Publications by authors named "Teshome Assefa"

Objective: Accumulation at home and improper disposal of unused medicines pose a major public health problem. Knowledge and attitude of patients may contribute to accumulation and disposal practice of unused medicines. As there are no such data at the study setting, this study aimed to assess disposal practices, knowledge and attitude of adult patients visiting outpatient pharmacy (OPD) towards unused medicines.

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  • * Factors linked to delays include education, marital status, wealth index, media exposure, previous childbirths, the desire for pregnancy, contraceptive use, and rural vs. urban living circumstances.
  • * The findings emphasize the need for improved training for healthcare providers, targeted interventions for accessibility, and enhanced health education to empower women regarding their reproductive rights.
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  • The study looked at how running at high altitudes affects athletes from two different sports clubs in Ethiopia, one at 2400 meters and the other at 3100 meters above sea level.
  • They compared things like oxygen levels, heart rate, and training habits among the runners and some people who don't run.
  • The results showed that the runners at the higher altitude club had lower oxygen levels but better maximum oxygen usage than the runners at the lower altitude club.
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  • - Animal trypanosomosis is a major livestock disease in Ethiopia, affecting animal productivity and transportation, and this study assesses its prevalence and related factors in the Sidama region across different seasons.
  • - The study involved analyzing blood samples from 964 cattle and using NGU traps for tsetse fly investigations, revealing an overall trypanosomosis prevalence of 9%, with notable variations between districts and coat colors of the cattle.
  • - Results indicated that infected cattle had significantly lower packed cell volume (PCV) compared to uninfected ones, and the majority of infections were caused by Trypanosoma congolense, highlighting the disease's impact on livestock health and productivity.
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Background: Lead is one of the most nonessential toxic heavy metal agents found in automotive garages. The occupational exposure of garage workers to lead commonly poses acute and chronic health risks that can be prevented. In Ethiopia, there have been limited studies on lead exposure among garage workers, who overemphasize exposure to lead.

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  • This systematic review aimed to determine which nerve branch and side of the face are most commonly involved in trigeminal neuralgia.
  • The authors analyzed 132 studies but narrowed it down to 11 that met their criteria, finding the mandibular branch of the trigeminal nerve affected most often, particularly on the right side of the face.
  • The review concludes that there’s a need for more research to confirm these findings and understand their implications for treating trigeminal neuralgia.
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  • * Conducted at Yikatit 12 Hospital Medical College in Ethiopia, the study involved 55 hypertensive patients with ischemic stroke and 110 without, using ROC curves to evaluate the diagnostic effectiveness of the biomarkers.
  • * Results indicated D-dimer had the highest diagnostic power (AUC = 0.776), followed by DDFR (AUC = 0.763) and fibrinogen (AUC = 0.694), suggesting these biomarkers could enhance
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Introduction: the majority of studies in Ethiopia determine the prevalence of glycemic control employed by fasting blood sugar (FBS), which is impacted by a variety of factors. Hence, the purpose of this study was to assess the status of glycemic control using HbA1c and its correlates in patients with type 2 diabetes in Southwest Ethiopia.

Methods: a cross-sectional study was employed among 124 T2 diabetes mellitus (DM) patients at Jimma Medical Center (JMC), Southwest Ethiopia.

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  • Goiter is a serious public health concern in Ethiopia, particularly among adolescent girls in Northwest Ethiopia, with a study revealing a 33.4% prevalence among participants.
  • Key factors associated with higher goiter rates included family history of goiter, consumption of cabbage at least weekly, lack of meat in the diet, and using salt with low iodine levels.
  • The study emphasizes the need for the local health sector to educate communities about the importance of iodized salt and nutrition to reduce goiter incidence.
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Background: Early posttraumatic seizure (PTS) is a well-known complication of traumatic brain injury (TBI) that can induce the development of secondary brain injuries, including increased intracranial pressure, brain death, and metabolic crisis which may result in worse outcomes. It is also a well-recognized risk factor for the development of late post-traumatic seizure and epilepsy. This study was aimed to assess the incidence and predictors of PTS among patients with moderate or severe TBI admitted to Debre Tabor Comprehensive Specialized Hospital, Northwest Ethiopia.

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  • The CRISPR-Cas9 system is a powerful genome-editing tool that can help address various genetic disorders by precisely targeting and modifying DNA.
  • It consists of a single-guide RNA (sgRNA) that directs the Cas9 protein to specific DNA sequences, allowing for targeted editing.
  • A major concern with CRISPR-Cas9 is off-target effects, where unintended DNA modifications occur, which can undermine its effectiveness and reliability; this review discusses recent improvements aimed at minimizing these off-target effects.
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Background: Teenage pregnancy may adversely affect their health, economic, and social life. Evidence shows that no studies in Ethiopia used decomposition analysis to identify factors for the trend change in teen pregnancy. Therefore, this study aimed to examine the trends and identify contributing factors to teen pregnancy in Ethiopia using multivariate decomposition analysis.

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Background: Compassion is the first ethical principle of health care to provide high- quality care that influences patient satisfaction and treatment outcome. However, there is limited data on the level of compassionate mental health care practice in low-resource countries like Ethiopia.

Objectives: This study aimed to assess the level of perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, North West, Ethiopia, 2022.

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Diabetic Nephropathy (DN), the most common complication in diabetes mellitus, has been affecting the lives of people diabetic for a long time. Numerous studies have demonstrated the unbreakable connection between ferroptosis and kidney cell damage. Ferroptosis is a type of iron-dependent, non-apoptotic, regulated cell death, characterized by the buildup of intracellular lipid peroxides to lethal levels.

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Background: A person may endure or witness a traumatic incident, such as being exposed to war, and, as a result, develop post-traumatic stress disorder (PTSD). There is a lack of information about post-traumatic stress disorder in low and middle-income countries such as Ethiopia. However, armed conflict, abuse of human rights, and violence motivated by race are becoming more commonplace.

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Background: Shared decision-making is a patient-centered and a recovery-oriented mental health system in which consumers are encouraged to actively engage in illness management. Although shared decision-making research in mental health has evolved rapidly in the past two decades, there is a lack of studies examining the level and factors associated with shared decision-making practice in low-income countries like Ethiopia.

Methods: An institutional-based explanatory sequential mixed method study design was conducted from July 18 to September 18, 2022, at Bahir Dar city specialized hospitals.

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The burden of hypoglycemia is high in resource limited countries, such as Ethiopia. However, there are no sufficient studies conducted in Ethiopia in general and in the study setting in particular in the previous era. Hence, this study aims to assess the proportion of hypoglycemia and associated factors among preterm neonates admitted to the neonatal intensive care unit at Debre Tabor Comprehensive Specialized Hospital, Ethiopia, in 2021.

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Background: Peripheral intravenous cannulas (PIVC) are venous access devices commonly used for the administration of intravenous fluids, drugs, blood products, and parenteral nutrition. Despite its frequent use, it has complications that can seriously threaten patient safety, prolong hospital stays, and increases medical care costs. PIVC complications are associated with increased morbidity and reinsertion attempts are painful and anxiety-provoking for children and their parents.

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Introduction: The occurrence of three or more of the following signs and symptoms, such as headache, dizziness, exhaustion, irritability, sleeplessness, difficulties in concentrating, or memory problems, following a head injury is referred to as post-concussion syndrome (PCS). Even though post-concussion syndrome has not been studied in Ethiopia, the productive age group is frequently affected by health issues related to head trauma, which either directly or indirectly affect the growth of the nation.

Objective: To assess the prevalence and associated factors of post-concussion syndrome among patients with traumatic brain injury at Debre Tabor Comprehensive Hospital, Debre Tabor, North Central Ethiopia.

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Acute poisoning is a global pediatric emergency problem. However, a wide variation in patterns of acute poisoning and associated factors across different geographical regions was stated. As a result, our research focused on the investigation of acute poisoning in children.

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Background: Impaired fasting glucose (IFG) is an early warning system that provides prior information to prevent the future development of DM and diabetes-related problems, but early detection of DM is not practically applicable in Ethiopia. This study was aimed to assess the magnitude of impaired fasting glucose and undiagnosed diabetes mellitus (DM) and associated factors.

Methods: A community-based, cross-sectional study was conducted from May to June 30, 2021.

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Diabetes Mellitus (DM) is a worldwide health issue that can lead to a variety of complications. DM is a serious metabolic disorder that causes long-term microvascular and macro-vascular complications, as well as the failure of various organ systems. Diabetes-related cardiovascular diseases (CVD) including heart failure cause significant morbidity and mortality worldwide.

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Introduction: Despite the availability of effective antihypertensive medications, blood pressure (BP) control is suboptimal. High medication regimen complexity index (MRCI) is known to reduce adherence and may be the reason for poor BP control. However, there is no data in the present study areas.

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Background: In the mid-1990s, the development of combination antiretroviral therapy converted HIV infection into a chronic condition, with newly diagnosed patients now living longer than the general population. HIV affects both the central and peripheral nerve systems, resulting in a variety of clinical problems, including peripheral neuropathy, which is a common neurological consequence. Despite this, there is a scarcity of data on the extent of peripheral sensory neuropathy and its underlying factors in Ethiopia, necessitating this study.

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Background: Antibiotics are routinely used on poultry for therapy and prevention of diseases and to enhance animal growth. The objective of this study was to develop and validate a sensitive and reliable liquid chromatography with UV detection (LC-UV) method for the simultaneous determination of seven multiclass antibiotic residues (amoxicillin, ampicillin, penicillin, sulfamethoxazole, gentamicin, ciprofloxacin, and erythromycin) in chicken tissues.

Methods: The liquid chromatography method with UV detection was optimized for complete separation of the seven selected antibiotic compounds with reversed phase and isocratic elution using Hypersil BDS-C18 (3 µm, 100 mm × 4 mm) column.

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