Dilated cardiomyopathy in a child with hyper-immunoglobulin E syndrome

Hyper-immunoglobulin E syndrome is a rare primary immunodeficiency. We report a 6-year-old girl diagnosed with hyper immunoglobulin E syndrome and dilated cardiomyopathy. She presented with recurrent pneumonia and chronic eczema since infancy; onychomycosis, eosinophilia, high immunoglobulin E levels, previous treatment for severe infections and dilated cardiomyopathy. She was treated with diuretics, afterload reducers, inotropes, aspirin, steroids and antibiotics. Whether the cardiomyopathy is a co-incidental finding or a result of viral myocarditis due to the recurrent chest infections she had was difficult to conclusively determine

Evaluation of current and future water resources development in the Lake Tana Basin, Ethiopia

Lakes / Weirs / Environmental flows / Water resources development / Models / Ethiopia / Lake Tana Basin / Chara Chara Weir

Determinants of exclusive breastfeeding practices in Ethiopia

Background: Despite the demonstrated benefits of breast milk, the prevalence of breastfeeding, in-particular exclusive breastfeeding (EBF), in many developing countries including Ethiopia is lower than the international recommendation of EBF for the first six months of lifeObjective: To assess the practice of EBF and explore its determinants in Ethiopia and provide policy makers and NGOs with relevant information for future planning and interventions.Methods: Raw data collected from nine regions and two city administrations using stratified cluster sampling method by the Ethiopian Demographic Health Survey (EDHS) 2005 were used to study the practice and determinants of EBF countrywide. Analysis was based on children whose age was less than six months and alive at the time of interviewthat was extracted from the women’s database.Results: The overall rates of exclusive and full breastfeeding were 49.0% and 68.2% respectively. Maternal education, marital status, wealth index and age of the child were closely associated with EBF practices, nonetheless, in the hierarchical analysis; being not married, middle/ richer/ richest wealth index, and child age 0-1and 2-3 month wereretained as the predictors of EBF (

Utilization of antenatal care services among teenagers in Ethiopia: A cross sectional study

Background: Teenaged women suffer from a disproportionate share of reproductive health problem. The purpose of this study was to estimate the utilization of antenatal care (ANC) services among teenagers (13-19 years) during delivery in Ethiopia.Methodology: Raw data collected from all part of the country on child bearing aged women using stratified cluster sampling method by the Ethiopian Demographic Health Survey 2005 was used. From the large dataset of women, a total of 994 teenage women at the time of their most recent childbirth five years prior to the survey was selected andanalyzed. Both bivariate and multivariate analyses were performed to determine the differentials of ANC by explanatory variables.Result: Most (60%) of the subjects were in the age group between 18 and 19 years. The vast majority (90%) was from the rural settings and most (87%) were in marital union. Almost three out of four (72.4%) of those who had given birth has no any form of formal education. Over a quarter (27.3%) of most recent childbirths had at least one ANC service, of this, 21% had started their first antenatal visit in the first trimester of pregnancy. The majority (80.4%) of the women who attended ANC delivered at home without being assisted. The major deriving factors forthe utilization of ANC service were education level of women and their male partners, better wealth index and urban residence.Conclusion: Education of partners, rich wealth index and urban residence seemed to encourage teenagers to utilize ANC. Appropriate interventions targeting teenaged women with poor socioeconomic status is recommended with more emphasis on the rural underserved segment of population

Determinants of adolescent fertility in Ethiopia

Background: Worldwide, adolescents suffer from a disproportionate share of reproductive health problem. Throughout the world, over 14 million adolescents aged 15-19 years give birth annually. The purpose of this study was to assess the level and identify proximate and other determinants of adolescent fertility in Ethiopia.Methods: Raw data collected from all part of the country using stratified cluster sampling method by the Ethiopian Demographic Health Survey 2005 (EDHS-2005) was used. After the data for adolescents aged from 15 to 19 years were extracted from the large data set, Multivariate logistic regression model was applied to identify sociodemographic and economic determinants whereas Bongaarts model was used to determine proximate determinants fertility.Results: Of the 3,266 adolescent women, 443 (13.6%) had given birth at least once prior to the survey and 133 (4.1%) were pregnant. Of the 443 adolescents who had at least given birth, the majority (72.7%) had one child while about a quarter (23.2%) had 2 live births and the rest 1.0% gave four live births with a mean number of child ever born of 1.33±0.6. The major factors associated with adolescent fertility were age, educational status, place of residence, employment, marriage, contraceptive use and postpartum infecundability. The odds for increased adolescent fertility was significantly higher in early adolescents (AOR=7.6; 95% CI=6.0 to 9.9), had lower education (AOR=6.7; 95%CI=4.1 to10.9), among rural teens (AOR=3.6; 95%CI=1.9 to 6.9) and currently not working (AOR=1.7; 95%CI= 1.3 to 2.2) than their counterparts. The observed fertility rate of 0.52 children per woman obtained from Bongaarts model of fertility indicated about 1.98 births per woman were averted due to non-marriage, delayed marriage, contraceptive use and postpartum infecundability.Conclusion: Since adolescent fertility is felt to be a problem, concerted efforts are needed to empower adolescents to fight early marriage, promote education and encourage the utilization of family planning targeting the rural teenagers. [Ethiop. J. Health Dev. 2010;24(1):30-38

Prevalence of mental distress and associated factors among Samara university students, Northeast Ethiopia

Background. Empirical findings have indicated that higher institution students experience a higher prevalence of mental distress compared to the general population. Understanding the magnitude and associated factors of mental distress in university students would be helpful to practitioners and policymakers in Ethiopia. The aim of the present study was to examine the prevalence and associated factors of mental distress among Samara university students, Northeast Ethiopia. Methods. Institution based cross-sectional study design was conducted in Samara university from December to June 2018. A simple random sampling technique was employed to select the study participants. Self-Reporting Questionnaire-20 (SRQ-20) was used to measure the mental distress of students. Multivariable logistic regression modeling was used to examine the association between sociodemographic and psychosocial factors with the mental distress of students. Results. The proportion of students with mental distress were found to be 53.2% (95% confidence interval [CI]: 48.0%, 58.0%). Female students were more likely to be mentally distressed compared to male students (adjusted odds ratio [AOR]: 4.66; 95% CI: 2.81, 7.71). Ever khat use (AOR: 3.09; 95% CI: 1.74, 5.50) and poor sleep quality (AOR: 2.23; 95% CI: 1.12, 3.66) were significantly associated with mental distress of students. Conclusion. Our study indicates that the proportion of mental distress was found to be higher among Samara university students as compared to previously published studies in Ethiopia. Female students, ever khat users and those with poor sleep quality were associated with mental distress. There is a need for evidence-based interventional strategies such as self-help measures, sleep hygiene and peer support, as well as professional mental health services as part of student health services that would be helpful to reduce the burden of mental distress of students

Household Fertilizers Use and Soil Fertility Management Practices in Vegetable Crops Production: The Case of Central Rift Valley of Ethiopia

Large areas of farms are covered by variety of vegetable crops in the Central Rift Valley of Ethiopia. With a view to improve current vegetable production fertilizer use efficiency, survey has been conducted through collections of baseline information to describe household fertilizer uses and soil fertility management in vegetable production system using descriptive statistics. Multistage samplings were made to select  representative growers in the six districts of East Showa zone. Based on field observations and group discussions, vegetable growers grouped their farm land into four local categories. The survey revealed that tomato growers apply variable rates of urea and DAP fertilizers for tomato cultivation. Survey results indicated that highest 43.61% of onion growers apply 200 kg of DAP fertilizer on their onion field, while 30.85% of growers apply 300 kg DAP per ha, another 39.35% apply, 400 kg and above DAPfertilizer, still 8.5% of onion growers apply 600 kg DAP fertilizer on their onion farm. This survey indicated that fertilizers were not wisely used in the vegetable crops production systems and the applications are in excess rate, which could leads to pollution of the environment from over dose application and from runoff in to the water bodies and leaching in to the ground water with economic loss. Most of the tomato and onion growers use three splits application of UREA and DAP mainly at transplanting, at first and second cultivation for both crops as top-dressing. The survey results indicated that 54.44% of onion growers apply an average of 230.35 kg ha-1 DAP at transplanting, while 46.53% apply an average of 188.29kg ha-1 DAP at second split application, and finally 17.82% apply an  average of 119.44 kg ha-1 DAP at last third split applications. This is the first document come across that vegetable growers in the CRV area apply DAP fertilizer as much as three splits. This indicates that there are no  systems of updating of frontline development workers; poor extension services with shallow development workers knowledge made the growers totally depend on their own innovations for vegetable production

Irrigation Water Management Practices in Smallholder Vegetable Crops Production: The Case of the Central Rift Valley of Ethiopia

Smallholder irrigated vegetable production in the Central Rift Valley region of Ethiopia is instrumental in ensuring the year-round availability of fresh vegetables in the local market in the country. However, a number of  problems constrain irrigated vegetable production in the region. Therefore, asurvey was conducted with the objectives of assessing smallholder  irrigated vegetable production practices and identifying factors associated with problems of irrigation water management. The survey was conducted in December 2011. A multistage purposive sampling procedure was  employed to select sample districts, peasant associations, and sample respondents that grew vegetables using small-scale irrigation. Key  informants were interviewed and group discussions were conducted with smallholder vegetable farmers. Data were collected on household irrigation knowledge, experiences, skills, irrigation water sources as well as on  irrigation water management practices such as methods, time, depth and frequency of irrigation. Data were also collected on supplemental irrigation practices under rain-fed vegetable production. In addition, household perceptions on the environmental impacts of irrigation, on-farm irrigation water related challenges, and related information were also recorded. About 16.5% of the respondents indicated that their knowledge and skills on irrigation water management practices were mainly drawn from experiences of trial and error.About 38.1% of the respondents indicated that they  irrigated their vegetable fields both in the morning and the afternoon  whereas 35.1% replied that they irrigated only in the afternoon. A large number of the respondents (89.6%) replied that they determined irrigation intervals based on specific crop needs. About 90.9% of the respondents replied that they applied enough irrigation water up to the point where the water level reached the furrow basin head. The survey result also indicated that 51.7% of the respondents practiced supplemental irrigation when shortage of moisture occurred in the soil during the rainy season as well at the end of the rainy season. One hundred percent of the respondents replied that they faced problems commonly related with the use of  irrigation, namely, soil salinity, waterlogging, soil erosion and degradation, sedimentation, and build-up of pests and diseases. In conclusion, the survey results revealed that extension services on irrigation water  management were almost non-existent, and the smallholder vegetable farmers managed irrigation water merely by intuition.Therefore,  participatory on-farm irrigation research and extension on irrigation water management practices should be formulated to generate appropriate technologies for enhanced and sustainable irrigated vegetable production in the region

Community knowledge, attitude and practice on rabies, incidence in humans and animals and risk factors to rabies in selected districts of Tigray Region, Ethiopia

Community awareness and assessing the trend of suspected rabies cases play a significant role in preventing its fatality. Therefore, a cross-sectional study design was employed (October 2016 - April 2017) to assess community knowledge, attitude and practice (KAP), and Incidence and risk factors to rabies (human and animal) in the study area. A semi-structured questionnaire was employed to collect required information from 1440 study participants. Retrospective data of five-year (2012-2016) from hospitals and health centers (human cases), and veterinary clinics (animal cases) was used. Majority of the study participants (64.3%) were rural residents, 95.2% have heard about rabies and 50.1% were found dog owners. Among the study participants, 72.2%, 66.0%, and 62.4% have a good level of knowledge, attitude, and practices about rabies, respectively. A strong association between knowledge, attitude and practice with sex; educational level; occupation, dog ownership and rural/urban dwellers (p<0.05) was recorded. Furthermore, a total dog bite cases of 398 domestic animals and 4617 humans were found registered on casebooks of both veterinary and human health service centers of the study districts during the five years study period among which the highest percentage (36.4%) was recorded from canines. The highest anti-rabies vaccine coverage recorded was 36.0% in the year 2016, and higher human dog bite cases recorded was 50.1% on individuals aged between 5-15 years (both male and female). Hence, the current findings suggest that there is a need for coordinated and integrated effort of government, professionals (medical and veterinarians), community and other stake holders towards rabies control and prevention.Keywords: Animal, Human, Tigray, Rabies, Statu

Removal of lead(II) ions from aqueous solutions using activated carbon from Militia ferruginea plant leaves

The adsorption of lead(II) on to activated carbon developed from an indigenous Ethiopian medicinal plant leaves namely Birbira (Militia ferruginea) was investigated to assess the possible use of this adsorbent. The influences of contact time, adsorbent dose, Pb(II) concentration, pH and temperature on adsorption were investigated. The maximum adsorption took place at 3 h. at a dose of 4.0 g of adsorbent, and 97.3 % of Pb2+ adsorption at pH of 4.0. The amount of lead ion adsorbed per gram of the adsorbent increased with decreasing concentration of Pb2+. The percentage of adsorption had increased with the increasing temperature. The positive value of ∆H indicated that the adsorption of lead ions on the adsorbent was an endothermic process. The values of free energy (∆G) were negative as expected for a spontaneous process. The decrease in ∆G value with increasing temperature revealed that adsorption of the ion on the adsorbent became favorable at a higher temperature. The calculated value of ∆H was 25.05 kJ mol–1, ∆S was 135.48 JK-1 mol-1 and ∆G was also calculated for each temperature. The two theoretical adsorption isotherms, namely, Langmuir and Freundlich were used to describe the experimental results. The Freundlich adsorption isotherm best fits and adsorption capacity was calculated to be 3.3 mg of Pb(II) per g of adsorbent. The adsorption followed the first order kinetics and was found to be pH dependent being maximum at pH 4.0. The pH effect and desorption studies showed that ion exchange mechanism might be involved in the adsorption process. Reuse of the desorbed bio-adsorbent is possible. The effect of foreign ions on the removal of Pb(II) has been investigated. The removal of Pb(II) from industrial wastewater sample was also tested and showed that more than 97 % removal was possible. The results showed that activated carbon prepared from Birbira (Militia ferruginea) leaves could be used for the removal of Pb(II) from wastewater. KEY WORDS: Industrial wastewater, Lead removal, Adsorbent, Militia ferruginea  Bull. Chem. Soc. Ethiop. 2008, 22(3), 349-360