Background: Kidney stones are one of several serious health problems in childhood that cause nutritional and growth disorders, and may finally lead to chronic kidney failure in this group. Methods: In this analytical study conducted through a case-control design, 30 children under the age of two with kidney stones, and 125 children of the same age and sex without stones were studied. Patient information including personal profile and the results of some necessary tests were extracted from patient records and listed in a checklist. The data was analyzed using SPSS (Version 17.0). Statistical significance was considered when p-value was <0.05. Results: In terms of duration of breastfeeding, a significant difference was observed between the patients with stones and patients without stones; the duration of breastfeeding was longer in the control group (p=0.003). In addition, the duration of feeding with formula milk and cow milk was longer in the case group (p=0.038 and p=0.012, respectively). Conclusion: Breastfeeding can serve as a nutritional factor that plays a preventive and protective role against the formation of kidney stones in infants.
ﻓﺘﻮﺗﺮاﭘﻲ ﺟﻨﺲ ﻣﻨﺰل ﺑﻴﻤﺎرﺳﺘﺎن ﺟﻤﻊ ﺗﻌﺪاد درﺻﺪ ﺗﻌﺪاد درﺻﺪ ﺗﻌﺪاد درﺻﺪ ﭘﺴﺮ Objective: Neonatal jaundice is one of the most common findings in examination of neonates. Phototherapy is a health and safe procedure as well as one of the most common methods for treating of indirect hyperbilirubinemia. The aim of this study was to compare characteristics of home phototherapy with hospital phototherapy in jaundiced neonates. Material and Methods: This research was a cohort study. This study was carried out on 120 term(and older than 24 hours) neonates who was admitted to the pediatric ward of Shohadaye Kargar Hospital, Yazd, Iran and also the refereed neonates to Yazd Isatis Emdad for phototherapy. The neonates was divided into 2 groups (home phototherapy and hospital phototherapy), randomly. Phototherapy was performed in both groups. Serum bilirubin was measured and recorded in neonates in the beginning of phototherapy and after 24 hour. Data was collected and analyzed by appropriate statistical tests using SPSS software version 17. Results: According to the present study, the average serum bilirubin level in home phototherapy and hospital phototherapy was 10.52 and 10.97 respectively. (SD 2.09 vs. 1.72). Bilirubin decreased 3.84 mg/dl in home phototherapy and 3.73 mg/dl in hospital phototherapy. The average duration of phototherapy at home was lower than hospital phototherapy. In addition, average cost of phototherapy at home was lower than hospital phototherapy. Dehydration was not obvious in the study duration. Diarrhea was found in 2 neonates at home and 6 neonates in hospital during phototherapy. During phototherapy, 31 neonates at home and 38 neonates in hospital suffered skin rash. Satisfaction rate was 92.3% in hope phototherapy and 70% in hospital phototherapy. Conclusion: According to this study, age, gender, weight at birth and phototherapy complications were equal in home phototherapy and hospital phototherapy. Decreased level of bilirubin in home phototherapy was same to hospital phototherapy. Moreover, Duration of phototherapy and costs in home group were lower than hospital group, significantly.
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