Epidemiologyhttp://ir.haramaya.edu.et//hru/handle/123456789/1992024-03-28T22:17:42Z2024-03-28T22:17:42ZERECTILE DYSFUNCTION AND ASSOCIATED FACTORS AMONG DIABETIC MELLITUS MEN AT PUBLIC HOSPITALS OF HARARI REGION, EASTERN ETHIO PIA: A CROSS-SECTIONAL STUAbebe SeyoumDr. Aboma Motumma(Assis Profes) Behailu Hawultehttp://ir.haramaya.edu.et//hru/handle/123456789/76792024-03-25T06:30:51Z2023-10-01T00:00:00ZERECTILE DYSFUNCTION AND ASSOCIATED FACTORS AMONG DIABETIC MELLITUS MEN AT PUBLIC HOSPITALS OF HARARI REGION, EASTERN ETHIO PIA: A CROSS-SECTIONAL STU
Abebe Seyoum; Dr. Aboma Motumma; (Assis Profes) Behailu Hawulte
Erectile dysfunction is the repeated inability to obtain and maintain a sufficient
erection for satisifactory sexual intercourse. It is a common problem among diabetes, which
often undetected, and negatively impact physical, mental, emotional, social, and sexual well being. As a result, it needs accurate assessment and early intervention. However, there is lim ited study on the prevelance of erectile dysfunction and associated factors among diabetic in
Eastern, Ethiopia, including the study area.
Objective: To assess the magnitude of erectile dysfunction and its associated factors among
diabetic mellitus patients on follow-up visit at Public Hospitals of Harari Region, Eastern
Ethiopia from January 20 to February 20, 2023.
Methods: An institution-based cross sectional study involving 339 randomly selected study par ticipants was conducted. An interviewer administered standardized questionnaries and patient
medical chart reviews were used to collect data on Kobocollect version 2022- 4.4. Stata14 version
was used for data managements and analysis. The variables were described using appropriate
summary measures.Poisson regression model with robust variance estimate was fitted to examine
the association of the independent variable with erectile dysfunction. Plain texts, figure and tables
were used to present the finding. Finally, adjusted prevalence ratio (APR) along with 95% confi dence intervals was reported. Statistical significance was declared at p –value < 0.05.
Result: The prevelance of erectile dysfunction was 78.28% (95% CI: 73-83). Age 35-45 years
[APR=1.38; 95% CI: 1.03-1.84], and > 45 years [APR=1.58; 95% CI: 1.17-2.13], Depression
[APR=1.41; 95% CI: 1.06-1.86], current khat use [APR=1.14; 95% CI: 1.00-1.28], low social
support [APR=1.70; 95% CI: 1.09-2.65] and medium social support [APR=1.79; 95%
CI:1.16-2.78] were factors significantly associated with erectile dysfunction.
Conclusion: The study found high prevelance of erectile dysfunction among the study partici pants. Ages 35 years and above, depression, current khat use, low and medium social support
level were factors significantly associated with erectile dysfunction. Therefore, Assessment
and management of erectile dysfunction should be part of routine medical care in diabetic fol low-up clinics, with special attention for those whose age was 35-45 years and >45 years,
have depression, currently use khat and have medium and low level social support
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2023-10-01T00:00:00ZTIME TO RECOVERY AND PREDICTORS OF NEONATAL SEPSIS AMONG NEONATES ADMITTED TO NEONATAL INTENSIVE CARE UNIT AT HIWOT FANA COMPREHENSIVE SPECIALIZED HOSPITAL, EASTERN ETHIOPIABemnet Elias (BSc)Lemma Demissie (MPH, Assistant Professor)Admas Abera (MSc, Assistant Professor)http://ir.haramaya.edu.et//hru/handle/123456789/75932024-03-11T06:31:48Z2023-10-01T00:00:00ZTIME TO RECOVERY AND PREDICTORS OF NEONATAL SEPSIS AMONG NEONATES ADMITTED TO NEONATAL INTENSIVE CARE UNIT AT HIWOT FANA COMPREHENSIVE SPECIALIZED HOSPITAL, EASTERN ETHIOPIA
Bemnet Elias (BSc); Lemma Demissie (MPH, Assistant Professor); Admas Abera (MSc, Assistant Professor)
Background: Neonatal death in Ethiopia accounted for more than half (56%) of all deaths of
children under five years in 2020. The proportion of causes of neonatal deaths in Ethiopia due to
neonatal infection is estimated to be 23%.Despite high mortality rate and health burden the
duration time that the neonates take to recover from neonatal sepsis and predictors of recovery are
not well studied and documented in Ethiopia.
Objective: To assess the time to recovery of neonatal sepsis and predictors among neonates
admitted in neonatal intensive care unit (NICU) at Hiwot Fana Comprehensive Specialized
University hospital (HFCSH), eastern Ethiopia, from February 28/2021 to February 28/2023.
Methods: An institution based retrospective cohort study was conducted among randomly selected
650 patient records neonates admitted to NICU at Hiwot Fana Comprehensive Specialized
University hospital HFSCH spanning a period between February 28/2021 to February 28/2023.
Crude hazard ratio and adjusted hazard ratio were used with 95% CI. The backward stepwise
selection method was used for multivariable cox regression analysis p<0.2 and Finally, Cox Snell
residual test was used for checking final model adequacy.
Result: Of the total 650 neonates with sepsis in this study, with a total of 40557
observation/follow-up days, 333 (51.23%) were recovered. The median time to recovery was 8
days (IQR=6-13days). Respiratory failure (AHR=0.25, 95% CI; 0.07,0.81), abnormal radiologic
findings (AHR=0.43, 95% CI; 0.26,0.70), diagnosed meningitis (AHR=0.45, 95% CI; 0.31,0.65),
and being in critical condition (AHR=0.64, 95% CI; 0.51,0.81) were predictors that delay the time
to recovery of neonatal sepsis and late onset neonatal sepsis (AHR=1.34, 95% CI; 1.01,2.87),
normal platelet count (AHR=1.30, 95% CI; 1.01,1.68) were predictors that fastened the time to
recovery of neonatal sepsis.
Conclusion: Neonates who were admitted due to sepsis typically recovered within a median
timeframe of one week. Time to recovery was longer among neonates with abnormal radiologic
findings, respiratory failure, meningitis, and critical condition and time to recovery of neonatal
sepsis were decreased by late onset neonatal sepsis and normal platelet count. Health sectors
should anticipate high-risk newborns and should intensively follow, practice timely decision and
interventions to decrease recovery time and neonatal mortality.
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2023-10-01T00:00:00ZPREVALENCE AND ASSOCIATED FACTORS OF POST-TRAUMATIC STRESS DISORDERS AMONG ADMITTED MILITARY MEMBERS AT EASTERN COMMANDS REFERRAL HOSPITAL IN DIRE DAWA ADMINISTRATION, EASTERN ETHIOPIADESALEGN ADUGNA (BSC)Assefa Tola (MPH, Assistant professor)Tesfaye Assebe (Ph.D. Associate professor)http://ir.haramaya.edu.et//hru/handle/123456789/73762024-01-29T06:51:52Z2023-12-01T00:00:00ZPREVALENCE AND ASSOCIATED FACTORS OF POST-TRAUMATIC STRESS DISORDERS AMONG ADMITTED MILITARY MEMBERS AT EASTERN COMMANDS REFERRAL HOSPITAL IN DIRE DAWA ADMINISTRATION, EASTERN ETHIOPIA
DESALEGN ADUGNA (BSC); Assefa Tola (MPH, Assistant professor); Tesfaye Assebe (Ph.D. Associate professor)
Background: Post-traumatic stress disorder is marked by increased stress and anxiety following
exposure to a traumatic or stressful event. Military professionals are high risk for post-traumatic
stress disorder for their involvement to events of conflict However, evidence related to
prevalence and associated factor of post-traumatic stress is limited in the study setting.
Objective: This study aimed to assess prevalence of post-traumatic stress disorder and
associated factors among military members of armed force admitted at the eastern command
referral hospital, Eastern Ethiopia from May 1-30, 2023.
Method: An institutional based cross-sectional study was employed. A total of 453 participants
were selected by a simple random sampling method. Data were collected through face to face
interview. Post-traumatic stress disorders were measured by the Post-traumatic stress disorder
military version check-list for diagnostic and Statistical manual-5the edition. Epidata version 3.1
and STATA version 14 were used for data entry and analysis respectively. Descriptive statistics
were used to summarize and present data in the tables and figures. Bivariable and Multivariable
logistic regression analysis were used to identify associated factors to post-traumatic stress
disorder. Adjusted odds ratios with a 95% confidence interval were used to report the degree of
association. Variables with P-values less than 0.05 were considered statistically significant.
Results: A total of 445 respondents participated with response rate of 98.2%. The prevalence of
post -traumatic stress disorder in this study was 23.6 % (95 % CI: 19.9, 27.8). Multivariable
logistic regression showed that diagnosed with mental illness (AOR=5.73, 95CI; 2.66-12.31),
family history of mental illness (AOR=10.38, 95CI; 5.36-20.10), current khat chewing
(AOR=2.21, 95CI, 1.13-4.32), physical trauma (AOR=2.03, 95CI, 1.00-4.13), moderate
(AOR=0.27 95CI, 0.14-0.53) and strong social support (AOR=0.09,95 CI,0.02,0.35), severe
depression (AOR=2.06 95CI, 1.74-5.71) were significantly associated with PTSD.
Conclusion: The prevalence of post-traumatic stress disorder was found to be high in military
personnel. History of mental illness, family history of mental illness, depression, social support,
current use of khat, and physical trauma/ serious injury were significantly associated with
posttraumatic stress disorder. Eastern command referral hospital should focus on early
identification and intervention on individuals with these problems.
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2023-12-01T00:00:00ZTRADITIONAL MEDICINE USEAND ASSOCIATED FACTORS AMONG TYPE 2 DIABETIC PATIENTS IN HIWOT FANA COMPREHENSIVE SPECIALIZED UNIVERSITY HOSPITAL, HARAR, EASTERN ETHIOPIASamrawit Abebaw (M.D)Lemessa Oljira (PhD)Fekede Asefa (PhD)http://ir.haramaya.edu.et//hru/handle/123456789/72592024-01-10T07:15:23Z2023-12-01T00:00:00ZTRADITIONAL MEDICINE USEAND ASSOCIATED FACTORS AMONG TYPE 2 DIABETIC PATIENTS IN HIWOT FANA COMPREHENSIVE SPECIALIZED UNIVERSITY HOSPITAL, HARAR, EASTERN ETHIOPIA
Samrawit Abebaw (M.D); Lemessa Oljira (PhD); Fekede Asefa (PhD)
Background: Traditional medicine use is practiced globally as a complementary medicine
by type 2 diabetic patients and our country is among regions with higher traditional
medicine use. However, there has not been a hospital-based study done in the region to
assess its utilization among type 2 diabetic patients. To adopt traditional medicine either
by integrating it into health system or traditional healers; understanding its practice,
including forms used, reasons to practice and associated factors has paramount
significance.
Objective: To determine the prevalence and factors associated to traditional medicine use
as a complementary or alternative medicine among type 2 diabetic patients following up in
Hiwot Fana Comprehensive Specialized University Hospital from April 30, 2023 to June
15, 2023.
Methods: An institution based cross-sectional study design was employed among 438type
2 diabetic patients at Hiwot Fana Comprehensive Specialized University Hospital. Data
was collected using a questionnaire and the collected data was analyzed using mean,
frequency, percent, as well as bi-variable and multivariable logistic regression analysis.
Odds ratio and 95% confidence interval were calculated. A p-value < 0.05 was considered
statistically significant.
Result: Of the 438 respondents, 161 (36.76%, 95% CI: 0.32-0.41) reported using
traditional medicine, with herbal medicine being the most utilized (98.14%, n=158).
Trigonella foenumgraecum (42.6%, n=106) and Moringa stenoptela (30.9%, n=77) were
the most commonly used herbs. Most participants’ reason to use traditional medicine was
peer pressure (68.32%, n=110) followed by dissatisfaction with modern medicine (31.68%,
n=51). Significantly associated factors were age≥50 (AOR=3.29, 95%CI:1.94-5.58),
female sex (AOR=2.11, 95%CI:1.28-3.49), educational level diploma and above
(AOR=3.86, 95%CI:2.14-6.98), being married (AOR=0.47, 95%CI:0.23-0.94) and
presence of diabetic complication (AOR=2.78, 95%CI:1.22-6.30).
Conclusion: More than one third of patients with type 2 diabetes use traditional medicine.
A positive association was noted between traditional medicine use and some of the
independent variables like older age, female sex, having higher educational status, being
married and presence of diabetic complication. Health education programs regarding
cautious traditional medicine utilization are recommended and need to be tailored taking
these factors in to consideration.
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