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Comparison of nutritional status and dietary intake among khat (Catha edulis) chewer and non-chewer women of reproductive age in Halaba Zone, South Ethiopia: a comparative cross-sectional study

Por: Wogayehu · B. · Demissie · T. · Wolka · E. · Alemayehu · M.
Objective

This study aimed to compare the nutritional status and dietary intake between khat chewer and non-chewer women of reproductive age in Halaba Zone, South Ethiopia.

Design

A comparative cross-sectional study was conducted.

Setting

The study was conducted in Halaba Zone, South Ethiopia.

Participants

A total of 792 (396 khat chewers and 396 non-chewers) women of reproductive age were selected by a simple random sampling technique from 20 June 2023 to 26 August 2023.

Outcome measures

Dietary intake was assessed by a single 24-hour recall method. The nutrient adequacy ratio and mean adequacy ratio were applied to estimate the adequacy of micronutrients. Standing height was measured using a wall-mounted stadiometer to the nearest 0.1 cm, and weight of the women was measured to the nearest 0.1 kg on a battery-powered digital scale (Seca Gmbh & Co. KG, Germany). A linear regression model was fitted to determine the relationship between nutritional status and khat chewing. Binary logistic regression analyses were used to estimate the odds of nutrient intake inadequacy among the two study groups. A p value of

Results

Women who chewed khat had a higher prevalence of underweight (36.6%) than those who did not (9.4%). The mean (SD) body mass index for khat chewer women was 48.66±5.39 kg, while that of non-chewer women was 55.29±6.75 kg. Women who chewed khat were significantly more likely to be underweight than those who had never chewed khat (β = –1.91, 95% CI –2.30 to –1.53; p12 (AOR=2.79 (95% CI 1.79 to 4.36), p

Conclusions

Women who chewed khat were significantly more likely to be underweight compared with those who had never chewed khat. Khat chewers were more likely than non-chewers to have inadequate carbohydrate, protein, thiamine, riboflavin, niacin, vitamin B12, zinc and calcium intake. Public health interventions aimed at improving the nutritional status of women of reproductive age should develop strategies to address the spread of khat-chewing habits.

Incidence and predictors of delirium in patients admitted to intensive care unit at comprehensive specialised hospitals in Amhara region, northwest Ethiopia: a multicentre prospective observational study

Por: Asmare · T. B. · Wubet · H. B. · Gobezie · N. Z. · Deress · G. M. · Belete · K. G. · Tadesse · M. A. · Abuhay · A. G. · Demissie · B. · Melesew · A. A. · Afework · W. A. · Alle · Y. F. · Demite · D. G. · Teshome · D. · Mossie · K. D. · Kassa · B. D. · Gedefaw · G. D.
Objective

To assess the incidence of delirium and its predictors among adult patients admitted to the intensive care units of comprehensive specialised hospitals in the Amhara region of northwest Ethiopia from 18 October 2024 to 20 February 2025.

Design

A multicentre prospective observational study was conducted.

Setting

Four comprehensive specialised hospitals in the Amhara region of northwest Ethiopia, from 18 October 2024 to 20 February 2025.

Participants

A total of 351 patients were included in the final analysis during the study period.

Outcome measures

The primary outcome measure of this study was the incidence of delirium. Additionally, the study investigated the factors associated with delirium incidence among adult patients admitted to intensive care units.

Results

The incidence of delirium among adult patients in intensive care units was 42.17% (95% CI: 37.08 to 47.42). Pain (adjusted HR (AHR) = 4.74; 95% CI: 2.38 to 9.44), mechanical ventilation (AHR = 2.96; 95% CI: 1.56 to 5.63), age 65 years or older (AHR = 2.18; 95% CI: 1.48 to 3.21) and agitation (Richmond Agitation-Sedation Scale (RASS) ≥1) (AHR = 3.26; 95% CI: 2.09 to 5.09) were statistically significant factors associated with delirium.

Conclusion and recommendation

In the present study, more than one-third of patients developed delirium. Pain, mechanical ventilation, age 65 or older and agitation (RASS≥1) were significantly associated with delirium occurrence. To reduce the incidence of delirium, the current study recommends treating or preventing pain and agitation. Additionally, special attention should be given to patients receiving mechanical ventilation and those aged 65 or older during care.

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