Background Surgical site infection (SSI) is the most common postoperative complication worldwide. WHO guidelines to prevent SSI recommend alcoholic chlorhexidine skin preparation and fascial closure using triclosan-coated sutures, but called for assessment of both interventions in low-resource settings. This study aimed to test both interventions in low-income and middle-income countries.Methods FALCON was a 2 × 2 factorial, randomised controlled trial stratified by whether surgery was cleancontaminated, or contaminated or dirty, including patients undergoing abdominal surgery with a skin incision of 5 cm or greater. This trial was undertaken in 54 hospitals in seven countries (

The prevalence and surge in academic cheating indicate that students are finding innovative techniques to cheat during examinations. This problem has left invigilators and academic stakeholders wondering how students manage to cheat during exams. With a qualitative approach, this study sought to explore the techniques used by students during examinations. Data were gathered from students of Kwame Nkrumah University of Science and Technology. The findings revealed that the innovative techniques used by students were sitting arrangements, use of body parts, entry of foreign materials, and the use of technology. Students devised these techniques due to their perception of cheating and also poor institutional mechanism, which provided a favourable ground for cheating. We, therefore, argue that, to curtail academic cheating, not only should educational authorities and academic stakeholders improve institutional mechanism to prevent cheating, as it is the case, but also, a conscious effort should be made to alter student’s perception of cheating.

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Background/Purpose Perioperative complications cause significant pediatric morbidity and mortality in low- and lower middle -income countries. This study investigates factors associated with prolonged length of stay, 90-day readmission and in-hospital mortality among pediatric patients at Eastern Regional Hospital (ERH) in Ghana. Methods This is a retrospective review of perioperative morbidity and mortality in children < 18 years at ERH in Koforidua, Ghana. All pediatric surgeries performed between January 2015 and December 2017 were included in this study. Univariate analysis was performed using Pearson’s chi-square tests or Fisher’s exact tests. Variables that were significant on univariate analysis were included in multivariable logistic regression models adjusted for age and gender. Results We analyzed 468 patients < 18 years of age with a median length of stay (LOS) of 3 days. The 90-day readmission and in-hospital mortality rates were 138 and 17 per 1000 patients, respectively. The most common procedures were herniorrhaphy (19 %) and appendectomy (15 %). Gastrointestinal surgery, surgical trauma, surgical infection and lack of insurance were significantly associated with prolonged LOS. Young age and female gender were significantly associated with in-hospital mortality. Malaria was significantly associated with 90-day readmission. Conclusions Malaria infection is a significant risk factor for readmission, which should be investigated and treated in pediatric surgical patients in rural Ghana. Ensuring that all patients have insurance may result in shorter hospital stays. Provision of laparoscopic equipment may reduce hospital stays for patients undergoing gastrointestinal surgery. Expansion of the surgical work force, particularly pediatric surgeons, could improve perioperative survival in the very young population. Level of Evidence Retrospective comparative study.

Starting in December 2019 in Wuhan China, the novel coronavirus (COVID 19) disease has reached 216 countries with 6, 140, 934 confirmed cases and 373, 548 deaths as at 2nd June, 2020 globally Ghana, with an estimated population of 31,014,508 has recorded 8, 297 confirmed cases, 2, 986 recoveries and 38 deaths with 5, 273 active cases as at the same date. All but one of the 16 administrative regions have recorded confirmed cases with the highest case numbers in the more urban regions of the country. Considering that one of the highest risk populations in the wake of the coronavirus outbreak is the elderly population, this brief essay examines the state of elderly care in Ghana in relation to this pandemic. The paper reflects on the state of care needs for the elderly, current elderly care systems, inadequacy of data on elderly population and social work practice in Ghana. It also raises questions on the preparedness of current elderly care systems and general social work practice in Ghana amidst COVID 19. The paper recommends professionalization of geriatric care and formalization of community-based care for the elderly in Ghana as the way forward.