Neda Mokhberian, Forouzandeh Mahjoubi, Razieh Pour Ahmad, Mojtaba Alivandi,
Volume 16, Issue 10 (1-2014)
Abstract
Background: Multidrug resistance is the main reason for unsuccessful chemotherapy. The important reason of drug resistance is ATP dependent pumps shus as MDR1 that extrude drugs from the cell. MDR1 is high polymorphic. It seems that polymorphisms influent on gene expression and response to treatment. The aim of this study was investigation of C1236T polymorphism MDR1 gene and it’s association with response of treatment in childhood acute lymphoblastic leukemia.
Materials and Methods: In this descriptive study, C1236T polymorphism of MDR1 was investigated in 44 acute lymphoblastic leukemia childhood and 40 healthy individual by ARMS-PCR technique. Association of this polymorphism with response to treatment was also investigated. Data were analyzed using Chi-squre test and SPSS software. P values <0.05 were considered to be statistically significant.
Results: There was no significant difference in frequencies of C1236T polymorphism between patients and healthy group (p=0.876). Frequency of C1236T polymorphism of MDR1 between responder and non responder was not significant (p=0.304).
Conclusion: It seems that there is no correlation between C1236T polymorphism of MDR1 gene and response to treatment. So the role of C1236T polymorphism in gene expression MDR1 in childhood acute lymphoblastic leukemia and response to treatment is still controversial.
Habib Soheili, Parsa Yousefi Chaijan, Anita Alaghmand, Bahman Sadeghi Saddeh, Amin Tavasoli, Mahdyieh Naziri,
Volume 17, Issue 1 (4-2014)
Abstract
Background: Allergic rhinitis affects 40% of general population and has an increasing prevalence. Sleep disturbance is an important problem in individuals with allergic rhinitis. Recent studies have shown that 68% of cases with perennial rhinitis and 48% with seasonal rhinitis have impaired sleep.
Materials and Methods: In this case-report study, 33 children with allergic rhinitis aging 6-18 years entered the study. Thirty five children without allergic rhinitis entered the study as control group. A questionnaire containing demographic data and types of sleep disorders filled for every child.
Results: Except respiratory disorder, there was no other significant difference between groups in any sleep disorder. Sixteen children (48.5%) in case group has respiratory disorder while none of control children were involved (P=0.0).
Conclusion: Nasal congestion is the main factor involved in sleep impairment in children with allergic rhinitis. Therefore, it seems that it is the first symptom to be treated.
Sayed Abolhasan Sayed Zadeh, Mehrdad Bakhtiari, Akram Soleimani,
Volume 17, Issue 8 (11-2014)
Abstract
Background: Vesicoureteral Reflux (VUR) is the most common urologic anomaly in children. In spite of prescribing prophylactic antibiotics in children with VUR, in some cases breakthrough infection (BTI) occurs while receiving prophylactic antibiotics which may cause pyelonephritis that can ultimately lead in renal scarring.
Materials and Methods: In this discreptive-analytic study, 288 children with primary vesicoureteral reflux under Cotrimoxazole(2mg/kg) treatment have been under supervision for duration of at least one year. Based on the collected data, predictive effect of some factors like gender, mean age of VUR diagnosis, VUR grade, unilateral versus bilateral and presence of abnormal renal scar on the breakthrough infection under prophylactic treatment, were examined.
Results: Breakthrough infection while receiving prophylactic antibiotics was observed among 111(38.54%) patients consisting of 88 girls (79.28%) and 23 boys (20.72%). The moderate to high VUR grades (grade III-V), presence of renal scar and female gender were found to be the important risk factors for BTI. However, no statistically significant relationship between mean age of VUR diagnosis and unilateral versus bilateral VUR with BTI was found.
Conclusion: Results of the current study will help improving parents' and physicians' awareness of the risk factors associated with BTI which may potentially lead to renal damage.
Parsa Yousefi Chaijan, Bahman Salehi, Ali Khosrobeigi, Melika Hajirahimi, Mohammad Rafiei, Hassan Taher Ahmadi,
Volume 17, Issue 8 (11-2014)
Abstract
Background: Some children have abrupt onset of severe urinary frequency, voiding as often as every 10-15 min during the day, without dysuria, UTI, daytime incontinence, or nocturia. The most common age for these symptoms to occur is 4-6 yr, after the child is toilet trained, and the vast majority are boys. This condition is termed the daytime frequency syndrome of childhood or Pollakiuria. The condition is functional no anatomic problem is detected. The symptoms occur often just before a child starts kindergarten or if the child is having emotional family stress-related problems. OCD is a chronically disabling illness characterized by repetitive, ritualistic behaviors over which the patient has little or no control. OCD has a lifetime prevalence of 1-3% worldwide, and as many as 80% of all cases have their onset in childhood and adolescence. The purpose of this study was to investigate the relationship between OCD and Pollakiuria.
Materials and Methods:In this case-control study, we evaluated (152) children aged 6-18 years old who were visited in the pediatric clinics of Amir-Kabir Hospital, Arak, Iran. The control group considered of (76) healthy children and the case group included (76) age and sex matched children with Pollakiuria. Then, the children’s behavioral status was evaluated using the children’s Yale-Brown Obsessive-Compulsive Scale (C-YBOCS). The C-YBOCS is helpful in identifying children with OCD. The data was analyzed using descriptive and analytical statistics in SPSS-16.
Results: OCD was detected in (5) case (6.6%) with Pollakiuria and (8) controls (10.5%). The difference in OCD was not significant (p-value 0.282) between the two groups.
Conclusion: OCD isn’t more common in Pollakiuria versus non-Pollakiuria children. It is recommended to conduct a study with higher sample volume in order to detect the relationship between OCD and Pollakiuria.
Ali Yar Piruzi, Mohammad Jafari, Mirzakhalil Bahmani, Mohammad Azadi, Mohammad Mehdi Feizabadi, Rouhi Afkari,
Volume 18, Issue 1 (4-2015)
Abstract
Background: Glucose-6- phosphate Dehydrogenase enzyme (G6PD) is an enzyme deficiency that is transported inheritably. The lack of this enzyme decreases the energy revival of red blood cells and leads to Hemolysis which is the cause of severe neonatal jaundice. This study aims to investigating glucose-6-phosphate dehydrogenase deficiency, hyperbilirubinemia, and blood incompatibility in newborn babies in larestan city, located in south of Fars province, following the newborn screening national plan.
Materials and Methods: This study is a cross-sectional and descriptive study on 12079 newborns in larestan city that referred to the screeing center from the start of 2010 to the end of 2012. The blood samples were taken from the newborns' heels and were evaluated through G6PD tluorescent spot test. They were examined regarding their blood group, hematocrit, hemoglobin, Coombs test, reticulocyte count and bilirubin levels as well as demographic information.
Results: In this research, among the 12079 screened newborns, 2345 ones showed G6PD deficiency with a prevalence of 19.41 which is a high percentage in comparison to those of other cities in Iran. The prevalence of O+ blood group among sick babies and their mothers was significantly higher than of other blood groups. (60% and 56%, respectively). The Hyperbilirubinemia and the indirect coombs tests were positive in 52% and 12% of the sick babies, respectively.
Conclusion: The prevalence percentage of lack of this enzyme in girls of Larestan city is a little higher than in boys, even though since this disease depends on X, it should be more prevalent in boys.
Zahra Jelodari, Nahid Masoodpoor, Mohammad Asadpoor, Meisam Hazeri, Seyed Hossein Shahcheraghi,
Volume 18, Issue 4 (7-2015)
Abstract
Background: Birthweight less than 2500 grams is the major indicators of neonatal and infant health. The studies on animals show that copper and zinc deficiency in pregnancy is associated with fetal growth and congenital abnormalities. Therefore, our study was conducted to evaluate the role of these two elements on human embryos.
Materials and Methods: In this descriptive study, cord blood of all infants born in Nik-Nafs Maternity of Rafsanjan was Collected for 1 year. Then, serum was separated and saved. In total, 64 samples including 9 infants with congenital anomalies, 21 infants with a weight equal to or less than 2500 grams and 34 healthy infants were selected randomly as control group. The level of copper and zinc in cord boold was measured by the spectrophotometric method and data analysis was carried out by SPSS 17 software and statistical methods involving Chi-square, T-test and analysis of variance.
Results: No significant relation was shown between the levels of copper and zinc withbirth weight and congenital abnormalities. Also, there was not any significant correlation between these two teo elements and some pregnancy risk factors such as type of delivery, premature rupture of membrane, placental decolman, placental previa, preeclampsia, gravidity, height, head circumference and Apgar scores.
Conclusion: The findings indicate that the levels of copper and zinc in cord blood are not associated with incidence of low birth weight, congenital malformations and pregnancy risk factors.
Mojtaba Hashemi, Javad Javaheri, Marjan Habibi, Parsa Yousefi Chaijan, Mahdyieh Naziri,
Volume 18, Issue 6 (9-2015)
Abstract
Background: The prevalence of constipation in childhood is 0.7% to 29.6%. Inorganic causes are considered as the most common cause of constipation in children. Polyethylene glycol (PEG) is the most effective and safest laxatives which is usable in children in the long-term. This study was conducted to evaluate and compare the effect of PEG treatment and probiotic bacilluscoagulans and bifidobacterium and probiotic to enhance the growth of probiotics.
Materials and Methods: In this double blind clinical trial study(interventional study), 120 children aged 2-16 years with chronic functional constipation enrolled the study based on ROME III criteria. The bowels became empty by using liquid paraffin. Then, children were randomly divided into three groups of polyethylene glycol+placebo and Probiotics+placebo and polyethylene glycol+probiotics recipients. After 6 weeks of treatment, treatment success rates between the three groups were compared before and after the study Data analyzed by SPSS 20 software.
Results: The results of the study conducted on the three groups for treatment of constipation showed that the effect of polyethylene glycol and probiotic on treatment was considerable before and after treatment but the levels of effect was similar in the comparison of groups. The simultaneous use of two drugs was more effective than a single drug.
Conclusion: Overall, the results of our study showed that concurrent use of polyethylene glycol and probiotics is much more effective in the treatment of constipation.
Mehri Jamilian, Masoomeh Heydari,
Volume 18, Issue 9 (12-2015)
Abstract
Background: Missed abortion refers to pregnancy products remain dead with age less than 20 weeks in the womb for several weeks. This study was designed to evaluate the efficacy of castor oil on cervical ripening in the treatment of abortion.
Materials and Methods: This triple blind clinical trial was done on 72 women with missed abortion who were divided into two groups of 36 patients based on odd or even numberd of cases. The case groups received 800 mg vaginal misoprostol and 60 ml castor oil mixed with fruit juice and control groups received 800 mg vaginal misoprostol and 60 ml placebo with fruit juice, respectively. In both groups, if needed, 3 doses of vaginal suppository 800 mg were repeated with at least 24 hours. After the disposal of pregnancy products, sonography and curettage were performed if necessary.
Results: During the intervening period, the time of the opening of the cervix in the intervention group was shorter than control group and there was a statistically significant difference (p=0.032). Also, the control group required a higher frequency of administration of misoprostol than intervention group and the difference was statistically significant (p = 0.037).
Conclusion: It seems that the castor oil can be effective on cervical ripening for treatment of abortion.
Leila Dehghan, Hamid Dalvand, Abdolreza Yavari, Fakhreddin Shariatmadari, Akram Valizadeh,
Volume 19, Issue 8 (11-2016)
Abstract
Background: Understanding the real needs of children with cerebral palsy and their families helps the therapists to provide adequate health care service for them. This study aimed to determine the needs of mothering handling training for family caregiving of children and youth with CP at home based on the level of gross motor function.
Materials and Methods: This research was a descriptive, analytical and cross sectional study that was performed on 186 children 4-12 year olds with CP from the rehabilitation clinics in the city of Arak. They were selected by simple and purposeful sampling. Clinical tests were Gross Motor Measure Function Classification System Expanded & Revised (GMFCS E&R) to assess the severity of gross motor function lesions and canadian Occupational performance measure (COPM) to determine the needs. Data were analyzed by descriptive tests such as: statistical test and two-way ANOVA.
Results: The most important need of mothering handling training was self care training specially toileting, feeding, eating and functional mobility related to children with CP in the level of V of GMFCS E&R (transported in a manual wheelchair). There were no significant differences in needs of mothering handling training in areas of sex and severity of gross motor function lesions (p>0.05).
Conclusion: It seems that therapists should combine maternal handling trainings with other interventions in therapy programs, especially in the area of self- care.
Fatemeh Dorreh, Anahita Namdari,
Volume 19, Issue 9 (12-2016)
Abstract
Abstract
Background: Acute bronchiolitis is the most common lower respiratory tract infection in infant and one of their hospital admission reasons. Due to the high prevalence of the disease and unclear effectiveness of existing treatments, the present study was designed to evaluate the therapeutic effect of single dose of injected dexamethasone and inhaled epinephrine in patients with acute bronchiolitis treated with inhaled salbutamol.
Materials and Methods: In this double-blinded clinical trial, 90 infants with age of 2-24 months who were admitted to hospital with acute bronchiolitis were studied. All patients received inhaled salbutamol (0.15 mg/kg) and then were randomly assigned to three groups (n=30) of dexamethasone (0.6 mg/kg), inhaled epinephrine (0.15 mg/kg) and control (distillated water). Heart rate (HR) and respiratory rate (RR), arterial blood oxygen saturation (O2 sat) and respiratory distress scores (RDS) of children at baseline, 30, 60,120 minutes and, 24 hours after intervention were recorded and compared between groups.
Results: The mean of HR, RR and RDS had significant improvement and the mean of O2 sat had significant rising trend and improvement during the study in all groups (p<0.05). The mean of HR in epinephrine group was upper than placebo in all measurements (p<0.001). RDS in epinephrine group was significantly upper than dexamethasone (p=0.002, CI95%=0.58- 2.69) and placebo (p=0.014, CI95%=0.27-2.8)
Conclusion: Based on the result of present study, it seems that inhaled epinephrine or injected dexamethasone have no superiority to placebo in treating infantile acute bronchiolitis and their administration is not recommended.
Morteza Salimi Avansar, Abdolsaleh Zar,
Volume 20, Issue 2 (5-2017)
Abstract
Abstract
Background: The prevalence of obesity among children is alarmingly rising. Obesity in a chronical inflammatory condition accompanies with inflammatory markers such as Chemerin and CRP; therefore, the aim of this following study is to compare the affection of Endurance & High Intensity Interval Trainings on levels of Chemerin & Protein of C-reactive plasma in obese children.
Materials and Methods: This experimentation included 21 obese children (average weight 61.46±2.5 kg and BMI 7.1±4.31) aging 9-12 years old who were randomly divided into three groups of endurance, HIIT and control (n=7). The training groups performed regular exercises for 8 weeks long (3 sessions in every week). The differences between groups were evaluated using covariance analysis. (p<0.05).
Results: In both training groups, there was a more significant decrease in weight, BMI and body fat percentage than there was before workouts. In HIIT group, we witnessed a significant reduction in level of Chemerin (p=0.016) than before. CRP level was also decreased in both groups, but the changes were not significant.
Conclusion: In summary, 8 weeks of HIIT exercises compared to endurance trainings have greater effect on Chemerin and CRP levels in obese children.
Masoud Rezagholizamenjany, Parsa Yousefichaijan,
Volume 21, Issue 7 (2-2019)
Abstract
Nephrotic syndrome
Nephrotic syndrome is a manifestation of glomerular disease as a proteinuria in the nephrotic and triad of hypoalbuminemia, edema, hyperlipidemia, and high protein in the urine. Nephrotic proteinuria is defined as protein excretion of more than 40 mg/m2 of body surface per hour or protein to creatinine ratio of more than 2-3 at the first morning urine sample. Its annual incidence in most western countries is 2-3 cases per 100000 children per year, and in developing countries it is often higher due to malaria (1). New findings in this area are often about treatment, which are evaluated and reviewed in following.
Somaye Delavar, Niloofar Shadmehri, Hamid Dalvand,
Volume 22, Issue 1 (4-2019)
Abstract
Background and Aim: Children with cerebral palsy (CP) may have musculoskeletal disorder due to inappropriate position during sleep. The aim of this study was to design the equipment for sleep positioning of children with CP.
Materials and Methods: This research was a designing device study for sleep positioning of children with CP. The design was carried out in three stages: needs assessment, develop an idea and final design. Seventeen children with CP aged 2-12 year olds at the levels of III to V Gross Motor Function Classification System Expanded and Revised (GMFCSE&R) were recruited from Tehran and Karaj rehabilitation clinics by a convenience sampling strategy. For data collection, some demographic questionnaire and GMFCS E&R were used.
Ethical Considerations: This study was approved in Research Ethics Committee of Faculty of Applied Arts at Tehran University of Art with the code IR. ART U.REC.1394.118.
Findings: In the process of needs assessment, a researcher made questionnaire and pictures of sleep positioning children with CP when they were sleeping were used. In developing an idea stage, the free and creative ideas under the name of black box, as well as, Etudes at the transparency stage were presented as the combination of creative ideas. In the final design stage, by using superior materials, positioning and packaging, we achieved a superior design.
Conclusion: The proposed plan is designed as an interventional tool based on the need of Iranian children with CP and there is no similar national or international device available. The final design of the sleeping equipment includes a set of mattresses and a variety of modular styling devices based on a family centered approach, so that, allow parents to active engagement during sleep and rest of their children and can help the children to assume the proper positions.
Aziz Eghbali, Hasan Taher Ahmadi, Shahla Zabihzadeh, Morteza Mousavi Hasanzadeh,
Volume 22, Issue 3 (8-2019)
Abstract
Background and Aim: Cancer is the second cause of death in children under fourteen years old. The aim of this study was to determine the epidemiology and predisposing factors of childhood cancers.
Materials and Methods: This observational-descriptive study was performed on 82 children in the oncology department of Amir-kabir Hospital in Arak who were referred between 2011 and 2016. Data on age, sex, type of malignancy and predisposing factors were carried out by person interviews or patient records and were registered in checklist and analyzed.
Ethical Considerations: This study with research ethics code IR.ARAKMU.REC.2.46.87 has been approved by research ethics committee at Arak University of Medical Sciences.
Findings: The results showed that 56.1 percentage of patients were aged 0-5 years, 74.1 percentage were urban, 90.2 percentage were alive, 99 percentage were singleton, 92.7 percentage full term, 46.3 percentage of them were the first children and 87.9% of them had birth weight over 2500 g. There was no significant relationship between the delivery method and delivery problems, the sex of the patients, the environmental factors (such as consuming canned food, sausages, insecticide use, drug use during pregnancy and the rate of infectious diseases), However, there was a direct relationship between the increased age of parents and the high socioeconomic level with the risk of cancer.
Conclusion: The risk of childhood cancers in Markazi province is more related to genetic factors and the environmental factors causing cancers in children are less involved in this study.
Yazdan Ghandi, Nooshin Sajadei, Seyed Mojtaba Hashemi, Javad Farahani,
Volume 24, Issue 2 (5-2021)
Abstract
Background and Aim: Considering the importance of childhood obesity and easier correction of related factors in this age group, the present study aimed to investigate the role of some factors related to family, nutrition, and lifestyle on childhood obesity.
Methods & Materials: This age-matched case-control study was performed on 150 obese and 150 healthy children, aged 2-15 years referring to Amir-Kabir Hospital in Arak City, Iran. Obesity was calculated based on Body Mass Index (BMI). Required information, including family factors, nutritional factors, and lifestyle characteristics were collected by a checklist.
Ethical Considerations: This study was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1396.119).
Results The results of Odds Ratio (OR) with 95% of Confidence Interval (CI) were in favor of father’s age of 25-35 and over 35 years (0.24), respectively, father’s overweight and obesity (3.87 and 3.57), mother’s overweight and obesity (3.81 and 5.5)7, more than three children per household (3.33), low and high consumption of fruits and vegetables (0.3 and 0.19), breakfast eating (0.43), dietary supplementation (2.68), consuming fast food (3.98), more than two hours of playing a computer game (3.5), chewing well (0.38), using food as a reward (1.89), as well as participating in food and table preparation (3.14). We found a dose-response association between children’s obesity and parents’ BMI, the number of children, and computer games.
Conclusion: Obesity is associated with some factors related to the family, such as nutrition, computer games, and lifestyle characteristics. Due to various risk factors and adjustable safeguards, it is necessary to provide families and children with proper education to reduce obesity.
Maryam Beheshtifard, Saeed Alinejad, Danial Habibi, Yazdan Ghandi,
Volume 24, Issue 4 (9-2021)
Abstract
Background and Aim: Patent Ductus Arteriosus (PDA) is a common problem in premature neonates, especially in neonate’s low birth weight (LBW). This study aimed to compare the effectiveness of oral and intravenous ibuprofen in the management of PDA.
Methods & Materials: We enrolled 40 low birth weight neonates (gestational age <37 weeks) with PDA into semi-experimental study. the LBW neonates received ibuprofen as an initial dose of 10 mg/kg, followed by 5 mg/kg at 24 and 48 hours later. The exclusion criteria were congenital chromosome anomalies, congenital heart disease, asphyxia, sepsis. The PDA was initially confirmed by echocardiography. Treatment efficacy was evaluated by echocardiography after the treatment.
Ethical Considerations: This study was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1396.265).
Results: Of the total participants 37.5% (female 25) were girls. Gestational age ranges from 29 to 36 weeks. The average birth weight was 1639±616 gr and the minimum of weight 750 gr. the mean gestational age was 30.4±4.0 weeks. After the first dose of ibuprofen, closure of PDA was observed in 32 patients (80%), PDA closed in eight patients (20%) with to repeat course ibuprofen. There was no significant relationship between the frequency of ibuprofen use with gestational age (P=0.06), birth weight (P=0.08), type of delivery (P=0.068) and multiple births (P=0.061).
Conclusion: Most LBW neonate with PDA responded to using the first course of ibuprofen. extremely, all LBW infants responded to the second course. it seems that ibuprofen is as effective as ibuprofen for PDA closure even in LBW infants.
Mrs Razieh Peyghambardoost, Mrs Soraya Soheili,
Volume 25, Issue 4 (9-2022)
Abstract
Introduction: Background and Objectives: Low birth weight infants are at greater risk than normal infants and need care to achieve normal growth. This study aimed to The effect of continuous postpartum care at home on the growth and development of low birth weight infants.
Methods: The present study was a one-way blind clinical trial Which was performed for 90 low birth weight infants. Data collection tools included demographic information sheet and growth index registration form and low birth weight infant development questionnaire. Data were analyzed by SPSS software version 20 using descriptive and inferential statistical tests. Significance level is P <0.05.
Results: Average weight of the infants in the intervention group was 2313.08 ± 223.12 grams in the intervention group, and 2308.84 ± 247.61 grams in the control group. After the intervention, there was no significant difference between the mean weight and head circumference of the neonates in the two groups; But the mean height and chest circumference of the two intervention and control groups in the second and third months were statistically significant (P < 0.05). Also the mean total developmental score (p < 0.0001) of low birth weight infants in the third month based on ASQ form was significantly different between the two groups. So that the mean score of problem solving domain, personal and social domain and the mean score of neonatal development in the third month in the intervention group was higher than the control.
Conclusions: Continuous postpartum care promotes the developmental indicators of low birth weight infants.
Mohammad Shamohammadi, Farzaneh Javanmard,
Volume 26, Issue 2 (7-2023)
Abstract
Introduction: Helicobacter pylori is the most common bacterial infection in the world. Infection with this bacterium occurs during the first 5 years of life. The present study was conducted with the aim of investigating the frequency of Helicobacter pylori infection in children and the types of histopathological changes related to it in endoscopic gastric biopsy samples of children.
Methods: In this cross-sectional-descriptive study, the prevalence of Helicobacter pylori and histopathological findings of 169 children with it were examined in the gastric endoscopic biopsy samples that were sent to the pathology department of Shahid Motahari Hospital in Urmia during March 2019 to March 2022. This study was approved by Research Ethics committee of Urmia University of Medical Science, Urmia, Iran (code: IR.UMSU.REC.1400.227).
Results: Out of 571 examined patients, 169 children (29.5%) were infected with Helicobacter pylori, the most common histopathological lesion was chronic gastritis. 40.3% of patients had active chronic inflammation as a result of gastric biopsy. No significant relationship was found between Helicobacter pylori and children's gender (P=0.29), but a significant relationship was observed between Helicobacter pylori results and children's age (P=0.04). A significant relationship was also observed between Helicobacter pylori infection and the severity of chronic gastritis (P=0.0001).
Conclusions: Considering that the inflammatory histopathological changes of the stomach are seen in all children with Helicobacter pylori infection and in more than 40% of cases this inflammation is of an active type, it is necessary to pay special attention to the early diagnosis and treatment of this infection in children.
Mr Mahdi Panahian,
Volume 26, Issue 2 (7-2023)
Abstract
Introduction: Vestibular defects, vertigo and Dizziness may lead to delay in postural control, lack of coordination, vertigo attacks and ultimately imbalance in children. In this systematic review, the factors affecting children's balance disorders and the effective tests for evaluating these children were investigated.
Methods: Valid articles were searched in Pubmed, Google Scholar, Elsevier databases between 2000 and 2023 using the keywords Balance, Vertigo, Dizziness, Vestibular, Children. In the present study, research articles, narrative reviews, systematic reviews, and meta-analysis related to the purpose of the study were evaluated and included in the study.
Results: In the present study, a total of 95 articles were found. By repetition, 13 articles were removed and 82 articles remained in the study. By examining the titles of these articles, 7 articles were removed because the title was not relevant to the purpose of this study and 9 articles were removed because the full text of the article was not relevant,then leaving 66 relevant articles. 8 studies were excluded from the present study due to exclusion criteria. Therefore, a total of 58 articles were included in this systematic review and effective factors in the occurrence of balance disorders and effective assessment in identifying these disorders were found.
Conclusions: Correct diagnosis of balance disorders in children using appropriate tests not only prevents unnecessary examinations and reduces parents' worries, but is also a prerequisite for successful treatment.
Zahra Juodi, Zahra Fakur, Ali Aagayar Makouii, Rasool Gareaghaji Asl,
Volume 28, Issue 1 (3-2025)
Abstract
Introduction: One of the most common problems in newborns is apnea of prematurity. Given the importance of preventing apnea in very premature infants, the present study was designed and conducted to investigate the preventive effect of caffeine on reducing the frequency of apnea events in very premature infants.
Methods: This randomized, double-blind, controlled clinical trial was conducted on premature infants hospitalized in the neonatal intensive care unit of Shahid Motahari Hospital in Urmia. Infants were randomly divided into two intervention and control groups. The intervention group received intravenous caffeine at an initial dose of 20 mg/kg and a maintenance dose of 5 mg/kg for 14 days. In contrast, the control group received an equal volume of normal saline intravenously for the same period. Apnea events, cyanosis attacks, and bradycardia were recorded by the researchers in a standard checklist.
Results: Of the 50 infants in each group, 2% of the caffeine and 4% of the control group required prolonged oxygen therapy, respectively. Also, 6% of the caffeine group and 4% of the control group experienced intraventricular hemorrhage. In addition, 4% of the caffeine group and 2% of the control group required surgery to close the patent ductus arteriosus, and 14% of the caffeine group and 18% of the control group experienced apneic events. However, there was no statistically significant difference between the two groups regarding the incidence of apneic events (P = 0.58). Ultimately, 20% of the caffeine group and 14% of the control group died.
Conclusions: Although the findings of the present study were not statistically significant, they indicate a decrease in the frequency of apnea events in the group of premature infants receiving caffeine compared to the control group.
