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Search Results: 1 - 10 of 14911 matches for " Christian Kofi Gyasi-Sarpong "
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Bacterial Urinary Tract Infections among Males with Lower Urinary Tract Obstruction at Komfo Anokye Teaching Hos-pital, Kumasi, Ghana  [PDF]
Christian Kofi Gyasi-Sarpong, Edwin Mwintiereh Ta-ang Yenli, Ali Idriss, Addae Appiah Arhin, Ken Aboah, Roland Azorliade, Yaw Agyekum Boaitey, Augustina Angelina Annan
Open Journal of Urology (OJU) , 2012, DOI: 10.4236/oju.2012.23023
Abstract: Purpose: We describe the commonest pathology responsible for lower urinary tract obstruction (LUTO) and associated symptoms such as UTI, etc. among males at the Komfo Anokye Teaching Hospital (KATH) in Kumasi. Materials and Methods: Between January and December 2009, prospective cross sectional hospital based study was conducted involving 103 subjects. Patients with symptoms of LUTO and who were on short admission (up to 48 hours) at the accident and emergency unit of KATH were identified as potential study subjects. All the patients presented with acute retention of urine at the emergency unit of KATH and urethral catheterization was attempted to relieve them of the retention under sterile conditions. Those patients whose initial catheterization failed went through suprapubic cystostomy (suprapubic catheterization). Urine specimens for culture and sensitivity tests were then collected into sterile urine containers immediately after the catheterization (irrespective of type). Ultrasound Scan was requested for all the patients to assist in diagnosing enlargement of the prostate and other associated urological pathologies. Retrograde urethrogram was however, requested for those patients with suprapubic catheterization and which helped in the diagnosis of the urethral stricture. For a particular child, urethral catheter was passed under sterile condition and Micturicting Cysto-Urethrogram (MCUG) was done to assist in diagnosing posterior urethral valve and other conditions. Those subjects whose urinalysis revealed pyuria and positive urine culture and who had voluntarily agreed to enter the study were enrolled. Subjects whose urine culture had multiple bacteria growth that was deemed to be contaminants were excluded from the study. Results: The mean age for males with LUTO was 62 years. The youngest male with LUTO was aged 2 years whilst the maximum age was 93 years. LUTO due to prostatic hyperplasia was found in 79 (76.7%) men; 23 (22.3%) had LUTO due to urethral stricture and 1 (1.0%) (youngest male). The mean age of patients that had LUTO due to urethral stricture was approximately 39 years. The youngest patient with LUTO due to urethral stricture aged 22 years whilst the maximum age was 72 years. Microbiological results indicated that Escherichia coli caused 53 (51.5%) of urinary tract infection (UTI) due to LUTO; Klebsiella = 23 (22.3%); Staphylococcus aureus = 14 (14.6%); Pseudomonas spp. = 8 (7.8%) Proteus = 2 (2.0%); Citrobacter = 1 (1.0%) and Salmonella spp. =1 (1.0%). Conclusion: The most common
Alcohol Consumption Is Associated with Hypogonadism and Decreased Sexual Function in Ghanaian Diabetics  [PDF]
Huseini Alidu, William K. B. A. Owiredu, Nafiu Amidu, Christian Kofi Gyasi-Sarpong, Peter Paul Mwinsanga Dapare, Ahmed Tijani Bawah, Arnold Togiwe Luuse, Emmanuel Barima Agyemang Prempeh
Advances in Sexual Medicine (ASM) , 2017, DOI: 10.4236/asm.2017.73009
Abstract: Introduction: Alcohol usage has largely been seen as a risk factor for the development of sexual dysfunction as well as erectile dysfunction. Others have reported that prolonged alcohol usage and abuse is compatible with normal sexual function in the absence of endocrinological problems as well as hepatic dysfunction. About seventy five (75) percent of alcoholics have various sexual difficulties with improvements in sexual functions occurring after treatment of alcoholism and psychosexual therapy. It is evident from the various reports over the years that mild and occasional alcohol usage is not as much implicated in the causation of SD and its other forms as heavy, addictive or dependent alcohol usage. Alcohol usage has also long been linked to hypogonadism, testicular atrophy as well as leydig cell toxicity. Alcohol induced hypogonadism has been reported to resolve after withdrawal of alcohol use. Since both diabetes and alcohol usage have been strongly associated with both hypogonadism and sexual dysfunction, it is logical to expect that diabetics who frequently consume alcohol will have a worsened hypogonadal state and sexual function. This research therefore seeks to provide evidence of an association between alcohol consumption in diabetics and a worsened sexual dysfunction in comparison to diabetics who did not consume alcohol. Methods: Type II diabetic patients attending the Diabetic Clinic at the Maamobi General Hospital between the periods of January 2010 and March 2011 were consecutively recruited for this study. Diabetics with other known endocrinological diseases and physical disabilities were excluded from the study. Sexual function was assessed using the GRISS-M. Early morning fasting samples were used in lipid and testosterone profile assays. Results: Study participants who consumed alcohol recorded higher levels of triglycerides and LDL-Cholesterol. They also recorded significantly lower levels of bioavailable testosterone. Furthermore they also recorded higher scores for impotence, premature ejaculation, non-sensuality and infrequency but lower scores for avoidance and were about six times more likely to be infrequent in their sexual activity in comparison with those who did not consume alcohol. Conclusion: Alcohol consumption among diabetic males is associated with hypogonadism and has an impact on several domains of male sexual function. Diabetic males should be advised to avoid alcohol abuse in order to facilitate the management of diabetes associated sexual
Determinants of sexual dysfunction among clinically diagnosed diabetic patients
William KBA Owiredu, Nafiu Amidu, Huseini Alidu, Charity Sarpong, Christian K Gyasi-Sarpong
Reproductive Biology and Endocrinology , 2011, DOI: 10.1186/1477-7827-9-70
Abstract: Sexual functioning was determined in 300 consecutive diabetic men (age range: 18-82 years) visiting the diabetic clinic of Tema General Hospital with the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire, between November, 2010 and March, 2011. In addition to the socio-demographic characteristics of the participants, the level of glycosylated haemoglobin, fasting blood sugar (FBS) and serum testosterone were assessed. All the men had a steady heterosexual relationship for at least 2 years before enrolment in the study.Out the 300 participants contacted, the response rate was 91.3% after 20 declined participation and 6 incomplete data were excluded All the respondents had at least basic education, 97.4% were married, 65.3% were known hypertensive, 3.3% smoked cigarettes, 27% took alcoholic beverages and 32.8% did some form of exercise. The 69.3% SD rate observed in this study appears to be related to infrequency (79.2%), non-sensuality (74.5%), dissatisfaction with sexual acts (71.9%), non-communication (70.8%) and impotence (67.9%). Other areas of sexual function, including premature ejaculation (56.6%) and avoidance (42.7%) were also substantially affected. However, severe SD was seen in only 4.7% of the studied population. The perceived "adequate", "desirable", "too short" and "too long intra-vaginal ejaculatory latency time (IELT) are 5-10, 5-10, 1-2 and 15-30 minutes respectively. Testosterone correlates negatively with glycated haemoglobin (HBA1c), FBS, perceived desirable, too short IELT, and weight as well as waist circumference.SD rate from this study is high but similar to that reported among self-reported diabetic patients in Kumasi, Ghana and vary according to the condition and age. The determinants of SD from this study are income level, exercise, obesity, higher perception of "desirable" and "too short" IELT.Some of the consequences of diabetes include various medical [1], psychological [2], and sexual [3] dysfunctions. Among diabetic
Sexual dysfunction among married couples living in Kumasi metropolis, Ghana
Nafiu Amidu, William KBA Owiredu, Christian K Gyasi-Sarpong, Eric Woode, Lawrence Quaye
BMC Urology , 2011, DOI: 10.1186/1471-2490-11-3
Abstract: The study participants consisted of married couples between the ages of 19 and 66 living in the province of Kumasi, Ghana. Socio-demographic information and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) questionnaires were administered to 200 couples who consented to take part in the study. All 28 questions of the GRISS are answered on a five-point (Likert type) scale from "always", through "usually', "sometimes", and "hardly ever", to "never". Responses are summed up to give a total raw score ranging from 28-140. The total score and subscale scores are transformed using a standard nine point scale, with high scores indicating greater problems. Scores of five or more are considered to indicate SD. The study was conducted between July and September 2010.Out of a total of 200 married couples, 179 completed their questionnaires resulting in a response rate of 89.5%. The mean age of the participating couples as well as the mean duration of marriage was 34.8 ± 8.6 years and 7.8 ± 7.6 years respectively. The husbands (37.1 ± 8.6) were significantly older (p < 0.0001) than their corresponding wives (32.5 ± 7.9). After adjusting for age, 13-18 years of marriage life poses about 10 times significant risk of developing SD compared to 1-6 years of married life among the wives (OR: 10.8; CI: 1.1 - 49.1; p = 0.04). The total scores (6.0) as well as the percentage above the cut-off (59.2) obtained by the husbands compared to the total score (6.2) and the percentage above cut-off (61.5) obtained by the wives, indicates the likely presence of sexual dysfunction. The prevalence of impotence and premature ejaculation were 60.9% and 65.4% respectively from this study and the prevalence of vaginismus and anorgasmia were 69.3% and 74.9% respectively. The highest prevalence of SD subscales among the men was dissatisfaction with sexual act followed by infrequency, whereas the highest among the women was infrequency followed by anorgasmia. Dissatisfaction with sexual intercourse a
Sexual dysfunction among Ghanaian men presenting with various medical conditions
Nafiu Amidu, William KBA Owiredu, Eric Woode, Roselyn Appiah, Lawrence Quaye, Christian K Gyasi-Sarpong
Reproductive Biology and Endocrinology , 2010, DOI: 10.1186/1477-7827-8-118
Abstract: The Golombok Rust Inventory of Sexual Satisfaction (GRISS) was administered to 150 Ghanaian men with various medical conditions between 19 and 66 years old (mean ± standard deviation: 40.01 ± 12.32 years) domiciled in the Kumasi metropolis.Out of the total 150 questionnaires administered, 105 (70.0%) men returned the questionnaires. Questionnaires from 3 men were incomplete, leaving 102 complete and evaluable questionnaires, indicating a 68.0% response rate. Of the remaining 102 men, 88.2% were married, 70.6% had attained higher education, 88.2% were non-smokers. Whereas 54.9% were engaged in exercise, 61.8% indulged in alcoholic beverages. The prevalence of the various medical conditions include: diabetes (18%), hypertension (24.5%), migraine (11.8%), ulcer (7.8%), surgery (6.9%), STD (3.9) and others (26.5%). The prevalence of SD among the respondents in the study was 59.8%. The highest prevalence of SD was seen among ulcer patients (100%), followed by patients who have undergone surgery (75%), diabetes (70%), hypertension (50%), STD (50%) and the lowest was seen among migraine patients (41.7%).SD rate is high among Ghanaian men with medical conditions (about 60%) and vary according to the condition and age.Sexual dysfunction (SD) is an important public health problem that compromises the overall quality of life of the patients and their sexual partners [1,2]. This consequently leads to loss of emotional and physical intimacy and at times leads to divorce. Customarily, male SD has been attributed to psychogenic factors, however, advances in pathophysiology research indicate vascular malfunction in the majority of patients. The vascular malfunction could be as a result of atherosclerotic lesions in the penile arteries that consequently lead to diminished blood flow.About 322 million men worldwide are projected to develop erectile dysfunction (ED) by the year 2025 with the largest projection increases in the developing world that is Africa, Asia, and South America.
Testosterone and Its Bioactive Components Are Associated with Libido and the Metabolic Syndrome in Men  [PDF]
H. Alidu, N. Amidu, W. K. B. A. Owiredu, C. K. Gyasi-Sarpong, A. T. Bawah, P. P. M. Dapare, E. B. Agyemang Prempeh
Advances in Sexual Medicine (ASM) , 2017, DOI: 10.4236/asm.2017.72008
Abstract: Background: Some evidence has shown that the prevalence of hypoactive sexual desire and erectile dysfunction (ED) is associated with testosterone levels whilst higher levels of testosterone have been reported to increase the frequency of intercourse. Available evidence points towards an etiologic role for hypogonadism in the causation of diabetes, metabolic syndrome (Mets) and sexual dysfunction (SD) even though the exact pathophysiological linkage is yet to be fully elucidated. This study therefore sought to evaluate the impact of testosterone as well as its bioactive components on both the MetS and SD. Method: Diabetic men engaged in a stable heterosexual relationship for at least 2 years were recruited for this study. Participants were at least 18 years and provided an informed and signed consent to partake in this study. Fasting blood samples were taken from the participants for biochemical and hormonal assay. The participants were then evaluated using the Golombok Rust Inventory of Sexual Satisfaction for males (GRISS-M). Metabolic syndrome was assessed using the NCEP-ATP III, IDF and WHO criteria. All data analyses were performed using the SPSS software, version 11.0 systat, Inc. Germany and GraphPad Prism, version 5.0, San Diego California, USA. Results: The mean total, free and bioavailable testosterone as well as SHBG recorded among the participants was 7.10 ± 1.23 ng/ml, 0.10 ± 0.01 ng/ml, 7.01 ± 1.41 ng/ml and 4.33 ± 1.12 nmol/l respectively. Subjects with the MetS showed significantly lower SHBG levels in comparison with subjects without the MetS. Participants with raised triglyceride levels showed significantly lower levels of total, free and bioavailable testosterone when compared to participant without raised triglycerides. Participants with problems of avoidance and infrequency of sexual activity showed significantly lower levels of total, free and bioavailable testosterone when compared to participants without avoidance or infrequency problems. The +SD/+MetS group recorded the lowest SHBG levels. Conclusion: Testosterone and its bioactive components are associated with male libido as well as the metabolic syndrome. Low levels of free and bioavailable testosterone are true determinants of the MetS in men.
Soil Erosion around Foundations of Houses in Four Communities in Ghana  [PDF]
Kofi Agyarko, Joseph Adu, Daniel Gyasi, Samuel Kumi, Lydia Mensah
Open Journal of Soil Science (OJSS) , 2012, DOI: 10.4236/ojss.2012.21005
Abstract: Soil erosion studies around houses in four communities in Ghana were carried out from August to November, 2010. Thirty houses were selected from each of the four communities for the study. Measurements of slope and the depth of exposed foundation of houses were done with the help of a string and a tape measure. Data were also obtained through questionnaire and interview of house owners. The Pearson’s correlation coefficient was used to measure some relationships among data. In the selection of site for building a house, higher percentage of the house owners considered no factor. The major cleaning activity around the surrounding of houses was noted to be sweeping with a broom. All the houses in the communities had their foundations exposed, 57% - 93% of the houses had exposed foundations up to a level within 51 - 100 cm which was classified as “Severely Exposed”. The extent of building foundation exposed by soil erosion was found to be positively correlated with the age of building and the slope of the land. Most of the respondents controlled soil erosion by blocking water ways with materials such as, sand heaps, stones and sacks filled with soil. Only 10% of the respondents from one of the communities planted grasses around their houses to control soil erosion. Communities need to be educated to plant grasses around their houses to beautify the surroundings and to control soil erosion.
The Credit Crunch and its Macroeconomic Impacts in Small-Open Developing Economies: A Dynamic Stochastic General Equilibrium Analysis
Christian Regobeth Kofi Ahortor
The International Journal of Applied Economics and Finance , 2010,
Abstract: This study, investigates the macroeconomic impacts of the credit crunch on small-open developing economies. A Dynamic Stochastic General Equilibrium (DSGE) model is developed as the theoretical framework, while the methodology is based on simulation and calibration using Markov Chain Monte Carlo (MCMC) techniques. The study establishes that the current credit crunch of 2007-2009 could generate devastating effects in developing economies just as in industrialized economies. The credit crunch could affect developing economies through three main channels the resource-flows channel, global prices channel and macroeconomic shocks channel. Overall, in a typical developing economy, the credit crunch could generate inflationary spiral, exchange rate appreciations, widening current account and budget deficits with increasing domestic borrowings and macroeconomic stagnation as reflected in declines in output, net exports, tax revenue and public investment. The study recommends that developing countries should plan for some kind of stimulus packages to assuage the adverse effects of the crisis on output, inflation, exchange rate and fiscal aggregates. The models developed in this study can be used in analyzing the effects of future external shocks on developing economies, which is a very important study in the field of economics.
Source Assessment and Analysis of Polycyclic Aromatic Hydrocarbon (PAH’s) in the Oblogo Waste Disposal Sites and Some Water Bodies in and around the Accra Metropolis of Ghana  [PDF]
David Kofi ESSUMANG, Christian. Kweku ADOKOH, Joseph AFRIYIE, Esther MENSAH
Journal of Water Resource and Protection (JWARP) , 2009, DOI: 10.4236/jwarp.2009.16055
Abstract: The study looked at the levels of polycyclic aromatic hydrocarbons (PAHs) in leachates from a solid waste disposal site and an effluent from an oil refinery in some water bodies around Accra. Sixteen (PAHs) were extracted simultaneously by solid phase and analysis by gas chromatograph. The results of this study gener-ally demonstrated that there were elevated levels of PAHs in the water sample of the Densu River, Chemu, Korle and Kpeshi Lagoons. The average concentration of PAHs in the water ranged from 0.000 of many of the PAHs to 0.552µg/L, for Acenapththene to 11.399µg/L for Benzo (ghi) perylene of the Chemu Lagoon, 0.00µg/L for Benzo (a) Pyrene to 8.800µg/L for Benzo (ghi) perylene (Korle Lagoon) and 0.052µg/L for Pyrene to 4.703ug/L for Acenaphthylene of the Kpeshi Lagoon and 0.00µg/L for pyrene to Acenaphthylene 2.926µg/L of the Weija Dam. Concentrations ranging from below detection level to 14.587µg/L were also recorded at the Oblogo solid waste dump and it’s environ. The Weija dam supply over two million gallons of portable water daily to the people of Accra and the levels of the PAH determined is worrying, as a result, the Oblogoh disposal site ought to be re-located to avert any possible epidemic.
Cytokines and Adhesion Molecules Expression in the Brain in Human Cerebral Malaria
Henry Armah,Edwin Kwame Wiredu,Alfred Kofi Dodoo,Andrew Anthony Adjei,Yao Tettey,Richard Gyasi
International Journal of Environmental Research and Public Health , 2005, DOI: 10.3390/ijerph2005010123
Abstract: Although the role of systemic proinflammatory cytokines, IL-1β and TNF-α, and their up-regulation of adhesion molecules, ICAM-1, VCAM-1 and E-Selectin, in the pathogenesis of cerebral malaria (CM) is well established, the role of local cytokine release remain unclear. Immunohistochemistry (IHC) was used to compare the expression of ICAM-1, VCAM-1, E-Selectin, IL-1β, TNF-α and TGF- β at light microscopic level in cerebral, cerebellar and brainstem postmortem cryostat sections from 10 CM, 5 severe malarial anemia (SMA), 1 purulent bacterial meningitis (PBM), 2 non-central nervous system infections (NCNSI) and 3 non-infections (NI) deaths in Ghanaian children. Fatal malaria and Salmonella sepsis showed significantly higher vascular expression of all 3 adhesion molecules, with highly significant co-localization with sequestration in the malaria cases. However, there was negligible difference between CM and SMA. TGF-β showed intravascular and perivascular distribution in all cases, but expression was most intense in the PBM case and CM group. TNF-α and IL-1β showed prominent brain parenchymal staining, in addition to intravascular and perivascular staining, in only the PBM case and CM group. The maximal expression of all 6 antigens studied was in the cerebellar sections of the malaria cases. Endothelial activation is a feature of fatal malaria and Salmonella sepsis, with adhesion molecule expression being highly correlated with sequestration. IL-1β and TNF-α are upregulated in only cases with neurodegenerative lesions, whilst TGF-β is present in all cases. Both cytokines and adhesion molecules were maximally upregulated in the cerebellar sections of the malaria cases.
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