IntroductionAbdominal pregnancy is a rare form of ectopic pregnancy with very high maternal and fetal morbidity and mortality. A high index of suspicion is crucial for prompt diagnosis and management especially in low-resource countries.Case presentationA 32-year-old gravida III para II Amhara woman presented with shortness of breath and progressive abdominal distension and pain. An emergency laparotomy was performed with the impression of abdominal pregnancy. Intraoperatively, the fetus was seen in an intact amniotic sac in her abdomen, her uterus was ruptured at the fundus and the placenta was extensively adhered to the edge of the ruptured site. The patient and neonate progressed well and were discharged.ConclusionsTerm abdominal pregnancy is an extremely rare diagnosis and requires a high index of suspicion. The life-threatening complication is bleeding from the detached placental site. A thorough examination of the newborn is important to rule out congenital anomalies.

Background: Family planning is defined as the ability of couples or individuals to attain their desired number of children, spacing, and timing of their births with the use of contraceptive methods. Ethiopia is one of the most populated countries in Africa with a high fertility rate, a highly unmet need for family planning, and low contraceptive utilization.Objective: This study aims to assess modern contraceptive method utilization and associated factors among women of reproductive age in Gondar City, Northwest Ethiopia. Materials and Methods: A community-based cross-sectional study design was undertaken with 708 women in the reproductive age in Gondar City, using a structured questionnaire combined with face-to-face interviews. Descriptive analysis, binary, and multivariable logistic regression analyses were applied to analyze the data. Results: In this study, 41.2% of the respondents utilized modern contraceptive methods. Of the study participants, 52.1 % had good knowledge and 45.3% had a favorable attitude towards modern contraceptive methods. After adjusting for covariates, the odds of using modern contraceptive methods were 3.6 times, 4.7 times, 2.4 times, and 4 times higher among women of the age 20-24, 25-29, preparatory education, and degree holders, respectively. In addition, for the women having up to six desired children [AOR (Adjusted Odds Ratio) = 2.4 (95% CI: 1.1, 5.3)], a history of no-child death experience [AOR= 4.4 (95% CI: 1.03, 19.1)], good knowledge [AOR= 4.1 (95% CI: 2.7, 6.0)], and favorable attitude [AOR= 3.5 (95% CI: 2.4, 5.1)] were positively associated with modern contraceptive utilization. Conclusion:The majority of participants had good knowledge about, but the unfavorable attitude towards the utilization of modern contraceptive methods. Therefore, the authors recommended that special awareness creation with the help of health education interventions should be employed in the community.

Use of long-term herbivory studies in understanding the effects of livestock grazing on dwarf shrubs of arid zones of Africa is uncommon. Moreover, research has seldom focused on monitoring a 4-5 yr effect of herbivory at the level of individual plants. This study provided information on field-based experiments and simplified statistical modeling to test compensatory growth responses of individuals of the African dwarf shrub Indigofera spinosa in northwestern Kenya. From August 1986 to January 1990, we simulated livestock grazing during dry and wet seasons and over the full year, whereby plants were defoliated during both wet and dry seasons. Individuals of I. spinosa (n ϭ 480 plants) were subjected to one of five clipping intensities: unclipped control (0%), light (30%), moderate (50%), severe (70%), and very severe (90%) clipping; and defoliated of regrowth (i.e., new biomass). Our findings showed that rainfall, clipping regimes, and seasons of treatment influenced the compensatory growth response. Rainfall more than residual biomass influenced regrowth, while plants with greater residual biomass produced more regrowth than those with less. Optimum residual biomass was achieved under the 30% clipping level, while least was maintained under the 90% level. We separated compensatory growth response into under-and overcompensation. We showed that overcompensation occurred under some conditions but not in others. The shrub displayed relative overcompensation with a compensatory ratio (CR) Ͼ 1.0 for three continuous years with light clipping regime during the wet season defoliations (WSD). In two of five years there was overcompensation with the dry season defoliations (DSD), but undercompensation (CR Ͻ 1.0) with full-year defoliations (FYD). On average, under the moderate, severe, and very severe clipping regimes the plants had undercompensation. Patterns of change of cumulative regrowth and its derivative, relative growth rates (RGR), provided different compensatory responses. RGR was more positive at lower cumulative regrowth but gradually declined and became negative when cumulative regrowth was maximum. The exception was in WSD where RGR remained positive for three years. DSD by far achieved greater cumulative regrowth than WSD and FYD. However, compared to the controls, FYD (except under light regime) exactly overcompensated for total ''biomass budget'' while WSD overcompensated under all clipping regimes except very severe. DSD under the light and moderate regimes overcompensated by ϩ343.6% and by ϩ202.7%, respectively. The study showed that I. spinosa combines tolerance with compensatory growth response to cope with a wide array of herbivory and seasons of use. The shrub may be grazed under light regime during the wet and dry seasons as opposed to the full-year grazing which is unsustainable.

Background: Although there are limited studies, recent data are lacking to determine the prevalence of eye problems in Ethiopia accurately and there is no scientific evidence of such study in Sekela Woreda. The purpose of this study was to determine the prevalence of visual impairment among school children in Sekela Woreda, Ethiopia. Methods: The study design was a community-based analytical cross-sectional with a multi-stage cluster random sampling technique from September to November 2016.Visual acuity was tested using Snellen’s “E” chart while color vision was tested using Ishihara chart. The data were analyzed using SPSS version 20 software, and binary logistic regression was used to identify factors associated with visual impairment. Results: A total of 875 participants, 466 (53.3%) males and 409 (46.7%) females, with an age range of 8–18 years were screened for visual acuity and color vision deficiency. The prevalence of visual impairment (visual acuity ⩽ 6/12) in “either eye” was 70 (8.0%). Among these, 37 (52.9%) were males and 33 (41.1%) were females. The prevalence of low vision (visual acuity ) and blindness (visual acuity < 3/60) in “either eye” were 28 (3.2%) and 10 (1.1%), respectively. Thirty two (3.7%) had mild visual impairment . The prevalence of color vision deficiency was 36 (4.1%). Among these, 27 (3%) were males and 9 (1.1%) were females. The variables age (adjusted odds ratio (95% confidence interval) = 1.14 (1.01–1.28) and color blindness (adjusted odds ratio (95% confidence interval) = 3.93(1.69–9.09) were significantly associated with visual impairment. Conclusion: The prevalence of blindness and low vision in school children were higher than the national prevalence in Ethiopia. Increasing age and color defective vision were factors associated with the children’s visual impairment. The Woreda health office ought to work with responsible stakeholders to tackle the situation in early childhood.

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