Iranian Journal of Pediatrics
Volume:11 Issue: 2, 2001

In a descriptive analytic cross-sectional study, the IQ of 100 middle school students randomly selected from 184 students of Kahak village, province Qom, was determined using raven culture-free test. The ANOVA statistical test was to determine the relation between IQ and sex, age, mother’s age at birth, number of children, economic state, broken family, parent’s educational degree preschool education and leisure time as independent variables. 57% of the subjects had an IQ at normal level. Average IQ in boys and girls was 100.2 and 101 respectively. A statistically significant difference was found between IQ and school achievement (P<0.001). No statistically significant difference was found between IQ and the independent variables

In a period of 12 months, 232 patients were admitted to the neonatal intensive care unit in Ali-Asghar children’s hospital in Tehran. 78% survived, 76% of the being of very low birth-weight (1500 gr). 84% of the surviving neonates showed morbidities at discharge

In a longitudinal study 56 consecutive cases of diabetic pregnancy were evaluated to estimate the rate of fetal and neonatal complications in diabetic mothers in relation to the type of diabetes and the quality of the prenatal care. There were 35.7% gestational diabetes mellitus (GDM) and 64.3% overt diabetes. Mean gestational age was 19.1 weeks at first visit. The most common complications were: Preterm delivery 32.1%, macrosomia 23.2%, hyperbilirubinemia 23.2%, hypoglycemia 14.3%, intrauterine growth retardation 12.5%. From this study can be concluded that the time of the first visit and the consequent therapy begin has direct impact on the rate of fetal complications

Patients with persistent diarrhea were evaluated for predisposing factors and following characteristics found: 1-There was a reverse relation between the age of the patient and persistent diarrhea, especially under the age one year. 2-Patient diarrhea is more infrequent in breast-fed children that in non breast-fed. 3-Children who received antibiotics in the last 14 days were more prone to persistent diarrhea. 4-Children whose diarrhea contained mucus or blood at the beginning were more prone to persistent diarrhea than those who had watery diarrhea. 5-There was a reverse relation between the mothers’ education and developing persistent diarrhea in children. Thus, to prevent developing of persistent diarrhea, breast-feeding, avoiding unnecessary and uncritical antibiotic administration in diarrhea and appropriate teaching of the mothers, is recommended

Is a routine lumbar puncture in patients with first episode of febrile convulsion necessary? In order to find an answer to this question, in a prospective study 332 children with a first episode of convulsion were lumbar punctured. 17 patients (5.1%) had abnormal CSF findings although clinically meningitis was not suspected in them. This makes a lumber puncture in children with the first episode of febrile convulsion unavoidable

Immunodeficient patients received 109 intravenous Immunoglobulin (IvIg) infusion, 9 infusions (8.2%) were followed by adverse reactions consisting of 5 mild, 1 moderate and 3 severe reactions. Predisposing factors were: Infusion speed (20 drops per min or more), presence of IgA antibody, and active infection at the time of infusion

The effect of Piracetam on attention deficit and hyperactivity disorder (ADHD) was studied on 25 children with developmental delay in placebo-controlled cross over study. Placebo or piracetam as suspension was administered to the children 50 mg/kg/day in 3 divided doses for a period of 3 weeks. After a wash out period of 2 weeks the treatment was resumed reversely. ADHD was induced and increased in the group taking piracetam significantly more than in the placebo group (P<0.05). Thus, piracetam in children with developmental delay induces and increases ADHD and should be taken cautiously

Injury to the intratemporal facial nerve is caused most commonly by temporal bone fractures resulting from trauma sustained in motor vehicle accidents. Most cases of facial paralysis secondary to temporal bone fracture are caused by longitudinal fractures of this bone. We report a 13 year-old girl with paralysis secondary to temporal bone fracture. After removal of the bone fragments, we observed that the continuity of the facial nerve was intact