Showing 10 results for Hashemieh
Mozhgan Hashemieh , Mohammad Taghi Arzaniyan ,
Volume 1, Issue 4 (Autumn 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.
Mozhgan Hashemieh , Ali Amani,
Volume 1, Issue 5 (Winter 1997)
Abstract
Exclusive breast feeding for the first six months of the life and then breast feeding with supplemental nutrition of the two year of age are the best way of feeding. Although almost all mothers are able to have successful breast feeding, many infants are still being fed by fomula or receiving supplemental nutrition from the first month of life. In this study, information about 400 infants between 4-6 months of life fed by non-exclusive breast feeding method chosen with simple randomization has been gathered. The most common cause of non-exclusive breast feeding was infantile restlessness (36.2%). The other causes include: incorrect mothers belief about milk insufficiency, family advices, fewer weight gaining of infants (7.7%), business of mother (6.5%), maternal and infantial diseases (2.2%) and advice of some physicians (2%).Although 75% of the mothers has been educated during pregnancy of perinatal period, but they did not feed exclusively their infants with breast milk.
Mozhgan Hashemieh ,
Volume 2, Issue 6 (Spring 1999)
Abstract
Major thalassemia is the most prevalent hemoglobinopathy in the world.one of the accidents of this disease is endocrinopathy due to hemosiderosis. This study was performed on 50 thalassemic patients in arak city in order to aeeesss the incidence of diabetes mellitus among these patients. Fasting blood sugar and oral glucose tolerance test were requested for all patients. The mean age was 11 and 48% of patients were in the range of 5-9 years old. 52% of patients were female and 48% of them were male. 10% of patients had positive family history. 8% of patients had overt diabetes mellitus and 4% of them had impaired oral glucose tolerance test. Among four diabetes patients three of them had received transfusion for more than 10 years. There was a significant relationship between the incidence of diabetes mellitus and duration of transfusion (p<0.001). In 56% of patients the level of ferritin was above 1000mg/lit. Among 4 diabetes patients, in 3 of them the level of ferritin was above 1000mg/lit. There is a significant relationship between diabetes mellitus and ferritin level(p=0.025). Insulin usage can control blood sugar level in diabetes thalassemic patients.
Mozhgan Hashemieh , Fataneh Kobar Fard ,
Volume 2, Issue 7 (Summer 1999)
Abstract
This study was performed on 50 thalassemic patients in Arak city in order to assess the incidence of hearing loss among these patients. Evaluation of hearing loss in these patients were done with audiometry tests. The mean age was 10 and 40% of patients were in the range of 5-9 years old, 54% of patients were female and 46% of them were male. M/F ratio was 0.85%. 86% of patients have used Desferal (DFO) , and 14% of them have not used DFO. 14% of patients that have hearing loss, were in DFO user group. Also there is a significant relationship between hearing loss and DFO usage and between duration of DFO usage and hearing loss too. There is no significant relationship between hearing loss and ferritin level Thalassemic patients that use DFO must be assess with serial audiometry tests in order to prevent the effect of ototoxicity of Desferal.
Mozhgan Hashemieh ,
Volume 2, Issue 8 (Autumn 1999)
Abstract
In this research , 44 hemophilic and 70 thalassemic patients were considered to obtain prevalence of hepatitis C infection by Elisa and PCR methods. In this study , liver function tests ( AST, ALT and alkaline phosphatase) evaluated for all cases and determination of HCV RNA was performed for cases which Anti-HCV was positive. 36 of hemophilic (81.8%) and 3 of thalassemic patients (4/3%) were Anti - HCv positive by Elisa Method and the same proportion was reported about HCV RNA. In thalassemic patients there was no significant relation between age ans sex with HCv infection, but relation between HCV and liver entzymes (ALT, AST and alkaline phosphatase) were significant. In hemophilic patients there was a significant relation between age and HCV infection but there was no meaningful relation between the yype and severity of hemophilia and HCV infection. Also the relation between HCV infection and liver enzymes (AST, ALT and alkaline phosphatase ) in these patients were significant.
Nemat Billan , Mozhgan Hashemieh ,
Volume 3, Issue 1 (Spring 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 (Spring 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%)
Mozhgan Hashemieh , Gholamali Fatahi Bayat,
Volume 4, Issue 1 (Spring 2001)
Abstract
Neonatal sepsis is one of the most important disease in the newborn period that can lead to many complications and even death. This study is a descriptive study which was done on neonataes who admitted in neonatal and NICU wards of Amir-Kabir and Taleghani Hospitals in Arak City from March 1999 to March 2000. The number of cases in this study were 500 and all of them were evaluated and sepsis work up were done. The frequency of neonatal sepsis in male neonates was more than female neonates and M/F ratio was 1.4. The ratio of neonatal sepsis in premature neonates to term neonates was 1.5. The ratio of sepsis neonatal in L.B.W neonates to normal neonates was 1.4. The most common clinical manifestation of neonatal sepsis in this study was poor feeding. 75% of patients had early-onset sepsis and 25% of patients had late-onset sepsis. In our study from 474 neonates, blood culture in 25 cases were positive. The most common microorganisms were non fermentative gram negative bacilli (32%) and Klebsiella (28%). 24 neonates had positive urine culture and the most common etiologic agent was Klebsiella. Leukocytosis and anemia were detected in 31.2% and 17.95% of our patients. The mortality rate in these neonates were 18.4%.
Mozhgan Hashemieh,
Volume 22, Issue 5 (11-2019)
Abstract
This article has no abstract.
Mozhgan Hashemieh,
Volume 23, Issue 5 (December & January - Special Issue on COVID-19 2020)
Abstract
Background and Aim: In December 2019, the new coronavirus disease (COVID-19) was first identified in Wuhan, China, and then spread rapidly around the world, such that the World Health Organization reported it as a pandemic. This study aims to review the epidemiological findings, transmission methods, clinical manifestations, radiological symptoms, prognosis and treatment of COVID-19 in children, as well as the differences caused by the virus between children and adults.
Methods & Materials: The search was conducted in databases such as PubMod, Scopus, ScienceDirect and Google Scholar using the keywords “COVID-19”, “Coronavirus”, “Children”, and “Pandemic”.
Ethical Considerations: Ethical principles have been observed in accordance with the guidelines of the National Ethics Committee and the COPE regulations.
Results: Most of the data related to COVID-19 are related to the course of this disease in adults and related information for children is limited. Most findings suggested that the course of the disease is milder in children and the infection caused by the virus has a better prognosis in children. Due to the mild clinical symptoms in children, many of them are not diagnosed in the early stages of the infection. With the increase in the number of cases worldwide, the prevalence of this disease in children is certainly increasing.
Conclusion: COVID-19 has milder clinical symptoms and a better prognosis in children. Today, no vaccine or antiviral drug has been developed for this disease; hence, prevention is the best solution.
