Publications by authors named "Teshome M"

Background: Malnutrition has extensive consequences, affecting multiple levels of functioning, including motor skill impairments. However, current interventions have mainly focused on dietary treatment, often neglecting motor impairments and relying solely on clinical and anthropometric indicators to assess treatment response. This study aims to bridge this gap by examining the combined effect of ready-to-use supplementary food (RUSF) and high-intensity motor learning (HiML) on motor skill-related physical fitness in children with moderate thinness (MT).

View Article and Find Full Text PDF

The purpose of this editorial is to illustrate how the Operative Standards for Cancer Surgery can be used as a tool to support education of surgical trainees. The three-volume text is a valuable resource not only for learning the scientific principles related to surgical oncology, but also as a technical guide for critical aspects of performing operations and a primer for quality assurance going forward in a surgical career.

View Article and Find Full Text PDF

Background: Recent advancements in therapeutics for BRCA-associated breast cancer have changed indications for germline genetic testing. This study investigated whether Medicaid plans cover National Comprehensive Cancer Network (NCCN)-concordant and/or American Society for Clinical Oncology/Society for Surgical Oncology (ASCO/SSO)-concordant BRCA germline testing for patients with breast cancer.

Patients And Methods: Publicly available, complete, and original state Medicaid plans for all 50 states were reviewed to determine coverage criteria for BRCA genetic testing for patients with breast cancer and clinical cancer geneticist consultation.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates whether adding metastasis-directed therapy (MDT) to standard-of-care (SOC) systemic therapy improves progression-free survival (PFS) in patients with oligometastatic breast cancer.
  • A phase II randomized trial, EXTEND, included patients with up to five metastases and compared MDT plus SOC to SOC alone, measuring outcomes such as PFS and overall survival (OS).
  • Results from 43 patients showed no significant improvement in PFS or other secondary endpoints with MDT, suggesting it may not provide additional benefit for this patient group, albeit with limitations in study size and sample diversity.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigated factors linked to positive sentinel lymph nodes (SLNs) in cT1-2N0 breast cancer patients who received neoadjuvant chemotherapy (NACT) and how this data might differ from patients who didn't receive NACT.
  • Out of 1,930 patients studied, 12.1% had positive SLNs, with specific tumor characteristics (like hormone receptor-positive status and lobular histology) significantly predicting this outcome.
  • The findings suggested low axillary recurrence rates in patients with positive SLNs, indicating that certain tumor features and older age could help identify individuals at higher risk for further disease after treatment.
View Article and Find Full Text PDF
Article Synopsis
  • The study examines the effectiveness of targeted axillary dissection (TAD) after neoadjuvant chemotherapy (NAC) in breast cancer patients, focusing on the status of clipped nodes during axillary staging.
  • Out of 680 patients analyzed, 90% had their clipped nodes identified as sentinel lymph nodes (SLN), while 10% were classified as non-SLN, with a significant proportion (60%) of non-SLNs showing metastasis.
  • The findings suggest that when the clipped node is a non-SLN, it often serves as the sole positive node, highlighting the importance of clipping for accurate residual disease assessment and better informing adjuvant therapy decisions.
View Article and Find Full Text PDF

Background: In Ethiopia, moderate thinness (MT) is a persistent issue among children. Yet, evidence on the effects of dietary supplementation and motor skills training in these children is limited.

Objective: This study aimed to assess the effect of Ready-to-Use Supplementary Food (RUSF), whether or not combined with high-intensity motor learning (HiML), on weight, height, body composition, and muscle strength in children 5-7 years old with MT living in Jimma Town, Ethiopia.

View Article and Find Full Text PDF

Background: HER2-positive breast cancer is traditionally treated with neoadjuvant systemic therapy (NST), but optimal treatment sequencing is less clear in patients with small tumors. We investigated clinicopathologic and oncologic outcomes in early stage HER2-positive breast cancer.

Patients And Methods: An institutional database was queried to identify patients with cT1-2 (≤ 3 cm) N0M0, HER2-positive breast cancer treated from 2015 to 2020 and compared upfront surgery and NST cohorts.

View Article and Find Full Text PDF

Background: Many factors can decrease job productivity and cause physical and psychological complications for health care professionals providing maternal care. Information on challenges and coping strategies among healthcare professionals providing maternal healthcare services in rural communities is crucial. However, there needs to be more studies, especially qualitative research, to explore challenges and coping strategies for providing maternal health care services in Ethiopia among health care professionals, particularly in the Wolaita zone.

View Article and Find Full Text PDF
Article Synopsis
  • The American College of Surgeons introduced six operative standards to improve patient outcomes in cancer surgery, and a study was conducted to evaluate surgeon awareness of these standards when they were first implemented and two years later.
  • An anonymous survey was sent to CoC-accredited cancer programs in 2021 and 2023, assessing knowledge of operative techniques and accreditation standards, with results showing higher familiarity with surgical techniques than with the accreditation standards.
  • The findings indicated that surgeons at accredited institutions had better knowledge of the standards, and over the two years, there was a notable increase in understanding and awareness of the accreditation standards among all surveyed surgeons.
View Article and Find Full Text PDF
Article Synopsis
  • Axillary dissection is commonly performed for breast cancer patients with positive sentinel lymph nodes after receiving neoadjuvant therapy, but there is limited data on using frozen section in clinically node-negative cases.
  • A study involving 662 patients with non-inflammatory, clinically node-negative HER2-positive or triple-negative breast cancer found a 6.6% prevalence of positive sentinel lymph nodes, with a modest sensitivity of frozen section testing at 57.6%.
  • The study concludes that since positive sentinel lymph nodes are rare in these patients, it might be reasonable to rely on final pathology instead of intraoperative frozen section for decisions regarding axillary dissection.
View Article and Find Full Text PDF

Background: Targeted axillary dissection (TAD) facilitates nodal staging in cN1 breast cancer after neoadjuvant chemotherapy (NAC). Completion axillary node dissection (cALND) remains the standard of care for TAD-positive patients. This study investigated factors associated with additional positive nodes at cALND (cALND+) and the impact on the residual cancer burden (RCB).

View Article and Find Full Text PDF

Background: Inflammatory breast cancer (IBC) is rare and biologically aggressive. We sought to assess diagnostic and management strategies among the American Society of Breast Surgeons (ASBrS) membership.

Patients And Methods: An anonymous survey was distributed to ASBrS members from March to May 2023.

View Article and Find Full Text PDF

Importance: Although most women with BRCA-associated breast cancer choose bilateral mastectomy, current guidelines support breast-conserving therapy as an option. As the indications for genetic testing expand and targeted therapies emerge, understanding the outcomes of breast-conserving therapy in the population of patients choosing breast conservation is important.

Objective: To describe the clinical outcomes of women with BRCA-associated breast cancer who were treated with breast-conserving therapy, including the risks of ipsilateral and contralateral cancer events and bilateral mastectomy-free survival.

View Article and Find Full Text PDF

Introduction: Work-related musculoskeletal disorders have a greater negative impact on nurses' well-being, both physically and emotionally. Because of this issue, nurses take excessive leave, are absent from work, quit their profession, and have a lower quality of life. This leads to an increase in human and economic losses to health care institutions.

View Article and Find Full Text PDF

Hepatocellular carcinoma (HCC), the most common type of liver cancer, is a major global health problem, ranking as the third leading cause of cancer-related death worldwide. Early identification and diagnosis of HCC requires the discovery of reliable biomarkers. Therefore, the study aimed to assess the diagnostic accuracy of miRNAs for HCC.

View Article and Find Full Text PDF

Introduction: Hepatocellular carcinoma (HCC) and liver cirrhosis (LC) stand as the primary causes of global mortality. Given their profound impact, the development of highly sensitive and specific circulating diagnostic markers becomes imperative to effectively identify and differentiate between cirrhosis and HCC. Accurate diagnosis is paramount in guiding appropriate therapeutic interventions.

View Article and Find Full Text PDF

Background: Anemia is a global public health problem, principally affecting young children and reproductive-age mothers. Although anemia is a main public health concern in low-income countries, there is no evidence about its prevalence and associated factors among women of reproductive age in Liberia. Thus, the purpose of this study was to identify the prevalence and associated factors of anemia among women of reproductive age in Liberia.

View Article and Find Full Text PDF