Soheila Khazaei
Abstract
This article briefly describes effective factors, the process to access health services, the success of the national and international indices, problems - challenges, concerns and worries about the health of children and system services. Then study the root causes and then paid attention to global and ...
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This article briefly describes effective factors, the process to access health services, the success of the national and international indices, problems - challenges, concerns and worries about the health of children and system services. Then study the root causes and then paid attention to global and national experience to provide solutions in the form of national sector reform program.Material& Methods: Research in statistical reports from confirmed sites about Iran children health situation analysis Research in several findings of Iran statistical investigation &surveys (Iran Ministry of health and medical education)Results:Factors affecting the health are: social and economic factors 50%, access to health services 25%, biological and genetic factors 15% and physical factors 10%. If the development programs in this country will not proceed in a smooth and stable way, the present acceleration of all existing programs will deteriorate.The Census 2016 showed that all provinces were experiencing the positive growth rate. According to the same census provinces like Hamedan, Ardebil, Kermanshah, Kurdistan, Zanjan, Gilan, Lorestan, east and central Azerbaijan, with the population proportion of 23% of total population of Iran had the population growth rate of less than 1% . Life expectancy at birth, during the two decades with the 5.3 year increase, has reached to 72.5 years..According to child health information in Iran, health development is achieved during several recent years by PHC program and trend of child mortality and morbidity decreased significantly by health care programs for this vulnerable ages.
Seyed Javad Sayedi; Hanieh Zandi; Sepideh Bagheri
Abstract
Hydatid disease is an important health problem in endemic areas like Iran. Unlike adults, the occurrence of pulmonary hydatid cyst is greater than hepatic cysts in pediatric population. In this study we evaluated the characteristics of pediatric pulmonary hydatid cyst in our region. We reviewed ...
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Hydatid disease is an important health problem in endemic areas like Iran. Unlike adults, the occurrence of pulmonary hydatid cyst is greater than hepatic cysts in pediatric population. In this study we evaluated the characteristics of pediatric pulmonary hydatid cyst in our region. We reviewed the medical records of all children with the diagnosis of pulmonary hydatid cyst in Dr Sheikh’s children hospital between 2015-2019. 30 patients were enrolled during the study period. Diagnosis was confirmed using imaging and serology tests.Mean age of patients was 8.5±2.1 years (range:6-14 years). 73% were male and 80% were living in rural areas. All patients were symptomatic at presentation and the most frequent symptom was cough (76%) followed by dyspnea (43%). The most frequent site of involvement was the lower lobe of the right lung (30% of patients) and bilateral involvement was seen in 16.7% of patients. 13.3% of patients had simultaneous hepatic involvement. Complications were reported as follows: pleural effusion 30%, superinfection and abscess formation 16.7% and pneumothorax in one patient. All patients underwent surgical treatment. Lobectomy was performed in 5 cases (16.6%). Pulmonary hydatid cyst must be considered in children with respiratory symptoms in endemic areas. Early diagnosis might lower the risk of complications and lobectomies.
Mehran Beiraghi Toosi; Farnoosh Ebrahimzadeh
Abstract
A seizure is defined as a paroxysmal and transient occurrence of signs or symptoms resulting from abnormal synchronous or excessive neuronal activity in the brain. About 15 to 40 percent of children who have any type of seizure are resistant to standard anti-seizure drugs, so called intractable epilepsy. ...
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A seizure is defined as a paroxysmal and transient occurrence of signs or symptoms resulting from abnormal synchronous or excessive neuronal activity in the brain. About 15 to 40 percent of children who have any type of seizure are resistant to standard anti-seizure drugs, so called intractable epilepsy. Before documenting the seizure attacks as refractory, the selected drugs using for the type of seizure and dose of them should be checked. There are several factors that predict development of refractory seizures. These include age <1 year, multiple seizures before starting the treatment, myoclonic seizures, neurologic defects, neonatal and daily seizures, male gender, and first abnormal electroencephalogram and brain imaging (including computerized tomography scan and / or MRI). Options for the management of refractory epilepsy, after prescribing routine anti-seizure drugs are: Second line drugs (IVIG treatment, Ketogenic diet, Prednisolone treatment or Herbal treatment), Surgery and Stem cell therapy. Because none of these methods can stop all the drug-resistant epilepsies, researches are going on.
Mohammad Hassan Aelami; Sepideh Bagheri; Seyed Morteza Rasti Sani
Abstract
Non-traumatic coma is a medical emergency and should be evaluated as soon as possible. Pediatric coma is more serious because of patient’s capacity of pathological stressor tolerance is limited especially in neonates.Several etiologies could be listed for loss of consciousness (LOC) and coma in ...
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Non-traumatic coma is a medical emergency and should be evaluated as soon as possible. Pediatric coma is more serious because of patient’s capacity of pathological stressor tolerance is limited especially in neonates.Several etiologies could be listed for loss of consciousness (LOC) and coma in childhood. According to the epidemiological studies, causes of coma are different all around the world. Glasgow Coma Scale has been used for coma scaling. In this review, we focused on some highlight causes of coma in pediatric medicine.