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Ethiopian Journal of Health Sciences

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https://www.readbyqxmd.com/read/28579717/thoracic-ectopia-cordis-in-an-ethiopian-neonate
#1
Henok Tadele, Abeje Chanie
BACKGROUND: Ectopia Cordis is defined as complete or partial displacement of the heart outside the thoracic cavity. It is a rare congenital defect with failure of fusion of the sternum with extra thoracic location of the heart. The estimated prevalence of this case is 5.5 to 7.9 per million live births. CASE PRESENTATION: We had a case of a 16-hour-old male neonate weighing 2.9kg with externally visible, beating heart over the chest wall. Initial treatment included covering the heart with sterile-saline soaked dressing, starting systemic antibiotics and supportive care...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579716/clinically-confirmed-congenital-rubella-syndrome-the-role-of-echocardiography
#2
Demeke Mekonnen
BACKGROUND: Congenital rubella syndrome (CRS) affects thousands of children in the developing world because rubella vaccination is not routinely available in most of these countries. Among its many manifestations, congenital heart disease is life threatening. CASE DETAILS: A 9-month-old infant presented with whitish lesions over her left eye. She was evaluated with echocardiography that revealed peripheral pulmonary stenosis and patent ductus arteriosus. She had severe acute malnutrition and clinically confirmed congenital rubella syndrome (CRS)...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579715/combination-of-encephalo-myo-pial-synangiosis-and-encephalo-arterio-pial-synangiosis-procedure-in-pediatric-moya-moya-disease
#3
Prastiya Gunawan, Wihasto Suryaningtyas, Darto Saharso, Risky Prasetyo
BACKGROUND: Moya-moya disease in children is a cerebrovascular disorder that may cause cerebral ischemic or hemorrhage. CASE DETAILS: We report an 8-year-old boy that was admitted with the chief complaint of repeated sudden half left body paralyze. MRA showed acute thrombotic infarction in the right hemisphere and internal carotid artery stenosis in the form of puffs of smokes. Indirect revascularization surgical procedure with combination of Encephalo-myo-pial-synangiosis (EMS) and Encephalo-arterio-pial-synangiosis (EAS) was performed...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579714/neumann-s-tumor-a-case-report
#4
Kashi Nataraj Vinay, Lidetu Afework Anjulo, Prabhakar Nitin, Kashi Vinay Neha, Dwivedi Dhara
BACKGROUND: The congenital granular cell tumour of the newborn, also known as congenital epulis or Neumann's tumor, is rare. It occurs on the gingiva of the anterior alveolar ridge of the jaws. This lesion behaves in a benign manner and no recurrent or metastatic lesions have been reported. CASE REPORT: We are reporting a 2-day-old female neonate, who came to our unit with a well defined, solitary, firm mass arising from the maxillary anterior region measuring about 3...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579713/nutritional-status-of-under-five-children-in-ethiopia-a-systematic-review-and-meta-analysis
#5
REVIEW
Ahmed Abdulahi, Sakineh Shab-Bidar, Shahabeddin Rezaei, Kurosh Djafarian
BACKGROUND: Undernutrition is the outcome of insufficient food intake and recurrent infectious diseases. The baseline levels of undernutrition remain so high that Ethiopia still needs to continue substantial investment in nutrition.Therefore, the aim of this study was to obtain estimates of over-time trends in the prevalence of undernutrition in Ethiopia and to determine risk factors for undernutrition among children of under five years of age. METHODS: Cross-sectional studies published in English from 1997 to 2015 focusing the prevalence of stunting, wasting and underweight in children aged 0-5 years (n = 39,585) in Ethiopia were included in this systematic review and meta-analysis...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579712/level-of-awareness-and-knowledge-of-breast-cancer-in-nigeria-a-systematic-review
#6
REVIEW
Agodirin S Olayide, Akande J Halimat, Olatoke A Samuel, Rahman A Ganiyu, Oguntola A Soliu
BACKGROUND: Despite reports of improved awareness of breast cancer entity and seemingly upbeat levels of other awareness subthemes in Nigeria, patients continue to present late when treatment is least rewarding. This paradoxical trend of both rising awareness and late presentation coupled with reports suggesting other competing drivers of late presentation question the "theory of poor awareness" as the foremost driver of late presentations. By aggregating available data, we aimed to assess what still constitutes poor breast cancer awareness in Nigeria in order to suggest how to allocate resources to reverse the paradox...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579711/nutritional-status-and-effect-of-maternal-employment-among-children-aged-6-59-months-in-wolayta-sodo-town-southern-ethiopia-a-cross-sectional-study
#7
Hiwot Eshete, Yewelsew Abebe, Eskindir Loha, Teklemichael Gebru, Tesfalem Tesheme
BACKGROUND: Childhood malnutrition remains common in many parts of the world; the magnitude of worldwide stunting, underweight and wasting in children under five years of age were 24.7 %, 15.1 % and 7.8 %, respectively. More than 150 million children under the age of five years in the developing world are malnourished. Ethiopia is one of the countries in sub-Saharan Africa with the highest rates of malnutrition. In Ethiopia, 44.4% and 9.7% of children under-five years old were stunted and wasted, respectively...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579710/assessment-of-knowledge-of-acute-kidney-injury-among-non-nephrology-doctors-in-two-government-hospitals-in-ondo-city-southwest-nigeria
#8
Oluseyi Adejumo, Ayodeji Akinbodewa, Oladimeji Alli, Pirisola Olufemi, Abolarin Olatunji
BACKGROUND: Adequate knowledge of acute kidney injury (AKI) among doctors is essential for its prevention, early diagnosis and management. Assessing knowledge of AKI among doctors is necessary to identify areas of deficiencies and key areas to be emphasized when organizing educational programs aimed at improving AKI care. This study determined the knowledge of AKI among non-nephrology doctors in Ondo City, Southwest Nigeria. MATERIALS AND METHODS: This was a cross-sectional descriptive study carried out in two government hospitals in Ondo City using a self-administered pretested questionnaire that assessed knowledge of AKI among non-nephrology doctors...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579709/timing-of-first-antenatal-care-visit-and-its-associated-factors-among-pregnant-women-attending-public-health-facilities-in-addis-ababa-ethiopia
#9
Hanna Gulema, Yemane Berhane
BACKGROUND: Early initiation of antenatal care visits is an essential component of services to improving maternal and new born health. The Ethiopian Demographic and Health Survey conducted in 2011 indicated that only 11% of pregnant women start antenatal care in the first trimester. However, detailed study to identify factors associated with late initiation of care has not been conducted in Addis Ababa where access to health services is almost universal. The aim of this study was to assess the level of late first antenatal care visit and the associated factors...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579708/field-based-evidence-of-single-and-few-doses-of-annual-ivermectin-treatment-efficacy-in-eliminating-skin-microfilaria-load-after-a-decade-of-intervention
#10
Hudu O Osue
BACKGROUND: Impact assessment of community-based ivermectin treatment control of onchocerciasis is required to determine its effectiveness. This study was conducted to evaluate geographic coverage and demographic ivermectin treatment compliance. METHODS: The number of village dosage were obtained from the community based distributors. Bioclinical data of participants comprising gender, age, number of treatment received from inception and dosage were obtained. Each participant was subjected to physical examination for palpable nodule and other skin clinical signs and symptoms of onchocerciasis...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579707/barriers-to-contraceptive-uptake-among-women-of-reproductive-age-in-a-semi-urban-community-of-ekiti-state-southwest-nigeria
#11
Kabir A Durowade, Lukman O Omokanye, Olusegun E Elegbede, Stella Adetokunbo, Charles O Olomofe, Akinyosoye D Ajiboye, Makinde A Adeniyi, Taofik A Sanni
BACKGROUND: Globally, unplanned pregnancy and sexually transmitted infections (STIs) persist as a significant threat to women's reproductive health. In Nigeria, despite huge resources committed to family planning programs by stakeholders, contraceptive use has been very low. This study aimed at unraveling the barriers to the use of modern contraceptives among women of reproductive age (15-49 years) in Ise-Ekiti community, Ekiti State, Southwest Nigeria. METHODS: This study was a cross sectional study among women aged 15-49 years...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579706/hepatotoxicity-due-to-antituberculosis-therapy-among-paediatric-patients-seen-at-the-university-of-ilorin-teaching-hospital-north-central-nigeria
#12
Gobir Aishatu, Ibraheem Rasheedah, Johnson Wahab, Muhammed Sheni, Oladele Damilola, Ojuola Adeniyi
BACKGROUND: The liver is vulnerable to injury from the first line anti-tuberculosis drugs. This may result in mortality, long term morbidity and reduced compliance to therapy. Nigeria recently introduced fixed drug combinations in the treatment of children amid concerns of hepatotoxicity. A 6-year-old boy was treated in our unit had fulminant hepatic failure two weeks after completing his anti-tuberculosis therapy. This prompted the unit to investigate hepatotoxicity due to anti-tuberculosis therapy among children...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579705/attitude-and-practice-of-birth-attendants-regarding-the-presence-of-male-partner-at-delivery-in-nigeria
#13
Abiodun Adeniran, Kikelomo Adesina, Abiodun Aboyeji, Olayinka Balogun, Peace Adeniran, Adegboyega Fawole
BACKGROUND: Despite increasing request for the male partners' presence at delivery in developing countries, the view and practice of birth attendants remained poorly understood.This study aimed to evaluate the perception, attitude and practice of birth attendants concerning the requests in Nigeria. METHODS: A prospective, cross-sectional survey involving consenting birth attendants was conducted in six public and six private health facilities in North Central Nigeria...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28579704/maternal-health-indicators-signal-optimism
#14
EDITORIAL
Abraham Haileamlak
No abstract text is available yet for this article.
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465654/predictors-of-survival-among-adult-ethiopian-patients-in-the-national-art-program-at-seven-university-teaching-hospitals-a-prospective-cohort-study
#15
Daniel Fekade, Teklu Weldegebreal, Alula M Teklu, Melake Damen, Saro Abdella, Nega Baraki, Bekele Belayhun, Eyoel Berhan, Amha Kebede, Yibeltal Assefa
BACKGROUND: In Ethiopia, the publicly funded antiretroviral treatment (ART) program was started in 2005. Two hundred seventy-five thousand patients were enrolled in the national ART program by 2012. However, there is limited data on mortality and predictors of death among adult patients in the ART program. The study aimed to estimate mortality and risk factors for death among adult, ART-naïve patients, started in the national ART program from January 2009 to July 2013. METHODS: Multi-site, prospective, observational cohort study of adult, age > 18 years, ART-naïve patients, started in the national ART program at seven university-affiliated hospitals from January 2009 - July 2013...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465653/predictors-of-hospitalization-among-children-on-art-in-ethiopia-a-cohort-study
#16
Abraham Haileamlak, Tesfalem Hagos, Workeabeba Abebe, Loko Abraham, Henok Asefa, Alula M Teklu
BACKGROUND: Substantial progress has been made in the management of pediatric HIV infection in Ethiopia with the implementation of mother-to-child-prevention programs. Since the introduction of HAART in 2005, mortality among HIV-infected children has reduced while the rate of hospitalization was expected to rise. The purpose of this study, therefore, was to assess predictors of hospitalization in children on ART in seven university referral hospitals in Ethiopia. METHODS: A prospective cohort study design was employed on children age 0-18 years as part of a multisite observational study...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465652/magnitude-of-antiretroviral-drug-toxicity-in-adult-hiv-patients-in-ethiopia-a-cohort-study-at-seven-teaching-hospitals
#17
Esayas Kebede Gudina, Alula M Teklu, Asres Berhan, Atsbeha Gebreegziabhier, Teshome Seyoum, Abiy Nega, Girmay Medhin, Amha Kebede, Yibeltal Assefa
BACKGROUND: The introduction of antiretroviral therapy (ART) has resulted in significant mortality reduction and improvement in the quality of life. However, this has come at a cost of increased drug toxicity. The objective of this study was to assess the patterns and predictors of ART toxicity in adult HIV patients in Ethiopia. METHODS: This is a prospective cohort study conducted at seven teaching hospitals between September 2009 and December 2013 involving 3921 HIV patients on ART...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465651/factors-associated-with-mortality-of-tb-hiv-co-infected-patients-in-ethiopia
#18
Alula M Teklu, Abiy Nega, Admasu Tenna Mamuye, Yohannes Sitotaw, Desta Kassa, Getnet Mesfin, Bekele Belayihun, Girmay Medhin, Kesetebirhan Yirdaw
BACKGROUND: Despite the large number of TB patients on ART in Ethiopia, their mortality remains high. This study reports the effect of TB on HIV related mortality and determinants of TB/HIV co-infection related mortality. METHODS: A longitudinal study design was employed as part of the Advanced Clinical Monitoring of ART (ACM) in Ethiopia. All patients started on ART at or after January 1, 2005 were included. Survival analysis was done to compare survival patterns of HIV patients with TB against HIV patients without TB...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465650/exploratory-analysis-of-time-from-hiv-diagnosis-to-art-start-factors-and-effect-on-survival-a-longitudinal-follow-up-study-at-seven-teaching-hospitals-in-ethiopia
#19
Alula M Teklu, Kesetebirhan Delele, Mulu Abraha, Bekele Belayhun, Esayas Kebede Gudina, Abiy Nega
BACKGROUND: The HIV care in Ethiopia has reached 79% coverage. The timeliness of the care provided at the different levels in the course of the disease starting from knowing HIV positive status to ART initiation is not well known. This study intends to explore the timing of the care seeking, the care provision and associated factors. METHODS: This is a longitudinal follow-up study at seven university hospitals. Patients enrolled in HIV care from September 2005 to December 2013 and aged ≥14 years were studied...
February 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28465649/establishing-a-multicenter-longitudinal-clinical-cohort-study-in-ethiopia-advanced-clinical-monitoring-of-antiretroviral-treatment-project
#20
Alula M Teklu, Eyuel Tsegaye, Daniel Fekade, Abraham Hailemelak, William Weiss, Elham Hassen, Nicole Simmons, Solomon Zewdu, Yifru Berhan, Assefa Getachew, Tesfalem Hagos, Achamyeleh Alebachew, Melake Damena, Yohannes Sitotaw, Yibeltal Assefa, Girmay Medhin, Andrea Ruff
BACKGROUND: The purpose of this paper is to describe the establishment of the Advanced Clinical Monitoring of ART Project in Ethiopia for monitoring and evaluation of the longitudinal effectiveness of the ART program and to show the opportunities it presents. This cohort was established in response to the 2005 call by WHO for establishing additional mechanisms for stronger monitoring of ART and the need for creating the platform to generate evidence to guide the care given for the ever increasing number of patients on ART in Ethiopia...
February 2017: Ethiopian Journal of Health Sciences
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