5 research outputs found

    Comparison of food intake in multiple sclerosis patients and healthy individuals – A hospital-based case-controlled study

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    ObjectivesNutritional factors affect the incidence, severity of symptoms and progression of multiple sclerosis (MS). However, the role of specific nutritional factors remains largely unknown in MS. We conducted this hospital-based case-controlled study to investigate the association between dietary intake and risk of MS.Methods: This study was conducted on 93 MS patients and 94 age-matched controls. MS was diagnosed based on 2010 McDonald criteria and Brain Magnetic Resonance Imaging. Dietary intake was assessed by using a validated semi-quantitative food frequency questionnaire. Odds ratio and 95% confidence interval of MS was calculated in different food item groups using multiple logistic regression models adjusted for potentially confounding variables and compared between the two groups. Results: There was no significant difference between age (34.62 ±9.68vs. 33.96±8.75) and BMI (23.96 ±4.07 vs. 24.47 ±4.07) of MS and control group respectively. Higher intake of processed meat (OR (95% CI)) = (2.07(1.18-3.63) and non-processed meat (1.38(1.13-1.68)) was found in the MS group compared with the control. Conclusion: Higher intake of processed meat and non-processed meat is associated with increased risk of MS. Further studies on the probable role of these nutritional factors in the pathogenesis of MS are suggested.

    Effect of Smoking Cessation on Left Ventricular Ejection Fraction after Acute ST Elevation Myocardial Infarction

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    BACKGROUND: Acute Myocardial Infarction (AMI) is the leading cause of global mortality. Moreover, Left Ventricular Ejection Fraction (LVEF) is the most important predictor of post-AMI mortality. Thus, the present study aimed to investigate the relationship between smoking cessation and LVEF following one year from the STEMI.CASE REPORT: The present study was a part of the Kermanshah STEMI Registry and included 825 smokers admitted to Imam Ali Hospital, Kermanshah, Iran, with AMI during a 2-year study period. Data collection was performed using the standardized case report form by the European Observational Registry Program (EORP). Moreover, multiple logistic regression was used to compare LVEF between the patients who had quit smoking post-AMI and those who were still smokers after one year. Also, one-to-one Propensity Score Matching (PSM) was used to reduce the assessment error and selection bias, increase the result accuracy, and minimize the effects of confounders on the LVEF-smoking relationship.Results: Following one year after AMI, 219 (26.55%) patients had quit smoking, while 606 (73.45%) still smoked. Using the PSM, a total of 168 ex-smokers were matched to 168 current smokers. Moreover, it was shown that LVEF was higher in current smokers compared to ex-smokers. However, the difference was not significant. Also, multiple logistic regression showed that the Odds Ratio (OR) of LVEF reduction was insignificantly higher in ex-smokers (OR=1.13; 95% CI: 0.98-1.29) compared to current smokers. Multivariate regression analysis found similar results even after the application of PSM (OR 1.02; 95% CI: 0.82-1.22).CONCLUSIONS: Given the low rate of smoking cessation after MI, physicians are recommended to ask about the smoking status of MI patients at each office visit or re-admission and strongly recommend quitting smoking

    En litteraturstudie om motivation och sprÄkutveckling via lÀsning hos elever

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    Forskning visar att lÀsning bidrar till elevernas sprÄkutveckling, samt har stor inverkan pÄ fantasi och inlevelse. Syftet med detta examensarbete Àr att undersöka de olika nyckelfaktorerna som berör elevernas lÀsförmÄgor. NyckelfrÄgorna bestÄr bland annat av motivation för att kunna leda eleverna till lÀsning och dÀrmed kontribuera för en god sprÄkutveckling.   Vidare har vi bearbetat oss fram i detta examensarbete genom att anvÀnda oss av tematisk analys som har resulterat i huvudteman. DÀrefter har vi kunnat bearbeta texten utifrÄn vÄra tvÄ huvudteman till underrubriker som har baserats utifrÄn vÄra forskningsfrÄgor. I processen av denna litteraturstudie har vi som nÀmnt tidigare anvÀnt oss av tematisk analys genom vÄra nio vetenskapliga artiklar. Detta har resulterat i en framtagning av vÄra forskningsfrÄgor: Hur bidrar lÀsning till barns sprÄkutveckling med fokus pÄ mellanstadieÄldern? Hur kan lÀrare motivera barn till lÀsning med fokus pÄ mellanstadieÄldern?. DÀrigenom fick vi fram huvudteman - LÀsstrategier, sprÄkutveckling, lÀsa tidigt, motivation för lÀsning, och utmaningar

    Berufliche Integration von geflĂŒchteten Menschen aus Afghanistan und Syrien: Eine explorative Forschungsarbeit mit Fokus auf den Kanton Aargau

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    Die vorliegende Bachelorarbeit beschĂ€ftigt sich mit den Herausforderungen von geflĂŒchteten Menschen aus Afghanistan und Syrien in Bezug auf ihre berufliche Integration im Kanton Aargau. Das Ziel ist es, geflĂŒchteten Menschen eine Stimme zu geben. Sie sollen ihre Expertise und ihre Erfahrungen in den Diskurs einbringen, weshalb eine qualitative Vorgehensweise verfolgt wird. Um ein Bild ĂŒber die Situation im Herkunftsland und dem «neuen» Leben in der Schweiz zu geben, werden gesellschaftliche, kulturelle und politische Kontextbedingungen der beiden Kriegsgebiete erlĂ€utert. Ebenso sind institutionelle und strukturelle Rahmenbedingungen, welche die berufliche Integration in der Schweiz bzw. im Kanton Aargau regeln, aufgearbeitet. Hinter den Regeln stehen die Ziele der Integrationsagenda Schweiz und die Ausgestaltung der Kantonalen Integrationsprogramme. Mit je drei geflĂŒchteten Menschen aus Afghanistan und Syrien wurde mittels eines Leitfadens ein GesprĂ€ch auf Augenhöhe gefĂŒhrt. Mithilfe der strukturierten qualitativen Inhaltsanalyse nach Kuckartz und RĂ€diker (2022) erfolgte die Datenauswertung. Die Analyseergebnisse verdeutlichen, dass geflĂŒchtete Menschen insbesondere mit strukturellen Mechanismen und rechtlichen Schwierigkeiten zu kĂ€mpfen haben. Ausserdem sind sie nicht ausreichend ĂŒber Integrationsmöglichkeiten informiert, wodurch sie ihre persönlichen FĂ€higkeiten kaum einbringen können. Die Integration von geflĂŒchteten Menschen gelingt dann, wenn möglichst alle Akteur*innen einen Beitrag leisten. Es braucht AufklĂ€rungs- und Sensibilisierungsarbeit und vorurteilsfreie Interaktion, sowohl auf gesellschaftlicher als auch auf arbeitsmarktlicher Ebene sowie in der Sozialen Arbeit.+ Code Diss LU: hslusa basa be + Fussnote: Bachelor-Arbeit, Hochschule Luzern – Soziale Arbeit, Studienrichtung Sozialarbeit, 2023 + NL-Code: NLLUHSA20230

    Comparison of Serum Levels of Vitamin D and Inflammatory Markers Between Women With Gestational Diabetes Mellitus and Healthy Pregnant Control

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    Objective: Vitamin D appears to be involved in regulation of glycemic and inflammatory responses in gestational diabetes. The purpose of this study was to compare the serum levels of 25-hydroxyvitamin D (25(OH)D), inflammatory biomarkers and glycemic profile between gestational diabetes mellitus (GDM) and normal glucose tolerance (NGT) pregnant women. Materials and methods: In this cross-sectional study, fasting serum levels of 25(OH)D, insulin, glucose, HOMA-IR, hs-CRP and TNF-α were measured in 45 GDM and 45 NGT women at week 20-30 gestation whom referred to Reference Medical Laboratory of Ahvaz, Iran in 1394. Results: Serum 25(OH)D levels were significantly lower (p = 0.003 ) in the GDM group compared to the NGT group which remained even after controlling for confounders. Insulin and TNF-α levels were not statistically different between groups (p > 0.05). However, in unadjusted model, HOMA-IR and hs-CRP were significantly different between groups that disappeared in adjusted model. In the GDM group, there was a negative significant correlation between 25 (OH) D and fasting blood sugar (p = 0.009) and pre pregnancy BMI (p < 0.001). Levels of 25(OH)D were also negatively correlated with pre pregnancy BMI (p < 0.001) and hs-CRP levels (p = 0.003) in the NGT group. Conclusion: The lower level of vitamin D may be responsible for impairments of some glycemic and inflammatory markers in pregnant women. This is more important in overweight pregnant women. However, further studies with larger sample size are recommended in this regards
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