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Informed Consent under the Ghana Health Service Patients Charter: Practice and Awareness

Journal of Biosciences and Medicines 2016年第4期4卷 63-67页

作者： Alexander Acheampong Oti Ernest Owusu-Dapaah Chris Adomako-Kwaakye Daniel Kwesi Sabbah Solomon Obiri-Yeboah Ama Amuasi Adu Tutu Amankwa ebenezer adjei-bediako Eva Adu-Boakye Dental School Kwame Nkrumah University of Science and Technology Kumasi Ghana School of Medical Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana Faculty of Law Kwame Nkrumah University of Science and Technology Kumasi Ghana Family Medicine Directorate Komfo Anokye Teaching Hospital Kumasi Ghana

Background: Every human being of adult years and sound mind has a right to determine what shall be done with his/her own body. Patient autonomy and the practice of informed patient consent are now pivotal in medical practice. Aim: To assess patient’s knowledge of Patients’ Rights Charter and whether patients receive adequate information to enable them make an informed consent to a particular treatment. Methodology: Patients who were undergoing elective surgery from selected surgical departments of Komfo Anokye teaching hospital in Kumasi were randomly selected and assisted to answer structured questionnaire without the knowledge of their doctors. The study period was in June to December (2014). Descriptive analysis was done using SPSS (II) of the results. Results: 84.7% (144) had no idea about the Patients’ Rights Charter of the Ghana Health Service. 75% (128) did not know or had not heard of informed patient consent. Of those who knew of the charter, 85% (37) had ever stayed in a developed country. 60% (102) did not know of their diagnosis. 79% (134) said the doctor only asked them to either sign or thumb print the consent document without giving them treatment options or possible complications. Conclusion: Most of respondents undergoing various surgical procedures at the Komfo Anokye Teaching Hospital were not aware of the existence of the Patients’ Rights Charter of the Ghana Health Service. Again, practitioners did not provide sufficient information to patients for them to make an informed decision about their health.

关键词： Informed Consent Patient Charter Autonomy

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Early esophagus cancer segmentation from gastrointestinal endoscopic images based on U-Net++model

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Journal of Electronic Science and Technology 2023年第3期21卷 38-51页

作者： Zenebe Markos Lonseko Cheng-Si Luo Wen-Ju Du Tao Gan Lin-Lin Zhu Prince ebenezer adjei Ni-Ni Rao School of Life Science and Technology University of Electronic Science and Technology of ChinaChengdu610054China College of Health and Medical Sciences Dilla UniversityDilla419Ethiopia West China Hospital of Sichuan University Chengdu610017China

Automatic segmentation of early esophagus cancer(EEC)in gastrointestinal endoscopy(GIE)images is a critical and challenging task in clinical settings,which relies primarily on labor-intensive and time-consuming *** has often been diagnosed at the late stage since early signs of cancer are not obvious,resulting in low survival *** work proposes a deep learning approach based on the U-Net++method to segment EEC in GIE images.A total of 2690 GIE images collected from 617 patients at the Digestive Endoscopy Center,West China Hospital of Sichuan University,China,have been *** experimental result shows that our proposed method achieved promising ***,the comparison has been made between the proposed and other U-Net-related methods using the same *** mean and standard deviation(SD)of the dice similarity coefficient(DSC),intersection over union(IoU),precision(Pre),and recall(Rec)achieved by the proposed framework were DSC(%)=94.62±0.02,IoU(%)=90.99±0.04,Pre(%)=94.61±0.04,and Rec(%)=95.00±0.02,respectively,outperforming the *** proposed method has the potential to be applied in EEC automatic diagnoses.

关键词： Early esophageal cancer(EEC) Gastrointestinal endoscopic(GIE) images Semantic segmentation Supervised learning U-Net++

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Targeted community based interventions improved malaria management competencies in rural Ghana

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Global Health Research and Policy 2017年第1期2卷 64-73页

作者： Isabella A.Quakyi George O.adjei David J.Sullivan Jr Judith K.Stephens Amos Laar Vivian N.Ama Aubyn Richmond Owusu Kwame S.Sakyi Nathaniel Coleman Francis D.Krampa Linda Vanotoo Julliette Tuakli Bernard B.Bortei Edward Essuman Felix Sorvor Isaac A.Boateng Constance Bart-Plange ebenezer A.Addison Peter Winch Andrew A.adjei Department of Biological Environmental and Occupational Health SciencesSchool of Public HealthCollege of Health SciencesUniversity of GhanaP.O.Box LG 13LegonAccraGhana Office of Research Innovation and DevelopmentUniversity of GhanaLegonAccraGhana Department of Molecular Microbiology and Immunology Johns Hopkins Bloomberg School of Public Health615 N.Wolfe StBaltimoreMD 21205USA Department of Population Familyand Reproductive HealthSchool of Public HealthUniversity of GhanaLegonAccraGhana National Malaria Control Programme Ministry of HealthAccraGhana Department of Health Policy Planning and ManagementSchool of Public HealthUniversity of GhanaLegonAccraGhana Department of International Health Social and Behavioural Interventions ProgramJohns Hopkins Bloomberg School of Public Health615 N.Wolfe StBaltimoreMD 21205USA Department of Biochemistry Cell and Molecular BiologyUniversity of GhanaLegonAccraGhana Regional Health Directorate Ghana Health ServicesAccraGhana Child and Associates AccraGhana Asante-Akim Central Municipal Health Directorate Ghana Health ServicesKonongoGhana Kpone Katamanso District Health Directorate Ghana Health ServicesKponeTemaGhana Worldwide Universities Network University of GhanaP.O.Box LG 13LegonAccraGhana

Background:Malaria is one of the most challenging public health concerns in the developing *** address its impact in endemic regions,several interventions are implemented by *** Affordable Medicine Facility-malaria(AMFm)is an example of such *** activities include communication interventions to enhance the knowledge of caregivers of children under five years,licensed chemical sellers(LCS)and prescribers on malaria management with artemisinin-based combination therapy(ACT).This study was conducted to evaluate the effectiveness of the AMFm activities on malaria among targeted groups in two rural communities in ***:A communication intervention study was conducted in the Asante-Akim North and South Districts of *** cross-sectional pre and post surveys were *** malaria messages were designed and used to develop the information,education and communication(IEC)tools for the *** the aid of posters and flipcharts developed by our study,community health workers(CHWs),prescribers,and licenced chemical sellers provided proper counselling to clients on malaria *** CHWs and community based volunteers educated caregivers of children under five years on malaria management at their homes and at public gatherings such as churches,mosques,***-square tests and logistic regression were run to determine associations and control for demographic differences ***:There was significantly high exposure to malaria/ACT interventions in the intervention district than in the comparison district(OR=16.02;95%CI=7.88–32.55)and same for malaria/ACT-related knowledge(OR=3.63;95%CI=2.52–5.23).The participants in the intervention district were also more knowledgeable about correct administration of dispersible drug for children<5 years than their counterparts in the unexposed ***:Our data show that targeted interventions improve malaria based competences in rural commun

关键词： malaria district gathering

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