Ghana medical journal最新文献

筛选
英文 中文
Detection of Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) on frequently touched surfaces in selected areas in Accra, Ghana. 在加纳阿克拉选定地区经常接触的表面上检测到严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)。
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.5
Ivy A Asante, Vanessa Magnusen, Isaac Darban, Michael Oppong-Atuahene, Joseph A Quarcoo, Nana A A Ntim, Isabella Asamoah, Kwamena Wc Sagoe, Joseph O Commey, Mildred A Adusei-Poku
{"title":"Detection of Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) on frequently touched surfaces in selected areas in Accra, Ghana.","authors":"Ivy A Asante, Vanessa Magnusen, Isaac Darban, Michael Oppong-Atuahene, Joseph A Quarcoo, Nana A A Ntim, Isabella Asamoah, Kwamena Wc Sagoe, Joseph O Commey, Mildred A Adusei-Poku","doi":"10.4314/gmj.v59i2.5","DOIUrl":"10.4314/gmj.v59i2.5","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to detect the presence of SARS-CoV-2 genetic material on frequently touched surfaces in Accra and assess its potential infectivity. It evaluated whether detected viruses were viable, providing insights into the possible role of environmental surfaces in COVID-19 transmission.</p><p><strong>Design: </strong>A cross-sectional study with a convenient sampling approach.</p><p><strong>Setting: </strong>Conducted in clinical (two COVID-19 isolation centres and a testing laboratory) and non-clinical (two schools and two banks) settings in Accra, Ghana, from May to September 2022.</p><p><strong>Intervention: </strong>Frequently touched surfaces were sampled at two points: morning (before disinfection) and afternoon (after work). Sterile oropharyngeal swabs moistened in Universal Transport Medium were used to swab surfaces like door handles, tables, handrails, taps, benches, washrooms, classrooms, and banking halls. RT-qPCR was used to detect viral RNA, and Vero E6 cells were used to attempt virus isolation from positive samples.</p><p><strong>Results: </strong>SARS-CoV-2 RNA was detected on 6.29% (37/588) of surfaces. Morning samples showed a positive rate of 4.08% (12/294), while afternoon samples showed a rate of 8.50% (25/294). Clinical settings had higher detection rates (7.5%) than non-clinical (3.41%), though not statistically significant (p = 0.060). The testing lab showed a significant difference between morning (2.08%) and afternoon (8.05%) detections. Positive samples were most commonly found on plastics (14/37) and metals (14/37).</p><p><strong>Conclusion: </strong>SARS-CoV-2 RNA was identified on frequently touched surfaces in selected areas of Accra, Ghana. This highlights the need for thorough hygiene and disinfection practices to prevent the spread of potential viruses.</p><p><strong>Funding: </strong>Study was funded by the Noguchi Memorial Institute for Medical Research (NMIMR) through the NMIMR Office for Research Support Fund (Fund ID EC/P25421/03).</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"76-86"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of betamethasone dipropionate versus methylprednisolone acetate intra-articular injection in the management of pain in primary osteoarthritis of the knee. 二丙酸倍他米松与醋酸甲基强的松龙关节内注射治疗原发性膝关节骨关节炎疼痛的疗效比较
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.6
Emmanuel Andzie-Mensah, Michael Segbefia, Henry Holdbrook-Holdbrook-Smith, Antoinette Bediako Bowan, Jonathan Dakubo, Ambrose Agbor
{"title":"Effectiveness of betamethasone dipropionate versus methylprednisolone acetate intra-articular injection in the management of pain in primary osteoarthritis of the knee.","authors":"Emmanuel Andzie-Mensah, Michael Segbefia, Henry Holdbrook-Holdbrook-Smith, Antoinette Bediako Bowan, Jonathan Dakubo, Ambrose Agbor","doi":"10.4314/gmj.v59i2.6","DOIUrl":"10.4314/gmj.v59i2.6","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis is a chronic degenerative condition often viewed as an inevitable aspect of aging. It leads to the progressive deterioration of articular cartilage, resulting in pain and significant limitations in global movement. Intra-articular steroid injections are effective for pain control and functional improvement. This study focuses on Betamethasone Dipropionate and Methylprednisolone Acetate, both of which have shown promising outcomes, evaluated at the Korle Bu Teaching Hospital.</p><p><strong>Objective: </strong>The study aimed to compare the effectiveness of betamethasone dipropionate and methylprednisolone acetate in managing Kellgren Lawrence (KL) stage 2 to 4 primary knee osteoarthritis.</p><p><strong>Design: </strong>This was a single-blinded comparative study conducted at the Orthopaedic Clinic of a tertiary hospital.</p><p><strong>Participants: </strong>Patients with osteoarthritis in one or both knees, presenting with a pain score of ≥4 on a 0-10 Visual Analogue Scale (VAS), were included.</p><p><strong>Main outcome measure: </strong>Effectiveness in controlling pain and improving function.</p><p><strong>Results: </strong>The average age of participants was 60 years. At two weeks, the P-values for VAS and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores between groups A and B were 0.495 and 0.927, respectively. At four weeks, these values were 0.810 and 0.372. However, by twelve weeks, the P-values for VAS and WOMAC scores were 0.026 and 0.0235, indicating significant differences.</p><p><strong>Conclusions: </strong>Both steroid injections provided symptom relief; however, Betamethasone Dipropionate demonstrated superior long-term effectiveness compared to Methylprednisolone Acetate, offering better sustained pain relief beyond eight weeks.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"87-97"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Idiopathic hypertrophic pachymeningitis (IHP) causing headache in a young female. 特发性肥厚性厚性脑膜炎(IHP)引起年轻女性头痛。
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.8
Smaran Korada, Viswanathan Pandurangan, Divya J Manickam, Devasena Srinivasan
{"title":"Idiopathic hypertrophic pachymeningitis (IHP) causing headache in a young female.","authors":"Smaran Korada, Viswanathan Pandurangan, Divya J Manickam, Devasena Srinivasan","doi":"10.4314/gmj.v59i2.8","DOIUrl":"10.4314/gmj.v59i2.8","url":null,"abstract":"<p><p>Hypertrophic pachymeningitis (HP) is characterised by thickening of the cranial or spinal dura mater, and it encompasses idiopathic and secondary forms. Later is linked to infections, inflammatory conditions, and autoimmune disorders. This rare condition presents with a myriad of neurological manifestations, including headaches, cranial nerve palsies, and visual disturbances. A South-Asian woman in her mid-thirties presented with a three-month history of left-sided headache, double vision, and facial numbness. Neuroimaging revealed diffuse thickening of the dura mater, suggestive of hypertrophic pachymeningitis (HP). Diagnostic workup excluded infectious and autoimmune causes, categorising the condition as idiopathic. Treatment with corticosteroids led to significant improvement in her symptoms. HP is a rare cause of headache in young patients, and diagnosis relies on neuroimaging and CSF analysis, necessitating the exclusion of secondary causes through comprehensive evaluation. Treatment varies based on the underlying aetiology. Corticosteroids remain the first-line drug for idiopathic cases.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The burden and trends of Hepatitis B virus at a government hospital in Ghana. 加纳一家政府医院乙型肝炎病毒的负担和趋势
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.3
John G Deku, Enoch Aninagyei, Godsway E Kpene, Israel Bedzina, Bismark Mensah, Isaac K Agodey, Florence S Edziah, Richard V Duneeh
{"title":"The burden and trends of Hepatitis B virus at a government hospital in Ghana.","authors":"John G Deku, Enoch Aninagyei, Godsway E Kpene, Israel Bedzina, Bismark Mensah, Isaac K Agodey, Florence S Edziah, Richard V Duneeh","doi":"10.4314/gmj.v59i2.3","DOIUrl":"10.4314/gmj.v59i2.3","url":null,"abstract":"<p><strong>Objective: </strong>This study determined the burden and trend of Hepatitis B Virus (HBV) infection in individuals who visited Agona Government Hospital in Ghana.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Setting: </strong>A single-centre study conducted at Agona Government Hospital.</p><p><strong>Participants: </strong>Clients who visited Agona Government Hospital.</p><p><strong>Main outcome measure: </strong>A hospital-based retrospective study was conducted. Data generated between January 2016 and December 2020 were extracted, cleaned, and validated using Microsoft Excel version 2019. Analysis was done using the Statistical Package for Social Sciences version 26.</p><p><strong>Results: </strong>A total of 2440 records from individuals who were tested for HBV were analysed. The records indicated varying numbers of tests each year, with 28.9% in 2016, 23.1% in 2017, 20.6% in 2018, 13.6% in 2019, and 13.7% in 2020. Most of the clients were aged 25-44 (46.3%). The majority of the clients were married (53.2%) and females (65.3%). The cumulative crude prevalence of HBV infection was 57.44 per 10,000. The prevalence of HBV varied across age categories and genders. A decline in prevalence was observed from 2016 to 2017, with a trough in 2018, followed by a rise through 2019 and peaking in 2020. The crude prevalence exhibited a peak in February and a trough in September, with inconsistent patterns throughout the year.</p><p><strong>Conclusion: </strong>The high burden of HBV underscores its significance as a pressing public health issue. There is therefore an urgent need for public health interventions to curb the spread of the infection.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of complicated giant prostate hyperplasia. 复杂巨大前列腺增生症的治疗。
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.7
Mathew Y Kyei, Ernest K Agyapong-Tandoh, Esinam A Amedewonu, James E Mensah, Josephine M Kyei, Seth Oti-Mensah
{"title":"Management of complicated giant prostate hyperplasia.","authors":"Mathew Y Kyei, Ernest K Agyapong-Tandoh, Esinam A Amedewonu, James E Mensah, Josephine M Kyei, Seth Oti-Mensah","doi":"10.4314/gmj.v59i2.7","DOIUrl":"10.4314/gmj.v59i2.7","url":null,"abstract":"<p><p>Giant prostate hyperplasia is defined as prostate hyperplasia with a weight greater than 500 grams. This condition is rare. We present the management of a case of giant prostate hyperplasia (541 grams on CT scan) with a surgical enucleated volume of 800 grams in a patient who presented with haematuria. An abdominal-pelvic CT scan was required to differentiate it from a suspected bladder tumour. This case was successfully managed with a favourable outcome following open transvesical prostatectomy, ensuring minimal blood loss. This case report and review provide an update on the management of giant prostate hyperplasia, with emphasis on the prevention and management of haemorrhage.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A cross-sectional analysis of patient-based records on mortality among patients with diabetic ketoacidosis in a tertiary hospital in Ghana. 对加纳一家三级医院糖尿病酮症酸中毒患者死亡率记录的横断面分析。
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.1
Yacoba Atiase, Josephine Akpalu, Ernest Yorke, Margaret Reynolds, Ofoliquaye Allotey Annan, Robert Aryee, Alfred Yawson
{"title":"A cross-sectional analysis of patient-based records on mortality among patients with diabetic ketoacidosis in a tertiary hospital in Ghana.","authors":"Yacoba Atiase, Josephine Akpalu, Ernest Yorke, Margaret Reynolds, Ofoliquaye Allotey Annan, Robert Aryee, Alfred Yawson","doi":"10.4314/gmj.v59i2.1","DOIUrl":"10.4314/gmj.v59i2.1","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the mortality of patients admitted and managed for Diabetic ketoacidosis (DKA) at a teaching hospital.</p><p><strong>Design: </strong>A cross-sectional study of the medical records of all 70 patients 18 years and older, managed for DKA in the adult emergency room of Korle-Bu Teaching Hospital in Ghana from March to July 2019.</p><p><strong>Setting: </strong>The study was conducted among adult patients managed for diabetic ketoacidosis in the adult emergency room and adult medical wards of Korle-Bu Teaching Hospital.</p><p><strong>Participants: </strong>The participants were patients aged 18 years or older who were admitted with diabetic ketoacidosis.</p><p><strong>Interventions: </strong>Patients managed for diabetic ketoacidosis in the adult emergency room of Korle-Bu Teaching Hospital in Ghana had their outcomes assessed.</p><p><strong>Main outcome measures: </strong>Outcomes of DKA management, including mortality, discharge, duration to either of these outcomes and associations were measured.</p><p><strong>Results: </strong>The mortality rate from DKA in this study was 15.7%. Mean age, duration of diabetes, and blood glucose at admission were 44.06(±16.23) years, 7.19(±6.04) years, and 26.37(±6.70) mmol/L, respectively. Female gender and pulse rate >100 or <60 beats/minute were independently associated with mortality. Only 2 out of 70 (2.85%) patients were managed in the Intensive Care Unit (ICU).</p><p><strong>Conclusion: </strong>The Mortality of DKA management in this hospital was high (15.7%). Most of these patients (97.15%) were not managed in the ICU or HDU; to improve this high mortality, there is a need to use the guidelines in the diagnosis, categorisation and management of DKA and to make the ICU and HDU available, accessible and affordable in our centre and elsewhere in Ghana.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characterising spontaneous bacterial peritonitis in liver cirrhosis and hepatocellular carcinoma in southwestern Nigeria. 尼日利亚西南部肝硬化和肝细胞癌患者自发性细菌性腹膜炎的特征分析。
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.2
Abosede G Adeyeye, Adeyemi T Adeyemo, Victor O Adeyeye, Temitope O Ojo, Olusegun Adekanle, Anthony C Anuforo, Aaron O Aboderin, Dennis A Ndububa
{"title":"Characterising spontaneous bacterial peritonitis in liver cirrhosis and hepatocellular carcinoma in southwestern Nigeria.","authors":"Abosede G Adeyeye, Adeyemi T Adeyemo, Victor O Adeyeye, Temitope O Ojo, Olusegun Adekanle, Anthony C Anuforo, Aaron O Aboderin, Dennis A Ndububa","doi":"10.4314/gmj.v59i2.2","DOIUrl":"10.4314/gmj.v59i2.2","url":null,"abstract":"<p><strong>Objectives: </strong>This study determined the profile of spontaneous bacterial peritonitis (SBP) and its variants in patients with decompensated liver cirrhosis and hepatocellular carcinoma (HCC).</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Setting: </strong>The study was conducted in a tertiary hospital.</p><p><strong>Participants: </strong>Patients with decompensated liver cirrhosis and HCC above 18 years.</p><p><strong>Interventions: </strong>Ascitic fluid (AF) samples were taken for cell count and culture using a BACTEC culture bottle. Sensitivity patterns and ascitic fluid total protein and albumin levels were also assessed.</p><p><strong>Main outcome measures: </strong>Clinical profile of SBP, organisms isolated from the ascitic fluid and sensitivity of isolated organisms to antibiotics.</p><p><strong>Results: </strong>One hundred and six (106) participants were recruited. Seventy (66%) had liver cirrhosis, and 36 (34%) had HCC. The mean age was 50.08±12.66 years. Eighty-nine (84%) were males and 17(16%) were females. The overall prevalence of SBP was 29.2% (n = 31). Classical SBP was 5(4.7%), CNNA 20(18.9%) and monobacterial ascites 6(5.7%). The Gram-positive isolates were <i>Staphylococcus aureus</i> 5(45.5%) - [2(18.2%) MRSA, 3(27.3%) MSSA] while the Gram-negative organisms were <i>E. coli</i> 3(27.3%), <i>Acinectobacter</i> 2(18.2%) and <i>Bulkholderia cepacia</i> 1 (9.1%). Gram-negative bacteria showed absolute resistance to cephalosporins but were all susceptible to meropenem. Gram-positive bacteria showed 100% susceptibility to linezolid, vancomycin and daptomycin. Gram-positive bacteria also showed low resistance to fluoroquinolones (20%). Multi-drug resistance pattern was reported for MRSA, <i>Acinetobacter baumannii</i> and <i>Bulkholderia cepacia</i>.</p><p><strong>Conclusion: </strong>SBP is a common complication in patients with decompensated CLD. Guided antibiotic treatment should be encouraged, particularly in light of the emergence of multidrug resistance patterns.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, pattern and predictors of elder abuse in rural communities of Edo State, Nigeria. 尼日利亚埃多州农村社区虐待老人的流行、模式和预测因素
Ghana medical journal Pub Date : 2025-06-01 DOI: 10.4314/gmj.v59i2.4
Fatelyn I Okakah, Simeon N Awunor, Oluwaseun E Daramola, Danny A Asogun, Charles O Aluede, Ejiroghene C Ucho
{"title":"Prevalence, pattern and predictors of elder abuse in rural communities of Edo State, Nigeria.","authors":"Fatelyn I Okakah, Simeon N Awunor, Oluwaseun E Daramola, Danny A Asogun, Charles O Aluede, Ejiroghene C Ucho","doi":"10.4314/gmj.v59i2.4","DOIUrl":"10.4314/gmj.v59i2.4","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the prevalence, pattern, and predictors of elder abuse in two rural communities in Edo State, Nigeria.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>Individuals residing in rural communities in Edo state were studied.</p><p><strong>Participants: </strong>Two hundred and thirty-two participants aged ≥ 60 years.</p><p><strong>Main outcome measures: </strong>The prevalence and pattern of elder abuse, and predictors of abuse.</p><p><strong>Results: </strong>The mean age of participants was 73.2±9.1 years, and the prevalence of elder abuse was 79.3%. The pattern of abuse observed was neglect (73.4%), financial abuse (64.1%) and emotional abuse (53.8%), with many of the perpetrators being children of the victims. Risk factors associated with abuse in this study included sex (p = 0.009), marital status (p = 0.028), employment status (p = 0.002), educational qualification (p = 0.001), living arrangement (p = 0.001), financial status (p = 0.017), and dependency level (p = 0.015). The top barriers to help-seeking by the elderly were stigmatisation (24.4%), fear of retaliatory assault (19.3%) and abandonment (19.4%) respectively.</p><p><strong>Conclusion: </strong>Elder abuse is prevalent in the study area, with neglect being the most typical form of abuse and children of the victims are the major perpetrators. Consequently, concerted efforts to respect and care for the elderly should be directed by all stakeholders at the International, Federal, State, and Local Levels (including the community and family).</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 2","pages":"68-75"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A retrospective single-centre study on the histological profile of brain and spine tumours at a tertiary hospital in Ghana. 对加纳一家三级医院脑肿瘤和脊柱肿瘤组织学特征的回顾性单中心研究。
Ghana medical journal Pub Date : 2025-03-01 DOI: 10.4314/gmj.v59i1.4
Mabel Banson, Felix Siaw-Debrah, Kwadwo Darko, Mawuli K Ametefe, Patrick Bankah
{"title":"A retrospective single-centre study on the histological profile of brain and spine tumours at a tertiary hospital in Ghana.","authors":"Mabel Banson, Felix Siaw-Debrah, Kwadwo Darko, Mawuli K Ametefe, Patrick Bankah","doi":"10.4314/gmj.v59i1.4","DOIUrl":"10.4314/gmj.v59i1.4","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to describe the patient demographics, clinical presentation and histological subtypes of central nervous system (CNS) tumours in a tertiary facility.</p><p><strong>Design: </strong>Retrospective review of all the histopathological and medical records available for patients with tumours of the CNS operated on.</p><p><strong>Setting: </strong>Neurosurgical Unit, Department of Surgery, Korle-Bu Teaching Hospital.</p><p><strong>Participants: </strong>All adult and paediatric patients with histopathologically diagnosed CNS tumours.</p><p><strong>Main outcome measures: </strong>Frequency of histopathological subtypes of CNS tumours.</p><p><strong>Results: </strong>This study of 338 patients with CNS tumours showed a slight female predominance (183 females, 155 males). The mean age was 38.1 years. Brain tumours were more common (290 cases) than spinal tumours (48 cases), with symptoms like headaches (44.44%) and visual disturbance (24.31%) prevalent in brain cases, and paraparesis (35.42%) and low back pain (16.67%) in spinal cases. Certain symptoms were strongly indicative of specific tumour types, such as seizures (OR: 3.3, CI: 1.6 - 6.9, p = 0.005) with meningiomas and visual disturbances with sellar tumours (OR: 6.7, CI: 3.6 - 12.9, p<0.001). Most tumours were low-grade (78.69%). Meningiomas were the most common (33.14%), particularly meningothelial (38.39%). Gliomas, glioneuronal, and neuronal tumours were next in prevalence (28.40%), followed by sellar tumours (18.93%). Astrocytomas (60.42%) were the predominant glioma subtype.</p><p><strong>Conclusion: </strong>Low-grade tumours predominate in our setting. It is prudent that we channel efforts towards prompt diagnosis and treatment of such cases.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correspondence: Risk perception of COVID-19 and vaccine uptake among patients with chronic illnesses at a tertiary health facility in Nigeria. 通信:尼日利亚三级卫生机构慢性病患者对COVID-19的风险认知和疫苗接种情况。
Ghana medical journal Pub Date : 2025-03-01 DOI: 10.4314/gmj.v59i1.8
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Correspondence: Risk perception of COVID-19 and vaccine uptake among patients with chronic illnesses at a tertiary health facility in Nigeria.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.4314/gmj.v59i1.8","DOIUrl":"10.4314/gmj.v59i1.8","url":null,"abstract":"","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"43-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信