Browsing by Author "Debebe, Aytenew"

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    Pattern of Deep vein thrombosis in two large teaching HospitalsEmergency department (TASH and HUCSH), Ethiopia
    (Addis Abeba University, 2019-05) Debebe, Aytenew; Dr.Engida, Hiywot(;Assistant professor of emergency medicine and critical care, department head; Addis AbabaUniversity )
    Introduction:Deep vein thrombosis is a serious cardiovascular disorder, and causes in-hospital mortality worldwide. It is a multifactorial condition resulting from a complex interaction between genetic predispositions and acquired risk factors . Therefore,the objective of this study is to identify the pattern of DVT specifically common risk factors in ED. Methods:A hospital based cross-sectional retrospective descriptive study was conducted on DVTpatients in TikurAnbessaspecialized hospital and HawassaUniversity comprehensive specialized hospital emergency departments from May 1,2018 – May 1,2019.Data was entered in SPSS version 23and descriptive statistics was done. Results: A total of 128 patients were enrolled in the study. Female patients were more than the half in Sex ratio was M:F (1.25:1) with mean age of 38 years. The common risk factors were active malignancy 36 (28.1%) and equally maternal conditions 36(28.1%), patients having family history of VTE 15(11.7%), having history of VTE(11.7%) heart failure 18 (14.1%) andHIV11 (8.6%). The most affected limbs of the patients were left lower limb which is 84(65.6%) followed by right lower limb 39(30.5%).Patients had left upper limbs DVT were 4(3.1%) and only one patient (0.8%) both lower limbs DVT . Conclusion:The commonest risk factors are active malignancy, maternal conditions (postpartum,pregnancy abortion), and immobility conditions. Although most patients’ have these risk factors, family history of VTE, having history of VTE , heart failure, HIV were identified risk factors in this study and PTE complication is less than expected which can be underdiagnosed.LMWH which is the safest and effective for treatment of VTE was used in small number of patients.
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    The Rights of Persons with Mental Disabilities to Access Mental Health Care and their Human Rights Conditions in Psychiatric Facilities in Ethiopia
    (Addis Ababa University, 2013-01) Debebe, Aytenew; Dawit, Benyam (PhD)
    The standardization and undertakings for recognition and respect of human rights dates back to 1948 with the adoption of the UDHR. The understanding towards the universality of human rights is reached relatively later at the third World Human Rights Conference in Vienna in 1993. Despite this, until recently, little attention has been afforded to addressing the serious human rights violations suffered by PWDs. In response to the long reigned neglect and the advocacy works by different caucus of the disabilities movement, in 2006, a separate Convention was agreed at the UN level, the CRPD, which culminated the efforts of many stakeholders to bring about a new dawn for PWDs. PWMDs are among this group of people who are vulnerable groups and have been victims of human rights violations based on their disabilities. The grossly inadequate budget allocated to mental health compared to the burden it caused on the global burden of disease and disability evidences how these group of people are forgotten globally and at a national level. This has far reaching implications on their human rights. The institutions extending care for PWMDs have been places of perpetration of various human rights violations. In the above respect, Ethiopia is not a different country. With 15-17% of the total burden of diseases is caused by mental illness, it is seriously a concern to allocate an insignificant budget to the field. This is exacerbated due to the lack of neither any mental health law nor a policy for the protection of the rights of PWMDs, either any body to safeguard their conditions in psychiatric facilities. These people are thus suffering from various forms of human rights violations behind closed doors in addition to the lack of access to mental health services. This study is therefore an effort to show the right of PWMDs to access mental health services and to show the human rights implications of the situation, in Ethiopia on the rights of PWMDs. Moreover, the human rights conditions at the psychiatric settings are also addressed in this study.Key words: persons with mental disabilities, human rights and mental health, access to mental health and psychiatric care, human rights conditions in psychiatric facilities in Ethiopia
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    The Rights of Persons with Mental Disabilities to Access Mental Health Care and their Human Rights Conditions in Psychiatric Facilities in Ethiopia
    (Addis Ababa University, 2013-01) Debebe, Aytenew; Dawit, Benyam (PhD)
    Th e standardi zati o n and und ertakin gs for reco gnit io n and respec t of hum a n ri ght s dates back to 1948 with th e ad o ption of th e UDHR. The und erstanding towards the universa lity of human ri ghts is reach ed relatively later at the third World Human Ri ghts Co nferen ce in Vienna in 1993. Des pit e thi s, until recently, littl e attenti on has been afford ed to address in g the seri o us human ri ghts vi o lati ons s uffered by PWDs. In res ponse to the lo ng reigned neglect and th e advo cacy work s by differe nt caucus of th e di sabiliti es movemen t, in 2 006, a se pa rat e Co nve nti on was agreed at the UN leve l, the CRPD, whi ch culmin ated th e effort s of many stakeh o ld e rs to brin g about a new daw n for PWD s . PWMD s are among thi s gro up o f peopl e who are vuln erable gro ups and ha ve been victim s of human ri ghts violati o ns base d o n th e ir di sabiliti es. T he gross ly in adequ ate bud get all ocated to me nta l hea lth compared to th e burde n it cau sed on the g lobal burde n of di se ase and di sability ev idences how th ese gro up of peo p le are forgotten glo ball y and at a na ti onal leve l. T hi s has fa r reac hin g impli catio ns on the ir human ri ght s . The in stitutio n s exte ndin g care for PW MD s have been places of perp et ratio n of various human r ights vio lations. In th e ab ove re spect, Ethi o pia is no t a di fferent co untry. With 15-1 7% of th e tot al burde n of di seases is cau sed by menta l illness, it is seri o usly a concern to a ll ocat e an in s ignifi can t bud ge t to th e fi e ld. Thi s is exace rbated du e to th e lac k of neithe r an y menta l heal t h law nor a po licy for th e protection of the rights of PWMDs, eithe r an y body to safeguard their co ndi tions in psyc hi at ri c fac iliti es . The se people are thus suffering from vari ous form s of hum a n ri ghts vio lati ons be hin d cl osed do ors in addition to the lack of access to ment al health services. T hi s stud y is therefo re an effort to show th e ri ght of PWMDs to ac cess mental hea lth serv ice s and to show the hum an ri g ht s implicati o ns of the s itu ati on, in Ethi opia o n the ri ght s of PWM Ds. More over, th e human ri ght s co nditi on s at th e psychi atric settings are also addressed in thi s stud y. Key wo rd s: Ethi opia, human ri ght s, me nta l di sabil iti es, menta l health, psychiat ric fac ilities