S Yogalakshmi, D Sasikala, Santosh Varughese, Vasanthakumari Sundararajan
{"title":"Integrated Dialysis Nursing Intervention for Ameliorating Fatigue in Hemodialysis Patients.","authors":"S Yogalakshmi, D Sasikala, Santosh Varughese, Vasanthakumari Sundararajan","doi":"10.4314/ejhs.v34i5.7","DOIUrl":"10.4314/ejhs.v34i5.7","url":null,"abstract":"<p><strong>Background: </strong>Fatigue is a pervasive and debilitating symptom among hemodialysis patients, severely impacting their quality of life and ability to participate in social activities. Dialysis nurses are pivotal in alleviating these effects through physical exercise. This study aims to evaluate the effectiveness of an integrated dialysis nursing intervention in reducing fatigue among hemodialysis patients.</p><p><strong>Methods: </strong>A quasi-experimental time series design was employed, involving 295 hemodialysis patients (148 in the experimental group and 147 in the control group) selected through consecutive sampling from two dialysis units in Chennai. Baseline fatigue was assessed in both groups. The experimental group received the integrated dialysis nursing intervention, including 15-minute sessions of aerobic exercises three times a week for eight weeks. The control group continued with routine care. Fatigue levels were reassessed at the end of the fourth and eighth weeks. Data were analyzed using SPSS version 20.</p><p><strong>Results: </strong>The study revealed a significant reduction in fatigue scores in the experimental group compared to the control group, with p < 0.001 in post-test I and II. The experimental group showed greater improvement than the control group, with p < 0.05.</p><p><strong>Conclusions: </strong>The integrated dialysis nursing intervention significantly reduced fatigue in hemodialysis patients. Incorporating this approach into routine intradialytic care can enhance fatigue management and improve patients' quality of life.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"389-396"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406424","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}
{"title":"Birth Cohort Studies are Necessary to Understand the Epidemiology and Nature of Non-Communicable Diseases in Africa.","authors":"Daniel Yilma, Tsinuel Girma","doi":"10.4314/ejhs.v34i5.1","DOIUrl":"10.4314/ejhs.v34i5.1","url":null,"abstract":"","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"350"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406417","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}
{"title":"A Systematic Scoping Review of Access to Safe Drinking Water in Sub-Saharan Africa: Mapping Literature on Determinants, Interventions, and Policy Implications over the Past Decade and the Path Forward.","authors":"Emmanuel Udochukwu Osisiogu, Kehinde Peter Akinrotoye, Amanda Eyram Banini, Raphael Eyram Amemo","doi":"10.4314/ejhs.v34i5.10","DOIUrl":"10.4314/ejhs.v34i5.10","url":null,"abstract":"<p><strong>Background: </strong>Access to safe drinking water remains a critical challenge in Sub-Saharan Africa, driven by a complex mix of environmental, political, social, economic, and infrastructural factors. This scoping review aims to map the literature on water access in Sub-Saharan Africa over the past decade.</p><p><strong>Methods: </strong>We conducted a comprehensive search of academic databases and grey literature from January 2013 to the present. We included peer-reviewed quantitative, qualitative, and mixed-methods research, as well as reviews and reports focusing on factors influencing water access and related interventions in Sub-Saharan Africa. Data were extracted on study characteristics, key determinants, proposed solutions, and outcomes.</p><p><strong>Results: </strong>A total of 137 studies were included. Commonly reported determinants included droughts, climate change, conflict, governance, gender, wealth, education, poverty, and inadequate infrastructure. Identified potential interventions included infrastructure development, water quality monitoring, climate adaptation, governance reforms, decentralized management, targeted subsidies, and integrated water resources management. However, most studies described barriers rather than evaluating solutions.</p><p><strong>Conclusions: </strong>Persistent inequities in water access are driven by interconnected factors such as poverty, governance, gender, and infrastructure. Implementing integrated solutions is crucial, with a shift from problem identification to evaluating contextualized interventions across sectors. Dedicated implementation research is needed to translate knowledge into action, advancing water security and achieving Sustainable Development Goal 6 in the region.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"413-420"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406409","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}
{"title":"Comments on Sigmoid Volvulus.","authors":"Sabri Selcuk Atamanalp","doi":"10.4314/ejhs.v34i5.12","DOIUrl":"10.4314/ejhs.v34i5.12","url":null,"abstract":"","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"425-426"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406419","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}
{"title":"Immediate Outcomes of Transcatheter Closure versus Surgical Ligation of Patent Ductus Arteriosus in Children at the Cardiac Center of Ethiopia (2012-2022): A Comparative Cross-Sectional Study.","authors":"Mohammed Nasir Beshir, Muluken Ahmed","doi":"10.4314/ejhs.v34i5.6","DOIUrl":"10.4314/ejhs.v34i5.6","url":null,"abstract":"<p><strong>Background: </strong>Transcatheter closure and surgical ligation of patent ductus arteriosus (PDA) are management options for PDA that have not spontaneously closed. However, studies reported the presence of complications and residual shunts in both Transcatheter closure and surgical ligation of PDA by themselves. In this study, the immediate outcomes of transcatheter closure of PDA versus surgical ligation of PDA were compared.</p><p><strong>Methods: </strong>Comparative cross-sectional study conducted on children under 18 years of age who underwent transcatheter closure and surgical ligation of PDA at a cardiac center in Ethiopia from January 1, 2012, to January 1, 2022, by retrospectively reviewing the records from October 1, 2023, to November 1, 2023. 664 patients who underwent PDA closure, (n = 316) in the transcatheter closure group and (n = 348) patients in the surgical ligation group were included in this study.</p><p><strong>Result: </strong>The surgical ligation group patients were younger, and more proportion of patients had severe pulmonary hypertension. Overall complications were significantly higher with surgical ligation compared with transcatheter closure ((112 (35.4% vs 286 (71.9%)), p-value = 0.001)). Total mechanical ventilation time, intensive care unit(ICU) stay, and hospital stay were higher in the surgical ligation group with a p-value of 0.001 each.</p><p><strong>Conclusion: </strong>Transcatheter closure of PDA has lower overall complications and shorter mechanical ventilation time, lower ICU stay, and lower hospital stay. Given the lower number of overall complications, transcatheter closure of PDA has to be considered for selected patients.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"379-388"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406423","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}
Angel-Mary C Anakwue, Afam C Umeha, Beatrice U Maduka
{"title":"Basilar Artery Diameter: Establishing a Reference Range for a Selected Black African Population.","authors":"Angel-Mary C Anakwue, Afam C Umeha, Beatrice U Maduka","doi":"10.4314/ejhs.v34i5.5","DOIUrl":"10.4314/ejhs.v34i5.5","url":null,"abstract":"<p><strong>Background: </strong>The basilar artery (BA) is a crucial vessel in the posterior cerebral circulation, supplying blood to the occipital lobes, cerebellum, and brainstem. Variations in BA diameter can be indicative of pathological conditions and may serve as a predictive marker for cerebrovascular events. Despite the importance of these measurements, data on the normal BA diameter in the Black African population is limited. This study aims to establish baseline values for BA diameter in healthy adults in Enugu, southeast Nigeria, and to examine any potential gender differences.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 298 subjects (150 males, 148 females) at the University of Nigeria Teaching Hospital Ituku/Ozalla, Enugu State. Participants, referred for brain CT, had normal radiologist reports. Contrast-enhanced brain CT scans were performed using a 64-slice Brilliance Philips scanner. BA diameter was measured on axial images at the midpons level.</p><p><strong>Results: </strong>The participants had a mean age of 49.4 years (±14 years). The BA diameter ranged from 3.1mm to 5.5mm, with a mean of 4.2mm (±0.5mm). Males had a significantly larger BA diameter compared to females (p<0.05). Diameter increased with age in both genders.</p><p><strong>Conclusions: </strong>This study provides reference values for BA diameter in a Nigerian population, highlighting a gender difference and age-related increase in diameter. These findings contribute to the understanding of BA geometry in Black Africans and can assist in diagnosing and managing cerebrovascular conditions.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 5","pages":"373-378"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143406414","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}
{"title":"Bibliometric Insights into Research on Frailty and Falls.","authors":"Norbayah Zainal, Azliyana Azizan","doi":"10.4314/ejhs.v34i4.9","DOIUrl":"10.4314/ejhs.v34i4.9","url":null,"abstract":"<p><strong>Background: </strong>Global population aging has sparked research into frailty and falls given their impact on older adults. This study provides a bibliometric analysis of frailty and fall literature to identify publication trends, leading contributors, impactful works, and conceptual themes.</p><p><strong>Methods: </strong>Frailty and fall publications were retrieved from Scopus and Web of Science databases without date restrictions. Data was analyzed using ScientoPy, and VOSviewer to generate statistics, visualizations, and maps based on temporality, productive countries, institutions, citations, subject categories, and keyword occurrences.</p><p><strong>Results: </strong>After pre-processing, 345 publications remained (84.6% Web of Science, 15.4% Scopus). The literature has grown steadily since 1990, led by the United States, China, and Japan. Prolific institutions were identified, including Pittsburgh University. Highly cited impactful studies were published across journals like the Journal of the American Geriatrics Society. Geriatrics/gerontology was the dominant subject category. Keyword co-occurrence analysis revealed clusters focusing on geriatric physical health, cardiovascular health, cognition, interventions, and mortality.</p><p><strong>Conclusions: </strong>This bibliometric analysis synthesizes a comprehensive overview of frailty and fall research, identifying rising publication and citation trends, leading global contributors, impactful studies, and thematic focuses. The findings can inform resource allocation, international collaboration, impactful evidence utilization, and future research planning to advance frailty science and clinical care for older populations. Ongoing investigation is warranted into frailty mechanisms, assessment, management, and multidomain interventions.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 4","pages":"331-344"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466566","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}
Azukaego Thomas Hughs Mokogwu, Kingsley Chukwuka Amaihunwa, Collins O Adjekuko, Enekabokom Nwoke Ekene, Edith Omozefe Okoro, Oyebola G Adeosun, Godwin O Avwioro
{"title":"In vivo Antimalarial and Liver Function Profiles of Methanol Extract of <i>Salvia officinalis</i> (Common Sage) Leaf in <i>Plasmodium berghei</i>-Infected Mice.","authors":"Azukaego Thomas Hughs Mokogwu, Kingsley Chukwuka Amaihunwa, Collins O Adjekuko, Enekabokom Nwoke Ekene, Edith Omozefe Okoro, Oyebola G Adeosun, Godwin O Avwioro","doi":"10.4314/ejhs.v34i4.5","DOIUrl":"10.4314/ejhs.v34i4.5","url":null,"abstract":"<p><strong>Background: </strong>Salvia officinalis (Common Sage) plant, is used as herbal medicine. The study was aimed at investigating the antimalarial potential and liver function profiles of the Methanol Extract of Salvia officinalis.</p><p><strong>Methods: </strong>Mice infected with Plasmodium berghei were treated (p.o) with the extract in the curative, suppressive, and prophylactic antimalarial models at doses of 250mg/kg, 500mg/kg, and 1000mg/kg. The positive control drug used was artemether/lumefantrine (7mg/kg A/L) while the negative control was 10mk/kg of Tween 80.</p><p><strong>Results: </strong>The curative stage showed a significant (p < 0.001) dose-dependent antiplasmodial effect (of the methanol extract of S. officinalis leaf) compared with the negative control (Group 1). At doses of 250, 500, and 1000mg/kg, the Salvia officinalis extract produced parasite suppression of 37.13%, 57.18% and 66.80% respectively. While the positive control group produced parasite percentage suppression of 74.38%. There was a significant chemo-suppressive effect (p < 0.001) at all doses of the methanol extract of Salvia officinalis leaf. The leaf extracts demonstrated a prophylactic significant (p < 0.001) activity. There was no significant effect (p > 0.05) on packed cell volume at doses of 250 and 500mg/kg while 1000mg/kg body weight showed a significant (p < 0.05) effect. There was a reduction in the level of activity of the enzymes and other parameters in the liver function tests with an increase in the dosage of the leaf extract.</p><p><strong>Conclusion: </strong>The methanol extract of Salvia officinalis possesses in vivo antiplasmodial activities and could be a lead plant in the development of antiplasmodial agents.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 4","pages":"290-300"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466611","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}
{"title":"Combating Antimicrobial Resistance in Africa: A Call for Multidimensional Strategies to a Growing Crisis.","authors":"Esayas Kebede Gudina, Mulatu Gashaw, Tafese Beyene Tufa","doi":"10.4314/ejhs.v34i4.1","DOIUrl":"10.4314/ejhs.v34i4.1","url":null,"abstract":"","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 4","pages":"260-261"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466568","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}
Aondona David Daniel, Akwaras Nndunno Asheku, Yohanna Stephen, Gyuse Ngueikyor Abraham, De-Kaa Niongun Lawrence Paul, Laadi Terrumun Swende, Ornguga Bamidele Ohiozoje, Grace Nwunuji Rimamnunra, Ngbede Matthew Ocheifa
{"title":"Assessment of Knowledge, Practice, Perception, and Expectations of Artificial Intelligence in Medical Care among Staff of a Tertiary Hospital.","authors":"Aondona David Daniel, Akwaras Nndunno Asheku, Yohanna Stephen, Gyuse Ngueikyor Abraham, De-Kaa Niongun Lawrence Paul, Laadi Terrumun Swende, Ornguga Bamidele Ohiozoje, Grace Nwunuji Rimamnunra, Ngbede Matthew Ocheifa","doi":"10.4314/ejhs.v34i4.7","DOIUrl":"10.4314/ejhs.v34i4.7","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is the simulation of human intelligence processes by machines, especially computer systems. AI technology has wide applications in biomedicine and has real practical benefits in many medical applications. The aim was to assess the knowledge, practice, perception, and expectations about AI technology among staff of Federal Medical Centre Makurdi Benue state, Nigeria.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional study over a period of three months from March to May 2023. The respondents were 18 years and above. The questionnaire was self-administered employing convenience sampling method to recruit responders. Data analysis was done using SPSS version 20.</p><p><strong>Result: </strong>A total of 384 respondents were recruited. The mean (SD) age of the respondents was 42.3(±11.1). Most were aged 41-50 (34.4%). There were more females (56% (215)). Most of the respondents (69% (264)) attested to knowing AI technology. However, the majority (87% (231)) of the 264 respondents who knew about AI technology did not have in-depth knowledge. Regarding practices, more than half of the respondents (55.3%) did not think AI makes their task easy. The majority of the respondents (90.3%) believed AI technology is essential in the medical field and most of the respondents (12.2%) were expecting to acquire AI technology skills in the future.</p><p><strong>Conclusion: </strong>The in-depth knowledge of AI technology was low. Most of the staff thought that AI technology did not make their task easy although they believe AI is essential in medical field and they expect the acquisition of more skills on AI technology in future.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 4","pages":"313-320"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467469","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}