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Search Results: 1 - 10 of 4641 matches for " Catherine Selorm Agbesi "
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Contraceptive Use in Ghana: What about Women Empowerment?  [PDF]
Edward Kwabena Ameyaw, Francis Appiah, Catherine Selorm Agbesi, Patience Kannor
Advances in Sexual Medicine (ASM) , 2017, DOI: 10.4236/asm.2017.71004
Abstract: Introduction: Although contraceptive usage appears to be increasing in Ghana, 30 and 42 percent of married and unmarried women respectively still have unmet need for family planning services partly due to their inability to exercise their basic rights on fertility issues. Meanwhile, expanding freedom of choice and actions to shape women’s life is critical to how women can be autonomous about issues surrounding their fertility. On this premise, this study aimed at investigating empowerment status and usage of contraceptives among women in the reproductive age in Ghana. Methods: The study made use of the 2014 Ghana Demographic and health survey with a sample size of 9396. The outcome variable was contraceptive use whilst the main independent variable was women empowerment (measured by ability to decide on a woman’s own healthcare, large household purchases and visiting family members). Both bivariate and multivariate binary logistic regressions were carried out generating odd ratios to explore the association at 95% confidence interval. Results: The results indicated that women who were not deciding alone on their own healthcare were less probable to use contraceptives (OR = 0.92, CI = 0.80 - 1.07) as well as those who were not deciding alone on large household purchases (OR = 0.96, CI = 0.82 - 1.11) and visiting family members (OR = 0.63, CI = 0.93 - 1.25) at the bivariate level. However, at the multivariate level, higher likelihoods of contraceptive use were found among those who were not deciding alone on health (OR = 1.26, CI = 1.18 - 1.68), large household purchases (OR = 1.30, CI = 1.08 - 1.55) and visiting family members (OR = 1.32, CI = 1.12 - 1.57). Conclusion: This has inspired the need to intensify women empowerment interventions through mass media and all possible avenues in order to enhance reproductive health.
The Relationship between Energy Literacy and Environmental Sustainability  [PDF]
Catherine Dwyer
Low Carbon Economy (LCE) , 2011, DOI: 10.4236/lce.2011.23016
Abstract: Sustainability, first identified as a characteristic of eco-systems, is the capacity to maintain a process indefinitely. Environmental sustainability receives significant public and government attention, triggered by concerns about climate change, decreasing energy supplies, and increasing food costs. Colleges and universities receive positive notice for their greening efforts, and the academy is expected to be a leader in efforts to improve sustainability. Therefore coursework and curricula must be developed to train students about sustainable resource consumption processes. This paper describes curricula materials related to energy literacy, defined as conceptual fluency with the economic and social components of energy use. These materials were developed and piloted over a three year period, and were tested with a pre- and post-course survey administered with questions based on the New Environmental Paradigm (NEP) and Environmentally Responsible Behavior (ERB). The findings of this study suggest that discussion of sustainability with disaster themes triggers anxiety that interferes with the development of ERB. In contrast, materials emphasizing the pragmatic necessity and benefits derived from sustainable practices relate to improvements in ERB. This suggests sustainability curricula should mitigate anxiety aroused by the topic, and instead emphasize pragmatic motivations for changing energy consumption patterns.
Factors Influencing Liana Species Richness and Structure following Anthropogenic Disturbance in a Tropical Forest, Ghana
Patrick Addo-Fordjour,Philip El Duah,David Kafui Kudjo Agbesi
ISRN Forestry , 2013, DOI: 10.1155/2013/920370
Factors Influencing Liana Species Richness and Structure following Anthropogenic Disturbance in a Tropical Forest, Ghana
Patrick Addo-Fordjour,Philip El Duah,David Kafui Kudjo Agbesi
ISRN Forestry , 2013, DOI: 10.1155/2013/920370
Abstract: The study was conducted to determine the factors that influenced liana species richness and structure in forests of different disturbance intensities (high, moderate, and low disturbance forests) in the Southern Scarp Forest Reserve, Ghana. Within each forest, lianas (dbh ?cm) were enumerated in six ?m2 plots located along transects. Soil physicochemical properties and forest structure were determined within the plots. Liana species richness and abundance were significantly lower in the high disturbance forest ( ) whereas basal area was significantly higher in the low disturbance forest ( ). Tree abundance and dbh significantly predicted liana species richness and structure in the study ( ). On the basis of the importance value index, three main liana communities, each corresponding with a forest type, were identified. Stepwise multiple regression analysis revealed that exchangeable magnesium and calcium, and total exchangeable bases were the main soil variables that affected liana species richness. Liana structure was influenced by the above-mentioned soil variables as well as exchangeable potassium and sodium, and pH. The present study has demonstrated that changes in liana species richness and structure following human disturbance may be due to variations in soil properties and forest structure. 1. Introduction Lianas are woody climbers that are rooted in the soil and climb other plants to the reach forest canopy [1]. They have significant influence on forest ecology and ecosystem function, particularly in tropical forests (cf. [2]). For instance, they help to stabilise the microclimate of the forest floor by forming a mass of leafy vegetation to close canopy gaps [3]. Lianas may help maintain tree diversity in the forest by causing tree falls which could reduce the dominance of tree species [4]. Heavy liana loads on trees can cause mechanical damage of the hosts and also reduce their growth rates [5, 6]. Additionally, lianas could impact negatively on natural regeneration of trees in forest ecosystems [7]. In the light of recent reports of increasing liana abundance in tropical forests [8–14], lianas could modify forest ecosystems through their influence on tree regeneration and growth. Understanding the factors that govern liana community assembly in tropical forests is therefore of utmost priority, and necessary in developing forest conservation strategies. Human disturbance has been identified as one of the main drivers of liana success in tropical forest ecosystems [3, 4, 11, 15, 16]. Both patterns of increasing and decreasing liana diversity
Sustainable Happiness and Well-Being: Future Directions for Positive Psychology  [PDF]
Catherine O’Brien
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.312A177

Positive psychology has influenced many disciplines in a very short span of time. This paper argues that positive psychology will realize its most significant and far reaching impact when it is applied to sustainability efforts, locally, nationally and internationally. Such application may accelerate shifts in attitudes, policies, practice and behavior. Specifically, opportunities for integrating positive psychology with sustainability education are discussed including work in the area of sustainable happiness, Education for Sustainable Development (ESD) and positive education. Sustainable happiness underscores the interrelationship between human flourishing and ecological resilience. Thus sustainable happiness and well-being are integral to building sustainable futures, and positive psychology could be increasingly influential in leading research and education that heralds a new era of understanding and political will to embrace sustainability.

Epilepsy versus non-epileptic attack disorder: A diagnostic and therapeutic challenge  [PDF]
Catherine Smith, Jason Ramtahal
Case Reports in Clinical Medicine (CRCM) , 2013, DOI: 10.4236/crcm.2013.21001

Epilepsy and non-epileptic attack disorder (NEAD) share a vast number of clinical features, however the aetiology and management are very different. Video-EEG is the gold standard diagnostic tool and relies on the occurrence of seizure activity during assessment to make a diagnosis. Added complexity arises from the co-existence of epilepsy and NEAD, occurring in a significant proportion of patients. Comprehensive assessment and investigation is therefore required to prevent gross mistreatment in this diagnostically difficult subgroup. We present a case of NEAD with co-existing epilepsy and the challenges that this may present in clinical practice.

Reduced Fasting Protocol for Endoscopic Percutaneous Gastrostomy in Intubated Patients  [PDF]
Catherine Ho, John Culhane
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.48066

Background: Previous studies have shown that ICU patients receive only a fraction of their calculated nutritional goals, and that cumulative caloric deficit in the ICU has been correlated with poor outcome. One reason for this underfeeding is the frequent interruption of enteral nutrition. Many ICU patients receive enteral feeding formula via a nasogastric (NG) tube. Feeding is typically held for several hours prior to procedures due to the theoretical risk of aspiration. An alternative is to continue feeding up until the procedure begins, then stop the feeding and place the NG to suction. This evacuates the contents of the stomach and minimizes the risk of aspiration, while reducing the interruption of feeding that can result in malnutrition. Methods: This study is a review of prospectively gathered data including 55 sequential patients who underwent bedside percutaneous endoscopic gastrostomy (PEG) placement in a mixed ICU under a reduced fasting protocol. This was compared with a historical cohort of 33 critically ill trauma patients who fasted for at least 8 hours prior to the procedure. Under the reduced fasting protocol, enteral feeding via NG was continued up until the time of the procedure. The NG was then placed to suction, and sedation was given. The NG was left in place until the esophagus was cannulated, then it was removed. The PEG was placed in standard fashion, and feeding was resumed via the PEG immediately following the procedure. Results: We have documented no peri-procedural vomiting or aspiration. New diagnosis of pneumonia within 3

English and Malay Text Messages and What They Say about Texts and Cultures  [PDF]
Ernisa Marzuki, Catherine Walter
Open Journal of Modern Linguistics (OJML) , 2013, DOI: 10.4236/ojml.2013.34037
Abstract: This study of the pragmatics of cross-cultural text messages throws light on the evolution of new hybrid forms of literacy and on the complex ways that culture is expressed and mediated in second language/ second culture contexts. An investigation was carried out into the pragmatics of apology in first-language (L1) and second-language (L2) short messaging service text messages of adult Malay speakers who are proficient users of English, living and studying in an English-speaking university environment; and into L1 English users’ text apologies in the same context. Research questions included whether these proficient L2 English users would perform differently from L1 English users in this high-stakes speech act, and from their own L1 Malay use; and whether apologies in what has been called a hybrid medium would differ from those previously studied in writing, in speech and in other electronic media. Twenty-six native speakers of English and 26 native speakers of Malay responded via text messages to discourse completion tests (DCTs) in L1; the DCTs represented either high or low levels of offence calling for apologies. The Malay native speakers also responded to apology situations in L2 English. Data were coded using an adapted version of Cohen and Olshtain’s (1981) coding scheme. Analysis of the messages sent by participants revealed clear signs of a hybrid type of text that is differently conceptualised by the two communities. It also showed that the Malay users’ second language literacy was shaped in a complex way that sometimes accommodated the second language/second culture and sometimes retained first language/first culture values.
Case Report: Propriospinal Myoclonus  [PDF]
Catherine Smith, Jason Ramtahal
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.36081

This report presents a case of propriospinal myoclonus (PSM) in a previously fit and well female patient who presented with truncal jerking movements when relaxed. Propriospinal myoclonus is a rare condition, of which 80% of the aetiology is idiopathic. It is characterised by involuntary jerking movements of the trunk due to spreading activity via intrinsic propriospinal pathways along the spinal cord. Polymyography is mandatory in the diagnosis of priopriospinal myoclonus however in discerning the differential diagnoses it is inferior to magnetic resonance diffusion tensor imaging. The management of propriospinal myoclonus is dependent on aetiology. Clonazepam has been shown to be effective in the treatment of idiopathic PSM for symptomatic relief.

Optimal Adiposity Measurement and Risk Stratification in Established Ischaemic Stroke  [PDF]
Olive Lennon, Catherine Blake
World Journal of Cardiovascular Diseases (WJCD) , 2014, DOI: 10.4236/wjcd.2014.413077
Abstract: Background: Prevention strategies post-stroke should target risk factor reduction which includes consideration of weight, diet and lipoprotein profiles. Limited data informs the optimal adiposity measurement post-stroke to target those at highest recurrent risk. This study aims to identify adiposity measurement/s post-stroke that best predict cardiovascular and co-morbid risk. Subjects and Methods: 142 stroke patients (100 males, 42 females; mean age 63 years) participated. Adiposity and metabolic profiles included BMI, waist circumference, waist to height ratio (WHR), triglyceride levels and hypertriglyceridemic waist. The predictive ability of these measures with indices of cardiovascular risk (Cardiovascular Risk Score) and co-morbidity (Charlson’s co-morbidity index) were examined. Results: In hierarchical multiple regression models, age and gender controlled, waist (p = 0.002), triglyceride levels (p = 0.006), BMI and WHR (p = 0.014), uniquely and significantly contributed to the variance in cardiovascular risk, in their models. Only one combination of measures (waist and triglyceride levels) improved the predictive ability of waist in cardiovascular risk stratification (p = 0.001). In men, waist (p = 0.013) and in women triglyceride levels (p = 0.012) performed as the best predictors of cardiovascular risk respectively. No combination of measures was superior to triglyceride levels in women or waist circumference measures in men in predicting cardiovascular risk. With Charlson’s co-morbidity index as the dependent variable, triglyceride levels significantly contributed to variance of the model with age and gender influences controlled (p = 0.047). No combination of measures improved the predictive ability of triglyceride levels for co-morbidity. Conclusion: Waist circumference and triglyceride levels should form a minimum dataset for adiposity when considering cardiovascular and comorbid risk post-stroke.
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