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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.

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