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Ghana Medical Journal

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https://www.readbyqxmd.com/read/28955107/breast-cancer-screening-in-a-resource-poor-country-ultrasound-versus-mammography
#1
Yvonne Nartey, Brian Cox
No abstract text is available yet for this article.
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955106/cervical-ectopic-pregnancy-in-resource-deprived-areas-a-rare-and-difficult-diagnosis
#2
Mohammed Mouhajer, Samuel Obed, Amalachukwu M Okpala
Ectopic pregnancy is a common cause of morbidity and mortality in women of reproductive age especially in resource deprived areas worldwide. Cervical ectopic pregnancy is a rare, life threatening form of ectopic pregnancy which needs a high index of suspicion for diagnosis, thus adding a complex twist to the dilemma faced by the obstetrician in resource deprived areas. A case of a cervical ectopic pregnancy which presented in a resource deprived area in a region in Ghana is discussed, and the difficulties encountered in diagnosis and management of this life threatening condition are outlined...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955105/health-care-factors-influencing-teen-mothers-use-of-contraceptives-in-malawi
#3
Kennedy Machira, Martin E Palamuleni
OBJECTIVE: The study seeks to examine factors associated with teen mothers' use of modern contraceptives after giving birth. METHODS: The 2010 Malawi Demographic and Health Survey data was used to test the study objective. A sample of 12, 911 teen mothers aged between 10 and 18 years were extracted from 23, 020 women and were asked of contraceptive usage after first birth experiences, in which, a logistic regression model was employed to estimate correlates of contraceptive usage...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955104/parturients-awareness-and-perception-of-benefits-of-breast-feeding-in-the-prevention-of-infant-and-childhood-oral-and-dental-diseases
#4
Charles E Anyanechi, Kufre J Ekabua, Ansa B Ekpenyong, John E Ekabua
BACKGROUND: Breastfed babies have a better chance of improved oral and dental health than their counterparts that were artificially-fed. OBJECTIVE: To assess the knowledge and attitude of postnatal mothers on the benefits of breastfeeding in prevention of oral and dental diseases. MATERIALS AND METHODS: A cross - sectional descriptive survey of 206 mothers attending the postnatal clinic of the University of Calabar Teaching Hospital, Calabar on the knowledge and attitude of breastfeeding in prevention of oral diseases in infants...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955103/our-experience-with-the-use-of-low-cost-mesh-in-tension-free-inguinal-hernioplasty-in-northern-ghana
#5
Edwin M T Yenli, John Abanga, Stephen Tabiri, Steve Kpangkpari, Aubrey Tigwii, Azare Nsor, Robert Amesiya, Kwame Ekremet, Francis A Abantanga
OBJECTIVES: To describe our experience and success in the use of low cost mesh for the repair of inguinal hernias in consenting adult patients. METHODS: A prospective study was carried out from August 2010 to December 2013 in ten district hospitals across Northern Ghana. The patients were divided into four groups according to Kingsnorth's classification of hernias. Low cost mesh was used to repair uncomplicated groin hernia. Those hernias associated with complications were excluded...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955102/social-support-treatment-adherence-and-outcome-among-hypertensive-and-type-2-diabetes-patients-in-ambulatory-care-settings-in-southwestern-nigeria
#6
Rasaq Adisa, Olamide O Olajide, Titilayo O Fakeye
OBJECTIVES: To evaluate available and desired sources and types of social-support among hypertensive and type-2-diabetes (T2D) patients. Associations of medication adherence and clinical outcome with access to most available social-support and medicine affordability were subsequently investigated. DESIGN: Cross-sectional questionnaire-guided interview among 250-hypertensive and 200-T2D patients, and review of medical records to retrieve disease-specific clinical parameters...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955101/microalbuminuria-other-markers-of-nephropathy-and-biochemical-derangementsin-type-2-diabetes-mellitus-relationships-and-determinants
#7
Ademola A Idowu, Abiodun O Ajose, Adeoye T Adedeji, Adegbola O Adegoke, Kayode A Jimoh
BACKGROUND: Microalbuminuria is an early indicator of Diabetic nephropathy and cerebrovascular disease. OBJECTIVE: To evaluate relationships between microalbuminuria and other predictors of morbidity and mortality in type 2 DM. METHODS: Fifty type 2 diabetic subjects were recruited each for three groups separated by disease durations. Thirty non-diabetic subjects were recruited to control each group. Urine albumin-to-creatinine ratio (ACR) was estimated...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955100/five-years-of-family-medicine-undergraduate-education-in-ghana-a-wake-up-call
#8
Akye Essuman, Henry Lawson, David Nortey, Mawuli Gyakobo, Gerhart Ofori-Amankwah, Thomas A Ndanu, Katherine J Gold
OBJECTIVES: Given the introduction in 2008 of undergraduate family medicine in the University of Ghana, the study aimed to identify the perceptions of medical students in Ghana about family medicine with regard to knowledge and relevance as well as specialty preferences. DESIGN: A cross-sectional survey. METHOD: Investigators conducted yearly surveys of first clinical year students at the University of Ghana School of Medicine and Dentistry over a 5-year period (2008-2012) using a semi-structured questionnaire...
June 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955099/juggling-art-making-critical-clinical-decisions-without-vital-laboratory-support-in-autoimmune-rheumatic-patients-in-a-resource-poor-setting
#9
https://www.readbyqxmd.com/read/28959073/subcutaneous-basidiobolomycosis-a-case-report
#10
Adziri Sackey, Nenyin Ghartey, Richard Gyasi
Basidiobolomycosis is an uncommon chronic deep fungal infection in which gradually enlarging granulomas form, usually in the subcutaneous fat tissues of the limbs, chest or trunk of immunocompetent hosts, primarily children and young adults. It is caused by the fungus Basidiobolus ranarum. Definitive diagnosis is by microscopy and histopathology. Effective treatments include ketoconazole, itraconazole, potassium iodide and co-trimoxazole. A 3 year old girl presented with ulcerations on the right thigh for one month, and painful swelling of the right leg and right buttock for six months...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959072/challenges-in-the-management-of-a-patient-with-myxoedema-coma-in-ghana-a-case-report
#11
Josephine Akpalu, Yacoba Atiase, Ernest Yorke, Henrietta Fiscian, Cecilia Kootin-Sanwu, Albert Akpalu
Myxoedema coma is a rare life-threatening disease, and it is essential that it is managed appropriately to reduce the associated high mortality. However, in the setting where efficient healthcare delivery is hampered by inadequacies, the management of such cases may pose a significant challenge. We present the case of a middle-aged woman diagnosed with myxoedema coma and severe hyponatremia. The case report highlights some of the challenges that may be encountered during the management of myxoedema coma in similar settings and outlines the management strategies undertaken to overcome them in the absence of national guidelines...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959071/misleading-presentation-of-haemoglobin-electrophoresis-data
#12
Patrick Adu, Nicodemus L Simpong, Kate Kontor, Richrd Kd Ephraim
Haemoglobinopathies are common in sub-Saharan Africa. As such haemoglobin electrophoresis are required to inform clinical decision making. However, haemoglobin electrophoresis is an assay that detects protein at either alkaline or acidic pH. Such assays do not interrogate gene sequences but rather the product of a gene. As many post-transcriptional and post-translational modifications impact the final output of the gene (i.e. protein), presentation of such protein-based assay must accurately reflect the technique employed...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959070/review-of-errors-in-the-issue-of-medical-certificates-of-cause-of-death-in-a-tertiary-hospital-in-ghana
#13
Patrick K Akakpo, Yaw A Awuku, Leonard Derkyi-Kwarteng, Kelvin A Gyamera, Sebastian Eliason
OBJECTIVE: Reliable mortality statistics are useful in determining national policies on preventive and interventional medicine. This study reviews, completed medical certificates of cause of death at the Cape Coast Teaching Hospital, in order to determine their accuracy and reliability. METHODS: A one-year review of Medical Certificates of Cause of Death (MCCD) signed between 01-01-2013 and 31-12-2013 in the medical, pediatric, surgical and obstetrics/gynecology departments of Cape Coast Teaching Hospital were done, analyzing for errors using the WHO/ICD-10 guidelines as the standard...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959069/lumbar-spine-x-ray-as-a-standard-investigation-for-all-low-back-pain-in-ghana-is-it-evidence-based
#14
Abena Y Tannor
BACKGROUND: Low back pain (LBP) has a prevalence of 84% in Africa. The commonest form of imaging is plain lumbar spine x-ray. It gives a radiation dose equivalent to 65 times a chest x-ray dose and sends one of the highest doses to the human reproductive organs. The commonest cause of LBP in Africa is degenerative disease. X-ray findings do not change mode of treatment yet most physicians still routinely request for x-rays. METHODS: This is a systematic review of databases including The Cochrane, CINAHL plus, AMED, and MEDLINE...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959068/occurrence-of-transmitted-hiv-1-drug-resistance-among-drug-na%C3%A3-ve-pregnant-women-in-selected-hiv-care-centres-in-ghana
#15
Alexander Martin-Odoom, Theophilus Adiku, Elena Delgado, Margaret Lartey, William K Ampofo
BACKGROUND: Access to antiretroviral therapy in Ghana has been scaled up across the country over the last decade. This study sought to determine the occurrence of transmitted HIV-1 drug resistance in pregnant HIV-1 positive women yet to initiate antiretroviral therapy at selected HIV Care Centres in Ghana. METHODS: Plasma specimens from twenty-six (26) HIV seropositive pregnant women who were less than 28weeks pregnant with their first pregnancy and ART naïve were collected from selected HIV care centres in three (3) regions in Ghana...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959067/hepatitis-b-virus-surface-antigen-and-antibody-markers-in-children-at-a-major-paediatric-hospital-after-the-pentavalent-dtp-hbv-hib-vaccination
#16
Thomas Apiung, Thomas A Ndanu, Julius Aa Mingle, Kwamena Wc Sagoe
OBJECTIVES: The knowledge about outcomes of infant vaccination against HBV infections using the DPT-HepB-Hib vaccine in Ghana is limited. This study therefore investigated the levels of immunity to HBV among children who received the DPT-HepB-Hib vaccine and HBsAg carriage in non-responders. Correlates for non-response or poor response were also investigated. METHODS: Cross-sectional study. A major paediatric hospital in Accra. Four hundred and twenty four children between the ages of 5 to 32 months who had completed the full vaccination schedule for the DPT-HepB-Hib vaccine...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959066/breast-cancer-screening-in-a-resource-poor-country-ultrasound-versus-mammography
#17
Olubukola At Omidiji, Princess C Campbell, Nicholas K Irurhe, Omolola M Atalabi, Oluyemisi O Toyobo
BACKGROUND: Breast cancer is the commonest female cancer in Nigeria. Despite its increased awareness, affordability of available screening tools is a bane. Mammography, the goal standard for screening is costly and not widely available in terms of infrastructure, technical/personnel capabilities. Ultrasound is accessible and affordable. OBJECTIVES: This study compared the use of ultrasound and mammography as breast cancer screening tools in women in South West Nigeria by characterizing and comparing the prevalent breast parenchyma, breast cancer features and the independent sensitivity of ultrasound and mammography...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28959065/fine-needle-aspiration-cytology-of-breast-lumps-with-histopathologic-correlation-in-owo-ondo-state-nigeria-a-five-year-review
#18
David E Ibikunle, John A Omotayo, Olufemi O Ariyibi
OBJECTIVE: To determine the histopathologic correlation of fine needle aspiration cytology FNAC of breast masses seen in the department of histopathology of the Federal Medical Center Owo, Southwestern Nigeria. DESIGN: This is a 5-year retrospective study of breast lumps seen at Department of Histopathology, Federal Medical Centre Owo, a tertiary health care facility in Southwestern Nigeria between January 1 2010 and December 31 2014. PARTICIPANTS: All patients who had Fine Needle Aspiration Cytology of Breast lumps with subsequent histological confirmation over this period were included in the study...
March 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579631/fibrodysplasia-ossificans-progressiva-a-case-report
#19
Richard O Baidoo, Makafui S Dayie
Fibrodysplasia Ossificans Progressiva is a rare debilitating disorder of the musculoskeletal system affecting one in two million individuals. It is characterized by progressive extraskeletal ossification of soft tissues resulting in the original skeleton being encased in unyielding new bone leading to disability and ultimately death from cardiorespiratory failure. The present case brings to light the delays and potential pitfalls in diagnosis as a result of the rarity of the condition.
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579630/quality-of-health-care-in-ghana-mapping-of-interventions-and-the-way-forward
#20
Blanca Escribano-Ferrer, Francoise Cluzeau, Derek Cutler, Christiana Akufo, Kalipso Chalkidou
BACKGROUND: Ghana has made major strides in improving access to health services. Despite these improvements, Ghana did not meet the Millennium Development Goals 4 and 5. Quality of care is a major factor that could explain this shortfall. OBJECTIVE: To understand current practice and to identify needs in the area of quality of care in Ghana for improving health outcomes and to guide the National Institute for Health and Care Excellence (NICE) in supporting the care quality improvement efforts in Ghana...
December 2016: Ghana Medical Journal
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