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Total 139 results found since Jan 2013.

Prevalence of pre-hypertension and hypertension and its related risk factors among undergraduate students in a Tertiary institution, Ghana
Conclusion The study revealed considerable prevalence rates of pre-hypertension and hypertension among undergraduate students, with significant risk factors such as obesity detected by BMI and WHtR. Gender as male was also significant for pre-hypertension and hypertension. Sound prevention and control programmes of hypertension should be devised among students, to improve their knowledge and lifestyle practices early in life.
Source: Alexandria Journal of Medicine - April 14, 2018 Category: General Medicine Source Type: research

Dominant modifiable risk factors for stroke in Ghana and Nigeria (SIREN): a case-control study
Publication date: Available online 26 February 2018 Source:The Lancet Global Health Author(s): Mayowa O Owolabi, Fred Sarfo, Rufus Akinyemi, Mulugeta Gebregziabher, Onoja Akpa, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Lukman Owolabi, Bruce Ovbiagele Background Sub-Saharan Africa has the highest incidence, prevalence, and fatality from stroke globally. Yet, only little information about context-specific risk factors for prioritising interventions to reduce the stroke burden in sub-Saharan Africa is available. We aimed to identify and characterise the effect of the top modifiable risk factors for stroke in sub-Sahara...
Source: The Lancet Global Health - February 27, 2018 Category: International Medicine & Public Health Source Type: research

Response by Sarfo and Ovbiagele to letter regarding “Post-stroke depression: Risk assessment”
We sincerely thank Dr. Kawada for his interest in our study on Post-stroke depression in Ghana: characteristics and correlates [1]. The correspondents' main point centered on not using the Diagnostic and Statistical Manual of Mental Disorders criteria in our study to corroborate the diagnosis of depression after using the two validated screening instruments namely the Center for Epidemiologic Studies Depression scale (CES-D) and the Geriatric depression scale (GDS). Our approach was informed by previous studies [2,3] which utilized only screening instruments to identify participants with depression without recourse to a st...
Source: Journal of the Neurological Sciences - February 3, 2018 Category: Neurology Authors: Fred S. Sarfo, Bruce Ovbiagele Tags: Letter to the Editor Source Type: research

Pilot trial of a tele-rehab intervention to improve outcomes after stroke in Ghana: A feasibility and user satisfaction study
Tele-rehabilitation after stroke holds promise for under-resourced settings, especially sub-Saharan Africa (SSA), with its immense stroke burden and severely limited physical therapy services.
Source: Journal of the Neurological Sciences - February 2, 2018 Category: Neurology Authors: Fred S. Sarfo, Nathaniel Adusei, Michael Ampofo, Frank K. Kpeme, Bruce Ovbiagele Tags: Clinical Short Communication Source Type: research

PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Brief Report
Background and Purpose—Stroke exacts an immense toll in sub-Saharan Africa where there are few resources, and stroke prevention research is limited. The aim of this study is to test the feasibility and preliminary efficacy of an m-Health technology–enabled, nurse-guided intervention in improving blood pressure (BP) control among Ghanaian stroke patients within 1 month of symptom onset.Methods—We conducted a 2-arm cluster pilot randomized controlled trial involving 60 recent stroke survivors encountered within a single tertiary medical system in Ghana. Subjects in the intervention arm (n=30) received a Blue-toothed UA...
Source: Stroke - December 22, 2017 Category: Neurology Authors: Fred Sarfo, Frank Treiber, Mulugeta Gebregziabher, Sheila Adamu, Sachin Patel, Michelle Nichols, Dominic Awuah, Asumadu Sakyi, Nyantakyi Adu-Darko, Arti Singh, Raelle Tagge, Jenkins Carolyn, Bruce Ovbiagele Tags: Epidemiology, Hypertension, Nursing, Treatment, Cerebrovascular Disease/Stroke Brief Reports Source Type: research

Long-Term Outcomes of Stroke in a Ghanaian Outpatient Clinic
Compared with high-income countries, sub-Saharan African (SSA) countries experience a comparatively higher early mortality from stroke. However, data on long-term mortality from stroke in SSA are lacking.
Source: Journal of Stroke and Cerebrovascular Diseases - December 20, 2017 Category: Neurology Authors: Fred S. Sarfo, John Akassi, Gloria Kyem, Sheila Adamu, Dominic Awuah, Osei-Sarfo Kantanka, Bruce Ovbiagele Source Type: research

Assessing Mobile Health Capacity and Task Shifting Strategies to Improve Hypertension Among Ghanaian Stroke Survivors.
CONCLUSIONS: Participants strongly supported enhanced care delivery through mobile health and were receptive toward a nurse-led navigational model. PMID: 29208254 [PubMed - in process]
Source: The American Journal of the Medical Sciences - December 1, 2017 Category: General Medicine Authors: Nichols M, Sarfo FS, Singh A, Qanungo S, Treiber F, Ovbiagele B, Saulson R, Patel S, Jenkins C Tags: Am J Med Sci Source Type: research

What Causes Microcephaly?
Discussion Microcephaly is usually defined as an occipitofrontal head circumference (OFC) more than 2 standard deviations (SD) below the mean for sex, age and ethnicity. Severe microcephaly is used for OFC < 3 standard deviations. Rates of microcephaly range from 0.5-12 patients/10,000 live births. The OFC should be measured at every well child visit and at other opportunities and plotted on standard growth charts. The OFC is measured using a nonelastic tape measure around the largest part of the head with the tape measure held above the eyebrows and ears. It is a highly reproducible measurement. There are several diff...
Source: PediatricEducation.org - September 25, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Endocrine Disruptors and Health Effects in Africa: A Call for Action
Conclusion: To address the many challenges posed by EDCs, we argue that Africans should take the lead in prioritization and evaluation of environmental hazards, including EDCs. We recommend the institution of education and training programs for chemical users, adoption of the precautionary principle, establishment of biomonitoring programs, and funding of community-based epidemiology and wildlife research programs led and funded by African institutes and private companies. https://doi.org/10.1289/EHP1774 Received: 16 February 2017 Revised: 22 May 2017 Accepted: 24 May 2017 Published: 22 August 2017 Address correspond...
Source: EHP Research - August 23, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Commentary Source Type: research

Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals
Conclusion Barriers from low/middle-income countries differ substantially from those in high-income countries. For evidence-based acute stroke care in low/middle-income countries such as Ghana, health policy-makers and hospital managers need to consider the contrasts and uniqueness in these barriers in designing quality improvement interventions to optimise patient outcomes.
Source: BMJ Open - April 27, 2017 Category: Journals (General) Authors: Baatiema, L., de-Graft Aikins, A., Sav, A., Mnatzaganian, G., Chan, C. K. Y., Somerset, S. Tags: Research Source Type: research

Teaching a Neurology Continuing Medical Education Course to Ghanaian Physician Assistants (P1.281)
Conclusions: The provision of education in the diagnosis and treatment of neurological conditions to primary care providers is one intervention that can address the limited supply of neurologists in lower income countries. This study suggests that a continuing medical education course can increase participant self-confidence in major topics in neurology and that the most valuable contribution of an educational intervention could be instruction in the neurological exam.Disclosure: Dr. O'Donnell has nothing to disclose. Dr. Renner has nothing to disclose. Dr. Hannon has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: O'Donnell, S., Renner, D., Hannon, P. Tags: Global Health: Infectious Disease, Capacity Building, and Other Source Type: research

Highly Prevalent Hyperuricaemia is Associated with Adverse Clinical Outcomes Among Ghanaian Stroke Patients: An Observational Prospective Study.
CONCLUSIONS: Hyperuricaemia is highly frequent and associated with adverse functional outcomes among Ghanaian stroke patients. Further studies are warranted to determine whether reducing SUA levels after a stroke would be beneficial within our setting. PMID: 26693192 [PubMed - in process]
Source: Ghana Medical Journal - December 24, 2015 Category: African Health Tags: Ghana Med J Source Type: research

The profile of risk factors and in-patient outcomes of stroke in Kumasi, Ghana.
CONCLUSIONS: Our findings indicate that urgent concerted efforts are required to improve public awareness and management of the prevailing risk factors of stroke in Ghana. PMID: 25709121 [PubMed - indexed for MEDLINE]
Source: Ghana Medical Journal - December 12, 2015 Category: African Health Tags: Ghana Med J Source Type: research

When darkness falls at mid-day: young patients' perceptions and meanings of chronic illness and their implications for medical care.
CONCLUSION: Young adults diagnosed of certain chronic illnesses ascribe supernatural interpretations to their disease condition. These determine their attitude to their condition as well as health seeking behaviours adopted by them and their families. Responses interfered with their biomedical care and thus have implications for health promotion and healthcare planning and policy. PMID: 23661817 [PubMed - indexed for MEDLINE]
Source: Ghana Medical Journal - December 12, 2015 Category: African Health Tags: Ghana Med J Source Type: research

Recreation, transportation or labour saving? Examining the association between household asset ownership and body mass index among Ghanaian women
Conclusion The findings indicate that at least one asset among the various domains of household assets examined is associated with either overweight or obesity among Ghanaian women. Also, increased household asset ownership is associated with increased odds of overweight and obesity. Interventions that aim at reducing sedentary and unhealthy dietary behaviours in the phase of increasing asset ownership maybe helpful in addressing the rising prevalence of obesity among Ghanaian women.
Source: BMC Obesity - November 12, 2015 Category: Eating Disorders and Weight Management Source Type: research