ORIGINAL_ARTICLE
Predictive Factors of Acute Renal Failure in the Neonates with Respiratory Distress Syndrome
Background: Preterm birth occurs in a large number of pregnancies, and its incidence has been reported to be on the rise. Acute kidney injury (AKI) is a common complication in the premature infants with respiratory distress syndrome (RDS). The present study aimed to determine the predictive factors, clinical courses, and outcomes of AKI in the neonates with the clinical and radiological manifestations of RDS. Methods: Medical records of 84 premature neonates with RDS were evaluated in two groups of case (with AKI) (n=34) and control (without AKI) (n=50). Diagnosis of AKI was based on the increased level of serum creatinine (>1.5 mg/dL) after the third day of birth or increasing serum creatinine level. In addition, blood pressure and laboratory findings, including complete blood count, serum electrolytes, and urine volume, were compared between the two groups. Results: Mean age of the infants with AKI was 5.41±3.29 days, and the majority of the patients had nonoliguric renal failure. Among the samples, 23.5% died, and 76.5% were discharged without renal impairment. Birth weight, systolic blood pressure, blood urea nitrogen, calcium, and pH on admission had significant correlations with the presence of AKI. Moreover, birth weight was observed to be a relatively accurate predictive factor for AKI (AUC=0.08; 95% CI=0.68-0.91), with 73.5% sensitivity and 80% specificity. Conclusion: According to the results, AKI was more common in the low-birth-weight infants with severe RDS compared to the other subjects
https://ijn.mums.ac.ir/article_10485_c4b44ebcc033a7b810a34cd1ec6e520e.pdf
2018-03-01
1
6
10.22038/ijn.2018.24264.1306
Acute kidney injury
Creatinine
Kidney
Neonates
RDS
Azar
Nickavar
1
1.Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Farhad
Abolhasan Choobdar
drchoobdar@gmail.com
2
Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Ali
Mazouri
mazouriali@yahoo.com
3
Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Atefeh
Talebi
atalebi@yahoo.com
4
Ali Asghar Clinical Research Development Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
1. Tabel Y, Oncül M, Elmas AT, Güngör S. Evaluation of renal functions in preterm infants with respiratory distress syndrome. J Clin Lab Anal. 2014; 28(4):310-4.
1
2. Elmas AT, Tabel Y, Elmas ON. Serum cystatin C predicts acute kidney injury in preterm neonates with respiratory distress syndrome. Pediatr Nephrol. 2013; 28(3):477-84.
2
3. El-Badawy AA, Makar S, Abdel-Razek AR, Abd Elaziz D. Incidence and risk factors of acute kidney injury among the critically ill neonates. Saudi J Kidney Dis Transpl. 2015; 26(3):549-55.
3
4. Csaicsich D, Russo-Schlaff N, Messerschmidt A, Weninger M, Pollak A, Aufricht C. Renal failure, comorbidity and mortality in preterm infants. Wien Klin Wochenschr. 2008; 120(5-6):153-7.
4
5. Andreoli SP. Acute renal failure in the newborn. Semin Perinatol. 2004; 28(2):112-23.
5
6. Wambach JA, Hamvas A. Respiratory distress syndrome in the neonates. In: Martin RJ, Fanaroff AA, Walsh MC, editors. Diseases of the fetus and infants. 10th ed. Philadelphia: Elsevier Saundres; 2015. P. 1074-86.
6
7. Bolat F, Comert S, Bolat G, Kucuk O, Can E, Bulbul A, et al. Acute kidney injury in a single neonatal intensive care unit in Turkey. World J Pediatr. 2013; 9(4):323-9.
7
8. Youssef D, Abd-Elrahman H, Shehab MM, AbdElrheem M. Incidence of acute kidney injury in the neonatal intensive care unit. Saudi J Kidney Dis Transpl. 2015; 26(1):67-72.
8
9. Mathur NB, Agarwal HS, Maria A. Acute renal failure in neonatalsepsis. Indian J Pediatr. 2006; 73(6):499-502.
9
10. Viswanathan S, Manyam B, Azhibekov T, Mhanna MJ. Risk factors associated with acute kidney injury in extremely low birth weight (ELBW) infants. Pediatr Nephrol. 2012; 27(2):303-11.
10
11. Stojanović V, Barišić N, Milanović B, Doronjski A. Acute kidney injury in preterm infantsadmitted to a neonatal intensive care unit. Pediatr Nephrol. 2014; 29(11):2213-20.
11
12. Cataldi L, Leone R, Moretti U, De Mitri B, Fanos V, Ruggeri L, et al. Potentialrisk factors for the development of acute renal failure in pretermnewborn infants: a case-control study. Arch Dis Child Fetal Neonatal Ed. 2005; 90(6):F514-9.
12
13. Hentschel R, Lödige B, Bulla M. Renal insufficiency in the neonatalperiod. Clin Nephrol. 1996; 46(1):54-8.
13
14. Lunn AJ, Shaheen I, Watson AR. Acute renal in sufficiency in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2006; 91(5):F38.
14
15. Vachvanichsanong P, McNeil E, Dissaneevate S, Dissaneewate P, Chanvitan P, Janjindamai W. Neonatal acute kidney injury in a tertiary center in a developing country. Nephrol Dial Transplant. 2012; 27(3):973-7.
15
16. Nickavar A, Khosravi N, Mazouri A. Predictive factors for acute renal failure in neonates with septicemia. Arch Pediatr Infect Dis. 2017; 5(4):e61627.
16
ORIGINAL_ARTICLE
Comparison of the Effects of Prone and Supine Positions on Abdominal Distention in the Premature Infants Receiving Nasal Continuous Positive Airway Pressure (NCPAP)
Background: Premature infants with respiratory distress syndrome (RDS) are in dire need of respiratory support with a ventilator. However, the high tidal volume of mechanical ventilation may cause lung injury, and researchers have been concerned with the use of nasal continuous positive airway pressure (NCPAP). NCPAP has concomitant side effects, such as abdominal distention, which might disrupt the proper nutrition of neonates. The present study aimed to compare the effects of supine and prone positions on the abdominal distension of the newborns with NCPAP. Methods: This clinical trial was conducted on 37 neonates during six months with a randomized block crossover design selected for the supine and prone positions on the back and abdomen, respectively. Samples were breastfed infants receiving noninvasive ventilation, who were kept in the mentioned positions for two hours. Data analysis was performed in Application SRS version 19 using descriptive and inferential statistics. Results: In the analysis of variance, comparison of the changes in the abdominal circumference at 15, 30, 60, 90, and 120 minutes in the supine position (P=0.004) and prone position (P=0.001) with repeated sizes indicated a significant difference in at least one of the mentioned timings. Conclusion: According to the results, prone position while feeding could effectively reduce abdominal distension in the neonates receiving NCPAP.
https://ijn.mums.ac.ir/article_10486_675f3fcc9675887f7b2d8d189e3ea1f1.pdf
2018-03-01
7
12
10.22038/ijn.2017.23683.1295
Abdominal distension
Positive airway pressure
Posture
premature infant
Fatemeh
Pourazar
s_poorazar@yahoo.com
1
Department of Nursing, School of Nursing, International Campus, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Leili
Borimnejad
l.borimnejad@gmail.com
2
Nursing Care Research Centre, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Parisa
Mohaghaghi
3
Department of Pediatrics, Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Hamid
Haghani
haghani511@yahoo.com
4
Department of Public Health, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
1. Soon BT. The global action report on preterm birth Switzerland. The Partnership for Maternal, Newborn & Child Health. Available at: URL: www.who.int/pmnch/media/news/2012/preterm_ birth_report/en/index.html; 2012.
1
2. Iran (Islamic Republic of) statistics summary (2002- Present). World Health Organization. Available at: URL: http://apps.who.int/gho/data/node.country.countryIRN; 2013.
2
3. Bradfield L. Core curriculum for neonatal intensive care nursing. Nurse Educ Pract. 2010; 10(6):e59.
3
4. Chen L, Wang L, Li J, Wang N, Shi Y. Noninvasive ventilation for preterm twin neonates with respiratory distress syndrome: a randomized controlled trial. Sci Rep. 2015; 5:14483.
4
5. Imani M, Derafshi R, Khalili M, Azizollah A. Comparison of nasal continuous positive airway pressure therapy with and without prophylactic surfactant in preterm neonates. Iran J Neonatol. 2013; 4(3):26-34.
5
6. Bhatia J. Growth curves: how to best measure growth of the preterm infant. J Pediatr. 2013; 162(3):S2-6.
6
7. Jones L. Oral feeding readiness in the neonatal intensive care unit. 2012; 3(31):148-55.
7
8. Velaphi S. Nutritional requirements and parenteral nutrition in preterm infants. South Afr J Clin Nutr. 2011; 24(3):27-31.
8
9. Chen SS, Tzeng YL, Gau BS, Kuo PC, Chen JY. Effects of prone and supine positioning on gastric residuals in preterm infants: a time series with cross-over study. Int J Nurs Stud. 2013; 50(11):1459-67.
9
10. Valizadeh S, Hosseini MB, Asghari Jafarabadi M. Comparison of the effect of nutrition in kangaroo mother care and supine positions on gavage residual volume in preterm infants. Evid Based Care J. 2015; 5(1):17-24.
10
11. Eghbalian F, Moeinipour AR. Effect of neonatal position on oxygen saturation in Hospitalized premature infants with respiratory distress syndrome. Ann Mil Health Sci Res. 2008; 6(1):9-13. 12. Bredemeyer SL, Foster JP. Body positioning for spontaneously breathing preterm infants with apnoea. Cochrane Database Syst Rev. 2012; 6:CD004951.
11
13. Meneses J, Bhandari V, Alves JG. Nasal intermittent positive-pressure ventilation vs nasal continuous positive airway pressure for preterm infants with respiratory distress syndrome: a systematic review and meta-analysis. Arch Pediatr Adolesc Med. 2012; 166(4):372-6.
12
14. Zhao J, Gonzalez F, Mu D. Apnea of prematurity: from cause to treatment. Eur J Pediatr. 2011; 170(9):1097-105.
13
15. Ghorbani F, Asadollahi M, Valizadeh S. Comparison the effect of sleep positioning on cardiorespiratory rate in noninvasive ventilated premature infants. Nurs Midwifery Stud. 2013; 2(2):182-7.
14
16. Jebreili M, Syeedrasooli A, Headarzadeh M, Gogezadeh M. The effect of body position on gastric residual in preterm infants. Med J Tabriz Univ Med Sci. 2011; 33(2):13-8.
15
ORIGINAL_ARTICLE
Lived Experiences of the Caregivers of Infants about Family-Centered Care in the Neonatal Intensive Care Unit: A Phenomenological Study
Background: Family-centered care (FCC) has recently been recognized as the most effective approach in pediatric and family care. Despite the emphasis of healthcare systems on commitment to the philosophy and application of FCC, the nature of this method remains unknown in the related studies. The present study aimed to describe and interpret the experiences of professional and familial caregivers about FCC in the neonatal intensive care unit (NICU) to reveal its structure and essence. Methods: The study was conducted using Van Manen’s phenomenological approach on 18 participants, including 10 professional and eight familial caregivers, who were interviewed. In addition, the interactions between the caregivers during the FCC practice were observed closely. Data were collected from the interviews, and the field notes were transcribed. Data analysis was performed using Van Manen’s thematic analysis. Results: Four main themes and 12 subthemes emerged in the study. Experiences of the caregivers about FCC were manifested through the themes of ‘restoring stability’ (subthemes: ‘reconstituted family’, ‘comprehensive advocacy’, and ‘meta-family interaction’), ‘oriented coalition’ (subthemes: ‘family as a care partner’, ‘professional group action’, ‘unity of action in caregivers’, and ‘collaborative space governance’), ‘dynamics of care’ (subthemes: ‘family as an agent for the advancement of professional caregivers’, ‘perceived status of problem-solving’, and ‘confrontation of caregivers’), and ‘empowering the family caregivers’ (subthemes: ‘accompanying to learn’ and ‘functional evolution’). Conclusion: According the results, FCC is a dynamic care intervention, which is established through purposeful interactions between heterogeneous group members (professional and familial caregivers) in order to achieve care goals and create balance in all caregivers. Moreover, the approach enables familial caregivers to play their role efficiently. Application of this comprehensive care requires the attention of healthcare policymakers and managers to provide the proper context for optimal care provision in the NICU.
https://ijn.mums.ac.ir/article_10487_9fc53a0de7c9c34c1bdca2b7a6b0f988.pdf
2018-03-01
13
23
10.22038/ijn.2017.23595.1294
Family-centered nursing
Neonatal Intensive Care Unit
Qualitative research
Zahra
Hadian Shirazi
1
Community-Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
farkhondeh
sharif
farkhondeh_sharif@yahoo.com
2
Community-Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Mahnaz
Rakhshan
mzrakhshan@gmail.com
3
Community-Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Narjes
Pishva
4
Neonatology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Faezeh
Jahanpour
f_jahanpour@yahoo.com
5
School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
AUTHOR
1. Van Riper M. Family-provider relationships and well-being in families with preterm infants in the NICU. Heart Lung. 2001; 30(1):74-84.
1
2. Cone S. The impact of communication and the neonatal intensive care unit environment on parent involvement. Newborn Infant Nurs Rev. 2007; 7(1):33-8.
2
3. Örtenstrand A, Westrup B, Broström EB, Sarman I, Åkerström S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: effects on length of stay and infant morbidity. Pediatrics. 2010; 125(2): e278-85.
3
4. Heidari H, Hasanpour M, Fooladi M. The Iranian parents of premature infants in NICU experience stigma of shame. Med Arh. 2012; 66(1):35-40.
4
5. Saunders RP, Abraham MR, Crosby MJ, Thomas K, Edwards WH. Evaluation and development of potentially better practices for improving familycentered care in neonatal intensive care units. Pediatrics. 2003; 111(4 Pt 2):e437-49.
5
6. Martins LA, da Silva DS, Aguiar AC, Morais AC. Insertion of the family in the neonatal intensive care unit: a systematic review. Rev Enferm UFPE. 2012; 6(4):861-8.
6
7. Frost M, Green A, Gance-Cleveland B, Kersten R, Irby C. Improving family-centered care through research. J Pediatr Nurs. 2010; 25(2):144-7.
7
8. McKiernan M, McCarthy G. Family members’ lived experience in the intensive care unit: a phemenological study. Intensive Crit Care Nurs. 2010; 26(5):254-61.
8
9. Manning AN. The NICU experience: how does it affect the parents' relationship? J Perinat Neonatal Nurs. 2012; 26(4):353-7.
9
10. Trajkovski S, Schmied V, Vickers M, Jackson D. Neonatal nurses’ perspectives of family‐centred care: a qualitative study. J Clin Nurs. 2012; 21(17‐18):2477-87.
10
11. Griffin T, Abraham M. Transition to home from the newborn intensive care unit: applying the principles of family‐centered care to the discharge process. J Perinat Neonatal Nurs. 2006; 20(3):243-9.
11
12. Shields L. Family-centred care: effective care delivery or sacred cow? Forum Public Policy. 2011; 2011:1.
12
13. Wong DL. Wong's nursing care of infants and children. New York: Mosby/Elsevier; 2011.
13
14. King L. Family-centred care: a review of current literature. Plymouth Stud J Health Soc Work. 2009; 2:9-17.
14
15. Malusky SK. A concept analysis of family-centered care in the NICU. Neonatal Netw. 2005; 24(6):25-32.
15
16. Mikkelsen G, Frederiksen K. Family‐centred care of children in hospital–a concept analysis. J Adv Nurs. 2011; 67(5):1152-62.
16
17. MacKean GL, Thurston WE, Scott CM. Bridging the divide between families and health professionals’ perspectives on family‐centred care. Health Expect. 2005; 8(1):74-85.
17
18. Staniszewska S, Brett J, Redshaw M, Hamilton K, Newburn M, Jones N, et al. The POPPY study: developing a model of family‐centred care for neonatal units. Worldviews Evid Based Nurs. 2012; 9(4):243-55.
18
19. Ramezani T, Hadian Shirazi Z, Sabet Sarvestani R, Moattari M. Family-centered care in neonatal intensive care unit: a concept analysis. Int J Community Based Nurs Midwifery. 2014; 2(4): 268-78.
19
20. Bastani F, Abadi TA, Haghani H. Effect of familycentered care on improving parental satisfaction and reducing readmission among premature infants: a randomized controlled trial. J Clin Diagn Res. 2015; 9(1):SC04-8.
20
21. Shields L. Questioning family‐centred care. J Clin Nurs. 2010; 19(17‐18):2629-38.
21
22. Burns N, Grove SK. Understanding nursing research: building an evidence-based practice. 5th ed. New York: Elsevier Saunders; 2011.
22
23. Van Manen M. Researching lived experience: human science for an action sensitive pedagogy. New York: State University of New York Press; 2001.
23
24. Dowling M. From husserl to van manen. a review of different phenomenological approaches. Int J Nurs Stud. 2007; 44(1):131-42.
24
25. Ehrich LC. Revisiting phenomenology: its potential for management research. British Academy of Management Conference, London; 2005.
25
26. Van Manen M. Phenomenology of practice: meaninggiving methods in phenomenological research and writing. California: Left Coast Press; 2014.
26
27. Obeidat HM, Bond EA, Callister LC. The parental experience of having an infant in the newborn intensive care unit. J Perinat Educ. 2009; 18(3): 23-9.
27
28. Turan T, Başbakkal Z, Özbek Ş. Effect of nursing interventions on stressors of parents of premature infants in neonatal intensive care unit. J Clin Nurs. 2008; 17(21):2856-66.
28
29. Malakouti J, Jebraeili M, Valizadeh S, Babapour J. Mothers’ experience of having a preterm infant in the Neonatal Intensive Care Unit, a Phenomenological Study. J Crit Care Nurs. 2013; 5(4):172-81.
29
30. Newnam KM, McGrath JM. Following the diagnosis of neonatal hypoxic ischemic encephalopathy: a family-centered approach. Newborn Infant Nurs Rev. 2011; 11(3):98-101.
30
31. Molina RC, Fonseca EL, Waidman MA, Marcon SS. The family's perception of its presence at the pediatric and neonatal intensive care unit. Rev Esc Enferm USP. 2009; 43(3):630-8.
31
32. Follett TL. Nurses' perceptions of practicing familycentred care in the neonatal intensive care unit. Michigan: ProQuest; 2006.
32
33. Fegran L, Fagermoen MS, Helseth S. Development of parent–nurse relationships in neonatal intensive care units–from closeness to detachment. J Adv Nurs. 2008; 64(4):363-71.
33
34. Hadian Shirazi Z, Sharif F, Rakhshan M, Pishva N, Jahanpour F. Lived experience of caregivers of family-centered care in the neonatal intensive care unit: "evocation of being at home". Iran J Pediatr. 2016; 26(5):e3960.
34
35. Raiskila S, Axelin A, Rapeli S, Vasko I, Lehtonen L. Trends in care practices reflecting parental involvement in neonatal care. Early Hum Dev. 2014; 90(12):863-7.
35
36. Manogaran M. The role of interprofessional collaboration on the discharge planning process in the neonatal intensive care unit. Ontario: University of Ontario Institute of Technology; 2011. 37. Barbosa VM. Teamwork in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013; 33(1): 5-26.
36
38. Mundy CA. Assessment of family needs in neonatal intensive care units. Am J Crit Care. 2010; 19(2):156-63.
37
39. Cleveland LM. Parenting in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2008; 37(6):666-91.
38
40. Kearvell H, Grant J. Getting connected: how nurses can support mother/infant attachment in the neonatal intensive care unit. Aust J Adv Nurs. 2010; 27(3):75.
39
41. Gephart SM, McGrath JM. Family-centered care of the surgical neonate. Newborn Infant Nurs Rev. 2012; 12(1):5-7.
40
ORIGINAL_ARTICLE
Complications and Risk Factors of Neonatal Macrosomia: A Case-Control Study
Background: Macrosomia is defined as the birth weight of greater than or equal to 4,000 grams, which is considered to be a public health issue threatening mothers and neonates. Studies indicate that the prevalence rate of macrosomia is on the rise in developing countries. The present study aimed to evaluate the influential factors in the occurrence of neonatal macrosomia. Methods: This case-control study was conducted at Al-Zahra Hospital in Tabriz, located in the north-west of Iran, during March 2013-February 2014. Sample population included all the live-born neonates and their mothers. The case group consisted of the neonates with the birth weight of ≥4,000 grams (n=404), and the control group included 404 newborns weighing 2,500-3,999 grams. Data were collected using a maternal and neonatal information form (maternal age, neonatal gender, mode of delivery, maternal height, and maternal history of diabetes). Data were extracted from the medical files of the samples and recorded in the form. Data analysis was performed in SPSS version 20 using descriptive and inferential statistics (independent t-test and 2χ) at the significance level of α=0.05. Results: In total, 8,012 neonates were born during the study, 404 of whom has macrosomia (5.04%). Mean maternal age in the case and control groups was 29.6±6.1 and 27.9±8.3 years, respectively (P<0.001). Significant differences were observed in the gender (male) (odds ration [OR]=2.2 [95% CI: 1.33-3.04]; P<0.001), mode of delivery (OR=0.51 [95% CI: 0.37-0.69]; P<0.001), maternal history of diabetes (OR=4.5 [95% CI: 2.3-8.73]; P<0.001), and number of deliveries (birth rank) (OR=1.6 [95% CI: 1.19-2.39]; P<0.001) between the case and control groups. Conclusion: According to the results, there were significant associations between macrosomia at birth and maternal age, maternal history of diabetes, and birth rank. Therefore, proper planning and educational interventions are recommended for the control of the influential factors in the occurrence of macrosomia.
https://ijn.mums.ac.ir/article_10488_c973d6d270d23725fcfce7a2a583cca0.pdf
2018-03-01
24
28
10.22038/ijn.2018.23827.1304
Birth rank
Diabetes
Macrosomia
pregnancy
Mohammad Hassan
Kargar Maher
1
Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Raheleh
Soltani
2
Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
alihossein
zeinalzadeh
zenalali@gmail.com
3
Social Determinants of Health Research Center, Community and Family Medicine Specialist, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
Sajad
Pourasghar
4
Department of Medical, Urmia University of Medical Sciences, Urmia, Iran
AUTHOR
1. Mardani M, Kazemi KH, Mohsenzadeh A, Ebrahimzade F. Investigation of frequency and risk factors of macrosomia in infants of Asali hospital of Khoramabad city. Iran J Epidemiol. 2013; 8(4):47-53.
1
2. Mathew M, Machado L, Al-Ghabshi R, AlHaddabi R. Fetal macrosomia. Risk factor and outcome. Saudi Med J. 2005; 26(1):96-100.
2
3. Dennedy MC, Dunne F. Macrosomia: defining the problem worldwide. Lancet. 2013; 381(9865):435-6.
3
4. Koyanagi A, Zhang J, Dagvadorj A, Hirayama F, Shibuya K, Souza JP, et al. Macrosomia in 23 developing countries: an analysis of a multicountry, facility-based, cross-sectional survey. Lancet. 2013; 381(9865):476-83.
4
5. Maroufizadeh S, Omani SR, Amini P, Sepidarkish M. Prevalence of macrosomia and its related factors among singleton live-birth in Tehran province, Iran. J Isfahan Med Sch. 2016; 34(394): 940-5 (Persian).
5
6. Bahrami N, Soleimani MA. Study of some related factors with fetal macrosomia and low birth weight. J Urmia Nurs Midwifery Facul. 2014; 12(2):136-43.
6
7. Haji ET, Kazemi H, Kordi M. Prevalence and outcome of the macrosomic infants. Acta Med Iran. 2007; 45(6):505-9.
7
8. Li G, Kong L, Li Z, Zhang L, Fan L, Zou L, et al. Prevalence of macrosomia and its risk factors in china: a multicentre survey based on birth data involving 101,723 singleton term infants. Paediatr Perinat Epidemiol. 2014; 28(4):345-50.
8
9. Tian C, Hu C, He X, Zhu M, Qin F, Liu Y, et al. Excessive weight gain during pregnancy and risk of macrosomia: a meta-analysis. Arch Gynecol Obstet. 2016; 293(1):29-35.
9
10. Yadav H, Lee N. Factors influencing macrosomia in pregnant women in a tertiary care hospital in Malaysia. J Obstet Gynaecol Res. 2014; 40(2):439-44.
10
11. Fakhri M. Evaluation of maternal and neonatal complications in macrosomia. J Mazandaran Univ Med Sci. 1999; 9(24):32-8.
11
12. Mohammadbeigi A, Farhadifar F, Soufi Zadeh N, Mohammadsalehi N, Rezaiee M, Aghaei M. Fetal macrosomia: risk factors, maternal, and perinatal outcome. Ann Med Health Sci Res. 2013; 3(4):546-50.
12
13. Mardani M, Rossta S, Rezapour P. Evaluation of the prevalence of macrosomia and the maternal risk factors. Iran J Neonatol. 2014; 5(3):5-9.
13
14. Najafian M, Cheraghi M. Occurrence of fetal macrosomia rate and its maternal and neonatal complications: a 5-year cohort study. ISRN Obstet Gynecol. 2012; 353791(10):14.
14
15. He XJ, Qin FY, Hu CL, Zhu M, Tian CQ, Li L. Is gestational diabetes mellitus an independent risk factor for macrosomia: a meta-analysis? Arch Gynecol Obstet. 2015; 291(4):729-35.
15
16. Ghanbari Z, Emamzadeh A, Bagheri M. The prevalence and risk factors of fetal macrosomia: a cross sectional study of 2000 neonates. Tehran Univ Med Sci J. 2008; 66:1-2.
16
17. Linder N, Lahat Y, Kogan A, Fridman E, Kouadio F, Melamed N, et al. Macrosomic newborns of nondiabetic mothers: anthropometric measurements and neonatal complications. Arch Dis Child Fetal Neonatal Ed. 2014; 99(5): F353-8.
17
ORIGINAL_ARTICLE
Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery
Background: Contents of breast milk may change during the first weeks after childbirth, especially in preterm deliveries. The present study aimed to determine the macronutrient contents of breast milk in the mothers with preterm delivery. Methods: This prospective-descriptive study was conducted in Mahdieh Hospital in Tehran, Iran in 2015. Participants included the mothers with preterm delivery, whose infants had a gestational age of Results: In total, 51 mothers were enrolled in the study. Mean gestational age and birth weight of the neonates were 28.44±2.20 weeks and 1064±260 grams, respectively. Mean age and body mass index (BMI) of the mothers were 27.5±5.6 years and 26.44±17.54-40 kg/m2, respectively. In terms of socioeconomic status, 28 participants (60.8%) were categorized as class II (simple workers), and 20 mothers (45.4%) received basic prenatal care. During weeks 2-3 of delivery, the fat and calorie contents of breast milk increased significantly. However, protein content of breast milk was variable, and the carbohydrate level was observed to decrease. No significant associations were observed between the maternal age, socioeconomic status, BMI, and number of twins with the contents of breast milk, while the mode of delivery and level of prenatal care had significant effects on the protein level of breast milk. Conclusion: According to the results, the levels of macronutrients in the breast milk of the mothers with preterm delivery were variable and within the normal range during the first four weeks of delivery.
https://ijn.mums.ac.ir/article_10489_8197c7cefada6836c59b4d807bdcdc2e.pdf
2018-03-01
29
36
10.22038/ijn.2018.22783.1272
Breast milk
Macronutrients
Preterm delivery
Preterm infant
Farid
Aleali
faridaleali@yahoo.com
1
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
minoo
fallahi
minoofallahi@yahoo.com
2
Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Mohammad
Kazemian
3
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Seyyed Hossein
Fakhraee
4
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Abolfazl
Afjeh
5
Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
1. Martin CR, Ling PR, Blackburn GL. Review of infant feeding: key features of breast milk and infant formula. Nutrients. 2016; 8(5):279.
1
2. Gidrewicz DA, Fenton TR. A systematic review and meta-analysis of the nutrient content of preterm and term breast milk. BMC Pediatr. 2014; 14:216.
2
3. Nikniaz L, Mahdavi R, Arefhoesseini S, Khiabani MS. Association between fat content of breast milk and maternal nutritional status and infants’ weight in Tabriz, Iran. Malays J Nutr. 2009; 15(1):37-44.
3
4. Nimbalkar S, Vasa RK. Changes in preterm breast milk composition with advancing infant age. Indian Pediatr. 2014; 51(12):966-7.
4
5. Hsu YC, Chen CH, Lin MC, Tsai CR, Liang JT, Wang TM. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol. 2014; 55(6):449-54.
5
6. Underwood MA. Human milk for the premature infant. Pediatr Clin. 2013; 60(1):189-207.
6
7. Rehman MU, Narchi H. Metabolic bone disease in the preterm infant: current state and future directions. World J Methodol. 2015; 5(3):115-21.
7
8. de Halleux V, Close A, Stalport S, Studzinski F, Habibi F, Rigo J. Advantages of individualized fortification of human milk for preterm infants. Arch Pediatr. 2007; 14(Suppl 1):S5-10.
8
9. Ballard O, Morrow AL. Human milk composition: nutrients and bioactive factors. Pediatr Clin North Am. 2013; 60(1):49-74.
9
10. Verma A, Shrimali L. Maternal body mass index and pregnancy outcome. J Clin Diagn Res. 2012; 6(9):1531-3.
10
11. Yeoh PL, Hornetz K, Dahlui M. Antenatal care utilisation and content between low-risk and high-risk pregnant women. PLoS One. 2016; 11(3):e0152167.
11
12. Zachariassen G, Fenger-Gron J, Hviid MV, Halken S. The content of macronutrients in milk from mothers of very preterm infants is highly variable. Dan Med J. 2013; 60(6):A4631.
12
13. Menjo A, Mizuno K, MuraseM, Nishida Y, Taki M, Itabashi K, et al. Bedside analysis of human milk for adjustable nutrition strategy. Acta Paediatr. 2009; 98(2):380-4.
13
14. Bertino E, Giuliani F, Baricco M, Peila C, Cester E, Vassia C, et al. Benefits of human milk in preterm infant feeding. J Pediatr Neonat Individ Med. 2012; 1(1):19-24.
14
15. Dizdar EA, Sari FN, Degirmencioglu H, Canpolat FE, Oguz SS, Uras N, et al. Effect of mode of delivery on macronutrient content of breast milk. J Matern Fetal Neonatal Med. 2014; 27(11):1099-102.
15
16. Yang T, Zhang Y, Ning Y, You L, Ma D, Zheng Y, et al. Breast milk macronutrient composition and the associated factors in urban Chinese mothers. Chin Med J. 2014; 127(9):1721-5. 17. De Halleux V, Rigo J .Variability in human milk composition: benefit of individualized fortification in very-low-birth-weight infants. Am J Clin Nutr. 2013; 98(2):529S-35S.
16
ORIGINAL_ARTICLE
Assessment of Plaque pH after Oral Rinsing with Four Customary Used Types of Complementary Infant Formula
Background: Complementary infant formulas are the second most important sources of nutrition for neonates after breast milk. Considering the cariogenic potential of infant formulas, selection of these nutritive sources should be safe to reduce the risk of baby bottle syndrome in newborns. The present study aimed to estimate the plaque pH changes after rinsing with four customary used types of complementary infant formula. Methods: An in-vivo, in-vitro study was conducted on five healthy neonates aged 12-18 months to assess the plaque pH changes caused by rinsing with four different types of complementary infant formula, including Rice and Milk Cerelac, Wheat and Milk Cerelac, Banana and Milk Humana, and Peach and Milk Humana. Data analysis was performed in SPSS version 17 using paired t-test to compare the pH changes associated with each formula. In all the statistical analyses, P-value of less than 0.01 was considered significant. Results: All the formulas significantly reduced the plaque pH to less than the pre-rinse pH. However, the plaque pH decreased to less than the critical pH level (<5.7), particularly in the infants using the Rice and Milk Cerelac formula. Conclusion: According to the results, rinsing with the Rice and Milk Cerelac formula reduced the plaque pH value more than the other formulas. Therefore, it seems that complementary infant formulas could decrease the plaque pH and play a key role in the development of caries in neonates depending on the ingredients.
https://ijn.mums.ac.ir/article_10490_a6201872f9fe166219340f6ed4e2f906.pdf
2018-03-01
37
41
10.22038/ijn.2017.23487.1288
Cariogenic diet
Complementary Feeding
Dental caries resistance
Dental decay
Prevention
Ali
Nozari
ali_nozari_pigean@yahoo.com
1
Oral and Dental Disease Research Center, Department of Pediatric Dentistry, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
faezeh
ghaderi
ghaderi_fa@sums.ac.ir
2
Oral and Dental Disease Research Center, Department of Pediatric Dentistry, Dental School, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Elmira
Niaz
3
Department of Pediatric Dentistry, Dental School, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Zhale
Salehipour
salehipourj@yahoo.com
4
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
1. Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2008; 46(1):99-110.
1
2. Shafieian T, A Latiff L, Huang Soo Lee M, Mazidi M, Ghayour Mobarhan M, Tabatabaei G, et al. Determinants of nutritional status in children living in Mashhad, Iran. Int J Pediatr. 2013; 1(2):9-18.
2
3. Lung'aho MG, Glahn RP. In vitro estimates of iron bioavailability in some Kenyan complementary foods. Food Nutr Bull. 2009; 30(2):145-52.
3
4. Touger-Decker R, van Loveren C. Sugars and dental caries. Am J Clin Nutr. 2003; 78(4):881S-92S.
4
5. Lynch CD, Frazier KB, McConnell RJ, Blum IR, Wilson NH. Minimally invasive management of dental caries: contemporary teaching of posterior resin-based composite placement in US and Canadian dental schools. J Am Dent Assoc. 2011; 142(6):612-20.
5
6. Sheikh C, Erickson P. Evaluation of plaque pH changes following oral rinse with eight infant formulas. Pediatr Dent. 1996; 18:200-4.
6
7. Marsh PD. Dental plaque as a biofilm and a microbial community-implications for health and disease. BMC Oral Health. 2006; 6(Suppl 1):S14.
7
8. Burne R. Oral streptococci… products of their environment. J Dent Res. 1998; 77(3):445-52.
8
9. Schachtele CF, Jensen ME. Comparison of methods for monitoring changes in the pH of human dental plaque. J Dent Res. 1982; 61(10):1117-25.
9
10. Moynihan PJ. Dietary advice in dental practice. Br Dent J. 2002; 193(10):563-8.
10
11. Minton KL, Berry CW. Cariogenic potential of presweetened breakfast cereals. Pediatr Dent. 1985; 7(4):282-6.
11
12. Mundorff SA, Featherstone JD, Bibby BG, Curzon ME, Eisenberg AD, Espeland MA. Cariogenic potential of foods. I. Caries in the rat model. Caries Res. 1990; 24(5):344-55.
12
13. Bibby BG, Mundorff SA, Huang CT. Enamel demineralization tests with some standard foods and candies. J Dent Res. 1983; 62(8):885-8.
13
14. Pantoja-Mendoza IY, Meléndez G, GuevaraCruz M, Serralde-Zúñiga AE. Review of complementary feeding practices in Mexican children. Nutr Hosp. 2015; 31(2):552-8.
14
15. Mortazavi M, Pourhashemi SJ, Khosravi MB, Ashtari S, Ghaderi F. Assessment of a low dose of IV midazolam used orally for conscious sedation in pediatric dentistry. DARU J Pharm Sci. 2009; 17(2):79-82.
15
16. Harper D, Abelson D, Jensen M. Human plaque acidity models. J Dent Res. 1986; 65:1503-10. 17. Curzon ME, Pollard MA. Integration of methods for determining the acido/cariogenic potential of foods: a comparison of several different methods. Caries Res. 1996; 30(2):126-31. 18. Pollard M, Imfeld T, Higham SM, Agalamanyi EA, Curzon ME, Edgar WM, et al. Acidogenic potential and total salivary carbohydrate content of expectorants following the consumption of some cereal-based foods and fruits. Caries Res. 1996; 30(2):132-7.
16
19. Lee EJ, Hwang IK, Paik DI, Jin BH. The cariogenicity of hydrolyzed starch foods by measuring the polyacrylamide hydroxyapatite (PAHA) disc. Arch Oral Biol. 2015; 60(11):1632-8.
17
20. Mobley CC. Nutrition and dental caries. Dent Clin North Am. 2003; 47(2):319-36.
18
21. Hughes JA, West NX, Parker DM, van den Braak MH, Addy M. Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. J Dent. 2000; 28(2):147-52.
19
22. Rose R. Effects of an anticariogenic casein phosphopeptide on calcium diffusion in streptococcal model dental plaques. Arch Oral Biol. 2000; 45(7):569-75.
20
23. Danchaivijitr A, Nakornchai S, Thaweeboon B, Leelataweewud P, Phonghanyudh A, Kiatprajak C, et al. The effect of different milk formulas on dental plaque pH. Int J Paediatr Dent. 2006; 16(3):192-8.
21
24. Nozari A, Ghaderi F, Madadelahi S. pH-value decrement of saliva-plaque solution after mixing with four customary used infant milk formulas: an in vitro study. J Pediatr Dent. 2014; 2(3):92.
22
25. Manohar V, Echard B, Perricone N, Ingram C, Enig M, Bagchi D, et al. In vitro and in vivo effects of two coconut oils in comparison to monolaurin on Staphylococcus aureus: rodent studies. J Med Food. 2013; 16(6):499-503.
23
26. Voragen AG. Technological aspects of functional food-related carbohydrates. Trends Food Sci Technol. 1998; 9(8):328-35.
24
ORIGINAL_ARTICLE
Association of Iron Deficiency Anemia and Febrile Seizure in Asia: A Systematic Review and Meta-Analysis
Background: Current findings suggest that iron deficiency anemia (IDA) may be a predisposing factor for febrile seizure (FS), while some studies show the lower prevalence of IDA in the children with FS.The present systematic review and meta-analysis aimed to elucidate the association between IDA and FS. Methods: A comprehensive search was performed using MeSH keywords in databases such as PubMed, Scopus, Embase, ScienceDirect, Web of Science, and Google Scholar without time limit until 2017. Cochrane test and I2 index were used for the evaluation of heterogeneity among the retrieved studies. Data analysis was performed in Comprehensive Meta-Analysis (CMA) software version 2. Results: In total, 38 studies conducted on 3,738 cases and 3,720 controls were reviewed in this meta-analysis. Considering the significant heterogeneity (I2=87.981; P<0.001), the odds ratio (OR) was combined using the random effects model. The pooled results indicated that IDA significantly increased the risk of FS (OR=2.36; 95% confidence interval [CI]: 1.72-3.24; P<0.0001). Meta-analysis was performed based on the simple febrile convulsion (FC) and first febrile convulsion (FFC), and OR was estimated at 2.98 (95% CI: 1.67-5.31; P<0.001) and 2.23 (95% CI: 1.33-3.73; P<0.001), respectively. In the subgroup analysis of the studies conducted in Iran, India, and Pakistan, OR was determined at 1.06 (95% CI: 0.71-1.58), 4.21 (95% CI: 2.97-5.97), and 2.22 (95% CI: 1.70-2.90), respectively, which revealed significant differences in this regard (P<0.001). Conclusion: According to the results, IDA is a predisposing factor for FC. Therefore, children with FS must be examined for the risk of IDA
https://ijn.mums.ac.ir/article_10491_e616fea61e37ee54da329d728d813ae5.pdf
2018-03-01
42
52
10.22038/ijn.2018.22323.1264
Anemia
Asia
Febrile seizure
Iron-deficiency
Meta-analysis
Parviz
Karimi
dparvizkarimi@gmail.com
1
Department of Pediatrics, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
AUTHOR
Gholamreza
Badfar
2
Department of Pediatrics, Behbahan School of Medical Sciences, Behbahan, Iran
AUTHOR
Ali
Soleymani
ali.soleymani1360@yahoo.com
3
Department of Finances, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran
AUTHOR
Ali
Khorshidi
4
Department of Epidemiology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
AUTHOR
zeinab
Tardeh
z.tardeh@gmail.com
5
Student Research Committee, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
LEAD_AUTHOR
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1
3. Esmaeili M, Ghane F, Asadi N, Esmaeili M. Frequency of urinary tract infection in children with febrile convulsion. Med J Mashhad Univ Med Sci. 2015; 58(2):106-11.
2
4. Derakhshanfar H, Abaskhanian A, Alimohammadi H, ModanlooKordi M. Association between iron deficiency anemia and febrile seizure in children. Med Glas (Zenica). 2012; 9(2):239-42.
3
5. Varma RR. Febrile seizures. Indian J Pediatr. 2002; 69(8):697-700.
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6. Hartfield DS, Tan J, Yager JY, Rosychuk RJ, Spady D, Haines C, et al. The association between iron deficiency and febrile seizures in childhood. Clin Pediatr. 2009; 48(4):420-6.
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7. Majumdhar R, Haricharan KR, Venkatamurthy M. Iron deficiency as a risk factor for first febrile seizure. J Evol Med Dent Sci. 2013; 2(21):3834-41.
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8. Singh P, Mehta V. Is iron deficiency anaemia a risk factor for febrile seizure? A case control study. Int J Contempor Pediatr. 2016; 3(4):1307-11.
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9. Ohls RK, Christensen RD. Iron-deficiency anaemia. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BM, editors. Nelson textbook of pediatrics. 18th ed. Philadelphia: Saunders; 2008. P. 2014-7.
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14. Lozoff B. Iron deficiency and child development. Food Nutr Bull. 2007; 28(4 Suppl):S560-71. 15. Badfar G, Shohani M, Soleymani A, Azami M. Maternal anemia during pregnancy and small for gestational age: A systematic review and metaanalysis. J Matern Fetal Neonatal Med. 2018; 10:1-7.
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19. Amir SS, Keyhanidoust ZT, Ahmadi M, Sabouri A, Kavemanesh Z, Afshar PS, et al. Relationship between iron deficiency anemia and febrile seizures. Iran J Child Neurol. 2010; 4(1):27-30.
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20. Momen AA, Nikfar R, Karimi B. Evaluation of iron status in 9-month to 5-year-old children with febrile seizures: a case-control study in the south west of Iran. Iran J Child Neurol. 2010; 4(2):45-50.
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21. Waheed N, Butt MA. Iron status: is there a role in febrile seizures? J Ayub Med Coll Abbottabad. 2012; 24(3-4):128-30.
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24. Sreenivasa BN, Kumar GV, Manjunatha BN. Study of role of iron deficiency anaemia in febrile seizures in children in a tertiary care center. J Nepal Paediatr Soc. 2016; 35(2):148-51.
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25. Talebian A, Andalib S, Moravveji SA, Vakili Z. Serum ferritin level in febrile children with and without seizures. Feyz J. 2011; 15(4):389-93 (Persian).
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26. Fallah R, Tirandazi B, Akhavan Karbasi S, Golestan M. Iron deficiency and iron deficiency anemia in children with febrile seizure. Iran J Pediatr Hematol Oncol. 2013; 3(1):200-3.
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29. Badfar G, Shohani M, Mansouri M, Azami M. Vitamin D status in Iranian pregnant women and newborns: a systematic review and meta-analysis study. Exp Rev Endocrinol Metab. 2017; 12(5):379-89.
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42. Naseer MR, Patra KC. Correlation of serum iron and serum calcium levels in children with febrile seizures. Int J Contempor Pediatr. 2017; 2(4):406-10.
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43. Ramesh M, Kannan N, Senthil K. A study to determine the association between serum ferritin levels and febrile seizures in children. Sri Lanka J Child Health. 2015; 44(4):193-6.
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44. Saeed T. Association of iron deficiency anaemia and febrile seizures in children. J Rawalpindi Med Coll. 2013; 17(2):175-7.
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45. Malla T, Malla KK, Sathian B, Chettri P, Singh S, Ghimire A. Simple febrile convulsion and iron deficiency anemia a co-relation in Nepalese children. Am J Public Health Res. 2015; 3(5A):11-6. 46. Sit SP, Maiti S, Kant M, Mandal S, Mandal A. Iron deficiency anemia: a probable risk factor for first episode of simple febrile seizure. IOSR J Dent Med Sci. 2016; 15(7):12-4.
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47. Singh SK, Shekhar S, Mishra R. Iron deficiency as a risk factor for first episode of febrile seizure. IOSR J Dent Med Sci. 2016; 15(7):55-8.
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65
ORIGINAL_ARTICLE
Challenging Experiences of the Fathers of the Premature Infants Admitted in the Neonatal Intensive Care Unit (NICU)
Background: Birth of premature infants and their admission in the neonatal intensive care unit (NICU) are unexpected crises for the fathers. Therefore, raising the awareness of fathers regarding their experiences in such conditions could be helpful in the care of these neonates. The present study aimed to investigate the experiences of the fathers of the premature infants admitted in the NICU. Methods: This descriptive, explorative, qualitative study was conducted via purposive sampling, and 13 parents of the premature infants admitted in the NICUs of two hospitals in Isfahan, Iran, were enrolled. Semi-structural interviews were performed with the fathers of premature infants, and thematic analysis was used for data analysis. Results: Three main themes emerged in the study, including ‘emotions and responsibilities’, ‘information needs’, and ‘beliefs’. In terms of the emotions and responsibilities, fear and accountability were considered to be the major concerns among the fathers. With regard to information needs and beliefs, the need to obtain appropriate information and having faith in God and the infallible Imams were expressed by the fathers, respectively. Conclusion: Experiencing preterm birth and NICU admission are accompanied by stress and anxiety for the parents of the infants. Meanwhile, several factors could impair the ability of the fathers to cope with the crisis. Identifying and addressing the needs of the parents and providing the necessary training since the beginning of pregnancy could result in the effective management of NICU admission. In addition, proper facilities should be offered to support the fathers of preterm infants, such as parental leave.
https://ijn.mums.ac.ir/article_10492_83902d4f7abb024fe0f4a4008fdc0465.pdf
2018-03-01
53
59
10.22038/ijn.2017.23648.1293
Fathers
Infant
Nursing
Premature
Zahra
Shahkolahi
1
Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Zahra
Mahdavi Lenji
2
Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Soheila
Jafari-Mianaei
m_jafari@nm.mui.ac.ir
3
, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
1. Mianaei SJ, Karahroudy FA, Rassouli M, Tafreshi MZ. The effect of creating opportunities for parent empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res. 2014; 19(1):94-100.
1
2. Obeidat HM, Bond EA, Callister LC. The parental experience of having an infant in the newborn intensive care unit. J Perinat Educ. 2009; 18(3):23-9.
2
3. Sloan K, Rowe J, Jones L. Stress and coping in fathers following the birth of a preterm infant. J Neonat Nurs. 2008; 14(4):108-15.
3
4. Russell G, Sawyer A, Rabe H, Abbott J, Gyte G, Duley L, et al. Parents’ views on care of their very premature babies in neonatal intensive care units: a qualitative study. BMC Pediatr. 2014; 14(1):230.
4
5. Soares RL, Christoffel MM, da Rodrigues E, Machado ME, Cunha AL. Ser pai de recémnascido prematuro na unidade de terapia intensiva neonatal: da parentalidade a paternidade. Escola Anna Nery Rev Enferm. 2015; 19(3):409-16.
5
6. Shahkolahi Z, Abdeyazdan Z, Mehrabi T, Hajiheidari M. Supporting fathers of premature infants hospitalized in Neonatal Intensive Care Unit (NICU). J Crit Care Nurs. 2014; 7(1):31-40.
6
7. 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.
7
8. Provenzi L, Santoro E. The lived experience of fathers of preterm infants in the Neonatal Intensive Care Unit: a systematic review of qualitative studies. J Clin Nurs. 2015; 24(13-14):1784-94.
8
9. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2016.
9
10. Braun V, Clarke V. Using thematic analysis in psychology. Qualitat Res Psychol. 2006; 3(2):77-101.
10
11. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ. 1981; 29(2):75-91.
11
12. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: A focus on trustworthiness. Sage Open. 2014; 4(1):2158244014522633.
12
13. Heidari H, Hasanpour M, Fooladi M. The Iranian parents of premature infants in NICU experience stigma of shame. Med Arh. 2012; 66(1):35-40.
13
14. Cinar N, Kuguoglu S, Sahin S, Altinkaynak S. The experience of fathers having premature infants in neonatal intensive care unit. Open J Pediatr Neonatal Care. 2017; 2(1):1-12.
14
15. St John W, Cameron C, McVeigh C. Meeting the challenge of new fatherhood during the early weeks. J Obstet Gynecol Neonat Nurs. 2005; 34(2):180-9.
15
16. Hollywood M, Hollywood E. The lived experiences of fathers of a premature baby on a neonatal intensive care unit. J Neonat Nurs. 2011; 17(1):32-40.
16
17. Wigert H, Berg M, Hellström AL. Parental presence when their child is in neonatal intensive care. Scand J Caring Sci. 2010; 24(1):139-46.
17
18. Lindberg B, Axelsson K, Öhrling K. The birth of premature infants: experiences from the fathers’ perspective. J Neonat Nurs. 2007; 13(4):142-9.
18
19. Zargham-Boroujeni A, Mahdavi-Lenji Z, Hasanpour M, Sadeghnia A. Discovering the barriers to spread the usage of peripherally inserted central venous catheters in the neonatal intensive care units: a qualitative research. Iran J Nurs Midwifery Res. 2013; 18(4):259.
19
20. Hynan MT. Supporting fathers during stressful times in the nursery: an evidence-based review. Newborn Infant Nurs Rev. 2005; 5(2):87-92.
20
21. Feeley N, Waitzer E, Sherrard K, Boisvert L, Zelkowitz P. Fathers’ perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit. J Clin Nurs. 2013; 22(3-4):521-30.
21
22. Værland IE, Vevatne K, Brinchmann BS. Fathers’ experience of starting family life with an infant born prematurely due to mothers’ severe illness. Sex Reprod Healthc. 2017; 13:8-13.
22
23. Ekas NV, Whitman TL, Shivers C. Religiosity, spirituality, and socioemotional functioning in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2009; 39(5):706-19.
23
24. Rosenbaum JL, Smith JR, Zollfrank R. Neonatal end-of-life spiritual support care. J Perinat Neonat Nurs. 2011; 25(1):61-9.
24
25. Brelsford GM, Doheny KK. Religious and spiritual journeys: brief reflections from mothers and fathers in a neonatal intensive care unit (NICU). Pastoral Psychol. 2016; 65(1):79-87.
25
26. Heidari H, Hasanpour M, Fooladi M. Stress management among parents of neonates hospitalized in NICU: a qualitative study. J Caring Sci. 2017; 6(1):29-38.
26
ORIGINAL_ARTICLE
Prevalence and Patterns of Congenital Limb Defects in the North of Iran (2007-2011)
Background: Congenital limb defects (CLDs) are the leading cause of disability across the world.CLDsvary depending on the anatomical location, type, and cause of anomaly. The present study aimed to evaluate the prevalence and patterns of CLDs in the North of Iran. Methods: This descriptive-analytical, hospital-based study was conducted in three hospitals in Gorgan, the capital of Golestan Province in the north of Iran. Samples included 32,895 newborns with CLDs, and stillborn neonates were excluded from the study. Data analysis was performed in SPSS version 16 using Chi-square at the significance level of ≤0.05. Results: Overall prevalence ofCLDs was three cases per 1,000 live births, and the rate was estimated at 3.17 and 2.82 cases per 1,000 live births in male and female infants, respectively. In addition, the prevalence of upper- and lower-limb anomalies was 1.03 and 1.91 cases per 1,000 live births, respectively. In terms ofethnicity, the prevalence of CLDs among the native Fars, Turkmen, and Sistani populations was 3.86, 2.02, and 3.85 cases per 1,000 live births, respectively. Clubfoot was the most common type of CLDs, and the most prevalent type of the associated malformationswas gastrointestinal anomalies. Conclusion: According to the results, the prevalence of CLDs in the north of Iran was similar to European countries (2.11-3.18 cases per 1,000 live births), while it was lower compared to the other regions in Iran (5.8 cases per 1,000 live births).
https://ijn.mums.ac.ir/article_10493_c83dd75453ff7df2e3d7edb250c98bd1.pdf
2018-03-01
60
64
10.22038/ijn.2018.23880.1301
Birth defect
Ethnicity
Iran
Limb
Prevalence
Mohammad Jafar
Golalipour
congenital_malformations_rc@yahoo.com
1
Gorgan Congenital Malformations Research Center, Golestan University of Medical Sciences, Gorgan, Iran
LEAD_AUTHOR
Nafiseh
Kaviany
kavianyn@yahoo.com
2
Researcher, Gorgan Congenital Malformations Research Center, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Elaheh
Golalipour
el.golalipour@gmail.com
3
Iran University of Medical sciences, Tehran, Iran
AUTHOR
Arezoo
Mirfazeli
4
Gorgan Congenital Malformations Research Center, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
Naser
Behnampour
behnampour@yahoo.com
5
Department of Public Health, School of Health, Golestan University of Medical Sciences, Gorgan, Iran
AUTHOR
1. Vasluian E, van der Sluis CK, van Essen AJ, Bergman JE, Dijkstra PU, Reinders-Messelink HA, et al. Birth prevalence for congenital limb defects in the northern Netherlands: a 30-year population-based study. BMC Musculoskelet Disord. 2013; 14:323.
1
2. Tayel SM, Fawzia MM, Al-Naqeeb NA, Gouda S, Al Awadi SA, Naguib KK. A morpho-etiological description of congenital limb anomalies. Ann Saudi Med. 2005; 25(3):219-27.
2
3. Makhoul IR, Goldstein I, Smolkin T, Avrahami R, Sujov P. Congenital limb deficiencies in newborn infants: prevalence, characteristicsand prenatal diagnosis. Prenat Diagn. 2003; 23(3):198-200.
3
4. Ekblom AG, Laurell T, Arner M. Epidemiology of congenital upper limb anomalies in 562 children born in 1997 to 2007: a total population study from Stockholm, Sweden. J Hand Surg Am. 2010; 35(11):1742-54.
4
5. Shawky RM, Sadik DI. Congenital malformations prevalent among Egyptian children and associated risk factors. Egypt J Med Hum Genet. 2011; 12(1):69-78.
5
6. Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011; 36(6):1058-65.
6
7. Sarrafan N, Mehdinasab SA, Arastoo L. Evaluation of prevalence of congenital upper & lower extremity abnormalities in neonatal live births in Imam and Razi Hospitals of Ahvaz. Jundishapur Sci Med J. 2011; 10(1):13-9.
7
8. Dolk H, Loane M, Garne E. The prevalence of congenital anomalies in Europe. Adv Exper Med Biol. 2010; 686:349-64.
8
9. Mathias RG, Lule JK, Waiswa G, Naddumba EK, Pirani S. Incidence of clubfoot in Uganda. Can J Public Health. 2010; 101(4):341-4.
9
10. Giele H, Giele C, Bower C, Allison M. The incidence and epidemiology of congenital upper limb anomalies: a total population study. J Hand Surg Am. 2001; 26(4):628-34.
10
11. Sarkar S, Patra C, Dasgupta MK, Nayek K, Karmakar PR. Prevalence of congenital anomalies in neonates and associated risk factors in a tertiary care hospital in eastern India. J Clin Neonatol. 2013; 2(3):131-4.
11
ORIGINAL_ARTICLE
Effects of Feeding Nozzle and Cup Feeding on Reaching the Time of Full Oral Feeding in the Premature Infants in the Neonatal Intensive Care Unit
Background: Oral feeding problems are among the most common issues in preterm infants. Various methods and feeding support tools are used in this regard, such as cup feeding and feeding nozzle. The present study aimed to determine the preferred method between cup feeding and feeding nozzle to support oral feeding in premature neonates. Methods: This clinical trial was conducted on 70 preterm infants with the gestational age of 30-33 weeks in Isfahan, Iran. Infants were divided into two groups of cup feeding and feeding nozzle application. The studied variables were the duration needed to reach the time of full oral feeding, weight changes since birth until full oral feeding, and length of hospital stay. Results: Mean duration to start full oral feeding was 4.03 and 5.1 days in the cup feeding and feeding nozzle groups, respectively (P<0.05). Mean changes in the weight of the neonates since the initiation of oral feeding until full oral feeding was 49.5 grams in the cup feeding group and 89 grams in the feeding nozzle group. Analysis of covariance was performed by adjusting the duration since initiating the intervention until starting full oral feeding, and no significant difference was observed between the groups in this regard (P>0.05). Mean length of hospital stay was 23.1 and 21.9 days in the cup feeding and feeding nozzle groups, respectively (P>0.05). Conclusion: According to the results, the time needed to reach full oral feeding was shorter in the cup feeding group compared to the feeding nozzle group. However, the mean length of hospital stay was two days shorter in the feeding nozzle group compared to the cup feeding group. Therefore, feeding nozzle could be utilized as a supportive method in the feeding of preterm infants.
https://ijn.mums.ac.ir/article_10494_78543d64f4d0655417e9b3bdd6a80edb.pdf
2018-03-01
65
70
10.22038/ijn.2018.26771.1357
Breastfeeding
Enteral feeding
Feeding methods
Infant
Iran
NICU
Premature
Weight gain
Sara
Rahmani
1
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Amir Mohammad
Armanian
2
Division of Neonatology, Department of Pediatrics, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
mahboobeh
namnabati
namnabat@nm.mui.ac.ir
3
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
1. Abdeyazdan Z, Ghassemi S, Marofi M. The effects of earmuff on physiologic and motor responses in premature infants admitted in neonatal intensive care unit. Iran J Nurs Midwifery Res. 2014; 19(2):107.
1
2. Asadollahpour F, Yadegari F, Soleimani F, Younesian S. The effect of Beckman prefeeding oral stimulation program on feeding performance of preterm infants. J Res Rehabil Sci. 2013; 9(4):683-92.
2
3. Younesian SH, Yadegari F, Soleymani F, Karimloo M. Assessment effect of beckman oral stimulation programm on access time to independent oral feeding in preterm infants in neonatal intensive care unit. J Child Neurol Tavanbakhshi. 2010; 11(5):64-70.
3
4. Verklan MT, Walden M. Core curriculum for neonatal intensive care nursing. New York: Elsevier Health Sciences; 2015. P. 192.
4
5. Mousavi SZ, Shahbodaghi MR, Kadivar M, Khosravi N, Mirzazade M. The study of oral feeding disorders incidence in infants in NICU of Tehran University of medical sciences hospitals. J Modern Rehabil. 2015; 9(4):1-7.
5
6. Zamanzadeh V, Namnabati M, Valizadeh L, Badiee Z. Professional's efforts to simultaneously discharge infants and mother fromneonatal intensive care unit in Iran: a qualitative study. J Car Sci. 2013; 2(1):39-45.
6
7. Zamanzadeh V, Namnabati M, Valizadeh L, Badiee Z. Mothers' experiences of infants discharge in Iranian NICU culture: a qualitative study. Adv Neonat Care. 2013; 13(4):E1-7.
7
8. Valizadeh L, Namnabati M, Zamanzadeh V, Badiee Z. Factors affecting infant's transition from neonatal intensive care unit to home: a qualitative study. Iran J Nurs Midwifery Res. 2013; 18(1):71-8.
8
9. Namnabati M, Zamanzadeh V, Valizadeh LV, Nyqvist KH. Theory of infants' transition management from the neonatal intensive care unit to home: a qualitative study. Int J Pediatr. 2017; 5(1):4059-69.
9
10. Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T. Evidence-based systematic review: effects of oral motor interventions on feeding and swallowing in preterm infants. Am J Speech Langouage Path. 2010; 19(4): 321-40.
10
11. Pinelli J, Symington AJ. Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Midirs Midwifery Digest. 2010; 20(4):504.
11
12. Bahaadinzadeh ES. Preterm infant feeding. 1st ed. Tehran: Boshra Publication; 2011.
12
13. Dalal SS, Mishra S, Agarwal R, Deorari AK, Paul VK, Sankar MJ. Feeding behaviour and performance of preterm infants on Paladai feeding. Acta Paediatr. 2013; 102(4):e147-52.
13
14. Alertnative methods of feeding a baby. Unicef. Available at: URL: www.unicef.org.uk; 2008. 15.
14
15. Vakilian R, Haidarzadeh M. Kangaroo mother care. Tehran: Ideh Pardasan Company; 2012.
15
16. Finger feeder for premature infant. Medela. Available at: URL: https://www.medela.com/ breastfeeding-professionals; 2014.
16
17. Cohen J. Statistical power analysis for behavioral sicence. Massachusetts: Academic Press; 1998.
17
18. Yilmaz G, Caylan N, Karacan CD, Bodur I, Gokcay G. Effect of cup feeding and bottle feeding on breastfeeding in late preterm infants: a randomized controlled study. J Hum Lact. 2014; 30(2):174-9.
18
19. Abouelfettoh AM, Dowling DA, Dabash SA, Elguindy SR, Seoud IA. Cup versus bottle feeding for hospitalized late preterm infants in Egypt: a quasi-experimental study. Int Breastfeed J. 2008; 3(1):27.
19
20. Sabrina L. Evaluation of feeding efficiency and spillage in preterm infants during bottle and cup feeding: a randomized controlled trial. J Pediatr Neonat Care. 2017; 6(4):252.
20
21. Marofi M, Abedini F, Mohammadizadeh M, Talakoub S. Effect of palady and cup feeding on premature infants’ weight gain and reaching full oral feeding time interval. Iran J Nurs Midwifery Res. 2016; 21(2):202.
21
ORIGINAL_ARTICLE
Congenital Nephrotic Syndrome: A Cases Report
Congenital nephrotic syndrome (CNS) can be caused by neonatal infections and renal diseases that usually occur in early infancy. The most common CNS is the Finnish type, which is an autosomal recessively inherited disease characterized by intrauterine onset of massive proteinuria. In this study, we presented a preterm neonate confirmed as the first case of CNS in Iran by genetic study, who was admitted to the Neonatal Intensive Care Unit of Imam Reza Hospital, Mashhad, Iran. The patient’s mother had gestational diabetes mellitus and a history of intrahepatic cholestasis of pregnancy. The newborn was hospitalized at birth because of hypoglycemia. Upon admission, repeat seizure, intraventricular hemorrhage, intracerebral hemorrhage, and edema (specific gravity of more than 58 and sever protein urea) were detected. Furthermore, hypoalbuminemia was observed. The result of the blood culture and cerebral spinal fluid culture were negative. In addition, TORCH and venereal disease research laboratory tests were negative. Finally, genetic study showed a mutation in C3250 DUPG.
https://ijn.mums.ac.ir/article_10495_98bc572a7a83f568d625ae2913932960.pdf
2018-03-01
71
74
10.22038/ijn.2018.23557.1290
Albumin
Congenital nephrotic syndrome
Hypoalbuminemia
Saeedreza
Lotfi
srlotfi2007@yahoo.com
1
Neonatal and Maternal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Ashraf
Mohammdzadeh
mohamadzadeha@mums.ac.ir
2
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ahmadshah
Farhat
farhatah@mums.ac.ir
3
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Reza
Saeidi
saeedir@mums.ac.ir
4
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Mirfarhad
Mirmohammadi
5
Neonatal and Maternal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Tryggvason K, Patrakka J, Wartiovaara J. Hereditary proteinuria syndromes and mechanisms of proteinuria. N Engl J Med. 2006; 354(13):1387-401.
1
2. Ovunc B, Ashraf S, Vega-Warner V, Bockenhauer D, Elshakhs NA, Joseph M, et al. Mutation analysis of NPHS1 in a worldwide cohort of congenital nephrotic syndrome patients. Nephron Clin Pract. 2012; 120(3):c139-46.
2
3. Hinkes BG, Mucha B, Vlangos CN, Gbadegesin R, Liu J, Hasselbacher K, et al. Nephrotic syndrome in the first year of life: two thirds of cases are caused by mutations in 4 genes (NPHS1, NPHS2, WT1, and LAMB2). Pediatrics. 2007; 119(4): e907-19.
3
4. Jalanko H, Holmberg C. Congenital nephrotic syndrome. Pediatric nephrology. New York: Springer; 2009. P. 601-19.
4
5. VanDeVoorde R, Witte D, Kogan J, Goebel J. Pierson syndrome: a novel cause of congenital nephrotic syndrome. Pediatrics. 2006; 118(2): e501-5.
5
6. Gipson DS, Massengill SF, Yao L, Nagaraj S, Smoyer WE, Mahan JD, et al. Management of childhood onset nephrotic syndrome. Pediatrics. 2009; 124(2):747-57.
6
7. Schoeb DS, Chernin G, Heeringa SF, Matejas V, Held S, Vega-Warner V, et al. Nineteen novel NPHS1 mutations in a worldwide cohort of patients with congenital nephrotic syndrome (CNS). Nephrol Dial Transplant. 2010; 25(9):2970-6.
7
8. Lee JH, Han KH, Lee H, Kang HG, Moon KC, Shin JI, et al. Genetic basis of congenital and infantile nephrotic syndromes. Am J Kidney Dis. 2011; 58(6):1042-3.
8
9. Kestilä M, Lenkkeri U, Männikkö M, Lamerdin J, McCready P, Putaala H, et al. Positionally cloned gene for a novel glomerular protein--nephrin--is mutated in congenital nephrotic syndrome. Mol Cell. 1998; 1(4):575-82.
9
10. Büscher AK, Kranz B, Büscher R, Hildebrandt F, Dworniczak B, Pennekamp P, et al. Immunosuppression and renal outcome in congenital and pediatric steroid-resistant nephrotic syndrome. Clin J Am Soc Nephrol. 2010; 5(11):2075-84.
10
11. Dagan A, Cleper R, Krause I, Blumenthal D, Davidovits M. Hypothyroidism in children with steroid-resistant nephrotic syndrome. Nephrol Dial Transplant. 2011; 27(6):2171-5.
11
12. Kuusniemi AM, Qvist E, Sun Y, Patrakka J, Rönnholm K, Karikoski R, et al. Plasma exchange and retransplantation in recurrent nephrosis of patients with congenital nephrotic syndrome of the Finnish type (NPHS1). Transplantation. 2007; 83(10):1316-23.
12
13. Hilgers KF, Mann JF. ACE inhibitors versus AT1 receptor antagonists in patients with chronic renal disease. J Am Soc Nephrol. 2002; 13(4):1100-8.
13
14. White CT, Macpherson CF, Hurley RM, Matsell DG. Antiproteinuric effects of enalapril and losartan: a pilot study. Pediatr Nephrol. 2003; 18(10):1038-43.
14
15. Kovacevic L, Reid CJ, Rigden SP. Management of congenital nephrotic syndrome. Pediatr Nephrol. 2003; 18(5):426-30.
15
ORIGINAL_ARTICLE
A Rare Case of Neonatal Hypophosphatasia: A Case Report
Hypophosphatasia is a rare hereditary disorder of bone metabolism.In this article, we presented the case of a male infant with a soft skull and short, deformed limbs at birth, followed by seizures and respiratory distress during admission in the neonatal intensive care unit (NICU). Prenatal ultrasound showed limb hypoplasia, skull hypomineralization, and polyhydramnios. Seizures occurred on day nine of admission. The neonate was intubated after pneumonia on day 12of birth and died due to the same cause and respiratory failure on day 14. Clinical presentation and low alkaline phosphatase (ALP) confirmed the diagnosis of hypophosphatasia. The disorder covers a spectrum of severe neonatal type with severe hypomineralization to various adult types with osteomalacia and dental problems. Prenatal hypophosphatasia is diagnosed based on the clinical signs, including soft skull, short limbs, breathing difficulty, seizures, respiratory distress, laboratory results (low ALP and high pyridoxal 5-phosphate), and radiographic findings (hypomineralization and metaphyseal dysplasia.
https://ijn.mums.ac.ir/article_10496_fe0ff824fc82845c2e7bfbd9bbe3f546.pdf
2018-03-01
75
77
10.22038/ijn.2018.21593.1248
Hypomineralization
Hypophosphatasia
Rickets
Nasim
Pouralizadeh
nasimpouralizadeh@yahoo.com
1
Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Hassan
Boskabadi
boskabadia@mums.ac.ir
2
Department of Neonatology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Gholamali
Mamouri
3
Department of Neonatology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Fraser D. Hypophosphatasia. Am J Med. 1957; 22(5):730-46.
1
2. Martin R, Fanaroff AA, Walsh MC. Fanaroff and Martin's neonatal-perinatal medicine. 10th ed. New York: Elsevier Health Sciences; 2014.
2
3. Kliegman RM, Stanton B, Schor N, Game J, Behrman R. Nelson textbook of pediatrics. 20th ed. New York: Elsevier Health Sciences; 2015.
3
4. Nishioka T, Tomatsu S, Gutierrez MA, Miyamoto K, Trandafirescu GG, Lopez PL, et al. Enhancement of drug delivery to bone: characterization of human tissuenonspecific alkaline phosphatase tagged with an acidic oligopeptide. Mol Genet Metab. 2006; 88(3):244-55.
4
5. Balasubramaniam S, Bowling F, Carpenter K, Earl J, Chaitow J, Pitt J, et al. Perinatal hypophosphatasia presenting as neonatal epileptic encephalopathy with abnormal neurotransmitter metabolism secondary to reduced co-factor pyridoxal-5'-phosphate availability. J Inherit Metab Dis. 2010; 33(Suppl 3): S25-33.
5
6. Gagnon C, Sims NA, Mumm S, McAuley SA, Jung C, Poulton IJ, et al. Lack of sustained response to teriparatide in a patient with adult hypophosphatasia. J Clin Endocrinol Metab. 2010; 95(3):1007-12.
6
7. Van den Bos T, Handoko G, Niehof A, Ryan LM, Coburn SP, Whyte MP, et al. Cementum and dentin in hypophosphatasia. J Dent Res. 2005; 84(11):1021-5.
7
8. Oda K, Kinjoh NN, Sohda M, Komaru K, Amizuka N. Tissue-nonspecific alkaline phosphatase and hypophosphatasia. Clin Calcium. 2014; 24(2):233-9.
8
9. Whyte MP, Greenberg CR, Salman NJ, Bober MB, McAlister WH, et al. Enzyme-replacement therapy in life-threatening hypophosphatasia. N Engl J Med. 2012; 366(10):904-13.
9
10. Whyte MP, Rockman-Greenberg C, Ozono K, Riese R, Moseley S, Melian A, et al. Asfotase Alfa treatment improves survival for perinatal and infantile hypophosphatasia. J Clin Endocrinol. 2015; 101(1):334-42.
10
ORIGINAL_ARTICLE
Transient Hyperammonemia of the Newborn: A Case Study
Background: Transient hyperammonemia of the newborn (THAN) is an overwhelming condition presenting with coma within 2-3 days of life and requiring immediate treatment. The etiology of this condition remains unknown. Duration of coma determines the degree of neurologic impairment and developmental delay in hyperammonemia. Case report: A newborn (BW=2900 g) was presented with a clear prenatal and perinatal medical history, poor sucking, refusal to feed, and deep coma within 72 hours of birth; the infant required ventilator assistance. On admission, physical examinations showed normal conditions, except for mild generalized weakness. Moreover, there was no history of consanguinity or maternal or obstetrics illnesses. However, the laboratory tests revealed marked hyperammonemia (plasma ammonia > 397 μg/dL, normal: 27-102 µg/dl) and elevated lactate (36.1 mg/dl, normal < 20 mg/dl). With aggressive therapy (no dialysis), he survived and was discharged without any complications. The follow-up examinations during the next six months showed that his development was within the normal range without any signs of delay. Conclusion: Hyperammonemia should be considered in infants presenting with neurological deterioration as timely and appropriate intervention could result in good prognosis.
https://ijn.mums.ac.ir/article_10498_885dce8a938139279f88a560c9747a40.pdf
2018-03-01
78
81
10.22038/ijn.2018.24515.1311
Hyperammonemic coma
inborn error of metabolism
Newborn
Transient hyperammonemia
Amir Kamal
Hardani
hardanikamal@gmail.com
1
Department of Pediatrics, Abuzar Children’s Hospital, Pasdaran Blvd, Ahvaz, Iran
LEAD_AUTHOR
Majid
Aminzadeh
2
Department of Pediatrics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
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