Health Sciences Investigations (HSI) Journal <p><a href=""><em>click here</em></a> to homepage</p> <p><strong>Welcome to the Health Sciences Investigations (HSI) Journal</strong></p> <p><strong>Our aim</strong></p> <ul> <li class="show">The HSI Journal is an independent, international journal intended for the publication of original articles from the global scientific community. To reach the global community, especially those in resource-limited regions, HSI Journal provides on-line Open Access publications at no cost to authors and readers.</li> </ul> <p><strong>Our Mission</strong></p> <ul> <li class="show">The HSI journal is a peer-reviewed journal for the communication of research results and policy issues in the health sciences and related disciplines. Our mission is to increase the visibility and impact of health sciences research in Ghana and globally</li> </ul> <p><strong>&nbsp;</strong><strong>Licensing</strong></p> <ul> <li class="show">ID: Health Sciences Investigations (HSI) Journal</li> <li class="show">Electronic ISSN: 2704-4890 (ONLINE)</li> <li class="show">Print ISSN: 2720-7609 (PRINT)</li> <li class="show">Language: English</li> <li class="show">Webspace: <a href=""></a></li> </ul> <p><strong>&nbsp;</strong><strong>Scope</strong></p> <ul> <li class="show">Health Sciences Investigations (HSI) Journal publishes manuscripts from basic and clinical health sciences including medicine, biomedicine, pharmacy, nursing, physical therapy, medical laboratory science, environmental health, public health, medical imaging and radiologic technologies and other allied health disciplines. The Journal is dedicated to serving scientists wishing to contribute to knowledge on global health. All HSI Journal publications are in English.</li> <li class="show">The Journal publishes original research articles, systematic reviews, case reports, brief communications and letters to the editor. The journal also publishes interviews with global opinion leaders and policy makers on health matters of global relevance. We welcome original contributions that have not been published and are not under consideration for publication elsewhere. Papers accepted for publication are double-blind refereed to ensure academic integrity.&nbsp;</li> </ul> <p><strong>Publication model</strong></p> <ul> <li class="show">The HSI Journal's complete issues and individual articles are all open access.</li> <li class="show">All content in HSI can be freely accessed here at the journal's official website and also at other subscribed article indexing and archiving platforms. The list of indexed and/or archiving platforms will be continually be updated and displayed on the Journal website.</li> </ul> <p><strong>Frequency of publication</strong></p> <ul> <li class="show">Online first publications.&nbsp;We provide online first publications (E-Publication First<sup>TM</sup>). All accepted papers are published online soon after completion of the necessary publishing processes. The HSI Journal hosts online PDF and HTML versions of manuscripts that have been peer-reviewed and accepted so that readers can freely access or cite the articles.</li> <li class="show">All published articles are subsequently compiled in final printed editions that are produced in two volumes during the reference year.</li> </ul> <p><strong>The HSI Journal Office</strong></p> <ul> <li class="show">The HSI Journal ais located at the University of Ghana College of Health Sciences, Charles Easmon Building, 2<sup>nd</sup> floor, Room 21, Korle-Bu, Accra, Ghana. The Journal’s administrative office maintains all subscription records.</li> </ul> <p><strong>The HSI Journal address</strong></p> <ul> <li class="show">Office address:&nbsp; University of Ghana College of Health Sciences, Charles Easmon Building, 2<sup>nd</sup> floor, Room 21, P.O Box K52, Korle-Bu, Accra, Ghana.</li> </ul> <ul> <li class="show">Contact email: <a href=""></a> / <span style="text-decoration: underline;"></span></li> </ul> <ul> <li class="show">Contact numbers:</li> </ul> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Mrs Yvonne Okantey:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;+233 244156175</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Prof. Regina Appiah-Opong:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;+233 249052475</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Prof. Christabel Enweronu-Laryea: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+233 208154886</p> <ul> <li class="show">To advertise, reproduce the content in the HSI Journal, or request for printed HSI Journal editions, please send an email to <a href=""></a> or call</li> </ul> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Mrs Yvonne Okantey: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+233 244156175</p> <p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Mr Godfred Amoah: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+233 244110902</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Mr Daniel Abankwa:&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+233 024953 4022</p> <p><strong>Article processing charges&nbsp;</strong></p> <ul> <li class="show">There are no associated publication charges. We invite you to submit manuscripts via the <a href="">online submission platform</a>. There are no charges to publication in HSI Journal. Solicited reviews, commentaries, and comment letters to the Editor-in-Chief are not subject to print-page charges. New data letters to the Editor-in-Chief are not subject to print-page charges. Authors whose research were supported by grants, special funds or contracts or whose research were done as part of their official duties (government or corporate, etc.) are also not required to pay page charges.</li> </ul> <p><strong>Copyright statement</strong></p> <p>The HSI Journal conforms to the Creative Commons Attribution BY &nbsp;license. This copyright license permits others to distribute, remix, tweak, and build upon your work, even commercially, as long as they credit us for the original creation. More information on copyright and licensing information can be found <a title="creaticecommons" href=""><em></em></a></p> <p><strong>Copyright ownership</strong></p> <ul> <li class="show">All content in the HSI Journal is published by the University of Ghana College of Health Sciences. All rights reserved. The HSI Journal publishes articles in Open Access at no cost to authors to allow for the widest visibility of the article. Upon acceptance of the article, authors will be asked to transfer copyright of the article to the HSI Journal. This will ensure the widest possible protection and dissemination of information under copyright laws.</li> <li class="show">The copyright transfer covers the exclusive right to reproduce and distribute articles in the HSI Journal, including reprints, translations, photographic reproductions, microform, electronic form (offline, online) or any other reproductions of similar nature. All rights reserved. No part of publications in HSI Journal may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission of the copyright holder. Authors retain all proprietary rights such as patent rights, in any process, procedure or article of manufacture described in the paper. The HSI Journal is Open Access with no publication charges. The copyright to each article is transferred to the University of Ghana College of Health Sciences on behalf of the HSI Journal. when their manuscript is accepted for publication.</li> </ul> <p><strong>Publication Ethics</strong></p> <ul> <li class="show">The HSI Journal is committed to supporting standards of ethical behaviour at all stages of the publication process. The HSI Journal adopts a neutral position on issues treated within its publications. It is the responsibility of authors to ensure that they comply with HSI Journal publication standards and guidelines. Our publication ethics conform to the <u>Committee on Publication Ethics (COPE)</u> Best Practice Guidelines. The COPE standards protect the rights of authors, editors, reviewers and publishers alike, and seeks to uphold the reputation of journals and . The Journal adheres to publication standards of the International Committee of Medical Journal Editors (ICMJE; <a href=""></a>), Committee on Publication Ethics (COPE; <a href=""></a>), and the World Association of Medical Editors (WAME; <a href=""></a>).</li> <li class="show"><img src="/ojs/public/site/images/admin/cope3.gif" width="216" height="80"></li> </ul> <p><strong>Review Policy</strong></p> <ul> <li class="show">The HSI Journal follows double blind peer review policy. The manuscript is sent to two reviewers, who are experts in respective field, to review the paper in the light of journal's guidelines and features of a quality research paper. For manuscript that require revisions, the same reviewers will be used to ensure that the quality of the revised paper is acceptable.</li> <li class="show">We operate a transparent peer review process for the HSI Journal where reviewers’ names do not accompany reviewer comments to authors (unless a reviewer opts to include the name), which means that authors by default will not see the reviewers' names but only their comments. By agreeing to provide a report, reviewers understand that their reports will be made available, upon request, under an Open Access license Creative Commons CC-BY license (<a href="" data-auth="NotApplicable"></a>) if the manuscript is published.</li> </ul> <p><strong>Disclaimer</strong></p> <ul> <li class="show">Opinions and statements expressed in the publications are those of the authors alone, and not of the editors, reviewers or the HSI Journal and its publisher.</li> </ul> <p><strong>Privacy Statement</strong></p> <ul> <li class="show">The names, email addresses, and information entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.</li> </ul> <p><strong>Research suitable for publication</strong></p> <ul> <li class="show">Please consult the Editorial Policies of the HSI Journal before preparing a manuscript for publication. Manuscripts that are inconsistent with the guidelines shall be declined by the Editor-in-chief without subjecting it to the full review. The HSI author guidelines conform to the ICMJE uniform requirements of manuscripts at <a href=""><u>http:/</u></a></li> </ul> <p>&nbsp;</p> en-US (The Managing Editor) (HSI Technical Support) Sat, 15 Jan 2022 16:07:52 +0100 OJS 60 Clinical Manifestations of Congenital Rubella Syndrome at the Korle-Bu Teaching Hospital, Ghana <p><strong>Introduction: </strong>Congenital rubella syndrome (CRS) is a variable constellations of birth defects related to intrauterine rubella infection which may result in visual, hearing, intellectual and cardiac impairments. The objective of this study is to describe the clinical manifestations in patients presenting with CRS at the Korle Bu Teaching Hospital using the World Health Organization criteria.</p> <p><strong>Methodology: </strong>A retrospective analysis of the medical charts of 16 children under 16 years old who presented with CRS at the Lions Eye and Cardiothoracic Centres of the Korle Bu Teaching Hospital from 2012 to 2015, was done. Ocular, cardiac and other systemic clinical and laboratory findings were documented for each patient using predesigned forms.</p> <p><strong>Results: </strong>Sixteen cases of CRS were recorded over the period (2012-2015) comprising 9 males and 7 females. The mean age at diagnosis was 6.7 months (± 6.5 months), age range at diagnosis was 1.0-24.0 months. The main ocular manifestations were; cataract 10 (62.5 %), microcornea 10 (62.5 %), microphthalmia 9 (56.3 %), nystagmus 7 (43.8 %) and strabismus 4 (25.0 %). The main cardiac defects included; patent ductus arteriosus 12 (75.0 %), pulmonary stenosis 5 (31.3 %), ventricular septal defect 5 (31.3 %), small branch pulmonary arteries 5 (31.3 %). Systemic conditions recorded includes; hearing defects 7 (43.8 %), microcephaly 7 (43.8 %), failure to thrive 5 (31.3 %) and mental retardation 2 (12.5 %).</p> <p><strong>Conclusions: </strong>Early diagnosis, high clinical vigilance for manifestations of CRS and effective surveillance and immunization programmes would help in ameliorating the effect of CRS.</p> Benjamin Abaidoo, Nana Akyaa Yao, 4Kwarteng Kwaku Oppong, Collins Oduro Boatey, Mohammed Sherif , Vera Adobea Essuman Copyright (c) 2021 University of Ghana College of Health Sciences on behalf of the HSI Journal Thu, 30 Dec 2021 00:00:00 +0100 Examining the relationship of organizational mechanisms and relational coordination on the outcome of care coordination among nurses at the unit level of the Greater Accra Regional Hospital. <p><strong>Background</strong>: Nurses work with the healthcare team to coordinate and facilitate care for patients. Nurses and other healthcare professionals function interdependently for the coordination of patient care which can be unpredictable and varies from setting to setting. Organizational mechanisms strengthen networks both within and between organisations to enable quality and efficient care. Care coordination when accomplished through relationships of shared goals, shared knowledge, and mutual respect motivate staff. Strong relationships enable staff to embrace connections with one another to effectively coordinate work processes.</p> <p><strong>Aim</strong>: The study examined the influence of organizational mechanisms and relational coordination on the outcome of care coordination among nurses in a regional hospital.</p> <p><strong>Methods</strong>: Exploratory descriptive design was used to conveniently engage 262 nurses from eight (8) units who have been working in the hospital for at least three months using structured questionnaire to collect data.</p> <p><strong>Results</strong>: The study revealed that, lack or absence of all the predictive factors such as organizational mechanisms and relational coordination influence the outcome of care coordination practice among nurses. Rate of care coordination is generally good (82.9%).</p> <p><strong>Conclusion and Recommendation</strong>: This study has shown that several factors influence the practice of care coordination among nurses. Management should strengthen organizational mechanisms such as communication, information technology and interpersonal relationship. Additionally, in-service training should be strengthened to facilitate care coordination practice among nurses and better patients’ outcome.</p> Adelaide Maria Ansah Ofei, Salome T. Frimpong Copyright (c) 2022 University of Ghana College of Health Sciences on behalf of the HSI Journal Wed, 29 Dec 2021 00:00:00 +0100 Correlates of Birth Preparedness Practices and Complication Readiness among Women in Eight Communities in Delta State, Nigeria. <p><strong>Objective</strong>: Birth preparedness helps a woman avert possible complications associated with delivery, hence promotes safe motherhood. In this paper, we assessed the magnitude of birth preparedness and complication readiness and its determinants among pregnant women selected from four rural communities in Delta State, Southern Nigeria<strong>. </strong></p> <p><strong>Methods: </strong>The Cochrane (1977) formula was used to estimate a sample size of 400 women within the reproductive ages<strong>.</strong>&nbsp; Analyses were undertaken at two levels that are at univariate and multivariate. At univariate, simple percentages and frequencies were used to describe the feature of respondents. At the multivariate, logistic regression was used to determine the predictors of birth preparedness and complication readiness among the women. The results were presented as Odds Ratio at 95% while CI.&nbsp;<em>P</em> &lt; 0.05 was used to dictate statistical significance.</p> <p><strong>Results</strong>: The results revealed that 48.7% of the respondents were prepared for birth and 42.9% were prepared for complication. About 36.7% saved money for delivery expenses, 28.1% knew the signs for the onset of labour, 35.2% bought all the materials they need and put them on the ground, 24.7% reported they knew the exact date for their delivery and 26.6% saved fund for emergency complications. In addition, 52.1% of respondents had overall knowledge of obstetric complications. The logistic regression revealed that employment status, number of living children and set of communities were the significant predictors of birth preparedness plan and complication readiness among the study participants.&nbsp;</p> <p><strong>Conclusion</strong>: The study concluded that the level of birth preparedness and complication readiness is low among sampled group. In addition, knowledge of danger signs is unimpressive. The study, therefore, recommended that intervention programs that educate rural women on danger signs of complications and also on the benefits of birth preparedness should be implemented in rural part of Nigeria.</p> <p><strong><em>&nbsp;</em></strong></p> Daniel Osaze, Henry Akpojubaro Efegbere, Onongha Patrick Akwa Copyright (c) 2021 University of Ghana College of Health Sciences on behalf of the HSI Journal Wed, 29 Dec 2021 00:00:00 +0100 Clinical features of children with coronavirus disease 2019 (COVID-19) at a single isolation centre in Ghana <p><strong>Introduction</strong></p> <p>Children with coronavirus disease- 2019 (COVID-19) who do not require hospitalisation must isolate to prevent the virus’s spread. This study describes the prevalence, characteristics, source of infection, and treatment outcome among children with asymptomatic or mild COVID-19 admitted to Ghana’s largest isolation centre.&nbsp;</p> <p><strong>Methods</strong></p> <p>We conducted a retrospective descriptive study among children 0-18 years admitted to Pentecost Convention Isolation Centre in Ghana between April 24 to August 31, 2020.&nbsp; We extracted their clinical details and patient outcome information from their medical records.</p> <p><strong>Results</strong></p> <p>The number of children enrolled was 57, with a median age of 16 years (interquartile 12-17). The most common symptom was a headache. Most of the participants admitted from school attributed their source of infection to a school colleague. One patient required transfer to a hospital while the rest were discharged home after de-isolation.</p> <p><strong>Conclusion</strong></p> <p>Children with asymptomatic and mild COVID-19 managed in facilities repurposed as isolation centres can reduce the hospital’s care load. As schools re-open fully, school authorities must collaborate closely with public health institutions for rapid testing, tracing, and isolation of all suspected or contacts of COVID-19.</p> Joycelyn Assimeng Dame, Peter Puplampu, Akosua Sika Ayisi, Ali Samba, Nana Esi Appiah, Nana Fredua Agyeman, Lorna Renner Copyright (c) 2021 University of Ghana College of Health Sciences on behalf of the HSI Journal Wed, 29 Dec 2021 00:00:00 +0100 Bifid median nerve: a case study at the wrist <p><strong>Aim:</strong> Authors report here a fortuitous discovery of a case of bifid median nerve during the wrist dissection of a cadaverous melanoderm belonging to the Wolof ethnic group.</p> <p><strong>Background:</strong> The bifid median nerve corresponds to a duplication of the median nerve trunk inside the carpal tunnel. It is a rare variation which is often associated with the persistence of wrist median artery.</p> <p><strong>Case description:</strong> The duplication started at about 14 cm distal and lateral from the medial bicipital groove. The medial trunk ended in the third interdigital space. &nbsp;The lateral trunk gave four branches. There was neither wrist median artery nor any other variations of the wrist normal structures.</p> <p><strong>Conclusion:</strong> The bifid median nerve is rare but should be kept in mind.</p> <p><strong>Clinical significance:</strong> Being aware of this kind of variation is important to avoid nerve lesions during carpal tunnel surgery.</p> James Y Edem, Ananivi SOGAN, Ndoye J Mann, Diop Mahmodou, Aziz Ndiaye, Ali Dia, James K Inu Copyright (c) 2021 University of Ghana College of Health Sciences on behalf of the HSI Journal Wed, 29 Dec 2021 00:00:00 +0100