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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Intussusception,Burkitt lymphoma,Crohn disease
- چکیده:
- چکیده انگلیسی: We present a 13.5 year old boy with chronic intussusception that was misdiagnosed as Crohn disease and received treatment for the wrong diagnosis. Because his condition didn’t improve, more work-ups were performed and the radiologic work-ups revealed the diagnosis of a missed intussusception with fistula.We suggest that prolonged intussusception should be considered in the list of differential diagnosis for the refractory abdominal pain and distention, bloody diarrhea, and radiologist consultancy should be requested, as Crohn disease, infectious gastroenteritis, abdominal malignancies and prolonged intussusception should be carefully investigated and considered in such situations.
- انتشار مقاله: 22-03-1396
- نویسندگان: Mehrzad Mehdizadeh,Sara Memarian,Rahman Khosravi,Farzaneh Motamed,Parisa Rahmani,Maryam Saidi,Reihaneh Mohsenipour,Hosein Alimadadi,Behdad Gharib
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Comorbidity,Gastroesophageal reflux disease,ADHD
- چکیده:
- چکیده انگلیسی: Background: Gastroesophageal reflux disease (GERD) is associated with a number of comorbidities in pediatrics. However, its association with attention deficit hyperactivity disorder (ADHD) has not been reported. The aim of the present study was to investigate the prevalence of ADHD in pediatric patients newly diagnosed with GERD.
Materials and Methods: Sixty newly-diagnosed treatment naive GERD patients and sixty healthy controls aging between 5 to 12 years referring to the Children and Adolescent’s medical center, Tehran, Iran were recruited in a case-control study during the year 2015. Then patients were evaluated for ADHD by a psychiatrist according to the DSM-IV criteria. The revised Conners' Parent Rating Scale (CPRS-R) was used for assessment of the symptoms of ADHD. To screen for psychiatry disorders other than ADHD, the Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) questionnaire was used. Logistic regression analysis was used for modeling the association between GERD and ADHD in the study sample.
Results: The mean age of GERD patients was 5.77±2.27 and for non-GERD controls was 6.03±2.52 (P= 0.543). Thirty-three out of 60 (55%) GERD patients and 37 out of 60(61.66%) non-GERD controls were male (P: 0.579). Prevalence of ADHD was 33.60 (55%) in GERD patients and 10.60 (16.66%) in non-GERD (P<0.001). Data analysis revealed that being diagnosed with GERD was associated with higher odds of ADHD diagnosis (P<0.001; odds ratio [OR]: 6.88, 95% confidence interval [CI]: 2.8-16.9).
Conclusion: According to the results, diagnosis of GERD was associated with higher odds of being diagnosed with ADHD.- انتشار مقاله: 31-02-1396
- نویسندگان: Mohammad Effatpanah,Farzaneh Motamed,Mehri Najafi,Fatemeh Farahmand,Gholamhosein Fallahi,Davood Motaharizad,Mir Saeed Yekaninejad,Mostafa Qorbani,Jayran Zebardast
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Allergy,etiology,Chronic diarrhea,Infancy
- چکیده:
- چکیده انگلیسی: Introduction
Chronic diarrhea of infancy is a heterogeneous syndrome that includes several diseases with different etiologies. The aim of this study was investigating chronic diarrhea, its etiologies, clinical features and outcomes in infancy.
Materials and Methods
Retrospective study investigating infants hospitalized in the gastroenterology department of Tehran tertiary care center.The main demographic data, etiology, characteristics of diarrhea, and outcome were evaluated. Data were analyzed by SPSS software,version 16.
Results
In this study, 63/9% of cases were female and 36/1% were male. 24 cases (66/7%) had osmotic diarrhea and 11 (30/6%) had secretory diarrhea. In this study there was no significant statistical correlation between type of diarrhea and sex, gestational Age, severity of dehydration, birth weight and nutrition. The majority of patients with osmotic (58/3%) and secretory diarrhea (63/6%), had weight percentile below 3%, which showed a significant statistical difference (p value<0.03). Etiologies found in newborns included: food allergy (41.7%), glucose/ Galactose malabsorption (19.4%), post gastroenteritis malabsorption (11.1%),Sepsis (8.3%), autoimmune enteropathy (5.6%), Galactosemia (2.8%), Pseudo membranous colitis (2.8%), cystic Fibrosis (2.8%),intestinal malrotation (2.8%), congenital chloride diarrhea (2.8%).Four out of 36 patients (%11/1) had early onset of diarrhea. Intestinal biopsy was done in 7(20%) cases.
Conclusion
Chronic diarrhea in infancy has different etiologies and outcomes. According to high prevalence of allergy in this study, more attention needs to be paid to this issue. On the other side, food allergy was more common in nonexclusive breast fed infants, which shows breast feeding has a protective effect against neonatal diarrhea.- انتشار مقاله: 14-12-1393
- نویسندگان: Farzaneh Motamed,Naheid Kazemi,Raheleh Nabavizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Vaccination,Hepatitis B,Medical Sataff
- چکیده:
- چکیده انگلیسی: Introduction:
Hepatitis B is a disease caused by the hepatitis B virus (HBV), which is transmitted through percutaneous (i.e., puncture through the skin) or mucosal (i.e., direct contact with mucous membranes) exposure to infectious blood or body fluids. HBV can cause chronic infection, resulting in cirrhosis of the liver, liver cancer, liver failure, and death. Persons with chronic infection also serve as the main reservoir for continued HBV transmission.
Material and Methods:
This is a prospective cross sectional study was performed in ChildrenMedicalCenterHospital on 396 medical personals (including 172 students,92 interns,56 residents and 56 fellowships) during Sep 2012 to Oct 2013.
Results:
All of medical staff had done HB vaccination. In 93% of them the vaccination was complete. The others,16% had only one, and 84% had two dose injections. 73% didn’t check HBsAb after vaccination. Results showed in 21.4% of fellowships, 42.8% of residents, non of interns and 35% of students, had checked HBsAb.
Conclusion:
Hepatitis B is a vaccine-preventable disease. HB is a serious world wide infection and medical staff are one of the most high risk groups. So Vaccinate their and HBS Antibody titer determination after complete vaccination is mandatory.- انتشار مقاله: 29-09-1392
- نویسندگان: Mehri Najafi,Farzaneh Motamed,Ebrahim Kiani,Ali Khakshour,Masumeh Saeidi
- مشاهده