Background: In Ethiopia, the second most prioritized of the zoonotic diseases next to rabies is anthrax. About 50.6% of anthrax cases and 33.3% of deaths of livestock have been reported from Wag-Himra Zone, where appropriate anthrax prevention practices are not implemented by the owners of the animals. Thus, the aim of this study was to determine the extent of appropriate anthrax prevention practices of livestock owners and associated factors in Sekota Zuria district, northwest Ethiopia. Results: Twenty-five percent (95% CI: 25.2, 26.1%) of the livestock owners implemented appropriate anthrax prevention. Three quarters (74%) of the owners consumed infected meat; more than three quarters (78%) used the skins and hides of animals found dead with anthrax. The odds of appropriate anthrax prevention practices were higher among livestock owners with positive attitude (AOR = 4.16, 95% CI: 2.72, 6.37), who received health education (AOR = 2.00, 95% CI: 1.21, 3.28) and owners who lived in urban areas (AOR = 2.62, 95% CI: 1.43, 4.77) compared to their counterparts. Ability to read and write (AOR = 2.76, 95% CI: 1.74, 4.37), and primary (AOR = 3.6, 95% CI: 1.74, 4.37) or secondary school and above education (AOR = 4.24, 95% CI: 1.61, 11.13) were significantly associated with appropriate anthrax prevention practices. Conclusion: In Sekota Zuria district, only one quarter of the livestock owners were aware of appropriate anthrax prevention practices. Thus, implementing effective health education and creating positive attitude are vital to improve anthrax prevention practices in the area.

Introduction: there are many studies regarding informed consent in clinical trials, however, only few studies have assessed adult patient’s knowledge and perception of surgical informed consent in clinical practice. Therefore, the purpose of this study was to assess knowledge and perception of surgical informed consent and associated factors among adult surgical patients in Gondar University Comprehensive and Specialized Hospital, Northwest Ethiopia, 2018 Methods: responses from 312 postoperative adult surgical patients was taken using pretested structured interviewer administered questionnaires for one month. Result: there were a total of 302 respondents, (40% males and 60% females). More than half, 178 (59%) were in age groups of 31-43 years. Of the study participants, 193(63.91%) of them had poor knowledge and 155(51.3%) had poor perception about surgical informed consent in the study area. On the other hand, living in urban, being higher educational status and having past history of surgery were positively associated with good knowledge of patients towards surgical informed consent while being urban, higher education, being ophthalmologic patient & receiving consent from physician were positively associated with perception of patients regarding surgical informed consent. Conclusion: majority of the study participants had limited knowledge and poor perception about surgical informed consent. Adequate preoperative health education for patients should improve patients’ knowledge and perception. Keywords: Gondar University Comprehensive Specialized Hospital, Knowledge, patient perception, surgical informed consent

The level of patient satisfaction is a direct or indirect measure of services delivered in healthcare institutions. Different primary studies in Ethiopia showed the proportion of satisfied patients toward health services. Patient satisfaction reflects a wide gap between the current experience and the expected services and pushes clients to go to farther located health care facilities and even to more expensive private health care facilities to find quality healthcare services. Inconsistent findings regarding the proportion of patients that are satisfied with the healthcare services in Ethiopia make generalizations difficult at the national level. We have accessed previous studies through an electronic web-based search strategy using PubMed, Cochrane Library, Google Scholar, Embase, and CINAHL and a combination of search terms. The quality of each included article was assessed using a modified version of the Newcastle-Ottawa Scale for cross-sectional studies. All statistical analyses were done using STATA version 14 software for windows, and meta-analysis was carried out using a random-effects method. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for reporting results. Out of 188 records screened, 41 studies with 17 176 participants fulfilled the inclusion criteria and were included for proportion estimation. The pooled proportion of satisfied patients was 63.7%. Attending a health center (AOR = 2.68; 95% CI = 1.79, 2.85), being literate (AOR = 0.46; 95% CI = 0.28-0.64), being younger than 34 years old (AOR = 2.07; 95% CI = 1.28, 2.85), and being divorced (AOR = 0.58; 95% CI = 0.38, 0.88) were factors identified as being associated with patient satisfaction. The proportion of patient satisfaction in Ethiopia was high based on over 50% satisfaction scale. The Ministry of Health should give more emphasis to improve hospital health care services to further improve patient satisfaction.

No abstract

No abstract

No abstract

Background Re-laparotomy is one of the causes of morbidity and mortality among patients with abdominal surgery; unless efforts are made to prevent in advance by identifying the potential risk factors.Methods Retrospective cross-sectional study was conducted at Debre-Markos Referral Hospital from three hundred and ninety charts (390) from January 1, 2015, to January 30, 2017. Data were analyzed using Statistical Package for Social Science (SPSS) version 22. The associated factors for relaparotomy were identified using multivariable logistic regression. P-value < 0.05 was considered to be statistically significant. ResultsWe studied 390 patients based on charts. Two hundred seventy-four patients (70.3%) were males. Forty-eight patients (12.3%) performed re-laparotomy. Patients with the duration of operating on initial surgery >60 hrs, AOR=3.30(95%CI [1.40-7.41, p=0.05]), diabetes mellitus, AOR=4.79(95%CI [1.55-14.80, p=0.007]), elective surgery, AOR=0.17(95%CI [0.05-0.56, p= 0.004])Conclusion Even re-laparotomy is preventive; it is found to be in-patients underwent abdominal surgery. Therefore, appropriate preventive intervention to be taken to change those factors of the first surgery. BackgroundRe-laparotomy defined as a re-abdominal operation performed within 60 days relate to the first surgery (1). Re-laparotomy reported in different parts of the world, which accounts about 1.5-27% of patients with abdominal surgery (1-7).Re-laparotomy occurs once or more than once related to complications (8). It is one of the causes of morbidity and mortality among patients with abdominal surgery (1,9); unless efforts are made to prevent in advance by identifying the potential risk factors. The most common indications for relaparotomy are peritonitis, infection, bleeding, abscess, anastomotic leakage, wound dehiscence, necrotizing pancreatitis, bowel necrosis, bowel obstruction and evisceration (10,11). This study concluded that patients with re-laparotomy had high in mortality as well as exposed to the disease (10, 11). Research, however, lacks in examining the effect of re-laparotomy on abdominal surgicalThe authors have declared that they have no competing interests.

No abstract