Journal of Pediatric Perspectives

original article

Growth and Final Height in Children with Autoimmune Hepatitis; A long term observation

Hanan Fouad; Nehal El Koofy; Hanaa El Karaksy; Marwa Aboelsnoon; Mona Ibrahim; Nora Badawi

Volume 10, Issue 4 , April 2022, Pages 15695-15709

https://doi.org/10.22038/ijp.2022.62041.4757

Abstract

Background: Abnormal growth in children with autoimmune hepatitis (AIH) is anticipated, either due to hepatic affection or the growth inhibitory effects of corticosteroids. We aimed ... Read More Background: Abnormal growth in children with autoimmune hepatitis (AIH) is anticipated, either due to hepatic affection or the growth inhibitory effects of corticosteroids. We aimed to describe children's anthropometry with AIH, and study the factors affecting height.Methods: The present observational study investigates the anthropometric measures of 28 children with AIH followed at a university hospital for 9.5±3 years. We calculated the initial AIH score, the Child-Pugh score, and the pediatric end-stage liver disease score (PELD), follow-up anthropometry, and corticosteroid history. We defined abnormal growth as under nutrition (underweight, wasting, stunting), short stature, overweight, and obesity.Results: At AIH diagnosis, children had a mean age of 7.4±3.1 years, ranging from 2 to 13.8; among whom ~20% had ascites, ~79% had jaundice, and ~82% had type 1 AIH, ~70% had a definite diagnosis of AIH, ~64% were Child-Pugh Score B, ~64% showed severe fibrosis/cirrhosis, and the median PELD score was 8.1 (0.1-12.1). At follow-up, their mean age was 15.9±1.6 years, with mean corticosteroid duration of 7.1±3.1 years, and remission occurred in 50%. We observed a significant improvement in the initial rates of underweight (46.4% vs. 17.8%), mainly stunted, and increased rates of overweight/obesity (14.3% vs. 32.2%). The final rates of height affection without weight affection were comparable to the initials (28.6% vs. 32.1%). Cases with abnormally low final height had significantly more frequent Child-Pugh Score B, higher PELD score, and severe hepatic fibrosis at presentation, with no difference regarding the continuation/ total duration of steroids.Conclusion: the final height in children with AIH is significantly affected by the disease severity at presentation and not the continuation or the duration of corticosteroids use.Background: Abnormal growth in children with autoimmune hepatitis (AIH) is anticipated, either due to hepatic affection or the growth inhibitory effects of corticosteroids. We aimed to describe children's anthropometry with AIH, and study the factors affecting height.Methods: The present observational study investigates the anthropometric measures of 28 children with AIH followed at a university hospital for 9.5±3 years. We calculated the initial AIH score, the Child-Pugh score, and the pediatric end-stage liver disease score (PELD), follow-up anthropometry, and corticosteroid history. We defined abnormal growth as under nutrition (underweight, wasting, stunting), short stature, overweight, and obesity.Results: At AIH diagnosis, children had a mean age of 7.4±3.1 years, ranging from 2 to 13.8; among whom ~20% had ascites, ~79% had jaundice, and ~82% had type 1 AIH, ~70% had a definite diagnosis of AIH, ~64% were Child-Pugh Score B, ~64% showed severe fibrosis/cirrhosis, and the median PELD score was 8.1 (0.1-12.1). At follow-up, their mean age was 15.9±1.6 years, with mean corticosteroid duration of 7.1±3.1 years, and remission occurred in 50%. We observed a significant improvement in the initial rates of underweight (46.4% vs. 17.8%), mainly stunted, and increased rates of overweight/obesity (14.3% vs. 32.2%). The final rates of height affection without weight affection were comparable to the initials (28.6% vs. 32.1%). Cases with abnormally low final height had significantly more frequent Child-Pugh Score B, higher PELD score, and severe hepatic fibrosis at presentation, with no difference regarding the continuation/ total duration of steroids.Conclusion: the final height in children with AIH is significantly affected by the disease severity at presentation and not the continuation or the duration of corticosteroids use.

original article

The Correlation between Cerebral Oximetry and Mean Arterial Pressure (MAP) Values during the Pediatric Cardiac Surgery

Mojtaba Mansouri; Gholamreza Masoumi; Mohammadhadi Zare-Bidaki

Volume 10, Issue 4 , April 2022, Pages 15710-15715

https://doi.org/10.22038/ijp.2022.57895.4545

Abstract

Background: Multimodal cerebral monitoring can reduce the incidence of neurological complications as well as the hospital costs associated with caring for cardiac surgery patients. ... Read More

original article

The Effectiveness of strategic solution oriented Therapy, The Meditation Technique and Meta Cognitive Therapy on Mind wandering and Rumination among mothers of children with an autism spectrum disorder

Marjan Pavandi; Farah Naderi; Alireza Heidari; Parvin Ehtesham Zadeh

Volume 10, Issue 4 , April 2022, Pages 15716-15729

https://doi.org/10.22038/ijp.2020.51764.4118

Abstract

Background: The aim of this study was to investigate the effectiveness of strategic solution oriented therapy, the meditation technique and metacognitive therapy on mind wandering and ... Read More

original article

Gastrointestinal symptoms of patients with autism spectrum disorder

Seyed Ali Jafari; Niloufar Sedghi; Maryam Khalesi; Hamidreza Kianifar; Mohammad Ali Kiani; Zahra Chaichi; Alireza Sargazi; Raheleh Derafshi

Volume 10, Issue 4 , April 2022, Pages 15730-15736

https://doi.org/10.22038/ijp.2022.61877.4749

Abstract

Background: Concern about possible GI dysfunction in ASD is intensified by high rates of feeding concerns and consequent medical sequelae in ASD. Etiological factors contributing to ... Read More

original article

Associated Congenital Heart Anomalies in Children with Cleft Lip and Palate: A Cross Sectional Study

Hassan Mottaghi Moghaddam shahri; Mohsen Farzaneh; Alireza Chamani; Arezoo Jahanbin

Volume 10, Issue 4 , April 2022, Pages 15737-15745

https://doi.org/10.22038/ijp.2021.60012.4666

Abstract

Background: Cleft lip and palate has a frequency of 1 per 700 live births, making it among the most prevalent orofacial congenital anomalies of the craniofacial region. Congenital heart ... Read More

original article

A survey of the Challenges Raising from COVID-19 in Sport for all with a focus on Children's Sports and Physical Activities

Zynalabedin Fallah

Volume 10, Issue 4 , April 2022, Pages 15746-15754

https://doi.org/10.22038/ijp.2022.62856.4812

Abstract

Background: The COVID-19 pandemic has significantly impacted people's sports and physical activities. Many studies have examined these effects from different points of view. This study ... Read More Background: The COVID-19 pandemic has significantly impacted people's sports and physical activities. Many studies have examined these effects from different points of view. This study investigates the challenges of COVID-19 in sport for all, emphasizing Children's Sport and Physical Activity.Methods: This research is applied in terms of purpose and descriptive-analytical in terms of data collection, and is conducted by the use of the field method. The population included all experts in children's sports, kindergarten teachers, primary school teachers, and managers of the clubs active in children's sports in Gorgan (N = 750). The sample was determined based on the statistical population and Morgan table (n = 257). A 22-item researcher-made questionnaire with a five-point Likert scale was used to collect the data and assess the effects of COVID-19 on children's sport in three dimensions and ten components. Given the normal distribution of data, the correlated t-test was used to measure the effects. And Friedman's test was used to prioritize the challenges of COVID-19 in sport for all, emphasizing children's sports.Results: The results showed that the challenges of COVID-19 in sport for all with an emphasis on children's sports and physical activities are jeopardizing the physical health of children, increasing the issues related to holding competitions and festivals, increasing unemployment of sports coaches, increasing governmental restrictions for the operation of sports facilities, reducing investment in children's sports, endangering the physical health of individuals, loss of human resources, the financial crisis of sports centers, reducing the income of health-related sports centers and increasing psychological problems (Social Phobia, anxiety and fear of Sports).Conclusions: The results revealed that the challenges raised by COVID-19 in children's sports and physical activity can be managed by giving priority to low-risk sports in open spaces, games, and competitions without spectators, providing unemployment insurance services to children's sports activists, using technology in sports classes, providing support packages and banking facilities for sports center owners and observing health practices.

original article

Estimation of Effective Doses and Lifetime Risk of Exposure-induced Cancer Death in Pediatric CT Scans

Elham Razavi; Mohammad Hossein Zare; Hamed Zamani; Hamidreza Masjedi; Saman Dalvand; Seid Kazem Razavi-Ratki; Reza Omidi; Maryam Hazbavi

Volume 10, Issue 4 , April 2022, Pages 15755-15771

https://doi.org/10.22038/ijp.2021.60233.4672

Abstract

Background: The increasing frequency of computed tomography (CT) scans for a range of purposes, particularly pediatrics, has raised concerns regarding the population's radiation exposure ... Read More

original article

Prophylactic Administration of Aminophylline to Prevent Renal Dysfunction in Asphyxiated Neonates

Reza Saeidi; Somaye Fatahi; Morteza Yaghoobi; Gholamali Maamouri; Mahmoud Hajipour

Volume 10, Issue 4 , April 2022, Pages 15772-15778

https://doi.org/10.22038/ijp.2022.62820.4797

Abstract

Background: Neonatal asphyxia is one of the most common neonatal problems. And kidney injuries are one of the most important complications of asphyxia in infants. Therefore, this study ... Read More

original article

Designing and Evaluating a Child Maltreatment Surveillance System: Towards Improving the Management of Child Abuse Incidents

Zahra Karbasi; Reza Safdari; Maliheh Kadivar; Leila Shahmoradi; Somayyeh Zakerabasali; Parisa Eslami; Azadeh Sayarifard

Volume 10, Issue 4 , April 2022, Pages 15779-15788

https://doi.org/10.22038/ijp.2022.61653.4739

Abstract

Background: Child abuse is a significant global concern, with short-term and long-term consequences for the lives of children who are victims of violence. For effective action by decision-makers, ... Read More

original article

Identify the components of the STEAM curriculum in elementary school

Morteza Zarei; Hossein Zeinalipour; Seyed Abdul Wahab Samawi

Volume 10, Issue 4 , April 2022, Pages 15789-15801

https://doi.org/10.22038/ijp.2021.57034.4471

Abstract

Background: The integration of art in the curriculum is essential for the development of children's creativity and prevents the lack of connection between mathematics and science with ... Read More

review article

Body Appreciation and Attitudes Towards Healthy Nutrition as a Predictor of Adolescent Athletes' Motivation to Participate in Physical Activity

Zarife Taştan

Volume 10, Issue 4 , April 2022, Pages 15802-15812

https://doi.org/10.22038/ijp.2022.63229.4821

Abstract

Background: The opportunities and conveniences brought by the developing technology greatly reduce the workload of individuals. The restrictions occurring from the Covid pandemic also ... Read More Background: The opportunities and conveniences brought by the developing technology greatly reduce the workload of individuals. The restrictions occurring from the Covid pandemic also allow us to easily do all our work from home over the internet. However, this situation has caused a serious decrease in the physical activity rate of individuals. The decrease in physical activity increases the tendency for eating easily accessible and unhealthy foods, leading to a move away from healthy nutrition habits. Unhealthy nutrition, on the other hand, causes negative situations in our body, both physically and physiologically. The aim of this study is to examine whether the motivation of adolescent athletes to participate in physical activity is related to and predicted by the variables of body appreciation and attitude towards healthy nutrition.Methods: This research is a relational study aiming to determine whether body appreciation and attitude levels towards healthy nutrition predict the adolescents’ motivations for participating in physical activities. A total of 335 athletes, 104 (31%) girls and 231 (69%) boys, playing basketball in Istanbul and Mersin in 2021-2022, voluntarily participated in the study. They were between the ages of 12-17. Attitude Scale for Healthy nutrition, Body appreciation Scale and the Motivation Scale for Participation in Physical Activity were used for data collection. Stepwise multiple linear regression was used in data analysis.Results: It was revealed that the variables of body appreciation and attitude towards healthy nutrition have significant roles in predicting the motivation of adolescent athletes for participating in physical activities. The variable of Attitude for Healthy nutrition, included in the model in the first stage, explained 16% of the total variance. In the second stage, when the body appreciation variable was added to the model, the explained variance increased to 18%. The regression coefficients manifested that these two variables are positively correlated with motivation to participate in physical activities. Thus, the two-stage model predicted 18% of the total variance.Conclusion: Both physical characteristics and attitudes towards healthy nutrition are effective in the motivation of adolescent athletes to participate in physical activities.

original article

The Effect of an Online Corrective Training intervention on the Upper Cross Syndrome and Feelings of Fatigue and Pain in Adolescents

Sepideh Sarvari; Sima Mokari Saei; Mahta Rahimzadeh; Mir Hamid Salehian

Volume 10, Issue 4 , April 2022, Pages 15813-15822

https://doi.org/10.22038/ijp.2022.62644.4789

Abstract

Background: This study aimed at investigating the effects of an online corrective exercise intervention on correcting forward head and kyphosis as well as reducing feelings of fatigue ... Read More

original article

Effects of Social Support and Physical Self-efficacy on Physical Activity of Adolescents

Mahmoud Sheikh; Nasser Bay; Saeed Ghorbani; Akram Esfahani nia

Volume 10, Issue 4 , April 2022, Pages 15823-15834

https://doi.org/10.22038/ijp.2022.62762.4793

Abstract

Background: Today, there are many concerns about the level of physical activity of students and due to its importance in students’ health; many studies have attempted to investigate ... Read More

original article

Factors Affecting Oral Health Self-Care Behaviors in Seventh Grade Students in Behbahan City: An Application of the Health Belief Model

Elham Nejadsadeghi; Mohammad Sadegh Loeloe; Seyed Mohamad Reza Rabiei; Leila Bakhshesh

Volume 10, Issue 4 , April 2022, Pages 15835-15841

https://doi.org/10.22038/ijp.2022.63107.4822

Abstract

Background: Oral and dental diseases are among the most common diseases in the world that are usually initiated in childhood and adolescence. With risk factors like those of the other ... Read More

original article

The Direct and Indirect Effects of Macronutrients on Energy Intake in Lactating Mothers

Soodabeh Zare; Anoshirvan Kazemnejad; Amir Hamta; Mahnaz Mardani

Volume 10, Issue 4 , April 2022, Pages 15842-15852

https://doi.org/10.22038/ijp.2021.60965.4707

Abstract

Background: Mother’s nutrition during lactation is a factor affecting the quality and quantity of their milk. The present study aimed to investigate the direct and indirect effects ... Read More

original article

The Effects of Enzyme Replacement Therapy in Patients with Mucopolysaccharidosis Type 1: A Case Series Study

Peyman Eshraghi; Majid Sezavar; Gholamreza Khademi; Anoush Azarfar; Shahabaldin Sorouri; Maryam Naseri

Volume 10, Issue 4 , April 2022, Pages 15853-15864

https://doi.org/10.22038/ijp.2022.57113.4478

Abstract

Background: Mucopolysaccharidosis type I (MPS1) is caused by mutations in the gene which encodes the enzyme alpha-L-iduronidase. Deficiency of this enzyme causes a range of clinical ... Read More

systematic review

Global Study of Viral Meningitis: A Systematic Review and Meta-analysis

Ali Pormohammad; Emad Behboudi; Ali Ramezani; Mohammad Reza Shojaei; Manoochehr Makvandi; Parisa Zeynali; Mohammad Azadbakht; Mandana Pouladzadeh; Ali Jari; Zahra Salari; Morteza Oladnabi; Ebrahim Faghihloo

Volume 10, Issue 4 , April 2022, Pages 15865-15880

https://doi.org/10.22038/ijp.2021.58611.4581

Abstract

Meningitis can quickly become a life-threatening sickness and therefore is considered a medical emergency. Viruses, after bacteria, are known as main pathogens involved in meningitis; ... Read More

systematic review

The effect of Complementary and Alternative Medicines on the symptoms of Cystic Fibrosis patients: A Systematic Review

Samira Borhani; Shahpar Kaveh; Saeed Sadr; Rasool Choopani; Habibbolah Haji-Abdolvahab

Volume 10, Issue 4 , April 2022, Pages 15881-15900

https://doi.org/10.22038/ijp.2021.59806.4652

Abstract

Background: Cystic fibrosis (CF) is the most common life-threatening hereditary disease among Caucasian populations. Due to the side effects caused by this disease and the high amount ... Read More

review article

When Is Non-Invasive Prenatal Testing Reliable in Pregnancies with a Vanishing Twin? - A Systematic Review of Case Reports

Somayeh Khanjani; Sedigheh hantoushzadeh; Leyla sahebi; Mohsen Vigeh; Mamak Shariat; mahdieh saeri

Volume 10, Issue 4 , April 2022, Pages 15901-15909

https://doi.org/10.22038/ijp.2021.56056.4410

Abstract

Background: Fetal demise can complicate aneuploidy screening in a multi fetal pregnancy. The cell-free DNA (CF-DNA) from a non-viable conception may be discordant with the viable fetuses. ... Read More

original article

Testing the Planned Behavior Model in Predicting the Physical Activity Behavior of Beginner Volleyball Adolescent Students

Farhad Kouhi Achachluie; Seyed Hasan Seyed Ameri; Seyed Mohammad Kashef

Volume 10, Issue 4 , April 2022, Pages 15910-15918

https://doi.org/10.22038/ijp.2022.62847.4801

Abstract

Background: Identifying the factors that affect adolescents’ participation in physical activity is considered as an important topic concerning public health.Objectives: The purpose ... Read More

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)

Volume & Issue: Volume 10, Issue 4, April 2022, Pages 15695-15918

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