Characteristics of hearing-impairment among patients in Ghana

The causes, and characteristics of hearing-impairment were determined prospectively among six thousand, four hundred and twenty-eight (6,428) patients who reported at the Komfo Anokye Teaching Hospital (KATH) with hearing problems. The purpose of the study was to determine the characteristics and some causes of hearing loss of patients who report for management at Komfo Anokye Teaching Hospital. The procedure adopted included a detailed case history, Otoscopy and Pure-tone Audiometry. Of the 6,428 patients, 5,734 (89.9%) were diagnosed as having significant hearing loss. There were more hearing impaired women than men at all ages. Majority of the patients had mild hearing loss. The overall prevalence of Sensorineural Hearing Loss was more in worse ear than better ear. Again, the occurrence of Sensorineural Hearing Loss was more than other types of hearing loss. Noise, Fever, Presbycusis, Sickness, Meningitis and Meniere\'s diseases were the major causes of Sensorineural Hearing Loss. Conductive Hearing Loss was attributed in the main to Wax, Foreign Bodies, Otitis Media, and Traumas. These findings have important implications on the need of resources for rehabilitation. African Journal of Health Sciences Vol. 13 (1-2) 2008: pp. 110-11

Trace elements contamination of soils around gold mine tailings dams at Obuasi, Ghana

This study investigated the issue of tailings dams as a potential source of trace elements contamination in soils at the Obuasi gold mine in Ghana. Soil samples taken from depths of up to 12 cm and within a radius of 400 m from the tailings dams (active and recommissioned), were analysed for As, Cu, Pb and Zn using atomic absorption spectrometry. Average concentrations of As, Cu, Pb and Zn in soils around the active tailings dams were respectively 581±130, 39.64 ± 3.02, 24.22 ± 2.62 and 72.64 ± 8.01 mg/kg. Soils in the vicinity of the decommissioned tailings dam registered increased values - 1711 ± 172, 71.44 ± 5.27, 38.67 ± 3.59 and 168.1 ± 36.2 mg/kg for As, Cu, Pb and Zn respectively. Both types of tailings dams impacted adjoining soils with greater concentrations of the trace elements when compared to undisturbed control soils. Arsenic was above the Netherlands intervention value of 55 mg/kg dry weight, even in control soils. The following trend of accumulation was observed in the soils: As>Zn>Cu>Pb. Improved tailings management strategies, among other factors, might have influenced the reduced level of trace elements contamination at the active tailings dams’ site

Conceptual Exploration of the Rites of Passage With The Kumasi Central Market

As a concept, the Rites of Passage –a phrase which was coined by the French anthropologist and folklorist Arnold van Gennep, is represented with paintings to depict the stages of life from the time of birth to death. This write-up, conceptually represents the behavioural tendencies at each stage of life with scenes captured from the Kumasi Central Market at the four major periods of the day which are morning, afternoon, evening and night. The captured scenes were selected based on the effect of light on the particular scene, specifically, the brightness of the hues, and its capability of portraying the specific period of the day. To achieve the exact optical effect, the selected scenes were photographically painted on canvasses. Descriptions were made of the scenes and were finally analysed. Thus Observatory, Participatory, Descriptive and Analytical methodologies were utilized to observe and capture snapshots of the scenes from the Kumasi Central Market, then painted the scenes, described them and finally analysed them respectively. The analyses resulted in conceptually portraying the Rites of Passage theory with the paintings. The statement or morals is that in nature, everything passes through the four stages of life and eventually dies. It is therefore concluded that nothing is permanent in life as it goes through several challenges and changes before finally deteriorating and dying or annihilating. Keywords: Conceptual, Exploration, Rites of passage, Kumasi Central Market. DOI: 10.7176/JCSD/66-03 Publication date:August 31st 2021

Utilization of Colour for Visual Representation of Nature, Form, Space and Time

In nature, everything has a form, occupies a space, and is susceptible to change in a matter of time. Nature, form, space and time could well be classified as theoretical and the problem of intangibility of the said terms is addressed with the application of colour to visually represent them through paintings. Through application of colour, this article pulls the said incorporeities from their abstract realm for visual perception. Methodology of Observation was applied to observe some scenes at the same time, but a particular scene or spot was studied at four different periods of the day namely; morning, afternoon, evening and night. Participatory methodology was utilized to capture the scenes with a camera and, through the application of colour, painted the captured scenes on canvasses. Analyses of the painted scenes were finally made to result in conceptually representing nature, form and space with painted objects. Four of the scenes visually present the four periods or time of the day which are morning, afternoon, evening and night. The analyses have subsequently resulted in visually bringing about the concept of nature, form, space and time. In conclusion, if the intangibilities of nature, form, space and time could be concretized for visual conception, then any theory could be practically materialized. Keywords: colour, visual representation, nature, form, space, time DOI: 10.7176/ADS/94-01 Publication date:July 31st 202

Ex Vitro Propagation of Rubber Tree (Hevea Brasiliensis) using Stem Cuttings

Stem cutting propagation preserves the genetic traits and leads to transfer of superior and genetically similar traits of parent plants to progenies. This method is also used to propagate recalcitrant, nonviable and difficult to germinateseeds. Stem cutting in tree species is used to address phenological and intraclonal problems. The use of rubber cuttings as planting material is a feasible option, worthy of investigation. There has been little or no research studies into the USAge of Hevea brasiliensis stem cuttings as an alternative vegetative propagation method for an in vivo propagation of rubber tree in Ghana. Propagation of H. brasiliensis by stem cutting techniques was used to study alternative procedures for mass production of rubber planting materials. Brown and green rubber stem cuttings of Clone I and Clone II were soaked for 6 hours in 0.0-22.5g/L Naphthalene Acetic Acid (NAA) followed by propagation in a nursery bag filled with nutrient-rich soil. Only the brown stem cuttings of H. brasiliensis survived. The percent survival, length of shoots, number of roots as well as length of roots of Clone II was significantly (

Management of Diabetes Patients across the Peri- Operative Pathway: A Systematic Review

Peri-operative environments are a hazardous setting for diabetes patients. A systematic review of literature regarding the management of diabetes patients across the peri-operative pathway has been undertaken to assess if the management of patients within this pathway is suitable and effective for patients. Methods A database search of Google Scholar, CINAHAL, Embase, OVID, Cochrane Library, Joanna Briggs institute and PUBMED was undertaken from 15 th of March 2019 to 30 th of March 2019. A total of 57 papers were found and reduced down to 11 final papers that answered the review question and met the inclusion and exclusion criteria. Inclusion criteria were: Full text, English language, human subjects, adult patients only and studies that focused on diabetes care in a section of the peri-operative pathway. Exclusion criteria: children or adults and children, studies that looked a one particular intervention or type of surgery. No date limit was set. PICO tool was used to frame the study question. Results Three main themes emerged from the literature. 1. Poor patient outcomes; 2. Longer length of stay (LOS); 3. Lack of adherence to guidance and or protocols and glycaemic control. Elective patients had advantageous outcomes compared to emergency surgical patients. Hyperglycaemia still remained a problem with an increase in other medical complications for diabetes patients. LOS in hospital was found to have increased due to medical complications. Adherence to protocols and guidance was found to be beneficial in monitoring and managing hyperglycaemia. However, this review found that best practice guidance and hospital protocol is not always adhered to. A liberal approach to glycaemic control is beneficial. Conclusion This systematic review investigated the management of diabetes patients across the peri-operative pathway. Three main themes emerged from the literature: poor patient outcomes; length of stay; and lack of adherence to guidance and or protocols and glycaemic control. We concluded the peri-operative environment is a hazardous setting for a diabetes patients. Elective patients had slightly more advantageous outcomes than emergency patients. Hyperglycaemia still remains a problem which leads to poor patient outcomes and longer LOS. Adherence to protocols and guidance was found to be beneficial in monitoring and managing hyperglycaemia

Surveillance of bacterial pathogens of diarrhoea in two selected sub metros within the Accra metropolis

Background: In recent years, many localities within the Greater Accra Region (GAR) have witnessed several episodes of cholera outbreaks, with some deaths.Compared to previous epidemics, which usually followed heavy rains, recent outbreaks show no seasonality.Objectives: To investigate infective bacterial diseases in selected sub metros within the GAR.Methods: We used existing disease surveillance systems in Ghana, and investigated all reported cases of diarrhoea that met our case-definition. A three-daytraining workshop was done prior to the start of study, to sensitize prescribers at the Korle-Bu Polyclinic and Maamobi General hospital. A case-based investigationform was completed per patient, and two rectal swabs were taken for culture at the National Public Health and Reference Laboratory. Serotyping and antibiogramprofiles of identified bacteria were determined. Potential risk factors were also assessed using a questionnaire.Results: Between January and June 2012, a total of 361 diarrhoeal cases with 5 deaths were recorded. Out of a total of 218 rectal swabs cultured, 71 (32.6%) Vibrio cholerae O1 Ogawa serotypes, and 1 (0.5%) Salmonella (O group B) were laboratory confirmed. No Shigella was isolated. The Vibrio cholerae isolates were susceptible to ciprofloxacin and tetracycline. Greater than 80% of patients reported having drank sachet water 24 h prior to diarrhoea onset, and many (144/361) young adults (20-29 years) reported with diarrhoea.Conclusion: Enhanced surveillance of diarrhoeal diseases (enteric pathogens) within cholera endemic regions, will serve as an early warning signal, and reduce fatalities associated with infective diarrhoea.Keywords: Diarrhoeal disease surveillance, enteric pathogens, Vibrio cholerae, Salmonell

Highly prevalent hyperuricaemia is associated with adverse clinical outcomes among Ghanaian stroke patients: An observational prospective study

Background: Although a direct causal relationship between hyperuricaemia and stroke continues to be debated, strong associations between serum uric acid (SUA) and cerebrovascular disease exist. Very few studies have been conducted to evaluate the frequency and association between this potentially modifiable biomarker of vascular risk and stroke in sub-Saharan Africa. Therefore the aim of this study was to examine the association between hyperuricaemia and the traditional risk factors and the outcomes of stroke in Ghanaian patients.Methods: In this prospective observational study, 147 patients presenting with stroke at a tertiary referral centre in Ghana were consecutively recruited. Patients were screened for vascular risk factors and SUA concentrations measured after an overnight fast. Associations between hyperuricaemia and stroke outcomes were analysed using Kaplan-Meier and Cox proportional hazards regression analysis.Results: The frequency of hyperuricaemia among Ghanaian stroke patients was 46.3%. Non-significant associations were observed between hyperuricaemia and the traditional risk factors of stroke. SUA concentration was positively correlated with stroke severity and associated with early mortality after an acute stroke with unadjusted hazards ratio of 2.3 (1.4 - 4.2, p=0.001). A potent and independent dose-response association between increasing SUA concentration and hazard of mortality was found on Cox proportional hazards regression, aHR (95% CI) of 1.65 (1.14-2.39), p=0.009 for each 100μmol/l increase in SUA.Conclusions: Hyperuricaemia is highly frequent and associated with adverse functional outcomes among Ghanaian stroke patients. Further studies are warranted to determine whether reducing SUA levels after a stroke would be beneficial within our setting.Key words: Hyperuricaemia, stroke, mortality, Ghan

The perception and management of risk in UK office property development

Risk is an ever-present aspect of business, and risk taking is necessary for profit and economic progress. Speculative property development is popularly perceived as a 'risky business' yet, like other entrepreneurs, developers have opportunities to manage the risks they face; techniques include phasing and joint ventures. The associated areas of investment portfolio risk, development risk analysis and construction risk management have all been addressed by research. This article presents new knowledge about how developers perceive risks and the means they subsequently adopt to manage them. The developers of office projects across the UK were sent questionnaires by post. Respondents were asked about their perceptions of risks at the first appraisal stage and currently and about the risk management techniques that they had adopted. In-depth interviews with a selection of respondents were then used to discuss and augment the findings. Developers were most concerned about market-based risks at both stages. Concern about production-orientated risks was lower and fell significantly between the two stages. A fixed price contract was the most common risk management technique. Risk management techniques were used more often outside London and the South East. Developer type affects both the perception and management of risk. While developers do manage risk, decisions are made on the basis of professional and business experience. These findings should help development companies manage risk in a more objective and analytical way

Acceptor-donor-acceptor small molecules based on derivatives of 3,4-ethylenedioxythiophene for solution processed organic solar cells

Three simple semiconducting acceptor-donor-acceptor (A-D-A) small molecules based on an electron-rich (3,4-ethylenedioxythiophene) EDOT central core have been synthesised (DIN-2TE, DRH-2TE, DECA-2TE) and characterised. Organic photovoltaic (OPV) devices incorporating these materials have been prepared and evaluated. The physical properties of the molecules were characterised by TGA, DSC, UV/vis spectroscopy and cyclic voltammetry. The optical HOMO-LUMO energy gaps of the molecules in the solid state were in the range 1.57-1.82 eV, and in solution 1.88-2.04 eV. Electrochemical HOMO-LUMO energy gaps determined by cyclic voltammetry were found to be in the range 1.97-2.31 eV. The addition of 1% 1,8-diiodooctane (DIO) to photoactive blends of the A-D-A molecules and PC71BM more than doubled the power conversion efficiency (PCE) in the case of DRH-2TE:PC71BM devices to 1.36%