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Abstract Background and objectives: The aim of this study was the detection of S.pneumoniae infection by rapid urinary test and blood culture in children with pneumonia in comparison with healthy children. Material and Methods: This case control study was carried out in pediatric ward of Rasoul Akram hospital in Tehran, Iran (2006 - 200٧).Fifty-four Community acquired pneumonia (CAP) and 50 healthy children were selected by simple sampling. The urinary antigen detection test (BINAX NOW co.) was performed on both cases and controls and blood culture was done for the cases suffered from Pneumonia. Results: Pneumococcal antigenuria is detected in 31.5 % of CAP and 6 % of controls groups. There is Significant difference between cases and controls (fisher test CI 95%, P =0.01). None of the children with nonpneumococcal Pneumonia (positive culture) has antigenuria. Conclusion: The possibility of diagnosis of pneumococcal pneumonia in children, by means of blood culture, is low. Thirty-one percent of CAP is due to S.pneumonia, by using the rapid antigenuria test. There fore, we recommend using rapid urinary antigen test, in addition to blood Culture test. Key words: CAP (community-acquired pneumonia) S pneumoniae urinary antigen test (BINAX now), Blood culture, Children

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Abstract Background and objectives: After respiratory infection, Diarrhea is the second cause of mortality. Yersinia enterocolitica is the second important cause of infectious diarrhea in children of some countries. In this study, we evaluated the frequency of Yersinia entocolitica of diarrheal specimens in Gorgan, Iran. Material and Methods: This descriptive cross - sectional Study was carried out on diarrheal stools of 455 patients referred to medical centers and laboratory of Gorgan in 2004-2005. DNA extraction using phenol chloroform was performed for all samples. Using two specific primers (genus-specific16s rRNA and ail- specific species genus of Yersinia enterocolitica), we did PCR sample. Results: Yersinia genome was identified in 12 patients(2.63%) and 11 of them was Yersinia enterocolitica. The frequency infection in of girls (3%) was more than boys (2.4%), and the prevalence in winter (4%) was more them other seasons, and under one- year- group (3.4%) and 1-5 years (3.1%) is more than other age groups. It was not observed significant difference. (P> 0.05). Conclusion: The frequency of Yersinia in cases of diarrhea in Gorgan is similar to most regions of Iran and in children under 5 years is observed more in winter. Key words: Yersinia enterocolitica, Diarrhea, children, Gorgan

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Abstract Background and objectives: Meningitis is one of the most common infectious of the central nervous system (CNS), defined as an inflammation of the meninges. LIF is a potent pro-inflammatory factor. Cerebrospinal fluid (CSF) contains the growth factors and cytokines whose concentrations have been changed in most neurological diseases. The aim of this study was to determine the LIF concentration of serum and CSF in the children with bacterial meningitis. Material and Methods: In this study, the total protein concentration (TPC) and LIF in the serum and CSF of normal subjects and children with bacterial meningitis were measured by enzyme linked immunosorbent assay (ELISA). Results: the Values of serum TPC for children with meningitis (74.17±7.73 g/L) and controls (73.50±7.28 g/L) are not different significantly (P=0.7), and the TPC in the CSF of children suffering from meningitis and controls are 35±0.03 and 0.34±0.05 g/L, respectively (P=0.65). The concentration of serum LIF for children with meningitis( 253±19.14 ng/ml) is higher than that of controls (49.75±8.97 ng/ml), and also the concentration of LIF in the CSF of the children with meningitis (116.25±8.60 ng/ml ) is significantly higher than that of controls which is 9.04±1.83ng/ml (P<0.001). Conclusion: The LIF concentration in the CSF and serum may provide additional information in the differential diagnosis of meningitis. It is also concluded that LIF could be significantly involved in the pathophysiology of meningitis. Key words: Serum, Cerebrospinal fluid, Leukemia inhibitory factor, Children, Bacterial meningitis

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Abstract Background and Objective: Bacterial infectioins in particular meningitis, pneumonia and septicemia are still some of the most causes of mortalities in children.The aim of present study was to identify the most common bacterial agents causing infectionis in children under 14 and detection of antibiotic resistance paterns. Material and Methods: During two years,1897samples were obtained from the patients suspected bacterial infectioins. They were investigated for bacterial cultures, age, sex and antibiogram patterns. The species were identified by biochemical and serological methods. Results: Of 1897 samples, 563 (29.6%) had positve bacterial culture. Of these 74.7% were gram negative and 25.3% gram positive . The most common species were Escherichia coli(34.1%), Staphylococcus aureus (17.1%), Psuedomonas aeroginosa (12.4%), Kelebsiella (11%) and Staphylococcus epidermidis (5.7%). The most effective antibiotics against both gram positive and gram negative bacteria were ceftriaoxne, nitrofurantoin, nalidixic acid, amikacin and gentamycin. Conclusion: The gram negative bacteria in particular Escherichia coli, Psuedomonas aeroginosa and Kelebsiella are the predominant causes of bacterial infections in children under 14 in these regions. Most species showed a high relative resisitance to routine antibiotics such as ampicillin, trimethoprim and chloramphenicol. Key Words: Bacteria Infection Children Antibiotic

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Abstract Background and Objective: Escherichia coli is the most common cause of urinary tract infections in children and the leading cause of intra-abdominal infections (peritonitis and abscess) followed intestinal injuries. Urinary tract infection, including cystitis and pyelonephritis, is a common childhood infection. E. coli causes more than 90 percent of the community acquired and 50% of hospital acquired urinary tract infections therefore, the determination of E. coli antibiotic susceptibility is a paramount importance to clinical and epidemiological purposes. Material and Methods: In this cross-sectional study, 50 E. coli strains isolated from urine samples of children less than 7 years of age with urinary tract infections. They were compared for drug susceptibility testing by disc diffusion method with 50 strains of Escherichia coli isolated from stool samples of healthy children with the same age and sex pattern. Results: The actual amount of drug sensitivity of uropathogenic and intestinal Escherichia coli strains to amikacin was 94 and 100%, nitrofurantoin 90 and 88%, gentamicin 66 and 94%, cefixime 56 and 60%, nalidixic acid 38 and 44% and to cotrimoxazole 28 and 32%, respectively. Conclusion: the rate of resistance to gentamicin, Cefixime and nalidixic acid in urinary tract infection isolates were more than intestinal strains. The highest rate of drug resistance in urinary Escherichia coli isolates was associated with cotrimoxazole and the lowest one with amikacin. Keywords: Escherichia Coli, Intra-Abdominal Infection, Drug Resistance, Urinary Tract Infection, Children

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Abstract Background and Objective: Cryptosporidium is a common protozoan causing diarrhea in human, specifically in children. Hence, we aimed to investigate the prevalence of this protozoan among diarrheic children hospitalized in Gonbad Kavus in 2011. Material and Methods: Three stool samples were collected from diarrheic children in two hospitals of Gonbad city and a relevant questionnaire was filled out for each child. The stool samples were concentrated by formalin ether method, and the infection was assessed by modified acid-fast staining method. Results: Of 547 children, 27 (4.9%) were infected with cryptosporidiosis. There was no significant relationship between the amount of infection and gender and habitation area (urban/ rural). The infection rate was significantly prevalent in 2-4-year-old children (P=0.013). The most and the least infection rate were observed in spring and winter, respectively (P< 0.0001). There was a significant association between the disease and keeping animal (P= 0.041) Conclusion: The prevalence of cryptosporidiosis in diarrheic children in Gonbad is almost equal to other regions of the country and keeping animal and spring season may be considered as the risk factors for the disease. Keywords: Cryptosporidium, Cryptosporidiosis, Diarrhea, Children, Golestan, Iran

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Background and objectives: Given the growing prevalence of obesity in children, the present study aimed to investigate effects of continuous and interval aerobic training on insulin resistance index and serum cortisol levels of obese girls.
Methods: The study was performed on 36 healthy girls aged 9-11 years with a body mass index (BMI) of higher than 85th percentile. The subjects were randomly divided into three groups of interval training, continuous training and control. The training groups performed exercises three days a week for eight weeks. The exercises were performed at 70% of VO2max in the first four weeks and at 80% of VO2max in the following weeks. Fasting blood samples were taken 72 hours before the first session and 72 hours after the last training session in order to measure levels of cortisol, glucose, insulin and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR).Weight, BMI and body fat percentage were also measured by conventional methods. Data analysis was performed in SPSS 21 using paired t-test and one-way analysis of variance.
Results: The mean level of BMI and body fat percentage decreased significantly after the interval and continuous training, respectively (P<0.05). The HOMA-IR index did not change significantly in the study groups (P>0.05). The cortisol level increased slightly in the continuous training and control groups (P=0.075) and decreased insignificantly (P=0.131) in the interval training group. There was no difference between the training groups and the control group in terms of HOMA-IR and cortisol levels.
Conclusion: Insulin levels, HOMA-IR showed a decrease trend while a reasonable increase in cortisol level we showed in the continuous training group. BMI level and fat percentage decreased in two both training groups.