Nemat Bilan
Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
[ 1 ] - The Role of Inflammatory Biomarkers in the Management of Children with Asthma
Background Making decision on asthma as an inflammatory disease is done mostly on the airways function and the patient symptoms which most of them are nonspecific and subjective. Also, the children are not able to express their signs and collaboration in examination of the lungs function. Evaluation of serum level inflammatory biomarkers can be useful in assessment of the response to treatment ...
[ 2 ] - The Role of Spirometry in the Diagnosis of Cough Variant Asthma in Children Aged 5 to 15 Years
Background Cough variant Asthma (CVA) is defined as chronic cough without wheezing, and may be precursor of typical asthma. Thus, the diagnosis of CVA and early intervention can partly inhibit asthma progression.This study aimed to evaluate the role of spirometry in diagniosis of Cough variant Asthma in Iranian Children. Materials and Methods This descriptive observational study included a tota...
[ 3 ] - Validity of Spirometry for Diagnosis of Cough Variant Asthma
Background Cough variant asthma (CVA) is a chronic or recurrent cough without wheezing accompanied by bronchial hyper-responsiveness and eosinophilic inflammation of the airways. This study aimed to evaluate the validity of spirometry in the diagnosis of CVA, as well as determining the specificity and sensitivity of spirometry parameters in CVA. Materials and Methods This descriptive observat...
[ 4 ] - The Effect of Education-Modified of Asthma Stimulants on Attitude of the Adolescents with Asthma in Respiratory Specialty Clinics of Tabriz, North West of Iran
Background: Asthma is the most common chronic disease of childhood and adolescents worldwide that can result in variable restriction in the physical, emotional and social aspects of the patient’s life.The purpose of this study was to assess the effect of asthma stimulants modifying education program on the attitude of adolescents with asthma.Materials and Methods: This study was based on pretes...
[ 5 ] - Validity of Spo2 in Measuring of Oxygenation Index
Background Pulse-oximetry (Spo2) widely uses as a help tools for therapeutic interventions in the pediatric intensive care units (PICU). The aim of this study was to evaluate the validity of Spo2 in measuring of oxygenation index (OI) in children. Materials and Methods In a descriptive analytical study, 100 patients who were admitted to PICU Tabriz Children's Hospital were studied. Oxygenation ...
[ 6 ] - Effect of Lung Recruitment Maneuver in Children with Acute Lung Injury
Background Acute lung injury (ALI) is defined as PaO2/FiO2 less than 300 with bilateral pulmonary infiltrates, without pressure is the top of the left atrium. Early diagnosis and treatment of pediatric ALI and find new cases is very important. Accurate diagnosis and effective steps to treating these patients is essential in the outcome of ALI. This study was conducted to show the impact of recr...
[ 7 ] - Clinical Predictors of Intensive Care Unit Admission for Asthmatic Children
IntroductionChildren with severe asthma attack are a challenging group of patients who could be difficult to treat and leading to significant morbidity and mortality. Asthma attack severity is qualitatively estimated as mild, moderate and severe attacks and respiratory failure based on conditions such as respiration status, feeling of dyspnea, and the degree of unconsciousness. part of which ar...
[ 8 ] - Spontaneous Breathing Trial a Reliable Method for Weaning in Children
Introduction Mechanical ventilation may be lifesaving intervention,It can be associated with complications,Thus,successful weaning is constitutive.One of the factors which is important in successful weaning is method of weaning. It is shown that weaning is conducted successfully by using Spontaneous Breathing Trial (SBT) through T-piece and pressure support (PS) ventilation.But few studies ...
[ 9 ] - Predictive Factors of Respiratory Failure in Children with Guillain-Barre Syndrome
Introduction:Guillain-Barre Syndrome(GBS) is the most common cause of acute flaccid paralysis. Respiratory failure is the most serious short-term complication of GBS and invasive mechanical ventilation is required in 30% of patients.moreover,60% of those who are intubated develop major complications including pnemonia,sepsis,GI bleeding and pulmonary embolism. Thus respiratory failure predictio...
[ 10 ] - Effects of Reflection on Clinical Learning of Medical Students
Introduction: Reflection is considered as a critical characteristic in professional competitions. Despite propagation of reflection as an important educational issue and existence of several helpful patterns, instructions conducted by teachers to explaining and expanding of it, are very little. Studies related to this topic were mainly performed in the field of nursing. Therefore, we decided to...
[ 11 ] - Validity of Spo2/Fio2 Ratio in Detection of Acute Lung Injury and Acute Respiratory Distress Syndrome
Introduction: One ofdiagnostic criteria for Acute Lung Injury and Acute Respiratory Distress Syndrome is pao2/fio2 (PF) ratio 300 for ALI or 200 for ARDS. This criteria requires invasive arterial sampling. Measurement of Spo2/Fio2 (SF) ratio by pulseoximetry may be a reliable non invasive alternative to the PF ratio. Methods and Materials: In a cross sectional study we enrolled 105 sample o...
[ 12 ] - Does Re-intubation Increased Risk of Ventilator- Associated Pneumonia (VAP) in Pediatric Intensive Care Unit Patients?
Introduction:ventilator- associated pneumonia(VAP),as defined by the centers for disease control and prevention (CDC),is a pneumonia that occurs in a patient receiving mechanical ventilation that develops 48 hours or more after initiation of ventilation.re-intubation which occur within 72 hours of planned extubation may effect VAP incidence.the aim of this study was to determine VAP incidence i...
[ 13 ] - Spirometry Findings Following Treatment with Oral and Inhalant Corticosteroids in Mild to Moderate Asthma Exacerbation in Children
Introduction: Asthma exacerbation is common in children. Treatment with oral corticosteroids (OCS) and inhaled corticosteroids are suggested for asthma exacerbation. It is shown that inhaled corticosteroids has similar outcome in reducing asthma symptoms compared to OCS. But few studies have evaluated the pulmonary function changes in these two treatments. In this study, we evaluated the chang...
[ 14 ] - Factors Affecting the Outcome of Bronchiectasis in Pediatric Patients
Introduction: Bronchiectasis is a common problem in children and early diagnosis can lead to early treatment and prevent of its complications. This study was aimed to evaluate factors effective on outcome of bronchiectasis in children. Methods: In an analytical cross-sectional study, 347 children with bronchiectasis Underwent the study. the patients were diagnosed based on chronic suppurative c...
[ 15 ] - Weaning from ventilator and effect of Blender-Humidifier on outcome of it
Background and objectives: the weaning procedure of mechanical ventilation in many patients is a difficult and long process and increases the time of mechanical ventilation. There are numerous ways to achieve this goal. One common way is using CPAP-ventilator. Considering the lower price of Blender-Humidifier compared to CPAPof ventilator and the limited number of studies in this field, this st...
[ 16 ] - Outcome of Cystic Fibrosis in Patients with Bronchiectasis
Introduction: Bronchiectasis is a common problem in children especially under 5 years. Early diagnosis of disease and its causes could be useful in early treatment and preventing probable complications. This study aimed at evaluating the cystic fibrosis (CF) in patients with bronchiectasis. Methods: In a cross-sectional study, 374 children with bronchiectasis were studied. The diagnosis was ma...
[ 17 ] - Positive Expiratory Pressure (PEP) versus Conventional Chest Physiotherapy in Pediatric Patients with Acute Exacerbation of Cystic Fibrosis
Background Pulmonary involvement is the main cause of mortality in cystic fibrosis (CF). Airway clearance techniques are non-pharmacological complement options for CF patients. The aim of this study was to evaluate the short-term outcome of airway cleaning treatment in patients with cystic fibrosis in a children's hospital. Materials and Methods This clinical trial study conducted on 40 CF pati...
[ 18 ] - The Role of Rapid Shallow Breathing Index in Predicting Successful Weaning of Pediatric Patients with Respiratory Failure
Background About 40 to 60% of all patients admitted to pediatric intensive care unitsundergo mechanical ventilation and 10 to 20% will fail to be extubated. We aimed to determine the role of the rapid shallow breathing index (RSBI) in predicting successful weaning of pediatric patients with respiratory failure. Materials and Methods: This cross-sectional study, was performed on 72 mechanical...
[ 19 ] - Validity of Peripheral Capillary Oxygen Saturation and Normal Mixed Venous Oxygen Tension in Measurement of O2 Content
Background The change in venous oxygen saturation occurs earlier, and even its reduction is faster than arterial oxygen saturation. The aim of this study was to validate SvO2 and PvO2 for O2 content measurement in children hospitalized w...
[ 20 ] - Evaluation of Predictive Factors of Empyema in Children with Parapneumonic Pleural Effusion
Background Empyema is a complication of bacterial pneumonia which has a particular importance due to its significant morbidity and mortality in children. The aim of this study was to investigate the prognostic factors of empyema in children with parapneumonic pleural effusion. Materials and Methods: This retrospective cross-section...
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