Cervical Ectopic Pregnancy in Resource Deprived Areas: A Rare and Difficult Diagnosis

Ectopic pregnancy is a common cause of morbidity and mortality in women of reproductive age especially in resource deprived areas worldwide. Cervical ectopic pregnancy is a rare, life threatening form of ectopic pregnancy which needs a high index of suspicion for diagnosis, thus adding a complex twist to the dilemma faced by the obstetrician in resource deprived areas. A case of a cervical ectopic pregnancy which presented in a resource deprived area in a region in Ghana is discussed, and the difficulties encountered in diagnosis and management of this lifethreatening condition are outlined.Keywords: Ectopic pregnancy, cervical, resource deprived areas, difficult diagnosis, managemen

DEMOGRAPHIC CHARACTERISTICS OF TUTORS ON THE INTEGRATION OF INFORMATION AND COMMUNICATION TECHNOLOGY IN TEACHING AND LEARNING IN THE COLLEGES OF EDUCATION

The purpose of the study was to examine demographic characteristics of tutors on the integration of information and communication technology in teaching and learning in the Colleges of Education in Ghana. The descriptive survey design was used to conduct the study. The purposive sampling technique was used in the selection process. The sample size was 120 tutors. Independent sample t-test and One-way ANOVA were used to analyze the data. The findings showed that there is a significant difference between male and female tutors in their use of ICTs in teaching and learning in the public Colleges of Education in Ghana. The findings revealed that there is no significant difference between tutors with different age and their integration of ICT in teaching and learning. The findings again, indicated that there is no significant difference between the level of academic qualification and the use of ICTs among tutors. The results revealed that there is a significant difference between the use of ICTs among tutors based on their teaching experience. The study recommended that female tutors who could not effectively integrate ICT into the teaching and learning should be identified and supported to integrate ICT into the teaching of the subject. The study recommended that appropriate pedagogical models suitable for the integration of ICTs in teaching and learning should be developed by curriculum designers to assist tutors in their urge to employ them in the teaching and learning process. The study again, recommended that management of the public Colleges of Education in Ghana should seek sponsorship from internet service providers in Ghana to provide free or affordable and reliable internet connectivity in the colleges to facilitate effective use of ICTs in the teaching and learning in the Colleges of Education. Article visualizations

Academic Self-Concept and Academic Performance of College of Education Students

The study examined academic self-concepts (ASC) and academic performance of College of Education students in Ghana. The descriptive survey design was adopted using a sample of 229 students. An original ASC scale by Liu &Wang (2005) was adopted and used for the study. Independent sample T-test and multiple linear regression were the tools used in testing the hypotheses. The findings of the study showed that there is no statistically significant gender difference in ASC of College of Education students. The study further revealed that ASC did not predict academic performance of College of Education students. The study recommends that, stakeholders such as teachers and parents must consider a variety of factors that can influence the development of a healthy ASC and must also encourage, monitor, and supervise students to put in some effort in their studies because effort promotes academic performance. The study again, recommends that academicians should hold workshops and seminars to students in developing a stronger self-concept so that they can improve their abilities and lead a successful life in the future. Students with low ASC may benefit from counseling sessions in order to enhance their academic standing. It may be suggested that curriculum designers pay attention to the relevance of self-concept and create courses that will encourage students to think critically and thoroughly in order to improve their self-concept. Keywords: key words, academic self-concepts and academic performance DOI: 10.7176/JEP/12-24-06 Publication date:August 31st 202

Maternal demographic and placental risk factors in term low birth weight in Ghana

Background: Several studies report on factors that associate preterm birth and intrauterine growth restriction with low birth weight (LBW). However, few studies discuss risk factors that associate with LBW for full-term births. No such studies exist that involve a population from Ghana. Method: We used a nested case-control study approach to examine maternal socio-demographic and placental factors that contribute significantly to term LBW in Ghana. We assessed also the incidence of LBW in general at a major teaching hospital facility in Ghana. Results: Univariate and multivariate logistic regression analysis were used to investigate maternal sociodemographic and placental factors that associate with LBW. Following the preliminary univariate analysis, a stepwise logistic regression analysis showed that unstable income source, single motherhood, combined effect of pre-eclampsia and anaemia; ORs of 5.366 (95% CI: 1.986 to 14.497), 21.390 (95% CI: 3.610 to 126.734) and 3.246 (95% CI: 1.074 to 9.814), respectively, and placental weight and irregular insertion of the umbilical cord (variables scaled by a factor of 10-2 to aid interpretation) ORs 0.28 (95% CI: 0.115 to 0.683), 0.010 (95% CI: 0.001 to 0.173 respectively) on the chorionic plate, were risk factors for LBW. The socio-demographic and placental factors reveal a core role of maternal and infant nutritional deficiencies in term LBW in Ghana. The general prevalence of LBW in the Hospital facility was 6.2%. Conclusion: We conclude that poor maternal and infant nutrient supply is key factors in term LBW in Ghana. These factors are amenable to appropriate nutritional and educational interventions. a, Tettey Yaob, Gyasi Richard, Obed Samuel, Farnell Damian Joseph John, Quaye Isaac Kweku

Obstetrics‐based clinical immersion of a multinational team of biomedical engineering students in Ghana

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135577/1/ijgo218.pd

Influence of Perceptions and Preparedness of Senior High School Teachers based on their Qualifications towards Professional Teacher Licensing in Ghana

The study sought to explore the influence of perceptions and preparedness of senior high school teachers based on their qualifications towards professional teacher licensing in Ghana. The study was motivated by three research hypotheses. A sample size of 278 senior high school teachers in Ashanti, Ghana region was selected using multi-stage sampling technique. Data were analysed using independent sample t-test and one-way ANOVA to answer the research hypotheses. The study revealed that male and female teachers had similar perceptions and preparation towards the teacher licensing. This was because male teachers did not differ significantly compared to their female counterparts on teachers’ perceptions and preparedness towards the teacher licensing in Ghana. The study also found that teachers who hold a bachelor degree have similar perceptions and perceived preparedness towards the teacher licensing policy compared to certificate ‘A’, diploma, and post-graduate degree holders. This is because one-way between-groups ANOVA test shows that the teachers did not differ statistically in their perceptions and perceived preparedness towards teacher licensing in Ghana in relation to teacher qualification. The study recommended that outreach unit of GES should use the mass media and profession development to help teachers have answers to their questions about the policy. The study again recommended that GES and teacher unions should use professional development programmes to educate and prepare teachers for the implementation of the policy

Acute kidney injury and in-hospital mortality among patients with COVID-19 in Ghana – a single centre study

Introduction: Acute kidney injury (AKI) occurs in patients with coronavirus disease 2019 (COVID-19) and is associated with high mortality, but this has not yet been described in Ghana. We therefore record here the proportion of COVID-19 patients with AKI, and determined the corresponding mortality, in a tertiary-level hospital in Ghana. Methods: We conducted a retrospective study of all patients admitted to the Komfo Anokye Teaching Hospital, with a diagnosis of COVID-19 proven by reverse transcriptase polymerase chain reaction (RT-PCR), from March 2020 to February 2021. Demographics, clinical findings and laboratory investigations were recorded and summary statistics used to describe the data. Predictors of mortality were established by multiple logistic regression. Results: The study involved 250 patients, of whom 129 (52%) were males, with a mean age of 56.3 ± 17.4 years. AKI occurred in 123 (49%). The most common causes of AKI were pre-renal AKI and ischaemic ATN – 65 (73%) and 37 (30%) cases, respectively. Haemodialysis was required in 6 (5%) cases. The in-hospital mortality of all the COVID-19 patients was 71 (31%). The predictors of in-patient mortality in multivariate analysis were hyperglycaemia (OR = 18.48 [95%CI (2.0 –165.2], P = 0.009), severe COVID-19 (OR = 31.3 [95% CI 1.53–635.5], P = 0.025), elevated white blood cell count (OR = 1.32 [95% CI 1.09–1.59], P = 0.004), lymphopenia (OR = 0.16. [95% CI 0.03–3.26], P = 0.027) and not AKI (OR = 0.79 [95% CI 0.45–1.34], P = 0.380). Stage 3 (severe) AKI, however, occurred in 39 (32%) cases and was significantly associated with mortality [OR = 2.41 (95% CI 1.05–5.49, P = 0.036)] as compared to those with mild–moderate AKI in a sub-analysis. Conclusions: AKI is common in hospitalized patients with COVID-19. Stage 3 AKI was associated with increased in-hospital mortality. Predictors of mortality were severe COVID-19 disease, lymphopenia and hyperglycaemia

Association of age with perioperative morbidity among patients undergoing surgical management of minor burns

INTRODUCTION: Burn injuries are associated with significant morbidity, often necessitating surgical management. Older patients are more prone to burns and more vulnerable to complications following major burns. While the relationship between senescence and major burns has already been thoroughly investigated, the role of age in minor burns remains unclear. To better understand differences between elderly and younger patients with predominantly minor burns, we analyzed a multi-institutional database. METHODS: We reviewed the 2008-2020 ACS-NSQIP database to identify patients who had suffered burns according to ICD coding and underwent initial burn surgery. RESULTS: We found 460 patients, of which 283 (62%) were male and 177 (38%) were female. The mean age of the study cohort was 46 ± 17 years, with nearly one-fourth (n = 108; 23%) of all patients being aged ≥60 years. While the majority (n = 293; 64%) suffered from third-degree burns, 22% (n = 99) and 15% (n = 68) were diagnosed with second-degree burns and unspecified burns, respectively. An average operation time of 46 min, a low mortality rate of 0.2% (n = 1), a short mean length of hospital stay (1 day), and an equal distribution of in- and outpatient care (51%, n = 234 and 49%, n = 226, respectively) indicated that the vast majority of patients suffered from minor burns. Patients aged ≥60 years showed a significantly prolonged length of hospital stay (p0.0001), creatinine (p>0.0001), white blood cell count (p=0.02), partial thromboplastin time (p = 0.004), and lower levels of albumin (p = 0.0009) and hematocrit (p>0.0001) were identified as risk factors for the occurrence of any complication. Further, complications were more frequent among patients with lower body burns. DISCUSSION: In conclusion, patients ≥60 years undergoing surgery for predominantly minor burns experienced significantly more complications. Minor lower body burns correlated with worse outcomes and a higher incidence of adverse events. Decreased levels of serum albumin and hematocrit and elevated values of blood urea nitrogen, creatinine, white blood count, and partial thromboplastin time were identified as predictive risk factors for complications

The effects of gypsum on pod-yield and pre-harvest aflatoxin contamination in selected peanut cultivars of Zambia

Good agricultural practices are an effective means of minimizing pre-harvest aflatoxin contamination in peanuts. A field experiment was conducted to evaluate the effect of gypsum on pod yield and aflatoxin contamination in three peanut cultivars (Kadononga, MGV 4 and MGV 5) in Zambia. The experiment was conducted in Chongwe and Lusaka districts. Gypsum (15.6 % calcium) was applied at rates of 0 and 400 kg/ha at flowering stage. Although gypsum had no significant effect on aflatoxin contamination, there were significant differences (p = 0.009) in cultivar susceptibility to aflatoxin contamination. The cultivar with the smallest kernels had 18.8% lower aflatoxin content than the large-kernelled cultivar. Additionally, gypsum did not have a clear effect on pod yield. For instance, gypsum was associated with 44.8% more grain-filled pods in Kadononga (p = 0.005) at the site in Lusaka, but this result did not apply to the other two cultivars. At the site in Chongwe, gypsum was associated with 34.6% higher pod yield of MGV 5 only (p = 0.006). These results further suggest that plant factors such as kernel size may have an influence on natural resistance to aflatoxin contamination in peanuts