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Implanon Discontinuation Rate and It's Associated Factors in Debre Tabor Town, North Central Ethiopia
Issue:
Volume 8, Issue 2, March 2019
Pages:
6-12
Received:
24 April 2019
Accepted:
24 May 2019
Published:
13 June 2019
Abstract: Family planning could avert a significant number of maternal mortality and contributes to child survival with its focus on women's rights. Generally, a long-acting reversible contraceptive is more effective and cover all the advantage and eliminates the disadvantages of other types of contraceptives. The acceptance and utilization of long-acting reversible contraceptive including implanon were very low in many developing countries including Ethiopia. The purpose of this study was to assess the level of discontinuation and to identify variables influencing Implanon utilization. A cross-sectional design was conducted between January to December 2018 in Debre Tabor town. In the community, a total of 132 women who have been using or discontinuing Implanon during the study period were selected. Face-to-face interviews using a structured questionnaire were conducted for data collection. The data were entered, cleaned and analyzed by a statistical package for social sciences version 20. The data were processed and analyzed by a statistical package for social sciences version 20 using descriptive and analytical statistics including chi-square test that identified the association between some selected independent variables and implanon discontinuation. The overall implanon discontinuation in the year 2018 was 16.7% in Debre Tabor town. The most frequently mentioned reason for implanon discontinuation was health-related issues (31.8%), side effects (27.3%), desire to have more children (22.7%) and method shift (18.2%). Factors associated with Implanon discontinuation were developing side effects, women who have living children and not providing counseling service. Implanon discontinuation among Implanon users in Debre Tabor town during the year 2018 was found to be high and the most frequently mentioned rationale was health-related issues. Health care providers should provide counseling before Implanon insertion.
Abstract: Family planning could avert a significant number of maternal mortality and contributes to child survival with its focus on women's rights. Generally, a long-acting reversible contraceptive is more effective and cover all the advantage and eliminates the disadvantages of other types of contraceptives. The acceptance and utilization of long-acting re...
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Treatment of Nasolacrimal Duct Obstruction in Infants by Probing Without Irrigation
Esmat Karbasi,
Narges Khanjani
Issue:
Volume 8, Issue 2, March 2019
Pages:
13-16
Received:
15 April 2019
Accepted:
29 May 2019
Published:
19 June 2019
Abstract: Nasolacrimal duct obstruction (NLDO) is a common congenital abnormality. Some obstructions resolve spontaneously and some require probing surgery with irrigation. However, the necessity of irrigation after probing is still under doubt. The study included 131 eyes (114 children) with persistent NLDO, between 9 to 48 months of age with no previous nasolacrimal surgical procedures, who had attended the ophthalmology clinic at Shafa Hospital, Kerman, Iran for NLDO treatment. Probing was done through the superior or inferior canalicular system into the nasolacrimal canal, not succeeded by irrigation. The duration of anesthesia was shorter than usual. Subjects were visited at 1 and 6 months after surgery. Before the surgery, all of the eyes had epiphora, 56% had mucopurolent discharge and 18% had a history of dacrocystitis, in which after the surgery the prevalence dropped to 6%, 5% and 4%. The average procedure time under general anesthesia was 5.9 minutes and the average recovery time wan 7.2 minutes, which was shorter than surgery with irrigation. In this study, we experienced similar results of probing without irrigation in comparison to probing with irrigation, also the surgery and anesthesia duration was shorter and the risk of aspiration was little. More studies from other centers and larger populations especially RCTs should be performed to confirm our results.
Abstract: Nasolacrimal duct obstruction (NLDO) is a common congenital abnormality. Some obstructions resolve spontaneously and some require probing surgery with irrigation. However, the necessity of irrigation after probing is still under doubt. The study included 131 eyes (114 children) with persistent NLDO, between 9 to 48 months of age with no previous na...
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Renal Function Assessment Among Diabetic Patients in Asella Referral and Teaching Hospital, Assela, South East Ethiopia
Shimels Teshome Ayalneh,
Million Getachew Mesfun,
Getachew Abebe,
Henok Getachew
Issue:
Volume 8, Issue 2, March 2019
Pages:
17-20
Received:
27 May 2019
Accepted:
1 July 2019
Published:
22 July 2019
Abstract: 1.5 million people died due to diabetes and more than half millions of them died because of diabetic kidney diseases in 2015. In Ethiopia, the frequency of chronic complications of diabetes is high and an increased occurrence of nephropathy, peripheral neuropathy, hypertension, and retinopathy was observed with longer duration of diabetes. However, there is limited data on the assessment of renal function among Diabetic patients at country level in general as well as specifically in Asella Referral & Teaching Hospital. Retrospective study method was used and Cockroft-Gault formula was used to calculate the estimated Glomerular Filtration Rate. The data were analyzed using SPSS version-20 software and the P-value was calculated to see the statistically significant association (p-value < 0.05) among different parameters. Among the total of 189 study subjects, 123 (65.1%) was found to have evidence of renal damage. Of all 123 patients having renal damage, 76 (40.2%) was stage 2, 4 (2.1%) was stage 4. Diabetic patients whose age is >50 were 0.276 times at risk of developing diabetic renal damage than those aged ≤50 (AOR=0.276, 95% CI (0.133-0.574) p=0.001)
Abstract: 1.5 million people died due to diabetes and more than half millions of them died because of diabetic kidney diseases in 2015. In Ethiopia, the frequency of chronic complications of diabetes is high and an increased occurrence of nephropathy, peripheral neuropathy, hypertension, and retinopathy was observed with longer duration of diabetes. However,...
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