Yafteh

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Background : Zinc is a micro element which plays an important role in the growth of children. Neonates receive the major part of zinc during the third trimester of pregnancy, so preterm infants don’t have enough zinc storage.The aim of this study was to determine the effect of oral zinc sulfate on growth of preterm infants. Materials and Methods: This study was carried out on 106 preterm neonates in the 28-36 weeks of gestational age bracket and between 1000-2500 gr in weight born in Imam Reza and Motazedi hospitals in Kermanshah city. They were randomly divided into two groups. Group 1 received 3 mg/day zinc sulfate for 6 months, but the second group did not received zinc. Both groups were visited monthly and measured for weight, length and head circumference. Results: The mean age of group 1 and control group was (32.9±2.2 week) and (32.7±2.1 week) and at the end of month 6, mean weight in them was (6861.3± 810.3 gr) and (5118.9±534.7 gr) (P< 0.001) respectively. Significant difference in length and head circumference was not found until end of the second month but from third month, they were significant. The mean of length in zinc group was (59.8±3.8 cm) and in control group was (57.0±3.5cm) (P< 0.001) and the mean of head circumference was (41.4±2.0cm) and (39.5±2.5cm) (P< 0.001). Conclusion:Zinc supplementation 3mg daily, for preterm infants for 6 months have significant effect on growth of neonates, weight, length and head circumference.

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Background: Sturge-Weber syndrome is one of the rare neurocutaneous disorders with frequency of approximately 1 per 50,000. Sturge-Weber syndrome consists of a constellation of symptoms and signs including a facial nevus (port wine stain), seizure and hemiparesis. In many cases it may associate with mental retardation. Case presentation: A 7- year old girl with mental retardation and a large facial nevus at the birth time, recurrent severe seizures and drolling in 9 months of life without any treatment, was admitted because of severity of seizure, headache and weakness. Conducted follow up on here, indicated that she had Sturge –Weber syndrome with oro- maxilla -facial osteodystrophy. Conclusion: One of the rare radiological symptoms in Sturge Weber syndrome is oro-maxillo-facial osteodystrophy, by this time only few cases had been reported. All of the symptoms of this syndrome were found in our described patient

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Background: The survival rate of premature newborns depends on gestational age, birth weight and condition when they are hospitalized. Different scoring systems to predict mortality in newborns has been designed. The purpose of this study was to evaluate value of CRIB II scoring system in predicting mortality rate of infants with birth weights less than 1500 grams. Material and Methods: In this 8 month cross - sectional study (September 2010 to April 2010) which was conducted in the NICU of Imam Reza hospital in Kermanshah, preterm newborns with birth weight less than 1500 gr and gestational age less than 32 weeks who were admitted within 12 hours after birth in the NICU ,were evaluated based on CRIB II scoring system . Results: 50 neonates out of 1360 (36.8%) survived and 86 neonates(63.2%) died. Average CRIB II score in newborn survived was 5.8±2.9 and in infants died was 9.8±2.9 (p <0.0001). Based on the AUC, the CRIB II score could predict about 0.85 (CI: 0.77-0.92) of mortality. Also based on the ROC curve cut-off point for scoring CRIB II, was 6.5. Conclusion: Our study showed that CRIB II has a high value( about %85) in predicting mortality in newborns with birth weights less than 1500 grams.

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Background : Diabetes mellitus is one of the prevalence metabolic disorders in the worldwide. Studies have shown that fruits, vegetables and drinks that are rich in phenolic and antioxidants components may reduce cardiovascular and diabetes diseases. One of these fruits is Pomegranate that is rich in phelavonoid. Therefore, this study was designed to determine pomegranate juice effect on fast blood sugar, lipid profile, anthropometry, total antioxidant capacity and blood pressure in diabetic patients.

Materials and Methods: In the present study, 50 patients with diabetes aged 30-50 were recruited into the study and randomly assigned into 2 groups:1) intervention group (n=25) that fed 240cc pomegranate juice daily, 2) control group (n=25) that fed 240cc water daily. Weight, hip circumstance, waist circumstance, lipid profile (HDL-C, LDL-C, TG, TC) glucose, HbA1C, GPX, total antioxidant capacity, systolic and diastolic blood pressure were measured at the baseline and end of 8 weeks.

Results: Insulin resistance, systolic and diastolic blood pressure, body weight, hip circumstance, waist circumstance decreased significantly and GPX increased in intervention group whereas pomegranate juice had no significant effect on glucose, HbA1C, lipid profile and total antioxidant capacity.

Conclusion: These findings indicate that beneficial effect of pomegranate juice on insulin resistance, systolic and diastolic blood pressure, body weight, hip circumstance, waist circumstance, GPX