| Stroke: a realistic approach to a growing problem in sub-Saharan Africa is urgently needed. | |
| | |
MedLine Citation:
|
PMID: 21557793 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Stroke is an increasing problem in sub-Saharan Africa, even in children. High rates of hypertension, diabetes, alcohol abuse, smoking, insufficient fruit and vegetable consumption, sickle cell disease, HIV infection, antiretroviral use and race are likely contributing factors. Although often considered as related to increasing wealth, stroke is more strongly related to poverty, and in turn increases it. Case-fatality rates are high and premature death and years of life lost are a major problem. We propose an approach to stroke prevention and treatment that takes into account the real situation on the ground and can be applied in sub-Saharan Africa, an area where stroke units are largely not feasible and many patients do not reach hospitals. Involvement of community and faith-based organisations, use of simple diagnostic tests, emphasis on clinical examination to differentiate between haemorrhagic and ischaemic stroke, prompt initiation of aspirin therapy and training of community nurses on essential management of stroke should be urgently implemented. |
| | |
Authors:
|
Kehinde O Kolapo; Sandro Vento |
Related Documents
:
|
886283 - Patient problems in the office practice of six family physicians in louisiana. 1814383 - Towards better discharge summaries: brevity and structure. 21295223 - The association among interpersonal problems, binge behaviors, and self-esteem, in the ... |
Publication Detail:
|
Type: Journal Article Date: 2011-03-09 |
Journal Detail:
|
Title: Tropical medicine & international health : TM & IH Volume: 16 ISSN: 1365-3156 ISO Abbreviation: Trop. Med. Int. Health Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-05-11 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9610576 Medline TA: Trop Med Int Health Country: England |
Other Details:
|
Languages: eng Pagination: 707-10 Citation Subset: IM |
Copyright Information:
|
© 2011 Blackwell Publishing Ltd. |
Affiliation:
|
Department of Internal Medicine, Faculty of Medicine and Health Sciences, University of Botswana, Gaborone, Botswana. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Valproate versus diazepam for generalized convulsive status epilepticus: a pilot study.
Next Document: Metastatic potential of a renal mass according to original tumour size at presentation.