1.Correlation between Diagnostic Magnetic Resonance Imaging Criteria and Cerebrospinal Fluid Pressure in Pediatric Idiopathic Intracranial Hypertension
Behnam BEIZAEI ; Farrokh Seilanian TOOSI ; Yousef SHAHMORADI ; Javad AKHONDIAN ; Farah ASHRAFZADEH ; Mehran Beiraghi TOOSI ; Shima IMANNEZHAD ; Alireza KOOSHKI ; Ehsan Hassan NEJAD ; Asma PAYANDEH ; Nahid TAVAKKOLIZADEH ; AmirAli Moodi GHALIBAF ; Narges HASHEMI
Annals of Child Neurology 2024;32(1):1-7
Purpose:
Idiopathic intracranial hypertension (IIH) is a clinical syndrome that mimics brain tumors with increased intracranial pressure. The present study is designed to investigate the diagnostic criteria of magnetic resonance imaging (MRI) and the severity of cerebrospinal fluid (CSF) pressure to understand the relationship and frequency of these criteria with the level of CSF pressure.
Methods:
The present cross-sectional study was conducted on children diagnosed with IIH between the years 2011 and 2020, who were admitted to the pediatric neurology department of Ghaem Hospital, Mashhad, Iran. Clinical manifestations and imaging findings of the patients were recorded through a checklist.
Results:
Forty-nine patients were included in the study; 27 (55.1%) were male, and 22 (44.9%) were female. The average CSF pressure was 40.64±20.63 cmH2O. The mean diameter distension of the perioptic subarachnoid space was 6.02±1.21 mm. Six (10.8%) patients had unilateral transverse sinus stenosis with an average CSF pressure of 20.47±36.80 cmH2O and 11 (21.4%) patients had bilateral transverse sinus stenosis with an average pressure of 48.22±21.04 cmH2O. In 22 (44.89%) patients, flattening of the posterior globe with the CSF pressure of 48.80±17.94 cmH2O was reported. Twenty-four (49%) patients had optic nerve tortuosity, with an average CSF pressure of 46.52±20.33 cmH2O. Among the diagnostic criteria, the pressure had a significant relationship with the flattening of the posterior globe (P<0.022).
Conclusion
Since MRI is a non-invasive method for examining IIH, the findings of this study may aid in diagnosing and monitoring these patients.
2.Knowledge, attitude, and practice among staff associated with Human Papillomavirus vaccine of young children in Iran
Narges Soltanizadeh ; Mohsen Ameri Shahrabi ; Mohammad Reza Masjedi ; Elaheh Ainy ; Esmaeel Kavousy ; Syyed Mahmoud Hashemi
The Medical Journal of Malaysia 2020;75(5):534-547
Introduction: This study aimed to evaluate knowledge,
attitudes, practice associated with Human Papillomavirus
(HPV) Vaccine for Young Children among lecturers
and health staffs of Shahid Beheshti University of
Medical Sciences (SBMU).
Method: This was a cross-sectional study with 220 adults
from five different specialties, randomly selected. Data was
collected using 45-item questionnaire on knowledge (12-
item), attitude (18-item) and practice (15-item) (KAP) about
HPV. The demographic questionnaire included information
on age, gender, level of education, occupation, and marital
status. Content validity was calculated by content validity
ratio (CVR) and content validity index (CVI). Reliability was
evaluated using test-retest and by Cronbach’s Alpha
coefficient, internal consistency was calculated values >0.81
which considered as satisfactory.
Results: The mean age of the studied population was 37.70±
8.07 (23-67) years. Of the 220 participants, 80 (36.4%) were
males and 140 (63.6%) were females. In evaluating KAP in
the men and women, the mean and standard deviation of
knowledge were estimated at good level and one-way
ANOVA analysis showed significant differences between
women and men (p=0.019). There was no significant
difference in men and women related to attitude (p=0.92) and
practice (p=0.38).
Conclusion: The KAP about HPV among participants was
significantly higher at good levels compared to average
levels. Women's knowledge was significantly higher than
men. Attitude and practice could have been higher because
there was consensus to the usage of vaccine among the
specialists to prevent HPV.