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Add the result to your basket Refine your searchAcquired nephrogenic diabetes insipidus complicating acute tubular necrosis with acute renal failure / Mate-Kole; M.O.Affram; R.K.
Title : Acquired nephrogenic diabetes insipidus complicating acute tubular necrosis with acute renal failure Authors: Mate-Kole; M.O.Affram; R.K. Publisher: Accra [Ghana] : Ghana Medical Association Publication Date: 1990 Series: Ghana Medical Journal, ISSN 2616-163X No. 24(4); 213-7 Uniform Titles: Ghana Medical Journal Layout: Journal Article Languages : English Keywords: Kidney failure acuteKidney tubular necrosis acuteDiabetes insipidus Kidney failure acuteKidney tubular necrosis acuteDiabetes insipidus Abstract: Two cases of acquired nephrogenic diabetes insipidus following acute tubular necrosis with acute renal failure due to severe intravascular hemolysis are presented. One of the cases was associated with full defect of Glucose 6-Phosphate Dehydrogenase (G6PD) with mild falciparum malaria parasitaemia. Both cases had prolonged polyuria even when their electrolytes; urea and creatinine levels had normalised. Water deprivation tests showed inability to concentrate the urine in both cases. It was only when oral intake was reduced that urine volumes normalised. It is suggested that such cases be controlled with judicious fluid restriction rather than keeping up with fluid losses Acquired nephrogenic diabetes insipidus complicating acute tubular necrosis with acute renal failure [] / Mate-Kole; M.O.Affram; R.K. . - Accra (1596, Ghana) : Ghana Medical Association, 1990 . - : Journal Article. - (Ghana Medical Journal, ISSN 2616-163X; 24(4); 213-7) .
Work : Ghana Medical Journal
Languages : English
Keywords: Kidney failure acuteKidney tubular necrosis acuteDiabetes insipidus Kidney failure acuteKidney tubular necrosis acuteDiabetes insipidus Abstract: Two cases of acquired nephrogenic diabetes insipidus following acute tubular necrosis with acute renal failure due to severe intravascular hemolysis are presented. One of the cases was associated with full defect of Glucose 6-Phosphate Dehydrogenase (G6PD) with mild falciparum malaria parasitaemia. Both cases had prolonged polyuria even when their electrolytes; urea and creatinine levels had normalised. Water deprivation tests showed inability to concentrate the urine in both cases. It was only when oral intake was reduced that urine volumes normalised. It is suggested that such cases be controlled with judicious fluid restriction rather than keeping up with fluid losses
Title : Acupuncture analgesia in severe sickle cell painful crisis Authors: G. A. Ankra-Badu ; G. Ampoma-Twumasi, Author ; Z. Xue-Ling, Author Publisher: Accra [Ghana] : Ghana Medical Association Publication Date: 1990 Series: Ghana Medical Journal, ISSN 2616-163X No. 24(4); 255-9 Layout: Journal Article Languages : English Keywords: Acupuncture analgesia Anemia sickle cell Abstract: Sixteen adult patients (8 males and 8 females) with severe sickle cell painful crisis were given acupuncture for pain relief. Good response was achieved in 12 (75 per cent) patients and the remainder had moderate pain relief. All patients were discharged home the same day feeling better. Acupuncture analgesia in severe sickle cell painful crisis [] / G. A. Ankra-Badu ; G. Ampoma-Twumasi, Author ; Z. Xue-Ling, Author . - Accra (1596, Ghana) : Ghana Medical Association, 1990 . - : Journal Article. - (Ghana Medical Journal, ISSN 2616-163X; 24(4); 255-9) .
Languages : English
Keywords: Acupuncture analgesia Anemia sickle cell Abstract: Sixteen adult patients (8 males and 8 females) with severe sickle cell painful crisis were given acupuncture for pain relief. Good response was achieved in 12 (75 per cent) patients and the remainder had moderate pain relief. All patients were discharged home the same day feeling better. 
Title : Acute infective endocarditis following abortion Authors: Rayond Kwame Affram ; Alfred Neequaye, Author Publisher: Accra [Ghana] : Ghana Medical Association Publication Date: 1990 Series: Ghana Medical Journal, ISSN 2616-163X No. 24(3) Pagination: p.206-209 Layout: Journal Article ISSN (or other code): 0016-9560 Languages : English Keywords: Abortion, Induced complications [Subheading] Endocarditis Ghana - Accra Abstract: Three cases of infective endocarditis following abortion are presented. The diagnosis of infective endocarditis were not made ante-mortem in the first two cases but with these experiences; a third case was promptly diagnosed and managed successfully. Attention is drawn to this serious complication of abortion which has hitherto not been documented and stressed upon in Ghana. Acute infective endocarditis following abortion [] / Rayond Kwame Affram ; Alfred Neequaye, Author . - Accra (1596, Ghana) : Ghana Medical Association, 1990 . - p.206-209 : Journal Article. - (Ghana Medical Journal, ISSN 2616-163X; 24(3)) .
ISSN : 0016-9560
Languages : English
Keywords: Abortion, Induced complications [Subheading] Endocarditis Ghana - Accra Abstract: Three cases of infective endocarditis following abortion are presented. The diagnosis of infective endocarditis were not made ante-mortem in the first two cases but with these experiences; a third case was promptly diagnosed and managed successfully. Attention is drawn to this serious complication of abortion which has hitherto not been documented and stressed upon in Ghana. E-copies: Download the digital copy of the document
Acute infective endocarditis following abortionAdobe Acrobat PDF
Title : Adherence to antimalarial drug policy among doctors in Delta State, Nigeria: implications for malaria control Authors: Irikefe P. Obiebi, Author Publisher: Accra [Ghana] : Ghana Medical Association Publication Date: 2019 Series: Ghana Medical Journal, ISSN 2616-163X No. 53(2) Pagination: p.109-116, tab. Layout: Journal Article ISSN (or other code): 0016-9560 Languages : English Keywords: Malaria - diagnosis Malaria - therapy Antimalarials Medication Adherence Artesunate Drug Resistance Nigeria Abstract: Background: Malaria is a public health problem compounded with a widespread emergence of drug-resistant Plasmodium falciparum which necessitated the formulation of a new antimalarial drug policy (AMP).Objective: This study was designed to assess adherence to the policy among physicians in health facilities in Delta state, Nigeria. Design: Cross-sectional, analytic study. Data were collected with a semi-structured questionnaire.Setting: Two secondary and one tertiary health facilities in Delta State, Nigeria Participants: Physicians selected with a simple random technique from the facilities Main outcome measures: Prescribing pattern of antimalarial drugs and adherence to WHO treatment guideline among doctors. Results: Majority (90.8%) of respondents believed the antimalarial policy (AMP) should be strictly adhered to, although three-fifth (61.0%) of them rated its performance as poor. The level of adherence to the national antimalarial drug policy was high (78.5%) as most doctors prescribed Arthemeter-Lumefantrine, AL for uncomplicated malaria however barely two-fifth (35.4%) adhered to prescribing injectable Artesunate for complicated malaria. AL, (71.9%) was the most prescribed antimalarial drug for uncomplicated malaria The most prescribed antimalarial drugs for complicated malaria was artesunate (40.0%) followed by quinine (27.6%) and artemether (26.7%); although, chloroquine was also prescribed.Conclusion: The level of adherence to AMP among doctors was sub-optimal. Continuous education of doctors on the new AMP is needed to achieve malarial control. Adherence to antimalarial drug policy among doctors in Delta State, Nigeria: implications for malaria control [] / Irikefe P. Obiebi, Author . - Accra (1596, Ghana) : Ghana Medical Association, 2019 . - p.109-116, tab. : Journal Article. - (Ghana Medical Journal, ISSN 2616-163X; 53(2)) .
ISSN : 0016-9560
Languages : English
Keywords: Malaria - diagnosis Malaria - therapy Antimalarials Medication Adherence Artesunate Drug Resistance Nigeria Abstract: Background: Malaria is a public health problem compounded with a widespread emergence of drug-resistant Plasmodium falciparum which necessitated the formulation of a new antimalarial drug policy (AMP).Objective: This study was designed to assess adherence to the policy among physicians in health facilities in Delta state, Nigeria. Design: Cross-sectional, analytic study. Data were collected with a semi-structured questionnaire.Setting: Two secondary and one tertiary health facilities in Delta State, Nigeria Participants: Physicians selected with a simple random technique from the facilities Main outcome measures: Prescribing pattern of antimalarial drugs and adherence to WHO treatment guideline among doctors. Results: Majority (90.8%) of respondents believed the antimalarial policy (AMP) should be strictly adhered to, although three-fifth (61.0%) of them rated its performance as poor. The level of adherence to the national antimalarial drug policy was high (78.5%) as most doctors prescribed Arthemeter-Lumefantrine, AL for uncomplicated malaria however barely two-fifth (35.4%) adhered to prescribing injectable Artesunate for complicated malaria. AL, (71.9%) was the most prescribed antimalarial drug for uncomplicated malaria The most prescribed antimalarial drugs for complicated malaria was artesunate (40.0%) followed by quinine (27.6%) and artemether (26.7%); although, chloroquine was also prescribed.Conclusion: The level of adherence to AMP among doctors was sub-optimal. Continuous education of doctors on the new AMP is needed to achieve malarial control. Copies
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Title : Admissions and mortality over a 5-year period in a limited-resource neonatal unit in Ghana Authors: Adziri H. Sackey, Author ; Lily G. Tagoe, Author Publisher: Accra [Ghana] : Ghana Medical Association Publication Date: 2019 Series: Ghana Medical Journal, ISSN 2616-163X No. 53(2) Pagination: p.117-125, fig, tab. Layout: Journal Article ISSN (or other code): 0016-9560 Languages : English Keywords: Intensive Care Units, Neonatal Patient Admission Hospital Mortality Hospitals, Teaching Developing Countries Ghana Abstract: Objective: To review admissions and deaths at the neonatal intensive care unit (NICU) of the Korle Bu Teaching Hospital (KBTH), Ghana from 2011 to 2015, for the purposes of documentation of outcomes and identification of areas for improvement.Design: A retrospective descriptive study of NICU Admissions & Discharges from 2011 to 2015. All data in the NICU Admissions & Discharge books were transferred into a spreadsheet and analysed. Setting – The NICU of KBTH provides secondary and tertiary care for premature and critically ill term babies in the southern half of Ghana. Results: Over the 5-year period, 9213 babies were admitted to the NICU. Admission weights ranged from 300 to 6700g with median of 2400g. Overall mortality rate was 19.2%. Mortality rates were progressively and significantly higher in babies with lower admission weights and earlier gestations. Conclusions: We report a high NICU mortality rate of 19.2%, compared to the worldwide range of 3.1% to 29%. This wide range of outcomes is attributable to differences in the severity of illness of patients and to the organisation of resources devoted to obstetric and neonatal care. To substantially improve perinatal and neonatal outcomes, there is a need for wider coverage and better quality of health care; and to consider rationing of care. Complex interventions are necessary to improve outcomes, not just an increase in the allocation of particular resources. Admissions and mortality over a 5-year period in a limited-resource neonatal unit in Ghana [] / Adziri H. Sackey, Author ; Lily G. Tagoe, Author . - Accra (1596, Ghana) : Ghana Medical Association, 2019 . - p.117-125, fig, tab. : Journal Article. - (Ghana Medical Journal, ISSN 2616-163X; 53(2)) .
ISSN : 0016-9560
Languages : English
Keywords: Intensive Care Units, Neonatal Patient Admission Hospital Mortality Hospitals, Teaching Developing Countries Ghana Abstract: Objective: To review admissions and deaths at the neonatal intensive care unit (NICU) of the Korle Bu Teaching Hospital (KBTH), Ghana from 2011 to 2015, for the purposes of documentation of outcomes and identification of areas for improvement.Design: A retrospective descriptive study of NICU Admissions & Discharges from 2011 to 2015. All data in the NICU Admissions & Discharge books were transferred into a spreadsheet and analysed. Setting – The NICU of KBTH provides secondary and tertiary care for premature and critically ill term babies in the southern half of Ghana. Results: Over the 5-year period, 9213 babies were admitted to the NICU. Admission weights ranged from 300 to 6700g with median of 2400g. Overall mortality rate was 19.2%. Mortality rates were progressively and significantly higher in babies with lower admission weights and earlier gestations. Conclusions: We report a high NICU mortality rate of 19.2%, compared to the worldwide range of 3.1% to 29%. This wide range of outcomes is attributable to differences in the severity of illness of patients and to the organisation of resources devoted to obstetric and neonatal care. To substantially improve perinatal and neonatal outcomes, there is a need for wider coverage and better quality of health care; and to consider rationing of care. Complex interventions are necessary to improve outcomes, not just an increase in the allocation of particular resources. Copies
Barcode Call number Media type Location Section Status No copy E-copies: Download the digital copy of the document
Admissions and mortality over a 5-year period in a limited-resource neonatal unit in GhanaAdobe Acrobat PDF
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