Community mental health care.
Authors: Osei AO PMID: 31481802 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Malaria vaccine deployment in Africa: focus on Ghana.
Authors: Asante KP, Binka FN, Koram KA PMID: 31481803 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Comparative assessment of quality of life of patients with schizophrenia attending a community psychiatric centre and a psychiatric hospital.
Conclusion: Overall QoL of patients managed at the two centres was comparable, with similar socio-demographic as well as clinical variables influencing QoL. This suggests that patients with schizophrenia can be well managed at community psychiatric centres. Funding: None declared. PMID: 31481804 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

An investigation into the routes to inpatient care at the Pantang Hospital in Ghana via the criminal justice system.
Conclusion: This study revealed that forensic mental health patients in the Pantang Hospital entered through one of three ways; direct entry through the community-based policing system; on order through the court system; and referrals directly from the prison system. Inadequate staffing and other resources resulted in delays in completing the necessary psychiatric assessments. Funding: The study was funded locally and by a grant received from the Faculty of Forensic Psychiatry, Royal College of Psychiatrists in the UK. PMID: 31481805 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Adherence to antimalarial drug policy among doctors in Delta State, Nigeria: implications for malaria control.
Conclusion: The level of adherence to AMP among doctors was sub-optimal. Continuous education of doctors on the new AMP is needed to achieve malarial control. Funding: No funding was received for this study. PMID: 31481806 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Admissions and mortality over a 5-year period in a limited-resource neonatal unit in Ghana.
Conclusions: We report a high NICU mortality rate of 19.2%, compared to the worldwide range of 3.1% to 29%. This wide range of outcomes is attributable to differences in the severity of illness of patients and to the organisation of resources devoted to obstetric and neonatal care. To substantially improve perinatal and neonatal outcomes, there is a need for wider coverage and better quality of health care; and to consider rationing of care. Complex interventions are necessary to improve outcomes, not just an increase in the allocation of particular resources. Funding: None declared. PMID: 31481807 [PubMed - in pro...
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Development and structural validity of a Nigerian culture- and environment-friendly low back pain outcome measure: Ibadan Low Back Pain Disability Questionnaire.
Conclusion: A scale for assessing disability in LBP is made available for use in Nigeria and similar populations. Funding: None declared. PMID: 31481808 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Global disability burden and its predictors among adult Nigerians living with Type-2 diabetes.
Conclusions: There is mild to moderate burden and risk of global disability among Nigerian living with T2DM. Age, DM duration, marital status, fasting blood glucose, glycosylated haemoglobin and systolic hypertension significantly predicted disability. Funding: None declared. PMID: 31481809 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Non-invasive markers as predictors of oesophageal varices in cirrhotic patient in a teaching hospital in Ghana.
Conclusion: PC/SD cut-off could be used to screen cirrhotics for OV and treatment initiated in geographical areas lacking endoscopy facilities. Funding: None declared. PMID: 31481810 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Patient preferences and expectation for feedback on adverse drug reaction reports submitted in Ghana.
Conclusion: Patients' expectation for receiving feedback for ADR reports submitted to the NPvC is in line with modern trends in communication. NPvC should explore these alternatives for providing feedback to patients. This study is limited to what patients' expectations and preferences were for receiving feedback on ADR reports submitted, additional study to further explore the type of information patients expect to be contained in the feedback will be useful to National Pharmacovigilance Centres. Funding: None declared. PMID: 31481811 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Steroid-induced dysglycaemia in patients with haematological disorders a ten-year review in a tertiary hospital in Ghana.
Conclusion: The prevalence of steroid-induced dysglycaemia is relatively low among Ghanaian patients with haematological disorders on steroid based chemotherapy. Funding: None declared. PMID: 31481812 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Oral health-related quality of life: acrylic versus flexible partial dentures.
Authors: Akinyamoju CA, Dosumu OO, Taiwo JO, Ogunrinde TJ, Akinyamoju AO Abstract Background: Teeth lost are usually replaced by all-acrylic removable partial dentures (RPD) because of its affordability and ease of fabrication. The all-acrylic RPD is said to cause significant periodontal injury and consequently affect the oral health related quality of life (OHRQoL) of denture wearers. Objective: To determine and compare OHRQoL of all-acrylic and flexible RPD wearers at baseline and after use of dentures. Design and setting: Study was quasi-experimental using a cross-over design, involving 30 patients with ...
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Poliovirus neutralizing antibody levels among individuals in three regions of Ghana.
Authors: Opare JK, Akweongo P, Afari EA, Odoom JK Abstract Introduction: Ghana was declared polio-free in 2015 after the last polio case in 2008. We determined the poliovirus neutralizing antibody levels among individuals to identify possible immunity gaps. Methods: A cross-sectional, hospital-based study was undertaken in Northern, Ashanti and Greater Accra regions of Ghana. Individuals referred for haematology at the teaching hospitals' laboratories were invited to participate in our study. Neutralizing-antibody titers to poliovirus serotypes 1,2 & 3 were assayed by WHO-standards. Antibody titers of ≥8...
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Inferior vena cava injury: survival of a rare case.
Authors: Okyere I, Yorke J, Agbeko EA, Forson PK, Bonney J Abstract The inferior vena cava is the most commonly injured abdominal vessel and accounts for about 25% of abdominal vascular injuries. Despite improved preoperative care and operative techniques, the mortality rates for the inferior vena cava injuries are still high due to delayed presentation, inadequate or delayed fluid resuscitation, difficulty of diagnosis and technical problems in repair. A case of the inferior vena cava injury encountered after abdominal stab injury with about 4cm vertical tear of infrarenal vena cava, survived due to immediate tran...
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Oesophageal intramural pseudodiverticulosis: a rare endoscopic finding.
This report highlights the occurrence of this rare and benign cause of dysphagia in Nigeria. Funding: None declared. PMID: 31481816 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Musings on malaria morbidity and mortality after the new Mosquirix ® vaccine.
Musings on malaria morbidity and mortality after the new Mosquirix® vaccine. Ghana Med J. 2019 Jun;53(2):187-188 Authors: Sackey AH PMID: 31481817 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - September 6, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Clinical characteristics of males with systemic lupus erythematosus (SLE) in an inception cohort of patients in Ghana.
Conclusion: Male SLE patients in Ghana are comparable to other populations, with arthritis and constitutional features being predominant early features and lupus nephritis being the main early indicator of organ damage. This should warrant aggressive management in male patients. Funding: None declared. PMID: 31138937 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Standards of aminoglycoside therapeutic drug monitoring in a South African private hospital: perspectives and implications.
Conclusions: Incorrect sampling times and unnecessary levels taken in patients with normal renal function indicate a need for aminoglycoside treatment guidelines in the private hospital. Funding: None. PMID: 31138938 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Residency training in Ghana: the residents' perspective.
Conclusion: Whilst majority of residents were satisfied with the duration of the residency program, the perspective of the respondents was that trainees would benefit from additional didactic teaching and increased research exposure. Funding: None. PMID: 31138939 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Clinical and sociodemographic correlates of preterm deliveries in two tertiary hospitals in southern Nigeria.
Authors: Zini ME, Omo-Aghoja LO Abstract Background: To determine the prevalence of preterm delivery and identify the associated risk factors. Design: This was a five - month prospective case control study of two cohorts of women who had preterm and term deliveries. Setting: Central Hospital (CH), Warri, and Delta State University Teaching Hospital (DELSUTH), Oghara, respectively in southern Nigeria. Participants: 522 women which consisted of 174 who presented in preterm labour or with preterm prelabour rupture of membranes as cases and 348 parturient with term deliveries served as controls. Interve...
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Association between risky sexual behaviour and HIV risk perception among in-school adolescents in a municipality in Ghana.
Conclusion: Except for those with multiple sexual partners, the adolescents generally did not perceive themselves to be at risk of HIV infection despite their involvement in risky sexual behaviour. Interventions that help adolescents to correctly assess their HIV risk perception and build on their susceptibility to HIV infection are needed. Funding: Personal funding. PMID: 31138941 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Spontaneous bacterial peritonitis among adult patients with ascites attending Korle-Bu Teaching Hospital.
Conclusion: SBP is common among patients with ascites admitted at the Korle-Bu Teaching Hospital. Jaundice, encephalopathy and low blood pressure are highly suggestive of SBP and diagnostic paracentesis should be done immediately on admission to confirm the diagnosis. Funding: None. PMID: 31138942 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Evaluation of urinalysis parameters and antimicrobial susceptibility of uropathogens among out-patients at University of Cape Coast Hospital.
Conclusion: The study supports the recommendation of the use of oral ciprofloxacin as the first line treatment of uncomplicated UTI by the Ghana Standard Treatment Guidelines (2017). Funding: No funding was provided for this study. PMID: 31138943 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Presentation and survival of multiple myeloma patients in Ghana: a review of 169 cases.
This report describes the clinic-pathological features of MM patients in Ghana at diagnosis, and the factors affecting their survival. Methods: A retrospective review of 169 MM cases diagnosed in a Ghanaian tertiary hospital from 2002-2016. Results: Median age was 58 years, with 29% ≤50 years. One-third presented>12 months after onset of symptoms, which included bone pain (96%), anaemia (67%), weight loss (55%) and fractures (44%). Myeloma-related tissue impairment included hypercalcaemia (36%), renal impairment (33%), severe anaemia (52%) and osteolytic lesions (76%); 51.3% of patients were diagnosed in ISS ...
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Ghana's HIV epidemic and PEPFAR's contribution towards epidemic control.
Conclusions: Ghana is making changes at both policy and program level in the fight against HIV/AIDS and is working towards achieving the UNAIDS' 90-90-90 targets. PEPFAR is providing TA to ensure these goals can be achieved. Funding: This manuscript has been supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC). PMID: 31138945 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Patient satisfaction and treatment outcomes of primary care practice in Ghana.
Authors: Ofei-Dodoo S Abstract Background: General evidence suggests a strong association between patient satisfaction and treatment outcomes, but data specific to the general Ghanaian population is lacking. Purpose: To use nationally representative data to examine the effects of primary care practices on patient satisfaction and how satisfaction influences treatment outcomes. Methods: The study utilized WAVE 1 data from a nationally representative survey (n = 2,967) of patients who received outpatient medical care in Ghana. The data were collected by the World Health Organization between 2007 and 2010 and ...
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Predictors of underweight in children under-five years in Ghana.
Conclusion: Our findings underscore the need for the Ghana Health Service and other health sector stakeholders to apportion interventions with a focus on improving complementary feeding, poverty alleviation, and health status of children. Funding: No funding was received for the study. PMID: 31138947 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Case series of six patients diagnosed and managed for idiopathic intracranial hypertension at a tertiary institution eye centre.
Conclusion: The upsurge of IIH may be due to the increased incidence of obesity in Ghana. Timely diagnosis and treatment is needed to avoid irreversible blindness. Funding: None. PMID: 31138948 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - May 31, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Experience of gender-based violence to students in public and private secondary schools in Ilorin, Nigeria.
Conclusions: GBV was a common experience of students in both groups of schools. Multi-disciplinary interventions emphasising ending physical and psychological violence among private school students and sexual violence in public school are recommended. Interventions that involve the parents, school authorities and students on non-violence conflict resolution are urgently required. Parents and students who perpetrate violence should be referred for counselling. Funding: Author funded. PMID: 30662077 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Performance of urinary survivin as a non-invasive molecular marker of bladdercarcinoma in a schistosomiasis endemic area.
Conclusion: Urinary survivin is highly sensitive, specific and predictive of bladder carcinoma in our environment. The marker is associated with false positive results in patients with prostate cancer. Funding: By authors. PMID: 30662078 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Pattern of intracranial tumours in a tertiary hospital in Ghana.
Conclusion: Gliomas are the commonest intracranial tumours seen in our series. Overall, females were more commonly affected than males in most brain tumours in this series, including both gliomas and meningiomas. Funding: Not declared. PMID: 30662079 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Visual impairment amongst adult diabetics attending a tertiary outpatient clinic.
Conclusion: The prevalence of visual impairment was high at 18.4%. The reduction in impaired vision due to cataract over a decade is suggestive of either an improved cataract surgical rate or improved diabetic care or both. Majority of the diabetic patients 59.1% had not received prior ocular evaluation. There is an urgent need to have a screening program in this area. Funding: None. PMID: 30662080 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Parasitic contamination of commonly consumed vegetables in two markets in Ghana.
Conclusion: The level of parasite contamination is high and consumption of raw vegetables procured from these markets carry a high risk of parasite infection. Washing vegetables twice with saline was not effective for parasite removal. Improved approaches for washing vegetables before consumption are needed. Funding: Ensign College-Students Research Award Program of Bob and Lynette Gay. PMID: 30662081 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Recommendations for cervical cancer prevention and control in Ghana: public education and human papillomavirus vaccination.
Authors: Nartey Y, Hill P, Amo-Antwi K, Asmah R, Nyarko K, Yarney J, Damale N, Cox B Abstract Globally, cervical cancer is a major public health issue causing increasing morbidity and mortality especially in low- and middle-income countries where preventive and control measures are lacking. In Ghana, it is the most common cancer among women. Approaches to reduce the incidence and mortality of the disease in Ghana have had little success due to lack of accurate data on the disease among other factors, to inform policies on prevention, early detection, diagnosis and treatment. Additionally, the lack of clear commitme...
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

The pathologist in Ghana and potential for research.
Authors: Anim JT Abstract One of the neglected areas of clinical medical practice in developing countries is the field of Laboratory Medicine. As a result, the important role of the laboratory physician in diagnosis of disease and subsequent management of patients is not much appreciated. Even more worrying is lack of appreciation of the research potential of laboratory medicine, considering that it provides a repository of confirmatory data on many human disorders; data that have been usefully employed for the study of various diseases in developed parts of the world. It is perhaps, the reason that many diseases p...
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Wooden toothpick partially embedded in the gastric antrum: a case report of an unusual finding in open access gastrointestinal endoscopy.
We report a case of accidentally ingested toothpick with successful endoscopic removal in a case of a 24year old male who presented for open access endoscopy with complaint of abdominal pain. During endoscopy a foreign body (sharp object) was seen partially embedded at the gastric antrum which was later identified as a wooden toothpick. Endoscopic removal was done using a Caesar grasping forceps (CGF-1-240). No complication was reported during and after the procedure. Ingested toothpick should be managed as an emergency in all cases and should be considered an important differential diagnosis in clients with complaint of a...
Source: Ghana Medical Journal - January 23, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Changing landscape of public health and medical education curriculum.
Authors: Ofori-Adjei D PMID: 30602794 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Students' perceptions of the learning environment in two Nigerian medical schools offering different curricula.
Authors: Ogun OA, Nottidge TE, Roff S Abstract Objective: Compare the results of administering the DREEM questionnaire in two Nigerian medical schools offering traditional and student-centred curricular respectively, to identify any differences in the learning environment and appreciate advantages of the more modern curriculum. Methods: A survey design was used. Data was analysed using the DREEM scoring rubric. The independent t-test was used to compare results. Setting: The DREEM questionnaire was administered to final year medical students at two participating centres. Participants: Final year student...
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Mobile phone use among commercial drivers in Ghana: An important threat to road safety.
Conclusion: Future prevention efforts for distracted driving in Ghana will require targeted distracted driving enforcement and education for commercial drivers and their passengers. Funding: This study was funded, in part, by a grant (D43-TW007267) from the Fogarty International Center, US National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. PMID: 30602796 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

MRI features in the non-traumatic spinal cord injury patients presenting at the Korle Bu Teaching Hospital, Accra.
Conclusion: The commonest MRI findings in the study population were due to degenerative disease of the spine, followed by spinal metastases and infective spondylitis. Funding: Not declared. PMID: 30602797 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Accuracy of clinical diagnosis, mammography and ultrasonography in preoperative assessment of breast cancer.
Conclusion: In conclusion, this study has demonstrated that clinical diagnosis, ultrasound and mammography can potentially predict breast cancer disease with considerable sensitivity and specificity. Funding: Not declared. PMID: 30602798 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Perception of risk for hypertension and overweight/obesity in Cape Coast, Ghana.
Conclusions: These findings highlight the need for the design of programmes to help individuals appreciate the reality of weight-related health risks, as well as the need to embrace lifestyles that promote healthy weight outcomes. Funding: Harvard Medical School Travelling Fellowship, Scholars in Medicine Office, Harvard Medical School. PMID: 30602799 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Occurrence of hypocortisolism in HIV patients: Is the picture changing?
Conclusion: There is a high prevalence of hypocortisolism among HIV patients by biochemical testing, especially those who have been on ARVs for a longer duration. Hypocortisolism cannot be predicted based on the participants' WHO clinical stage of disease, CD4 cell count, or the treatment regimen. Funding: Personal Funds. PMID: 30602800 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Fluoroscopic-guided sacroiliac, joint injections for treatment of chronic axial low back pain in a tertiary Hospital in Nigeria: a preliminary study.
Conclusion: Fluoroscopic-guided steroid injection into the SI joint resulted into reduction in pain intensity and improved physical function in the majority of patients with SI joint pain. Funding: Not declared. PMID: 30602801 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Mothers' perspectives of newborn hearing screening programme.
Conclusion: There is inadequate knowledge about newborn hearing screening and risk factors for infant hearing loss among the mothers, though they demonstrate willingness to accept the newborn hearing screening. Funding: None declared. PMID: 30602802 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Iodine levels in brands of salt on the markets of Accra, Ghana.
Conclusion: Only samples B and C were close to the Ghana Standard Authority's specification. The Ghana Standard Authority's standard of 100ppm at production and 50ppm at retail may be too high or, probably, the salt iodination companies are not adhering to the rules. The authors therefore recommend that the regulatory authorities (The Food and Drugs Authority and The Ghana Standard Authority) regularize their regulatory activities and educate the public appropriately. Funding: The study was self-funded by the researchers/authors. PMID: 30602803 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Two case reports on Mandibular metastases.
We report two cases of metastatic lesions in the mandible: (1) A 19year old male with right mandibular swelling and a nodular swelling in the distal two-third of the right tibia. Radiograghs revealed sclerotic lesion with a sunburst appearance in both the jaw and tibia. Histology of the jaw lesion confirmed a metastatic osteosarcoma of the mandible. (2) A 51year old female with a right mandibular swelling with associated swelling in the anterior neck, right shoulder and right parietal region of the skull. Computerised tomography scan (CT) of the jaws showed an osteolytic lesion of the right mandible. CT scan of the brain a...
Source: Ghana Medical Journal - January 4, 2019 Category: African Health Tags: Ghana Med J Source Type: research

Hepatitis C virus infection in Ghana: time for action is now.
Authors: Tachi K PMID: 30013253 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - July 19, 2018 Category: African Health Tags: Ghana Med J Source Type: research

Audit of antenatal steroid use in mothers of preterms admitted to a neonatal intensive care unit in Ghana.
Conclusions: This study has shown a low uptake of antenatal corticosteroids, similar to other low-income and middle-income countries. To improve preterm survival and morbidity, there is an urgent need to increase the use of corticosteroids before preterm deliveries in Ghana and other low-income and middle-income countries. Funding: Not indicated. PMID: 30013254 [PubMed - in process] (Source: Ghana Medical Journal)
Source: Ghana Medical Journal - July 19, 2018 Category: African Health Tags: Ghana Med J Source Type: research

Where do delays occur when women receive antenatal care? A client flow multi-site study in four health facilities in Nigeria.
Conclusion: There was substantial delay in time spent to receive care by women seeking routine antenatal health services in the four secondary and tertiary care hospitals. We recommend managers in health facilities include the reduction of waiting times in the strategic plans for improving the quality of antenatal care in the hospitals. This should include the use of innovative payment systems that excludes payment at time of service delivery, adoption of a fast-track system such as pre-packing of frequently used commodities and the use of new tech informational materials for the provision of health education. Funding:...
Source: Ghana Medical Journal - July 19, 2018 Category: African Health Tags: Ghana Med J Source Type: research