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Search Results: 1 - 10 of 3341 matches for " FA Bonsu "
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Factors affecting TB case detection and treatment in the Sissala East District, Ghana  [PDF]
Collins K. Ahorlu, Frank Bonsu
Journal of Tuberculosis Research (JTR) , 2013, DOI: 10.4236/jtr.2013.13006
Abstract: Background: Tuberculosis remains a major heal- th problem affecting about a third of the world population despite a number of preventive and control measures taken in the past few decades. Eighty-five percent of all tuberculosis cases are concentrated in Asia and Africa due to lack of education and health care infrastructure. Objective: To determine factors affecting low tuberculosis case detection in the Sissala East district in the Upper West Region of Ghana. Methods: This was a descriptive study where semi-structured questionnaire was administered to 61 respondents; six focus group discussions and 20 in-depth interviews were conducted to generate both qualitative and quantitative data for analysis. Results: Tuberculosis, known locally as Kesibine was identified as a major problem in the district. The two most frequently reported TB related dis-tresses were coughing (96.7%) and chest pains (95.0%). However, these distresses were reported more after probing for them. The most frequently spontaneously reported distress was reduced income (60.7%) for patients. The most prominent cause reported was sexual pollution (72.2%). Suspected tuberculosis patients are stigmatized and are denied sex by their partners as shown in the following narrative; I will not eat or have sex with her or eat any leftover from her plate (male local healer, In-depth interview). Case detection and treatment is hampered by lack of communication between sub-district facilities and the district hospital to aid laboratory diagnosis. Conclusion: There is therefore the need for vigorous health education to inform the people about the biomedical causes of TB and the availability of appropriate treatment for the disease at health facilities. However, the education should not aim at changing the “wrong beliefs” but focus on making people aware of the biomedical causes and see TB as treatable infection, which could be controlled.
Indigenous knowledge: the basis for survival of the peasant farmer in Africa
Mensah Bonsu
Journal of Philosophy and Culture , 2004,
Diagnosis of tuberculosis in Ghana: The role of laboratory training
KK Addo, D Yeboah-Manu, M Dan-Dzide, K Owusu-darko, P Caulley, GI Mensah, M Minamikawa, C Lienhardt, FA Bonsu, D Ofori-Adjei
Ghana Medical Journal , 2010,
Abstract: Objectives: The laboratory is considered the cornerstone of tuberculosis (TB) control programme. International review of Ghana’s programme in the late nineties identified the laboratory services as the weakest component. Sputum smear microscopy (SSM) being the main method of diagnosing pulmonary TB in Ghana, the training objectives were to: (i) strengthen the knowledge and skills of laboratory personnel on SSM (ii) impart necessary techniques in biosafety and (iii) introduce a Quality Assurance (QA) system in order to strengthen SSM services. Methods: Personnel were selected for training during a nationwide situation analysis of SSM centres in 2000/2001. Four training sessions on SSM/QA were held between 2001/2004. Results: A total of 80 personnel were trained: 10 regional TB coordinators and 70 laboratory personnel. The participants upon return to their respective regions also organized training within their districts. This approach resulted in another 100 district TB coordinators and 200 laboratory personnel being trained. Improvement in smear preparation, staining and reading ability of the participants were observed during the post-test and subsequent visit to their respective laboratories. The training has led to strengthening of TB laboratory services in the country and has contributed to increase in case detection from 10,745 in 2000 to 11,827 in 2004 and 14,022 in 2008. It was observed during the post-training follow-up and quarterly supervision visits that morale of the personnel was high. Conclusion: Continuous training and re-training of laboratory personnel on SSM and QA at regular intervals do play an important role for effective and efficient TB control programme.
Case control study to determine the factors associated with leprosy in the Sene district, Brong Ahafo region of Ghana
AA Ofosu, GY Bonsu
Ghana Medical Journal , 2010,
Abstract: Introduction: There are currently an estimated 10-12 million cases of leprosy in the world. .In Sene District of the Brong Ahafo Region of Ghana the prevalence of leprosy is 2.4/10,000 of the population. Most of these cases are children, indicating that new infections are still occurring in the communities. Objectives: To identify factors associated with leprosy in the Sene District in order to implement an effective strategy to eliminate leprosy from the district. Design: Case-control study. Method: The cases were selected from a register of active leprosy cases. Controls were matched for age, and sex. For every one case identified two controls were selected. Results: Of the twenty four cases identified, eighteen (75%) were paucibacillary and six (25%) were multibacillary leprosy. Most of the leprosy lesions were found on the trunk (25%) and upper limbs (37.5%). 13(54.2%) of the cases were under twenty years old. From the study, contact with someone with leprosy in the same house is associated with having leprosy. (OR -3.4 95%CI 1.09-10.8 p=0.017) . Not having BCG vaccination is associated with having leprosy (OR 11 95%CI 2.12- 76.17)p=0.0005). Conclusion: The findings confirm that close contact with a patient with leprosy facilitates transmission of M. leprae. To reduce leprosy in the Sene District there is the need to increase BCG vaccination coverage in children and ensure that all contacts of cases are thoroughly screened for the disease and treated. Health workers in the district need to be trained to identify leprosy lesions.
Robert Osei-Bonsu
Ilorin Journal of Religious Studies , 2013,
Abstract: Different views on worship and music have been expressed by different Reformers. The Reformers rejected some aspects of medieval worship such as the Gregorian chant, the use of elaborate vocal and instrumental music, overly theatrical performances at worship, the unwarranted expense of elaborate ceremonies, enormous pipe organs and the uselessness of text unintelligible to the common man. The Reformers aimed at introducing simple forms of worship and music in the Church, and to restore the true worship of God and therefore introduce congregational singing and participation in worship. This paper surveys John Calvin’s views on worship and Music. Calvin held that the Word of God should be central to worship and that prominence should be given to the Bible over any other obsessions. He therefore prohibited many things in worship because he wanted God to be the focus of worship and devotion. The study concludes that although the Church today cannot limit itself to singing of the Psalms alone, nonetheless, music sung in the Church should be Bible-based to draw the attention of worshippers to God.
Prevalence of Aquatic Insects and Arsenic Concentration Determine the Geographical Distribution of Mycobacterium ulcerans Infection
Anthony Y. Aidoo,Bonsu Osei
Computational and Mathematical Methods in Medicine , 2007, DOI: 10.1080/17486700701695167
Abstract: A modified SIR model is used to explain the transmission of Mycobacterium ulcerans (MU) and its dependence on arsenic (As) environments. Some studies have suggested that As plays a major role in the spread and prevalence of buruli ulcer (BU). In addition, it has been hypothesized that a vector in the form of a water-bug plays a key role in the epidemiology of BU. We develop an epidemiological model based on these assumptions for the dynamics and prevalence of BU and show that As positively induces the growth and spread of MU.
First Nationwide Survey on the Resistance to First Line Anti-Tuberculosis Drugs in Ghana  [PDF]
Kennedy K. Addo, Richard Owusu, Christian Bonsu, Kwaku Owusu-Darko, Samuel O. Addo, Gloria I. Mensah, Mercy J. Newman, David Ofori-Adjei, Frank A. Bonsu
Journal of Tuberculosis Research (JTR) , 2018, DOI: 10.4236/jtr.2018.61007
Abstract: Background/objective: A nationwide survey on the resistance to first line anti-tuberculosis (anti-TB) drugs was conducted in Ghana from 2007-2008 by Noguchi Memorial Institute for Medical Research in collaboration with the National Tuberculosis Control Programme. We aimed to characterize mycobacterial species causing pulmonary tuberculosis (PTB) and determine the resistance pattern to first line anti-TB drugs among newly diagnosed and previously treated PTB patients in Ghana. Methods: Two sputum samples from consented new smear positive PTB patients who had never been treated for TB or had been on anti-TB treatment for less than a month and patients who had been treated for TB previously for more than a month in selected diagnostic centres nationwide were collected for culture, identification and drug susceptibility test. Culture positive isolates were tested against streptomycin (S), isoniazid (H), rifampicin (R) and ethambutol (E) using the simplified proportion method and line probe assay (LPA). The LPA was performed in mid-2017. Results: Among 410 samples, 345 positive cultures were obtained and identified as Mycobacterium tuberculosis complex (MTBC). Of the 345 isolates, 133 were further differentiated by GenoType MTBC® as M. tuberculosis, 126 (94.7%) and M. africanum 7 (5.3%). The overall drug resistance patterns were as follows: 43/345 (12.5%), 6/345 (1.7%), 9/345 (2.6%) and 71/345 (20.6%) were resistant to H, R, E and S respectively and 5/345 (1.4%) were multi-drug resistant (MDR). Conclusion: The results indicate high levels of resistance to S and H among new and previously treated TB patients. We recommend adequate surveillance systems including periodic national anti-TB drug resistance surveys.
Beating the Drum of Third World War and the First Thermonuclear War: Religion, Democracy and Nuclear Weapon Acquisition as Gadflies  [PDF]
Fa Olasupo
Advances in Applied Sociology (AASoci) , 2015, DOI: 10.4236/aasoci.2015.51005
Abstract: Recently, two powerful personalities have raised issues of global concern, both of which point to the fact that the world is tacitly at WW III. For Pope Francis, conflicts around the globe today are effectively “piecemeal” World War III. For the heir to the British throne, Prince Charles, President Vladimir Putin is “doing just about the same as Hitler”. What informed these outbursts from these world leaders: Spiritual and the temporal? This paper is out to examine what informed these spiritual and royal outbursts.
Leukocyte counts in urine reflect the risk of concomitant sepsis in bacteriuric infants: A retrospective cohort study
Bema K Bonsu, Marvin B Harper
BMC Pediatrics , 2007, DOI: 10.1186/1471-2431-7-24
Abstract: In a retrospective cohort study of febrile 0–89 day old infants evaluated for sepsis in an urban academic pediatric emergency department (1993–1999), we estimated rates of bacteriuric sepsis (urinary tract infections complicated by sepsis) after stratifying infants by urine leukocyte counts higher, or lower than 10 cells/hpf. We compared the global accuracy of leukocytes in urine, leukocytes in peripheral blood, body temperature, and age for predicting bacteruric sepsis. The global accuracy of each test was estimated by calculating the area under its receiver operating characteristic curve (AUC). Chi-square and Fisher exact tests compared count data. Medians for data not normally distributed were compared by the Kruskal-Wallis test.Two thousand two hundred forty-nine young infants had a normal screening dipstick. None of these developed bacteremia or meningitis despite positive urine culture in 41 (1.8%). Of 1516 additional urine specimens sent for formal urinalysis, 1279 had 0–9 leukocytes/hpf. Urine pathogens were isolated less commonly (6% vs. 76%) and at lower concentrations in infants with few, compared to many urine leukocytes. Urine leukocytes (AUC: 0.94) were the most accurate predictors of bacteruric sepsis. Infants with urinary leukocytes < 10 cells/hpf were significantly less likely (0%; CI:0–0.3%) than those with higher leukocyte counts (5%; CI:2.6–8.7%) to have urinary tract infections complicated by bacteremia (N = 11) or bacterial meningitis (N = 1) – relative risk, 0 (CI:0–0.06) [RR, 0 (CI: 0–0.02), when including infants with negative dipstick]. Bands in peripheral blood had modest value for detecting bacteriuric sepsis (AUC: 0.78). Cases of sepsis without concomitant bacteriuria were comparatively rare (0.8%) and equally common in febrile young infants with low and high concentrations of urine leukocytes.In young infants evaluated for fever, leukocytes in urine reflect the likelihood of bacteriuric sepsis. Infants with urinary tract infections miss
An assessment of sediment loading into an agricultural reservoir in a semi-arid region of Kenya
EA Ampofo, RK Muni, M Bonsu
West African Journal of Applied Ecology , 2001,
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