Pediatric

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1 - Effect of Dezful’s Day Care Center interventional program to fight malnutrition and improvement of anthropometric indices among preschool children
Pegah Rahbarinejad Maryam Mohamdpour Mina Minaie Farideh Nazari Zahra Abdollahi Ahmadreza Dorosty Motlagh

One of the most important irresistible world wiles is to supply adequate and appropriate nourishment for children. According to malnutrition spectrum, undernutrition and overnutrition are placed in the two ends of the malnutrition spectrum, which carries on as a key pub چکیده کامل

One of the most important irresistible world wiles is to supply adequate and appropriate nourishment for children. According to malnutrition spectrum, undernutrition and overnutrition are placed in the two ends of the malnutrition spectrum, which carries on as a key public health issue in developing countries including Iran. Under-nutrition complications including, wasting, stunting and underweight are related to delayed mental development, faltered growth and reduction of intellectual capacity. For 436 participants, anthropometric Z-scores, including weight for height Z-score (WHZ), weight for age Z-score (WAZ), height for age Z score (HAZ), and BMI for age Z-score (BAZ) were added by using Anthro V.3.2.4 and for above 5 years old using Anthro Plus V.1.04 software of the World Health Organization. All of these data classified based on WHO child growth standards guideline. In this study, SPSS was used for statistical analysis. In this interventional study of 2-6 years old children living in Dezful (in the western south part of Iran), among the total study population that surveyed, about %6 had moderate to severe wasting before the intervention which was decreased to about 5% after the intervention. Obesity and overweight did not show a significant difference based on scale. The most remarkable results to emerge from the data is that there was a significant association for the following status: Weight, height, body mass index (BMI), WHZ, WAZ, and BAZ while comparing after intervention with baseline. Whereas, there was no significant association for HAZ which is interpreted as stunting. All of the anthropometric indices were increased after intervention vs baseline. Nutritional education must be conducted more seriously for both healthcare professionals in day care centers and mothers of children. Consequently, intervention program to improve the nutritional status of children aged 2-6 years in day care centers must be promoted and continued to disappear or at least fight against malnutrition. Furthermore, due to no national studies have been planned for the nutritional status of adolescent and adult individuals, in near future, this kind of intervention should be managed for these age groups. پرونده مقاله

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2 - Comparison of the effectiveness of an intervention program to improve the nutritional status of children aged 2-6 years in Day Care Centers of East and West of Iran
Zahra Madani Maryam Moussavi Jordi Mina Minaie Ahmadreza Dorosty Motlagh Zahra Abdollahi Fariba Babaei Zahra Abasalti Ariyo Movahedi

Child health is very vital in all societies, which is prejudiced by the interaction of numerous factors. Pediatric healthy nutrition is one of the most imperative and influential elements in the health of children which affects anthropometric indices. In this study, the چکیده کامل

Child health is very vital in all societies, which is prejudiced by the interaction of numerous factors. Pediatric healthy nutrition is one of the most imperative and influential elements in the health of children which affects anthropometric indices. In this study, the effectiveness of one meal warm food for the rural kindergarten of two main cities in the East and West of I.R. Iran Urmia and Mashhad have been carried out. In this cross-sectional study, anthropometric z scores of 5508 children (2750, Urmia vs 2758, Mashhad) were measured by using WHO Anthro and Anthro plus software based on WHO 2007 standards and analyzed using SPSS. Based on the present findings, 16% of children from West and 15% of children from the East showed moderate to severe lower weight for height. In addition, girls showed more severe underweight than boys did. BMI-for-age children from the West and the East approximately showed 14% and 15% of moderate to severe underweight and dropped to about 9% and 12% respectively. Moreover, the percentage of overweight of children in the study was lightly changed to obese especially in boys from the West. Between the two genders, male and female, overweight in girls and obesity in boys found higher than the opposite sex, and relatively similar trends have continued after the intervention in the west. This project was successful to lower moderately severe wasting in children based on body mass index from 7% to about 5% in the west and from 6% to about 5% in the east too. The slight increase in the scale of overweight and obesity and a half percent of overweight children from the west after the program was shown. Even though boys from the West showed a higher increase of obesity than girls had more overweight than boys did, but there was no change before and after intervention in the east, reduction of moderate and severe underweight found similarly in both genders. Due to the relative success of the present intervention plan, nutritional education along these kinds of projects may improve the nutritional status of children in society and prevent pediatric malnutrition. پرونده مقاله

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3 - The effect of daily meal support program on improvement of anthropometric indices in 2-6 years old children in Iranshahr, Iran
Arefeh KhaksarJalali Amirmehdi Husseini Mina Minaie Shahla Mirlashari Zahra Abdollahi Ahmadreza Dorosty Motlagh

Pediatric malnutrition is prevalent in developing countries including Iran. One of the most important factors that effects on children growth is nutritious food intake. This study was designed to study the effect of daily ready to use meal in 2-6 years children in dayca چکیده کامل

Pediatric malnutrition is prevalent in developing countries including Iran. One of the most important factors that effects on children growth is nutritious food intake. This study was designed to study the effect of daily ready to use meal in 2-6 years children in daycare centers. 715 children have been assessed in this study and weight and height were measured before and after the 6-month intervention with daily ready to use meal. Anthropometric indices compared with WHO standards of 2007. Wasting decreased significantly from 29% to 19% in 2-5 children before and after the intervention, respectively. Also, the underweight prevalence decreased significantly from 27% to 19% in all 2-6 children. Furthermore, the prevalence of wasting and underweight in boys was more than girls. According to BMI/age Z-score, thinness prevalence lowered significantly from 23% to 15%. But height/age Z-score didn’t change significantly. The results of this study showed that nutrition intervention can improve health indicators in children suffering from malnutrition. پرونده مقاله

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4 - Association of socioeconomic status and food security with anthropometric indices among 2-5 year-old urban and rural children in Hamedan city
Golnaz Majdizadeh Zahra Vafaei Mastanabady Zahra Zare Mena Farazi Zahra Mohammadizadeh Ariyo Movahedi Mina Minaie Zahra Abdollahi Ahmadreza Dorosty Motlagh Maryam Zarei Arezoo Kavei Hassan Hamedi

Food insecurity is one of the issues that have a serious impact on the nutritional status of all individuals in society, especially children and given that food insecurity can be a precursor of health, developmental and nutritional problems, determining the factors asso چکیده کامل

Food insecurity is one of the issues that have a serious impact on the nutritional status of all individuals in society, especially children and given that food insecurity can be a precursor of health, developmental and nutritional problems, determining the factors associated with it, is also essential in any community it seems. According to this, this study aimed to determine the relationship between food security, socioeconomic status and anthropometric indices in children 2-5 years in Hamedan city. In this analytical descriptive cross-sectional study, 683 children 2-5 years (360 boys, 323 girls) from Hamedan city and villages were selected by systematic cluster sampling methods from the Hamedan University of Medical sciences. HFLAS 9-item questionnaire to investigate food security, and also, a general questionnaire was completed through interviews with mothers of children. Also, children of anthropometric Z scores were measured by using the world health organization (WHO) Anthro software basal on WHO 2007 standards. Eventually, data were analyzed by SPSS software. According to this study, there was a significant correlation between the mother's and father's education and occupation, frequency of snack and food security with children's weight for age (p <0.05). Also, there was a significant correlation between the mother's and father's job, frequency of snack with children's weight for height (p <0.05). While BMI for age had a significant correlation with maternal education, (p <0.05). Also, height for age correlated with the mother’s education and occupation, father’s education, number of snacks and food security (p <0.05). Also, no significant difference was found between other components (p>0.05). The result of this study shown that there was a significant correlation between food security, Z score height for age, Z scores BMI for age, mother's and father's education, mother's job and socioeconomic status of the household. پرونده مقاله

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5 - An intervention Program to Improve the Nutritional Status of Children Aged 2-6 Years in Day Care Centers of East Azerbaijan Province of Iran
Mina Minaie Fathollah Pourali Zahra Abdollahi

Introduction: Child health is very important in all societies which is influenced by the interaction of multiple factors. Good nutrition for children is one of the most important and influential factors in the health of children in this study to evaluate the effectivene چکیده کامل

Introduction: Child health is very important in all societies which is influenced by the interaction of multiple factors. Good nutrition for children is one of the most important and influential factors in the health of children in this study to evaluate the effectiveness of one meal warm food for the rural kindergarten of the East Azerbaijan Province of Iran on anthropometrics indices of children have been carried out. Method: In this cross-sectional study, anthropometric z scores of 7116 children were measured by using WHO Anthro and Anthro plus software based on WHO 2007 standards and analyzed using SPSS. Results: Based on the present findings, 8% of children showed moderate to severe lower weight for height. Also, girls showed more severe underweight than boys. BMI-for-age children from approximately 5% of moderate to severe underweight has decreased to about 3%. The frequency of normal children increased from 85% to about 86%. The prevalence of overweight and obesity were observed after the intervention reduced slightly. Also the percentage of overweight of children in the study was lightly changed to obese. Between the two genders, male and female, overweight and obesity in boys found higher than girls, and relatively similar trends have continued after the intervention. This project was successful to lower moderately severe wasting in children based on body mass index from 7% to about 5%. The slight increase in the scale of overweight and obesity and a half percent of overweight children after the program was shown. Even though boys showed a higher increase of obesity and overweight than girls, reduction of moderate and severe underweight found similarly in both genders. Conclusion: Due to the relative success of the present intervention plan, nutritional education along these kinds of projects may improve the nutritional status of children in society and prevent pediatric malnutrition. پرونده مقاله

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6 - داده کاوی الگوی نامشهود تراکنش‌های رفتارهای اطلاع‌یابی و اطلاع درمانی متخصصان بیماری‌های نقص ایمنی
صدیقه محمداسماعیل شیبا کیانمهر

مقدمه: پژوهش حاضر با هدف تحلیل رفتار اطلاع درمانی ایمونولوژیست‌های کشور، بر مبنای مدل شبکه عصبی خودسازمان‌ده کوهونن انجام شده است. روش پژوهش: پژوهش کاربردی، به روش پیمایشی توصیفی و با استفاده از تکنیک شبکه عصبی انجام شده است. ابزار پرسش‌نامه‌ای است محقق‌ساخته که بین ۱۴۹ چکیده کامل

مقدمه: پژوهش حاضر با هدف تحلیل رفتار اطلاع درمانی ایمونولوژیست‌های کشور، بر مبنای مدل شبکه عصبی خودسازمان‌ده کوهونن انجام شده است. روش پژوهش: پژوهش کاربردی، به روش پیمایشی توصیفی و با استفاده از تکنیک شبکه عصبی انجام شده است. ابزار پرسش‌نامه‌ای است محقق‌ساخته که بین ۱۴۹ نفر توزیع شد. به منظور خوشه‌بندی با استفاده از نرم‌افزارMATLAB ‌متخصصان بر اساس مؤلفه‌های اصلی پژوهش خوشه‌بندی و سپس با حذف هر یک از زیرمؤلفه‌های اصلی، مؤثرترین و کم‌اثرترین گزینه تعیین گردید. یافته‌ها: تحلیل ها نشان داد در مهارت‌های اطلاع‌یابی؛ 63/75 درصد از افراد جامعه در خوشه اول با میانگین 29/88 و در خوشه دوم 36/24 درصد با میانگین نمرات‌ 30/22، قرار دارند و مهم ترین مولفه استفاده از کلیدواژه‌ها و اصطلاحات مرتبط با اطلاعات مورد نیاز است. در مورد راه‌های اطلاع‌یابی؛ 22/14 درصد جامعه با میانگین نمرات 54/36 در خوشه اول، 18/12 درصد افراد با میانگین 48/11 در خوشه دوم، 14/09 درصد با میانگین 43/28 در خوشه سوم، 16/1 درصد با میانگین 49/04 در خوشه چهارم و 29/53 درصد افراد با میانگین نمرات 53/72 در خوشه پنجم قرار داشته، و مهم‌ترین راه‌های اطلاع یابی، استفاده از منابع اطلاعات الکترونیک بوده است. بر مبنای میزان استفاده از انواع خدمات اطلاعاتی؛46 درصد افراد با میانگین نمرات 54/85 در خوشه اول، 20/66 درصد با میانگین 49/38 در خوشه دوم و 32/66 درصد با میانگین 43/08 در خوشه سوم قرار داشته و مهم ترین مولفه خدمات اطلاع درمانی، آشنایی با انواع منابع و خدمات اطلاعاتی رشته تخصصی بوده است نتیجه‌گیری: خوشه‌بندی عصبی رفتارهای اطلاع درمانی جامعه مورد مطالعه و تراکنش های اطلاعاتی حاصل از آن، علاوه بر منتج شدن به آگاهی از نیازها و منابع اطلاعاتی مورد نیاز کاربران، به عنوان روشی در دسترس و کم هزینه که ارتقای سطح کیفیت اطلاعات متخصصین سیستم نقص ایمنی را در پی دارد و به ارایه خدمات درمانی موثرتر به بیماران منتهی می‌گردد، زمینه لازم جهت پیش بینی تمهیدات و تصمیم‌گیری‌های اطلاعات‌گرا را جهت تامین نیازها و محمل های اطلاعاتی مورد درخواست کاربران پایگاه های داده‌های پزشکی فراهم و در اختیار مدیران و دست‌اندرکاران این حوزه قرار می دهد، و به عنوان راهبردی موثر با حداکثر سطح استانداردهای ممکن، به کشف الگوی نامشهود رفتار های اطلاع‌یابی کاربران حوزه سلامت منتهی، و به فرد مخاطب می‌آموزد تا هوشمندانه از محمل‌های اطلاعاتی بهره گیرد. پرونده مقاله

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7 - بررسی تاثیر شربت بیکسترا در بهبود علایم سرماخوردگی در کودکان 1تا10 سال مراجعه کننده به کلینیک های اطفال شهر قم در سال 1398-1397
زینب زارعی رضائی محمدجواد قاسم زاده

سرماخوردگی یا عفونت ویروسی مجاری هوایی فوقانی سومین تشخیص اولیه شایع در مراکز درمانی سرپایی آمریکا است. این بیماری ناشی از ویروس های تنفسی مانند : 30-50 % موارد رینوویروس و کرونا ویروس 10-15% موارد هستند. برخی داروها نیز نظیر روی ، عسل و مشتقات آن و شستشوی بینی در درمان چکیده کامل

سرماخوردگی یا عفونت ویروسی مجاری هوایی فوقانی سومین تشخیص اولیه شایع در مراکز درمانی سرپایی آمریکا است. این بیماری ناشی از ویروس های تنفسی مانند : 30-50 % موارد رینوویروس و کرونا ویروس 10-15% موارد هستند. برخی داروها نیز نظیر روی ، عسل و مشتقات آن و شستشوی بینی در درمان موثر واقع می شوند. یکی از داروهای طبیعی که از مشتقات عسل است پروپولیس نام دارد که خواص دارویی فراوانی دارد.در این مطالعه کارآزمایی بالینی که برروی کودکان 10-1 سال مراجعه کننده به کلینیک های اطفال قم به دلیل سرماخوردگی در طی سال های 1398-1397 انجام می شود که علاوه بر درمانهای روتین سرما خوردگی به گروهی از آنها روزانه 5 میلی لیتر شربت بیکسترا داده می شود و سپس پس از گذشت 3 و 7 روز از لحاظ بروز متغیر های مورد بررسی ارزیابی می شوند. در گروه استفاده کننده از شربت بیکسترا میانگین سنی افراد 44/3 ±55/2 بود و در گروه کنترل2/2 ±7/2 بود. در گروه استفاده کننده از شربت بیکسترا 30 نفر از افراد(60%) پسر و 20 نفر(40%) دختر بودند و در گروه کنترل 27 نفر (54%) پسر و 23 نفر(46%) دختر بودند. در گروه استفاده کننده از شربت بیکسترا در روز اول مراجعه به درمانگاه 40 نفر(80%) از افراد تب داشتند که میانگین تعداد روز های ابتلا به تب در آنها 92/0 ±4/0 بود. ودر روز سوم پیگیری تنها 1 نفر از افراد تب داشت و در روز هفتم پیگیری هیچکدام از افراد تب نداشتند. پرونده مقاله

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8 - Impact of Intravenous Pantoprazole versus Oral Pantoprazole on Gastric pH in Pediatric Intensive Care Unit: A Randomized Trial
Sara Salarian Bahador Mirrahimi Fahimeh Hadavand Mahsa Gharehdaghi Bahador Bagheri

10.22034/jchr.2021.1915527.1223

Critically ill patients are at risk for development of stress-related mucosal damage (SRMD). Proton Pump Inhibiros (PPIs) like pantoprazole are extensively used to prevent SRMD in ICU settings. It is not known with certainty that either oral or intravenous pantoprazole چکیده کامل

Critically ill patients are at risk for development of stress-related mucosal damage (SRMD). Proton Pump Inhibiros (PPIs) like pantoprazole are extensively used to prevent SRMD in ICU settings. It is not known with certainty that either oral or intravenous pantoprazole is associated with a better response. Our goal was to compare effects of intravenous pantoprazole with oral pantoprazole on gastric pH in children admitted to PICU. In this blinded trial, 80 patients were randomly divided into two groups. Patients in in the first group received oral pantoprazole (1 mg/kg/day/divided) and patients in the second received IV pantoprazole (1 mg/kg/day/divided). The gastric pH was measured 48 hours after pantoprazole administration using litmus paper. The mean age was 990 days. After 48 hours, the gastric pH was 4.46 ± 1.48 in patients received pantoprazole orally and it was 4.85 ± 1.52 in patients received pantoprazole intravenously. There was no significant difference between two study groups (P= 0.252). Besides, no significant differences were noted in rate of diarrhea and nosocomial pneumonia between 2 study groups (P > 0.05). This study showed that both intravenous and oral pantoprazole had similar effects on gastric acid of children hospitalized in PICU. It seems reasonable to use oral pantoprazole to reduce the costs of treatment. پرونده مقاله

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9 - The Effect of Ibuprofen, Ponstan and Panadol Oral Suspensions on the Gastrointestinal Mucosal Layer in Mice
Seeham Ali Alkafajy Abeer Salih Ali

10.22034/jchr.2022.689794

Antipyretic drugs such as suspensions of Mefenamic acid (Ponstan), Ibuprofen and paracetamol (acetaminophen) are the most common drugs that wildly used in children to decrease the fever, pain and inflammation, and from clinical observations of children using these drugs چکیده کامل

Antipyretic drugs such as suspensions of Mefenamic acid (Ponstan), Ibuprofen and paracetamol (acetaminophen) are the most common drugs that wildly used in children to decrease the fever, pain and inflammation, and from clinical observations of children using these drugs, found they cause gastrointestinal complications and from this, the idea of this research was to find the effect of these drugs on the mucous membrane of the gastrointestinal tract in Swiss albino mice.In the present study, we used 30 mice classified into five groups which are G1 as control group, G2 receive 15 mg kg -1day-1 panadol, G3 receive 30 mg kg-1day-1ibuprofen, G4 receive 5 mg kg-1 day-1 Ponestan and G5 receive a combination of panadol and ibuprofen in same the previously doses respectively for 7 days. The gastric histological sections of G2 were normal mucosal, G4 shown mild mucosal glandular hyperplasia, while G3 and G5 groups appear flat mucosal surface with submucosal hyperplasia of gland mild atypical cells, and G2 showing mucosal glandular hyperplasia. The intestine histological sections of G2 appears normal intestinal villi with mild inflammatory cells infiltration, G3 shown dispersed slight shortening of intestinal villi with mild inflammatory cells infiltration, finally G4 and G5 shown villi hyperplasia with a slight widening of villi with mild inflammatory cells infiltration. NSAIDs are available over-the-counter drugs for adult and in pediatric population And it is considered a safe medicine if used in properly dose in the short-term, the decision to pick an antipyretic should be dictated by safety, efficacy, effectiveness, duration of action and the integrity of the patient gut. پرونده مقاله

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