Publications by authors named "Solomon Y"

Background: Mpox is a zoonotic disease that has become a significant public health concern, especially in regions beyond its usual endemic areas in Africa. The rising global incidence and its classification as a Public Health Emergency of International Concern by the World Health Organization highlight the importance of healthcare professionals (HCPs) being knowledgeable and well-prepared to effectively manage the virus. This study aims to assess the knowledge, attitudes, and factors associated with HCPs regarding Mpox infections at Debre Tabor Comprehensive Specialized Hospital in Northwest Ethiopia.

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Objective: The aim of this study was to compare perioperative and 5-year outcomes following endovascular (FEVAR) and open repair (OAR) of complex abdominal aortic aneurysms (cAAAs) in males and females separately, given the known sex-related differences in perioperative outcomes.

Methods: We studied all elective cAAA repairs between 2014 and 2019 in the Vascular Implant Surveillance and Interventional Outcomes Network (VISION) registry. We stratified patients based on sex.

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  • - Tuberculosis (TB) is a major global health issue, complicated by the emergence of drug-resistant Mycobacterium tuberculosis (MTB), particularly rifampicin resistance (RR), which affects control efforts.
  • - A study analyzed data from 12,981 patients tested using the Xpert MTB/RIF assay between 2017 and 2024, finding that 8.9% were positive for MTB, and 7.1% of those had RR, with increased risk factors including age (15-29), living in rural areas, and being HIV-positive.
  • - The findings highlight a high prevalence of MTB and RR, emphasizing the need for improved early diagnosis of drug-resistant TB and better infection control measures,
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  • The study investigates the prevalence of intestinal parasites and Helicobacter pylori coinfection among patients with gastrointestinal symptoms at Addis Zemen Primary Hospital in Ethiopia.
  • Conducted between April and July 2023, the study found that 18% of participants had intestinal parasites, while 12% tested positive for Helicobacter pylori, with 5.5% experiencing coinfection.
  • Key risk factors for coinfection included drinking surface water, having a family history of Helicobacter pylori, and having untrimmed fingers, highlighting public health concerns in the region.
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  • A study conducted in Northwest Ethiopia found a 16.4% prevalence of opportunistic intestinal coccidian parasites (OICPs) among HIV/AIDS patients attending an ART clinic.
  • Factors such as drinking surface water, alcohol consumption, diarrhea, medication dropout, and low CD4 counts were significantly associated with higher rates of these infections.
  • The findings highlight that OICPs continue to be a major health concern for people living with HIV/AIDS, contributing to increased morbidity and mortality.
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Background: Given changes in intervention guidelines and the growing popularity of endovascular treatment for aortic aneurysms, we examined the trends in admissions and repairs of abdominal aortic aneurysms (AAAs), thoracoabdominal aortic aneurysms (TAAAs), and thoracic aortic aneurysms (TAAs).

Methods: We identified all patients admitted with ruptured aortic aneurysms and intact aortic aneurysms repaired in the Nationwide Inpatient Sample between 2004 and 2019. We then examined the use of open, endovascular, and complex endovascular repair (OAR, EVAR, and cEVAR) for each aortic aneurysm location (AAA, TAAA, and TAA), alongside their resulting in-hospital mortality, over time.

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Background: Acute myeloid leukemia (AML) is aggressive type of hematological malignancy. Its poses challenges in early diagnosis, necessitating the identification of an effective biomarker. This study aims to assess the diagnostic accuracy of long noncoding RNAs (lncRNA) in the diagnosis of AML through a meta-analysis.

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Background: The preanalytical phase encompasses the time between the clinician's test order to the sample being ready for analysis. Of all errors during the laboratory diagnostic process,70 % appeared in the pre-analytical phase. In clinical laboratories, it is crucial to ensure proper specimen collection and handling, which is essential to guarantee quality assessment, monitoring process standardization, improving performance, and ensuring patient safety.

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Introduction: Sexual behaviour needs to take a central position in the heart of public health policy makers and researchers. This is important in view of its association with Sexually Transmitted Infections (STIs), including HIV. Though the prevalence of HIV/AIDS is declining in Ethiopia, the country is still one of the hardest hit in the continent of Africa.

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  • - Hematopoietic stem cell donation treats various cancers but can lead to graft-versus-host disease (GVHD), where donor cells attack the recipient's body, potentially causing severe complications.
  • - The text reviews extracorporeal photopheresis, a treatment for GVHD that involves collecting the patient's white blood cells, treating them with a drug, and exposing them to UV light before reinfusing them to reduce the disease's impact.
  • - While the treatment shows promise by promoting the death of harmful lymphocytes and increasing regulatory T cells, more research is needed to determine the best practices for selecting patients and administering the therapy.
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Objective: To explore the challenges of clinical education from the perspective of clinical instructors and clinical staff at Dire Dawa University College of Health Science.

Methods: An institutional-based phenomenological qualitative study was conducted. Clinical instructors and staff provided data through in-depth interviews and key informant discussions, which were facilitated by a semistructured tool and a voice recorder.

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Objectives: The relationship between baseline Modified Rankin Scale (mRS) in patients with prior stroke and optimal timing of carotid revascularization is unclear. Therefore, we evaluated the timing of transfemoral carotid artery stenting (tfCAS), transcarotid artery revascularization (TCAR), and carotid endarterectomy (CEA) after prior stroke, stratified by preoperative mRS.

Methods: We identified patients with recent stroke who underwent tfCAS, TCAR, or CEA between 2012 and 2021.

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High attrition rates from ART are the primary contributors to morbidity, death, hospitalisation, rising transmission rates, treatment failure, rising burden of opportunistic infections (OIs), and the evolution of HIV-virus resistance (HIVDR). In Sub-Saharan Africa, more than two-thirds of ART patients will not receive continuous care. There is little information about the correlates that contribute to attrition from ART services among ART patients in Southern Ethiopia.

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Objective: This study aimed to determine the burden of diabetic peripheral neuropathy and its associations with overweight/obesity and impaired blood glucose among diabetic patients in Eastern Ethiopia.

Method: A total of 644 diabetic individuals were included in the study through systematic random sampling techniques. The Michigan neuropathy screening instrument was used to evaluate the presence of diabetic neuropathy.

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Background: Data about the distribution of ABO and RhD blood groups is important for effective blood utilization, which is maintained by identifying the most clinically required blood type. However, there is a scarcity of data in Ethiopia about the distribution of ABO and RhD blood groups among blood-transfused patients, particularly in the study area.

Objective: To determine the frequency of ABO and RhD blood groups among blood transfused patients at Dessie Comprehensive Specialized Hospital, Northern Ethiopia, 2023.

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Background: Child marriage is a harmful traditional practice, which compromises children of their childhood and threatens their lives and health. In Ethiopia, 58% of women and 9% of men get married before the age of 18 years. Surprisingly, parents in the Amhara region make marriage promises of their children before they are even born, which will hinder the region from attaining the Sustainable Development Goal of ending child marriage.

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  • Lip, oral, and pharyngeal cancers pose significant global health challenges, making it essential to analyze their burden for effective health policies.
  • The study utilized data from the 2019 Global Burden of Diseases, Injuries, and Risk Factors Study to assess cancer incidence, mortality, and life years lost across 204 countries, linking these to socio-demographic factors.
  • Findings revealed approximately 370,000 cases and 199,000 deaths for lip and oral cavity cancer, and 167,000 cases and 114,000 deaths for other pharyngeal cancers in 2019, with smoking being the leading risk factor for these cancers, especially in low and middle SDI regions.
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Objective: This analysis is to present the burden and trends of morbidity and mortality due to lower respiratory infections (LRIs), their contributing risk factors, and the disparity across administrative regions and cities from 1990 to 2019.

Design: This analysis used Global Burden of Disease 2019 framework to estimate morbidity and mortality outcomes of LRI and its contributing risk factors. The Global Burden of Disease study uses all available data sources and Cause of Death Ensemble model to estimate deaths from LRI and a meta-regression disease modelling technique to estimate LRI non-fatal outcomes with 95% uncertainty intervals (UI).

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Background: Visual impairment is a public health problem in both developing and developed countries, especially, in developing countries where most visually impaired communities are found. Knowledge of the pooled prevalence of visual impairment among adults is useful in planning, preventive programs and the provision of eye-care services for communities.

Methods: Original observational studies published in English were included in this systematic review and meta-analysis.

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Objective: To evaluate the pooled prevalence and identify risk factors of congenital anomalies among neonates in Africa.

Methods: The pooled birth prevalence of congenital anomalies was the first outcome of this review, and the pooled measure of association between congenital anomalies and related risk factors in Africa was the second. We conducted a thorough search of the databases PubMed/ Medline, PubMed Central, Hinary, Google, Cochrane Library, African Journals Online, Web of Science and Google Scholar up to 31 January 2023.

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  • A study was conducted among 291 adult asthmatic patients in Northwest Ethiopia from May to August 2021 to investigate the prevalence of anemia and its associated factors.
  • The research found a notable prevalence of anemia (11%) in these patients, particularly among those with acute exacerbations who had lower red blood cell parameters compared to those with chronic issues.
  • Factors such as the use of systemic corticosteroids and previous hospitalization in the emergency department were significantly linked to higher rates of anemia in these patients.
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Background: Epilepsy is a worldwide neurologic illness, characterized by recurrent unprovoked epileptic seizures and can affect people of all age groups. Patients who are receiving drug therapy for chronic diseases, such as epilepsy, must fit complex medication regimens into their everyday routines. Managing medication schedules may pose a significant burden on patients' lives.

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Background: Effectiveness of carotid procedures (surgery and stenting) in patients with asymptomatic carotid artery stenosis (ACAS) depends on the absolute risk reduction that patients might receive from these procedures. We aimed to quantify the risk of ipsilateral ischemic stroke and examined temporal trends and determinants of these risks in patients with ACAS treated conservatively.

Methods: We conducted a systematic review from inception to March 9, 2023, of peer-reviewed trials and cohort studies describing ipsilateral ischemic stroke risk in medically treated patients with ACAS of ≥50%.

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  • Tuberculosis (TB) remains a significant global health issue, especially in developing countries, and this study assessed treatment outcomes in South Gondar, Ethiopia, during 2023.
  • A retrospective analysis of 400 TB patients revealed a treatment success rate of 89.0%, which is below the global target of over 90% for 2025, with HIV-positive patients facing higher risks for unsuccessful treatment.
  • Key findings indicated that TB patients who are HIV-positive are nearly three times more likely to have poor treatment outcomes, while patients with sputum-positive TB showed better treatment success rates.
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Objective: Thoracic endovascular aortic repair (TEVAR) of metachronous thoracic aortic aneurysms (M-TAAs) following previous infrarenal abdominal aortic aneurysm (AAA) repair has been associated with higher spinal cord ischemia (SCI) risk compared with TEVAR of primary thoracic aortic aneurysms (TAAs). However, data on the impact of the type of prior infrarenal aortic repair on outcomes are scarce. In this study, we examined perioperative outcomes and long-term mortality following TEVAR M-TAA compared with primary TEVAR of TAA.

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