ORIGINAL_ARTICLE
Evaluation of Cortisol Level in Premature Neonates: Are There any Correlations between Prevalence of Patent Ductus Arteriosus and Prenatal Administration of Betamethasone?
Background: The results of previous studies suggested that there is an increased risk of patent ductus arteriosus (PDA) in the neonates with lower serum cortisol levels. This study aimed to assess the association between serum cortisol values and PDA and investigate if there is an association between PDA and the antenatal administration of betamethasone. Methods: The present study was carried out on the neonates with gestational age between 28 to 35 weeks. The prenatal administration of betamethasone to the mothers was extracted from the records. A pediatric cardiologist performed an echocardiographic assessment on the second day of life (DOL) and fifth DOL and the infants were evaluated for the presence of PDA. The blood samples were obtained on the second and fifth DOL and serum cortisol levels were measured. We evaluated the association between serum cortisol levels and PDA. Also, the correlation between PDA and the antenatal administration of betamethasone was assessed. Results: The mean scores of serum cortisol levels on the second DOL in the neonates with and without PDA were 4.99±2.69 (μg/dl) and 7.23±2.87 (μg/dl), respectively that were significantly lower in the first group, compared to those of the second group. However, the mean levels of serum cortisol in the neonates with and without the prenatal administration of betamethasone were not significant (P=0.522). Conclusion: We have concluded that lower serum cortisol level was associated with the increase in the risk of PDA and the prenatal administration of glucocorticoids may not reduce the occurrence of PDA.
https://ijn.mums.ac.ir/article_12452_2ebcb27d826ff8024c3cf0c28f0a8c7c.pdf
2019-03-01
1
5
10.22038/ijn.2018.31105.1427
Betamethasone
Cortisol
Patent Ductus Arteriosus
Prematurity
Nastaran
Khosravi
1
Department of Neonatology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Kamran
Behrouzi
2
Department of Neonatology, Kamali Hospital, Alborz University of Medical Sciences, Alborz, Iran
AUTHOR
Ali
Mazouri
mazouriali@gmail.com
3
Department of Neonatology, Akbar Abadi Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Semira
Mehralizadeh
semiarid@yahoo.com
4
Department of Cardiology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Farhad
Abolhassan Choobdar
5
Department of Neonatology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Golnaz
Gharehbaghi
golnaz.gharehbaghi@gmail.com
6
Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
1. Tripathi A, Black GB, Park YM, Jerrel JM. Prevalence and management of patent ductus arteriosus in a pediatric medicaid cohort. Clin Cardiol. 2013; 36(9):502-6.
1
2. Chorne N, Leonard C, Piecuch R, Clyman RI. Patent ductus arteriosus and its treatment as risk factors for neonatal and neurodevelopmental morbidity. Pediatrics. 2007; 119(6):1165-74.
2
3. Laughon MM, Simmons MA, Bose CL. Patency of the ductus arteriosus in the premature infant: is it pathologic? Should it be treated? Curr Opin Pediatr. 2004; 16(2):146-51.
3
4. Arlettaz R. Echocardiographic evaluation of patent ductus arteriosus in preterm infants. Front Pediatr. 2017; 5:147.
4
5. Watterberg KL, Scott SM, Backstrom C, Gifford KL, Cook KL. Links between early adrenal function and respiratory outcome in preterm infants: airway inflammation and patent ductus arteriosus. Pediatrics. 2000; 105(2):320-4.
5
6. Watterberg KL, Gerdes JS, Cole CH, Aucott SW, Thilo EH, Mammel MC, et al. Prophylaxis of early adrenal insufficiency to prevent bronchopulmonary dysplasia: a multicenter trial. Pediatrics. 2004; 114(6):1649-57.
6
7. Padbury JF, Ervin MG, Polk DH. Extrapulmonary effects of antenatally administered steroids. J Pediatr. 1996; 128(2):167-72.
7
8. Waffarn F, Siassi B, Cabal LA, Schmidt PL: Effect of antenatal glucocorticoids on clinical closure of the ductus arteriosus. Am J Dis Child. 1983; 137(4):336-8.
8
9. Momma K, Nishihara S, Ota Y. Constriction of the fetal ductus arteriosus by glucocorticoid hormones. Pediatr Res. 1981; 15(1):19-21.
9
10. Momma K, Takao A. Increased constriction of the ductus arteriosus with combined administration of indomethacin and betamethasone in fetal rats. Pediatr Res. 1989; 25(1):69-75.
10
11. Clyman R, Mauray F, Roman C, Rudolph AM, Heymann MA. Glucocorticoids alter the sensitivity of the lamb ductus arteriosus to prostaglandin E2. J Pediatr. 1981; 98(1):126-8.
11
12. Eronen M, Kari A, Pesonen E, Hallman M. The effect of antenatal dexamethasone administration on the fetal and neonatal ductus arteriosus a randomized double-blind study. Am J Dis Child. 1993; 147(2): 187-92.
12
13. Ballard PL, Gluckman PD, Liggins GC, Kaplan SL, Grumbach MM. Steroid and growth hormone levels in premature infants after prenatal betamethasone therapy to prevent respiratory distress syndrome. Pediatr Res. 1980; 14(2):122-7 .
13
14. Clyman RI, Mauray F, Roman C, Heymann MA, Ballard PL, Rudolph AM, et al. Effects of antenatal glucocorticoid administration on ductus arteriosus of preterm lambs. Am J Physiol. 1981; 241(3): H415-20.
14
15. Bartholomew J, Kovacs L, Papageorgiou A. Review of the antenatal and postnatal use of steroids. Indian J Pediatr. 2014; 81(5):466-72.
15
ORIGINAL_ARTICLE
Effect of Fish Oil on the Level of Interferon Gamma on the Breast Milk of Atopic Mothers: A Randomized Clinical Trial
Background: The prevalence of allergic diseases is increasing worldwide. The effective role of omega-3 fatty acids in the maturation of immune system and protection against atopic diseases has been well discussed. However, previous studies revealed conflicting results. This study was conducted to investigate the effect of fish oil consumption by nursing atopic mothers on the level of interferon gamma (IFN-γ) in their breast milk and incidence of allergic disease in their infants. Methods: This randomized clinical trial was conducted on 94 atopic mothers, who were assigned to two equal groups receiving either 1000 mg fish oil capsules or placebo for 60 days after delivery. The breast milk was collected 120 days after delivery, and IFN-γ level was measured. The history of the symptoms of atopic disease in infants was collected from their mothers through ISAAC questionnaire; in addition, the infants’ growth was evaluated. Results: Sixty mother-infant pairs completed the trial. The mean values of IFN-γ in breast milk was higher in the fish oil group (1.11±1.15 Pg/ml) than in the placebo group (0.81±0.86 Pg/ml), but the difference was not significant (P=0.288). In addition, the incidence of allergic symptoms of infants was not significantly different between the two groups (P=0.84). Conclusion: In this trial, the consumption of fish oil by lactating mothers did not have a significant effect on IFN-γ level in their breast milk and the incidence of allergic symptoms in their infants. Future studies with longer follow-ups are necessary in this regard.
https://ijn.mums.ac.ir/article_12410_15fef5d96602eec03cb300e71fb4d251.pdf
2019-03-01
6
14
10.22038/ijn.2019.31507.1438
Allergy
Fish oil
Lactation
Prevention
Tooba
Momen
toobamomen@gmail.com
1
Department of Asthma, Allergy and Clinical Immunology, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Sara
Saraeian
sara_saraeian@yahoo.com
2
Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Nafiseh
Esmaeil
nafesm5@gmail.com
3
Department of Immunology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Roya
Kelishadi
roya.kelishadi@gmail.com
4
Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
1. Akdis CA, Sichere SH. Allergy and the immunological basis of atopic diseases. Nelson textbook of pediatrics. 20th ed. Philadelphia, PA: Elsevier Saunders; 2016. P. 1074.
1
2. Varasteh AR, Fereidouni M, Shakeri MT, Vahedi F, Abolhasani A, Afsharian MS, et al. Prevalence of allergic disorders among the population in the city of Mashhad, Northeast Iran. J Public Health. 2009; 17(2):107-12.
2
3. Miŝak Z. Infant nutrition and allergy. Proc Nutr Soc. 2011; 70(4):465-71.
3
4. Damsgaard CT, Lauritzen L, Kjær TM, Holm PM, Fruekilde MB, Michaelsen KF, et al. Fish oil supplementation modulates immune function in healthy infants. J Nutr. 2007; 137(4):1031-6. 137 .
4
5. Essential fatty acids. Wikipedia. Available at: URL: https://en.wikipedia.org/wiki/ Essential_fatty_acid; 2015.
5
6. Samur G, Topcu A, Turan S. Trans fatty acids and fatty acid composition of mature breast milk in Turkish women and their association with maternal diets. Lipids. 2009, 44(5):405-13.
6
7. Moghadasian MH. Advances in dietary enrichment with n-3 fatty acids. Crit Rev Food Sci Nutr. 2008; 48(5):402-10.
7
8. Cleland LG, James MJ, Proudman SM. Fish oil: what the prescriber needs to know. Arthritis Res Ther. 2005; 8(1):679-81.
8
9. Capita consumption of fish in Iranian in 2013. Bahar News. Available at: URL: http://baharnews.ir /vdcd5s0x.yt0xz6a22y.html; 2015.
9
10. Capita sea foods use in Iran is half the global average. Fars News. Available at: URL: http://www.farsnews.com/newstext.php?nn=1393 0619000082; 2015.
10
11. Fish consumption advisories, 2014-12-29. United States Environmental Protection Agency. Available at: URL: http://www.epa.gov/mercury /advisories. htm; 2015.
11
12. Kremmyda LS, Vlachava M, Noakes PS, Diaper ND, Miles EA, Calder PC. Atopy risk in infants and children in relation to early exposure to fish, oily fish, or long-chain omega-3 fatty acids: a systematic review. Clin Rev Allergy Immunol. 2011; 41(1): 36-66.
12
13. Palmer DJ, Sullivan T, Gold MS, Prescott SL, Heddle R, Gibson RA, et al. Effect of n-3 long chain polyunsaturated fatty acid supplementation in pregnancy on infants’ allergies in first year of life: randomised controlled trial. BMJ. 2012; 344:e184.
13
14. Palmer DJ, Sullivan T, Gold MS, Prescott SL, Heddle R, Gibson RA, et al. Randomized controlled trial of fish oil supplementation in pregnancy on childhood allergies. Allergy. 2013; 68(11):1370-6. 15. Gunaratne AW, Makrides M, Collins CT. Maternal prenatal and/or postnatal n-3 long chain polyunsaturated fatty acids (LCPUFA) supplementation for preventing allergies in early childhood. Cochrane Database Syst Rev. 2015; 22(7):CD010085.
14
16. Lauritzen L, Kjaer TM, Fruekilde MB, Michaelsen KF, Frokiaer H. Fish oil supplementation of lactating mothers affects cytokine production in 2 1/2-yearold children. Lipids. 2005; 40(7):669-76. 17. Dunstan JA, Hale J, Breckler H, Lehmann H, Weston S, Richmond P, et al. Atopic dermatitis in young children is associated with impaired interleukin-10 and interferon-g responses to allegens, vaccines and colonizing skin and gut bacterica. Clin Exp Allergy. 2005; 35(10):1309-17.
15
18. Buckley RH. T lymphocyte, B lymphocytes, and natural killer cells. Nelson textbook of pediatrics. 20th ed. Philadelphia, PA: Elsevier Saunders; 2016. P. 1009.
16
19. Schoenborn JR, Wilson CB. Regulation of interferongamma during innate and adaptive immune responses. Adv Immunol. 2007; 96:41-101.
17
20. Akhavan A, Rudikoff D. Atopic dermatitis: systemic immunosuppressive therapy. Semin Cutan Med Surg. 2008; 27(2):151-5.
18
21. Schneider LC, Baz S, Zarcone C, Zurakowski D. Longterm therapy with recombinant interferon-gamma for atopic dermatitis. Ann Allergy Asthma Immunol. 1998; 80(3):263-8.
19
22. Hanifin JM, Schneider LC, Leung DY, Ellis CN, Jaffe HS, Izu AE, et al. Recombinant interferon gamma therapy for atopic dermatitis. J Am Acad Dermatol. 1993; 28(2):189-97.
20
23. Coordination Committee for the International Study of Asthma and Allergies in Childhood (ISAAC), “Manual for the International Study for Asthma and Allergies in Childhood (ISAAC),” Bochum, FRG. Available at: URL: http://isaac.auckland.ac.nz/ phases/phaseone/phaseonemanual.pdf; 1992.
21
24. Teixeira LK, Fonseca BP, Barboza BA, Viola JP. The role of interferon-gamma on immune and allergic responses. Mem Inst Oswaldo Cruz. 2005; 100: 137-44.
22
25. Dunstan JA, Mori TA, Barden A, Beilin LJ, Taylor AL, Holt PG, et al. Fish oil supplementation in pregnancy modifies neonatal allergen-specific immune responses and clinical outcomes in infants at high risk of atopy: a randomized, controlled trial. J Allergy Clin Immunol. 2003; 112(6):1178-84.
23
26. Furuhjelm C, Warstedt K, Larsson J, Fredriksson M, Böttcher MF, Fälth-Magnusson K, et al. Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy. Acta Paediatr. 2009; 98(9):1461-7.
24
27. Furuhjelm C, Warstedt K, Fagerås M, FälthMagnusson K, Larsson J, Fredriksson M, et al. Allergic disease in infants up to 2 years of age in relation to plasma omega-3 fatty acids and maternal fish oil supplementation in pregnancy and lactation. Pediatr Allergy Immunol. 2011; 22(5):505-14.
25
28. Tinoco SM, Sichieri R, Setta CL, Moura AS, Carmo MG. N-3 polyunsaturated fatty acids in milk is associate to weight gain and growth in premature infants. Lipids Health Dis. 2009; 8(1):23.
26
29. Lauritzen L, Hoppe C, Straarup EM, Michaelsen KF. Maternal fish oil supplementation in lactation and growth during the first 2.5 years of life. Pediatr Res. 2005; 58(2):235-42.
27
30. Delgado-Noguera MF, Calvache JA, BonfillCosp XB, Kotanidou EP, Galli-Tsinopoulou A. Supplementation with long chain polyunsaturated fatty acids (LCPUFA) to breastfeeding mothers for improving child growth and development. Cochrane Database Syst Rev. 2015; 7:12.
28
ORIGINAL_ARTICLE
Effect of Topical Chamomile Oil (Matricaria chamomile L.) as a Supplementary Method on Colic Symptoms in Infants: A Randomized Placebo-controlled Clinical Trial
Background: The aim of this study was to evaluate the efficacy of the topical use of chamomile oil as a complementary method in the improvement of infantile colic symptoms. Methods: This randomized controlled trial was carried out on 74 infants with colic at Sabzevar University of Medical Sciences in Sabzevar, Iran. The infants were randomly allocated into two groups. In the intervention group, chamomile oil was applied topically on the abdominal region three times a day for 14 days. The placebo group received paraffin oil in a similar manner. A data collection form was daily filled out for all infants by their parents. Number and duration of crying episodes and duration of sleep were assessed at the baseline and on the 7th and 14th days of the intervention. Results: Results showed that there was a significant difference in the crying time of the two groups on days 7 and 14 as compared to that at the baseline (P=0.03 and P=0.002, respectively). There was a significant increase in sleep duration only on the 14th day of treatment as compared with that at the baseline (P=0.01). Although the number of crying episodes in both groups decreased, there was no significant difference between the two groups (P=0.08). Based on the regression test, although the values obtained on days 1 and 7 were not statistically significant, compared to those at the baseline, the number of crying episodes decreased on the 14th day (95% CI: -115.39 to -15.04; P=0.012). Conclusion: Topical consumption of chamomile oil may be used as a complementary, safe, and cost-effective way to improve and reduce the symptoms of infantile colic.
https://ijn.mums.ac.ir/article_12411_b2d644e757391ebdd4b16b5954b53e66.pdf
2019-03-01
15
22
10.22038/ijn.2019.32270.1448
Infant
Chamomile
Colic
Complementary Medicine
Hassan
Salehipoor
salehipoor45@yahoo.com
1
Vasei Hospital, Clinical Research Development Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
AUTHOR
Behzad
Afzali
2
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
AUTHOR
Rahim
Akrami
3
Department of Epidemiology and Biostatistics, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
AUTHOR
Fereshteh
Ghorat
drghorat@gmail.com
4
Traditional and Complementary Medicine Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
LEAD_AUTHOR
Zahra
Niktabe
5
Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammad
Sahebkar
6
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran
AUTHOR
1. Cunningham NR, Jensen P. ADHD. In: Kliegman RM, Stanton BF, Geme III JW, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed. Philadelphia: WB Saunders; 2011. P. 108-12.
1
2. Rhoads JM. Probiotic Lactobacillus reuteri effective in treating infantile colic and is associated with inflammatory marker reduction. J Pediatr. 2018; 196:324-7.
2
3. Talachian E, Bidari A, Rezaie MH. Incidence and risk factors for infantile colic in Iranian infants. World J Gastroenterol. 2008; 14(29):4662-6.
3
4. Ghorat F, Gafarzadeh R, Jafarzadeh Esfehani R. Perinatal mortality and associated risk factors: a study in north east of Iran. Iran J Neonatol. 2016; 7(1):47-51.
4
5. Harb T, Matsuyama M, David M, Hill RJ. Infant colicwhat works: a systematic review of interventions for breast-fed infants. J Pediatr Gastroenterol Nutr. 2016; 62(5):668-86.
5
6. Icke S, Genc R. Effect of reflexology on infantile colic. J Altern Complement Med. 2018; 24(6):584-8.
6
7. İnce T, Akman H, Çimrin D, Aydın A. The role of melatonin and cortisol circadian rhythms in the pathogenesis of infantile colic. World J Pediatr. 2018; 14(4):392-8.
7
8. Sheidaei A, Abadi A, Zayeri F, Nahidi F, Gazerani N, Mansouri A. The effectiveness of massage therapy in the treatment of infantile colic symptoms: a randomized controlled trial. Med J Islam Repub Iran. 2016; 30:351.
8
9. Nahidi F, Gazerani N, Yousefi P, Abadi AR. The comparison of the effects of massaging and rocking on infantile colic. Iran J Nurs Midwifery Res. 2017; 22(1):67-71.
9
10. Dobson D, Lucassen PL, Miller JJ, Vlieger AM, Prescott P, Lewith G. Manipulative therapies for infantile colic. Cochrane Database Syst Rev. 2012; 12:CD004796.
10
11. Sung V, Hiscock H, Tang M, Mensah FK, Heine RG, Stock A, et al. Probiotics to improve outcomes of colic in the community: protocol for the Baby Biotics randomised controlled trial. BMC Pediatr. 2012; 12(1):135.
11
12. Landgren K, Hallström I. Effect of minimal acupuncture for infantile colic: a multicentre, threearmed, single-blind, randomised controlled trial (ACU-COL). Acupunct Med. 2017; 35(3):171-9. 13. Azizkhani M, Ghorat F, Soroushzadeh SM, Karimi M, Yekaninejad S. The effect of cupping therapy on nonspecific neck pain: a systematic review and metaanalysis. Iran Red Crescent Med J. 2018, 20(7):e55039.
12
14. Perry R, Hunt K, Ernst E. Nutritional supplements and other complementary medicines for infantile colic: a systematic review. Pediatrics. 2011; 127(4):720-33.
13
15. Çetinkaya B, Başbakkal Z. The effectiveness of aromatherapy massage using lavender oil as a treatment for infantile colic. Int J Nurs Pract. 2012; 18(2):164-9.
14
16. Khadem E, Shirazi M, Rahimi R, Bioos S, Ghorat F. Perception of paralytic ileus on viewpoint of Avicenna. Iran J Public Health. 2017; 46(1):150-2.
15
17. Sheidaei A, Abadi A, Nahidi F, Zayeri F, Gazerani N. Effect of massage on severity of cries and sleep duration among infants who suffer infantile colic: a randomized clinical trial. Pajoohandeh J. 2015; 20(3):141-8.
16
18. Martinelli M, Ummarino D, Giugliano FP, Sciorio E, Tortora C, Bruzzese D, et al. Efficacy of a standardized extract of Matricariae chamomilla L., Melissa officinalis L. and tyndallized Lactobacillus acidophilus (HA122) in infantile colic: an open randomized controlled trial. Neurogastroenterol Motil. 2017; 29(12):13145.
17
19. Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, Anwar F. Essential oils used in aromatherapy: a systemic review. Asian Pac J Trop Biomed. 2015; 5(8):601-11.
18
20. Savino F, Cresi F, Castagno E, Silvestro L, Oggero R. A randomized double-blind placebo-controlled trial of a standardized extract of matricariae recutita, foeniculum vulgare and melissa officinalis in the treatment of breastfed colicky infants. Phytother Res. 2005; 19(4):335-40.
19
21. Gardiner P. Complementary, holistic, and integrative medicine: chamomile. Pediatr Rev. 2007; 28(4): e16-8.
20
22. Srivastava JK, Shankar E, Gupta S. Chamomile: a herbal medicine of the past with a bright future. Mol Med Rep. 2010; 3(6):895-901.
21
23. Zargaran A, Borhani-Haghighi A, Faridi P, Daneshamouz S, Kordafshari G, Mohagheghzadeh A. Potential effect and mechanism of action of topical chamomile (Matricaria chammomila L.) oil on migraine headache: a medical hypothesis. Med Hypotheses. 2014; 83(5):566-9.
22
24. Anheyer D, Frawley J, Koch AK, Lauche R, Langhorst J, Dobos G, et al. Herbal medicines for gastrointestinal disorders in children and adolescents: a systematic review. Pediatrics. 2017; 139(6):e20170062.
23
25. Rhoads JM. Probiotic Lactobacillus reuteri effective in treating infantile colic and is associated with inflammatory marker reduction. J Pediatr. 2018; 196:324-7.
24
26. Indrio F, Miqdady M, Al Aql F, Haddad J, Karima B, Khatami K, et al. Knowledge, attitudes, and practices of pediatricians on infantile colic in the Middle East and North Africa region. BMC Pediatr. 2017; 17(1):187.
25
27. Biagioli E, Tarasco V, Lingua C, Moja L, Savino F. Pain-relieving agents for infantile colic. Cochrane Database Syst Rev. 2016; 9:CD009999.
26
28. Camilleri M, Park SY, Scarpato E, Staiano A. Exploring hypotheses and rationale for causes of infantile colic. Neurogastroenterol Motil. 2017; 29(2):12943.
27
29. Golami A, Tabaraei Y, Ghorat F, Khalili H. The effect of inhalation of matricaria chamomile essential oil on patients’ anxiety before esophagogastroduodenoscopy. Govaresh. 2018; 22(4):232-8.
28
30. Arikan D, Alp H, Gözüm S, Orbak Z, Cifçi EK. Effectiveness of massage, sucrose solution, herbal tea or hydrolysed formula in the treatment of infantile colic. J Clin Nurs. 2008; 17(13):1754-61.
29
31. Bahrami H, Kiani MA, Noras M. Massage for infantile colic: review and literature. Int J Pediatr. 2016; 4(6):1953-8.
30
32. Mosavat SH, Masoudi N, Hajimehdipoor H, Emami Meybodi MK, Niktabe Z, Tabarrai M, et al. Efficacy of topical Linum usitatissimum L. (flaxseed) oil in knee osteoarthritis: A double-blind, randomized, placebo-controlled clinical trial. Complement Ther Clin Pract. 2018; 31:302-7.
31
33. Villa-Rodriguez JA, Kerimi A, Abranko L, Tumova S, Ford L, Blackburn RS, et al. Acute metabolic actions of the major polyphenols in chamomile: an in vitro mechanistic study on their potential to attenuate postprandial hyperglycaemia. Sci Rep. 2018; 8(1):5471.
32
ORIGINAL_ARTICLE
Evaluation of Risk Factors for Retinopathy of Prematurity in Preterm Neonates
Background: The most common cause of preventable blindness in children is retinopathy of prematurity (ROP). The most important risk factors for this disease are preterm delivery and low birth weight (LBW). This research was performed to evaluate the prevalence ofand risk factors for ROP in preterm neonates. Methods: Our research was a cross-sectional descriptive and retrospective study conducted on preterm neonates in the Neonatal Intensive Care Unit (NICU) of Mahdieh Hospital in Tehran, Iran, in 2015. All neonates with a gestational age of < 32 weeks and birth weight of < 1,500 g were enrolled. Demographic data and risk factors for ROP were evaluated. Statistical analysis was conducted by SPSS (version 20) with a 95% confidence interval and. P-value less than 0.05 was considered statistically significant. Results: Our study was conducted on 154 patients. Mean gestational age and birth weight of the newborns were 28.69±1.82 weeks (range: 23-32 weeks) and 1114.94±240.982 g (range: 550-1500 g). The ROP was detected in 76 (49.4%) patients, 55.26%, 34.2%, and 10.53% of whom had stages I, II, and III of ROP. Stages IV and V were not seen in our patients. The incidence of ROP was significantly affected by low gestational age and birth weight, delivery room resuscitation, prolonged oxygen therapy and mechanical ventilation, and repeated packed cell transfusion. Conclusion: Despite the improvement in the care of preterm infants in the NICUs, the prevalence rate of ROP was high. Therefore, it is critical to adopt better care for disease prevention, timely screening, and appropriate treatment programs for the neonates who are at the risk of this disease.
https://ijn.mums.ac.ir/article_12409_b338165cb890ac3d7d85001d9ffa944d.pdf
2019-03-01
23
30
10.22038/ijn.2019.32313.1449
Infant
Oxygen therapy
Premature
Retinopathy of prematurity
Maryam
Khosnoud Shariati
maryam.shariati@ymail.com
1
Shahid Beheshti University of Medical Sciences, Mahdieh Hospital, Tehran, Iran
AUTHOR
Minoo
Fallahi
minoofallahi@yahoo.com
2
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Naeeme
Taslimi Taleghani
naeemetaslimi@yahoo.com
3
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Mitra
Zonubi
mzonobi_57@yahoo.com
4
Shahid Beheshti University of Medical Sciences, Shohada Hospital, Tehran, Iran
AUTHOR
Afsar
Dastijani Farahani
ropinfo@tums.ac.ir
5
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
1. Zin A, Gole GA. Retinopathy of prematurityincidence today. Clin Perinatol. 2013; 40(2):185- 200.
1
2. Sarikabadayi YU, Aydemir O, Ozen ZT, Aydemir C, Tok L, Oguz SS, et al. Screening for retinopathy of prematurity in a large tertiary neonatal intensive care unit in Turkey: frequency and risk factors. Ophthalmic Epidemiol. 2011; 18(6):269-74.
2
3. Hakeem AH, Mohamed GB, Othman MF. Retinopathy of prematurity: a study of prevalence and risk factors. Middle East Afr J Ophthalmol. 2012; 19(3):289-94.
3
4. Karkhaneh R, Mousavi SZ, Riazi-Esfahani M, Ebrahimzadeh SA, Roohipoor R, Kadivar M, et al. Incidence and risk factors of retinopathy of prematurity in a tertiary eye hospital in Tehran. Br J Ophthalmol. 2008; 92(11):1446-9.
4
5. Lad EM, Hernandez-Boussard T, Morton JM, Moshfeghi DM. Incidence of retinopathy of prematurity in the United States: 1997 through 2005. Am J Ophthalmol. 2009; 148(3):451-8.
5
6. Blencowe H, Lee AC, Cousens S, Bahalim A, Narwal R, Zhong N, et al. Preterm birth–associated neurodevelopmental impairment estimates at regional and global levels for 2010. Pediatr Res. 2013; 74(Suppl 1):17-34.
6
7. Kamath BD, MacGuire ER, McClure EM, Goldenberg RL, Jobe AH. Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries. Pediatrics. 2011; 127(6):1139-46. 8. Soleimani F, Zaheri F, Abdi F. Long-term neurodevelopmental outcomes after preterm birth. Iran Red Crescent Med J. 2014; 16(6):e17695.
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9. Wang H, Gao X, Liu C, Yan C, Lin X, Yang C, et al. Morbidity and mortality of neonatal respiratory failure in China: surfactant treatment in very immature infants. Pediatrics. 2012; 129(3):e731-40.
8
10. Rasoulinejad SA, Montazeri M. Retinopathy of prematurity in neonates and its risk factors: a seven year study in northern Iran. Open Ophthalmol J. 2016; 10:17-21.
9
11. Sapieha P, Joyal JS, Rivera JC, Kermorvant-Duchemin E, Sennlaub F, Hardy P, et al. Retinopathy of prematurity: understanding ischemic retinal vasculopathies at an extreme of life. J Clin Invest. 2010; 120(9):3022-32.
10
12. Shah V, Yeo C, Ling Y, Ho L. Incidence, risk factors of retinopathy of prematurity among very low birth weight infants in Singapore. Ann Acad Med Singapore. 2005; 34(2):169-78.
11
13. Tin W, Gupta S. Optimum oxygen therapy in preterm babies. Arch Dis Child Fetal Neonatal Ed. 2007; 92(2):F143-7.
12
14. Seiberth V, Linderkamp O. Risk factors in retinopathy of prematurity. A multivariate statistical analysis. Ophthalmologica. 2000; 214(2):131-5.
13
15. Wallace DK, Kylstra JA, Phillips SJ, Hall JG. Poor postnatal weight gain: a risk factor for severe retinopathy of prematurity. J AAPOS. 2000; 4(6):343-7.
14
16. Holmström G, Broberger U, Thomassen P. Neonatal risk factors for retinopathy of prematurity-a population-based study. Acta Ophthalmol Scand. 1998; 76(2):204-7.
15
17. Elmehelmy EM, Mohamed KM, Eldin ZE, Mahdy HA. Risk factors of retinopathy of prematurity. Invest Ophthalmol Visual Sci. 2002; 43(13):1236.
16
18. Zhou J, Shukla VV, John D, Chen C. Human milk feeding as a protective factor for retinopathy of prematurity: a meta-analysis. Pediatrics. 2015; 136(6):e1576-86.
17
19. Penn JS, Madan A, Caldwell RB, Bartoli M, Caldwell RW, Hartnett ME. Vascular endothelial growth factor in eye disease. Prog Retin Eye Res. 2008; 27(4):331-71.
18
20. Foos RY. Retinopathy of prematurity: pathologic correlation of clinical stages. Retina. 1987; 7(4): 260-76.
19
21. Gariano RF, Kalina RE, Hendrickson AE. Normal and pathological mechanisms in retinalvascular development. Surv Ophthalmol. 1996; 40(6):481-90.
20
22. Auten RL, Davis JM. Oxygen toxicity and reactive oxygen species: the devil is in the details. Pediatr Res. 2009; 66(2):121-7.
21
23. Smith LE. Pathogenesis of retinopathy of prematurity. Sem Neonatol. 2003; 8(6):469-73.
22
24. Gole GA, Ells AL, Katz X, Holmstrom G, Fielder AR, Capone Jr A, et al. The international classification of retinopathy of prematurity revisited. JAMA Ophthalmol. 2005; 123(7):991-9.
23
25. Reynolds JD. Insights in ROP. Am Orthopt J. 2014; 64(1):43-53.
24
26. Law JC, Recchia FM, Morrison DG, Donahue SP, Estes RL. Intravitreal bevacizumab as adjunctive treatment for retinopathy of prematurity. J AAPOS. 2010; 14(1):6-10.
25
27. Reynolds JD. Retinopathy of prematurity. Int Ophthalmol Clin. 2010; 50(4):1-13.
26
28. Fielder AR, Gilbert C, Quinn G. Can ROP blindness be eliminated? Bio Neonate. 2005; 88(2):98-100.
27
29. Sola A, Chow L, Rogido M. Retinopathy of prematurity and oxygen therapy: a changing relationship. An Pediatr (Barc). 2005; 62(1):48-63.
28
30. Fulton AB, Hansen RM, Moskowitz A, Akula JD. The neurovascular retina in retinopathy of prematurity. Prog Retin Eye Res. 2009; 28(6):452-82.
29
31. Ricard CA, Dammann CE, Dammann O. Screening tool for early postnatal prediction of retinopathy of prematurity in preterm newborns (STEP-ROP). Neonatology. 2017; 112(2):130-6.
30
32. Morrison D, Shaffer J, Binenbaum G. Complications following ROP treatment in the postnatal growth and retinopathy of prematurity (G-ROP) study. J Am Assoc Pediatr Ophthalmol Strabismus. 2016; 20(4):e8.
31
33. Mechoulam H, Pierce EA. Retinopathy of prematurity. Am J Pharmacogenomics. 2003; 3(4):261-77.
32
34. Jefferies AL; Canadian Paediatric Society, Fetus and Newborn Committee. Retinopathy of prematurity: an update on screening and management. Paediatr Child Health. 2016; 21(2):101-8.
33
35. Maroufizadeh S, Almasi-Hashiani A, Samani RO, Sepidarkish M. Prevalence of retinopathy of prematurity in Iran: a systematic review and metaanalysis. Int J Ophthalmol. 2017; 10(8):1273-9.
34
36. Alajbegovic-Halimic J, Zvizdic D, AlimanovicHalilovic E, Dodik I, Duvnjak S. Risk factors for retinopathy of prematurity in premature born children. Med Arch. 2015; 69(6):409-13.
35
37. Manzoni P, Farina D, Maestri A, Giovannozzi C, Leonessa M, Arisio R, et al. Mode of delivery and threshold retinopathy of prematurity in pre-term ELBW neonates. Acta Paediatr. 2007; 96(2):221-6. 38. Chow LC, Wright KW, Sola A; CSMC Oxygen Administration Study Group. Can changes in clinical practice decrease the incidence of severe retinopathy of prematurity in very low birth weight infants? Pediatrics. 2003; 111(2):339-45.
36
39. Podraza W, Podraza H, Jezierska K, Szwed J, Modrzejewska M, Rudnicki J, et al. The role of hemoglobin variant replacement in retinopathy of prematurity. Indian J Pediatr. 2011; 78(12): 1498-502.
37
40. Howarth C, Banerjee J, Aladangady N. Red blood cell transfusion in preterm infants: current evidence and controversies. Neonatology. 2018; 114(1):7-16.
38
ORIGINAL_ARTICLE
Varicella Exposure in Neonatal Intensive Care Unit in a Low Resource Country: Successful Prophylaxis with Intravenous Immunoglobulins
Background: Varicella-zoster infection is a serious and potentially fatal disease, especially among newborns.Several studies have described postnatal varicella zoster exposure among neonates and reported on the efficacy of varicella-zoster immunoglobulins (VZIG) used as post-exposure prophylaxis. Unfortunately, VZIG is not available in Jordan. A limited number of studies have investigated the efficacy of intravenous immunoglobulins (IVIG) as an alternative preventive post-exposure to the varicella virus. Methods: This retrospective descriptive study was conducted to review the outcomes of two separate incidents of varicella-zoster exposure and the prophylactic use of IVIG in the neonatal intensive care unit in Jordan. Results: The sources of exposure in both incidents infected medical health workers. During the exposure, cohort measures were applied to neonates whose mothers did not receive immune prophylaxis against IVIG. Newborns were followed appropriately. Totally, 22 cases were identified representing two exposure incidents without a varicella-zoster infection. Conclusion: The results indicated that IVIG was an effective prophylactic therapy for neonates post varicella virus exposure.
https://ijn.mums.ac.ir/article_11957_3de361973a50b8cb457f7a0650700f39.pdf
2019-03-01
31
34
10.22038/ijn.2018.34426.1502
intravenous immunoglobulin
neonate
postnatal exposure
prophylaxis
Varicella-zoster
Manar
Al-lawama
manar-76@hotmail.com
1
Consultant, Neonatal-Perinatal Medicine, University of Jordan
LEAD_AUTHOR
Asma
Almustafa
almustafa@ju.edu.jo
2
University of Jordan
AUTHOR
Ala
Elrimawi
elrimawi@ju.edu.jo
3
University of Jordan
AUTHOR
Amal
Bani Mustafa
banimustafa@ju.edu.jo
4
University of Jordan
AUTHOR
Suzan
Almomani
almomani@ju.edu.jo
5
University of Jordan
AUTHOR
Eman
Badran
e.badran@ju.edu.jo
6
University of Jordan
AUTHOR
1. Yu HR, Huang YC, Yang KD. Neonatal varicella frequently associated with visceral complications: a retrospective analysis. Acta Paediatr Taiwan. 2003; 44(1):25-8.
1
2. Gustafson TL, Shehab Z, Brunell PA. Outbreak of varicella in a newborn intensive care nursery. Am J Dis Child. 1984; 138(6):548-50.
2
3. Ng PC, Lyon DJ, Wong MY, Fok TF, Wong W, Cheung KL, et al. Varicella exposure in a neonatal intensive care unit: emergency management and control measures. J Hosp Infect. 1996; 32(3):229-36.
3
4. Gold WL, Boulton JE, Goldman C, Gershon A, Steinberg SP, Chua R, et al. Management of varicella exposures in the neonatal intensive care unit. Pediatr Infect Dis J. 1993; 12(11):954-5.
4
5. Lipton SV, Brunell PA. Management of varicella exposure in a neonatal intensive care unit. JAMA. 1989; 261(12):1782-4.
5
6. Stover BH, Cost KM, Hamm C, Adams G, Cook LN. Varicella exposure in a neonatal intensive care unit: case report and control measures. Am J Infect Control. 1988; 16(4):167-72.
6
7. Centers for Disease Control and Prevention (CDC). FDA approval of an extended period for administering VariZIG for postexposure prophylaxis of varicella. MMWR Morb Mortal Wkly Rep. 2012; 61(12):212.
7
8. Patou G, Midgley P, Meurisse EV, Feldman RG. Immunoglobulin prophylaxis for infants exposed to varicella in a neonatal unit. J Infect. 1990; 20(3):207-13.
8
9. American American Academy of Pediatrics. Varicella-zoster virus infections. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, editors. Red Book®: 2015 report of the committee on infectious diseases. New York: American Academy of Pediatrics; 2015. P. 846-60.
9
10. Ogilvie MM. Antiviral prophylaxis and treatment in chickenpox. A review prepared for the UK Advisory Group on Chickenpox on behalf of the British Society for the Study of Infection. J Infect. 1998; 36(Suppl 1):31-8.
10
11. Heuchan AM, Isaacs D. The management of varicella-zoster virus exposure and infection in pregnancy and the newborn period. Australasian Subgroup in Paediatric Infectious Diseases of the Australasian Society for Infectious Diseases. Med J Aust. 2001; 174(6):288-92.
11
12. Hayakawa M, Kimura H, Ohshiro M, Kato Y, Fukami E, Yasuda A, et al. Varicella exposure in a neonatal medical centre: successful prophylaxis with oral acyclovir. J Hosp Infect. 2003; 54(3):212-5.
12
13. Kellie SM, Makvandi M, Muller ML. Management and outcome of a varicella exposure in a neonatal intensive care unit: lessons for the vaccine era. Am J Infect Control. 2011; 39(10):844-8.
13
ORIGINAL_ARTICLE
Estimation of Working Hours of Nursing Staff in Neonatal Intensive Care Units: A Work Sampling
Background: Human resources are considered the most valuable capital of every healthcare system, and the quality of care is closely related to the quantity and skill of this group. Therefore, the proper estimation of the required nursing staff in different wards can help improve the quality of nursing care. The purpose of this study was to determine the hours of provided care by nursing staff in neonatal care units. Methods: In this descriptive study, the research samples consisted of all nursing activities done by the nursing staff including head nurses, nurses, and nurse assistants working in the neonatal intensive care units of the chosen educational hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran, Iran. Data collection tool was a nursing checklist with four categories, including direct care, indirect care, managerial activities, and personal activities. Calculating their activity duration was done using a stopwatch. Data analysis was performed by SPSS software (version 21). Results: The obtained findings showed that the time allocated to direct care by head nurses and nurses in morning and evening shifts was always less than the time allocated to indirect care and the nurses spent most of their time doing indirect activities. Conclusion: According to the obtained results of the present, it is essential that nursing managers provide the possibility of reducing some nursing activities’ time by applying more accurate supervision and time management and thus increase the quality of care by providing purposeful healthcare.
https://ijn.mums.ac.ir/article_12461_5895b74b65fe66df410b5dbc3b803f8a.pdf
2019-03-01
35
41
10.22038/ijn.2018.31313.1432
Iran
Neonatal Intensive Care Unit
Nursing staff
Working hour
Work sampling
Tahereh
Nasrabadi
taherehnasrabadi2009@gmail.com
1
Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran,
AUTHOR
Azam
Shirinabadi Farahani
farahani1381@yahoo.com
2
Department of Pediatrics and Neonatal Intensive Care Nursing, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Maryam
Rassouli
rassouli.m@gmail.com
3
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Mansoure
Zagheri Tafreshi
tafreshi45@hotmail.com
4
Department of Management, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Samira
Chaibakhsh
s.chaibakhsh@yahoo.com
5
Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Zahra
Usefinezhad
zibafarahani@yahoo.com
6
Department of Pediatrics and Neonatal Intensive Care Nursing, Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
1. Spilsbury K, Hewitt C, Stirk L, Bowman C. The relationship between nurse staffing and quality of care in nursing homes: a systematic review. Int J Nurs Stud. 2011; 48(6):732-50.
1
2. Twigg D, Duffield C. A review of workload measures: a context for a new staffing methodology in Western Australia. Int J Nurs Stud. 2009; 46(1):131-9.
2
3. Williams H, Harris R, Turner-Stokes L. Work sampling: a quantitative analysis of nursing activity in a neuro-rehabilitation setting. J Adv Nurs. 2009; 65(10):2097-107.
3
4. Badini Pourazar S, Shirinabadi Farahani A, Ghahri Sarabi A, Pourhoseingholi MA, Dehghan K. The effect of abdominal touch on nutritional tolerance in preterm infants. Int J Pediatr. 2018; 6(8):8119-28.
4
5. Bradley S, Kamwendo F, Chipeta E, Chimwaza W, de Pinho H, McAuliffe E. Too few staff, too many patients: a qualitative study of the impact on obstetric care providers and on quality of care in Malawi. BMC Pregnancy Childbirth. 2015; 15(1):65-6.
5
6. West E, Barron DN, Harrison D, Rafferty AM, Rowan K, Sanderson C. Nurse staffing, medical staffing and mortality in Intensive Care: an observational study. Int J Nurs Stud. 2014; 51(5):781-94. 7. Rogowski JA, Staiger D, Patrick T, Horbar J, Kenny M, Lake ET. Nurse staffing and NICU infection rates. JAMA Pediatr. 2013; 167(5):444-50.
6
8. Garcia PC, Fugulin FM. Nursing care time and quality indicators for the ICU: correlation analysis. Crit Care. 2013; 17(3):13-7.
7
9. Padilha KG, de Sousa RM, Garcia PC, Bento ST, Finardi EM, Hatarashi RH. Nursing workload and staff allocation in an intensive care unit: a pilot study according to Nursing Activities Score (NAS). Intensive Crit Care Nurs. 2010; 26(2):108-13.
8
10. de Magalhaes AM, Dall'Agnol CM, Marck PB. Nursing workload and patient safety--a mixed method study with an ecological restorative approach. Rev Lat Am Enfermagem. 2013; 21:146-54. 11. Lawn JE, Davidge R, Paul VK, Xylander SV, de Graft Johnson J, Costello A, et al. Born too soon: care for the preterm baby. Reprod Health. 2013; 10(Suppl 1):S56.
9
12. Ndelema B, Van den Bergh R, Manzi M, van den Boogaard W, Kosgei RJ, Zuniga I, et al. Low-tech, high impact: care for premature neonates in a district hospital in Burundi. A way forward to decrease neonatal mortality. BMC Res Notes. 2016; 9:28.
10
13. Namnabati M, Taleghani F. Nursing satisfaction with medication care by using neonatal electronic medication management systems. Iran J Neonatol. 2017; 8(4):43-56.
11
14. Rogowski JA, Staiger DO, Patrick TE, Horbar JD, Kenny MJ, Lake ET. Nurse staffing in neonatal Intensive Care Units in the United States. Res Nurs Health. 2015; 38(5):333-41.
12
15. Bray K, Wren I, Baldwin A, St Ledger U, Gibson V, Goodman S, et al. Standards for nurse staffing in critical care units determined by: the British Association of Critical Care Nurses, The Critical Care Networks National Nurse Leads, Royal College of Nursing Critical Care and In-flight Forum. Nurs Crit Care. 2010; 15(3):109-11.
13
16. Mark W, Stanton MA. Hospital nurse staffing and quality of care. Prof Inferm. 2005; 58(2):67-74. 17. Abbey M, Chaboyer W, Mitchell M. Understanding the work of intensive care nurses: a time and motion study. Aust Crit Care. 2012; 25(1):13-22.
14
18. Kakushi LE, Evora YD. Direct and indirect nursing care time in an intensive care unit. Rev Lat Am Enfermagem. 2014; 22(1):150-7.
15
19. Harrison L, Nixon G. Nursing activity in general intensive care. J Clin Nurs. 2002; 11(2):158-67.
16
20. Swansburg RC, Swansburg RJ. Introduction to management and leadership for nurse managers. Massachusetts: Jones & Bartlett Learning; 2002.
17
21. Norrie P. Nurses' time management in intensive care. Nurs Crit Care. 1997; 2(3):121-5.
18
22. Gardner GE, Gardner A, Middleton S, Gibb M, Della P, Duffield C. Development and validation of a novel approach to work sampling : a study of nurse practitioner work patterns. Aust J Adv Nurs. 2010; 27(4):4-12.
19
23. Westbrook JI, Duffield C, Li L, Creswick NJ. How much time do nurses have for patients? A longitudinal study quantifying hospital nurses' patterns of task time distribution and interactions with health professionals. BMC Health Serv Res. 2011; 11:319.
20
24. Heydari F, Tabari R. Identify direct and indirect nursing care time in a medical and surgical ward. J Holist Nurs Midwifery. 2015; 25(1):1-9.
21
25. Kiekkas P, Poulopoulou M, Papahatzi A, Androutsopoulou C, Maliouki M, Prinou A. Nursing activities and use of time in the postanesthesia care unit. J Perianesth Nurs. 2005; 20(5):311-22.
22
26. Desjardins F, Cardinal L, Belzile E, McCusker J. Reorganizing nursing work on surgical units: a time-and-motion study. Nurs Leadership. 2008; 21(3):26-38.
23
27. Gholizadeh M, Janati A, Nadimi B, Kabiri N, Abri S. How do nurses spend their time in the hospital? J Clin Res Govern. 2014; 3(1):27-33.
24
28. Bosman RJ, Rood E, Oudemans-van Straaten HM, Van der Spoel JI, Wester JP, Zandstra DF. Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery. Intensive Care Med. 2003; 29(1):83-90.
25
29. Marasovic C, Kenney C, Elliott D, Sindhusake D. Attitudes of Australian nurses toward the implementation of a clinical information system. Comput Nurs. 1997; 15(2):91-8.
26
30. Padilha KG, Stafseth S, Solms D, Hoogendoom M, Monge FJ, Gomaa OH, et al. Nursing activities score: an updated guideline for its application in the Intensive Care Unit. Rev Esc Enferm USP. 2015; 49:131-7.
27
31. Nomura AT, Silva MB, Almeida MA. Quality of nursing documentation before and after the Hospital Accreditation in a university hospital. Rev Lat Am Enfermagem. 2016; 24:e2813.
28
32. Bazi A, Sharafi S. Evaluation time nurses for nonnursing tasks and text services in nursing shifts: a cross-sectional study. Navid Now J. 2016; 19(62):24-32.
29
33. Jiang H, Li H, Ma L, Gu Y. Nurses' roles in direct nursing care delivery in China. Appl Nurs Res. 2015; 28(2):132-6.
30
34. Momennasab M, Karimi F, Dehghanrad F, Zarshenas L. Evaluation of nursing workload and efficiency of staff allocation in a trauma Intensive Care Unit. Trauma Mon. 2018; 23(1):e58161.
31
ORIGINAL_ARTICLE
Effects of Salbutamol on the Treatment of Transient Tachypnea of the Newborn
Background: This study aimed to evaluate the safety and efficacy of inhaled salbutamol for the treatment of Transient Tachypnea of the Newborn (TTN). Methods: Totally, 80 neonates with TTN were randomly assigned into two groups of treatment and placebo. The treatment and placebo groups received one dose of nebulized salbutamol (dose of 0.15 ml/kg in 2 ml of normal saline) and only 2 ml 0.9% normal saline without salbutamol, respectively. Before starting the study and30, 60 min, and 4 h after nebulization, the respiratory and heart rates, oxygen saturation, a fraction of inspired oxygen, respiratory distress score, the arterial blood gas(after 4 hours), and the time of hospital stay evaluated. The data were analyzed in SPSS software (version 23) through Fisher's exact test, Mann-Whitney U test, and ANOVA. Results: There were no significant differences between the case and control groups with regard to gender, gestational age, birth weight, mother's history of asthma, type of delivery, first-and fifth-minute Apgar, pneumothorax, and respiratory rates. The duration of tachypnea, hospital stay, oxygen therapy, and the time of initiating enteral feeding were shorter in the case group compared to the control group. Conclusion: The administration of the salbutamol can significantly improve respiratory distress following 4 h and reduce the duration of hospital stay, tachypnea, and the time of enteral feeding.
https://ijn.mums.ac.ir/article_11913_ad897e4c9f05fabcd12279661885daf5.pdf
2019-03-01
42
49
10.22038/ijn.2018.31294.1430
Neonates
Salbutamol
Transient Tachypnea of the Newborn
Homa
Babaei
homa_babaei@kums.ac.ir
1
Department of Pediatrics, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Shohreh
Dabiri
shohreh_dabiri@yahoo.com
2
Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
LEAD_AUTHOR
Leila
Mohammadi Pirkashani
mohammadi1607@gmail.com
3
Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
Hadi
Mohsenpour
mohsenpour.hadi@yahoo.com
4
Department of Pediatrics, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
AUTHOR
1. Avery ME, Gatewood OB, Brumley G. Transient tachypnea of newborn. Possible delayed resorption of fluid at birth. Am J Dis Children. 1966; 111(4): 380-5.
1
2. Crowley MA. Neonatal respiratory disorders. In: Martin RJ, Fanaroff AA, Walsh MC, editors. Fanaroff and Martin's neonatal-perinatal medicine: diseases of the fetus and infant. 10th ed. St. Louis: Elsevier Mosby; 2015. P. 1113-33.
2
3. Clark RH. The epidemiology of respiratory failure in neonates born at an estimated gestational age of 34 weeks or more. J Perinatol. 2005; 25(4):251-7.
3
4. Takaya A, Igarashi M, Nakajima M, Miyake H, Shima Y, Suzuki S. Risk factors for transient tachypnea of the newborn in infants delivered vaginally at 37 weeks or later. J Nippon Med Sch. 2008; 75(5): 269-73.
4
5. Lewis V, Whitelaw A. Furosemide for transient tachypnea of the newborn. Cochrane Database Syst Rev. 2002; 1:CD003064.
5
6. Jain L, Eaton DC. Physiology of fetal lung fluid clearance and the effect of labor. Semin Perinatol. 2006; 30:34-43.
6
7. Richardson BS, Czikk MJ, daSilva O, Natale R. The impact of labor at term on measures of neonatal outcome. Am J Obstet Gynecol. 2005; 192(1):219-26.
7
8. Zanardo V, Simbi AK, Franzoi M, Soldà G, Salvadori A, Trevisanuto D. Neonatal respiratory morbidity risk and mode of delivery at term: influence of timing of elective caesarean delivery. Acta Paediatr. 2004; 93(5):643-7.
8
9. Sakuma T, Tuchihara C, Ishigaki M, Osanai K, Nambu Y, Toga H, et al. Denopamine, a beta (1)-adrenergic agonist, increases alveolar fluid clearance in ex vivo rat and guinea pig lungs. J Appl Physiol. 2001; 90(1):10-6.
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10. Sakuma T, Folkesson HG, Suzuki S, Okaniwa G, Fujimura S, Matthay MA. Beta-adrenergic agonist stimulated alveolar fluid clearance in ex vivo human and rat lungs. Am J Respir Crit Care Med. 1997; 155(2):506-12.
10
11. Mutlu GM, Factor P. Alveolar epithelial beta2- adrenergic receptors. Am J Respir Cell Mol Biol. 2008; 38(2):127-34.
11
12. Irestedt L, Lagercrantz H, Hjemdahl P, Hägnevik K, Belfrage P. Fetal and maternal plasma catecholamine levels at elective cesarean section under general or epidural anesthesia versus vaginal delivery. Am J Obstet Gynecol. 1982; 142(8):1004-10.
12
13. Ronca AE, Abel RA, Ronan PJ, Renner KJ, Alberts JR. Effects of labor contractions on catecholamine release and breathing frequency in newborn rats. Behav Neurosci. 2006; 120(6):1308-14.
13
14. Smith DE, Otulakowski G, Yeger H, Post M, Cutz E, O'Brodovich HM. Epithelial Na(+) channel (ENaC) expression in the developing normal and abnormal human perinatal lung. Am J Respir Crit Care Med. 2000; 161(4 Pt 1):1322-31.
14
15. Armangil D, Yurdakök M, Korkmaz A, Yiğit Ş, Tekinalp G. Inhaled beta-2 agonist salbutamol for the treatment of transient tachypnea of the newborn. J Pediatr. 2011; 159(3):398-403.
15
16. Kim MJ, Yoo JH, Jung JA, Byun SY. The effects of inhaled albuterol in transient tachypnea of the newborn. Allergy Asthma Immunol Res. 2014; 6(2):126-30.
16
17. Kao B, Stewart de Ramirez S, Belfort MB, Hansen A. Inhaled epinephrine for the treatment of transient tachypnea of the newborn. J Perinatol. 2008; 28(3):205-10.
17
18. Moresco L, Bruschettini M, Cohen A, Gaiero A, Calevo MG. Salbutamol for transient tachypnea of the newborn. Cochrane Library. 2016; 5:CD011878.
18
19. Guglani L, Lakshminrusimha S, Ryan RM. Transient tachypnea of the newborn. Pediatr Rev. 2008; 29(11):59-65.
19
20. Harding R, Hooper SB. Regulation of lung expansion and lung growth before birth. J Appl Physiol. 1996; 81(1):209-24.
20
21. Mohammadzadeh I, Akbarian-Rad Z, Heidari F, Zahedpasha Y, Haghshenas-Mojaveri M. et al. The effect of inhaled salbutamol in transient of tachypnea of the newborn: a randomized clinical trial. Iran J Pediatr. 2017; 27(5):e9633.
21
22. Mussavi M, Asadollahi K, Kayvan M, Sadeghvand S. Effects of nebulized albuterol in transient tachypnea of the newborn a clinical trial. Iran J Pediatr. 2017; 27(3):e8211.
22
ORIGINAL_ARTICLE
Effect of Spiritual Care Based on “Ghalbe Salim” Model on Anxiety among Mothers with Premature Newborns Admitted to Neonatal Intensive Care Units
Background: When a neonate is born prematurely and admitted to the Neonatal Intensive Care Unit (NICU), the mother usually experiences high levels of anxiety that can disrupt the maternal bond, as well as the natural course of neonatal development. Since spirituality is one of the significant factors affecting anxiety, the present study was designed to evaluate the effect of spiritual care based on the “Ghalbe Salim” model on anxiety in mothers with premature neonates. Methods: In this clinical trial, a total of 60 mothers with premature neonates who were admitted to the NICUs of Hafez and Hazrat-e-Zainab hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, were recruited through convenience sampling during January to November 2017. The study was conducted in two stages. In the first stage, one of the hospitals was randomly designated as the control group, and the other one was selected as the intervention group. In the second stage, the interventions commenced again after switching the sampling setting. Mothers in the intervention group received four 30-minute sessions of spiritual care based on the “Ghalbe Salim” model every other day, and their anxiety level was assessed before and after the intervention using State-Trait Anxiety Inventory (STAI-Y) by Spielberger. The data were analyzed using Chi-squared test, independent t-test, paired sample t-test, and Mann-Whitney U test. Results: There were no significant differences between the intervention and control groups before the intervention in terms of mean state and trait anxiety scores (P>0.05). However, after the intervention, a significant difference was observed between the two groups in terms of both state and trait anxiety scores (P=0.001). Conclusion: According to our findings, spiritual care based on the “GhalbeSalim” model was effective in reducing the anxiety level in mothers with premature neonates.
https://ijn.mums.ac.ir/article_11912_abd3a4525f32189cc3b84d6cc570c4f8.pdf
2019-03-01
50
57
10.22038/ijn.2018.31210.1428
Anxiety
Neonatal Intensive Care Units
premature infant
Spiritual Therapies
Mitra
Edraki
mitraedraki@yahoo.com
1
Community-Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zaynab
Noeezad
zeinab.noezad@gmail.com
2
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Reza
Bahrami
bahramir@sums.ac.ir
3
Neonatology Research Center, Department of Pediatrics, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Saeedeh
Pourahmad
pourahmad@sums.ac.ir
4
Department of Biostatistics, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zahra
Hadian Shirazi
zhadian@sums.ac.ir
5
Community-Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
1. Verklan MT, Walden M. Core curriculum for neonatal intensive care nursing. 5th ed. St. Louis: Elsevier Saunders; 2015. P. 168-511.
1
2. Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates ofpreterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012; 379(9832):2162-72.
2
3. Keshavarz M, Eskandari N, Jahdi F, Ashaieri H, Hoseini F, Kalani M. The effect of holly Quran recitation on physiological responses of premature infant. Koomesh. 2010; 11(3):169-77.
3
4. Althabe F. Born too soon: the global action report on preterm birth. Geneva: World Health Organization; 2012. P. 1-26.
4
5. Vafaei Fooladi A, Rassouli M, Yaghmaie F, Shakeri N. Assessing correlation between spiritual wellbeing and stress of mothers of hospitalized newborns in neonatal intensive care units. Iran J Nurs. 2015; 28(95):54-62.
5
6. D'Souza SR, Karkada S, Lewis LE, Mayya S, Guddattu V. Relationship between stress, coping and nursing support of parents of preterm infants admitted to tertiary level neonatal intensive care units of Karnataka, India: a cross-sectional survey. J Neonatal Nurs. 2009; 15(5):152-8.
6
7. Parker L. Mothers’ experience of receiving counselling/psychotherapy on a neonatal intensive care unit (NICU). J Neonatal Nurs. 2011; 17(5):182-9.
7
8. Ghodrati A, Abbaspour S, Hassanzadeh M, Erami E, Zandi Z. The effect of neonatal care trainingon anxiety in mothers of premature infants. J Torbat Heydariyeh Univ Med Sci. 2014; 2(2):25-30.
8
9. Carter JD, Mulder RT, Darlow BA. Parental stress in the NICU: the influence of personality, psychological, pregnancy and family factors. Personal Mental Health. 2007; 1(1):40-50.
9
10. Zelkowitz P, Na S, Wang T, Bardin C, Papageorgiou A. Early maternal anxiety predicts cognitive and behavioural outcomes of VLBW children at 24 months corrected age. Acta Paediatr. 2011; 100(5):700-4.
10
11. Zelkowitz P, Papageorgiou A, Bardin C, Wang T. Persistent maternal anxiety affects the interaction between mothers and their very low birthweight children at 24 months. Early Hum Dev. 2009; 85(1):51-8.
11
12. Pierrehumbert B, Nicole A, Muller-Nix C, ForcadaGuex M, Ansermet F. Parental post-traumatic reactions after premature birth: implications for sleeping and eating problems in the infant. Arch Dis Child Fetal Neonatal Ed. 2003; 88(5):F400-4.
12
13. Seaward BL. Managing stress: principles and strategies for health and wellbeing. 1st ed. Sudbury, MA: Jones and Bartlett; 2001. P. 13-69.
13
14. Kadivar M, Seyedfatemi N, Shojaee Jeshvaghanee S, Cheraghi MA, Haghani H. Exploring the relationship between spiritual well-being and stress and coping strategies in the mothers of infants hospitalized in the neonatal intensive care units. Daneshvar Med. 2015; 22(118):67-76.
14
15. Seaward BL. Stress and human spirituality 2000: at the cross roads of physics and metaphysics. Appl Psychophysiol Biofeedback. 2000; 25(4):241-6.
15
16. Catlin EA, Guillemin JH, Thiel MM, Hammond S, Wang ML, O'Donnell J. Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting. J Perinatol. 2001; 21(7):426-30.
16
17. Reyhani T, Sekhavat Pour Z, Heidarzadeh M, Mousavi SM, Mazloom SR. Investigating the effects of spiritual self-care training on psychological stress of mothers with preterm infants admitted in neonatal intensive care unit. Iran J Obstet Gynecol Infertil. 2014; 17(97):18-27.
17
18. Asadi M, Asadzandi M, Ebadi A. The effect of spiritual care based on «GHALBE SALIM» model on spiritual experiences of patients undergoing coronary artery bypass surgery. Iran J Cardiovasc Nurs. 2013; 2(2):30-9.
18
19. Asadi M, Asadzandi M, Ebadi A. Effects of spiritual care based on Ghalb Salim nursing model in reducing anxiety of patients undergoing CABG surgery. Iran J Crit Care Nurs. 2014; 7(3):142-51.
19
20. Akbarpour Mazandarani H, Asadzandi M, Saffari M, Khaghanizadeh M. Effect of spiritual care based on sound-heart consulting model (SHCM) on spiritual health of hemodialysis patients. Iran J Crit Care Nurs. 2017; 10(4):1-5.
20
21. Asadzandy M. Concepts and theories of nursing. 1st ed. Tehran: The University Baghiyat Allah; 2010. P. 460.
21
22. Fathi Ashtiani A. Psychological tests: personality and mental health. 11th ed. Tehran: Besat; 2013. P. 337-44.
22
23. Hasani J, Rezaee Jamalouee H. Assessment of information processing speed with regard to statetrait anxiety. J Cognit Psychol. 2014; 2(3):12-9.
23
24. Asadzandi M. Spiritual care. 1st ed. Tehran: Rasane Takhassosi; 2016. P. 13-256.
24
25. Carter JD, Mulder RT, Bartram AF, Darlow BA. Infants in a neonatal intensive care unit: parental response. Arch Dis Child Fetal Neonatal Ed. 2005; 90(2):F109-13.
25
26. Cherry AS, Mignogna MR, Vaz AR, Hetherington C, McCaffree MA, Anderson MP, et al. The contribution of maternal psychological functioning toinfant length of stay in the Neonatal Intensive Care Unit. Int J Womens Health. 2016; 8:233-42.
26
27. Carvalho AE, Linhares MB, Padovani FH, Martinez FE. Anxiety and depression in mothers of preterm infants and psychological intervention during hospitalization in neonatal ICU. Spanish J Psychol. 2009; 12(1):161-70.
27
28. Lindberg B, Öhrling K. Experiences of having a prematurely born infant from the perspective of mothers in northern Sweden. Int J Circumpolar Health. 2008; 67(5):461-71.
28
29. Sharifnia M, Hasanzadeh MH, Asadi Kakhaki SM, Mazlom SR, Karbandi S. The impact of praying on stress and anxiety in mothers with premature infants admitted to NICU. Iran J Neonatol. 2016; 7(4):15-22.
29
30. Boelens PA, Reeves RR, Replogle WH, Koenig HG. The effect of prayer on depression and anxiety: maintenance of positive influence one year after prayer intervention. Int J Psychiatry Med. 2012; 43(1):85-98.
30
31. Küçük Alemdar D, Kardaş Özdemir F, Güdücü Tüfekci F. The effect of spiritual care on stress levels of mothers in NICU. Western J Nurs Res. 2018; 40(7):997-1011.
31
32. Allameh T, JabalAmeli M, Lorestani K, Akbari M. The efficacy of Quran sound on anxiety and pain of patients under cesarean section with regional anesthesia: a randomized case-controlled clinical trial. J Isfahan Med Sch. 2013; 31(235):601-10.
32
33. Bolhari J, Nazari GH, Zamaniyan S. Effectiveness of spiritual group therapy in reducing depression, anxiety, and stress of women with breast cancer. Sociol Women. 2012; 3(9):85-115.
33
ORIGINAL_ARTICLE
Performance of Neonatal Intensive Care Unit Nurses in Blood Culture Procedure in Tabriz Hospitals in 2016
Background: Blood culture is a method in neonatal intensive care unit (NICU) and a gold standard for the diagnosis of infection that is essential for proper newborn management. The aim of this study was to compare the performance of nurses in the NICUs of Tabriz University of Medical Sciences using a standard sampling method. Methods: This descriptive cross-sectional study was performed on 90 nurses working in Al-Zahra and Taleghani Educational and Medical Centers, and Tabriz Children Hospital using the convenience sampling method. The study tool included a two-part questionnaire in which the first part contained demographic characteristics of the infants and nurses and the service area. The second part included a checklist of the nurses' performance before and during the blood culture procedure. Data analysis was performed using SPSS statistical software (version 21), as well as descriptive and analytical statistics. Results: Most nurses did not attend training courses for blood culture. The total performance scores before and during blood culture sampling were 13.20±2.57 and 12.48±2.14, respectively. Conclusion: Nurses are responsible for the correct sampling of blood culture and this procedure requires sufficient skill. Therefore, organizations must adapt their system to the standards in order to determine the benefits and disadvantages of the standards.
https://ijn.mums.ac.ir/article_12408_e1335f9ac4e3e4fecbdc3ff8a8ee1a83.pdf
2019-03-01
58
62
10.22038/ijn.2019.31001.1426
Blood culture
Infants
Intensive care
Nurses
Parisa
Shakerkovar
parisashaker3575@gmail.com
1
Department of Pediatric Nursing, Student Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Mirhadi
Mussavi
mirhadimousavi33@yahoo.com
2
Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Sousan
Valizadeh
valizadehsousan13@gmail.com
3
Department of Pediatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Maedeh
Alizadeh
alizadehmaedeh47@gmail.com
4
Nursing and Midwifery Faculty, Maragheh University of Medical Sciences, Maragheh, Iran
AUTHOR
Mohammad
Arshadi Bostanabad
arshadi_m@yahoo.com
5
Department of Pediatric Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
1. Verklan MT, Walden M. Core curriculum for neonatal intensive care nursing-e-book. New York: Elsevier Health Sciences; 2014.
1
2. Bahaedinzadeh SE, Raee, V. Neonatal intensive care nursing (NICU). Tehran: Boshra, Tohfeh; 2011. 3. Pasha AH. Order neonate. Tehran: Pasha-Golban; 2014.
2
4. Grant MJ, Olson J, Gerber A. Clinician response time for positive blood culture results in a pediatric ICU. Heart Lung. 2015; 44(5):426-9.
3
5. Shahmiry H, Ghoreyshi ZM. Relationship between personal characteristics, severity of depression and coping strategies in the patients affected by major depression. Med J Tabriz Univ Med Sci. 2006; 28(4):81-6.
4
6. Weinbaum FI, Lavie S, Danek M, Sixsmith D, Heinrich GF, Mills SS. Doing it right the first time: quality improvement and the contaminant blood culture. J Clin Microbiol. 1997; 35(3):563-5.
5
7. Bates DW, Goldman L, Lee TH. Contaminant blood cultures and resource utilization: the true consequences of false-positive results. JAMA. 1991; 265(3):365-9.
6
8. Garcia RA, Spitzer ED, Beaudry J, Beck C, Diblasi R, Gilleeny-Blabac M, et al. Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of truepositive bacteremias, reducing contamination, and eliminating false-positive central line–associated bloodstream infections. Am J Infect Control. 2015; 43(11):1222-37.
7
9. Hashemi F. One-year study of microbial etiology and antibiotic resistance of neonatal septicemia in Tabriz pediatric hospital . Med J Tabriz Univ Med Sci. 2000; 38:15-9.
8
10. Moini L, Fani A, Peyroshabani B, Baghinia M. Evaluation of the standards of health care services and comparison of predicted mortality and real mortality in patients admitted to Valiasr and Amiralmomenin Hospitals of Arak by APACHE IV scoring system (2009-2010). Arak Med Univ J. 2011; 14(4):79-85.
9
11. Chitsaz M, Khotaee G, Shhcheraghi F, Poorheydaree N. Blood culture contamination in children’s medical center of Tehran from April To July 2004. Tehran Univ Med J. 2005; 63(2):108-15.
10
12. Duke GJ, Morley PT, Cooper DJ, McDermott FT, Cordner SM, TremayneAB. Management of severe trauma in intensive care units and surgical wards. Med J Aust. 1999; 170(9):416-9.
11
13. Yavari M, Ardehali SH, Moeini M. Evaluation of Intensive Care Unit in terms of standards of care in selected hospitals in Tehran. J Med Council Iran. 2015; 33(2):131-7.
12
14. Snyder SR, Favoretto AM, Baetz RA, Derzon JH, Madison BM, Mass D, et al. Effectiveness of practices to reduce blood culture contamination: a laboratory medicine best practices systematic review and meta-analysis. Clin Biochem. 2012; 45(13):999- 1011.
13
15. Clinical skills. Elsevier. Available at: URL: http://www.confidenceconnected.com/products/el sevier-clinical-skills; 2016.
14
16. Duke T, Willie L, Mgone JM. The effect of introduction of minimal standards of neonatal care on in-hospital mortality. P N G Med J. 2000; 43(1- 2):127-36.
15
17. Youssef D, Shams W, Bailey B, O'Neil T, Al-Abbadi MA. Effective strategy for decreasing blood culture contamination rates: the experience of a veteran's affairs medical centre. J Hosp Infect. 2012; 81(4):288-91.
16
18. Bamber A, Cunniffe J, Nayar D, Gangul R, Falconer E. Effectiveness of introducing blood culture collection packs to reduce contamination rates. Br J Biomed Sci. 2009; 66(1):6-9.
17
19. Taheri Z, Jokar F. Comparison of knowledge of students and nursing staff in relation to hospital infections. J Infect Dis Trop Med. 2007; 1(37):83-6.
18
ORIGINAL_ARTICLE
Complications of Corrective Surgery in Preterm Neonates with Congenital Heart Defects: What is the Solution?
Mild congenital heart defects require no treatment, while severe forms of these diseases need immediate interventions. There are several limits in preterm neonates on drug interventions, interventional procedures, and even heart surgery due to the prematurity of pulmonary, renal, and central nervous systems. Considering the mentioned points, the collaboration of other medical professions, particularly neonatologists, is needed in the treatment of these newborns. The application of surgical and interventional instruments are associated with limitations owing to the low birth weight in these neonates. Therefore, it is essential to review and modify the treatment program for this group of patients. By the advancement of surgical treatments mainly in fetal course and the approval of their efficiency, designing a new interdisciplinary field is necessary. In developing countries, such as Iran, the prenatal diagnosis of congenital heart diseases is difficult because of the lack of expertise in this area. On the other hand, abortion seems to be problematic due to the religious reasons. The legal gestational age for abortion is less than 20 weeks, and the probability of dealing with these kinds of diseases is more than developed countries. During several years, we encountered at least 15 cases with the above-mentioned criteria, five of whom required an immediate intervention. Three patients were dextro-Transpotion of the great arteries, one patient had pulmonary atresia with ventricular septal defect, and the two other ones were suffering from coarctation of the aorta and tricuspid atresia type 1A, who all underwent the palliative surgery.
https://ijn.mums.ac.ir/article_11297_f6f54af5675490ec896380e87094e030.pdf
2019-03-01
63
64
10.22038/ijn.2018.29418.1396
congenital heart disease
preterm neonate
Surgery
Forod
Salehi Abarghoii
hamidsalehi500@yahoo.com
1
Cardiovascular Diseases Research Center, Department of Pediatric Cardiology, Faculty of Medicine, Birjand University of Medical Sciences, Vali-Asr Hospital, Birjand, Iran
AUTHOR
Mahmood
Hosseinzadeh Maleki
mahmoodhosseinzadeh@yahoo.com
2
Cardiovascular Research Center, Department of Cardiac Surgery, Faculty of Medicine, Birjand University of Medical Sciences, Razi Hospital, Birjand, Iran
LEAD_AUTHOR
Hamid Reza
Riasi
riasi_h@yahoo.com
3
Department of Neurology, Faculty of Medicine, Birjand University of Medical Sciences, Vali-Asr Hospital, Birjand, Iran
AUTHOR
1. Desai J, Aggarwal S, Lipshultz S, Agarwal P, Yigazu P, Patel R, et al. Surgical interventions in infants born preterm with congenital heart defects: an analysis of the Kids' inpatient database. J Pediatr. 2017; 191:103-9.
1
2. Laas E, Lelong N, Ancel PY, Bonnet D, Houyel L, Magny JF, et al. Impact of preterm birth on infant mortality for newborns with congenital heart defects: The EPICARD population-based cohort study. BMC Pediatr. 2017; 17(1):124.
2
3. Axelrod DM, Chock VY, Reddy VM. Management of the preterm infant with congenital heart disease. Clin Perinatol. 2016; 43(1):157-71.
3
4. Wang JN, Wang LC, Hsieh ML, Lin YC, Wei YJ, Shyang KW, et al. Echcocardiographic assessment during the procedure of transcatheter closure of patent ductus arteriosus in preterm babies. Ultrasound Med Biol. 2017; 43:S225.
4
ORIGINAL_ARTICLE
Effect of Telenursing on Attachment and Stress in Mothers of Preterm Infants
Background: The necessity of professional nursing support to increase the role of families in neonatal care and their empowerment has been a subject of growing attention. The aim of this study was to determine the effect of telenursing on attachment and stress in the mothers of premature infants. Methods: In this clinical trial, 50 mothers with premature infants who were admitted to neonatal intensive care unit (NICU) at Shahid Beheshti Hospital in Isfahan with a gestational age of more than 33 weeks were selected by convenience sampling method. They were randomly assigned to two groups of intervention (n=25) and control (n=25). The intervention group received an educational program designed through telephone and counseling center for the mothers of premature infants that started one week after the admission and continued one week after discharge. However, the control group only received the usual care provided in the NICU. One week after the admission of the infant, Maternal Postnatal Attachment (MPA) and Parent Stressor Scale: Neonatal Intensive Care Unit (PSS-NICU) questionnaires were completed. The PSS-NICU questionnaire and MPA questionnaire were completed at the time of discharge and one week after the discharge by the participants, respectively. Results: The average increase in total attachment scores one week after discharge was significantly higher in the intervention group, compared to that of the control group (P<0.05). Moreover, the average decrease in the total stress score of the intervention group at the time of discharge in comparison to pre-intervention was significantly higher than that of the control group (P<0.05). Conclusion: Considering the positive effects of telenursing on increasing attachment and mitigating the stress of mothers with premature infants, it is suggested to employ this supporting method to enhance the attachment and reduce the stress of mothers.
https://ijn.mums.ac.ir/article_11939_f3a10e8270229e06157b7c837b665fb7.pdf
2019-03-01
65
71
10.22038/ijn.2018.29890.1406
attachment
Iran
mothers
premature infant
stress
Telenursing
Zahra Alsadat
Jafarzadeh
zahraalsadatjafarzadeh@gmail.com
1
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Jahangir
Maghsoudi
maghsoudi@nm.mui.ac.ir
2
Department of Psychiatric and Mental Health Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Behzad
Barekatain
b_barekatain@med.mui.ac.ir
3
Department of Neonatology, Isfahan University of Medical Science, Isfahan, Iran
AUTHOR
Maryam
Marofi
marofi@nm.mui.ac.ir
4
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
1. World Health Organization. What is a preterm baby? Geneva: World Health Organization; 2017.
1
2. Shviraga B. Uncomplicated antepartum, intrapartum, and postpartum care. Core curriculum for neonatal intensive care nursing-e-book. New York: Elsevier Health Sciences; 2014. P. 30.
2
3. Del Fabbro A, Cain K. Infant mental health and family mental health issues. Newborn Infant Nurs Rev. 2016; 16(4):281-4.
3
4. Busse M, Stromgren K, Thorngate L, Thomas KA. Parents’ responses to stress in the neonatal intensive care unit. Crit Care Nurse. 2013; 33(4):52-9.
4
5. Hall S, Cross J, Selix N, Patterson C, Segre L, ChuffoSiewert R, et al. Recommendations for enhancing psychosocial support of NICU parents through staff education and support. J Perinatol. 2015; 35(Suppl 1):S29-36.
5
6. Morey JA, Gregory K. Nurse-led education mitigates maternal stress and enhances knowledge in the NICU. MCN Am J Matern Child Nurs. 2012; 37(3):182-91.
6
7. Akbarbegloo M, Valizadeh L, Asadollahi M. Mothers and nurses viewpoint about importance and rate of nursing supports for parents with hospitalized premature newborn in natal intensive care unit. Iran J Crit Care Nurs. 2009; 2(2):71-4. [in Persian]
7
8. Kumar S, Snooks H. Telenursing. Berlin, Germany: Springer Science & Business Media; 2011.
8
9. Hannan J. APN telephone follow up to low-income first time mothers. J Clin Nurs. 2013; 22(1-2):262-70.
9
10. Willis V. Parenting preemies: a unique program for family support and education after NICU discharge. Adv Neonatal Care. 2008; 8(4):221-30.
10
11. Rhoads SJ, Green A, Mitchell A, Lynch CE. Neuroprotective core measure 2: partnering with families-exploratory study on web-camera viewing of hospitalized infants and the effect on parental stress, anxiety, and bonding. Newborn Infant Nurs Rev. 2015; 15(3):104-10.
11
12. Gray JE, Safran C, Davis RB, Pompilio-Weitzner G, Stewart JE, Zaccagnini L, et al. Baby CareLink: using the internet and telemedicine to improve care for high-risk infants. Pediatrics. 2000; 106(6):1318-24.
12
13. Kadivar M, Seyedfatemi N, Mokhlesabadi Farahani T, Mehran A, Pridham KF. Effectiveness of an internetbased education on maternal satisfaction in NICUs. Patient Educ Couns. 2017; 100(5):943-9. 14. Condon JT, Corkindale CJ. The assessment of parentto-infant attachment: development of a self-report questionnaire instrument. J Reprod Infant Psychol. 1998; 16(1):57-76.
13
15. Ghadery-Sefat A, Abdeyazdan Z, Badiee Z, ZarghamBoroujeni A. Relationship between parent–infant attachment and parental satisfaction with supportive nursing care. Iran J Nurs Midwifery Res. 2016; 21(1):71.
14
16. Miles MS, Funk SG, Carlson J. Parental Stressor Scale: neonatal intensive care unit. Nurs Res. 1993; 42(3):148-52.
15
17. Abdeyazdan Z, Shahkolahi Z, Mehrabi T, Hajiheidari M. A family support intervention to reduce stress among parents of preterm infants in neonatal intensive care unit. Iran J Nurs Midwifery Res. 2014; 19(4):349-53.
16
18. Ericson J, Eriksson M, Hellström-Westas L, Hagberg L, Hoddinott P, Flacking R. The effectiveness of proactive telephone support provided to breastfeeding mothers of preterm infants: study protocol for a randomized controlled trial. BMC Pediatr. 2013; 13(1):73.
17
19. Bikmoradi A, Masmouei B, Ghomeisi M, Roshanaei G. Impact of Tele-nursing on adherence to treatment plan in discharged patients after coronary artery bypass graft surgery: a quasi-experimental study in Iran. Int J Med Inform. 2016; 86:43-8.
18
20. Fakharzadeh L, Shahbazian H, Salehinia H, Yaghoobi M, Haghighizadeh M, Karandish M. Effect of telenursing on glycosylated hemoglobin (HbA1c) and anthropometric indexes in type 2 diabetic patients. Modern Care J. 2013; 10(2):101-7.
19
21. Tan K, Lai NM. Telemedicine for the support of parents of high-risk newborn infants. Cochrane Database Syst Rev. 2012; 6:CD006818.
20
22. Karbandi S, Momenizadeh A, Heidarzadeh M, Mazlom SR, Hassanzadeh MH. Effects of maternal empowerment program on the length of hospitalization and readmission rate of premature infants. J Babol Univ Med Sci. 2015; 17(10):28-33. [in Persian]
21
23. Dashti E, Rassouli M, Khanali Mojen L, Puorhoseingholi A, Shirinabady Farahani A. Correlation between discharge preparation and rehospitalization of premature newborns. J Health Promot Manag. 2014; 3(4):37-45.
22
24. Penny K, Friedman S, Halstead G. Psychiatric support for mothers in the neonatal intensive care unit. J Perinatol. 2015; 35(6):451-7.
23
25. Lyons-Ruth K. Dissociation and the parent–infant dialogue: a longitudinal perspective from attachment research. Attachment. 2015; 9(3):253-76.
24
26. Pichler-Stachl E, Pichler G, Baik N, Urlesberger B, Alexander A, Urlesberger P, et al. Maternal stress after preterm birth: Impact of length of antepartum hospital stay. Women Birth. 2016; 29(6):e105-9.
25
27. Namnabati M, Taleghani F, Sadeghnia A. Homebased care needs of preterm infants discharged early from the neonatal intensive care unit: a descriptive qualitative study. Iran J Neonatol. 2017; 8(4):74-82.
26
28. Iranmanesh S, Hosseini SS, Rayyani M, Razban F, Pooraboli B. Effect of nursing support on perceived stress among parents of preterm infants in southeast of Iran. Asian J Nurs Educ Res. 2014; 4(1):81.
27
ORIGINAL_ARTICLE
Is Meconium Obstruction Distinguishable from Intestinal Obstruction through Ultrasound?
Background: Since the treatment of meconium ileus is very different from other types of intestinal obstruction, it is very important to distinguish these two entities. The aim of this study was to assess sonographic findings to differentiate meconium ileus from other types of obstruction. Methods: This study was performed in Dr. Sheikh and Akbar hospitals, Mashhad Medical University of Science, Iran, during 2017- 2018. The imaging signs of 25 newborns (aged 2-8 days) with delayed passage of meconium were documented. These neonates were suspicious of low type intestinal obstruction. In cases with the simple form of meconium ileus and the small left colon syndrome, ultrasonic guided Gastrografin enema was performed for the treatment. In the patients with the failure of medical treatment and in other surgical cases, the appropriate surgical procedure was performed. Results: The subjects in this study were diagnosed with small bowel atresia (n=9), a simple form of meconium ileus (n=6), a complicated form of meconium ileus (n=3), small left colon syndrome (n=3), bowel atresia and duplication (n=1), and Hirschsprung’s disease (n=3). The ultrasound findings were as follows: a totally or partially micro-colon in almost all patients, collapsed small bowel in right lower quadrant in all of the patients with bowel atresia, hypoechoic meconium in rectosigmoid in small left colon syndrome and Hirschsprung’s disease, hypoechoic tubular or beaded intraluminal inspissated meconium within terminal ileum, and the floating air bubbles (sonographic soap bubble sign) within fluids on proximal dilated loops in meconium ileus cases. Conclusion: Although plain abdominal radiography confirmed bowel obstructions in all patients with delayed passage of meconium, it had a low level of specificity in the diagnosis and cause of obstruction. Abdominal ultrasound had a high level of accuracy in the correct diagnosis of meconium obstructions and its differentiation from other intestinal obstructions. Accordingly, it eliminates the need to do a diagnostic contrast enema in order to differentiate these entities.
https://ijn.mums.ac.ir/article_11909_1957b8478ee82cf7577726b215f3c037.pdf
2019-03-01
72
77
10.22038/ijn.2018.30639.1420
Bowel atresia
Meconium ileus
Newborn
Ultrasound
Seyed Ali
Alamdaran
alamdarana@mums.ac.ir
1
Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Yasmin
Davoudi
davoudiy@mums.ac.ir
2
Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Sajad
Ahmadi
ahmadis941@mums.ac.ir
3
Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Golam Reza
Khademi
khademigh@mums.ac.ir
4
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Alireza
Ataei
ataeina@mums.ac.ir
5
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Karimi A, Gorter RR, Sleeboom C, Kneepkens CM, Heij HA. Issues in the management of simple and complex meconium ileus. Pediatr Surg Int. 2011; 27(9):963-8.
1
2. Burke MS, Ragi JM, Karamanoukian HL, Kotter M, Brisseau GF, Borowitz DS, et al. New strategies in nonoperative management of meconium ileus. J Pediatr Surg. 2002; 37(5):760-4.
2
3. Alamdaran SA, Mohamadipour A, Joodi M, Shojaeean R, Khademi G, Jafari SA, et al. Ultrasound- guided Hydrostatic (hydrocolonic) treatment of mec-onium ileus: a preliminary report. Int J Pediatr. 2018; 6(8):8111-8.
3
4. Carroll AG, Kavanagh RG, Ni Leidhin C, Cullinan NM, Lavelle LP, Malone DE. Comparative effectiveness of imaging modalities for the diagnosis of intestinal obstruction in neonates and infants: a critically appraised topic. Acad Radiol. 2016; 23(5):559-68.
4
5. Rescorla FJ, Grosfeld JL, West KJ, Vane DW. Changing patterns of treatment and survival in neonates with meconium ileus. Arch Surg. 1989; 124(7):837-40.
5
6. Neal MR, Seibert JJ, Vanderzalm T, Wagner CW. Neonatal ultrasonography to distinguish between meconium ileus and ileal atresia. J Ultrasound Med. 1997; 16(4):263-6.
6
7. Barki Y, Bar-Ziv J. Meconium ileus: ultrasonic diagnosis of intraluminal inspissated meconium. J Clin Ultrasound. 1985; 13(7):509-12.
7
8. Loening-Baucke V, Kimura K. Failure to pass meconium: diagnosing neonatal intestinal obstruction date: Am Fam Physician. 1999; 60(7):2043-50.
8
9. Gupta AK, Guglani B. Imaging of congenital anomalies of the gastrointestinal tract. Indian J Pediatr. 2005; 72(5):403-14.
9
10. Hernanz-Schulman M. Imaging of neonatal gastrointestinal obstruction. Radiol Clin North Am. 1999; 37(6):1163-86.
10
11. Reid JR. Practical imaging approach to bowel obstruction in neonates: a review and update. Semin Roentgenol. 2012; 47(1):21-31.
11
12. Alamdaran SA, Hashemi J, Layegh P, Taghawi M. The diagnostic value of ultrasonography in pediatric intestinal malrotation. Growth. 2015; 5:3-8.
12
13. Taghavi M, Alamdaran SA, Feizi A. Diagnostic value of ultrasound and gastrointestinal series findings in detection of pediatric intestinal malrotation. Iran J Radiol. 2018, 15(2):e15089.
13
14. Cheng G, Soboleski D, Daneman A, Poenaru D, Hurlbut D. Sonographic pitfalls in the diagnosis of enteric duplication cysts. Am J Roentgenol. 2005; 184(2):521-5.
14
ORIGINAL_ARTICLE
Obstacles to Parents’ Interaction with Neonates in Neonatal Intensive Care Units from Parents’ and Nurses’ Points of View
Background: This study aimed to identify the most important obstacles to proper interaction of parents with their neonates who were hospitalized in neonatal intensive care units (NICUs). Methods: This descriptive cross-sectional study was conducted on 90 NICU nurses and 400 female and male parents using census and convenience sampling methods. To collect data, in a period of three months, a researcher-made questionnaire was prepared, including the factors threatening the parents' interaction with their neonates in NICUs. Data analysis was performed using the descriptive statistics including the number, percentage and mean scores of responses in SPSS software (version 16). Results: By calculating the mean scores of responses, from the nurses' points of view, "feeling of emotional discomfort due to being away from the neonate" (3.63) and "nurses’ not understanding parents since they have no children" (1.42) were the most and the least important factors, respectively. From the mothers' points of view, "parental stress due to the neonate’s hospitalization" (3.47), and "the maternity wards being away from NICUs" (1.37) were the most and the least important factors, respectively. Also, the most and the least important obstacles in the perspectives of the fathers were "parental stress due to the neonate’s hospitalization" (3.09) and "the unwanted neonate", respectively. Conclusion: The results showed that the stress and tension of parents were the most influencing factor on the interaction of neonate-parent in NICUs. Some neonatal and organizational factors were considered less important as the barriers to neonate-parent interactions in these wards.
https://ijn.mums.ac.ir/article_11910_0dcc5bab2825993d75304f6000339576.pdf
2019-03-01
78
85
10.22038/ijn.2018.30734.1421
interaction
neonate
Neonatal Intensive Care Unit
nurse
parents
Azardokht
Kazemi
azardokht.kazemi@yahoo.in
1
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Lida
Nikfarid
l.nikfarid@sbmu.ac.ir
2
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Leila
Khanali Mojen
leilakhanali@yahoo.com
3
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Maliheh
Nasiri
malihenasiri@gmail.com
4
Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
1. Valizadeh L, Zamanzadeh V, Akbarbegloo M, Sayadi L. Importance and availability of nursing support for mothers in NICU: a comparison of opinionsi of Iranian mothers and nurses. Iran J Pediatr. 2012; 22(2):191-5.
1
2. Valizadeh L, Ajoodaniyan N, Namnabati M, Zamanzadeh V. Nurses' viewpoint about the impact of Kangaroo mother care on the mother–neonate attachment. J Neonatal Nurs. 2013; 19(1):38-43.
2
3. Tooten A, Hoffenkamp HN, Hall RA, Winkel FW, Eliëns M, Vingerhoets AJ, et al. The effectiveness of video interaction guidance in parents of premature neonates: a multicenter randomised controlled trial. BMC Pediatr. 2012; 12(1):76-9.
3
4. Fegran L, Helseth S, Fagermoen MS. A comparison of mothers’ and fathers’ experiences of the attachmentprocess in a neonatal intensive care unit. J Clin Nurs. 2008; 17(6):810-6.
4
5. Howland LC. Preterm birth: implications for family stress and coping. Newborn Infant Nurs Rev. 2007; 7(1):14-9.
5
6. Franklin C. The neonatal nurse's rolein parental attachment in the NICU. Crit Care Nurs Quart. 2006; 29(1):81-5.
6
7. Moran TS. The importance of access to benefits under the family medical leave act for low-income families for bonding and attachment facilitation with a fragile neonate and the role of the social worker. 21st Century Soc Justice. 2014; 1(1):1.
7
8. Pisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, et al. Risk and protective factors in maternal–fetal attachment development. Early Hum Dev. 2014; 90(Suppl 2):S45-6.
8
9. Flacking R, Lehtonen L, Thomson G, Axelin A, Ahlqvist S, Moran VH, et al. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012; 101(10):1032-7.
9
10. Tilokskulchai F, Phatthanasiriwethin S, Vichitsukon K, Serisathien Y. Attachment behaviors in mothers of premature neonates: a descriptive study in Thai mothers. J Perinat Neonatal Nurs. 2002; 16(3):69-83.
10
11. Jones L, Woodhouse D, Rowe J. Effective nurse parent communication: a study of parents’ perceptions in the NICU environment. Patient Educ Counsel. 2007; 69(1-3):206-12.
11
12. Lariviere J, Rennick JE. Parent picture-book reading to neonates in the neonatal intensive care unit as an intervention supporting parent-neonate interaction and later book reading. J Dev Behav Pediatr. 2011; 32(2):146-52.
12
13. Rosenberg SA, Robinson CC, Beckman PJ. Measures of parent-neonate interaction: an overview. Topics Early Childhood Spec Educ. 1986; 6(2):32.
13
14. Guillaume S, Michelin N, Amrani E, Benier B, Durrmeyer X, Lescure S, et al. Parents’ expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents. BMC Pediatr. 2013; 13(1):18.
14
15. Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks HF, Crean RA, Sinkin PW, et al. Reducing premature neonates’ length of stay and improving parents’ mental health outcomes with the creating opportunities for parent empowerment (COPE) neonatal intensive care unit program. A randomized, controlled trial. Pediatrics. 2005; 118(5):e1414-27.
15
16. Melnyk BM, Crean HF, Feinstein NF, Fairbanks E. Maternal anxiety and depression after a premature neonate’s discharge from the neonatal intensive care unit. Nurs Res. 2008; 57(6):383-94. 17. Schoenherr J, Rubarth LB, Schneider S, Vlcan L. Parental interaction in the neonatal Intensive Care Unit (NICU). Nebraska: Creighton University; 2013.
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18. Browner WS, Newman TB, Hulley SB. Estimating sample size and power: applications and examples. Design Clin Res. 2007; 3:367.
17
19. Lawshe CH. A quantitative approach to content validity. Person Psychol. 1975; 28(4):563-75.
18
20. Feldt LS. The sampling theory for the intraclass reliability coefficient. Appl Measurem Educ. 1990; 3(4):361-7.
19
21. Maastrup R, Weis J, Engsig AB, Johannsen KL, Zoffmann V. Now she has become my daughter: parents’ early experiences of skin-to-skin contact with extremely preterm neonates. Scand J Car Sci. 2018; 32(2):545-53.
20
22. Purdy IB, Melwak MA, Smith JR, Kenner C, ChuffoSiewert R, Ryan DJ, et al. Neonatal nurses NICU quality improvement: embracing EBP recommendations to provide parent psychosocial support. Adv Neonatal Care. 2017; 17(1):33-44.
21
23. Cross J. Neuroprotective core measure 7: optimizing nutrition-breastfeeding, human milk and attachment. Newborn Neonate Nurs Rev. 2015; 15(3):128-31.
22
24. Mirlashari J, Sadeghi T, Sagheb S, Khanmohammadzadeh T. Nurses’ and physicians’ perspective about barriers to implement family centered care in neonatal intensive care units. Iran J Nurs. 2015; 28(93):140-50.
23
25. Moghaddam Tabrizi F, Alizadeh S, Radfar M. Barriers of parenting in mothers with a very lowbirth-weight preterm neonate, and their coping strategies: a qualitative study. Int J Pediatr. 2017; 5(9):5597-608.
24
26. Khan S. An integrative review of nurses' perspectives of family-centered care practice in the level III NICU: addressing persisting barriers. [Master Thesis]. Canada: University of Victoria; 2015.
25
27. Phuma-Ngaiyaye E, Kalembo FW. Supporting mothers to bond with their newborn babies: Strategies used in a neonatal intensive care unit at a tertiary hospital in Malawi. Int J Nurs Sci. 2016; 3(4):362-6.
26
28. Valizadeh L, Zamanzadeh V, Mohammadi E, Arzani A. Continuous and multiple waves of emotional responses: Mother's experience with a premature neonate. Iran J Nurs Midwifery Res. 2014; 19(4):340.
27
29. Sharifnia M, Hasanzadeh MH, Asadi Kakhaki SM, Mazlom SR, Karbandi S. The impact of praying on stress and anxiety in mothers with premature neonates admitted to NICU. Iran J Neonatol. 2016; 7(4):15-22.
28
30. Khalesi N, Anjom FS, Rezaeiezadeh G, Farahani Z. Evaluation of parents’ awareness and knowledge about problems and issues related to their premature neonates in an Iranian hospital. Open J Nurs. 2015; 5(5):465.
29
31. Geller PA, Bonacquisti A, Patterson CA. Maternal experience of neonatal intensive care unit hospitalization: trauma exposure and psychosocial responses. Motherhood in the face of trauma. New York: Springer; 2018. P. 227-47.
30
32. Maree C, Downes F. Trends in family-centered care in neonatal intensive care. J Perinatal Neonatal Nurs. 2016; 30(3):265-9.
31
33. Ghahramanian A, Rezaei T, Abdullahzadeh F, Sheikhalipour Z, Dianat I. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promot Perspect. 2017; 7(3):168.
32
34. Johnson AN. Promoting maternal confidence in the NICU. J Pediatr Health Care. 2008; 22(4):254-7.
33
ORIGINAL_ARTICLE
Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn
Background: Vein of Galen aneurysm (VGA) is the most common form of symptomatic cerebrovascular malformation in neonates. It develops in a fetus in the first trimester of pregnancy due to unknown reasons, but it is likely to have a genetic etiology. The prognosis of VGA is usually poor, particularly in newborns with heart failure due to high-flow intracerebral shunt. Surgery and endovascular embolization are partially successful treatments for controlling congestive heart failure and pulmonary hypertension. Case report: In this article, we present the case of a 3600-gram, full-term, female neonate hospitalized with respiratory distress and severe heart failure. The neonate was the second child of a 28-year-old mother. After echocardiography and brain sonography, she was diagnosed with the vein of Galen malformation. The case had severe and persistent congestive heart failure and refractory pulmonary hypertension. Conclusion: It is important to perform the auscultation of fontanel in newborns and consider VGA as a differential diagnosis in the neonates with congestive heart failure.
https://ijn.mums.ac.ir/article_12413_fc8c35699b890353ae6c3b4337964cc3.pdf
2019-03-01
86
88
10.22038/ijn.2019.36311.1559
heart failure
neonate
vein of Galen aneurysm
Reza
Saeidi
saeedir@mums.ac.ir
1
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Ashraf
Mohammadzadeh
mohamadzadeha@mums.ac.ir
2
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ahmad
Shahfarhat
farhata@mums.ac.ir
3
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Hassan
Birjandi
birjandih1@mums.ac.ir
4
Department of Pediatric and Congenital Cardiology, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Porzionato A, Macchi V, Parenti A, De Caro R. Vein of Galen aneurysm: anatomical study of an adult autopsy case. Clin Anat. 2004; 17(6):458-62.
1
2. Patel N, Mills JF, Cheung MM, Loughnan PM. Systemic haemodynamics in infants with vein of Galen malformation: assessment and basis for therapy. J Perinatol. 2007; 27(7):460-3.
2
3. Berenstein A, Fifi JT, Niimi Y, Presti S, Ortiz R, Ghatan S, et al. Vein of Galen malformations in neonates: new management paradigms for improving outcomes. Neurosurgery. 2012; 70(5):1207-13.
3
4. Lasjaunias P, Ter Brugge K, Lopez Ibor L, Chiu M, Flodmark O, Chuang S, et al. The role of dural anomalies in vein of Galen aneurysms: report of six cases and review of the literature. AJNR Am J Neuroradiol. 1987; 8(2):185-92.
4
5. Saeidi R, Mohammadzadeh A, Farhat A, Naghibi MR, Birjandi H, Lotfi SR. Partial ectopia cordis: a case report. Iran J Neonatol. 2017; 8(3):78-81.
5
6. Kothari SS, Naik N, Juneja R, Saxena A. Aneurysm of the vein of Galen in neonates: report of four cases. Indian Heart J. 2001; 53(4):499-502.
6
7. Raybaud CA, Strother CM, Hald JK. Aneurysm of the vein of Galen: embryonic considerations and anatomical features relating to the pathogenesis of the malformation. Neuroradiology. 1989; 31(2): 109-28.
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8. Jones BV, Ball WS, Tomsick TA, Millard J, Crone KR. Vein of Galen aneurysmal malformation: diagnosis and treatment of 13 children with extended clinical follow-up. AJNR Am J Neuroradiol. 2002; 23(10): 1717-24.
8
9. McSweeney N, Brew S, Bhate S, Cox T, Roebuck DJ, Ganesan V. Management and outcome of vein of Galen malformation. Arch Dis Child. 2010; 95(11): 903-9.
9
10. Garcia-Monaco R, De Victor D, Mann C, Hannedouche A, Terbrugge K, Lasjaunias P. Congestive cardiac manifestations from cerebrocranial arteriovenous shunts. Endovascular management in 30 children. Childs Nerv Syst. 1991; 7(1):48-52.
10
11. Brunelle F. Arteriovenous malformation of the vein of Galen in children. Pediatr Radiol. 1997; 27(6):501-13.
11
12. Patton DJ, Fouron JC. Cerebral arteriovenous malformation: prenatal and postnatal central blood flow dynamics. Pediatr Cardiol. 1995; 16(3):141-4.
12
ORIGINAL_ARTICLE
Second-degree Atrioventricular (Mobitz 1) Heart Block in a 52-hour-old Newborn: A Very Rare Case Report
Background: Cardiac conduction disorders are rare syndromes in neonates and children. According to the literature atrial septal defect, especially ostium secundum type, is associated with atrioventricular (AV) block. Wenckebach conduction heart block is very rare in a neonate; however, there is a dearth of research on the prevalence of this type of heart block regarding the neonates and pediatrics literature. This disorder has only been addressed earlier in thalassaemia major and dengue fever in Pediatrics. There have been different anatomical and metabolic and genetic etiologies for this condition. Wenckebach block is a gradual delay in sending the electrical signal from the sinoatrial node to the ventricles with each beat until there is a single dropped beat, which could be uneventful or problematic later in life. This study aimed to present a deep investigation of a rare case of congenital Wenckebach conduction heart block. Case report: The case in this study was a 52-hour-old female neonate who was diagnosed to suffer from Mobitz type 1 or Wenckebach heart block possibly due to a small ostium secundum atrial septal defect. Therefore, it was suggested to provide supportive care and regular follow-up visit. Conclusion: Precise antenatal care and investigation are required to reduce the morbidity and mortality rate of such condition.
https://ijn.mums.ac.ir/article_12412_62503bda906abf2611b80b688619b85b.pdf
2019-03-01
89
92
10.22038/ijn.2019.33952.1493
Atrial
atrioventricular block
case report
Heart septal defect
Newborn
Pediatrics
Fateme Sadat
Tabatabaei
dr.neda.tab@gmail.com
1
Neonatal and Children Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Seyyed Mohsen
Hosseininejad
hosseininejad.s.mohsen@gmail.com
2
Neonatal and Children Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran/Bone, Joint, and Related Tissue Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Hassan
Esmaeili
hirad.e@gmail.com
3
Neonatal and Children Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
LEAD_AUTHOR
1. Brucato A, Jonzon A, Friedman D, Allan LD, Vignati G, Gasparini M, et al. Proposal for a new definition of congenital complete atrioventricular block. Lupus. 2003; 12(6):427-35.
1
2. Michaelsson M, Riesenfeld T, Jonzon A. Natural history of congenital complete atrioventricular block. Pacing Clin Electrophysiol. 1997; 20(8 Pt 2):2098-101.
2
3. Baruteau AE, Pass RH, Thambo JB, Behaghel A, Le Pennec S, Perdreau E, et al. Congenital and childhood atrioventricular blocks: pathophysiology and contemporary management. Eur J Pediatr. 2016; 175(9):1235-48.
3
4. Geva T, Martins JD, Wald RM. Atrial septal defects. Lancet. 2014; 383(9932):1921-32.
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5. Chin J, Pereira S, Camacho A, Pessoa B, Bento D, Amado J, et al. Holt-Oram syndrome: a case report. Rev Port Cardiol. 2014; 33(11):737.e1-5.
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6. Wu RH, Li DF, Tang WT, Qiu KY, Li Y, Liao XY, et al. Atrial septal defect in a patient with congenital disorder of glycosylation type 1a: a case report. J Med Case Rep. 2018; 12(1):17.
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7. Sohoni A, Perez B, Singh A. Wenckebach block due to hyperkalemia: a case report. Emerg Med Int. 2010; 2010:879751.
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8. Baruteau AE, Fouchard S, Behaghel A, Mabo P, Villain E, Thambo JB, et al. Characteristics and long-term outcome of non-immune isolated atrioventricular block diagnosed in utero or early childhood: a multicentre study. Eur Heart J. 2011; 33(5):622-9.
8
9. Baruteau AE, Behaghel A, Fouchard S, Mabo P, Schott JJ, Dina C, et al. Parental electrocardiographic screening identifies a high degree of inheritance for congenital and childhood non-immune isolated atrio-ventricular block. Circulation. 2012; 126(12): 1469-77.
9
10. Barra SN, ProvidÊncia R, Paiva L, Nascimento J, Marques AL. A review on advanced atrioventricular block in young or middle-aged adults. Pacing Clin Electrophysiol. 2012; 35(11):1395-405.
10
11. Mah DY, Porras D, Bergersen L, Marshall AC, Walsh EP, Triedman JK. Incidence of and risk factors for catheterization-induced complete heart block in the pediatric cardiac catheterization laboratory. Circ Arrhythm Electrophysiol. 2014; 7(1):127-33.
11
12. Krause U, Backhoff D, Klehs S, Kriebel T, Paul T, Schneider HE. Catheter ablation of pediatric AV nodal reentrant tachycardia: results in small children. Clin Res Cardiol. 2015; 104(11):990-7.
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13. Yildirim I, KaragÖz T, Ertuğrul İ, KaragÖz AH, Özer S. Efficacy and safety of cryoablation of parahissian accessory pathways in children: a single institution study. Pacing Clin Electrophysiol. 2013; 36(12): 1495-502.
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14. Zartner P, Christians C, Stelter JC, Hraška V, Schneider MB. Transvascular closure of single and multiple muscular ventricular septal defects in neonates and infants< 20 kg. Catheter Cardiovasc Interv. 2014; 83(4):564-70
14