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Ghana Medical Journal

Yvonne A Dei-Adomakoh, Leslie Quarcoopome, Afua D Abrahams, Catherine I Segbefia, Dzifa I Dey
Castleman disease is a rare cause of lymphoid hyperplasia and may result in localized symptoms or an aggressive, multisystem disorder. It can mimic other diseases like lymphoma or tuberculosis. It classically presents as a mediastinal mass that involves the lymphatic tissue primarily but can also affect extra lymphatic sites including the lungs, larynx, parotid glands, pancreas, meninges, and muscles. In HIV and HHV8-negative patients with idiopathic multi-centric Castleman disease, pathogenesis may involve autoimmune mechanisms...
March 2018: Ghana Medical Journal
Ernest Yorke, Yacoba Atiase
Evidence for the use of structured education in diabetes management is accumulating and has shown positive influence in the management of Type-2 diabetes. Objective: To assess the impact of structured education on glucose control and hypoglycaemia in the management of Type-2 diabetes. Methods: A systematic review was done using Medline via Ovid and EMBASE databases of published English literature between 1980 and 2014. Included studies were randomized control trials that assessed the impact of structured education on glucose control and hypoglycaemia...
March 2018: Ghana Medical Journal
Olusola A Sogebi, Emmanuel A Oyewole, Taofeeq O Mabifah
Objective: To characterize traumatic tympanic membrane perforation (TTMP) in terms of distribution, mechanisms, and outcome of treatment. To assess the factors influencing such outcome. Study design: Prospective analytical study, assessing outcomes post-injuries. Setting: Clinical department of a tertiary referral hospital. Participants: Patients with TTMP based on history of trauma to the ear, and otoscopic examination confirming tympanic membrane (TM) perforation...
March 2018: Ghana Medical Journal
Adeyemi Ogunleye, Akinwumi A Akinbodewa, Oluseyi A Adejumo, Tosin T Oluwafemi, Damilola A Akinfaderin
Oxidative stress has been implicated in the pathogenesis, progression of chronic kidney disease (CKD) and development of cardiovascular complications. Hemodialysis (HD) has also been described to contribute significantly to oxidative stress in CKD patients, though reports are conflicting. Objective: We evaluated the effects of one session of HD on the antioxidant capacity and lipid peroxidation in CKD patients. Method: Thirty-six CKD patients requiring HD were recruited into this study...
March 2018: Ghana Medical Journal
Vincent J Ganu, Vincent Boima, David N Adjei, Joana S Yendork, Ida D Dey, Ernest Yorke, Charles C Mate-Kole, Michael O Mate-Kole
The study examined quality of life and prevalence of depressive symptoms in patients on long term hemodialysis. Further, it explored the impact of socio-demographic characteristics on depression and quality of life. Design: Study design was cross-sectional. Setting: Study was conducted in the two renal dialysis units of the Korle-Bu Teaching hospital in Accra, Ghana. Participants and study tools: One hundred and six participants on haemodialysis were recruited for the study...
March 2018: Ghana Medical Journal
Bamidele O Adeniyi, Ayodeji M Adebayo, Olayinka S Ilesanmi, Daniel O Obaseki, Olubukola O Akinwalere, Gregory E Erhabor
Background: Metered dose inhalers are cornerstone in effective management of bronchial asthma when correctly used. Most studies hitherto have focused on assessing patient's knowledge of inhaler technique. We sought to assess the knowledge of inhaler technique, spacer device and peak flow meter among doctors and nurses in a tertiary healthcare institution in Nigeria. Method: A cross sectional survey of nurses and doctors from emergency department, family and internal medicine; who were attending a continuous professional development lecture, was carried out...
March 2018: Ghana Medical Journal
Friday E Okonofua, Rosemary N Ogu, Lorretta F Ntoimo, Mohammed Gana, Ola N Okike, Adetoye Durodola, Hadiza S Galadanci
Objectives: The objective of the study was to identify where delays occur when women present for antenatal care in four Nigerian referral hospitals, and to make recommendations on ways to reduce delays in the course of provision of antenatal care in the hospitals. Design: Prospective observational study. Setting: Four Nigerian (1 tertiary and 3 secondary) Hospitals. Participants: Women who presented for antenatal care...
March 2018: Ghana Medical Journal
Adziri H Sackey, Lily G Tagoe
Background: Antenatal corticosteroids (ACS) are established as an effective method of reducing preterm morbidity and mortality. At the Korle Bu Teaching Hospital (KBTH), a tertiary referral centre in Ghana, it is recommended that a course of ACS should be given to mothers before delivery between 24 weeks to 34 weeks gestation. Objectives: The study was performed primarily to determine the level of adherence to guidelines on administration of ACS. Methods: All babies with gestational ages up to 34 weeks admitted to the neonatal unit (NICU) during the period of the study were eligible for inclusion...
March 2018: Ghana Medical Journal
Kenneth Tachi
No abstract text is available yet for this article.
March 2018: Ghana Medical Journal
Oluyemi Fasina, Olabiyi G Ogun
Objective: To report an unusual case of orbital hydatid cyst successfully managed by surgical excision. Case report: A 33-year-old female presented with gradual protrusion of the left eye associated with poor vision, cosmetic embarrassment and watering. She had excision biopsy of an encapsulated cystic lesion with cheesy tissue and serous content. Orbital hydatid cyst due to echinococcosis was confirmed at histopathological examination of the excised tissue. She subsequently became pregnant hence, could not undergo post-operative antihelminthic treatment, but was managed conservatively with no recurrence after five years of regular follow-up...
December 2017: Ghana Medical Journal
Soung Min Kim, Emmanuel K Amponsah
Autotransplantation with or without endodontic therapy is regarded as an alternative treatment option for the replacement of missing teeth. A primary responsibility of a maxillofacial surgeon is to reverse any malpractice to promote successful outcomes and improve the patient's quality of life. This paper presents a malpractice case of incorrect extraction of the lower second molar instead of the impacted third molar. A simple technique of transplanting the impacted third molar to the site of the extracted second molar is introduced by a maxillofacial specialist in Ghana...
December 2017: Ghana Medical Journal
Patrick K Akakpo, Kofi Ulzen-Appiah, Evans Agbeno, Leonard Derkyi-Kwarteng
Objective: To raise awareness of the existence of a rare type of malignant trophoblastic tumor and discuss the diagnostic challenges and management of this lesion in a low resource setting. Case report and intervention: A 35 -year -old G6 P3 woman was referred to our facility on account of persistent vaginal bleeding due to a suspected incomplete miscarriage with a cervical mass. Her serum β-HCG was elevated (36,900 mIU/ml) and examination showed a bleeding cervical mass...
December 2017: Ghana Medical Journal
Alim Swarray-Deen, Joseph D Seffah, Deliverance A Antwi-Agyei
Pentalogy of Cantrell is a rare congenital malformation syndrome that may be associated with other congenital anomalies. The syndrome is said to affect males and females in equal numbers and the prognosis is generally poor. We report two cases of Cantrell's Pentalogy diagnosed antenatally at the Korle Bu teaching Hospital. The 2 cases described in this report demonstrate the complete and incomplete variant of the syndrome. The cases were referred as an omphalocoele and a detailed anomaly scan confirmed the diagnosis of Pentalogy of Cantrell...
December 2017: Ghana Medical Journal
Kofi N Nkrumah, Emmanuel Q Archampong
Fibreoptic (or Flexible) endoscopy has revolutionized and completely transformed practice of gastroenterology, and many other medical specialties, over the past half century or so. At the Korle Bu Teaching Hospital, Accra the development of this facility has evolved gradually, especially involving specialists from the Departments of Medicine and Surgery since the 1970s. This article is an attempt to trace and record this journey and to highlight some of the problems and challenges yet to be overcome. It is an anecdotal account based on the authors' recollection with attempts at verification of important dates...
December 2017: Ghana Medical Journal
Hüsnü Tokgöz, Soner Yalçınkaya, Ekrem İslamoğlu, Kaan Karamık, Özlem Tokgöz, Murat Savaş
Objectives: We tried to investigate the effects of lunar phase on Shock Wave Lithotripsy (SWL) related pain. In addition, correlation of various clinical parameters with the pain perception during SWL procedure, were also investigated. Methods: A total of 378 patients who underwent first SWL sessions for renal or ureteral stones were prospectively enrolled in the study. The degree of pain perception during the procedure was evaluated with 10-point visual analog scale (VAS) and pain questionnaires...
December 2017: Ghana Medical Journal
Olusola Olawoye, Adelina A Ashaye, Tarela F Sarimiye
Aim: To report the safety and efficacy of Argon Laser Trabeculoplasty (ALT) in reducing intraocular pressure (IOP). Settings and Design: This was a retrospective study performed on 25 eyes of 25 patients. Methods and Materials: Consecutive patients who met the inclusion criteria for ALT were recruited from the ophthalmic clinic of the University College Hospital Ibadan, Nigeria and followed up for a minimum period of six months. Two criteria were used to define successful response...
December 2017: Ghana Medical Journal
Kehinde J Awosan, Semen S Yikawe, Oche M Oche, Muhammad Oboirien
Background: Low back pain (LBP) is a common cause of disability worldwide. Healthcare workers are particularly prone to it because of the physical and emotional factors associated with their profession. Objectives: To determine the prevalence, perception and correlates of LBP among healthcare workers in tertiary health institutions in Sokoto, Nigeria. Methods: A cross-sectional study was conducted among 320 healthcare workers selected by multistage sampling technique from July to September 2016...
December 2017: Ghana Medical Journal
Caroline D Badzi, Mercy M Ackumey
Background: Analgesics also known as painkillers are widely used for pain relief. There are severe health implications associated with excessive use of analgesics. This paper examines factors influencing the use of analgesics among construction workers in the Ga-East Municipality (GEM) of the Greater Accra region of Ghana. Methods: This is a cross-sectional study involving 206 construction workers randomly sampled from 7 construction sites in the GEM. A structured questionnaire was used to elicit responses on knowledge of analgesics, types of analgesics used and factors influencing the use of analgesics...
December 2017: Ghana Medical Journal
Nuoh R Domo, Culbert Nuolabong, Kofi M Nyarko, Ernest Kenu, Phoebe Balagumyetime, Godfrey Konnyebal, Charles L Noora, Kofi D Ameme, Fred Wurapa, Edwin Afari
Objective: The Jirapa District in Ghana falls within the African meningitis belt where over 500 million people are at risk of epidemic meningitis. The district suffered an outbreak of Neisseria meningitides, W (NMW) in 2012 and a mixed outbreak of Streptococcus pneumonia and NMW in early 2016. We investigated the outbreak to identify the source, causative agents, and magnitude and assess health facility preparedness and propose control measures. Design and Setting: We conducted a descriptive study in all sub-districts of Jirapa, between 28th February to 10th April 2016...
December 2017: Ghana Medical Journal
Mohan Rudrappa, Laxmi Kokatnur
In pulmonary medicine, identical pathogenesis due to varied etiological agents can present with indistinguishable clinical presentation, and produce similar laboratory and radiological changes. The importance of eliciting detailed occupational and social history from patients cannot be stressed enough when dealing with patients suffering from diffuse parenchymal lung diseases. Hot Tub Lung(HTL) is a perplexing pulmonary disease attributed to the Mycobacterium Avium-intracellulare Complex (MAC). MAC is a ubiquitous atypical mycobacterium present in moist environment, and is not considered pathogenic, without the predisposing conditions like immunosuppression...
September 2017: Ghana Medical Journal
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