Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 53 8 Fedyeh Haghollahi Institute for Family Health, Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. Soghra Khazardoost Obstetrics and gynecology department, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. Sedigheh Hantoushzadeh Obstetrics and gynecology department, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mohammad Mehdi Naghizadeh Department of Biostatistics and Epidemiology, Fassa University of Medical Sciences, Fassa, Iran. Batool Rashidi Institute for Family Health, Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 16 Objective: This study was conducted with the aim to investigate and compare Iranian produced and foreign oxytocin for use in induction of labor. Materials and methods:This random clinical trial was conducted on a population of 198 pregnant women with live fetus and cephalic presentation and conditions conducive to induction of labor, monitored by obstetricians and gynecologists. They were randomly divided into group A (n = 99) received 10 units of Syntocinon (Novartis Pharma Canada) in 500 cc Ringer lactate, and group B (n = 99) received 10 units of Oxytip (Caspian Tamin Company Iran) in 500 cc serum, who entered the study to commence induction, by signing written consent. Study variables such as induction indications (post-term, ruptured membranes, diabetes, and..), induction duration, duration of the 1(st) and the 2(nd) stages of labor, and delivery method; as well as labor outcomes like hyper-stimulation of uterine, postpartum bleeding, 5-minute Apgar score, and infant's birth weight; and neonatal outcomes (admission to NICU, oxygen and intubation) were assessed for the two groups by a trained midwife and registered in the patient's questionnaire. Data were analyzed in SPSS software using statistical tests: t-test, Chi-square, and Mann-Whitney. Results:Two groups were similar in demographic variables such as; age, BMI, parity, education. There was no significant difference regarding to obstetric and gynecologic characteristics such as: gestational age, dilatation, effacement, and fetal positioning, as well as the indication for labor induction when the study began. After intervention, variables including: induction duration, duration of the 1(st) and the 2(nd) stages of labor, delivery method; and labor outcomes such as: hyper-stimulation of uterine, postpartum bleeding, 5-minute Apgar score, and infant's birth weight; and neonatal outcomes (admission to NICU, oxygen and intubation), in the two groups, were found to be the same (P < 0.05). Mean oxytip dosage needed was less than that of oxytocin to reach for appropriate pain (P = 0.042). Conclusion: The two drugs in terms of labor induction and neonatal complications had similar outcomes and the locally made drug with a lower dosage appears to produce the desired outcome. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/230 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/230/225

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 59 62 Nasrin Khalesi Department of Pediatrics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Nastaran Khosravi Department of Pediatrics, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Ali Jalali Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Leila Amini Department of Midwifery, Faculty of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 16 Objective: To assess the relationship between maternal UTI during pregnancy and neonatal UTI. Materials and methods:This cross-sectional study included eighty neonates referred to Ali-e-Asghar Hospital, Tehran, Iran, in 2011. The participants were divided into the study (with diagnosis of UTI; n = 40) and the control (without this type of infection; n = 40) groups. The mothers were asked about the history of UTI during pregnancy, and if the response was positive, the trimester in which UTI had occurred. Urinalysis and urine culture were carried out for all neonates.Overall, 14.9% of neonates had mothers with a positive history of UTI during their pregnancy (4.4%, 6.1%, and 4.4% during the 1(st), 2(nd), and 3(rd) trimesters, respectively). A significant relationship was detected between the occurrence of UTI in neonates and maternal UTI, so that the overall prevalence of UTI among neonates of affected mothers was significantly higher than that observed among non-infected mothers (30.0% versus 6.8%; p = 0.001). Maternal UTI resulted in 5.9-fold increased risk of neonatal UTI. In UTI group, the most common bacterial etiologies of UTI were Escherichia coli (65.9%), followed by Klebsiella (14.6%) and Staphylococci (9.8%). Conclusion: Our findings confirmed the association between the history of UTI in mother and occurrence of UTI in neonate, emphasizing to pay more attention for assessing and managing UTI in neonates in order to reduce the related complications. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/228 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/228/223

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 63 7 Rezaul Karim Department of Population Dynamic, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka, Bangladesh. Nusrat Jahan Mona Bangladesh Medical College and Hospital, Dhanmondi, Dhaka, Bangladesh. 2015 10 16 Objective: To identify the proportion and some selected characteristics of juvenile diabetics attending BIRDEM hospital. Materials and methods: This was a cross sectional study. The study was conducted in the BIRDEM hospital. All Diabetic young aged up to 18 years who visit BIRDEM hospital were included in study population. The sample size was 240. Results: It was observed that among the respondents 43.3% were protein deficient pancreatic diabetes (PDPD), 30.8% were Type-1 diabetes, 20% were fibro-calculus pancreatic diabetes (FCPD) and remaining 5.8% were Type-2 diabetes. Family history of diabetes was found among one-fifth of the respondents. It was found that majority 86.4% of Type-1 diabetes were presented in early age < 10 years in contrast to Type-2 diabetes 4.5%, PDPD 9.1% and FCPD 0.0%. It was found that 50% of type-1 diabetes patient and 17.6% of Type-2 diabetes patient were from urban area and 24.5% of FCDP patient and 52.8% of PDPD patient were from rural areas. It was observed that Type-1 and Type-2 diabetes were associated with the family history of diabetes mellitus than FCPD and PDPD. Severe underweight and sever stunted was significantly higher among the protein deficient diabetes mellitus compare to Type-2 diabetes. Conclusion: Juvenile diabetes is emerging health problem in modern era. Like old population the incidence of juvenile diabetes is increasing day by day. It is time for the health planner to prevent and control the disease; otherwise it will be major problem after a decade. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/226 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/226/221

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 69 72 Zahra Nikmanesh Department of Psychology, Faculty of Education and Psychology, University of Sistan and Baluchestan, Zahedan, Iran. Yahya Kazemi Department of Education, Faculty of Education and Psychology, University of Sistan and Baluchestan, Zahedan, Iran. Masoum Khosravy Department of Psychology, Faculty of Education and Psychology, University of Sistan and Baluchestan, Zahedan, Iran. 2015 10 16 Objective: To investigate relationship between addiction potentiality and different dimensions of emotional self-regulation. Materials and methods: This descriptive and correlational study included students of Sistan and Baluchistan University, Sistan and Baluchestan, Iran. Participants were selected by random sampling method. We applied Addiction Potential Scale (APS) and Difficult in Emotion Regulation Scale (DERS) for this study. For statistical analysis, Pearson correlation and regression analysis methods were used. Results: The results show that there is a positive and significant relationship between the addiction potential and all dimensions of emotional self-regulation (excepting lack of awareness). The enter regression analysis for prediction of the APS by the DERS shows that the DERS predicts 16% of the APS variances. Conclusion: Regard to the results, it is necessary to introduce an especial program in emotional self-regulation for the youth with addiction potential. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/224 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/224/219

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 73 6 Elham Aziminekoo Reproductive Health Research Center, Tehran University of Medical Science, Tehran, Iran. Zinat Ghanbari Department of Urogynecology, Emam Hospital, Tehran University of Medical Science, Tehran, Iran. Shahrzad Hashemi Department of Urogynecology, Emam Hospital, Tehran University of Medical Science, Tehran, Iran. Maryam Nemati Reproductive Health Research Center, Tehran University of Medical Science, Tehran, Iran. Fedyeh Haghollahi Reproductive Health Research Center, Tehran University of Medical Science, Tehran, Iran. Nasim Shokuhi Department of Urogynecology, Emam Hospital, Tehran University of Medical Science, Tehran, Iran. 2015 10 16 Objective: To evaluate the efficacy and side effects of Oxybutinin in comparison to tolterodine in treatment of overactive bladder (OAB) with detrussor overactivity (DOA) in Iranian women. Materials and methods: One hundred Iranian old women with clinical symptoms of OAB who show IDO in the filling cystometry participated in this randomized double-blinded parallel-group by using two kinds of the drugs for 4- week course (2 mg tolterodine twice-daily, or oxybutinin 5 mg, three times a day) in alike packages. We collected data from 3-day FVC before and after the treatment course. The effectiveness of each drug was studied using the paired t-test and improvement after treatment between two groups was compared by independent T-test. Results: Positive changes in urinary urgency, Frequency and Urge incontinence after treatment in both groups were seen but mean improvements in the all were larger in the patients who treated by oxybutinin especially in terms of urgency and Urge incontinence. Dry mouth was the most common side-effect in two groups. Unlike other studies it was higher in the tolterodine group but the difference was not significant. Conclusion: Four week treatment with oxybutinin was better than tolterodine in improving urgency and urge incontinence but there were not statistically significance between them. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/222 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/222/217

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 77 81 Fatemeh Davari-Tanha Department of Obstetrics and Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mahbod Kaveh Department of Neonatology, Bahrami Hospital, Tehran University of Medical Sciences, Tehran, Iran. Somayeh Nemati School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Pouya Javadian School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Bahram Salmanian School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 16 Objective: Elevated nucleated red blood cell (NRBC) count is introduced as a potential marker of intra-uterine growth restriction (IUGR). To investigate the probable association regardless of any known underlying disease, we aimed to study disturbances in NRBC count in infants experiencing idiopathic IUGR. Materials and methods: Twenty three infants regarded IUGR without any known cause were chosen to be compared to 48 normal neonates. Blood samples were collected instantly after birth and the same measurements were done in both groups. Results: NRBC count/100 white blood cells was significantly higher in the IUGR group (P value < 0.001). pH measurements did not reveal any significant difference. Conclusion: Increased NRBC count in cases of idiopathic IUGR in absence of chronic hypoxia could strengthen its predictive value suggested in previous studies. It could help early IUGR detection and beneficial intervention. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/220 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/220/215

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 83 6 Mahbod Kaveh Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, Iran. Kamyar Kamrani Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, Iran. Mohsen Naseri Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, Iran. Morteza Danaeian Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, Iran. Farhad Asadi Department of Pediatrics, Tehran University of Medical Science, Bahrami Hospital, Tehran, Iran. Fatemeh Davari-Tanha Department of Obestetrics & Gynecology, Tehran University of Medical Science, Women's Hospital, Tehran, Iran. 2015 10 16 Dicephalic parapagus tribrachius conjoined twin is a very rare condition. We present a case of 5-days-old male dicephalic parapagus conjoined twins. The conjoined twins were diagnosed in 4(th) month of pregnancy by ultrasonography. The pregnancy terminates at 36 weeks by cesarean section and triplets were born. The babies were male conjoined twins and another healthy male baby. Many congenital defects of interest can now be detected before birth. Sever form of this malformation precludes postpartum life. It is supposed that with advances in screening methods for prenatal diagnosis these cases are terminated in first or second trimester of pregnancy. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/218 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/218/213

Tehran University of Medical Sciences Journal of Family and Reproductive Health 1735-8949 8 2 2014 06 15 87 9 Lakshmidevi Muralidhar Vydehi Institute of Medical sciences and Research Centre. Sampath Kumar G Vydehi Institute of Medical sciences and Research Centre. Shreedhar Venkatesh Vydehi Institute of Medical sciences and Research Centre. 2015 10 16 Genital elephantiasis is caused by a variety of infective and non infective causes leading to blockage of lymphatic. We are presenting a rare case of recurrent unilateral vulval elephantiasis which has recurred after initial reconstructive surgery. A 38 year old female presented with vulval swelling and on examination there was gross unilateral vulval enlargement. FNAC (Fine needle aspiration cytology) and biopsy were contributory for diagnosis. Patient was started with antibiotics and daily dressing was done till the infection was subsided and the patient was planned for reconstructive surgery. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/216 https://jfrh.tums.ac.ir/index.php/jfrh/article/download/216/211