mahboubeh dordipour

Fetal Malnutrition (FM) is caused by inadequate formation of fat, subcutaneous tissues and muscle mass in the fetus, which is associated with several morbidities. Thus, accurate and timely diagnosis of FM is crucial in newborns. In this study, we aimed to compare the nutritional status (Fetal Malnutrition) of a newborn in Ghaem Hospital, Mashhad University of Medical Sciences, Iran, based on CANSCORE with anthropometric criteria. In this cross-sectional descriptive study, 367 neonates who were born from 2020 to 2021 in the maternity ward of Ghaem Hospital, Mashhad were evaluated in the first 24 to 48 hours of life. Demographic characteristics, anthropometric criteria and CANSCORE of neonates were recorded and analyzed using SPSS software (version 16). A p-value <0.05 was considered statistically significant. 367 neonates (54.8% females), with a mean gestational age of 38.7 ± 1.4 weeks, were studied. Mean anthropometric indices, including height, mid-arm circumference and head circumference were 50.05 ± 2.3 cm, 10.5 ± 1.1 cm, and 34.8 ± 1.5 cm, respectively. Average CANSCORE was 25.5 ± 1.9. The majority of the neonates were AGA (89.6%), while 6% were SGA. According to MAC/HC, BMI, and PI, 0%, 14.4% and 12.3% of newborns were malnourished, respectively. CANSCORE identified FM in 19.1% of neonates. A significant correlation between neonates’ weight (SGA, AGA, LGA) and CANSCORE was detected (p<0.001). Bivariate analysis with Pearson’s correlation showed a significant and positive relationship between all anthropometric indices and CANSCORE (p<0.05). CANSCORE is an accurate clinical tool for identifying FM in term newborns.

The COVID-19 pandemic presents a major risk to Health Care Workers (HCWs), which necessitates protective strategies. Personal Protective Equipment (PPE) and Hand Hygiene (HH) could prevent COVID-19 infections in healthcare facilities. Our study aimed to determine the level of PPE proper use among HCWs of Mashhad educational hospitals as well as their level of HH. This cross-sectional study was conducted from January 1st, 2021 to January 1st, 2022 in three educational hospitals in Mashhad. A standard checklist was arranged based on the WHO guidelines and was filled out by the supervisors. Data were analyzed using SPSS v23.0. The total HCWs included in this study were 246, including 154 women. The majority of the participating staff were nurses 135 (54.9%). The most common PPE was the N95 mask (71.1%). One hundred and eighty-four people (46.3%) washed their hands through the standard method, and there was no significant difference between men and women. Also, the level of correct PPEs donning and doffing was 42.2% and 28.4%; respectively. PPE donning was not significantly different between men and women. However, we found a significant difference in doffing PPE. It became evident that HCWs paid moderate attention to PPE and HH, demanding HCWs training to prevent infectious diseases such as the COVID-19.