检索结果-南通市图书馆

Prevalence of Unsatisfactory Pap Smear and Associated Clinical History and Diagnosis in a Tertiary Teaching Hospital in Ghana

引用

Journal of Biomedical Science and Engineering 2019年第6期12卷 311-321页

作者： Maxwell Hubert Antwi seth christopher yaw appiah Department of Molecular Medicine School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science & Technology Kumasi Ghana Department of Sociology and Social Work Faculty of Humanities and Social Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana Centre for International Health (CIH) University of Munich Medical School Ludwig-Maximilians-Universitate of Munchen Munchen Germany

Background: A major limitation of cervical cytology is the unsuitability of proportion of smears submitted for analysis and for cytological assessment (unsatisfactory). This study examines the prevalence of unsatisfactory Pap smear, clinical history and diagnosis in the Department of Pathology, Korle-Bu Teaching Hospital (KBTH), Ghana. Materials and Methods: A retrospective review of 15,290 cases spanning 12 years (2005-2016) was carried out at the cytology unit of the Pathology Department of the KBTH. Out of the 15,290 Pap smear records retrieved, 2347 reports were excluded leaving 12,943 for the study. All unsatisfactory smear cases were analyzed and categorized using the Bethesda 2001 System. Results are presented using descriptive statistics. Results: The overall prevalence of unsatisfactory Pap smear was 402 (3.1%). Routine screening smear accounted for 115 (0.9%);reports without clinical history and diagnosis gave 21 (0.2%) and cases with clinical history and diagnosis were 287 (2.2%). The common cause of unsatisfactory Pap smear was scanty cellularity 222 (1.72%). Patient’s history accounted for the least cause of unsatisfactory Pap smear 2 (0.02%). Conclusion: Pap smear results reported as unsatisfactory could harbor cancer malignancy. Samples should be taken by well-trained persons.

关键词： Pap Smear Unsatisfactory Bethesda System Malignancy Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Knowledge about Sexual and Reproductive Health Services and Practice of What Is Known among Ghanaian Youth, a Mixed Method Approach

引用

Advances in Sexual Medicine 2016年第1期6卷 1-13页

作者： Jonathan Mensah Dapaah seth christopher yaw appiah Afua Amankwaa Larbi Rita Ohene Department of Sociology and Social Work Kwame Nkrumah University of Science and Technology Kumasi Ghana Beijing Normal University Beijing China Department of Theoretical and Applied Biology Kwame Nkrumah University of Science and Technology Kumasi Ghana

Most young person will become sexually active before their 20th birthday having to battle with early and unplanned pregnancies, unsafe abortions, maternal deaths and injuries. This study examined young person’s sexual knowledge, attitudes and practices and their levels of utilization of sexual reproductive health. Our study progresses beyond current research of reporting only sexual behaviour among youth to have insight into sexual and reproductive health update drivers yielding new empirically robust results for the Ghanaian case for sexual and reproductive health service uptake. The descriptively cross sectional design was employed in sampling 170 youth (150 surveyed and 20 Interviewed) using the stratified sampling technique together with a purposive selection of one key informant. Test of significance and associations were performed with the Chisquare test. In all 45.2% (77/170) of youth (10 - 24) had had sexual experience in life time. In respect of in-school youth, 42% (63/150) had had sexual experience whiles 70% (14/20) out-of-school youth had had sexual intercourse in life time. A total of 28.8% (49/170) of all the youth had sexual intercourse in the last six months with only 40.1 (20/49) using condom for protection. Parental discussion of contraceptive methods (29.3%) and sexual and romantic relationship (28.0%) was the least sexual and reproductive health area discussed among in-school youth. Youth knowledge of the available sexual reproductive health service was statistically associated with reproductive health service utilization (X2 = 0.00, P ≤ 0.05). A concerted effort is required from government, NGO, Civil society organizations and religious bodies to help translate youth knowledge about sexual health into responsible sexual life and protective sex.

关键词： Youth Knowledge Sexual Attitude and Practices Sexual Reproductive Health Services Utilization Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Does Facility Based Sexual and Reproductive Health Services Meet the Needs of Young Persons? Views from Cross Section of Ghanaian Youth

引用

Advances in Sexual Medicine 2015年第3期5卷 61-71页

作者： Jonathan Mensah Dapaah seth christopher yaw appiah Eric Badu Bernard Obeng Victoria Ampiah Department of Sociology and Social Work Faculty of Social Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana Department of Community Health School of Medical Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana

The focus on facility based health setting to provide sexual and reproductive health to the youth has been tested in several settings and achieved varying results. This study examined whether facility based sexual and reproductive health services met the needs of Ghanaian youth. Adopting the descriptive cross sectional design, 170 youths between the ages of 10 and 24 were sampled. A three-stage stratified random sampling technique was adopted. The results of the study are presented using descriptive statistics. The study established that a total of 55.8% (95/170) of the youth had utilized at least one or more of a sexual and reproductive health service in life time. However, only 45.2% (43/95) of youth used or accessed sexual and reproductive health services from a facility based setting. Facility based sexual and reproductive health service provided specifically for the youth is very limited. This calls for the provision of out-of health facility services located within the communities and at strategic places while ensuring confidentiality to the youth. More rigorous research is recommended on a national scale to examine youth preference for the type of facility based and out-of-facility based sexual and reproductive health services to meet the needs of young people.

关键词： Facility-Based Sexual and Reproductive Health Young Persons Youth Needs Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Parental Disclosure of Own HIV Status to Children in Two Ghanaian Regions;Examining the Determinants within a Child Vulnerability Context

引用

Health 2019年第10期11卷 1347-1366页

作者： seth christopher yaw appiah Adeyemi Olu Adekunle Adesina Oladokun Jonathan Mensah Dapaah Karikari Mensah Nicholas Pan African University Institute of Life and Earth Sciences Including Health and Agriculture University of Ibadan (PAULESI) Ibadan Nigeria Department of Sociology and Social Work Faculty of Social Sciences Kumasi College of Humanities and Social Science Kwame Nkrumah University of Science and Technology Kumasi Ghana Department of Obstetrics and Gynaecology University College Hospital University of Ibadan Ibadan Nigeria Public Health Unit Komfo Anokye Teaching Hospital Kumasi Ghana.

Purpose: Parent informing children and adolescents about their own HIV infection status is crucial for harmonious and interfamilial relationship despite the associated dilemma. This study assessed the factors associated with parental disclosure of own HIV status to their biological children. Methods: The facility based cross-sectional design approach informed the recruitment of 192 HIV positive parents. This was done through a two-stage stratified (rural/urban) and random sampling technique across 7 ART clinics and hospitals in the Ashanti and Brong Ahafo regions in Ghana between June 2018 and June 2019. Data was collected through interviewer-administered structured questionnaires. Parental disclosure to children was defined as parent own verbal statement of having mentioned HIV or AIDS as the name of his/her illness to at least one of his or her biological children. The study compared weighted proportions for variables measured categorically by the use of chi-square (χ2) significant at P Results: Of the 192 HIV positive parents aged 20 to 64 years (M, SD = 38.56, 8.34), 89.1% were females, averagely having 3 children with 89.5% having only one child being HIV positive, out of which one in every four parent was without formal education. Parental disclosure to biological children was 11% while parental own status disclosure to any child under the parent’s care was 14.6%. Parental disclosure was associated with being married or living with a sexual partner (OR = 3.4;95% CI: 1.08 - 10.66, P Conclusions: Only a tenth of all HIV positive parents had told their children about their own (parents) HIV status. Parental disclosure should be encouraged and interventions designed to improve it particularly as they contribute to shaping the vulnerability context of HIV and AIDS positive children.

关键词： HIV and AIDS Parental Children and Adolescents Disclosure Vulnerability Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Designing a Need Based Social Protection Intervention Package for Children and Adolescents Living with HIV and AIDS in Ghana—An Eclectic Perspective on Desired Social Protection Intervention Package/Framework

引用

Health 2019年第10期11卷 1396-1413页

作者： seth christopher yaw appiah Adeyemi Olu Adekunle Adesina Oladokun Jonathan Mensah Dapaah Karikari Mensah Nicholas Pan African University Institute of Life and Earth Sciences Including Health and Agriculture University of Ibadan (PAULESI) Ibadan Nigeria Department of Sociology and Social Work Faculty of Social Sciences Kumasi College of Humanities and Social Science Nkrumah University of Science and Technology Kumasi Ghana Department of Obstetrics and Gynecology College of Medicine University of Ibadan Ibadan Nigeria Public Health Unit Komfo Anokye Teaching Hospital Kumasi Ghana.

Background: Designing a need-based social protection intervention for children comes as comprehensive tool for addressing the overall quality of life of HIV positive children. Not much has been examined on what constitute the desired social protection framework for HIV positive children. Methods: This study was informed by a qualitative descriptive exploratory design approach. The study drew insights from the shared perspectives of 27 participants sampled from positive HIV status disclosed children—10 - 17 years, healthcare workers, Social and Development worker, HIV positive caregivers and parents from 7 ART clinics in rural and urban Brong Ahafo and Ashanti regions of Ghana. Data was collected through interviews and two focus group discussions with study participants. Drawing on the emerged themes from the transcripts, thematic content analysis was used to analyze the data using comparative thematic framework approach. Findings: The eclectic perspectives on the type of social protection policy/intervention preferred demonstrated the need for an interrelated and integrated social protection policy. This should not be designed in isolation towards addressing the child vulnerability. The study found that social protection policies aimed at addressing vulnerability levels of children should consider the dual vulnerability situation within which HIV positive children and adolescents are located. A set of unique specific tailored approach and package reflecting minimum combination social protection package to HIV positive children was considered essential for inclusion. The themes that emerged covered social policy/intervention package inclusive of a disease ending/eradication intervention package, cash transfer for children and their caregivers, free comprehensive health insurance integrating all consultancy and laboratory services charges, direct food supplements supply and nutritional support, research, target specified with evidenced-based monitoring. Counseling sup

关键词： Social Protection HIV and AIDS Infected Children Adolescent’s Intervention Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Males as Partners in Family Planning Service Uptake in Ghana: A Descriptive Cross-Sectional Survey

引用

Health 2019年第8期11卷 1043-1054页

作者： seth christopher yaw appiah Francis Adjei Osei Nicholas Karikari Mensah Patrick Lebene Adonoo Abdul Ganiu Tanko Phans Oduro Sarpong Department of Sociology and Social Work Kwame Nkrumah University of Science Technology Kumasi Ghana Ludwig-Maximilians Universitate LMU-Centre for International Health-University of Munich Munchen Germany Public Health Unit Komfo Anokye Teaching Hospital Kumasi Ghana School of Government Sun Yat-Sen University of Guangzhou Guangzhou China Department of Planning Kwame Nkrumah University Science Technology Kumasi Ghana Research and Development Unit Komfo Anokye Teaching Hospital Kumasi Ghana

Background: Family planning is an efficient and effective intervention that results in quick benefits for the whole family socio-economically. Differences exist in the rate of contraceptive use between male and female and male involvement of service uptake in Ghana. The objective of this study was to explore male direct involvement and or support to their partners in family planning service uptake. Methods: The study used a descriptive cross-sectional survey to sample 384 men of reproductive age (18 - 45 year) using cluster sampling to enlist participants from within the Suame Magazine light Industrial area in the Ashanti Region of Ghana. Data was analyzed descriptively using SPSS version 16. Results: Men showed very high knowledge (90%) about what constitutes Family Planning, with moderate level of involvement both active and passive involvement (56%) though only a few (38.9%) were presently adopting or using modern contraceptive. The study rather found only 14% (55) males were willing to be solely responsible and actively involved in Family Planning service. Family Planning services did not adequately meet the needs of men with the services centers remaining unavailable in the study area. Conclusion: The extent of male involvement in family planning programmes is marginally above average. Males showed appreciable knowledge of family planning options though misconceptions continued to exist. A more couple-oriented approach to family planning is needed including recruiting males as family planning providers, offering more family planning counseling for couples, and promoting female-oriented methods with men and vice versa.

关键词： Family Planning Information Sharing Attitude Knowledge Contraceptives Utilization Ghana

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Parental Disclosure of Own HIV Status to Children in Two Ghanaian Regions;Examining the Determinants within a Child Vulnerability Context

引用

Health（健康） 2019年第10期

作者： seth christopher yaw appiah Adeyemi Olu Adekunle Adesina Oladokun Jonathan Mensah Dapaah Karikari Mensah Nicholas

来源：评论

学校读者我要写书评

暂无评论

Males as Partners in Family Planning Service Uptake in Ghana:A Descriptive Cross-Sectional Survey

引用

Health（健康） 2019年第8期

作者： seth christopher yaw appiah Francis Adjei Osei Nicholas Karikari Mensah Patrick Lebene Adonoo Abdul Ganiu Tanko Phans Oduro Sarpong

来源：评论

学校读者我要写书评

暂无评论

淫羊藿及其活性成分对雌性小鼠生殖发育的影响

淫羊藿及其活性成分对雌性小鼠生殖发育的影响

引用

作者： seth yaw Afedo 南京农业大学

学位级别：硕士

传统医学非常重要,但它在人类健康和动物保健方面的作用常被人们低估。传统医学在兽医临床的应用有着悠久的历史,它经常用来促进维持机体健康,预防和治疗疾病,尤其用于治疗慢性疾病。在传统中药中,淫羊藿作为一种传统的草药,与其活性成... 详细信息

传统医学非常重要,但它在人类健康和动物保健方面的作用常被人们低估。传统医学在兽医临床的应用有着悠久的历史,它经常用来促进维持机体健康,预防和治疗疾病,尤其用于治疗慢性疾病。在传统中药中,淫羊藿作为一种传统的草药,与其活性成分很久就被用于治疗药物,如心血管疾病治疗和促进发情等,但至今仍未有淫羊藿及其活性成分如何影响雌性小鼠生殖发育的报道。小鼠卵巢是产生卵母细胞的场所,每个卵泡内含有1个卵母细胞。卵泡生长的启动是卵泡发育的重要调控点。卵泡在出生前就已形成此时处于静止状态,原始卵泡阶段:原始卵泡进入生长卵泡池后,便会形成连续不断的卵泡波,直至达到排卵前期的格拉芙氏卵泡阶段。卵泡发育需经过初级卵泡、次级卵泡、腔前卵泡和有腔卵泡阶段。在发生受精时,只有经过充分竞争发育的排卵前卵泡卵母细胞才能支撑胚胎发育至终期。因此,本试验通过检测小鼠体重、卵母细胞体外成熟率(in vitro maturation,IVM)、生殖器官指数和卵巢、子宫组织学形态,评价淫羊藿(epimediu,EP)及淫羊藿多糖(Epimediumpolysaccharide,EPS)和淫羊藿香(icariin,ICA)对小鼠生长和生殖发育的影响。180只健康雌性昆明小鼠随机分为30组,每组6只,分别连续7 d和14 d灌服2、6、10和 14mg/0.1mLEP,2、4、6和8mg/0.1mLEPS,或 0.1、0.3、0.5 和 0.7 mg/0.1mLICA,每个对照组均在相同时间灌服0.1mL生理盐水。所有小鼠在清洁级条件下常规饲养,自由采食与饮水。连续灌服7d或14d后,致死小鼠,取生殖器官(子宫、输卵管和卵巢)并去除脂肪组织,称量生殖器官重计算生殖器官指数(reproductiveindex,RI);部分卵巢用于卵母细胞采集及体外成熟培养(IVM),其余卵巢用于组织形态学分析。本试验为了解淫羊藿及其活性成分如何影响小鼠卵母细胞生长发育提供了基础材料,并确定3种药物的最佳作用剂量。试验结果如下:试验一、淫羊藿对小鼠卵巢和子宫发育的影响生殖器管指数(RI)分析表明,连续7 d灌服10 mg/0.1 mL EP组和连续14 d灌服6 mg/0.1 mL组小鼠RI值显著高于其他EP处理组和对照组。此外,所有7 d和14 dEP处理组的RI值均显着高于对照组。EP处理组卵母细胞体外成熟培养后,pbI排出率均高于对照组(63.30%),但试验组间差异不显著(p<0.05)。7d和14dEP处理组中,6mg/0.1mL组的pbI排出率最高。卵巢组织学观察发现,各试验组间有腔卵泡的数量和大小差异不显著,但所有EP处理组卵巢组织内均有大量次级卵泡,说明EP可以促进卵泡发育。试验二、淫羊藿多糖对小鼠卵巢和子宫发育的作用连续7d和14 d给予不同剂量的EPS,对小鼠体重并无负面影响;EPS处理可增加小鼠体重。14dEP处理组中,4mg/0.1mL组RI显著高于其他EPS组与对照组。卵母细胞体外成熟培养,结果发现所有EPS处理组卵母细胞pbI排出率均高于对照组,但各试验组间差异不显著(p<0.05)。7dEPS处理组中,8mg/0.1 mL组pbI排出率最高,14 d EP处理组中,4 mg/0.1 mL组pbI排出率最高。卵巢组织学观察发现,EPS处理组卵巢组织内次级卵泡数量增加,说明EPS与EP一样,可以促进卵泡发育。试验三、淫羊藿苷对小鼠卵巢和子宫发育的影响ICA 7d和14 d各剂量组对小鼠体重也未发现有负面影响。正如EP和EPS试验一样,ICA处理可增加小鼠体重。在14 d处理组中,0.1、0.3、0.5和0.7 mg/0.1 mL ICA组RI值要显著高于对照组。此外,所有ICA 7 d和14 d处理组的RI值均显著高于对照组。卵母细胞体外成熟培养发现,所有EPS处理组卵母细胞pbI排出率均高于对照组,但试验组间差异不显著(p<0.05)。7 d EPS处理组中,8 mg/0.1 mL组pbI排出率最高;14 dEP处理组中,4 mg/0.1 mL组pbI排出率最高。卵巢组织学观察发现,各ICA处理卵巢组织形态未见明显差异,但卵巢内次级卵泡数量多于对照组,说明ICA可促进卵泡的发育。这些数据表明,一定剂量的EP、EPS和ICA均能促进小鼠卵巢发育;根据IVM和RI值综合分析,在3种药物中ICA促进小鼠卵巢和子宫发育的效果最佳。

关键词：小鼠淫羊藿淫羊藿多糖淫羊藿苷卵巢生殖器官指数体外成熟

来源：

同方学位论文库评论

在线全文

同方学位论文库

学校读者我要写书评

暂无评论

Digital world meets urban planet–new prospects for evidencebased urban studies arising from joint exploitation of big earth data,information technology and shared knowledge

引用

International Journal of Digital Earth 2020年第1期13卷 136-157页

作者： Thomas Esch Hubert Asamer Felix Bachofer Jakub Balhar Martin Boettcher Enguerran Boissier Pablo d’Angelo Caroline MGevaert Andreas Hirner Katerina Jupova Franz Kurz Andy yaw Kwarteng Emmanuel Mathot Mattia Marconcini Alessandro Marin Annekatrin Metz-Marconcini Fabrizio Pacini Marc Paganini Hans Permana Tomas Soukup Soner Uereyen christopher Small Vaclav Svaton Julian Nils Zeidler German Aerospace Center(DLR) German Remote Sensing Data Center(DFD)WeßlingGermany GISAT s.r.o. PragueCzech Republic Brockmann Consult GmbH GeesthachtGermany Terradue Srl RomeItaly International Institute for Geo-Information Science and Earth Observation(ICT) Universiteit TwenteEnschedeNetherlands Remote Sensing and GIS Center Sultan Qaboos UniversityMuscatOman European Space Agency(ESA) FrascatiItaly Department of Earth and Environmental Sciences Columbia UniversityLamont Doherty Earth ObservatoryNew YorkNYUSA VSB Technical University of Ostrava IT4InnovationsOstravaCzech Republic

The digital transformation taking place in all areas of life has led to a massive increase in digital data–in particular,related to the places where and the ways how we *** facilitate an exploration of the new opportunities arising from this development the Urban Thematic Exploitation Platform(U-TEP)has been *** enabling instrument represents a virtual environment that combines open access to multisource data repositories with dedicated data processing,analysis and visualisation ***,it includes mechanisms for the development and sharing of technology and *** an introduction of the underlying methodical concept,this paper introduces four selected use cases that were carried out on the basis of U-TEP:two technology-driven applications implemented by users from the remote sensing and software engineering community(generation of cloud-free mosaics,processing of drone data)and two examples related to concrete use scenarios defined by planners and decision makers(data analytics related to global urbanization,monitoring of regional land-use dynamics).The experiences from U-TEP’s pre-operations phase show that the system can effectively support the derivation of new data,facts and empirical evidence that helps scientists and decision-makers to implement improved strategies for sustainable urban development.

关键词： Service platform urban human settlements earth observation decision support

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：