Journal of Pediatric Perspectives

A Comparison Study of the norms of Tehran and Iran in the Performance of 1-42-month-old children on the Bayley Scale

Farin Soleimani; Adis Kraskian; Mehdi Noroozi; Ali khakshour; Nadia Azari

Volume 10, Issue 2 , February 2022, , Pages 15426-15438

https://doi.org/10.22038/ijp.2021.57436.4509

Abstract

Rehabilitation Sciences, Tehran, Iran. AbstractBackground: There is a wide variety of sociocultural and environmental background characteristics in different geographical places ... Read More

The Effect of Cognitive Flexibility Training on Reduction of Cognitive Problems in Adolescents with Intellectual Disabilities

Parisa Rostambegyi; Seyede Zahra Ghaemi; Ali Khakshour; Sedigheh Yeganeh; Zohreh Abbasi; Salar Poorbarat

Volume 9, Issue 8 , August 2021, , Pages 14254-14265

https://doi.org/10.22038/ijp.2020.51136.4059

Abstract

Background: Children and adolescents with intellectual disabilities are the most challenging groups of individuals among exceptional people. In this regard, the main responsibility ... Read More

Acute Disseminated Encephalomyelitis (ADEM) in Children: A Case Report

Koroush Yousefi; Ali Khakshour; Zohreh Abbasi; Mostafa Soodmand; Salar Poorbarat

Volume 9, Issue 3 , March 2021, , Pages 13161-13165

https://doi.org/10.22038/ijp.2020.51207.4067

Abstract

Acute Disseminated Encephalomyelitis (ADEM) is an inflammatory disease that causes demyelination and affects the white matter of the brain and spinal cord through an immune response. ... Read More

Effect of Gastric Acid Suppressant Prophylaxis on Incidence of Gastrointestinal Bleeding in Pediatric Intensive Care Unit

Tahoora Abdollahi; Alireza Sabzevari; Ali Khakshour; Alireza Ataiee Nakhaie; Majid Sezavar; Toktam Etezadie; hamidreza kianifar; Seyed Ali Jafari; Mohammad Ali Kiani

Volume 4, Issue 11 , November 2016, , Pages 3917-3924

https://doi.org/10.22038/ijp.2016.7315

Abstract

Background: Critically ill children admitted to pediatric intensive care unit (PICU) are at increased risk of gastrointestinal bleeding due to stress related mucosal injury. Reducing ... Read More Background: Critically ill children admitted to pediatric intensive care unit (PICU) are at increased risk of gastrointestinal bleeding due to stress related mucosal injury. Reducing gastric acid by acid suppressant medication is the accepted prophylaxis treatment, but there is not any definitive guideline for using prophylaxis in PICU patients. The present study aimed to assess the effect of Proton Pump Inhibitor (PPI) and H2 Blocker (H2B) prophylaxis on gastrointestinal bleeding in admitted patients of PICU, Mashhad- Iran.Materials and Methods: In this study, 100 patients admitted in PICU divided into two equal groups on the first day of admission. They received ranitidine or pantoprazole as prophylaxis of stress ulcer. Those patients who had history of gastrointestinal bleeding or coagulation disorder were excluded. 100 PICU patients who had not received prophylaxis during last 6 months retrospectively evaluated as control of the study. Data were collected as demographic characteristics, admission reason, definitive diagnosis, receiving corticosteroid and mechanical ventilation in each patient. Gastrointestinal bleeding (hematemesis, coffee ground aspirate, and melena) and clinically significant gastrointestinal bleeding were daily monitored. Data analyzed through descriptive statistical tests, Chi-square, logistic regression, t-test and using SPSS-16 software.Results: Among 204 patients (control group=105 and case group=99), incidence of gastrointestinal bleeding (GB) was 13.2% in which 6.9% of cases presented with clinically significant gastrointestinal bleeding (CSGB). Loss of consciousness and respiratory distress were the main reason of admission. There was no significant differences between the incidence of (GB) and (CSGB) in experimental and control groups (P>0.05) as well as ranitidine and pantoprazole prophylaxis (P>0.05). Significant risk factors of (GB) were mechanical ventilation and loss of consciousness and corticosteroid therapy.Conclusion: There is ambiguity about probable benefits of gastrointestinal bleeding prophylaxis in critically ill children. We proposed that prophylaxis should prescribe in patients with two or more risk factors of gastrointestinal bleeding.

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Author = Ali Khakshour

A Comparison Study of the norms of Tehran and Iran in the Performance of 1-42-month-old children on the Bayley Scale

Abstract

The Effect of Cognitive Flexibility Training on Reduction of Cognitive Problems in Adolescents with Intellectual Disabilities

Abstract

Acute Disseminated Encephalomyelitis (ADEM) in Children: A Case Report

Abstract

Effect of Gastric Acid Suppressant Prophylaxis on Incidence of Gastrointestinal Bleeding in Pediatric Intensive Care Unit

Abstract