Protective Community Norms and Mental Health Risks for Severe Physical Abuse: Lessons From a Nationally Representative Study of Ghana

Although it has become axiomatic to quote an African proverb in discussions of child well-being, attempts to draw concrete and positive lessons from how African communities respond to and mitigate child maltreatment are comparatively few. This study tested the hypothesis that the collective value of Abiriwatia in Ghana, which supports legitimate norms of community obligations to care for children, could be protective against physical abuse. It also examined the claim that knowledge of the familial situation of community members, generated through Abiriwatia, may help them to act to mitigate the risk of caregiver’s borderline personality disorder (BPD) features. We obtained a nationally representative sample of 1,100 female caregivers from 22 Ghanaian settlements and tested the hypotheses using multilevel models. Controlling for community-level physical abuse, living in a community with high levels of Abiriwatia childcare and community authority values is associated with lower levels of very severe physical abuse, and Abiriwatia childcare may mitigate risk from the caregiver’s BPD features. Within Ghana, encouraging positive and protective aspects of traditional Ghanaian values and working to reinstate respect for these values may have positive outcomes for children. Interventions to reduce child maltreatment should be developed with reference to Abiriwatia childcare values

Musculoskeletal disorders and associated disabilities among bank workers

Background: Musculoskeletal disorders (MSDs) are among the most common health problems encountered in the workplace around the globe leading to disabling conditions there by reducing human performance and subsequently quality of life. The aim of this study was to determine the prevalence of MSDs and associated disabilities and also to identify the risk factors responsible for their occurrence among bank workers in Kancheepuram district, Tamil Nadu, India.  Methods: Annual prevalence of MSD was determined through a cross sectional survey from a sample of 300 bank workers. A pre-validated questionnaire adopted from modified Nordic musculoskeletal questionnaire and 12 Item General Health Questionnaire was used to obtain information about participant’s demographic characteristics, job characteristics, psychosocial stress, musculoskeletal impairments and the resulting disability in different body regions. Data was obtained from the participant’s at their respective working places in Kancheepuram for a period of 1 month.Results: Annual prevalence of 33.8% was observed for the MSD, with a disability rate of 8.5%.The body region mostly affected was the lower back (51.8%) followed by the neck (48.2%), shoulder (40.2%) and upper back (39.6%). In terms of disability, the same pattern was noted with rates for the lower back, neck, shoulder and upper back being 18.9%, 13.4%, 11.6% and 9.1% respectively. The risk factors identified as being responsible for MSD were job tenure, psychosocial stress, and female sex while those responsible for the disabilities were job tenure and psychosocial stress.Conclusion: Low prevalence of MSDs and associated disabilities was observed.

Steam-Induced Coarsening of Single-Unit-Cell MFI Zeolite Nanosheets and Its Effect on External Surface Brønsted Acid Catalysis.

Commonly used methods to assess crystallinity, micro-/mesoporosity, Brønsted acid site density and distribution (in micro- vs. mesopores), and catalytic activity suggest nearly invariant structure and function for aluminosilicate zeolite MFI two-dimensional nanosheets before and after superheated steam treatment. Yet, pronounced reaction rate decrease for benzyl alcohol alkylation with mesitylene, a reaction that cannot take place in the zeolite micropores, is observed. Transmission electron microscopy images reveal pronounced changes in nanosheet thickness, aspect ratio and roughness indicating that nanosheet coarsening and the associated changes in the external (mesoporous) surface structure are responsible for the changes in the external surface catalytic activity. Superheated steam treatment of hierarchical zeolites can be used to alter nanosheet morphology and regulate external surface catalytic activity while preserving micro- and mesoporosity, and micropore reaction rates

Perceived needs of health tutors in rural and urban health training institutions in Ghana:Implications for health sector staff internal migration control

BackgroundThe population of Ghana is increasingly becoming urbanized with about 70% of the estimated 27 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32% of the national health sector workforce works. Moreover, the rural-urban disparities in the density of health tutors (staff responsible for pre-service training of health professionals) are enormous. This paper explores perceived needs of health tutors in rural and urban health training institutions in Ghana.MethodsThis is a descriptive qualitative study conducted in the Greater Accra and Northern regions of Ghana. The Study used the deductive thematic and sub-thematic analysis approaches. Five health training institutions were randomly sampled, and 72 tutors engaged in separate focus group discussions with an average size of 14 participants per group in each training institution.ResultsPerceived rural-urban disparities among health tutors were found in the payment of extra duty allowances; school infrastructure including libraries and internet connectivity; staff accommodation; and opportunities for scholarships and higher education. Health tutors in rural areas generally expressed more frustration with these work conditions than those in urban areas.ConclusionsThere is the need to initiate and sustain work incentives that promote motivation of rural health tutors to control ongoing rural-urban migration of qualified staff. It is recommended the following incentives be prioritized to promote retention of qualified health tutors in rural health training schools: payment of research, book and rural allowances; early promotion of rural staff; prioritizing rural tutors for scholarships, and introduction of national best health tutor awards

Medical Image Classification Using Transfer Learning and Chaos Game Optimization on the Internet of Medical Things

The Internet of Medical Things (IoMT) has dramatically benefited medical professionals that patients and physicians can access from all regions. Although the automatic detection and prediction of diseases such as melanoma and leukemia is still being researched and studied in IoMT, existing approaches are not able to achieve a high degree of efficiency. Thus, with a new approach that provides better results, patients would access the adequate treatments earlier and the death rate would be reduced. Therefore, this paper introduces an IoMT proposal for medical images classification that may be used anywhere, i.e. it is an ubiquitous approach. It was design in two stages: first, we employ a Transfer Learning (TL)-based method for feature extraction, which is carried out using MobileNetV3; second, we use the Chaos Game Optimization (CGO) for feature selection, with the aim of excluding unnecessary features and improving the performance, which is key in IoMT. Our methodology was evaluated using ISIC-2016, PH2, and Blood-Cell datasets. The experimental results indicated that the proposed approach obtained an accuracy of 88.39% on ISIC-2016, 97.52% on PH2, and 88.79% on Blood-cell. Moreover, our approach had successful performances for the metrics employed compared to other existing methods.Comment: 22 pages, 12 figures, journa

Protective indigenous collective value of Ubuntu and child neglect: Implications for rural child protection practice

Theories on collective efficacy and social support suggest that indigenous values that support collective practices and sanction community obligations to childcare would be protective against child neglect. Likewise, new qualitative findings show that collective values are stronger in rural areas than in urban. This study tested the claims that the value of Ubuntu, which is a symbolic cultural value of ‘being for others’, will be protective against the likelihood of neglect; this relationship will be stronger in rural compared with urban communities in Ghana. Using data obtained from a nationally representative sample of 1100 mothers (from 22 communities) in Ghana, we tested the claims using fixed effects logistic regression. The Ubuntu norms were significantly endorsed in rural communities compared with the urban. The overall model showed that higher levels of Ubuntu are associated with lower odds of child neglect (OR.47, [.29,.76] p \u3c 0.05), and the relationship remained significant only in the rural sample (OR.13, [.06,.31] p \u3c 0.001). Similar evidence was recorded for the Ubuntu norms of community care and compassion. The results suggest that child protection in rural Ghana can be fruitful when interventions are developed to boost the value of Ubuntu and the norms of collective childcare

Pre-Impoundment Fish Stock Assessment of the Black Volta: A Contribution to Fisheries Management of Bui Reservoir in Ghana

A length-based fish stock assessment of the Black Volta River in Ghana was undertaken prior to its damming at Bui in 2011. The approach involved estimation of the population parameters and exploitation rates of dominant fish stocks using TropFish R. The targeted species were: Alestes baremoze, Hydrocynus forskalii, Hemisynodontis membranaceus and Labeo coubie. The estimated asymptotic length (L∞) ranged from 30.8 – 48.2 cm standard length (SL) with derived longevity of 11 – 27 years for the assessed species. The estimated growth coefficient (K) value ranged from 0.10 – 0.25 yr-1 which suggested slow growth rates. The estimated length at first capture (Lc50) was lower than the length at first maturity (Lm50) for all the assessed fish species which suggests the presence of recruitment overfishing within the fish stocks. The total mortality rate (Z) was relatively high ranging between 0.51 and 1.34 yr-1 suggesting that the stocks were over-exploited during the pre-impoundment period. The exploitation rate (E) for the assessed fish species were lower than the maximum exploitation rate (Emax) which indicates that the species are far from collapse. These estimates are baseline scientific information for designing a Fisheries Management Plan for the Bui reservoir. Meanwhile, alternative livelihood and employment opportunities such as cage fish culture are to be explored to reduce the fishing pressure on the reservoir

Adoption of International Financial Reporting Standard for Small and Medium Enterprises in North Central Nigeria: Implications for Financial Reporting Quality

Previous studies have paid little attention to the adoption of International Financial Reporting Standard (IFRS) for SMEs in North-Central geo-political zone of Nigeria. This study investigates level of awareness, challenges and willingness for the adoption of IFRS for Small and Medium Enterprises (SMEs) in North-Central Nigeria, with a view to highlighting the implications of the adoption for financial reporting quality among the SMEs. The outcome variable in the study is financial reporting quality measured by qualitative reporting attributes namely reliability, comparability and understandability. The explanatory and control variables are IFRS awareness, challenges and willingness for the adoption, while others are taxation, entitie

An Assessment of Institutional Importance of Climate Change Adaptation in the Volta River Basin of Northern Ghana

Climate change affects a lot of sectors including agriculture. Several measures are being adopted to avert the impacts associated with it. Water resources in semi-arid areas are not excluded. The study, conducted in Lawra District of Upper West region of Ghana was undertaken to identify and assess the adaptation strategies adopted by settlers along and in the Volta River Basin as well as to analyse the level of agreements among the institutions that are helping farmers to adapt to climate change impacts. This study used a mixed method including focus group discussion and a semi-structured questionnaire to obtain information from 160 farming households in 8 randomly selected communities in the Lawra district. Results revealed three classes of adaptation strategies which include environmental, cultural/agronomic and economic strategies. Majority (65%) of the settlers adopted the environmental practices, whiles 52% of the respondents also adopted the cultural/agronomic practices and less than half of the respondents (31%) adopted the economic practices. We viewed that adoption levels, though more than half of the respondents adopted the environmental and cultural strategies, are still not encouraging given the magnitude of interventions related to water management. The results also reveal that community watchdogs, climate change, agriculture and food security platforms and non-governmental organisations are the three most important institutions working to improve farmer resilience to climate change. Therefore the results could restimulate policy implementation with the overall aim of increasing adoption levels of the strategies. Only when this is done, will a significant step have been taken towards saving our water resources from climate change impacts