scholarly journals Tuberculosis and Human Immunodeficiency Virus Co-Infection and Associated Factors at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia: A Four-Year Retrospective Study

2021 ◽  
Vol Volume 13 ◽  
pp. 293-299
Author(s):  
Adugnaw Alemu ◽  
Moges Wubie Aycheh ◽  
Tebelay Dilnessa
Anemia ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Wubet Worku Takele ◽  
Amare Tariku ◽  
Fasil Wagnew Shiferaw ◽  
Amare Demsie ◽  
Wondale Getinet Alemu ◽  
...  

Background. In Ethiopia, prenatal anemia is a major public health concern affecting both the health of the woman and babies. The World Health Organization recommends to conduct repeated prevalence studies concerning prenatal anemia . However, there is no recent evidence on the magnitude of the prenatal anemia. Therefore, the aim of this study was to determine the prevalence and the associated factors of prenatal anemia among women attending the Antenatal Care Clinic at the University of Gondar Referral Hospital.Methods. A facility-based cross-sectional quantitative study was conducted among 362 participants from June 03-July 08, 2017, at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. The systematic random sampling technique was employed. Structured interviewer administered questionnaire was used. Human Immunodeficiency Virus (HIV) screening was conducted. Nutritional status of the participants was assessed. Blood sample was collected by capillary tube . Intestinal parasite was examined by stool wet mount test. HIV serostatus was detected. Anemia was defined as hemoglobin concentration below 11 g/dl. The multivariable logistic regression model was employed to identify associated factors and to control the possible effects of confounders.Result. The prevalence of anemia was 22.2% (95% CI: 18.11, 27.1%). The highest odds of anemia were observed among pregnant women with family size of >five [AOR = 3 (95% CI: 1.03, 8.65)], unprotected water source users, [AOR = 4.09 (95% CI: 1.75, 9.55)], HIV infected [AOR = 2.94(95% CI: 1.37, 6.35)], and multigravida women [AOR = 3.5 (95% CI: 1.35, 9.17)].Conclusion and Recommendations. The prevalence of anemia among pregnant women attending the University of Gondar Referral Hospital was a moderate public health problem. Unprotected water source, large family size, Human Immunodeficiency Virus infection, and repeated pregnancies were factors that predicted anemia. Thus, prevention of Human Immunodeficiency Virus infection, family planning utilization, and accessing pure water are recommended.


2021 ◽  
Vol 9 ◽  
pp. 205031212198963
Author(s):  
Mengistu Zelalem Wale ◽  
Mengist Derbew ◽  
Melkamu Tilahun ◽  
Mesenbet Terefe

Introduction: Globally, it is estimated that 2.2 billion people have a visual impairment, of which around 65.2 million is due to cataract. Cataract is the leading cause of preventable blindness worldwide, with the greatest burden found in low-income countries. That is providing recent epidemiological data is very crucial to design intervention measures. The aim of this study was to assess the magnitude and associated factors of cataract among adults visiting ophthalmic clinic, Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2020. Methods: The sample size was calculated using single population formula and determined to be 174. All adult participants aged ⩾40 were the source population and those fulfilling the inclusion criteria were the study population. An institutional-based cross-sectional study design using a systematic random sampling technique was conducted from July to August, 2020. Semi-structured questionnaires and patients’ card were used to collect data. Data were entered into epi-data version 4.6 and the analysis was conducted using SPSS-25 software. Data were presented using graphs, tables and texts. Bivariable and multivariable binary logistic regression models were used to identify factors associated with cataract. Adjusted odds ratio with corresponding 95% confidence interval was computed to show the strength of association. A p-value < 0.05 was considered statistically significant. Result: From a total of 174 samples, 158 participated, giving a response rate of 90.8%. The prevalence of cataract was found to be 90 (57%). The variables—age 60–69 years (adjusted odds ratio = 6.667, 95% confidence interval: (1.662, 13.101)); age 70–79 years (adjusted odds ratio = 9.583, 95% confidence interval: (2.840, 32.342)), and single marital status (adjusted odds ratio = 2.945, 95% confidence interval: (1.241, 6.989))—had a significant association with cataract. Conclusion: The prevalence of cataract was found to be very high, which needs immediate intervention. Older age and single marital status were found to be significantly associated with cataract prevalence.


2021 ◽  
Author(s):  
Addisu Simachew ◽  
Dessalegn Haile ◽  
Bekele Tesfaye ◽  
Tiringo Kebede ◽  
Hiowt Nahusenay ◽  
...  

Abstract Background: - Bowel obstruction is a mechanical or functional obstruction of bowel that prevents the normal movements of products of digestions. Even if Treatment outcome of bowel obstruction varies from area to area, time to time, and also increasing age is significant factor of treatment outcomes of bowel obstruction. Outcome of bowel obstruction and associated factors on adults have been poorly explored in the previous Ethiopian study particularly in the study area. Objective: To assess prevalence and its associated factors of mortality after surgical treatment of bowel obstruction among adult patients at Debre Markos comprehensive specialized hospital, Northwest Ethiopia 2021 Methodology: - Institution based Cross sectional study design was used. A total 517 study participates was included by using consecutive sampling techniques from 23/02/2017 to 23/02/2021 at Debre Markos Comprehensive specialized Hospital. Data was collected from patient registration books and medical records available in the hospital by using checklists. Then data were entered to Epi data version 4.1 and exported to SPSS version 25 for analysis. A binary logistic regression model was fitted to identify factors associated with treatment outcome of bowel obstruction. P value less than 0.05 considered as significant in multivariable analysis Result: Among patients treated for bowel obstruction 70(13.5%) was died. Old age (>=55) ((AOR=3.70; 95% CI [1.02,3.39, p=0.046], Gangrenous large bowel (AOR 5.58; 95%CI [2.33, 3.36), p=0.0001].. prolonged hospital stay(AOR= 2.42; 95%CI [1.10, 5.55, p=0.043]). late presentation (AOR=2.84; 95% CI [1.33, 6.04]), comorbidity (AOR=3.79; 95%CI [(1.75, 8.21), p=0.001]), WBC(AOR=3.53 ;95% CI [(1.61, 7.70), P=0.002]). Low hemoglobin (AOR=3.50, 95%CI [(1, 62, 7.60), P=0.001]) was independent predicator of mortality.Conclusion: Mortality after surgical treatment of bowel obstruction were high and having gangrenous bowel, low hemoglobin level, late presentation, post-operative complications, leukocytosis and comorbidity was independent predicator of unfavorable outcomes. Give special care for patients treated with low hemoglobin, late presentation, having complications and leucocytosis. Create awareness to the public on advantage of early presentation to hospital.


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