Socio-demographic correlates of mental and behavioural disorders of children in Southern Ethiopia

Objective: To describe the magnitude and socio-demographic correlates of specific mental and behavioural disorders.Design: A cross-sectional survey.Setting: Butajira district, southern Ethiopia.Participants: The Amharic version of the Diagnostic Instrument for Children and Adolescents (DICA) was used to interview parents of 1,477 children.Main outcome measures: Attention Deficit Hyperactivity Disorder (ADHD), Disruptive behaviour disorders, mood and anxiety disorders.Results: Using a multivariate logistic model, age was significantly associated with ADHD. Children between 10 and 14 years of age had more than three-fold increased risk of ADHD compared to younger children: adjusted odds ratio and 95% confidence interval (OR, 95%CI) = 3.17 (1.16, 8.67), p=0.02. Residence in urban area was also significantly associated with ADHD: adjusted OR (95% CI) = 2.84 (1.14-7.07), p=0.03. Disruptive behaviour disorders were significantly associated with increasing age: adjusted OR (95% CI)= 4.24 (1.43, 12.6). Mood and anxiety disorders were not significantly associated with any of the sociodemographic variable studied.Conclusion: The study shows that age and residence in urban areas are significant correlates of behavioural disorders in children

Engineering, procurement and construction (EPC): what are the variables that impact the success of the projects currently running in Brazil?

Em tempos de grandes obras (eventos esportivos 2014 e 2016, plano de aceleração do crescimento do governo federal e setor petroquímico), este artigo busca identificar variáveis que contribuem para o sucesso dos projetos de engenharia e construção executados atualmente no Brasil. O relacionamento entre a presença de certas variáveis independentes e o sucesso dos projetos foi testado em termos de um conjunto de indicadores de desempenho em projetos, que envolve: conformidade com orçamento (custo); cronograma (tempo); especificações técnicas (requisitos do produto/serviço); e atendimento às demandas dos clientes. Foi analisado o efeito de três variáveis de entrada: apoio da alta administração, existência de um gerente de projetos dedicado e a presença de uma estrutura formal de gerenciamento de projetos (Escritório de Gerenciamento de Projetos). Para testar as hipóteses da pesquisa, foi desenvolvido um estudo empírico, adotando-se uma abordagem quantitativa, com um levantamento (“survey”) junto a 120 profissionais relacionados ao setor de engenharia e construção. Considerando-se o triângulo de ferro (prazo, custo e qualidade), identificou-se que há relação entre a presença de um gerente de projeto dedicado e o cumprimento do orçamento planejado e há relação entre a presença de um gerente de projeto dedicado e o cumprimento dos prazos dos projetos executados. Contudo, a visão ampliada de qualidade, envolvendo também a satisfação do cliente, não foi confirmadaIn times of major construction projects (the sports events of 2014 and 2016, the economic plan of growth acceleration and petrochemical sector), this paper aims at identifying variables that contribute to the success of engineering and procurement construction (EPC) projects currently being carried out in Brazil. The relationship between the presence of certain independent variables and project success was tested by a group of project performance indexes, such as: budget compliance (cost); timetable (time); technical specifications (goods/ services requisites); and costumers’ demand meeting. The effect of the independent variables was analyzed by: top management support, existence of a dedicated project manager and the presence of a formal project management structure (Project Management Office - PMO). To test for the hypothesis of this research proposal, an empirical study was developed implementing a quantitative-based approach in which 120 professionals of the EPC industry were surveyed. Considering the iron triangle (time, cost and quality), it was identified that there are relationship between the presence of a dedicated project manager and the fulfillment of the planned budget, as well the compliance with the project timetable. However, the broader quality approach that involves also costumer satisfaction is yet to be confirme

Brief communication: Low prevalence of HIV infection, and knowledge, attitude and practice on HIV/AIDS among high school students in Gondar, Northwest Ethiopia

HIV/AIDS is a major public health problem in Ethiopia. Therefore, a school based cross-sectional study was conducted in Gondar; Northwest Ethiopia to determine the seroprevalence of HIV infection and to assess Knowledge, attitude and practice related to HIV/AIDS. A total of 565 students were included in the study. The seroprevalence of HIV infection was 1.1%. Sexual contact with commercial sex worker or non-regular partner was reported by 16.7% of the students. Only 58.5% of those who practice sex used condoms. History of sexually transmitted diseases was reported by 10.7% of the sexually active students. The majority (96.6%) reported unprotected sex, unsafe blood transfusion, contaminated needles and mother to child transmissions as common ways of HIV transmission. Abstinence, faithfulness to one\'s partner and use of condom as means to prevent transmission of HIV was responded by 84.1%, 60.4% and 41.8% of the students, respectively. Over 82% demanded screening for HIV as a precondition for marriage and 97.2% agreed to have a VCT service. The findings of the study indicate that the prevalence of HIV infection is low among high school students in Gondar. The students had adequate knowledge about HIV/AIDS and VCT despite the risky practices. Continued health education is needed to bring behavioral changes.The Ethiopian Journal of Health Development Vol. 21 (2) 2007: pp. 179-18

In Vitro Activities of Ertapenem and Imipenem against Clinical Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae Collected in Military Teaching Hospital Mohammed V of Rabat

Objective. To study the sensitivity level of extended spectrum beta-lactamase-producing Enterobacteriaceae to Carbapenems (Imipenem, Ertapenem) marketed in Morocco and discusses the place of Ertapenem in the treatment of extended spectrum-beta-lactamase-producing. Materials and Methods. A retrospective study of 110 extended spectrum beta-lactamase-producing Enterobacteriaceae. Isolates obtained from blood cultures, superficial and deep pus, and catheters were conducted. The minimum inhibitory concentrations of Imipenem and Ertapenem were done by the E-test. The modified Hodge test was conducted for resistant or intermediate strains. Results. 99.1% of isolates were susceptible to Imipenem. For Ertapenem, 4 were resistant and 4 intermediate. The modified Hodge test was positive for all 08 isolates. A minimum inhibitory concentration comparison of K. pneumoniae, E. cloacae, and E. coli for Imipenem has noted a significant difference between E. cloacae on one hand and E. coli, K. pneumoniae on the other hand (<0.01). No significant difference was noted for minimum inhibitory concentration of Ertapenem. Conclusion. Our results confirm in vitro effectiveness of Ertapenem against extended spectrum beta-lactamase-producing Enterobacteriaceae as reported elsewhere. However, the emergence of resistance to Carbapenems revealed by production of carbapenemases in this study confirmed a necessary bacteriological documented infection before using Ertapenem

Perturbative evolution of particle orbits around Kerr black holes: time domain calculation

Treating the Teukolsky perturbation equation numerically as a 2+1 PDE and smearing the singularities in the particle source term by the use of narrow Gaussian distributions, we have been able to reproduce earlier results for equatorial circular orbits that were computed using the frequency domain formalism. A time domain prescription for a more general evolution of nearly geodesic orbits under the effects of radiation reaction is presented. This approach can be useful when tackling the more realistic problem of a stellar-mass black hole moving on a generic orbit around a supermassive black hole under the influence of radiation reaction forces.Comment: 8 pages, 5 figures, problems with references and double-printing fixe

Khat and alcohol use and risky sex behaviour among in-school and out-of-school youth in Ethiopia

BACKGROUND: Khat (an evergreen plant with amphetamine-like properties) and alcohol are widely consumed among the youth of Ethiopia. However, their relationship to risky sexual behaviour is not well described. This study was conducted to describe the magnitude of risky sexual behaviour (unprotected sex and early initiation of sexual activity) and its association with Khat and alcohol consumption in Ethiopian youths. METHODS: A probabilistic national sample of 20,434 in-school and out-of-school youths aged between 15 and 24 years of age was selected and interviewed regarding their sexual behavior and substance use. RESULTS: Over 20% of out-of-school youth had unprotected sex during the 12-month period prior to interview compared to 1.4% of in-school youth. Daily Khat intake was also associated with unprotected sex: adjusted OR (95% CI) = 2.26 (1.92, 2.67). There was a significant and linear association between alcohol intake and unprotected sex, with those using alcohol daily having a three fold increased odds compared to those not using it: adj. OR (95% CI) = 3.05 (2.38, 3.91). Use of substances other than Khat was not associated with unprotected sex, but was associated with initiation of sexual activity: adj. OR (95% CI) = 2.54 (1.84, 3.51). CONCLUSION: A substantial proportion of out-of-school youth engage in risky sex. The use of Khat and alcohol and other substances is significantly and independently associated with risky sexual behaviour among Ethiopian youths