shahrokh mehrpisheh

Poisoning is a substantial type of unintentional injury in children that is associated with significant mortality and morbidity. 

This study reviewed the patterns of poisoning in children in Iran. 

Based on the results of the studies, the prevalence of poisoning is higher in boys and the most poisoned children were in the age group of 1 to 3 years. Drugs were the main toxic factors, followed by narcotics and opium. The rate of poisoning was higher in urban areas. Neurological symptoms were the main signs and symptoms in poisoned children. Most patients were completely cured and the mortality rate was about 2%. Family addition, unsafe storage of drugs, and lack of parental supervision over children were the main risk factors for poisoning among children.

Unintentional poisonings are still common among children in developing countries. Drug poisoning is the main cause of poisoning in children. Therefore, increasing knowledge and awareness about the types of poisoning and how to prevent it is very important in preventing childhood poisoning.

The exclusive human milk diet refers to the feeding with breast milk or donated human milk along with human milk-derived fortifiers. This article is a narrative review about feeding of premature infants, especially very low birth weight babies with this type of diet. By searching the articles published in English in the Scopus, PubMed, Science Direct and Google Scholar databases, finally the 15 articles was reviewed in terms of different neonatal outcomes and the information was collected and reported based on the year of publication, the outcomes investigated and the impact. The results of the present study showed that the effect of this nutrition in the limited studies that have been conducted so far, despite its economic efficiency and clinical benefits, has had  different results on many important neonatal outcomes. Reducing the incidence of necrotizing enterocolitis, retinopathy of prematurity, reducing intraventricular bleeding,improving   nutrition tolerance and growth parameters have been among the benefits of this diet in some studies, while in other studies, some of these morbidities have not changed. Therefore, due to the novelty of the fortifiers derived from human milk, more studies are needed to investigate its short-term and long-term effects by conducting more clinical trials.

The Qur’an, the word of God, is the best book that has been revealed to guide human beings contains a complete plan of human life. However, in addition to educational, ethical, and religious issues, it also contains valuable scientific information. Several verses in the Holy Qur’an discuss the importance of breast milk and its proper planning. Qur’an also orders up parents, especially mothers, for getting this goddamn blessing to their children. Qur’an verses as well as Islamic hadiths emphasize that breast milk is an unparalleled and comprehensive food that plays a valuable and unique role in the improvement of mental health, physical development, and desirable development of children. Based on Islamic sources, such as the Holy Qur’an and the traditions of the Prophet (PBUH) and Islamic hadith, there are some interesting and important points about breastfeeding, its benefits and its provisions. The Qur’an verses and Islamic hadiths emphasize the importance of breastfeeding and the importance of continuing it until 24 months. The description of these hadiths and verses is presented in the text. Considering the religious and Qur’an educations regarding the importance of breastfeeding infants, it can be concluded that breastfeeding contains the most complete immune and growth factors in the infant. In addition to physical needs, breastfeeding provides emotional and mental development and also gives countless benefits to the mother.

This study was conducted to determine the effect of purgative Manna and clofibrate on unconjugated hyperbilirubinemia of term neonates. In this randomized clinical trial study, sixty neonates suffering from unconjugated hyperbilirubinemia were evaluated. The neonates were divided into three groups using balanced block randomization. Group A (control group-received only phototherapy), group B (intervention group-received purgative Manna and phototherapy) and group C (intervention group-received clofibrate and phototherapy). After the intervention, the amount of serum bilirubin reduction was compared between groups. There was no significant difference among group A, B, and C in terms of serum bilirubin reduction in 24, 48 and 72 hours after starting the intervention (P>0.05). The hospital stays in the control group was significantly longer than the intervention groups (P<0.05). No side effects were observed related to using purgative Mienna and clofibrate. The present study showed that prescribing of purgative Manna and clofibrate has no effect on reduction of serum bilirubin level in term neonates with unconjugated hyperbilirubinemia. Thus, it seems that the administration of these drugs is not necessary. Further studies in this regard are recommended.