Effects of CHADS2 score, echocardiographic and haematologic parameters on stroke severity and prognosis in patients with stroke due to nonvalvular atrial fibrillation, Jul 30, 2019
Introduction-The aim of this study is to evaluate utility of CHADS2 score to estimate stroke sev... more Introduction-The aim of this study is to evaluate utility of CHADS2 score to estimate stroke severity and prognosis in patients with ischemic stroke due to non-valvular atrial fibrillation (AF) in addition to evaluate effects of hemato-logic and echocardiographic findings on stroke severity and prognosis. Methods-This prospective study included 156 ischemic stroke cases due to non-valvular AF in neurology ward of Trakya University Medical School between March 2013-March 2015. National Institute of Health Stroke (NIHS) score was used to evaluate severity of stroke at admission. Carotid and vertebral Doppler ultrasonography findings, brain computed tomography (CT) and magnetic resonance imaging (MRI) of the cases were evaluated. Left atri-al diameter and ejection fraction (EF) values were measured. CHADS2 score was calculated. Modified Rankin Scale was used to rate the degree of dependence. Effects of age and sex of the patients, presence of diabetes melli-tus (DM), Congestive Heart Failure (CHF), Cerebrovascular Disease (CVD) and C-reactive protein (CRP) levels on CHADS2, NIHS, and mRS were evaluated. Results-In patients with age ≥75, mean NIHS score was 3.3 points and mean mRS score was 1.02 points higher, than in patient below 75 years of age. Compared with the mild risk group, cases in the high risk group had older age, higher serum D-dimer, fibrinogen and CRP levels and lower EF. A positive relation was detected between stroke severity and Hemorrhagic Transformation (HT), previous CVD history, and presence of CHF. A significant association was found between increased stroke severity and Early Neurological Deterioration (END) development. Older age, higher serum fibrinogen, D-dimer, CRP and
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Nutritionally balanced nutrition assessment, mothers' nutrition motivation, and healthy nutrition information are among the factors that affect infants. Thus, it is possible to shed light on the attempts to reach information in healthy nutrition guides among pregnant women.
Aim
The aim of our study was to evaluate the nutritional habits and healthy nutrition knowledge levels of pregnant women. It was aimed to evaluate whether pregnant women should be included in high quality nutrition programs.
Methods
Our study was performed with volunteer 338 pregnant women who presented to Trakya University obstetrics clinic in March 2018- April 2019. Sociodemographic characteristics were recorded. The General Knowledge Nutrition Questionnaire (GNKQ) was used in our study.
Results
The differences in GKNQ scores for the pregnant women in our study were evaluated for the four sections and total scores. For the first section, dietary recommendations, the mean was score was 9.66. For the second section (sources of nutrients), the mean score was 32.92. For the third section (choosing everyday foods), the mean sore was 6.23, and for the fourth section (diet-disease relationships), the mean score was 10.24. The mean total score was 59.10. It was seen that most of the pregnant women had not received adequate nutrition education before or during pregnancy. It was observed that some of the pregnant women participated in our study because of the threat of preterm labor and / or premature membrane rupture. 3.84% were found to have preterm history. When evaluated with the GNKQ scale, those with a history of EMR were under investigation and treatment due to the threat of preterm labor. In our study, it was seen that patients who were interned in the ward because of gestational hypertension, preeclampsia, and eclampsia GNKQ scores were lower than in the other patients. This result suggests that nutrition may have an effect on the complications of pregnancy.
Unfortunately, although women reported positive changes in lifestyles during pregnancy, it was shown that their dietary intake and knowledge did not meet the recommended nutrient intake for pregnancy.
Discussion
Considering that diet behavior is very complex, attempts to understand this in terms of nutritional knowledge in pregnant women should start with a clear understanding of awareness. Furthermore, they had a wide range of information, but the correct information was not on a systematic basis. Pregnancy is a life event that triggers a long-term review of nutritional problems. It is important for health professionals to realize that pregnancy is one of the unique opportunities for women to be informed about nutrition. There is a need for greater emphasis on nutritional counseling and education in order to optimize the quality of nutritional habits of pregnant women. Training and forms should be put into practical use for pregnant women.
Conclusion
Our findings show that evaluating pregnant women with the GNKQ and providing nutritional education will be beneficial on pregnancy outcomes. This study showed that pregnant women had limited knowledge about balanced nutrition rules. It’s necessary to increase effective nutrition programs and campaigns for pregnant women. Babies should be provided with a healthy start to life and routine nutrition counseling should be promoted as part of pregnancy care.
Nutritionally balanced nutrition assessment, mothers' nutrition motivation, and healthy nutrition information are among the factors that affect infants. Thus, it is possible to shed light on the attempts to reach information in healthy nutrition guides among pregnant women.
Aim
The aim of our study was to evaluate the nutritional habits and healthy nutrition knowledge levels of pregnant women. It was aimed to evaluate whether pregnant women should be included in high quality nutrition programs.
Methods
Our study was performed with volunteer 338 pregnant women who presented to Trakya University obstetrics clinic in March 2018- April 2019. Sociodemographic characteristics were recorded. The General Knowledge Nutrition Questionnaire (GNKQ) was used in our study.
Results
The differences in GKNQ scores for the pregnant women in our study were evaluated for the four sections and total scores. For the first section, dietary recommendations, the mean was score was 9.66. For the second section (sources of nutrients), the mean score was 32.92. For the third section (choosing everyday foods), the mean sore was 6.23, and for the fourth section (diet-disease relationships), the mean score was 10.24. The mean total score was 59.10. It was seen that most of the pregnant women had not received adequate nutrition education before or during pregnancy. It was observed that some of the pregnant women participated in our study because of the threat of preterm labor and / or premature membrane rupture. 3.84% were found to have preterm history. When evaluated with the GNKQ scale, those with a history of EMR were under investigation and treatment due to the threat of preterm labor. In our study, it was seen that patients who were interned in the ward because of gestational hypertension, preeclampsia, and eclampsia GNKQ scores were lower than in the other patients. This result suggests that nutrition may have an effect on the complications of pregnancy.
Unfortunately, although women reported positive changes in lifestyles during pregnancy, it was shown that their dietary intake and knowledge did not meet the recommended nutrient intake for pregnancy.
Discussion
Considering that diet behavior is very complex, attempts to understand this in terms of nutritional knowledge in pregnant women should start with a clear understanding of awareness. Furthermore, they had a wide range of information, but the correct information was not on a systematic basis. Pregnancy is a life event that triggers a long-term review of nutritional problems. It is important for health professionals to realize that pregnancy is one of the unique opportunities for women to be informed about nutrition. There is a need for greater emphasis on nutritional counseling and education in order to optimize the quality of nutritional habits of pregnant women. Training and forms should be put into practical use for pregnant women.
Conclusion
Our findings show that evaluating pregnant women with the GNKQ and providing nutritional education will be beneficial on pregnancy outcomes. This study showed that pregnant women had limited knowledge about balanced nutrition rules. It’s necessary to increase effective nutrition programs and campaigns for pregnant women. Babies should be provided with a healthy start to life and routine nutrition counseling should be promoted as part of pregnancy care.