iosr-JNHS   Volume-9 ~ Issue-5 ~ Sep. - Oct. 2020

Abstract: Background: - Ischemic stroke is one of the most critical neurological problems that lead to death or permanent neurological dysfunction and long term disability. Thus, coordinated nursing care of the acute stroke patient results in improved outcomes, decreased lengths of hospital stay, costs; minimize complications, and permanent disabilities.Aim: - Evaluate the effect of a protocol of care on clinical outcomes of patients with acute ischemic strokeat the Neuro Intensive Care Unit.Design: A quasi-experimental research design. Setting: This study was conducted atNeuro Intensive Care Unit at Tanta Main University Hospitals. Subjects: A convenience sample of 80 adult patients with acute ischemic stroke and meeting all inclusion criteria, were divided into two equal groups; each group consisted........

Keywords: Protocol of care, acute ischemic stroke, clinical outcomes

[1]. Jauch E, Saver J, A dams H. Guidelines for the early management of patients with acute ischemic stroke: A guide line for health care professionals from the American Heart Association/ American Stroke Association. Stroke J, 2019; 44(1):870-947.
[2]. Mozaffarian D, Benjamin E, Go A, Arnett D and Blaha M. Heart disease and stroke statistics--2015 update: A report from the American Heart Association. Circulation J, 2015; 131 (4): 29-322.
[3]. Bevers M and Kimberly W. Critical care management of acute ischemic stroke. Curr Treat Options Cardiovasc Med J, 2017 ; 19(6):41.
[4]. Boutayeb A, Derouich M and Boutayeb W. Cerebrovascular diseases and associated risk factors in WHO Eastern Mediterranean Countries. CardiolAngiol J, 2017; 2(1): 62–75.
[5]. Khedr E, Elfetoh N, Al Attar G, Ahmed M, Ali A, Hamdy A, Kandil M and Farweez H. Epidemiological study and risk factors of stroke in Assiut Governorate, Egypt:Community-based study.Neuroepidemiology J. 2018; 40(4):288-94.

Abstract: Background: Pregnancy induced Hypertension is a burning issue in globally. Hypertensive complicates are 5%--10% of all pregnancies, and is a leading cause of maternal morbidity and mortality, as well as fetal and neonatal complications. Objectives: There are the aim of this study is to explore the associated factors of pregnancy induced hypertension. Methods: A descriptive exploratory study design was used to conducted at specialized hospital in the Institute of child and Maternal Health, Matuail, Dhaka, Bangladesh. The study samples recruited 172, by using G power analysis. Convenient sampling technique were used to selected the eligible subjects and structured questionnaire was used for collect the data. Data was analyzed by descriptive and inferential statistics including, two sample t-test and Chi-square test to measure the study variables. Results: The prevalence.....

Key Words: Pregnancy Induced Hypertension, Factor, Pregnant Women

[1]. AL-Saffar, F. A. A., & Hussian, M. H. (2016). Self-Care Management of Pregnancy Induced Hypertension for Pregnant Women Attending Primary Health Care Centers at Kirkuk City. kufa Journal for Nursing sciences, 6(2), 185-193.
[2]. Adam I, Elhassan E, Mohmmed A, Salih M, Elbashir M. (2011). Malaria and Pre-eclampsia in an area with unstable malaria transmission in Central Sudan. Malaria Journal.
[3]. Ahmed, S. S., Sultana, N., Begum, M. L., Lima, L. S., Abedin, M. F., & Hosen, M. K. (2017). Pregnancy Induced Hypertension and Associated Factors among Pregnant Women. Journal of Gynecology and Women's Health Volume 2 Issue, 4..

Abstract: Background: Stroke is a serious disease that entails an enormous burden of mortality, morbidity, disability and health care cost in the United States. Ischemic stroke accounts for 80 percent of all stroke cases. The aim of this study was to assess the emergency nurse's knowledge and practice regarding care of acute ischemic stroke patients undergoing recombinant tissue plasminogen activator. Data collection tools: the current study was collected by utilized three tools: tool one: socio demographic data, tool two: nurses' knowledge assessment questionnaire and tool three: observational checklist assessment sheet. Results: The mean age of the studied nurses was 25.3 ± 8.3 years. More than half of studied nurses had unsatisfactory level of total knowledge regarding care of acute ischemic stroke patients. The most of the studied nurses had competent regarding care of acute ischemic stroke patients.....

Keywords: Acute Ischemic Stroke, Nurses' Knowledge and Practice, Recombinant Tissue Plasminogen Activator

[1]. Abd Allah F. Khedr E. Oraby M., Bedair A., Georgy Sh., and Moustafa R. (2018). Stroke burden in egypt: data from five epidemiological studies. International journal of neuroscience ; 128(8). Pubmed.
[2]. Baatiema, L., Aikins, A. d.-G., Sav, A., Mnatzaganian, G., Chan, C. K., & Somerset, S. (2017). Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals. BMJ open, 7(4), e015385.
[3]. Berrouschot, J., Stoll, A., Hogh, T., & Eschenfelder, C. C. (2016). Intravenous thrombolysis with recombinant tissue-type plasminogen activator in a stroke patient receiving dabigatran anticoagulant after antagonization with idarucizumab. Stroke, 47(7), 1936-1938.
[4]. Bledsoe, B. E., Casey, M. J., Feldman, J., Johnson, L., Diel, S., Forred, W., & Gorman, C. (2015). Glasgow Coma Scale scoring is often inaccurate. Prehospital and disaster medicine, 30(1), 46-53.
[5]. Chapman, S. N., Mehndiratta, P., Johansen, M. C., McMurry, T. L., Johnston, K. C., & Southerland, A. M. (2014). Current perspectives on the use of intravenous recombinant tissue plasminogen activator (tPA) for treatment of acute ischemic stroke. Vascular health and risk management, 10, 75.

Abstract: Introduction: Tobacco use is a major public health challenge all over the world and Bangladesh is not excluded from that. This is the most vulnerable factor for leading the causes of death from conception to adulthood. Objectives: This study was conducted to assess the prevalence and factors associated with tobacco users (smoke and smokeless) among adults in Sylhet City, Bangladesh. Methodology: A cross sectional study among adults age 18 years and above was conducted using proportional. Data was collected by questionnaire forms 113 adults by personal interview. The socio-demographic variablesexamined by the level of age group, gender, religion, marital status; educational status, employment status and monthly family income were used in the analysis....

Keywords: Tobacco use, Adults, Prevalence, Socio-demographic factors

[1]. World Health Organization (WHO). Global Health Risks Report: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva: World Health Organization, 2009.(accessed 20 January 2015)
[2]. Lim S,Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380(9859):2224-2260.
[3]. Ng M, Freeman MK, Fleming TD, Robison M, Dwyer-Lindgren L, et al. (2014) Smoking prevalence and cigarette consumption in 187 countries, 1980- 2012, Jama 311: 183-92
[4]. World Health Organization. WHO Report on the Global Tobacco Epidemic 2011:
[5]. Warning about the Dangers of Tobacco. Geneva: WHO, 2011. (Accessed 14 May 2014).

Abstract: Background: Cardiovascular diseases have now become the leading cause of mortality in India. A quarter of all mortality is attributable to CVD. The Global Burden of Disease study estimate of age-standardized CVD death rate of 272 per 100 000 population in India is higher than the global average of 235 per 100 000 population.Defibrillation is a common treatment for life-threatening cardiac arrhythmias, ventricular fibrillation and pulse less ventricular tachycardia. Defibrillation consists of delivering a therapeutic dose of electrical energy to the affected heart with a device called a defibrillator. Despite the extension of training and the authorization of nurses to perform early defibrillation advocated by the American Heart Association, such practice has not been widely adopted in hospitals. Inadequate knowledge, lack of skill retention, insufficient organizational support and the passive culture of nurses are barriers preventing the move towards nurse-led defibrillation......

Keywords: Simulation, defibrillation, Practices ,critical care nurses

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Abstract: Background: Vaginal birth is the natural process of child birth. However, unnecessary caesarean birth may have adverse effects on maternal, neonatal and infant morbidity and mortality. Objective: The aim of study was to evaluate the level of attitude towards child birth among primi pregnant women in Bangladesh. Methods: An exploratory study was conducted among 140 pregnant women who attended in antenatal care unit at outpatient department in Mugda Medical College Hospital, Dhaka during July 2018 to June 2019. Convenient sampling technique was used to select the study participants. Data were collected by face to face interview. Descriptive and inferential statistics were used to analyzed child birth attitude. Frequency, percentage, mean.....

Keywords: Attitude, Child birth, Pregnant women

[1]. Abebe, F., Berhane, Y. and Girma, B. (2012) Factors associated with home delivery in Bahirdar, Ethiopia: a case control study. BMC research notes. 5(1), 122-134
[2]. Abera, M., & Belachew, T. (2011). Predictors of safe delivery service utilization in Arsi Zone, South-East Ethiopia. Ethiopian journal of health sciences, 21(3).
[3]. Aberese-Ako, M., Agyepong, I. A., Gerrits, T., & Van Dijk, H. (2015). 'I Used to Fight with Them but Now I Have Stopped!': Conflict and Doctor-Nurse-Anesthetists Motivation in Maternal and Neonatal Care Provision in a Specialist Referral Hospital. PloS one, 10(8), e0135129.
[4]. Arikan, D.C., Ozer, A., Arikan, I., coskun, A. and Kiran, H., (2011) Turkish obstetricians' personal preference for mode of delivery and attitude toward caesarean delivery on maternal request. Archives of gynaecology and obstetrics, 284(3), 543-549.
[5]. Athur, E., (2012) Wealth and antenatal care use: implications for maternal health care utilization in Ghana. Health economics review. 2(1), 65-78..