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https://www.readbyqxmd.com/read/27926686/orthopaedic-trauma-care-capacity-assessment-and-strategic-planning-in-ghana-mapping-a-way-forward
#1
Barclay T Stewart, Adam Gyedu, Gavin Tansley, Dominic Yeboah, Forster Amponsah-Manu, Charles Mock, Wilfred Labi-Addo, Robert Quansah
BACKGROUND: Orthopaedic conditions incur more than 52 million disability-adjusted life years annually worldwide. This burden disproportionately affects low and middle-income countries, which are least equipped to provide orthopaedic care. We aimed to assess orthopaedic capacity in Ghana, describe spatial access to orthopaedic care, and identify hospitals that would most improve access to care if their capacity was improved. METHODS: Seventeen perioperative and orthopaedic trauma care-related items were selected from the World Health Organization's Guidelines for Essential Trauma Care...
December 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27925435/predicting-the-intention-to-use-condoms-and-actual-condom-use-behaviour-a-three-wave-longitudinal-study-in-ghana
#2
Enoch Teye-Kwadjo, Ashraf Kagee, Hermann Swart
BACKGROUND: Growing cross-sectional research shows that the theory of planned behaviour (TPB) is robust in predicting intentions to use condoms and condom use behaviour. Yet, little is known about the TPB's utility in explaining intentions to use condoms and condom use behaviour over time. METHODS: This study used a longitudinal design and latent variable structural equation modelling to test the longitudinal relationships postulated by the TPB. School-going youths in Ghana provided data on attitudes, subjective norms, perceived control, intentions, and behaviour regarding condom use at three time points, spaced approximately three months apart...
December 7, 2016: Applied Psychology. Health and Well-being
https://www.readbyqxmd.com/read/27924238/work-pressure-and-safety-behaviors-among-health-workers-in-ghana-the-moderating-role-of-management-commitment-to-safety
#3
Kwesi Amponsah-Tawaih, Michael Appiah Adu
BACKGROUND: safety and healthy working environment has received numerous research attention over the years. Majority of these researches seem to have been conducted in the construction industry, with little attention in the health sector. Nonetheless, there are couple of studies conducted in Africa that suggest pressure in hospitals. Therefore the aim of the study was to examine how pressure influence safety behavior in the hospitals. With reference to the relevance of safety behavior in primary health care delivery, there was the need for the study...
December 2016: Safety and Health At Work
https://www.readbyqxmd.com/read/27924237/an-investigation-of-health-and-safety-measures-in-a-hydroelectric-power-plant
#4
Amevi Acakpovi, Lucky Dzamikumah
BACKGROUND: Occupational risk management is known as a catalyst in generating superior returns for all stakeholders on a sustainable basis. A number of companies in Ghana implemented health and safety measures adopted from international companies to ensure the safety of their employees. However, there exist great threats to employees' safety in these companies. The purpose of this paper is to investigate the level of compliance of Occupational Health and Safety management systems and standards set by international and local legislation in power producing companies in Ghana...
December 2016: Safety and Health At Work
https://www.readbyqxmd.com/read/27924230/trend-of-fire-outbreaks-in-ghana-and-ways-to-prevent-these-incidents
#5
Emmanuel K Addai, Samuel K Tulashie, Joe-Steve Annan, Isaac Yeboah
BACKGROUND: In Ghana, fire incidents have become a regular occurrence, with thousands of lives and millions of dollars lost every year. Hardly a day passes without news of a fire outbreak in some part of Ghana, causing fear and panic among the people. This generates much discussion centering on rumors relating to politics, sabotage, misfortune, religious differences, etc. This article seeks to discuss the trend of fire incidents occurring in Ghana from 2000 to 2013 and the different ways to prevent these incidents...
December 2016: Safety and Health At Work
https://www.readbyqxmd.com/read/27923048/contribution-of-wastewater-irrigation-to-soil-transmitted-helminths-infection-among-vegetable-farmers-in-kumasi-ghana
#6
Isaac Dennis Amoah, Amina Abubakari, Thor Axel Stenström, Robert Clement Abaidoo, Razak Seidu
Wastewater irrigation is associated with several benefits but can also lead to significant health risks. The health risk for contracting infections from Soil Transmitted Helminths (STHs) among farmers has mainly been assessed indirectly through measured quantities in the wastewater or on the crops alone and only on a limited scale through epidemiological assessments. In this study we broadened the concept of infection risks in the exposure assessments by measurements of the concentration of STHs both in wastewater used for irrigation and the soil, as well as the actual load of STHs ova in the stool of farmers and their family members (165 and 127 in the wet and dry seasons respectively) and a control group of non-farmers (100 and 52 in the wet and dry seasons, respectively)...
December 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27921367/dietary-patterns-in-liberian-refugees-in-buduburam-ghana
#7
Wilhelmenia L Ross, Daniel F Gallego-Pérez, Anna Lartey, Adam Sandow, Rafael Pérez-Escamilla, Amber Hromi-Fiedler
Previous research suggests that acculturation (i.e., exposure and assimilation to local culture) is associated with changes in dietary patterns among immigrants. This study investigates this association in a refugee population using time in refugee settlement as a proxy for acculturation. A cross-sectional survey was conducted among a systematic sample to (a) identify dietary patterns in Liberian refugees and Ghanaians living in or near a refugee settlement, (b) compare adherence to these dietary patterns between groups, and (c) investigate the association between acculturation and dietary patterns in Liberian refugees...
December 5, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/27917219/experience-of-collaboration-between-a-dutch-surgical-team-in-a-ghanaian-orthopaedic-teaching-hospital
#8
T K Timmers, E Kortekaas, Bpc Beyer, E Huizinga, S M V Hezik van, E Twagirayezu, M Bemelman
BACKGROUND: Surgery is an indivisible, indispensable part of healthcare. In Africa, surgery may be thought of as the neglected stepchild of global public health. We describe our experience over a 3-year period of intensive collaboration between specialized teams from a Dutch hospital and local teams of an orthopaedic hospital in Effiduase-Koforidua, Ghana. INTERVENTION: During 2010-2012, medical teams from our hospital were deployed to St. Joseph's Hospital. These teams were completely self-supporting...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27916245/assessment-of-ddt-hch-and-pah-contamination-and-associated-ecotoxicological-risks-in-surface-sediments-of-coastal-tema-harbour-ghana
#9
Benjamin O Botwe, Peter Kelderman, Elvis Nyarko, Piet N L Lens
This study assessed DDTs, HCHs and PAHs contamination in sediments from the Tema Harbour (Ghana) and the associated ecotoxicological risks. The results showed widespread DDTs, HCHs and PAHs contamination in the harbour sediments with mean concentrations ranging from 6.0-12.8, 2.8-12.7 and 2750-5130μg·kg(-1)d·w, respectively. The silt-clay and total organic carbon contents of the sediments poorly correlated with the pollutant concentrations. DDTs and HCHs contamination relate to past use of DDT and lindane, which under the anoxic harbour conditions resulted in disproportionately higher concentrations of p,p'-DDD and γ-HCH in the sediments...
December 1, 2016: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/27910260/impact-of-small-quantity-lipid-based-nutrient-supplements-on-infant-and-young-child-feeding-practices-at-18%C3%A2-months-of-age-results-from-four-randomized-controlled-trials-in-africa
#10
Mary Arimond, Souheila Abbeddou, Chiza Kumwenda, Harriet Okronipa, Jaimie Hemsworth, Elizabeth Yakes Jimenez, Eugenia Ocansey, Anna Lartey, Ulla Ashorn, Seth Adu-Afarwuah, Stephen A Vosti, Sonja Y Hess, Kathryn G Dewey
Optimal infant and young child feeding (IYCF) practices can help ensure nutrient adequacy and support healthy growth and development. Small-quantity lipid-based nutrient supplements (SQ-LNS) have been proposed to help fill nutrient gaps, but little is known about the impact of provision of SQ-LNS on breastfeeding or complementary feeding practices. In the context of four coordinated randomized controlled nutrient supplementation trials in diverse sites in Africa, we compared IYCF practices at infant age 18 months (after 9-12 months of supplementation) between those receiving and not receiving SQ-LNS...
December 2, 2016: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/27909570/need-for-accessible-infertility-care-in-ghana-the-patients-voice
#11
Nana Yaw Osei
According to the Ghana Statistical Service (GSS) infertility and childlessness are the most important reason for divorce in Ghana. The traditional Ghanaian society is pro-natal and voluntary childlessness is very uncommon. Patient groups are almost non-existent in Sub-Saharan Africa, aggravating the situation of childless couples. Due to the lack of enough and affordable high quality infertility services, many women resort to traditional healing, witchcraft and spiritual mediation. Considering the severe sociocultural and economic consequences of childlessness, especially for women, there is an urgent need for accessible and affordable high quality infertility care in Ghana...
June 27, 2016: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/27908493/diagnostic-accuracy-of-the-kampala-trauma-score-using-estimated-abbreviated-injury-scale-scores-and-physician-opinion
#12
Andrew Gardner, Paa Kobina Forson, George Oduro, Barclay Stewart, Nkechi Dike, Paul Glover, Ronald F Maio
BACKGROUND: The Kampala Trauma Score (KTS) has been proposed as a triage tool for use in low- and middle-income countries (LMICs). This study aimed to examine the diagnostic accuracy of KTS in predicting emergency department outcomes using timely injury estimation with Abbreviated Injury Scale (AIS) score and physician opinion to calculate KTS scores. METHODS: This was a diagnostic accuracy study of KTS among injured patients presenting to Komfo Anokye Teaching Hospital A&E, Ghana...
November 21, 2016: Injury
https://www.readbyqxmd.com/read/27906100/an-isothermal-dna-amplification-method-for-detection-of-onchocerca-volvulus-infection-in-skin-biopsies
#13
Ole Lagatie, Michelle Merino, Linda Batsa Debrah, Alexander Y Debrah, Lieven J Stuyver
BACKGROUND: Diagnostic procedures for the diagnosis of infection with the nematode parasite Onchocerca volvulus are currently based on the microscopic detection of microfilariae in skin biopsies. Alternative approaches based on amplification of parasitic DNA in these skin biopsies are currently being explored. Mostly this is based on the detection of the O-150 repeat sequence using PCR based techniques. METHODS: An isothermal, loop-mediated amplification method has been designed using the mitochondrial O...
December 1, 2016: Parasites & Vectors
https://www.readbyqxmd.com/read/27906011/prevalence-of-hiv-and-hepatitis-b-coinfection-in-ghana-a-systematic-review-and-meta-analysis
#14
REVIEW
Akosua Adom Agyeman, Richard Ofori-Asenso
BACKGROUND: Human immunodeficiency virus (HIV) and hepatitis B virus (HBV) coinfection has been associated with higher morbidity and mortality and may impact significantly on healthcare resource utilization. However, in Ghana, accurate estimates of the prevalence of HIV/HBV coinfection needed to inform policy decisions and the design of public health interventions are currently lacking. In this study, our aim was to determine the HIV/HBV coinfection prevalence rate in Ghana. METHODS: Primary studies reporting prevalence of HIV/HBV coinfection in Ghana were retrieved through searches conducted in PubMed, science direct, Google scholar and Africa journals online (AJOL) databases...
May 17, 2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27905928/perceptions-on-the-effect-of-small-electric-fans-on-comfort-inside-bed-nets-in-southern-ghana-a-qualitative-study
#15
Mulako S Jaeger, Olivier J T Briët, Joseph Keating, Collins K Ahorlu, Joshua O Yukich, Samuel Oppong, Peter Nardini, Constanze Pfeiffer
BACKGROUND: Long-lasting insecticidal nets (LLINs) are known to be highly effective in reducing malaria transmission, morbidity and mortality. However, among those owning an LLIN, use rates are often suboptimal. A reported barrier to bed net use is discomfort due to heat. This qualitative study was part of a larger evaluation conducted in communities without electricity in rural Ghana to assess whether 0.8 W solar powered net fans can increase net use. METHODS: Twenty-three key informant interviews with household heads in the study communities in Shai-Osudoku District, southern Ghana, were conducted from July to August 2015...
December 1, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27904844/cardiothoracic-surgical-experience-in-ghana
#16
REVIEW
Mark Tettey, Martin Tamatey, Frank Edwin
Ghana is one of the few low-to-middle-income countries in sub-Saharan Africa able to consistently sustain a cardiothoracic program with locally trained staff for more than two decades. Cardiothoracic surgery practice in Ghana started in 1964 but faltered from a combination of political and the economic problems. In 1989, Dr. Kwabena Frimpong-Boateng, a Ghanaian cardiothoracic surgeon trained in Hannover, rekindled interest in cardiothoracic surgery and in establishing a National Cardiothoracic Centre. His vision and leadership has brought cardiothoracic surgery practice in Ghana to its current high level...
October 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/27903563/leveraging-ongoing-research-to-evaluate-the-health-impacts-of-south-africa-s-salt-reduction-strategy-a-prospective-nested-cohort-within-the-who-sage-multicountry-longitudinal-study
#17
Karen Charlton, Lisa J Ware, Elias Menyanu, Richard Berko Biritwum, Nirmala Naidoo, Chiné Pieterse, Savathree Lorna Madurai, Jeannine Baumgartner, George A Asare, Elizabeth Thiele, Aletta E Schutte, Paul Kowal
INTRODUCTION: Attempting to curb the rising epidemic of hypertension, South Africa implemented legislation in June 2016 mandating maximum sodium levels in a range of manufactured foods that contribute significantly to population salt intake. This natural experiment, comparing two African countries with and without salt legislation, will provide timely information on the impact of legislative approaches addressing the food supply to improve blood pressure in African populations. This article outlines the design of this ongoing prospective nested cohort study...
November 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27903312/more-than-two-thirds-of-dietary-iodine-in-children-in-northern-ghana-is-obtained-from-bouillon-cubes-containing-iodized-salt
#18
Abdul-Razak Abizari, Susanne Dold, Roland Kupka, Michael B Zimmermann
OBJECTIVE: Bouillon cubes are widely consumed by poor households in sub-Saharan Africa. Because their main ingredient is salt, bouillon cubes could be a good source of iodine if iodized salt is used in their production and if their consumption by target groups is high. Our objective was to measure the iodine content of bouillon cubes, estimate their daily intake in school-aged children and evaluate their potential contribution to iodine intakes. DESIGN: In a cross-sectional study, we measured urinary iodine concentrations (UIC) and estimated total daily iodine intakes...
December 1, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27899074/antibiotic-resistance-and-clonal-diversity-of-invasive-staphylococcus-aureus-in-the-rural-ashanti-region-ghana
#19
Denise Dekker, Manuel Wolters, Eva Mertens, Kennedy Gyau Boahen, Ralf Krumkamp, Daniel Eibach, Norbert G Schwarz, Yaw Adu-Sarkodie, Holger Rohde, Martin Christner, Florian Marks, Nimako Sarpong, Jürgen May
BACKGROUND: Staphylococcus aureus is among the most common pathogens isolated from blood cultures in Ghana; yet the epidemiology of blood infections in rural settings is poorly described. This study aims to investigate antimicrobial susceptibility and clonal diversity of S. aureus causing bloodstream infections in two hospitals in the Ashanti Region, Ghana. METHODS: Blood cultures were performed for all febrile patients (≥37.5 °C) on hospital admission. Antibiotic susceptibility testing for S...
November 29, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27898699/facilitators-and-barriers-to-uptake-of-an-extended-seasonal-malaria-chemoprevention-programme-in-ghana-a-qualitative-study-of-caregivers-and-community-health-workers
#20
Gifty D Antwi, Laura A Bates, Rebecca King, Princess R Mahama, Harry Tagbor, Matt Cairns, James N Newell
BACKGROUND: Seasonal Malaria Chemoprevention (SMC) is currently recommended for children under five in areas where malaria transmission is highly seasonal. We explored children's caregivers' and community health workers' (CHWs) responses to an extended 5-month SMC programme. METHODS: Thirteen in-depth interviews and eight focus group discussions explored optimal and suboptimal 'uptake' of SMC to examine facilitators and barriers to caregivers' uptake. RESULTS: There did not appear to be major differences between caregivers of children with optimal and sub-optimal SMC uptake in terms of their knowledge of malaria, their perceptions of the effect of SMC on a child's health, nor their understanding of chemoprevention...
2016: PloS One
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