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Dr Ahmad Jameii Khosroshahi, Mahmood Samadi, Dr Elnaz Skandartaj, Dr Agha Ali Yar-Makooyi, Farid Karkon Shayan,
Volume 5, Issue 1 (5-2017)
Abstract

Background & Objective: Pulmonary Arterial Hypertension (PAH) is one of the common complications of congenital heart diseases in children. The natriuretic peptides such as BNP, ANP and NT-Pro BNP are secreted in response to atrial and/or ventricular stretch. The aim of this study was to evaluate the correlation between pulmonary hypertension with BNP serum level and the quantity of left to right shunt based on echocardiography findings in children with congenital heart disease.
Method: In an analytical-descriptive study, 30 children with congenital heart disease after going through echocardiography and being confirmed to have one of VSD, ASD or PDA, were enrolled. The BNP serum level, quantity of the left to right shunt and systolic pulmonary pressure were measured.
Results: In the present study, 13 patients were male (43.3%) and 17 (56.7%) were female. The average BNP serum level of patients was 194.9 ± 21.2 (pg/ml). There was a significant relationship between systolic pulmonary pressure and BNP level among patients (P<0.001). There was also a positive correlation between average serum level of BNP and quantity of the left to right shunt (P=0.018).
Conclusion: On the basis of echocardiography findings, there was a positive correlation between systolic pulmonary pressure with BNP serum level and the quantity of left to right shunt. Therefore, it can be helpful among patients whom the pulmonary arterial pressure cannot be measured for any reason.

Mohammad Jalilvand, Hossein Samadi,
Volume 8, Issue 2 (7-2020)
Abstract

Background and objective: Psychological studies with behavioral therapy and cognitive therapy approaches seek to discover ways to treat attention deficit / hyperactivity disorder (ADHD). The aim of the present study was to investigate the effectiveness of 12 weeks of physical activity with motor-cognitive approach on response inhibition and sustained attention in children with the symptoms of ADHD.
Material And MethodS: The present study was a quasi-experimental with a pretest-posttest design. The statistical population of the study consisted of all children aged 9 to 11 years with a history of 1 to 2 years of ADHD symptoms in Kermanshah. 30 children with ADHD voluntarily participated in the study and divided randomly in the experimental and control groups. Participants in the experimental group performed motor-cognitive training with moderate-intensity for 12 weeks (2 sessions in week) and 60 minute per session. The present research instrument was the Wechsler’s intelligence scale, the SNAP questionnaire, the stroop test and the continuous performance test. To analyze the data, multivariate and univariate analysis of covariance were used.
Results: The results showed a significant improvement in response inhibition (F1,28=63.1, sig=0.001) and sustained attention (F1,28=32.9, sig=0.001) scores in children with ADHD in the experimental group following 12 weeks of training (p≥0.001).
Conclusion: 12 weeks of physical activity with motor-cognitive approach had a positive effect on response inhibition and sustained attention in children with ADHD. Therefore, it is recommended that children with ADHD participate in physical activities with motor-cognitive approach to improve response inhibition and sustained attention.


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