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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: urinary tract infection,neonates,Meningitis
- چکیده:
- چکیده انگلیسی: Background: Bacteremia is relatively common in children with urinary tract infection (UTI). The aim of the present study was to determine the frequency of bacterial meningitis among neonates with laboratory-confirmed UTI.
Methods: This retrospective cross-sectional study was performed on 163 hospitalized neonates in Ali Asghar and Shahid Akbarabadi hospitals affiliated to Iran University of Medical Sciences in Tehran, Iran. The demographic and clinical data of hospitalized neonates due to UTI during the recent 6 years (2010-2016) who were aged < 28 days and had cerebrospinal fluid (CSF) culture via lumbar puncture were extracted from medical records and recorded in some checklists.
Results: A total of 163 neonates with laboratory-confirmed UTI with the mean age of 18.25±5.41 days were included. In this study, 54% of the neonates were male. Out of all neonates, 23 (14.1%) cases had positive blood culture. The positive CSF culture was observed in only two (1.2%) neonates. Positive voiding cystourethrogram (VCUG) test was reported in 50% of the neonates with positive CSF culture (P=0.047). Although abnormal ultrasound findings related to the urinary tract in positive CSF neonates were higher by approximately twofold, compared to those reported for negative CSF neonates, this difference was not statistically significant (50% and 24.2%, respectively; P=0.432).
Conclusion: The frequency of the concurrent occurrence of UTI and meningitis in our neonates was 1.2%. Out of all indicators associated with meningitis occurrence, positive VCUG may be a risk factor. Further prospective studies are needed to approve these results.- انتشار مقاله: 29-03-1398
- نویسندگان: Maryam Saboute,Mandana Kashaki,Rahman Yavar,Arash Bodbar,Nasrin Khalessi,Leila Allahqoli
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: neonate,Feeding tolerance,Very low birth weight,Granulocyte colony-stimulating factor
- چکیده:
- چکیده انگلیسی: Background: The current study aimed to investigate the effect of enteral Granulocyte-Colony Stimulating G-CSF
(Factor) on feeding tolerance in very low birth weight (VLBW) and extremely low birth weight (ELBW) neonates.
Methods: This historical-controlled clinical trial was conducted on VLBW and ELBW neonates admitted to Mahdieh
Hospital, affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, between July 2016 and March 2017.
In the intervention group, 81 neonates with birth weights of 710-1480 were given enteral 5 μg/kg/day of G-CSF (which
has been approved by the US FDA) for 7 consecutive days. On the other hand, the control group included 191 neonates
who did not receive G-CSF with birth weights of 600-1490 admitted during 24 months prior to the study. The two
groups were compared in terms of adverse effects of treatment, primary and secondary outcomes.
Results: The mean of gestational age and birth weight in the G-CSF group were reported as 29.96±2.47 weeks and
1204.81±201.68 grams, and these values in the control group were measured at 29.77±2.13 weeks and
1189.47±207.89 grams, respectively. Neonates who received G-CSF demonstrated better feeding tolerance, as
reflected by the earlier achievement of 50, 75, 100, full enteral feeding of 150, and maximal enteral feeding of 180
mL/kg/day (p < 0.05), with earlier weight gain and a shorter hospital stay. The rate of necrotizing enteroc olitis
(NEC) in the G-CSF group was measured at 3.7% that was significantly lower, as compared to the control group
(P=0.005). Approximately 8.9% of the neonates in the control group expired which was higher than the G-CSF
group (P=0.06). All neonates tolerated the treatment and there was no statistically significant difference between
the two groups.
Conclusion: As evidenced by the obtained results, the enteral administration of G-CSF to VLBW and ELBW neonates
improved feeding tolerance and it was well tolerated without any associated side effects.- انتشار مقاله: 03-02-1398
- نویسندگان: Mahmoud Soltani,Seyyed Abolfazl Afjeh,Ahmad Reza Shamshiri,Leila Allahqoli,Nasrin Khalesi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Behavior,Students,fear,Oral health,Trans-theoretical Model
- چکیده:
- چکیده انگلیسی: Background: Fear of dental care prevents dental cleaning behavior and increases the prevalence of dental caries. This study was conducted to determine the effect of Trans-Theoretical Model constructs and fear of dental care on the dental cleaning behavior of students.
Materials and Methods: This cross-sectional study was carried out in Sanandaj city, Iran, in 2017. Using multi-stage sampling, 1,344 male and female students were included in the study. They completed a self-report questionnaire, including demographic information, Trans-Theoretical Model constructs and fear of dental care. Data were analyzed using SPSS software (version 22.0).
Results: A total of 1,344 male and female students with a mean age of 15.22±2.64 years participated in the study; from the perspective of students, dental caries (88.4%) was the most frequent illness and tongue inflammation (0.6%) was the least frequent disease.Overall, 32.9% of the students used no tools for cleaning their teeth. Fear of dental care and perceived barriers were reduced significantly during the stages of dental cleaning behavior (p<0.05) and perceived self-efficacy and perceived benefits were significantly increased (p<0.001). The odds of dental cleaning behavior increased with self-efficacy (OR=1.34, 95%CI=1.22-1.48, p<0.05), and decreased with fear of dental care (OR=0.90, 95%CI=0.80-0.98, p<0.01).
Conclusion: The findings showed dental cleaning behavior among students was at a low level and various factors such as perceived self-efficacy, benefits and barriers and fear of dental care influenced its performance.- انتشار مقاله: 21-02-1398
- نویسندگان: Leila Allahqoli,Vinnaras Nithyanantham,Azam Rahmani,Arezoo Fallahi,Marzieh Fathi,Nammam Ali Azadi,Tahereh Pashaei,Thomas Volken
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: diagnostic accuracy,Pap smear,VIA,VILI,Cervical lesions
- چکیده:
- چکیده انگلیسی: Background: Despite the World Health Organization (WHO) recommendations concerning the use of alternative tests for the detection of cervical cancer precursor lesions in low-income countries, the accuracy of these tests is a debated issue. In the present study we compare the diagnostic accuracy of the triple test with that of colposcopy for the diagnosis of premalignant and malignant cervical lesions. Methods: A cross-sectional study was performed in 328 women referred to the gynecology clinic at Shahid Sadoughi Hospital, affiliated to Yazd University of Medical Sciences (SSUMS), Yazd, Iran, from March 2016 to June 2018. As the first step, a Pap smear was obtained from all participants. Visual inspection with acetic acid (VIA) and Lugol’s iodine (VILI) was performed in accordance with the known protocol. A colposcopy was then conducted in all participants, biopsy samples were obtained, and histological features studied. Finally, the results were compared by statistical analysis. Results: The age range of the participants was 30 - 50 years. Of 328 women, 60 (18.3 %) were postmenopausal. Two-hundred and five patients (62.5 %) had an abnormal Pap smear, 165 (50.3 %) had abnormal results on colposcopy, and 141 (43 %) had abnormal histopathology reports. The VIA was positive in 129 patients (39.3 %) and the VILI in 177 (54 %). The results of the triple test were reported to be positive in 205 cases (51.52 %). The sensitivity of the triple test in the detection of premalignant and malignant cervical lesions was 78.7 % and 69 %, respectively. The sensitivity and specificity of colposcopy in the detection of premalignant and malignant cervical lesions was 80.1 % and 72.2 %, respectively. The diagnostic accuracy of the triple test and colposcopy in the detection of premalignant and malignant cervical lesions was 73 % versus 75 %. Conclusion: Since the results of the study showed that the diagnostic accuracy of the triple test is equivalent that of colposcopy, the former may be used in low-income countries and areas lacking access to colposcopy.
- انتشار مقاله: 30-02-1399
- نویسندگان: Neda Fatahi Meybodi,Mojgan Karimi-Zarchi,Leila Allahqoli,Leila Sekhavat,George Gitas,Azam Rahmani,Arezoo Fallahi,Babak Hassanlouei,Ibrahim Alkatout
- مشاهده