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The study of Poisoning in Children Refred to TaleghaniMedical-Educational Centre of Gorgan, 2009
Mis Zahra Sabzi, Mr Hamid Soltani Pasha, Mis Batool Azartash, Mis Parvin Sabzi,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective: Poisoning is one of the significant causes of mortality and hospitalization in children. This problem occurs mostly under the age of two and is due to accidental ingestion of drug and poisons.Because of the importance of poisoning and its change in cities and time periods, this study was done to evaluate the epidemiology of poisoning in children admitted to Taleghani Medical-Educational centre of Gorgan, 2009 .

  Materials and Methods : This cross-sectional study was conducted on 164 hospitalized children due to poisoning. Patient's data such as age, sex and diagnosis were recorded in preplanned questionnaire, then data analyzed by spss 16.

  Results: In this survey, 6053 children were admitted in emergency ward of Gorgan's Taleghani hospital ­during 2009. Of these cases, 164 are related to poisoning including opium intoxication(39.63%),drugs(24.39%),kerosene(9.75%),house hold chemicals(4.87%) methadone intoxication (4.26%), and mouse killer(2.43%).

  Conclusion: Toxification should be taken into account seriously in children. Because of high frequency of opium and medicinal poisoning, we recommend public education to prevent from this accident and to improve public health.


Self-Concept and Related Factors in Children and Adolescents with Thalassemia Major Aged 7-18 in Golestan Province, 2012
Dr Leili Borimnejad, Ome Kolsoum Toomaj, Hamid Haghani,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: The people with Thalassemia, because of frequent blood transfusion and sever complication ,require constant medical supervision, and their psychological problems are paramount. This study aimed to determine Self-Concept and related factors in children and adolescents with Thalassemia major aged 7-18 in Golestan province ,2012. 
Material and Methods: This cross-sectional study was conducted on 155, using census sampling, children and adolescents with Thalassemia major refereeing to therapeutic and health centers for blood transfusion. The instruments were Piers-Harris self-concept questionnaire and demographic data . The analysis was performed by SPSS software using ANOV and t-test. 
Results: The mean of self-concept was low, and there was significant relationship between self-concept and variables such as age, educational status, dropout , order of birth, the number of children in family and parents’ education level. But no significant difference was observed between self-concept and the factors such as sport, the frequency of transfusion, economic status. 
Conclusion: The results revealed that the self-concept of the thalassaemic patients is low. Some non-adjustable factors exacerbate this condition, but encouraging them to continue their education, informing their parents more about their children’s disease can be helpful to improve their self-concept.

Growth Indices of Low and Normal Birth Weight of 2-5 year Old Children in Rural Areas of Gonbad , Iran
Abdol-Hamed Yapan-Gharavi , Behrooz Ebrahimzadehkor, Ata-Mohammad Dorri,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: Given the correlation of birth weight with growth indices, this study aimed at determing the growth indices of low birth weight (LBW) and normal birth weight of 2-5 year old children in rural areas of Gonbad, Iran.

Material and Methods: In this retrospective cohort study, using multi-stage cluster sampling, 200 LBW 2-5-year-old children and 200 normal birth weight were selected. The data was collected through interview and analyzed by Pearson correlation, t-test and chi-square.

Results: The prevalence of shorter stature and low weight-for-age in case group was higher than those of controls, and the high weight-for-age was higher in control group. Gestational age, maternal Body Mass Index (BMI), intepregnancy interval and age of delivery were determined as the most important factors related to LBW.

Conclusion: The results imply that LBW affects adversely on growth indices in 2-5 year old children. Considering gestational age, maternal BMI, interpregnancy interval and age of delivery, we recommend recognizing the mothers who are at risk for delivery of LBW to educate and take care of them.


Pediatric intensive care nurses' perspectives on the quality of dying and death among hospitalized children: A Cross-Sectional Study
Nafise Ebrahimi Khozani , Robert Truog , Mahnaz Shoghi,
Volume 23, Issue 1 (3-2026)
Abstract
Background: Nurses are continuously present at the bedside and work closely with both children and families; therefore, their perspectives can provide a detailed understanding of end-of-life care. This study examined the quality of dying and death among hospitalized children from the perspective of Pediatric Intensive Care Unit (PICU) nurses and explored nurse-related factors associated with their evaluations.
Methods: In this cross-sectional study, 176 nurses working in the PICUs of four teaching hospitals (6 PICU wards) in Tehran, Iran, participated. Inclusion criteria were at least a bachelor's degree in nursing, at least 12 months of PICU experience, experience caring for terminally ill children, and no personal history of losing a child. A census sampling method was used. Data were collected by self-report using the PICU-QODD (Quality of dying and death) questionnaire. Independent t-tests, one-way ANOVA, Pearson correlations, and multiple linear regression were performed using SPSS version 24.
Results: The overall QODD score was 68.44 ± 15.6, suggesting a moderate to favorable perceived quality. The highest domain scores were observed for continuity and coordination of care (84.4 ± 18.1), fulfillment of the parental role (77.04 ± 21.9), emotional support for the family (76.91 ± 19.3), and pain and symptom management (76.81 ± 15.5), whereas the physical and instrumental needs of the family (49.1 ± 29.2) and spirituality and religious‑cultural issues (33.46 ± 24.1) had the lowest scores. In the multivariable analysis, only fixed work shift remained independently associated with higher QODD scores (B = 7.01, 95% CI (0.343,13.688)).
Conclusion: PICU nurses rated children's quality of dying and death as generally acceptable but identified shortcomings in spiritual and practical support for families. Promoting continuity of care and providing targeted education on holistic, family-centered end-of-life care may be beneficial.

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