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Ghana Medical Journal

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https://www.readbyqxmd.com/read/29622837/hydatid-cyst-of-the-orbit-in-a-young-nigerian-female-a-case-report
#1
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
https://www.readbyqxmd.com/read/29622836/impacted-third-molar-transplantation-on-the-malpracticed-extraction-socket
#2
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
https://www.readbyqxmd.com/read/29622835/diagnosing-and-treating-rare-lesions-in-a-low-resource-setting-lessons-from-ahybrid-epithelioid-trophoblastic-tumor-and-choriocarcinoma
#3
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
https://www.readbyqxmd.com/read/29622834/two-cases-of-pentalogy-of-cantrell-diagnosed-antenatally-at-korle-bu-teaching-hospital-accra
#4
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
https://www.readbyqxmd.com/read/29622833/fibreoptic-gastro-intestinal-endoscopy-at-the-korle-bu-teaching-hospital-accra-ghana-a-historical-perspective
#5
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
https://www.readbyqxmd.com/read/29622832/lunar-cycle-may-have-an-effect-on-shock-wave-lithotripsy-related-pain-outcome
#6
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
https://www.readbyqxmd.com/read/29622831/experience-with-argon-laser-trabeculoplasty-in-nigerians
#7
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
https://www.readbyqxmd.com/read/29622830/prevalence-perception-and-correlates-of-low-back-pain-among-healthcare-workers-in-tertiary-health-institutions-in-sokoto-nigeria
#8
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
https://www.readbyqxmd.com/read/29622829/factors-influencing-use-of-analgesics-among-construction-workers-in-the-ga-eastmunicipality-of-the-greater-accra-region-ghana
#9
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
https://www.readbyqxmd.com/read/29622828/uncommon-mixed-outbreak-of-pneumococcal-and-meningococcal-meningitis-in-jirapa-district-upper-west-region-ghana-2016
#10
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
https://www.readbyqxmd.com/read/29622826/hot-tub-lung-an-intriguing-diffuse-parenchymal-lung-disease
#11
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
https://www.readbyqxmd.com/read/29622825/gastrointestinal-food-allergy-in-ghanaian-children-a-case-series
#12
Taiba J Afaa, Adwoa Ka Afrane, Victor Etwire
Background: Food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food. Food allergies are classified into three types: Ig(immunoglobulin)E mediated, mixed IgE and cell mediated and cell-mediated non IgE mediated. Gastrointestinal (GIT) food allergy has classically encompassed a number of different clinical entities: food protein-induced enterocolitis syndrome (FPIES), food protein-induced proctocolitis (FPIP), food protein-induced enteropathy and eosinophilic gastrointestinal disorders (EGID)...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622824/traditional-medicines-and-alternative-practice-in-the-management-of-prostate-diseases-in-southern-ghana
#13
Mathew Y Kyei, George O Klufio, Ali Ayamba, Sherif Mohammed
Objective: This study was aimed at identifying Ghanaian traditional medicines used for the management of prostate diseases and their constituents. Reviews of studies conducted on them are also presented. Methodology: This was a prospective study. Traditional Medicine samples from consecutive patients with either lower urinary symptoms (LUTS) presenting at the Urology Unit of the Korle Bu Teaching Hospital (KBTH) in Accra from January 2015 to June 2016 and had a prior treatment with traditional medicines, had the samples retrieved...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622823/fasting-plasma-glucose-and-lipid-profiles-of-diabetic-patients-improve-with-aerobic-exercise-training
#14
Benjamin Asuako, Monday O Moses, Benjamin A Eghan, Peter A Sarpong
Objective: This study presents the effects of aerobic exercise training on fasting plasma glucose and lipid profiles (FPG/LP) of diabetic patients in Kumasi. Design: A randomised experimental with control design. Setting: The study was conducted at the diabetic unit of KATH in Kumasi, Ghana. Participants: Twelve diabetic patients [grouped into intervention (IG) and control (CG)] attending the diabetic unit of KATH with diabetes diagnosis durations less than fifty years, ambulant status/age of 20-68years, sedentary and free from complications...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622822/information-gaps-in-surveillance-data-and-effects-on-the-ghanaian-response-to-the-ebola-outbreak-in-west-africa
#15
Elizabeth A Awini, Joseph H K Bonney, Joseph A Frimpong, William K Ampofo, Kwadwo A Koram
Background: Complete and accurate information on disease occurrence is crucial for effective public health response to disease outbreaks. In response to the 2014 Ebola epidemic in West Africa, Ghana intensified surveillance for the disease across the country. However, the case definition provided by the Ministry of Health was not uniformly applied at all reporting health facilities. Objective: This paper analyses the accompanying Case Record Forms (CRFs) submitted to Noguchi Memorial Institute for Medical Research to determine its completeness and appropriateness for instituting an effective response to the epidemic...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622821/the-burden-and-characteristics-of-peripheral-arterial-disease-in-patients-undergoing-amputation-in-korle-bu-teaching-hospital-accra-ghana
#16
Antoinette Aa Bediako-Bowan, George O Adjei, Joe N Clegg-Lamptey, Simon B Naaeder
Background: To determine the prevalence of Peripheral Arterial Disease (PAD) and associated risk factors in patients undergoing amputation at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Objectives: A cross- sectional study of all patients undergoing lower extremity amputation at the Department of Surgery, KBTH. Materials: A coded questionnaire was used to ascertain risk factors for PAD. The Edinburgh Claudication Questionnaire was used to determine symptomatic PAD and a 5 mmHz hand held Summit® Doppler together with an Accoson ® sphygmomanometer was used to determine PAD and its severity...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622820/high-risk-of-coagulopathy-among-type-2-diabetes-mellitus-clients-at-a-municipal-hospital-in-ghana
#17
Richard Kd Ephraim, Yaw A Awuku, Patrick Adu, Lord Tw Ampomah, Prince Adoba, Solomon Panford, Jerry Pk Ninnoni, Hope Agbodzakey
Background: Persistent hyperglycaemia in diabetes mellitus causes coagulopathies due to glycation of haemoglobin, prothrombin, fibrinogen and other proteins involved in the clotting mechanism. Shortened activated partial thromboplastin time (APTT) and prothrombin time (PT) reflect hypercoagulable state, which is associated with an increased thrombotic risk and adverse cardiovascular effects. This study assessed the coagulation profile of type 2 diabetes mellitus (T2DM) clients at a municipal hospital in Ghana...
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/29622819/mitigating-the-scourge-of-non-alcoholic-fatty-liver-disease-in-ghana
#18
Adwoa Agyei-Nkansah
No abstract text is available yet for this article.
September 2017: Ghana Medical Journal
https://www.readbyqxmd.com/read/28955107/breast-cancer-screening-in-a-resource-poor-country-ultrasound-versus-mammography
#19
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
#20
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
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