ABSTRACT
Introduction: Congenital arhinia is a very rare anomalia which can be observed total or partial arhinia. We assessed a case which is affected to congenital arhinia, its reasons and signs in the present study.
Case report: The patient is a 41w neonate who is affected to congenital arhinia, hypertelorism, cleft lip and palate. There was just a significant note in neonatal history of family which showed their first child was affected to anomalia. The neonate was transferred to a well-equip center for doing more assessments. At the present time, general condition of the neonate is good.
Conclusion: Congenital arhinia is a very rare anomaly with an unknown etiology. This anomaly may be associated with the other medline anomalies.
ABSTRACT
Backgound: Neonatal respiratory distress is a main cause of preterm neonatal mortality. Surfactant is one of its standard treatments. The current study was conducted to compare clinical effects of different kinds of surfactant in the treatment of respiratory distress of preterm neonates admitted to NICU of Sabzevar.
Materials and Methods: This cross-sectional study was conducted on the preterm neonates admitted to NICU of Shahid Mobini Hospital of Sabzevar University of Medical Sciences, in 2009-2010. Sample size was 115 neonates at 95% confidence interval. Inclusion criteria were neonates with respiratory distress and 26-37 weeks gestional age who had been treated with surfactant. Exclusion criteria were neonates with 5-min Apgar score less than 7, neonates with major congenital anomalies, or neonates whose mothers received steroids before giving birth. The data were gathered by questionnaire to assess clinical effects of different kinds of surfactant in the treatment of preterm neonatal respiratory distress. The questionnaire was confirmed by content validity and inter-rater reliability [r=0.9]. The data were analysed in SPSS software version 20 using descriptive statistics and non-parametric tests including ANOVA and multiple comparisons, kruskalwalis and chi-square.
Results: 41 neonates were allocated in a group with birth weight less than 1500 g and 74 neonates in a group equal or grater than 1500 g. According to the statistical tests, intubation duration in neonates less than 1500 g who received Newfactan was significantly more than the two other drugs [P=0.01]. Duration of CPAP in Curosurf group was more than Survanta and Newfactan groups with a significant difference. Time of starting feeding was lesser in neonates who had recieved Survanta than Newfactan. In neonates less than 1500 g, none of the variables had a significant difference after surfactant therapy.
Conclusion: This study showed that Survanta has a better efficacy than Newfactan and Curosurf. But in regard to the importance of applying this drug, and the controversy of results obtained from studies, it is recommended to perform further studies about this issue.
ABSTRACT
Present children are the investments of community in the future. Preparing children health which leads to the stability of community health, provided to accurate implementation of educational and health programs in the community and especially in mothers. So it is necessary to determine the relationship between parents' literacy with growth rate in children. This cross-sectional descriptive-analytic study was conducted on 300 mothers referring to 10 selected Mashhad health-care centers for monitoring their 6-24-month year old infants. They completed questionnaire. Participants were selected by cluster and simple random sampling. Data were analyzed by descriptive- analytic statistics and using SPSS 16. Present findings showed a significant relationship between literacy level of parents with child growth status, breast feeding rate, junk food consumption, referring to health care center for growth monitoring, the age of initiating supplementary nutrition, the use of oil and butter in baby food and rate of attending in educational classes. So that higher literacy level of parents was associated with using more formula, less junk food, oil and butter in baby's food and more referring times to health care center for monitoring child growth, desirable growth, and also initiating supplementary food more at the assigned time [P<0.05]. Parents' literacy level influence on children growth status. However, with increasing parents' literacy level, using formula for infants has been increased, but breast milk feeding is also high in this group
ABSTRACT
Breast milk is a complete food for growing children until 6 months of age, and mothers, as the most important child health care, play a decisive role in their growth. So promoting their attitude toward the benefits of breastfeeding ensures guarantee child health in the future. This study aimed to assess maternal knowledge and attitude of Mashhad toward exclusive BMF in the first 6 months of infant life. This cross-sectional descriptive-analytic study was conducted on 126 mothers who referring to Mashhad health-care centers for monitoring their 6-24 month year old infants. They completed questionnaire. Participants were selected by cluster and simple random sampling. Data were analyzed by descriptive- analytic tests and using SPSS 11.5. Mean score of maternal attitude toward exclusive BMF was 14.32 +/- 5.28 [out of 28] and maternal knowledge score toward advantages of breast milk was 19.59 +/- 4.80 [out of 28]. The incidence of exclusive BMF in the first 6 months of life study was 73.8%. Child growth was as follows: excellent growth [5.6%] and good growth [42.1%]. ANOVA showed a significant difference between parents' education and maternal attitude towards exclusive BMF; whatever higher education of parents, more positive maternal attitude towards exclusive BMF [P<0.05]. There was a significant direct relationship between knowledge and attitude [Spearman test, P-value= 0.000 and r= 0.4]. Maternal attitude towards exclusive BMF was moderate. It is essential to plan for mothers by officials in order to promote breast-feeding in the first 6 months of baby's life to enhance positive maternal attitude in this regard