Azadeh Seyd Mohammadkhani, A. Khakshour, N. Ghaemi, H. Kianifar, Z. Shaye, S. Bagheri, Samaneh Norooziasl, Z. Sheikhi
{"title":"Frequency of hyperglycemic stress in patients referred to emergency department of Akbar hospital in Mashhad depending on type of disease","authors":"Azadeh Seyd Mohammadkhani, A. Khakshour, N. Ghaemi, H. Kianifar, Z. Shaye, S. Bagheri, Samaneh Norooziasl, Z. Sheikhi","doi":"10.22038/IJP.2021.54629.4316","DOIUrl":"https://doi.org/10.22038/IJP.2021.54629.4316","url":null,"abstract":"Background: Hyperglycemic stress is a transient increase in blood glucose during an acute physiological stress in the absence of diabetes. In children, blood glucose level of >150 mg/dl is considered as hyperglycemia. The aim of the study was determining the Frequency of hyperglycemic stress based on the underlying diseases in patients referred to emergency department of one pediatric hospital in Mashhad-Iran.Methods: In this cross-sectional study, patients referred to the pediatric emergency department of Akbar Hospital without receiving any medication or serum containing glucose were evaluated. Information of the patients such as age, sex, blood glucose level, vital signs, body temperature, initial diagnosis and the type of disease, seizures, dehydration, and treatment received for hyperglycemia were recorded. Body temperature, dehydration and seizures were also re-evaluated 48 hours after admission. Chi-square test was used to compare the qualitative variables. For quantitative statistical analysis, after examining the normality of the variables by Smirnov Kolmogorov tests, Pearson correlation test and its nonparametric equivalent were used in case of normal and non-normal distribution of data, respectively.Results: In this study, 201 patients including 120 boys (59.7%) and 81 girls (40.3%) with mean age of 3.01 ± 3.03 years (age range 2 months to 15 years) were enrolled. Findings showed that type of disease has no correlation with hyperglycemia, but temperature and dehydration are directly associated with hyperglycemia. Also, no connection was found between convulsion and the risk of increased glucose level, Conclusion: The severity of disease, high body temperature and dehydration rate are important risk factors in the rate and severity of hyperglycemia.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46894236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sahar Roozbahani, M. Dolatian, Z. Mahmoodi, Atefeh Zandifar, H. A. Majd
{"title":"Postpartum Mental Health and its Relationship with Social-Structural Determinants of Health in Iran with the Approach of the World Health Organization Model: A Systematic Review","authors":"Sahar Roozbahani, M. Dolatian, Z. Mahmoodi, Atefeh Zandifar, H. A. Majd","doi":"10.22038/IJP.2021.54669.4317","DOIUrl":"https://doi.org/10.22038/IJP.2021.54669.4317","url":null,"abstract":"Background: Postpartum psychiatric disorders are a key concept in maternal-infant mental health, and determining the related factors is necessary. We aimed to determine the relationship between postpartum mental health and social-structural determinants of health in Iran. Materials and Methods: In this systematic review, all Persian and English observational studies in Iran carried out through advanced search in online databases such as Medline, Scopus, Web of Science, EMBASE, SID and Magiran, as well as the Google Scholar between 2005 and 2020, using keywords of social determinants, structural factors, socio-economic status, risk factors, mental health, postpartum, Iran, and their English equivalents were obtained from MESH. Article quality was assessed using the standard Newcastle-Ottawa Scale (NOS). Results: Out of 56 eligible articles (sample size: 36,515), 49 articles reported the prevalence of postpartum depression and one article reported the prevalence of postpartum psychosis. The lowest and highest prevalence of postpartum depression was between 4.8-68.5% using the Edinburgh tool in 2014-2017 and using the Beck tool between 3-78.27% in 2013-2014. Structurally significant effective factors on postpartum depression were identified including mother's age, mother's education, father's education, mother's job, father's job, family economic status (income adequacy), ethnicity and race, social class, culture, and religion, and in the field of postpartum psychosis, age, level of education, and mother's job. The most common structural determinant related to postpartum mental health was education and the least factor was related to social class. Conclusion: Due to the effects of numerous related factors on common postpartum mental disorders, it is suggested that longitudinal studies be conducted to investigate the role of all the known factors, especially Intermediate factors, on postpartum mental health.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13703-13729"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45749515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sepideh Nematollah, Maryam Zadahmad, Mohammad Reza Javadani, Mahin Ghaheri, J. Jafari, S. Moussavi
{"title":"The Effectiveness of Viktor Frankl's Logo therapy on the Mental Health of Pediatric Patients with Cystic Fibrosis","authors":"Sepideh Nematollah, Maryam Zadahmad, Mohammad Reza Javadani, Mahin Ghaheri, J. Jafari, S. Moussavi","doi":"10.22038/IJP.2021.56871.4455","DOIUrl":"https://doi.org/10.22038/IJP.2021.56871.4455","url":null,"abstract":"Background Individuals with cystic fibrosis (CF) are at high risk of clinically significant anxiety, which can be related to lower treatment adherence and poorer health outcomes. So, it is associated with poor psychosocial and quality of life outcomes. The aim of this study was to assess the effectiveness of Viktor Frankl's Logo therapy on the mental health of pediatric patients with CF. Materials and Methods: This research was a quasi-experimental based on pretest and posttest with a control group. The population under study includes pediatric patients with CF referring to Emam Khomeini hospital, Tehran, Iran, during 2018-19. The range of the participants’ age was between 12 and 16 years. The sample size was selected based on the convenience sampling method. The participants divided randomly into two groups: experimental, n=11 and control n=11. Participants in both experimental and control group completed questionnaires on The General Health Questionnaire (GHQ) before and after training. Treatment process for 45 minutes a week was applied among experimental group. Results: The mean and standard deviation of the patient's age in this study were 15.83± 0.87 years old. The results of this research showed that the score of mental health in the experimental group (25±6.8) increased after the intervention training (p <0.01), compared the control group. Conclusion Based on the results of this study, the effectiveness of logo therapy in fostering mental health among pediatric cystic fibrosis patients with a mean age of 13-18 years was approved after nine sessions, 45 minutes once a week. According to the results, logo therapy helped children with cystic fibrosis improve their mental health.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13803-13810"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46430761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Panwar, A. Taksande, Syed Athhar Saqqaf, R. Meshram
{"title":"Atypical Presentation of Holt-Oram syndrome: A Case Report","authors":"A. Panwar, A. Taksande, Syed Athhar Saqqaf, R. Meshram","doi":"10.22038/IJP.2020.53117.4209","DOIUrl":"https://doi.org/10.22038/IJP.2020.53117.4209","url":null,"abstract":"Holt-Oram syndrome (HOS) is an autosomal dominant disorder, a mutation in TBX5 gene located on chromosome 12 (12q24.1) involving the upper limb and the heart, causing malformations like atrial septal defect. Herein, we report a rare case of HOS with atrial septal defect and ventricular septal defect with severe pulmonary arterial hypertension in a three-year-old child.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13731-13735"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49265251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Saghebdoust, Elham Nikrouh, Sara Najafi, M. Aelami
{"title":"A Bizarre Case of Anaphylaxis due to Hydatid Cyst Perforation Presented as Respiratory Arrest: A Case Report","authors":"S. Saghebdoust, Elham Nikrouh, Sara Najafi, M. Aelami","doi":"10.22038/IJP.2021.55047.4352","DOIUrl":"https://doi.org/10.22038/IJP.2021.55047.4352","url":null,"abstract":"Anaphylaxis is an acute systemic reaction with various presentations that can be misdiagnosed in some patients. Anaphylaxis due to hydatid cyst rupture usually happens during surgery. However, there are rare cases with even spontaneous hydatid cyst rupture and anaphylaxis. We report a five-year-old Iranian child with cardiopulmonary arrest and coma presentation that was incidentally diagnosed as an anaphylaxis case due to hydatid cyst rupture. In children who are presented with unconsciousness, anaphylaxis may have an uncommon presentation. In endemic regions, anaphylaxis due to hydatid cyst rupture should be considered to reduce morbidity and even mortality.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13811-13815"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49438559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Noori, M. Khalili, I. Shahramian, Alireza Teimouri
{"title":"Evaluation of Aortic Elasticity in Children with Celiac Disease Compared with Controls","authors":"N. Noori, M. Khalili, I. Shahramian, Alireza Teimouri","doi":"10.22038/IJP.2020.49865.3979","DOIUrl":"https://doi.org/10.22038/IJP.2020.49865.3979","url":null,"abstract":"Background Celiac disease (CD) is a lifelong, chronic and immune-mediated disorder. Recent studies have turned on a new light on the importance of inflammation in the pathogenesis of arterial stiffness. The aim of this study was to evaluate arterial stiffness in children with celiac disease compared with controls. Materials and Methods: In this case-control study, fifty children aged from 3.5 to 18 year- old with celiac compared with 50 age and sex-matched controls. The study performed in Ali Asghar pediatric hospital in Zahedan city, Iran during the year 2019. Echocardiography, aortic elasticity, blood pressure, tissue transglutaminase IgA (tTG-IgA), and anthropomorphic parameters were measured. Arterial stiffness indices determined using 2D and Doppler echocardiography. Data were analyzed using SPSS software version 20.0. Results: In all and CD children, 51% and 56% were girls, respectively. Systolic and diastolic blood pressure were lower in patients (p <0.001). Aortic diameter in diastole was lower in patients significantly (p <0.001). Aortic strain (<0.001), PSEM (<0.001), AD (<0.001), and ASI (p <0.001) were different between celiac patients and controls. Tissue transglutaminase IgA (tTG-IgA) was changed significantly with Marsh classification (p <0.001); tTG-IgA was correlated with strain (r= 0.417, p=0.003), and AD (r= 0.282, p=0.047) before age control when the trends did not change after age control for AD (r=0.241, p=0.096). LVMI was correlated with strain (r=-0309, p=0.029), PSEM (r=0.322, p=0.023), and AD (r=0.326, p=0.021) before controlling age when after age control this significant correlation omitted. Conclusion Concluded that aortic elastic risk is higher in celiac children when is free of modified marsh classification. Most of the aortic elastic parameters had significant correlation with changes of tTG-IgA antibody in children with celiac disease.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13817-13832"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47330218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tyrosinemia Type III: A Case Report with a Seven Years Follow-up","authors":"S. Vakili, M. Emami, M. Mobini, R. Vakili","doi":"10.22038/IJP.2021.56791.4451","DOIUrl":"https://doi.org/10.22038/IJP.2021.56791.4451","url":null,"abstract":"Hereditary Tyrosinemia type III (OMIM 276710) is a rare inborn error of tyrosine metabolism, which is caused by the deficiency of 4-hydroxyphenylpyruvate dioxygenase (HPD). This metabolic statement is transmitted in an autosomal recessive trait and hitherto about 18 cases presenting with this disease have been reported in the literature. Because of low prevalence of the disease the clinical phenotype remains variable and unclear but main symptoms are mostly related to the high concentrations of tyrosine and phenolic metabolites namely mental retardation, ataxia, and seizures. We described clinical, biochemical and molecular characteristics of an Iranian female patient with Tyrosinemia type III and her 7-year follow-up plan. A novel variant of HPD (609695) mutation (c.759+1 G>A) was identified in homozygous pattern. Despite not being compliant with the recommended diet, the patient continued to have normal neuropsychiatric development in the follow-up, which questions the efficacy of low-tyrosine diet.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13853-13857"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44195661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Khalilian, F. Alaei, Elham Abdoulahzadeh, M. Ghazavi, M. Hajipour
{"title":"Assessment of Left Ventricular Outflow Tract Velocity Time Integral in Pediatric Patients with Vasovagal Syncope","authors":"M. Khalilian, F. Alaei, Elham Abdoulahzadeh, M. Ghazavi, M. Hajipour","doi":"10.22038/IJP.2021.57356.4502","DOIUrl":"https://doi.org/10.22038/IJP.2021.57356.4502","url":null,"abstract":"Background Syncope is an important and common clinical condition, and the neurally mediated syncope is the most frequent type of syncope. Head up tilt testing is considered as a first line diagnostic test. The aim of this study was to assess the left ventricular outflow tract velocity time integral in echocardiography of pediatric patients with vasovagal syncope. Materials and Methods: In this case-control study, between January 2019 and December 2020 92 patients who referred in in Mofid Children Hospital in Tehran, Iran, for vasovagal syncope in the case group and 92 healthy children with maximum matching of sex and age in the control group were included in the study. Demographic, clinical and para-clinical data were recorded for each patient in the respective checklists, and HUTT and echocardiography were reviewed, then the results of two groups were compared. Results: The mean age of the patients with vasovagal syncope was 12.12 ±5.18 years. 66.3% of patients in the case group were female. There was a statistically significant relationship between LVOT-VTI and positive result of HUTT (p <0.001). There was no relationship between LVOT VTI in case and control groups (p=0.14). Conclusion The mean LVOT VTI index in patients with negative tilt test is higher than patients with positive tilt test. Although echocardiographic indices in children with vasovagal syncope are in normal range, accurate measurement of LVOT-VTI can be helpful in predicting a positive HUTT result.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13663-13669"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46640051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Cause of Fat Malabsorption in Children: Chylomicron Retention Disease: A Case Report","authors":"Sibel Yavuz, G. Tumgor, Yurdun Kuyucu, S. Polat","doi":"10.22038/IJP.2021.56367.4430","DOIUrl":"https://doi.org/10.22038/IJP.2021.56367.4430","url":null,"abstract":"Background: Chylomicron retention disease is an autosomal recessive disorder causing malabsorption of intestinal fat. It is extremely rare. This report is presented because although the condition is rare in cases presenting with fatty diarrhea, inability to gain weight, and abdominal distension, it should nevertheless be considered. Case Presentation: A four-month-old girl presented due to diarrhea, inability to gain weight, and lack of appetite since birth at Cukurova University, Pediatric gastroenterology outpatient clinic, Adana, Turkey. No blood or mucus was present in stool. Her general condition was average, she appeared pale and lethargic, the abdomen was distended, and no organomegaly was present. Duodenal pathology was normal but electron microscopy revealed that the enterocytes were filled with fat globules. Causes leading to fat malabsorption were investigated, and homozygous mutation was determined in the SAR1B, chylomicron retention disease, gene. Conclusion: The patient was treated with a low-fat diet and fat-soluble vitamin supplementation resulting in significant improvement. Although it is rarely seen in patients presenting with chronic diarrhea, chylomicron retention disease should be kept in mind in the differential diagnosis.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13747-13752"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43332279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of Speed-Strength Training on the Speed of Movement of Schoolchildren with Different Strength of the Nervous System","authors":"G. Polevoy","doi":"10.22038/IJP.2021.57347.4500","DOIUrl":"https://doi.org/10.22038/IJP.2021.57347.4500","url":null,"abstract":"Background The aim of this study was to determine the influence of speed and strength abilities of children aged 13-14 years on the indicators of speed of movement, taking into account the differentiated physical activity, which is based on the strength of the nervous system. Materials and Methods: This case-control study was conducted in an ordinary school in Russia, 40 seventh-graders took part in the experiment. Children from the control group (n=20) were engaged in the usual program, and children from the experimental group (n=20) additionally performed speed-strength exercises at each physical education lesson. Physical activity for children in the experimental group was differentiated, taking into account the strength of the schoolchildren nervous system. All schoolchildren took tests: tapping test, speed-strength abilities were determined by three tests. The speed of movement of schoolchildren was determined by the test «Running on the spot». Two results of two groups were compared. Results: After the pedagogical experiment, the indicators for all tests in all subgroups increased. In the control group, the indicators of speed and strength abilities in both subgroups improved by 2-4% (p>0.05), and the indicators of speed of movement by 4-6% (p>0.05). At the same time, the children from the experimental group the indicators of speed and strength abilities improved by 11-16% (p <0.05), and the indicators of speed of movement improved by 17-19% (p <0.05). Conclusion After focused work in physical education classes at school on speed and strength abilities the indicators will improve not only speed-power abilities, but also increase the speed of movement taking into account the typology of the nervous system of schoolchildren.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13773-13779"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44490023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}