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Characteristics of hearing-impairment among patients in Ghana
GK Amedofu, G Ocansey, BB Antwi
African Journal of Health Sciences , 2006,
Abstract: 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. 110-116
Stakeholders Perception of Current Health Education Situation under Ghana's Health Service
KB Antwi
West African Journal of Applied Ecology , 2008,
Abstract: Health Education is one of the critical eight essential pillars of the primary health care (PHC) adopted world-wide by WHO member countries in 1978. After over two decades of health education to support PHC implementation, the epidemiological profile of Ghana continues to be dominated by communicable diseases, and environmental sanitation is problematic in both urban and rural areas. Based on the health field concept, the behavioural and information diffusion theory, the paper provides a situational overview of health education in Ghana. Informants were health policy makers, managers, healthcare providers and the public, as they perceive health education delivery in healthcare institutions, schools, workplaces and communities. Quantitative and qualitative techniques including questionnaires, semi-structured interviews and focus group discussions were employed to reach the target population. The paper concludes that despite its importance health education seemed to enjoy less support at policy, management, service providers and users of healthcare levels. However, it is a worthwhile and cost effective strategy that must be nurtured towards health promotion. West African Journal of Applied Ecology Vol. 13 2008: pp. 83-95
Assessment and Management of Severe Malnutrition in Children
S Antwi
West African Journal of Medicine , 2011,
Abstract: BACKGROUND: Severe malnutrition is a common cause of morbidity and mortality among children less than five years of age. The World Health Organisation (WHO) has developed two manuals for the in-patient treatment of severe malnutrition. However, these manuals are not widely distributed with the result that most health practitioners caring for severely malnourished children unknowingly use practices that, though may be suitable for sick well nourished children, may be highly dangerous for the severely malnourished child. OBJECTIVE: This review article, based on the two WHO manuals for in-patient treatment of severe malnutrition and other relevant literature, seeks to offer the medical fraternity the opportunity to abreast themselves with the assessment and case management of children with severe malnutrition. CONCLUSION: Health practitioners caring for children with severe malnutrition should abreast themselves with the recommended guidelines for assessment and management of this common disorder.
Malnutrition: Missed opportunities for diagnosis
S Antwi
Ghana Medical Journal , 2008,
Abstract: Introduction: Malnutrition is a serious public health problem particularly in developing countries where it is responsible for 54% of under 5s mortality. Anthropometric measurements are key tools for the assessment of nutritional status and diagnosis of malnutrition. Height and weight measurements are not routinely done in most clinics and hospitals in Ghana. Children therefore miss the opportunity for accurate nutritional assessment and detection of malnutrition. Objectives:To determine the prevalence of wasting among children <5 years and to document extent of under-diagnosis. Method: From June to August 2004, children aged >3 months to <5 years attending the outpatient clinic of Komfo Anokye Teaching Hospital were systematically assessed for wasting using weight-for-height standard deviation score (Z-score). Results: Of 1182 children (mean age 24.9 months), 251 (21.2%) were wasted, 48 (4.1%) of them severely. Only 15 (5.9%) of the 251 children with wasting were so identified by the attending physician. Conclusion: Malnutrition is widespread yet underdiagnosed. Anthropometric measurements should be promoted in all child health clinics.
Electrophoretic studies on biologically important copper(II), manganese(II) and uranyl(II) binary complexes
BB Tewari
Bulletin of the Chemical Society of Ethiopia , 2009,
Abstract: Paper electrophoresis is used for the study of equilibria in binary complex systems in solution. The stability constants of ML and ML2 complex species of some metal ions copper(II), manganese(II) and uranyl(II) with a-aminobutenoic acid and hydroxyproline were determined at an ionic strength of 0.1 M and 35 oC. The stability constants of ML and ML2 complex species of metal(II)-a-aminobutenoic acid and metal(II)– hydroxyproline were found to be [(7.70 ± 0.03, 6.38 ± 0.11), (3.19 ± 0.02, 2.07 ± 0.09), (7.32 ± 0.05, 5.49 ± 0.12)] and [(8.23 ± 0.05, 7.05 ± 0.03), (3.74 ± 0.06, 3.15 ± 0.09), (7.39 ± 0.11, 6.67 ± 0.02)] for copper(II), manganese(II) and uranyl(II) complexes, respectively.
BB Shehu
Annals of African Medicine , 2002,
Abstract: For an effective practical management of head injury, a clear knowledge of the various causes and mechanism of head injury is essential. The concept of the brain in a rigid cranial cavity makes the pathophysiological mechanism of head trauma unique. Most problems occur due to poor handling of patients at the site of trauma or lack of adequate resuscitation before radiological investigation at the emergency department. With adequate management of intracranial pressure and nursing of unconscious patient, most patients can be managed without neurosurgical consultation. Timely referral and surgical intervention can prevent the catastrophic effects of rapidly expanding intracranial haematoma. This paper discusses practical management head injury management and highlighted some pit falls in management.
The Degree of Court’s Control on Arbitration under the Ethiopian Law: Is It to the Right Amount?
BB Birhanu
Oromia Law Journal , 2012,
Abstract: A look at the Ethiopian arbitration law (Arts.3325-3346, Civil Code (herein after referred as C.C); Arts.315-319 and 350-357 Civil Procedure Code (herein after referred as Civ.Pro.C)) reveals that courts in Ethiopia control arbitration by such avenues as appeal, setting aside and refusal. Of the Ethiopian arbitration literatures published over the years, those related to the topic of this work are three. These works are by Aschalew, Tewodros and more recently by Hailegabriel. None of these authors’ works, directly and systematically, examines whether these avenues lead to excessive or inadequate intervention of courts into arbitration and they all overlook the avenue of refusal, particularly in terms of domestic awards. One of the authors, Tewdros even makes a mistake in his article in taking setting aside as one and the same thing as appeal.
The I Ching or "Book of Changes": Chinese space-time model and a philosophy of divination
BB Olshin
Journal of Philosophy and Culture , 2005,
Reality check: the possible detection of simulated environments through observation of selected physical phenomena
BB Olshin
Journal of Philosophy and Culture , 2006,
Wise use of Wetlands in Nepal
BB Bhandari
Banko Janakari , 2009, DOI: 10.3126/banko.v19i3.2206
Abstract: The paper attempts to throw light on Nepal's stride towards the wise use of wetlands in the country. The paper begins with the statement that wetland is a nascent term, which means many things to many people. In general wetlands are taken as the area covered with water for a part of the day or year. Biologically wetlands become the most productive when they dry out periodically. The Ramsar Convention defines wetlands as the "area of marsh, fen, peatlands or water". The global importance of Nepal's wetlands are manifested by the presence of the rare and endangered species of flora and fauna, rest place for migratory birds, waterway for the migratory fishes and availability of wild native rice. Nepal in its journey to the wise use of wetlands has passed through the four stages; primary, awakening, take-off and mass consciousness stages. Nepal's wetlands have been the victim of human conversion, over-exploitation, pollution of water, invasion of invasive species, human encroachment and deposition of sediments. Nepal has already designated wetlands in the Ramsar list and adopted a National Wetland Policy. The paper suggests that the loss of wetlands can be ameliorated by developing a national wetland act and national inventory, forming an interdisciplinary body to look over the issue, controlling invasive species etc. Key words: Wise use, Ramsar site, wetlands, wetland loss, invasive species ? doi: 10.3126/banko.v19i3.2206 Banko Janakari , Special Issue February 2009, 10-17
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