Browsing by Author "Yeboah, A.A."

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The “Big Switch”; Plastics to Paper. Ghana’s Long Eco Journey: Challenges, Prospects and Opportunities.
(University of Ghana, 2020-02) Yeboah, A.A.
This study examines the plastic pollution menace globally and its ramifications for Ghana. The study was motivated by the increasing wave of plastic production and its attendant disposal challenges. Deploying a qualitative methodology, the study used primary sources like interviews and reviewed secondary data on plastic pollution in addition to a field research involving senior public officials and private citizens. The findings of this study show that there is a major global effort, led by the United Nations, to protect the environment in general and manage plastic waste in particular. Of utmost significance in this regard is the Basel Convention which has recently been amended to include provisions on plastic waste management. The study also assessed the capacity of Ghana to deal with plastic pollution and the findings show that although the country is signatory to several international Multilateral Environmental Agreements (MEAs) and has made efforts to domesticate some of them, it lacks the political will to fully implement them. For example, the country is currently having challenges with landfill sites to manage waste, yet the study could not establish that there are plans to make substantial investments in recycling or incineration of waste, apart from a few private sector initiatives. The study concludes with some recommendations on how the Government of Ghana can rally citizens to reduce plastic pollution on the environment.
Nurse-led telerehabilitation intervention to improve stroke efficacy: Protocol for a pilot randomized feasibility trial
(PLOS ONE, 2023) Osei, S.K.J; Adomako – Bempah, E.; Yeboah, A.A.; Owiredu, L.A.; Ohene, L.A.
Background The prevalence of stroke continues to rise in low-middle income countries. The continual rise in stroke cases and increasing prevalence on post-acute needs represent a crucial call for increased accessibility and utilization of rehabilitation services. Aim The primary objective of the study is to test the feasibility of a nurse-led telerehabilitation intervention in improving self-efficacy among stroke survivors. The findings of the trial are intended for use in a future larger study. Methods Participants would be recruited at the University of Ghana Hospital and randomized into an intervention group and a control group. Participants aged � 18 years, diagnosed of stroke at most 12months prior the recruitment and requiring moderate level of assistance would be considered for eligibility. Participants in the intervention group will receive individualized and comprehensive nurse-led rehabilitation therapies in physical, emotional, cognitive and nursing education domains for 6 months, in addition to treatment as usual (TAU). The control group will only receive treatment as usual. Follow-up evaluations will occur immediately, 30 days and 90 days after the intervention. Discussion Providing stroke rehabilitation services in low-resource settings presents a significant challenge due to limited infrastructure and a lack of trained healthcare professionals. The current study has the potential of contributing to the growing body of evidence on the impact of telerehabilitation services in mitigating these challenges in low-resource settings.
Surgically Correctable Adrenal-Dependent Hypertension: A Report of Five Cases
(Ghana Medical Journal, 2007-06) Ofei, F.; Darko, R.; Appiah-Kusi, J.; Aduful, H.; Baddoo, H.; Adu-Gyamfi, Y.; Tettey, Y.; Gyasi, R..K.; Aleksenko, L.; Yeboah, E.D.; Arc-Hampong, E.Q.; Yeboah, A.A.; Ogoe, E
Although endocrine causes of secondary hypertension are relatively uncommon, medical practitioners must maintain a high index of suspicion for them in certain categories of patients. Such patients include young individuals, those with difficult- to-treat hypertension and those presenting with symptoms, clinical signs and/or laboratory parameters well-known to be associated with Cushing’s syndrome, Conn’s syndrome or phaeochromocytoma. This paper reports on 5 patients identified over a 2-year period with various hormonally-active adrenal adenomas causing hypertension in an environment where, hitherto, the occurrence of these conditions was generally thought to be rare. Aspects of the patients’ histories, examination and laboratory findings that drew attention to the possibility of the diagnosis in each case are highlighted, as are the confirmatory investigations and management methods used by a multidisciplinary team of medical practitioners. The clinical outcome with appropriate treatment of adrenalrelated hypertension is good and can result in significant cost savings in the long term.