Publications by authors named "Alemu Gebrie"

Background: Children living with HIV in low-income settings, such as in Eastern and Southern Africa, are at a high risk for poor adherence to antiretroviral therapy. However, various primary studies presented inconsistent and inconclusive estimates of adherence and its associated factors among children living with HIV in Eastern and Southern Africa. Therefore, we were aimed to determine the pooled prevalence of adherence and its associated factors, and to guide interventions efforts to support adherence, this comprehensive systematic review and meta-analysis was conducted.

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  • - The study investigates the prevalence of HIV among female sex workers (FSWs) in Eastern and Southern Africa, highlighting the challenges they face in accessing healthcare and the heightened risk of HIV infection in this marginalized group.
  • - A systematic review of 54 studies involving 78,747 FSWs revealed a pooled HIV prevalence of 36.0%, with regional differences showing 59.0% in Southern Africa and 29.0% in Eastern Africa.
  • - Methodological rigor was ensured through extensive literature searches and quality assessments, with data analyzed using statistical tools, allowing for insights into the health disparities faced by FSWs in these regions.
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  • Anemia is a common condition during pregnancy, linked to lower hemoglobin levels and can negatively affect both mothers and fetuses; it can arise from iron, vitamin B12, and folate deficiencies, among other causes.
  • A study in Ethiopia involving 337 pregnant women aimed to investigate the relationship between anemia and the risk of developing preeclampsia, suggesting that anemia, particularly iron deficiency, may increase preeclampsia risk.
  • Findings showed that a nonanemic status, along with high consumption of vitamin A-rich fruits, vegetables, and dairy, reduced preeclampsia risk, while fatty foods and obesity contributed to its development, highlighting the importance of a healthy diet during pregnancy.
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Background: Loss to follow-up (LTFU) among under-five children from HIV care profoundly affects the treatment outcomes of this vulnerable population. It is a major factor that negatively affects the benefits of antiretroviral therapy (ART). Current information about LTFU among HIV-positive under-five children on ART is essential for effective treatments.

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Background: Anaemia is one of the most common problems in HIV-infected patients associated with increased HIV progression, decreased functional capacity, survival and quality of life. For better interventions, up-to-date information concerning anaemia among HIV-infected children less than 5 years of age on antiretroviral therapy (ART) is vital. Thus, this study aims to determine the predictors of anaemia among HIV-infected children less than 5 years of age receiving ART in North-West Ethiopia.

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Introduction: Hepatitis B virus (HBV) is one of the major public health problems globally and needs an urgent response. It is one of the most responsible causes of mortality among the five hepatitis viruses, and it affects almost every class of individuals. Different studies were conducted on the prevalence of HBV among pregnant women in East African countries, but none of them showed the pooled prevalence of HBV among the pregnant women.

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  • Transposable elements (TEs), or mobile elements, are prevalent in the genomes of higher animals and play a crucial role in gene regulation at both transcriptional and post-transcriptional levels.
  • TEs contribute to gene expression through their inherent regulatory features, providing cis-regulatory regions like promoters and enhancers, as well as generating regulatory RNAs such as miRNAs and lncRNAs that interact with target mRNAs.
  • The review focuses on the mechanisms of TE-mediated gene regulation, with an emphasis on the diverse roles of TEs across different tissues, highlighting their significance in evolution and gene expression in humans.
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The melanocortin signaling system consists of the melanocortin peptides, their distinctive receptors, accessory proteins, and endogenous antagonists. Melanocortin peptides are small peptide hormones that have been studied in a variety of physiological and pathological conditions. There are five types of melanocortin receptors, and they are distributed within the central nervous system and in several tissues of the periphery.

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Transcription factor EB, as a component of the microphthalmia family of transcription factors, has been demonstrated to be a key controller of autophagy-lysosomal biogenesis. Transcription factor EB is activated by stressors such as nutrition and deprivation of growth factors, hypoxia, lysosomal stress, and mitochondrial injury. To achieve the ultimate functional state, it is controlled in a variety of modes, such as in its rate of transcription, post-transcriptional control, and post-translational alterations.

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Background: Acquired immune deficiency syndrome is an infectious disease caused by the human immunodeficiency virus (HIV) that primarily targets an individual's immune system. In Ethiopia, nearly 24% of HIV-related deaths occur in children under the age of five. However, studies regarding the survival time of HIV-positive under-five children after anti-retroviral therapy initiation are limited with poor evidence of predictors of death.

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  • Mental distress affects a significant portion of students, particularly in medical and health sciences, with a prevalence of 35.4% at Debre Markos University.
  • Key factors associated with increased mental distress include being female, experiencing financial hardship, feelings of insecurity, lack of interest in one's studies, and lower-than-expected academic performance.
  • The study highlights the need for targeted support and interventions to address these issues among students.
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  • Cervical cancer is a major health issue, being the fourth most common cancer among women and linked to high mortality rates, prompting a systematic review of the role of microRNA-21 in this disease.
  • Numerous studies indicate that microRNA-21 influences various genes that contribute to cervical cancer progression, with recent meta-analysis suggesting it has a diagnostic accuracy (AUC of 0.80) for identifying the disease.
  • The findings support that elevated levels of microRNA-21 are associated with worse outcomes and poor prognosis in cervical cancer patients.
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  • Anemia is a significant public health issue in developing countries like Ethiopia, with approximately 34.4% of children affected and particularly high rates in regions like Somali and among children under five years old.
  • Researchers reviewed 39 studies to determine the prevalence and factors associated with anemia by employing rigorous data collection and analysis methods.
  • Key predictors of anemia included low family literacy, poor socioeconomic status, having a stay-at-home mom, and living in rural areas, highlighting the need for targeted interventions.
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Introduction: Diabetes mellitus is one of the rapidly growing global health concerns of the twenty-first century ravaging millions of individuals from all across the world. The aim of this study is to evaluate glycemic control status and its associated factors among diabetes patients on follow-up at referral hospitals of Northwest Ethiopia.

Materials And Methods: A cross-sectional study was conducted among diabetes patients between February and June 2020.

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Introduction: Gestational Diabetes Mellitus (GDM) is a condition in which women without history of diabetes experience hyperglycemia during pregnancy, especially at the second and third trimesters. In women who have had GDM, an elevated body mass index (BMI) may have a substantial impact for persistent hyperglycemia in their lives after gestation. Beyond hyperglycemia, increased local oxidative stress directly promotes the formation of Advanced Glycation End-products (AGEs).

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Introduction: There is a growing concern about metabolic syndrome among HIV-infected patients. Therefore, this study aims to determine the burden of metabolic syndrome among patients living with HIV/AIDS at referral hospitals of Northwest Ethiopia.

Materials And Methods: a hospital-based cross-sectional study was conducted at referral hospitals of Northwest Ethiopia between February 2019 and April 2019.

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  • The study focuses on hypertension in HIV-positive patients in low- and middle-income countries, specifically in Ethiopia, highlighting the lack of existing data on this issue.
  • Researchers conducted a cross-sectional study involving 407 adult HIV patients to assess hypertension's prevalence and associated factors between November 2018 and May 2019.
  • The study found a 14.0% prevalence of hypertension, linked to factors such as educational status, monthly income, waist circumference, the use of other medications, and the duration of antiretroviral therapy, emphasizing the need for healthcare providers to address these risk factors.
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Introduction: Birth defects are the most serious causes of infant mortality and disability in sub-Saharan African countries with variable magnitude. Hence, this study was aimed to determine the pooled prevalence of birth defects and its associated risk factors among newborn infants in sub-Saharan African countries.

Methods: A total of 43 eligible studies were identified through literature search from Medline (PubMed), EMBASE, HINARI, Google scholar, Science Direct, Cochrane Library and other sources.

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Background: The use of highly active anti- retroviral therapy (HAART) as well as human immunodeficiency virus (HIV) per se have been shown to be related with diabetes among patients living with HIV. There is limited evidence on the prevalence of diabetes among HIV-infected patients in developing countries like Ethiopia. Therefore, the aim of this study is to determine the prevalence of diabetes among patients living with HIV/AIDS at referral hospitals of Northwest Ethiopia.

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  • Trachoma is the leading infectious cause of blindness, with a significant prevalence in impoverished communities in Ethiopia, particularly affecting children.
  • A systematic review of 30 studies found an overall prevalence rate of 26.9% for active trachoma in Ethiopian children, with the highest rates in the Southern Nations, Nationalities, and Peoples' Region (SNNP).
  • Key risk factors linked to active trachoma include lack of latrines, unclean faces among children, and not using soap for washing.
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Background: Anemia is a common problem in HIV (human immunodeficiency virus) infected patients, and is associated with decreased functional capacity and quality of life. Ethiopia is one of the countries which has expanded highly active antiretroviral treatment (HAART) over the past years. The effect of HAART on anemia among HIV remains inconsistent and inconclusive, particularly in children.

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Background: Surgical site infection is a common complication in women undergoing Caesarean section and the second most common cause of maternal mortality in obstetrics. In Ethiopia, prevalence and root causes of surgical site infection post-Caesarean section are highly variable. This systematic review and meta-analysis estimate the overall prevalence of surgical site infection and its root causes among women undergoing Caesarean section in Ethiopia.

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Background: Diabetes mellitus (DM) is a growing public health concern globally, including Ethiopia. Although numerous studies have been published from different parts of Ethiopia, no attempt is made so far to estimate the burden of DM at the national level. This study aims to estimate the pooled prevalence of DM and its association with hypertension in Ethiopia.

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Objective: To assess the prevalence and associated factors of low birth weight among newborns delivered at Debre Markos Referral Hospital, Northwest Ethiopia.

Results: From the total of 368 newborn baby/mother pairs planned to be participated, 338 agreed and involved in the study giving a response rate of 91.2%.

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  • Tuberculosis is a major global health issue, especially in Ethiopia, where non-adherence to treatment presents significant challenges, and existing studies on this topic show mixed results.
  • A systematic review and meta-analysis of 13 studies found that approximately 21.29% of tuberculosis patients in Ethiopia do not adhere to their treatment, with regional variations in prevalence.
  • Key factors contributing to non-adherence included forgetfulness, fear of side effects from medication, long wait times at healthcare facilities, and the perceived distance to treatment centers.
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