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A Bizarre Case of Anaphylaxis due to Hydatid Cyst Perforation Presented as Respiratory Arrest: A Case Report 一例以呼吸停止为表现的棘球蚴穿孔引起过敏的病例报告
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.55047.4352
S. Saghebdoust, Elham Nikrouh, Sara Najafi, M. Aelami
Anaphylaxis is an acute systemic reaction with various presentations that can be misdiagnosed in some patients. Anaphylaxis due to hydatid cyst rupture usually happens during surgery. However, there are rare cases with even spontaneous hydatid cyst rupture and anaphylaxis. We report a five-year-old Iranian child with cardiopulmonary arrest and coma presentation that was incidentally diagnosed as an anaphylaxis case due to hydatid cyst rupture. In children who are presented with unconsciousness, anaphylaxis may have an uncommon presentation. In endemic regions, anaphylaxis due to hydatid cyst rupture should be considered to reduce morbidity and even mortality.
过敏反应是一种急性全身反应,有各种表现,在一些患者中可能被误诊。棘球蚴破裂引起的过敏反应通常发生在手术过程中。然而,罕见的情况下甚至自发的棘球蚴破裂和过敏反应。我们报告了一名五岁的伊朗儿童,他出现心肺骤停和昏迷,被意外诊断为棘球蚴破裂引起的过敏反应。在表现为无意识的儿童中,过敏反应可能是一种罕见的表现。在流行地区,应考虑棘球蚴破裂引起的过敏反应,以降低发病率甚至死亡率。
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引用次数: 2
Evaluation of Aortic Elasticity in Children with Celiac Disease Compared with Controls 乳糜泻患儿与对照组的主动脉弹性评价
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2020.49865.3979
N. Noori, M. Khalili, I. Shahramian, Alireza Teimouri
Background Celiac disease (CD) is a lifelong, chronic and immune-mediated disorder. Recent studies have turned on a new light on the importance of inflammation in the pathogenesis of arterial stiffness. The aim of this study was to evaluate arterial stiffness in children with celiac disease compared with controls. Materials and Methods: In this case-control study, fifty children aged from 3.5 to 18 year- old with celiac compared with 50 age and sex-matched controls. The study performed in Ali Asghar pediatric hospital in Zahedan city, Iran during the year 2019. Echocardiography, aortic elasticity, blood pressure, tissue transglutaminase IgA (tTG-IgA), and anthropomorphic parameters were measured. Arterial stiffness indices determined using 2D and Doppler echocardiography. Data were analyzed using SPSS software version 20.0. Results: In all and CD children, 51% and 56% were girls, respectively. Systolic and diastolic blood pressure were lower in patients (p <0.001). Aortic diameter in diastole was lower in patients significantly (p <0.001). Aortic strain (<0.001), PSEM (<0.001), AD (<0.001), and ASI (p <0.001) were different between celiac patients and controls.  Tissue transglutaminase IgA (tTG-IgA) was changed significantly with Marsh classification (p <0.001); tTG-IgA was correlated with strain (r= 0.417, p=0.003), and AD (r= 0.282, p=0.047) before age control when the trends did not change after age control for AD (r=0.241, p=0.096).  LVMI was correlated with strain (r=-0309, p=0.029), PSEM (r=0.322, p=0.023), and AD (r=0.326, p=0.021) before controlling age when after age control this significant correlation omitted. Conclusion Concluded that aortic elastic risk is higher in celiac children when is free of modified marsh classification. Most of the aortic elastic parameters had significant correlation with changes of tTG-IgA antibody in children with celiac disease.
背景腹腔疾病(CD)是一种终生慢性免疫介导的疾病。最近的研究为炎症在动脉硬化发病机制中的重要性提供了新的线索。本研究的目的是与对照组相比,评估乳糜泻儿童的动脉硬化。材料和方法:在这项病例对照研究中,50名3.5至18岁患有乳糜泻的儿童与50名年龄和性别匹配的对照组进行了比较。这项研究于2019年在伊朗扎黑丹市的Ali Asghar儿科医院进行。测量超声心动图、主动脉弹性、血压、组织转谷氨酰胺酶IgA(tTG-IgA)和拟人参数。使用2D和多普勒超声心动图确定动脉硬度指数。数据采用SPSS 20.0版软件进行分析。结果:在所有儿童和CD儿童中,女孩分别占51%和56%。患者的收缩压和舒张压较低(p<0.001)。患者舒张期的主动脉直径显著较低(p<0.001),乳糜泻患者和对照组之间的主动脉应变(<0.001)、PSEM(<001)、AD(<0.001)和ASI(p<001)不同。组织谷氨酰胺转胺酶IgA(tTG-IgA)随Marsh分级有显著变化(p<0.001);tTG IgA与年龄控制前的菌株(r=0.417,p=0.003)和AD(r=0.282,p=0.047)相关,而AD的年龄控制后趋势没有变化(r=0.241,p=0.096)。LVMI与控制前的毒株(r=-0309,p=0.029)、PSEM(r=0.322,p=0.023)和阿尔茨海默病(r=.326,p=0.02 1)相关,但在年龄控制后,这一显著相关性被忽略。结论乳糜泻患儿在无改良marsh分类的情况下主动脉弹性风险较高。乳糜泻患儿的主动脉弹性参数大多与tTG-IgA抗体的变化有显著相关性。
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引用次数: 1
Tyrosinemia Type III: A Case Report with a Seven Years Follow-up III型酪氨酸血症:1例随访7年
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.56791.4451
S. Vakili, M. Emami, M. Mobini, R. Vakili
Hereditary Tyrosinemia type III (OMIM 276710) is a rare inborn error of tyrosine metabolism, which is caused by the deficiency of 4-hydroxyphenylpyruvate dioxygenase (HPD). This metabolic statement is transmitted in an autosomal recessive trait and hitherto about 18 cases presenting with this disease have been reported in the literature. Because of low prevalence of the disease the clinical phenotype remains variable and unclear but main symptoms are mostly related to the high concentrations of tyrosine and phenolic metabolites namely mental retardation, ataxia, and seizures. We described clinical, biochemical and molecular characteristics of an Iranian female patient with Tyrosinemia type III and her 7-year follow-up plan. A novel variant of HPD (609695) mutation (c.759+1 G>A) was identified in homozygous pattern. Despite not being compliant with the recommended diet, the patient continued to have normal neuropsychiatric development in the follow-up, which questions the efficacy of low-tyrosine diet.
遗传性酪氨酸血症III型(OMIM 276710)是一种罕见的先天性酪氨酸代谢错误,由4-羟基苯基丙酮酸双加氧酶(HPD)缺乏引起。这种代谢声明是通过常染色体隐性性状传递的,迄今为止,文献中报道了大约18例出现这种疾病的病例。由于发病率低,临床表型不明确,但主要症状主要与高浓度酪氨酸和酚类代谢物有关,即智力低下、共济失调和癫痫发作。我们描述了一名伊朗女性III型酪氨酸血症患者的临床、生化和分子特征及其7年随访计划。在纯合子模式下鉴定出一种新的HPD(609695)突变(c.759+1 G>A)。尽管没有遵循推荐的饮食,患者在随访中仍有正常的神经精神发育,这对低酪氨酸饮食的有效性提出了质疑。
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引用次数: 1
Assessment of Left Ventricular Outflow Tract Velocity Time Integral in Pediatric Patients with Vasovagal Syncope 血管迷走神经性晕厥患儿左心室流出道流速积分的评估
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.57356.4502
M. Khalilian, F. Alaei, Elham Abdoulahzadeh, M. Ghazavi, M. Hajipour
Background Syncope is an important and common clinical condition, and the neurally mediated syncope is the most frequent type of syncope. Head up tilt testing is considered as a first line diagnostic test. The aim of this study was to assess the left ventricular outflow tract velocity time integral in echocardiography of pediatric patients with vasovagal syncope. Materials and Methods: In this case-control study, between January 2019 and December 2020 92 patients who referred in in Mofid Children Hospital in Tehran, Iran, for vasovagal syncope in the case group and 92 healthy children with maximum matching of sex and age in the control group were included in the study. Demographic, clinical and para-clinical data were recorded for each patient in the respective checklists, and HUTT and echocardiography were reviewed, then the results of two groups were compared. Results: The mean age of the patients with vasovagal syncope was 12.12 ±5.18 years. 66.3% of patients in the case group were female. There was a statistically significant relationship between LVOT-VTI and positive result of HUTT (p <0.001). There was no relationship between LVOT VTI in case and control groups (p=0.14). Conclusion The mean LVOT VTI index in patients with negative tilt test is higher than patients with positive tilt test. Although echocardiographic indices in children with vasovagal syncope are in normal range, accurate measurement of LVOT-VTI can be helpful in predicting a positive HUTT result.
背景晕厥是一种重要而常见的临床疾病,神经介导的晕厥是最常见的晕厥类型。抬头倾斜测试被视为一线诊断测试。本研究的目的是评估儿童血管迷走性晕厥患者超声心动图中左心室流出道速度-时间积分。材料和方法:在这项病例对照研究中,在2019年1月至2020年12月期间,92名因血管迷走性晕厥在伊朗德黑兰Mofid儿童医院转诊的病例组患者和92名性别和年龄最大匹配的对照组健康儿童被纳入研究。将每位患者的人口统计学、临床和准临床数据记录在各自的检查表中,并对HUTT和超声心动图进行审查,然后比较两组的结果。结果:血管迷走性晕厥患者的平均年龄为12.12±5.18岁。病例组中女性占66.3%。LVOT-VTI与HUTT阳性结果之间存在统计学意义(p<0.001),病例组和对照组LVOT-VDI之间无相关性(p=0.14)。尽管血管迷走性晕厥儿童的超声心动图指标在正常范围内,但准确测量LVOT-VTI有助于预测HUTT阳性结果。
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引用次数: 0
A Rare Cause of Fat Malabsorption in Children: Chylomicron Retention Disease: A Case Report 儿童脂肪吸收不良的罕见原因:乳糜微粒滞留病1例报告
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.56367.4430
Sibel Yavuz, G. Tumgor, Yurdun Kuyucu, S. Polat
Background: Chylomicron retention disease is an autosomal recessive disorder causing malabsorption of intestinal fat. It is extremely rare. This report is presented because although the condition is rare in cases presenting with fatty diarrhea, inability to gain weight, and abdominal distension, it should nevertheless be considered. Case Presentation: A four-month-old girl presented due to diarrhea, inability to gain weight, and lack of appetite since birth at Cukurova University, Pediatric gastroenterology outpatient clinic, Adana, Turkey. No blood or mucus was present in stool. Her general condition was average, she appeared pale and lethargic, the abdomen was distended, and no organomegaly was present. Duodenal pathology was normal but electron microscopy revealed that the enterocytes were filled with fat globules. Causes leading to fat malabsorption were investigated, and homozygous mutation was determined in the SAR1B, chylomicron retention disease, gene. Conclusion: The patient was treated with a low-fat diet and fat-soluble vitamin supplementation resulting in significant improvement. Although it is rarely seen in patients presenting with chronic diarrhea, chylomicron retention disease should be kept in mind in the differential diagnosis.
背景:Chylomicron滞留病是一种常染色体隐性遗传疾病,可引起肠道脂肪吸收障碍。它极为罕见。之所以提出这份报告,是因为尽管这种情况在脂肪性腹泻、无法增重和腹胀的病例中很少见,但仍应考虑。病例介绍:一名四个月大的女孩因腹泻、无法增重和出生后食欲不振在土耳其阿达纳的库库洛娃大学儿科胃肠病门诊就诊。粪便中没有血液或粘液。她的总体情况一般,面色苍白,无精打采,腹部肿胀,没有器官肿大。十二指肠病理正常,但电子显微镜显示肠细胞充满脂肪球。研究了导致脂肪吸收不良的原因,并确定了乳糜微粒滞留病SAR1B基因的纯合突变。结论:患者采用低脂饮食和补充脂溶性维生素治疗,效果显著。尽管在慢性腹泻患者中很少见到乳糜微粒滞留病,但在鉴别诊断中应牢记乳糜微粒残留病。
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引用次数: 0
Influence of Speed-Strength Training on the Speed of Movement of Schoolchildren with Different Strength of the Nervous System 速度力量训练对不同神经系统力量学童运动速度的影响
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.57347.4500
G. Polevoy
Background The aim of this study was to determine the influence of speed and strength abilities of children aged 13-14 years on the indicators of speed of movement, taking into account the differentiated physical activity, which is based on the strength of the nervous system.  Materials and Methods: This case-control study was conducted in an ordinary school in Russia, 40 seventh-graders took part in the experiment. Children from the control group (n=20) were engaged in the usual program, and children from the experimental group (n=20) additionally performed speed-strength exercises at each physical education lesson. Physical activity for children in the experimental group was differentiated, taking into account the strength of the schoolchildren nervous system. All schoolchildren took tests: tapping test, speed-strength abilities were determined by three tests. The speed of movement of schoolchildren was determined by the test «Running on the spot». Two results of two groups were compared.  Results: After the pedagogical experiment, the indicators for all tests in all subgroups increased. In the control group, the indicators of speed and strength abilities in both subgroups improved by 2-4% (p>0.05), and the indicators of speed of movement by 4-6% (p>0.05). At the same time, the children from the experimental group the indicators of speed and strength abilities improved by 11-16% (p <0.05), and the indicators of speed of movement improved by 17-19% (p <0.05).  Conclusion After focused work in physical education classes at school on speed and strength abilities the indicators will improve not only speed-power abilities, but also increase the speed of movement taking into account the typology of the nervous system of schoolchildren.
背景本研究的目的是确定13-14岁儿童的速度和力量能力对运动速度指标的影响,同时考虑到基于神经系统力量的差异性体力活动。材料与方法:本研究在俄罗斯一所普通学校进行病例对照研究,40名七年级学生参加了实验。对照组(n=20)的孩子参加了常规项目,实验组(n=20%)的孩子在每节体育课上都额外进行了速度力量训练。考虑到学童神经系统的强度,对实验组儿童的体育活动进行了区分。所有小学生都参加了测试:敲击测试、速度力量能力由三项测试确定。学童的运动速度由“现场跑步”测试决定。比较两组的两个结果。结果:在教学实验后,所有亚组的所有测试指标都有所提高。在对照组中,两个亚组的速度和力量能力指标均提高了2-4%(p>0.05),运动速度指标提高了4-6%(p>0.05),结论在学校体育课上重点研究速度和力量能力后,考虑到学童神经系统的类型,这些指标不仅能提高速度力量能力,还能提高运动速度。
{"title":"Influence of Speed-Strength Training on the Speed of Movement of Schoolchildren with Different Strength of the Nervous System","authors":"G. Polevoy","doi":"10.22038/IJP.2021.57347.4500","DOIUrl":"https://doi.org/10.22038/IJP.2021.57347.4500","url":null,"abstract":"Background The aim of this study was to determine the influence of speed and strength abilities of children aged 13-14 years on the indicators of speed of movement, taking into account the differentiated physical activity, which is based on the strength of the nervous system.  Materials and Methods: This case-control study was conducted in an ordinary school in Russia, 40 seventh-graders took part in the experiment. Children from the control group (n=20) were engaged in the usual program, and children from the experimental group (n=20) additionally performed speed-strength exercises at each physical education lesson. Physical activity for children in the experimental group was differentiated, taking into account the strength of the schoolchildren nervous system. All schoolchildren took tests: tapping test, speed-strength abilities were determined by three tests. The speed of movement of schoolchildren was determined by the test «Running on the spot». Two results of two groups were compared.  Results: After the pedagogical experiment, the indicators for all tests in all subgroups increased. In the control group, the indicators of speed and strength abilities in both subgroups improved by 2-4% (p>0.05), and the indicators of speed of movement by 4-6% (p>0.05). At the same time, the children from the experimental group the indicators of speed and strength abilities improved by 11-16% (p <0.05), and the indicators of speed of movement improved by 17-19% (p <0.05).  Conclusion After focused work in physical education classes at school on speed and strength abilities the indicators will improve not only speed-power abilities, but also increase the speed of movement taking into account the typology of the nervous system of schoolchildren.","PeriodicalId":51591,"journal":{"name":"International Journal of Pediatrics","volume":"9 1","pages":"13773-13779"},"PeriodicalIF":2.1,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44490023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Water Treadmill Exercise on Children with Attention Deficit Hyperactivity Disorder 水上跑步机运动对注意缺陷多动障碍儿童的影响
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.57015.4466
A. Sabzi, A. Dana, M. Salehian, Haniyeh Shaygan Yekta
Background Attention deficit hyperactivity disorder (ADHD) is one of the prevalent disorders in child psychiatry with the potential of damage to mental talent evolution process and socio-emotional skills. This study aimed to determine the effect of Water treadmill exercise on children with Attention deficit hyperactivity disorder (ADHD).  Materials and Methods: This was an experimental study with pretest, posttest design which was done in Gorgan. Participants were 46 children (mean age = 9.45 ±0.5, male = gender) who were identified and selected based on diagnostic criteria in two stages and were randomly divided into experimental and control groups (n=23). The experimental group performed running on a Water treadmill for eight weeks with three sessions each week (24 sessions in total) and each session for 30 minutes. The exercise intensity was for 10 minutes 40-45% and 20 minutes 55-65% of the maximum heart rate reserve. All sessions begin with a brief warm-up, including light aerobic activity and dynamic, static stretching, and end with a cool-down. Disorder Levels were measured using the Conners’ Parent Rating Scale-Revised (CPRS-R), and diagnostic interviews. Data were analyzed using SPSS software version 22.  Results: The results showed that after controlling the pretest levels, behavior problems, social problems, anxiety-shyness, psychosomatic, and the overall score of attention deficit hyperactivity disorder in the experimental group were significantly lower the posttest than the control group (p <0.05).  Conclusion Based on the results, exercise interventions with Water treadmill for eight weeks effectively reduce the symptoms of attention deficit hyperactivity disorder in children and can be used as an appropriate intervention.
背景注意缺陷多动障碍(ADHD)是儿童精神病学中常见的障碍之一,可能会损害智力进化过程和社会情感技能。本研究旨在确定水上跑步机运动对注意力缺陷多动障碍(ADHD)儿童的影响。材料和方法:这是一项在戈尔根进行的前测、后测设计的实验研究。参与者为46名儿童(平均年龄=9.45±0.5,男性=性别),根据诊断标准分为两个阶段进行识别和选择,并随机分为实验组和对照组(n=23)。实验组在水上跑步机上跑步八周,每周三次(共24次),每次30分钟。运动强度为最大心率储备的10分钟40-45%和20分钟55-65%。所有训练都以短暂的热身开始,包括轻度有氧运动和动态、静态拉伸,最后以放松结束。使用康纳斯父母评定量表修订版(CPRS-R)和诊断访谈来测量障碍水平。使用SPSS软件版本22对数据进行分析。结果:实验组在控制前测水平后,行为问题、社会问题、焦虑害羞、心身、注意缺陷多动障碍总分均显著低于对照组(p<0.05),使用水跑步机进行为期八周的运动干预,可以有效地减少儿童注意力缺陷多动障碍的症状,并可作为适当的干预措施。
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引用次数: 8
Understanding the Physical Activity Behavior of Iranian Female Students: Two Approaches to Analyzing the Theory of Planned Behavior 了解伊朗女学生的体育活动行为:分析计划行为理论的两种途径
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-06-01 DOI: 10.22038/IJP.2021.57084.4475
Mansoure Alipour-anbarani, S. mohammadpour, H. Akhavan, Maryam Habibnezhad, T. Marashi
Background Living without sufficient amount of physical activity is known as a contributing factor to countless diseases. This research study aimed to determine the relationships between the constructs of the theory of planned behavior and female students’ physical activity with a path analysis approach. Materials and Methods The present research is a descriptive-analytic study conducted through cross-sectional data collection procedure. 185 female students were selected via multi-phase random sampling in elementary schools in Mashhad, Iran, from February to November 2018. Path analysis was performed by AMOOS version 22.0 and SmartPLS 2.0 to test the causal relationship among physical activityand constructs of the theory of planned behavior. Results The age range of female students was between 10 and 13, with mean and standard deviation of 11.51 ±0.76, respectively. The results showed that the constructs of attitude (r=0.177, p=0.018), and perceived behavioral control (r=0.234, p=0.001) had a direct and significant relationship with physical activity intention. However, the direct relationship between the constructs of subjective norms and physical activity intention was not significant (P>0.05). Also the direct relationship between the constructs of physical activity intention and physical activity behavior was not significant (P>0.05). Conclusion Based on the results, the constructs of attitude, and perceived behavioral control had a direct and significant relationship with physical activity intention in female students.
生活中缺乏足够的身体活动被认为是导致无数疾病的一个因素。本研究旨在运用路径分析法,探讨计划行为理论构念与女大学生体育活动的关系。材料与方法本研究是通过横断面数据收集程序进行的描述性分析研究。2018年2月至11月,通过多阶段随机抽样,在伊朗马什哈德的小学中抽取了185名女学生。采用AMOOS版本22.0和SmartPLS 2.0进行通径分析,检验体育活动与计划行为理论建构之间的因果关系。结果女学生年龄在10 ~ 13岁之间,均值为11.51±0.76,标准差为11.51±0.76。结果表明,态度构构(r=0.177, p=0.018)和行为控制知觉构构(r=0.234, p=0.001)与体育活动意向有直接显著的关系。主观规范构念与体育活动意愿之间的直接关系不显著(P < 0.05)。体育活动意向构念与体育活动行为构念之间的直接关系也不显著(P < 0.05)。结论女生的态度构念、行为控制知觉构念与体育活动意愿有直接显著的关系。
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引用次数: 3
Comparison of anxiety and depression in between Midwifes and nurses working in pediatric wars and different clinical settings during the COVID-19 outbreak 2019冠状病毒病疫情期间在儿科战场和不同临床环境中工作的助产士和护士焦虑和抑郁的比较
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-05-21 DOI: 10.22038/IJP.2021.57880.4541
Mohammad Mobin Mirimoghaddam, R. Ahmadi, M. Sezavar, A. Ahmadi, Maryam Soleimani Houni, Abolfazl Hosseinnataj, Maryam Dehghanipour, Zahra Ramazanian Bafghi, M. Ghazanfarpour
Background: This study aimed to comparison of anxiety and depression related to COVID-19 in midwifes and  nurses working in pediatric wards and different clinical settings during the COVID-19 outbreak. Material and methods: In this cross-sectional study, samples were collected using the random sampling method  . Modified Hospital Anxiety and Depression Scale (HADS) were used to measure anxiety and depression related to COVID-19 by linear regression.  Results: In this study, 88.6% of the participants were women and the mean age of the nurses was 30.41 ± 6.59 years. Also, 36.4% of the nurses were midwives, 35% were pediatric nurses and the rest were other nurses. The mean and standard deviation of anxiety and depression scores were 12.76 ± 7.75 and 1.78 ± 2.27, respectively. 92.9% were anxious and 11.4% were depressed. The variables of marital status and sports activity had a significant effect on nurses' depression scores. Conclusion: Anxiety and depression scores were not significantly different among treatment staff. The prevalence of Covid-19 anxiety is high among hospital staff in Iran and the prevalence of depression was moderate. Which can have a detrimental effect on the quality of care provided by nurses and midwives to the patient.
背景:本研究旨在比较新冠肺炎疫情期间儿科病房和不同临床环境中助产士和护士与新冠肺炎相关的焦虑和抑郁。材料和方法:在这项横断面研究中,使用随机抽样方法收集样本。采用改良医院焦虑抑郁量表(HADS)对新冠肺炎相关焦虑抑郁进行线性回归分析。结果:在本研究中,88.6%的参与者是女性,护士的平均年龄为30.41±6.59岁。此外,36.4%的护士是助产士,35%是儿科护士,其余是其他护士。焦虑和抑郁评分的平均值和标准差分别为12.76±7.75和1.78±2.27。92.9%的人感到焦虑,11.4%的人感到抑郁。婚姻状况和体育活动变量对护士抑郁评分有显著影响。结论:不同治疗人员的焦虑、抑郁评分差异无统计学意义。新冠肺炎焦虑症在伊朗医院工作人员中的患病率很高,抑郁症的患病率中等。这可能会对护士和助产士为患者提供的护理质量产生不利影响。
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引用次数: 0
Classifier Model for COVID-19 Diagnosis using Hybrid Algorithms in Data Mining 基于数据挖掘混合算法的COVID-19诊断分类器模型
IF 2.1 Q3 PEDIATRICS Pub Date : 2021-05-21 DOI: 10.22038/IJP.2021.57898.4544
Mohammad Saeedi, A. Ghazikhani, M. Nikooghadam
The outbreak of Covid-19 has created a difficult situation for all people around the world and the number of deaths is increasing daily. Diagnosis of Covid-19 by blood test (RT-PCR) is time consuming and experts are looking for a faster solution to control and counteract the further spread of the virus worldwide using non-clinical methods such as data technology. Mining, machine learning and artificial intelligence. Because the healthcare industry generates large amounts of data, we can use data mining to find hidden and understandable patterns that may help in rapid diagnosis and effective and efficient decision making. Prediction and diagnostic algorithms can reduce the pressure on health care systems by accurately and quickly identifying diseases. In this study, a proposed model for more accurate and faster diagnosis of patients with Covid-19 and healthy individuals using basic and combined data mining algorithms is presented. The data set includes: electronic medical and laboratory records of patients in Imam Reza (AS) Hospital in Mashhad, which has been implemented with the help of Python software version 3.7 and Veka version 3.9. We used basic algorithms such as: Naive Bayes, Decission Tree, K- nearest neighborhood, Support Vector Machine, Random Forest, Ada-Boost, Bagging, Majority Voting, XGBoost and Stacking. The results of the present study showed that the proposed model achieved an accuracy of 83% by using a combination of basic algorithms in the stacking classification, which used the gradient boosting algorithm in the meta part.
新冠肺炎的爆发给世界各地的所有人带来了困难,死亡人数每天都在增加。通过血液检测(RT-PCR)诊断新冠肺炎很耗时,专家们正在寻找一种更快的解决方案,使用数据技术等非临床方法来控制和遏制病毒在全球的进一步传播。采矿、机器学习和人工智能。由于医疗保健行业产生了大量数据,我们可以使用数据挖掘来发现隐藏的、可理解的模式,这些模式可能有助于快速诊断和有效决策。预测和诊断算法可以通过准确快速地识别疾病来减轻医疗保健系统的压力。在这项研究中,提出了一种使用基本数据挖掘算法和组合数据挖掘算法对新冠肺炎患者和健康个体进行更准确、更快诊断的模型。该数据集包括:马什哈德Imam Reza(AS)医院患者的电子医疗和实验室记录,该记录是在Python软件3.7版和Veka 3.9版的帮助下实现的。我们使用了一些基本算法,如:朴素贝叶斯、决策树、K-最近邻域、支持向量机、随机森林、Ada-Boost、Bagging、多数投票、XGBoost和Stacking。本研究的结果表明,通过在堆叠分类中使用基本算法的组合,所提出的模型实现了83%的准确率,其中在元部分使用了梯度增强算法。
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引用次数: 0
期刊
International Journal of Pediatrics
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