Institutions, sustainable land use and consumer welfare: the case of forest and grazing lands in northern Ethiopia

Land is an essential factor of production. Institutions that govern its efficient use determine the sustainability of this essential resource. In Ethiopia all land is publicly owned. Such an institutional setting is said to have resulted in the major degradation of Ethiopia's land resources and dissipation of the resource rent. An alternative to this is assigning a private property institution. In this paper, we examine the consumer welfare effects of a change in the institutional setting on communal forest and grazing lands, using a cross-section data set of 200 households in Northern Ethiopia. Findings suggest that changing the current institutional setting could indeed be welfare reducin

Determinants of Dietary Adequacy Among School Age Children in Guraghe Zone, Southern Ethiopia

Dietary diversity (DD) is a validated proxy indicator of micronutrient adequacy among different age groups including infants, children and women. This study assessed level of dietary adequacy and its associated factors among school age children in Guraghe Zone, Ethiopia. Survey was conducted among 769 children aged 6 to 12 years of with their care givers using multistage sampling method. Data were collected by using structured questionnaire containing the ten food groups for minimum dietary diversity for women and other parts. Adequate dietary diversity was categorized those children who consume at least five food groups. Bivariate and multivariable binary logistic regression with odds ratios (95% CI) was computed. Overall 769 children were included in the study, with a mean age of 8 years. The mean dietary diversity score was 4.9 (±1.42). About 444 (58.3%) had an inadequate dietary diversity. Those children from extended family size had 1.3 times to have inadequate DD level (AOR=1.3). Children from female headed households, did not attend formal education had 1.3 and 1.4 times higher odds of having an inadequate DD level (AOR=1.3 and 1.4). Similarly, children living with uneducated caregiver had six fold more likely to have an adequate DD level (AOR=6.7). The dietary diversity of children in the study area was below average. Household head, caregiver\u27s educational status, occupation of the household head, father/female headed household and family size were found to be associated with DD score. There should be awareness creation through existing Health extension platform and back yard vegetation should be improved

Thoracic empyema: Cause and Treatment Outcome at Gondar University Teaching Hospital, Northwest Ethiopia

Background: Despite improved antimicrobial therapy and multiple options for drainage of infected pleural space, thoracic empyema (TE) continues to cause significant morbidity and mortality. The objectives of this study were to assess the causes and treatment outcome of patients with thoracic empyema.Methods: Patients aged ≥ 13year with TE who were admitted to Gondar University Teaching Hospital, Northwest Ethiopia, from Nov 1999 to Dec 2007 were included. Retrospectively, medical records were reviewed and demographic and clinical data were collected.Results: Records of 81 patients were analyzed; majority (82%) were below the age 50 year. The mean duration of symptoms prior to presentation and hospital stay was 97.4 and 38days, respectively. HIV/AIDS was detected in 60%. Causes of empyema were pulmonary tuberculosis (56%), pneumonia (36%) and lung abscess (7%). Closed chest tube was inserted in 86% of cases and was successful in 93% of them. Case-fatality was 12% and poor outcome occurred in 26%.Conclusions: Early identification of TE and aggressive management with antibiotics or antituberculosis, drainage with chest tube, and surgical treatment when closed tube drainage fails is recommended to improve the high mortality and morbidity

Prevalence and factors associated with preoperative anxiety among patients undergoing surgery in low-income and middle-income countries: a systematic review and meta-analysis.

OBJECTIVES: This review aimed to determine the pooled prevalence of preoperative anxiety and its associated factors among patients undergoing surgery in low/middle-income countries (LMICs). METHODS: We searched PubMed, SCOPUS, CINAHL, Embase and PsychINFO to identify peer-reviewed studies on the prevalence and factors associated with preoperative anxiety among patients undergoing surgery using predefined eligibility criteria. Studies were pooled to estimate the prevalence of preoperative anxiety using a random-effect meta-analysis model. Heterogeneity was assessed using I² statistics. Funnel plot asymmetry and Egger's regression tests were used to check for publication bias. RESULT: Our search identified 2110 studies, of which 27 studies from 12 countries with 5575 participants were included in the final meta-analysis. Of the total 27 studies, 11 used the State-Trait Anxiety Inventory to screen anxiety, followed by the Amsterdam Preoperative Anxiety and Information scale, used by four studies. The pooled prevalence of preoperative anxiety among patients undergoing surgery in LMICs was 55.7% (95% CI 48.60 to 62.93). Our subgroup analysis found that a higher pooled prevalence of preoperative anxiety was found among female surgical patients (59.36%, 95% CI 48.16 to 70.52, I2=95.43, p<0.001) and studies conducted in Asia (62.59%, 95% CI 48.65 to 76.53, I2=97.48, p<0.001). CONCLUSION: Our meta-analysis indicated that around one in two patients undergoing surgery in LMICs suffer from preoperative anxiety, which needs due attention. Routine screening of preoperative anxiety symptoms among patients scheduled for surgery is vital. PROSPERO REGISTRATION NUMBER: CRD42020161934

Global Estimates of the Prevalence of Depression among Prisoners: A Systematic Review and Meta-analysis.

BackgroundPrison populations tend to be marginalized and disadvantaged of the rights and freedoms that other people in the community benefit from. Their separation from families, a narrow room and lack of privacy in the prison, violence between prisoners, and the uncertainty about the future result in psychological distress, for example, depression. The review has synthesized previous studies conducted on the topic and summarized to formulate recommendations for future prison health care services.MethodsWe systematically searched the databases: PubMed, Psych Info, and SCOPUS, as well as manual Google Scholar searches, were conducted to retrieve published literature globally. We have included observational studies, written in English language. Estimates were pooled using a random-effects model. The study protocol was registered in PROSPERO with protocol number CRD42020156108. Subgroup and sensitivity analysis was conducted, and heterogeneity across the studies was evaluated using Q and the I 2-test. Publication bias was assessed by inspection of the funnel plot and Egger's regression test.ResultA total of 1313 studies were initially identified through the electronic database; among these, a total of 73 full-text articles were retrieved for further appraisal. Further, 32 full-text articles were included in the final systematic review and meta-analysis. In this meta-analysis, the pooled prevalence of depression among prisoners was 36.9% (95% CI; 27.3-47.6). The pooled prevalence of depression among prisoners in the developing and developed countries was 39.2% and 33.1%, respectively. Moreover, the prevalence of depression was 19.1% and 54% for the studies that used diagnostic and screen tools to diagnose or screen depression, respectively. A leave-one-out analysis revealed that the pooled prevalence of depression among prisoners was not dependent on a single study removal or addition. Thus, the pooled prevalence of depression ranges between 35.3 and 38.0%.ConclusionThe prevalence of depression among prisoners was high. Therefore, regular and continuous screening of depressive symptoms for prisoners along with its appropriate management is highly recommended

Bovine Hydatidosis in Eastern Part of Ethiopia

A cross-sectional study was conducted on bovine hydatidosis from November 2010 to March 2011 with the aims of investigating its occurrence, risk factors and economic losses in Dire Dawa municipality abattoir. The study revealed 20.05% occurrence of hydatidosis based on the postmortem examination of1536 cattle. Age related infection was significant as older animals were more infected (P&lt;0.05, x2 = 27.496).Among the lungs, liver, heart, spleen and kidneys examined in each carcass, the cysts were distributed in the lungs and livers only. Out of 1852 cysts, 1340 (72.3%) were found in liver while512 (27.7%) in lungs. Five hundred and twenty (53.94%) of 964 hydatid cysts were small, while268 (27.80%) medium and 176 (18.25%) large. These cysts were further characterized as fertile (80.08.7%), sterile (17.3%) and calcified (2.85%) and 53.7% of fertile cysts were viable. Based on the study, the direct economic loss was estimated to be 23,876 Ethiopian Birrs. Presence of hydatid cysts in edible organs has great public health significance as consumption of undercooked/raw meat is still in practice in many parts of Ethiopia.Keywords: Abattoir, Bovine, Carcass, Cysts, Hydatidosis, Eastern Ethiopia

Larvicidal effects of Jatropha curcas L. against Anopheles arabiensis (Diptera: Culicidea)

Crude and column chromatographic fractions of methanol leaf extract of Jatropha curcas were tested for their larvicidal activities against laboratory reared late third instar larvae of Anopheles arabiensis. Crude methanol leaf extract of J .curcas had similar larvicidal activity to 0.5 ppm Temephos (positive control) at test concentrations ranging from 125 -1000 ppm while column chromatographic fractions (F1 and F2 ) of the crude methanol leaf extract of J.curcas showed similar larvicidal activities to 0.5 ppm Temephos at 62.5 and 125 ppm test concentrations. Column chromatographic fraction three (F3) showed similar larvicidal activity to 0.5 ppm Temephos at 125 ppm test concentration. The LC50 and LC90 values of crude methanol leaf extract of J.curcas were found to be 92.09 and 241.09 ppm, respectively. Toxic activities of column chromatographic fraction one (F1) (LC50=28.65 ppm; LC90 = 49.20 ppm) were nearly equal to that of column chromatographic fraction two [F2] (LC50= 30.40 ppm; LC90 = 49.80 ppm). Least toxicity on the test larvae was observed by column chromatographic fraction three [F3] (LC50 = 80.70 ppm; LC90 = 123.70 ppm). Thus, the larvicidal activity of crude methanol leaf extract was not due to the synergistic effects of its fractions. Further studies are recommended to identify larvicidal active ingredients from the active column chromatographic fractions of crude methanol leaf extract of J. curcas. Key words: Malaria vector control, Anopheles arabiensis, Botanical larvicides J. curca

Calibrating spectral estimation for the LISA Technology Package with multichannel synthetic noise generation

The scientific objectives of the Lisa Technology Package (LTP) experiment, on board of the LISA Pathfinder mission, demand for an accurate calibration and validation of the data analysis tools in advance of the mission launch. The levels of confidence required on the mission outcomes can be reached only with an intense activity on synthetically generated data. A flexible procedure allowing the generation of cross-correlated stationary noise time series was set-up. Multi-channel time series with the desired cross correlation behavior can be generated once a model for a multichannel cross-spectral matrix is provided. The core of the procedure is the synthesis of a noise coloring multichannel filter through a frequency-by-frequency eigendecomposition of the model cross-spectral matrix and a Z-domain fit. The common problem of initial transients in noise time series is solved with a proper initialization of the filter recursive equations. The noise generator performances were tested in a two dimensional case study of the LTP dynamics along the two principal channels of the sensing interferometer.Comment: Accepted for publication in Physical Review D (http://prd.aps.org/