يعرض 1 - 10 نتائج من 339 نتيجة بحث عن '"Alemayehu, B."', وقت الاستعلام: 1.52s تنقيح النتائج
  1. 1
    دورية أكاديمية

    المؤلفون: Beka G, Demissie Z, Alemayehu B

    المصدر: Research Reports in Clinical Cardiology, Vol Volume 15, Pp 5-16 (2024)

    الوصف: Gebeyehu Beka,1 Zekewos Demissie,1 Bekele Alemayehu2 1Department of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Internal Medicine, Division of Cardiology, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Gebeyehu Beka, Email gebeyehubeka760@gmail.comBackground: Coronary angiography remains the standard diagnostic test for evaluating the extent of coronary artery disease (CAD). Guidelines for triaging patients for invasive coronary angiography (ICA) recommend risk assessment and non-invasive testing. The yield of ICA in patients undergoing elective ICA in Ethiopia is unknown.Methods: The study involved patients who underwent elective ICA at catheterization laboratory of Cardiology unit of Tikur Anbessa Specialized Hospital and Gesund Cardiac and Medical Center between January 2019 and September 2022 G.C. Data on patient risk profile, Chest pain characteristics and ICA finding were collected from electronic medical record, patient’s chart and procedure note with the aid of a structured questionnaire. Obstructive CAD was defined as stenosis of 50% or more of the diameter of the left main coronary artery or stenosis of 70% or more of the diameter of a major epicardial vessel. The data was analyzed using SPSS version 26.0.Results: A total 232 patients, with mean age of 59.9 years, were involved. At catheterization 49.6% were found to have obstructive CAD and 43% of patients had normal epicardial coronary arteries. Hypertension and DM were the commonest comorbidity each occurring in 61% and 53% of the patients. The presence of DM, CKD, and smoking and typical chest pain were independently associated with obstructive CAD.Conclusion: In this study only half of the patients undergoing elective ICA for suspected chronic coronary syndrome (CCS) have obstructive CAD. In consecutive patients undergoing elective ICA for suspected CCS in Ethiopian, obstructive CAD was found in 49.6% of patients despite high prevalence of atherosclerotic risk factors like hypertension and Diabetes mellitus. Diabetes, hypertension, typical chest pain and history of smoking were found to be strong predictors of obstructive CAD.Keywords: chronic coronary syndrome, elective, invasive coronary angiography, ischemic heart disease, CCS, ICA

    وصف الملف: electronic resource

  2. 2
    دورية أكاديمية

    المصدر: International Medical Case Reports Journal, Vol Volume 15, Pp 409-418 (2022)

    الوصف: Worku Ketema,1 Kefyalew Taye,1 Negash Tagesse,1 Mulugeta Sitot Shibeshi,1 Bizuneh Alemayehu,1 Fikre G/tsadik,1 Birhanu Girma,1 Alemwosen Teklehaymanote,2 Alemu Debiso3 1Department of Pediatrics and Child Health, HawassaUniversity, Hawassa, Sidama, Ethiopia; 2Department of Pathology, Hawassa University, Hawassa, Sidama, Ethiopia; 3Department of Public Health, Hawassa University, Hawassa, Sidama, EthiopiaCorrespondence: Worku Ketema, Email workuketema@gmail.comBackground: Schistosomiasis is a neglected tropical disease (NTD) that affects around 200 million people worldwide, the majority of whom are children aged 5 to 15 years. It is one of the most significant public health problems in tropical and subtropical regions. Entamoeba histolytica infection is common in areas where schistosomiasis is endemic because Schistosoma mansoni infection can reduce the host’s immune response, resulting in increased morbidity.Case Presentation: This is the story of a 12-year-old male adolescent from the Guji zone of the Oromia regional state of Ethiopia who presented to Hawassa University Comprehensive Specialized Hospital (HUCSH) complaining of bloody diarrhea of 1 week associated with vomiting of ingested matter of 2 weeks. He also had history of fever, chills, rigors, arthralgia, and weight loss during a 2 weeks period. Further questioning revealed that he had previously swum in a pond and had a self-limited itchy skin condition. The family said that similar cases had occurred in their town that resolved with medications provided at a local health center.Conclusion: Schistosomiasis and amebiasis are major public health issues, especially in impoverished areas. Schistosomiasis presents differently clinically depending on the phase and clinical form in which it manifests, making diagnosis and management challenging. As a result, it necessitates an integrated collaboration involving clinicians, pathologists, and public health professionals. We describe ulcerative colitis (UC) ascribed to schistosomiasis and amoebiasis coinfection, and fulminant hepatitis due to schistosomiasis. As there was no report of liver abscess on sonographic scanning, hepatitis may not be due to coinfection. This case will be an alert to clinicians and public health personnel who are striving for the ultimate eradication of schistosomiasis and also teaches us that treating co-infections of both is beyond just giving praziquantel and antiamebics.Keywords: schistosomiasis, amebiasis, coinfection, ulcerative colitis, fulminant hepatitis

    وصف الملف: electronic resource

  3. 3
    مؤتمر

    المؤلفون: Hordofa, Alemayehu B.

    المصدر: Hordofa , A B 2023 , ' The Future of African Humanitarianism : Governance and Decolonizing ‘Helping’- A Case Study of Local Humanitarian Responses to Internal Displacement in Ethiopia ' , European Conference on African Studies ECAS2023 , Cologne , Germany , 31/05/23 - 3/06/23 . < https://nomadit.co.uk/conference/ecas2023/paper/70734Test >

    الوصف: The global decolonization of humanitarian aid discourse devoted much of its focus and energy to disengaging colonial elements of international humanitarianism to make a path for locally led responses. Academic exploration of local giving as a humanitarian response to internal displacement is substantially missing in the literature. The paper addresses this gap with an intellectual inquiry into local humanitarian responses to address the need of Internally Displaced Persons (IDPs) in Ethiopia. The paper uses a qualitative methodology and the Ethiopian case study to interrogate the need for governance from below and critically challenges the top-down model that positions institution-centered international humanitarianism at the nucleus of every humanitarian action. It spotlights the humanitarian governance model in Ethiopia and the status of local responses drawing data from the humanitarian observatory of the ISS’s humanitarian governance project in Ethiopia and content analysis of recorded events. This paper illuminates the quest for change in the current humanitarian architecture towards the humanitarian model that accords more power and agency to the people it serves through accountability and solidarity. It analyzes formalized responses to disasters in Ethiopia and demonstrates structural limits in aid architecture that adversely affected state-aid relations barring locally led humanitarianism from occurring. This inquiry, from the African perspective, is particularly interesting, given the criticism aired against the slow pace in the realization of the voluntary pledges of the 2016 World Humanitarian Summit, Charter for Change, and the grand bargain as localizing of humanitarian responses forms the focal point of these agreements.

  4. 4
    دورية أكاديمية

    المؤلفون: Alemayehu B, Tafesse N, Chanyalew E

    المصدر: Adolescent Health, Medicine and Therapeutics, Vol Volume 13, Pp 67-76 (2022)

    الوصف: Belayneh Alemayehu,1 Nebiyou Tafesse,2 Eden Chanyalew1 1Department of Nursing and Midwifery, Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia; 2Department of Public Health, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Belayneh Alemayehu, Department of Nursing and Midwifery, Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia, Tel +251920772457, Email belaynehalexel@gmail.comBackground: Child sexual abuse is a serious breach of basic human rights and is responsible for numerous adverse squeals and widespread global public health concern. The highest prevalence of child sexual abuse was seen in Africa. In Ethiopia, a study was conducted in Jimma town, and the study indicates that the prevalence of violence among high-school children was 62.5%. Despite this fact, it often remains unrecognized and unidentified. Thus, the aim of the study was to assess the magnitude of child sexual abuse and its associated factors among children treated in public hospitals of Addis Ababa, Ethiopia.Methods: An institutional-based cross-sectional quantitative design study was conducted on 422 children. Study participants were selected by systematic random sampling. The data were collected through a face-to-face interview. The data were analyzed by SPSS version 26. By considering a 95% confidence level and a P value of < 0.05, binary logistic regression was used to identify factors associated with child sexual abuse.Results: A total of 422 children participated. Among these, 42.7% of them experienced sexual abuse. Children older than 15 years were 2 times more likely to face sexual abuse than those whose age is less than 10 years [AOR = 2.27 (95% CI: 1.23– 4.19)]. Children who chew khat and smoke were abused more likely compared with their counterparts. The odds of having sexual abuse in a child with mental illness were six times more likely than children who do not have mental illness [AOR = 5.945 (95% CI: 1.642– 21.528)].Conclusion and Recommendations: The magnitude of child sexual abuse in Addis Ababa was high. Children age, sex, khat chewing, physical disability, mental illness, smoking, and alcohol use were factors associated with child sexual abuse. Children with mental illness and physical disabilities should be treated and supported with special attention.Keywords: child sexual abuse, associated factors, Addis Ababa, Ethiopia

    وصف الملف: electronic resource

  5. 5
    دورية أكاديمية

    المصدر: African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive, 2021 Feb 01. 25(1), 161-168.

  6. 6
    دورية أكاديمية

    المصدر: Mekonnen , A B , Reijnierse , E M , Soh , C H , Lim , W K , Maier , A B & Manias , E 2023 , ' Associations between potentially inappropriate prescribing and increased number of medications with postdischarge health outcomes among geriatric rehabilitation inpatients : RESORT study ' , British Journal of Clinical Pharmacology , vol. 89 , no. 11 , pp. 3375-3388 . https://doi.org/10.1111/bcp.15838Test

    الوصف: Aims: Older adults are vulnerable to medication-related harm mainly due to high use of medications and inappropriate prescribing. This study aimed to investigate the associations between inappropriate prescribing and number of medications identified at discharge from geriatric rehabilitation with subsequent postdischarge health outcomes. Method: RESORT (REStORing health of acutely unwell adulTs) is an observational, longitudinal cohort study of geriatric rehabilitation inpatients. Potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) were measured at acute admission, and at admission and discharge from geriatric rehabilitation, using Version 2 of the STOPP/START criteria. Results: In total, 1890 (mean age 82.6 ± 8.1 years, 56.3% female) were included. The use of at least 1 PIM or PPO at geriatric rehabilitation discharge was not associated with 30-day and 90-day readmission and 3-month and 12-month mortality. Central nervous system/psychotropics and fall risk PIMs were significantly associated with 30-day hospital readmission (adjusted odds ratio [AOR] 1.53; 95% confidence interval [CI] 1.09–2.15), and cardiovascular PPOs with 12-month mortality (AOR 1.34; 95% CI 1.00–1.78). Increased number of discharge medications was significantly associated with 30-day (AOR 1.03; 95% CI 1.00–1.07) and 90-day (AOR 1.06; 95% CI 1.03–1.09) hospital readmissions. The use and number of PPOs (including vaccine omissions) were associated with reduced independence in instrumental activities of daily living scores at 90-days after geriatric rehabilitation discharge. Conclusion: The number of discharge medications, central nervous system/psychotropics and fall risk PIMs were significantly associated with readmission, and cardiovascular PPOs with mortality. Interventions are needed to improve appropriate prescribing in geriatric rehabilitation patients to prevent hospital readmission and mortality.

  7. 7
    دورية أكاديمية

    الوصف: Background: Headaches are frequent neurological disorders that are yet to be unveiled and treated comprehensively worldwide. Bearing in mind that the distribution of headache subtypes in neurology clinics (NC) is essential for planning appropriate diagnostic and therapeutic approaches, the primary goals of this multi-centric study are to carry out inter-regional comparisons by using current diagnostic criteria with evaluations of neurologists to delineate headache burden. Methods: A cross-sectional study between April 1 and May 16, 2022 was conducted with the participation of 13 countries from the Middle East, Asia, and Africa. Patients were included in the study on a specific day each week during five consecutive weeks. All volunteers over the age of 18 and whose primary cause for admission was headache were examined. The patients admitted to NC or referred from emergency services/other services were evaluated by neurologists by means of the International Classification of Headache Disorders (ICHD-3) criteria. Results: Among the 13,794 patients encountered in NC, headache was the primary complaint in 30.04%. The headache patients’ mean age was 42.85 ± 14.89 (18–95 years), and 74.3% were female. According to the ICHD-3 criteria, 86.7% of the main group had primary headache disorders, 33.5% had secondary headaches, 4% had painful cranial neuropathies along with other facial and headaches, and 5.2% had headaches included in the appendix part showing some overlapping conditions. While the most common primary headache was migraine without aura (36.8%), the most common secondary headache was medication-overuse headache (MOH) (9.8%). Headaches attributed to COVID-19, its secondary complications, or vaccines continue to occur at rates of 1.2%-3.5% in current neurology practice. Pain severity was significantly lower in Ivory Coast and Sudan than in Türkiye, Turkish Republic of Northern Cyprus, Iran, Egypt, Senegal, Tatarstan, and Azerbaijan (p < 0.001). Conclusions: The study showed that migraine is still the most ...

  8. 8
    دورية أكاديمية

    الوصف: Objective: Other primary headache disorders (OPHD) are under-investigated compared to frequent primary headache types like migraine, tension-type headache, and trigeminal autonomic cephalalgias. Knowledge of the distribution and characteristics of OPHD subtypes is crucial for their recognition. We aimed to determine the prevalence at the hospital and headache clinics and clinical characteristics of OPHDs in patients from 13 countries. Methods: We analyzed a large dataset from the cross-sectional study Head-MENA-A (Middle East, North Africa, Asia). Consecutive patients over 10 years of age presenting with headaches were included from outpatient, inpatient, and emergency settings. A structured questionnaire addressing demographics, headache characteristics, accompanying symptoms, and triggers was administered. Headache subtypes were diagnosed according to the ICHD-3 criteria. Results: Among patients complaining of headaches (n = 3722), 106 (2.9%) were diagnosed with OPHD. Fifty-two patients (1.4% of all headache patients) had only OPHD, while 54 (1.5%) had both OPHD and a co-existing primary headache (mostly migraine). All OPHDs were more common in females. The most frequent subtypes were new daily persistent headache and primary stabbing headache (0.2% each among all admitted patients). Photophobia and phonophobia were the most frequent accompanying symptoms, while physical activity (28.8%), stress (15.4%), and the Valsalva maneuver (15.4%) were the most common triggering factors. The majority of triggering factors were more pronounced in patients with both migraine and OPHD. Conclusions: Other primary headaches are rare and heterogeneous. Their high co-existence with migraine suggests shared predisposing factors, hinting at a “headache continuum” concept for primary headaches.

  9. 9
    دورية أكاديمية

    الوصف: Objective: Other primary headache disorders (OPHD) are under-investigated compared to frequent primary headache types like migraine, tension-type headache, and trigeminal autonomic cephalalgias. Knowledge of the distribution and characteristics of OPHD subtypes is crucial for their recognition. We aimed to determine the prevalence at the hospital and headache clinics and clinical characteristics of OPHDs in patients from 13 countries. Methods: We analyzed a large dataset from the cross-sectional study Head-MENA-A (Middle East, North Africa, Asia). Consecutive patients over 10 years of age presenting with headaches were included from outpatient, inpatient, and emergency settings. A structured questionnaire addressing demographics, headache characteristics, accompanying symptoms, and triggers was administered. Headache subtypes were diagnosed according to the ICHD-3 criteria. Results: Among patients complaining of headaches (n = 3722), 106 (2.9%) were diagnosed with OPHD. Fifty-two patients (1.4% of all headache patients) had only OPHD, while 54 (1.5%) had both OPHD and a co-existing primary headache (mostly migraine). All OPHDs were more common in females. The most frequent subtypes were new daily persistent headache and primary stabbing headache (0.2% each among all admitted patients). Photophobia and phonophobia were the most frequent accompanying symptoms, while physical activity (28.8%), stress (15.4%), and the Valsalva maneuver (15.4%) were the most common triggering factors. The majority of triggering factors were more pronounced in patients with both migraine and OPHD. Conclusions: Other primary headaches are rare and heterogeneous. Their high co-existence with migraine suggests shared predisposing factors, hinting at a “headache continuum” concept for primary headaches.

  10. 10
    دورية أكاديمية

    الوصف: Objective: Other primary headache disorders (OPHD) are under-investigated compared to frequent primary headache types like migraine, tension-type headache, and trigeminal autonomic cephalalgias. Knowledge of the distribution and characteristics of OPHD subtypes is crucial for their recognition. We aimed to determine the prevalence at the hospital and headache clinics and clinical characteristics of OPHDs in patients from 13 countries. Methods: We analyzed a large dataset from the cross-sectional study Head-MENA-A (Middle East, North Africa, Asia). Consecutive patients over 10 years of age presenting with headaches were included from outpatient, inpatient, and emergency settings. A structured questionnaire addressing demographics, headache characteristics, accompanying symptoms, and triggers was administered. Headache subtypes were diagnosed according to the ICHD-3 criteria. Results: Among patients complaining of headaches (n = 3722), 106 (2.9%) were diagnosed with OPHD. Fifty-two patients (1.4% of all headache patients) had only OPHD, while 54 (1.5%) had both OPHD and a co-existing primary headache (mostly migraine). All OPHDs were more common in females. The most frequent subtypes were new daily persistent headache and primary stabbing headache (0.2% each among all admitted patients). Photophobia and phonophobia were the most frequent accompanying symptoms, while physical activity (28.8%), stress (15.4%), and the Valsalva maneuver (15.4%) were the most common triggering factors. The majority of triggering factors were more pronounced in patients with both migraine and OPHD. Conclusions: Other primary headaches are rare and heterogeneous. Their high co-existence with migraine suggests shared predisposing factors, hinting at a “headache continuum” concept for primary headaches.