scholarly journals Retrospective analysis of factors associated with emergency colostomy: an institutional experience

2021 ◽  
Vol 7 (10) ◽  
pp. 484
Author(s):  
Berhanetsehay Teklewold ◽  
Ermias G. Meskel
Keyword(s):  
Diabetes Mellitus ◽  
Colorectal Cancer ◽  
Addis Ababa ◽  
Sigmoid Volvulus ◽  
Adult Patients ◽  
Factors Associated ◽  
Medical College ◽  
End Colostomy ◽  
Institutional Experience ◽  
Study Participants

<p class="abstract"><strong>Background:</strong> Colostomy is one of the commonest lifesaving procedures done worldwide with an intention of either decompression of an obstructed colon or diversion of stool. This study tries to assess the pattern of emergency colostomy and factors associated with its complication in adult patients at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.</p><p class="abstract"><strong>Methods:</strong> Retrospective reviews of charts were done of all adult patients who underwent colostomy procedure from December 1, 2016 to May 30, 2019.  </p><p class="abstract"><strong>Results:</strong> There were 149 adult patients that underwent colostomy procedure in the study period and the majorities were male (83.2%). Majority of the procedures were done for indication of LBO secondary gangrenous sigmoid volvulus (49%). The most common comorbidity identified were renal disease (5%) and diabetes mellitus (3%). All patients who presented with gangrenous sigmoid volvulus underwent end colostomy procedure and 16.8% of them died. Generally, 69 patients among 149 (46.3%) developed certain type of complication. Presence of complication was significantly associated with increased chance of death by eight times than those who had no complication after the procedure. End colostomy was significantly associated with development of complication when compared to loop colostomy. Among the study participants 87.9% of them were discharged improved. The main cause of death was multi organ failure secondary to septic shock, which accounted to 52.9% of all deaths.</p><p class="abstract"><strong>Conclusions:</strong> Gangrenous sigmoid volvulus, colorectal cancer and trauma were leading indications for colostomy. Presence of complication and type of colostomy were factors significantly associated with outcome.</p>

scholarly journals Magnitude and factors associated with anemia among pregnant women attending antenatal care at St. Paul's Hospital Millennium Medical College, Addis ababa, Ethiopia - a cross sectional type of study

2020 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Addis Ababa ◽  
Antenatal Clinic ◽  
Parasitic Infestation ◽  
Cross Sectional ◽  
Care Clinic ◽  
Factors Associated ◽  
Medical College ◽  
History Of

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.

scholarly journals Awareness of Colorectal Cancer and Associated Factors Among Adult Patients in Jimma, South-West Ethiopia.

2020 ◽  
Author(s):  
Abdulmenan Hamza ◽  
Zeleke Argaw ◽  
Debela Gela
Keyword(s):  
Colorectal Cancer ◽  
Associated Factors ◽  
Adult Patients ◽  
P Value ◽  
Bloody Stool ◽  
Cancer Awareness ◽  
Awareness Campaigns ◽  
South West ◽  
Study Participants ◽  
South West Ethiopia

Abstract Background: Colorectal cancer (CRC) is the first commonest diagnosed cancer in men and the fourth commonest in women in Ethiopia. The most significant factors that may increase the risk of having CRC were modifiable. However, little is known about the awareness of CRC and associated factors among adult patients in study area. Therefore, the study aimed to assess the awareness of CRC and associated factors among adult patients in Jimma, South-West Ethiopia, 2020. Methods: The institution-based quantitative cross-sectional study design was conducted among 422 patients from March 8 to April 30, 2020. The study participants were recruited by a systematic random sampling method and data was collected semi-structured interviewer-administered questionnaires. Descriptive, bivariate, and multivariate logistic regression was implemented. The statistical level of significance was stated at p-value < 0.05. Result: A 100% response rate in this study was recorded. More than half (57.6%) of the study participants had low awareness of colorectal cancer. Smoking (78.2%) and bloody stool (49.3%) were the most known risk factors and symptoms. There is a significant association between awareness of colorectal cancer with gender, residency, monthly income, level of education, information sources, and heard about CRC. Conclusion: Overall awareness of patients towards CRC was inadequate. Participants with high levels of education and females had better awareness, however; the overall awareness of them was insufficient. Therefore, there is a need for awareness campaigns and health education for promoting colorectal cancer awareness.

scholarly journals Magnitude and factors associated with anemia among pregnant women attending antenatal care at st. Paul's Hospital Millennium Medical college, Addis Ababa, Ethiopia, July, 2019

2019 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Addis Ababa ◽  
Antenatal Clinic ◽  
Parasitic Infestation ◽  
Cross Sectional ◽  
Care Clinic ◽  
Factors Associated ◽  
Medical College ◽  
History Of

Abstract Background: This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods: Institution based cross sectional study design was conducted from December 1, 2018 to January 15, 2019 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p<0.05 are consider to have significant association. Results: The magnitude of Anemia in pregnant women in this study was 19.8 %, (95% CI 16.00-23.70). HIV infection (AOR=6.12(95% CI 2.19, 17.08) parasitic infestation (AOR= 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR=3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion: This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors. Key words: Magnitude, Anemia, Pregnant women

scholarly journals Lactose intolerance: Magnitude and Associated factors among malnourished under-five Children in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Birhane Gebremariam ◽  
Abebe Edao ◽  
Tigist Bacha ◽  
Mistire Wolde
Keyword(s):  
Associated Factors ◽  
Lactose Intolerance ◽  
Intestinal Parasites ◽  
Addis Ababa ◽  
Milk Formula ◽  
Under Five ◽  
Under Five Children ◽  
Medical College ◽  
Hospital Medical ◽  
Study Participants

AbstractBackgroundLactose intolerance (LI) is a pathological condition characterized by the inability to digest sugar, lactose, due to the absence or insufficient activity of the lactase enzyme (β-galactosidase). Currently, laboratory diagnostic procedures for LI are poorly practiced in Ethiopia, and so LI treatment is based on an empirical diagnosis. Thus, the objective of the study was to determine the magnitude and associated factors of lactose intolerance among malnourished under-five children in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia from March 2018 – July 2018.MethodsA cross-sectional study was conducted among malnourished under-five children admitted in the pediatric unit, Yekatit 12 Hospital Medical College, Ethiopia. By using a convenient sampling technique structured questionnaire was administered to gather information on the socio-demographic characteristics of study participants and associated risk factors of LI. Moreover, a fresh stool sample was collected from the study participants to measure stool pH, reducing substances, and microscopy examination for intestinal parasites. Data entery and analysis was done using the Statistical Package for Social Sciences (SPSS 21) software.ResultsThe study included 169 malnourished under-five children. Among those 90 (53.3%) were male with a median age of 12 months. The magnitude of LI was 18.3%. Among the study participants, the highest numbers of LI cases were in the age group of less than 12 months; 17(10.1%) followed by 13-24 months; 13(7.7%). Factors that show significant association with LI on bi-variate logistic analysis were family history of lactose intolerance (P=0.043) and diarrhea (P=0.001). In addition; the problem after taking milk (P=0.007), type of therapeutic milk formula (P=0.001), and frequency of stool/24hr (P=0.023) were found to be independent predictors factors of lactose intolerance in the study population.ConclusionThe magnitude of LI was high in the study setting. Thus, more attention should be given on the proper laboratory diagnosis of LI, for better management of cases at the Yekatit 12 hospital. In addition, similar large scale studies at the molecular level are required to strengthen the present findings of LI in Ethiopia.

scholarly journals Clinical CHaracteristics of Diabetic Ketoacidosis in Type 2 Diabetes Mellitus in Bangladesh Adult Patients

2013 ◽  
Vol 21 (2) ◽  
pp. 131-139
Author(s):  
Mohammad Zaid Hossain ◽  
Ali Muhammad ◽  
Khan Abdul Kalam Azad ◽  
Sudip Ranjan Deb ◽  
Md. Mostafizur Rahman ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Ketoacidosis ◽  
Clinical Characteristics ◽  
Adult Patients ◽  
Medical College

J Dhaka Medical College, Vol. 21, No. 2, October, 2012, Page 131-139 DOI: http://dx.doi.org/10.3329/jdmc.v21i2.15299

scholarly journals Prevalence and Factors Associated with Anemia among Pregnant Women Attending Antenatal Clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Angesom Gebreweld ◽  
Aster Tsegaye
Keyword(s):  
Pregnant Women ◽  
Addis Ababa ◽  
Antenatal Clinic ◽  
Folic Acid Supplementation ◽  
Factors Associated ◽  
Medical College ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background. In pregnancy, anemia is an important factor associated with an increased risk of maternal, fetal, and neonatal mortality, poor pregnancy outcomes, and impaired cognitive development, particularly in developing countries like Ethiopia. This study aimed to assess prevalence and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Method. A cross-sectional health facility based study was conducted on 284 pregnant women to assess prevalence and factors associated with anemia at St. Paul’s Hospital Millennium Medical College from June to August 2014. Data on sociodemographic and clinical characteristics of the study participants were collected using a pretested structured questionnaire by interview and review of medical records. About 4 ml of venous blood was collected from each subject for peripheral blood film and complete blood counts (CBC). Binary Logistic regression analysis had been used to check for association between dependent and independent variables. In all cases, P value less than 0.05 was considered statistically significant. Result. The prevalence of anemia was found to be 11.6% (95 % CI; 7.8%-14.8%). Pregnant women in the second [AOR (95% CI), 6.72 (1.17-38.45), and P=0.03] and third trimester [AOR (95% CI), 8.31 (1.24-55.45), and P=0.029] were more likely to be anemic when compared to pregnant women in their first trimester. Pregnant women who did not receive iron/folic acid supplementation [AOR (95%CI), 4.03(1.49-10.92), and P=0.01] were more likely to be anemic when compared to pregnant women who did take supplementations. Conclusion. In this study the prevalence of anemia in pregnancy was low compared to the findings of others. Gestational age (trimester) and iron/folic acid supplementation were statistically associated with anemia. Therefore, iron supplementation and health education to create awareness about the importance of early booking for antenatal care are recommended to reduce anemia.

scholarly journals Factors Associated with Apgar Score among Newborns Delivered by Cesarean Sections at Gandhi Memorial Hospital, Addis Ababa

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mohammed Suleiman Obsa ◽  
Getahun Molla Shanka ◽  
Misrak Woldayohannes Menchamo ◽  
Robera Olana Fite ◽  
Meron Abrar Awol
Keyword(s):  
Apgar Score ◽  
Addis Ababa ◽  
Score Test ◽  
Computer Software ◽  
Skin Incision ◽  
Delivery Time ◽  
Cesarean Sections ◽  
Factors Associated ◽  
Cohort Study Design ◽  
Study Participants

Background. Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra medical or emergency care. This study is aimed at assessing factors associated with Apgar score among newborns delivered by cesarean sections and factors associated with Apgar score. Method. Institutional-based cohort study design was conducted. All eligible study participants were included. Training was given for data collectors and supervisors. Regular supervision and follow-up was made. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score. Result. A total 354 newborn babies were included into the study. Majority of baby had low Apgar score at one minute and high Apgar score at five minutes. About 30.2% of newborn baby had Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar score at five minutes. It had been found that those neonates who were born when skin incision to delivery time is greater than three minutes were about fourfolds more likely to have low Apgar score than those who were born when skin incision to delivery time is less than three minutes (AOR 3.645) (95% CI (0.116-26.421)). Conclusion. Newborn babies have a low Apgar score at one minute as compared to five minutes. But low Apgar score at five minutes has long-term sequel. Therefore, it is very important to reduce factors associated with low Apgar score at both minutes.

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