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Background: Drug use evaluation is a systematic approach to determining the appropriateness of drug use, identifying drug therapy problems, and proposing interventions. Ceftriaxone is one of the most widely used drugs in hospitals, requiring the performance of drug use evaluation. This study was aimed at evaluating the appropriateness of ceftriaxone use at Kahsay Abera and Mearg hospitals in the Western zone of Tigray, Ethiopia. Methods: An institution-based retrospective cross-sectional study design was conducted in both hospitals from December 2015 to August 2016 using standardized and pretested data collection formats. Systematic random sampling was used, and a total of 800 patients' medication records (patients who took ceftriaxone) from both hospitals (400 each) were assessed in this study. Statistical analysis was performed by using the statistical package for social sciences (version 20). Results: The overall appropriateness of ceftriaxone use in Kahsay Abera and Mearg hospitals was 247 (61.75%) and 252 (63.0%), respectively. The majority of inappropriate use of ceftriaxone was noted in indication errors at both Kahsay Abera (71.2%) and Mearg hospitals (52.0%). The treatment duration in Kahsay Abera (69%) and Mearg hospitals (88%) was in the range of 2-7 days. Mostly, a 2-gram ceftriaxone daily dose was prescribed in both Kahsay Abera and Mearg hospitals, accounting for 285 (71.25%) and 318 (79.5%), respectively. In this study, the top three diseases, indicated for ceftriaxone in both hospitals, were typhoid fever, urinary tract infection, and pneumonia in descending order. Among the medications coadministered with ceftriaxone, the top three coprescribed drugs with ceftriaxone in Kahsay Abera Hospital were metronidazole (17.25%), tramadol 68 (11.28%), and diclofenac (8.96%), but in Mearg Hospital, next to metronidazole, drugs like paracetamol and doxycycline were the most common coprescribed medicines along with ceftriaxone. Conclusion: The appropriateness of ceftriaxone use in Kahsay Abera and Mearg hospitals was 247 (61.8%) and 252 (63%), respectively, in which about one-third of patients' charts were not compliant with the standard treatment guidelines of Ethiopia for general hospitals. In Kahsay Abera and Mearg hospitals, the empiric use of ceftriaxone was 262 (65.5%) and 375 (93.8%), respectively.

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Background: The Coronavirus pandemic triggered a worldwide partial lockdown. The lockdown instigated the school's shutdown making the students follow their courses in the virtual modalities while staying at home. Methods: The data were collected using an online survey using a semi-structured questionnaire. The study involved anonymous as well as voluntary 77 secondary schools (Grades 9th to 12th) and 132 university students (class standing 1st to 5th year). Results: The lockdown introduced excruciating experiences for most of the students; however, it also created unanticipated opportunities to learn new skills and develop insights on how to mitigate unforeseen crises while remaining reasonably productive. The steps taken to reduce exposure to the coronavirus infection showed a gender discrepancy. Accordingly, males were disproportionately taken risks regardless of the curfew imposed, while females were deeply concerned about the lockdown-induced break of social connections. Students who were attending public schools, presumably from low-income families were found to be more productive during the lockdown compared to their private school counterparts. This shows that, in some instances, the Coronavirus pandemic is a blessing in disguise. The lockdown created mixed feelings; accordingly, the students reported significantly varied responses towards it. This also introduced some inconsistencies in the response of the students. Perceptions about the lockdown and its impact in most instances significantly varied among students, which unlocked the opportunities to learn new lessons on how to manage unprecedented crises. Conclusion: Policymakers need to take into account gender and living standard while developing strategies to mitigate unprecedented challenges.

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The COVID-19 pandemic has influenced the lives of the global community, consequently, many parts of people's lives have been jeopardized. Therefore, there is a need to curb the spread of coronavirus. Accordingly, countries are enforcing partial or full-fledged lockdown to restrict all sorts of socialization. However, studies reported that people have despised the ordinances. The study assessed the economic, societal, and psychological impacts of the pandemic and the practice of abiding by curfews by staying and working from home. One hundred thirty-three government, private, and self-employed workers have anonymously and voluntarily completed an online survey. The change in lifestyle associated with the pandemic influenced the working group economically, socially, emotionally, and spiritually. In addition to inflation in the prices of food and commodity, workers have spent unintended costs for the prevention of the COVID-19 such as hand sanitizer and facemask. Furthermore, staying home was unbearable for the majority of the respondents and led to stress, boredom, and confined feelings which forced them to leave their homes to liberate themselves. Nevertheless, flexibility in time management, reduced commuting, and being safe from COVID-19 made the lockdown advantageous for some of the respondents. Telecommuting is influenced by factors such as home suitability to work, availability of supplies, and the behavior of the workers. Home suitability to work and access to vital working facilities varied between government, private, and self-employed individuals. Government employees exceptionally lack appropriate homes and resources to work. Therefore, to minimize the impact of COVID-19 on people's life it is important to make timely adjustments to the enforced orders to make them more productive.

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BACKGROUND: Although substance use is a known public health problem and a pressing issue in Ethiopia, its real extent and magnitude are not yet properly explored. The current study aimed to determine the extent and predictors of substance use among regular undergraduate students in the Institute of Technology, Addis Ababa University. METHODS: An institution-based cross-sectional study was carried among 794 undergraduate regular students at the Institute of Technology, Addis Ababa University, using a self-administered structured questionnaire filled by study participants. Data entry, cleaning, and coding were performed by EPI-INFO version 3.5.1. Statistical Package for Social Sciences; AOR: Adjusted odds ratio (SPSS) SPSS version 21 software was used to analyze data by performing descriptive statistics, bivariate, and multivariate analysis. RESULTS: 73.7% of the study participants used substances at least once. The lifetime use of each substance includes alcohol (68.2%), khat (53.6%), cigarettes (46.1%), and illicit drugs (23.3%). Loss of family (AOR [95%CI], 34.50 [7.569, 157.263]), pocket money between 500 and 999 Ethiopian birr (AOR [95%CI], 9.978 [1.240, 80.280]), and above 1000 Ethiopian birr (AOR [95%CI], 10.831 [1.333, 87.971]) were identified predictors for khat use. The odds of lifetime alcohol use was higher among students coming from a divorced family (AOR [95%CI], 9.346 [3.162, 27.625]), lost one (AOR [95%CI], 37.406 [11.375, 123.008]), or both of their parents (AOR [95%CI], 18.750 [5.798, 60.633]). Students of urban origin (AOR [95%CI], 3.214 [1.950, 5.296]), and students with anxiety symptoms (AOR [95%CI], 2.655 [1.981, 3.557]) have a higher odds of lifetime cigarette smoking. The lifetime exposure to illicit drugs is higher among students in age groups between 20 and 24 years (AOR [95%CI], 5.963 [1.361, 26.135]), students coming from substance user family (AOR [95%CI], 2.172 [1.161, 4.063]), and students of urban origin (AOR [95%CI], 2.661 [1.202, 5.889]). CONCLUSION: A higher prevalence of substance use requiring administrative and educational interventions was observed. Awareness creation interventions on the potential impacts of substance abuse should be performed.

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BACKGROUND: Ethiopian flora is a source of innumerable cures for several infections. The medicinal potential of A. americana has been evaluated in some studies. The current study aimed to investigate the antimicrobial effect of A. americana leaf extracts on selected bacterial strains and to determine the phytochemical components. PURPOSE: To determine the phytochemical constituents and in vitro antibacterial activity of leaf extracts of Agave americana against Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae, Salmonella species, and Eshercia coli. METHODS: The macerated and Soxhlet crude extracts of Agave americana were further fractionated to petroleum ether, chloroform, acetone, and methanol fractions. The agar well diffusion method and disc diffusion methods were used to test the antibacterial effect and determine the minimum inhibitory concentration (MIC) of the plant extract. Standard methods of determination were used to determine the phytochemical components of Agave americana. RESULTS: The percentage yield of crude extracts of A. americana was 15.11%. Alkaloids, saponins, tannins, polyphenols, and flavonoids were identified as phytochemical constituents of A. americana. The crude and solvent fractions of A. americana have an antibacterial activity comparable to gentamycin, with zones of inhibition ranging from 17 to 40mm and minimum inhibitory concentration (MIC) of 2.5 mg mL for S. aureus, P. aeruginosa, and S. typhi strains and 10 mg mL for E. coli strains. S. aureus and E. coli were the most and least susceptible bacteria among the four bacterial test strains tested. CONCLUSION: The crude and solvent fractions of A. americana have antibacterial activity against S. aureus, P. aeruginosa, and S. thyphi, comparable to gentamycin.