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Articles by M. Shoaran
Total Records ( 3 ) for M. Shoaran
  M. Rafeey and M. Shoaran
  The aim of this study is to evaluate the prevalence of gastrointestinal symptoms in caustic ingestion, the severity of lesions and the role of early conducted endoscopy in prediction of outcome. In a cross-sectional study all children hospitalized for caustic ingestion during two years, aged 12 years and younger were evaluated for clinical history, endoscopic findings, method of treatment and observed complications. Out of 51 children, 8 consumed acidic and 43 alkaline materials. The mean age of the children was 35.9±18 months. Thirty four (66.7%) patients were male and 17 (33.3%) were female. In endoscopic survey, 38% had grade 1 and 62% had a burning intensity of grade 2 or higher. During the follow-up, esophageal structure developed in 5 cases and Gastric Outlet Obstruction (GOO) in 1 case. Two of 5 patients with stricture were treated by endoscopic dilatation and 3 of them underwent colon transposition surgery. Gastrectomy was done for the patient with GOO. Esophageal structure as a complication had a more incidence in acid ingestion. Gastric Otlet Obstruction (GOO) occurred in a case of acid ingestion. One of the patients died. Positive statistical relation between early endoscopic findings and complications found in control endoscopy suggest that early endoscopy probably is safe and provides important prognostic information. The role of prevention as a comprehensive strategy promoted by medical councils and the mass media is imperative.
  N. Bilan , B.A. Galehgolab and M. Shoaran
  This study was aimed to establish non-invasive (medical) treatment of lung collapse for children who are admitted to PICU of Tabriz Children’s Hospital. During a period of 48 months (from March 2004 to February 2008), an interventional pre-experimental study carried out on 90 children suffering from lung collapse who received non-invasive treatment; which mainly consists of postural drainage, chest physiotherapy and inhalation of aerosols (fluid as floating droplets in air) and bronchodilators. Eighty six out of 90 studied patients (94.5%) with the average age of 22 months, responded to this treatment within the average duration of 3.4 days, as collapsed area of lung reexpanded. Because of simplicity and easy availability of this method of treatment and also its efficacy and scientific base; it can substitute bronchoscopic treatment and its usage be generalized to small hospitals.
  M. Samadi , R.J. Rashid , S. Ghaffari and M. Shoaran
  The aim of this study is to evaluate the growth failure in children with Congenital Heart Diseases (CHD) associated with the Pulmonary Hypertension (PH) and cyanosis. Growth parameters including weight, height and head circumference of 120 cases with congenital heart defects aged 6 months to 14 years were compared with standard growth curves (50th percentile) between November 2007 and November, 2008. Of all, sixty five (54.1%) were male and 55 (45.8%) were female. The patients were classified into four groups based on the presence or absence of PH and cyanosis. The gap between chronological age and bone age (BA) for all subjects was determined. Growth disturbance in weight, height and head circumference was detected in 80 (66.7%), 79 (65.8%) and 41(34.2%) of the patients, respectively. Bone age delay was seen in fifty five percent of the cases. Generally, delay in all parameters was more seen in acyanotic patients with pulmonary hypertension. In subjects with cyanosis whether in addition to PH or not, bone age was significantly retarded. Etiology of growth failure in children with CHD is multifactorial. Further studies are required to assess the role of different factors in this field.
 
 
 
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