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Removing barriers to healthcare through an intercultural healthcare system:Focus group evidence

Journal of Integrative Medicine 2021年第1期19卷 29-35页

作者： Prince Peprah Williams Agyem ang-Duah Abdul Wahid Arimiyaw anthony kwame morgan Stephen Uwum bordo Nachibi Social Policy Research Centre University of New South WalesSydney 2052Australia Department of Planning Kwame Nkrumah University of Science and TechnologyKumasi 233Ghana Department of Geography and Rural Development Kwame Nkrumah University of Science and TechnologyKumasi 233Ghana

Objective:Barriers to healthcare in Ghana are *** people,including patients and providers,face them at different *** address these barriers,there is a need to explore the role of an intercultural healthcare *** paper explores and provides the first evidence on ways through which an intercultural healthcare system can reduce the sociocultural and economic barriers to healthcare in ***:Focus group discussions with 35 participants comprising 17 healthcare users,11 formal healthcare providers and 7 alternative healthcare providers were conducted to gather *** analyses were performed on the transcribed data and presented based on a posteriori inductive reduction ***:Findings reveal that an intercultural healthcare system in Ghana can help reduce barriers to healthcare,especially cultural,social and economic barriers,by fostering an enhanced relationship between culture and healthcare,promoting affordable healthcare and promoting effective communication between healthcare providers and *** institutional support,lack of strong political will and commitment,lack of training to meet standards of practice,poor registration and regulatory measures,and lack of universal acceptance inhibit implementation of an intercultural healthcare system in ***:The support for intercultural healthcare system and the agreement on its perceived ability to reduce social,cultural and economic healthcare barriers for service users offer an opportunity for policymakers to demonstrate a stronger political will and improved commitment for effective education and training,enforcement of regulatory measures,inclusion of intercultural healthcare in medical school curricula across the country,and community engagement.

关键词： Intercultural health Health system Healthcare barriers Focus group Ghana

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Functional roles of taurine,L-theanine,Lcitrulline,and betaine during heat stress in poultry

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Journal of Animal Science and Biotechnology 2022年第4期13卷 967-986页

作者： Victoria anthony Uyanga Emmanuel OOke Felix kwame Amevor Jingpeng Zhao Xiaojuan Wang Hongchao Jiao Okanlawon MOnagbesan Hai Lin Department of Animal Science College of Animal Science and Veterinary MedicineShandong Provincial Key Laboratory of Animal Biotechnology and Disease ControlShandong Agricultural UniversityNo.61 Daizong StreetTai’an 271018Shandong ProvinceChina Department of Animal Physiology Federal University of AgricultureP.M.BAbeokutaOgun State 2240Nigeria Farm Animal Genetic Resources Exploration and Innovation Key Laboratory of Sichuan Province Sichuan Agricultural UniversityChengduSichuanChina.

Heat stress(HS)is an important environmental stress factor affecting poultry production on a global *** the rise in ambient temperature and increasing effects of global warming,it becomes pertinent to understand the effects of HS on poultry production and the strategies that can be adopted to mitigate its detrimental impacts on the performance,health,welfare,immunity,and survival of *** acids(AAs)have been increasingly adopted as nutritional modifiers in animals to ameliorate the adverse effects of *** are essential for protein synthesis,growth,maintenance,reproduction,immunity,stress response,and whole-body ***,HS tends to adversely affect the availability,transport,absorption,and utilization of these *** have investigated the provision of these AAs to poultry during HS conditions,and variable findings have been ***,L-theanine,and L-citrulline are non-essential amino acids that are increasingly gaining attention as nutritional supplements in HS ***,betaine is an amino acid derivative that possesses favorable biological properties which contributes to its role as a functional additive during *** particular note,taurine is negligible in plants,while betaine,L-theanine,and L-citrulline can be found in selected *** nutrients are barely found in feed ingredients,but their supply has been shown to elicit important physiological roles including anti-stress effects,anti-oxidative,anti-inflammatory,gut promoting,and immunomodulatory *** present review provides information on the use of these nutritionally and physiologically beneficial nutrients as functional additives to poultry diets during HS ***,although several studies have reported on the positive effects of these additives in human and murine studies,however,there is limited information regarding their utilization during heat stress in poultry ***,this review aims to expound on the functional pr

关键词： Amino acids Antioxidant Heat Stress Immunity Inflammation Nutrition Performance Poultry

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Non-inclusion of certified herbal medicines in the National Health Insurance Scheme affects patient utilization of the integrated herbal medicine services in Ghana

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Traditional Medicine Research 2022年第4期7卷 75-80页

作者： anthony Nketia Emmanuel Nakua Andrews William Tetteh Kwesi P.Thomford kwame O.Boadu Ama K.Thomford Department of Health Promotion Education and Disability StudiesSchool of Public HealthKwame Nkrumah University of Science and TechnologyKumasiGhana Department of Epidemiology and Biostatistics School of Public HealthKwame Nkrumah University of Science and TechnologyKumasiGhana Department of Pharmacognosy and Herbal Medicine University of Cape CoastKumasiGhana Department of Maternal and Child Health Kumasi South HospitalKumasiGhana Department of Biomedical Sciences University of Cape CoastKumasiGhana

Background:In 2011,Ghana piloted the integration of herbal medicine services into mainstream health care delivery in selected government hospitals across the *** date,however,no single certified herbal drug is generally covered by the national health insurance *** study evaluated the implications of out-of-pocket payment for prescriptions on the patronage of herbal medicine units in 3 selected government hospitals within Kumasi ***:A cross-sectional study on 413 participants was performed using a semi-structured ***:The majority of study respondents were female(54%),and the median age was 35 *** participants(83.1%)were aware that herbal medicine was integrated in the mainstream health care system of the *** the costs of certified herbal drugs,51.5%of respondents considered them very expensive;72.1%of the respondents believed that the costs of certified herbal drugs adversely affected the utilization of herbal units at government hospitals,which produced a positive correlation(r=0.5498).A total of 99.5%of the respondents recommended the inclusion of certified herbal drugs on the national health insurance drug ***:This study revealed that the costs of certified herbal medicines negatively affect utilization of herbal units at government *** improve the utilization of herbal units,certified herbal drugs dispensed at these units must thus be included in the national health insurance drug list.

关键词： omplementary and alternative medicines herbal medicine primary healthcare universal health coverage

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Domestication and Sustainable Use of Genetic Resources of a Native Tree with High Economic Potential in Ghana

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Open Journal of Forestry 2015年第7期5卷 678-685页

作者： Theresa Peprah kwame Antwi Oduro Daniel E. Kwaku Addo Siaw Joseph Rexford Cobbinah Zacharia Tchoundjeu anthony John Simons Ramni Jamnadass Daniel Aninagyei Ofori CSIR-Forestry Research Institute of Ghana Kumasi Ghana College of Agriculture and Natural Resources Faculty of Renewable Natural Resources Sunyani Ghana World Agroforestry Centre (ICRAF) Yaounde Cameroon World Agroforestry Centre (ICRAF) Nairobi Kenya

Allanblackia parviflora A. Chev., an underutilized fruit tree species commonly found in tropical rainforest of West Africa, has potential for integration into agroforestry systems for economic and environmental benefits. The seed oil of A. parviflora is considered economically important but wild fruits collection produces an average of 40 tons of oil annually. However, over 100,000 tons of Allanblackia seed oil is needed annually by food and cosmetics industries. The need to domesticate and conserve A. parviflora to ensure adequate sustainable supply of seed oil and to sustainably manage the genetic resources is therefore critical. This paper reviews the current state-of-the art on domestication and sustainable use efforts of Allanblackia. Propagation methods have been developed to encourage large scale commercial cultivation, include grafting, rooting of stem cuttings and research into improved seed germination. Range-wide germplasm collection has been undertaken leading to establishment of 140 accessions in a gene bank for future source of germplasm. Mother blocks, i.e. established plots consisting of grafts, seedlings and cuttings, have been established at Rural Resource Centres with 58 elite clones, which have been recommended for distribution to farmers. The diversification of cropping systems to include A. parviflora trees is projected to contribute to community livelihoods development and poverty reduction through large-scale production and supply chain development of the species. Furthermore, the integration of A. parviflora into agroforestry systems is important for the conservation of the genetic resources of the species.

关键词： Agroforestry Conservation Germplasm Supply Chain Propagation

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认同伦理学

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作者： (美)夸梅·安东尼·阿皮亚(kwame anthony Appiah)

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焊接工艺参数对铝和铜异种搅拌摩擦焊接头腐蚀性能的影响(英文)

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Transactions of Nonferrous Metals Society of China 2014年第5期24卷 1323-1330页

作者： Esther T.AKINLABI anthony ANDREWS Stephen A.AKINLABI Department of Mechanical Engineering Science University of JohannesburgAuckland Park Kingsway Campus Department of Materials Engineering Kwame Nkrumah University of Science and Technology School of Mechanical Industrial and Aeronautical Engineering University of Witwatersrand

报道了焊接工艺参数对铝（AA5754）和铜（C11000）异种搅拌摩擦焊接头腐蚀性能的影响.研究了在旋转速度600～1200 r/min、进料速度50～300mm/min下焊接头的显微组织和腐蚀性能.结果表明,在接头界面区域存在铝和铜的金属间化合物层;焊接... 详细信息

报道了焊接工艺参数对铝（AA5754）和铜（C11000）异种搅拌摩擦焊接头腐蚀性能的影响.研究了在旋转速度600～1200 r/min、进料速度50～300mm/min下焊接头的显微组织和腐蚀性能.结果表明,在接头界面区域存在铝和铜的金属间化合物层;焊接头的耐蚀性随着旋转速度的加快而增强;焊接头的耐蚀性比基体铜有改善,但比铝略有降低.在旋转速度950 r/min、进料速度300mm/min的条件下得到的焊接头的耐蚀性最好.

关键词：铝合金铜腐蚀搅拌摩擦焊工艺参数

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Constitutive STAT3 phosphorylation and IL-6/IL-10 co-expression are associated with impaired T-cell function in tuberculosis patients

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Cellular & Molecular Immunology 2019年第3期16卷 275-287页

作者： Kirstin Harling Ernest Adankwah Alptekin Güler anthony Afum-Adjei Awuah Louis Adu-Amoah Ertan Mayatepek Ellis Owusu-Dabo Norman Nausch Marc Jacobsen Department of General Pediatrics Neonatologyand Pediatric CardiologyUniversity Children’s HospitalDuesseldorf 40225Germany Kumasi Centre for collaborative Research in Tropical Medicine(KCCR) KumasiGhana School of Public Health College of Health SciencesKwame Nkrumah University of Science and Technology(KNUST)KumasiGhana

T-cells critically contribute to protection against Mycobacterium tuberculosis infection,and impaired T-cell responses can lead to disease ***-inflammatory and immunosuppressive cytokines affect T-cells,and fine-tuned regulation of cytokine signaling via the Jak/STAT signaling pathways is crucial for appropriate T-cell *** STAT3 phosphorylation as a consequence of aberrant cytokine signaling has been described to occur in pathognomonic T-cell responses in inflammatory and autoimmune *** characterized blood samples from tuberculosis patients(n=28)and healthy contacts(n=28)from Ghana for ***-specific T-cell responses,constitutive cytokine production,and SOCS3 and pSTAT3 *** modulation of primary CD4+T-cells was performed to determine the effects of SOCS3 on T-cell functions.T-cells from tuberculosis patients expressed higher levels of IL-10 and IL-6 and lower levels of T helper type(TH)17 cytokines after ***-specific stimulation compared to healthy *** addition,tuberculosis patients had higher IL-10 and IL-6 levels in the supernatants of non-stimulated immune cells and plasma samples compared to healthy ***,aberrant cytokine expression was accompanied by high constitutive pSTAT3 levels and SOCS3 expression in *** analysis identified an IL-6/IL-10 co-expression-based principal component in tuberculosis patients that correlated with high pSTAT3 ***3 contributed to a regulatory component,and tuberculosis patients with high SOCS3 expression showed decreased TH1 cytokine expression and impaired IL-2-induced STAT5 ***3 over-expression in primary CD4+T-cells confirmed the SOCS3 inhibitory function on IL-2-induced STAT5 *** conclude that constitutive pSTAT3 and high SOCS3 expression are influential factors that indicate impaired T-cell functions in tuberculosis patients.

关键词： tuberculosis Interleukin-6 Interleukin-10 STAT3 SOCS3

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Microbial Profile and Antibiotic Resistance Pattern of Urine and Biofilm Pathogens Isolated from Catheterized Patients at Komfo Anokye Teaching Hospital, Kumasi, Ghana

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Journal of Biosciences and Medicines 2021年第10期9卷 1-13页

作者： Alexander Bekoe Roland Azorliade anthony Ablordey Matthew Glover Addo Department of Theoretical and Applied Biology Kwame Nkrumah University of Science and Technology Kumasi Ghana Department of Urology Komfo Anokye Teaching Hospital Kumasi Ghana Bacteriology Department Noguchi Memory Institute for Medical Research University of Ghana Legon Ghana

Introduction: Urinary tract infection represents more than 40% of all nosocomial infections of which 80% are attributed to the use of an indwelling urinary catheter. Although the device is useful medically to treat urinary retention and incontinence, its uses have also been associated with infections such as catheter-associated urinary tract infections. Objectives: To evaluate catheter-associated urinary tract infection in terms of its prevalence, pathogens causing the infection and the resistance pattern to some commonly used antibiotics. Methods: Urine and biofilm specimen were collected from 105 catheterized patients. Bacteria pathogens were identified based on colony morphology, Gram staining and other biochemical reactions. Kirby-Bauer disc diffusion method was employed to determine the antibiotic resistance pattern of the isolated pathogens. Results: The study recorded a 74.29% prevalence of catheter-associated urinary tract infection among the rarely symptomatic patients. Escherichia coli were significantly isolated (p Staphylococcus aureus. Most isolated pathogens from both samples were resistant to ciprofloxacin with the biofilm pathogens being highly resistant than the urine pathogens. K. pneumoniae from both samples showed higher resistance levels to antibiotics than E. coli and S. aureus. Conclusion: Ciprofloxacin, a commonly used antibiotic by catheterized patients turn out to be less effective against the pathogens. The use of ciprofloxacin in catheter-associated urinary tract infection treatment should therefore be given a second thought.

关键词： Asymptomatic Biofilm Catheterization Retention Uropathogen

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Land-use and land-cover affect inland fish catch in two rivers of Central Africa

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Water Biology and Security 2022年第4期1卷 51-60页

作者： Leandro Castello Gifty Anane-Taabeah Attu anthony Aliebe Nelly Ornelle Onana Ateba Sandrine Jueya Felipe Carvalho Amy Ickowitz Emmanuel A.Frimpong Department of Fish&Wildlife Conservation Virginia Polytechnic Institute and State UniversityBlacksburgVAUnited States Department of Fisheries and Watershed Management Kwame Nkrumah University of Science and TechnologyKumasiGhana Farmerline Limited KumasiGhana Department of Parasitology and Ecology University of Yaounde 1YaoundeCameroon Faculty of Sciences University of NgaoundereNgaoundereCameroon Center for International Forestry Research BogorIndonesia

Land-cover change can affect inland fisheries,which underpin food security of millions of people *** of forests from very large floodplains has been found to decrease fish catch via loss of feeding and nursery habitat for ***,it is unknown if similar effects occur in smaller rivers with limited floodplain *** is also known about the mechanisms by which land-cover changes affect inland fish ***,we assessed land-use and land-cover(LULC)effects on fish catch,diet,and condition at sites in two medium-sized rivers of Cameroon,in Central *** found that LULC explained 30%of the variation in fish catch,with the catch of five species being positively,and of two species being negatively,related to floodplain *** niche breadth of fish diets was higher in the river surrounded by forests than in the river surrounded by agricultural ***,contrary to expectations,condition of the fish,as indicated by occurrence of diseases or deformities,eroded fins,lesions or tumors,was not related to *** results support the notions that floodplain forests support fish populations in rivers with limited floodplain areas in ways similar to that of rivers with large floodplains,and that LULC affects fish populations via changes in fish diets and instream habitat features(i.e.,riparian canopy closure,water clarity,substrate heterogeneity,and habitat volume).These effects imply that prevailing changes in LULC threaten the food and livelihood security services provided by inland fisheries,highlighting the importance of policies that maintain native vegetation along riverbanks and in floodplain areas.

关键词： Agriculture Diet Fish traits Food security LULC

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Analysis of Causes of Delay in Middle and High Income Self-Build Housing Projects (SBHPs) in Wa, Ghana

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Journal of Building Construction and Planning Research 2015年第4期3卷 171-179页

作者： Samuel Owusu Afram anthony Bangdome-Dery Genevieve Ekua Eghan Titus Ebenezer Kwofie Department of Architecture College of Architecture and Planning Kwame Nkrumah University of Science and Technology (KNUST) Kumasi Ghana Building Technology & Estate Management Department Wa Polytechnic Wa Ghana

Self-build housing projects (SBHPs) among middle and high income developers are faced with many challenges that cause delay in the delivery time of the house(s). The focus of this paper is to analyse the factors that cause delay in SBHPs in order to identify the critical delay factors. Review of literature and expert input revealed 20 variables which were used in a structured questionnaire for data collection from owners, consultants and builders in Wa Municipality. Reliability test, t-test analysis and mean ranking were used in the data analysis. The results revealed that “Delay in obtaining permit from Local Authorities” was the first delay factor followed by “Poor site management and supervision”. The delay factor ranked least was “Inadequate cost estimation and related details” from consultants. The paper recommends that Government agencies that regulate physical development should intensify public education, particularly on responsibilities and obligations, especially among self-builders. The paper recommends further study into labour-related issues as well as communication and information management among participants and its impact on self-build project success.

关键词： Delays Self-Build Housing Projects Ghana

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