<?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>2026</year>
				<month>1</month>
				<day>1</day>
			</pubdate>
			<volume>14</volume>
			<number>1</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>Complementary Feeding Practices in Mexico Vary According to Medical Experience and Family History of Atopy</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: Complementary feeding (CF) practices continue to be a topic of debate .This study aims to analyze pediatricians&#039; CF practices for infants in Mexico based on their years of experience and family history of atopy.Methods: Members of a pediatrics association completed an online survey regarding CF practices. Pediatricians were divided into two groups based on their years of medical practice (&lt;10 and ≥10 years). Simple and multivariate correspondence analyses were conducted.Results: A total of 133 pediatricians participated, with 60% being women, a mean age of 48.3 years, and an average medical practice experience of 19.8 years. The recommended first food for infants varied based on years of pediatric practice: &quot;meat&quot; or &quot;no preference&quot; (0–10 years), &quot;fruits&quot; (21–30 years), and &quot;vegetables&quot; (≥21 years) (p = 0.017). In terms of who should decide the order of food introduction responses were &quot;the family&quot; (0–10 years) or &quot;the pediatrician&quot; (≥21 years) (p = 0.004). Pediatricians in public healthcare primarily recommended introducing one new food every two days (p = 0.007). Multivariate analyses revealed that having ≥ 10 years of experience was positively associated with recommending fruits as the first food to introduce (OR = 3.5, 95% CI: 1.56–7.93, p = 0.002) and negatively associated with recommending meat as the first food (OR = 0.26, p = 0.014).]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Complementary Feeding, Infant, Pediatrics, weaning</keyword>
				<start_page>19848</start_page>
				<end_page>19860</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27410.html</web_url>
			<author_list><author>
				<first_name>Tonatiuh</first_name>
				<middle_name>Ramses</middle_name>
				<last_name>Bedolla-Pulido</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>ramsesbedolla@gmail.com</email>
				<code>120397</code>
				<coreauthor>No</coreauthor>
				<affiliation>Servicio de Pediatría, Nuevo Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”. Guadalajara, México.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Carlos</first_name>
				<middle_name></middle_name>
				<last_name>Meza-López</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>pedmeza70@hotmail.com</email>
				<code>120398</code>
				<coreauthor>No</coreauthor>
				<affiliation>Servicio de Pediatría, Nuevo Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”. Guadalajara, México.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jaime</first_name>
				<middle_name></middle_name>
				<last_name>Morales-Romero</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>jaimemrom@gmail.com</email>
				<code>120399</code>
				<coreauthor>No</coreauthor>
				<affiliation>Instituto de Salud Pública, Universidad Veracruzana. Xalapa, México.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Christopher</first_name>
				<middle_name>William</middle_name>
				<last_name>Herrick-Ramos</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>herrickrcw@gmail.com</email>
				<code>120400</code>
				<coreauthor>No</coreauthor>
				<affiliation>Servicio de Pediatría, Hospital Civil de Guadalajara Fray Antonio Alcalde. Guadalajara, México.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Andrea</first_name>
				<middle_name>Samari</middle_name>
				<last_name>Aguirre-Sahagún</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>aguirre.sahagun.andrea.samari@gmail.com</email>
				<code>120401</code>
				<coreauthor>No</coreauthor>
				<affiliation>Servicio de Pediatría, Nuevo Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”. Guadalajara, México.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Martín</first_name>
				<middle_name></middle_name>
				<last_name>Bedolla-Barajas</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>drmbedbar@gmail.com</email>
				<code>120396</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Servicio de Alergia e Inmunología Clínica, Nuevo Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”. Guadalajara, México.</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>Evaluating the Timing of Gluten Introduction into Infant’s Diet and Other Influential Factors in Children with Celiac Disease</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: Gluten is recognized as the main causative factor of celiac disease (CD), affecting many children worldwide.Objective: This study aimed to assess the potential relationship between the timing of gluten introduction into infants’ diet and other influential factors in children diagnosed with CD.Methods: This descriptive-analytical cross-sectional study was conducted from January 2016 to 2022 and included all patients, aged 1-18 years, who were referred to our hospital over this 6-year period. Patients had a confirmed diagnosis of CD. Patient hospital records were retrospectively reviewed, and the investigated variables included patients’ age, gender, mode of delivery, infant feeding mode, and timing of introducing gluten into their diet. A P-value &lt;0.05 was considered statistically significant.Results: A total of 155 children, comprising 101 (65.2%) girls and 54 (34.8%) boys, met the inclusion criteria. Patient age ranged from 1 to 17 years (mean: 9.68 ± 4.03 years). The average duration of breastfeeding was 23.14 ± 2.2 months. Most patients were born through vaginal delivery (57.4%) and were exclusively breastfed without any supplementary milk (67.7%). The majority of children (59.4%) had a timely introduction of gluten into their diet. There was no statistically significant correlation between the timing of gluten introduction and the other investigated variables (P &gt; 0.05 for all).Conclusion: Within this cohort of children with confirmed celiac disease, the timing of gluten introduction was not associated with the measured early-life factors. Prospective studies with non-celiac controls are needed to clarify potential causal relationships.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Breast milk, Cesarean section, Celiac, Gluten</keyword>
				<start_page>19861</start_page>
				<end_page>19868</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27378.html</web_url>
			<author_list><author>
				<first_name>Houra</first_name>
				<middle_name></middle_name>
				<last_name>Vaziri</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>vazirihoura@yahoo.com</email>
				<code>120260</code>
				<coreauthor>No</coreauthor>
				<affiliation>Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saeed</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadi</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>drsaeedmohammadi75@gmail.com</email>
				<code>120261</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Marefat</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>marefat4011@mums.ac.ir</email>
				<code>120262</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Jafari</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>jafaria@mums.ac.ir</email>
				<code>120263</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamidreza</first_name>
				<middle_name></middle_name>
				<last_name>Kianifar</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>kianifarhr@mums.ac.ir</email>
				<code>120264</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadali</first_name>
				<middle_name></middle_name>
				<last_name>Kiani</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>kianima@mums.ac.ir</email>
				<code>120265</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Khalesi</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>khalesim@mums.ac.ir</email>
				<code>120266</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Farzane</first_name>
				<middle_name></middle_name>
				<last_name>Ghanei Zare</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>ghaneif2@mums.ac.ir</email>
				<code>120267</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Geriatric Nursing, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnourd, 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 Diagnostic Value of Procalcitonin and C-reactive Protein in the Diagnosis of Sepsis in Preterm Neonates: A Systematic Review and Meta-Analysis (2000-2025)</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>systematic review</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Background: Sepsis remains a leading cause of morbidity and mortality in preterm neonates. Early and accurate diagnosis is crucial for timely intervention. Procalcitonin (PCT) and C-reactive protein (CRP) are commonly used biomarkers for diagnosing neonatal sepsis, but their comparative diagnostic value in preterm neonates is not fully established.Methods: We conducted a systematic review and meta-analysis of studies published between 2000 and 2025 evaluating the diagnostic accuracy of PCT and CRP for sepsis in preterm neonates. Databases searched included PubMed, Web of Science, and Scopus. Studies were included if they reported sensitivity, specificity, or area under the curve (AUC) for PCT and/or CRP in preterm neonates (&lt;37 weeks gestational age) with suspected or confirmed sepsis. Diagnostic odds ratios (DOR), pooled sensitivity, specificity, and AUC were calculated using random-effects models. Heterogeneity was assessed with I² statistics.Results: Twelve studies involving 1,842 preterm neonates (678 with confirmed sepsis) met inclusion criteria. Pooled sensitivity and specificity across all studies were 0.81 (95% CI: 0.75–0.86) and 0.85 (95% CI: 0.80–0.89) for PCT, and 0.78 (95% CI: 0.72–0.83) and 0.82 (95% CI: 0.77–0.86) for CRP. Overall AUC values were 0.88 for PCT and 0.83 for CRP. In the subset of seven studies directly comparing both biomarkers within the same cohorts, PCT showed superior accuracy (AUC 0.86 vs. 0.80, p=0.04). Subgroup analysis revealed higher diagnostic accuracy of PCT in LOS (AUC 0.89 vs. 0.82 for CRP).Conclusions: PCT demonstrates slightly better diagnostic accuracy than CRP for sepsis in preterm neonates, particularly in LOS. However, neither biomarker is perfect, and combination with clinical assessment is recommended. Further studies with standardized cut-offs are needed.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>C-reactive protein, Neonatal sepsis, Procalcitonin, Preterm neonates</keyword>
				<start_page>19869</start_page>
				<end_page>19879</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27315.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>saeidi@sbmu.ac.ir</email>
				<code>119941</code>
				<coreauthor>Yes</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>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Kordkatouli</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>mohammad.kordkatouli@iau.ir</email>
				<code>119942</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Genetics, Faculty of Advanced Sciences and Technology, TeMS.C, Islamic Azad University, 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>Aesthetic Knowing in Pediatrics Nursing: A Philosophical 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[Aesthetic knowing represents a fundamental yet underexplored pattern of nursing knowledge, emphasizing meaning, interpretation, and relational engagement in care. In pediatric nursing, where children often communicate illness experiences through nonverbal and symbolic behaviors, empirical indicators alone may fail to capture the depth of these encounters. This philosophical narrative review sought to clarify the philosophical foundations of aesthetic knowing in pediatric care, delineate its conceptual dimensions, and explore its implications for practice and education. Drawing upon Dewey’s aesthetic theory, Gadamer’s hermeneutics, and Merleau-Ponty’s philosophy of embodiment, a comprehensive search across nursing, health sciences, and philosophical databases identified theoretical and conceptual sources relevant to aesthetic knowing and child nursing. Sixteen key publications were synthesized using an interpretive thematic approach. The findings conceptualize aesthetic knowing as an embodied, situational, and relational mode of understanding that enables pediatric nurses to interpret children’s lived experiences and respond ethically to vulnerability. It emerges not as mere intuitive empathy, but as a disciplined epistemological stance bridging ethics and interpretation in clinical practice. The integration of aesthetic knowing into pediatric nursing education and reflective practice may foster interpretive competence, enhance empathic responsiveness, and ultimately strengthen child-centered, humanistic care. This review contributes a clearer philosophical and practical framework for recognizing aesthetic knowing as a vital source of clinical wisdom in pediatric nursing.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Aesthetic Knowing, Nursing, Pediatrics, Philosophy</keyword>
				<start_page>19880</start_page>
				<end_page>19888</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27411.html</web_url>
			<author_list><author>
				<first_name>Fariba</first_name>
				<middle_name></middle_name>
				<last_name>Yaghoubinia</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>yaghoobinia44@gmail.com</email>
				<code>120402</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Nursing, Community Nursing Research Center, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, 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>120403</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>Accidental Ingestion of a Sharp Metallic Object in a Young Child: 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: Accidental ingestion of sharp metallic objects in children can lead to mucosal injury, penetration, or perforation. Management depends on the object’s location, symptom severity, and progression on serial imaging.Case Presentation: A 4-year-old boy presented with painful defecation and non-bloody stools. Caregiver history indicated ingestion of a sharp metal pin from a hairbrush about two weeks prior. Vital signs were stable, and no signs of peritonitis were observed. Plain radiography revealed a sharp radiopaque foreign body in the pelvis. A rectosigmoidoscopy without bowel preparation did not visualize the object. The patient was closely monitored with serial examinations and radiographs. As the foreign body did not pass and remained fixed on imaging, abdominopelvic computed tomography (CT) was performed, showing a metallic-density foreign body adjacent to the distal rectum with surrounding edema/stranding, raising concern for possible penetration. The patient underwent exploratory laparotomy, and the pin was removed from the rectum with extension into surrounding pelvic tissue. He recovered without documented complications.Conclusion: A sharp metallic foreign body with a fixed location on serial imaging, especially in a symptomatic child, should prompt early escalation to cross-sectional imaging and surgical consultation to prevent delayed penetration or perforation.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Endoscopic Removal, Foreign Body Ingestion, Pediatric emergency, Sharp metallic object</keyword>
				<start_page>19889</start_page>
				<end_page>18894</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27364.html</web_url>
			<author_list><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Marefat</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>marefat4011@mums.ac.ir</email>
				<code>120179</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saeed</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadi</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>drsaeedmohammadi75@gmail.com</email>
				<code>120180</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Farzane</first_name>
				<middle_name></middle_name>
				<last_name>Ghanei Zare</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>ghaneif2@mums.ac.ir</email>
				<code>120181</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Geriatric Nursing, Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnourd, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Jafari</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>jafaria@mums.ac.ir</email>
				<code>120182</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, 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>A Small Bowel Phytobezoar in a Child with Down Syndrome: Partial Response to Ultrasound-Guided Coca-Cola Injection</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[This case report describes the management of an 18-month-old male infant with Down syndrome who presented with small bowel obstruction secondary to a jejunal phytobezoar. The bezoar formed following the ingestion of a traditional home remedy consisting of mashed rice, lentils, and beets, compounded by psyllium powder administration. Initially, the parents refused of surgical intervention, so ultrasound-guided direct injection of Coca-Cola was proposed as an alternative non-surgical therapy. After obtaining written informed consent, 50 mL of Coca-Cola was injected into the bezoar core under real-time ultrasound guidance. This intervention led to partial bezoar transformation and distal migration to the ileum within 12 hours. However, the bezoar ultimately lodged in the terminal ileum, necessitating definitive surgical removal. This case illustrates the challenges of managing small-bowel bezoars in high-risk pediatric patients and highlights both the potential and limitations of non-surgical dissolution techniques.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Coca-Cola dissolution, Down syndrome, Pediatric, Phytobezoar, Ultrasound-guided intervention, Small bowel obstruction</keyword>
				<start_page>19895</start_page>
				<end_page>19899</end_page>
				<web_url>https://jpp.mums.ac.ir/article_27386.html</web_url>
			<author_list><author>
				<first_name>Armin</first_name>
				<middle_name></middle_name>
				<last_name>Vahabi Sani</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>vahabia4041@mums.ac.ir</email>
				<code>120300</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Radiology, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masoud</first_name>
				<middle_name></middle_name>
				<last_name>Mahdavi Rashed</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>mahdavirm@mums.ac.ir</email>
				<code>120301</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Radiology, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Khashayar</first_name>
				<middle_name></middle_name>
				<last_name>Atqiaee</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>atqiaeek@mums.ac.ir</email>
				<code>120302</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Surgery, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Jafari</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>jafaria@mums.ac.ir</email>
				<code>120303</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatric Gastroenterology, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Ali</first_name>
				<middle_name></middle_name>
				<last_name>Alamdaran</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>alamdarana@mums.ac.ir</email>
				<code>120304</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pediatric Radiology, Akbar Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>