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Ghana needs rebirth

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I have always been fascinated by the idea of the being ‘BORN AGAIN’ philosophy or the underlying principle or creed of the Christian faith as espoused in the book of the Apostle John, Chapter 3: 1-6 on the ‘New Birth’.

It is written that “now there was a certain man among the Pharisees named Nicodemus, a ruler (member of the Sanhedrin) among the Jews, who came to Jesus at night and said to Him, “Rabbi (Teacher), we know (without any doubt) that You have come from God as a teacher; for no one can do these signs (these wonders, these attesting miracles) that You do unless God is with him.” Jesus answered him, “I assure you and most solemnly say to you, unless a person is born again (reborn from above – spiritually transformed, renewed, sanctified), he cannot (ever) see and experience the kingdom of God.”

Nicodemus said to Him, “How can a man be born when he is old? He cannot enter his mother’s womb a second time and be born, can he?” Jesus answered, “I assure you and most solemnly say to you, and unless one is born of water and the Spirit he cannot (ever) enter the kingdom of God. That which is born of the flesh is flesh (the physical is merely physical), and that which is born of the Spirit is spirit.

As a layman in spiritual things, I will only consider what I find fascinating about the whole philosophy of ‘REBIRTH’ or ‘NEW BIRTH’ as it does not connote a new or second physical birth; but more of a ‘rebirth of the soul or spirit; a renewed existence,activity or growth; a renaissance or renascence; revival; renewal; reawakening; resurgence; revitalisation; resurrection; regeneration; rejuvenation; restoration; reincarnation; metempsychosis; or ‘new beginning’.

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As we approach three decades of Fourth Republican experimentation or journey of life as a nation and as a people since 1993, I am left in doubt that, the time has come for us all to step back and have an INTROSPECTION of how we want to live the next 30 years of our lives or what legacies, we would wish to bequeath our children and children’s children.

This is exactly why we need to consider the story of Nicodemus at this point in time, considering what we witnessed in our Parliament few days ago.

For someone, who believes in the whole idea of DESTINIES as being an integral part of our DNA, that which carries the genetic information necessary for the organisation and functioning of most living cells and controls the inheritance of characteristics, I believe it is not for nothing that we had a HUNG PARLIAMENT in the 2020 General Election. It is for the same reason that the events of Friday, 26th November, 2021, was necessary for us to pause and consider the issue of REBIRTH, otherwise posterity will judge our generation badly because we did not take the necessary steps for a renewal, revival, reawakening or renaissance of that which gave us the Fourth Republic.

And, it is not about one of the legacies of Flt. Lt. Jerry John Rawlings.

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We will recall that, in pursuance of the Consultative Assembly Law 1991 (PNDC Law 253) after several agitations for return to constitutional rule, the Provisional National Defence Council set up a Consultative Assembly to prepare a draft Constitution for the administration of Ghana.

Consequently, the Consultative Assembly submitted the draft Constitution for the Republic of Ghana to the P.N.D.C. on 31st March, 1992.

The said draft Constitution was submitted to a National Referendum held throughout Ghana on 28th day of April, 1992, the draft Constitution was approved by the people of Ghana as the Constitution for the administration of Ghana and in pursuance of the PNDC Law, 1991 (PNDC 253) the Constitution came into force on the 7th day of January, 1993 with the election and swearing-in of Flt. Lt. Jerry John Rawlings as the first President and Head of State of the 4th Republic.

I believe until Prof. John Evans Atta Mills (God bless and rest his soul) assumed office as the third President of the 4th Republic, after the tenure of John Kofi Agyekum Kufuor, there had been lingering thoughts and murmurings for the need to tweak the 4th Republican Constitution a bit.

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Maybe, Prof. J. E. A. Mills saw what we are seeing now, the compulsive need for a certain REBIRTH of this nation, starting with a review of the Constitution of the Republic of Ghana. He, on assumption of office in January, 2009, invoked the powers conferred on him by Article 278 (1) of the Constitution of the Republic of Ghana to establish a Commission of Enquiry into any matter of public interest. The President set up a Commission of Enquiry to review the operations of the 1992 Constitution of the Republic of Ghana.

My interest in the historic antecedent is not whether we need to revisit the Report of the Constitution Review Commission (CRC) with its accompanying WHITE PAPER but to take us all to other occurrences in the country, agitations upon agitations for all kinds of matters; issues of Galamsey and its dire consequences on our environment and our future; issues of armed robberies; the issue of first time in the history of the 4th Republican dispensation a Budget of a Government is ‘rejected’(forget the reverse mirroring antecedent that the Finance Minister’s father once engineered the rejection of Amon Nikoi’s Budget statement years back and for which the latter resigned)for whatever reason (s); issues of ‘unfair’ or unequitable distribution of the national cake, issues of ethics and values; issues of who we are as ‘GHANAIANS’; issues of such petty things as we take for granted years past yet now are big matters leading to offensive, derogatory, demeaning and belittling language on the airwaves; issues of what impact all these matters are having on our children; issues of ‘WHAT IS THE TRUTH’ now as against ‘LIES BEING FORCED DOWN OUR THROATS’everywhere as the new truth in all spheres of our national lives, including the church – where did we get it so wrong as a people and as a nation?

As we approach the 30th anniversary of the 4th Republican dispensation, I want to be like Nicodemus and ask: “HOW CAN GHANA BE BORN AGAIN?”How can we make the effort at changing the narrative, which seems to be staring us in the face as if to ask: CAN’T WE LEARN ANYTHING FROM OUR PAST MISTAKES?

As we start the countdown to SATURDAY, 7th JANUARY, 2023, to celebrate THREE DECADES OF THIS DISPENSATION, my prayers include the fact that for once we would not organise and host a PARTISAN NATIONAL AWARDS NIGHT – where the organisers award themselves and their family members only with the medallions; that we would set up a bi-partisan REVIEW COMMITTEE to assess the work done by Prof. J. E. A. Mills’ CRC with its White Paper for a proposed referendum by June 2022 so that we could begin the REBIRTH of our country, where our children will now be taught and would in turn inculcate the NATIONAL ANTHEM AND PLEDGE into their daily lives as ‘PROUD GHANAIANS’; and where this reawakening will give birth to the ‘NEW GHANAIAN’ as Nicodemus was taught by Jesus Christ.

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  • The author is a Land Economist & Appraiser,

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By Magnus Naabe Rex Danquah

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Disqualified — Part 5

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The driver stopped the vehicle at the gate of the large, fenced property along the Nsawam Highway, and Kakraba stepped out to meet the several workers who had gathered to wait for him.

He greeted them and went straight to the point.

“Gentlemen, I am glad to see that you have almost completed the clearing of the land. I’m happy to report that we have concluded all arrangements with Nana Serebour, and construction of the palace will start in a few days.

“I will need you to go and level the ground, and then come back to start this project. Some workers from a construction company will come and join us.

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“My plan is to build twenty houses in four months. Then we will do twenty more until we reach two hundred.

“I am relying on you to help me deliver good-quality work to satisfy our clients and, as I have already indicated to you, I will reward you for your work.”

After an hour’s discussion, he closed the meeting and moved to drive away. Wofa Yaw drew closer.

“Director, can you please spare me five minutes? I would like to discuss a small issue.”

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“Why, Wofa Yaw? Your wife has threatened to leave you?”

“No, Director. My wife will never leave me. This concerns a young niece of mine.”

“I hope it’s something I can help with. Please sit in the car and let me hear you.”

“Boss, my niece, Beesiwa, is a polytechnic graduate, very beautiful and with very good character.

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“Unfortunately, her parents virtually forced her into a relationship with an idiot based in the US, which affected her badly. She has now recovered from that experience and, Boss, I am respectfully asking if you would find a job for her.

“I promise you that you will never regret it.”

“Well, Wofa Yaw, let me meet her and speak with her. I may be able to help, maybe not in the way you expect, but let me meet her.

“I will not be back here for another week, but I will be at the office throughout next week. You can come with her.”

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On Monday morning, Wofa Yaw and Beesiwa were seated at the office by nine o’clock. Three young ladies welcomed them warmly, offered them soft drinks and assured them that Kakraba would be there shortly.

They then returned to their desks and sat behind computers with large screens displaying various building designs.

Kakraba walked in and greeted them warmly. After chatting briefly with the three ladies, he ushered Wofa Yaw and Beesiwa into his office.

“Director, this is my niece, Beesiwa. I mentioned her to you when you came to Nsawam.”

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“Yes, indeed. Madam Beesiwa, you are very beautiful, just as your uncle said. Wofa Yaw is my colleague.

“We have just started a building project that will take about three to four years. He mentioned that you have a small problem, so I said I would like to meet you and see how I can help.

“So, Beesiwa, please tell me a little about yourself.”

Beesiwa described her childhood, her school experience, her brief work at the bank and the nasty episode with Sammy Abrokwa, which shattered her peaceful life. She also explained how she had been recovering from the experience.

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“I am really sorry to hear this,” Kakraba said. “Now, here is what we are going to do.

“We are a small but very busy company. The three ladies out there spend most of the day on site and come back to report on their work in the morning.

“I have three main projects. The big one is an estate project in Nsawam, where your uncle is one of my main colleagues. I need a personal assistant who can take care of my activities, especially when I am not in town.

“Now, we will have to start with trust. Based on what I know about Wofa Yaw, and based on what you yourself have told me, I think we can start on a sound basis.

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“So, Wofa Yaw will take you to my home. You can move into one of the four guest rooms.”

“Sir, I have taken some computer lessons, and I have even done graphics and web design,” Beesiwa said.

“Fantastic! I will give you a good phone and a laptop. I will also arrange computer lessons for you.”

“Now, Wofa Yaw, take her home. My sister, Kuukuwa, will meet you and show you around, and then you can return to Koforidua.

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“When would you like to start work?”

“Sir, I would like to start today, but I would need to go and bring my things.”

“No problem. Take a taxi to my house, meet my sister, and let me know what you decide.”

Later that day, Kakraba and the three ladies met with some bank officials to conclude the sale of the three buildings at Adabraka.

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They closed at five-thirty and, after rewarding the ladies for their hard work, Kakraba got home just after dark.

He was surprised to find Kuukuwa and Beesiwa sitting at the table enjoying supper.

“What’s happening here?” he asked. “Beesiwa, I thought you would return to Koforidua.”

“She changed her mind,” Kuukuwa said. “We went to the mall and bought a few things for her. Then we came back to cook. She has made some nice changes to your bedroom and cooked a couple of interesting dishes. Sit down; we will serve you.”

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“Well, I certainly can’t refuse that. It’s been a busy day.

“So, what’s the plan now? Will Beesiwa go to Koforidua tomorrow, gather her things together and come down?”

“No, I will stay here for a while,” Beesiwa replied. “Kuukuwa bought me the things I need, so I may go back next week. I’m ready to start work. What would you like me to start with?”

“Well, you can come to the office tomorrow morning, meet the three girls and get a feel for what we do.

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“Since you are living here, at least for now, we can discuss the plans for the next few weeks.

“Sometimes there are gaps when I travel up north. You can take care of things from now. I think the girls would like having someone like you around.”

By Ekow de Heer

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The biological realities of breast excision – Part 1

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A frequent question following breast surgery is whether human tissue possesses the regenerative capacity to restore an excised organ.

From a strict physiological standpoint, a completely removed breast cannot regrow. Unlike certain organisms that can regenerate complex limbs or organs, adult human tissues—particularly specialised glandular structures—lack the cellular machinery required to rebuild an entire organ after its total surgical removal.

Instead, the body heals the surgical site through processes such as scar tissue formation and re-epithelialisation rather than complete cellular regeneration.

What a mastectomy actually removes

To understand why natural tissue regeneration does not occur, it is important to examine the surgical scope of a mastectomy.

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Depending on the type of procedure and the medical reason for surgery, a mastectomy may involve the removal of:

Glandular architecture: The milk-producing lobules and ducts that form the functional core of the mammary gland.

Adipose tissue: The fatty tissue that contributes to breast volume, projection and contour.

Other breast tissue: The extent of tissue removal varies according to the type of mastectomy and the need to achieve appropriate surgical clearance.

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Because specialised breast structures are physically removed, the body does not rebuild a complete mammary gland. Instead, healing occurs through tissue repair and scar formation.

Distinguishing residual tissue from “regrowth”

Patients or observers may notice changes in the chest area after surgery, sometimes leading to misconceptions about tissue regeneration.

Skin- and nipple-sparing procedures

Modern breast surgery may preserve the outer skin envelope or, in selected cases, the nipple-areola complex. Small amounts of breast tissue may remain depending on the surgical technique. Any changes in remaining tissue due to hormonal fluctuations represent residual tissue responding to the body, rather than the regrowth of a completely removed breast.

Adipose accumulation

Weight gain after surgery can increase the amount of subcutaneous fat across the chest wall. However, this is part of general body fat distribution and does not represent the regeneration of a mammary gland.

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Modern reconstructive pathways

Because a completely removed breast does not naturally regenerate, modern medicine offers reconstructive options aimed at restoring physical symmetry, contour and body image.

The two main approaches are implant-based reconstruction and autologous, or tissue-based, reconstruction.

Implant-based reconstruction

Implant-based reconstruction uses synthetic medical devices, typically filled with silicone gel or saline, to rebuild the breast mound following a mastectomy.

The two-stage process: This approach may begin with the placement of a temporary tissue expander to gradually create space and stretch the surrounding tissues. A later procedure may then be performed to place a permanent implant.

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Recovery profile: Implant-based reconstruction generally involves a shorter initial surgery and recovery period compared with procedures that require tissue to be harvested from another part of the body.

Long-term considerations: Breast implants are not lifetime devices and require ongoing medical monitoring. Some patients may need additional procedures over time because of complications or changes in the implant or surrounding tissue.

Autologous or tissue-based reconstruction

Autologous reconstruction uses the patient’s own living tissue to create a new breast mound. Tissue may be transferred from another part of the body, commonly the lower abdomen, using procedures such as a DIEP flap.

Natural look and feel: Because the reconstruction uses living tissue, it can provide a natural warmth, texture and softness. The tissue may also change with the patient’s body weight over time.

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Long-term durability: Once healing is complete, autologous reconstruction can provide a long-lasting result without the need to replace an implant. However, some patients may still require further procedures.

Complex surgery: This option usually involves a longer operation and recovery period. In microsurgical procedures, surgeons may need to reconnect tiny blood vessels to establish blood flow to the transferred tissue.

Direct comparison

When choosing between these two reconstructive pathways, patients and their surgical teams must consider several physical, medical and lifestyle factors.

Surgical burden: Implant surgery is generally less invasive, while flap reconstruction involves surgery at both the chest and the donor site.

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Foreign material versus native tissue: Implants involve the use of a medical device, while autologous reconstruction uses the patient’s own tissue.

Recovery: The recovery timelines and rehabilitation requirements differ significantly between the two procedures.

Recovery and physical rehabilitation

Recovering from breast reconstruction requires patience, careful pacing and, in some cases, structured physical rehabilitation.

Because implant-based and autologous tissue-flap procedures involve different surgical techniques, their healing timelines and physical therapy milestones can vary considerably.

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Understanding these differences is important for patients considering reconstruction, as the choice involves more than restoring physical appearance. It also requires careful consideration of recovery, long-term monitoring, lifestyle and individual medical needs.

Part 2 will examine recovery timelines, physical therapy milestones and other factors patients should consider when choosing between reconstructive options.

By Robert Ekow Grimmond-Thompson

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