The importance of accurate and timely information describing the nature and extent of land resources and changes over time is increasing, especially in fast-growing urban areas. We have developed a methodology to dete...The importance of accurate and timely information describing the nature and extent of land resources and changes over time is increasing, especially in fast-growing urban areas. We have developed a methodology to detect changes in land cover using satellite images for the years 1997, 2002, 2012 and 2017. The categories of five-class classification in the study area were built up area, plantation, waterbody, agricultural land and pastureland. The maps showed that between 1997 and 2017, the amount of urban or developed land increased from 8.12% to 52.4% of the total area, while agriculture land, plantation, waterbody and pastureland decreased from the 91.88% to 47.6% from the entire study area. The results showed that the urban (highly built-up) area increased dramatically. Inversely, pastureland, agricultural land, waterbody, and plantation decreased obviously from the period of 1997 to 2017. The remote sensing and GIS technique used in this study proved to be efficient;the time was shortened for the analysis of the city extension;and it was discovered that it was a useful tool to evaluate the effects of urbanization on the basis of the satellite image of the given years. The results quantify land use, coverage change patterns in Debre Tabor Town and demonstrate the potential of remote sensing, and GIS tools provide an accurate and cost-effective means to track land cover changes along time that can be used as management decisions and guidelines.展开更多
Background:Data regarding tuberculosis(TB)treatment outcomes,proportion of TB/HIV co-infection and associated factors have been released at different TB treatment facilities in Ethiopia and elsewhere in the world as p...Background:Data regarding tuberculosis(TB)treatment outcomes,proportion of TB/HIV co-infection and associated factors have been released at different TB treatment facilities in Ethiopia and elsewhere in the world as part of the auditing and surveillance service.However,these data are missing for the TB clinic offering directly observed treatment short-course(DOTs)at Debre Tabor General Hospital(DTGH).Methods:The authors analysed the records of 985 TB patients registered at the DTGH from September 2008 to December 2016.Data on patients’sex,age,type of TB,and treatment outcomes were extracted from the TB treatment registration logbook.The treatment outcome of patients was categorized according to the National TB and Leprosy Control Program guidelines:cured,treatment completed,treatment failed,died,and not evaluated(transferred out and unknown cases).Results:Around half of the registered patients were males(516,52.4%).In terms of TB types,381(38.7%),241(24.5%),and 363(36.9%)patients had smear-negative pulmonary TB,smear-positive pulmonary TB,and extra pulmonary TB,respectively.Six hundred and seventy-two patients(90.1%)had successful treatment outcomes(cured and treatment completed),while 74 patients(9.9%)had unsuccessful treatment outcomes(death and treatment failure).TB treatment outcome was not associated with age,sex,type and history of TB,or co-infection with HIV(P>0.05).The proportion of TB/HIV co-infection was at 24.2%,and these were found to be significantly associated with the age groups of 25-34,35-44 and≥65 years:(aOR:0.44;95%CI:0.25-0.8),(aOR:0.39;95%CI:0.20-0.70),(aOR:4.2;95%CI:1.30-12.9),respectively.Conclusions:The proportion of patients with successful treatment outcomes was above the World Health Organization target set for Millennium Development Goal of 85%and in line with that of the global milestone target set at>90%for 2025.Relatively higher proportions of transfer-out cases were recorded in the present study.Similarly,the proportion of TB/HIV co-infection cases was much higher than the national average of 8%.Thus,the health facility under study should develop strategies to record the final treatment outcome of transfer-out cases.In addition,strategies to reduce the burden of TB/HIV co-infection should be strengthened.展开更多
文摘The importance of accurate and timely information describing the nature and extent of land resources and changes over time is increasing, especially in fast-growing urban areas. We have developed a methodology to detect changes in land cover using satellite images for the years 1997, 2002, 2012 and 2017. The categories of five-class classification in the study area were built up area, plantation, waterbody, agricultural land and pastureland. The maps showed that between 1997 and 2017, the amount of urban or developed land increased from 8.12% to 52.4% of the total area, while agriculture land, plantation, waterbody and pastureland decreased from the 91.88% to 47.6% from the entire study area. The results showed that the urban (highly built-up) area increased dramatically. Inversely, pastureland, agricultural land, waterbody, and plantation decreased obviously from the period of 1997 to 2017. The remote sensing and GIS technique used in this study proved to be efficient;the time was shortened for the analysis of the city extension;and it was discovered that it was a useful tool to evaluate the effects of urbanization on the basis of the satellite image of the given years. The results quantify land use, coverage change patterns in Debre Tabor Town and demonstrate the potential of remote sensing, and GIS tools provide an accurate and cost-effective means to track land cover changes along time that can be used as management decisions and guidelines.
基金This research did not receive any funding from any organization.
文摘Background:Data regarding tuberculosis(TB)treatment outcomes,proportion of TB/HIV co-infection and associated factors have been released at different TB treatment facilities in Ethiopia and elsewhere in the world as part of the auditing and surveillance service.However,these data are missing for the TB clinic offering directly observed treatment short-course(DOTs)at Debre Tabor General Hospital(DTGH).Methods:The authors analysed the records of 985 TB patients registered at the DTGH from September 2008 to December 2016.Data on patients’sex,age,type of TB,and treatment outcomes were extracted from the TB treatment registration logbook.The treatment outcome of patients was categorized according to the National TB and Leprosy Control Program guidelines:cured,treatment completed,treatment failed,died,and not evaluated(transferred out and unknown cases).Results:Around half of the registered patients were males(516,52.4%).In terms of TB types,381(38.7%),241(24.5%),and 363(36.9%)patients had smear-negative pulmonary TB,smear-positive pulmonary TB,and extra pulmonary TB,respectively.Six hundred and seventy-two patients(90.1%)had successful treatment outcomes(cured and treatment completed),while 74 patients(9.9%)had unsuccessful treatment outcomes(death and treatment failure).TB treatment outcome was not associated with age,sex,type and history of TB,or co-infection with HIV(P>0.05).The proportion of TB/HIV co-infection was at 24.2%,and these were found to be significantly associated with the age groups of 25-34,35-44 and≥65 years:(aOR:0.44;95%CI:0.25-0.8),(aOR:0.39;95%CI:0.20-0.70),(aOR:4.2;95%CI:1.30-12.9),respectively.Conclusions:The proportion of patients with successful treatment outcomes was above the World Health Organization target set for Millennium Development Goal of 85%and in line with that of the global milestone target set at>90%for 2025.Relatively higher proportions of transfer-out cases were recorded in the present study.Similarly,the proportion of TB/HIV co-infection cases was much higher than the national average of 8%.Thus,the health facility under study should develop strategies to record the final treatment outcome of transfer-out cases.In addition,strategies to reduce the burden of TB/HIV co-infection should be strengthened.
