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Open Access August 22, 2025

Status Epilepticus in Sub-Saharan Africa: A Literature Review on Epidemiological Challenges, Socio-Cultural Barriers, and Public Health Impact

Abstract This literature review delves deeply into the epidemiology, structural and cultural challenges, and management strategies of status epilepticus (SE) in sub-Saharan Africa (SSA). Incidence rates of SE vary significantly between countries, with notable disparities associated with socio-economic contexts, healthcare infrastructures, and cultural perceptions of epilepsy. The management of SE in this [...] Read more.
This literature review delves deeply into the epidemiology, structural and cultural challenges, and management strategies of status epilepticus (SE) in sub-Saharan Africa (SSA). Incidence rates of SE vary significantly between countries, with notable disparities associated with socio-economic contexts, healthcare infrastructures, and cultural perceptions of epilepsy. The management of SE in this region is often hindered by constraints in medical infrastructure, inadequate access to specialist diagnostics such as electroencephalogram, and limited availability of essential anti-epileptic drugs, which are frequently out of reach for rural populations. These challenges are further exacerbated by the social stigma and cultural beliefs surrounding epilepsy, impeding access to care and widening inequalities. Moreover, the scarcity of qualified medical personnel undermines the efficient and prompt management of this neurological emergency. The review underscores the pressing need to enhance healthcare infrastructures, boost the capabilities of healthcare professionals, and conduct community awareness initiatives to destigmatize epilepsy and lessen prejudice. Additionally, practical recommendations are put forward for enhancing local capacity, fostering equity in care access, and mitigating regional health disparities in SSA.
Literature Review
Open Access December 10, 2022

Medication Adherence: Fact or Fictions?

Abstract Even patients from developed nations have trouble staying on top of their drug compliance. When it comes to improper medicine use, there is an odd parallel between underdeveloped, emerging nations and the so-called developed world in the West. The key factor influencing whether patients stick to their treatment plan is their understanding and perception of the disease.
Even patients from developed nations have trouble staying on top of their drug compliance. When it comes to improper medicine use, there is an odd parallel between underdeveloped, emerging nations and the so-called developed world in the West. The key factor influencing whether patients stick to their treatment plan is their understanding and perception of the disease.
Editorial
Open Access December 09, 2022

Socio-Economic and Cultural Barriers that Affect Women’s Participation in Local Level Governance in the Central Region of Ghana

Abstract The study sought to examine the socio-economic and cultural factors that affect women’s participation in local level governance in selected districts in the Central Region of Ghana. The qualitative approach was employed for this study, and an interview guide was used to gather data from 11 women assembly members and two of their husbands, making a total of 13 participants. The participants were [...] Read more.
The study sought to examine the socio-economic and cultural factors that affect women’s participation in local level governance in selected districts in the Central Region of Ghana. The qualitative approach was employed for this study, and an interview guide was used to gather data from 11 women assembly members and two of their husbands, making a total of 13 participants. The participants were sampled using purposive, snowball and convenient sampling techniques. The data was analysed thematically. The study identified lack of self-confidence, limited funds, unsupportive family, abuse and harassment, political affiliations in the Assembly and unsupportive religious organizations as the socio-economic and cultural barriers to women participation in local level governance in Agona West, Gomoa West and Gomoa Central Districts in the Central Region of Ghana. The findings showed that despite the barriers, some of the women were able to surmount such challenges and became successful in the District Assembly elections. The study recommended that special fund should be set up by the government to support Assembly women to perform their roles and responsibilities within their communities regularly. Such funds may help them fulfil their campaign promises, which may encourage them to seek re-election in the District Assemblies. Also, female politicians should mentor potential female politicians. The mentors may support them to build the confidence required to engage in local level politics and to aspire higher positions in political office.
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Open Access December 27, 2021

Best Practices of CI/CD Adoption in Java Cloud Environments: A Review

Abstract The continuous integration (CI) and continuous delivery/deployment (CD) methods are key tools in the field of modern software development, and they assist in the rapid, reliable and quality delivery of software. These DevOps methods are automated, and the code development, testing, and deployment processes are streamlined, which reduces the risk of integration, enhances productivity, and minimizes [...] Read more.
The continuous integration (CI) and continuous delivery/deployment (CD) methods are key tools in the field of modern software development, and they assist in the rapid, reliable and quality delivery of software. These DevOps methods are automated, and the code development, testing, and deployment processes are streamlined, which reduces the risk of integration, enhances productivity, and minimizes human labor. To implement CI/CD, Java cloud applications can utilize cloud-native services such as AWS Code Pipeline, Azure DevOps, and Google Cloud Build, as well as tools like Jenkins, GitLab CI/CD, GitHub Actions, CircleCI, Travis CI, and Bamboo. Basic concepts of CI/CD include automation, regular integration, testing, intensive testing, constant feedback, and process improvement. Some of the major pipeline phases include deployment, monitoring, testing, artefact management, build automation, and source code management. Despite clear benefits, challenges remain, including infrastructure complexity, dependency management, test reliability, and cultural barriers, particularly in large-scale or enterprise Java projects. This work provides a thorough analysis of CI/CD procedures and resources, including frameworks, best practices, and challenges for Java cloud applications. It highlights strategies to optimize adoption, improve software quality, and accelerate delivery cycles.
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Keyword:  Cultural Barriers

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