0000000000082147
AUTHOR
M. Ndiaye
Prise en charge de l’infarctus cérébral à la phase initiale
Ischemic stroke accounts for 80% of overall stroke, and is one of the leading causes of death, disability and dementia in worldwide. Management of patients with acute ischemic stroke dramatically improved over time with the implementation of intensive care stroke units, the development of acute recanalization strategies, the optimization of the management of post-stroke complications, and the prevention of early stroke recurrence. The objective of this article is to provide a general overview of the current management of patients with acute ischemic stroke aiming at improving post-stroke outcome.
Stroke in women: When gender matters
Stroke in women may be considered as a distinct entity due to numerous differences compared with men, including specific epidemiological, etiological, and outcome features along with unique pathophysiological mechanisms. Stroke is the second cause of death in women worldwide with sex-specific causes of stroke in youger women such as pregnancy, post-partum period, oral contraception and migraine. Substitutive hormone treatment in older women is no more recommended in regard of the increased thromboembolic risk it generates. Venous thrombolysis with rtPA and mechanical thrombectomy are now proven to be as efficacious in women as in men. After a stroke, women present poorer quality of life tha…
Early Warning Systems for Food Security in West Africa: Evolution, Achievements and Challenges
In West Africa, early warning systems (EWSs) for food security have been widely recognized to have contributed, in the last 20 years, to an improved ability to deal with famine emergencies. Nevertheless, despite the advancements in understanding of the environmental and socio-economic dynamics and despite the improved technologies, tackling food security remains a difficult task for decision makers as demonstrated by local food crises in many countries of the region. African Monsoon Multidisciplinary Analysis, while improving the understanding of the monsoon system, allowed us to better orient research challenges to provide EWS with improved products, effectively meeting the needs of end-us…