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Cigarette smoking accelerates the onset of menopause in women, according to the University of Jos (UNIJOS).

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Cigarette smoking accelerates the onset of menopause in women, according to the University of Jos (UNIJOS).

According to Professor Amaka Ocheke, a specialist in Obstetrics and Gynaecology from the University of Jos, research conducted among postmenopausal women has revealed that cigarette smoking is a factor contributing to the onset of menopause at the age of 45. She also noted that the notion of infertility being solely associated with one gender is incorrect. Professor Ocheke emphasized that both males and females play a role in causing infertility within couples.

She highlighted that while infertility affects 10-15% of couples in general, the prevalence is higher in Nigeria at 20-30%. She broke down the causes of infertility, explaining that 30% can be attributed to female-related issues, another 30% to male-related problems, and an additional 30% to a combination of male and female factors. In 10% of cases, no identifiable cause can be determined.

Furthermore, Professor Ocheke pointed out that among various ethnic groups in Nigeria, the Yoruba community has the highest occurrence of twin pregnancies, which are the most common form of multiple pregnancies, particularly among individuals of African descent. In Nigeria, she stated that approximately 10-20% of pregnancies result in miscarriages, defined as spontaneous abortions occurring before the 28th week of gestation.

Professor Ocheke shared these insights during her 106th inaugural lecture titled ‘The Odyssey of the Nigerian Uterus: Bumps, Potholes and Accidents,’ which was obtained by The PUNCH in Abuja on a Tuesday. She currently instructs in the Faculty of Health Sciences at UNIJOS, teaching Obstetrics and Gynaecology.

source: the PUNCH

”Sehwi Akontombra Hospital’s Journey to Healthcare Equity”

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”Sehwi Akontombra Hospital’s Journey to Healthcare Equity”

According to reports, the Vice President, Dr. Mahamudu Bawumia, has inaugurated the recently completed Sehwi Akontombra District Hospital in the Western North Region. The main aim of this action was to enhance the availability of quality healthcare in the region.

Alongside various other administrative divisions, the newly constructed medical facility, which was initiated in 2018, includes facilities like an outpatient department, a theater, modern hospital beds, a pediatric ward, wards for both males and females, a psychiatric unit, public health services, an x-ray department, a dispensary, and consultation rooms.

During his address to the attendees, the vice president conveyed that the government’s commitment to improving healthcare accessibility throughout the country is evident. This is demonstrated through the deployment of ambulances to each constituency, the utilization of drones for medical assistance, and other essential initiatives aimed at enhancing healthcare services.

Hon. Kwaku Agyemang-Manu, the health minister, expressed that the inauguration of the Sehwi Akontombra District Hospital serves as proof of President Akufo-Addo’s dedication to achieving Universal Health Coverage. This commitment is aimed at simplifying the process of accessing medical care for individuals, regardless of their location.

The Minister further mentioned that the government has completed the construction of six additional district hospitals, including the Akontombra District Hospital. These hospitals are expected to be prepared for official opening within a relatively short timeframe, thereby benefiting the communities they serve.

Present at the ceremony were Dr. Patrick Kuma Aboagye, the Director General of Ghana Health Services, Nana Ayew Afriyie, Chairperson of the parliamentary select committee on health, leaders from the Sehwi Wiawso traditional council, medical professionals, and residents of Sehwi Akontombra.

Source: patientlifematters.com

Tweneboah’s Unconditional Love

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Tweneboah’s Unconditional Love

Once upon a time in a small town, there lived a young man named Tweneboah. Tweneboah had a loving father named Mensah, but their journey together was not always easy. When Tweneboah was born, his parents, Mensah and Agyiewaa, were very young and unable to marry. Despite the challenges they faced, Mensah loved his son dearly and did all he could to make him happy.

Sadly, when Tweneboah’s mother, Agyiewaa, passed away due to mistreatment from her stepfather, Tweneboah had to move to his father’s house. However, there awaited a difficult situation. Mensah had a wife and two children who were unkind to Tweneboah. They treated him poorly, and his stepmother constantly insulted him, making him feel unwelcome.

One day, the stepmother threatened Mensah, saying she would leave with her children if Tweneboah wasn’t thrown out of the house. Despite his love for his son, Mensah was afraid of losing his wife and agreed to let Tweneboah go. The young man was heartbroken and had to fend for himself in the city.

Meanwhile, Mensah continued living with his family, not showing any concern for his son’s wellbeing. He enjoyed life without thinking about the pain he had caused Tweneboah. However, as time passed, Mensah grew old and fell terribly ill. His family abandoned him, leaving him all alone.

In his desperation, Mensah realized the importance of family and love. He asked his friend to find Tweneboah and bring him back so he could apologize for his past mistakes. Tweneboah, who still loved his father deeply, rushed to be by his side. Despite all the pain he had endured, Tweneboah forgave his father and cared for him until he passed away.

After Mensah’s death, Tweneboah organized a befitting funeral for his father, despite the lack of support he had received during his life. He became a successful electrician and learned that with hard work and determination, he could make his own way in life.

Moral Lessons:

1. Love knows no boundaries or conditions. Tweneboah loved his father unconditionally, despite the challenges they faced.

2. Family is essential, and we should cherish our loved ones while we have them.

3. Never judge or mistreat others based on their circumstances or past.

4. We should apologize and seek forgiveness for our mistakes, just like Mensah did when he realized his wrongs.

5. Compassion and kindness go a long way in healing relationships and wounds.

6. Material wealth and status are not as important as the love and support of family and friends.

7. Hard work and determination can lead to success, as Tweneboah became a successful electrician.

8. Never hold grudges, as forgiveness can bring peace and healing to both parties involved.

9. Being there for someone in their time of need is a true testament to love and friendship.

10. The future is unpredictable, so cherish every moment with your loved ones and make amends when needed.

And so, Tweneboah’s story teaches us the value of family, forgiveness, and the power of unconditional love. Let us always remember these important lessons as we go on our own adventures in life…. THE END

“Nursing in Crisis: The Terrifying Triumph of Doctors and Physician Assistants in Ghana”

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“Nursing in Crisis: The Terrifying Triumph of Doctors and Physician Assistants in Ghana”

As nurses in Ghana, our major challenge is the prevailing “holier than thou” mind-set among Ghanaian nurses. Many nurses consider it a privilege and honour to perform tasks they are not compensated for, while others receive salaries and allowances for the same work. This situation leads to nurses facing public ridicule and blame for the failures and lapses of others.

A significant number of health facilities, from CHP compounds to district hospitals, are managed by various cadres of nurses and midwives, while the presence of physician assistants (PAs) and medical doctors in these districts is limited. Yet, we fail to address these issues effectively and turn them into opportunities to advocate for fair treatment from our employer.

Our diplomacy towards the employer appears ineffective, and we continue to do tasks beyond our qualifications, despite being told we are not qualified for them. If we collectively refuse to perform tasks we are not legally paid for, it could make a significant impact and prompt the employer to take action in addressing our grievances. However, our tendency to act as if we are begging to do other people’s work impedes progress in resolving these issues.

In conclusion, it is crucial for us to assert our rights and demand fair treatment from our employer instead of passively accepting unpaid responsibilities. By standing up for our rights, we can bring about positive change and create a stronger case for our well-being and professional integrity as nurses in Ghana.

Source: Mahamah Nbonwura – Nurse practitioner (Nursing officer), Ghana

Ghana’s Physician Assistants withdraws all services today – GPAA

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Ghana’s Physician Assistants withdraws all services today – GPAA

This press engagement aims to express our strong opposition to the Health Professions and Regulatory Bodies (Amendment) Bill 2023, which is being forwarded to Parliament through the Ministry of Health by the Medical and Dental Council (MDC). This bill threatens to undermine our profession by diminishing our responsibilities, enforcing medical doctors upon us, and obstructing our growth and development.

On June 6, 2023, media reports indicated that the Rt. Hon. Speaker called Members of Parliament back to the House to discuss several bills, including the Health Professions and Regulatory Bodies Amendment Bill, 2023. Despite our attempts, we were unable to obtain a copy of the Amendment Bill.

Subsequently, on July 6, 2023, the leadership of GPAA held a meeting with the Ministry of Health to address various concerns regarding Physician Assistants, including matters related to our practice’s regulation under the Medical and Dental Council and the proposed amendment to the Health Professions and Regulatory Bodies Act, 2013 (Act 857). The Minister assured us that nothing had been confirmed yet and pledged to engage with us to address our concerns.

However, despite these assurances, we recently intercepted the purported Amendment Bill, which, if passed, will have disastrous consequences for the health service delivery system, particularly in rural and impoverished communities. The MDC aims to curtail the rights of Physician Assistants to practice medicine and dentistry, as well as prescribe medicine, subjecting us to the supervision of medical and dental practitioners.

This proposed amendment seeks to overturn an established practice where Physician Assistants can independently assess clients, request laboratory investigations, make diagnoses, and prescribe necessary medicines without constant supervision. We already have a supervisory model in place, with senior Physician Assistants capable of providing oversight.

Additionally, the amendment intends to prevent us from signing medical forms, a task that is currently within our scope of work. For these reasons, we vehemently disagree with the proposed amendments and call for an urgent assembly with the MDC, (GHS), and the MoH to halt this attempt.

The leadership of the Ghana Physician Assistants’ Association (GPAA) wishes to communicate to all Ghanaians our tentative roadmap leading to a nationwide industrial strike by Physician Assistants (PAs) to protest against the actions of the Medical and Dental Council (MDC) and other agencies under the Ministry of Health, which undermine our practice in Ghana.

As clinicians primarily serving at the primary healthcare level, especially in rural and impoverished communities, we consider ourselves to be the foundation of primary healthcare and the initial point of contact for underprivileged patients. Our opposition to this amendment bill is just one of many unsettled issues we have with the healthcare management in this country. Some of the other concerns include:

1. The National Health Insurance Authority (NHIA) revoking the credentialing of Private Health Centres manned by PAs while public health facilities retain their licenses.

2. Over 2,500 newly qualified PAs being unemployed for four years, despite the urgent need for clinicians in district and sub-district health facilities.

3. Non-recognition and lack of remuneration for PA Dermatologists and Psychiatrists, despite their training under the Ministry of Health institutions over the past decade.

4. The Ghana Health Service has declined to formally appoint and compensate Physician Assistants as Sub-district heads within the Sub-District Health Management System.

5. The unilateral development and launch of a Scope of Practice document for PAs by the MDC in 2022, attempting to reduce our scope of work and autonomy.

6. Physician Assistants on Internship not receiving internship allowances while their nursing and medical counterparts do.

We have engaged the MDC, GHS, and the Ministry of Health multiple times to address these issues, but no satisfactory solutions have been reached. We strongly advocate for the establishment of a new health regulatory body to oversee the training and practice of Physician Assistants in Ghana, as is the case in Kenya and some states in America.

We hereby give notice that if our concerns are not resolved, we intend to commence an industrial action with the following schedule:

1. Withdrawal of OPD Services: Monday, July 24, 2023, to Wednesday, July 26, 2023.

2. Withdrawal of Emergency Services: Thursday, July 27, 2023, to Monday, July 31, 2023.

3. Withdrawal of all services: Tuesday, August 1, 2023.

Source: Ghana’s Physician Assistants Association

A Comparative Analysis of Physician Assistants and Nurse Practitioners versus Doctors in Ghana

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A Comparative Analysis of Physician Assistants and Nurse Practitioners versus Doctors in Ghana
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“Are Physician Assistants going to be Banned in Ghana”

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“Are Physician Assistants going to be Banned in Ghana”

According to Mr. Michael Sarfo, a Public Health Expert based in England but of Ghanaian origin, the proposed amendment to the Health Professions and Regulatory Bodies Bill 2023 in Ghana, which aims to reduce the responsibilities of Physician Assistants, will have significant repercussions on healthcare in the country. He argues that if this bill is passed and implemented, it will negatively impact the achievement of Sustainable Development Goal three, which aims to provide access to quality and affordable healthcare for all.

Mr. Sarfo points out that the amendment will hinder healthcare delivery, especially in rural areas, as Physician Assistants, who are predominantly found in these underserved regions, will be banned from practicing medicine, dentistry, and prescribing medications. Consequently, the availability of competent healthcare professionals in district hospitals, clinics, and health centers will be severely affected, leaving ordinary Ghanaians with limited access to medical care.

He further criticizes the proposed amendment, suggesting that it appears to be motivated by institutional superiority and an attempt to impose medical doctors on Physician Assistants, rather than genuinely prioritizing public protection, as the Medical and Dental Council’s motto stipulates.

Mr. Sarfo urges the public to pay close attention to the bill’s content and understand its implications on ordinary Ghanaians’ access to healthcare. He believes that this amendment threatens not only the growth and development of the Physician Assistant profession but also the overall well-being of the Ghanaian population in terms of healthcare services.

Source: Ghana/otecfmghana.com/Jacob Agyenim Boateng

UK-NMC CBT

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UK-NMC CBT

Welcome to your NMC CBT numeracy (Tablets)

A patient has been prescribed 0.8 L of Dextrose 10%. What is the volume in ml?

A patient has been prescribed 300 mg of phenytoin. 100 mg in stock, how many tablets should be administered?

A patient has been prescribed 15 mg of nitrazepam suspension. What volume should be administered? Please use the correct units. The facility has 2.5 mg/5 ml in stock

A patient has been prescribed 600 mg of cefadroxil suspension. What volume should be administered? Use the correct units. The facility has 250 mg/5 ml

A patient has been prescribed 300 mg of phenytoin at a dose of 1.8 mg/kg. The weigh is 100 kg. what volume should be administered? The facility has 30 mg/5 ml.

A patient has been prescribed 60 mg of flupentixol decanoate. What volume be injected? The facility has 20 mg in 1 ml

A patient has been prescribed tramadol hydrochloride at a dose of 15 mg/kg. patient weighs 80 kg. what volume should be injected? Write your answer in one decimal place. The facility has 50 mg/1 ml.

A patient has been prescribed 40 mg tablets. The stock tablets is 20 mg. How many tablets should a patient be given?

A patient has been prescribed 0.06 mg. The stock tablets are 30 mcg. How many tablets should a patient be given?

A patient has been prescribed 200 mg every 4 hours. The stock tablets are 100 mg. What is the number of tablets that the nurse should administer to the patient per day?

A patient has been prescribed 750 mg TDD in 3 divided doses. The stock tablets are 250 mg. How many tablets should a patient be given for a single dose?

How many tablets should be administered to the patient in a day if they have been prescribed a total daily dose of 750 mg, and the stock tablets available are 250 mg each?

Your patient has been prescribed 400mg ibuprofen. The tablets available are 200mg. What is the number of tablets that the nurse should administer to the patient?

Medical assessment of fractured leg

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Medical assessment of fractured leg

Assessing a fractured leg in the Accident and Emergency (A&E) department involves a systematic approach to evaluate the extent of the injury and provide appropriate care. Remember, the assessment should always be conducted in a gentle and compassionate manner, taking into consideration the patient’s comfort and well-being throughout the process.

Here’s a step-by-step guide on how to medically assess a fractured leg in A&E

1. Primary Assessment: Begin with a primary assessment to identify any life-threatening conditions or injuries. Assess the patency of the patient’s airway, breathing, and circulation (ABCs). If there are any immediate life-threatening issues, address them first.

2. History Taking: Obtain a brief history from the patient or any available bystanders. Ask about the mechanism of injury, any pre-existing medical conditions, allergies, medications, and recent events leading up to the injury.

3. Observation: Carefully observe the patient’s leg for any obvious signs of injury, such as deformities, swelling, bruising, open wounds, or bleeding.

4. Palpation: Gently palpate the leg to assess for tenderness, crepitus (a grating sensation), and any bony or soft tissue abnormalities. Start with the uninjured leg to establish a baseline for comparison.

5. Neurovascular Examination: Perform a neurovascular assessment to check for any neurological and circulatory deficits. Assess sensation, pulses, and capillary refill in the affected limb.

6. Range of Motion: Assess the range of motion at the hip, knee, and ankle joints. Note any restrictions, pain, or abnormal movement.

7. X-rays: Request X-rays of the affected leg to confirm the presence and location of the fracture. X-rays help determine the type of fracture, its severity, and any potential associated injuries.

8. Secondary Survey: Once you’ve completed the initial assessment, conduct a secondary survey to look for other injuries that may have been missed during the primary assessment.

9. Pain Management: Administer pain relief as appropriate. This could be in the form of analgesics or other pain management techniques.

10. Immobilization: Depending on the type and location of the fracture, immobilize the leg using splints, braces, or casts to prevent further injury and provide comfort.

11. Elevation: Elevate the leg to help reduce swelling and alleviate pain.

12. Documentation: Accurately document the findings of your assessment, the treatment provided, and the patient’s response to pain relief measures.

13. Consultation/Referral: If the fracture is severe, complex, or requires specialized care, consult an orthopaedic surgeon or transfer the patient to a higher-level facility for further evaluation and management.

HOW TO HAVE LONGER ERECTION

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HOW TO HAVE LONGER ERECTION

While there is no guaranteed method for achieving longer erections solely through diet, certain dietary choices can contribute to overall sexual health and potentially support longer-lasting erections. It’s essential to understand that individual results may vary, and if you experience persistent erection problems, it’s crucial to consult a healthcare professional for a proper evaluation and personalized advice. That said, here are some dietary tips that may help support erectile function:

  • Maintain a Balanced Diet: A balanced diet that includes a variety of nutrient-rich foods is essential for overall health, including sexual health. Ensure your diet includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats.
  • Stay Hydrated: Dehydration can impact blood circulation, which is crucial for achieving and maintaining an erection. Drink an adequate amount of water daily to support proper blood flow.
  • Consume Nitric Oxide-Boosting Foods: Nitric oxide is a natural vasodilator that helps relax blood vessels and promotes blood flow. Foods rich in nitrates can support the production of nitric oxide. These include leafy greens like spinach and arugula, beets, and pomegranates.
  • Increase L-Arginine Intake: L-arginine is an amino acid that helps the body produce nitric oxide. Foods high in L-arginine include nuts (especially almonds and walnuts), seeds (pumpkin and sunflower seeds), seafood (salmon, shrimp), and legumes (soybeans, lentils).
  • Consume Foods Rich in Antioxidants: Antioxidants help combat oxidative stress and inflammation, which can have a positive impact on blood vessel health. Foods high in antioxidants include berries (blueberries, strawberries, raspberries), dark chocolate, and green tea.
  • Moderate Alcohol Consumption: Excessive alcohol intake can lead to erectile dysfunction. If you drink alcohol, do so in moderation to minimize its potential negative effects on sexual function.
  • Limit Processed Foods and Trans Fats: High intake of processed foods and Trans fats can lead to unhealthy cholesterol levels and impaired blood flow. Try to avoid or limit foods high in Trans fats like fried and processed foods.
  • Maintain a Healthy Body Weight: Being overweight or obese can contribute to erectile dysfunction. Aim to maintain a healthy weight through a combination of diet and regular physical activity.
  • Get Adequate Vitamins and Minerals: Certain vitamins and minerals play a role in sexual health. Vitamin D, vitamin C, zinc, and magnesium are some of the nutrients to consider in your diet. Foods like fatty fish (salmon, mackerel), citrus fruits, nuts, and seeds can be beneficial.
  • Manage Stress: Chronic stress can negatively impact sexual function. Adopt stress-reducing practices such as meditation, yoga, or regular exercise to support better sexual health.

Remember, a healthy diet is just one aspect of maintaining overall sexual health. Regular physical activity, getting enough sleep, and avoiding smoking are also essential factors to consider. If you experience persistent issues with erections or other sexual concerns, it’s essential to seek advice from a healthcare professional who can provide personalized guidance and appropriate treatment options.

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