Objectives: Preterm birth and admission to the neonatal intensive care unit (NICU) would disrupt mother-Infant attachment. Neurodevelopmental care training and support of family programs are essential for the family of such Infants. The purpose of this study was to investigate the effect of neurodevelopmental care training program for mothers with preterm Infants on mother-Infant attachment at one month’ s age. Materials and Methods: Study population included all the mothers of preterm Infants born in the hospitals of Tehran in 2018. The research was designed as a multicenter cluster clinical trial and four hospitals were randomly selected and divided into intervention and control groups. Before the intervention, the mother-Infant attachment was measured by the Maternal-Postnatal Attachment Scale (MPAS). The mothers in the intervention group received a 12-session preterm Infant neurodevelopmental care training program while the control group only received the routine care in the unit. Finally, the mother-Infant attachment was re-measured in both groups at the one month corrected age. Results: No significant difference was observed in the attachment score before and after the intervention in the control group but the mother-Infant attachment score was significantly different in the intervention group (57. 75± 11. 09 vs. 78. 27± 4. 54). Conclusions: The neurodevelopmental care training program was effective and increased the mother-Infant attachment rate.

Introduction: Invasive fungal sinusitis is a potentially lethal infection inimmunocompromisedpatients, with a reported incidence of around 2%. Neutropenia due to aplastic anemia or secondary to chemotherapy is the main cause of acute invasive fungal sinusitis.Case Presentation: We present the case of a 6-month-old boy with hem ophagocytic syndrome. During the follow-up for fever and pancytopenia at the medical faculty hospital of Hacettepe University, Ankara, Turkey, the patient developed discoloration and black crusting of the nasal columella. Antifungal medical treatment and biopsy were recommended owing to the suspicion of invasive fungal infection. The premaxilla, nasal columella, and nasal cartilages were necrotic. Medical and surgical treatments were performed to prevent the spread of infection. After controlling the underlying immunosuppression, nasal reconstruction was advised.Conclusions: Invasive fungal sinonasal disease is a rare clinical phenomenon in immunocompromised patients. Although it is associated with high mortality rates, it can be successfully managed with a combination of surgical and medical treatments.

Histologically confirmed meningiomas in first year of life are quite rare. However, review of the sporadic cases in the literature reported meningioma in Infants. Those have unique features in common.Case presentation An 11 month-old Iranian male Infant presented with a several weeks history of decrease in movement of his right sided upper and lower extremities. Brain MRI revealed a large well-defined extra axial, Dural-based mass lesion, which is contained solid and cystic components. It is originated from falx, and showed intense contrast enhancement. The patient underwent a central craniotomy. The mass was removed sub totally. Microscopic examination of the specimen revealed a meningioma. Radiotherapy was deferred because of the young age. Patient follow up at 4 months later showed that the child was well.Conclusion Pediatric meningiomas show a higher frequency of cyst formation in compared with adult meningiomas. In addition, they show more frequent sarcomatous changes, which is male predominance. Absence of dural based attachment and higher incidence of intraventricular location were seen.

The authors report a case of epilepsy presented as Infantile masturbation. The patient was a 3-year-old girl with paroxysmal attacks of masturbation mimicking seizures. Her physical examination was completely normal, with no other neurological problems, although her EEG showed abnormal changes. By administration of anticonvulsant, the number of attacks reduced primarily and with the increment of the dose, subsided totally.