Showing 4 results for Khosroshahi
F Shirvani, N Khosroshahi,
Volume 56, Issue 1 (30 1998)
Abstract
Perinatal mortality rate is an import health index. In this study, we have attempted to determine the causes and rate of perinatal mortality, in 18885 randomly selected newborns, in all the obstetrics and delivery centers of Tehran, during one year (1994-1995). The mortality rate was approximately 21/1.000. Cesarean section was performed in 42.2%, and vaginal delivery in 57.8% of cases. Prematurity was observed in 11.3% and 8.4% weighted less than 2500 gr (low birth weight : LBW). Perinatal mortality was significantly more frequent in the presence of prematurity (p = 0,000), LBW (p = 0.000), mothers who were older than 35 y (as compared to the 20-29 y age group p = 0.01), high parity (> 5 p = 0.00001), and high gravida (> 5 p = 0.04), low educational level (less than high school diploma p = 004), twin or multiple pregnancies (p = 0.000), congenital malformations (p = 0.000), low Apgar score (< 4 in 1 and 5 p = 0.000), and in the absence of perinatal care (p - 0.000 002)
Z Noroozi , N Khosroshahi ,
Volume 56, Issue 3 (1 1998)
Abstract
Febrile seizure is the most frequent type of seizure in childhood occurring in 2-4% of children under the age of 5. Although pathogenesis of seizure following fever is not well understood, multiple risk factors are known to contribute to its precipitation. One of the possible risk factors which had not been mentioned yet in reference texts and still is in the research phase is a serum sodium level below the normal limits which specially plays a role in the recurrence of febrile seizure. In this descriptive retrospective study records of 400 in-patients cases of primary episodes of febrile seizure in Bahrami children hospital in the years of 1996-1997 were reviewed. 214 (53.5%) cases had serum sodium levels of <135 m.mol/L. The mean serum sodium level for all the cases was 135.28±4.65 m.mol/L which is considerly less than the serum sodium level of 140±0.8 m.mol/L seen in healthy children. There was no significant difference in serum sodium levels different sex and age groups in this patient population
Fahimi D, Khosroshahi N, Al Hossein S M, Amin Nejad M, Ansari M,
Volume 61, Issue 6 (15 2003)
Abstract
Acute Pyelonephritis (APN) is one of the most common bacterial infections seen in children that may lead to renal scarring. Vesicoureteral reflux (VUR) is an important risk factor of renal damage but not the only one.
Materials and Methods: In order to determine the association between dimercaptosuccinic acid (DMSA) scintigraphic and voiding cystourethrographic findings, a retrospective study was performed on 50 children (100 renal units) with APN that had been admitted to Bahrami Hospital from 1995 through 1998. Voiding cystourethrography (VCUG) and DMSA scan were performed in all patients within 1 to 2 weeks after termination of treatment and a second scan was performed 6 months later in patients whose kidneys showed cortical defects in the first one. The grade of reflux was based on international reflux classification (I-V). The DMSA scans were considered abnormal if one or more areas of decreased cortical uptake were noted (cortical defect). The scar was defined as persistence of these defects in the second scan. DMSA cortical defect and VUR were demonstrated in 42 (42%) and 26 (26%) of renal units respectively.
Results: Fourteen out of 26 renal units (54%) with reflux had cortical defects and 28 out of 74 renal units (38%) without reflux had cortical defects (P=0.15). Permanent renal scarring was noted in 25/ 42 of renal units (62 %) in second scan.
Conclusion: It seems that VCUG alone is insufficient as a screening modality to identity those kidneys at risk of damage and DMSA scan may provide additional information about this.
Keyhani Doost Z, Moayyeri H, Khosroshahi N, Molatefi R,
Volume 68, Issue 10 (5 2011)
Abstract
Background: Epilepsy is a common disease in the pediatric neurology. There are frequent
anti-epileptic drugs which are used in management of epilepsy. Anti-epileptic
drugs may have some complications on bone and vitamin-D
metabolism. In this study we aimed to evaluate vitamin-D
metabolism in epileptic children.
Methods: The study was a prospective and cross sectional one. A
total 89 epileptic children who were taking
anti-epileptic drugs for longer than six months with no underlying disorder in
Imam Khomeini and Bahrami Hospitals in Tehran,
Iran were
enrolled in our study
Results: Forty nine boys and 40 girls were enrolled
in this study mean age of the patients was 7.8±2.1
years. Mean duration of anti-epileptic drug therapy was 2.3
years (SD=0.4), 70
of patients were under monotherapy and 19 were
under polytherapy. None of the patients had signs of rickets. Serum calcium and
phosphor levels were within normal ranges. Serum alkaline phosphates levels
were increased more than two times in 43%.
42% had vitamin-D
deficiency (25-OH Vit D<10
ng/ml) and another 33% had vitamin-D
insufficiency (10<25-oh Vit
D<20 ng/ml). 29
patients (32%) were taking
prophylactic supplemental Vit
D (200-400 IU/day). There was
significant difference between patients taking supplemental vitamin-D
as prophylaxis and patients who did not (p=0.04).
There was no significant difference in vitamin-D
levels between patients according to age, gender or different drugs.
Conclusion: Periodic measurement of 25-hydroxy vitamin-D is
recommended in epileptic children taking anti-epileptic dugs. Supplemental
vitamin-D administration in such
patients may be helpful.
