ABSTRACT
In rapid development in industrialization, lack of attention to safety principles causes a raise in work-related incidents. According to ILO, around one-third of work-related deaths is due to. The aim of our study is to survey the causes of occupational incidents at working place under protection of Yazd Social Security Organization in 1384. This is a descriptive study that was done to determine the incident frequency and factors affecting on it. The study included 776 incidents selected among all of the incidents occurred in 1384 in Yazd. The data were collected from available information in social security organization. The findings showed that the center of province, has had the most number of incidents [%41 .2]. Also, the mean age of people who had incident was 29.5. The most causes of incident were related to falling down [%20.8]; fingers were injured more than other parts [%3 1.5]. The highest consequence of the incidents was related to injuries [%34]. The distribution of age among the subjects indicated the prevalence of incident in young workers more than others, which is in the same line with other researches. The cause of most incidents was falling
ABSTRACT
Association between body mass indexes [BMI] and blood pressure have been observed, but remains poorly understood. BMI is shown to be a measure of overweight status and is applicable to all populations. In this crosssectional study we have examined the relationship between the BMI and blood pressure in school age children. This study comprised of 486 boys and 463 girls at aged from 7 to 14-yrs. We examined the age-adjusted relationship between systolic [SBP] and diastolic [DBP] blood pressures and BMI in three age groups of 7, 11 and 14-yrs. BMI was calculated by dividing the body weight in kg by the square of height in meters [m[2]]. At first multiple regression analyses were separately used for SBP and DBP to establish their association with BMI, age, gender and height. The analyses test was then repeated by replacing BMI by adjusted BMI. SBP and DBP were positively and significantly related to BMI [P<0.01]. According to multivariate regression analysis, SBP and DPB showed significant associations with age and weight with respective relation coefficient of 0.569 and 0.469 for BMI, SBP and DBP. The results of this study showed that BMI was highly associated and linearly related with both systolic and diastolic blood pressures in Iranian school-age children
Subject(s)
Humans , Male , Female , Body Mass Index , Child , Schools , Cross-Sectional Studies , Obesity , Systole , Diastole , Epidemiologic StudiesABSTRACT
A number of studies have shown that orally administered sweet-tasting solutions reduce signs of pain during painful procedures. The topical anesthetic cream EMLA has recently been shown to be safe for use in neonates. This study compared the pain-reducing effect of EMLA cream with that of orally administered glucose during venipuncture in newborns. A randomized controlled, double-blind study including 220 newborns undergoing venipuncture for clinical purposes was performed. One hundered and six newborns received EMLA on the skin and orally administered placebo [sterilized] and 114 received glucos- 30% orally and placebo [Vit A+D] on the skin. Symptoms associated with pain at venipuncture were measured with the Neonatal/ Infant Pain Scale [NIPS]. Crying time was recorded. The results showed that the NIPS scores were significantly lower in the glucose group [mean: 1.89] compared to the EMLA group [mean: 2.81]. The duration of crying in the first 2 minutes was significantly lower in the glucose group [median=2 seconds] than in the EMLA group [median=9 seconds]. There were significantly fewer patients in the glucose group who were scored having pain [defind as NIPS scores above 3], 12.3% compared with 29.2% in the EMLA group. We found that glucose is effective in reducing symptoms associated with pain from venipuncture in newborns. Our results showed that glucose is more effective than the local anesthetic cream EMLA
ABSTRACT
Introduction: Acetaminophen is the most commonly used drug for temperature reduction in febrile children, which is used orally or rectally. The effectiveness of rectal versus oral Acetaminophen is not well established
Objective: This study is designed to compare the antipyretic effectiveness of rectal acetaminophen dose 15mg/kg to the standard oral dose of 15mg/kg
Materials and Methods: A randomized clinical trial was performed on 60 patients aged 6 months to 6 years with fever>/=39 rectally. The patients were randomly assigned in one of two groups. First 39[degree]c group received 15mg/kg Acetaminophen rectally and the second group received same dose orally and their body temperature was measured one and three hours after Acetaminophen administration
Results: The mean temperature reduction, 60 and 180 minutes after use of acetaminophen were 1.07 +/- 0.16 and 1.74 +/- 0.25
Conclusion: Effectiveness of oral and rectal Acetaminophen with 15mg/kg dose is similar in decreasing children's fever. Standard [15mg/kg] oral and [15mg/kg] rectal acetaminophen has similar antipyretic effectiveness
ABSTRACT
A 25-month old male baby was brought to the emergency room with a clinical picture of septic shock. He had the history of hospitalization during the neonatal period because of pneumonia and heart failure. At that time coarctation of aorta and patent ductus arteriosus was diagnosed. Later in life he had frequently pneumonia, gastroenteritis, urinary tract infection, otitis media, recurrent sepsis, chronic oropharyngeal candidasis, local abscess at the site of BCG vaccination, and multiple draining lymphadenopathies in the left axilla, supraclavicular [the same side of BCG vaccination] and sub mundibular areas. Prolonged mumps parotitis, multiple sores in his mouth and anal area and abscesses in this region. At 5 months of age he underwent the surgical operation for correction of coarctation. Finally, with the diagnosis of [SCID], he was receiving intravenous immune globulin monthly. The results of all tests, particularly cultures were negative. Despite therapeutic measures the patient expired . We suspected viremia as the likely cause of his problem. The most interesting finding in this case was the unusual association between the SCID and the coarctation of the aorta and patent ductus arteriosus[PDA], as far as we are aware, a similar case is not reported in the literature as yet
ABSTRACT
A four month old male infant was referred to the pediatric clinic of Afshar Hospital in Yazd city because of cyanosis. On physical examination, patient had central cyanosis, single second heart sound, A grade III/VI continuous murmur in left clavicular area, abdominal distension and large sized smooth and movable abdominal mass in right upper quadrant of abdomen. Transthoracic echocardiography showed VSD pulmonary atresia and small patent ductus arteriosis. Plain abdominal X Ray showed right sided abdominal mass. Ultra sonography showed a mass lesion in RT upper quadrant of abdomen with diameters of 5cmX12cm that was suggestive of fecaloma. Soap enema was performed and after that abdominal mass disappeared and abdominal distension was improved. Rectal biopsy 5cm from anal verge showed absence of ganglion cells in the intramural and sub mucosal plexuses. Ten day later, barium enema was performed. Barium enema showed dilated descending, transverse ascending colon and transition zone in recto sigmoid area. Therefore, definite diagnosis of the case was Hirschsprung disease with VSD- Pul. Atresia and small PDA. At first the patient underwent Right modified Blalock Taussig shunt [systemic to pulmonary shunt] and one month later underwent temporary colostomy. As no case of Hirschsprung disease with pulmonary Atresia- VSD and PDA has been reported to date, the above case has been reported