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Ghana Medical Journal

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https://www.readbyqxmd.com/read/28579631/fibrodysplasia-ossificans-progressiva-a-case-report
#1
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
#2
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
https://www.readbyqxmd.com/read/28579629/prevalence-and-pattern-of-prescription-errors-in-a-nigerian-kidney-hospital
#3
Kehinde M Babatunde, Akinwumi A Akinbodewa, Ayodele O Akinboye, Ademola O Adejumo
OBJECTIVES: To determine (i) the prevalence and pattern of prescription errors in our Centre and, (ii) appraise pharmacists' intervention and correction of identified prescription errors. DESIGN: A descriptive, single blinded cross-sectional study. SETTING: Kidney Care Centre is a public Specialist hospital. The monthly patient load averages 60 General Out-patient cases and 17.4 in-patients. PARTICIPANTS: A total of 31 medical doctors (comprising of 2 Consultant Nephrologists, 15 Medical Officers, 14 House Officers), 40 nurses and 24 ward assistants participated in the study...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579628/a-review-of-intra-uterine-foetal-deaths-at-the-cape-coast-teaching-hospital
#4
Vincent Adjetey, Derek A Tuoyire, Adjoa B Bonsu
AIM: To estimate the rate of IUFD/Stillbirths (SB). STUDY DESIGN: This is a retrospective review of delivery suite records from Jan 1 2013 to Dec 31 2014. METHODS: Study was undertaken at the Cape Coast Teaching Hospital (CCTH) in the Central region of Ghana. All pregnant women who had their babies at the delivery suite of CCTH have their records hand written in Ghana health service approved and distributed delivery records book. We identified all patients with IUFD/SB from this delivery suite record book which is kept on the delivery suite...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579627/carriage-of-sub-microscopic-sexual-and-asexual-plasmodium-falciparum-stages-in-the-dry-season-at-navrongo-ghana
#5
Geoffrey R Atelu, Nancy O Duah, Michael D Wilson
BACKGROUND: We investigated the prevalence of sub-microscopic Plasmodium falciparum infections and gametocyte carriage in asymptomatic individuals in Navrongo in northern Ghana, an area of seasonal malaria transmission. DESIGN: A cross sectional study of 209 randomly selected participants of all age-groups was conducted in February and March, 2015. METHODS: Capillary blood samples collected from these individuals were used for the detection of both asexual and gametocyte stage parasites by microscopy, reverse transcriptase polymerase chain reaction (RT-PCR) and conventional nested PCR methods...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579626/a-narrative-synthesis-of-illustrative-evidence-on-effects-of-capitation-payment-for-primary-care-lessons-for-ghana-and-other-low-middle-income-countries
#6
Francis-Xavier Andoh-Adjei, Ernst Spaan, Felix A Asante, Sylvester A Mensah, Koos van der Velden
OBJECTIVE: To analyse and synthesize available international experiences and information on the motivation for, and effects of using capitation as provider payment method in country health systems and lessons and implications for low/middle-income countries. METHODS: We did narrative review and synthesis of the literature on the effects of capitation payment on primary care. RESULTS: Eleven articles were reviewed. Capitation payment encourages efficiency: drives down cost, serves as critical source of income for providers, promotes adherence to guidelines and policies, encourages providers to work better and give health education to patients...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579625/prevalence-of-potentially-zoonotic-gastrointestinal-parasites-in-canine-faeces-in-ibadan-nigeria
#7
Adekunle B Ayinmode, Oluwasola O Obebe, Ebenezer Olayemi
BACKGROUND: Humans can get infected through direct or indirect contact with infective stages of zoonotic parasites shed to the environment through dog faeces. OBJECTIVES: This study was designed to investigate the presence of gastrointestinal parasites present in dog faeces shed on the street of Ibadan metropolis, one of the largest cities in Africa. METHODS: Twenty-three locations were randomly selected using grid-sampling method. A total of 203 faecal samples collected from the streets of selected areas were processed for detection of helminth eggs and protozoan oocysts using flotation technique...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28579624/challenges-to-global-control-and-or-elimination-of-ntds-threats-of-animal-reservoirs-of-human-infections
#8
EDITORIAL
Daniel Boakye
No abstract text is available yet for this article.
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752195/a-standardized-formula-for-aesthetic-mandibular-reconstruction-using-an-osteocutaneous-fibular-free-flap
#9
Soung Min Kim, Emmanuel K Amponsah, Hui Young Kim, Ik Jae Kwon, Hoon Myoung, Jong Ho Lee
Ameloblastoma is the most common benign odontogenic tumor of the jaw, and expansional growth of a huge untreated ameloblastoma can result in disturbances in facial aesthetics and function, such as difficulty with mouth opening, swallowing, chewing, breathing, neurologic deficits, and pathologic fractures. Radical wide resection with safety margins and subsequent reconstruction is generally recommended. A fibular free flap (FFF) is commonly used to reconstruct the mandible in order to adequately restore both aesthetic appearance and function...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752194/coconut-oil-and-palm-oil-s-role-in-nutrition-health-and-national-development-a-review
#10
REVIEW
Laurene Boateng, Richard Ansong, William B Owusu, Matilda Steiner-Asiedu
Coconut and palm oils which were the major sources of dietary fats for centuries in most of West Africa have been branded as unhealthy highly saturated fats. Their consumption has been peddled to supposedly raise the level of blood cholesterol, thereby increasing the risk of coronary heart disease. This adverse view has led to a reduction in their consumption in West Africa and they have been substituted for imported vegetable oils. Recent information however, indicates some beneficial effects of these oils particularly their roles in nutrition, health and national development...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752193/knowledge-and-use-of-information-and-communication-technology-by-health-sciences-students-of-the-university-of-ghana
#11
Samuel Dery, Frances da-Costa Vroom, Anthony Godi, Seth Afagbedzi, Duah Dwomoh
BACKGROUND: Studies have shown that ICT adoption contributes to productivity and economic growth. It is therefore important that health workers have knowledge in ICT to ensure adoption and uptake of ICT tools to enable efficient health delivery. OBJECTIVE: To determine the knowledge and use of ICT among students of the College of Health Sciences at the University of Ghana. METHODS: This was a cross-sectional study conducted among students in all the five Schools of the College of Health Sciences at the University of Ghana...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752192/complications-of-the-use-of-trans-osseous-wire-osteosynthesis-in-the-managementof-compound-unfavorable-and-non-comminuted-mandibular-angle-fractures
#12
Charles E Anyanechi, Otasowie D Osunde, Birch D Saheeb
OBJECTIVE: To analyze cases of compound, unfavorable and non-comminuted mandibular angle fractures treated by trans-osseous wiring, presenting postoperative complications, in a low resource center. MATERIALS AND METHODS: This was a 13-year retrospective study of 1,324 fractures in 1,317 subjects. The predictor variables were age, gender, aetiology, time lag between injury and treatment, and concomitant mandibular and mid-facial fractures. The outcome variable was the development of complication(s) after treatment...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752191/long-term-continuous-administration-of-a-hydro-ethanolic-extract-of-synedrella-nodiflora-l-gaertn-in-male-sprague-dawley-rats-biochemical-haematological-and-histopathological-changes
#13
Patrick Amoateng, Samuel Adjei, Dorcas Osei-Safo, Believe Ahedor, Seidu A Mahmood, Benoit B N'guessan, Isaac J Asiedu-Gyekye, Alexander K Nyarko
BACKGROUND: Conflicting reports about the toxicity of Synedrella nodiflora (L) Gaertn (family Asteraceae), a plant traditionally used in Ghana for the management of epilepsy, abound in literature. The present study evaluates the effect of a 90-day continuous oral administration of a hydro-ethanolic whole plant extract of Synedrella nodiflora (SNE) in male Sprague-Dawley rats. METHODS: The toxicological evaluation of the extract (100, 300 and 1000 mgkg(-1)) was focused on haematological, serum biochemical parameters and histopathological changes of some isolated organs...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752190/low-level-of-hepatitis-b-knowledge-and-awareness-among-pregnant-women-in-the-kintampo-north-municipality-implications-for-effective-disease-control
#14
Martha Ali Abdulai, Frank Baiden, George Adjei, Seth Owusu-Agyei
BACKGROUND: Over 2 billion people are infected with Hepatitis B virus (HBV) and about 240 million are chronic carriers of the virus. Chronic HBV infection is an important cause of liver cancer. The infectivity of HBV is hundred times higher than the HIV virus yet it receives comparatively little attention in public health. The study assessed knowledge and awareness of HBV among pregnant women in the Kintampo Municipality of Ghana. METHODS: A cross-sectional survey was conducted among pregnant women attending antenatal clinic in two facilities between September 2010 and November 2010...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752189/exploring-factors-influencing-health-seeking-decisions-and-retention-in-childhood-cancer-treatment-programmes-perspectives-of-parents-in-ghana
#15
Lorna Awo Renner, Deborah McGill
BACKGROUND: Developing countries such as Ghana have very poor childhood cancer survival rates. There is a need to determine reasons for late presentation and treatment abandonment which are major causes of poor survival. Understanding these issues could inform effective strategies for childhood cancer control in resource-constrained settings. AIM: To explore factors influencing parental decision-making for children with cancer in Ghana with regard to health seeking and retention in treatment, in order to provide information that will guide Public Health interventions for childhood cancer control...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752188/bacterial-etiology-of-sexually-transmitted-infections-at-a-sti-clinic-in-ghana-use-of-multiplex-real-time-pcr
#16
Augustina A Sylverken, Ellis Owusu-Dabo, Denis D Yar, Samson P Salifu, Nana Yaa Awua-Boateng, John H Amuasi, Portia B Okyere, Thomas Agyarko-Poku
BACKGROUND: Most sexually transmitted infection (STI) management efforts focus on the syndromic approach to diagnose and treat patients. However, most women with STIs have been shown to be entirely asymptomatic, or if symptoms exist, are often missed when either clinical or conventional bacteriologic diagnostic tools are employed. METHODS: We assessed the performance of a multiplex real time PCR assay to describe other potential pathogens that could be missed by conventional bacteriological techniques in 200 women attending a routine STI clinic in Kumasi, Ghana...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752187/risk-of-transmission-of-viral-haemorrhagic-fevers-and-the-insecticide-susceptibilitystatus-of-aedes-aegypti-linnaeus-in-some-sites-in-accra-ghana
#17
Takashi Suzuki, Joseph H Osei, Akihiro Sasaki, Michelle Adimazoya, Maxwell Appawu, Daniel Boakye, Nobuo Ohta, Samuel Dadzie
BACKGROUND: Dengue is one of the emerging diseases that can mostly only be controlled by vector control since there is no vaccine for the disease. Although, Dengue has not been reported in Ghana, movement of people from neighbouring countries where the disease has been reported can facilitate transmission of the disease. OBJECTIVE: This study was carried on the University of Ghana campus to determine the risk of transmission of viral haemorrhagic fevers and the insecticide susceptibility status of Ae...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752186/approach-to-an-obstetric-prognosis-scale-the-modified-sofa-scale
#18
Lourdes A Blanco Esquivel, Jorge Macia Urbina, Hugo Mendieta Zerón
BACKGROUND: Severe obstetric morbidity constitutes a serious problem worldwide; however, an effective obstetrical prognosis scale is still missing. OBJECTIVE: To propose a modified Sequential Organ Failure Assessment Score (SOFA) score based on time before reaching specialized medical attention. METHOD: This was an ambispective, descriptive study, including all women treated at the Obstetrical Intensive Care Unit (OICU) of the "Mónica Pretelini Sáenz" Maternal-Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2009 to June 2013...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752185/comparison-of-maternal-health-services-and-indicators-in-three-districts-of-the-volta-region-ghana
#19
COMPARATIVE STUDY
Eun Woo Nam, Afisah Zakariah, Festus Adams, Young Suk Jun, Richard Adanu
BACKGROUND: Ghana's maternal mortality ratio continues to decline, but is not expected to meet the Millennium Development Goal (MDG) 5 target. The Ghana Health Service and Ministry of Health have displayed a high commitment to the improvement of maternal health in the country. One of the most recent partnerships directed at this is with the Korea International Cooperation Agency. METHODS: This study was conducted among women between ages 15 and 49 resident in Keta Municipal, Ketu North and Ketu South districts in the Volta Region of Ghana who were pregnant or who had children aged less than five...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27752184/creatinine-based-equations-and-glomerular-filtration-rate-interpretation-and-clinical-relevance
#20
Vincent Boima
No abstract text is available yet for this article.
September 2016: Ghana Medical Journal
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