Why International Pressure Is Not Helping End Violence in Ethiopia

Source at https://theglobalobservatory.org/2021/07/why-international-pressure-is-not-helping-end-violence-in-ethiopia/. Eight months into the conflict in the Tigray region of Ethiopia, it’s estimated that thousands are dead, 1.7 million are displaced, and hundreds of thousands are living in famine conditions. Despite intense pressure and punitive measures, the international response—led mainly by the United States (US) and the European Union (EU)—is not helping. Some critics have labeled the response a mistake. Others fear that it may be counterproductive and destabilize Ethiopia and the region

Ethnicity, Belonging and Identity among the Eastern Gurage of Ethiopia

In this paper, I will analyse a case of ethnic transformation in post-1991 Ethiopia based on an ethnographic study of the Eastern Gurage. The case represents an ethnic setting where the conventional conceptualization of ethnicity in terms of a notion of origin undermines the diversities expressed in various forms of category and boundary formations. The ethnic setting does not also fall into, but combines, the commonplace dichotomization of primordialist versus constructivist notion of ethnicity. Not only by taking Barth’s (1969) formalist anthropological conception of ethnicity as boundary formation, but also suggesting my own analytical distinction, I will attempt to account for the various forms of ethnicities particularly those based on clanship, locality, Islam and state’s categorization. In this regard, I have introduced a distinction between the concepts of identity and belonging in order to explain the different forms of social and political classifications, ideologies and power relationships that are often treated as implying a single phenomenon, i.e. identity formation

Participatory Barley Variety Selection and Farmers’ Selection Criteria in the Bale Highlands of Southeastern Ethiopia

The aim of the study was to identify farmers’ selection criteria, preferences and generate baseline information on the importance of participatory  barley breeding in Southeastern part of Ethiopia. The experiment was  conducted in non-replicated plots at each location on plot size of 16m2 in 2007 Bona and on 25m2 in 2008 Ganna and Bona cropping seasons. Yield data was taken in kg plot-1 and converted in to t ha-1 .Selection criteria was set together with farmers; and ranked by farmers and breeders. Farmers and breeders made visual score of each plot on 1-5 scale beside variety selection. Some farmers were supported by the staff in case of datarecording problem. The result showed that grain yield, disease resistance, effective tillers, early maturity and kernel size (plumpness) were among the most important selection criteria commonly used farmers. While, breeders preferred high yielding variety with insect and disease resistant and early maturing types. And farmers were able to identify the higher yielding barley varieties as breeders. Varieties such as Guta, Dinsho, Biftu and Abdane were selected as the best varieties preferred by most of the local farmers across locations except at Hora Soba (Upper Dinsho) site. Shage, Dimtu varieties and 27th IBON 73/99 (semi-dwarf advanced line) were preferred by the Hora Soba local farmers. Thus, attention should be given to seed multiplication and dissemination of barley varieties which have been highly preferred by the local farmers. It is important to consider farmers preferences in crop improvement to improve the adoption of  agricultural technologies which ultimately have significant contribution in production and productivity

Why do people not attend for treatment for trachomatous trichiasis in Ethiopia? A study of barriers to surgery.

BACKGROUND: Trachomatous trichiasis (TT) surgery is provided free or subsidised in most trachoma endemic settings. However, only 18-66% of TT patients attend for surgery. This study analyses barriers to attendance among TT patients in Ethiopia, the country with the highest prevalence of TT in the world. METHODOLOGY/PRINCIPAL FINDINGS: Participants with previously un-operated TT were recruited at 17 surgical outreach campaigns in Amhara Region, Ethiopia. An interview was conducted to ascertain why they had not attended for surgery previously. A trachoma eye examination was performed by an ophthalmologist. 2591 consecutive individuals were interviewed. The most frequently cited barriers to previous attendance for surgery were lack of time (45.3%), financial constraints (42.9%) and lack of an escort (35.5% in females, 19.6% in males). Women were more likely to report a fear of surgery (7.7% vs 3.2%, p<0.001) or be unaware of how to access services (4.5% vs 1.0% p<0.001); men were more frequently asymptomatic (19.6% vs 10.1%, p<0.001). Women were also less likely to have been previously offered TT surgery than men (OR = 0.70, 95%CI 0.53-0.94). CONCLUSIONS/SIGNIFICANCE: The major barriers to accessing surgery from the patients' perspective are the direct and indirect costs of surgery. These can to a large extent be reduced or overcome through the provision of free or low cost surgery at the community level. TRIAL REGISTRATION: ClinicalTrials.gov NCT00522860 and NCT00522912

Sensor‐mediated granular sludge reactor for nitrogen removal and reduced aeration demand using a dilute wastewater

A sensor‐mediated strategy was applied to a laboratory‐scale granular sludge reactor (GSR) to demonstrate that energy‐efficient inorganic nitrogen removal is possible with a dilute mainstream wastewater. The GSR was fed a dilute wastewater designed to simulate an A‐stage mainstream anaerobic treatment process. DO, pH, and ammonia/nitrate sensors measured water quality as part of a real‐time control strategy that resulted in low‐energy nitrogen removal. At a low COD (0.2 kg m−3 day−1) and ammonia (0.1 kg‐N m−3 day−1) load, the average degree of ammonia oxidation was 86.2 ± 3.2% and total inorganic nitrogen removal was 56.7 ± 2.9% over the entire reactor operation. Aeration was controlled using a DO setpoint, with and without residual ammonia control. Under both strategies, maintaining a low bulk oxygen level (0.5 mg/L) and alternating aerobic/anoxic cycles resulted in a higher level of nitrite accumulation and supported shortcut inorganic nitrogen removal by suppressing nitrite oxidizing bacteria. Furthermore, coupling a DO setpoint aeration strategy with residual ammonia control resulted in more stable nitritation and improved aeration efficiency. The results show that sensor‐mediated controls, especially coupled with a DO setpoint and residual ammonia controls, are beneficial for maintaining stable aerobic granular sludge.Practitioner pointsTight sensor‐mediated aeration control is need for better PN/A.Low DO intermittent aeration with minimum ammonium residual results in a stable N removal.Low DO aeration results in a stable NOB suppression.Using sensor‐mediated aeration control in a granular sludge reactor reduces aeration cost.Multiple metabolic pathways and competition for nitrite exist in the treatment of anaerobically pretreated mainstream wastewater using a granular sludge reactor.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155879/1/wer1296_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155879/2/wer1296.pd

Laser Spectroscopy for Atmospheric and Environmental Sensing

Lasers and laser spectroscopic techniques have been extensively used in several applications since their advent, and the subject has been reviewed extensively in the last several decades. This review is focused on three areas of laser spectroscopic applications in atmospheric and environmental sensing; namely laser-induced fluorescence (LIF), cavity ring-down spectroscopy (CRDS), and photoluminescence (PL) techniques used in the detection of solids, liquids, aerosols, trace gases, and volatile organic compounds (VOCs)

Predictors of Trachomatous Trichiasis Surgery Outcome.

PURPOSE: Unfavorable outcomes after trachomatous trichiasis (TT) surgery are undermining the global trachoma elimination effort. This analysis investigates predictors of postoperative TT (PTT), eyelid contour abnormalities (ECAs), and granuloma in the 2 most common TT surgery procedures: posterior lamellar tarsal rotation (PLTR) and bilamellar tarsal rotation (BLTR). DESIGN: Secondary data analysis from a randomized, controlled, single-masked clinical trial. PARTICIPANTS: A total of 1000 patients with TT, with lashes touching the eye or evidence of epilation, in association with tarsal conjunctival scarring. METHODS: Participants were randomly allocated and received BLTR (n = 501) or PLTR (n = 499) surgery. Disease severity at baseline, surgical incisions, sutures, and corrections were graded during and immediately after surgery. Participants were examined at 6 and 12 months by assessors masked to allocation. MAIN OUTCOME MEASURES: Predictors of PTT, ECA, and granuloma. RESULTS: Data were available for 992 (99.2%) trial participants (496 in each arm). There was strong evidence that performing more peripheral dissection with scissors in PLTR (odd ratio [OR], 0.70; 95% confidence interval [CI], 0.54-0.91; P = 0.008) and BLTR (OR, 0.83; 95% CI, 0.72-0.96; P = 0.01) independently protected against PTT. Baseline major trichiasis and mixed location lashes and immediate postoperative central undercorrection independently predicted PTT in both surgical procedures. Peripheral lashes in PLTR (OR, 5.91; 95% CI, 1.48-23.5; P = 0.01) and external central incision height ≥4 mm in BLTR (OR, 2.89; 95% CI, 1.55-5.41; P = 0.001) were independently associated with PTT. Suture interval asymmetry of >2 mm (OR, 3.18; 95% CI, 1.31-7.70; P = 0.01) in PLTR and baseline conjunctival scarring in BLTR (OR, 1.72; 95% CI, 1.06-2.81; P = 0.03) were independently associated with ECA. Older age was independently associated with ECA in both PLTR (P value for trend < 0.0001) and BLTR (P value for trend = 0.03). There was substantial intersurgeon variability in ECA rates for both PLTR (range, 19.0%-36.2%) and BLTR (range, 6.1%-28.7%) procedures. In PLTR surgery, irregular posterior lamellar incision at the center of the eyelid (OR, 6.72; 95% CI, 1.55-29.04; P = 0.01) and ECA (OR, 3.08; 95% CI, 1.37-6.94; P = 0.007) resulted in granuloma formation. CONCLUSIONS: Poor postoperative outcomes in TT surgery were associated with inadequate peripheral dissection, irregular incision, asymmetric suture position and tension, inadequate correction, and lash location. Addressing these will improve TT surgical outcomes

Linear growth in preschool children treated with mass azithromycin distributions for trachoma: A cluster-randomized trial.

BackgroundMass azithromycin distributions have been shown to reduce mortality among pre-school children in sub-Saharan Africa. It is unclear what mediates this mortality reduction, but one possibility is that antibiotics function as growth promoters for young children.Methods and findings24 rural Ethiopian communities that had received biannual mass azithromycin distributions over the previous four years were enrolled in a parallel-group, cluster-randomized trial. Communities were randomized in a 1:1 ratio to either continuation of biannual oral azithromycin (20mg/kg for children, 1 g for adults) or to no programmatic antibiotics over the 36 months of the study period. All community members 6 months and older were eligible for the intervention. The primary outcome was ocular chlamydia; height and weight were measured as secondary outcomes on children less than 60 months of age at months 12 and 36. Study participants were not masked; anthropometrists were not informed of the treatment allocation. Anthropometric measurements were collected for 282 children aged 0-36 months at the month 12 assessment and 455 children aged 0-59 months at the month 36 assessment, including 207 children who had measurements at both time points. After adjusting for age and sex, children were slightly but not significantly taller in the biannually treated communities (84.0 cm, 95%CI 83.2-84.8, in the azithromycin-treated communities vs. 83.7 cm, 95%CI 82.9-84.5, in the untreated communities; mean difference 0.31 cm, 95%CI -0.85 to 1.47, P = 0.60). No adverse events were reported.ConclusionsPeriodic mass azithromycin distributions for trachoma did not demonstrate a strong impact on childhood growth.Trial registrationThe TANA II trial was registered on clinicaltrials.gov #NCT01202331

The Impact of Trachomatous Trichiasis on Quality of Life: A Case Control Study.

BACKGROUND: Trachomatous trichiasis is thought to have a profound effect on quality of life (QoL), however, there is little research in this area. We measured vision and health-related QoL in a case-control study in Amhara Region, Ethiopia. METHODOLOGY/PRINCIPAL FINDINGS: We recruited 1000 adult trichiasis cases and 200 trichiasis-free controls, matched to every fifth trichiasis case on age (+/- two years), sex and location. Vision-related quality of life (VRQoL) and health-related quality of life (HRQoL) were measured using the WHO/PBD-VF20 and WHOQOL-BREF questionnaires. Comparisons were made using linear regression adjusted for age, sex and socioeconomic status. Trichiasis cases had substantially lower VRQoL than controls on all subscales (overall eyesight, visual symptom, general functioning and psychosocial, p<0.0001), even in the sub-group with normal vision (p<0.0001). Lower VRQoL scores in cases were associated with longer trichiasis duration, central corneal opacity, visual impairment and poor contrast sensitivity. Trichiasis cases had lower HRQoL in all domains (Physical-health, Psychological, Social, Environment, p<0.0001), lower overall QoL (mean, 34.5 v 64.6; p<0.0001) and overall health satisfaction (mean, 38.2 v 71.7; p<0.0001). This association persisted in a sub-group analysis of cases and controls with normal vision. Not having a marriage partner (p<0.0001), visual impairment (p = 0.0068), daily labouring (p<0.0001), presence of other health problems (p = 0.0018) and low self-rated wealth (p<0.0001) were independently associated with lower overall QoL scores in cases. Among cases, trichiasis caused 596 (59%) to feel embarrassed, 913 (91.3%) to worry they may lose their remaining eyesight and 681 (68.1%) to have sleep disturbance. CONCLUSIONS/SIGNIFICANCE: Trachomatous trichiasis substantially reduces vision and health related QoL and is disabling, even without visual impairment. Prompt trichiasis intervention is needed both to prevent vision loss and to alleviate physical and psychological suffering, social exclusion and improve overall well-being. Implementation of the full SAFE strategy is needed to prevent the development of trachomatous trichiasis