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Criteria for selecting patients for possible surgery in the management of intracerebral hemorrhage (ICH) are needed to plan a prospective therapeutic evaluation of surgical intervention. This study specifically addressed patients seen in the emergency room within a few hours of the ictus, many of whom were still awake, to identify and subsequently exclude(More)
OBJECTIVE To determine if previously hypertensive patients with acute ischemic stroke should be treated with antihypertensive medication in the immediate poststroke period. DESIGN Randomized double-blind, placebo-controlled trial. SETTING Sixteen consecutive hypertensive patients (four men and 12 women; mean age, 66 years [age range, 46 to 83 years])(More)
Epilepsy is associated with a significant burden of false beliefs and social stigma in the setting of Sub-Saharan Africa. To assess the impacts of epilepsy on child education in Sierra Leone (SL), we carried out a cross-sectional descriptive study examining its effects on school attendance, participation in physical activities, and social acceptance among(More)
In October 2014, the College of Medicine and Allied Health Sciences of the University of Sierra Leone, the Sierra Leone Ministry of Health and Sanitation, and CDC joined the global effort to accelerate assessment and availability of candidate Ebola vaccines and began planning for the Sierra Leone Trial to Introduce a Vaccine against Ebola (STRIVE). STRIVE(More)
In order to determine the impact and trend of hypertension related deaths in the overall mortality of urban Sierra Leoneans, a review of death certificate records in the capital Freetown over the period 1983-1992 was undertaken. A total of 25119 consecutive records were examined to identify those with hypertension as a major or contributory cause of death.(More)
We conducted a preliminary community survey for diabetes in the Bo district of southern Sierra Leone. Five hundred and one subjects comprising 256 rural adults in two villages and 245 urban adults in Bo town were randomly selected and screened for diabetes using random capillary blood glucose according to WHO criteria. There were 6 diabetics, all in the(More)
OBJECTIVE To determine the prevalence and awareness of hypertension and determinants of blood pressure in rural and urban Sierra Leoneans. METHOD 598 subjects from Freetown and 606 subjects from three villages in the northern province of Sierra Leone were selected for this study using multi-stage sampling. All were adults aged 15 years and over. Single(More)
  • D R Lisk
  • 1993
A retrospective study of 87 hospitalized Sierra Leonean stroke patients is presented. The mean age was 50.9 years with a male to female ratio of 2:1. Hypertension was present in 68% of patients but only in those above 30 years of age. It was also more prevalent in females than males. Mean arterial pressure increased with age up to 40 years after which is(More)
The drug taking habits and compliance of 16 epileptic children were studied by means of a questionnaire, "pill" count and serum antiepileptic drug levels (AEDL). The questionnaire method overestimated patients' compliance while, because of the pharmacokinetics of antiepileptic drugs in children, single outpatients' drug levels may be misleading thereby not(More)
A cross sectional survey to determine the mean systolic and diastolic blood pressure, prevalence of hypertension, and possible risk factors in two villages, Kychum and Njala Komboya, in Sierra Leone was carried out. A total of 463 subjects were investigated. Hypertension was defined according to WHO criteria, i.e. a systolic pressure equal or greater than(More)