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Author: EthiopianReview.com

Causes of deaths at Ethiopian hospitals – study

Ethiopia is encountering a growing burden of non-communicable diseases along with infectious diseases, perinatal and nutritional problems that have long been considered major problems of public health importance. This retrospective analysis was carried out to examine the mortality patterns from communicable diseases and non communicable diseases in public and private hospitals of Addis Ababa.

Methods: Approximately 47,153 deaths were captured over eight years (2002–2010) in forty three public and private hospitals of Addis Ababa, Ethiopia.

Ethiopian Cardiac CenterData collectors (43 hospital clerks) and coordinators (3 nurses) had been extensively trained on how to review hospital death records. Information obtained included: dates of admission and death, age, sex, address, and principal cause of death.

Only the diseases responsible for deaths are taken as the cause of death. Cause of death was coded using International Classification of Diseases(ICD-10) and data were double entered.

Diseases were classified into: Group I (communicable diseases, maternal conditions and nutritional deficiencies); Group II (non-communicable causes); and Group III (injuries). Percentages, proportional mortality ratios, 95% confidence intervals (CI) and Adjusted odd ratios (OR) were calculated.

Results: Overall, 59% of the deaths were attributed to Group I diseases, and 31% to Group II diseases and 12% to injuries.

Nearly 56% of the males and 68% of the females deaths were due to five leading causes (conditions arising during perinatal period, HIV/AIDS, tuberculosis, cardiovascular diseases and respiratory infections). Significantly larger proportions of females died from Group I (67%) and Group II diseases (32%) compared with males (where the respective proportions were 52% and 30%).

Significantly higher proportion of males (17%) than females (6%) were dying from Group III diseases. Deaths due to Group I diseases decreased while those due to Group II diseases increased with age.

Overall Group I diseases and HIV/AIDS, tuberculosis and still birth mortality in particular have showed decreasing trend while Group II and III increasing over time. Double burden in mortality was highly observed in the age groups of 15–64 years.

Those aged >45 years were dying more likely with non-communicable diseases compared with children. Children aged below 15 years were 16 times more likely to die from communicable, perinatal and nutritional conditions compared with elders.

Mortality variation with age has been identified between public and private hospitals.

Conclusions: The results of the present study shows that, in addition to the common Group I causes of death, emerging group II diseases are contributing to high proportions of mortality in the public and private hospitals of Addis Ababa, Ethiopia. Thus, priority should be given to the prevention and management of conditions arising during perinatal period such as low birth weight and still birth, HIV/AIDS; tuberculosis, respiratory infections, cardiovascular diseases, malignant neoplasm, chronic respiratory diseases and road traffic accident.

The planning of health resources and activities should take into account the double burden in mortality due to Group I and Group II diseases. This calls for strengthening approaches towards the control and prevention of non-communicable diseases such as cardiovascular and malignant neoplasm.

By Awoke Misganaw, Damen Haile Mariam, Tekebash Araya and Kidane Ayele
Source: BMC Public Health, Nov. 2012

Killer of the Dallas TX Desta Restaurant owners extradited from Colorado

By Robert Wilonsky | The Dallas Morning News

Abey Belete GirmaIt’s been three months since 40-year-old Yayehyirad “Yared” Lemma and 31-year-old Yenenesh “Yenni” Desta were shot to death in front of their Lower Greenville home. The couple was returning home from Desta, the Ethiopian restaurant they ran on Greenville Avenue near Forest Lane, when a man accosted them on their front porch. Police would later say Abey Belette Girma was the shooter, and that he’d followed the couple home from the restaurant because they’d “disrespected him.”

Dallas police issued a capital murder arrest warrant for Girma, who’d left the state: A witness told police the 37-year-old Girma showed him the pistol he used to shoot the couple, then forced him to drive to Goodland, Kansas. Eventually, Girma showed up in Aurora, Colorado, where he was taken into custody and booked into the Arapahoe County jail.

And that’s where he sat till last week. But Dallas County records show that Girma is now being held in the Dallas County jail. He’s being held on a $1 million bond, charged with capital murder.

Sources familiar with the case say it took so long to get Girma back to Dallas because he fought extradition.

Girma is due in court Monday to approve Juan Sanchez as his court-appointed attorney. Sanchez says a pre-trial hearing will follow soon after.

20 Home Based Business Ideas

If you are thinking about starting your own Home Based Business, the available options can be overwhelming. However, there are many tried and true home-based businesses that may be just what you are looking for.

Here are the top 25 home based business ideas, in no particular order:

1. Translator. In a multi-ethnic society such as the United State, translation service is in big demand. American Translators Association can be a good source of information on how to establish a home-based translation service.

2. Tutoring. You can start a business tutoring students by advertising at schools, the local YMCA, and other places frequented by families. If you have children, talk to their teachers and determine the needs of your school district.

3. Consulting. If you are an expert in your industry, such as finance, marketing, or mediation, consider beginning your own consulting business.

4. Medical and legal transcription. If you have transcription skills and the necessary equipment, you can easily work from home for a variety of different companies. Check local community colleges or online for transcription training courses. Medical transcription involves picking up dictation via tape, voice file and digital system using foot pedal for “start-stop” control, ear phones and a “word processing program”. You can either choose to conduct medical transcription as an independent worker or an employee with benefits.

5. Medical claims billing. This industry is one of the most popular work-from-home businesses — so much so that suspect companies have been popping up on the Internet and in classified advertisements. ELearners.com can help you locate transcription training courses online. Home based medical transcription is one of the most popular choices for a home business. Medical transcription provides flexibility, ease of training and the ability to be your own boss without the high cost of getting started. Medical transcriptionists quickly and accurately interpret through doctor’s dictation, the medical records of patients into medically and grammatically precise reports. The interactions between the patient and his physician require transcription. Some of these include: Surgical procedures, Medical consultations, Diagnoses, Prognoses, Prescriptions, Radiological or other laboratory results, Dissemination of the patients “medical history”, Autopsy reports

6. Accounting. There are many franchises and opportunities available for certified public accountants. If you are interested in getting certified, take a look at the Web site of the American Institute of Certified Public Accountants for information on specific state requirements.

7. Web design. If you can design quality Web sites, consider turning your skills into a home-based business. Although the software and hardware costs can be steep, good Web designers tend to be well-compensated for their efforts.

8. Desktop publishing. Do you have a creative flair for putting together brochures and newsletters? You can offer your own desktop publishing services to other small businesses. Software can be expensive, so make sure to give applications a trial run or take a course before investing in one.

9. Photography. If you are skilled with a camera, you can open your own photography studio in your home. Keep in mind that you will need space to shoot the pictures as well as a light-free space for a darkroom if you decide to process your film and print your photographs yourself.

10. Home inspection. The National Association of Certified Home Inspectors Web site provides information on becoming certified to inspect homes.

11. Remodeling. If you are a gifted carpenter or contractor, you can turn your passion into your own business. The SBA provides loans to experienced contractors looking to renovate homes or businesses in order to sell them.

12. Interior design. If you have a flair for the creative, consider interior design. The American Society of Interior Designers Web site provides resources for aspiring interior designers, including a list of each state’s requirements for licensing.

13. Catering or personal chef. Consider starting your own catering or personal chef business from your own kitchen. You can set yourself apart from competitors by providing specialized services such as low-carb or vegetarian menus.

14. Gift baskets. Gift basket creation is a popular and creative home-based business. Target both individuals and businesses to increase potential sales.

15. Wedding planner. If you are an ace at organizing important events and have a Rolodex full of contacts, consider becoming a wedding planner. There are numerous online certification courses online, including one from Weddings Beautiful.

16. Personal shopper. If you are a great shopper with an eye for people’s personal styles, you can offer your services to those less inclined. In addition, consider providing a gift shopping service for those too busy to shop themselves.

17. Concierge. If you have a lot of energy, a love for the mundane, and the ability to juggle multiple tasks, consider providing a personal concierge to busy business people or parents.

18. Computer repair. Are you the person everyone calls when they have a computer problem? Turn this into a business and start getting paid for fixing fatal errors. Check out Geeks on Call America and Rescuecom if you are interested in franchise opportunities.

19. Cleaning service. If you are good at cleaning, consider offering your services to others. One way to go is with a franchise. CleanNet-USA and JaniKing are two of the largest franchisers in the cleaning market.

20. Carpet cleaning service. There are many popular franchises that allow you to start your own carpet cleaning business and receive the equipment and training you need. ServiceMaster Clean and ChemDry are two of the bigger ones.

Source: Home Business Opportunity

Please share your own home-based business ideas with us.

Eritrea’s president decides to step down

Ethiopian Review has been informed by a credible source in Asmara that Eritrea’s president Isaias Afwerki is planning to step down within a year along with most of the senior leadership and transfer power to younger leaders.

Asked about possible successors, the source said he can throw out some names but it would be pure speculation on his part. Isaias is keeping the decision close to the vest.

Another source and an attentive observer of Eritrean politics has told Ethiopian Review that Isaias’ decision to step down is not surprising and that he has been quietly preparing for transfer of power because of his declining health as well as growing discontent in the military. Isaias doesn’t want to die in office like his late nemesis Meles Zenawi, our source said, adding: He wants to be a Mandela- or George Washington-like figure to his country by overseeing a smooth transfer of power on his own term.

After Eritrean military officers have started to openly complain about poor living conditions with no improvement in sight, earlier this year Isaias promised that there will be changes, including a new constitution. But no one expected he will hand over power while alive.

The Eritrean opposition media are reporting that the regime is unraveling and senior officials are contemplating defections. Earlier this week, there was a rumor that Information Minister Ali Abdu has sought asylum in Canada.

Ethiopian Review’s sources have denied the rumor and that Ali Abdu is still at the Ministry of Information. As a matter fact, according to our source, Ali, who is like a son to Isaias, is one of the younger leader whose prominence in the Eritrean government will reach new heights in the post-Isaias era if the transition of power goes smoothly.

Regarding war with Ethiopia’s regime, Ethiopian Review’s source said that no one among the senior leadership expects full scale military clash because both countries have neither the will nor the economic resources to fight. Both regimes talk about possible war to divert the attention of their people from domestic problems.

Seyoum Mesfin receiving medical treatment at a Washington hospital

Seyoum MesfinFormer TPLF regime foreign minister and current ambassador to China, Seyoum Mesfin, is said to be receiving medical treatment at a hospital in Bellevue, Washington, according to an Ethiopian Review source.

Ethiopian Review has been informed that Seyoum was admitted to Overlake Medical Center in Bellevue, about 10 miles east of Seattle, last week but the hospital itself would neither confirm nor deny that he is there. We made a phone call to the hospital again this afternoon, and we are told that he could be an outpatient but was not willing to give us further information.

Seyoum was conspicuously absent from the TPLF meeting that took place in Mekele last week, ESAT reported.

The secretive and paranoid nature of TPLF officials make it difficult to get such information that could easily be obtained in most other countries. The regime admitted that dictator Meles Zenawi died two months after Ethiopian Review and other media reported his death.

Seyoum is reportedly suffering from AIDS. When Meles died in July this year, many observers predicted that he would take over as chairman of the ruling TPLF and EPRDF.

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