Tewodros eyob | Jimma University (original) (raw)

Papers by Tewodros eyob

Life is a great concern among patients, healthcare professionals and researchers. The primary obj... more Life is a great concern among patients, healthcare professionals and researchers. The primary objective of this systematic review is to determine whether the different chemotherapies affect the association of CRF with individual pro-and anti-inflammatory cytokines. The PRISMA statement guideline has been followed to systematically search and screen article from PubMed and Embase.

Background:Pain management has always been an important part of dental care. Quality use of analg... more Background:Pain management has always been an important part of dental care. Quality use of analgesics is thus paramount
in the safe and effective management of dental pain.
Objectives:to determine the quality use analgesics in dental out patient in Jimma University Specialized Hospital.
Method:In total 302 patient cards were reviewed from 22/01/2013-27/01/2013. Data were analyzed by using SPSS version
19.0.The age and sex distribution, the case and analgesic prescribed for each case were determined by descriptive statistics
method “frequency”
Results:There were more female patients (55%) than male patients (45%) in this study. The dental disorders most frequently
reported in this study were diseases of pulp and periapical tissue (49%). Most of the non-opioid analgesics were administered
orally. The most commonly prescribed non-opioid analgesic was Diclofenac (43%) followed by Paracetamol (36%). In total 2.2%
analgesics were prescribed concomitantly with gastro protective agent (Omeprazole). All gastro protective agents (7) were prescribed concomitantly with non-opioid analgesics only. No gastro protective agents were used with opioid analgesic.
Conclusion:The prescription analysis demonstrated that pain was neglected and the analgesics available are irrationally used.
Moreover, the absence of opiods analgesics in the clinical settings is confirmed by this study.
Key Words:Pain, Analgesics, Dentistry, Jimma

Background: The consumption of non-prescription medicines is on the rise globally. The use ... more Background: The consumption of non-prescription medicines is on the rise globally. The use of non-prescription
drug is often perceived as safe albeit they cause numerous health problems through duplication of therapies,
interaction with prescribed medicines and other products.
Objective: The objective of this study was to assess customers’ knowledge and attitude towards safety of nonprescription medicines.
Methods: an interview based study was conducted among 169 consumers in a randomly selected 10 private
pharmacies in Jimma Town, Southwest Ethiopia, from January 28 to February 10, 2013
Results: a total of 169 complete questionairs were available for analysis of which 46(27.2%) bought prescription
only medicines whereas 123(72.8%) bought non-prescription medicines: either alone 97(57.4%) or in combination
with prescription only medicines 26(15.4%). The decision to use these drugs was mainly (55.3%) based on a
pharmacist (55.3%) or on the basis of a personal decisions. The most non-prescription medicines purchased were
Anti-helimentic drugs, followed by dermatologicals, NSAIDs and Paracetamol. Around 45.5% and 8.9% claimed to
read carefully the package inserts and to ask pharmacists information about non-prescription medicines
respectively.
Conclusions: our study discovered a great misconception among consumers towards nonprescription medicines. To
the worst, both community pharmacists and physicians backed patients to consume non -prescription medication
without appropriate guidance. Thus, giving drug information and awareness creation need to be strengthened to
improve knowledge and attitude of Jimma town private pharmacy customers, community pharmacists and
physicians about risk factors for nonprescription medicines.
Key Words: nonprescription, medicines, customers, safety, drugs

Background: Patient satisfaction is an attitude resulting from a person’s general orientation to... more Background: Patient satisfaction is an attitude resulting from a person’s general orientation towards a total experience of health care. It is a key determinant and a legitimate measure for quality of care. In developing countries,
satisfaction studies were conducted mainly on nursing care and outpatient services.
Objective: This study aims to measure and describe the level of patient satisfaction within inpatient health care
services.
Methods: Across sectional study design was conducted from 8 May 2011 to 2 June 2011 at Jimma University Specialized Hospital. Systematic random sampling technique was employed to recruit participants. A standardized structured
questionnaire developed by reviewing similar literatures was used to assess the level of patient satisfaction towards
the inpatient services. SPSS version 19 statistical packages were used for data management and analysis.
Result: A total of 189 patients participated. The proportion of overall net patient satisfaction was 117 (61.9%). Majority of the respondents 148 (78.3%) reported that they got the kind of service they anticipated. Cleanliness of the ward
145 (76.7%) and time to get back to home 27 (14.3%) were found to have the highest and the lowest proportion of
satisfied respondents, respectively. Patients with no formal education 60 (76.9%) and patients from the rural areas 75
(68.8%) were satisfied higher than those from their counterparts. Patients at medical 22 (61.1%) and ophthalmology
10 (62.5%) wards were less satisfied than patients in other departments.
Conclusion: Nearly two third of the patients were found to be satisfied by the service they received from the hospital. Most of the patients found to be dissatisfied with the nursing, pharmacy and laboratory services, while some
others were still dissatisfied with the level of health education, communication and information they received about
their illness. Therefore, the hospital administration system should best work on new innovative approach to keep and
improve the administrative system, waiting time, hospital stay, hospital accommodation, access for medications and
laboratory services to bring patient satisfaction. Nurses and physicians should have to work best to improve health
education, communication and understanding between doctors/nurses and patients. Hospital reformation and modern hospital administration system could work best to keep and improve the level of patient satisfaction

Approximately one third of patients with epilepsy continue to experience seizure despite the pres... more Approximately one third of patients with epilepsy continue to experience seizure despite the prescription of
appropriate doses of anti-epileptic drugs. The objective of this study was to assess treatment outcomes and
associated factors for poor treatment outcomes among patients taking anti-epileptic drugs at Ambo Hospital,
West Shewa, Ethiopia. A hospital based cross–sectional study was conducted. Verbal consent from participants
was taken before interview. Fifty-nine patients (44.7%) had poor seizure control. The most common seizure
triggering factors were emotional stress (97.4%), sleep deprivation (78.1%), missing meal (29.8%)and missing
medication (21.9%). Seventy one patients (53.8%) were non-adherent to medication. Therefore there is
significant association between level of adherence (P=0.001), number of seizure attacks before anti-epileptic
drugs initiation (p=0.028), electroencephalogram(neurologic abnormality) (p=0.04) and age at onset of seizure
(diagnosis) (p=0.026). Poor treatment outcomes among epileptic patients is associated with level of adherence,
number of seizure attacks before anti-epileptic drugs initiations, electroencephalogram(neurologic
abnormality) and age at onset of seizure (diagnosis). The most common seizure triggering factors were
emotional distress, sleep deprivation, missing meal, missing medication and noise. Strict medication adherence
evaluation and enhancement through continues health education, close follow up with multidisciplinary
approach are fundamental to the successful management of epileptic patients.

Background: The degree to which an individual follows medical advice is a major concern in every ... more Background: The degree to which an individual follows medical advice is a major concern in every medical specialty. Non-adherence to psychiatric treatment regimens has a profound impact on the disease course, relapse, future recovery, cost of health care, and the outcome for the patient. The aim of this study was to assess medication adherence and its correlates among psychiatric patients at Ayder Referral Hospital, Northern Ethiopia.
Methods: A cross-sectional study was conducted from June to September 2013 at Ayder Referral Hospital, where 423 patients were selected by a systematic random sampling technique from all patients attending the psychiatric clinic at the hospital. Data were collected by trained data collectors through interview of the patients using a structured questionnaire. The collected data were entered into Epi Info version 7 and analyzed by Statistical Package for the Social Sciences version 16 software. Logistic regression was used to assess independent predictors of adherence.
Results: A total of 387 patients completed the interview. Two hundred and sixteen (55.8%) and 113 (29.2%) were patients with a diagnosis of schizophrenia and mood disorder, respectively, while 35 (9%) and 23 (5.9%) had a diagnosis of drug addiction and autistic disorder. Two hundred and seven (71.6%) patients were found to be adherent to their medication. When adherence rates were observed according to type of disorder, 60 (53.1%), 24 (68.6%), 149 (69%), and 18 (78.3%) of patients with mood disorder, drug addiction, schizophrenia, and autism, respectively, were adherent to their medications. Female gender (adjusted odds ratio [AOR] 2.34; 95% confidence interval [CI] 1.45–3.74), tertiary education (AOR 2.69; 95% CI 1.46–4.85), living with family (AOR 2.57; 95% CI 1.66–4.58), and shorter treatment duration (AOR 1.82; 95% CI 1.21–2.84) were among the variables associated with better adherence.
Conclusion: Suboptimal adherence was observed among psychiatric patients in this study. Health professionals in the psychiatric clinic and pharmacists need to focus on and counsel patients about adherence and its implications for their clinical outcome.

Background: Incidence of postoperative pain has been reported to be between 47-100%. Ineffective ... more Background: Incidence of postoperative pain has been reported to be between 47-100%. Ineffective postoperative pain management results in tangible and intangible costs. The purpose of this study was to assess the processes and outcomes of pain management in the surgical wards of Jimma University Specialized Hospital, Ethiopia.

Background: Poor attitude and lack of knowledge about pain has long been demonstrated to encumber... more Background: Poor attitude and lack of knowledge about pain has long been demonstrated to encumber the manner in which professionals and their patients respond to the varied dimensions of pain management.

Effective pain management requires a sound knowledge of pain and its treatment. Researches indica... more Effective pain management requires a sound knowledge of pain and its treatment. Researches indicated that inadequate knowledge and inappropriate attitudes of nurses regarding pain management have a significant impact of treatment and patient care. The aim of this study was to assess the level of knowledge and attitude among health care professionals in Anfillo Woreda health centers and private small clinics in West Ethiopia. A cross-sectional survey was used to self-administer four Likert scales validated and adopted 22 pain related items by 89 nurses of three health centers and twenty small clinics. Descriptive data analyses were used. Itemtotal correlation and Cronbach's alpha were computed. The overall mean correct answer for all the 22 items was 49.8%; meaning health care providers were able to correctly answer 49.8% of items on average. Besides, only 3.8% of them scored above the passing score of 70%. The widespread pain related misconceptions identified is of concern demanding continuing education for nurses and pain management quality improvement initiatives so as to alleviate the consequences of poor knowledge and inappropriate attitude towards pain management.

Background: Alcoholic beverages are drinks that contain various proportions of ethyl alcohol. Alc... more Background: Alcoholic beverages are drinks that contain various proportions of ethyl alcohol. Alcohol use varies depending on an individual's social, cultural and religious background. Its chronic use may cause devastating health problem if particularly mixed with medications. Objective: This research therefore aims to determine the social and cultural pattern of alcohol use and prevalence of concomitant use of alcohol with medications among drinkers in Addis Ababa city, Ethiopia. Methods: A cross sectional survey was conducted from 28 January 2008 to 10 February, 2008 on selected pubs in, Addis Ababa Ethiopia using structured questionnaire. Result: A total of 315 Alcohol drinkers were included in the study. Among whom 243 (77.1%) and 72(22.9%) were males and females. In terms of preference, modern alcoholic drinks were used by 240 (76.2%) from which draft, beer, and wine were opted by 34.8%, 31.3% and 10.4% of the respondents respectively. About 86.6 % of the respondent claimed to know that drinking alcohol is harmful, however about a quarter of the respondents endorsed that they didn't face any harm from drinking. Non-Steroidal Anti Inflammatory drugs (37.7%) followed by antibiotics (26.4%) were recalled to be frequented medications concomitantly used with alcoholic drinks. Besides, 45% of respondents were on medication of chronic diseases while drinking alcohol at the time of data collection. Conclusion: There was high magnitude of concomitant use of alcohol and medications practice among alcoholic drink users despite their considerably high perceived health problem. Health professionals shall continue and focus on creating awareness about the risk of drinking alcohol and concomitant use of alcohol with medication.