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Don Urges Stroke Prevention Strategies

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In a bid to curtail the high rising cases of stroke in the country, a neurologist  professor in the Department of Medicine, College of Health Sciences, University of Port Harcourt, Prof Arthur Onwuchekwa, has advocated moderation in certain food intake, regular sensitization  and media outreach as possible effective strategies to prevent the killer disease.

Onwuchekwa stated this  at the 135th  inaugural  lecture of the College on the theme: Stroke: A Preventive Disaster Waiting to Happen” at the  Ebitimi Banigo Hall,  of the institution recently.

The neurologist who noted that the saying “prevention is cheaper and better than cure” was squarely important  in tackling the menace of rising stroke cases in the country, maintained that  population-based strategies  that would  involve community, education, pointed materials, lectures sensitization  awareness programmes, and -visual bill board and television programmes as well as radio  jingles remained concrete  ways of reaching out to the vulnerable  segments of the nation’s populace.

Quoting World Health Organisation (WHO), Onwuchkwa defined  stroke as  rapidly developing clinical  signs of focal disturbance of the cerebral  function  lasting more than 24 hours with no apparent  cause other than vascular origin. This results  when blood flow to the brain is abruptly interrupted  leading to the demise of cells”.

According to him, “this  manifests as inability to move  on one part of the body, problems of understanding, feeling like the world is spinning or loss of vision to one or both eyes. This is usually sudden in outset within seconds  and minutes.

He noted that “if the symptoms  last less than 24 hours and resolves  outrightly with no residual  deficit, it is called “Translent Ischaemic Attack (TIA) or Mini stroke”.

Noting  that stroke symptoms normally  commence abruptly within seconds to minutes, the Professor  said the symptoms rely on the  area of  brain affected as well as function of that area,  the more  extensive area affected, the more functions are likely to be lost.

The Don  stated that the commonest way to recognize stroke is by the means of the facial deviation, Arm weakness, slurred speech  and Time in the brain (FAST).

“Every minute in which a large vessel  Ischaemic stroke  is untreated,  the average patient  loses about 1.9 neurons,  13.8 billion  synapses. Each  hour in which treatment fails to occur,  the brain  loses as  many  neurons as it does in almost about 3.6 years of normal  aging, Onwuchekwa averred.

He listed high blood pressure,  diabetes mellintis, high blood cholesterol, excessive alcohol intake, obesity, smoking, lack of physical activity among others as major risk factors  that predispose people to stroke.

While stating that stroke was classified  into two   categories  of  Ischaemic,  which  is  called cerebral  infration, caused by interruption  of blood supply to the brain and Haemorrhagic,  which  results  from bleeding  into the  brain tissue due to rupture of blood  vessels, a condition called intra-cerebral  Haemorrhagic (ICH), and reiterated the significance  of team  work  among  health  workers  to ensure effective treatment.

Onwuchekwa said “stroke is the new face of chronic non-communicable  disease in sub -Saharan Africa, a forerunner, of health transition  in the developing countries and a preventable disaster waiting  to occur”. He therefore called on policy-makers in health, education, transport, finance, power,  agriculture and information acting in concert to deal with the problem of stroke.

“Stroke education should  target prospective  patients such as hypertensive, diabetics, sicklers, the  aged including care givers, adding that the campaign  should be carried to tertiary,  secondary and primary schools including  churches and  markets.

The Don who called for improved  healthcare  delivery system that  would  lay strong emphasis on primary healthcare also stressed the need for the rehabilitation of health facilities  for physiotherapy, occupational and speech therapy to cater for the needs of those who eventually comedown  with stroke.

 

 

Lady Godknows Ogbulu

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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