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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Mashhad,attitude,Infant,Exclusive Breast Milk Feeding
- چکیده:
- چکیده انگلیسی: Introduction:
Breast milk is a complete food for growing children until 6 months of age, and mothers, as the most important child health care, play a decisive role in their growth. So promoting their attitude toward the benefits of breastfeeding ensures guarantee child health in the future. This study aimed to assess maternal knowledge and attitude of Mashhad toward exclusive BMF in the first 6 months of infant life.
Materials and Methods:
This cross-sectional descriptive-analytic study was conducted on 126 mothers who referring to Mashhad health-care centers for monitoring their 6-24 month year old infants. They completed questionnaire. Participants were selected by cluster and simple random sampling. Data were analyzed by descriptive- analytic tests and using SPSS 11.5.
Results:
Mean score of maternal attitude toward exclusive BMF was 14.32±5.28 (out of 28) and maternal knowledge score toward advantages of breast milk was 19.59±4.80 (out of 28). The incidence of exclusive BMF in the first 6 months of life study was 73.8%. Child growth was as follows: excellent growth (5.6%) and good growth (42.1%). ANOVA showed a significant difference between parents' education and maternal attitude towards exclusive BMF; whatever higher education of parents, more positive maternal attitude towards exclusive BMF (P<0.05). There was a significant direct relationship between knowledge and attitude (Spearman test, P-value= 0.000& r= 0.4).
Conclusion:
Maternal attitude towards exclusive BMF was moderate. It is essential to plan for mothers by officials in order to promote breast-feeding in the first 6 months of baby's life to enhance positive maternal attitude in this regard.- انتشار مقاله: 01-09-1392
- نویسندگان: Bibi Leila Hoseini,Rahim Vakili,Mohammad Ali Kiani,Ali Khakshour,Masumeh Saeidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,HIV,Epidemiology,AIDS
- چکیده:
- چکیده انگلیسی: Unfortunately, we do not know how many perinatally (Human Immunodeficiency Virus) HIV-infected pepole are living in contries today, while knowing these informations is necessary. UNAIDS reports that there are 3.4 million children under 15 years of age with HIV and 2 million adolescents between 10 and 19 years of age. Although the vast majority of children were perinatally infected, older children are combined with behaviourally infected adolescents and youth in global reporting, without disaggregation by sex. The aim of this study is to introduce the prevalence and prevention of HIV/AIDS (Acquired Immunodeficiency Syndrome) in children of worldwide.
- انتشار مقاله: 25-10-1392
- نویسندگان: Ali Khakshour,Habibolah Taghizadeh Moghadam,Mohammad Ali Kiani,Masumeh Saeidi,Behjat Zarif
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Herbal Medicine,CAM,Complementary and Alternative Medicine,Pediatric Disease
- چکیده:
- چکیده انگلیسی: CAM therapies have become increasingly popular in pediatric populations. phytotherapy are the most common CAM used in children. Yet, little is known about children’s preferences for CAM. But It is expected to become more widely integrated into the modern medical system, including the medical curriculum.The aim of this study is to introduce the prevalence and characteristics of CAM use in Pediatrics disease. Further research is warranted to examine the safety and effectiveness of this popular non-allopathic approach to children’s health.
- انتشار مقاله: 20-07-1392
- نویسندگان: Mohammad Reza Noras,Maehde Yousefi,Mohammad Ali Kiani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,attitude,Lumbar puncture,Parental
- چکیده:
- چکیده انگلیسی: Introduction:
Sometimes physicians need to assess some markers on selected children's cerebrospinal fluid specimen according to lumbar puncture (LP). Although immediate diagnosis and treatment especially for meningitis is necessary, But just at this moment, due to some incorrect believe in society, some parents may not allow physician to do LP. The reality is that most of these people, if they have enough information about this issue, will not interfere. This study aimed to assess parent 's knowledge and attitudes toward this subject.
Materials and Method:
Through a cross - sectional study we evaluated 91 parents, who their child must been undergone LP as physician’s decision, selected during 18 months using purposive sampling. The data collection tool was a questionnaire including two sections of the child and the parents' knowledge and attitudes. Scientific validity of the questionnaire was confirmed by content validity. To achieve the objectives, SPSS ver.15 and descriptive statistics and chi-square test were used.
Results:
61 parents(67%) mentioned fear of some side effects as the main reason of their children 's LP discontent .The most important cause of fear was low back pain according to 50 (54.9%) parents 's view. 70 parents (76.9%) had some satisfaction after performing LP .There was statistically significant difference between proportion of satisfied parents and non-satisfied ones (p<0.001). Average score parental satisfact ion for LP was 7.2 +3.2 87.
Conclusions:
It seems that improvement of parent 's information about LP process and it's benefits by health care group , may influence on their belief and cooperation during diagnostic tests.
- انتشار مقاله: 19-09-1392
- نویسندگان: Ali Khakshour,Mitra Hashemi,Hamid Tavakoli,Zhila Sheikhi,Mohammad Ali Kiani,Saghi Elmi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Diagnosis,Clinical hepatitis,Kavasaki
- چکیده:
- چکیده انگلیسی: Kawasaki disease is a systemic vasculitis of children. Among gastrointestinal symptoms of this disease jaundice occurs uncommonly. We present a 23 month boy with icter and clinical hepatitis and final diagnosis of kawasaki disease.
- انتشار مقاله: 22-03-1392
- نویسندگان: Seyed Ali Jafari,Mohammad Ali Kiani,Hamid Ahanchian,Ali Khakshour,Simin Partovi,Hamid Reza Kianifar,Masumeh Saeidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iron,Growth rate,Multivitamin,Supplements
- چکیده:
- چکیده انگلیسی: Introduction:
Vitamin deficiency and iron deficiency anemia are common nutritional problems, at least in children under 5. These materials shortage, especially in the first two years of life, impair physical and brain growth, reduces the child's learning ability, reduces body resistance against infections, behavioral changes, apathy and finally social and economic adverse consequences would be followed. This study aimed to determine the supplements used in children under two years and its Association with Growth rate in Mashhad City.
Materials and Methods:
In this cross-sectional descriptive study , 300 children 6 to 24 months were recruited in health centers in Mashhad, Data was collected from mother and and children’ records and valid and reliable questionnaire was used to collect data. The data was analyzed by statistical tests and SPSS 11.5 and P
Results:
Results showed that 13.7 percent of families were with low income, 82.7 percent middle income and 3.7 percent well income. In growth chart, 86.7 percent of children showed appropriate growth, 10.3 percent had delayed growth and 3 percent had horizontal growth curve .In 80.7 percent of families, maternal multivitamin and iron drops have been used to their children regularly, 1.7 percent did not believe in these supplements and 17.7 percent of mothers sometimes used these supplements for their children. Results also showed statistical correlation significant variables of parental education, family income, mothers referred to health centers for monitoring the growth and get face to face training of personnel center drops of multivitamin with iron and growth status of children variable is available, so children who regularly have used supplements and income level and above are literate parents have grown more favorable than the other kids (P<0.05).
Conclusion:
Regarding the importance of iron and multivitamin use in children under two years, necessary training must be provided to mothers in this field by health centers personnel. Meanwhile, it is recommended that the authorities must distribute periodical and enough drops to health centers.
- انتشار مقاله: 25-03-1392
- نویسندگان: Masumeh Saeidi,Rahim Vakili,Ali Khakshour,Habibolah Taghizadeh Moghaddam,Mohammad Ali Kiani,Behjat Zarif,Somayeh Nateghi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: urinary tract infection,Pneumonia,neonate,Hyperbilirubinemia,Sepsis
- چکیده:
- چکیده انگلیسی: Introduction:
Hyperbilirubinemia is a relatively common disorder among infants in Iran. Bacterial infection and jaundice may be associated with higher morbidity. Previous studies have reported that jaundice may be one of the signs of infection. The aim of this study was to determine the incidence rate, presentation time, severity of jaundice, signs and complications of infection within neonatal hyperbilirubinemia.
Materials and Methods:
This cross sectional study was conducted between 2003 and 2011, at Ghaem Hospital, Mashhad- Iran. We prospectively evaluated 1763 jaundiced newborns. We Finally found 434 neonates who were categorized into two groups.131 neonates as case group (Blood or/and Urine culture positive or sign of pneumonia) and 303 neonates with idiopathic jaundice as control group. Demographic data including prenatal, intrapartum, postnatal events and risk factors were collected by questionnaire. Biochemical markers including bilirubin level, urine and blood cultures were determined at the request of the clinicians.
Results:
Jaundice presentation time, age on admission, serum bilirubin value and hospitalization period were reported significantly higher among case group in comparison with control group (p<0.0001). Urinary tract infection (UTI), sepsis and pneumonia were detected in 102 (8%), 22 (1.7%) and 7 (0.03%) cases, respectively.
Conclusion:
We concluded that bacterial infection was a significant cause of unexplained Hyperbilirubinemia among jaundice newborns (10%). Therefore, we advise performing screening test for UTI as part of the evaluation in asymptomatic jaundice infants presenting after five days of life and sepsis workup should be request in symptomatic infant especially in the first week of life.- انتشار مقاله: 30-03-1392
- نویسندگان: Gholmali Maamouri,Fatemeh Khatami,Ashraf Mohammadzadeh,Reza Saeidi,Ahmad Shah Farhat,Mohammad Ali Kiani,Fatemeh Bagheri,Hassan Boskabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Gastrointestinal bleeding prophylaxis,Pantoprazole,Ranitidine
- چکیده:
- چکیده انگلیسی: Background: Critically ill children admitted to pediatric intensive care unit (PICU) are at increased risk of gastrointestinal bleeding due to stress related mucosal injury. Reducing gastric acid by acid suppressant medication is the accepted prophylaxis treatment, but there is not any definitive guideline for using prophylaxis in PICU patients. The present study aimed to assess the effect of Proton Pump Inhibitor (PPI) and H2 Blocker (H2B) prophylaxis on gastrointestinal bleeding in admitted patients of PICU, Mashhad- Iran.
Materials and Methods: In this study, 100 patients admitted in PICU divided into two equal groups on the first day of admission. They received ranitidine or pantoprazole as prophylaxis of stress ulcer. Those patients who had history of gastrointestinal bleeding or coagulation disorder were excluded. 100 PICU patients who had not received prophylaxis during last 6 months retrospectively evaluated as control of the study. Data were collected as demographic characteristics, admission reason, definitive diagnosis, receiving corticosteroid and mechanical ventilation in each patient. Gastrointestinal bleeding (hematemesis, coffee ground aspirate, and melena) and clinically significant gastrointestinal bleeding were daily monitored. Data analyzed through descriptive statistical tests, Chi-square, logistic regression, t-test and using SPSS-16 software.
Results: Among 204 patients (control group=105 and case group=99), incidence of gastrointestinal bleeding (GB) was 13.2% in which 6.9% of cases presented with clinically significant gastrointestinal bleeding (CSGB). Loss of consciousness and respiratory distress were the main reason of admission. There was no significant differences between the incidence of (GB) and (CSGB) in experimental and control groups (P>0.05) as well as ranitidine and pantoprazole prophylaxis (P>0.05). Significant risk factors of (GB) were mechanical ventilation and loss of consciousness and corticosteroid therapy.
Conclusion: There is ambiguity about probable benefits of gastrointestinal bleeding prophylaxis in critically ill children. We proposed that prophylaxis should prescribe in patients with two or more risk factors of gastrointestinal bleeding.- انتشار مقاله: 06-05-1395
- نویسندگان: Tahoora Abdollahi,Alireza Sabzevari,Ali Khakshour,Alireza Ataiee Nakhaie,Majid Sezavar,Toktam Etezadie,Hamidreza Kianifar,Seyed Ali Jafari,Mohammad Ali Kiani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Women,Health,Human rights,Disabilities
- چکیده:
- چکیده انگلیسی: Human rights are rights inherent to all human beings, regardless of race, sex, nationality, ethnicity, language, religion, or any other status. Human rights include the right to life and liberty, freedom from slavery and torture, freedom of opinion and expression, the right to work and education, and many more. Everyone is entitled to these rights, without discrimination. The right to health is the economic, social, and cultural right to a universal minimum standard of health to which all individuals are entitled. The concept of a right to health has been enumerated in international agreements which include the Universal Declaration of Human Rights, International Covenant on Economic, Social and Cultural Rights, and the Convention on the Rights of Persons with Disabilities. There is debate on the interpretation and application of the right to health due to considerations such as how health is defined, what minimum entitlements are encompassed in a right to health, and which institutions are responsible for ensuring a right to health.
- انتشار مقاله: 11-01-1398
- نویسندگان: Amir Hossein Molkizadeh,Mohammad Ali Kiani,Rahim Baghban,Somayeh Rahmanian,Masumeh Saeidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Social Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Social Capital,Social participation,Good governance,Social trust,social integration,local development,Islamic council
- چکیده:
- چکیده انگلیسی: In This study we tried to examine the role of participatory institutions in the local development by measuring the effect of social capital on the promotion of performance. Our research sample was Dehong's (a village in south of Iran) Islamic Council. On the other hand it tries to evaluate effect of social capital on local development. The result of the study showed that some of social capital factors such as social trust, social integration and social participation play a fundamental role on the improvement of performance of Islamic council. The main research method of the study was survey. Also we used observation, interview and FGD to increase the accuracy of the results.
- انتشار مقاله: 26-05-1393
- نویسندگان: Masoud Saliani,Maryam Seyyedzadeh,Aliasghar Kia Daliri,Valiollah Rostamalizadeh
- مشاهده