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Search Results: 1 - 10 of 168173 matches for " Clement E. Tagoe "
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Differences in Acute Phase Reactants between Gout and Pseudogout  [PDF]
Clement E. Tagoe, Yasmin Raza
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.412A2003

Objectives: To define clinical differences in the acute phase response and serum acute phase reactants between gout, pseudogout and crystal-induced arthritis in the presence of non-articular infections (CAI). Patients and Methods: Eleven patients with definite gout, 12 patients with pseudogout and 5 patients with CIA were included in the study. Results: The erythrocyte sedimentation rate (ESR) was significantly different between gout (68.2 ± 49.9 mm/Hr) and CIA (113.8 ± 37.2 mm/Hr) but not between gout and pseudogout (83.9 ± 45.6 mm/Hr) or between pseudogout and CIA. The C-reactive protein (CRP) was significantly increased between gout (10.1 ± 7.9 mg/dL) and pseudogout (18.9 ± 9.8 mg/dL), gout and CIA (36.5 ± 12.4 mg/dL) as well as between pseudogout and CIA. The peripheral white cell count was significantly different between gout (9.27 ± 3.7 k/μL) and CIA (16.5 ± 6.8 k/μL), and between pseudogout (8.9 ± 3.2 k/μL) and CIA. Conclusions: Measurement of ESR and CRP are helpful in crystal-induced arthritis. The CRP has more discriminating utility than the ESR in distinguishing between gout, pseudogout and CIA. Peripheral wbc is most useful for differentiating crystal-induced arthritis from CIA.

Screening of Anti-Infectives against Leishmania donovani  [PDF]
Henry Nettey, Grace Lovia Allotey-Babington, Benoit Banga Nguessan, Barima Afrane, Mustafa Tagoe, Anokye Ababio, Patience Botchway, Yvonne Darko, Clement Sasu, Alexander Nyarko
Advances in Microbiology (AiM) , 2016, DOI: 10.4236/aim.2016.61002
Abstract: Aim: To evaluate in vitro the effectiveness of several anti-infective agents alone and in combination against Leishmania donovani. Method: A convenient stratified sampling method was used to obtain selected anti-infective agents. For individual drug samples, Half Maximal Inhibitory Concentrations (IC50) were obtained using the broth dilution method. The IC50’s of the drugs which were active against L. donovani were used as reference values to prepare drug combinations for the modified microdilution checkerboard method. Results: Five (5) out of the fifty-six (56) drugs used showed activity (inhibition of cell growth) against L. donovani cells. They include Quinine sulphate (IC50 = 0.089 μg/ml), gentamicin (IC50 = 8.1 μg/ml), amodiaquine (IC50 = 138 μg/ml) and the two standard drugs: Amphotericin B (IC50 = 6.3 μg/ml) and Pentamidine (IC50 = 25 μg/ml). The remaining fifty-one (51) drugs did not show any inhibition within the range of concentrations used (1.25 - 160 μg/ml). The drug combinations of Pentamidine/Amodiaquine, Pentamidine/ Quinine sulphate, Pentamidine/Gentamicin, Amphotericin B/Quinine Sulphate, Amphotericin B/ Gentamicin, Amodiaquine/Quinine sulphate and Amodiaquine/Gentamicin showed synergistic effects against L. donovani whereas the Amphotericin B/Amodiaquine
Pressure screening and fluctuations at the bottom of a granular column
L. Vanel,E. Clement
Physics , 1999, DOI: 10.1007/s100510050965
Abstract: We report sets of precise and reproducible measurements on the static pressure at the bottom of a granular column. We make a quantitative analysis of the pressure saturation when the column height is increased. We evidence a great sensitivity of the measurements with the global packing fraction and the eventual presence of shear bands at the boundaries. We also show the limit of the classical Janssen model and discuss these experimental results under the scope of recently proposed theoretical frameworks.
Comportamiento conformista de estudiantes de segunda ense anza de Estados Unidos y Brasil
Frank Sistrunk,David E. Clement
Revista Latinoamericana de Psicología , 1971,
Conformally flat black hole initial data, with one cylindrical end
María E. Gabach Clement
Physics , 2009, DOI: 10.1088/0264-9381/27/12/125010
Abstract: We give a complete analytical proof of existence and uniqueness of extreme-like black hole initial data for Einstein equations, which possess a cilindrical end, analogous to extreme Kerr, extreme Reissner Nordstrom, and extreme Bowen-York's initial data. This extends and refines a previous result \cite{dain-gabach09} to a general case of conformally flat, maximal initial data with angular momentum, linear momentum and matter.
Comment on "Horizon area- Angular momentum inequality for a class of axially symmetric black holes" [arXiv:1012.2413]
Mar/'ia E. Gabach Clement
Physics , 2011,
Abstract: We extend the results presented by Ace\~na \textit{et al} in the afore mentioned paper, [arXiv:1012.2413], to the case of axisymmetric, maximal initial data which are invariant under an inversion transformation.
Bounds on the force between black holes
María E. Gabach Clement
Physics , 2012, DOI: 10.1088/0264-9381/29/16/165008
Abstract: We treat the problem of N interacting, axisymmetric black holes and obtain two relations among physical parameters of the system including the force between the black holes. The first relation involves the total mass, the angular momenta, the distances and the forces between the black holes. The second one relates the angular momentum and area of each black hole with the forces acting on it.
Transmetatarsal Amputation: A Case Series and Review of the Literature
Ryan McCallum,Mark Tagoe
Journal of Aging Research , 2012, DOI: 10.1155/2012/797218
Abstract: Foot ulceration is a major cause of morbidity amongst patients with diabetes. In severe cases of ulceration, osteomyelitis and amputation can ensue. A distinct lack of agreement exists on the most appropriate level of amputation in cases of severe foot ulceration/infection to provide predictable healing rates. This paper provides an overview of the transmetatarsal amputation (TMA) as a limb salvage procedure and is written with the perspective and experiences of the Department of Podiatric Surgery at West Middlesex University Hospital (WMUH). We have reflected on the cases of 11 patients (12?feet) and have found the TMA to be an effective procedure in the management of cases of severe forefoot ulceration and infection. 1. Introduction In recent times, increased attention has been placed on the alarming increase in the incidence of diabetes. Diabetic foot ulcers occur in up to 15% of diabetic patients [1], and amputation rates amongst this population have been documented as 11% [2]. In particular cases of severe foot infection, amputation should not necessarily be looked upon as failure of care, but rather the most appropriate intervention for preventing more proximal spread and persistent hospital attendance. Aggressive management of severe foot infection/ulceration can reduce the risk of proximal amputation. 2. Transmetatarsal Amputation A proportion of the diabetic community experience serious and debilitating complications associated with their feet, with a 12–25% increased risk of developing foot ulceration [3]. Development of diabetic foot ulceration is often a multifactorial process; however, the presence of influences such as neuropathy and peripheral vascular disease is recognised as significant contributing factor. The neuroischaemic ulceration accounts for 90% of those encountered in the diabetic population [4], and approximately half of diabetic foot wounds develop an infection, the majority involving only soft tissue [5]. In circumstances where soft tissue infection is severe or where underlying bone is infected, amputation may be considered an appropriate line of treatment. Mills et al. [6] recognised that infection and gangrene due to microvascular disease were two major factors that resulted in failure of wound healing, resulting in amputation. At WMUH, a treatment pathway has been developed for patients with severe foot ulceration/infection who have been deemed suitable candidates for undergoing TMA (see Assessment and Treatment below). Patients are urgently admitted into the hospital and are assessed by the medical and surgical teams,
The double-edged sword: financial source of household healthcare expenditure in Ghana
Henry Armah Tagoe
Journal of Public Health in Africa , 2012, DOI: 10.4081/jphia.2012.e17
Abstract: In many regions, some of the most formidable enemies of health are joining forces with the allies of poverty to impose a double burden of disease, disability and premature death. This paper looks at the main financial sources households use to finance healthcare in Ghana. It examines the spatial and socio-economic dynamics and the challenges these pose to health and development. Analysis of the 2003 Ghana World Health Survey data indicates that approximately 41% of households depend on more than one financial source with 88% depending on household income to finance healthcare expenditure. The high dependency on household income will erode gains in the economic and health sector in the midst of the recent global economic recession. Comprehensive national health insurance programs that cover emerging disease conditions will mitigate the double burden of disease on households in emerging economies.
Imaging and Dosimetric Consideration for Titanium Prosthesis Implanted within the Irradiated Region by Cobalt-60 Teletherapy Unit  [PDF]
Vaino Indongo, Samuel Nii Adu Tagoe, Kwame Kyere, Cyril Schandorf
International Journal of Medical Physics,Clinical Engineering and Radiation Oncology (IJMPCERO) , 2018, DOI: 10.4236/ijmpcero.2018.72014
Abstract: The aim of this research is to observe dose distributions in the vicinity of titanium prosthetic implants during radiotherapy procedures on 60Co teletherapy machine, Prowess Panther treatment planning system (TPS). Data were obtained using a locally fabricated tissue equivalent phantom CT images with titanium prosthesis which was irradiated with 60Co gamma radiation. Prowess TPS (1.25 MeV) estimated less variations. Proximal ends of the metal recorded slight increase in doses as a result of backscatter with dose increment below acceptable tolerance of ±3%. Doses measured decreases on the distal side of the prosthesis at a distance less than dmax from the plate on each beam energy. The depth dose increases marginally after a certain depth level which generally originated from the unperturbed dose due to increase in the electron fluence. The percentage of depth doses decrease with the increase in plate thickness. A reduction in the above trend was also noticed with an increase in beam energy primarily because scattered photons are more forwardly directed. Prowess TPS (convolution superposition algorithm) was found to be better at reducing dose variation when correction for artifact. Manual calculations on blue phantom data agree with results from Prowess. This treatment system is capable of simulating dose around titanium prosthesis as its range of densities, 0.00121 to 2.83, excludes titanium density (rED for titanium is 3.74).
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