BackgroundThe desire of many young women to become parents may be influenced by the premium placed on children by society. In Africa, children are highly valued for social, cultural and economic reasons. Infertile and childless women in Africa are therefore confronted with a series of societal discrimination and stigmatization which may lead to psychological disorders such as anxiety and depression. Even though some research has been done on the prevalence of infertility in Ghana, very little is known about the psychological impact of childlessness among infertile women. The present study aimed to examine prevalence and severity of depression in relation to age, type of infertility and duration of infertility in Ghanaian infertile women.MethodsA total of 100 infertile women who met the selection criteria and had agreed to participate in the study were interviewed using the Beck Depression Inventory questionnaire from December 2012 to April 2013 at the Tamale Teaching Hospital, Tamale/Ghana. Data concerning socio-demographic characteristics such as age, monthly income, duration of infertility, marital status, educational level, number of previous conception, number of previous children, religion, as well as occupation of the respondents were recorded.ResultsThe prevalence of depression among the women was 62.0% with the level of depression showing a significant positive correlation with age of the women and the duration of infertility. The level of depression was significantly higher among subjects with low or no formal education and among the unemployed. Women with primary infertility also presented with high depression scores as measured by BDI.ConclusionsIn conclusion, the prevalence of depression among the infertile women is high, especially among infertile women age 26 and above, those who are less educated, those with primary infertility, as well as those who have been diagnosed as infertile for more than 3 years. Interventions to decrease and prevent the development of severe depression among these patients should be considered.

Background: Sexuality is a complex phenomenon that is being influenced by psychological as well as physiological factors. Its dysfunction includes desire, arousal, orgasmic and sex pain disorders. The present study aimed to assess the incidence of sexual dysfunction (SD) and related risk factors in a cohort of Ghanaian women. Method: The Golombok Rust Inventory of Sexual Satisfaction (GRISS) was administered to 400 healthy women between 18 and 58 years old (mean +/-SD: 30.1 +/-7.9) domiciled in the Kumasi metropolis. Results: The response rate was 75.3% after 99 were excluded. Of the remaining 301 women, 50% were engaged in exercise, 26.7% indulge in alcoholic beverages and only 2% were smokers. A total of 62.1% of the women had attained high education, whilst, 28.9% were married. After logistic regression analysis, alcohol emerged (OR: 2.0; CI: 1.0 -3.8; p = 0.04) as the main risk factor for SD. The overall prevalence of SD in these subjects was 72.8%. Severe difficulties with sexual function were identified in 3.3% of the studied population. The most prevalent areas of difficulty were anorgasmia (72.4%), sexual infrequency (71.4%), dissatisfaction (77.7%), vaginismus (68.1%), avoidance of sexual intercourse (62.5%), non-sensuality (61.5%) and non-communication (54.2%). Whereas 8% had severe difficulties with anorgasmia, only 6% had severe difficulties with vaginismus. Conclusion: SD affects more than 70% of Ghanaian women who are sexually active. Alcohol significantly influences sexual activity.

This study was designed to investigate the prevalence and type of sexual dysfunction (SD) in healthy sexually active Ghanaian men of fertile age. Sexual functioning was determined in 300 healthy Ghanaian men with the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire leaving in Kumasi metropolis, between December 2009 and April 2010. All men had a steady heterosexual relationship for at least 2 years before enrollment in the study. Of the 300 men selected, 255 (85%) completed the survey; the overall prevalence of SD in these subjects was 66%. The most prevalent areas of difficulty were infrequency (70.2%), premature ejaculation (64.7%), dissatisfaction with sexual acts (61.2%), impotency (59.6%), nonsensuality (59.2%), noncommunication (56.9%) and avoidance (49.0%). There were positive correlation between SD, impotence, dissatisfaction and age. The prevalence rate of SD in Ghanaian men is high and related to age.

Neural tube defects (NTDs) are congenital anomalies of the central nervous system (CNS) which affects approximately one in every thousand pregnancies. The estimates, however, varies from country to country with countries implementing national programmes on folic acid fortification recording lower estimates. Neural tube defects are a common cause of morbidity and mortality especially in low-middle income countries such as Ghana. The study was conducted to determine the prevalence of neural tube defect and hydrocephalus in the only tertiary hospital in northern Ghana. This was a 4-year retrospective study from January 2010 to December 2014. Data regarding the age, sex, clinical diagnosis, and treatment outcomes were all retrieved from the registry of medical records using a simple data form designed for this study. During the study period, there were 35,426 deliveries at the facility with 57 cases of neural tube defects, thus giving a prevalence of 1.6 per 1000 births. They were more males than females with a male: female ratio of 2.4:1. All cases were diagnosed at birth. All the cases reported in this study were open neural tube defect (NTD). The most common defect was hydrocephalus occurring in 33 patients representing 57.9%, with spinal bifida occurring in 21 patients representing 38.6%. Encephalocele or cranium bifida occurred in only 5.3% (3 patients). Among the spinal bifida cases, myelomeningocele occurred in 13 patients (59.1%), with meningocele occurring in 8 patients (40.9%). Case fatality was about 15% of diagnosed cases. The prevalence of NTDs in this study is relatively high compared to earlier studies but, is consistent with other findings in the subregion. Prenatal screening and diagnosis are highly recommended since most women undergo routine ultrasonography as part of antenatal service.Journal of Medical and Biomedical Sciences (2017) 6(1), 18-23Keywords: neural tube defect, prevalence, spinal bifida, Northern Ghana

To assess the effect of different water application schedules on the growth and yield of lettuce (Lactuca sativa var. crispa), a field experiment was carried out at Golinga Irrigation Site. Four treatments were laid out in a Randomized Complete Block Design in four replications. The treatments were; TRT1 (adlib application by farmers), TRT2 (100% of the daily ETc applied only in the morning at each growth stage), TRT3 (100% of the daily ETc applied only in the evening at each growth stage) and TRT4 (100% ETc split: 50% of the daily ETc applied in the morning and the other 50% applied in the evening at each growth stage). The daily crop water requirement (ETc) of the crop was calculated for the four stages of growth using the CROPWAT software bearing in mind the area of each bed (16m 2). The data was analyzed using the Genstat Software. The results revealed that plants grown in the TRT4 grew healthier and recorded the highest plant height (23.3cm), number of leaves (9), leaf spread (25.03cm), leaf area index (5.25), and fresh matter weight of leaf (43.0g), yield (28.3t/ha) and water productivity (7.2kg/m). Plants grown in TRT3 recorded the least values for plant height (19.8cm), number of leaves (7), leaf spread (20.9cm), leaf area index (4.1), fresh matter weight of leaf (30.7g), yield (13.9t/ha) and water productivity (3.5kg/m 3). It is recommended that interested lettuce farmers could adopt TRT4 water application schedule since it gave the highest values in all the parameters used for data collection.