ABSTRACT The nursing process is a scientific method to guide procedures and also ensure quality of nursing care. However, little is known about issues regarding the nursing process. This formed the basis for this exploratory research on the application of the nursing process in pediatric care and the factors associated with its implementation at Korle-Bu Teaching Hospital (KBTH) and Princess Marie Louis (PML) Hospital in Accra. The study, a cross-sectional one, employed both quantitative and...
ABSTRACT Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) are the two leading causes of death from infectious diseases globally. The World Health Organization has recommended integration of TB-HIV services in the management of the syndemic. However, scaling up of integrated TB-HIV services remain sub-optimal in Ghana, despite a nationally accepted collaborative policy. This study, therefore explored issues surrounding TBHIV services integration towards effective management of the synd...
ABSTRACT As chloroquine and ciprofloxacin each possess substantial inhibitory activity against the schizonts of Plasmodium falciparum, it seems possible that a combination of the two drugs may be clinically useful. The effects on the erythrocytic stages of P. falciparum of combined treatment with chloroquine and ciprofloxacin were therefore evaluated in vitro, using the World Health Organization’s standardized micro test. When used alone, the median inhibitory concentration (IC50) of chloro...
ABSTRACT Hepatitis C Virus (HCV) infection is an important cause of chronic hepatitis, cirrhosis and hepatocellular carcinoma. Its epidemiology has been well described in developed countries. In Nigeria, previous studies on the virus were hospital-based or point prevalence from which the burden of HCV cannot be accurately determined. A population-based prospective study was therefore designed to assess the burden of HCV infection in a semi-urban community in southwestern Nigeria. A cohort of...
ABSTRACT In the past few years, public health incidents have occurred that have caused some alarm in Canada. These include communicable disease outbreaks such as Severe Acute Respiratory Syndrome (SARS), Influenza and Influenza-Like-Illness (ILI) and water-borne diseases such as Escherichia coli 0157:H7 (Ecoli) and gastroenteritis. There were also environment incidents that occurred such as those caused by Polychlorinated Biphenyls (PCBs), dioxins, furans, and microcystine. On the global scen...
ABSTRACT Acute hepatitis is common In Nigeria and Hepatitis B virus (HBV) infection has been a major aetiologicaI factor. However, the role of Hepa titis C Virus (HCV) infection b yet undetermined. Forty-five consecutive Nigerian patient with Acute Icteric hepatitis (AH) attending the Medical Clinic of the University College Hospital, Ibadan, Nigeria and 45 healthy adult Nigerians (controls) were studied for evidence of infection with both virus. Questionnaire on risk procedures which predisp...
ABSTRACT It has been noted that efforts to organise an effective screening programme in developing countries will have to find adequate financial resources, develop the infrastructure, train the necessary manpower and elaborate surveillance mechanisms. In our study, we set out to determine (a) just how frequent is cervical cancer, to warrant the investment of funds in screening programmes; (b) what proportion of surveyed health facilities offer a cervical cytology screening programme; and (c)...
ABSTRACT Breast Cancer (BC) is one of the leading causes of mortality worldwide and the third most commonly diagnosed cancer among women. Early detection through screening has been shown to improve the prognosis and survival among female presenting with BC. Few studies exist on knowledge, attitude and practice of Breast Self-Examination (BSE) among female apprentices in Nigeria, probably due to their level of education. This study was therefore designed to assess the knowledge, attitude and ...
ABSTRACT Hydrauencephaly, a relatively rare malformation of the brain, is characterised by absence of the cerebral hemispheres and their replacement by sacs filled with cerebrospinal fluid. It is one of the recognised forms of intracranial malformations associated with intrauterine few one of twins in monochorionic twin gestation. This report illustrates the development of hydranencephaly in a surviving twin sequel to intrauterine fetal demise of the co-twin.
ABSTRACT Emergency care is care that must be rendered without delay. Though today’s nurses in emergency departments (ED) are faced with many challenges, little time is spent in teaching or learning the content of emergency nursing care during the basic, master’s or doctoral level nursing education program. The purpose of this research was to explore the lived experiences of nurses working in EDs in selected hospitals in the Volta Region of Ghana. The study is a qualitative research in whi...
ABSTRACT This is a case of an occult follicular thyroid carcinoma in a 61 year old civil servant presenting with bony metastasis to the left iliac bone twenty years after an initial subtotal thyroidectomy. There was a soft tissue mass with associated cup shaped lytic detruction of the iliac bone and on ultrasound scan the mass was found to be of mixed echogenicity and areas of sonolucencies which were due to necroses. At autopsy, the thyroid gland appeared macroscopically within normal limits...
ABSTRACT Helicobacter pylori (H. pylori) has been strongly associated with various gastroduodenal diseases worldwide with only a few studies emanating from developing countries. The objectives of this study were to determine the prevalence of serum lmmunoglobulin G (1gG) and underlying gastroduodenal pathology in Nigerian patients with dyspepsia and ascertain the usefulness of H. pyleri lgG screening in decreasing endoscopic workload in dyspeptics in Nigeria. Fifty-five patients with dyspepsi...
Abstract Background: The use of conjunctiva autograft, adjunct antimetabolite therapy has been shown to be effective in preventing pterygium recurrence. Objective :To compare 5 fluorouracil (5-FU) to conjunctival autograft in the treatment of large, fleshy pterygium. Methods :A randomised controlled prospective study of outcome of pterygium treatment using 5-FU as adjuvant treatment compared to conjunctiva autograft. Thirty-five eyes with large pterygium treated with bare sclera conjunctiv...
ABSTRACT Clinical learning is a vital component in the curricula of nursing education, providing an opportunity to student nurses to combine cognitive, psychomotor, and affective skills. Evaluation is a basic part of clinical education. There are a number of problems and challenges associated with evaluation of clinical training of student nurses. Some of these concerns are subjectivity and variability in the use of effective clinical evaluation tools to evaluate the psychomotor, affective a...
ABSTRACT The aim of the study was to find out the various degrees of post-operative refractive astigmatism in our cataract patients, causes of the astigmatism and ways of minimising this problem. The total number of post-operative refractive astigmatism was determined in patients following cataract surgery. 22% of the patients had an astigmatism of greater than 2 diopters although only 1.9% had file more intolerable astigmatism of greater than 4 diopters. Associated causes for the astigmatism...