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Abstract Immunopathology of human tuberculosis (TB) in a subgroup of patients is characterized by aberrantly high concentrations of inflammatory cytokines, for example Interleukin (IL)-6. Concomitant (co-)infections by parasites can affect host immunity, but the impact on immunopathology in TB patients is poorly defined. Here we characterized a group of patients with TB ( n = 76) from Ghana with different protozoan and helminth co-infections. Plasma cytokines were measured at the onset of disease and anti-mycobacterial treatment efficacy was monitored during disease course. A subgroup of TB patients had co-infections with protozoan (n = 19) or helminth (n = 16) parasites. Plasma analyses for candidate cytokines identified lower levels of IL-6 in parasite co-infected patients with TB. Moreover, it took less time for co-infected patients to become sputum-negative for Mycobacterium tuberculosis during treatment. These results indicated an influence of parasite co-infections on immunopathology in TB and suggested positive effects on treatment efficacy.

Abstract Background Cervical cancer is one of the commonest female cancers in Ghana. However, it is preventable. Prevention through Human Papilloma Virus immunization and early detection by screening have their foundation in awareness and a good knowledge about the disease. Acquiring the right knowledge about cervical cancer should be earlier rather than later while mindsets are still being formed to translate into the right attitudes and behaviours later in life. Methodology An unpaired pre- and post-test quasi experimental study was conducted at two Ghanaian senior high schools. An educational intervention was carried out comprising a drama, PowerPoint lecture, question and answer session and cervical cancer information leaflet distribution. A self-administered questionnaire was given as a pre-test and repeated as a post-test after 3 months. The total score for each domain of knowledge tested was categorized into adequate knowledge (≥ 50%) and inadequate knowledge (

Abstract There has been a growing interest in implementing technological food systems to enhance the quality and safety of food items. One such example of this endeavor is the study of the applications of natural biopolymers as food stabilizers. An "emulgel," also known as an emulsion gel, is a gel-like substance that contains a dispersion of emulsion. This emulsion can have a continuous or dispersed phase, creating networks throughout the substance and giving it a semi-solid texture. Gels have garnered significant attention in the food industry due to their ability to be easily shaped and structured and their potential to possess desirable physical, chemical, and mechanical properties. They offer greater stability and controlled release capabilities for the encapsulated bioactive compounds. The review demonstrated that different emulgels exhibit varied relationships between their structure, physicochemical properties, unique applications, and outcomes from different preparation methods. Emulgels enhance the yield, sensory characteristics, and nutritional quality of foods while also controlling lipid oxidation and microbiological development. Emulgels find primary utility in the food business for fat replacement and distribution. Viscosity, temperature, pH, water activity, and ionic strength are influential factors that impact the destabilization mechanisms of emulgels. This article thoroughly summarizes the practical use of emulgels in muscle-based foods and explains their impact on the functioning and quality of such edibles. There is a recommendation to promote the utilisation of emulgels as effective colloids and delivery systems in the future. Additionally, it is proposed that a description of potential new applications in the food industry be provided.

Children's play has shifted within the context of the COVID-19 pandemic, particularly with increased time within the family home. This study responds to the following research questions: How did COVID-19 restrictions influence children's play within and outside the home? How did parents describe their role in their children's play during the first year of the COVID-19 pandemic? Canadian Maritime families (n = 30) took part in three telephone interviews during the pandemic (July 2020, November 2020 and April 2021). Data were analyzed using qualitative description and thematic analysis to inductively identify codes and establish themes, including: (1) Facilitating play within the home; (2) Opportunities related to play outside the home; and (3) Shifting play in the outdoor environment. As families adhere to public health directives in response to COVID-19, children's play experiences were shaped by a movement toward an increased emphasis on the outdoor environment and fewer playmates. Ongoing research is needed to understand the potential impacts on children's development over time.

This article looked at how the ‘Ghanaian Times’ newspaper, using stories sourced from the British Broadcasting Corporation (BBC), framed Africa to the rest of the world. The study which utilized the mixed approach also employed the gatekeeping, framing and cultural imperialist theories in its attempt to find out which of the regional blocs in Africa dominated the coverage and whether the portrayal was positive or negative. The study found that the majority of the stories that the ‘Ghanaian Times’ sourced from the BBC were negative about Africa hence framing Africa as an unhealthy place for living. Out of the 154 stories the newspaper sourced from the BBC, only 52 stories focused on the positive happenings in Africa while 94 stories painted a catastrophic image about Africa. Also, political unrest and crime were the two dominant themes Africa was associated with. In all, the general image of Africa as portrayed by the newspaper was negative as the editors focused more on negative stories of Africa compared to the positives amidst the abundance of stories published by the BBC. This arguably means that Africa’s negative image could only be corrected if editors are deliberate in selecting more positive stories about Africa for publication. This work will indeed add to the literature on the framing of Africa in the media especially the contribution of the African media to the dominant negative image Africa continues to be associated with.

Abstract Background Late presentation with advanced HIV disease (LP-AHD) remains a significant challenge to Human Immunodeficiency Virus (HIV) care, contributing to increased morbidity, mortality, and healthcare costs. Despite global efforts to enhance early diagnosis, a considerable proportion of individuals with HIV infection are unaware of being infected and therefore present late for HIV care. For the first time in Ghana, this study assessed the prevalence of LP-AHD and associated factors among people diagnosed with HIV (PDWH). Method This bi-center retrospective cross-sectional study included 315 PDWH at the Aniniwah Medical Centre and Komfo Anokye Teaching Hospital, both in Kumasi, Ghana. A well-structured questionnaire was used to collect data on sociodemographic, clinical, lifestyle and psychosocial factors from the study participants. Statistical analyses were done in SPSS version 26.0 and GraphPad Prism version 8.0 at significant p-value of

The human fecal and oral microbiome may play a role in the etiology of breast cancer through modulation of endogenous estrogen metabolism. This study aimed to investigate associations of circulating estrogens and estrogen metabolites with the fecal and oral microbiome in postmenopausal African women. A total of 117 women with fecal (N = 110) and oral (N = 114) microbiome data measured by 16S rRNA gene sequencing, and estrogens and estrogen metabolites data measured by liquid chromatography tandem mass spectrometry were included. The outcomes were measures of the microbiome and the independent variables were the estrogens and estrogen metabolites. Estrogens and estrogen metabolites were associated with the fecal microbial Shannon index (global P

The global demand for organic foods, driven by health benefits and consumer preferences, necessitates reliable methods for distinguishing organic products from their inorganic counterparts. This study investigates the application of dual handheld near infrared (NIR) spectroscopy devices, SCiO and Tellspec, combined with chemometric techniques for the nondestructive differentiation of organic and inorganic pineapple juices. The objective was to establish a rapid and robust method to differentiate organic pineapple juice from inorganic juice using unique spectral data from the two devices. Eighty-four pineapple juice samples were analyzed with preprocessing techniques, including mean centering, multiplicative scatter correction, standard normal variate, first derivative, and second derivative applied to the spectral data. Partial least squares discriminant analysis (PLS-DA) was employed for classification, and variable importance in projection (VIP) was used for optimal wavelength selection. The results demonstrated that the Tellspec scanner, particularly with second derivative preprocessing, achieved high accuracy in differentiating organic from inorganic pineapple juice. The fusion of data from both SCiO (740–1070 nm) and Tellspec (900–1700 nm) scanners, without preprocessing, coupled with the PLS-DA model, achieved perfect classification accuracy, sensitivity, and specificity (100 %) in both training and testing sets. This study highlights the potential of integrating dual handheld NIR spectroscopy with chemometrics to effectively and accurately classify organic and inorganic pineapple juices. The findings support using these advanced techniques for quality assurance and authentication in the food industry.

The success of Positive Selection Technique (PST) depends on the visual selection of virus-free plants, which may not always be possible due to virus accumulation in plant parts apart from the leaves. This study determined virus accumulations in different plant parts of white yam when practicing PST. Experimental plots were established at Ejura and Fumesua, and planted with planting materials (sourced from PST-practicing farmers) of three white yam varieties viz. Kpamyo, Dente and Pona. Symptomatic and asymptomatic plants from these fields were selected and yam mosaic virus (YMV), cucumber mosaic virus (CMV) and yam mild mosaic virus (YMMV) detected from their leaves, vines and tubers using DAS-ELISA. Virus concentration in the various plant organs were obtained from the absorbance values using BIO-RAD microplate reader. Disease incidence and severity were assessed at three months after planting. Data were subjected to ANOVA and means separated with LSD using the R software. In the subsequent season, harvested seed yams from symptomatic and asymptomatic plants were studied in the screenhouse and viruses detected in leaves and vines using RT-PCR. Plant viruses were found in all plant parts of the three white yam varieties. Concentration of all viruses in leaves, vines and tubers were significantly (p

The postharvest rot fungus, Lasiodiplodia theobromae, poses a significant threat to the avocado trade in Ghana as it discounts both the quality and shelf life of freshly harvested avocado fruits. This study evaluated the biological effect of three bioagents, garlic, baking soda, and black pepper, on mitigating posthar-vest rots of avocado fruits caused by L. theobromae. Isolates of L. theobromae obtained from spoiled fruits were identified using morphological, molecular, and pathogenicity procedures. Eight isolates of L. theobromae were similar in morphology and pathogenicity and genetic markers (ITS). The three bioagents, garlic and pepper seed powder, and baking soda, were evaluated in vitro using the food poison technique at two concentrations, 10 g and 20 g per 100 ml of water. Garlic at 20 g/100 ml of water completely inhibited mycelium growth, followed with 10 g/l (7.8%), and baking soda at 20 g/l (32.6%). Further studies of these bioagents on fruit are recommended.

(1) Background: Breast cancer is the leading malignancy worldwide, and in Ghana, it has a poor overall survival rate. However, approximately 50% of cases are cases of early-stage disease, and with advances in breast cancer treatment and improvements in survival, quality of life (QOL) is becoming as important as the treatment of the disease. (2) Methodology: This was a cross-sectional study of survivors who had breast-conserving surgery (BCS), mastectomy only (M) and mastectomy with breast reconstruction (BRS) from 2016 to 2020 at a tertiary hospital in Ghana, comparatively assessing their QOL using EORTC QLQ C-30 and EORTC QLQ BR-23. (3) Results: The study participants had an overall global health status (GHS) median score of 83.3 [IQR: 66.7–91.7] with no significant differences between the surgery types. The BRS group had statistically significant lower median scores for the functional scale (82.8 and 51.0) and the highest scores for the symptomatic scale (15.7 and 16.5). Body image was significantly lowest for the BRS group (83.3) [68.8–91.7] and highest (100) [91.7–100] for the BCS group (p < 0.001). (4) Conclusion: There is a need to develop support systems tailored at improving the QOL of breast cancer survivors taking into consideration the type of surgery performed.

Abstract The alarming state of global insulin access in low‐resource settings presents a major barrier to diabetes care. A comprehensive review of these challenges is lacking at the global level. To address this weakness, enhance affordability and build capacity for a more sustainable approach to scaling up access. This review analyzes the specific issue of inconsistent access to insulin in low‐ and middle‐income countries. Using this analysis, we mapped the scope and intensity of issues such as the unaffordability and unavailability of insulin. We also identified six innovative and integrative strategies for increasing and securing accessibility in the areas of policy making, marketing, clinical practice, health education, domestication, and multisectoral approaches.

Objective: This study aimed to investigate the impact of diabetes mellitus (DM) on tuberculosis (TB) treatment response using bacterial clearance as a surrogate marker. Method: We compared smear microscopy, culture, and tuberculosis molecular bacterial load assay (TB-MBLA) for treatment monitoring. Following that, bacterial clearance was longitudinally monitored among TB-only (TB without DM) and TB-diabetes (TBDM) patients using TB-MBLA. Results: Ninety-three participants, including 59 TB-only and 34 TBDM patients, were enrolled. TB-only patients exhibited higher upper zone infiltrations (32/35 vs 16/22, p = 0.059) suggesting a trend towards significance, and significantly more cavitation in the same zone (16/18 vs 7/13, p = 0.028). There was a high proportion of Mycobacterium africanum (Maf) among the TBDM cohort (p = 0.0044).At baseline, TB-only patients exhibited a higher average bacterial burden (4.49 logeCFU/mL) compared to the TBDM group (3.91 logeCFU/mL) (p = 0.042). The bacterial load in the TB-only group decreased significantly during treatment but the TBDM group experienced delayed clearance throughout the intensive phase of anti-TB treatment even at day 56 (p = 0.028). The TB-only group demonstrated a shorter median time to TB-MBLA conversion to negative (57 days) compared to the TBDM group (62 days) (p = 0.022). Conclusion: These findings underscore the urgent call for understanding the interplay between diabetes and TB, emphasizing the need for tailored interventions in optimizing TB care for individuals comorbid with diabetes.

African coffee is among the best traded coffee types worldwide, and rapid identification of its geographical origin is very important when trading the commodity. The study was important because it used NIR techniques to geographically differentiate between various types of coffee and provide a supply chain traceability method to avoid fraud. In this study, geographic differentiation of African coffee types (bean, roasted, and powder) was achieved using handheld near-infrared spectroscopy and multivariant data processing. Five African countries were used as the origins for the collection of Robusta coffee. The samples were individually scanned at a wavelength of 740–1070 nm, and their spectra profiles were preprocessed with mean centering (MC), multiplicative scatter correction (MSC), and standard normal variate (SNV). Support vector machines (SVM), linear discriminant analysis (LDA), neural networks (NN), random forests (RF), and partial least square discriminate analysis (PLS-DA) were then used to develop a prediction model for African coffee types. The performance of the model was assessed using accuracy and F1-score. Proximate chemical composition was also conducted on the raw and roasted coffee types. The best classification algorithms were developed for the following coffee types: raw bean coffee, SD-PLSDA, and MC + SD-PLSDA. These models had an accuracy of 0.87 and an F1-score of 0.88. SNV + SD-SVM and MSC + SD-NN both had accuracy and F1 scores of 0.97 for roasted coffee beans and 0.96 for roasted coffee powder, respectively. The results revealed that efficient quality assurance may be achieved by using handheld NIR spectroscopy combined with chemometrics to differentiate between different African coffee types according to their geographical origins.

Background: Inflammatory responses, including airway inflammation, hyper-responsiveness, mucus hyper-secretion, prostaglandins and Th2 cytokines infiltration in the airway submucosa, frequently occur in allergic respiratory disorders. This study sought to investigate the effects of the hydro-ethanolic extract of Scoparia dulcis (SDE) on allergic airway inflammation, airway hyper-responsiveness, goblet cell hyperplasia, mucus hypersecretion, Th2 cytokines and prostaglandin (PG)-D2 using murine asthma models. Methods: Allergic asthma was induced in healthy guinea-pigs, and mice, by exposing them to ovalbumin (OVA) sensitization and challenge, and treatment with either 2 ml/kg normal saline, 10 mg/kg salbutamol, 10 mg/kg prednisolone, 50, 100, or 250 mg/kg of SDE per os. The percentage protection against pre-convulsive dyspnoea after methacholine challenge in OVA-induced asthmatic guinea-pigs was determined for each treatment regime, and histopathological examinations thereafter conducted on the excised lungs. Periodic acid-Schiff staining was also performed to identify goblet cell hyperplasia and mucus hypersecretion in these lung tissues. Lung tissue homogenates and serum from OVA-induced asthmatic mice were also assayed for PGD2, interleukins (IL)-5 and -13 levels using monoclonal antibody-based mouse ELISA kits. Results: SDE treatments prolonged the time taken for pre-convulsive dyspnoea to occur after methacholine challenge in OVA-induced asthmatic guinea-pigs; indicative of a positive activity against airway hyper-responsiveness. Histopathological studies also showed that SDE significantly inhibited (p ≤ 0.05) pulmonary infiltration of leukocytes, inflammatory cell accumulation, airway smooth muscle thickening and goblet cell hyperplasia. Serum and lung tissue concentrations of PGD2, IL-5 and IL-13, significantly elevated (p ≤ 0.001) following allergic asthma induction in mice, were significantly reduced (p ≤ 0.01) back to within normal levels after SDE treatments. Conclusion: The plant extract exhibited anti-asthmatic and anti-inflammatory properties, as it reduced the severity of allergic inflammation and hyper-reactivity, as well as PGD2 and Th2 cytokines infiltration in the airway; and these effects could be exploited for future management of asthma.

Rapid, onsite, and simple detection of honey integrity in real time provides consumers with the assurance that the honey purchased is free from adulteration such as sugar syrup. In this study, smartphone based camera technique was used to differentiate authentic honey from adulterated ones (using authentic honey samples from different locations and adulterated samples made by spiking authentic ones with sugar syrup in the laboratory) by employing two supervised machine learning algorithms. Experimental results showed that the prediction model based on Random Forest (RF) was superior to K-nearest neighbour (KNN). The optimum results were assessed based on the prediction rate, specificity, and sensitivity. The performance of the RF model was 100 % accuracy while the specificity of 100 %, and sensitivity of 100 %. These findings could be exploited for reliable and rapid classification of honey integrity in Ghana and West Africa in general. This will further improve consumers’ confidence in the honey trade due to the ease and availability of smartphone technology.

In West Africa and in Ghana, there exist many modes of communication beyond the verbal and written. For example, at the chiefs' palaces there exist many systems of communication; notably, symbols (ideographs) that tell the philosophies and stories of the chiefs and the people of the tribes. In Ghana, as in many West African countries, it is difficult to center the study of writing because writing is micro-inscribed in the macro study of English. The study of writing forms a small section of the study of the English language. The educational systems and its students hardly recognize writing's distinctiveness or necessity. The school curricula are remnants of the colonial empire, and they inadvertently continue to maintain and promote gatekeeping structures and practices--especially in defining and teaching writing. In this article, the authors explore the West African context by focusing more specifically on writing at the high school level among the five English-speaking countries: The Gambia, Nigeria, Sierra Leone, Liberia, and Ghana. The authors made this choice because these five West African countries write common regional examinations organized by the West African Examination Council (WAEC). With respect to how writing is taught at the higher education level, the authors decided to focus on Ghana only.

The oral microbiome, like the fecal microbiome, may be related to breast cancer risk. Therefore, we investigated whether the oral microbiome was associated with breast cancer and nonmalignant breast disease, and its relationship with the fecal microbiome in a case-control study in Ghana. A total of 881 women were included (369 breast cancers, 93 nonmalignant cases and 419 population-based controls). The V4 region of the 16S rRNA gene was sequenced from oral and fecal samples. Alpha-diversity (observed amplicon sequence variants [ASVs], Shannon index and Faiths Phylogenetic Diversity) and beta-diversity (Bray-Curtis, Jaccard and weighted and unweighted UniFrac) metrics were computed. MiRKAT and logistic regression models were used to investigate the case-control associations. Oral sample alpha-diversity was inversely associated with breast cancer and nonmalignant breast disease with odds ratios (95% CIs) per every 10 observed ASVs of 0.86 (0.83-0.89) and 0.79 (0.73-0.85), respectively, compared to controls. Beta-diversity was also associated with breast cancer and nonmalignant breast disease compared to controls (P ≤ .001). The relative abundances of Porphyromonas and Fusobacterium were lower for breast cancer cases compared to controls. Alpha-diversity and presence/relative abundance of specific genera from the oral and fecal microbiome were strongly correlated among breast cancer cases, but weakly correlated among controls. Particularly, the relative abundance of oral Porphyromonas was strongly, inversely correlated with fecal Bacteroides among breast cancer cases (r = -.37, P ≤ .001). Many oral microbial metrics were strongly associated with breast cancer and nonmalignant breast disease, and strongly correlated with fecal microbiome among breast cancer cases, but not controls.

Sustainability of African weather and climate information can only be ensured by investing in improved scientific understanding, observational data, and model capability. These requirements must be underpinned by capacity development, knowledge management; and partnerships of co-production, communication and coordination.

Abstract Background Culicoides, also known as biting midges, carry pathogens which include Mansonella perstans. Mansonella perstans is a nematode parasite implicated in a number of disease outcomes. Even though a high prevalence of about 75% M. perstans infection has been recorded in some communities in the middle belt of Ghana, and a wide diversity of Culicoides species has been identified, the exact Culicoides species transmitting M. perstans in Ghana has not yet been deciphered. This study therefore aimed at assessing the species diversity of Culicoides and their role in the transmission of M. perstans in the middle belt of Ghana. Methods Culicoides species were sampled from 11 communities in the Asante-Akim North and Sene West districts in the middle belt of Ghana. Centre for Disease Control (CDC) UV light traps, as well as human bait (i.e. human landing catch and engorged catch) methods were used to assess the species abundance and diversity of Culicoides in the study communities in the wet and dry season. A colorimetric Loop-Mediated Isothermal Amplification (LAMP) assay was performed to assess the vector competence of the various Culicoides species. Results A total of 4810 Culicoides from 6 species were sampled. These included Culicoides inornatipennis, C. milnei, C. schultzei, C. grahamii, C. neavei, and C. imicola. Culicoides imicola was the most abundant species (56%) followed by C. grahamii (16%). Light traps sampled the most diverse species (6 species). Human landing catch and engorged catch methods identified three anthropophilic species, C. grahamii, C. milnei, and C. inornatipennis, with C. grahamii being the most anthropophilic with a peak biting time between the hours of 5 p.m. to 6 p.m. Generally, there was relatively higher species abundance in the wet than dry season. LAMP assay identified C. grahamii as the potential vector for M. perstans transmission in the middle belt of Ghana. Conclusions For the first time, we have demonstrated that C. grahamii is the potential competent vector for M. perstans transmission in the middle belt of Ghana. It is more abundant in the rainy season and has a peak biting time between the hours of 5 and 6 p.m. Graphical Abstract

This study examined postgraduates’ knowledge and usage of Google educational tools. The study was conducted in Kwame Nkrumah University of Science and Technology (KNUST) with 350 respondents. A purposive sampling technique that allows researchers to use their judgments in selecting participants for research was used to select the participants for this study. A questionnaire was used as the data collection instrument, and it was sent to only the participants who attended a series of information literacy training sessions organized by the authors. The data collected were analyzed using SPSS software. The study revealed that most students use Google as their search engine, and Google Scholar was the most popular Google educational tool. The students gained knowledge of these tools through their colleagues, on their own, through workshops, seminars, and conferences, and their lecturers. The respondents also mentioned some challenges, such as requests to pay to access articles and slow Internet. Some recommendations, such as more education by academic librarians to encourage students to use these free tools and efforts by the students themselves to learn how to use these tools, were made.

Abstract Background Women living with breast cancer (BC) rely on traditional medicine (TM) in addition to orthodox medicine. There is a need to understand how and why women diagnosed with BC utilise TM. This study explored and described the lived experiences of women living with BC in terms of their utilisation of traditional medicine. Methods A descriptive phenomenology design was used to purposively conduct 20 face-to-face in-depth interviews using a semi-structured interview guide. Data were analysed using NVivo-12 based on Collaizzi’s framework for thematic data analysis. Results Overall, five main themes emerged, namely: sources of knowledge on TM, motivations for using TM, treatment modalities, timing for the initiation of TM, the reasons for discontinuing use of TM, and the decision to seek orthodox medicine. Under the category of motivations for using TM, four themes emerged: financial difficulties and perceived cost effectiveness of TM, influence of social networks, including family and friends, assurance of non-invasive treatment, delays at the healthcare facility, and side effects of orthodox treatment. Non-invasive treatments included herbal concoctions, natural food consumption, and skin application treatments. Regarding the timing of initiation, TM was used in the initial stage of symptom recognition prior to the decision to seek orthodox medicine, and was also used complementarily or as an alternative after seeking orthodox medicine. However, patients eventually stopped using TM due to the persistence of symptoms and the progression of cancer to a more advanced stage, and disapproval by orthodox practitioners. Conclusion Women living with BC in Ghana utilise traditional medicine (TM) for many reasons and report their family, friends and the media as a main source of information. A combination of herbal concoctions and skin application modalities is obtained from TM practitioners to treat their BC. However, they eventually discontinue TM when symptoms persist or when disapproval is expressed by their orthodox healthcare providers. We conclude that there is an opportunity to better integrate TM into the standard of oncological care for BC patients.

Elevated brain angiotensin II activity plays a key role in the development of neurogenic hypertension. While blood pressure (BP) control in neurogenic hypertension has been successfully demonstrated by regulating central angiotensin II activity, current techniques involving cerebrovascular injections of potential therapeutic agents are not suitable for clinical translation. To address this gap, we present the synthesis of dual-functionalized liposomes functionalized with targeting ligand and cell-penetrating peptide. Functionalized liposomes were synthesized using the thin film hydration technique and loaded with plasmid DNA encoding short hairpin RNA targeted toward angiotensin II receptors (PEAS), via the post-insertion method. The synthesized liposomes had a cationic surface charge, an average size of 150 nm, and effectively entrapped more than 89% of loaded PEAS. These liposomes loaded with PEAS demonstrated biocompatibility and efficient delivery to brain-derived cell lines, resulting in a remarkable reduction of more than 70% in receptor expression within 7 days. To assess the therapeutic potential, spontaneously hypertensive rats were administered intravenous injections of functionalized liposomes loaded with PEAS, and the changes in mean arterial pressure were monitored for 45 days. Remarkably, this treatment led to a significant (p

Preserving surplus highly perishable products, such as tomatoes, through processing is an effective method, especially during periods of excess supply. Pre-treatment is commonly employed before the drying of agricultural goods to deactivate enzymes, expedite the drying process, and enhance the quality of the resulting dried products. An experiment was done to assess the impact of applying Sodium Metabisulphate, Sodium Chloride, and lemon juice as treatments on the quality of solar-dehydrated tomato (SDT) fruits. The trial consisted of four treatments, organized in a completely randomized design with three replications. The findings demonstrated a substantial increase in protein, crude fat, and total soluble solids levels in the treated samples compared to the control. Moisture content reduced from 96.70 %(wb) to 3.4 % for (db) for the sample pretreated with 5 % lemon juice which was higher than NaCl, SMBS, and Control samples with 3.1 %, 3.2 %, and 3.3 % (db) The experiment has shown that pre-drying treatment of tomato fruits with SMBS, and Lemon juice leads to increased levels of protein with 0.79 g in the treated sample, crude fat recorded at 3.2 % in the lemon juice sample, 10.72% of ash content in lemon juice, and 6.0% of total soluble sugars in lemon juice. Nevertheless, the Lemon juice, NaCl, and control samples exhibited comparable characteristics in terms of color, flavor, taste, and overall acceptability In contrast, the SMBS treatment resulted in superior color with 7.1 %, taste 7.2 %, and 8.3 % for general acceptance as indicated by a significant difference (p = 0.05). Hence, employing solar dehydration as a method to preserve the quality and extend the storage life of treated tomato fruits can serve as a viable technological alternative. Producers, processors, and traders of tomato fruits in Ghana can benefit from using Sodium Metabisulphate, Sodium Chloride, and lemon juice treatments.

Background: Extemporaneous compounding is the preparation of medicines for individual patients when no commercially available authorized form exists. Unlike registered medications, these products are not subjected to various tests for quality by Regulatory Authorities. Data on compounded medications in Ghana is currently inadequate or unavailable. There is the need to collate data that can be used to influence policy and to regulate preparation of extemporaneous products. Aim: To establish the prevalence, scope and quality of extemporaneously compounded medicines at selected hospitals in Accra, Ghana. Methodology: Prescriptions presented at the pharmacies in selected hospitals were reviewed to determine the requests that needed to be extemporaneously prepared as well as the prevalence and the scope of formulations. Three of the most frequently compounded medications were procured and subjected to microbial contamination tests using the pour plate method followed by differential tests if microbes were present. Content analysis of the active ingredients was determined using High Performance Liquid Chromatography (HPLC). Results: 641 requests comprising 49 different extemporaneous products were collated from the hospitals studied. Hydroxyurea, furosemide and spironolactone suspensions were the three most frequently prescribed. Patients aged from 0-2 years had majority of the prescriptions. Conclusion: A population of patients still exist who depend on compounding for their drug needs. 49 different formulations were prepared at one of the hospitals visited. Samples of products analyzed were of good quality.

Abstract Epidemiologic data on insecticide exposures and breast cancer risk are inconclusive and mostly from high-income countries. Using data from 1071 invasive pathologically confirmed breast cancer cases and 2096 controls from the Ghana Breast Health Study conducted from 2013 to 2015, we investigated associations with mosquito control products to reduce the spread of mosquito-borne diseases, such as malaria. These mosquito control products were insecticide-treated nets, mosquito coils, repellent room sprays, and skin creams for personal protection against mosquitos. Multivariable and polytomous logistic regression models were used to estimate odds ratios (ORadj) and 95% confidence intervals (CI) with breast cancer risk-adjusted for potential confounders and known risk factors. Among controls, the reported use of mosquito control products were mosquito coils (65%), followed by insecticide-treated nets (56%), repellent room sprays (53%), and repellent skin creams (15%). Compared to a referent group of participants unexposed to mosquito control products, there was no significant association between breast cancer risk and mosquito coils. There was an association in breast cancer risk with reported use of insecticide-treated nets; however, that association was weak and not statistically significant. Participants who reported using repellent sprays were at elevated risks compared to women who did not use any mosquito control products, even after adjustment for all other mosquito control products (OR = 1.42, 95% CI=1.15–1.75). We had limited power to detect an association with repellent skin creams. Although only a few participants reported using repellent room sprays weekly/daily or 0.25). Our analysis was limited when determining if an association existed with repellent skin creams; therefore, we cannot conclude an association. We found limited evidence of risk associations with widely used mosquito coils and insecticide-treated nets, which are reassuring given their importance for malaria prevention. Our findings regarding specific breast cancer risk associations, specifically those observed between repellent sprays, require further study.

Abstract Background The physical demands of caring for children and adolescents diagnosed with cancer, over a lengthy period, exert significant strain on the health and well-being of family caregivers. The capacity of family caregivers to surmount and cope with the various strains they experience due to the diagnosis and treatment trajectory is essential to the quality of life of the child and adolescent who has been diagnosed with cancer. However, the experiences of family caregivers have been under-explored. This study explored the strains, resources, and coping strategies of family caregivers of children and adolescents diagnosed with cancer in Ghana. Methods Guided by a descriptive phenomenological design, 20 semi-structured interviews with family caregivers were conducted at a tertiary health facility that provides paediatric oncology services. The study was conducted between June and October 2022. The interviews were transcribed verbatim, translated and coded using NVivo software. An inductive thematic analysis approach using Vaismoradi et al.’s thematic analysis framework was followed in analysing the data. Results The study revealed that family caregivers of children diagnosed with cancer experienced three main strains: somatic strains (poor sleep quality, loss of appetite, and unintended weight loss), economic strains (financial burden and loss of economic livelihood), and psychosocial strains (isolation from social activities and network, frustration and helplessness, and balancing multiple family needs). The following themes emerged as coping resources: family cohesiveness, community support, and support from health care providers. Coping strategies that emerged included trusting in God and being self-motivated. Conclusion The study concludes that family caregivers experience somatic, economic, and psychosocial strains. However, they can leverage available resources (family cohesiveness, community support, and support from healthcare providers) to cope with these strains. There is a need to educate and sensitize family caregivers about the potential strains that they are likely to experience prior to the assumption of care roles. Also, the formal inclusion of non-governmental organizations and religious bodies will ensure that family caregivers receive sufficient community support to cope with the strains of caregiving.

Abstract Background Rurality is fraught with numerous difficulties including a lack of advanced health facilities to provide health services, and an absence of specialist cancer services, and qualified personnel, among others. These factors exacerbate the challenges of elderly patients diagnosed with cancer and further pose limitations to activities/instrumental activities of daily living. Yet, there is limited scholarship on the strains that affect elderly patients diagnosed with cancer and the resources that helps them to overcome them. This study explores the strains, resources, and coping strategies of elderly patients diagnosed with cancer and undergoing treatment in rural Ghana. Methods An exploratory, descriptive qualitative design was adopted. Purposive sampling was used to recruit 20 individuals to participate in in-depth interviews. The collected data was analysed inductively using Collaizi’s framework. QSR NVivo-12 was used in managing the data. Results The results were grouped into two main categories, namely: strains and resources. Within the category of strains, three main themes with their corresponding sub-themes emerged: cancer-related strains (systemic side effects from treatment, altered physical appearance and body image, and experience of pain), elderly strains (altered functional ability, limited social interactions and participation, psycho-emotional reactions, limited/restricted economic participation, and financial strains), and health system strains (negative attitude and insensitive communication, delay in diagnosis, lack of geriatric oncology care, lack of community-based specialist cancer centre and long travel distance to access care, and limited availability of essential cancer medicines and other radiations services). Four types of resources were available to cancer patients: personal resources, family resources, community resources, and healthcare systems resources. Conclusion In conclusion, elderly patients diagnosed with cancer experience physical, economic, psychological, and emotional strains that threaten their health and well-being. However, they are able to leverage family, community, and health system-related resources to navigate through the strains. There is, therefore, a need to expand advanced health facilities with geriatric oncology units and specialists to improve access to cancer care in rural areas. The government needs to assist elderly persons with costs associated with their diagnosis and treatment through the expansion of the National Health Insurance Scheme to include this as part of the benefits package.

One group whose work involves information management is librarians. The study thus sought to understand their information management and sharing behavior during the current pandemic. An online survey was activated and shared among respondents. The questionnaires created with Google Forms were sent through the WhatsApp messaging system and email addresses of the members of the national library association (The Ghana Library Association). The questionnaire elicited information on COVID-19 information sharing and management of librarians in Ghana. Librarians in the country were asked how they receive, share and check the credibility of information regarding the pandemic. Results indicated that different people treated pandemic-related information differently. The respondents were involved in information sharing and considered information management as very important in the fight against the disease. It came out that the surest way to contain the disease would be through a well-coordinated channel such as educating the masses in information literacy and news literacy skills.