scholarly journals Prevalence of preoperative hypertension and its intraoperative anesthetic management among patients undergoing elective surgery at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia

2019 ◽  
Vol 11 (2) ◽  
pp. 11-19
Author(s):  
Mengistu Kurabachew ◽  
Geleta Dereje
Keyword(s):  
Elective Surgery ◽  
Anesthetic Management ◽  
Southern Ethiopia ◽  
Specialized Hospital ◽  
Hawassa University

scholarly journals Improving surgical informed consent in obstetric and gynaecologic surgeries in a teaching hospital in Ethiopia: A before and after study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023408 ◽  
Author(s):  
Million Teshome ◽  
Zenebe Wolde ◽  
Abel Gedefaw ◽  
Anteneh Asefa
Keyword(s):  
Informed Consent ◽  
Elective Surgery ◽  
Post Intervention ◽  
Sustained Improvement ◽  
Poisson Regression Analysis ◽  
Specialized Hospital ◽  
Need To Evaluate ◽  
Before And After ◽  
Before And After Study ◽  
Hawassa University

ObjectivesEven though surgical informed consent (SIC) has marked benefits, in many settings the information is not provided appropriately. In Ethiopia, minimal attention is given to SIC. This study assesses whether an intervention designed to improve SIC in obstetric and gynaecologic surgeries is associated with receipt of SIC components.DesignPre-intervention and post-intervention surveys were conducted at Hawassa University Comprehensive Specialized Hospital among women who underwent obstetric or gynaecologic surgeries. The intervention consisted of a 3-day training on standard counselling for surgical procedures offered to health professionals. A total of 457 women were surveyed (230 pre-intervention, 227 post-intervention). An adjusted Poisson regression analysis was used to identify the association between the intervention and the number of SIC components received.ResultsThe majority of participants were 25–34 years of age in both the pre-intervention and post-intervention groups (p=0.66). 45.7% of the pre-intervention and 51.5% of the post-intervention survey participants underwent elective surgery (p=0.21). Additionally, 70.4% of pre-intervention survey participants received counselling immediately before surgery, compared with 62.4% of post-intervention participants (p<0.001). 5.7% of pre-intervention and 6.6% of post-intervention participants reported the belief that SIC consists entirely of signing on a piece of paper (p=0.66). After controlling for effects of potential confounders, the number of SIC components reported by post-intervention survey participants was 16% higher than what is received by pre-intervention ones (adjusted coefficient=1.16 (1.06–1.28)). Having elective versus emergency surgery was not associated with the number of components received by participants in either group (adjusted coefficient=0.98 (0.88–1.09)).ConclusionTraining on the delivery of standard SIC is associated with receipt of a higher number of standard counselling components. However, there is a need to evaluate whether a one-time intervention leads to sustained improvement. A system-wide study of factors that promote SIC is required.

MAGINITUDE AND ASSOCIATED FACTORS OF DEPRESSION AMONG HYPERTENSIVE PATIENTS ATTENDING TREATMENT FOLLOW UP IN CHRONIC OPD AT HAWASSA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, HAWASSA, SOUTHERN ETHIOPIA

2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
Bedilu Deribe ◽  
Mintesnot Abeto
Keyword(s):  
Clinical Outcome ◽  
Information Dissemination ◽  
Behavioral Therapy ◽  
Educational Status ◽  
Southern Ethiopia ◽  
Good Clinical Outcome ◽  
Hypertensive Patients ◽  
Specialized Hospital ◽  
Hawassa University

Abstract ABSTRACT Objective: The aim of this study was to assess the magnitude and factors associated with depression among Hypertensive patients attending treatment follow up in chronic OPD at Hawassa University comprehensive Specialized Hospital (HUCSH) from March to May, 2019. Result: The magnitudes of depression among Hypertension (HPN) patients were found to be 73 (24.7%). The independent predictors were Sex 2.6(1.16, 5.83), Age 11.2(2.98, 42), educational status, Social support 2.55 (1.09, 5.94), family history of depression 7.12(1.48, 34.26), hypertension 7.57(2.67, 21.44) and medication adherence 11.6(4.23, 31.78). So, continuous health information dissemination at different level regard to factors affecting them should be given. Strengthen a referral linkage with psychiatric unit for psycho behavioral therapy will bring good clinical outcome. Besides, controlling hypertension was crucial to bring good clinical outcome. Key words: depression, magnitude, associate factor, patient health questionnaire (PHQ-9).

MEDICATION ADHERANCE AND ITS ASSOCIATED FACTORS AMONG DIABETES PATIENTS HAVING FOLLOW UP IN DIABETIC CLINIC AT HAWASSA UNIVERSITY COMPRENSIVE SPECIALIZED HOSPITAL.

2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
ZEWDE OLTAYE OCHE
Keyword(s):  
Social Support ◽  
Medication Adherence ◽  
Associated Factors ◽  
Information Provision ◽  
Southern Ethiopia ◽  
Dietary Regimen ◽  
Duration Of Illness ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Abstract Objective:-To assess the magnitude of medication adherence and its associated factors among diabetic patient in diabetic (DM) clinic, Southern Ethiopia, 2019. Result: The magnitude of medication adherence among Diabetes was found to be 58.8%. The independent predictors were social support AOR 95%CI 3.2(1.28, 4.93), dietary regimen AOR 95% CI 2.45(1.37, 4.35) and duration of illness AOR 95% CI 1.52 (1.32, 2.12). Health information provision for the patients as well as for the community through different means of communication should be essential to increase the medication adherence and social support to bring the good clinical outcome. Key words: Magnitude, medication adherence, Diabetes, MMAS.

scholarly journals Late Diagnosis of Breast Cancer and Associated Factors Among Women Attending Hawassa University Comprehensive and Specialized Hospital Southern Ethiopia

2021 ◽  
Author(s):  
Mesay Yoseph ◽  
Achamyelesh Gebresadik ◽  
Akalewold Alemayehu
Keyword(s):  
Breast Cancer ◽  
Late Stage ◽  
Associated Factors ◽  
Breast Biopsy ◽  
Late Diagnosis ◽  
Sub Saharan Africa ◽  
Public Health Issue ◽  
Southern Ethiopia ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Background; Breast cancer is a significant public health issue in sub-Saharan Africa and the second commonest cancer overall. In Ethiopia, most women present at the late-stage presentation. This is because Ethiopian government gives less attention, and is not well-studied as well. Therefore, it is important to assess delays in diagnosis and treating breast cancer that has been associated with a more advanced stage of the disease and a decrease in patient survival rates.Objective: To assess the magnitude and associated factors for late diagnosis of breast cancer among women attending Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. Methodology: A facility-based cross-sectional study was conducted from December to January 2019. Data were collected from 261 consecutively selected clients based on the arrival of their hospital visit by using a pretested structured questionnaire and checklist. Physicians performed physical examinations and diagnoses. Data was checked for completeness and consistency, and entered into epi data, then exported to SPSS for analysis. Descriptive, Bivariate, and multivariable logistic regression analyses were performed using SPSS Version 25 Statistical Software.Results: The magnitude of late diagnosis of breast cancer was 86.3%. The woman who had no initial advice for breast biopsy [AOR=5.1, 95% (CI=1.4-18.9)], not sharing the problem to others [AOR=4.7, 95% (CI=1.8-12.2)] and using traditional and faith healers as a first treatment choice [AOR=3.3, 95% (CI=1.2 - 8.8)] were associated with late diagnosis of breast cancer.Conclusions: The majority of women having breast cancer were diagnosed at a late stage. It needs attention to provide better options of the modern health service, and providing accessible initial advice for breast biopsy, and creating awareness about the benefit of sharing problems with family to improve the health of mothers by early diagnosing and managing the breast cancer.

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