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Abdominal Pain of Functional Gastrointestinal Disorders in Dietary Diversity Patterns and Its Determinants among Healthy Adults in Jimma City, Southwest Ethiopia. 埃塞俄比亚西南部吉马市健康成年人膳食多样性模式中功能性胃肠道疾病的腹痛及其决定因素。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.13
Belay Zawdie, Kalkidan Hassen Abate, Dessalegn Tamiru, Tefera Belachew

Background: Functional Gastrointestinal Disorders (FGIDs) and their risk factors vary from region to region. Therefore, this study aimed to determine the prevalence of abdominal pain of FGIDs in different dietary diversity score (DDS) and its determinant factors among adults in Jimma City, Southwest Ethiopia.

Methods: A community-based cross-sectional study was conducted from July 17 to October 27, 2019. The study included systematically selected healthy adults aged ≥ 18years. Data were collected on gastrointestinal symptoms (Rome III), and DDS (24-dietary recall).

Results: Of 865 healthy adults, the prevalence of abdominal pain symptoms co-occurrence was 168(19.4%), dyspepsia, 152(17.6%) and IBS, 133(15.4). Similarly, the co-occurrence was distributed as 81(9.4%) in middle, 64(7.4%) in high and 23(2.6%) in low DDS groups. Although this distribution was different in the DDS groups, it is not significantly associated. With potential confounders adjusted, the behavioral factors associated with the co-occurrence with an AOR (95% CI) were khat chewing: 7.37 (1.76 - 30.87), drinking alcohol: 3.24 (1.15 - 9.18), sedentary life: 12.28 (3.19 - 48.40) and less physical activity: 4.44 (1.43-13.75). Moreover, elevated TAG: 5.44 (2.78 - 8.10), elevated LDL: 4.26 (1.61-11.29), central obesity: 2.78 (1.08 -7), low HDL 5.89 (2.22-15.60), positive H.pylori stool test: 2.7 (1.86 -7.72), being diabetic: 2.7 (1.79 -7.79) and hypertensive: 2.79 (1.08 - 7.14) were associated with the co-occurrence.

Conclusion: Abdominal pain and FGIDs had significant distribution among adults in Jimma City. Therefore, early screening and managing FGIDs in the community is recommendable.

背景:功能性胃肠道疾病(FGIDs)及其风险因素因地区而异。因此,本研究旨在确定埃塞俄比亚西南部吉马市成年人在不同膳食多样性评分(DDS)中功能性胃肠病腹痛的患病率及其决定因素:于2019年7月17日至10月27日开展了一项基于社区的横断面研究。研究对象包括系统选取的年龄≥18岁的健康成年人。研究收集了有关胃肠道症状(罗马III)和DDS(24项饮食回忆)的数据:结果:在 865 名健康成年人中,同时出现腹痛症状的有 168 人(19.4%),同时出现消化不良症状的有 152 人(17.6%),同时出现肠易激综合征症状的有 133 人(15.4%)。同样,同时出现腹痛症状的人数分布为:中度组 81 人(9.4%)、高度组 64 人(7.4%)和低度组 23 人(2.6%)。虽然这一分布在 DDS 组中有所不同,但并无明显关联。在调整了潜在的混杂因素后,与咀嚼阿拉伯茶相关的行为因素的AOR(95% CI)为咀嚼阿拉伯茶:7.37(1.76 - 30.87)、饮酒:3.24(1.15 - 9.18)、久坐不动:12.28(3.19 - 48.40)和运动量较少:4.44(1.43 - 13.75)。此外,TAG 升高:5.44 (2.78 - 8.10),LDL 升高:4.26 (1.61-11.29),中心性肥胖:2.78 (1.08 -7),HDL 低:5.89 (2.22-15.60),幽门螺杆菌粪便检测阳性:2.78 (1.08 -7)。结论:腹痛和 FGID 同时发生与下列因素有关:2.7(1.86 -7.72)、糖尿病:2.7(1.79 -7.79)和高血压:2.79(1.08 -7.14):结论:腹痛和女性生殖器疱疹在吉马市成年人中呈显著分布。因此,建议在社区及早筛查和管理 FGID。
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引用次数: 0
Assessment of Epidemiological Indicators for Evaluation of National Malaria Elimination Programme: A Retrospective Study. 评估国家消除疟疾计划的流行病学指标:回顾性研究。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.12
Hima Sree Polisetti, K R Vinay Rajan, K Eswar Kumar

Background: Malaria has been one of India's most considerable health problems since 1940. The objective of our study is to determine the status of the National Malaria Elimination Programme in India by using epidemiological indicators.

Methods and materials: The annual reports of malaria for the years 2014-2021 and monthly reports for 2020 and 2021 were collected from the official web portal and were analysed for study specific assessments.

Results: The API has shown a statistically significant reduction from 2017-2021 in all states along with category-1(P=0.003) and category-2(P=0.029) states/UTs, but there was no statistically significant reduction from 2017-2021 in category-3 (P=0.166) states/UTs. The zero indigenous cases had not been achieved in category-1 states/UTs. The overall percentage reduction in number of malaria cases in 2020 at the national level compared with 2014 was 83.6%. Despite states with strong health systems such as Gujarat, Maharashtra and Karnataka, have not shown zero indigenous cases in 2020 and the malaria cases noted were very far from reaching the targets.

Conclusions: Although we observed a significant drop in malaria incidence from 2014 to 2020, demonstrating that the country is moving nearer to malaria elimination, it is crucial to implement the strategies to reduce Plasmodium falciparum% and re-establish surveillance programmes and execute national and state programmes in order to achieve the success of the National Malaria Elimination Programme. The recategorization of states/UTs are in accordance to the API, and implementation strategies were also needed.

背景:自 1940 年以来,疟疾一直是印度最严重的健康问题之一。我们研究的目的是利用流行病学指标确定印度国家消除疟疾计划的状况:从官方门户网站收集了 2014-2021 年的疟疾年度报告以及 2020 年和 2021 年的月度报告,并对其进行了分析,以进行具体的研究评估:2017-2021年,所有州以及1类(P=0.003)和2类(P=0.029)州/中央直辖区的疟疾发病率在统计学上有显著下降,但3类(P=0.166)州/中央直辖区的疟疾发病率在统计学上没有显著下降。第 1 类州/中央直辖区没有实现本地病例为零的目标。与 2014 年相比,2020 年全国疟疾病例数总体减少了 83.6%。尽管古吉拉特邦、马哈拉施特拉邦和卡纳塔克邦等拥有强大卫生系统的邦在 2020 年仍未实现本地病例为零的目标,所发现的疟疾病例也离目标相去甚远:尽管我们观察到从 2014 年到 2020 年疟疾发病率大幅下降,这表明该国正朝着消灭疟疾的目标迈进,但关键是要实施减少恶性疟原虫比例的战略,重建监测计划,执行国家和邦计划,以实现国家消灭疟疾计划的成功。各邦/中央直辖区的重新分类符合 API 的要求,也需要实施战略。
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引用次数: 0
Effective and Economical Option of Anesthesia in Retrograde Intrarenal Surgery. 逆行肾内手术中有效而经济的麻醉选择。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.15
Turkan Sadi, Ozan Ekmekcioglu, Ebru Efe Ekmekcioglu, Hakan Ayvaz, Lokman Irkilata, Akkan Avci

Background: There is only limited data in the literature showing the effect of anesthesia methods on the success of retrograd intrarenal surgery. The aim of this study was to compare and evaluate retrograd intrarenal surgery cases performed under spinal and general anesthesia in terms of effectiveness, cost, hospitalization time and complications.

Methods: A total of 337 patients who underwent retrograd intrarenal surgery due to kidney stones between 2014 and 2019 were retrospectively evaluated. In our study, the patients were divided into two groups according to the anesthesia method administered: Group 1 consisted of 172 patients who received spinal anesthesia and Group 2 comprised 165 patients administered general anesthesia. Both groups were compared in terms of demographic data, localization and size of stone, radiographic stone density, operation time, complications, need for postoperative analgesia, length of hospitalization, and stone free rate.

Results: The cost of general anesthesia was significantly higher compared to that of spinal anesthesia (p < 0.001). The analgesia application administered within the first six postoperative hours was significantly higher in the general anesthesia group (p < 0.001). In other findings, there was no statistically significant difference between the two groups.

Conclusion: Retrograd intrarenal surgery can be performed with similar safety and effectiveness under both general and spinal anesthesia. However, spinal anesthesia seems to be more advantageous due to the patients' lower need for analgesics in the early postoperative period and the lower cost of the anesthetics used.

背景:只有有限的文献数据显示麻醉方法对逆行肾内手术成功率的影响。本研究旨在从有效性、成本、住院时间和并发症等方面对脊髓麻醉和全身麻醉下进行的逆行肾内手术病例进行比较和评估:对2014年至2019年期间因肾结石接受逆行肾内手术的337例患者进行回顾性评估。在我们的研究中,根据麻醉方法将患者分为两组:第一组包括172名接受脊髓麻醉的患者,第二组包括165名接受全身麻醉的患者。两组患者在人口统计学数据、结石的位置和大小、放射学结石密度、手术时间、并发症、术后镇痛需求、住院时间和无结石率等方面进行了比较:全身麻醉的费用明显高于脊髓麻醉(P < 0.001)。全身麻醉组在术后头六个小时内使用的镇痛药明显较多(P < 0.001)。结论:逆行肾内手术是一种有效的治疗方法:结论:逆行肾内手术可在全身麻醉和脊髓麻醉下进行,安全性和有效性相似。结论:逆行肾内手术可在全身麻醉和脊髓麻醉下进行,其安全性和有效性相似,但脊髓麻醉似乎更有优势,因为患者在术后早期对镇痛剂的需求较低,而且所用麻醉剂的成本也较低。
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引用次数: 0
Pattern of Radiographic and Sonographic Findings of Adult Patients Presented with Shoulder Pain at Tikur Anbessa Hospital, Addis Ababa, Ethiopia. 埃塞俄比亚亚的斯亚贝巴 Tikur Anbessa 医院成人肩痛患者的放射和超声检查结果模式。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.9
Bemnet Taye Gebregiorgis, Moges Zenebe Wegayehu

Background: Shoulder pain is one of the most common presentations in the orthopedic clinic. Multiple factors have been found to cause shoulder pain. Radiographs and ultrasound are widely available, relatively cheap modalities in assessing shoulder pain. The aim of this study is to assess the radiographic and sonographic imaging patterns of shoulder pain.

Methods: A descriptive prospective cross-sectional hospital-based study was conducted at the Department of Radiology of Tikur Anbessa Specialized Hospital among patients with shoulder pain that came for imaging from August 2021-January 2022.

Result: Of the 73 patients with shoulder pain included in the study, 67% were females while 33% males. The mean age was 51.7 years. Radiographs found pathology in 53% of the cases. Acromioclavicular joint osteoarthritis, greater tuberosity degenerative changes, rotator cuff calcification were common radiographic findings. Ultrasound detected pathologies in 87% of the cases. The common pathologies were rotator cuff pathologies, biceps tendon pathologies, acromioclavicular joint degeneration, greater tuberosity degenerative changes, subacromial subdeltoid bursitis, and adhesive capsulitis. There was a significant association between greater tuberocity degenerative changes and supraspinatous pathologies with age, greater tuberocity degenerative changes with supraspinatous pathologies, acromiohumeral distance of <7mm with supraspinatous pathology.

Conclusion: Radiographs and ultrasound are valuable imaging modalities for shoulder pain. Low acromiohumeral interval, greater tuberosity degenerative changes, and acromioclavicular joint osteoarthritis are associated with rotator cuff tears. Rotator cuff pathologies are the most common pathologies observed in ultrasound. We recommend ultrasound to be second step after radiograph due to its low cost and wide availability.

背景:肩部疼痛是骨科门诊中最常见的症状之一。导致肩痛的因素有多种。X光片和超声波是评估肩痛的广泛使用且相对便宜的方法。本研究旨在评估肩痛的放射和超声成像模式:方法:2021 年 8 月至 2022 年 1 月期间,蒂库尔安贝萨专科医院放射科对前来接受影像学检查的肩痛患者进行了一项描述性前瞻性横断面医院研究:73名肩部疼痛患者中,67%为女性,33%为男性。平均年龄为 51.7 岁。53%的病例在X光片上发现了病变。肩锁关节骨关节炎、大结节退行性改变、肩袖钙化是常见的影像学发现。超声波检查发现87%的病例存在病变。常见的病变有肩袖病变、肱二头肌肌腱病变、肩锁关节退行性变、大结节退行性变、肩峰下滑囊炎和粘连性关节囊炎。大结节退行性病变和肩胛骨上病变与年龄、大结节退行性病变与肩胛骨上病变、肩峰距离和肱骨距离之间存在明显关联:X光片和超声波是治疗肩痛的重要影像学手段。肩峰肱骨间距过小、大结节退行性改变和肩锁关节骨关节炎与肩袖撕裂有关。肩袖病变是超声检查中最常见的病变。我们建议将超声波检查作为继X光检查之后的第二步检查,因为超声波检查费用低廉且广泛使用。
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引用次数: 0
The Effect of a Decade Implemented Project in Improving the Uptake of Comprehensive Contraception: Difference-In-Difference Analysis. 一个实施了十年的项目对提高全面避孕普及率的影响:差异分析。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.2
Addisalem Titiyos, Jemal Kassaw, Kathryn A O'Connell

Background: Promotion and use of family planning in countries with high birth rates have the potential to avert a third of all maternal deaths and nearly a tenth of childhood deaths. To support government efforts in creating wider access to comprehensive contraceptive methods, EngenderHealth has contributed to the government of Ethiopia's long-term goal of improving maternal health outcomes through its Access to Better Reproductive Health Initiative project.

Methods: Difference-in-Difference approach is the main methodology in this analysis to estimate the "contribution" or "effect" of the ABRI intervention by comparing the changes in family planning outcomes from 2005 to 2016 between the ABRI and non-ABRI areas. This analysis was based on pooled data from the 2005 and 2016 Ethiopian Demographic and Health Surveys. To track temporal changes in the family planning indicators in the ABRI and non-ABRI areas, we employed simple trend analysis.

Results: The results show that overall contraceptive prevalence rate, use of injectables, women's knowledge of Long-Acting Reversible Contraception (LARC) methods, and their exposure to family planning information/messages from health workers all significantly improved in the ABRI intervention areas beyond what occurred in the non-ABRI areas. The greatest increase in the use of modern contraception was among adolescents aged 15-19 years, with a DID estimate of 22.4% (p=0.007), ABRI areas compared to no-ABRI areas.

Conclusion: In the ABRI areas, family planning indicators recorded positive and significant changes. EngenderHealth has contributed its part in improving access to the uptake of comprehensive contraception and supporting government programs.

背景:在高出生率国家推广和使用计划生育有可能避免三分之一的孕产妇死亡和近十分之一的儿童死亡。为了支持政府努力扩大综合避孕方法的普及范围,EngenderHealth 通过其 "获得更好的生殖健康倡议 "项目,为埃塞俄比亚政府改善孕产妇健康结果的长期目标做出了贡献:差分法是本分析的主要方法,通过比较 2005 年至 2016 年期间 ABRI 地区和非 ABRI 地区的计划生育结果变化,估算 ABRI 干预的 "贡献 "或 "效果"。该分析基于 2005 年和 2016 年埃塞俄比亚人口与健康调查的汇总数据。为了跟踪 ABRI 地区和非 ABRI 地区计划生育指标的时间变化,我们采用了简单趋势分析法:结果表明,ABRI 干预地区的总体避孕普及率、注射剂使用率、妇女对长效可逆避孕(LARC)方法的了解程度以及从卫生工作者那里获得计划生育信息/信息的机会都比非 ABRI 地区有显著提高。15-19岁青少年使用现代避孕方法的增幅最大,与非ABRI地区相比,ABRI地区的DID估计值为22.4%(P=0.007):在 ABRI 地区,计划生育指标发生了积极而显著的变化。EngenderHealth 为改善全面避孕措施的普及和支持政府方案做出了自己的贡献。
{"title":"The Effect of a Decade Implemented Project in Improving the Uptake of Comprehensive Contraception: Difference-In-Difference Analysis.","authors":"Addisalem Titiyos, Jemal Kassaw, Kathryn A O'Connell","doi":"10.4314/ejhs.v33i6.2","DOIUrl":"10.4314/ejhs.v33i6.2","url":null,"abstract":"<p><strong>Background: </strong>Promotion and use of family planning in countries with high birth rates have the potential to avert a third of all maternal deaths and nearly a tenth of childhood deaths. To support government efforts in creating wider access to comprehensive contraceptive methods, EngenderHealth has contributed to the government of Ethiopia's long-term goal of improving maternal health outcomes through its Access to Better Reproductive Health Initiative project.</p><p><strong>Methods: </strong>Difference-in-Difference approach is the main methodology in this analysis to estimate the \"contribution\" or \"effect\" of the ABRI intervention by comparing the changes in family planning outcomes from 2005 to 2016 between the ABRI and non-ABRI areas. This analysis was based on pooled data from the 2005 and 2016 Ethiopian Demographic and Health Surveys. To track temporal changes in the family planning indicators in the ABRI and non-ABRI areas, we employed simple trend analysis.</p><p><strong>Results: </strong>The results show that overall contraceptive prevalence rate, use of injectables, women's knowledge of Long-Acting Reversible Contraception (LARC) methods, and their exposure to family planning information/messages from health workers all significantly improved in the ABRI intervention areas beyond what occurred in the non-ABRI areas. The greatest increase in the use of modern contraception was among adolescents aged 15-19 years, with a DID estimate of 22.4% (p=0.007), ABRI areas compared to no-ABRI areas.</p><p><strong>Conclusion: </strong>In the ABRI areas, family planning indicators recorded positive and significant changes. EngenderHealth has contributed its part in improving access to the uptake of comprehensive contraception and supporting government programs.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"33 6","pages":"927-934"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Resection and Primary Anastomosis versus Hartmann's Stoma on the Mortality and Morbidity of Gangrenous Sigmoid Volvulus: Systematic Review and Meta-Analysis. 比较切除术和原位吻合术与哈特曼造口术对坏疽性乙状结肠膀胱的死亡率和发病率的影响:系统回顾和 Meta 分析。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.19
Atalel Fentahun Awedew, Zelalem Asefa, Biruktawit Destaw Enkoye

Background: Gangrenous sigmoid volvulus has a significant impact on morbidity and mortality. This study was conducted to compare sigmoid resection and primary anastomosis (RPA) with sigmoid resection and end colostomy (Hartmann's procedure) for gangrenous sigmoid volvulus.

Methods: A systematic review and meta-analysis study design was employed to summarize retrospective cohort, prospective cohort, and randomised control trial studies published from inception to march 31, 2023. Searching was performed on Medline, CINAHAL, Web of Science, Google Scholar, the Cochrane Library, and ClinicalTrials.gov to locate eligible articles. Data searching, selection and screening, quality assessment of the included articles, and data extraction were done by two separate reviewers. RevMan 5.4 software with a fixed-effect Mantel-Haenszel model and Stata version 14 were used to analyze the data. The protocol registered on PROSPERO registration website (CRD42023413367).

Results: Ten cohort studies and one randomised control trial with 724 patients were found; all of them were rated as being of moderate quality. The overall mortality after RPA was 15% (95%CI: 11-19%), and after Hartmann's procedure it was 19% (95%CI: 15-23%). Resection and primary anastomosis (RPA) for gangrenous sigmoid volvulus had slightly lower mortality rate than stoma (OR=0.98(95%CI: 0.68-1.42), p=0.07, I2=43%), which had no statistically significant difference. Resection and primary anastomosis (RPA) had a slightly higher morbidity rate than Hartmann's procedure (OR=1.01(95%CI: 0.66-1.55), p=0.30, I2=18%), which had no statistically significant difference.

Conclusion: Sigmoid resection and primary anastomosis (RPA) and Hartmann's procedure had no significant differences in mortality and morbidity for the treatment of gangrenous sigmoid volvulus. Choice of the intervention for gangrenous sigmoid volvulus should be individualized with consideration of different detrimental factors.

背景:坏疽性乙状结肠肠卷对发病率和死亡率有重大影响。本研究旨在比较乙状结肠切除术和原位吻合术(RPA)与乙状结肠切除术和结肠末端造口术(哈特曼手术)对坏疽性乙状结肠肠卷的治疗效果:采用系统回顾和荟萃分析的研究设计,总结了从开始到2023年3月31日发表的回顾性队列、前瞻性队列和随机对照试验研究。在Medline、CINAHAL、Web of Science、Google Scholar、Cochrane Library和ClinicalTrials.gov上进行了检索,以找到符合条件的文章。数据搜索、选择和筛选、纳入文章的质量评估以及数据提取分别由两名审稿人完成。使用RevMan 5.4软件的固定效应Mantel-Haenszel模型和Stata 14版本分析数据。研究方案已在 PROSPERO 注册网站(CRD42023413367)上注册:结果:共发现 10 项队列研究和 1 项随机对照试验,共 724 名患者;所有研究均被评为中等质量。RPA术后的总死亡率为15%(95%CI:11-19%),哈特曼术后的总死亡率为19%(95%CI:15-23%)。坏疽乙状结肠肠卷切除和原位吻合术(RPA)的死亡率略低于造口术(OR=0.98(95%CI:0.68-1.42),P=0.07,I2=43%),两者在统计学上无显著差异。切除和原位吻合术(RPA)的发病率略高于哈特曼手术(OR=1.01(95%CI:0.66-1.55),P=0.30,I2=18%),两者在统计学上无显著差异:结论:乙状结肠切除和原位吻合术(RPA)与哈特曼手术在治疗坏疽性乙状结肠空肠的死亡率和发病率方面无明显差异。对于坏疽性乙状结肠腹腔积液,应根据不同的不利因素选择不同的治疗方法。
{"title":"Comparing Resection and Primary Anastomosis versus Hartmann's Stoma on the Mortality and Morbidity of Gangrenous Sigmoid Volvulus: Systematic Review and Meta-Analysis.","authors":"Atalel Fentahun Awedew, Zelalem Asefa, Biruktawit Destaw Enkoye","doi":"10.4314/ejhs.v33i6.19","DOIUrl":"10.4314/ejhs.v33i6.19","url":null,"abstract":"<p><strong>Background: </strong>Gangrenous sigmoid volvulus has a significant impact on morbidity and mortality. This study was conducted to compare sigmoid resection and primary anastomosis (RPA) with sigmoid resection and end colostomy (Hartmann's procedure) for gangrenous sigmoid volvulus.</p><p><strong>Methods: </strong>A systematic review and meta-analysis study design was employed to summarize retrospective cohort, prospective cohort, and randomised control trial studies published from inception to march 31, 2023. Searching was performed on Medline, CINAHAL, Web of Science, Google Scholar, the Cochrane Library, and ClinicalTrials.gov to locate eligible articles. Data searching, selection and screening, quality assessment of the included articles, and data extraction were done by two separate reviewers. RevMan 5.4 software with a fixed-effect Mantel-Haenszel model and Stata version 14 were used to analyze the data. The protocol registered on PROSPERO registration website (CRD42023413367).</p><p><strong>Results: </strong>Ten cohort studies and one randomised control trial with 724 patients were found; all of them were rated as being of moderate quality. The overall mortality after RPA was 15% (95%CI: 11-19%), and after Hartmann's procedure it was 19% (95%CI: 15-23%). Resection and primary anastomosis (RPA) for gangrenous sigmoid volvulus had slightly lower mortality rate than stoma (OR=0.98(95%CI: 0.68-1.42), p=0.07, I<sup>2</sup>=43%), which had no statistically significant difference. Resection and primary anastomosis (RPA) had a slightly higher morbidity rate than Hartmann's procedure (OR=1.01(95%CI: 0.66-1.55), p=0.30, I<sup>2</sup>=18%), which had no statistically significant difference.</p><p><strong>Conclusion: </strong>Sigmoid resection and primary anastomosis (RPA) and Hartmann's procedure had no significant differences in mortality and morbidity for the treatment of gangrenous sigmoid volvulus. Choice of the intervention for gangrenous sigmoid volvulus should be individualized with consideration of different detrimental factors.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"33 6","pages":"1087-1096"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dilated Cardiomyopathy as a Rare Presentation of Multisystem Inflammatory Syndrome in Children (MIS-C): A Case Report. 作为儿童多系统炎症综合征(MIS-C)罕见表现的扩张型心肌病:病例报告。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.20
Vipulkumar V Gandhi, Komal Chopra

Multisystem inflammatory syndrome in children (MIS-C) is a rare post-infectious complication associated with COVID-19. This case report presents a detailed account of a paediatric patient diagnosed with MIS-C who developed dilated cardiomyopathy as a significant complication. This report aims to enhance our understanding of the rare potential cardiovascular implications of MIS-C and highlights the importance of prompt recognition and management.

儿童多系统炎症综合征(MIS-C)是一种与 COVID-19 相关的罕见感染后并发症。本病例报告详细描述了一名被诊断为 MIS-C 的儿科患者的情况,该患者的主要并发症是扩张型心肌病。本报告旨在加深我们对 MIS-C 罕见的潜在心血管影响的了解,并强调及时识别和处理的重要性。
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引用次数: 0
Imaging Patterns of Temporal Bone Fracture among Patients with Head Injury at Tikur Anbessa Specialized Hospital, Ethiopia. 埃塞俄比亚 Tikur Anbessa 专科医院颞骨骨折患者的成像模式。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.8
Elsabeth Wondwossen Yimam, Amal Saleh Nour, Tequam Debebe, Tewodros Endale

Background: Temporal bone fracture is usually a sequel of significant blunt head injury. Fracture of the temporal bone is mainly classified according to the orientation of the fracture plane and whether there is involvement of the otic capsule. Despite its frequent occurrence, there is limited research on the frequency and pattern of temporal bone fractures in our setup.

Methods: Retrospective cross-sectional hospital - based study of 60 patients who underwent computed tomography of the head for head trauma at Tikur Anbessa Specialized Hospital during the study period from October 2020 - October 2022.

Results: Among the 60 patients enrolled in the study, the mean age of presentation was 31.1 years with a male-to-female ratio of 4:1. There were 69 temporal bone fractures, 9(15%) were bilateral and 51(85%) unilateral The longitudinal fracture pattern was the most common fracture pattern, occurring in 40(78.4%) of unilateral cases, 15(83.3%) of bilateral cases. Otic capsule sparing fractures accounted for 49(96.07%) of unilateral fracture cases, and all patients with bilateral involvement had an otic capsule sparing fracture. Among the 42 patients for whom data regarding post-traumatic hearing outcome was available, 4 patients had post-traumatic hearing impairment. Anatomically, the squamous portion of the temporal bone was involved in 30(43.5%) of cases.

Conclusions: Fractures affecting the squamous portion of the temporal bone, longitudinal fracture patterns, and otic capsule sparing were the most frequent forms. The majority of temporal bone fractures were associated with other bone fractures and intracranial injuries.

背景:颞骨骨折通常是重大钝性头部损伤的后遗症。颞骨骨折主要根据骨折平面的方向和是否累及耳囊进行分类。尽管颞骨骨折经常发生,但有关我国颞骨骨折发生频率和模式的研究却很有限:基于医院的回顾性横断面研究,对 2020 年 10 月至 2022 年 10 月期间在提库尔-安贝萨专科医院因头部创伤接受头部计算机断层扫描的 60 名患者进行研究:在参与研究的 60 名患者中,平均发病年龄为 31.1 岁,男女比例为 4:1。纵向骨折模式是最常见的骨折模式,发生在40例(78.4%)单侧病例和15例(83.3%)双侧病例中。在单侧骨折病例中,有 49 例(96.07%)发生了疏松耳膜骨折,所有双侧受累的患者都发生了疏松耳膜骨折。在 42 例有创伤后听力结果数据的患者中,4 例患者有创伤后听力障碍。从解剖学角度看,30 例(43.5%)患者的颞骨鳞状部分受累:结论:影响颞骨鳞状部分的骨折、纵向骨折模式和耳囊疏松是最常见的骨折形式。大多数颞骨骨折伴有其他骨折和颅内损伤。
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引用次数: 0
Computed Tomography Dose Level in Selected Five Principal Hospitals in Ethiopia. 埃塞俄比亚部分五家主要医院的计算机断层扫描剂量水平。
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.11
Gebremedhin Kide Kinfe, Birhanu Tsegaye Wores

Background: X-ray Computed Tomography dose levels have been varying among modalities and scanning body regions due to the absence of incessant routine follow-up. Thus, the study aimed to compute the dose index discrepancies in Ethiopia for the most recurring scan protocols (head, chest, abdomen, and pelvis).

Methods: A purposive sampling method was employed to select the hospitals due to the rare existence of functional CT scanners in Ethiopia. From the selected hospitals, a total of 1,385 (249 heads, 804 chests, 132 abdomens, and 200 pelvis) were collected in terms of standard dose metric values in the period of December 2019-March 2020. Patients' DLP was computed into mean value using IBM SPSS Statistics 20 software. From the mean DLP, we can compute the effective dose.

Results: Patients' dose level disparity was observed in this study though it is below the ICRP standard level for all body regions except for pelvis DLP (593.37 mGy-cm) at Black Lion. The dose level for the head and chest are computed within the recommended level at all hospitals. Effective doses for the pelvis at four hospitals (Teklehaimanot, Black Lion, ALERT, Paul's, and Ayder hospitals) were computed as 6.45, 8.90, 5.08, 6.54, and 6.84 mSv respectively, and the effective doses for abdomen at Ayder Hospital was obtained to be 8.90 mSv, which is above the recommended value.

Conclusion: X-ray CT scanners are somewhat properly functioning although some sort of justification and optimization for pelvis and abdomen examinations are strongly recommended to implement as low as reasonably achievable principle.

背景:由于缺乏持续的常规跟踪,X 射线计算机断层扫描的剂量水平因扫描方式和扫描部位而异。因此,本研究旨在计算埃塞俄比亚最常用的扫描方案(头部、胸部、腹部和骨盆)的剂量指数差异:由于埃塞俄比亚很少有功能性 CT 扫描仪,因此采用了目的性抽样方法来选择医院。在2019年12月至2020年3月期间,从所选医院共收集了1,385例(249例头部、804例胸部、132例腹部和200例骨盆)的标准剂量指标值。使用 IBM SPSS Statistics 20 软件将患者的 DLP 计算为平均值。根据 DLP 平均值,我们可以计算出有效剂量:本研究观察到患者的剂量水平存在差异,但除了黑狮医院骨盆的 DLP(593.37 mGy-cm)外,其他身体部位的剂量水平均低于国际放射防护委员会的标准水平。所有医院计算的头部和胸部剂量水平都在建议水平之内。四家医院(Teklehaimanot、Black Lion、ALERT、Paul's 和 Ayder 医院)骨盆的有效剂量分别为 6.45、8.90、5.08、6.54 和 6.84 mSv,Ayder 医院腹部的有效剂量为 8.90 mSv,高于建议值:结论:X 射线 CT 扫描仪在一定程度上运行正常,但强烈建议对骨盆和腹部检查进行一定的论证和优化,以执行尽可能低的合理剂量原则。
{"title":"Computed Tomography Dose Level in Selected Five Principal Hospitals in Ethiopia.","authors":"Gebremedhin Kide Kinfe, Birhanu Tsegaye Wores","doi":"10.4314/ejhs.v33i6.11","DOIUrl":"10.4314/ejhs.v33i6.11","url":null,"abstract":"<p><strong>Background: </strong>X-ray Computed Tomography dose levels have been varying among modalities and scanning body regions due to the absence of incessant routine follow-up. Thus, the study aimed to compute the dose index discrepancies in Ethiopia for the most recurring scan protocols (head, chest, abdomen, and pelvis).</p><p><strong>Methods: </strong>A purposive sampling method was employed to select the hospitals due to the rare existence of functional CT scanners in Ethiopia. From the selected hospitals, a total of 1,385 (249 heads, 804 chests, 132 abdomens, and 200 pelvis) were collected in terms of standard dose metric values in the period of December 2019-March 2020. Patients' DLP was computed into mean value using IBM SPSS Statistics 20 software. From the mean DLP, we can compute the effective dose.</p><p><strong>Results: </strong>Patients' dose level disparity was observed in this study though it is below the ICRP standard level for all body regions except for pelvis DLP (593.37 mGy-cm) at Black Lion. The dose level for the head and chest are computed within the recommended level at all hospitals. Effective doses for the pelvis at four hospitals (Teklehaimanot, Black Lion, ALERT, Paul's, and Ayder hospitals) were computed as 6.45, 8.90, 5.08, 6.54, and 6.84 mSv respectively, and the effective doses for abdomen at Ayder Hospital was obtained to be 8.90 mSv, which is above the recommended value.</p><p><strong>Conclusion: </strong>X-ray CT scanners are somewhat properly functioning although some sort of justification and optimization for pelvis and abdomen examinations are strongly recommended to implement as low as reasonably achievable principle.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"33 6","pages":"1005-1014"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are We Missing Hypothyroidism among Children with Sickle Cell Anaemia? 镰状细胞性贫血患儿中是否存在甲状腺功能减退症?
IF 1.2 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-11-01 DOI: 10.4314/ejhs.v33i6.6
S O Akodu, A F Adekanmbi, T A Ogunlesi, M B Fetuga

Background: Children with sickle cell anaemia have been reported to have potential risk of hypothyroidism from chronic blood transfusions and probable thyroid tissue ischaemia. However, few studies on hypothyroidism status of children with sickle cell anaemia in Nigeria are available. The objective of this study was to determine the prevalence of hypothyroidism among children with sickle cell anaemia.

Methods: A cross sectional study that assayed the thyroid hormones and thyroid stimulating hormone (TSH) of 71 children with sickle cell anaemia was conducted at Olabisi Onabanjo University Teaching Hospital Sagamu. Using age appropriate hormonal reference values, the subjects were classified into subclinical, primary and secondary hypothyroidism.

Results: The mean serum TSH, Free T3, and Free T4 were comparable irrespective of age category (p > 0.05). No subject was identified to have low TSH value while 7.0% had high TSH value. Low free T3 was identified in 1.4% and 8.5% had high free T3 values. Low free T3 and free T4 were seen in 11.3% each of the subjects. The overall prevalence of primary, secondary and subclinical hypothyroidism was 0%, 0% and 4.2%, respectively.

Conclusion: Sub-clinical hypothyroidism does occur in Nigerian children with sickle cell anaemia. Routine screening for hypothyroidism is advocated in all children with sickle cell anaemia.

背景:据报道,镰状细胞性贫血患儿因长期输血和甲状腺组织可能缺血而有甲状腺功能减退的潜在风险。然而,关于尼日利亚镰状细胞性贫血患儿甲状腺功能减退状况的研究却寥寥无几。本研究旨在确定镰状细胞贫血儿童中甲状腺功能减退症的发病率:这项横断面研究在奥拉比西-奥纳班霍大学萨加穆教学医院(Olabisi Onabanjo University Teaching Hospital Sagamu)进行,对 71 名镰状细胞贫血患儿的甲状腺激素和促甲状腺激素(TSH)进行了检测。根据与年龄相适应的激素参考值,受试者被分为亚临床、原发性和继发性甲状腺功能减退症:结果:无论年龄大小,受试者的平均血清促甲状腺激素(TSH)、游离 T3 和游离 T4 都相当(P > 0.05)。没有人发现 TSH 值偏低,而 7.0% 的人 TSH 值偏高。1.4%的受试者游离 T3 值偏低,8.5%的受试者游离 T3 值偏高。游离 T3 和游离 T4 值偏低的受试者各占 11.3%。原发性、继发性和亚临床甲减的总发病率分别为 0%、0% 和 4.2%:结论:尼日利亚镰状细胞贫血患儿中确实存在亚临床甲状腺功能减退症。建议对所有镰状细胞贫血患儿进行甲减常规筛查。
{"title":"Are We Missing Hypothyroidism among Children with Sickle Cell Anaemia?","authors":"S O Akodu, A F Adekanmbi, T A Ogunlesi, M B Fetuga","doi":"10.4314/ejhs.v33i6.6","DOIUrl":"10.4314/ejhs.v33i6.6","url":null,"abstract":"<p><strong>Background: </strong>Children with sickle cell anaemia have been reported to have potential risk of hypothyroidism from chronic blood transfusions and probable thyroid tissue ischaemia. However, few studies on hypothyroidism status of children with sickle cell anaemia in Nigeria are available. The objective of this study was to determine the prevalence of hypothyroidism among children with sickle cell anaemia.</p><p><strong>Methods: </strong>A cross sectional study that assayed the thyroid hormones and thyroid stimulating hormone (TSH) of 71 children with sickle cell anaemia was conducted at Olabisi Onabanjo University Teaching Hospital Sagamu. Using age appropriate hormonal reference values, the subjects were classified into subclinical, primary and secondary hypothyroidism.</p><p><strong>Results: </strong>The mean serum TSH, Free T3, and Free T4 were comparable irrespective of age category (p > 0.05). No subject was identified to have low TSH value while 7.0% had high TSH value. Low free T3 was identified in 1.4% and 8.5% had high free T3 values. Low free T3 and free T4 were seen in 11.3% each of the subjects. The overall prevalence of primary, secondary and subclinical hypothyroidism was 0%, 0% and 4.2%, respectively.</p><p><strong>Conclusion: </strong>Sub-clinical hypothyroidism does occur in Nigerian children with sickle cell anaemia. Routine screening for hypothyroidism is advocated in all children with sickle cell anaemia.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"33 6","pages":"963-970"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Ethiopian Journal of Health Sciences
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