- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Parkinson's Disease Mechanisms and Treatments
- Neurological disorders and treatments
- Cerebrovascular and Carotid Artery Diseases
- Genetic Neurodegenerative Diseases
- Clinical practice guidelines implementation
- Intracerebral and Subarachnoid Hemorrhage Research
- Transcranial Magnetic Stimulation Studies
- Cytomegalovirus and herpesvirus research
- Cardiac Health and Mental Health
- Neurogenetic and Muscular Disorders Research
- Neurological and metabolic disorders
- Blood Pressure and Hypertension Studies
- Diabetes Management and Education
- Retinal Diseases and Treatments
- Autism Spectrum Disorder Research
- Genetics and Neurodevelopmental Disorders
- Cerebral Palsy and Movement Disorders
- Health disparities and outcomes
- Ocular Diseases and Behçet’s Syndrome
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Musculoskeletal pain and rehabilitation
- Antiplatelet Therapy and Cardiovascular Diseases
Muhimbili National Hospital
2016-2024
John Wiley & Sons (United States)
2024
Abstract Background The growing burden of Parkinson's disease (PD) in Africa necessitates the identification available therapies and services to improve patient care. Objective To investigate availability, affordability, frequency usage, insurance coverage PD (pharmacological, surgical, physical, speech therapies) including specialized clinics, specialists, nurses across Africa. Methods A comprehensive web‐based survey was constructed distributed neurologists/physicians with a special...
Given the high post-stroke mortality and disability paucity of data on quality stroke care in Sub-Saharan Africa, we sought to characterize implementation stroke-focused treatments 90-day outcomes neuroimaging-confirmed patients at largest referral hospital Tanzania.Prospective cohort study.Muhimbili National Hospital (MNH) Dar es Salaam, July 2016-March 2017.Adults with new-onset (<14 days), confirmed by head CT, admitted MNH.Modified Rankin scale (mRS) vital status.Of 149 subjects (mean...
Background Evidence suggests that social networks improve functional recovery after stroke, but this work has not been extended to low- and middle-income countries (LMICs). Post-stroke depression interferes with outcome is understudied in LMICs. Aims To determine the relationships between networks, disability, depressive symptoms patients surviving 90-days post-stroke Dar es Salaam, Tanzania. Methods Participants ≥ 18 years, admitted ≤ 14 days of stroke onset, were enrolled. Disability was...
Background: Stroke is a second leading cause of death globally, with an estimated one in four adults suffering stroke their lifetime. We aimed to describe the clinical characteristics, quality care, and outcomes urban Northwestern Tanzania. Methods: analyzed de-identified data from prospective registry Bugando Medical Centre Mwanza, largest city Tanzania, between March 2020 October 2022. This included all ⩾18 years admitted our hospital who met World Health Organization definition stroke....
Diabetic striatopathy, or nonketotic hyperglycemic hemichorea-hemiballismus syndrome, is a rare movement disorder linked to poorly controlled diabetes mellitus. It predominantly affects older women with type 2 mellitus and presents characteristic basal ganglia abnormalities on computed tomography (CT) magnetic resonance imaging (MRI). Even rarer the presentation in young patient, which may pose diagnostic management challenges. We report 17-year-old male 1 presenting left-sided of acute...
The data that support the findings of this study are available from corresponding author upon reasonable request. Appendix S1. Supplementary tables S2. Education Research Africa Survey Please note: publisher is not responsible for content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed to article.
We test the safety of fluoxetine post-ischemic stroke in sub-Saharan Africa. Adults with acute ischemic stroke, seen <14 days since new-onset motor deficits, were enrolled from November 2019 to October 2020 a single-arm, open-label phase II trial daily 20 mg for 90 at Muhimbili National Hospital, Dar es Salaam, Tanzania. The primary outcome was secondary outcomes medication adherence and tolerability. Thirty-four patients (11 female; mean age 52.2 years, 65% < 60 years old; 3.3 symptom...
Ocular manifestations among HIV infected children are diverse and global incidence varies from 7% to 75%. At this age, eye lesions often unnoticed because of the incapacity express discomfort. The purpose study is describe ocular HIV-infected hence associated factors in Department Paediatrics at Yalgado Ouédraogo Teaching Hospital. This was a cross-sectional descriptive analytical conducted between July 2014 December 2014. A complete ophthalmic examination systematically done all...
<h3></h3> Neurological disorders are currently among the top causes of disability adjusted life-years (DALYs) and deaths globally. A vast increase in disease burden is projected, particularly low- lower middle-income countries (LLMIC). Paradoxically, LLMIC settings, neurological often neglected, underdiagnosed, receive insufficient funding, limited research. To combat growing disease, increasing focus must be placed on management disorders. Cost-effectiveness analyses epilepsy (acute-...