the 3-4 age group. The variation of parasites is more among under weight - children and more types are found among 4-5 years old children as a whole children 44/5% were infected by one or some types of parasites: Giardia lambia 25.5%, E. coli, 13.2% H. nana, 2.3% B.hominis3/55
Zahed Safi Khani, Mohammad Safikhani ,
Volume 2, Issue 7 (6-1999)
Abstract
The human vertebral in anatomical position have two curves thoracic and sacral with posterior curvature and two lumbar and cervical with anterior curvature. The vertebral column no lateral curves. Any curves in the both sides are called scoliosis. Presence of scoliosis is accompany with medical problems such as cardiopulmonary failure, lumbar pain asimetry and deformity. Present project is considered all of the pre-schools boys have done in ages between 11-15 years in every four educational districts of Ahwaz by school screening, 1033 cases was randomly put under. Consideration to determine the rate of scoliosis percentage measuring the length of hight, hands, feet and arm span, the relationship between theses figures and coliosis was determined, the rate of scoliosis in considering population was 1.36% in of all persons the difference who were studied between the length of hands was 5 to 12 mm. The difference between the hight and ram span with those who has scoliosis compare to normal people was considered to be more, the statistic examination was showed that the difference between the length of both hands and feet with the patients meaningful.
Zahra Eslami Rad, Mehdi Mosayyebi, Mahmoud Reza Khazaei ,
Volume 2, Issue 8 (9-1999)
Abstract
In this paper, the situation of intestinal parasites infection among primary school students was investigated. This study was carried out with sample size of 394 student from 30 selected primary school in Arak city. Selection of chasses and students made by stratified method and stool examination done with direct and indirect method. The research methodology was based on analysis of data obtained from, 3 times stool examination of all students in the sample group. The results of the research from that : 63.5% of students were infected by parasites (pathogene and nonpathogene), In among pathogenic parasites , giardia with 27.7% and h.nana with 6.35 had the highest prevalence. Prevalence of the other intestinal parasites were: Ascaris 1.5%, Oxyuris 1.5% ( nonepecific method ), Entamoeba histolytica 2.5%, Entamoeba coli 29.4%, Entamoeba Hartman 2.2%, Endolimax 12.4%, Iodamoeba 3.5%, Blastocystis 2.2% , Chlomastix 2%. The results also showed that there is no significant relation between infection date and demographic factors such as: age, sex, parents job and , geographic area.
Nemat Billan ,
Volume 3, Issue 1 (3-2000)
Abstract
Pediatrics medicine Emergency is a priority rather than a pure scientific issue for the most vulnerable groups. So problem- finding and problem- solving should be managed by it. In this area knowing the indicators of taking responsibility and modifying qualitiable issues to quantifiable and measureable ones are great urgency. The following article is searching for a convenient solution to quantifying taking responsibility and managing pediatrics medicine emergency in terms of vulnerability as well.
Nemat Billan , Mozhgan Hashemieh ,
Volume 3, Issue 1 (3-2000)
Abstract
The aim of this research is the study of sensitivity , specificity , positive and negative predictive value of conjunctival , nail bed and palmar pallor for estimination of severity of anemia. This study was done on pediatric hospitalized patients who were under 14 years old in Amir-Kabir hospital of Arak City. The results of this study show that total number of patients were 1341 , which 564 cases ( about 42% ) according to laboratory tests had anemia. Sensitivity of clinical tests in diagnosis of childhood anemia correlates with severity of anemia, for example, the sensitivity of palmar pallor for detection of mild anemia is 8.9% and for severe anemia is 100%. Also positive predictive value of clinical findings varies according to severity of anemia. Positive predictive value of palmar pallor for detection of mild anemia is 26.3% and for severe anemia is 94.8%. Generally , theses clinical tests have a high validity in diagnosis of severe anemia.
Mozhgan Hashemieh ,
Volume 3, Issue 1 (3-2000)
Abstract
The various enzymatic defects of red blood cells cause some genetical diseases, of which the most important and the most common is G6PD deficiency. G6Pd deficiency is one of the most common causes of hemolysis in newborn period and can lead to anemia, hyperbilirubinemia, and kernicterus. In this study we tries to find out incidence of glucose-6-phosphate dehydrogenase deficiency in icteric hospitalized neonates in newborns wards of Taleghani and Amir Kabir hospitals, in Arak city from December 1998 to January 1999. We concluded that: The total hospitalized, icteric neonates were 332, 63.86% were male and 36.14% of them were female. The icteric neonates with G6PD deficiency were 6.02% and 93.98% of them had normal G6Pd enzyme. All of the G6Pd deficient neonates were male. The onset of icter in G6Pd-deficient neonates was between second and 6th day. In 80% of icteric G6PD deficient neonates, the bilirubin total was over 18 mg/dl.G6Pd deficiency in neonates with hemolytic anemia were, 12.5%. Positive familiar history in icteric neonates with G6PD deficiency were 15%. The rate of exchange transfusion among icteric G6PD deficient patients were 15%. The most common blood group in icteric neonates with G6PD deficiency was B+ (incidence 50%)
Akram Bayati, Soghrat Faghihzadeh, Abolfazl Rahgouy,
Volume 3, Issue 3 (9-2000)
Abstract
ADHD is the most observed Behavoural disorder in primary school students, This research is adiscreptive analytic (Case-Control) research in order to determine the predisposing factors (Socio-Economical, Familial and individual) pertaining to ADHD in primary schools children. This study has done with muiti-stage sampling method on the 82 students with ADHD (case) and 80 normal students (control), that completely accidental has chosen between Arak Primary schools students. The research tools have been the special teachers questionaies. Forms prepared by researchet, After collecting the data, results were analyzed by statistical methods such as X2, Fisher and T-test with p<0.05. The result shows that: the age most of chidren suffering from ADHD are between 10-12 years old and percentage of the boys is more than girls and most of them living in poorer part of the city. There was statistical meaningful difference between two examined groups (with P<0.05) in some factors students. Birth weight, Birth order(first child), the fathers educational level, living environment atmosphere, punishment by parents, past history of long term separation of parents or family members, past history of parents high illness, past history of ADHD in family members, family member or parent involved with low, fathers occupation, changing job, fathers prolonged absence from home for occupation. Therefore it seems that above factors are predisposing factors in the disorder and the most important of them were family history of behavioural disorder and inimical familial environment.
Sousan Marefati, Marzieh Ghazisaeidi,
Volume 3, Issue 3 (9-2000)
Abstract
Urinary tract infection(UTI) is the most genitourinary disease of childhood. UTI include a wide range of clinical signs. That all of them have a common finding: positive urine culture. We study the results of urine cultures and antibiograms of 101 child aged 0 to 10 years who were referred to laboratory of Amir Kabir hospital. The presence of more than 100.000 colonies /ml of a single organism is considered as positive culture. 25 patients were boys and 76 were girls. The most microganism that grows is Ecoli in 87 ones and then 86.1% klebsiella in 4 cases, stophylocococi in 4 cases enterobacter in 3 cases, proteus in 1 case streptococos in 1 and mixed growth in 1 case, In girls the most pathogen is Ecoli (69n.09%) then staphylococci. In boys, Ecoli is the most common pathogen, then klebsiella and enterobacter. Antibiotic resistance in Ecoli were 72% resistance to cotrimazol, 76% resistance to Ampicilin. Sensitivity to coentamy Nalidikic acid and Nitrofurantom were 90,95.96%. The study show that in treatment of out patient cause that urine culture is not available, use of Nitrofortion. Nalid and preferred to use of cotrimazol.
Zabihollah Shahmoradi, Mohmmmad Rafiyees, Malihe Nikroo,
Volume 3, Issue 4 (12-2000)
Abstract
Molluscum contagiosum (M.C) is one of the nearly prevalent dermatologic disease of childhood are skin-colored papule which have a central umbilication. The main objective of this study, was looking for M.C in kindergartners of Arak city. The total prevalence of M.C in this study was 1.96%. There is no significant relation between sex and M.C common involved age 2-3 years and no seen under the age of 1 year. The distribution of the lesions is more multiple and the most prevalent lesions in both sex are seen on the trunk and then neck and axillae.
