Rwanda Journal of Medicine and Health Sciences最新文献_第8页

Analysis of Clinical Experience Using Kolb’s Experiential Learning Theory: Postgraduate Medical Surgical Nursing Track Students in Selected Sub-Specialties at the University Teaching Hospital of Kigali, Rwanda 运用Kolb的体验式学习理论分析临床经验:卢旺达基加利大学教学医院医学外科护理专业研究生选定专科

Rwanda Journal of Medicine and Health Sciences Pub Date : 2022-01-30 DOI: 10.4314/rjmhs.v4i3.13

Vedaste Bagweneza, Collins Anita, Isaac Nsanzamahoro, Vestine Mukanoheli, Florian Bahaya, Perpetue Niyitegeka, Pauline Kabanyana, M. Mwiseneza, Tony Gaterega, Agnes Kura, Claude Twahirwa, Marie Munezero

{"title":"Analysis of Clinical Experience Using Kolb’s Experiential Learning Theory: Postgraduate Medical Surgical Nursing Track Students in Selected Sub-Specialties at the University Teaching Hospital of Kigali, Rwanda","authors":"Vedaste Bagweneza, Collins Anita, Isaac Nsanzamahoro, Vestine Mukanoheli, Florian Bahaya, Perpetue Niyitegeka, Pauline Kabanyana, M. Mwiseneza, Tony Gaterega, Agnes Kura, Claude Twahirwa, Marie Munezero","doi":"10.4314/rjmhs.v4i3.13","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.13","url":null,"abstract":"BackgroundClinical experiences provide an opportunity for nursing students to integrate theoretical knowledge into practice, and analyze their learning using a theoretical model. Students do not take this opportunity unless it is intentionally included by the facilitators. These observations from the second cohort of medical surgical nursing students with their facilitators, regarding their clinical training period in selected sub-specialties at the University Teaching Hospital of Kigali (CHUK) aimed at developing students’ analytical and observational skills while developing clinical skills.MethodsThe study involved nine medical surgical nursing students who were in different subspecialties at CHUK from 7th January up to the 20th February, 2019. Informed observational approach and concomitant reporting were used to validate their learning and gain clinical experience. The students used Kolb’s Experiential Learning Theory to analyze their experience, with the focus on innovative skills.ResultsAll medical surgical nursing students reported that they improved their knowledge and skills during clinical practice, while broadening their outlook.ConclusionKolb’s Experiential Learning Theory is useful in validating and bridging theoretical learning to clinical practice.Rwanda J Med Health Sci 2021;4(3):430-436","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123026860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Standard Precautions among HealthCare Workers in a Tertiary Health Facility in Enugu Metropolis, South-East Nigeria 尼日利亚东南部埃努古大都会三级卫生机构卫生保健工作者的标准预防措施

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.6

Hope O. Nwoga, M. Ajuba, O. Chime

{"title":"Standard Precautions among HealthCare Workers in a Tertiary Health Facility in Enugu Metropolis, South-East Nigeria","authors":"Hope O. Nwoga, M. Ajuba, O. Chime","doi":"10.4314/rjmhs.v4i3.6","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.6","url":null,"abstract":"BackgroundThe work environment of Health Care Workers (HCWs) can be described as a potential risk zone due to numerous hazards endemic to the environment. The hospital is not just only a place where the sick people recover from their illness, but also where the healthy get infected.ObjectivesTo assess the knowledge, attitude and practice of Standard Precautions (SP) among HCWs in a tertiary government health facility in Enugu Metropolis, Nigeria.MethodsA descriptive cross-sectional design that used mixed method approach. Qualitative data was collected using an in-depth interview. The quantitative data instrument was a semi-structured, self-administered questionnaire. Manual content analysis was done for the qualitative data. Quantitative data was analysed using SPSS version 22.ResultsSixty-four (32.0%), 131(65.5%) and 5(2.5%) had good, fair and poor knowledge of SP respectively while 117(58.5%), 70(35.0%) and 13(6.5%) had good, fair and poor attitude to SP respectively. Fifty-nine (29.5%), 140(70.0%) and 1(0.5%) had good, fair and poor practice of SP respectively.ConclusionThere was fair knowledge and practice of SP among the studied HCWs while attitude was good.Rwanda J Med Health Sci 2021;4(3):366-378","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115160247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uptake of Cervical Cancer Screening and Associated Factors Among Women Attending Outpatient Services in Rwamagana Hospital, Rwanda 卢旺达卢马加纳医院门诊妇女宫颈癌筛查及相关因素

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.8

I. Ndateba, Athanasie Kabatsinda, Eleazar. Ndabarora

{"title":"Uptake of Cervical Cancer Screening and Associated Factors Among Women Attending Outpatient Services in Rwamagana Hospital, Rwanda","authors":"I. Ndateba, Athanasie Kabatsinda, Eleazar. Ndabarora","doi":"10.4314/rjmhs.v4i3.8","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.8","url":null,"abstract":"BackgroundCervical cancer is a global public health threat for women. Rwanda Ministry of Health recommends screening as preventive strategy. However, the screening remains low in Rwanda.ObjectiveTo determine the uptake level of cervical cancer screening and associated factors among Rwandan women.MethodsA quantitative analytical cross-sectional study design was used. We recruited 178 participants using convenience sampling from an estimated 320 women who attended outpatient department in the previous month. The sample size was calculated using the Yamane’s formula. We used chi-square test, t-test and multiple logistic regression analysis to analyse data.ResultsA total of 178 (100%) participants completed the survey. Forty-one (23%) participants had undertaken cervical cancer screening. Knowledge (OR: 1.26,95% CI:1.069-1.485, p=.006) and income were predictors of cervical cancer screening uptake. Participants earning RWF ≥ 63,751 were more likely to uptake cervical cancer screening (OR:11.141, 95% CI:3.136-39.571, p< .001) compared to those earning less than RWF 25,500 monthly.ConclusionCervical cancer screening uptake among study population was low. Participants with more knowledge and high-income were more likely to uptake cervical cancer screening. Improving women’s knowledge and socioeconomic situation would improve the uptake of cervical cancer screening.Rwanda J Med Health Sci 2021;4(3):387-397","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131931845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Peaceful End of Life Theory: A Critical Analysis of Its Use to Improve Nursing Practice 和平的生命终结理论:对其用于改善护理实践的批判性分析

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.11

S. Ngabonziza, Marie Chantal Murekatete, Gerard Nyiringango, Sandra Marie Grace Musabwasoni

引用次数: 2

Training Needs Assessment for a Bachelor of Science Program in Eye Care at the University of Rwanda 卢旺达大学眼科护理学士学位课程培训需求评估

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.5

J. Kagwiza, Kingsley Ekimiri, C. Mumena, D. Tumusiime, Gatera Fiston Kitema, François Régis Twiringirimana, Marie Josee Uwisunze, Darko Ransford, Didier Fidele Uwacu, Swamadu Ugirashebuja, Denys Ndayambaje

{"title":"Training Needs Assessment for a Bachelor of Science Program in Eye Care at the University of Rwanda","authors":"J. Kagwiza, Kingsley Ekimiri, C. Mumena, D. Tumusiime, Gatera Fiston Kitema, François Régis Twiringirimana, Marie Josee Uwisunze, Darko Ransford, Didier Fidele Uwacu, Swamadu Ugirashebuja, Denys Ndayambaje","doi":"10.4314/rjmhs.v4i3.5","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.5","url":null,"abstract":"BackgroundThe University of Rwanda, established the Ophthalmology Department in 2004 to train Ophthalmic Clinical Officers (OCO). A proposal was developed towards upgrading the qualification level of the OCOs training at the University of Rwanda.AimThis study aimed to assess the need to upgrade the qualification of ophthalmic clinical officers to improve eye health services in Rwanda.MethodologyA descriptive cross-sectional study was conducted among 87 participants comprised of ophthalmic clinical officers, eye health development stakeholders, and employers in Rwanda selected purposively. Data analysis was performed using SPSS version 16.ResultsThe results showed that 77% of participants in the stakeholders group and 51.4% in the OCOs group were males. About 97% (n= 34) of the OCO responded “Yes” to the questions “Do you think some of the weaknesses related to quality practice are related to the level of training?” and “Does your qualification have any effect to your professional development?” Furthermore, 85% had never been promoted at any employment position, 100 % (n=35) alumni and 84 % (n=22) stakeholders agreed that there is a need for bachelor’s degree program.ConclusionThe need for developing new programs in ophthalmology including a Bachelor of Science degree program for OCOs was evident.Rwanda J Med Health Sci 2021;4(3):357-365","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129895535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge and Skills on Triage among Nurses Working in Emergency Departments in Referral Hospitals in Rwanda 卢旺达转诊医院急诊科护士的分诊知识和技能

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.9

Innocent Twagirayezu, Bhengu Busisiwe, Emelyne Umutoni Cishahayo

{"title":"Knowledge and Skills on Triage among Nurses Working in Emergency Departments in Referral Hospitals in Rwanda","authors":"Innocent Twagirayezu, Bhengu Busisiwe, Emelyne Umutoni Cishahayo","doi":"10.4314/rjmhs.v4i3.9","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.9","url":null,"abstract":"BackgroundUnpredictable numbers of patients attending emergency departments highlight the need for Triage. Triage which is the prioritization of patient care based on severity of illness or injury, prognosis, and availability of resources is effective when clinicians are knowledgeable and skilled to perform it.ObjectiveTo assess knowledge and skills on triage among nurses working in emergency departments of Rwandan referral hospitals.MethodsCross-sectional analytical design was adopted. ninety-six (96) nurses working in emergency departments were selected using proportionate stratified sampling method. Each hospital was considered as a stratum. A self-administered questionnaire and observation checklist were use as instruments. Inferential and descriptive statistics were used in analysis.ResultsThe majority of participants (63.6%) demonstrated low level of triage knowledge and almost a half (47.9%) of participants had low level of triage skills. Nurses experience in emergency department, level of education and triage training were not found to significantly influence triage knowledge and skills positively (P>0.05).ConclusionDeficit in triage knowledge and skills were revealed among nurses working in emergency departments in Rwanda. Accredited continuous educational training on triage should be regularly provided to enhance knowledge and skills of emergency department nurses on Triage.Rwanda J Med Health Sci 2021;4(3):398-405","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127328662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Physical Activity Levels of the Physiotherapy Students in Rwanda during the Coronavirus Disease 2019 Lockdown Period 2019冠状病毒疫情封锁期间卢旺达理疗专业学生的身体活动水平

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.2

Sarah Uwamahoro, Benjamin Ayabagabo, Godfrey Nyamwasa, Emmy Bucyana, G. Urimubenshi

{"title":"Physical Activity Levels of the Physiotherapy Students in Rwanda during the Coronavirus Disease 2019 Lockdown Period","authors":"Sarah Uwamahoro, Benjamin Ayabagabo, Godfrey Nyamwasa, Emmy Bucyana, G. Urimubenshi","doi":"10.4314/rjmhs.v4i3.2","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.2","url":null,"abstract":"BackgroundThe Coronavirus Disease 2019 (COVID-19) pandemic and related social distancing measures have an impact on physical activity levels.ObjectiveTo assess the physical activity (PA) levels of the physiotherapy students in Rwanda during the COVID-19 lockdown period.MethodsWe used a descriptive cross-sectional quantitative study design. Eighty-one participants were recruited, and data were collected using the International Physical Activity Questionnaire. We used descriptive statistics, Pearson Chi-Square and Kruskal-Wallis tests to assess whether there were statistically significant differences in physical activity levels according to demographic variables.ResultsThe median total PA metabolic equivalent of task (MET)-minutes/week score for all the participants together was 3546 (IQR=8714), meaning high PA. The rates for high, moderate, and low PA levels were 54.4%, 31.7% and 13.9% respectively. Male and rural participants had higher median total PA MET score than females (p=0.008) and urban residents (p=0.018) respectively.ConclusionsThe PA levels of the study participants during the COVID-19 lockdown period were higher than the recommended standards. Females and urban participants appeared to be less physically active than their counterparts. Further similar studies and interventions towards PA promotion among university students in Rwanda during the pandemic are suggested.Rwanda J Med Health Sci 2021;4(3):334-340","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117037598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Dental Caries, its Associated Risk Factors and Treatment Needs among School Aged Children at Kimironko II Primary School, Kigali, Rwanda 卢旺达基加利Kimironko第二小学学龄儿童龋齿患病率、相关风险因素和治疗需求

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.3

D. Uwayezu, Peace Uwambaye, A. Uwitonze, Julienne Murererehe, Emmanuel Nzabonimana, M. C. Ineza, Eliane Ingabire Harelimana, Usiel Nsabimana Usiel Nsabimana, D. Singh, E. Nizeyimana, Eugene Nshimiyimana, Joselyne Muhawenimana, Rene Tuyibuke, Eustache Ntigura, A. Gatarayiha

{"title":"Prevalence of Dental Caries, its Associated Risk Factors and Treatment Needs among School Aged Children at Kimironko II Primary School, Kigali, Rwanda","authors":"D. Uwayezu, Peace Uwambaye, A. Uwitonze, Julienne Murererehe, Emmanuel Nzabonimana, M. C. Ineza, Eliane Ingabire Harelimana, Usiel Nsabimana Usiel Nsabimana, D. Singh, E. Nizeyimana, Eugene Nshimiyimana, Joselyne Muhawenimana, Rene Tuyibuke, Eustache Ntigura, A. Gatarayiha","doi":"10.4314/rjmhs.v4i3.3","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.3","url":null,"abstract":"BackgroundDental caries is still a health problem worldwide, its prevalence and incidence are associated with various factors like age, sex, social status, dietary patterns and oral hygiene habits.MethodologyA Secondary data collected from outreaches done by UR CMHS, School of Dentistry at Kimironko II Primary School was analyzed. This secondary data had been obtained using structured questionnaires with close ended questions. Clinical examination had also been done to gather information. SPSS statistical software package version 22 was used to analyse data from Community outreach done at Kimironko Primary School in August 2019.ResultsThe prevalence of dental caries of 42.4% was found among children aged 6-12 years old of Kimironko II Primary School. The researchers found the following to be statistically significantly associated with prevalence of dental caries: gender (p=0.042), dental visits (p=0.001), and use of chew sticks or miswaks (p=0.041). Females were 1.4 times more likely to develop dental caries (OR: 1.462; 95% CI: 1.16-2.017; p=0.021) and children who did not use toothpick were 2 times more likely to develop dental caries (OR: 2.149; 95%CI: 1.251-4.395; p=0.036), whereas visiting a dental practitioner was protective against dental caries (OR: 0.362, 95% CI: 0.251-0.516; p=0.001).ConclusionDental caries is prevalent among children of Kimironko II Primary School. Appropriate preventive measures should be taken to protect those found to be exposed.Rwanda J Med Health Sci 2021;4(3):341-346","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116220409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Antibiotic use in Moshi Urban: A cross-sectional Study of Knowledge and Practices among Caretakers of Children in Kilimanjaro Tanzania 莫希城市的抗生素使用:坦桑尼亚乞力马扎罗山儿童看护人的知识和实践的横断面研究

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.4

Benedicto J Petro, Sixbert Isdory Mkumbaye, Rukia Rajab Bakar, Nassra Is-hak Yussuf, P. Horumpende, Akili Mawazo, Debora Charles Kajeguka

{"title":"Antibiotic use in Moshi Urban: A cross-sectional Study of Knowledge and Practices among Caretakers of Children in Kilimanjaro Tanzania","authors":"Benedicto J Petro, Sixbert Isdory Mkumbaye, Rukia Rajab Bakar, Nassra Is-hak Yussuf, P. Horumpende, Akili Mawazo, Debora Charles Kajeguka","doi":"10.4314/rjmhs.v4i3.4","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.4","url":null,"abstract":"IntroductionAntibiotics are commonly accessed and used for the management of illness in children without a prescription. We investigated the caretaker’s knowledge and practices on antibiotics and antibiotics use to their children.MethodThis was the hospital-based cross-sectional study conducted from April to July 2017 in three facilities located in Moshi Municipality. A convenience sampling was employed to select for caretakers with their sick children at KCMC, Mawenzi hospital, and Longuo dispensary. Face-to-face interviews were conducted with 224 caretakers who had visited health facilities with their children seeking health care.ResultsThe majority (87.9%, 197/224) of all interviewed caretakers had good knowledge of the use of antibiotics. Irrespective of knowing that it is not safe to self-medicate a child with any antibiotics (95.1%, 213/224), most (61.6%, 138/224) caretakers practiced self-medication with the medicines. Having two children (aOR = 7.75, 95% CI: 1.89-31.67) and having three children (aOR=7.23, 95%CI: 1.08-48.51) were significantly associated with good knowledge of antibiotics.ConclusionThis study has revealed that caretakers in Moshi had a good knowledge of antibiotic use. However, despite such good knowledge, malpractices were observed. We call upon the use of media campaigns to advocate for the importance of the rational use of antibiotics and its effect on human health and the risk of antimicrobial resistance development.Rwanda J Med Health Sci 2021;4(3):347-356","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128145350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Narrative Review of Contemporary Global Perspectives into Epidemiology, Treatment, and Prognosis of Vertebrobasilar Strokes 当代椎基底动脉中风流行病学、治疗和预后的全球视角述评

Rwanda Journal of Medicine and Health Sciences Pub Date : 2021-12-30 DOI: 10.4314/rjmhs.v4i3.12

Samwel Sylvester Msigwa

{"title":"A Narrative Review of Contemporary Global Perspectives into Epidemiology, Treatment, and Prognosis of Vertebrobasilar Strokes","authors":"Samwel Sylvester Msigwa","doi":"10.4314/rjmhs.v4i3.12","DOIUrl":"https://doi.org/10.4314/rjmhs.v4i3.12","url":null,"abstract":"Blood flow interruptions to the posterior cerebral circulation hallmark vertebrobasilar strokes (VBS), leading to mortality and significant disabilities, yet optimal therapy prevails unpublished. Recent epidemiological evidence indicates that VBS account for nearly 1/5 of all ischemic strokes globally, with acute basilar artery occlusion (BAO) contributing significant disabilities in nearly 1/3 of the victims. The prevalence of VBS in Africa is close to 5%, majorly in large intracranial vessels. Etiologically, Stenosis accounts for 20% of all VBS, while aneurysms face up to a 3% rupture rate. Furthermore, intravenous alteplase is the gold standard medical therapy for the cases presenting within 3 to 4.5 hours post-baseline regarding management options. Nevertheless, there is no consensus for BAO beyond 4.5 hours post-onset. Stent retrievers are the first-line endovascular reperfusion therapy device proposed. However, an 18% risk of in-stent restenosis is a significant drawback. Comprehensive prognostic factors are addressed in this review. However, prospective, multicenter, controlled studies are needed to clarify the time window dilemmas facing posterior circulation strokes. This narrative review explores recent VBS epidemiology, management advances, and prognosis.Rwanda J Med Health Sci 2021;4(3):418-429","PeriodicalId":315881,"journal":{"name":"Rwanda Journal of Medicine and Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131412960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1