Relationship of physical activity facilitators and body mass index in Kashan elderly

Introduction: There are many factors that affect the level of physical activity and body mass index of the elderly. The current study aimed to assess the relationship of physical activity facilitators and body mass index of Kashan elderly

Methods: The cross-sectional study sampled 400 elderly older than 60 referred to 10 healthcare centers in Kashan, 2014, via multistage quota method. Participations were tested under demographic characters, body mass index [BMI] level, and exercise benefits part of exercise benefits and barrier scale [persian version] for measurig physical activity facilitators. Data were analyzed in SPSS software, descriptive statistic, Spearman correlation test, Chi-Square and Ordinal regression

Results: Of the participations73.6% were overweight or obese. Median and interquartile range of physical activity facilitators was 75 and 33 respectively. The most prominent physical activity facilitators was" physical activity increases my physical ability, [83.2%]. There was a significantly inverse relationship between physical activity facilitators score and BMI of participants [r = -0.233, p = 0.001]. Ordinal regression evealed that mostly predictor of BMI among physical activity facilitators was "physical activity improves the quality of my work " [OR = 8.683, o = 0.001]

Conclusion: Results identified physical activity facilitators directly is related to improve physical circumstances of the elderly people. Surly poviding physical activity facilitators through educational and interventional programs may improve the health status of aging population.

Validity and reliability of neonatal infant pain scale in neonatal intensive care units in Iran [2010]

This study aimed to determine validity and reliability of the NIPS [Neonatal Infant Pain Scale] in the neonatal intensive care unit [NICU]. For this study, sixty eight infants were selected using available and purposive sampling method after translating the English version of NIPS to Persian using International Quality of Life Assessment [IQOLA] scale. These children have been filmed before, during and after two interventions of venipuncture and catheter insertion which was required and was ordered by physician. During painful interventions and until three minutes later, heart rate and arterial oxygen saturation of the infants were recorded. Thereafter, five observers [including three nurses, a neonatal specialist and the researcher nurse] scored the infants pain by watching the videos and using the translated version of NIPS. The Interclass correlation coefficient [ICC] was perfect [ICC > 0.9]. The minimum correlation coefficient between inter-rater was 0.868. Validity tests showed a high correlation between NIPS and visual analog scale [r = 0.949; p < 0.001]. According to the confirmed validity and reliability of this scale, use of NIPS in neonatal intensive care units in Iran is possible and can be recommended

Prevalence of readmission for hyperbilirubinemia in healthy newborns

The aim of this study was estimation of prevalence of jaundice readmission and observes neonatal jaundice risk factors in singleton infant with birth weight more than 2500 gr. This study was done among women who delivered a normal singleton infant with birth weight of >/= 2500 gr in Najmieh Hospital, Tehran, from 2004-2005. Maternal age, race, blood group and Rh, drug consumption during pregnancy, oxytocin consumption during labour, rupture of membranes together with neonatal sex, weight, maturity, gravity and length of nursery stay were recorded. The infants were followed during neonatal period to see if they were readmitted, and the reason of admission. The prevalence of readmission for neonatal jaundice was assessed and the risk factors for neonatal jaundice were compared between the icteric and non-icteric babies. The prevalence of readmission because of jaundice was 12.6%. The maternal data recorded from all mother-baby pairs were not significantly different except for maternal race, Rh group and drug consumption during pregnancy. Arab mothers compared with other race groups had more icteric babies [P=0.001]. Rh-negative mothers had more icteric infants [17.9%] compared with Rh-positive mothers [12%] [P=0.01]. Premature infants were hospitalized significantly more than mature babies [20.3% versus 12.1%, P=0.04]. The length of primary nursery stay differed significantly between two groups [mean [SD] 27 [9.8] hours for icterics versus 30 [2.5] hours for non-icterics, P < 0.001]. The mean age of readmission was fifth postnatal day. We conclude that infants, especially infants of Arab or negative Rh group mothers and premature babies, discharged early from the nursery should be advised to visit a pediatrician within the next 48-72 hours of birth to avoid complications of severe jaundice

[Tehran university of medical sciences: participation in twenty five percent of pediatric science production in Iran]

Scientific articles are indicators of research interests and efforts in every country. The aim of our study was to compare the scientific output between universities of medical sciences in Iran on pediatrics in the Pubmed database. In a descriptive study, we searched in Pubmed in order to assess the Iranian pediatrics publications with these words: "[Pediatric [*MeSH] OR Neonate [MeSH] OR Newborn[MeSH] OR Infant [MeSH] OR Child [MeSH] OR Children [MeSH] OR Adolescent[MeSH] OR Adolescence [MeSH]]" AND [Iran [*AD] OR Iranian [AD] OR Persian [AD]]. The identified articles were published May 1957 to December 2007 and we selected all articles from universities of medical sciences in Iran. We extracted year of publication, affiliation of authors and impact factor from hard copy of articles. From 819 papers published, 565 were authored by members of universities of medical sciences. Tehran University of Medical Sciences with 142 articles [17.3% of all, 25.1% from publications of universities of medical sciences] held the first place, Shiraz University of Medical Sciences with 116 [14.2% of all, 20.5% from publications of universities of medical sciences] the second place and Shaheed Beheshti University of Medical Sciences with 88 [10.7% of all, 15.5% from publications of universities of medical sciences] the third place. Regarding Impact Factors [IF] Tehran, Shaheed Beheshti and Shiraz Universities of Medical Sciences with 153, 93 and 81 were in the first, second and third place, respectively. Tehran University of Medical Sciences had twenty five percent of pediatric science production in Iran. This university had published higher number of papers on pediatrics among of medical sciences in Iran

[Frequency of multiple pregnancy and its complications in three educational hospitals, Tehran]

Multiple pregnancies are high-risk pregnancies since they are associated with increased perinatal and maternal problems. The aim of our study was to determine the frequency of multiple pregnancies and their maternal and perinatal complications. In a cross-sectional study we assessed 94 multiple pregnancies and 199 neonates in three educational hospitals [Baqiyatollah, Najmie and Mahdie] in Tehran in the first half of 2006. The information was collected from hospital registries of mothers and their neonates. Of 4584 deliveries, 84 [1.8%] were twins, 9 [0.19%] were triplets and 1 [0.02%] was quadruplets. 59 [62.7%] mothers had preterm labor and 14 [14.8%] had pre-eclampsia. We found discordant birth weigh>/=20% in 24 [25.4%] and Twin-to-Twin Transfusion in 3 [3.1%] mothers. 174 [87.4%] neonates were admitted in neonatal intensive care unit or pediatric department. The frequency of mortality and respiratory distress in neonates was 27 [13.5%] and 107 [53.7%], respectively. 39 [19.5%] of neonates had Apgar scores<7 and seizure was not observed in neonates. 65 [32.6%] neonates were normal weight [>2500 gram], 104 [52.4%] low birth weight, 21 [10.5%] very low birth weight and 9 [4.5%] extremely low birth weight. Hypocalcaemia, hypoglycemia and anemia was detected in 45 [22.6%], 24 [12%] and 48 [24.1%] neonates respectively. Regard to increasing the prevalence of multiple pregnancies, better use of infertility modalities, early diagnosis of the multiple pregnancies, prevention of preterm birth, close fetal surveillance, atraumatic labor and delivery can improve maternal and perinatal outcome