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Search Results: 1 - 10 of 297405 matches for " J Appiah-Poku "
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Prevalence of metabolic syndrome among Psychiatric Patients in the Kumasi Metropolis, Ghana
WKBA Owiredu, O Osei, N Amidu, J Appiah-Poku, Y Osei
Journal of Medical and Biomedical Sciences , 2012,
Abstract: This cross-sectional study seeks to find the prevalence of the metabolic syndrome (MetS), its indi-vidual components and oxidative stress in psychiatric patients on antipsychotic medication com-pared to newly diagnosed patients attending the Psychiatric Department of the Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana, between February 2009 and July 2010. A total of 200 psychiatric patients comprising 100 newly diagnosed antipsychotic-na ve patients and 100 patients on antipsychotic medication were sampled for the study. MetS was diagnosed using the World Health Organization (WHO), International Diabetes Federation (IDF) and the National Choles-terol Education Programme, Adult Treatment Panel III (NCEP ATP III) criteria. The overall prevalence of MetS was 11.5%, 13.5% and 15.5% using NCEP ATP III, WHO and IDF criteria re-spectively. The prevalence was significantly higher among psychiatric patients on treatment as compared to treatment-na ve group using NCEP ATP III (21.0% vs. 2.0%; p < 0.0001) and IDF (29.0% vs. 2.0%; p < 0.0001) criteria but not WHO (13.0% vs. 14.0%; p = 0.8372). These overall prev-alence rates were higher compared to the general Ghanaian population prevalence rates of 3.9%, 2.2% and 7.8% determined with the NCEP ATP III, WHO and IDF criteria respectively. Regular monitoring of metabolic parameters should be considered as a standard part of their medical care.
Prevalence of metabolic syndrome among Psychiatric Patients in the Kumasi Metropolis, Ghana
Owiredu, W.K.B.A.,Osei, O.,Amidu, N.,Appiah-Poku, J.
Journal of Medical and Biomedical Sciences , 2012,
Abstract: This cross-sectional study seeks to find the prevalence of the metabolic syndrome (MetS), its indi-vidual components and oxidative stress in psychiatric patients on antipsychotic medication com-pared to newly diagnosed patients attending the Psychiatric Department of the Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana, between February 2009 and July 2010. A total of 200 psychiatric patients comprising 100 newly diagnosed antipsychotic-na ve patients and 100 patients on antipsychotic medication were sampled for the study. MetS was diagnosed using the World Health Organization (WHO), International Diabetes Federation (IDF) and the National Choles-terol Education Programme, Adult Treatment Panel III (NCEP ATP III) criteria. The overall prevalence of MetS was 11.5%, 13.5% and 15.5% using NCEP ATP III, WHO and IDF criteria re-spectively. The prevalence was significantly higher among psychiatric patients on treatment as compared to treatment-na ve group using NCEP ATP III (21.0% vs. 2.0%; p < 0.0001) and IDF (29.0% vs. 2.0%; p < 0.0001) criteria but not WHO (13.0% vs. 14.0%; p = 0.8372). These overall prev-alence rates were higher compared to the general Ghanaian population prevalence rates of 3.9%, 2.2% and 7.8% determined with the NCEP ATP III, WHO and IDF criteria respectively. Regular monitoring of metabolic parameters should be considered as a standard part of their medical care.
The Impact of Blood Glucose and Cholesterol Levels on the Manifestation of Psychiatric Disorders
W.K.B.A. Owiredu,J. Appiah-Poku,F. Adusei-Poku,N. Amidu
Pakistan Journal of Biological Sciences , 2009,
Abstract: This study examined possible association of fasting glucose, and lipid abnormalities in psychiatric patients on conventional antipsychotic medications. A total of 305 subjects were used for the study, comprising 203 clinically diagnosed psychiatric patients and 102 non-psychiatric subjects used as control at the psychiatric clinic at Komfo Anokye Teaching Hospital (KATH). Questionnaires were administered, blood pressure and anthropometric measurements undertaken. Fasting blood samples were taken for glucose and total cholesterol. The patients included those treated with conventional antipsychotic agents. It was noted, that there were higher rates of diabetes (22.17%) and lipid abnormalities (42.43%) with lower rate of hypertension (5.91%) and obesity (5.91%) across the sample as compared to control. This finding suggests that the high prevalence of diabetes and lipid abnormalities, in a young, psychiatrically ill population makes the case for aggressive screening.
The Structure and Function of Research Ethics Committees in Africa: A Case Study
Nancy E Kass ,Adnan Ali Hyder,Ademola Ajuwon,John Appiah-Poku,Nicola Barsdorf,Dya Eldin Elsayed,Mantoa Mokhachane,Bavon Mupenda,Paul Ndebele,Godwin Ndossi,Bornwell Sikateyo,Godfrey Tangwa,Paulina Tindana
PLOS Medicine , 2007, DOI: 10.1371/journal.pmed.0040003
Abstract:
Research Ethics Committees in Africa: Authors' Reply
Nancy E Kass,Adnan Ali Hyder,Ademola Ajuwon,John Appiah-Poku,Nicola Barsdorf,Dya Eldin Elsayed,Mantoa Mokhachane,Bavon Mupenda,Paul Ndebele,Godwin Ndossi,Bornwell Sikateyo,Godfrey Tangwa,Paulina Tindana
PLOS Medicine , 2007, DOI: 10.1371/journal.pmed.0040136
Abstract:
Antepartum Depression and Anxiety Associated with Disability in African Women: Cross-Sectional Results from the CDS Study in Ghana and C?te d'Ivoire
Carola Bindt, John Appiah-Poku, Marguerite Te Bonle, Stefanie Schoppen, Torsten Feldt, Claus Barkmann, Mathurin Koffi, Jana Baum, Samuel Blay Nguah, Harry Tagbor, Nan Guo, Eliezer N'Goran, Stephan Ehrhardt, for the International CDS Study Group
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0048396
Abstract: Background Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalence of common mental disorders in pregnant women in sub-Saharan Africa are scarce. We provide results from Ghana and C?te d'Ivoire. Methods We subsequently recruited and screened n = 1030 women in the third trimester of their pregnancy for depressed mood, general anxiety, and perceived disability using the Patient Health Questionnaire depression module (PHQ-9), the 7-item Anxiety Scale (GAD-7), and the World Health Organisation Disability Assessment Schedule II (WHO-DAS 2.0, 12-item version). In addition to estimates of means and prevalence, a hierarchical linear regression model was calculated to determine the influence of antepartum depression and anxiety on disability. Results In Ghana, 26.6% of women showed substantially depressed mood. In C?te d'Ivoire, this figure was even higher (32.9%). Clear indications for a generalized anxiety disorder were observed in 11.4% and 17.4% of pregnant women, respectively. Comorbidity of both conditions was common, affecting about 7.7% of Ghanaian and 12.6% of Ivorian participants. Pregnant women in both countries reported a high degree of disability regarding everyday activity limitations and participation restrictions. Controlled for country and age, depression and anxiety accounted for 33% of variance in the disability score. Conclusions Antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in sub-Saharan Africa.
No Association between Antenatal Common Mental Disorders in Low-Obstetric Risk Women and Adverse Birth Outcomes in Their Offspring: Results from the CDS Study in Ghana and C?te D'Ivoire
Carola Bindt, Nan Guo, Marguerite Te Bonle, John Appiah-Poku, Rebecca Hinz, Dana Barthel, Stefanie Schoppen, Torsten Feldt, Claus Barkmann, Mathurin Koffi, Wibke Loag, Samuel Blay Nguah, Kirsten A. Eberhardt, Harry Tagbor, Eliezer N’Goran, Stephan Ehrhardt, for the International CDS Study Group
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0080711
Abstract: Background Evidence linking common mental disorders (CMD) in pregnant women to adverse birth outcomes is inconsistent, and studies often failed to control for pregnancy complications. This study aimed to explore the association between antenatal depression and anxiety symptoms and birth outcomes in a low-obstetric risk sample of mother/child dyads in Ghana and C?te d’Ivoire. Methods In 2010-2011, a prospective cohort of 1030 women in their third trimester in Ghana and C?te d’Ivoire was enrolled. Depression and anxiety were assessed in the third trimester using the Patient Health Questionnaire depression module and the 7-item Generalized Anxiety Disorder scale. 719 mother/child dyads were included in the analysis. We constructed multivariate regression models to estimate the association between CMD and low birth weight (LBW), and preterm birth (PTB) to control for potential confounders. Results The prevalence of depression and anxiety symptoms were 28.9% and 14.2% respectively. The mean birth weight was 3172.1g (SD 440.6) and the prevalence of LBW was 1.7%. The mean gestational age was 39.6 weeks and the proportion of PTB was 4%. Multivariate linear regression revealed no significant association between maternal depression (B=52.2, 95% CI -18.2 122.6, p=0.15) or anxiety (B=17.1, 95% CI -74.6 108.7, p=0.72) and birth weight. Yet, low socio-economic status, female sex of the child, and younger maternal age were associated with lower birth weight. Multivariate logistic regression suggested no significant association between maternal depression (OR: 2.1, 95% CI 0.8 5.6, p=0.15) or anxiety (OR: 1.8, 95% CI 0.6 5.5, p=0.29) with PTB. Conclusions Our data suggests that depression and/or anxiety in the 3rd trimester of pregnancy are not independent predictors of adverse birth outcomes in low obstetric risk women. The role of pregnancy complications as confounders or effect modifiers in studies of maternal CMD and their impact on birth outcomes should be investigated.
Achieving a Goal of Distinction in your Dress
P Osei-Poku, J Adu-Agyem
Journal of Science and Technology (Ghana) , 2008,
Abstract: The aim of this paper is to identify the essential and vital information about body proportions, body assets and body liabilities so as to realize the good features to emphasize and the flaws to improve through effective optical illusions in clothing. This study was based on the premise that many people disregard their proportions and figure types and just go for any style of dress that may not befit them. In order to achieve the above aim, pertinent literature was reviewed, and interviews conducted to investigate whether or not people consciously select their clothes on the basis of their body proportions. Thirty (30) ladies were interviewed and observed. The result was that the population studied was not individualistic in their dresses. The people had diverse criteria for selecting their clothes which largely excluded consideration of their body proportions. In discussing the results, personality analysis chart was designed for use of fashion conscious persons. This is in relation to the proportions of identified fashion models, average figures and some philosophy on ideal beauty. Besides, design elements which serve as effective tools for optical illusions and recommended design ideas for shaping selected figures have been provided to guide people to go for the most appropriate dress styles that are distinct and individualistic.
Estimating An Aggregate Import Demand Function For Ghana
EF Oteng-Abayie, J Appiah-Nkrumah
Journal of Science and Technology (Ghana) , 2009,
Abstract: Stable Food Crops Turning Into Commercial Crops: Case studies of Teff, Wheat and Rice in Ethiopia Imports are very crucial for the survival of a small open economy such as Ghana. In this paper, we estimate an import demand function for Ghana for the period 1970 to 2002, as well as consider the time series properties of the data. The time series behaviour of the data indicates a long term relationship between real exchange rates, GDP, and merchandise import. Our empirical estimates suggest that real income (GDP) is the main factor influencing imports in Ghana. The results also indicate that economic growth (real GDP) and depreciation in the local currency could stimulate increased demand for merchandise imports. Further analysis revealed that shocks to imports, real GDP and real exchange rate are important in explaining various innovations in the error variance of each of these variables at different time horizons and at different magnitudes. Particularly, the evidence shows that at short time periods about 65%, 95% and 80% of shocks to real exchange rates, merchandise imports and GDP respectively, are attributed to own shocks
Misoprostol in obstetrics and gynaecology — benefits and risks
G Essilfie-Appiah, GJ Hofmeyr, J Moodley
South African Journal of Obstetrics and Gynaecology , 2005,
Abstract: Misoprostol is currently being used for induction of labour at or near term and also for termination of pregnancy. Its use without proven dosage regimens is possibly associated with an increase in the incidence of uterine hyperstimulation, preterm labour, induced abortion above 20 weeks' gestation, meconium-stained liquor in the latent phase of labour, fetal distress and cases of uterine rupture as demonstrated by these case reports and literature review. Its use for these purposes must be under controlled circumstances, using minimum doses. South African Journal of Obstetrics and Gynaecology Vol.11(1) 2005: 9-10
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