628 results match your criteria Ghana medical journal[Journal]


Wooden toothpick partially embedded in the gastric antrum: a case report of an unusual finding in open access gastrointestinal endoscopy.

Ghana Med J 2018 Jun;52(2):112-114

Department of Medicine and Therapeutics, Cape Coast Teaching Hospital, P.O Box 1363, Cape Coast, Ghana.

Ingested toothpick is an unusual occurrence in clinical practice. This is a medical emergency and all effort should be made to localize the toothpick and appropriate intervention instituted. 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. Read More

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https://www.ajol.info/index.php/gmj/article/view/174672
Publisher Site
http://dx.doi.org/10.4314/gmj.v52i2.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326537PMC
June 2018
4 Reads

The pathologist in Ghana and potential for research.

Authors:
Jehoram T Anim

Ghana Med J 2018 Jun;52(2):103-111

P. O. Box LG 748, Legon, Accra, Ghana.

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. Read More

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http://dx.doi.org/10.4314/gmj.v52i2.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326544PMC
June 2018
1 Read

Recommendations for cervical cancer prevention and control in Ghana: public education and human papillomavirus vaccination.

Ghana Med J 2018 Jun;52(2):94-102

Hugh Adam Cancer Epidemiology Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, Otago, New Zealand.

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. Read More

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https://www.ajol.info/index.php/gmj/article/view/174670
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http://dx.doi.org/10.4314/gmj.v52i2.6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326540PMC
June 2018
4 Reads

Parasitic contamination of commonly consumed vegetables in two markets in Ghana.

Ghana Med J 2018 Jun;52(2):88-93

Epidemiology Unit, Ensign College of Public Health, Akosombo, Kpong, Ghana.

Introduction: Fresh vegetables are an important source of vital nutrients. Poor farming practices and improper washing put consumers at risk of parasitic infections. This study explored the presence of parasitic contamination of commonly-consumed vegetables procured from two markets in Ghana. Read More

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https://www.ajol.info/index.php/gmj/article/view/174669
Publisher Site
http://dx.doi.org/10.4314/gmj.v52i2.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326541PMC
June 2018
6 Reads

Visual impairment amongst adult diabetics attending a tertiary outpatient clinic.

Ghana Med J 2018 Jun;52(2):84-87

Komfo Anokye Teaching Hospital, Eye Clinic. Kumasi, Ghana.

Background: To determine the prevalence of diabetic retinopathy maculopathy and cataract amongst diabetics and the prevalence of visual impairment amongst diabetics attending the Komfo Anokye Teaching Hospital eye unit. There are no current data in the study area on the prevalence of visual impairment and blindness amongst diabetics. This data is required in planning for screening and prevention of blindness due to diabetics. Read More

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https://www.ajol.info/index.php/gmj/article/view/174668
Publisher Site
http://dx.doi.org/10.4314/gmj.v52i2.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326543PMC
June 2018
4 Reads

Pattern of intracranial tumours in a tertiary hospital in Ghana.

Ghana Med J 2018 Jun;52(2):79-83

Neurosurgery Unit, Department of Surgery, Korle Bu Teaching Hospital, P.M.B KB77, Accra. Ghana.

Objective: This study seeks to describe the pattern of intracranial tumours in Korle Bu Teaching Hospital (KBTH) based on patient demographics, clinical presentation, spatial distribution of tumour and histological findings.

Method: The study design is retrospective and descriptive. Data was obtained from the clinical records of patients with intracranial tumours treated in our neurosurgery unit between January 2010 to December 2015, and histology reports obtained from the histopathology unit. Read More

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http://dx.doi.org/10.4314/gmj.v52i2.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326539PMC
June 2018
2 Reads

Performance of urinary survivin as a non-invasive molecular marker of bladdercarcinoma in a schistosomiasis endemic area.

Ghana Med J 2018 Jun;52(2):74-78

Urology Division, Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria.

Objective: To compare the sensitivity, specificity, positive predictive value, negative predictive value of urinary survivin and that of urine cytology in the diagnosis of bladder carcinoma in a schistosoma endemic area.

Design And Setting: This is a 12-month prospective study of patients with features of bladder carcinoma as study group and patients with other urologic conditions and healthy volunteers as control group.

Participants: Patients with features of bladder carcinoma formed the study group, while patients with other urological conditions and healthy volunteers formed the control group. Read More

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http://dx.doi.org/10.4314/gmj.v52i2.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326538PMC

Experience of gender-based violence to students in public and private secondary schools in Ilorin, Nigeria.

Ghana Med J 2018 Jun;52(2):66-73

Department of Health Promotion and Education, College of Medicine, University of Ibadan, Nigeria.

Objective: To determine and compare prevalence of Gender based Violence (GBV) in public and private secondary schools students and to identify factors associated with experience of GBV by the students.

Design: Comparative cross-sectional survey of using a 60 item self-administered questionnaire.

Setting: Ten public and private secondary schools in Ilorin South Local Government area of Kwara State. Read More

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https://www.ajol.info/index.php/gmj/article/view/174618
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http://dx.doi.org/10.4314/gmj.v52i2.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326542PMC
June 2018
3 Reads

Two case reports on Mandibular metastases.

Ghana Med J 2018 Sep;52(3):168-172

Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Lagos State University College of Medicine, Lagos State, Nigeria.

Metastatic tumours of the oral cavity are not common. The most common site for bone metastases in the head and neck region is the mandible. Metastatic lesion of the mandible most commonly originate from the lungs in men and breast in women, and these lesions (or tumours) usually are carcinomas rather than sarcomas. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303547PMC
September 2018
2 Reads

Iodine levels in brands of salt on the markets of Accra, Ghana.

Ghana Med J 2018 Sep;52(3):163-167

Department of Pharmaceutical Sciences, Central University, P.O. Box 2305, Miotso, Tema, Ghana.

Introduction: The analysis sought to verify the presence or otherwise and the concentration levels of iodine in the claimed iodated salts on the Ghanaian market.

Methods: Eleven (11) most patronized brands of salts, including both local and foreign brands and the raw-pellet salt (crystallized directly from sea water), were obtained from popular shops and markets in Accra. These were analysed both qualitatively and quantitatively by titrimetry, involving the iodate-iodide reaction in acid medium that generates molecular iodine (IO + I+ 6H → I + 3HO). Read More

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http://dx.doi.org/10.4314/gmj.v52i3.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303544PMC
September 2018

Mothers' perspectives of newborn hearing screening programme.

Ghana Med J 2018 Sep;52(3):158-162

Department of Otorhinolaryngology, University College Hospital, Ibadan, Nigeria.

Background: Newborn hearing screening programs identifies newborns with hearing loss. The early identification enables prompt intervention through hearing rehabilitation. Accurate knowledge of the program and its benefit will impact on the uptake of the program by the citizenry. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303543PMC
September 2018
1 Read

Fluoroscopic-guided sacroiliac, joint injections for treatment of chronic axial low back pain in a tertiary Hospital in Nigeria: a preliminary study.

Ghana Med J 2018 Sep;52(3):153-157

Department of Anaesthesia, University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Background: The injection of mixture of plain bupivacaine and triamcinolone acetonide into the sacroiliac joint (SIJ) to relieve chronic low back pain is uncommon in the West African sub-region. The objective of this study was to demonstrate the efficacy or otherwise of fluoroscopic-guided SI joint injection in the management of chronic axial low back pain in Nigeria.

Design: This was a prospective observational interventional study. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303545PMC
September 2018
1 Read

Occurrence of hypocortisolism in HIV patients: Is the picture changing?

Ghana Med J 2018 Sep;52(3):147-152

Infectious Disease unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

Background: The occurrence of endocrine diseases in people who are infected with HIV is traditionally thought to occur in the setting of AIDS with opportunistic infections and malignancies. However, recent studies find the correlation between hypocortisolism and stage of HIV (CD4 count and WHO clinical stage) inconsistent.

Methods: This descriptive cross-sectional study included three hundred and fifty (350) consecutive patients with HIV infection. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303552PMC
September 2018

Perception of risk for hypertension and overweight/obesity in Cape Coast, Ghana.

Ghana Med J 2018 Sep;52(3):140-146

Harvard Medical School, 250 Longwood Avenue, Boston, MA, USA.

Background: This study examined the association between perception of risk for hypertension and overweight/obesity.

Design: Cross-sectional questionnaire-based survey.

Setting: Out-patient department of the Central Regional Hospital in Cape Coast, Ghana. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303550PMC
September 2018

Accuracy of clinical diagnosis, mammography and ultrasonography in preoperative assessment of breast cancer.

Ghana Med J 2018 Sep;52(3):133-139

Komfo Anokye Teaching Hospital, Kumasi Ghana.

Background: Cancer of the breast is the most common malignancy affecting women in many parts of the world. Its early detection has, therefore, become necessary to reduce morbidity and mortality from the disease. In sub-Saharan Africa, radiological imaging, histology and management programs are associated with challenges. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303551PMC
September 2018
1 Read

MRI features in the non-traumatic spinal cord injury patients presenting at the Korle Bu Teaching Hospital, Accra.

Ghana Med J 2018 Sep;52(3):127-132

Department of Radiology, Korle Bu Teaching Hospital, Accra, Ghana.

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. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303546PMC
September 2018

Mobile phone use among commercial drivers in Ghana: An important threat to road safety.

Ghana Med J 2018 Sep;52(3):122-126

Department of Surgery, School of Medical Sciences, KNUST, Kumasi, Ghana.

Background: Ghana passed a law in 2012 banning the use of mobile phones while driving. However, data on compliance to the law has been lacking.

Objective: To examine factors associated with mobile phone use while driving among Ghanaian commercial drivers. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303548PMC
September 2018
7 Reads

Students' perceptions of the learning environment in two Nigerian medical schools offering different curricula.

Ghana Med J 2018 Sep;52(3):116-121

Centre for Medical Education, University of Dundee, Dundee, Scotland, United Kingdom.

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. Read More

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http://dx.doi.org/10.4314/gmj.v52i3.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303549PMC
September 2018

Sjögren's and plasma cell variant Castleman disease: a case report.

Ghana Med J 2018 Mar;52(1):61-65

Department of Medicine & Therapeutics, University of Ghana School of Medicine and Dentistry, Accra, Ghana.

Castleman disease is a rare cause of lymphoid hyperplasia and may result in localized symptoms or an aggressive, multisystem disorder. It can mimic other diseases like lymphoma or tuberculosis. It classically presents as a mediastinal mass that involves the lymphatic tissue primarily but can also affect extra lymphatic sites including the lungs, larynx, parotid glands, pancreas, meninges, and muscles. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026944PMC
March 2018
6 Reads

Impact of structured education on glucose control and hypoglycaemia in Type-2 diabetes: a systematic review of randomized controlled trials.

Ghana Med J 2018 Mar;52(1):41-60

Department of Medicine & Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.

Evidence for the use of structured education in diabetes management is accumulating and has shown positive influence in the management of Type-2 diabetes.

Objective: To assess the impact of structured education on glucose control and hypoglycaemia in the management of Type-2 diabetes.

Methods: A systematic review was done using Medline via Ovid and EMBASE databases of published English literature between 1980 and 2014. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026942PMC

Traumatic tympanic membrane perforations: characteristics and factors affecting outcome.

Ghana Med J 2018 Mar;52(1):34-40

Department of Ear Nose and Throat, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.

Objective: To characterize traumatic tympanic membrane perforation (TTMP) in terms of distribution, mechanisms, and outcome of treatment. To assess the factors influencing such outcome.

Study Design: Prospective analytical study, assessing outcomes post-injuries. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026949PMC

Changes in antioxidant status associated with haemodialysis in chronic kidney disease.

Ghana Med J 2018 Mar;52(1):29-33

Department of Medicine, University of Medical Science, Ondo, Ondo State, Nigeria.

Oxidative stress has been implicated in the pathogenesis, progression of chronic kidney disease (CKD) and development of cardiovascular complications. Hemodialysis (HD) has also been described to contribute significantly to oxidative stress in CKD patients, though reports are conflicting.

Objective: We evaluated the effects of one session of HD on the antioxidant capacity and lipid peroxidation in CKD patients. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026946PMC
March 2018
14 Reads

Depression and quality of life in patients on long term hemodialysis at a nationalhospital in Ghana: a cross-sectional study.

Ghana Med J 2018 Mar;52(1):22-28

Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra.

The study examined quality of life and prevalence of depressive symptoms in patients on long term hemodialysis. Further, it explored the impact of socio-demographic characteristics on depression and quality of life.

Design: Study design was cross-sectional. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026941PMC
March 2018
1 Read

Knowledge of spacer device, peak flow meter and inhaler technique (MDIs) among health care providers: an evaluation of doctors and nurses.

Ghana Med J 2018 Mar;52(1):15-21

Department of Medicine, Respiratory Unit, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Background: Metered dose inhalers are cornerstone in effective management of bronchial asthma when correctly used. Most studies hitherto have focused on assessing patient's knowledge of inhaler technique. We sought to assess the knowledge of inhaler technique, spacer device and peak flow meter among doctors and nurses in a tertiary healthcare institution in Nigeria. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026947PMC
March 2018
2 Reads

Where do delays occur when women receive antenatal care? A client flow multi-site study in four health facilities in Nigeria.

Ghana Med J 2018 Mar;52(1):8-14

Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.

Objectives: The objective of the study was to identify where delays occur when women present for antenatal care in four Nigerian referral hospitals, and to make recommendations on ways to reduce delays in the course of provision of antenatal care in the hospitals.

Design: Prospective observational study.

Setting: Four Nigerian (1 tertiary and 3 secondary) Hospitals. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026948PMC
March 2018
3 Reads

Audit of antenatal steroid use in mothers of preterms admitted to a neonatal intensive care unit in Ghana.

Ghana Med J 2018 Mar;52(1):3-7

Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana.

Background: Antenatal corticosteroids (ACS) are established as an effective method of reducing preterm morbidity and mortality. At the Korle Bu Teaching Hospital (KBTH), a tertiary referral centre in Ghana, it is recommended that a course of ACS should be given to mothers before delivery between 24 weeks to 34 weeks gestation.

Objectives: The study was performed primarily to determine the level of adherence to guidelines on administration of ACS. Read More

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http://dx.doi.org/10.4314/gmj.v52i1.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026943PMC
March 2018
4 Reads

Hepatitis C virus infection in Ghana: time for action is now.

Authors:
Kenneth Tachi

Ghana Med J 2018 Mar;52(1):1-2

Lecturer, Department of Medicine and Therapeutics, School of Medicine & Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.

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http://dx.doi.org/10.4314/gmj.v52i1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026945PMC
March 2018
2 Reads

Hydatid cyst of the orbit in a young Nigerian female: a case report.

Ghana Med J 2017 Dec;51(4):204-206

Pathology Department, University of Ibadan/University College Hospital, Ibadan, Oyo State, Nigeria.

Objective: To report an unusual case of orbital hydatid cyst successfully managed by surgical excision.

Case Report: A 33-year-old female presented with gradual protrusion of the left eye associated with poor vision, cosmetic embarrassment and watering. She had excision biopsy of an encapsulated cystic lesion with cheesy tissue and serous content. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870786PMC
December 2017
2 Reads

Impacted third molar transplantation on the malpracticed extraction socket.

Ghana Med J 2017 Dec;51(4):200-203

Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.

Autotransplantation with or without endodontic therapy is regarded as an alternative treatment option for the replacement of missing teeth. A primary responsibility of a maxillofacial surgeon is to reverse any malpractice to promote successful outcomes and improve the patient's quality of life. This paper presents a malpractice case of incorrect extraction of the lower second molar instead of the impacted third molar. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870792PMC
December 2017
2 Reads

Diagnosing and treating rare lesions in a low resource setting: lessons from ahybrid epithelioid trophoblastic tumor and choriocarcinoma.

Ghana Med J 2017 Dec;51(4):196-199

Department of Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana.

Objective: To raise awareness of the existence of a rare type of malignant trophoblastic tumor and discuss the diagnostic challenges and management of this lesion in a low resource setting.

Case Report And Intervention: A 35 -year -old GP woman was referred to our facility on account of persistent vaginal bleeding due to a suspected incomplete miscarriage with a cervical mass. Her serum β-HCG was elevated (36,900 mIU/ml) and examination showed a bleeding cervical mass. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870791PMC
December 2017
6 Reads

Two cases of Pentalogy of Cantrell diagnosed antenatally at Korle Bu Teaching Hospital, Accra.

Ghana Med J 2017 Dec;51(4):191-195

Korle Bu Teaching Hospital - Obstetrics & Gynaecology Department, Korle Bu, Accra, Ghana.

Pentalogy of Cantrell is a rare congenital malformation syndrome that may be associated with other congenital anomalies. The syndrome is said to affect males and females in equal numbers and the prognosis is generally poor. We report two cases of Cantrell's Pentalogy diagnosed antenatally at the Korle Bu teaching Hospital. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870783PMC
December 2017
9 Reads

Fibreoptic gastro-intestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana: a historical perspective.

Ghana Med J 2017 Dec;51(4):187-190

Department of Surgery, University of Ghana Medical School, PO Box GP 4236, Accra, Ghana.

Fibreoptic (or Flexible) endoscopy has revolutionized and completely transformed practice of gastroenterology, and many other medical specialties, over the past half century or so. At the Korle Bu Teaching Hospital, Accra the development of this facility has evolved gradually, especially involving specialists from the Departments of Medicine and Surgery since the 1970s. This article is an attempt to trace and record this journey and to highlight some of the problems and challenges yet to be overcome. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870782PMC
December 2017
2 Reads

Lunar cycle may have an effect on Shock Wave Lithotripsy related pain outcome.

Ghana Med J 2017 Dec;51(4):181-186

Antalya Training and Research Hospital, Departments of Urology, Antalya, Turkey.

Objectives: We tried to investigate the effects of lunar phase on Shock Wave Lithotripsy (SWL) related pain. In addition, correlation of various clinical parameters with the pain perception during SWL procedure, were also investigated.

Methods: A total of 378 patients who underwent first SWL sessions for renal or ureteral stones were prospectively enrolled in the study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870790PMC
December 2017
4 Reads

Experience with argon laser trabeculoplasty in Nigerians.

Ghana Med J 2017 Dec;51(4):175-180

Department of Ophthalmology, University of Ibadan College of Medicine, Ibadan, Oyo, Nigeria.

Aim: To report the safety and efficacy of Argon Laser Trabeculoplasty (ALT) in reducing intraocular pressure (IOP).

Settings And Design: This was a retrospective study performed on 25 eyes of 25 patients.

Methods And Materials: Consecutive patients who met the inclusion criteria for ALT were recruited from the ophthalmic clinic of the University College Hospital Ibadan, Nigeria and followed up for a minimum period of six months. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870789PMC
December 2017
9 Reads

Prevalence, perception and correlates of low back pain among healthcare workers in tertiary health institutions in Sokoto, Nigeria.

Ghana Med J 2017 Dec;51(4):164-174

Department of Surgery, Usmanu Danfodiyo University, Sokoto, Nigeria.

Background: Low back pain (LBP) is a common cause of disability worldwide. Healthcare workers are particularly prone to it because of the physical and emotional factors associated with their profession.

Objectives: To determine the prevalence, perception and correlates of LBP among healthcare workers in tertiary health institutions in Sokoto, Nigeria. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870785PMC
December 2017
8 Reads

Factors influencing use of analgesics among construction workers in the Ga-Eastmunicipality of the Greater Accra region, Ghana.

Ghana Med J 2017 Dec;51(4):156-163

Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Legon.

Background: Analgesics also known as painkillers are widely used for pain relief. There are severe health implications associated with excessive use of analgesics. This paper examines factors influencing the use of analgesics among construction workers in the Ga-East Municipality (GEM) of the Greater Accra region of Ghana. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870788PMC
December 2017
3 Reads

Uncommon mixed outbreak of pneumococcal and meningococcal meningitis in Jirapa District, Upper West Region, Ghana, 2016.

Ghana Med J 2017 Dec;51(4):149-155

Department of Epidemiology and Disease Control, University of Ghana School of Public Health, Legon, Accra, Ghana.

Objective: The Jirapa District in Ghana falls within the African meningitis belt where over 500 million people are at risk of epidemic meningitis. The district suffered an outbreak of Neisseria meningitides, W (NMW) in 2012 and a mixed outbreak of Streptococcus pneumonia and NMW in early 2016. We investigated the outbreak to identify the source, causative agents, and magnitude and assess health facility preparedness and propose control measures. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870784PMC
December 2017
5 Reads

Hot Tub Lung: An Intriguing Diffuse Parenchymal Lung Disease.

Ghana Med J 2017 Sep;51(3):143-147

Lousiana State University Health Science Center. Shreveport. LA, USA.

In pulmonary medicine, identical pathogenesis due to varied etiological agents can present with indistinguishable clinical presentation, and produce similar laboratory and radiological changes. The importance of eliciting detailed occupational and social history from patients cannot be stressed enough when dealing with patients suffering from diffuse parenchymal lung diseases. Hot Tub Lung(HTL) is a perplexing pulmonary disease attributed to the Mycobacterium Avium-intracellulare Complex (MAC). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870233PMC
September 2017
7 Reads

Gastrointestinal food allergy in Ghanaian children: a case series.

Ghana Med J 2017 Sep;51(3):138-142

Paediatric Surgery Unit, Department of Paediatric Surgery, Korle Bu Teaching Hospital, Accra, Ghana.

Background: Food allergy is an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food. Food allergies are classified into three types: Ig(immunoglobulin)E mediated, mixed IgE and cell mediated and cell-mediated non IgE mediated. Gastrointestinal (GIT) food allergy has classically encompassed a number of different clinical entities: food protein-induced enterocolitis syndrome (FPIES), food protein-induced proctocolitis (FPIP), food protein-induced enteropathy and eosinophilic gastrointestinal disorders (EGID). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870227PMC
September 2017
2 Reads

Traditional medicines and alternative practice in the management of prostate diseases in southern Ghana.

Ghana Med J 2017 Sep;51(3):128-137

Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, P. O. Box 4236, Accra, Ghana.

Objective: This study was aimed at identifying Ghanaian traditional medicines used for the management of prostate diseases and their constituents. Reviews of studies conducted on them are also presented.

Methodology: This was a prospective study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870232PMC
September 2017
3 Reads

Fasting plasma glucose and lipid profiles of diabetic patients improve with aerobic exercise training.

Ghana Med J 2017 Sep;51(3):120-127

Department of Sports and Exercise Science, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Objective: This study presents the effects of aerobic exercise training on fasting plasma glucose and lipid profiles (FPG/LP) of diabetic patients in Kumasi.

Design: A randomised experimental with control design.

Setting: The study was conducted at the diabetic unit of KATH in Kumasi, Ghana. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870228PMC
September 2017
2 Reads

Information gaps in surveillance data and effects on the Ghanaian response to the Ebola outbreak in West Africa.

Ghana Med J 2017 Sep;51(3):115-119

Department of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon.

Background: Complete and accurate information on disease occurrence is crucial for effective public health response to disease outbreaks. In response to the 2014 Ebola epidemic in West Africa, Ghana intensified surveillance for the disease across the country. However, the case definition provided by the Ministry of Health was not uniformly applied at all reporting health facilities. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870230PMC
September 2017
4 Reads

The burden and characteristics of peripheral arterial disease in patients undergoing amputation in Korle Bu Teaching Hospital, Accra, Ghana.

Ghana Med J 2017 Sep;51(3):108-114

Department of Surgery, School of Medicine and Dentistry, College of Health Sciences, University of Ghana Accra.

Background: To determine the prevalence of Peripheral Arterial Disease (PAD) and associated risk factors in patients undergoing amputation at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana.

Objectives: A cross- sectional study of all patients undergoing lower extremity amputation at the Department of Surgery, KBTH.

Materials: A coded questionnaire was used to ascertain risk factors for PAD. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870231PMC
September 2017
2 Reads

High risk of coagulopathy among Type-2 Diabetes Mellitus clients at a municipal hospital in Ghana.

Ghana Med J 2017 Sep;51(3):101-107

Department of Medical Laboratory Science, School of Allied Health Sciences, University of Cape Coast, Cape Coast.

Background: Persistent hyperglycaemia in diabetes mellitus causes coagulopathies due to glycation of haemoglobin, prothrombin, fibrinogen and other proteins involved in the clotting mechanism. Shortened activated partial thromboplastin time (APTT) and prothrombin time (PT) reflect hypercoagulable state, which is associated with an increased thrombotic risk and adverse cardiovascular effects. This study assessed the coagulation profile of type 2 diabetes mellitus (T2DM) clients at a municipal hospital in Ghana. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870234PMC
September 2017
4 Reads

Mitigating the scourge of non-alcoholic fatty liver disease in Ghana.

Ghana Med J 2017 09;51(3):98-100

Lecturer, Department of Medicine, University of Ghana School of Medicine and Dentistry, P.O Box 4236, Accra.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870229PMC
September 2017
2 Reads

Subcutaneous basidiobolomycosis: A Case Report.

Ghana Med J 2017 Mar;51(1):43-46

Department of Pathology, School of Medicine and Dentistry, College of Health Sciences, PO Box GP 4236, Accra, Ghana.

Basidiobolomycosis is an uncommon chronic deep fungal infection in which gradually enlarging granulomas form, usually in the subcutaneous fat tissues of the limbs, chest or trunk of immunocompetent hosts, primarily children and young adults. It is caused by the fungus . Definitive diagnosis is by microscopy and histopathology. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611946PMC
March 2017
6 Reads

Challenges in the Management of a Patient with Myxoedema Coma in Ghana: A Case Report.

Ghana Med J 2017 Mar;51(1):39-42

Neurology Unit, Department of Medicine and Therapeutics, School of Medicine and Dentistry, University of Ghana, PO Box GP 4236, Accra, Ghana.

Myxoedema coma is a rare life-threatening disease, and it is essential that it is managed appropriately to reduce the associated high mortality. However, in the setting where efficient healthcare delivery is hampered by inadequacies, the management of such cases may pose a significant challenge. We present the case of a middle-aged woman diagnosed with myxoedema coma and severe hyponatremia. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611947PMC
March 2017
9 Reads

Misleading presentation of haemoglobin electrophoresis data.

Ghana Med J 2017 Mar;51(1):36-38

Department of Medical Laboratory Technology, School of Allied Health Sciences, University of Cape Coast, Ghana.

Haemoglobinopathies are common in sub-Saharan Africa. As such haemoglobin electrophoresis are required to inform clinical decision making. However, haemoglobin electrophoresis is an assay that detects protein at either alkaline or acidic pH. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611952PMC
March 2017
3 Reads

Review of errors in the issue of medical certificates of cause of death in a tertiary hospital in Ghana.

Ghana Med J 2017 Mar;51(1):30-35

Department of Community Medicine, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana.

Objective: Reliable mortality statistics are useful in determining national policies on preventive and interventional medicine. This study reviews, completed medical certificates of cause of death at the Cape Coast Teaching Hospital, in order to determine their accuracy and reliability.

Methods: A one-year review of Medical Certificates of Cause of Death (MCCD) signed between 01-01-2013 and 31-12-2013 in the medical, pediatric, surgical and obstetrics/gynecology departments of Cape Coast Teaching Hospital were done, analyzing for errors using the WHO/ICD-10 guidelines as the standard. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5611944PMC
March 2017
8 Reads