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Objectives: This study aimed to evaluate the frequency of episiotomy and its early complications in natural vaginal delivery in the maternity ward of Ali Ibn Abitaleb (AS) Hospital in Zahedan from 2014 - 2016. Methods: In this cross-sectional study, which was conducted in 2017, the archives of women who gave birth between 2014 - 2016 were reviewed. Data were collected using information forms and analyzed by SPSS software. Results: Of 418 women were reviewed, the episiotomy rate was 54.5%; there was a significant association between parity and mother age with episiotomy rate. Moreover, 24-hour pain frequency, perineal rupture rate, hematoma rate was significantly higher in the episiotomy group. First- and fifth-minute Apgar of the neonates in the episiotomy group was significantly lower. Conclusions: In overall, the episiotomy rate was 54.5%, and there was a significant association between parity and mother age with episiotomy rate.

Background: Enuresis is one of the most common problems in children with physical and psychological complications that can disturb their social relationships. The main objective of this study is to evaluate the relationship between enuresis and its associated etiologies in children aged 5 to 15 years in Zahedan. The study further contributes to an early realization of the parents of children with enuresis-associated problems. Methods: Following a descriptive design, 200 children (5 to 15 years old) suffering from enuresis referred to nephrology and psychiatric clinics in Zahedan in 2019 were recruited. Data were analyzed using SPSS software. Results: Of 200 children with enuresis, 134 (67%) were girls, and 66 (33%) were boys. Also, 174 (87%) were aged 5 - 10 years, and only 26 (13%) were 10 to 15 years old. Birth weight of 172 (86%) children was 2500 - 4000 g, 20 (10%) were < 2500g, and only 8 (4%) were > 4000 g. Fecal incontinence was observed in 99 cases (49%), and 101 (51%) did not have fecal incontinence. Attention deficit hyperactivity disorder (ADHD) was found in 80 (40%) cases. For 144 (72%) children, we found no stress, and 56 children (28%) had stress. Urinary tract infection was observed in 142 children (71%). According to imaging studies, 34 children (17%) with enuresis had congenital kidney abnormalities and 166 (83%) had no kidney problems. Conclusions: The significant etiologies typically found in the onset of enuresis and its exacerbation can be controlled or treated. Since the complications of enuresis have not been properly clarified for families, it is of crucial importance to increase awareness about this health problem.

Congenital pericardial cysts are rare anomalies caused by the failure of fetal lacunae to coalesce into pericardial coelom. In this article a 9-year-old boy admitted with complain of palpitation in daily activities. The electrocardiography detected sinus tachycardia of 150 beats per minute with normal axis. Although chest X ray were normal, echocardiography showed an abnormal mass that compressed the posterior wall of left ventricle. The mass was extrinsic and confined to the pericardium. After midsternotomy, a huge cyst was found and totally excised. The complications of pericardial cyst can be significant, and the diagnosis relies on a careful examination and radiographic findings.

Introduction: Coronavirus disease 2019 (COVID-19) has been identified as an emerging disease in 2019. Complications of the disease remain unknown, and extensive research has been conducted to investigate it. Due to the way the disease is transmitted through ACE2, the virus affects many organs. So far, no cases of hepatic encephalopathy following the virus have been reported. Case Presentation: A 3-year-old boy referred to Ali-Ibn-Abitaleb Hospital in Zahedan, Iran was hospitalized with icterus and decreased level of consciousness. After examinations and evaluation, the patient was diagnosed with hepatic encephalopathy following COVID-19. Unfortunately, despite the treatments, the patient was finally expired. Conclusions: To the best of our knowledge, this is the first case report demonstrating COVID-19 related hepatic encephalopathy. This case is a useful reminder for doctors to be much more vigilant and cautious about possible side effects of COVID-19.