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Ghana Medical Journal

Adesina O Adewale, Ladeji A Mofoluwake, Opaleye T Olamide, Salami A Yussuf
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. We report two cases of metastatic lesions in the mandible: (1) A 19year old male with right mandibular swelling and a nodular swelling in the distal two-third of the right tibia. Radiograghs revealed sclerotic lesion with a sunburst appearance in both the jaw and tibia...
September 2018: Ghana Medical Journal
George N Doku, Emmanuel A Bortey
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 (IO3 - + I- + 6H+ → I2 + 3H2 O)...
September 2018: Ghana Medical Journal
Mercy E Jatto, Segun A Ogunkeyede, Adebolajo A Adeyemo, Kazeem Adeagbo, Orinami Saiki
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. We hypothesized that there is a gap in the knowledge of parents on hearing screening and rehabilitation measures in Nigeria. Aim: To determine the knowledge and perceptions of mothers of newborn children on hearing screening...
September 2018: Ghana Medical Journal
Zakari A Suleiman, Israel K Kolawole, Ajibade Okeyemi
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. Setting: The study was carried out at a tertiary hospital in Nigeria...
September 2018: Ghana Medical Journal
Iorhen E Akase, Abdurazaq G Habib, Adamu G Bakari, Hamza Muhammad, Ibrahim Gezawa, Ibrahim Nashabaru, Garba Iliyasu, Abdullahi A Mohammed
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. They were interviewed, and subsequently underwent laboratory evaluation for the detection of hypocortisolism...
September 2018: Ghana Medical Journal
Derek A Tuoyire, Sarah McNair, Samuel A Debrah, Rosemary B Duda
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. Participants: Adult men and women at least 18 years old. Interventions: None. Main outcome measures: Perception of risk for hypertension, overweight/obesity...
September 2018: Ghana Medical Journal
Augustina Badu-Peprah, Yaw Adu-Sarkodie
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. Objectives: This study seeks to assess the validity of clinical diagnosis, mammography and breast ultrasonography in the preoperative assessment of suspected breast cancer patients for accurate detection of the disease to enable appropriate management...
September 2018: Ghana Medical Journal
Hafisatu Gbadamosi, Yaw B Mensah, Samuel Asiamah
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...
September 2018: Ghana Medical Journal
Isaac Donkor, Adam Gyedu, Anthony K Edusei, Beth E Ebel, Peter Donkor
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. Methods: A survey was conducted among 627 commercial drivers (98.0% response rate). Bivariate and multivariate logistic regressions were performed to determine how a priori covariates influenced commercial drivers' use of phones while driving...
September 2018: Ghana Medical Journal
Olufunmilola A Ogun, Timothy E Nottidge, Sue Roff
Objective: Compare the results of administering the DREEM questionnaire in two Nigerian medical schools offering traditional and student-centred curricular respectively, to identify any differences in the learning environment and appreciate advantages of the more modern curriculum. Methods: A survey design was used. Data was analysed using the DREEM scoring rubric. The independent t-test was used to compare results. Setting: The DREEM questionnaire was administered to final year medical students at two participating centres...
September 2018: Ghana Medical Journal
David Ofori-Adjei
No abstract text is available yet for this article.
September 2018: Ghana Medical Journal
Yaw A Awuku, Nana A Awuku, Janice I Lovi, Yvonne A Nartey, Tabitha E Abbew
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. During endoscopy a foreign body (sharp object) was seen partially embedded at the gastric antrum which was later identified as a wooden toothpick...
June 2018: Ghana Medical Journal
Jehoram T Anim
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...
June 2018: Ghana Medical Journal
Yvonne Nartey, Philip Hill, Kwabena Amo-Antwi, Richard Asmah, Kofi Nyarko, Joel Yarney, Nelson Damale, Brian Cox
Globally, cervical cancer is a major public health issue causing increasing morbidity and mortality especially in low- and middle-income countries where preventive and control measures are lacking. In Ghana, it is the most common cancer among women. Approaches to reduce the incidence and mortality of the disease in Ghana have had little success due to lack of accurate data on the disease among other factors, to inform policies on prevention, early detection, diagnosis and treatment. Additionally, the lack of clear commitment, policy direction and resources has hindered the scale-up of some of the initiatives implemented to curb the cervical cancer situation in Ghana...
June 2018: Ghana Medical Journal
Catherine Kudah, Simon Sovoe, Frank Baiden
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. It also explored the decontamination effects of washing vegetables with different concentrations of saline solution. Method: Vegetables were procured from two major open markets in Koforidua, Ghana...
June 2018: Ghana Medical Journal
Seth Y Lartey, Amos K Aikins
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. Methods: This was a hospital based cross sectional study...
June 2018: Ghana Medical Journal
Ubong Ekpene, Mawuli Ametefe, Henry Akoto, Patrick Bankah, Teddy Totimeh, George Wepeba, Thomas Dakurah
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...
June 2018: Ghana Medical Journal
Abubakar S Muhammad, Ismaila A Mungadi, Enemeka D Ndodu, Garba D Kalayi
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...
June 2018: Ghana Medical Journal
Olufunmilayo I Fawole, Olubunmi D Balogun, Oladipupo Olaleye
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. Participants: 640 students, (320 each) from public and private schools...
June 2018: Ghana Medical Journal
Yvonne A Dei-Adomakoh, Leslie Quarcoopome, Afua D Abrahams, Catherine I Segbefia, Dzifa I Dey
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. In HIV and HHV8-negative patients with idiopathic multi-centric Castleman disease, pathogenesis may involve autoimmune mechanisms...
March 2018: Ghana Medical Journal
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