در هنگام جستجو کلمه در قسمت عنوان میتوانید کلمات مورد جستجو را با کاراکتر (-) جدا کنید.
کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Performance,Pediatric Residents,Training round
- چکیده:
- چکیده انگلیسی: Introduction:
Clinical settings and teaching methods play a key role in students' learning. So, the present study aimed to investigates the effect of holding special training rounds on performance of pediatric residents.
Methods:
This quasi-experimental study was conducted on 30 residents. They were randomly divided into two case (n=15) and control (n=15) groups. Two groups received pretest and posttest. Case group received a period of one month of special training rounds by professors. Special training round was one hour training a day. The control group received no intervention. Data was analyzed using SPSS 13 and descriptive and analytic statistical tests.
Results:
100% of all residents in case group were satisfied with training round. Mean scores of control residents were as followed: pretest 37.9+5.1 and post-test 55.2+7.0 (P >0.05). Mean scores of intervention residents were as followed: pretest 37.5 +3.7 and post-test 65.6 +6.7 (P<0.05). There was a significant increase in residents' scores after holding a training round (P<0.05).
Conclusion:
findings confirmed the efficacy of special training round on achievement and increase of residents' satisfaction with learning in Pediatric Gastroenterology Department.
- انتشار مقاله: 09-09-1393
- نویسندگان: Ali Emadzadeh,Behrooz Davachi,Seyed Amirhosein Ghazizadeh Hashemi,Seyed Ali Jafari,Hamid Ahanchian,Masumeh Saeidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Endoscopy,satisfaction,Peppermint
- چکیده:
- چکیده انگلیسی: Introduction:
Endoscopic examination of gastrointestinal (GI) system is a diagnostic and therapeutic instrument in children. Endoscopy usually encounters some difficulties because of intensive and spastic response of GI muscles during endoscopic examination. So this study aimed to assess the effect of peppermint essence on satisfaction of patient and therapeutic team during endoscopic examination.
Materials and Methods:
This clinical trial study was conducted on 120 children less than 14 years who affected to pyloric spasm under endoscopy. Patients were randomly divided into two groups. Control group (n=60) received placebo and case group (n=60) received peppermint essence. Data were analyzed by descriptive- analytic (Mann–Whitney test, T-test, correlation) statistics and using SPSS 11.5.
Results:
More than half of case group (73.3%) were satisfied with endoscopy process, while 51.6% of control group were dissatisfied. Mean of endoscopy duration time was 9.30±0.35 min in peppermint group and 10.14±0.34 min in control group; which it had a significant difference in two groups (P<0.05). Mean duration time of pylorus spasm relaxation was less than 60s in case group, while it took time more than 60s in 60% of control group (P<0.05).
Conclusion:
Findings showed that peppermint administration to children during endoscopy caused to improve satisfaction of endoscopy team. It also caused to reduce duration time of endoscopy and pyloric spasm.- انتشار مقاله: 23-03-1393
- نویسندگان: Mohammad Ali Kiani,Ali Ghasemi,Elham Porsoltani,Bibi Leila Hoseini,Hamid Ahanchian,Masumeh Saeidi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,Synbiotic,Antibiotic-Associated Diarrhea
- چکیده:
- چکیده انگلیسی: Introduction
Antibiotic- associated diarrhea is a common problem in pediatric population. There is growing interest in probiotics, probiotics and synbiotics for prevention of this complication because of their worldwide availability as dietary supplements. The aim of this study was to assess the efficacy of a synbiotic mixture in prevention of antibiotic- associated diarrhea.
Materials and Methods:
In this randomized controlled trial, 218 patients ( 111 in the synbiotic and 107 in the placebo group) aged 6 months to 14 years with respiratory tract infection and/ or otitis media who needed antibiotic treatment in outpatient setting, were enrolled. They received 1 billion Colony Forming Unit of seven probiotics species plus Fructooligosaccharide in form of powder or placebo ( matched for size, shape, and volume) for 7 days. Amoxicillin, Amoxicillin-clavalanic acid, cefixim and Azithromicin were the most common drugs used by physcicians Mothers recorded stool frequency and consistency daily for 7 days.
Results:
We found no significant difference (P>0.05) in occurrence of diarrhea between synbiotic and placebo groups.
Conclusion:
This synbiotic mixture did not appear to reduce antibiotic- associated diarrhea in children. Further studies are needed to investigate the potential benefits of Synbiotics in prevention of this disease.
- انتشار مقاله: 01-09-1392
- نویسندگان: Seyed Ali Jafari,Hamid Ahanchian,Mohammad Ali Kiani,Ali Khakshour,Zeinab Noorbakhsh,Elham Zamani,Hamid Reza Kianifar
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,Synbiotic,Antibiotic-Associated Diarrhea
- چکیده:
- چکیده انگلیسی: Introduction
Antibiotic- associated diarrhea is a common problem in pediatric population. There is growing interest in probiotics, probiotics and synbiotics for prevention of this complication because of their worldwide availability as dietary supplements. The aim of this study was to assess the efficacy of a synbiotic mixture in prevention of antibiotic- associated diarrhea.
Materials and Methods:
In this randomized controlled trial, 218 patients ( 111 in the synbiotic and 107 in the placebo group) aged 6 months to 14 years with respiratory tract infection and/ or otitis media who needed antibiotic treatment in outpatient setting, were enrolled. They received 1 billion Colony Forming Unit of seven probiotics species plus Fructooligosaccharide in form of powder or placebo ( matched for size, shape, and volume) for 7 days. Amoxicillin, Amoxicillin-clavalanic acid, cefixim and Azithromicin were the most common drugs used by physcicians Mothers recorded stool frequency and consistency daily for 7 days.
Results:
We found no significant difference (P>0.05) in occurrence of diarrhea between synbiotic and placebo groups.
Conclusion:
This synbiotic mixture did not appear to reduce antibiotic- associated diarrhea in children. Further studies are needed to investigate the potential benefits of Synbiotics in prevention of this disease.
- انتشار مقاله: 01-09-1392
- نویسندگان: Seyed Ali Jafari,Hamid Ahanchian,Mohammad Ali Kiani,Ali Khakshour,Zeinab Noorbakhsh,Elham Zamani,Hamid Reza Kianifar
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,Synbiotic,Antibiotic-Associated Diarrhea
- چکیده:
- چکیده انگلیسی: Introduction
Antibiotic- associated diarrhea is a common problem in pediatric population. There is growing interest in probiotics, probiotics and synbiotics for prevention of this complication because of their worldwide availability as dietary supplements. The aim of this study was to assess the efficacy of a synbiotic mixture in prevention of antibiotic- associated diarrhea.
Materials and Methods:
In this randomized controlled trial, 218 patients ( 111 in the synbiotic and 107 in the placebo group) aged 6 months to 14 years with respiratory tract infection and/ or otitis media who needed antibiotic treatment in outpatient setting, were enrolled. They received 1 billion Colony Forming Unit of seven probiotics species plus Fructooligosaccharide in form of powder or placebo ( matched for size, shape, and volume) for 7 days. Amoxicillin, Amoxicillin-clavalanic acid, cefixim and Azithromicin were the most common drugs used by physcicians Mothers recorded stool frequency and consistency daily for 7 days.
Results:
We found no significant difference (P>0.05) in occurrence of diarrhea between synbiotic and placebo groups.
Conclusion:
This synbiotic mixture did not appear to reduce antibiotic- associated diarrhea in children. Further studies are needed to investigate the potential benefits of Synbiotics in prevention of this disease.
- انتشار مقاله: 01-09-1392
- نویسندگان: Seyed Ali Jafari,Hamid Ahanchian,Mohammad Ali Kiani,Ali Khakshour,Zeinab Noorbakhsh,Elham Zamani,Hamid Reza Kianifar
- 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: Child,Autoimmune hepatitis, Type 1, Type 2
- چکیده:
- چکیده انگلیسی: Introduction
To define the clinical features, biochemical and histological findings and outcome of three forms of autoimmune hepatitis.
Materials and Methods
In a cross sectional study between November 2001 to January 2008 in Tehran and Mashhad university of medical sciences, 61 children who diagnosed as AIH (40 girls and 21 boys) have been analyzed for their clinical, serological, and histological data. Variables analyzed included age, sex, clinical presentation, hepatic function, immunoglobulins, autoimmunity markers, histology and clinical evolution. According to the auto-antibodies profile, AIH patients were classified as type I AIH (ANA or smooth-muscle antibodies or both positive), type II (anti-LKM-1 positive) and type III (antibody negative).
Results
We analyzed data of 61 children with AIH. 51 patients (median age: 10 (0.7-14) years had anti-nuclear and/or smooth muscle antibody (ANA/ASMA or both), 5 (median age: 7 (2-8) years) had liver/kidney microsomal antibody (LKM-1). 5 patients had no detectable autoantibody. At presentation: 60% had jaundice or symptoms of acute hepatitis; LKM-1 positive were younger. Interface hepatitis was seen in 100% and fibrosis+/- cirrhosis were found in 70%. Frequency of AIH was 2:1 in girls. Type 1 was the most frequent diagnosis (83%) and was more frequent in older children. Relapse and treatment failure were common in type II.
Conclusion
AIH may have different clinical presentation in children. Althout most of cases may have high inflammatory activity or cirrhosis, good response to treatment and remission may accur.
- انتشار مقاله: 30-03-1392
- نویسندگان: Mehri Najafi Sani,Fatemehsoltan Zegheibizadeh,Seyed Ali Jafari,Monnavar Afzal Aghaee,Hamid Ahanchian,Hamid Reza Kianifar
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: montelukast,Intermittent Asthma,Viral infection
- چکیده:
- چکیده انگلیسی: Introduction
Mild intermittent asthma is common in children and viral infections are responsible for the majority of exacerbations. As leukotrienes are potent inflammatory mediators, some studies have shown that Montelukast, a leukotriene receptor antagonist, may be effective on reduction of asthma symptom. To determine whether a short course of Montelukast in asthmatic children with common cold would modify the severity of an asthma episode.
Materials and Methods
Children, aged 6-12 years with intermittent asthma participated in this randomized, double-blind, placebo-controlled clinical trial. Treatment with Montelukast or placebo was initiated at the onset of viral upper respiratory tract infection and continued for 7 days. Primary outcomes included the clinical manifestation: duration of episodes, daily symptom, nights symptoms and activity limitation. Secondary outcomes included the need for beta agonist usage, oral prednisolone, physician visit, hospital admission and school absence.
Results
A total of 187 children with intermittent asthma were randomized, 93 to Montelukast group and 94 to placebo group. Montelukast significantly decreased the cough by 17.3% (P<0.001), nighttime awakenings by 5.4% (P=0.01), interference with normal activity by 6% (P<0.01), time off from school by 6% (P<0.01), β-agonist usage by 17.2% (P<0.001) and doctor visits by12.2% (P<0.01) compared to placebo. Whereas there was a non significant reduction in wheezing, tachypnea, respiratory distress, asthma exacerbation, oral prednisolone and hospitalization (P=0.8).
Conclusion
A short course of Montelukast, introduced at the first sign of a viral infection, results in a reduction in cough, β-agonist use and nights awakened, time off from school and limitation of activity. More studies are needed to evaluate the optimal dose and duration of treatment.- انتشار مقاله: 25-03-1392
- نویسندگان: Hamid Ahanchian,Fatemeh Behmanesh,Hamid Reza Kianifar,Nasrin Sadat Motevalli,Seyed Ali Jafari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Skin Diseases,life quality,Atopic,Dermatitis,eczema,infantile
- چکیده:
- چکیده انگلیسی: Background
Atopic dermatitis (AD) is detrimental to the infants' and their families' quality of life. We aimed to study the disease effects on Iranian infants and their familiesapplying theinfants’ dermatitis quality of life index (IDQOL), and the dermatitis family impact questionnaires (DFI).
Materials and Methods
Questionnaires (DFI and IDQOL) were translated into Persian and retranslated into English. Three experts assessed the content validity of the questionnaires by evaluating the relevance and transparency of the tools. Test-re-test was used to evaluate the questionnaires reliability. The reliability and internal consistency of the IDQOL and DFI were accessed by Cronbach’s alpha coefficient which was 0.74. The construct validity of the questionnaires was assessed using the Pearson correlation index to evaluate convergent and divergent validity. 50 Infants with AD fulfilling the criteria as well as their parents entered the study in Mashhad, Iran, in 2017. An independent-sample t-test was used to compare mean scores and one-way ANOVA was used to analyze other data.
Results
Intense itching (64%), taking one to more than two hours to get the child to sleep (52%), and three to more than five hours of infant sleep disturbance (34%) were significant. Family expenses (70%), and emotional stress (68%) affected the families' quality of life prominently. There were significant differences between the average DFI scores and other allergic diseases, both among infants suffering from AD (p = 0.04), and their families (p = 0.03(.
Conclusion
The Persian versions of the questionnaires (DFI and IDQOL) have validly and reliably measured both groups' quality of life. Theyexperienced remarkable disturbances in their quality of life.- انتشار مقاله: 15-10-1397
- نویسندگان: Vida Vakili,Zahra Mollazadeh,Hamid Ahanchian,Bita Kiafar,Alireza Pedram,Shaghayegh Rahmani,Mehrdad Teimoorian,Sara Sabourirad
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Probiotics,Allergic Rhinitis,Synbiotics,Subcutaneous allergen immunotherapy
- چکیده:
- چکیده انگلیسی: Background: Synbiotics have been used in the prevention and treatment of various immunological diseases. We aimed to investigate the synergistic clinical and immunologic effects of synbiotics and subcutaneous allergen immunotherapy (SCIT) combination in patients with allergic rhinitis.
Materials and Methods: Nineteen individuals with allergic rhinitis were enrolled in this single blind, placebo-controlled trial between 2015 and 2016 in Qaem Hospital, Mashhad, Iran. Patients were randomly divided into two groups: A) Immunotherapy plus one synbiotic capsule per day, and B) Immunotherapy plus placebo for two months. The Sino-nasal outcome test (SNOT-22), and mini rhinoconjunctivitis quality of life questionnaire (RQLQ) were filled by patients or their parents while intracellular expression of interlukin-4 (IL-4), interferon-gamma (IFN-gamma), and Forkhead Box P3 (FOXP3), and variations in the T helper 1 (Th1), T helper 2 (Th2) and T regulatory cells and cytotoxic T lymphocytes (CTL) frequency were examined by flow cytometry assay at baseline, after 2 and 6 months of intervention.
Results: Nineteen individuals with allergic rhinitis aged between 5 and 55 years participated in this study. No significant difference in the frequency of symptoms between the two groups was observed after 2 and 6 months of intervention (p>0.05). A significant increase in the percentage of Th1 cells was recorded in group A compared to group B (p= 0.02). CTL enhancement percentage was significantly increased in group A compared to group B after 2 months (p=0.013).
Conclusion: Subcutaneous Immunotherapy concomitant with synbiotics administration may have temporarily increased the percentage of Th1 cells, but no significant clinical differences were observed.- انتشار مقاله: 29-02-1398
- نویسندگان: Nasrin Moazzen,Hamid Ahanchian,Farahzad Jabbari Azad,Mojgan Mohammadi,Reza Farid,Amin Reza Nikpoor,Maryam Salehi,Maryma Khoshkhui
- مشاهده