The nexus between land use, land cover dynamics, and soil erosion: a case study of the Temecha watershed, upper Blue Nile basin, Ethiopia.

At the current times, soil erosion is the major problem that affects land and water resources, especially in Ethiopia's highlands. Due to the dynamics of land use land cover change, land degradation, and soil erosion increase significantly and result in a loss of fertile soil every year and lead reduction in agricultural production. This study was therefore designed to explore the land use land cover (LULC) dynamics from 1986 to 2020, to estimate mean annual soil erosion rates and identify erosion hotspot areas from 1986 to 2020, and finally, to evaluate the impacts of land use land cover change on soil loss of 1986 to 2020. For this, Landsat imageries of 4 years from 1986 to 2020 were used. Maximum likelihood supervised classification methods were used to classify LULCs. The dynamics of LULC change were used as an input for measuring soil loss by employing the combination of geospatial technologies with the revised universal soil loss equation (RUSLE). The LULC maps of 1986, 1997, 2009, and 2020 were used for identifying crop management (C) factor and conservation practice (P) factor. Rainfall erosivity factor (R), soil erodibility factor (K), and slope length and steepness factor (LS) were also used as sources of data. Based on the five factors, soil erosion intensity maps were prepared for each year. Results showed that the annual soil loss in the watershed ranged from 0 to 3938.66 t/ha/year in 1986, 0 to 4550.94 t/ha/year in 1997, 0 to 5011.21 t/ha/year in 2009, and 0 to 6953.23 t/ha/year in 2020. The annual soil loss for the entire watershed was estimated at 36.889, 42.477, 47.805, and 48.048 t/ha/year in 1986, 1997, 2009, and 2020, respectively. The mean soil loss of 1986, 1997, 2009, and 2020 was higher in cultivated land followed by shrub land, grazing land, and forest land. Mean soil loss increased from 1986 to 1997, from 1997 to 2009, and from 2009 to 2020. This is because of the expansion of agricultural land at the expense of grazing land and shrub land. Therefore, urgent soil and water conservation practices should be made in hotspot areas.

Practice on Metered Dose Inhaler Techniques and Its Associated Factors among Asthmatic Patients at Debre Markos Comprehensive Specialized Hospital, East Gojjam, Ethiopia: A Prospective Study.

BACKGROUND: Asthma stands 16th among the leading causes of years lived with disability and 28th among the leading causes of disease in the world. A metered-dose inhaler remains the principal route for drug administration, and it has greater advantages over systemic treatment. In routine use, however, a majority of patients make inhalation errors. Suboptimal inhaler technique worsens health outcomes, with poor disease control, and increases the risk of hospitalization. This study aimed to assess practice metered-dose inhalation techniques and associated factors among asthmatic patients at Debre Markos Comprehensive Specialized Hospital, East Gojjam, Amhara region, Ethiopia. METHODS: Prospective cross-sectional study was conducted from July 15 to August 30, 2020. Data were collected through a semistructured questionnaire. The data were analyzed using SPSS version 25. Associations between dependent and independent variables were assessed by using binary and multiple logistic regressions. P values less than 0.05 were considered to be statistically significant in all cases. Results are presented in tables, figures, numbers, and percentages. RESULT: A total of 166 patients had involved in the study, of which 52.4% were females. One hundred and eleven (66.9%) participants had good knowledge of asthma and inhalational techniques, while the rest of them had poor knowledge. One hundred and eight (65.1%) patients had effective practice on metered-dose inhaler use techniques. Participant's knowledge regarding asthma and meter dose inhaler and marital status has a significant association with their practice of metered-dose inhaler techniques with P value 0.001 and 0.006, respectively. CONCLUSION: In this study, most participants are suffering from asthma for a long duration and they have repeated exacerbation. Around two-thirds of patients had good knowledge regarding asthma and metered-dose inhaler and practice on metered-dose inhaler techniques. Participants with poor knowledge had poor practice on metered-dose inhaler techniques, and single patients were less likely to have poor practice on metered-dose inhaler techniques. Health education and counseling services should be consistently provided to the clients regarding the proper steps of inhalers use.