• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

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

Frequency & factors associated with recurrent stroke in Ghana and Nigeria
Data on the burden and outcomes of recurrent strokes in sub-Saharan Africa are limited, impeding efforts at optimal recurrent stroke prevention.
Source: Journal of the Neurological Sciences - June 2, 2022 Category: Neurology Authors: Albert Akpalu, Fred S. Sarfo, Joshua Akinyemi, Kolawole Wahab, Morenikeji Komolafe, Reginald Obiako, Lukman Owolabi, Godwin O. Osaigbovo, Godwin Ogbole, Philip Adebayo, Akpa Onoja, Adekunle Fakunle, Olayemi Balogun, Bimbo Fawale, Okechukwu Ogah, Rufus Aki Source Type: research

Nationwide rates of outpatient clinic attendance by stroke survivors in Ghana: Analysis by region and facility
Data on utilization of outpatient departments (OPD) within a country is one strategic approach to gain nationwide and regional insights into the frequency of and types of health facilities where patients seek healthcare. In particular, such data could be used to develop quality improvement interventions in sub-Saharan Africa where the burden of stroke is high but outcomes are relatively poor.
Source: Journal of the Neurological Sciences - April 6, 2022 Category: Neurology Authors: Fred Stephen Sarfo, Mary Efua Commeh, Isaac Obeng Tandoh, Melvin Agbogbatey, Odame Ankrah, Albert Akpalu, Bruce Ovbiagele Source Type: research

Key determinants of long-term post-stroke mortality in Ghana
Stroke affects a predominantly young to middle-aged population in Africa and is associated with poor outcomes. There are limited data on patient-level determinants of long-term stroke survival on the continent.
Source: Journal of the Neurological Sciences - December 28, 2021 Category: Neurology Authors: Fred Stephen Sarfo, Bruce Ovbiagele Source Type: research

Influence of age on links between major modifiable risk factors and stroke occurrence in West Africa
BackgroundThe burden of stroke in Africa is high. Understanding how age associates with major modifiable stroke risk factors could inform tailored demographic stroke prevention strategies.PurposeTo quantify the magnitude and direction of the effect sizes of key modifiable stroke risk factors according to three age groups: 65 years (elderly) in West Africa.MethodsThis was a case-control study involving 15 sites in Ghana and Nigeria. Cases included adults aged ≥18 years with CT/MRI scan-typed stroke.
Source: Journal of the Neurological Sciences - July 8, 2021 Category: Neurology Authors: Fred S. Sarfo, Onoja Akpa, Bruce Ovbiagele, Albert Akpalu, Kolawole Wahab, Morenikeji Komolafe, Reginald Obiako, Lukman Owolabi, Godwin O. Osaigbovo, Carolyn Jenkins, Godwin Ogbole, Adekunle Fakunle, Hemant K. Tiwari, Oyedunni Arulogun, Donna K. Arnett, O Source Type: research

Quantitative and qualitative analyses of herbal medication use among Ghanaian stroke survivors
Herbal medicines are not regulated by regulatory authorities and are often not of proven safety and efficacy. Anecdotal reports suggest widespread use of traditional herbal medicine (THM) for treatment of stroke in Africa, but verifiable data are limited in published literature.
Source: Journal of the Neurological Sciences - June 12, 2021 Category: Neurology Authors: Fred Stephen Sarfo, Bruce Ovbiagele Tags: Clinical short communication Source Type: research

Atherosclerotic event risk and risk reduction therapies among Ghanaian hemorrhagic stroke survivors
Intracerebral hemorrhage (ICH) stroke constitute up to 40% of incident strokes in Africa. While ICH patients are at high risk for atherosclerotic events, the risk-benefit of anti-atherosclerotic therapies in this patient population is uncertain.
Source: Journal of the Neurological Sciences - March 9, 2021 Category: Neurology Authors: Fred Stephen Sarfo, Sheila Adamu, Vida Obese, Manolo Agbenorku, Priscilla Abrafi Opare-Addo, Bruce Ovbiagele Source Type: research

Prevalence and predictors of post-stroke epilepsy among Ghanaian stroke survivors
Post-stroke epilepsy (PSE) is associated with poorer quality of life, higher mortality, and greater health expenditures. We are unaware of any published reports on the frequency of and factors associated with PSE in Africa.
Source: Journal of the Neurological Sciences - September 10, 2020 Category: Neurology Authors: Fred Stephen Sarfo, John Akassi, Vida Obese, Sheila Adamu, Manolo Agbenorku, Bruce Ovbiagele Source Type: research

COVID-19 AND STROKE: Experience in a GHANAIAN healthcare system
Background:The novel coronavirus disease 19 (COVID-19) causes multi-system disease including possibly heightened stroke risk. Data from high-income countries (HIC) suggest disruptions to care delivery with reduced stroke admissions and administration of acute stroke reperfusion therapies. We are unaware of any published data on the impact of the COVID-19 pandemic on stroke admissions and outcomes in sub-Saharan Africa.Purpose: To compare rates of stroke admissions and case fatality between corresponding periods in 2020 and 2019, within a hospital system in Ghana, to assess the potential impact of the COVID-19 pandemic.
Source: Journal of the Neurological Sciences - July 14, 2020 Category: Neurology Authors: Fred S. Sarfo, Naa Oboshie Mensah, Francis Agyapong Opoku, Nathaniel Adusei-Mensah, Michael Ampofo, Bruce Ovbiagele 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

Prevalence and predictors of statin utilization among patient populations at high vascular risk in Ghana
Inadequate implementation of evidence-based preventive measures for individuals at high risk of cardiovascular disease (CVD) will only worsen the current epidemic of CVDs in sub-Saharan Africa. We assessed rates and predictors of statin utilization among two high CVD risk patient populations, people with type 2 diabetes mellitus (T2DM) and those with stroke, encountered across five hospitals in Ghana.
Source: Journal of the Neurological Sciences - April 14, 2020 Category: Neurology Authors: Fred Stephen Sarfo, 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

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

The dynamics of Poststroke depression among Ghanaians
The very few published data on post-stroke depression (PSD) among indigenous Africans have covered its prevalence and predictors. We sought to evaluate the dynamics of PSD in a cohort of Ghanaian stroke survivors followed for 9  months after an acute stroke.
Source: Journal of the Neurological Sciences - July 22, 2019 Category: Neurology Authors: Fred Stephen Sarfo, Manolo Agbenorku, Sheila Adamu, Vida Obese, Patrick Berchie, Bruce Ovbiagele, On behalf of PINGS Study investigators 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

Pages: 1  2