bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERANCANGAN DESAIN INTERIOR PROJECT INDIGO SEA
Authors: Sari Anak Agung Sagung Kartika Pradnya , Wasista I Putu Udiyana , Kerdiati Ni Luh Kadek Resi 
Published: July 2023

Perancangan desain interior bertujuan untuk memecahkan masalah yang kompleks berkaitan dengan respon manusia terhadap ruang.Dalam perancangan pengaturan ruang dan tata letak didalam suatu bangunan dibutuhkan elemen pembentuk ruang dan elemen pelengkap pembentuk ruang serta elemen dekorasi. Apabila salah satu elemen di antaranya tidak ada maka bukanlah disebut interior. Penulis melakukan perancangan dari salah satu project di Saara Bali yaitu perancangan desain interior project Indigo Sea yang berlokasi di Jalan Padanglinjong nomor 11a, Canggu, Badung, Bali. Metode yang dipakai Penulis dalam melaksanakan keseluruhan kegiatan yaitu : Metode Wawancara, Metode Observasi, Metode Dokumentasi dan Metode Kepustakaan. Hasil dalam perancangan tersebut Penulis membuat 3D modeling, rendering, Lay-out plan, ceiling plan, electric plan, floor plan, section,dan facade. Dalam perancangan tersebut diharapkan dapat menciptakan suasana desain interior yang natural dan hangat, serta untuk Penulis yang melaksanakan perancangan diharapkan dapat menerapkan ilmu yang didapat sekaligus mempelajari dunia interior yang sebenarnya.
Clinical Autopsy As An Outcome Measure And Tool For Quality Improvement At The Cape Coast Teaching Hospital
Authors: Akakpo Patrick Kafui , Derkyi-Kwarteng L , Imbeah Emmanuel Gustav , Ulzen-Appiah Kofi , Ansong SYO , Eliason Eliason S , Awuku Awuku YA 
Published: July 2023

Objective: We set out to investigate, the relationship between the antemortem clinical diagnosis and the clinical autopsy diagnosis, as a tool to assess the quality of health care in our institution.
Methodology: A retrospective review of clinical records of hospital autopsies done in the Cape Coast Teaching Hospital from 1st January 2011 to 31st December 2014 was conducted. An analysis of the ante mortem diagnosis and the autopsy diagnosis was conducted by the Departments of Internal Medicine and Therapeutics, Community Medicine, and Pathology of the School of Medical Sciences, Cape Coast Teaching Hospital. Discrepancies were identified and classified according to the Goldman criteria as major missed diagnosis and minor missed diagnosis.
Results: Fifty hospital autopsy cases were reviewed. There was no error in 20(40 %) of the cases. Of the 30 cases (60%) had discrepancies and were classified using the Goldman criteria,12 out of the 30 (40%) were major class I type errors, 15(50 %) were major class II type errors and and the remaining 3(10%) were minor class IV type errors. The diseases were categorized into: others (causes of death that could not be categorized under either infections, cancers, cardiovascular disease, pregnancy related and metabolic) 15 (30%), infections 14 (28%) and cancers 10 (20%) were commonly autopsied, and most were from the medical ward.
Conclusion: Significant discrepancies between the ante-mortem clinical diagnosis and the autopsy diagnosis at the Cape-Coast Teaching Hospital were identified. No statistically significant relationship was found between clinical departments and ACD/AD discrepancy or between category of disease and ACD/AD discrepancy.
Barriers To Early Infant Diagnosis And Service Delivery In Two High Hiv Districts In Ghana
Authors: Yawson Alfred E Yawson , Ansah Evelyn Korkor Ansah , Seneadza Nana Ayegua Hagan Seneadza , Baffoe Peter  Baffoe , Ayisi Addo Stephen Ayisi Addo , Aboagye Patrick  Kumah Aboagye , Atweam Dominic K Atweam , Ofosu Anthony Ofosu , Sarpong Charity Sarpong , Awoonor-Williams Koku Awornoo-Williams , Hodgson Abraham Hodgson 
Published: July 2023

Objective: Ghana has made significant progress in its efforts to control Human Immunodeficiency virus (HIV) infections, however 31% of HIV exposed infants received early infant diagnosis (EID) services. This paper examines the factors influencing EID service delivery in two high HIV burden districts in Ghana.
Methodology: This study was conducted in two districts in the Eastern region of Ghana, Lower Manya Krobo (LMK) District (high HIV burden with low EID coverage) and New Juabeng Municipality, NJM (high HIV burden with relatively higher coverage for EID). This analysis describes the first phase (exploratory study) of a three-phased implementation research spanning over 24 months. A total of 420 women with children < 2 years in each study area were involved. Key informant interviews and focus group discussions were conducted among mothers and health workers.

Data (quantitative and qualitative) were analysed with appropriate statistical measures.
Results: Relatively more women from LMKD knew about the risks for mother-to-child transmission of HIV (83.6% vs. 79.8%) and more women in LMKD had children <2 years tested for HIV. In contrast to findings from the survey, knowledge on EID during Focus Group Discussions was better in NJM than LMKD. Major demand and supply -side barriers and challenges to EID were identified.
Conclusion: Health system (supply side) and community based (demand side) barriers mitigated against the EID coverage in the two districts. More community sensitisation, improved innovative means of transporting samples and effective tracking of mothers with HIV exposed infants and linking them up to care is recommended.
Burn Injuries in Kumasi: A Ten-Year Review
Authors: Adu E.J.K. , Koranteng A. 
Published: July 2023

Objective: To document the clinical and epidemiological features; and the outcome of management of patients with burn injuries at Komfo Anokye Teaching Hospital in Kumasi, Ghana, from January 2003 to December 2012. Patients and Methods: Data on all burn patients managed within the study period were retrieved from the records of the Burns Intensive Care Unit (BICU), theatre and Surgical Outpatient Department (SOPD) and analyzed. Data included name, age, sex, cause ofburn, medical and surgical treatment given, post burn complications and the outcome of the treatment.Results: 1361 patients were treated for burn injuries and their complications at KATH, comprising 707 males and 654 females (M: F = 1.08:1). Ages ranged from 0.25 to 92 years; mean 15.5 (SD 14.1) years, median 11.9 years. About 77% of the patients wereaged 20 years or less; 45% were children aged 10 years or younger. The highest annual admission was 172 patients in 2005; the lowest 104 in 2007. Scalds comprised 60% of the injuries, hot water accounting for 45%. Dry heat was responsible for 37% of the burninjuries. Chemical burns accounted for 28 (2%) injuries which led to loss of vision in two cases and one death; all of which were through assault. Electrical burns accounted for 12 (0.9%) of the injuries and led to six limb amputations and three deaths, all of them workersof electricity companies. A total of 162 patients died of burn injuries, giving an overall mortality of 11.9%. The highest annual mortality of 32 (29%) occurred in 2008, which coincided with 4 major burn disasters. Perioperative deaths occurred in four epileptic patients.Conclusion: Though injuries from hot liquids account for most admissions for burns at KATH, significant morbidity and mortality also result from dry heat. Electrical and chemical burns and epilepsy are increasingly becoming responsible for most burn morbidity.
Cleidocranial Dysostosis- A Case Report
Authors: Yeboah-Agyapong M.A. , Nuamah I.K. , Horgli Y.A. 
Published: July 2023

Objective: First report of cleidocranial dysostosis (CCD), a rare genetic disorder, in Ghana. Case report and intervention: The condition presented in a 13 year old boy with most of the classical features. He had cranial features in the form of open fontanelles, underdeveloped paranasal air sinuses and hypertelorism. Thoracic features were severelyunderdeveloped clavicles which allowed him to appose both shoulders in the midline. He had an open bite, several unerupted permanent teeth and several retained teeth most of which were discoloured which was why he was seen at the Dental department. After restoration of some of these teeth the patient was very satisfied.Conclusion: Though the definitive treatment in these patients can be sophisticated major craniofacial surgery, early restoration of malformed teeth can help ease patient’s anxiety and improve quality of life.
Outcomes In Elective Induction Of Labour With μg Intravaginal Misoprostol In Postdate Singleton Live Pregnancy At Korle-Bu Teaching Hospital
Authors: Kaboré S.Y. , Nuamah M.A. , Koranteng I.O. , Akoto-Ampaw E. , Nkyekyer K. 
Published: July 2023

Background: Induction of labour is indicated when the risk associated with expectant management of labour is higher. The most common indication for labour induction is postdate pregnancy and induction for this indication has been shown to reduce perinatal death. Misoprostol is the most commonly used drug for labour induction at the Korle-Bu Teaching, the leading national referral centre in Ghana. Method: To assess the outcomes in Elective Induction of Labour using 50 μg of intravaginal misoprostol in postdate singleton live pregnancies at Korle-Bu Teaching Hospital. This was a prospective cohort study carried out to measure the rates of vaginal deliveries and factors affecting vaginal deliveries during labour induction. One hundred and sixteen pregnant women of at least 41 weeks gestation. Women were included and followed up from the first insertion of misoprostol to delivery.Results: Eighty-six patients (74.1%) had vaginal delivery and 30 (25.9%) were delivered by caesarean section. Among those who delivered vaginally, 77 (89.5%) delivered within 24 hours. There was a significant association between mode of delivery and Bishop Score (P=0.002). The highest Apgar score at the first minute was 7 in 55 babies (47.4%) and the lowest was 3 in 2 babies (1.7%).Conclusions: The high rate of vaginal delivery and absence of induction related perinatal mortality confirmed the effectiveness and safety of misoprostol in postdate singleton live pregnancy at Korle-Bu Teaching Hospital.
The Impact Of Malaria Parasites On The Placenta And Perinatal Outcome At Korle Bu Teaching Hospital, Accra, Ghana: A Case Control Study
Authors: Nuamah H.G. , Nuamah M.A. , Kwansa-Bentum B. , Tetteh-Quarcoo P.B. , Ahenkorah J. , Korankye E. , Torto M. , Ntumi M. , Samba A. 
Published: July 2023

Objective: Malaria remains a complex and overwhelming health problem affecting vulnerablegroups such as pregnant women and their infants in Ghana. Malaria during pregnancy does not only pose a threat to the mother but can cause serious structural damages to the placenta and subsequently affect the pregnancy outcome. The aim of the study was to investigate the impact of Plasmodium parasites on the placenta and perinatal outcome of women delivering at Korle Bu Teaching Hospital. A better understanding of the impact of malaria parasites on the placenta morphology and prenatal outcome is crucial for better management of pregnant women and their babies.Methods: The study involved testing blood collected from postpartum placentas and examining the placental tissue for Plasmodium parasites, after which they were classified as study group (Plasmodium positive) or control (Plasmodium negative). The patients in the study group with similar gestational and maternal age were matched with patients from the control group. The morphological characteristics of the placenta and the perinatal outcome of the two patient groups were compared using an unpaired t-test.Results: Sixteen (16, 13.6%) out of 118 women tested positive for Plasmodium parasites on the maternal side of the placenta by both rapid diagnostic test and microscopy and /or tested positive for malarial parasite during pregnancy, whiles the rest (102, 86.4%) had nohistory of malaria in the index pregnancy and tested negative. The mean placenta weight was significantly reduced in the study group (difference: -102.0g; 95% Confidence Interval [CI]: 424.4g, 486.6g) who delivered during early term (p=0.02). Patients in the study group, who delivered during late term, had a significantly reduced mean placenta diameter (difference: -2.5cm; 95% CI: 20.0cm, 21.4cm) (p=0.003) and delivered infants with lower mean birth weight (difference: - 0.693kg; 95 CI: 3.268kg, 3.475kg) (p<0.001).Conclusion: Malaria during pregnancy does not only pose a threat to the mother but to the fetus and our results add evidence that malaria parasites cause alterations to certain morphological characteristics of the placenta which subsequently affect the birth weight as the pregnancy progresses to late term.
Lessons Leanrt Of The First Public Sector ISO 15189 Accredited Laboratory In Ghana
Authors: Attoh S. , Kodjoe I.T. , Boateng C. , Yakubu A.M. , Adusu-Donkor L.X. , Boafo J. , Matey P.N. , Kwao S. , Ani- Amponsah J. , Sarkodie E. , Boaheng K. , Asante-Addo M. , McAddy M. , Hobenu F. , Fatchu R.D. 
Published: July 2023

Background: Accreditation of public sector medical laboratories in developing countries such as Ghana have been described as an almost impossible task despite major efforts to establish and maintain efficient quality laboratory management systems. The Pathology Division of the 37 Military Hospital provides evidence of an efficient approach to accreditation to ISO 15189 in Ghana and the need to make medical laboratory accreditation an integral part of the national healthcare delivery system.Methods: The laboratory adopted the Strengthening Laboratory Management Towards Accreditation (SLMTA) programme. After implementation the laboratory accelerated the process towards accreditation using an approach involving senior management in allaccreditation activities, use of specific teams to focus on key improvement projects coordinated by an efficient mentorship programme. The laboratory was finally assessed by the Southern African Development Community for Accreditation Services to meeting the requirement of ISO 15189.Results: The Pathology Division of the 37 Military Hospital attained accreditation for its Haematology and Chemical Pathology departments making it the first public sector laboratory in Ghana to meet the requirement of ISO 15189. There has been an observedimprovement in confidence of personnel and a culture for quality and meeting standards in support of quality healthcare delivery.Conclusion: ISO 15189 accreditation of medical laboratories is possible for all public sector laboratories in Ghana and the approach is scalable scalable especially for tertiary level laboratories. Accreditation ensures a culture for quality which is critical in supportof quality patient care and must be an important aspect of national healthcare delivery systems.
Preference And Reasons For People Choosing A Place Of Fracture Care: A Case Study In Six Communities Of Assin North District, Ghana
Authors: Appiah B.A. , Baidoo R. , Morna M.T. 
Published: July 2023

Background: Studies in the African Sub-region have highlighted injuries and its associated morbidity and mortality as an emerging public health problem, making it necessary to develop a holistic approach to handle injury outcomes in Ghana. The study purposed to assess the preference and reasons for people choosing a place of fracture care among the general population in the Assin North District of the Central region of Ghana.Method: A prospective cross-sectional study was employed in which 237 participants were randomly selected from six communities in the Assin-North District of the Central Region. Structured questionnaires after verbal informed-consent were used to collect data.The data collected was analyzed using descriptive statistics and chi-square test.Results: A total of 237 participants were interviewed, 14.8% of them had a history of fracture for which 60% sought treatment with Traditional Bone Setters (TBS). About 27.8% of respondents preferred TBS treatment over orthodox fracture care. Most of them (69.6%) were females with more than half (56.1%) being young adults. Only gender (p=0.029) and religion (p=0.043) were associated with the study group’s preference of fracture care. Common reasons for choosing a particular place of fracture care included “perceived” healing methods (77.6%), past experience (20.7%), time to fracture healing (11.8%), and cost of treatment (9.3%).Generally, fear of complications such as mal-union (60.8%), stiff knee (62.1%), delayed union (69.6%), amputation (63.3%), and infection (76%) were some of the reasons why participants chose hospital care over TBS.Conclusion: People make decisions about where to seek fracture treatment (either at a hospital or with a traditional bonesetter) influenced by cost of treatment and knowledge of complications that may result from poorly handled fracture-care. The study showed the need to improve knowledge about the potential benefits of orthodox fracture-care using scientifically tested and reproducible methods which have been shown to consistently improve outcomes.
Design, Fabrication, Testing and Evaluation of a Sustainable Cabinet Dryer for Drying Cassava Chips
Authors: Agberegha Larry Orobome , Trim Elena , Bako Tanko , Onoroh Francis , Afoegba Clement Siedougha , Akinyemi Adenike O. , Izelu Bernard Chukwuebuka , Oshevire Timothy Bini 
Published: July 2023

The development of a sustainable cassava cabinet dryer requires a balanced approach to technological, economic and ecological aspects. The design – from conceptualization to design and performance evaluation – considered different input parameters and various structural design measures for durability and the ability for the selected materials to withstand thermally induced stress resultant on the drying process, in general and material selection for durable design, in particular. This work sets to design, construct and testing of the cassava chips cabinet dryer. The outcome of tests performed to evaluate the behaviour of the dryer shows that the drying time lies between 210 minutes and 240 minutes for tray 1 and 300 minutes and 330 minutes for tray 2 when compared to the drying time of sun-drying which lies between 720 minutes and 750 minutes. This shows that there is evidence of loss of moisture in all the cases. However, loss of moisture in tray 1 of the cabinet dryer appears to be better compared to others. In the real essence, loss of moisture in trays 1 and 2 is expected to occur at the same rate but due to the observed uneven distribution of warm air, and re-absorption of moisture by drying cassava chips, the drying rate differs. Thus, this can be corrected as further improvement on the design. Investment in this design will not only making cassava production much easier and reduce the wastage but will also have a great effect in the economy of the country as recorded to be the highest producer of cassava in the world. This dryer can as well be adapted and used to dry other food items. The optimum time for drying the cassava was estimated to be 133 minutes using multiple regression analysis.
Evaluation of bladder filling effects on the dose distribution during radiotherapy for cervical cancer based on daily CT images
Authors: Zhang Fan , Zhou Mi , Wang Gang , Li Xutong , Yue Lu , Deng Lihua , Chi Kun , Chen Kai , Qi Zhenyu , Deng Xiaowu , Peng Yinglin , Liu Yimei 
Published: July 2023

AbstractPurposeThis study aimed to assess the effects of bladder filling during cervical cancer radiotherapy on target volume and organs at risk (OARs) dose based on daily computed tomography (daily‐CT) images and provide bladder‐volume‐based dose prediction models.MethodsNineteen patients (475 daily‐CTs) comprised the study group, and five patients comprised the validation set (25 daily‐CTs). Target volumes and OARs were delineated on daily‐CT images and the treatment plan was recalculated accordingly. The deviation from the planning bladder volume (DVB), the correlation between DVB and clinical (CTV)/planning (PTV) target volume in terms of prescribed dose coverage, and the relationship of small bowel volume and bladder dose with the ratio of bladder volume (RVB) were analyzed.ResultsIn all cases, the prescribed dose coverage in the CTV was >95% when DVB was <200 cm3, whereas that in the PTV was >95% when RVB was <160%. The ratio of bladder V45 Gy to the planning bladder V45 Gy (RBV45) exhibited a negative linear relationship with RVB (RBV45 = −0.18*RVB + 120.8; R2 = 0.80). Moreover, the ratio of small bowel volume to planning small bowel volume (RVS) exhibited a negative linear relationship with RVB (RVS = −1.06*RVB +217.59; R2 = 0.41). The validation set results showed that the linear model predicted well the effects of bladder volume changes on target volume coverage and bladder dose.ConclusionsThis study assessed dosimetry and volume effects of bladder filling on target and OARs based on daily‐CT images. We established a quantitative relationship between these parameters, providing dose prediction models for cervical cancer radiotherapy.
The Guest Doping Effects of Fe on Bimetallic NiCo Layered Double Hydroxide for Enhanced Electrochemical Oxygen Evolution Reaction: Theoretical Screening and Experimental Verification
Authors: Zhang Haotian , Guo Haoran , Li Yanyan , Zhang Qinghua , Zheng Lirong , Gu Lin , Song Rui 
Published: July 2023

AbstractExploring efficient transition‐metal‐based electrocatalysts for oxygen evolution reaction (OER) is imperative but remain challenging for sustainable energy storage and conversion systems. Foreign species doping is a significant regulation strategy to enhance the intrinsic activity of host matrix. However, the potential relationship of structure‐activity caused by guest doping elements is seldom tracked systematically. In this case, both theoretical screening and experimental verification are complementarily employed to investigate the guest doping effects of ten first‐row transition metals (Sc∼Zn) on bimetallic NiCo layered double hydroxide (NiCo‐LDH). As a result, the optimized Fe‐doped NiCo‐LDH is identified as the most promising candidate toward alkaline electrocatalytic OER, which exhibits the quasi‐industrial current density of 1000 mA cm−2 at overpotential of 400 mV. Meanwhile, it also shows impressively long‐term stability of 500 h at 500 mA cm−2 with a negligible activity loss. Moreover, in situ electrochemical Raman spectroscopy unveils the dynamic structure evolution from pre‐catalytic state (Fe‐NiCo‐LDH) to metal oxyhydroxide (Fe‐(NiCo)OOH) during the oxidation reaction, and ab‐initio molecular dynamics simulations are further performed to confirm the thermodynamic stability of activated Fe‐(NiCo)OOH phase. This work provides a promising platform for exploring the critical role of transition metal guest doping on host matrix in developing industrially required OER electrocatalysts.