Caspian Journal of Pediatrics
Volume:5 Issue: 2, Sep 2019

The aim of this study was to determine the growth status of very low birth infant at corrected age of two years.

This cross-sectional study was performed on all babies with birth weight ≤1500 gr without any congenital anomalies, genetic disturbance and chronic disease (e.g. cardiopulmonary insufficiency, cholestasis, malabsorption). They were called at corrected age 2 years, namely the calendar age by month + (40-gestational age by week). Their height, weight and head circumference were recorded and a nutritional check list was prepared. The values were entered into the WHO Standard Growth Curve Chart for male and female genders (CDC, November 2009) in the <10th, 10-49th, 50-89th and ≥90th percentiles.

Forty-three children with mean gestational age of 30.08±3.23 weeks and mean birth weight of 1163.95±240.77 g were studied. Thirteen cases (30.2%) in length, 10 cases (23.3%) in weight, 6 cases (14%) in head circumference and 17 cases (39.5%) in weight-for-height were below the 10th percentile. There was no significant difference between the sex, gestation age and the birth weight of these children below and above the 10th percentile (P<0.05).

According to the findings of this study, about one-third of infants born ≤1500 grams were below 10th percentile for height, and nearly a quarter of them were under10th percentile for weight at corrected 2 years old. Therefore, their growth should be more accurately controlled by health care centers based on the growth curve in the first year and any problem case should be referred to specialized centers.

Anaerobic, nonsporulating, Gram-positive bacteria groups called actinomyces organisms are responsible for the so called actinomycosis. This chronic disease is rare in children and has tendency to mimic many other diseases. It also has wide variety of manifestations and non-specific symptoms. As a result, it is difficult to diagnose before the biopsy and microscopic examination. Although infection may involve any organ in the body, the significant sites of actinomyces infection include cervicofacial, abdominal, pelvic and pulmonary tissues.

Here, we describe one case of unusual presentation; an 11-year-old girl with a soft tissue mass in the left lower lateral chest wall which was finally diagnosed actinomycosis based on the pathological findings.

Actinomycosis may rarely present with chest wall mass.

 Psychological well-being plays a critical role in treating mental disorders in mothers with special-needs children by providing healthy and normal living conditions. The present study aimed to investigate the relationship between spiritual intelligence and marital satisfaction with psychological well-being in mothers with special-needs children.

 The study was a descriptive correlational. The statistical population consisted of all mothers with special-needs children in Bojnourd city in 2019. The sample consisted of 210 mothers with special-needs children who were selected by purposive sampling and based on Cochranchr(chr('39')39chr('39'))s formula. The research instrument included Ryff Scales of Psychological Well-Being (SPWB), the Spiritual Intelligence Questionnaire, and ENRICH Marital Satisfaction Scale. Data were analyzed using the Pearson correlation coefficient and stepwise regression.

 The research findings revealed a positive and significant relationship between spiritual intelligence and marital satisfaction with psychological well-being. Spiritual intelligence and marital satisfaction predicted 46% of the variance in the concerned mothers’ psychological well-being, and marital satisfaction had a greater contribution to the psychosocial well-being of mothers with special-needs children.

 The study findings further highlighted the significance of considering spiritual intelligence and marital satisfaction in psychological well-being; however, psychological well-being seems to be affected by other factors and their interactions.