US-based Ghanaian Methodist young people : improving their participation in and commitment to church

https://place.asburyseminary.edu/ecommonsatsdissertations/2516/thumbnail.jp

Francisella infections in farmed and wild aquatic organisms

Over the last 10 years or so, infections caused by bacteria belonging to a particular branch of the genus Francisella have become increasingly recognised in farmed fish and molluscs worldwide. While the increasing incidence of diagnoses may in part be due to the development and widespread availability of molecular detection techniques, the domestication of new organisms has undoubtedly instigated emergence of clinical disease in some species. Francisellosis in fish develops in a similar fashion independent of host species and is commonly characterised by the presence of multi-organ granuloma and high morbidity, with varying associated mortality levels. A number of fish species are affected including Atlantic cod, Gadus morhua; tilapia, Oreochromis sp.; Atlantic salmon, Salmo salar; hybrid striped bass, Morone chrysops × M. saxatilis and three-lined grunt, Parapristipoma trilinineatum. The disease is highly infectious and often prevalent in affected stocks. Most, if not all strains isolated from teleost fish belong to either F. noatunensis subsp. orientalis in warm water fish species or Francisella noatunensis subsp. noatunensis in coldwater fish species. The disease is quite readily diagnosed following histological examination and identification of the aetiological bacterium by culture on cysteine rich media or PCR. The available evidence may indicate a degree of host specificity for the various Francisella strains, although this area requires further study. No effective vaccine is currently available. Investigation of the virulence mechanisms and host response shows similarity to those known from Francisella tularensis infection in mammals. However, no evidence exists for zoonotic potential amongst the fish pathogenic Francisella

The Role of Solar Power in Enhancing Sustainable Energy in Electricity Generation Mix Across Ghana

Sustainable energy is a key driver in the preservation of the environment and the development of Economies, and Society. Sustainable energy, solar power is one of them, is more concerned with how energy needs can be met today, and tomorrow for generations yet unborn. Energy supply from sustainable sources is significant for United Nations Sustainable Development Goals (SDGs) because of its clean and climate action. Therefore, the study examined a qualitative assessment of solar energy’s role in enhancing energy security, and environmental sustainability in the electricity generation mix in Ghana. The research uncovers some findings through a qualitative analysis of downloaded papers from the Energy Commission of Ghana and the Ministry of Energy to supplement peer-reviewed scholarly literature. The study revealed that solar energy installed and connected to the grid is 143.9 MW representing 3% of the electricity generation mix despite Ghana’s substantial solar energy potential. The 143.9 MW is insufficient to guarantee the country's energy security. Again, it was discovered that in response to the global call for a cohesive approach to tackle the challenges of climate change, developing more solar energy would offset the country from millions of tonnes of greenhouse gas emissions. This would save the environment and contribute favourably to Ghana's Nationally Determined Contribution in response to the Paris agreement in 2015. An effective solar energy master plan is needed for the massive development of solar energy because of the abundance of solar potential in Ghana

Exploring Data Security Management Strategies for Preventing Data Breaches

Insider threat continues to pose a risk to organizations, and in some cases, the country at large. Data breach events continue to show the insider threat risk has not subsided. This qualitative case study sought to explore the data security management strategies used by database and system administrators to prevent data breaches by malicious insiders. The study population consisted of database administrators and system administrators from a government contracting agency in the northeastern region of the United States. The general systems theory, developed by Von Bertalanffy, was used as the conceptual framework for the research study. The data collection process involved interviewing database and system administrators (n = 8), organizational documents and processes (n = 6), and direct observation of a training meeting (n = 3). By using methodological triangulation and by member checking with interviews and direct observation, efforts were taken to enhance the validity of the findings of this study. Through thematic analysis, 4 major themes emerged from the study: enforcement of organizational security policy through training, use of multifaceted identity and access management techniques, use of security frameworks, and use of strong technical control operations mechanisms. The findings of this study may benefit database and system administrators by enhancing their data security management strategies to prevent data breaches by malicious insiders. Enhanced data security management strategies may contribute to social change by protecting organizational and customer data from malicious insiders that could potentially lead to espionage, identity theft, trade secrets exposure, and cyber extortion

Money supply, budget deficit and inflation dynamics in Ghana: An empirical investigation

The paper investigates the long run dynamics of money supply, budget deficit and inflation in Ghana. It also tests the validity of the classical, monetary and fiscal theories of price level within the vector error correction framework. Using quarterly data from 1999Q1 to 2019Q4, the paper employs Granger causality test and the vector error correction model (VECM) for the analysis. The results from the VECM show that budget deficit has a significant positive effect on inflation while money supply negatively affect it. By contrast, inflation exerts a positive and negative effect on budget deficit and money supply, respectively. The results from the impulse response function also indicate that inflation responds more positively to budget deficit shocks. However, it tends to respond negatively to money supply (M2) shocks. Also, budget deficit responds positively (negatively) to inflation (money supply [M2]) shocks. Furthermore, money supply responds positively (negatively) to budget deficit (inflation) shocks. Based on the weak exogeneity test, the result favours the fiscal theory of the price level in explaining the nexus between money supply, budget deficit and inflation in Ghana. A corollary of our results is that a reduction in government expenditure coupled with restrictive bureaucratic nature of government officials have the tendency of ensuring favourable and stable inflation in Ghana

Effect of exchange rate on inflation in the inflation targeting framework: Is the threshold level relevant?

The continuous depreciation of the exchange rate in Ghana has raised concern about its effect on inflation and the economy at large. This paper examines the threshold effect of exchange rate pass-through (ERPT) on inflation using a monthly data from January 2002 to December 2018. The relevance of the exchange rate threshold in the Taylor rule has also been examined. Using the threshold autoregressive (TAR) method, the results of the ERPT model revealed that exchange rate depreciation beyond a monthly threshold of 0.70% has a significant positive pass-through effect on inflation, which gives credence to the relevance of threshold level. The results of the monetary policy rule model also showed that regardless of the threshold level of 0.51%, the exchange rate significantly influences the monetary policy rate positively. Therefore, paying proper attention to the exchange rate in the policy rule despite the threshold (0.51%) will prevent the exchange rate depreciation from exceeding the optimal level (0.70%) and hence no ERPT on inflation. Based on these findings, it is suggested that monetary regulators should view the exchange rate at any level essential to adjust the policy rate

Prevalence and genomic characterization of Salmonella isolates from commercial chicken eggs retailed in traditional markets in Ghana

Salmonella enterica are important foodborne bacterial pathogens globally associated with poultry. Exposure to Salmonella-contaminated eggs and egg-related products is a major risk for human salmonellosis. Presently, there is a huge data gap regarding the prevalence and circulating serovars of Salmonella in chicken eggs sold in Ghana. In this study, 2,304 eggs (pools of six per sample unit) collected from informal markets in Accra, Kumasi and Tamale, representing the three ecological belts across Ghana, were tested for Salmonella. Antimicrobial susceptibility testing and Whole Genome Sequencing (WGS) of the isolates were performed using standard microdilution protocols and the Illumina NextSeq platform, respectively. The total prevalence of Salmonella was 5.5% with a higher rate of contamination in eggshell (4.9%) over egg content (1.8%). The serovars identified were S. Ajiobo (n = 1), S. Chester (n = 6), S. Hader (n = 7), S. enteritidis (n = 2); and S. I 4:b:- (n = 8). WGS analysis revealed varied sequence types (STs) that were serovar specific. The S. I 4:b:- isolates had a novel ST (ST8938), suggesting a local origin. The two S. enteritidis isolates belonged to ST11 and were identified with an invasive lineage of a global epidemic clade. All isolates were susceptible to ampicillin, azithromycin, cefotaxime, ceftazidime, gentamicin, meropenem, and tigecycline. The phenotypic resistance profiles to seven antimicrobials: chloramphenicol (13%), ciprofloxacin (94%), and nalidixic acid (94%), colistin (13%), trimethoprim (50%) sulfamethoxazole (50%) and tetracycline (50%) corresponded with the presence of antimicrobial resistance (AMR) determinants including quinolones (gyrA (D87N), qnrB81), aminoglycosides (aadA1), (aph(3“)-Ib aph(6)-Id), tetracyclines (tet(A)), phenicols (catA1), trimethoprim (dfrA14 and dfrA1). The S. enteritidis and S. Chester isolates were multidrug resistant (MDR). Several virulence factors were identified, notably cytolethal distending toxin (cdtB gene), rck, pef and spv that may promote host invasion and disease progression in humans. The findings from this study indicate the presence of multidrug resistant and virulent strains of Salmonella serovars in Ghanaian chicken eggs, with the potential to cause human infections. This is a critical baseline information that could be used for Salmonella risk assessment in the egg food chain to mitigate potential future outbreaks

An integrative review of the use of the concept of reassurance in clinical practice

Aim: To synthesise evidence on the concept of reassurance in nursing practice. Design: Integrative review. Review method: PubMed, OVID MEDLINE, CINAHL and PsycINFO were searched from their inception to the 30th of May 2020.The search results were screened. We assessed the quality of primary studies using the Mixed Method Appraisal Tool. Included studies were analysed using narrative synthesis. The review protocol was pre-registered (PROSPERO - CRD42020186962). Results: Thirty-two papers out of the 2771 search results met our inclusion criteria. The synthesis of evidence generated three intricate themes namely “antecedents of reassurance”, “defining attributes of reassurance” and “outcomes of reassurance”. Emotional distress was the main antecedent of reassurance. The three sub-themes identified under defining attributes of reassurance include self-awareness, emotional connectedness and verbal and non-verbal techniques. Ultimately, reposing the confidence of patients and their families in healthcare professionals and the care delivery process to enable them to overcome their challenges constitutes the outcomes of reassurance

Foodborne disease outbreak in a resource-limited setting: a tale of missed opportunities and implications for response

Introduction: Foodborne diseases (FBD) have emerged as a major public health problem worldwide. Though the global burden of FBD is currently unknown, foodborne diarrhoeal diseases kill 1.9 million children globally every year. On 25th September 2014, health authorities in Eastern Region of Ghana were alerted of a suspected FBD outbreak involving patrons of a community food joint. We investigated to determine the magnitude, source and implement control and preventive measures. Methods: A retrospective cohort study was conducted. We reviewed medical records for data on demographics and clinical features. A suspected foodborne disease was any person in the affected community with abdominal pain, vomiting and or diarrhea between 25th and 30th September 2014 and had eaten from the food joint. We conducted active case search, descriptive data analysis and calculated food specific attack rate ratios (ARR) and their corresponding 95% confidence intervals. Results: Of 43 case-patients, 44.2% (19/43) were males; median age was 19 years (interquartile range: 17-24 years). Overall attack rate was 43.4% (43/99) with no fatality. Case counts rose sharply for four hours to a peak and fell to baseline levels after 12 hours .Compared to those who ate other food items, patrons who ate “waakye” and “shitor” were more likely to develop foodborne disease [ARR=4.1 (95% CI=1.09-15.63)]. Food samples and specimens from case-patients were unavailable for testing. Laboratory diagnostic capacity was also weak. Conclusion: A point source FBD outbreak linked to probable contaminated “waakye” and or “shitor” occurred. Missed opportunities for definitive diagnosis highlighted the need for strengthening local response capacity.Pan African Medical Journal 2016; 2

An integrative review of the use of the concept of reassurance in clinical practice

AimTo synthesize evidence on the concept of reassurance in nursing practice.DesignIntegrative review.Review MethodPubMed, OVID MEDLINE, CINAHL and PsycINFO were searched from their inception to the 30 May 2020. The search results were screened. We assessed the quality of primary studies using the Mixed Method Appraisal Tool. Included studies were analysed using narrative synthesis. The review protocol was pre-registered (PROSPERO-CRD42020186962).ResultsThirty-two papers out of the 2,771 search results met our inclusion criteria. The synthesis of evidence generated three intricate themes, namely “antecedents of reassurance,” “defining attributes of reassurance” and “outcomes of reassurance.” Emotional distress was the main antecedent of reassurance. The three sub-themes identified under defining attributes of reassurance include self-awareness, emotional connectedness and verbal and non-verbal techniques. Ultimately, reposing the confidence of patients and their families in healthcare professionals and the care delivery process to enable them to overcome their challenges constitutes the outcomes of reassurance