Tuesday, August 30, 2022

Iris Publishers-Open access Journal of Otolaryngology and Rhinology | Fixed Drug Eruption Due to A Cerumenolytic Ear Drop; Hydrogen Peroxide and Boric Acid: A Case Report

 


Authored by Akif İşlek*,

Abstract

Treatment of earwax often involves the use of a wax softening agent (cerumenolytic) with or without antimicrobial agents to easily removing. Cerumenolytic agents used to remove and soften earwax areoil-based treatments, water-based treatments. Fixed drug eruption (FDE) is a welldefined, circular, hyperpigmented plaque that usually occurs on the trunk, hands mucosal surfaces, after a systemical application of drugs. In this report, a case with FDE developed after a cerumenolytic agent (hydrogen peroxide and boric acid in water). A definitive diagnosis was made with skin punch biopsy and FDE was treated with oral levocetirizine and topical mometasone.

Introduction

Cerumen production is a normal and protective process for the external ear canal (EAC), but impact of cerumen causes symptoms such as hearing loss, itching, pain, tinnitus [1]. Cerumen impaction is defined as an accumulation of cerumen in the external ear [2]. Ear cleaning with cotton buds, particularly when the EAC is wet might be one of the important causes of cerumen impaction. Impacted cerumen is composed of abnormal exfoliated keratinocytes and correlated with microbial-induced neutrophilmediated inflammation and increases recurrent mold infection [3]. Treatment of earwax often involves use of a wax softening agent (cerumenolytic) with or without antimicrobial agents to disperse the cerumen and reduce the need syringing in incompatible population or facilitate syringing. Cerumenolytic agents used to remove and soften earwax areoil-based treatments (triethanolamine polypeptide, almond oil, benzocaine, chlorobutanol), water-based treatments (docusate sodium, carbamide peroxide, phenazone, choline salicylate, urea peroxide, potassium carbonate, glycerol, hydrogen peroxide and boric acid) [4]. Fixed drug eruption (FDE) is a well-defined, circular, hyper pigmenting plaque that usually occurs on the genitals, lips, trunk, and hands and the diagnosis can be confirmed by histopathologic examination of a small punch biopsy specimen [5]. In this report, a case with FDE developed after a cerumenolytic agent (hydrogen peroxide and boric acid in water) for used in clinical routine is presented.

Case Report

irispublishers-openaccess-textile-science-fashion

A 67-year-old female patient was diagnosed with earwax in both ears in the otorhinolaryngology examination, and control visit planned 10 days later to remove impacted serumen with prescribing cerumenolytic (hydrogen peroxide 2% and boric acid 2% in water). Patients admitted to hospital three day later and complaints of diffuse lesions and itching (Figure 1). Patients has no history of use any other drugs or chemicals. A laboratory examination showed that the white blood cell (WBC) count was 9.7 x 109, the neutrophil count was 7.1 x 109 (73.4%), the lymphocyte count was 1.9 x 109 (20.2%), the eosinophil count the was 0.48 x 109 (5.1%), C-reactive protein (CRP) level was 1.2 U/mL, and the erythrocyte sedimentation rate (ESR) was 7 mm/h. The ear wax removed.

The tympanic membrane was intact bilaterally and the EEC was natural in the physical examination. Pure tone averages were normal. Oral mucosal lesions were not detected. Patinet was consulted to Dermatologist. Pruritic, well-circumscribed, erythematous macules and dusky red or violaceous edematous plaques (14-26mm in diameter) scattered on the trunk and extremities were inspected with the dermatological examination. A skin punch biopsy was planned. Antihistamine agent (Levocetirizine 10mg, bid) and topical hydrocortisone (mometasone 0.1%) was prescribed for the patient. Ear drop treatment was stopped. After 6 days with antihistamine treatment, the lesions regressed. Skin punch biopsy demonstrated perivascular infiltration of mononuclear cells with dyskeratotic cells in the epidermis and intercellular edema. Also, eosinophils and marked vascular wall thickening detected in the dermis. After the histopathological examination a definitive diagnosis was made as FDE.

Discussion

Commonly drugs cause FDE includes antimicrobials, nonsteroidal anti-inflammatory drugs, analgesics, and anticonvulsants, and occurs after a minimum of 1h later than oral intake. Although, chlorhexidine mouthwash-induced fixed drug eruption was well defined and discussed in recent literature [6]. FDE due to epidermal application of the drugs was not detected in the literature review. Hydrogen peroxide 2% and boric acid 2% in water is an effective agent as a wax softening agent (cerumenolytic) and usually applies epidermally. The main toxic effect of exposure to hydrogen peroxide is irritation at the site of contact or whitening of the skin with diluted solutions. Application of boric acid may cause redness, mild burning due to irritation in the application site. The carbamide peroxide demonstrated a significantly lower effect for the cerumen sample’s disintegration according to the product containing sodium bicarbonate, glycerin, and other buffering agents [7]. Generally, the adverse events occur dependent on the application due to local irritation such as pruritus, otalgia, and edema in EEC. FDE due to chlorhexidine mouthwash demonstrated in the literature and this drug reaction appeared after usually systemic use of the drugs, so that FDE due to topical application is a very rare disease.

Conclusion

This case report is a preliminary report for the systemic side effects of cerumenolytic agents. Therefore, the carbamide peroxide compounds can be suggested to be considered as the last agent used to softening agent for impacted cerumen.

To read more about this article....Open access Journal of Otolaryngology and Rhinology

Please follow the URL to access more information about this article

To know more about our Journals...Iris Publishers

To know about Open Access Publishers

Iris Publishers-Open access Journal of Pediatrics & Neonatal Care | The Orthopedic Features in Children - Hockey Players

 


Authored by Koryukov YA*,

Abstract

Hockey as a power and quite injury and dangerous sport, presents the children’s body with high requirements for general physical training and accompanying orthopedic pathology. These are the issues of providing high-quality specialized medical care in cases of injuries of young hockey players, orthopedic examinations and deciding on the admission to training and competitions of healthy and injured children and adolescents, along with adult professional hockey players, that are within the competence of doctors of orthopedic doctors of the SKA medical center.

Keywords:Young hockey players; Injuries; Orthopedic examinations; Medical care

Introduction

The desire to be strong, to find a place in sports leads many boys to hockey. Increased involvement of children and adolescents in sports is accompanied by increased levels of musculoskeletal injuries [1-3]. At the same time, damage from overload accounts for about 50% of all children’s sports injuries [4,5]. Against the background of a sharp rejuvenation of sports, injuries from overload of the musculoskeletal system (ODA) are increasingly found in young athletes [6].

The role of the pediatric orthopedic surgeon, who is involved in the medical support of children hockey players, is undeniable, since, in addition to providing rehabilitation assistance for injuries to the musculoskeletal system and their consequences, he conducts a medical examination of the athlete and is able to determine the accompanying functional disorders of the musculoskeletal system, which due to lack of time may be inaccessible to the sports doctor of the professional hockey team. We are talking primarily about the presence of such concomitant orthopedic disorders as connective tissue dysplasia (DST) and osteochondropathy. Professional sports not only provoke their development or exacerbate them but are also an obstacle to demonstrating their higher capabilities and achieving high personal and team results [1]. Physiologically, changes in morphological profile related to the athlete’s anaerobic activity, his total body weight, loss of a certain proportion of muscle volumes lead to the expected decrease in performance [3,7]. Rational planning of training loads is important to combine with adequate nutrition in order to achieve good sports form by the time the competition begins [7-9].

Of considerable importance is the so-called labor protection of a young athlete, which consists in the admission to training and competitions of an absolutely healthy child who did not have a history of traumatic injuries or was injured, treated and ready to return to the ice [10].

Material and Methods

68 children hockey players of age from 16 to 17 years were examined, who were professional players of the youth composition of the SKA hockey club, sent to the medical center by team doctors this season. Of these, 35 (51.5%) people underwent a general medical examination in order to prevent the pathology of the musculoskeletal system at the stages of preparation for sports competitions and received admission to them. Another group - 33 (48.5%) children, was examined and treated for various injuries suffered [11].

Upper limb injuries were detected in 8 (11.8%) people: damage to the capsule-ligament apparatus of the acromial-clavicular joint (S43.5) - 2 cases, the shoulder joint (S43.4) -1, at the level of the finger (S63.6) -2 (Figure 1&2).

irispublishers-openaccess-pediatrics-neonatal-care
irispublishers-openaccess-pediatrics-neonatal-care

There were also more severe injuries-dislocation of the shoulder joint (S43.0) in one child, a broken finger (S62.6) -1, an injury to the tendon of the rotational cuff of the shoulder (S46.0) -1. In one case, a hand contusion occurred (S69.8).

In most cases, 25 (36.8%) children had a lower limb injury (Figure 3). We noted the dislocation of the sacroiliac joint (S33.2) - 1 case, the contusions of the hip (S70.1) was revealed in 2 children, the tibia (S80.1) -1, the foot (S90.3) -2; there was also an injury to the leading thigh muscle and its tendon (S76.2).

irispublishers-openaccess-pediatrics-neonatal-care

4 young hockey players received severe knee injuries with ligament damage, of which 2 had damaged lateral ligaments (S83.4) and 2 had cruciform (S83.5). Ligament rupture at ankle level (S93.2) found in 3 patients. 2 children suffered fractures of the lower limbs: multiple fractures of the shin (S82.7) -1 and a fracture of the metatarsal bones (S92.2) -1.

As methods of diagnostic examination of patients, our center used: anthropometric, suboscopy, somatoscopy, as well as instrumental methods (radiography, MRI, ultrasound, CT).

Among children hockey players, the cardiorespiratory system is subjected to high loads. Therefore, in preparation for training, careful pediatric and functional diagnostics were required: ultrasound, EkoKG, ergo spirometry, cycling ergometry, Wingate test.

Methods of rehabilitation of childhood athletes included physiotherapy (shock wave therapy, magneto and laser therapy, cryotherapy), blood clot-enriched plasma cites injections, massage, manual therapy, LFC, kinesiotherapy, and type orthosis from the turbocast and upper/lower extremity official orthoses.

Results and Discussion

A sport such as hockey is characterized by damage to the lower limbs, which was statistically confirmed in our studies, and damage of the ligaments of large joints was also found in most cases of injuries - in 11 athletes. It drew attention to the presence of very severe injuries of 5 young hockey players in the form of dislocations and fractures. They for a long time turned off children from active sports life.

The vast majority of injuries were sustained by hockey players during games, and not in the training process. The higher motivation of the competitive period, overdue our dedication, a larger number of martial arts caused high injuries. This was especially manifested during the playoff period against the background of increased body fatigue, even higher intensity of loads and lack of time for full recovery. The causes of injuries were also: a rotational mechanism (damage to the ligaments of the ankle and knee joints), high-energy blows with a club and a washer.

A number of hockey players (35%) during the examination showed signs of connective tissue dysplasia (DST), which could serve as factors provoking and aggravating game damage. It is well known that DST suggests a genetically determined disorder in its development in the form of defects in its fibers and base material. As a result of such disorders, numerous disorders of tissues, parts of the body and the body as a whole are known. The main predictor of DST is hypermobility syndrome in the joints. It was simply determined by tests aimed at flexion/unbending in the elbow and knee joints, joints of the fingers of the hand and foot. Exceeding the physiological amplitude of movements leading to recurvation in large joints (extension of more than 5 degrees in the elbow, more than 0 degrees, in the knee), the ability to get the inner surface of the forearm with a flexion of the hand with a thumb, and when the fingers of the hand in the metacarpophalangeal joints are extended up to 90 degrees or more, lead the foot to shin up to 45 degrees, determined.

Some dysmorphies were also found among children with DST: a deformed auricle, curved minuscules, incomplete syndactyly of the toes of the feet. As methods for preventing subsequent injuries against the background of CST, we recommended additional exercises with physical training instructors in order to strengthen the muscle-ligament apparatus of the limbs (for example, the use of unstable platforms).

Methods of restorative treatment after injuries of the upper and lower limbs in quantitative terms were presented as follows: 1. Shock wave therapy 3-5 procedures, 1-2 times a week; 2. Barocamera 10 procedures for 60-90 minutes, daily; 3. Myostimulation 2 times a day for 30-60 minutes, 10-15 procedures; 4. Oscillator therapy 10 procedures daily; 5. Magneto-vacuum therapy on Vakumed sport apparatus 10-15 procedures, daily; 6. Electrophoresis and phonophoresis 10-15 procedures; 7. Laser therapy 5-7; 8. Highintensity magnetotherapy 7-10. All procedures were prescribed in accordance with the identified pathology, but no more than 3 varieties of procedures per treatment course. Procedures were also assigned depending on the stage and timing of the restoration.

PRP therapy was performed in 4 patients after damage to the rotating cuff of the shoulder, a bruised tibia, which provoked an exacerbation of Osgood-Schlatter disease, leading the thigh muscle, the lateral ligament of the knee joint. The course of treatment consisted of 2-3 injections into the injury zone with an interval of 5-7 days. Against the background of treatment, patients noted a decrease in tissue swelling and a decrease in pain syndrome in the limb.

Conclusion

1. An important component of reducing the number and severity of injuries in children hockey players is the presence of full equipment, proportionate shoes, high-quality and full-fledged protective equipment. Attention was paid to the treatment of ordinary calluses, sweats, etc. The best completion of the gameplay was the well-built warm-up and final parts of the training of children - hockey players, cyclically repeated exercises at a calm even pace, post-training stretches.

2. Non-drug therapy included strict adherence between game modes, including nutrition, where emphasis was placed on the consumption of full-fledged proteins and products containing polyunsaturated fatty acids. In therapy, DST recommended the use of food additives containing both the above substances and hyaluronic acid, synthetic analogues of vitamins K and D3, ascorbic acid, Omega 3, correctors for disrupting the synthesis and catabolism of glycosaminoglycan - chondroitin sulfate and succinic acid, corrector of bioenergy processes carnitine chloride.

3. The correct attitude to recovery procedures, both specialists and young athletes themselves, is a key to minimizing injuries.

4. Timely and additional examinations by doctors of a specialized medical center and adequate treatment tactics not only facilitated children’s sports, but also affected the quality of sports results.

To read more about this article...Open access Journal of Pediatrics & Neonatal Care

Please follow the URL to access more information about this article

To know more about our Journals...Iris Publishers

To know about Open Access Publishers

Monday, August 29, 2022

Iris Publishers- Open access Journal of of Agriculture and Soil Science | Smallholder Farmer’s Adaptation Strategy to Climate Change in The Case of Este Woreda, South

 


Authored by Beletech Kindu*,

Abstract

The main objective of this finding was identified adaptation strategies and factors that influence the probability of farmers to choose adaptation measurements in Estie woreda. Mixed research approach was used. Data was collected from 166 households and 5 agricultural experts through questionnaires and interview. The collecting data was analyses by using stata software and statistical software SPSS version 20. Adaptation strategies were considered use new crop variety, irrigation, soil-water conservation and planting trees for this study. The result obtained from multinomial logistics model shows that, adaptation strategies significantly influenced by agro-ecological zone, age, farm income, non-farm income, farm size, distance to the market, access of extension service and climatic information variables. Lack of skills and lack of information were the major barriers stand by farmers to climate adaptation. Therefor agricultural and rural development office as well as the government should be created awareness on climate change adaptation strategies, improve access of agricultural extension service and share for all farmers.

Keywords: Climate change; Smallholder farmer’s; Adaptation strategy

Introduction

In the last decade climate change has become increasingly apparent that it is already happening, and will continue to happen, bringing with its local impacts on people’s livelihoods [1]. The threat of global climate change has caused concern among researchers as livelihoods, agricultural production and food security of the smallholders could be severely affected by changes in key climate variables, which are rainfall and temperature. Climate change could have harmful effect on different biophysical and economic activities like agriculture, water resources, forestry, human health, biodiversity and wildlife. The consequences of climate change are severe in third World smallholding farmer agriculture because it is rain-fed and relies on the mercy of nature [2]. Many African countries which have economies largely based on weather-sensitive agriculture are vulnerable to climate change and become complex challenges on human livelihoods [3] The rapid pace of climate change, along with increasing socioeconomic pressures, threatens to overcome their ability to adapt [2].

Ethiopia is especially vulnerable to climate variability and change because large segments of the population are poor and depend on agricultural income, which are highly sensitive to rainfall variability and change in temperature the [4,5]. These findings show that, most Ethiopian agriculturalists have low access to education, information, technology, and support services, and, consequently, have low adaptive capacity to handle the consequences of climate variability and change. Ethiopia is challenged by social and natural problems. Poverty is estimated that 29% of the total populations live below the international poverty line [6]. Furthermore, Ethiopia has previously suffered from climate extremes, manifested in the form of recurrent drought (1965, 1974, 1983, 1984, 1987, 1990, 1991, 1999, 2000, and 2002) and flooding (1997 and 2006) [7].

The fact that climate has been changing in the past and continues to change in the future implies the need to understand how farmers perceive climate change and adapt strategies to reduce climate impacts in the future. Adaptation can be viewed as reducing the severity of various impacts if adverse conditions overcome. Studies indicate that farmers do perceive that climate is changing and that they adapt to reduce the negative impacts of climate change [8,9]. The success of adaptation strategy depends on the availability of necessary resources (both financial and natural resources) knowledge, technical capability, and institutional resources [10]. In addition, [11] pointed out many social, economic, technological and environmental trends were limited the ability of farmers to perceive and adapt to climate change. Since, Adaptation of smallholder farmers believed that imperative to reduce the impact of climate change and improved the resilience of agricultural sectors [12]. By understanding this fact, effort should focus on the finding of adapting mechanisms. Therefore, this study investigated adaptation strategies to climate change and its determinant factors in the study area by using mixed research approach. The research will contribute to existing scientific Knowledge on adaptation strategies used by farmers.

Methodology

Description of the study area

Estie Woreda is located in South Gondar Administrative Zone, Amhara Regional State, Ethiopia. It is about 676 km northwest of Addis Ababa and about 100 km north of Bahr Dar. It has 42 rural kebeles and 3 urban kebeles. Estie is bordered on the north by the Farta Woreda, on the south west Gojam, on the east by Simada Woreda and the last on the west by Andabet and Dera Woreda. This Woreda is located at 11°34’N, latitude and 36°41’E, longitude (Figure 1). The total area of this Woreda is 132,373.9 km2 (from the Estie Woreda agricultural administrative office).

irispublishers-openaccess-agriculture-soil-science
Research design

The researcher was applied mixed research design which, include both quantitative and qualitative approach. The advantage of employing these techniques were get quantitative data such as demographic characteristics of the households’ and investigating the farmers’ perception on climate change adaptation problem, causes and consequences of climate change as well as the limitations and influencing factors for their adaptation strategy of climate change in Estie Woreda qualitatively.

Data source and collection methods

The study was using both primary and secondary data sources. The primary data was obtained from the smallholder farmers through questionnaire and personal interview, Photograph and observation which ensure the consistency and accuracy of the primary data obtained through questioners. Questioners was prepared in English language then after translated into local language which is AMHARIC in order to get perfect information from the respondents since, Amharic language used by all peoples in Estie woreda. Secondary data were incorporated to fill the gap of primarily information. Such data were collected from West Amhara metrological station, published and unpublished agriculture official sources, Books, journals, internet sources, research reports.

Data collection instruments

Questionnaire: Questionnaire is an instrument that the researcher was used to find out information’s related to perception of farmer’s, adaptation strategies which, used by farmers and determinant factors to choose adaptive mechanism to climate change with the help of well-structured questionnaires.

Key informant interview:For the sake of better understanding of some climate change in the woreda, adaptations used by farmers and climate risks in the study area, key informant interviews were made with one Kebele experts from each individual agro ecological zone and two experts of Estie woreda agriculture and rural development office.

Sample size and sampling techniques

The total households residing in the study area are 2415. Out of this, 166 samples were selected, in order to make representative samples by using the following simple formula Yamane as cited in Israel, 2012.

irispublishers-openaccess-agriculture-soil-science at 92.5% confidence level and e = 0.075% precision level.

Where, n is number of desired samples,

N is the estimated population size and

e is level of precision (0.075%) there for based on the formula total sample size was 166 respondents (Table 1).

Table 1:Sample size of household heads.

irispublishers-openaccess-agriculture-soil-science

Sampling techniques

For administrative purposes, Estie is divided in to forty-two rural Kebeles, of the forty-two. First, three kebeles were selected out of forty-two kebeles based on agro-ecological zones and amount of population. These three kebeles are Lwaye (from Dega), Zigora (from Weynadega) and Komesi (from kola). But the researcher did not include any kebele from Wurch agro-ecological zone because based on the Second; by using systematic random sampling method 166 households were selected from the three Kebeles.

Data analysis methods

After the data collected from the sample respondents, statistical package/program from social science (SPSS) software version 20 in order to quantified, coded analyzed and interprets the data as well as give meaning full investigation and stata software and Multinomial logistic model (MNL) model was used in order to identified and understanding the degree explanatory variable influence adaptation strategies.

Descriptive statistic tools like (percentages, means, frequency, count, chi-square, was used to characterize farmer perceptions on changes in long-term temperature and precipitation changes and to give strengthen the findings of Multinomial logistic model. Mann- Kendall test was also used to analysis annual and monthly trend in rainfall/ precipitation and temperature.

Multinomial logistic model (MLM): Undertake a rational farmer who pursues to increase agricultural productions over a specific time and must choose among a set of ‘j’ adaptation options. Hence, the farmer ‘i’ chooses to use ‘j’ adaptation options if the perceived benefit from option ‘j’ is greater than the utility from other options (say, k) specified as: U-ij (β′jXi + εj) > U-ik (β′kXi + εk ), k ≠ j, (1).

where

Uij and Uik are the perceived value by farmer i of adaptation options j and k,

Xi: is a vector of explanatory variables that influence the choice of the adaptation option,

βi and βk are parameters to be estimated and

ɛi and ɛk are the error terms.

To express the MNL model, let y denote a random variable taking on the values {0, 1, 2...J} for J, a positive integer, and let x represent a set of conditioning variables. In this case, y denotes adaptation options like soil-water conservation, crop variety, irrigation etc. and x contains household attributes like age, education, income levels, and others. The question is how cetirus paribus changes in the elements of x affect the response probabilities P (y = j / x), j =1, 2 ...J. Since the probabilities must sum to unity, P (y = j / x) is determined once we know the probabilities for j = 2...J.

Let x be a 1× K vector with first element unity. The MNL model has response probabilities:

irispublishers-openaccess-agriculture-soil-science

Results and Discussions

Farmer’s perception of changes in the precipitation and temperature

The farmers were asked whether they have perceived changes in the rainfall and temperature or not in their locality area. As the above graph shows about 24.7% and 80.7% of the respondents perceived that there is an increment in the level of rainfall and temperature in their local area while about 57.8% and 11.4% of the respondents had perceived a reduction in the level of the rainfall and temperature respectively. In addition, about 9.1% and 3.4% of the respondents were answered there is no change in the level of precipitation and temperature respectively. While about 8.4% and 4.3% of the respondents had not the evidence on the change of rainfall and temperature respectively. These outcomes show that the majority of the farmers in the study area had perceived a decreased as well as an increased in the level of precipitation and temperature respectively (Figure 2) (Table 2).

irispublishers-openaccess-agriculture-soil-science

Table 2:Cross Tabulation of Agro-Ecological zone and Adaptation Choice.

irispublishers-openaccess-agriculture-soil-science

The finding shows that farmers perception status and taking adaptation strategies is differ across agro-ecological zone. It that, about 94.9% and 92.3% of the respondents from Kola agro ecological zone had perceived in both precipitation and temperature respectively and about 66.7% of the respondents taken adaptation measures to climate change. However, when we compared to farmers between Kola with Dega and Weynadega agro ecological zones, the respondents who take adaptation measures from Dega and Weynadega agro-ecological zone are relatively lower and higher in perceiving the change. When we go to kola agro ecological zone there were an indicator of climate related problems but the capacity of farmers to taken adaptation mechanism is lower. This is might be due to it long distance which is one factor for farmers could not be applied new agricultural technology, share climatic information etc. Consequently, for this reason could also be lack of infrastructures and low of agricultural extension service relatively from Dega and Weynadega agro-ecological zones. All agricultural experts also answered during the interview, distance and lack of infrastructure were the major factors to implement adaptation measurements and other agricultural policy effectively specially in remote area (Figure 3).

irispublishers-openaccess-agriculture-soil-science

Views regarding climate change indicators were also requested from the respondents. The above figure shows the farmers’ observation of indicators of climate change in the study area. Most respondents had observed the indicators and some of respondents have not observed these indicators but few of respondents had not suggestion. For example, about 66.3% of the respondents perceived off seasonal rainfall while about 26.5% of the respondents had not observed the problem, the remaining 7.2% of the respondents had not proof. In addition, about 50.6% of the respondent show the presence of heavy rainfall, while about 37.3% of the respondents were not observed but 12.1% of the respondents had not suggestion.

On the other hand, about 48.8% of the respondents were answered they perceived the presence little rainfall, while 36.1% of the respondents were not perceived, the remaining about 15.1% of the respondent were neutral. The same thing about 64.5% of the respondents revealed there is exist of coolness/ ice, while about 25.3% of the respondent replied there was not the coolness problem but 17.2% of the respondents otherwise. On other hand, the problem of high temperature was observed by 59% of the respondents and about 28.9% were not observed this problem, while the remaining 12.1% of the respondents were neutral. About 72.3% of the respondents were observed the problem of strong wind while about 19.9% had not observed such problems; the remaining 7.8% of the respondents had not proof. In general, this result shows the farmers were perceived different climate change indicators, which initiates to climate change.

Climate Related Problems in Estie Woreda

There are different climate related problems which could impact on the smallholder farmers in their usual farming activities. However, the intensity of these problems is differing from within a region as well as across regions. In this study the farmers were asked to distinguish the intensity of different climate change related problems in the study area. Based on the respondents answered the intensity of climate change problems is show in the following (Figure 4).

irispublishers-openaccess-agriculture-soil-science

As we show the above figure, 33% of the respondent were answered decrease of water availability is the most severe problem, which followed by the decreasing or risk of crop damage as identified by 27% of the respondents. In addition to this drought and flood are on other climate related problems indicated by 14% and 13% of the respondents respectively. By following this, there is also Food insecurity problem indicated as concentrated problem by 13% of the respondents.

Barriers to climate change adaptation strategies

The response of the farmers why they don’t take any measure which could help to reduce the severity of climate change is discussed here with help of the following graph (Figure 5). Lack of knowledge was a major factor answered by the respondents who did not yet take adaptation measures. Lack of information is also the second barrier accordingly, problem accounts for 19.7% of reason for not taking adaptation strategies. Lack of capital, shortage of farming land, not support from government, not observed problems and give less emphasis were also mentioned as barriers to climate change adaptation based on their proportion in Estie Woreda.

irispublishers-openaccess-agriculture-soil-science

Trend analyses of temperature and rainfall by using Mann-Kendall test in the study area

The non-parametric test, Mann Kendall method was used to analyze if there is a monotonic increased or decreased trend of the variable of notice over time. Mekane-eyesus meteorological station found under class three type of station, which records only temperature and precipitation and is located in Estie woreda, 11 °N, latitude and 38 °E with 2374m of elevation above sea level. Climatic raw data in this station is not enough for climate trend analysis because it contains only the year from 1996-2017. Therefor the researcher was use knmi climate explore satellite raw data.

Monthly and annually Mann-Kendall results of maximum and minimum Temperature for the area

(Table 3) (Table 4) The slope of the whole months and annual maximum and minimum temperature indicates that a positive value monthly and annually temperature. The mean, minimum and maximum temperature has recorded in all months. In trend of maximum temperature except the month November which, has not a significant increase, there is statistically a significant increased trend in temperature the minimum. The study of data period 1994- 2005 shows sharp decrease in trend in the month of August at 0.05 and 0.10 levels of significance and the magnitude is also high as can be seen from the Sen’s slope estimator for the Dharamshala region.

Table 3:Kendals Maximum Temperature.

irispublishers-openaccess-agriculture-soil-science

Table 4:Kendall’s Minimum Temperature.

irispublishers-openaccess-agriculture-soil-science

Mann Kendall monthly and annually precipitation analysis the study area (1981-2013): In order to get the related and relevant data with ground data, the researcher was taken GPCC and CRU satellite data on knmi’s climate explore website then after, done Pearson’s correlation matrix to take similar data with ground climatic data (Table 5) (Table 6).

Table 5:Correlation Matrix.

irispublishers-openaccess-agriculture-soil-science

Table 6:P Values the Data.

irispublishers-openaccess-agriculture-soil-science

Table 7:Mann-Kendall Test Result for Precipitation.

irispublishers-openaccess-agriculture-soil-science

Above tables shows the correlation with p- value of GPCC raw data is the best one for trend analyses (Table 7).

The results of Mann-Kendall test for monthly precipitation data shows that there is a significant decrease in trend for the month of July, September and October in the area. While, there is significant increase in trend for the month April. Similarly, there is not a significantly increase for month February, March, May and November with Sne’s slope positive and the month Jun, August and December shows that not significant decrease trend. On the other hand, there is a significant decreased annual average mean precipitation in period. In general, the result man-Kendall trend test shows there is slightly decline precipitation in the study area. Mann-Kendall test results show that there is slightly decrease in rainfall and increased in both maximum and minimum temperature in a period. Therefor implementation of adaptation strategies has been required to response the impact of climate change in Estie woreda.

Estimated results of the multinomial logistic regression model

(Table 8)

Number of obs = 164

LR chi2 (56) = 159.01

Prob > chi2 = 0.0000

Prob > chi2 = 0.0000

Pseudo R2 = 0.3061

Table 8:Summery Statistics for Independent Variable.

irispublishers-openaccess-agriculture-soil-science

The results of Multinomial logistic model tell as how factors are influence farmers’ choice of adaptation choice in Estie woreda. In all cases, the estimated coefficients should be compared with the base category of no adaptation. Coefficient estimations from the multinomial logistic model can tell only about the direction effect but not the magnitude of effect. To compute the magnitude of effect the researcher was used stata command mfx2 after multinomial logistic regression and it shows marginal effect (Table 9).

Table 9:Marginal Effects Explanatory Variable from The Multinomial Logistic Climate Change Adaptation Model.

irispublishers-openaccess-agriculture-soil-science

The Determinants of Farmers Choice of Adaptation Methods

Agro ecology

The result obtained from the multinomial logistic Model indicated that farming in Weynadega significantly increased the probability of planting different tree species as adaptation choices to climate change by 24.71% at 1% significant level as compared to other ecological zones. This result shows farmers who levies in different agro ecological zone has different adaptation options to compact climate change impacts. This result is similar with the finding of [13-15].

Age of HH

Age of HH is one of statistically significant explanatory variable which is considered as a substitution indicator for farming experience, has a positive coefficient. Positive sign indicates that it has appositive influence in taking adaptation strategy to climate change. For example, a one-year increase in age of the household head, the possibility of farmers’ planting different trees adaptation strategy is increases by 1.84%, keeping other variables are constant. On the other hand, a one year increased in age of the farmer, the probability of farmer’s not to use adaptation strategies to climate change decreased by 0.47% at 10% of significant level others are at exist. This result also supported by the finding of [16].

Family size of HH

Family size of HH is also a statistically significant explanatory variable in this model. That means farmers’ adaptation strategy to climate change is also significantly affected by the number of family size. Large number of active household members had increased adaptation decisions mechanism to reduced climate impact. A one unit increase in the member of family resulted in a 2.6% increase in the probability of farmers planting tree species at 10% significant level, holding another variable constant. This result in line with the findings of [17,18].

Farm income of HH

The result of the analysis reveals that farm income of a household had a positive and significant impact on using irrigation system and planting trees. One unit (ETB) increase in the farm income of the household probabilities increased by 0.001% of used irrigation management, planting trees at 5% and 10% significant level respectively, keeping other variables constant. When the main source of income in farming would be increase, farmers incline to participate on productivity smoothing options such as improved using irrigation system and plant

Non-farm income

Non-farm income is one variable had a positive and significant influence in adopting climate change adaptation choices. One unit (ETB) increase in the farm income of the household probabilities increased by 0.001% of improved irrigation management at 10% 0f significant level and also increased by 0.002 per cent of the probability of planting trees at 1% significant level to reduce the impact of climate change, holding other things at their respective mean. This finding shows that farmers, who had generated nonfarm income would increase the farming activities by improve the ability to purchase different climate tolerant crops, improved to use new technology. This result is consistent with studies of [20,22].

Land size of HH

Amount of farmer’s land size is also significantly and negatively affecting these farmers who are not use an adaptation method to climatic change. One hectare increases in the farm size, the probability of the farmers does not use adaptation option to climate change decreased by -6.22% at 5% level of significance, keeping other variables constant. This implies that farmers had small amount of farming land size are more likely not take any adaptation decisions because they have not more capital and resources to implement new agricultural technology [12]. Ajibefun [23], Tessema [24] were point out households with relatively large farm size were more likely to take up new adaptation strategies when compared to farmers with small farm size.

Livestock numbers of HH

Livestock numbers of HH is also another statistically significant explanatory variable in this model. It has positive and significant impact on the probability of using improved new crop variety as adaptation strategies. A unit increase in the number of livestock owned by the household from its mean value increases the probability of improving use new crop varieties by 2.96% at 10 % level of significant, holding other things at their respective mean. In this case livestock is considered as a source of income for the farmers in order to purchase improved crop variety and by providing power (like oxen, horse etc.) and their manure essential for soil fertility maintenance. Similarly [19,25-27], concluded that farmers who have large amount of livestock number of households increases significantly the ability and choice of climate change adaptation strategies.

Distance from the market center

Distance from the market center is also significantly and negatively related to planting tree adaptation option and on the other hand it is the positive influence these farmers who are not use an adaptation option to climate change. According to [12] market is an important determinant factor of adaptation method because it is one way of exchanging information with other farmers. This finding shows that a one hour increase in average time taken to the market center, the probability of farmer’s use planting tree to climate change decrease by 19.58% at 1% significant level. Similarly, a one hour increase in average time taken to the market center the probability of farmer’s not to use adaptation strategies to climate change increase by 8.81% at 5% significance level, keeping another variable as constant. Because if farmers are lived far away from the market center, they would not obtain better information, experience sharing, and it is difficult farmers to buy new agricultural technologies and inputs. This result similarly with the finding of [12,28].

Access to credit

Access to credit service also plays a positive role for farmers who are using planting trees to adopt climate change adaptation options [29-30]. It is positively affecting the adaptation decision hence it has a positive coefficient. As compared to the farmer who has no access to credit, the probability of using planting trees adaptation strategy to climate change strategies to climate change for the farmer who has credit access increases by 23.55% holding other things at their respective mean [30-35].

Access to extension service

It has negative and significant effect on soil- water conservation techniques at 1% significant level. However, it has positive and significant impact on farmers who has no access to extension service at 5% significant level. This implies that farmers could not have access to extension service, which is a means of improving their skills, the probability of using soil-water conservation practice is decrease by 34.66% at 1% significant level, on the other hand, the probability of farmers are not implement any adaptation method to climate change increase by 16.24% at 5% level of significant. Agricultural extension service is main source of information concerning agricultural activities and natural resource conservation for the farming households [35-40].

Access to climate information

Getting information about seasonal forecasts and climate change is another explanatory variable. the result show that the probability of farmers’ no to use any adaptation strategy increased by 18.97% as compared to farmers’ getting climatic information keeping other variables are at exist. Implies that farmers who had no climatic information they may be could not take any adaptation measurements [41-45].

Conclusion

In the study area indicators of climate change and variability have been observed such as off seasonal rainfall, heavy rain, little rainfall, high temperature, coolness and strong winds. Following this climate related problem have been occurred like risk of crop damage, reducing of water availability, flood and draught as well as food insecurity. The researcher can be conclude that most smallholder farmers were used at least one adaptation mechanisms based on the respondents answered because around 74.8% of the respondents have taken adaptation strategies to adapt climate change impact.in response to climate change , planting tree and soil-water conservation practice are the most practiced adaptation strategies which give priority by farmers. While, strategies such as use new crop varieties and irrigation system expressed in some proportion [46-51]. The reason why some sample respondents have not taken adaptation measures in this study area like lack of knowledge, lack of information lack of capital, shortage of farming land, not support from the government were mentioned. Multinomial logistic regression analysis was used to conclude factors that influencing farmers’ choices of adaptation strategies to climate change. The result shows that agro-ecological zone, age, distance to the market, access of extension service family size, climatic information, farm size and numbers of livestock have a significant influence on farmers’ choice of climate change adaptation strategies. On the other hand, in this finding, gender and education level of households was not being a significant influence in choice of strategies.

To know about Open Access Publishers

Iris Publishers-Open access Journal of Textile Science & Fashion Technology | The Design and Development of Photochromic Jacquard Woven Fabric

  Authored by  Chunhong Lu *, Abstract The jacquard woven fabric is often composed of dyed yarns to demonstrate brilliant colors and ever-ch...