<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Pediatric Perspectives</title>
			<title_fa></title_fa>
			<short_title>JPP; J Ped Perspect</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://jpp.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn></journal_id_issn>
			<journal_id_issn_online>3060-7205</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>11</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>11</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>CAKUT Conundrums: Tailoring Kidney Transplants for Congenital Anomalies in Kids</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>letter to the editor</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Congenital Anomalies of the Kidney and Urinary Tract (CAKUT) represent a spectrum of structural malformations present at birth, affecting approximately 4.2 to 1000 per 10,000 births worldwide. These include conditions such as posterior urethral valves (PUV), vesicoureteral reflux (VUR), renal hypoplasia, and neurogenic bladder (NGB), which collectively account for nearly half of end-stage renal disease (ESRD) cases in children. CAKUT disrupts normal renal development and urinary flow, leading to progressive chronic kidney disease (CKD) and often necessitating kidney transplantation (KTx) as the optimal renal replacement therapy. While pediatric KTx offers superior outcomes compared to dialysis, including improved growth and quality of life, children with CAKUT face unique conundrums due to underlying anatomical and functional abnormalities. These challenges complicate surgical procedures, elevate post-transplant risks, and demand tailored multidisciplinary strategies. Tailoring kidney transplants for CAKUT in children navigates a labyrinth of anatomical, functional, and infectious pitfalls through rigorous evaluation, adaptive surgery, and vigilant post-op care. This multidisciplinary approach not only salvages grafts but also elevates quality of life, though prospective studies are imperative to refine protocols and resolve lingering conundrums. As pediatric nephrology evolves, addressing these congenital anomalies promises brighter futures for affected kids.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>CAKUT, Congenital anomalies, Kidney Transplants, Kids</keyword>
				<start_page>19747</start_page>
				<end_page>19750</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27023.html</web_url>
			<author_list><author>
				<first_name>Iman</first_name>
				<middle_name></middle_name>
				<last_name>Nosratabadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nosratabadi.iman@yahoo.com</email>
				<code>118633</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Nursing, Faculty of Nursing and Midwifery, Sirjan University of Medical Sciences, Sirjan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Abdollahi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rezaabdollahi97@yahoo.com</email>
				<code>118634</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Patient Safety Research Center, Clinical Research Institute, Nursing &amp; Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Community Nursing Care in Meeting Nutritional Needs of Food-Insecure Families with Stunted Toddlers in Rural Areas of Indonesia</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Families in rural areas face a high risk of having stunted toddlers, often exacerbated by household food insecurity (HFI), which prevents adequate nutritional intake. This study aims to identify the fundamental principles of community nursing care to address food insecurity for family nutritional fulfillment and tackle specific and sensitive stunting issues in toddlers.Methods: This two-year mixed-methods study will involve families with stunted toddlers in rural Indonesia. In the first year, qualitative exploration (in-depth interviews and focused group discussions (FGD)) to identify precipitating, supporting, and reinforcing factors of stunting, HFI, and household food resilience. Quantitative analysis will identify HFI (using the Food Insecurity Experience Scale (FIES-9)), dietary diversity (FAO 2013 24/48-hour and 7-day recall), and stunting parameters (length/height, weight via WHO Anthro plus Z-score). The findings the first year will guide the development of community nursing care principles. The second year will involve testing these principles through a quasi-experimental trial, integrating health promotion and family assessment theories through family-based, Posyandu, and Puskesmas interventions for growth monitoring. Data will be analyzed using paired t-test and independent t-tests.Results: The research aim to establish basic principles of community nursing care for addressing HFI, dietary diversity, and improving family nutrition in stunted toddlers in rural areas, supported by health promotion and family assessment theories.Conclusions: This study seeks to define specific and sensitive community nursing care principles for addressing HFI and ensuring nutritional fulfillment in stunted toddlers in rural settings, guided by health promotion and family assessment theory.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Community nursing, Family, Food insecurity, Rural, Stunting</keyword>
				<start_page>19751</start_page>
				<end_page>19767</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27049.html</web_url>
			<author_list><author>
				<first_name>Tantut</first_name>
				<middle_name></middle_name>
				<last_name>Susanto</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>tantut_s.psik@unej.ac.id</email>
				<code>118752</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Community, Family &amp; Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hanny</first_name>
				<middle_name></middle_name>
				<last_name>Rasni</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hanny_r.psik@unej.ac.id</email>
				<code>118753</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community, Family &amp; Geriatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Emi</first_name>
				<middle_name>Wuri</middle_name>
				<last_name>Wuryaningsih</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>emi_wuri.psik@unej.ac.id</email>
				<code>118754</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychiatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Eka</first_name>
				<middle_name>Afdi</middle_name>
				<last_name>Septiyono</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>eka.psik@unej.ac.id</email>
				<code>118755</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Nursing, Faculty of Nursing, Universitas Jember, Jember, Indonesia.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Relation of Executive Function Problems with Severity of ADHD Symptoms</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Attention Deficit Hyperactivity Disorder (ADHD) affects 7.2% of school-aged children. Affected children have been reported to show a range of executive function (EF) problems. This study investigated problems in different aspects of executive function and their relationships with the severity of attention deficit (AD) and hyperactivity symptoms (HS) in primary school children with ADHD.Methods: In this cross-sectional study, 104 children with ADHD were recruited from schools based on the Vanderbilt test, which was administered by teachers for those who seemed to be inattentive or overactive in class. The executive function of participants was measured by BRIEF-2 and the prevalence of clinical deficits in different executive function domains and components was calculated. Additionally, correlations between EF scores and each of the “AD” and “HS” scores were examined using the Pearson correlation test.Results: Among the 9 executive function components  measured by BRIEF-2, clinical deficits in “Initiation” (44%), “Working memory” (42%) and “Shifting” (41%) were most commonly seen, while clinical deficits in the “Plan/Organize” function were least common (10.1%) in children with ADHD. Each of the “Cognitive”, “Emotional” and “Behavioral” regulation index scores fell within the clinical-deficit range for approximately 31.7% to 35.6% of children with ADHD. The “Self-monitor” (r=0.334) and “Emotion control” (r=0.527) problems were correlated only with hyperactivity severity, whereas “Initiation” (r=0.416) and “Working memory” (r=0.528) problems were only correlated with AD symptom severity.Conclusion: Children with ADHD form a heterogeneous group in terms of the type of executive-function problem. The severity of each group of “Attention deficit” and “Hyperactivity” symptoms is correlated to problems in different types of executive-function.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>ADHD, Executive functions, Emotion, initiation, Organization</keyword>
				<start_page>19768</start_page>
				<end_page>19779</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27055.html</web_url>
			<author_list><author>
				<first_name>Termeh</first_name>
				<middle_name></middle_name>
				<last_name>Davtalabzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>termeh079@gmail.com</email>
				<code>118787</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology and Education of Exceptional Children, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nikta</first_name>
				<middle_name></middle_name>
				<last_name>Hatamizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nikta_h@yahoo.com</email>
				<code>118788</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Psychology and Education of Exceptional Children, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. |Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narges</first_name>
				<middle_name></middle_name>
				<last_name>Adibsereshky</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>n.adib@hotmail.com</email>
				<code>118789</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology and Education of Exceptional Children, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Samaneh</first_name>
				<middle_name></middle_name>
				<last_name>Hosseinzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hosseinzadeh.sam@gmail.com</email>
				<code>118790</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Exploring the Impact of Educational Interventions on Improving Self-care in Children with Type 1 Diabetes: A Narrative Review</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>review article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Managing type 1 diabetes in pediatric patients requires ongoing self-management to maintain glycemic control and reduce the risk of complications. This review aims to evaluate the impact of educational interventions on enhancing self-care among children diagnosed with type 1 diabetes. The analysis of relevant studies indicates that structured educational programs, particularly those involving family engagement, integration of advanced technologies, and implementation within school environments, significantly contribute to heightened awareness, improved self-care practices, and more effective blood glucose regulation. These findings highlight the critical need to develop educational strategies tailored to the developmental stage and psychological characteristics of children, offering valuable guidance for both clinical management and educational policy development.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Children, Education, Narrative review, self-care, Type 1 diabetes</keyword>
				<start_page>19780</start_page>
				<end_page>19787</end_page>
				<web_url>https://jpp.mums.ac.ir/article_26894.html</web_url>
			<author_list><author>
				<first_name>Sara</first_name>
				<middle_name></middle_name>
				<last_name>Amini</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aminisara@gmail.com</email>
				<code>118068</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, Mashhad University of Medical Science, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mojtaba</first_name>
				<middle_name></middle_name>
				<last_name>Lotfi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>lotfi.m6262@gmail.com</email>
				<code>118069</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit of Akbar Hospital , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mehrnaz</first_name>
				<middle_name></middle_name>
				<last_name>Nazari Rad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nazarirad@gmail.com</email>
				<code>118070</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit of Akbar Hospital , Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jalal</first_name>
				<middle_name></middle_name>
				<last_name>Nourmohammadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jalal_nurse@yahoo.com</email>
				<code>118071</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Student Research Committee, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Comparison of Efficacy and Safety of Phenobarbital and Levetiracetam in the Treatment of Neonatal Seizures: A Systematic Review and Meta-Analysis (2000-2024)</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>review article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: To evaluate the efficacy and safety of phenobarbital versus levetiracetam as first-line treatments for neonatal seizures by synthesizing evidence from randomized controlled trials (RCTs) published between 2000 and 2024.Methods: A comprehensive literature search was conducted across Medline, Embase, Web of Science, Scopus, and Cochrane Library for RCTs published from January 1, 2000, to December 31, 2024. RCTs comparing phenobarbital and levetiracetam as first-line antiseizure medications (ASMs) in neonates (0–28 days) were included. The primary outcome was seizure control, defined as seizure freedom within 24 hours of treatment initiation. Secondary outcomes included adverse effects (e.g., hypotension, respiratory depression, depressed sensorium), mortality, and neurodevelopmental outcomes. Data were extracted by two independent reviewers, and a random-effects meta-analysis was performed to account for heterogeneity, with relative risks (RR) and 95% confidence intervals (CI) calculated. The Risk of Bias version 2 tool assessed study quality.Results: Eleven RCTs involving 821 neonates, primarily term infants with hypoxic-ischemic encephalopathy (HIE), were included. Meta-analysis showed no significant difference in seizure control between phenobarbital and levetiracetam (RR 1.11, 95% CI 0.79–1.54, I²=88%). Levetiracetam was associated with a significantly lower incidence of adverse effects, including hypotension (RR 0.28, 95% CI 0.09–0.86), respiratory depression (RR 0.36, 95% CI 0.19–0.66), and depressed sensorium (RR 0.52, 95% CI 0.27–1.00). Limited data on neurodevelopmental outcomes suggested potential benefits with levetiracetam, but evidence was inconclusive. Mortality rates were similar between groups.Conclusion: Phenobarbital and levetiracetam demonstrate comparable efficacy in controlling neonatal seizures, but levetiracetam offers a superior safety profile with fewer adverse effects.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Efficacy, Safety, Phenobarbital, Levetiracetam</keyword>
				<start_page>19789</start_page>
				<end_page>19793</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27024.html</web_url>
			<author_list><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Saeidi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>saeeidir@mums.ac.ir</email>
				<code>118636</code>
				<coreauthor>No</coreauthor>
				<affiliation>Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahboobe</first_name>
				<middle_name></middle_name>
				<last_name>Gholami</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>gholamim26279@gmail.com</email>
				<code>118635</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ahmad</first_name>
				<middle_name></middle_name>
				<last_name>ShahFarhat</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>farhats1@mums.ac.ir</email>
				<code>118637</code>
				<coreauthor>No</coreauthor>
				<affiliation>Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>From Itching to Poisoning: The Deadly Cost of Misguided Pest Control in Iran’s Households, A Case Report</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>case report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Pediculosis, or lice infestation caused by Pediculus humanus capitis, is a common parasitic condition affecting children worldwide, including in Iran. This case report focuses on a 3-year-old girl who experienced acute organophosphate poisoning due to the misuse of an organophosphate pesticide for treating pediculosis.Case Presentation: The child&#039;s mother applied an organophosphate spray (Diazinon) to the child&#039;s scalp to treat the lice infestation. Within minutes of application, the child began exhibiting symptoms of poisoning, leading to her hospitalization in the emergency department. Upon arrival, the child was evaluated for vital signs and clinical symptoms, including excessive sweating, shortness of breath, nausea, and increased salivation. The treatment regimen included the administration of atropine, pralidoxime, and supportive care. On clinical examination, the child&#039;s vital signs were stable. However, laboratory tests revealed significantly low cholinesterase levels. The serum cholinesterase level was 1200 IU/lit (normal range &gt; 4000 IU/lit), and the RBC cholinesterase level was 0.7 IU/lit (normal range &gt; 4 IU/lit). These findings confirmed the diagnosis of organophosphate poisoning. The child was treated with atropine, pralidoxime, and supportive management, and after 48 hours, her condition improved, and she was discharged in stable health.Conclusion: This case report highlights the serious consequences of improper use of chemical pesticides, especially in households without adequate knowledge or access to proper medical facilities. The report emphasizes the importance of safe treatment options for pediculosis, such as topical permethrin, and calls for greater awareness and education on the risks associated with misusing harmful chemicals. Effective management of pediculosis should involve safe, accessible treatment alternatives and targeted educational efforts to prevent the misuse of dangerous substances in the home.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Children, Cholinesterase, Organophosphate, Poisoning, pesticide safety</keyword>
				<start_page>19794</start_page>
				<end_page>19797</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27080.html</web_url>
			<author_list><author>
				<first_name>Anahita</first_name>
				<middle_name></middle_name>
				<last_name>Alizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alizadeha@mums.ac.ir</email>
				<code>118904</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Clinical Toxicology, MTRC (Medical Toxicology Research Center), Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nafiseh</first_name>
				<middle_name></middle_name>
				<last_name>Pourbadakhshan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>pourbadakhshann@mums.ac.ir</email>
				<code>118905</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>