BackgroundEpilepsy is the world’s most common neurological disorder, affecting approximately 50 million people worldwide and contributed to different psychiatric illness. Depression is one of the most frequent co morbid psychiatric disorders that affects the life of the patients’. This study aimed to assess the prevalence of depression and associated factors among epileptic patients attending the outpatient department of the University of Gondar Hospital, Northwest Ethiopia, 2014.MethodsInstitution based quantitative cross—sectional study was conducted among 405 individual with epilepsy. The participants were selected using systematic random sampling technique. Semistructured questionnaires were used to obtain socio-demographic and clinical data. Depression was measured using Beck’s Depression Inventory Binary logistic regression used for analysis.ResultsThe estimated, prevalence of depression was found to be 45.2 %. Out of these (29.6 %) were classified as mild, (14.8 %) as moderate and (0.8 %) were severely depressed. A lower educational status was associated with an increased prevalence of depression and the adjusted odds ratio (AOR) for the illiterate [can’t read and write] was 8.32 [95 % Confidence Interval (CI): 4.83, 14.29]. Perceived stress (AOR = 6.21, CI 3.69, 10.44), onset of illness <6 years (AOR = 5.29, CI 4.09, 15.89), seizure frequency of [1–11 per year (AOR = 1.34, CI 1.41, 4.36), ≥1 per month (AOR = 7.83, CI 3.52, 17.40)], poly-pharmacy (AOR = 7.63, CI 2.74, 21.26)] and difficulties of adherence to antiepileptic drugs (AOR = 4.80, CI 2.57, 8.96) were also found to be independently associated with depression.ConclusionOverall, the prevalence of depression was found to be high. Lower educational status, early onset of illness, seizure frequency, poly-pharmacy and difficulties of adherence to anti-epileptic drugs (AEDs) were factors statistically associated with depression. Strengthening the educational status of the patients on the effect of early onset of the illness, frequent seizure occurrence and difficulty of adherence to AEDs as a contributing factors for other co-morbid psychiatric disorder are suggested in the clinical care setting.

Background: Khat (Catha edulis) chewing is becoming a significant public health problem, and it becomes a common practice among high school, college, and university students. Objective: This study was conducted to assess the prevalence and determinants of khat chewing among Gondar University students in Northwest Ethiopia. Materials and Methods: The study was conducted among 872 randomly selected students in April 2014. A structured selfadministered questionnaire was used to collect the data. Descriptive statistics and logistic regression were performed to examine the prevalence and predictors of current use of khat.

Background: Suicide is a serious public health problem, responsible for 1.48% of all deaths worldwide, with suicidal ideation an important precursor. University and college students are among highly affected groups. This study aimed to determine the prevalence of suicidal ideation and to identify factors associated with suicidal ideation among university students in Ethiopia. Methods:A random selection of 836 students was surveyed. Binary and multivariable logistic regression models were fitted, adjusting for potential confounders. Associations were measured using odds ratios (OR) and 95% confidence intervals (95% CI). Analyses were carried out using the SPSS version 20 software. Results:The prevalence of suicidal ideation was 19.9% (95% CI 17.1-22.4%). The odds of suicidal ideation was higher among students who had mental distress (adjusted odds ratio (AOR) = 2.0, 95% CI 1.38-2.91), a family history of mental illness (AOR = 3.05, 95%, 1.89-4.92) and for those who had low social support (AOR = 2.0, 95% CI 1.35-2.82). Financial distress (AOR = 1.59, 95% CI 1.09-2.33), Khat chewing (AOR = 1.78, 95% CI 1.05-3), and alcohol use (AOR = 1.6, 95% CI 1.05-2.42) were also significantly associated with suicidal ideation. We found no evidence of associations between suicidal ideation and gender, age, relationship status, or year of study. Conclusions:One in five students reported suicidal ideation. There was strong evidence of associations between suicidal ideation and mental distress, family history of mental illness, low social support, financial distress, and substance use. It is, therefore, important to develop suicide prevention strategies targeting these risk factors for university students in Ethiopia.

Background. Road traffic injuries are a major public health issue. The problem is increasing in Africa. Objective. To assess the incidence of road traffic injury and associated factors among patients visiting the emergency department of Tikur Anbessa Specialized Teaching Hospital, Addis Ababa, Ethiopia. Methods. Institutional based cross-sectional study design was conducted. A total of 356 systematically selected study subjects were included in the study. Bivariate and multivariate logistic regressions were performed to identify associated factors with road traffic injury. Odds ratios with 95% confidence interval were computed to determine the level of significance. Results. The incidence of road traffic injury in the emergency department of Tikur Anbessa Specialized Teaching Hospital was 36.8%. Being a farmer (AOR = 3.3; 95% CI = 1.06–10.13), conflict with family members (AOR = 7.7; 95% CI = 3.49–8.84), financial problem (AOR = 9.91; 95% CI = 4.79–6.48), psychological problem (AOR = 17.58; 95% CI = 7.70–12.14), and alcohol use (AOR = 2.98; 95% CI = 1.61–5.27) were independently associated with road traffic injury. Conclusion and Recommendation. In this study the incidence of road traffic injury was high. Alcohol is one of the most significant factors associated with Road Traffic Injury. Thus urgent education on the effect of alcohol is recommended.

Introduction: Clinical teaching behavior is a critical determinant for quality of clinical learning. Nursing students’ and instructor’s perception of effective clinical teaching behavior (ECTB) is important to modify and facilitate clinical education. Thus, the main purpose of this study was to assess the effective clinical teaching behavior (ECTB) as perceived by students and nursing instructors. Methods: Facility based cross-sectional descriptive study design was conducted among 178 participants. Data were collected using pre-tested and self-administered questionnaire. Effective clinical teaching behaviors were measured by Nursing Clinical Teacher Effectiveness Inventory. Data were analyzed using descriptive and independent sample t-test. An adjusted odds ratio with 95% confidence interval computed to determine the level of significance. Results: The most important rated ECTB as perceived by students was teaching ability. For instructors, nursing competences was the most rated ECTB. The overall mean of ECTBs of the students and instructors were 4.26 (0.52) and 3.52 (0.74) respectively. There was statistically significant mean difference between them (t = 5.888). Conclusion: There was a statistically significant mean difference between the students' and instructors’ perception of ECTBs. Thus, authors suggest nursing instructors to consider the presence of students who prefers different teaching methods.