Journal of Pediatric Perspectives

Comparison of Blood Lead Concentration in Opium-Addicted and Non-Addicted Children in Birjand, East of Iran

Tayebeh Chahkandi; Mahdieh Hamzehnezhad; Bita Bijari; Omid Mehrpour; Alireza Amirabadizadeh

Volume 9, Issue 6 , June 2021, , Pages 13833-13841

https://doi.org/10.22038/ijp.2020.49990.3989

Abstract

Background Lead-contaminated opium is a new source of lead in the region that children can be exposed to. The acceptable blood lead concentration (BLC) in children is 5 μg/dl, and ... Read More

Assessment of the Blood Lead Level in Children with Unexplained Failure to Thrive (FTT) admitted to Pediatrics Emergency Ward of Ghaem Hospital, Mashhad, Iran

Simin Torabian; Mohammad Ali Kiani; Alizadeh Ghamsari Anahita; Seyed Ali Jafari; Masumeh Saeidi; Ali Khakshour; Seyed Javad Sayedi; Hamidreza Kianifar

Volume 7, Issue 3 , March 2019, , Pages 9181-9187

https://doi.org/10.22038/ijp.2018.36734.3200

Abstract

BackgroundLead is a strong and stable toxin, harmful especially to children, pregnant women, and the elderly. Nearly 27% of children aged under 5 years suffer from failure to thrive ... Read More

Radioprotection to the Gonads in Pediatric Pelvic Radiography: Effectiveness of Developed Bismuth Shield

Vahid Karami; Mansour Zabihzadeh; Nasim Shams; Mehrdad Golami

Volume 5, Issue 6 , June 2017, , Pages 5153-5166

https://doi.org/10.22038/ijp.2017.23116.1939

Abstract

Background: The use and effectiveness of traditional lead gonad shields in pediatric pelvic radiography has been challenged by several literatures over the past two decades. The aim ... Read More Background: The use and effectiveness of traditional lead gonad shields in pediatric pelvic radiography has been challenged by several literatures over the past two decades. The aim of this study was to develop a new radioprotective gonad shields to be use in pediatric pelvic radiography. Materials and Methods: The commercially available 0.06 mm lead equivalent bismuth garment has cropped squarely and used as ovarian shield to cover the entire region of pelvis. In order to prevent deterioration of image quality due to beam hardening artifacts, a 1-cm foam as spacer was located between the shield and patients pelvis. Moreover, we added a lead piece at the cranial position of the bismuth garment to absorb the scatter radiations to the radiosensitive organs. In girls, 49 radiographs with shield and 46 radiographs without shield was taken. The radiation dose was measured using thermoluminescent dosimeters (TLDs). Image quality assessments were performed using the European guidelines. For boys, the lead testicular shields was developed using 2 cm bismuth garment, added to the sides. The prevalence and efficacy of testicular shields was assessed in clinical practice fromFebruary 2016 to June 2016. Results: Without increasing the dose to the breast, thyroid and the lens of the eyes, the use of bismuth shield has reduced the entrance skin dose(ESD) of the pelvis and radiation dose to the ovaries by 62.2% and 61.7%, respectively (P<0.001). Image quality remained diagnostically acceptable in all shielded and non-shielded images, without non-diagnostic or poor quality image. In boy patients, the prevalence of shielding in lead and developed testicular shields were obtained 63.25% and 19.74%, respectively; the accuracy positioning of the shield 90% and 34%, as well as. Conclusion: The ovarian shield designed in this study has significantly reduced the radiation dose to the ovaries without adversely affecting diagnostically image quality. The testicular shield has improved the accuracy positioning of the shield. These developed shields have potential to be use in clinical practice.

Journal of Pediatric Perspectives

Articles in Press

Current Issue

Volume 12 (2024)

Volume 11 (2023)

Volume 10 (2022)

Volume 9 (2021)

Volume 8 (2020)

Volume 7 (2019)

Volume 6 (2018)

Volume 5 (2017)

Volume 4 (2016)

Volume 3 (2015)

Volume 2 (2014)

Volume 1 (2013)

Keywords = Lead

Comparison of Blood Lead Concentration in Opium-Addicted and Non-Addicted Children in Birjand, East of Iran

Abstract

Assessment of the Blood Lead Level in Children with Unexplained Failure to Thrive (FTT) admitted to Pediatrics Emergency Ward of Ghaem Hospital, Mashhad, Iran

Abstract

Radioprotection to the Gonads in Pediatric Pelvic Radiography: Effectiveness of Developed Bismuth Shield

Abstract