Socio-Demographic Characteristics of Patients Diagnosed with HIV in Accra and Kumasi Metropolis

Human Immunodeficiency Virus (HIV) is RNA virus that causes Acquired Immune Deficiency Syndrome (AIDS). In Ghana the AIDS epidemic is spreading very fast in densely populated areas with higher numbers of cases occurring in the southern regions especially the densely populated capitals such as Kumasi, Koforidua and Accra as well as mining towns like Obuasi and Tarkwa, and in border towns. Data was collected from Accra and Kumasi on socio-economic backgrounds such as age, sex, education, marital status, household size, among others with a structured questionnaire and analysed using statistical Package for Social Sciences (SPSS) version 16.0. About 72% females and 28% males were interviewed with close to 74% lying between 22 to 40 age brackets. Also 63% of these completed JHS/Middle school, Seventeen (36.1%) are married people, 15 (31.9%) widowed. Majority of them are Akans who are also Christians with different denominations. Among these people, 20 (42.6%) of them are unemployed, and 3 (6.4%) claimed to be self-employed in various disciplines. Most of them said they use condoms as contraceptives in order to prevent the spread of the disease. Income level of the respondents predominantly lies between GH¢50.00- GH¢450.00 per annum. Some of the interventions for preventing the disease include promoting abstinence and faithfulness, promoting reductions in the number of sexual partners, encouraging delays in the onset of sexual activity among others

Recent Innovations & Daily Problems. A new prosthesis in inguinal hernia repair:preliminary results of a pilot study.

Introduction: Elective surgery for inguinal hernia is affected by very low mortality « 1 per 10000 operation); in contrast, when surgery is carried out for complicated inguinal hernia, risks of postoperative complication are higher. TAPP is a world-wide accepted surgical practice in the treatment of elective bilateral or recurrent inguinal hernia, above all in young patients. Few exploratory studies were published on laparoscopic approach in the treatment of urgent complicated inguinal hernia. Aim of this study was to analyze feasibility (operative time, conversion rate), safety (postoperative morbidity, length of hospital stay) and quality of life (acute and chronic pain, return to work) of trans-abdominal pre-peritoneal laparoscopic hernia repair in acute incarcerated inguinal hernia. Rationale of laparoscopic trans-abdominal approach is the easier hernia reduction under vision and a better exploration of the abdominal cavity. Methods: from September 2012 to September 2013, 15 consecutive patients admitted in emergency at the Division of General Surgery of University "Sapienza", Polo Pontino, for acute incarcerated inguinal hernia were submitted to TAPP using 3 trocars (1 of 10 mm and 2 of 5mm) and polyester prosthesis fixed by fibrin glue. Exclusion criteria for laparoscopic approach were age III, previous abdominal surgery, signs of strangulated hernia. All of them were evaluated for operative time, conversion rate, postoperative morbidity, organ resection or other surgery required. All patients were scored for pain by Visual Analogic Scale (VAS) during postoperative in hospital stay at 7 days, 1,6 and 12 months after surgery. Results: median follow-up was 16 months and 12 as minimum. In all cases reduction of hernia was always possible and none conversion to open surgery was recorded, median operative time was 89 minutes (55-137 as range), omental resection was carried out in one patient (6,6%), no other organ resections needed, whereas contralateral hernia was diagnosed and repaired at the same time in 4 patients (26,6%). No major complications were observed, median blood loss was 100 ml, minor morbidity was contained to 18% represented by fever and wound infection of surgical umbilical scar. Median in hospital stay was 1,5 days with 1-5 days as range. Postoperative median acute pain, measured by visual analogic scale (VAS), was 2 (range:0-4), none patient referred any pain during follow-up. Median time of return to work was 6,5 days, ranged between 3 to 15 days. Patients' compliance to treatment and to follow-up was complete as well their satisfaction. Conclusions: In centres skilled for laparoscopy in emergency, TAPP could be considered a feasible and safe technique. In well-selected patients (especially if emolled in controlled clinical trial) TAPP could represent an alternative surgical approach for complicated incarcerated inguinal hernia to conventional open surgery even in urgency. The main advantages of laparoscopic approach are the ability to perform surgical hernia reduction under vision, a better exploration and evaluation of abdominal cavity and diagnosis and treatment of eventual contralateral defect of wall, otherwise often missed. Finally, the good control of acute and chronic pain, faster return to normal activity and work, better aesthetic results contributed to total satisfaction and compliance of the patients

Observation of Top Quark Production in Proton-Nucleus Collisions

Peer reviewe

Search for gamma (1S,2S) -> Z(c)(+)Z(c)((')-) and e(+)e(-) -> Z(c)(+)Z(c)((')-) at root s=10.52, 10.58, and 10.867 Gev

The first search for double charged charmoniumlike state production in gamma (IS) and gamma (2S) decays and in e(+) e(-) annihilation at root s = 10.52, 10.58, and 10.867 GcV is conducted using data collected with the Belle detector at the KEKB asymmetric energy electron-positron collider. No significant signals are observed in any of the studied modes, and the 90% credibility level upper limits on their product branching fractions in gamma(1S) and gamma(2S) decays [B(gamma(1S, 2S) -> Z(c)(+)Z(c)((')-)) x B(Z(c)(+) -> pi(+) + c (c) over bar ) (c (c) over bar = J / psi, chi(c1) (1P), psi(2S))] and the product of Born cross section and branching fraction for e(+)e(-) -> Z(c)(+)Z(c)((')-)) (sigma(e(+)e(-) -> Z(c)(+)Z(c)((')-)) x B(Z(c)(+) -> pi(+) + c (c) over bar )) at root s = 10.52, 10.58, and 10.867 GeV are determined. Here, Z(c) refers to the Z(c) (3900) and Z(c) (4200) observed in the pi J/psi final state, the Z(c1)(4050) and Z(c2)(4250) in the pi chi(c1)(1P) final state, and the Z(c)(4050) and Z(c)(4430) in the pi psi(2S) final state

Cultivation and use of African yam bean (Sphenostylis stenocarpa) in the Volta Region of Ghana

The African yam bean (Sphenostylis stenocarpa Hochst ex A. Rich) is a legumi nous crop found in the Volta Region of Ghana. Three expeditions were under taken in the region between September 1998 and March 1999 to investigate the extent of cultivation and use of the bean as the basis for research into its develop ment and promotion as a major crop. Its cultivation is currently localized around Nkwanta and Ho West Districts. It is grown as a minor crop in mixed associa tion with yam and cassava. It is used extensively in various dietary prepara tions and has potential for supplement ing the protein requirements of many families throughout the year. Its current low status as a minor crop means that this potential is largely unexploited. Re search efforts are required to improve its agronomic characteristics and promote its cultivation and use as a major crop. The Journal of Food Technology in Africa Volume 6 No.3, 2001, pp. 74-77 KEY WORDS: African yam bean, food security, Ghana, legume, pulse, Sphenostylis stenocarpa, under-exploited cro

Correlation and Path Analysis in Early Maturing Sugarcane: Climate Change and Environmental Impact

An investigation was undertaken to identify early maturing sugarcane genotypes for higher sugar yield at the Research Farm of DRPCAU, Pusa, Samastipur, Bihar during the spring season of 2018, the experiment was carried out in Randomized Block Climate change is expected to have important consequences for sugarcane production in the world, especially in the developing countries because of relatively low adaptive capacity, high vulnerability to natural hazards, and poor forecasting systems and mitigating strategies. Sugarcane production may have been negatively affected and will continue to be considerably affected by increases in the frequency and intensity of extreme environmental conditions due to climate change. Design with three replications. Correlation and path analysis in twelve genotypes of sugarcane for twenty one different morphological and juice quality characters were studied in relation to the checks viz. CoLk94184 and CoSe95422. Analysis of correlation revealed that the character sugar yield had highly positive genotypic correlation with traits number of millable canes at harvest (0.977), followed by cane yield at harvest (0.963). However, it was negatively correlated with purity percentage at the 8th month stage (-0.491), cane diameter at harvest (-0.363), number of internodes at harvest (-0.263), length of internodes at harvest (-0.081) and fibre percentage at harvest (-0.039). The trait cane yield at harvest (0.955**) was found to have a highly significant and positive phenotypic association, followed by single cane weight at harvest (0.820**) and germination percentage at 45 DAP (0.510**).On the other hand, it was found that the traits cane diameter at harvest (-0.236), number of internodes at harvest (-0.151) and length of internodes at harvest (-0.099) had non-significant negative phenotypic associations with sugar yield. Positive direct effect on sugar yield at phenotypic level was exerted maximally by cane yield at harvest (t/ha) (1.51) followed by CCS percentage at 10th month stage (0.29) and pol in juice at 10th month stage (0.21), germination Percentage at 45 DAP (%), cane diameter (cm) and length of internode (cm), whereas at genotypic level maximum positive direct effect was observed in the case of pol percentage in cane at harvest followed by single cane weight (kg) and brix percentage at 10th month

Measurement of Breast Milk Intake Using Deuterium Oxide and Fourier Transformed Infrared Spectrophotometer - A Pilot Study

The measurement of breast milk intake of infants is essential to the estimation of nutrient re-quirements during infancy and lactation. The conventional method, test-weighing procedure for measuring breast milk is time consuming, most often inaccurate and may interfere with the mother�s normal activities. A more practical and accurate method is isotope dilution using stable isotope-labelled water. The accuracy and ready availability of deuterium oxide (D2O) have led to its extensive use in measuring body composition and breast milk intake of infants. The D2O turnover method was field-tested in 13 lactating Ghanaian mother-baby pairs. Maternal and baby anthropometric measurements were made. Baby milk intake and maternal body composi-tion were measured with the dose-to-mother method. Pre-dose samples of saliva were taken from each mother-baby pair. A measured D2O dose (30g) was administered orally to the mother. Post-dose saliva samples were collected from mother and baby on days 1, 2, 3, 4, 13, and 14. Samples were analysed using Fourier Transformed Infrared Spectrophotometer (FTIR). The mean � SD maternal age was 24 � 5 years. Babies were aged 3.5 months on the average and weighed 6.7 � 0.7 kg. Mean milk intake of babies was 828 � 132 ml/day with a range of 610 to 1040 ml/day. Maternal fat free mass and % body fat were 44.8 � 5.3 kg, 23.1 � 5.1 respectively. This non-invasive and convenient method has been used successfully to measure breast milk intake of Ghanaian infants