در هنگام جستجو کلمه در قسمت عنوان میتوانید کلمات مورد جستجو را با کاراکتر (-) جدا کنید.
کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Quality of Life,Adolescent,Child
- چکیده:
- چکیده انگلیسی: Background: Health-related quality of life (HRQoL) has become a major concern in the field of children’s health research. We assessed HRQoL among Iranian children and adolescents according to the socioeconomic status (SES) of their living region.Methods: Via multistage cluster sampling from rural and urban school students aged 6 to 18 years, this nationwide study was conducted from 2011 to 2012. HRQoL was assessed using the adolescent core version of the Pediatric Quality of Life questionnaire. Through survey data analysis methods, the data were compared according to the SES of the living region, sex, and the living area.Results: Overall, 23043 students participated in the survey (participation rate=92.2%). The mean age of the participants was 12.55±3.31 years. Boys accounted for 50.8% of the study population, and 73.4% were from urban areas. At national level, the mean of the HRQoL total score was 81.7 (95% CI: 81.3 to 82.1) with a mean of 83.5 (95% CI: 83.0 to 84.1) for the boys and 79.8 (95% CI: 79.1 to 80.5) for the girls. The highest and the lowest scores, respectively, belonged to social functioning (90.0 [95% CI: 89.7 to 90.3]) and emotional functioning (78.2 [95% CI: 77.7 to 78.7]). The highest total HRQoL score belonged to the second highest SES region of the country (mean=83.1; 95% CI: 82.5 to 83.7). The association between total HRQoL and the score of all the subscales and SES in the living area was statistically significant (P<0.001).Conclusion: The results of the present study showed that in the children and adolescents, SES was associated with HRQoL. Accordingly, HRQoL and the related SES differences should be considered one of the priorities in health research and health policy.
- انتشار مقاله: 13-04-1396
- نویسندگان: Roya Kelishadi,Saeid Safiri,Shirin Djalalinia,Sareh Miranzadeh,Mohammad Esmaeil Motlagh,Hamid Asayesh,Shaghayegh Beshtar,Morteza Mansourian,Armita Mahdavi Gorabi,Omid Safari,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Temperature,Supine Position,NICU,Premature neonates,Prone position
- چکیده:
- چکیده انگلیسی: Background
Neonates are the most vulnerable population in terms of temperature control. In general, neonates are not able to protect themselves against fluctuations in ambient temperature. We aimed to compare the effect of the prone and supine positions on temperature of premature neonates.
Materials and Methods: In this crossover clinical trial, a total of 22 premature neonates between 32-36 weeks of gestation admitted to the Neonatal Intensive Care Unit of Amir Kabir Hospital, Arak, Iran, were selected through purposive sampling technique, and were randomly assigned into groups 1 and 2. Newborns in group 1 were first placed in a prone position (i.e., the first period for 3 hours), and then in a supine position (i.e., the second period for an additional 3 hours). The reverse procedure was applied to the intervention group 2. A trained nurse measured body temperature every minute for three hours with a digital thermometer.
Results: Mean age of newborns was 10.38±9.69 days and mean birth weight was 2297.72±693.75 g. The mean temperature at various times in the prone position was significantly higher than the prone position (p <0.05). The mean of body temperature at 1st, 2nd and 3rd hours in the prone position was 36.66 (±0.30), 36.57 (±0.29), and 36.88 (±0.35) and in supine position was 37.18 (±0.09), 37.16 (±0.16), and 37.17 (±0.17), respectively and in all three times, the temperature difference between the two positions was statistically significant (p <0.01).
Conclusion
Based on the results, placing of premature neonates, admitted to the NICU, in the prone position reduced the body temperature of those with fever or hyperthermia in a non-invasive and non-pharmacological manner and minimized their thermal fluctuations.- انتشار مقاله: 15-10-1399
- نویسندگان: Alireza Saadati,Abolfazl Iranikhah,Zahra Fotokian,Sharareh Khosravi,Hamid Asayesh,Mohammad Abbasi,Hamid Torabian
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Diarrhea,Length of hospitalization,Gastro-Fix Gastroenteritis
- چکیده:
- چکیده انگلیسی: Background: According to evidence, the main treatment plans for children with gastroenteritis include the use of an oral solution or intravenous infusion for hydration, continued nutrition; zinc supplementation. The aim of this study was to investigate the effectiveness of Gastro-Fix (registered nutritional supplement) versus placebo on length of hospitalization and duration of diarrhea in children with acute gastroenteritis.
Materials and Methods: We conducted a double blind randomized placebo-controlled trial in children with acute gastroenteritis (age between 6 and 120 months). Three hundred eligible patients randomly allocated to one of two parallel groups, Intervention received Gastro-Fix, whereas the placebo group received baby food (cereal based on skimmed milk and wheat without mineral) for a total of 6 days. Gastro-Fix and baby food was administered as a same sachet that could be opened and mixed in water. The primary outcome was length of hospitalization and duration of diarrhea.
Results: The Mean length of hospitalization in Gastro-Fix and placebo was 3.43+ 0.57 and 4.70+0.59 day respectively (P<0.001). Median duration of diarrhea was 3 days (range: 3-5, IQR: 3–4 days) in the Gastro-Fix group and 5 days (range 3-6, interquartile range [IQR]: 4–5 days) in the placebo group which was statistically significant (P<0.001). The highest efficacy (diarrhea-free percentage of children) of the Gastro-Fix was observed at day 4 (relative risk [RR]: 0.28; 95% confidence interval [CI]: 0.23-0.35), and at day 5 (RR 0.08; 95% CI: 0.03-0.17) after the intervention.
Conclusion: Finding of this study showed that Gastro-Fix can be effective in reducing duration of diarrhea and length of hospitalization in children with diarrhea. This product is suggested to be used in children with acute gastroenteritis.- انتشار مقاله: 27-10-1396
- نویسندگان: Kumars Porrostami,Reza Arjmand,Hamid Asayesh,Mehdi Noroozi,Omid Safari,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,Health related quality of life,weight
- چکیده:
- چکیده انگلیسی: Background: This study investigates the association of perceived weight status and health-related quality of life (HRQOL) in a representative sample of Iranian children and adolescents. Materials and Methods: In this study, 6-18-year-old students were selected from 30 provinces of Iran. Weight status and perceived weight status of students were determined by physical examination and using the validated questionnaire of the World Health Organization-Global school-based student health survey, respectively. The students’ HRQL was evaluated by the Persian version of the Pediatric Quality of Life inventory (PedsQL™ 4.0TM 4.0) Generic Core Scales. Results: The participants consisted of 23,043 students with mean (standard deviation [SD]) age of 12.55(3.31) years. Underweight was significantly less prevalent than perceived underweight (30.8%vs 10.0%, respectively, P<0.001), whereas normal weight was significantly more prevalent than perceived normal weight (70.8% vs. 52.5%, respectively P<0.001). The mean total PedsQL™ score and its subscales in different categories of perceived weight did not have significant difference (P>0.05). After adjustment for age, gender, region, socio-economic status, physical activity, screen time, and body mass index (BMI), significant negative association was documented between perceived overweight and total score of HRQOL. School functioning was negatively associated with perceived overweight. Positive significant association existed between perceived overweight and psychosocial functioning. Conclusion: Our findings indicated that weight underestimation is the most common form of weight misperception in Iranian children and adolescents, which could be a cause of concern especially for obesity treatment and prevention programs. Furthermore, considering the negative association between weight overestimation and total HRQOL and school functioning, it is suggested that social standards and norms impacts on weight perception and consequently HRQOL in children and adolescents.
- انتشار مقاله: 07-08-1396
- نویسندگان: Silva Hovsepian,Mostafa Qorbani,Mohammad Esmaeil Motlagh,Mojgan Asadi,Armita Mahdavi Gorabi,Sahar Alirezayi,Hamid Asayesh,Neda Hani Tabaei Zavareh,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Adolescent,Helicobacter pylori,Metabolic Syndrome
- چکیده:
- چکیده انگلیسی: Background: At least half the world’s population is colonized the stomach by Helicobacter pylori (H. pylori) which are a key constituent of the human microbiome. The aim of this study was to investigate the association of cardiometabolic risk factors with H. pylori infection in Iranian adolescents. Materials and Methods: The current study was conducted along with the third survey of a national school-based surveillance system in Iran, entitled "Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Disease" (CASPIAN) study. Detailed questionnaires on demographic, socioeconomic, dietary, and health-related information of the participants were filled by one of the parents under supervision of trained health-care workers. Trained healthcare professionals measured anthropometric indices, blood pressures according to standard protocols. Fasting venous blood was examined for fasting blood sugar and lipid profile.
Results: Overall 882 serum samples were suitable for testing. H. pylori antibody was found in 643 serum samples (72.9%). Among cardiometabolic risk factors, only the mean weight of participants was different between two groups (44.6±11.8 in H. pylori positive and 42.8±11.3 in H. pylori negative group; p=0.04). Overall, 5.1% of adolescents with positive H. pylori tests were overweight or obese, while 1.7% of negative ones were so (p=0.02). In the multivariate regression model, H. pyloriseropositivity increased the risk of overweight (OR, 3.3; 95%CI, 1.2-9.3; p= 0.03). In the multivariate model, association of other cardiometabolic risk factors with H. pylori infection was not statistically significant (p>0.05).
Conclusion: Results of present study showed that H. pylori infection was associated with excess weight in adolescents. H. pylori eradication may be decrease the risk of obesity.- انتشار مقاله: 29-03-1396
- نویسندگان: Enayat Kalantar,Mohammand Javad Gharavi,Shervin Ghaffari Hoseini,Ramin Heshmat,Mojgan Oshaghi,Behnaz Gharegozlou,Hamid Asayesh,Armita Mahdavi Gorabi,Mohammad Esmaeil Motlagh,Mehdi Noroozi,Mostafa Qorbani,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,adolescents,Self-Perceived Health,Wellness
- چکیده:
- چکیده انگلیسی:
Background: Health status is an individual’s relative level of wellness and illness. Self-Perceived Health (SPH) is a single item considered as a health indicator for national and international survey. The aim of this study was to evaluate the SPH measure and its determinants in a National sample of Iranian children and adolescents.
Materials and Methods: This National study was performed as the fourth National survey of a school‑based surveillance program entitled the Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Disease (CASPIAN‑IV) study. 14,880 students aged 6-18 years old selected from 30 provinces of Iran by a multistage Cluster and stratified sampling method. Two sets of valid and reliable questionnaires were completed for students and their parents.
Results : Overall 13,846 participated in the present studywith 90.6 % participation. In this study, 80.5 % of boys and 79.4% of girls reported good SPH (95% confidence interval (CI), 79.3-81.6 versus 78.1-80.6, respectively). According to the living area, 79.5% from urban and 81.1% from rural area declared good SPH (95% CI, 78.6-80.5 versus 79.2-82.8, respectively). In the multivariate model, the subjects who had healthy weight compared with excess weight had significantly higher SPH (OR: 1.36; 95% CI, 1.17-1.59). Also, the subjects with high Socio-economic status (SES) had higher odds of SPH (odds ratio [OR], 1.23; 95% CI, 1.06-1.41).
Conclusion: Our results showed that SPH can be influenced by both demographic and life style related characteristics among study population. This association was stronger for SPH and academic success, talking with both parents and having normal body image respectively.
- انتشار مقاله: 08-01-1396
- نویسندگان: Hoda Zahedi,Ramin Heshmat,Moloud Payab,Gelayol Ardalan,Mohammad Esmaeil Motlagh,Gita Shafiee,Hamid Asayesh,Ali Asghar Ahmadishokouh,Mostafa Qorbani,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: risk factors,Pregnancy,Infant,fetus,Prenatal care,Premature
- چکیده:
- چکیده انگلیسی: Background: Preterm birth is one of the most remarkable reasons for neonatal and infant mortality and morbidity across the world. This study aimed to determine risk factors of premature infants in the rural area of Azadshahr city, Iran. Materials and Methods: Acase-control study was conducted on all premature and low birth neonates (less than 37 weeks and weight less than 2500 grams). Data were collected by records in 30 health houses located in the rural areas of Azadshahr city durring 2013 to 2016. Two groups (case and control) were matched by gender and health houses. A trained midwife was collected data by using of a researcher-made checklist. To describe mean and standard deviation of the demographic characteristics, descriptive methods were used.To analyze, inferential statistic tests such as Chi- square, and independent t-test were implemented through SPSS (version,16). Significant level was also taken <0.05. Results: In total, 112 girl infant and 101 boy infant were explored. The mean age of mother in the case and control groups was 26.14+ 8.4 and 25.67+ 9.1 years old respectively.There was a significant difference between the two groups in terms of prenatal care and pregnancy complications. In addition, a remarkable relations was found between polytocous and delivery time (P<0.05). Conclusion: Providing mothers with necessary information in terms of interval between births, and the importance of prenatal cares in the pregnancy period to prevent complication seems to be likely useful.
- انتشار مقاله: 30-03-1395
- نویسندگان: Marzieh Gorzin,Morteza Mansourian,Abdurrahman Charkazi,Hassan Rahimzadeh,Aref Rezaee Node,Mostafa Qorbani,Omid Safari,Babak Rastgari Mehr,Hamid Asayesh,Mohammadreza Mansouri Arani,Hossein Ansari,Tahereh Pashaei,Hesamedin Hesamedin Askari Majdabadi,Kamal Mirkarimi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,burden,Breastfeeding,Disability-adjusted life year,Years lost due disability
- چکیده:
- چکیده انگلیسی: Background: This study uses data of the global burden of diseases (GBD) study 2010 to report death, disability-adjusted life year (DALYs), years of life lived with disability (YLDs) and years of life lost due to premature mortality (YLLs), attributed to suboptimal breastfeeding by age and gender during 1990 to 2010 in Iran. Materials and Methods:The GBD assessments were used, together with estimates of death and DALYs due to specific risk factors to calculate the attributed burden of each risk factor exposure compared with the theoretical-minimum-risk exposure. Uncertainties in the distribution of exposure, relative risks, and relevant outcomes were incorporated into estimates of mortality attributable and burden and were presented as 95 % uncertainty interval (UI). Results:In both genders, the age standardized DALYs rates and the age standardized death rate [(from 5 (95% UI: 2-8) to 1 (95% UI: 0-2) per 100,000 populations], attributed to breastfeeding, had a decreasing trends. The age standardized YLD rate increased from 7 (95% UI: 2-15) to 10 (95% UI: 3-23) per 100,000 populations in boys and, from 7(95% UI: 2-16) to 11(95% UI: 3-26) per 100,000 populations in girls. The YLD changes showed some variation according to age categories. For both genders, the age standardizes YLL rate decreased from 395 (95% UI: 185-681) per 100,000 populations to 111(95% UI: 42-213) per 100,000 populations. Conclusion: The burden attributed to suboptimal breastfeeding had a considerable reduction rate from 1990 to 2010. Additional studies on burden of exclusive breastfeeding with more accurate data are recommended for policies make decision.
- انتشار مقاله: 19-04-1395
- نویسندگان: Roya Kelishadi,Hossein Ansari,Mostafa Qorbani,Mohsen Jari,Shirin Djalalinia,Asal Ataie-Jafari,Mina Poorrezaeian,Morteza Mansourian,Saeid Safiri,Omid Safari,Mehdi Noorozi,Hamid Asayesh,Rasool Mohammadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Knowledge,Practice,Educational intervention,Neonatal Jaundice
- چکیده:
- چکیده انگلیسی: Background: Raising awareness of mothers has an important role to preventing neonatal severe hyperbilirubinemia. We aimed to investigate the role of educational intervention on the knowledge and practice of the mothers with icteric newborns. Materials and Methods: This study was interventional study with interventional and control group. Study population consisted of 384 consecutive parents of newborns with jaundice, who were admitted to Mahdieh and Mofid hospitals in Tehran- Iran, during 2013 to 2014. The participants were randomly assigned to the trained group (n = 192), who receiving educational programs in three sessions that each sessions was about 45 minutes and the control group (n = 192), without any educational intervention Two months after completing the educational program, the level of knowledge and practice of women in both groups was assessed by using the same questionnaire. The data were analyzed by using SPSS software. Results: The mean score for the level of knowledge toward neonatal jaundice was higher in educational group compared to the control group (7.5 ± 2.5, ranged 2 to 15 versus 4.7 ± 1.3 ranged 1 to 7, P < 0.001). The level of knowledge toward neonatal jaundice reached 72% in educational group that remained 39% in control mothers. The mean score for practice of mothers to neonatal jaundice was significantly higher in trained mothers than in untrained ones (13.7 ± 3.8 ranged 7 to 19 versus 5.9 ± 2.1 ranged 3 to 7, P < 0.001). Also, high score for practice in trained and untrained women was 84% and 67%, respectively that was significantly higher in former group (P<0.05).
Conclusion: Despite low level of knowledge and practice of mothers with jaundiced neonates, training programs in our experience led to significantly improving the level of knowledge and practice in this population.- انتشار مقاله: 04-05-1395
- نویسندگان: Mandana Kashaki,Mohammad Kazemian,Abolfazl Afjeh,Mostafa Qorbani,Omid Safari,Babak Rastegari Mehr,Tahereh Pashaei,Hossein Ansari,Hamid Asayesh,Zahra Shafieyan,Morteza Mansourian
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,mental disorders,Behavior problems,Meal frequency,Meal skipping
- چکیده:
- چکیده انگلیسی: Background: This study aimed to assess the relationship between meal frequency with mental distress and violent behavior among a nationally representative sample of Iranian children and adolescents.
Materials and Methods: The participants of this national study were 14,880 Iranian students with 6 to 18 years of age. They were selected from urban and rural regions of Iran by multi-stage cluster sampling method. The data were obtained about demographic information, mental distress, violent behaviors and meal frequency by the questionnaire of the World Health Organization-Global School-based Student Health Survey (WHO-GSHS).
Results: The response rate was 90.6%. The participants who were categorized as the group eating 3 meals per week significantly experienced less mental distress than those who were categorized as consuming 2 meals and one/no meal per week (P-value < 0.05). The min rate of violent behaviors was observed among participants who were classified as consuming 3 meals group and the max rate in one/no meal group. Participants who were categorized as consuming one/ no meal and 2 meals per week had higher risk of mental distress and violent behaviors compared with those whom consumed 3 meals per week.
Conclusions: Meal skipping was significantly associated with mental problems and violent behaviors among Iranian children and adolescents and this association was independent of known confounders.- انتشار مقاله: 17-04-1395
- نویسندگان: Hossein Ansari,Roya Kelishadi,Mostafa Qorbani,Morteza Mansourian,Zeinab Ahadi,Mohammad Esmaeil Motlagh,Gelayol Ardalan,Saeid Safiri,Hamid Asayesh,Rasool Mohammadi,Ramin Heshmat
- مشاهده