Medical & Health Sciences

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Medical & Health Sciences Research Papers/Topics

SURGICAL HEALTHCARE WORKERS KNOWLEDGE AND ATTITUDE ON INFECTION PREVENTION AND CONTROL: A CASE OF TAMALE TEACHING HOSPITAL, GHANA

Most morbidities and mortalities related to clinical, diagnostic, and therapeutic procedures are related to infection and the solution to this is good infection prevention and control (IPC) compliance which is influenced by the right knowledge and positive attitude. Aim. 'is study aimed to assess infection prevention and control (IPC) knowledge and attitude among healthcare workers at the surgical department of Tamale Teaching Hospital (TTH). Methods. 'is study was conducted using a descripti...

CIRCUMCISION-RELATED TRAGEDIES SEEN IN CHILDREN AT THE KOMFO ANOKYE TEACHING HOSPITAL, KUMASI, GHANA

Background: Circumcision is a common minor surgical procedure and it is performed to a varying extent across countries and religions. Despite being a minor surgical procedure, major complications may result from it. In Ghana, although commonly practiced, circumcision-related injuries have not been well documented. This study is to describe the scope of circumcision-related injuries seen at the Komfo Anokye Teaching Hospital in Kumasi, Ghana. Methods: The study was conducted at the Urology Uni...

MALNUTRITION AND NUTRITIONAL SCREENING IN PATIENTS UNDERGOING SURGERY IN LOW AND MIDDLE INCOME COUNTRIES: A SYSTEMATIC REVIEW

Background There is a high incidence of preoperative undernutrition in hospitalised patients in low and middle-income countries (LMICs), leading to increased postoperative complications, length of hospital stay and early mortality. Review aims are to establish the prevalence of undernutrition and assess the use of validated nutritional screening tools in surgical patients across LMICs. Methods Protocol was PRISMA compliant and Prospero registered (CRD42019126765). Twelve international databas...

NECROTIZING FASCIITIS OF THE ANTERIOR ABDOMINAL WALL: A RARE COMPLICATION OF NEGLECTED STRANGULATED RICHTER'S EPIGASTRIC HERNIA

Necrotizing soft tissue infection (NSTI) is an aggressive and rapidly spreading soft tissue infection that could be associated with high mortality. Early diagnosis can be challenging and so a high index of suspicion is needed. Bedside ultrasonography (USG) and computed tomography (CT) scan could be employed to aid in diagnosis. The objective of this report is to describe the diagnostic process in a resource challenged setting and review the literature. We present an elderly patient with necro...

CATHETER-ASSOCIATED BACTERIA URINARY TRACT INFECTION AND ANTIBIOTIC SUSCEPTIBILITY PATTERN IN A TERTIARY HOSPITAL, IN GHANA

Background: This study seeks to identify the prevalence of catheter associated urinary infection and the type of bacteria that are associated with this infection, as well as the antibiotic susceptibility patterns of the organisms isolated. This would guide the choice of antibiotics when there is catheter associated urinary tract infection. Method: From 1 November 2015-31 April 2016 a cross-sectional study was conducted among patients with urinary catheter in-situ. Urine samples collected were...

DORSAL ONLAY ORAL MUCOSA GRAFT URETHROPLASTY: A CASE REPORT AND REVIEW OF LITERATURE

The use of buccal mucosa grafts in urethral reconstruction for complex anterior urethral strictures has gained popularity over the years with very good outcomes reported in literature. We report on the successful repair of a complex anterior urethral stricture in a 14-year-old boy following catheterization using this method at the Komfo Anokye Teaching Hospital. The aim is to describe the method of dorsal onlay oral mucosa graft urethroplasty and to review the literature.

PROFILE AND MANAGEMENT OF CHILDREN WITH URINE RETENTION AT A TERTIARY HOSPITAL IN A DEVELOPING COUNTRY

Background: Urine retention is an important urologic emergency among children that is widely studied in the developed world but sparse literature exists in developing countries. Purpose: To describe the profile of children with urine retention and the options of management at the Komfo Anokye Teaching Hospital, a tertiary hospital in Kumasi, Ghana. Methods: We retrospectively recorded data of children who presented with urine retention at the Komfo Anokye Teaching Hospital, Kumasi, from 1stFe...

DETERMINING THE EFFICIENCY OF MALARIA RAPID DIAGNOSTIC TEST TO DIAGNOSE POST TRANSFUSION MALARIA IN CHILDREN UNDER FIVE YEARS OLD AT KOMFO ANOKYE TEACHING HOSPITAL

Background: Post-transfusion malaria in children under five years is associated with increased morbidity and mortality. The RDTs currently are used to supplement microscopy in the diagnosis of malaria in many endemic countries. However their efficiency as a screening tool for the detection of malaria in donors or in transfusion recipients has not been well evaluated. This study aimed to determine the efficiency of malaria RDT in the detection of post transfusion malaria. Material and methods:...

ROUTINE STERILE GLOVE AND INSTRUMENT CHANGE AT THE TIME OF ABDOMINAL WOUND CLOSURE TO PREVENT SURGICAL SITE INFECTION (CHEETAH): A PRAGMATIC, CLUSTER-RANDOMISED TRIAL IN SEVEN LOW-INCOME AND

Background Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI. Methods ChEETAh was a multicentre, cluster randomised trial in seven low-income and middle-income countries (Benin, Ghana, India, Mexico, Nigeria, Rwa...

TRENDS IN THYROID MALIGNANCIES IN ACCRA GHANA: A RETROSPECTIVE HISTOPATHOLOGICAL REVIEW IN THE DEPARTMENT OF PATHOLOGY (1994-2013), KORLE-BU TEACHING HOSPITAL

Background: Malignancies of the thyroid gland are common in certain parts of the world. In Ghana there are no available data on the trends and gender characteristics of thyroid malignancies (TMs). The aim of this retrospective study was to determine the trends and gender characteristics of TMs in the Department of Pathology. Keywords: Thyroid malignancies; Trends; Gender characteristics; Ghana Introduction Malignancies of the thyroid gland are relatively rare neoplasms worldwide, accounting f...

GASTROINTESTINAL CANCERS IN NORTHERN GHANA: A HISTOPATHOLOGICAL REVIEW IN THE DEPARTMENT OF PATHOLOGY; TAMALE TEACHING HOSPITAL

ABSTRACT Published data on GIT cancers in Northern Ghana is scanty. The aim of this review was to document the spectrum and the clinico-pathological characteristics of GIT cancers diagnosed in northern Ghana as a baseline data. Material and Methods: This was a histopathological review (n = 238) from 1st January, 2013 to 31st December, 2020. Data were analysed using SPSS software, version 26.0 (Chicago). Fisher’s exact test with a significance level of 0.05 was performed using GraphPad Prism...

FOLLICULAR THYROID CARCINOMA IN A COUNTRY OF ENDEMIC IODINE DEFICIENCY (1994–2013)

Background. Follicular thyroid cancer (FTC) has historically been linked to iodine deficiency. Although Ghana is among the iodine deficient regions of the world, the proportions, trends, and the clinical features of FTCs have not been studied as a single disease entity. The aim of this study was to determine the relative frequencies, trends, and the clinicopathological characteristics of FTCs among all thyroid malignancies in our institution. Materials and Methods. This was a retrospective st...

THE USE OF SOCIAL MEDIA BY ADOLESCENTS TO ACCESS REPRODUCTIVE HEALTH INFORMATION AND SERVICES IN THE TAMALE METROPOLIS

Approximately half of the global population possesses a mobile phone, and 42% access the internet. Social media is one of the variables affecting sexual behavior among teenagers in today's society. This study was conducted to assess the contribution of social media usage to adolescent reproductive health services in the Tamale metropolis of the Northern Region of Ghana. The study design was a mixed method approach thus, qualitative and quantitative study design (cross- sectional study design ...

FACTORS INFLUENCING THE ABUSE OF TRAMADOL AMONG TRICYCLE (YELOYELO) DRIVERS IN THE TAMALE METROPOLIS

Background: Tramadol abuse has become a major public health concern in Ghana, particularly among tricycle drivers in the Tamale metropolis. This study discussed the factors that influence the abuse of tramadol among tricycle drivers in the Tamale metropolitan area in the Northern Region. Methods: The study employed both the qualitative and quantitative method. The multiple sampling using the simple random sampling, purposive and snowball sampling techniques were used to select 55 respondents ...

KNOWLEDGE, ATTITUDE AND PRACTICES OF ISLAMIC LEADERS IN RELATION TO SUSTAINABLE DEVELOPMENT GOAL 6 IN TAMALE

The campaign for improved sustainable development goal six (6) is increasingly threatened as people’s existing knowledge and attitudes seem not to promote clean water and proper sanitation practices. Environmental sanitation has become a problem to the extent that it has engaged the attention of authorities as well as concerned citizens. As a result, over the years Ghana failed to achieve her set sanitation target. One area that has suffered from this problem is the Muslims (Zongo) communit...


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