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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Aromatherapy,Systematic review,preterm infants,Painful Procedure
- چکیده:
- چکیده انگلیسی: Background: Since preterm infants are subjected to numerous painful and stressful procedures, various strategies reducing the effects during and after painful procedures are required; we aimed to review the effectiveness of the use of different strategies as a primary or adjunctive treatment on the painful procedures, and the physiological parameters in preterm infants.
Materials and Methods: In this systematic review, English databases such as PubMed, Scopus, ISI Web of Science, Cochrane Library and EMBASE were systematically searched without any time limitation up to February 2019. The search keywords were (Aromatherapy OR Olfactory OR Amniotic Fluid OR Milk or odor) AND (Pain OR Venipuncture).
Results: Finally, four articles were included. The first study conducted on four groups indicates that the pain profile score and the crying time slightly differed during and after the heel prick procedure. In the second study, having pricked the heel, the breast milk group in comparison with the formula milk group embodied the lower premature infant pain profile (PIPP) score. According to the third study, both the vanilla and the breast milk odors groups indicated soothing effects on the premature infants during sampling; and only the breast milk odor is the soothing factor affecting the infants after the sampling termination. The fourth study found that the infants, who were exposed to their own mother’s milk odor, when compared with the control group, encompassed the lowest median PIPP score during venipuncture.
Conclusion: Amniotic fluid, the mother’s milk, vanilla and the mother’s odor were determined as reduction and enhancement factors affecting painful procedures and physiological parameters in preterm infants, respectively.- انتشار مقاله: 01-07-1398
- نویسندگان: Samaneh Norouziasl,Alireza Ataei Nakhaei,Farnaz Kalani-moghaddam,Neda Dehghani,Fatemeh Ahmadinezhad
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Aromatherapy,Infants,Apnea,Effect
- چکیده:
- چکیده انگلیسی: Background: Apnea can be associated with many complications such as bradycardia, cyanosis, hypotension, hypotonia, hydrocephalus, neurologic complications, and even death. Pharmacological treatment is associated with many side effects. We aimed to investigate the effect of aromatherapy on Apnea in premature newborns.
Materials and Methods: An extensive search was done in databases of Medline, Embase, Scopus, Cochrane, and Web of Science until February 2019. Two independent researchers screened articles, in the next step, full texts of probably relevant articles were summarized and categorized based on the evaluated outcomes and overall effect size was presented.
Results: Three studies were included in the systematic review (including 110 preterm infants). Aromatherapy with breast milk odor not with vanilla odor, caused variability of premature infants’ heart rate blood oxygen saturation during and after venipuncture. Calming effects were observed when preterm newborns were exposed to either vanilla or breast milk odors during venipuncture; however, only breast milk odors had a calming effect on subjects after sampling. Breast milk odor was more effective regarding calming effects on premature infants. Infants in olfactory stimulation with anise or cinnamon were discharged from hospital 3.4 days earlier than the control group (p = 0.12). A subgroup analysis of subjects with a body weight of 2,000 grams or more showed a shorter hospitalization period. When compared by gender, better effect was observed in boys than girls with shorter hospitalization in NICU.
Conclusion
Aromatherapy can be effective for apnea in preterm infants. Due to the small number of participants and low number of articles, the conclusion should be interpreted with caution.- انتشار مقاله: 11-02-1398
- نویسندگان: Alireza Ataei Nakhaei,Asma Javid,Maryam Marefat,Zahra Chaichy,Afra Alshahrestani,Parisa Nazarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,corticosteroid,Coronary artery lesions,Kawasaki
- چکیده:
- چکیده انگلیسی: Background
Kawasaki Disease (KD) is a vasculitis with multi-organ involvementof unknown etiology; it is the most common cause of pediatric-heart diseases in developed countries. Treatment with Intravenous Immunoglobulin (IVIG) prevents coronary artery lesions; although there are some IVIG-resistant cases, combination therapy with corticosteroids and IVIG is one of the recommendations for treatment of these cases. The aim of this study was to compare these three options for treatment of Kawasaki Disease and to evaluate their ability to deal with coronary artery complication of Kawasaki Disease.
Materials and Methods
A prospective cross- sectional study of hospitalized cases of Kawasaki Disease, conducted in pediatric department of Imam Reza hospital, Mashhad-Iran, during 2013 to 2015 (18 months). Based on demographic and clinical data of these patients, children with high risk of unresponsiveness to IVIG therapy (based on Harada score), were determined and treated with IVIG and corticosteroids- combination initially. Follow-up patients for heart complications were 6 weeks.
Results
Twenty five patients (89.2%) out of total 28 hospitalized patients in this period of time who fulfilled diagnostic criteria were considered as complete Kawasaki Disease. Coronary Artery Lesions (CALs) were shown in 4 patients during the follow-up period, with high risk in patients with incomplete presentation (33.3% versus 12%, P<0.05). None of the children were treated with IVIG and corticosteroids combination therapy at the onset showed coronary artery lesions.
Conclusion
The current study showed that IVIG plus intravenous methylprednisolone (IVMP) combination therapy is a safe and effective treatment regimen in prevention of CALs.- انتشار مقاله: 08-04-1395
- نویسندگان: Abdolkarim Hamedi,Sarah Ghahremani,Abdolreza Malek,Somayeh Ghahremani,Alireza Ataei Nakhaei
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Seizure,Vitamin D deficiency,Hypocalcemia,Congenital rickets
- چکیده:
- چکیده انگلیسی: Introduction:
Vitamin D deficiency and rickets continue to be health problems in developing countries and most of the infants with congenital rickets may present with hypocalcemic seizure.
Case Report
In this article, the report on four infants who presented with hypocalcemic seizures but subsequently were found to have congenital rickets is presented. All of them had hypocalcaemia and low level of serum 25- hydroxy vitamin D. Their mothers had not received vitamin D supplementation during pregnancy and so evidence of vitamin D deficiency was presented.
Conclusion:
Although current vitamin D supplementation guidelines for infants was effective in prevention of rickets in Iranian children, it is necessary to evaluate women before pregnancy to prevent this entity. Also infants without vitamin D supplementation therapy who present with seizures during the first 6 months of age should undergo biochemical and other investigations for rickets.- انتشار مقاله: 26-07-1392
- نویسندگان: Rahim Vakili,Peyman Eshraghi,Alireza Ataei Nakhaei,Saba Vakili,Ali Khakshour,Masumeh Saeidi,Behjat Zarif,Somayeh Nateghi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Seizure,Vitamin D deficiency,Hypocalcemia,Congenital rickets
- چکیده:
- چکیده انگلیسی: Introduction:
Vitamin D deficiency and rickets continue to be health problems in developing countries and most of the infants with congenital rickets may present with hypocalcemic seizure.
Case Report
In this article, the report on four infants who presented with hypocalcemic seizures but subsequently were found to have congenital rickets is presented. All of them had hypocalcaemia and low level of serum 25- hydroxy vitamin D. Their mothers had not received vitamin D supplementation during pregnancy and so evidence of vitamin D deficiency was presented.
Conclusion:
Although current vitamin D supplementation guidelines for infants was effective in prevention of rickets in Iranian children, it is necessary to evaluate women before pregnancy to prevent this entity. Also infants without vitamin D supplementation therapy who present with seizures during the first 6 months of age should undergo biochemical and other investigations for rickets.- انتشار مقاله: 26-07-1392
- نویسندگان: Rahim Vakili,Peyman Eshraghi,Alireza Ataei Nakhaei,Saba Vakili,Ali Khakshour,Masumeh Saeidi,Behjat Zarif,Somayeh Nateghi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Seizure,Vitamin D deficiency,Hypocalcemia,Congenital rickets
- چکیده:
- چکیده انگلیسی: Introduction:
Vitamin D deficiency and rickets continue to be health problems in developing countries and most of the infants with congenital rickets may present with hypocalcemic seizure.
Case Report
In this article, the report on four infants who presented with hypocalcemic seizures but subsequently were found to have congenital rickets is presented. All of them had hypocalcaemia and low level of serum 25- hydroxy vitamin D. Their mothers had not received vitamin D supplementation during pregnancy and so evidence of vitamin D deficiency was presented.
Conclusion:
Although current vitamin D supplementation guidelines for infants was effective in prevention of rickets in Iranian children, it is necessary to evaluate women before pregnancy to prevent this entity. Also infants without vitamin D supplementation therapy who present with seizures during the first 6 months of age should undergo biochemical and other investigations for rickets.- انتشار مقاله: 26-07-1392
- نویسندگان: Rahim Vakili,Peyman Eshraghi,Alireza Ataei Nakhaei,Saba Vakili,Ali Khakshour,Masumeh Saeidi,Behjat Zarif,Somayeh Nateghi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,Acetylsalicylic acid,Intra-uterine Growth Restriction,Preeclampsia
- چکیده:
- چکیده انگلیسی: Background: Preeclampsia is a major global cause of maternal, neonatal and perinatal mortality. The aim of this review was to summarize all reviews on Acetylsalicylic Acid for the prevention of Intra-uterine Growth Restriction (IUGR) in women at risk for Preeclampsia.
Materials and Methods: In this overview we searched databases following Medline, Scopus, EMBASE, Central Records Central Register Cochrane and the Web of Science databases for finding related articles regarding Acetylsalicylic Acid on the prevention of IUGR in women at high risk for Preeclampsia. Search was conducted from 1996 to 5 April 2019 with English keywords. Any meta-analysis (published or unpublished), was eligible for inclusion. No language restriction was imposed.
Results: Finally eight meta-analysis were included in the review. Acetylsalicylic acid begun at 16≤weeks significantly reduced IUGR in women; but it was not effective in the subgroups of women who took acetylsalicylic acid when they had gestational age of more than 16 weeks. One meta-analysis showed that acetylsalicylic acid was superior to control group in decreasing of IUGR in East Asians (OR=0.36); while no significant effectiveness was observed in non-East Asians (OR = 0.85). According to one meta-analysis, a dose-response effect of acetylsalicylic acid (p=0.04) on IUGR was observed if it was begun at 16≤ weeks. However, a dose-response effect (p= 0.95) was not seen if women started acetylsalicylic acid when they were in gestational age more than 16 weeks.
Conclusion: Acetylsalicylic acid has decreased the incidence of IUGR if administrated before or at 16 weeks. Acetylsalicylic acid was superior to control group in decreasing IUGR risk in East Asians but not in non-East Asians.- انتشار مقاله: 19-03-1398
- نویسندگان: Alireza Ataei Nakhaei,Kaveh Mousavi Kani,Nazanin Hazrati,Bahram Askarpour,Ziba Mohsenpour,Fatemeh Hazrati,Neda Dehghani,Fatemeh Ahmadinezhad,Farnaz Kalani-moghaddam
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Pain,Pain management,Child,Touch
- چکیده:
- چکیده انگلیسی: Background: Pain has physiological and psychological effects on a child's life and various body systems. Tactile stimulation affects the central nervous system and releases analgesic drugs resulting in the inhibition of pain.
Aim: The main purpose of this study was effect of touch on the intensity and duration of pain during venipuncture in school-age children.
Methods: This clinical trial was conducted on 60 children of school age in the emergency department of Imam Reza (AS) hospital and doctor Sheikh Hospital in 2014. Children were selected by convenience sampling and randomly divided into two groups, touch and control group. Touch group received intervention for 5 minutes by palms movements and kicks on the site before and during venipuncture by researcher, and then venipuncture was immediately performed by a nurse colleague. The control group did not receive any intervention. FACES instruments were used to assess pain intensity. Pain was measured for 5 min by a chronometer. Data were analyzed by Kolmogorov-Smirnov, Chi-square tests, Mann - Whitney and independent t-test using SPSS software version 11.
Results: In this study, 65% were boys and 35% girls. The average age of children was 8.3±2.3 years. There was a significant difference between touch and control groups in pain of needle insertion into the skin within the first second (p<0.001). Independent t-tests showed that there was no significant difference between touch (242.0±67.7) and control (278.0±82.3) groups in duration of venipuncture pain (p=0.07).
Conclusion: Touch is effective in reducing the intensity of pain during venipuncture in children. This is an easy and practical nursing intervention to reduce negative impact of pain on children.- انتشار مقاله: 01-11-1392
- نویسندگان: Ali Safari,Hamidreza Behnam Vashani,Tayebeh Reyhani,Alireza Ataei Nakhei
- مشاهده
- جایگاه : پژوهشی
- مجله: Asia Pacific Journal of Medical Toxicology
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی:
- انتشار مقاله: 06-03-1395
- نویسندگان: Abdolkarm Hamedi,Alireza Ataei,Mohammad Reza Balali,Somayeh Ghahremani,Sarah Ghahremani
- مشاهده