Objectives: This research intended to examine the demographic and clinical attributes of stroke admissions in a rural Nigerian hospital.
Materials and methods: A retrospective analysis of stroke admissions was conducted over 1 year. All necessary data were obtained from patients' records and SPSS was employed for data analysis. P < 0.05 was deemed significant.
Results: There were 52 stroke cases, accounting for 5.9% of medical admissions. The patients' mean age was 62.81 ± 12.71 years, while females constituted 51.9% of cases. Common risk factors included hypertension (76.9%), hyperlipidemia (38.5%), alcohol (26.9%), and diabetes mellitus (26.9%). Clinical manifestations included hemiparesis/plegia (84.6%), altered consciousness (63.5%), slurred speech (61.5%), cranial nerve deficit (61.5%), aphasia (42.3%), and headache (34.6%). Ischemic stroke (71.2%) predominated over hemorrhagic stroke (28.8%). The average hospitalization duration was 17.62 ± 8.91 days, and the mean onset to arrival time was 121.31 ± 136.06 h. Discharge and mortality rates were 82.7% and 13.5%, respectively. The association between stroke subtypes and mortality was significant (P = 0.001).
Conclusion: Stroke constitutes a significant portion of medical admissions in Nigeria, with ischemic stroke being more prevalent. High mortality rates underscore the urgent need to manage risk factors to prevent stroke.
The Internet offers low-cost ways to participate in political life, which reduces the motivation required to participate and thus potentially reduces inequalities in participation. I examine online and offline contacting of elected officials using original survey data from Canada, France, the United Kingdom, and the United States collected in 2019 and 2021. Education is a consistent positive predictor of contacting in all countries as well as both modes of contact (online and offline). Income differences are small. Younger people are more likely to contact officials, online and offline, compared to older people. Females are less likely to contact officials, online and offline, compared to males. While political interest, efficacy, online information consumption, and online group ties are believed to lead to more equity in online communication, I do not see strong differences in these variables for online and offline contacting. I conclude by discussing the implications of exclusively online contacting of officials when this form of contact is devalued by elected officials, as well as the implications of participatory inequalities with respect to influencing public policy and access to government services.