programs.[189] While such amenities are likely to serve a small minority of stroke patients in a developing country, they can play an important role in the development and introduction of appropriate, cost-effective methods and technology for stroke prevention, treatment, and rehabilitation.[ 29,190] Facilities such as national and regional training and research centers proposed elsewhere in this report (see Chapter 4) should provide training and employment for greater numbers of neurologists, who could establish programs of secondary and tertiary stroke care.

Recommendation 10-10. Regional and national centers for training and research on brain disorders should include facilities and specialists for secondary and tertiary stroke care, research on locally appropriate interventions for stroke, and expert support for stroke-related training of primary health care workers.

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7. M.B. Kahn, H.K. Patterson, J. Seltzer, M. Fitzpatrick, S. Smullens, R. Bell, et al. Early carotid endarterectomy in selected stroke patients. Annals of Vascular Surgery. September 3(5):463–467, 1999.

8. South African Medical Association—Neurological Association of South Africa Stroke Working Group. Stroke therapy clinical guidelines. South African Medical Journal 90:292–306. 2000.

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