Publications by authors named "Neguss Yilma"

Background: Fat mass (FM) and fat-free mass (FFM) in early life are associated with later obesity and cardiometabolic disease.

Objectives: This study aimed to assess the associations of FM and FFM at birth and conditional FM and FFM accretion from 0 to 5 y with kidney outcomes at the 10-y follow-up.

Methods: The Ethiopian Infant Anthropometry and Body Composition birth cohort included term infants born in Jimma town, with a birth weight ≥1500 g, and having no congenital malformations.

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Background: Healthcare-associated infections (HCAIs) are a common challenge faced in healthcare facilities, particularly in low- and middle-income countries (LMICs). Evaluating the level of knowledge, attitude, and practice (KAP) among healthcare personnel regarding HCAI prevention and identifying the relevant factors is important for handling and controlling these infections. Therefore, this study aimed to assess the direct and indirect effects of knowledge, attitude, and practices of healthcare workers (HCW) towards HCAIs prevention in Jimma University Medical Center (JUMC).

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Background: Childhood is a period marked by dynamic growth. Evidence of the association between childhood linear growth and school achievement comes mostly from cross-sectional data. We assessed associations between birth length, childhood linear growth velocities, and stunting with school achievement.

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Background: Dolutegravir (DTG), a novel antiretroviral therapy (ART) for HIV, is increasingly adopted across sub-Saharan Africa. However, its impact on blood pressure in Ethiopia remains unclear, highlighting a need for further studies.

Objective: This study aimed to investigate the association between DTG-based first-line regimens and other covariates of high blood pressure (HBP) among adults living with HIV receiving care at health facilities in Hawassa City, southern Ethiopia.

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Introduction: In resource-constrained countries, the incidence of mortality among patients admitted to adult intensive care units is higher than that in developed countries, which has a physical, economic, and emotional impact on the lives of patients and their families. However, there is limited evidence on factors related to nursing care that can potentially contribute to predicting and reducing mortality rates in intensive care units. Therefore, this study aimed to assess the incidence of mortality and its predictors in patients admitted to an adult intensive care unit.

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Tuberculosis (TB) necrotic granulomas contain triglyceride-rich macrophages (foam cells) with reduced antimicrobial functions. We assessed the ability of two compounds to reduce triglyceride content and Mycobacterium tuberculosis (Mtb) burden in infected human monocyte-derived macrophages and in the lungs of Mtb-infected C3HeB/FeJ mice: A-922500 (DGATi), an inhibitor of diacylglycerol acyltransferase 1; and LY2584702 (p70S6Ki), an inhibitor of p70 S6 kinase. DGATi and p70S6Ki significantly reduced the lipid content and bacillary burden in Mtb-infected macrophages.

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Background: Grant's gazelle and lesser kudu remain widespread within and outside protected areas. Current pressures on their populations, human encroachment and disturbance associated habitat modifications, and excessive grazing pose further threats to the species. The estimation of density and abundance of species has significant value for sustainable wildlife management in Geralle National Park (GNP) and also contributes towards a more accurate global population estimate.

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Early childhood growth is associated with cognitive function. However, the independent associations of fat mass (FM) and fat-free mass (FFM) with cognitive function are not well understood. We investigated associations of FM and FFM at birth and 0-5 years accretion with cognitive function at 10 years.

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Background: Neonatal Nosocomial infections (NNIs) are a significant cause of morbidity and mortality for neonates in an intensive care unit. Neonatal causes of death in healthcare facilities are attributed to different factors. We aimed to investigate factors associated with NNIs, estimate the burden of NNIs, and assess how the prediction effects help to save medical mortality and length of hospital stay.

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Article Synopsis
  • The research investigates infection prevention and control (IPC) practices among healthcare workers in the Pediatrics and Child Health Department of Tikur Anbessa Specialized Hospital in Ethiopia, revealing significant inadequacies in adherence to IPC standards.
  • Utilizing a rapid ethnographic assessment approach, the study collected data through focus group discussions and in-depth interviews with healthcare workers, aiming to identify barriers and facilitators to effective IPC practices.
  • Key barriers identified include lack of training, inadequate resources, high workloads, and poor management support, while facilitators included the presence of an IPC team and health education initiatives for patients and visitors.
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  • The study focused on the combined impact of gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH) on maternal and perinatal health in Ethiopia, identifying their co-occurrence as a significant public health concern.
  • Out of 168 studies reviewed, 15 studies with 6,391 participants showed a pooled prevalence of 3.76% for co-existing GDM and PIH, along with a notable association indicating that women with GDM are three times more likely to develop PIH.
  • The findings advocate for improved antenatal care programs in Ethiopia to better monitor and manage both GDM and PIH, aimed at enhancing health outcomes for mothers and infants.
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  • This study investigates the effectiveness and safety of different primaquine dosing strategies in preventing relapsing Plasmodium vivax malaria in children under 15 years.
  • A systematic review was conducted, analyzing various studies involving children treated with primaquine, focusing on those who received treatment over multiple days and were followed up for at least 28 days.
  • The findings from 3514 children across 27 studies were compiled to analyze different dosing regimens, assess the risk of recurrent malaria, and evaluate tolerability and safety concerning adverse effects.
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Importance: Hepatocellular carcinoma (HCC) is the leading oncologic cause of death among patients with cirrhosis, but large studies examining mortality trends are lacking.

Objective: To evaluate survival among patients with HCC in one of the largest integrated health care systems in the US.

Design, Setting, And Participants: This retrospective cohort study included 3441 adult patients who received a diagnosis of HCC between January 1, 2006, and December 31, 2019, with end of follow-up on December 31, 2020.

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  • Infectious diseases like PPR, CCPP, SGPX, and pasteurellosis significantly affect sheep and goat farming in Ethiopia, prompting the need for effective vaccination strategies.
  • The study aimed to evaluate the safety and immune response of goats receiving multiple vaccines at the same time, comparing them to those receiving single vaccines.
  • Results showed that while multiple vaccines were effective against PPR, CCPP, and pasteurellosis, they did not generate a protective response against SGPX, and no adverse effects were noted.
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Background: There is a lack of qualitative data on the negative effects of workplace stressors on the well-being of healthcare professionals in hospitals in Africa. It is unclear how well research methods developed for high-income country contexts apply to different cultural, social, and economic contexts in the global south.

Methods: We conducted a qualitative interview-based study including 64 perioperative healthcare professionals across all provinces of Rwanda.

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Background: Tuberculosis is one of the leading causes of death, especially for people living with HIV. However, little is known about the time to death of HIV/TB co-infected patients and associated factors in the study area. This study focused on identifying factors associated with time to death among HIV/TB co-infected patients under antiretroviral therapy in Ethiopia.

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Unlabelled: Mtb) is one of the leading infectious causes of death worldwide. There is no available licensed therapeutic vaccine that shortens active tuberculosis (TB) disease drug treatment and prevents relapse, despite the World Health Organization's calls. Here, we show that an intranasal DNA vaccine containing a fusion of the stringent response gene with the gene encoding the immature dendritic cell-targeting chemokine, MIP-3α/CCL20, shortens the duration of curative TB treatment in immunocompetent mice.

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Background: Apart from troponins, various additional biomarkers that indicate myocardial injury, inflammation, thrombosis, and other routes are being studied to improve the treatment of acute coronary syndrome (ACS). Myeloid activity has been found to be elevated in ACS, and this has sparked a great deal of interest in hematological parameters since they might offer independent insights into pathophysiology and risk assessment.

Objective: The purpose of this study was to evaluate the hematological markers' prognostic ability for all intrahospital causes of mortality in individuals with an ACS diagnosis.

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  • Bacterial vaginosis (BV) is a common condition during pregnancy that occurs when healthy Lactobacilli decrease, leading to an overgrowth of other bacteria, and is linked to negative pregnancy outcomes like pre-term labor and low birth weight.
  • A study in Ethiopia, involving 260 pregnant women from antenatal care clinics, found a BV prevalence of 22.3%, using the Nugent scoring system to analyze vaginal swab samples.
  • Factors contributing to BV included living in rural areas, marital status, and hygiene practices; specific statistical methods (like logistic regression) were used to identify significant predictors of the condition.
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Background: Subspecialist training is an important part of developing human resources for health and for some learners, may require taking place in another, higher-resourced country. Despite effective learning of skills and knowledge in a different, more highly resourced context, transfer of these skills and knowledge back to a more poorly resourced context can be a challenge. We aimed to evaluate the transfer of skills and knowledge in 2 World Federation of Societies of Anaesthesiologists (WFSA) fellowship programs.

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Background: Studying the characteristics of hospitalized Coronavirus Disease 2019 (COVID-19) patients is vital for understanding the disease and preparing for future outbreaks. The aim of this study was to analyze and describe the clinical profiles and factors associated with mortality among COVID-19 patients admitted to Jimma Medical Center COVID-19 Treatment Center (JMC CTC) in Ethiopia.

Methods: All confirmed COVID-19 patients admitted to JMC CTC between 17 April 2020 and 05 March 2022 were included in this study.

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The present study aimed to classify smallholder dairy production systems by analyzing land allocation for various crop types and characterizing them based on integration with specific crops which is gap in earlier studies. A total of 360 smallholder farmers were interviewed to generate firsthand information in addition to using secondary data sources. The classification utilized K-means clustering, while discriminant analysis was applied to accentuate the distinct characteristics of dairy production systems (DPSs).

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Background: Globally, 2.6 million stillbirths are estimated to occur each year. The causes of stillbirth are often unknown but can be attributed to various causes.

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This study aimed to retrospectively assess the cost-effectiveness of various COVID-19 vaccination strategies in Ethiopia. It involved healthcare workers (HCWs) and community participants; and was conducted through interviews and serological tests. Local SARS-CoV-2 variants and seroprevalence rates, as well as national COVID-19 reports and vaccination status were also analyzed.

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Article Synopsis
  • - Ethiopia has made significant advances in using the District Health Information System version 2 (DHIS2) for national data reporting, but there hasn't been a thorough evaluation of its maturity level yet.
  • - The study aims to analyze the current maturity of DHIS2 implementation in Ethiopia, identify gaps, and provide a roadmap for improvement, focusing on areas like governance, skilled workforce, ICT infrastructure, and data quality.
  • - Findings reveal that DHIS2 is currently at the "defined" maturity stage with a score of 2.81, aiming to reach the "managed" stage by 2025, while strengths include a standardized process and a strategic plan, though challenges remain in workforce competency.
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