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1

Sneddon, Jacqueline, Daniel Afriyie, Israel Sefah, et al. "Developing a Sustainable Antimicrobial Stewardship (AMS) Programme in Ghana: Replicating the Scottish Triad Model of Information, Education and Quality Improvement." Antibiotics 9, no. 10 (2020): 636. http://dx.doi.org/10.3390/antibiotics9100636.

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(1) Background: Our aim was to develop robust and reliable systems for antimicrobial stewardship (AMS) in Keta Municipal Hospital and Ghana Police Hospital. Objectives were to build capacity through training staff in each hospital, establish AMS teams, collect data on antibiotic use and support local quality improvement initiatives. (2) Methods: The Scottish team visited Ghana hospitals on three occasions and the Ghanaian partners paid one visit to Scotland. Regular virtual meetings and email communication were used between visits to review progress and agree on actions. (3) Results: Multi-pro
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Guo, Du Jian, Patrick Boateng Sarpong, Henry Asante Antwi, and Isaac Adjei Mensah. "Evaluation of Green Procurement Practices Among Mining Companies’ Hospitals in Ghana: A Qualitative Analysis." Environmental Health Insights 14 (January 2020): 117863021984311. http://dx.doi.org/10.1177/1178630219843115.

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This study focuses on the evaluation of the green procurement practices among 7 mining hospitals in Ghana via qualitative analysis techniques. Thus, in this study, based on a 5-year case study, the practices of procurement officers in 7 hospitals belonging to mining companies in Ghana are explored. Within this period, interviews were conducted with key persons with recognizable responsibilities within the supply chain and procurement setup of the facilities. Details of their procurement practices, procedures, and policies were analyzed. A qualitative approach to organizational learning and pra
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Debrah, Samuel, Peter Donkor, Charles Mock, et al. "Increasing the use of continuing professional development courses to strengthen trauma care in Ghana." Ghana Medical Journal 54, no. 3 (2020): 197–200. http://dx.doi.org/10.4314/gmj.v54i3.11.

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Injury is a major cause of death and disability in Ghana. Strengthening care of the injured is essential to reduce this burden. Trauma continuing professional development (CPD) courses are an important component of strengthening trauma care. In many countries, including Ghana, their use needs to be more uniformly promoted. We propose lowcost strategies to increase the utilization of trauma CPD in Ghana, especially in district hospitals and higher need areas. These strategies include developing plans by regional health directorates and teaching hospitals for the regions for which they are respo
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Brathwaite, Kimberly P., Fiona Bryce, Laurel B. Moyer, et al. "Evaluation of two newborn resuscitation training strategies in regional hospitals in Ghana." Resuscitation Plus 1-2 (March 2020): 100001. http://dx.doi.org/10.1016/j.resplu.2020.100001.

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5

Le, Tuan Minh, Serdar Yilmaz, and Smile Kwawukume. "Riding the Tide of Oil Revenue Cyclicity: Enhancing Public Investment Management Efficiency in Ghana." Case Studies in Business and Management 3, no. 2 (2016): 38. http://dx.doi.org/10.5296/csbm.v3i2.9800.

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Popular expectations for more public infrastructure services (i.e., hospitals, schools, roads) run high in Ghana because of recently discovered major oil and gas reserves in its’ offshore deposits. However, Ghana doesn’t have a good track record of using natural resource revenues, be it gold or cocoa, efficiently and effectively for development. The hard fact is that despite significant gold and cocoa revenues, the country has always experienced chronic infrastructure “deficit.” It is unclear if the surge in oil revenues did translate into better development outcomes, whereas the sharp drop in
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Dadzie, Dora, Richard Okyere Boadu, Cyril Mark Engmann, and Nana Amma Yeboaa Twum-Danso. "Evaluation of neonatal mortality data completeness and accuracy in Ghana." PLOS ONE 16, no. 3 (2021): e0239049. http://dx.doi.org/10.1371/journal.pone.0239049.

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Background Cause-specific mortality data are required to set interventions to reduce neonatal mortality. However, in many developing countries, these data are either lacking or of low quality. We assessed the completeness and accuracy of cause of death (COD) data for neonates in Ghana to assess their usability for monitoring the effectiveness of health system interventions aimed at improving neonatal survival. Methods A lot quality assurance sampling survey was conducted in 20 hospitals in the public sector across four regions of Ghana. Institutional neonatal deaths (IND) occurring from 2014 t
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Kuupiel, Desmond, Kwame M. Adu, Vitalis Bawontuo, et al. "Geographical Accessibility to Glucose-6-Phosphate Dioxygenase Deficiency Point-of-Care Testing for Antenatal Care in Ghana." Diagnostics 10, no. 4 (2020): 229. http://dx.doi.org/10.3390/diagnostics10040229.

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Background: Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency screening test is essential for malaria treatment, control, and elimination programs. G6PD deficient individuals are at high risk of severe hemolysis when given anti-malarial drugs such as primaquine, quinine, other sulphonamide-containing medicines, and chloroquine, which has recently been shown to be potent for the treatment of coronavirus disease (COVID-19). We evaluated the geographical accessibility to POC testing for G6PD deficiency in Ghana, a malaria-endemic country. Methods: We obtained the geographic information of 100 r
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Abban, Ebenezer Kenneth. "Impact of Length of Stay on both Financial Health and Medical Outcomes of Mission Hospitals in Rural Ghana." TEXILA INTERNATIONAL JOURNAL OF MANAGEMENT 7, no. 2 (2021): 175–82. http://dx.doi.org/10.21522/tijmg.2015.07.02.art015.

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One of the major key clinical indicators of hospital performance is length of stay (LOS). This denominator is calculated in averages. The role of this measure could be dual (as medical outcome or financial health indicator). Regardless, it can also be observed as either positive or negative variable depending on how it is measured. By this study, LOS was assessed on both counts: as a measure of financial health and also as medical outcome of hospital. The investigator concludes, after thorough evaluation of available data, from both structured interviews and responses to a set of questions in
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Yennurajalingam, Sriram, Charles E. Amos, John Weru, et al. "Extension for Community Healthcare Outcomes-Palliative Care in Africa Program: Improving Access to Quality Palliative Care." Journal of Global Oncology, no. 5 (December 2019): 1–8. http://dx.doi.org/10.1200/jgo.19.00128.

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PURPOSE There is limited access to quality palliative care (PC) for patients with advanced cancer in sub-Saharan Africa. Our aim was to describe the development of the Project Extension for Community Healthcare Outcomes-Palliative Care in Africa (ECHO-PACA) program and describe a preliminary evaluation of attitudes and knowledge of participants regarding the ability of the program to deliver quality PC. METHODS An interdisciplinary team at the MD Anderson Cancer Center, guided by experts in PC in sub-Saharan Africa, adapted a standardized curriculum based on PC needs in the region. Participant
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Wubah, Araba A., Jean A. Yankson, Cameron Sumpter, et al. "Evaluation of an ICD logging system to supplement an EMR in a Sub-Saharan country." Journal of Hospital Administration 7, no. 2 (2018): 8. http://dx.doi.org/10.5430/jha.v7n2p8.

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Adoption of electronic medical records (EMRs) has been spotty and sluggish in the world, including the United States, despite the multiple benefits of medical technology and informatics. Though there are difficulties in establishing and maintaining an EMR system in a developing country, it is not impossible. The International Classification of Diseases (ICD) Logger, called CREDO (Clinical Rotation Evaluation and Documentation Organizer), developed by Edward Via College of Osteopathic Medicine (VCOM), provides a straightforward, economical EMR system to use in a developing country, such as Ghan
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11

Antwi-Adjei, Ellen Konadu, Emmanuel Owusu, Emmanuel Kobia-Acquah, Emmanuella Esi Dadzie, Emmanuel Anarfi, and Seth Wanye. "Evaluation of postoperative refractive error correction after cataract surgery." PLOS ONE 16, no. 6 (2021): e0252787. http://dx.doi.org/10.1371/journal.pone.0252787.

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Suboptimal cataract surgery outcomes remain a challenge in most developing countries. In Ghana, about 2 million people have been reported to be blind due to cataract with about 20% new cases being recorded yearly. The aim of this study was to evaluate postoperative correction of refractive errors after cataract surgery in a selected eye hospital in Ashanti Region, Ghana. This was a retrospective study where medical records of patients (aged 40–100) who reported to an eye hospital in Ghana from 2013–2018 were reviewed. Included in the study were patients aged ≥40 years and patients with complet
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12

Osei-Yeboah, James, William K. B. A. Owiredu, Gameli Kwame Norgbe, et al. "Quality of Life of People Living with HIV/AIDS in the Ho Municipality, Ghana: A Cross-Sectional Study." AIDS Research and Treatment 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/6806951.

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Quality of life (QoL) is an important component in the evaluation of the wellbeing of people living with HIV/AIDS (PLHIV). This study was aimed at evaluating the QoL of PLHIV attending the antiretroviral clinics in the Ho municipality. A cross-sectional study was conducted from January 2017 to April 2017 involving 158 purposively selected HIV-positive patients who were attending the antiretroviral clinics both in the Volta Regional Hospital and Ho Municipal Hospital. An Interviewer administered standard questionnaire (WHOQOL-HIV Bref) was used to collect information on sociodemography, medical
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Mensah, K. B. "P0057 An evaluation of current morphine prescribing practice at Komfo Anokye Teaching Hospital, Ghana." European Journal of Cancer 50 (May 2014): e24. http://dx.doi.org/10.1016/j.ejca.2014.03.101.

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14

Aboagye, Evans, Emmanuel Asante, Felicia Owusu-Afriyie, Nicholas Titiloye, and Babatunde Duduyemi. "Histopathological Pattern of Prostate Cancer in a Tertiary Hospital in Ghana." American Journal of Clinical Pathology 152, Supplement_1 (2019): S72. http://dx.doi.org/10.1093/ajcp/aqz113.085.

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Abstract Objectives Prostate adenocarcinoma (PCa) accounts for considerable morbidity in aging men in Africa. With fewer studies reporting on PCa within the subregion, this study was set out to analyze various clinicopathological patterns in PCa lesions, providing additional data for comparison with reported PCa cases in other parts of the globe. Methods The study included prostatic adenocarcinoma tissues received in the Department of Pathology, Komfo Anokye Teaching Hospital, over a period of 6 years (from 2008 to 2013). Relevant clinical data including age, histopathological diagnosis, and G
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15

Orish, Verner N., Adekunle O. Sanyaolu, Chuku Okorie, Alex Ilechie, Onyekachi S. Onyeabor, and Theophilus Combey. "Evaluation of Blood Transfusions in Anemic Children in Effia Nkwanta Regional Hospital, Sekondi-Takoradi, Ghana." American Journal of Tropical Medicine and Hygiene 94, no. 3 (2016): 691–94. http://dx.doi.org/10.4269/ajtmh.15-0310.

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16

Orish, Verner, Alex Ilechie, Theophilus Combey, Onyekachi Onyeabor, Chuku Okorie, and Adekunle Sanyaolu. "Evaluation of Blood Transfusion in Anemic Children in Effia Nkwanta Regional Hospital, Sekondi-Takoradi, Ghana." American Journal of Clinical Pathology 144, suppl 2 (2015): A034. http://dx.doi.org/10.1093/ajcp/144.suppl2.034.

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17

Afriyie, Daniel Kwame, Seth Kwabena Amponsah, Justice Dogbey, et al. "A pilot study evaluating the prescribing of ceftriaxone in hospitals in Ghana: findings and implications." Hospital Practice 45, no. 4 (2017): 143–49. http://dx.doi.org/10.1080/21548331.2017.1348139.

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18

Agyemang-Yeboah, Francis, Benjamin Ackon Jnr Eghan, Max Efui Annani-Akollor, Eliezer Togbe, Sampson Donkor, and Bright Oppong Afranie. "Evaluation of Metabolic Syndrome and Its Associated Risk Factors in Type 2 Diabetes: A Descriptive Cross-Sectional Study at the Komfo Anokye Teaching Hospital, Kumasi, Ghana." BioMed Research International 2019 (May 2, 2019): 1–8. http://dx.doi.org/10.1155/2019/4562904.

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Background. Metabolic syndrome (MS) is a collection of cardiovascular risk factors comprising insulin resistance, dyslipidemia, obesity, and hypertension, which may cause further complications in diabetes. Although metabolic syndrome (MS) is increasing in incidence in diabetics and leading to significant cardiovascular diseases and mortality, there is dearth of data in Ghana. This study investigated metabolic syndrome, its prevalence, and its associated risk factors in type 2 diabetes at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Methods. The study involved 405 diabetic patients attend
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19

Bekoe, Andrew Nii Adzei, Emmanuel Alote Allotey, Elliot Elikplim Akorsu, et al. "Inter-rater Variability in Malaria Microscopy at the LEKMA Hospital, Ghana." Journal of Parasitology Research 2020 (December 4, 2020): 1–6. http://dx.doi.org/10.1155/2020/8897337.

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Background. Malaria remains a major cause of morbidity and mortality worldwide and particularly in sub-Saharan Africa where it is endemic. As such, it is important that a proper diagnosis is made before treatment is initiated. Malaria parasite count plays a key role in the diagnosis and management of malaria. Variations in ratings by laboratory personnel can impact negatively on the treatment regimen for malaria-infected patients. The study is thus aimed at evaluating and comparing the proficiency and parasitaemia counts by two different categories of laboratory staff at the LEKMA Hospital, Gh
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Anto, Enoch Odame, Christian Obirikorang, Max Efui Annani-Akollor, et al. "Evaluation of Dyslipidaemia Using an Algorithm of Lipid Profile Measures among Newly Diagnosed Type II Diabetes Mellitus Patients: A Cross-Sectional Study at Dormaa Presbyterian Hospital, Ghana." Medicina 55, no. 7 (2019): 392. http://dx.doi.org/10.3390/medicina55070392.

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Background and Objectives: Dyslipidaemia and its associated complications have been reported to increase mortality among type 2 diabetes mellitus (T2DM) patients. However, there is a dearth of data on the incidence of dyslipidemia among Ghanaian patients with T2DM. This study evaluated dyslipidemia among newly diagnosed T2DM patients at Dormaa Presbyterian Hospital, Ghana. Materials and Methods: This cross-sectional study recruited a total of 215 participants at the Presbyterian Hospital, Dormaa-Ghana. A well-structured questionnaire was administered to collect demographic data. Predisposing f
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21

Ashinyo, Mary Eyram, Kingsley E. Amegah, Stephen Dajaan Dubik, et al. "Evaluation of water, sanitation and hygiene status of COVID-19 healthcare facilities in Ghana using the WASH FIT approach." Journal of Water, Sanitation and Hygiene for Development 11, no. 3 (2021): 398–404. http://dx.doi.org/10.2166/washdev.2021.254.

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Abstract Access to improved water, sanitation and hygiene (WASH) is essential for the delivery of high-quality care in healthcare facilities and the prevention of hospital-acquired infections such as the transmission of the SARS-CoV-2. In addition, unimpeded access to WASH facilities in coronavirus disease 2019 (COVID-19) treatment centres (TCs) is central in facilitating compliance with infection prevention and control protocols. However, data for the WASH status of COVID-19 TCs in Ghana are limited. We evaluated the WASH status of seven COVID-19 TCs in Ghana using the WHO/UNICEF water and sa
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Yakubu, Abdul-Subulr, Alhassan Abdul-Mumin, and Odalys Rivera. "Evaluation of management of snake bites in a teaching hospital in northern Ghana: a retrospective descriptive study." International Journal Of Community Medicine And Public Health 6, no. 3 (2019): 920. http://dx.doi.org/10.18203/2394-6040.ijcmph20190573.

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Background: Snakebite is a public health problem afflicting mainly rural farmers. We seek to examine the profile and management of snakebite cases presenting to the Tamale Teaching Hospital of Ghana over a 30-month period.Methods: One hundred and ninety-two cases of snakebites presenting to the Tamale Teaching Hospital over a 30-month period from January 2016 to June 2018 were retrospectively analyzed. Information about the clinical manifestation of the snakebites, treatment instituted as well as the outcome was extracted from patient folders for the analysis.Results: Out of the 192 cases of s
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Enweronu-Laryea, Christabel C., Eric Nsiah-Boateng, Hilary D. Andoh, Audrey Frimpong-Barfi, Francis M. Asenso-Boadi, and Moses Aikins. "Evaluating services for perinatal asphyxia and low birth weight at two hospitals in Ghana: a micro-costing analysis." Ghana Medical Journal 53, no. 4 (2020): 256. http://dx.doi.org/10.4314/gmj.v53i4.2.

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Anto, Enoch Odame, Christian Obirikorang, Emmanuel Acheampong, et al. "Evaluation of Individual and Combined Markers of Urine Dipstick Parameters and Total Lymphocyte Count as a Substitute for CD4 Count in Low-Resource Communities in Ghana." Disease Markers 2018 (2018): 1–7. http://dx.doi.org/10.1155/2018/7485942.

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We evaluated the individual and combined levels of urine dipstick and total lymphocyte count (TLC) as surrogate markers for CD4 count in a low-resource community in Ghana. This cross-sectional study recruited 200 HIV-infected patients from the Saint Francis Xavier Hospital, Assin Fosu, Ghana. Complete blood count, CD4 count, and urine dipstick analysis were measured for participants. The threshold values were determined as <350 cells/μl for CD4, <1200 cells/μl for TLC, and ≥+ on urine dipstick analysis. The mean age of participants was 43.09 years. Proteinuria ≥ + [aOR = 4.30 (3.0–18.5)]
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Kusi Amponsah, Abigail, Evans Frimpong Kyei, John Bright Agyemang, et al. "Nursing-Related Barriers to Children’s Pain Management at Selected Hospitals in Ghana: A Descriptive Qualitative Study." Pain Research and Management 2020 (January 21, 2020): 1–7. http://dx.doi.org/10.1155/2020/7125060.

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Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children’s pain management. These studies have mainly been undertaken in developed countries, which have different healthcare dynamics than those in developing countries. The current study, therefore, sought to identify and understand the nursing-related barriers to children’s pain management in the Ghanaian context. A descriptive qualitative study was conducted among
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Lartey, Seth, Ellen Konadu Antwi-Adjei, Abdul Kabir Mohammed, and Emmanuel Owusu Poku. "Indications and Outcomes of Corneal Transplant Surgery in Ghana." Annals of African Surgery 18, no. 3 (2021): 137–42. http://dx.doi.org/10.4314/aas.v18i3.3.

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Background: Corneal blindness contributes to 25% of all blindness. We review corneal transplant, a common surgical remedy, in Ghana to determine indications and visual outcomes in resource-poor environments.
 Methods: A retrospective cross-sectional study of keratoplasty evaluating indications, pre- and postoperative outcomes complications and their associations, between January 2014 and December 2018 at a teaching hospital in Ghana. Descriptive statistics and McNemar’s test were used for the analyses.
 Results: Seventy-five eyes were studied. The mean ± standard deviation (SD) age o
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Quaye, L., W. K. B. A. Owiredu, N. Amidu, Y. Adams, and A. W. Huseini. "Evaluation of HIV therapeutic agents on immunological, lipid and lipoprotein indices in Ghanaian HIV-1 infected patients." Journal of Medical and Biomedical Sciences 5, no. 3 (2017): 13–27. http://dx.doi.org/10.4314/jmbs.v5i3.2.

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HIV-1 infected patients initiating antiretroviral therapy (ART) in Ghana are placed on one of the two most commonly used non-nucleoside reverse transcriptase inhibitors (NNRTIs), nevirapine (NVP) and efavirenz (EFV), in combination with a nucleoside reverse transcriptase inhibitor backbone of either combivir (CBV) or stavudine (d4T)/lamivudine (3TC). This study sought to evaluate the effect of these therapeutic agents on weight, immunological, lipid and lipoprotein changes as well as the atherogenic indices of Ghanaian HIV-1 infected patients. This observational study was carried out at the AR
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Ziba, F. A., P. P. M. Dapare, P. Kafari, K. Tigawuti, and S. B. Nte-Ajal. "Delivery patterns among women at the Tamale West Hospital from 2012 to 2015, Northern Region, Ghana." Journal of Medical and Biomedical Sciences 6, no. 2 (2017): 38–43. http://dx.doi.org/10.4314/jmbs.v6i2.5.

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The study traces the likely route of the movement of fertility through the demographic transition from the available data obtained from the Tamale West Hospital. The information is critical for construction of population projections as well as for monitoring and evaluating action programs. This research was conducted to assess delivery patterns among women in the Tamale West Hospital for the four years under study. Retrospective cohort study design was used for this study. The data for the research work was from the Public Health Unit of Tamale West Hospital. Findings from the research reveale
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Brouillette, Mark A., Alfred J. Aidoo, Maria A. Hondras, et al. "Regional anesthesia training model for resource-limited settings: a prospective single-center observational study with pre–post evaluations." Regional Anesthesia & Pain Medicine 45, no. 7 (2020): 528–35. http://dx.doi.org/10.1136/rapm-2020-101550.

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Background and objectivesEducational initiatives are a sustainable means to address provider shortages in resource-limited settings (RLS), yet few regional anesthesia curricula for RLS have been described. We sought to design a reproducible training model for RLS called Global Regional Anesthesia Curricular Engagement (GRACE), implement GRACE at an RLS hospital in Ghana, and measure training and practice-based outcomes associated with GRACE implementation.MethodsFourteen of 15 physician anesthesiologists from the study location and three from an outside orthopedic specialty hospital consented
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Edzie, Emmanuel Kobina Mesi, Klenam Dzefi-Tettey, Philip Narteh Gorleku, et al. "Evaluation of the Clinical and Imaging Findings of Breast Examinations in a Tertiary Facility in Ghana." International Journal of Breast Cancer 2021 (July 19, 2021): 1–9. http://dx.doi.org/10.1155/2021/5541230.

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Breast diseases have been one of the major battles the world has been fighting. In winning this fight, the role of medical imaging cannot be overlooked. Breast imaging reveals hidden lesions which aid physicians to give the appropriate diagnosis and definitive treatment, hence this study, to determine the clinical and imaging findings of breast examinations to document the radiologic features in our setting. This cross-sectional retrospective study reviewed the sociodemographics, imaging reports (mammography and ultrasonography with BI-RADS scores and their features), and the clinical data of
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Gbadamosi, Hafisatu, Yaw B. Mensah, and Samuel Asiamah. "MRI features in the non-traumatic spinal cord injury patients presenting at the Korle Bu Teaching Hospital, Accra." Ghana Medical Journal 52, no. 3 (2018): 127–32. http://dx.doi.org/10.4314/gmj.v52i3.4.

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Background: Neurological limb deficit due to non-traumatic myelopathy is a disabling and distressing neurological condition. In recent time Magnetic Resonance Imaging (MRI) has proven to be the ultimate imaging modality for evaluating pathologies of the spinal cord.Objective: To describe the Magnetic Resonance Imaging (MRI) features of patients with Non-Traumatic Spinal Cord Injury evaluated at the Korle Bu Teaching Hospital.Methods: A descriptive cross-sectional study was carried out at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. Results: Out of a total of 141 MRI’s evaluated 60.3% w
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Danquah, Kwabena Owusu, Kofi Mensah, Charles Nkansah, et al. "Molecular Characterization of Glucose-6-Phosphate Dehydrogenase: Do Single Nucleotide Polymorphisms Affect Hematological Parameters in HIV-Positive Patients?" Journal of Tropical Medicine 2020 (August 1, 2020): 1–7. http://dx.doi.org/10.1155/2020/5194287.

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This descriptive, cross-sectional study aimed at evaluating the prevalence of G6PD deficiency and the 376A ⟶ G, 202G ⟶ A single nucleotide polymorphisms (SNPs) among HIV patients attending care at a teaching hospital in Ghana and determine how the SNPs affect haematological profile in HIV. A total of 200 HIV-positive Ghanaians were recruited. Venous blood samples were obtained and complete blood count, and G6PD screening and genotyping for the 376A ⟶ G, 202G ⟶ A SNPs were performed. Out of the 200 participants, 13.0% (26/200) were G6PD-deficient based on the methemoglobin reductase technique,
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B. Mensah, Yaw, Lawrence Buadi, Afua Abrahams, Andrea A. Y. Appau, and Kwadwo Mensah. "Recurrent leiomyomatosis peritonealis disseminate: a case report." Ghana Medical Journal 55, no. 2 (2021): 160–64. http://dx.doi.org/10.4314/gmj.v55i2.11.

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Leiomyomatosis peritonealis disseminata (LPD), a rare and unusual condition affecting mainly women of reproductive age, causes peritoneal and subperitoneal nodules formed by smooth muscle. Very few cases have been diagnosed since the disease was first described. We present a 42year old female who was managed for infertility and uterine myomata at a Municipal hospital in Ghana. Following a pelvic ultrasound diagnosis of multiple uterine myomata the patient was booked for myomectomy. At surgery to remove her myomata, the patient was found to have several peritoneal nodules some of which were att
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Bosu, W. K., and D. Ofori-Adjei. "A 1-Day Survey of Drug Prescribing Patterns in the District General Hospital of the Wassa West District of Ghana." Tropical Doctor 27, no. 4 (1997): 222–26. http://dx.doi.org/10.1177/004947559702700412.

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A 1-day prevalence survey of the drug prescribing patterns for 45 in-patients of the Tarkwa Government Hospital was undertaken in November 1995. An average of 3.6 drugs were prescribed per patient. The commonest prescribed drugs were paracetamol, chloroquine, amoxycillin, gentamicin and ampicillin. Of 162 drug items prescribed, 93.2% were on the national Essential Drugs List (EDL) and 61.1% were prescribed by their generic names. Over 60% of the patients received one or more injectable drugs or antibiotics. The use of injectable drugs on the wards ranged from nil on the male surgical ward to 9
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Wuni, Abubakari, Solomon Mohammed Salia, Mudasir Mohammed Ibrahim, et al. "Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study." Pain Research and Management 2020 (November 30, 2020): 1–11. http://dx.doi.org/10.1155/2020/8846599.

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Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurs
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Acheampong, Frempong, Theresa Dery, Rita Appiah, and Daniel A. Abaye. "Induced Electromagnetic Fields Estimation in Spine Examinations of MRI Patients: A Re-Evaluation of Existing Clinical Protocols at a Hospital in Accra, Ghana." Journal of Applied Mathematics and Physics 06, no. 05 (2018): 1065–75. http://dx.doi.org/10.4236/jamp.2018.65092.

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Jimah, Bashiru Babatunde, Anthony Baffour Appiah, Benjamin Dabo Sarkodie, and Dorothea Anim. "Ketamine Use in Hysterosalpingography (the Jimah Procedure): A Follow-Up of Bilateral Tubal Evaluation of 27 Infertile Women at a Teaching Hospital, Ghana." Radiology Research and Practice 2021 (April 17, 2021): 1–6. http://dx.doi.org/10.1155/2021/6657137.

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Background. Pain, anxiety, and distress are common in radiological investigations including hysterosalpingogram (HSG). Studies suggest that sedation allows patients to better tolerate diagnostic imaging and image-guided procedures by relieving anxiety, discomfort, and pain. This study aimed at assessing the safety and effectiveness of ketamine use in HSG and the proportion of true positive bilateral tubal blockage during HSG using the Jimah Procedure. Methods. We performed repeated HSG workup under IV ketamine (20–40 mg/mL) sedation for 27 infertile women at the Cape Coast Teaching Hospital. T
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Kyei, K. A., and P. Engel-Hills. "A pain survey to support role development for Radiation Therapists in Ghana." Journal of Radiotherapy in Practice 12, no. 2 (2012): 105–13. http://dx.doi.org/10.1017/s1460396912000040.

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AbstractA research study was conducted at the radiation oncology department of a large teaching hospital in Ghana, to determine whether the use of a pain questionnaire would facilitate a contribution by the radiation therapists (RTs) to the management of pain in the patients undergoing external beam radiotherapy. The rationale for the study was to test the pain questionnaire as a tool for routine use by RTs and to increase the knowledge and skill of the RTs with regard to pain assessment in order that they could have an effective role in the multidisciplinary approach to pain management.The pa
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Obeng-Nkrumah, Noah, Kingsley Twum-Danso, Karen A. Krogfelt, and Mercy J. Newman. "High Levels of Extended-Spectrum Beta-Lactamases in a Major Teaching Hospital in Ghana: The Need for Regular Monitoring and Evaluation of Antibiotic Resistance." American Journal of Tropical Medicine and Hygiene 89, no. 5 (2013): 960–64. http://dx.doi.org/10.4269/ajtmh.12-0642.

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Akpalu, Albert, Fred Stephen Sarfo, Bruce Ovbiagele, et al. "Phenotyping Stroke in Sub-Saharan Africa: Stroke Investigative Research and Education Network (SIREN) Phenomics Protocol." Neuroepidemiology 45, no. 2 (2015): 73–82. http://dx.doi.org/10.1159/000437372.

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Background: As the second leading cause of death and the leading cause of adult-onset disability, stroke is a major public health concern particularly pertinent in Sub-Saharan Africa (SSA), where nearly 80% of all global stroke mortalities occur, and stroke burden is projected to increase in the coming decades. However, traditional and emerging risk factors for stroke in SSA have not been well characterized, thus limiting efforts at curbing its devastating toll. The Stroke Investigative Research and Education Network (SIREN) project is aimed at comprehensively evaluating the key environmental
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Osei-Yeboah, James, William K. B. A. Owiredu, Gameli Kwame Norgbe, et al. "The Prevalence of Metabolic Syndrome and Its Components among People with Type 2 Diabetes in the Ho Municipality, Ghana: A Cross-Sectional Study." International Journal of Chronic Diseases 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/8765804.

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The cooccurrence of diabetes mellitus and metabolic syndrome potentiates the cardiovascular risk associated with each of the conditions; therefore characterizing metabolic syndrome among people with type 2 diabetes is beneficial for the purpose of cardiovascular disease prevention. This study aims at evaluating the prevalence of metabolic syndrome and its components among 162 patients with type 2 diabetes attending the diabetic clinic of the Ho Municipal Hospital, Ghana. Data obtained included anthropometric indices, blood pressure, serum lipids, glucose, and sociodemographics and clinical inf
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Lokpo, Sylvester Yao, Mavis Popuelle Dakorah, Gameli Kwame Norgbe, et al. "The Burden and Trend of Blood-Borne Pathogens among Asymptomatic Adult Population in Akwatia: A Retrospective Study at the St. Dominic Hospital, Ghana." Journal of Tropical Medicine 2017 (2017): 1–7. http://dx.doi.org/10.1155/2017/3452513.

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Background. This study was aimed at evaluating the seroprevalence and trend of blood-borne pathogens (HIV, HCV, HBV, and Syphilis) among asymptomatic adults at Akwatia during a four-year period (2013–2016). Materials and Methods. The study was a retrospective analysis of secondary data of blood donors who visited the hospital from January 2013 to December 2016. Archival data from 11,436 prospective donors was extracted. Data included age, sex, and place of residence as well as results of infectious markers (HIV, HBV, HCV, and Syphilis). Results. The prevalence of blood-borne pathogens in the d
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Fondjo, Linda Ahenkorah, Samuel Asamoah Sakyi, William K. B. A. Owiredu, et al. "Evaluating Vitamin D Status in Pre- and Postmenopausal Type 2 Diabetics and Its Association with Glucose Homeostasis." BioMed Research International 2018 (2018): 1–12. http://dx.doi.org/10.1155/2018/9369282.

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Background. Type 2 Diabetes Mellitus (T2DM) and menopause are associated with vitamin D status. Oestrogen decline during menopausal stages promotes hypovitaminosis D. However, the interplay between vitamin D, menopause, lifestyle, and T2DM cannot be overlooked. This study assessed vitamin D status among pre- and postmenopausal T2DM women and determined its association with glycemic control and influence of lifestyle habits on hypovitaminosis D.Methods. This cross-sectional study was conducted at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Structured questionnaires were administered to 1
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Sakyi, Samuel Asamoah, Kwabena Owusu Danquah, Richard Dadzie Ephraim, et al. "Evaluating the Contribution of Nocardia spp. and Mycobacterium tuberculosis to Pulmonary Infections among HIV and Non-HIV Patients at the Komfo Anokye Teaching Hospital, Ghana." Canadian Journal of Infectious Diseases and Medical Microbiology 2018 (November 19, 2018): 1–7. http://dx.doi.org/10.1155/2018/2910198.

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Tuberculosis (TB) is a major cause of human mortality particularly in association with the human immunodeficiency virus (HIV). Nocardia spp. has emerged as an opportunistic infection especially in HIV patients. The high prevalence of TB and HIV coupled with the lack of a definitive laboratory diagnosis for Nocardia spp. could lead to misdiagnosed pulmonary TB. This study determined the prevalence of pulmonary infections due to Nocardia spp. and Mycobacterium tuberculosis in sputum of HIV and non-HIV patients with suspected pulmonary tuberculosis at KATH. A total of sixty sputum samples were ob
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Acquah, SEK, L. Quaye, W. Walana, et al. "Trends in sputum smear conversion among smear-positive pulmo-nary tuberculosis patients." Journal of Medical and Biomedical Sciences 4, no. 1 (2015): 24–33. http://dx.doi.org/10.4314/jmbs.v4i1.4.

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Sputum smear conversion during pulmonary tuberculosis treatment is an important indicator of patient response to therapy and as such determines the direction of TB patient care. This retro-spective review assessed the trends in sputum smear evaluation and conversion rates among follow up pulmonary tuberculosis patients presenting to the Tamale Teaching Hospital from January 2004 to December 2012. A total of 8,238 sputum smear cases comprising of 6,892 (83.7%) diagnoses and 1,346 (16.3%) follow-up cases were recorded. The 1,346 follow-up cases comprised of 57.8% (778/1346) males and 42.2% (568/
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Sneddon, Jacqueline, Lesley Cooper, Daniel Kwame Afriyie, et al. "Supporting antimicrobial stewardship in Ghana: evaluation of the impact of training on knowledge and attitudes of healthcare professionals in two hospitals." JAC-Antimicrobial Resistance 2, no. 4 (2020). http://dx.doi.org/10.1093/jacamr/dlaa092.

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Abstract Background A Commonwealth Partnership for Antimicrobial Stewardship was created between the Scottish Antimicrobial Prescribing Group (SAPG), Ghana Police Hospital and Keta Municipal Hospital. During a scoping visit, requirements for implementing antimicrobial stewardship (AMS), areas for improvement and training needs were identified. Methods A multidisciplinary team from SAPG and health psychologists from The Change Exchange developed and delivered multi-professional evidence-based teaching incorporating behavioural science, supported by partner pharmacists in each hospital. Four ses
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Singh, Kavita, Ilene Speizer, Pierre M. Barker, et al. "Evaluating the impact of a hospital scale-up phase of a quality improvement intervention in Ghana on mortality for children under five." International Journal for Quality in Health Care, July 19, 2019. http://dx.doi.org/10.1093/intqhc/mzz073.

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Abstract Objective To evaluate the scale-up phase of a national quality improvement initiative across hospitals in Southern Ghana. Design This evaluation used a comparison of pre- and post-intervention means to assess changes in outcomes over time. Multivariable interrupted time series analyses were performed to determine whether change categories (interventions) tested were associated with improvements in the outcomes. Setting Hospitals in Southern Ghana Participants The data sources were monthly outcome data from intervention hospitals along with program records. Intervention The project use
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Owolabi, Mayowa O., Fred S. Sarfo, Onoja Akpa, et al. "Abstract TP166: The Topmost Modifiable Risk Factors for Stroke Among People of African Ancestry." Stroke 48, suppl_1 (2017). http://dx.doi.org/10.1161/str.48.suppl_1.tp166.

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Background: Regional and geographical variations exist in stroke burden and risk factor distribution. The unique and dominant risk factors for stroke among people of African ancestry where the burden of stroke is escalating, are poorly understood. Such information is crucial in prioritizing tailor-made interventions to tackle the menace of stroke in developing countries. Purpose: We aimed to identify and quantify the contributions of the topmost modifiable risk factors for stroke occurrence in people of African ancestry within the context of the Stroke Investigative Research and Educational Ne
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Gyedu, Adam, Barclay Stewart, Cameron Gaskill, et al. "A Nationwide Enumeration of Operations Performed for Pediatric Patients in Ghana." European Journal of Pediatric Surgery, April 2, 2020. http://dx.doi.org/10.1055/s-0040-1705130.

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Abstract Introduction Currently, there are no existing benchmarks for evaluating a nation's pediatric surgical capacity in terms of met and unmet needs. Materials and Methods Data on pediatric operations performed from 2014 to 2015 were obtained from a representative sample of hospitals in Ghana, then scaled up for national estimates. Operations were categorized as “essential” (most cost-effective, highest population impact) as designated by the World Bank's Disease Control Priorities versus “other.” Estimates were then compared with pediatric operation rates in New Zealand to determine unmet
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Apedzi, Anthony Kwame. "Appraising Annual Job Evaluation for staff of St Elizabeth Hospital, Hwidiem, Ghana." Biomedical Journal of Scientific & Technical Research 30, no. 3 (2020). http://dx.doi.org/10.26717/bjstr.2020.30.004948.

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