Papillary thyroid cancer recurrence 43 Years following Total Thyroidectomy and radioactive iodine ablation: A case report

Background: Recurrent papillary thyroid carcinoma (PTC) beyond the first two decades of definitive treatment (i.e. total thyroidectomy and radioactive iodine ablation) is a rare occurrence. Case presentation: We present a case of a 71-year old Caucasian female with a distant history of PTC treated with total thyroidectomy and radioactive iodine ablation who experienced recurrence of her disease 43 years following initial diagnosis and definitive treatment. She presented with palpable left-sided neck mass and subsequently underwent a level II, III, neck dissection and adjuvant iodine ablation. This case presents the latest recurrence in papillary thyroid cancer documented to date in the literature. Conclusion: This case exemplifies the need for the head and neck surgeon, radiation oncologist, general practitioner and radiologist to consider new lateral neck mass as late-presenting recurrence of PTC until proven otherwise regardless of low recurrence rates beyond two decades from treatment and low prognostic risk scores

Rubber and plantain intercropping: Effects of different planting densities on soil characteristics

Two field experiments were conducted at Ellembelle and Jomoro districts in the Western region of Ghana where rubber cultivation is a predominant farming activity. The objective of the study was to assess the effect of rubber and plantain intercropping systems on selected soil properties. The experiment was arranged in a randomized complete block design (RCBD) with 3 replications. The treatments were the sole crop rubber (R), sole crop plantain (P) and three intercrop systems comprising an additive series of plantain: one row of plantain to one row of rubber (PR), two rows of plantain to one row of rubber (PPR) and three rows of plantain to one row of rubber (PPPR). Generally, agroforestry systems improved the soil hydraulic properties considerably, with the highest cumulative infiltration rates of 5.16 and 8.68 cm/min observed under the PPPR systems at the Ellembelle and Jomoro sites, respectively. Microbial biomass C (Cmic), N (Nmic) and P (Pmic) was significantly improved (P < 0.05) under the agroforestry than the monocrop systems. The Cmic, Nmic and Pmic values were highest under the PPPR system at both Ellembelle (Cmic, = 139.9 mg/kg; Nmic = 36.26 mg/kg and Pmic = 87.6 mg/kg) and Jomoro (Cmic = 78.7 mg/kg; Nmic = 80.3 mg/kg and Pmic = 3.45 mg/kg) sites

Climate Change and Climate-Smart Agricultural Practices: Opportunities and Challenges in the Semi-deciduous region of Ghana

Aim: This study was conducted to investigate small holder farmers’ awareness of climate-smart agricultural practices and challenges to climate change adoption in the semi-deciduous zone of Ghana. Study Design: A descriptive research design was used for the study. Place of study: The study was conducted within the Sekyere South district in the Ashanti Region of Ghana. Methodology: Questionnaire was the main tool for data collection. Statistical Package for Social Science [SPSS], version 20 was used for data analysis. Pearson Product Correlation was used to determine the correlation between variables and CSA at 0.05 significant level. Results: Results from the study revealed that agroforestry (52.0%) and rainwater harvesting techniques (80.0%) were never known among majority of the respondents’ as CSA strategy. Besides, farmers were moderately aware of fire and pest management (48.0%) and crop rotation (36.0%) strategies as CSA approach (48%), as well as, minimum tillage which farmers testify of having a considerable idea on it (52%). Nonetheless, respondents often used improved seed variety (64%) and also resorted to residue management and usage (52%) as CSA options in crop productivity. The study further revealed that a higher segment of the farmers attested that no proper training/education, no governmental support, lack of finance, lack of climate information and non-availability of extension field officers, representing 64%, 76%, 84%, and 76% respectively were the major challenges faced by farmers in adopting and practicing climate-smart agriculture. Conclusion: Farmers little knowledge on climate change impeded the successful adoption of CSA practices

Papillary thyroid cancer recurrence 43 Years following Total Thyroidectomy and radioactive iodine ablation: a case report

Abstract Background Recurrent papillary thyroid carcinoma (PTC) beyond the first two decades of definitive treatment (i.e. total thyroidectomy and radioactive iodine ablation) is a rare occurrence. Case presentation We present a case of a 71-year old Caucasian female with a distant history of PTC treated with total thyroidectomy and radioactive iodine ablation who experienced recurrence of her disease 43 years following initial diagnosis and definitive treatment. She presented with palpable left-sided neck mass and subsequently underwent a level II, III, neck dissection and adjuvant iodine ablation. This case presents the latest recurrence in papillary thyroid cancer documented to date in the literature. Conclusion This case exemplifies the need for the head and neck surgeon, radiation oncologist, general practitioner and radiologist to consider new lateral neck mass as late-presenting recurrence of PTC until proven otherwise regardless of low recurrence rates beyond two decades from treatment and low prognostic risk scores

Logistic analysis of factors and perception of smallholder rubber farmers to intercrop: a case study involving rubber and plantain intercropping system in Ghana

Even though rubber tree (Hevea brasiliensis) is a major tree crop and is lucrative for small holder' farmers in Ghana, the 6 years waiting period to maturity constraints its establishment. Intercropping of rubber with food crops has been found to be a solution to this production constraint in most rubber producing countries. The objective of this study was to empirically assess farmers' perception on rubber/plantain intercropping and factors that directly affect rubber farmers' decision to intercrop rubber plantations with plantain. A multistage sampling technique was used to select 200 rubber farmers from the Central and Western regions of Ghana. Both descriptive and logistic regression models were used to analyze the data. About 83% of the rubber farmers were males. Based on the logit model analysis, gender, level of education, household size, farm size, member of association and experience in rubber farming were found to have significant influence on the adoption of rubber/plantain intercrop. Respondents see the potential adoption of rubber/plantain intercropping system as a means to improve food security, farmers' income and livelihood. Non-governmental organizations, Ghana Rubber Estates Limited (GREL) and Government should focus on strengthening its extension arm to develop more interpersonal contacts with potential rubber farmers. Policy makers, researchers and extension providers should closely work together with rubber farmers in identifying suitable rubber/plantain spacing and varieties on a case by case basis to ensure effective adoption and scaling out.Keywords: Food security, Ghana, GREL, Livelihood, Rubber and plantain intercroppin