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Source: Journal of the Neurological Sciences
Condition: Hypertension
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Total 43 results found since Jan 2013.
Feasibility, acceptability, and appropriateness of a mobile health stroke intervention among Ghanaian health workers
mHealth interventions can improve care delivery in settings with limited resources. The Phone-based Interventions under Nurse Guidance after Stroke (PINGS) is a nurse-led, mHealth-centered approach to blood pressure (BP) control among recent stroke survivors with hypertension in Ghana. It has 4 key components: (1) home blood pressure monitoring, (2) nurse-coordinated mhealth consults, (3) phone alerts as medication reminders, and (4) patient motivational messages delivered as interactive voice recordings.
Source: Journal of the Neurological Sciences - June 3, 2022 Category: Neurology Authors: JohnH. Amuasi, Melvin K. Agbogbatey, Fred S. Sarfo, Alexis Beyuo, Kwaku Duah, Patrick Agasiya, Agnes Arthur, Lambert Appiah, Samuel B. Nguah, Ansumana Bockarie, Nana K. Ayisi-Boateng, Kwadwo Gyebi Agyenim Boateng, Nathaniel Adusei-Mensah, Albert Akpalu, B Source Type: research
Characterisation of recent trends in cardiovascular risk factors in young and middle-aged patients with ischaemic stroke and/or transient ischaemic attack
Strokes in the young and middle-aged are associated with a disproportionately large economic and social impact in addition to their clinical effects. Standard Modifiable Cardiovascular Risk Factors (SMuRFs; hypercholesterolaemia, hypertension, diabetes mellitus and smoking) are key drivers of cardiovascular disease including strokes, however recent temporal trends in the younger stroke population have not been well characterised. We aimed to evaluate recent trends of SMuRFs in a cohort of younger patients with ischaemic stroke.
Source: Journal of the Neurological Sciences - September 1, 2020 Category: Neurology Authors: Aditya Bhat, Gary C.H. Gan, David Makarious, Elizabeth Tan, Henry H.L. Chen, Nigel Wolfe, Lina Lee, Camelia Burdusel, Maria Carmo P. Nunes, Clara K. Chow, Timothy C. Tan Source Type: research
Frequency and factors linked to refractory hypertension among stroke survivors in Ghana
Refractory hypertension (RfH) is a rare, severe phenotype of resistant hypertension, linked to higher risk of adverse cardiovascular outcomes. Little is known about the association of RfH with stroke type and subtype.
Source: Journal of the Neurological Sciences - June 3, 2020 Category: Neurology Authors: Fred Stephen Sarfo, John Akassi, Sheila Adamu, Vida Obese, Manolo Agbenorku, Bruce Ovbiagele Source Type: research
Low blood pressure levels & incident stroke risk among elderly Ghanaians with hypertension
Clinical trial data indicate that more intensive blood pressure (BP) lowering below standard cut-off targets is associated with lower risks of strokes in the elderly. There is a relative paucity of real-world practice data on this issue, especially among Africans.Objective: To assess BP control rates, its determinants, and whether a lower BP
Source: Journal of the Neurological Sciences - March 3, 2020 Category: Neurology Authors: Fred Stephen Sarfo, Linda Meta Mobula, Titus Adade, Yvonne Commodore-Mensah, Martin Agyei, Collins Kokuro, Rexford Adu-Gyamfi, Christiana Duah, Bruce Ovbiagele Source Type: research
Sleep disorders and disrupted sleep in addiction, withdrawal and abstinence with focus on alcohol and opioids
Sleep is very important for our physical and mental health. Sleep disturbances increase risk of substance use disorders as well as risk of onset and worsening of medical and other primary psychiatric problems like diabetes, kidney disease, high blood pressure, heart disease, stroke, and depression [1,2]. Substance use disorders, particularly alcohol and opioids can cause or exacerbate sleep disturbances [3,4] leading to even greater problems with our health in addition to the consequences of substance use [1,2].
Source: Journal of the Neurological Sciences - January 29, 2020 Category: Neurology Authors: William-Bernard Reid-Varley, Caridad Ponce-Martinez, Khurshid A. Khurshid Tags: Review Article Source Type: research
Post-intervention qualitative assessment of mobile health technology to manage hypertension among Ghanaian stroke survivors
Stroke is a leading cause of death in Africa and a key modifiable risk factor for the index and recurrent stroke is through the adequate management of blood pressure. Recent guidelines encourage management beyond clinic settings, yet implementation of these guidelines can be challenging, especially in resource constrained regions, such as in Sub-Saharan Africa. Mobile health technology may offer an innovative and cost-effective approach to improve BP monitoring and facilitate adherence to antihypertensive medications.
Source: Journal of the Neurological Sciences - September 12, 2019 Category: Neurology Authors: Michelle Nichols, Arti Singh, Fred Stephen Sarfo, Frank Treiber, Raelle Tagge, Carolyn Jenkins, Bruce Ovbiagele Source Type: research
Response by Sarfo to letter regarding “Estimated glomerular filtration rate and incident stroke in patients with hypertension and/or diabetes”
In response
Source: Journal of the Neurological Sciences - December 27, 2018 Category: Neurology Authors: Fred S. Sarfo Tags: Response to Letter to the Editor Source Type: research
Estimated glomerular filtration rate and incident stroke in patients with hypertension and/or diabetes
Sarfo et al. conducted a prospective study to evaluate the effect of estimated glomerular filtration rate (eGFR) on incident stroke in patients with hypertension and/or type 2 diabetes mellitus [1]. The authors had reported the risk factors of incident stroke in patients with hypertension and/or type 2 diabetes mellitus by using the same database [2]. They recognized 54 events of stroke and stroke incidence rates increased with decreasing eGFR. Adjusted hazard ratios (HRs) (95% confidence intervals [CIs]) of eGFR with 60 –89 ml/min, 30–59 ml/min, and89 ml/min for incident stroke were 1.42 (0.63–3.21), 1.88 (1....
Source: Journal of the Neurological Sciences - December 27, 2018 Category: Neurology Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research
Response by Sarfo to letter regarding “Patients with hypertension and/or diabetes and incident stroke: A risk assessment”
We sincerely thank Dr. Kawada for his interest in our study titled ‘Incident stroke among Ghanaians with hypertension and diabetes: a multicenter, prospective study’. The aim of our study [1] was to assess the rates and determinants of incident stroke among a prospective, hospital-based Ghanaian cohort with hypertension and or type 2 diabetes mellitus. In this regard, our study was not designed to “evaluate the risk of hypertension and diabetes for incident stroke” as specified by our correspondents.
Source: Journal of the Neurological Sciences - December 13, 2018 Category: Neurology Authors: Fred S. Sarfo Tags: Letter to the Editor Source Type: research
Patients with hypertension and/or diabetes and incident stroke: A risk assessment
Sarfo et al. conducted a prospective study to evaluate the risk of hypertension and diabetes for incident stroke [1]. The authors recognized 54 events of stroke, and incidence rates (95% confidence intervals [CIs]) of stroke per 1000 person-years in patients with diabetes and hypertension, only hypertension and only diabetes were 16.64 (10.58 –25.00), 13.77 (9.33–19.64) and 9.81 (3.59–21.74), respectively. In addition, adjusted hazard ratios (95% CI) of previous cigarette smoking and physical inactivity for incident stroke were 2.59 (1.18–5.67) and 1.81 (1.06–3.10).
Source: Journal of the Neurological Sciences - December 13, 2018 Category: Neurology Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research
Estimated glomerular filtration rate predicts incident stroke among Ghanaians with diabetes and hypertension
This study sought to fill this knowledge gap.
Source: Journal of the Neurological Sciences - November 15, 2018 Category: Neurology Authors: Fred Stephen Sarfo, Linda Meta Mobula, Osei Sarfo-Kantanka, Sheila Adamu, Jacob Plange-Rhule, Daniel Ansong, Rexford Adu Gyamfi, James Duah, Bertha Abraham, David Ofori-Adjei Tags: Clinical short communication Source Type: research
WITHDRAWN: Estimated glomerular filtration rate predicts incident stroke among ghanaians with diabetes and hypertension
This article has been withdrawn at the request of the editor. The Publisher apologizes for any inconvenience this may cause.
Source: Journal of the Neurological Sciences - September 20, 2018 Category: Neurology Authors: Fred Stephen Sarfo, Linda Meta Mobula, Osei Sarfo-Kantanka, Sheila Adamu, Jacob Plange-Rhule, Daniel Ansong, Rexford Adu Gyamfi, James Duah, Bertha Abraham, David Ofori-Adjei Source Type: research
Estimated glomerular filtration rate predicts incident stroke among ghanaians with diabetes and hypertension
This study sought to fill this knowledge gap.
Source: Journal of the Neurological Sciences - September 20, 2018 Category: Neurology Authors: Fred Stephen Sarfo, Linda Meta Mobula, Osei Sarfo-Kantanka, Sheila Adamu, Jacob Plange-Rhule, Daniel Ansong, Rexford Adu Gyamfi, James Duah, Bertha Abraham, David Ofori-Adjei Source Type: research
Predictors of long-term survival after spontaneous intracerebral hemorrhage in southern Portugal: A retrospective study of a community representative population
Stroke survivors, particularly of spontaneous intracerebral hemorrhage (SICH), remain at high risk of death on the long-term [1 –3]. A meta-analysis of the long-term prognosis after SICH showed that the 1-year and 5-year mortality rates were 54% and 71% respectively [2]. Along with the post-stroke disability, the presence of underlying risk factors such as hypertension, atherosclerosis, cerebral amyloid angiopathy, diabete s mellitus and the coexistence of several other comorbidities may explain the high rates of mortality on the long-term [3,4].
Source: Journal of the Neurological Sciences - September 17, 2018 Category: Neurology Authors: Hip ólito Nzwalo, Catarina Félix, Jerina Nogueira, Patrícia Guilherme, Fátima Ferreira, Teresa Salero, Sara Ramalhete, Joana Martinez, Maria Mouzinho, Ana Marreiros, Lars Thomassen, Nicola Logallo Tags: Clinical short communication Source Type: research
Incident stroke among Ghanaians with hypertension and diabetes: A multicenter, prospective cohort study
The burden of stroke among hypertensive and diabetic population in sub-Saharan Africa remains high. We sought to identify the risk factors associated with stroke occurrence in these high-risk population groups.
Source: Journal of the Neurological Sciences - September 13, 2018 Category: Neurology Authors: Fred S. Sarfo, Linda M. Mobula, Jacob Plange-Rhule, Daniel Ansong, David Ofori-Adjei Source Type: research
