Patterns of neural tube defects at two teaching hospitals in addis ababa, ethiopia a three years retrospective study.
CONCLUSION AND RECOMMENDATIONS: The proportion of NTDs in this study is among the highest globally reported rates. The practice of periconceptional folic acid supplementation is negligible. And although most had ANC follow-up the vast majority of NTDs were diagnosed late in the third trimester. It is, therefore, highly recommended to consider implementing national preventive strategies to reduce the prevalence of NTDs in Ethiopia. PMID: 26677521 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Major risk factors, clinical and laboratory characteristics of patients with hepatocellular carcinoma; a retrospective study at tikur anbassa hospital, addis ababa university, addis ababa, ethiopia.
CONCLUSION: The contribution of Hepatitis virus is high with equivalent proportion of HBV and HCV. Alcohol intake and unidentified risk factors have also played for another half of the causes. Almost a third of patients have Portal vein thrombosis and 96% were either Child Pugh A or B. Enhancing immunization coverage frequent use of infection prevention and availability of treatment for viral hepatitis will help to reduce Hepatocellular carcinoma. PMID: 26677522 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Trends in cardiovascular disease over time: a 30-year retrospective analysis of medical-icu admissions in addis ababa, ethiopia.
CONCLUSION: Cardiovascular disease has steeply increased till it became predominant in the last decade at MICU of TASH. PMID: 26677523 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Patterns and determinants of pre-hospital care among trauma patients treated in tikur anbessa specialized hospital, emergency department.
CONCLUSION: Proportion of patients, who received care before they arrived in the hospital was very small. Time of arrival to definitive care was prolonged and use of ambulances for transportation was minimal. PMID: 26677524 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Management of pheochromocytoma in the absence of alpha blokers: a case report from ayder referral hospital.
MANAGEMENT OF PHEOCHROMOCYTOMA IN THE ABSENCE OF ALPHA BLOKERS: A CASE REPORT FROM AYDER REFERRAL HOSPITAL. Ethiop Med J. 2015 Jul;53(3):151-4 Authors: Mengesha RE, Rother RB Abstract A 13-year-old girl with right adrenal pheochromocytoma pretreated with Nifedipine, underwent surgical removal of the tumor. General anesthesia with Propofol infusion and pethidine analgesia was performed. To control the blood pressure (BP), Nitroglycerine infusions were administered successfully. Following the ligation of the adrenal veins, patient was hypotensive and inotropic support was required. This case report showe...
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Fatal tracheo-innominate artery fistula associated with a tracheostomy tube at a teaching university hospital in addis ababa: case report and review of literature.
FATAL TRACHEO-INNOMINATE ARTERY FISTULA ASSOCIATED WITH A TRACHEOSTOMY TUBE AT A TEACHING UNIVERSITY HOSPITAL IN ADDIS ABABA: CASE REPORT AND REVIEW OF LITERATURE. Ethiop Med J. 2015 Jul;53(3):155-8 Authors: Bekele A, Tesfaye S Abstract Tracheo-innominate artery fistula (TIAF) is a potentially lethal but rare complication associated with tracheostomy. As tracheostomies are one of the common life saving procedures that are performed routinely in the country, bring this complication to the attention of all health care professionals is of paramount importance. Hence, this case report is prepared. PMID...
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Fibular hemimelia: a rare case report.
FIBULAR HEMIMELIA: A RARE CASE REPORT. Ethiop Med J. 2015 Jul;53(3):159-60 Authors: Sisay S, Admassie D Abstract Fibular hemimelia is a rare congenital absence of the fibula that may occur as an isolated anomaly or as a part of a malformation syndrome. Shortening of the extremity is obvious at birth with leg-length discrepancy. On plain radiograph of the leg and foot, significant deficiency or absence of the fibula can be seen. In this case report, a 6 year old boy with fibular hemimelia is presented. Radiological diagnosis and differential diagnosis are discussed. PMID: 26677527 [PubMed - in proce...
Source: Ethiopian Medical Journal - December 20, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Medical education partnership (mepi), ethiopia: objectives and overview of key accomplishments.
MEDICAL EDUCATION PARTNERSHIP (MEPI), ETHIOPIA: OBJECTIVES AND OVERVIEW OF KEY ACCOMPLISHMENTS. Ethiop Med J. 2015 Jul;Suppl 2:4 p preceding 1 Authors: Derbew M, Animut N, Mariam DH, Mekasha A PMID: 26591276 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Introduction of simulation based medical education at addis ababa university college of health sciences: experience and challenge.
INTRODUCTION OF SIMULATION BASED MEDICAL EDUCATION AT ADDIS ABABA UNIVERSITY COLLEGE OF HEALTH SCIENCES: EXPERIENCE AND CHALLENGE. Ethiop Med J. 2015 Jul;Suppl 2:1-8 Authors: Gedlu E, Tadesse A, Cayea D, Doherty M, Bekele A, Mekasha A, Derbew M, Jung J Abstract BACKGROUND: As one of the countries in Sub-Saharan Africa with a low physician to population ratio, Ethiopia has sought to mitigate the problem by increasing the number of students enrolling in the existing medical schools. This increase in enrolment was not accompanied by expansion of clinical training venues, which has resulted in less patient...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Promoting gender equity at the college of health sciences, addis ababa university, ethiopia.
CONCLUSION: This program has been an initial success and may serve as a template for others who are working to promote gender equity. PMID: 26591278 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Determinant factors of visual inspection with acetic acid (via) positive lesions among hiv positive women in mekelle hospital, northern ethiopia: a case control study.
CONCLUSION: CD4 count cells and number of sexual partners were predictors of VIA positive cervical lesion among HIV positive women. PMID: 26591279 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Assessment of the magnitude of teenage pregnancy and its associated factors among teenage females visiting assosa general hospital.
CONCLUSIONS AND RECOMMENDATIONS: A range offactors including age, marital status, level of education, occupational status, average family income and use of family planning have influence on teenage pregnancy in the study area. Behavioral change communication, strengthening school health program, empowering young women specifically the rural women, and promoting parent-children discussion on sexuality is recommended. PMID: 26591280 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Magnitude of disability and associated factors among patients in boru meda hospital, south wollo zone, amhara region, ethiopia.
CONCLUSION AND RECOMMENDATION: Rural people and males are more affected by leprosy and the prevalence of disability is decreasing. This findings suggest that we need to work on awareness creation on rural people and patients with leprosy to see healthcare providers as early as possible. PMID: 26591281 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Risk factors assessment of diabetic foot ulcer using the sixty seconds screening tool: a hospital based cross-sectional study at tikur anbessa specialized hospital.
CONCLUSION: Diabetic foot problems are common among the diabetic patients examined at Tikur Anbessa Specialized Hospital Diabetic Center. Screening for diabetic foot ulcer is a very easy practice which will take maximum of 60 seconds per patient. Despite this fact it is barely practiced for outpatients visiting the diabetic clinics. We stress the need for a clinical diagnosis of diabetic foot ulcers using the 60 seconds screening tool. PMID: 26591282 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Patterns of complications seen in patients with hypertension admitted to tikur anbessa hospital: a retrospective analysis.
CONCLUSION: This study has revealed most of the patients have stroke as a complication, therefore preventive or prophylactic measures should be encouraged to avail it. PMID: 26591283 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Patterns of hypertensive disorders of pregnancy and associated factors at debre berhan referral hospital, north shoa, amhara region.
CONCLUSION: The prevalence of HDP shows an increasing pattern over the last years. Preeclampsia and eclampsia together take the lion-share of HDP. Primi-gravida women are affected more frequently than multi-gravida women with hypertensive disorders of pregnancy. HDP was associated with major adverse perinatal and maternal outcome. PMID: 26591284 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Ethiopian medical schools' rapid scale-upto support the government's goal of universal coverage.
ETHIOPIAN MEDICAL SCHOOLS' RAPID SCALE-UPTO SUPPORT THE GOVERNMENT'S GOAL OF UNIVERSAL COVERAGE. Ethiop Med J. 2015 Jul;Suppl 2:67-72 Authors: Derbew M, Animut N, Talib ZM, Mehtsun S, Hamburger EK PMID: 26591285 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Bovine tuberculosis (btb) as a risk factor for developing tuberculosis in humans in the rural community of ethiopia: a case-control study.
CONCLUSION: Bovine TB has been seen as an exposure to human pulmonary TB occurrence. A separate house for cattle should be constructed to minimize the fear of cross infections and further study regarding the possible infection of cattle with M. tuberculosis is suggested. Key wordsi bovine tuberculosis, households, human TB, M. tuberculosis, risk. PMID: 26591286 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Medical and neurological complications among stroke patients admitted for inpatient care in addis ababa, ethiopia.
MEDICAL AND NEUROLOGICAL COMPLICATIONS AMONG STROKE PATIENTS ADMITTED FOR INPATIENT CARE IN ADDIS ABABA, ETHIOPIA. Ethiop Med J. 2015 Jan;53(1):9-17 Authors: Mamushet Y, Zenebe G, Addissie A Abstract BACKGROUND AND PURPOSE: Medical and neurologic complications of acute stroke adversely impact patient outcome and in some cases can be preventable. There is scarcity of data in the African medical setup and none to date in our country to our knowledge. The current study aims to describe types and frequencies of neuro-medical complications occurring in hospitalized patients after an acute stroke and to iden...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Acute abdomen in adults: a two year experience in mekelle, ethiopia.
CONCLUSION: The present study has depicted that acute abdomen commonly occurred in the 2nd to 3rd decades of life, majority caused by acute appendicitis and males were predominantly affected than females. Small bowel obstruction, sigmoid volvulus, PPUD and incarcerated hernias were other observed causes of acute abdomen. PMID: 26591288 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Acceptability of the involvement of health extension workers (hews) in medical abortion (ma): the perspectives of clients, service providers and trained hews in east shoa and arsi zones, oromiya region, ethiopia.
CONCLUSIONS: Expansion of medical abortion services by involving HEWs can contribute to the reduction of abortion related morbidity and mortality. Concerns of the study population should be addressed by training HEWs for medical abortion, creating better awareness and advocacy among women and communities, addressing quality and referral issues with proper planning, implementing and monitoring of activities. PMID: 26591289 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Pulmonary coccidiodomycosis presenting as a mass, an uncommon disease entity in ethiopia.
We report here a case of pulmonary coccidodomycosis with no history of travel to such areas. A 24 years old female patient from Samre, South-Eastern Tigray, presented with right side chest pain and productive cough of yellowish sputum which sometimes is blood streaked. She had completed anti-tuberculosis treatment without any improvement. With a preliminary diagnosis of pulmonary mass, surgical exploration was made and histology of the excised tissue showed appedrances consistent with pulmonary coccidioidomycosis. There was marked clinical and radiological improvement after three weeks of treatment with ketoconazole. Thoug...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Tip of the iceberg: infective endocarditis in an intravenous drug user.
TIP OF THE ICEBERG: INFECTIVE ENDOCARDITIS IN AN INTRAVENOUS DRUG USER. Ethiop Med J. 2015 Jan;53(1):39-42 Authors: Abdissa SG Abstract Tricuspid valve infective endocarditis is a known complication of injecting drug use (IVDU) and is said to be rare in Africa. The most common etiological microbial agent of infective endocarditis (IE) in IVDU is Methicillin sensitive Staphylococcus aureus. Antibiotic treatment should start immediately after blood cultures have been obtained once IE is diagnosed. Treatment of IE in patients with IVDU is more difficult, and has a high recurrence rate due to medical non-c...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

The trend of hiv/aids related mortality among primary and secondary school teachers in addis ababa, ethiopia: using a verbal autopsy method.
THE TREND OF HIV/AIDS RELATED MORTALITY AMONG PRIMARY AND SECONDARY SCHOOL TEACHERS IN ADDIS ABABA, ETHIOPIA: USING A VERBAL AUTOPSY METHOD. Ethiop Med J. 2015 Apr;53(2):49-56 Authors: Menna T, Ali A, Worku A Abstract BACKGROUND: It is widely argued that school teachers in sub-Saharan Africa are being affected and will continue to be affected by the AIDS epidemic. Teachers are considered as a high-risk group with respect to HIV/AIDS, particularly in high prevalence countries, where the epidemic has devastating impact on the teaching profession OBJECTIVE: The aim of this study was to examine the tre...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Foreign-bodies in the ear, nose and esophogus in pediatric age group, at mekelle hospital ethiopia.
CONCLUSION: Our study revealed a higher number of patients with foreign bodies in the ears and in the esophagus. Only a small number ofpatients presented with FBS in the nose. Food items in the ears, in the nose and coins in the esophagus were items frequently observed. Early suspicion, early diagnosis and prompt intervention have attributed to reduce morbidities of major events. PMID: 26591293 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Cervical cancer: assessment of diagnosis and treatment facilities in public health institutions in addis ababa, ethiopia.
CONCLUSION: This study assessed the existing skilled man power and infrastructure to diagnose and treat cervical cancer in public institutions in Addis Ababa which is important to develop an effective cervical cancer control program. In addition, the study showed the more work that should be done to improve health providers' awareness in cervical cancer through education and training. PMID: 26591294 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Pattern of spine and spinal cord injuries in tikur anbessa hospital, ethiopia.
PATTERN OF SPINE AND SPINAL CORD INJURIES IN TIKUR ANBESSA HOSPITAL, ETHIOPIA. Ethiop Med J. 2015 Apr;53(2):75-82 Authors: Biluts H, Abebe M, Laeke T, Tirsit A, Belete A Abstract BACKGROUND: Spinal injury is a major cause of morbidity and mortality worldwide. Fall and Road traffic accident are the main etiologic factor. OBJECTIVE: The aim of this study was to asses local hospital patterns of spinal injury and compare them with published reports. METHODS AND PATIENTS: This is a hospital based cross sectional study of patterns of patients with spine and spinal cord injury seen at the Emergency OP...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Evaluating the validity and reliability of chest radiography in the diagnosis of tuberculosis among smear negative pulmonary tuberculosis patients.
CONCLUSION: CXR can be used as supportive investigative modality to diagnose smear negative Pulmonary TB in conditions where TB culture is no more feasible. PMID: 26591296 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Reducing pmtct attrition: perspectives of hiv+ women on the prevention of mother-to-child hiv services in addis ababa, ethiopia.
CONCLUSION: Maintaining the motivation to adhere to the entire PMTCT cascade requires that a PLWHIV mother understands the validity of the steps she is taking and receives support for the many challenges she faces. Engaging PLWHIV peers as active members of the health care workforce and expanding their use as educators and counselors is important. Health officials can consider these findings to develop innovative and effective PMTCT interventions. PMID: 26591297 [PubMed - in process] (Source: Ethiopian Medical Journal)
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Penile agenesis with crossed fused renal ectopia.
PENILE AGENESIS WITH CROSSED FUSED RENAL ECTOPIA. Ethiop Med J. 2015 Apr;53(2):105-7 Authors: Derbew M, Ketema E Abstract Penile agenesis is one of the rarest urogenital anomalies with only less than 100 cases reported worldwide so far. Only 3 cases have been reported from Africa and to our knowledge none has been reported from our country Ethiopia. Viability depends on associated anomalies. Urogenital anomalies are the most common associated ones accounting for 54% of cases. This case report is unusual presentation, which is the first reported case of penile agenesis associated with left to right, cro...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research

Splenic tortion in a wandering spleen: a case report from ayder referral hospital.
SPLENIC TORTION IN A WANDERING SPLEEN: A CASE REPORT FROM AYDER REFERRAL HOSPITAL. Ethiop Med J. 2015 Apr;53(2):109-11 Authors: Esayas R Abstract A 46 years old female patient presented with worsening of abdominal pain of 12 days duration & abdominal swelling of 15 years. On examination, she had an elliptical, mildly tender mass on the periumblical area extending to the right flank & the suprapubic area. It is mobile & firm in consistency. The intra op finding was huge spleen weighing 2 kgs, rotated 360 degrees clockwise, situated over the right side of the abdomen. This case report showed ...
Source: Ethiopian Medical Journal - November 29, 2015 Category: African Health Tags: Ethiop Med J Source Type: research