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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Asthma,vasculitis,Churg-Strauss syndrome,Mononeuritis multiplex
- چکیده:
- چکیده انگلیسی: Churg-Strauss syndrome (CSS) is a type of vasculitis of small-to-medium sized vessels. This syndrome is known by a history of bronchial asthma with systemic necrotizing vasculitis and peripheral blood hypereosinophilia. It is currently called eosinophilic granulomatosis with polyangiitis (EGPA). This disease affects both genders and all age groups, but it is very rare among children. CSS diagnosis is based on clinical findings such as asthma, eosinophilia, rhinosinusitis, and signs of vasculitis in major organs. In cases where steroids alone or in combination with other immunosuppressive agents are used as treatment, the outcome and long-term survival are usually satisfying. In comparison with other types of systemic vasculitis, the mortality rate of this syndrome is low. In this study, we present the case of a 7-year-old boy with poorly controlled bronchial asthma since three years of age. This case had developed purpuric skin lesions, sinusitis, arthritis, and weakness of the limbs with symptoms of mononeuritis multiplex at the age of seven. After being admitted to our hospital, a series of studies, including complete blood count-diff, chest X-ray, paranasal sinus radiography, brain magnetic resonance imaging, nerve conduction study, spirometry, and serological tests for autoantibodies, were performed and he was diagnosed with CSS. Thereafter, he received regular corticosteroid therapy in combination with methotrexate, and his symptoms were generally well-controlled with the beginning of the treatment. The clinical characteristics, diagnosis, and management of CSS in children are also reviewed in this study.
- انتشار مقاله: 17-02-1396
- نویسندگان: Abdolreza Malek,Forough Rakhshanizadeh,Sheila Kianifar
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: trace elements,Renal failure,chronic kidney disease
- چکیده:
- چکیده انگلیسی: In the last two centuries, chronic kidney disease (CKD) and renal failure (RF) have been considered as the main medical problems which were fatal in many cases. Trace elements such as selenium, copper, and zinc are the components of biological enzymes which have a crucial role in decreasing reactive oxygen. The levels of these trace elements reduce in CKD patients. Close and careful nutritional support of children with CKD, particularly in the early stages of the disease, is necessary.
- انتشار مقاله: 23-09-1392
- نویسندگان: Forough Rakhshanizadeh,Mohammad Esmaeeli
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Asthma,vasculitis,Churg-Strauss syndrome,Mononeuritis multiplex
- چکیده:
- چکیده انگلیسی: Churg-Strauss syndrome (CSS) is a type of vasculitis of small-to-medium sized vessels. This syndrome is known by a history of bronchial asthma with systemic necrotizing vasculitis and peripheral blood hypereosinophilia. It is currently called eosinophilic granulomatosis with polyangiitis (EGPA). This disease affects both genders and all age groups, but it is very rare among children. CSS diagnosis is based on clinical findings such as asthma, eosinophilia, rhinosinusitis, and signs of vasculitis in major organs. In cases where steroids alone or in combination with other immunosuppressive agents are used as treatment, the outcome and long-term survival are usually satisfying. In comparison with other types of systemic vasculitis, the mortality rate of this syndrome is low. In this study, we present the case of a 7-year-old boy with poorly controlled bronchial asthma since three years of age. This case had developed purpuric skin lesions, sinusitis, arthritis, and weakness of the limbs with symptoms of mononeuritis multiplex at the age of seven. After being admitted to our hospital, a series of studies, including complete blood count-diff, chest X-ray, paranasal sinus radiography, brain magnetic resonance imaging, nerve conduction study, spirometry, and serological tests for autoantibodies, were performed and he was diagnosed with CSS. Thereafter, he received regular corticosteroid therapy in combination with methotrexate, and his symptoms were generally well-controlled with the beginning of the treatment. The clinical characteristics, diagnosis, and management of CSS in children are also reviewed in this study.
- انتشار مقاله: 17-02-1396
- نویسندگان: Abdolreza Malek,Forough Rakhshanizadeh,Sheila Kianifar
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: trace elements,Renal failure,chronic kidney disease
- چکیده:
- چکیده انگلیسی: In the last two centuries, chronic kidney disease (CKD) and renal failure (RF) have been considered as the main medical problems which were fatal in many cases. Trace elements such as selenium, copper, and zinc are the components of biological enzymes which have a crucial role in decreasing reactive oxygen. The levels of these trace elements reduce in CKD patients. Close and careful nutritional support of children with CKD, particularly in the early stages of the disease, is necessary.
- انتشار مقاله: 23-09-1392
- نویسندگان: Forough Rakhshanizadeh,Mohammad Esmaeeli
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Death,Prediction,neonates,Discharged,NRBC
- چکیده:
- چکیده انگلیسی: Background: Predictive value of the umbilical nucleated red blood cells (NRBCs) at birth for neonatal outcomes has been assessed. Hence, the present study was conducted to compare NRBC between discharged and dead neonates.
Methods: This cross-sectional study was performed on preterm newborns with a birth weight of < 1,500 g admitted to the Neonatal Intensive Care Unit of Ghaem Hospital, Mashhad, Iran, within 2012-2018. The subjects were divided into two groups of discharged and dead. Data collection tool was a researcher-made questionnaire containing three sections, namely maternal demographic information, neonatal data, and blood tests (measuring white blood cell [WBC], absolute NRBC, NRBC/100 WBC and blood gas). The collected data were analyzed in SPSS software (version 20), using t-test, Chi-square test, receiver operating characteristic curve, and regression models.
Results: A total of 205 neonates, including 136 discharged neonates (66.03%) and 69 dead neonates (33.7%), were examined in the present study. The results demonstrated a significant difference between the two groups in terms of the first minute Apgar score (P=0.023), fifth minute Apgar score (P=0.010), gestational age (P=0.000), birth weight (P=0.000), WBC (P=0.020), absolute NRBC (P=0.004), NRBC percentage (P=0.001), duration of mechanical ventilation (P=0.029), duration of oxygen therapy (P=0.012).Moreover, mechanical ventilation (P=0.036), type of oxygen therapy (P=0.000), NRBC percentage (P=0.001), and absolute NRBC count (P=0.001) showed a statistically significant relationship with neonatal survival rate.
Conclusion: As the findings indicated, mechanical ventilation, type of oxygen therapy, absolute NRBC count, and NRBC percentage can be used as markers for predicting neonatal mortality rate.- انتشار مقاله: 21-11-1397
- نویسندگان: Hassan Boskabadi,Forough Rakhshanizadeh,Maryam Zakerihamidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Poisoning,Women,Pregnancy,Suicide
- چکیده:
- چکیده انگلیسی: Background
Suicidal attempt is an important phenomenon among pregnant women in Iran. This study was designed to determine the epidemiological status and risk factors of suicidal attempts by poisoning in pregnant women.
Materials and Methods
All pregnant women who were referred to the poisoning department of Imam Reza Hospital (Mashhad, Iran) from November 2016 to November 2017, were evaluated in terms of suicidal attempts. Cases of poisoning with a suicidal intent were included in the study after obtaining informed consent. A checklist, including the baseline characteristics, risk factors, and underlying causes of suicide, was completed for every participant anonymously.After regaining consciousness, the participants were interviewed by a psychiatrist in the consultation room for 20 minutes, and the underlying psychiatric disorders, mood disorders, stressors, and suicidal thoughts were evaluated.Finally, the collected data were analyzed using SPSS software (version 16.0).
Results
Among 40 pregnant women evaluated in this study, 87.5% did not have a stable job or income,55% had difficult living conditions, 45% suffered from sleep disorders, 45% had suicidal thoughts, and 42.5% reported addiction in husband. In addition, 32.5% of women had a history of depression, 32.5% had previous suicidal attempts, 32.5% had abortion thoughts, 20% had a family history of suicide attempt,17.5% were addicts, and 17.5% had a history of self-injury.
Conclusion
This study indicated that the most important factors associated with suicidal attempts by poisoning in pregnant women include lack of job and income, difficult living conditions, and history of psychiatric problems and addiction.- انتشار مقاله: 07-12-1397
- نویسندگان: Anahita Alizadeh,Fatemeh Said Afkhamoshoara,Mohammad Hussein Kamaloddini,Forough Rakhshanizadeh,Mehdi Talebi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Factor analysis,Systematic review,Postpartum Bonding Questionnaire
- چکیده:
- چکیده انگلیسی: Background
Postpartum Bonding Questionnaire (PBQ) is a remarkable tool to assess impairments in the mother-infant bonding. The purpose of the present study was to review the factorial structure of the PBQ cross different versions.
Materials and Methods
The search strategy was implemented on databases of Medline (via PubMed), Scopus, Cochran library and Web of Science through electronic databases. The quality assessment was fulfilled by COSMIN checklist.
Results: The four factors were identified in original English version of PBQ. Theses consisted of "impaired bounding", "rejection and anger", "anxiety about care of the baby", and "risk of abuse". Three-factor-solution was confirmed by other English versions. In the Italian version of PBQ, three factors emerged including "annoyance and anger toward the infant", "detachment and rejection" and "anxiety about infant care". In the Spanish version of the PBQ, four factors including "impaired bonding", "anxiety about care", "lack of enjoyment and affection for the baby", and "rejection and risk of abuse". Three studies assessed factorial structure of Japanese version of PBQ. In the first Japanese version, four factors with 14 items were emerged including "impaired bonding ", "rejection and anger" and "anxiety about care", and "lack of affection". In second adapted Japanese version, exploratory factor analysis (EFA) identified a three factor solution: "mother's annoyance with anger toward their baby", "lack of affection" and" rejection and fear". The third version identified one-single solution. In the German version, one single factor emerged that explained 31 of the total variance.
Conclusion
Original English version of PBQ was not confirmed in Japanese, Italian, Spanish and other English versions.- انتشار مقاله: 24-08-1397
- نویسندگان: Sarah Ghahremani,Hossein Aryan,Somayeh Ghahremani,Forough Rakhshanizadeh,Rahele Rahimi,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Systematic review,hygiene,Menstrual
- چکیده:
- چکیده انگلیسی: Background
The menstrual hygiene education is a process for strengthening skills and empowering women, especially young girls. The aim of this systematic review was to investigate the efficacy of menstrual health education on young girls’ knowledge, attitude and practice in Iran.
Materials and Methods
The searching procedure was systematically fulfilled on databases of Medline (via PubMed), Scopus and Cochrane library with no time restriction from inception to November 2018. Also, equivalent Persian keywords were searched in Iranian databases such as Irandoc, Magiran, Medlib, SID, and Barakatkns. The quality of enrolled trials was assessed using the Jadad scale. Random effect instead of fixed effect model was used if heterogeneity existed across different studies.
Results
Four studies were included in the meta-analysis. Level of practice improved significantly in intervention group than control group (standardized mean difference [SMD]: 0.458; p=0.006 (95% confidence interval [CI]: 0.132 to 0.783). Pooled data of two studies showed that attitude score increased significantly in intervention group when compared to control group (SMD: 0.599 (95%CI: 0.032 to 1.167; random effect model; two trials). The mean score of knowledge was significantly higher in educational intervention group compared to control group (SMD: 0.831; p=0.023 [95%CI: 0.117 to 1.546 random effect model; three trials)
Conclusion
The current meta-analysis confirmed that educational approach such as peer education and role playing can be more effective than classic method (booklet and lecture) on girl’s level of knowledge, attitude and practice.- انتشار مقاله: 23-09-1397
- نویسندگان: Tanin Tamiztousi,Masoumeh Rafiee,Forough Rakhshanizadeh,Mansoureh Azizi,Mohadese Khakpour,Fahimeh Khorasani,Nasibeh Roozbeh,Masumeh Ghazanfarpour
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Efficacy,Acupressure,Acupuncture,Neonatal Abstinence Syndrome
- چکیده:
- چکیده انگلیسی: Background: The Neonatal Abstinence Syndrome (NAS) has been treated so far by various drugs, such as opioids and non-opioids. There is some concern about NAS babies who receive chemical drug treatment. Some researchers mentioned that shorter pharmacological treatment and less lengthy hospitalization are associated with several secondary advantages. The aim of this study was to assess safety, tolerability, and efficacy of acupuncture in management of Neonatal Abstinence Syndrome in infants.
Materials and Methods: An extensive search was done in databases of Medline, EMBASE, Scopus, Cochrane, and Web of Science until August 2018. 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: Five studies were included in the systematic review. Auricular acupuncture when implemented as adjunct pulse non pharmacologic in management of NAS is safe, feasible, and acceptable. However, Auricular acupressure did not show any significant effect on pharmacological therapy, length of hospital stay and average NAS scores. Treatment with Laser acupuncture as adjunct in management of infants with NAS were associated with several advantages. These include improvement in feeling (better relaxation and higher calorie intake), decreased Finnegan scores, shorter duration of treatment with morphine, and shorter duration of hospitalization. In terms of safety, treatment with laser acupuncture as adjunctive were well-tolerated.
Conclusion: The findings of this systematic review showed that infants with NAS secondary to maternal opiate usage may receive more benefits of treatment with acupuncture in combination with pharmacologic therapy compared to pharmacologic therapy alone. In these findings should be interpreted in light of mentioned limitation.- انتشار مقاله: 17-10-1397
- نویسندگان: Sara Ghahremani,Farideh Asadzadeh,Forough Rakhshanizadeh,Sepideh Fanaei,Iman Hashemi Petroudi,Faezeh Ghorbani,Masumeh Ghazanfarpour,Zeinab Sadat Hoseini
- مشاهده