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Mesfin T, Kedir I, Tilahun T, Seyoum K, Dadi S, Ejigu N, Desta F, Geta G, Tsegaye M, Salih H. Situs inversus with levocardia in a 15-year-old male adolescent: a case report. J Med Case Rep 2023; 17:499. [PMID: 38042875 PMCID: PMC10693697 DOI: 10.1186/s13256-023-04254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 11/08/2023] [Indexed: 12/04/2023] Open
Abstract
BACKGROUND Situs inversus with levocardia is a rare anomaly in which the heart is present in the left chest but the abdominal viscera are transposed. It is caused by a single incomplete penetration of an autosomal recessive gene. It is unclear what exactly causes situs inversus with levocardia. Even if situs inversus can be identified following a comprehensive physical examination, it is now possible to validate the results and search for further information and pathologies since medical imaging is so widely accessible. CASE A 15-year-old Oromo male child from a remote area of Bale Zone presented to the Goba Referral Hospital's medical emergency outpatient department complaining of periumbilical pain that had persisted for 4 months. He frequently came to our hospital and was admitted three times with the same problem. Objectively, there was tenderness over the left lower quadrant and periumbilical area. The sonographic evaluation discovered the transposition of the liver and spleen with cardiac apex on the left side. He received conservative treatment with ceftriaxone 1 g intravenous twice a day and metronidazole 500 mg intravenous for 5 days, and he went home improved. CONCLUSION Isolated levocardia is a rare form of situs inversus in which the heart is in the traditional levo position while the abdominal organs are in the dextro position. What causes situs inversus with levocardia is unknown. Despite the fact that situs inversus can be diagnosed after a thorough physical examination, medical imaging has allowed us to confirm the findings as well as understand more about diseases. Due to the severity of an underlying heart defect, situs inversus with levocardia has a dismal prognosis.
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Affiliation(s)
- Telila Mesfin
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia.
| | - Ibrahim Kedir
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Teketel Tilahun
- Department of Public Health, Menelik II Comprehensive Specialized Hospital, Finfinnee, Oromia, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Sisay Dadi
- Department of Internal Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Fikreab Desta
- Department of Public Health, Madda Walabu University, Goba General Hospital, Goba, Oromia, Ethiopia
| | - Girma Geta
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Mesfin Tsegaye
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Husien Salih
- Department of Nursing, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
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Mesfin T, Sahiledengle B, Taha M, Nigusu F, Seyoum K, Geta G, Ejigu N, Zenbaba D, Gomora D, Beressa G, Dadi S, Ibrahim E, Tsegaye M, Kusa G, Bezaw E. Isolated breast hydatid cyst: A case report. Clin Case Rep 2023; 11:e8183. [PMID: 38033691 PMCID: PMC10683032 DOI: 10.1002/ccr3.8183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 10/05/2023] [Accepted: 10/31/2023] [Indexed: 12/02/2023] Open
Abstract
A hydatid cyst is a parasitic infestation most frequently caused by the larval tapeworm known as Echinococcus granulosus. Breast hydatidosis is a very uncommon condition that may be the main site or one of its components in cases of extensive hydatidosis. We discussed a 28-year-old female patient who had been experiencing left breast pain for a year prior to her presentation.
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Affiliation(s)
- Telila Mesfin
- Department of MedicineGoba General HospitalGobaEthiopia
| | | | | | - Fikadu Nigusu
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Kenbon Seyoum
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Girma Geta
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Neway Ejigu
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Demisu Zenbaba
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Degefa Gomora
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Girma Beressa
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Sisay Dadi
- Department of Internal MedicineGoba General HospitalGobaEthiopia
| | - Elias Ibrahim
- Department of SurgeryGoba General HospitalGobaEthiopia
| | | | - Getu Kusa
- Department of MedicineGoba General HospitalGobaEthiopia
| | - Elias Bezaw
- Department of MedicineGoba General HospitalGobaEthiopia
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Mesfin T, Taha M, Sahiledengle B, Nigusu F, Seyoum K, Geta G, Ejigu N, Zenbaba D, Desta F, Gomora D, Dadi S, Bezaw E, Erdachew T, Kusa G, Tsegaye M. Prevesical hydatid cyst: A case report. Clin Case Rep 2023; 11:e8243. [PMID: 38028035 PMCID: PMC10658573 DOI: 10.1002/ccr3.8243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 11/01/2023] [Accepted: 11/08/2023] [Indexed: 12/01/2023] Open
Abstract
Hydatid cyst is a zoonotic disease caused by a tapeworm of the genus Echinococcus granulosus either in its adult or larval forms. Original pelvic cysts are rare; however, the majority of abdominal and pelvic hydatid cysts are believed to result from inadvertent surgical inoculation or spontaneous rupture from a primary hepatic focus. We present a 35-year-old female patient who visited our facility complaining of lower abdominal pain that had persisted for the last 5 months.
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Affiliation(s)
- Telila Mesfin
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | | | | | - Fikadu Nigusu
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Kenbon Seyoum
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Girma Geta
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Neway Ejigu
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Demisu Zenbaba
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Fikreab Desta
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Degefa Gomora
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Sisay Dadi
- Department of Internal MedicineGoba General HospitalGobaOromiaEthiopia
| | - Elias Bezaw
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | | | - Getu Kusa
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | - Mesfin Tsegaye
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
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Zenbaba D, Sahiledengle B, Yassin A, Beressa G, Desta F, Engida ZT, Nugusu F, Tufa T, Tekalegn Y, Dibaba D, Tasew A, Wordofa D, Assefa T, Feleke Z, Atlaw D, Mesfin T, Geleta EN. Barbers' compliance with biological hazard preventive measures and predictors in selected towns, Southeast Ethiopia: a cross-sectional study. BMJ Open 2023; 13:e074495. [PMID: 37899168 PMCID: PMC10618978 DOI: 10.1136/bmjopen-2023-074495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 09/27/2023] [Indexed: 10/31/2023] Open
Abstract
OBJECTIVE The barber's profession exposes their customers to several health risks. Negligence when using sharp instruments in barbershops can increase the risk of bloodborne infections, resulting in serious health problems for both the barber and the customer. Evidence for compliance with biological hazard preventive measures and predictors among barbers is critical and urgent. Thus, we aimed to assess compliance with biological hazard preventive measures and predictors among barbers in selected towns in Southeast Ethiopia. METHODS A cross-sectional study was conducted among 633 randomly selected barbers from 1 March to 30 March 2022. A multistage sampling followed by a systematic sampling and simple random sampling methods were used to select barbershops and barbers, respectively. We used a pretested interviewer-administered questionnaire and an observational checklist to collect data. Multinomial logistic regression analysis was used to identify predictors. An adjusted OR (AOR), along with a 95% CI and p<0.05, was used to estimate the strength of the association. RESULTS The good compliance level with biological hazard preventive measures was 47.10% (95% CI: 43.2%, 50.70%). Being married (AOR=3.04, 95% CI: 1.71, 8.56), aged from 25 to 34 years (AOR=2.75, 95% CI: 1.13, 8.06), served for ≤5 years (AOR=1.72, 95% CI: 1.24, 3.85), attending high school and above (AOR=4.32, 95% CI: 1.31, 12.73), being professional (AOR=6.34, 95% CI: 2.03, 11.36), having a positive attitude (AOR=2.95, 95% CI: 1.06, 8.22) and having good knowledge towards biological hazard preventive measures (AOR=3.14, 95% CI: 1.42, 9.25) were significant predictors of moderate and good compliance with biological hazard preventive measures. CONCLUSION The study's findings revealed that almost half of the barbers were in good compliance with biological hazard preventive measures. As a result, improving barbers' attitudes and knowledge through on-the-job training is indispensable.
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Affiliation(s)
- Demisu Zenbaba
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | | | - Ahmed Yassin
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Girma Beressa
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Fikreab Desta
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | | | - Fikadu Nugusu
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Tilahun Tufa
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Yohannes Tekalegn
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Diriba Dibaba
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Alelign Tasew
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Debebe Wordofa
- Department of Public Health, Madda Walabu University, Bale-Goba, Ethiopia
| | - Tesfaye Assefa
- Department of Nurse, Madda Walabu University, Bale-Goba, Ethiopia
| | - Zegeye Feleke
- Department of Nurse, Madda Walabu University, Bale-Goba, Ethiopia
| | - Daniel Atlaw
- School of Medicine, Madda Walabu University, Bale-Goba, Ethiopia
| | - Telila Mesfin
- Department of Medicine, Madda Walabu University, Bale-Goba, Ethiopia
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Mesfin T, Tekalegn Y, Adem A, Seyoum K, Geta G, Sahiledengle B, Mesfin E, Zenbaba D, Desta F, Beressa G, Tsegaye M, Ejigu N, Gomora D. Magnitude of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia: hospital-based cross-sectional study. BMC Endocr Disord 2023; 23:236. [PMID: 37880632 PMCID: PMC10601257 DOI: 10.1186/s12902-023-01489-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 10/13/2023] [Indexed: 10/27/2023] Open
Abstract
PURPOSE Erectile dysfunction is defined as the inability to achieve and/or maintain an erection of sufficient rigidity and duration to permit satisfactory sexual performance. The purpose of this study is to assess the prevalence of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia,2022. METHODS Hospital-based cross-sectional study design was used among 420 adult diabetic men from March 1 to April 30 using a systematic random sampling technique. An international index of erectile function questionnaire containing five questions was used to assess the outcome variable. The data were entered, edited, and coded using Epidata version 4.6 and analyzed using SPSS version 26. Bivariable and multivariable binary logistic regression analysis were performed to identify factors associated with erectile dysfunction. Adjusted odds ratios with their corresponding 95% confidence interval were computed to estimate the strength of association. Statistical significance was declared at p-value < 0.05. RESULTS The prevalence of erectile dysfunction was found to be 354 (84.3%). Multivariable logistic regression revealed that erectile dysfunction is significantly associated with old age (AOR = 12.39, 95% CI:5.10-30.08), inadequate physical activity (AOR = 4.15, 95% CI:1.33-12.97), and being rich (AOR = 2.62, 95% CI = 1.21-5.66). CONCLUSION The prevalence of erectile dysfunction in this study population is nearly nine out of ten. Age, inadequate physical activity, and wealth index were independent predictors of erectile dysfunction. Assessment and management of erectile dysfunction in diabetic clinics should be routine medical care.
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Affiliation(s)
- Telila Mesfin
- Department of Medicine, School of Health Sciences, Madda Walabu University, Goba, Ethiopia.
| | - Yohannes Tekalegn
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Ahmednur Adem
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Girma Geta
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Biniyam Sahiledengle
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Eshetu Mesfin
- Department of Public Health, ICAP, Addis Ababa, Ethiopia
| | - Demisu Zenbaba
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Fikreab Desta
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Girma Beressa
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Mesfin Tsegaye
- Department of Medicine, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
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Seyoum K, Sahiledengle B, Kene C, Geta G, Gomora D, Ejigu N, Mesfin T, Kumar Chattu V. Determinants of neonatal sepsis among neonates admitted to neonatal intensive care units in ethiopian hospitals: A systematic review and meta-analysis. Heliyon 2023; 9:e20336. [PMID: 37809495 PMCID: PMC10560049 DOI: 10.1016/j.heliyon.2023.e20336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 09/15/2023] [Accepted: 09/19/2023] [Indexed: 10/10/2023] Open
Abstract
Objective Several studies have identified risk factors for neonatal sepsis, but they are limited to specific geographical areas with results that may not be generalizable to other populations. Hence, the objective of this study was to determine the contributing factors, representative at a national level, that influence the occurrence of neonatal sepsis in neonates receiving hospital care in Ethiopia. Methods and materials A thorough search was conducted across PubMed/Medline, Hinari, Cochrane Library, and Google Scholar to identify relevant studies. The pooled odds ratio was estimated using the random effect model. The heterogeneity among the included studies was evaluated using the I2 and Cochrane Q-statistics tests. Egger's tests used to assess publication bias. Results A total of 19 studies comprising 6190 study participants were included. Neonatal sepsis was positively associated with several factors, namely: prolonged premature rupture of membrane (OR: 3.85, 95% CI: 2.31-6.42), low first minute APGAR score (OR: 3.74, 95% CI: 1.29-10.81), low fifth minute APGAR score (OR: 4.17, 95% CI: 1.76-9.91), delayed initiation of breastfeeding (OR: 3.41, 95% CI: 2.18-5.36), and infection of the maternal urinary tract (OR: 3.17, 95% CI: 1.87-5.35). Conclusion Duration of rupture of membrane, APGAR score, time of initiation of breastfeeding, and urinary tract infection have a role in the development of neonatal sepsis.
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Affiliation(s)
- Kenbon Seyoum
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Biniyam Sahiledengle
- Madda Walabu University Goba Referral Hospital, Department, Department of Public Health, Goba, Ethiopia
| | - Chala Kene
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Girma Geta
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Degefa Gomora
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Neway Ejigu
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Telila Mesfin
- Madda Walabu University Goba Referral Hospital, Department of Medicine, Goba, Ethiopia
| | - Vijay Kumar Chattu
- Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
- Department of Community Medicine, Faculty of Medicine, Datta Meghe Institute of Medical Sciences, Wardha 442107, India
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Ayane D, Takele A, Feleke Z, Mesfin T, Mohammed S, Dido A. Low Back Pain and Its Risk Factors Among Nurses Working in East Bale, Bale, and West Arsi Zone Government Hospitals, Oromia Region, South East Ethiopia, 2021 -Multicenter Cross-Sectional Study. J Pain Res 2023; 16:3005-3017. [PMID: 37670738 PMCID: PMC10476655 DOI: 10.2147/jpr.s410803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 08/21/2023] [Indexed: 09/07/2023] Open
Abstract
Background Hospital nursing staff are particularly susceptible to low back pain (LBP) a widespread health issue worldwide. There was little available data on the prevalence of LBP and risk factors related to it in this population. Objective Assessed the prevalence of LBP and risk factors in nurses working in South-East Ethiopia's Oromia region in the East Bale, Bale, and West Arsi zone government hospitals. Methods A cross-sectional study was carried out within an institution in the East Bale, Bale, and West Arsi zone government hospitals; 440 nurses were chosen to use a process of systematic random sampling, and data was gathered between June 1 and July 30, 2021. Using pre-designed questionnaires, I interrogated participants. After being verified as complete, the gathered data was entered into Epi-data version 3.1 and exported to SPSS version 25 for analysis. Bi variate and multivariate logistic regressions with 95% confidence intervals and crude and adjusted odd ratios were generated and interpreted as necessary. To deem a result statistically significant, a p-value of 0.05 or lower was required. Results A total of 427 nurses engaged in the interview out of the 440 participants that wanted to take part in the study, yielding a response rate of 97.1%. Low back pain was 42.6% more common over a year [95% CI: (0.384, 0.476)]. According to the multivariate analysis, females [AOR = 1.791; 95% CI: (1.121, 2.861)], age higher than forty [AOR=2.388, 95% CI: (1.315, 4.337)], age grouped 31-40 years [(AOR=2.064, 95% CI: 1.233, 3.455)], divorced [(AOR=10.288, 95% CI: (3.063, 34.553)], married [(AOR=1.676 (1.675, 16.999)]. Conclusion The study suggests that implementing preventive measures and offering ergonomic training can help reduce LBP among nurses in these hospitals.
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Affiliation(s)
- Daniel Ayane
- Department of Nursing, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale Goba, Oromia, Ethiopia
| | - Abulie Takele
- Department of Medicine, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale Goba, Oromia, Ethiopia
| | - Zegeye Feleke
- Department of Nursing, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale Goba, Oromia, Ethiopia
| | - Telila Mesfin
- Department of Medicine, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale Goba, Oromia, Ethiopia
| | - Salie Mohammed
- Department of Nursing, School of Health Sciences, Madda Walabu University Goba Referral Hospital, Bale Goba, Oromia, Ethiopia
| | - Asnake Dido
- Department of Public Health, Bale Zone Health Office, Bale Goba, Oromia, Ethiopia
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Ejigu N, Seyoum K, Kene C, Gomora D, Mengistu S, Geta G, Eshetu D, Tadesse S, Mesfin T, Tekalign Y, Atlaw D. Prevalence and associated risk factors for failed obstetric fistula repair in East African countries: A systematic review and meta-analysis. SAGE Open Med 2023; 11:20503121231187742. [PMID: 37492647 PMCID: PMC10363902 DOI: 10.1177/20503121231187742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 06/26/2023] [Indexed: 07/27/2023] Open
Abstract
Objective Obstetric fistula repair failure is a combination of unsuccessful fistula closure and/or incontinence following a successful closure. There is an inconsistent finding on the failure of obstetric fistula repair in East Africa. Therefore, this systematic review and meta-analysis aimed to determine the pooled prevalence of failed obstetric fistula repair and its associated factors among women who have undergone fistula repair in East Africa. Methods This systematic review and meta-analysis were written following the PRISMA guideline protocol. A web-based electronic search of PubMed, Google Scholar, and HINARI was performed to find primary studies. Additional articles were searched by cross-referencing references. A random-effects model was used to estimate the pooled prevalence of failed obstetric fistula repair. The heterogeneity of studies was weighed using I2 test statistics. Publication bias was assessed by Eggers and funnel plot test. Results The 16 studies that met the inclusion criteria for this systematic review and meta-analysis of failed obstetric fistula repair were included. Nonetheless, one study was used for factor analysis but not in pooled prevalence analysis. The pooled prevalence of obstetric fistula repair failure in East Africa was 26.89% (95% confidence interval: 21.71, 32.07). Labor duration > 48 h (Pooled odds ratio = 2.46; 95% confidence interval 1.58, 3.82), fistula size >3 cm (Pooled odds ratio = 3.92; 95% confidence interval 2.19, 7.05), previous fistula repair (Pooled odds ratio = 3.20; 95% confidence interval 1.94, 5.29), Goh Type 4 fistulas (Pooled odds ratio = 6.07; 95% confidence interval 2.50, 14.75), completely destructed urethra (Pooled odds ratio = 3.35; 95% confidence interval 1.69, 6.65), and severe vaginal scaring (Pooled odds ratio = 3.89; 95% confidence interval 1.99, 7.62) were significantly associated with obstetric fistula repair failure. Conclusions One in four women with obstetric fistula repair experienced repair failure. To fight the problem The Ministry of Health in every part of the country, in collaboration with obstetric care providers, shall intervene on factors affecting obstetric fistula repair failure to reduce or prevent the failure of obstetric fistula repair.
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Affiliation(s)
- Neway Ejigu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Chala Kene
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Shelema Mengistu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Girma Geta
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Derese Eshetu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Shimelis Tadesse
- Department of Midwifery, College of Health Sciences, Mattu University, Ethiopia
| | - Telila Mesfin
- Department of Medicine, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
| | - Yohannes Tekalign
- Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
| | - Daniel Atlaw
- Department of Human Anatomy, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
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Seyoum K, Mesfin T, Debele G, Bekele K, Chimdesa B, Kebe D. Crepitus following a dog bite. Clin Case Rep 2023; 11:e7520. [PMID: 37305895 PMCID: PMC10256870 DOI: 10.1002/ccr3.7520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 03/28/2023] [Accepted: 05/29/2023] [Indexed: 06/13/2023] Open
Abstract
Crepitus following an animal bite is a rare case. We report a case of a 20-year-old man who presented to the surgical emergency department 1 h after being bitten by a medium-sized pet dog.
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Affiliation(s)
- Kenbon Seyoum
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | | | - Gosaye Debele
- Department of surgeryGoba General HospitalGobaEthiopia
| | - Kebebe Bekele
- Department of surgeryGoba General HospitalGobaEthiopia
| | | | - Debela Kebe
- School of MedicineGoba General HospitalGobaEthiopia
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Seyoum K, Mesfin T, Dadi S, Atlie G, Haji N. Upper airway obstruction following oropharyngeal bee sting: A case report. Trop Doct 2023; 53:291-292. [PMID: 36872872 DOI: 10.1177/00494755231159579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
There have been several reports globally of insect stings, which typically occur in the limbs, head, and neck. However, stings in the oropharynx and lower throat are rare but may be life-threatening. Clinical response to a sting range from minor local inflammation with or without envenomation to anaphylaxis. We describe a bee-sting occurring in Ethiopia and how this unpleasant and unusual incident was handled.
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Affiliation(s)
- Kenbon Seyoum
- Department of Midwifery, 233750Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Telila Mesfin
- School of Medicine, 233750Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Sisay Dadi
- School of Medicine, 233750Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Gela Atlie
- School of Medicine, 233750Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Nuri Haji
- School of Medicine, 233750Madda Walabu University Goba General Hospital, Goba, Ethiopia
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Mesfin T, Seyoum K, Tsegaye M, Mesfin E, Tilahun G, Atlie G. Bilateral Upper Limb Complete Phocomelia: A Case Report. Int Med Case Rep J 2023; 16:167-171. [PMID: 36942046 PMCID: PMC10024504 DOI: 10.2147/imcrj.s401298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 03/04/2023] [Indexed: 03/14/2023] Open
Abstract
Introduction Phocomelia is an uncommon congenital condition in which the hand or foot are normal or almost normal but the proximal section of the limb - the humerus or femur, radius or tibia, ulna or fibula -_is missing or noticeably hypoplastic. It refers to how the patient's limbs resemble marine creatures' flippers and its prevalence is 0.62 in 100,000 births. Case We present a 15-min-old male neonate born to a para-four mother who did not remember her LNMP but claimed to be amenorrheic for the past nine months. The mode of delivery was by cesarean section to extract alive neonate weighing 2.01 kg with APGAR scores of 5 and 6 at first and fifth minutes, respectively. The neonate did not cry and was resuscitated for five minutes. He was then transferred to neonatal intensive care unit for further management and investigations. His vital signs were pulse rate 160 beats per minute, respiratory rate 70 breaths per minute, temperature 33.4 degrees centigrade and saturation was 60% off oxygen. On HEENT anterior fontanelle measures 2 cm by 2 cm and has micrognathia and short neck. On the respiratory system, there were intercostal and subcostal retractions, labored breathing and grunting. On the musculoskeletal system there is bilateral upper extremity shortening, the right lower limb was normal in position and structure, the left leg rotated inward (bent in medially) at the knee joint and foot was normal in structure. Conclusion Phocomelia is a rare congenital anomaly in which the hand or foot are directly attached to the trunk. Ultrasonography should be done as early as possible to identify fetal anomalies in order to plan subsequent management.
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Affiliation(s)
- Telila Mesfin
- School of Medicine, Madda Walabu University Goba General Hospital, Goba, Oromia, Ethiopia
- Correspondence: Telila Mesfin, Tel +251931504321, Email
| | - Kenbon Seyoum
- Department of Midwifery, Madda Walabu University Goba General Hospital, Goba, Oromia, Ethiopia
| | - Mesfin Tsegaye
- School of Medicine, Madda Walabu University Goba General Hospital, Goba, Oromia, Ethiopia
| | - Eshetu Mesfin
- Department of Public Health, ICAP, Finfine, Oromia, Ethiopia
| | - Geda Tilahun
- School of Medicine, Madda Walabu University Goba General Hospital, Goba, Oromia, Ethiopia
| | - Gela Atlie
- School of Medicine, Madda Walabu University Goba General Hospital, Goba, Oromia, Ethiopia
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Mesfin T, Haji N, Seyoume F, Seyoum K, Mesfin E, Erdachew T, Ayane D, Badasa G, Soboka M. Supernumerary Kidneys Associated with Disorders of Sexual Development and Cloacal Anomaly: A Case Report. Int Med Case Rep J 2023; 16:193-199. [PMID: 36994442 PMCID: PMC10042168 DOI: 10.2147/imcrj.s403690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 03/19/2023] [Indexed: 03/31/2023] Open
Abstract
Introduction The term "disorders of sexual differentiation" refers to a variety of issues that result in the baby's genitalia being underdeveloped or showing characteristics shared by both sexes. Normal sexual development in utero requires a precise and coordinated spatiotemporal sequence of numerous activating and suppressing factors. Inadequate development of the bipotential gonad into an ovary or a testis is one of the most frequent causes of genital ambiguity (partial gonadal dysgenesis). One in every 50,000 babies suffers from cloacal anomalies, which makes it one of the rarest congenital malformations. The supernumerary kidney is an extremely uncommon congenital abnormality with less than 100 cases reported in the literature. Case We present five days old neonate admitted to the neonatal intensive care unit with a complaint of absence of anal orifice. The baby had not passed meconium within 48 hours after delivery, but the families later realized that meconium had been passing through the urethral orifice along with urine. The child was born to a 32-year-old para-four woman who claims to have been amenorrheic for the past nine months but could not recall her last regular period. On physical examination, the abdomen was grossly distended, and there was no anal opening other than just a dimple on the sacrococcygeal area, and the external genitalia appears female on inspection with labia majora well developed and no fusion. Conclusion Disorder of sexual differentiation is a clinically diverse set of diseases that interferes with the proper differentiation and determination of sex in the embryo and fetus. One in 50,000 live births results in cloacal abnormalities, which are extremely uncommon. Less than 100 examples of the supernumerary kidney have been documented in the literature, making it an exceptionally rare congenital anomaly.
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Affiliation(s)
- Telila Mesfin
- Department of Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia
- Correspondence: Telila Mesfin, Email
| | - Nuri Haji
- Department of Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Fikadu Seyoume
- Department of Pediatrics, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Eshetu Mesfin
- Department of Public Health, ICAP, Finfine, Oromia, Ethiopia
| | - Tsegaye Erdachew
- Department of Nursing, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Daniel Ayane
- Department of Nursing, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Gadisa Badasa
- Department of Nursing, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Moisan Soboka
- Department of Nursing, Madda Walabu University Goba General Hospital, Goba, Ethiopia
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Mesfin T, Debele G, Seyoum K, Dadi S, Tsegaye M, Gomora D, Kene C, Tolosa G. Tongue Abscess: A Case Report. Int Med Case Rep J 2022; 15:769-772. [PMID: 36605725 PMCID: PMC9809373 DOI: 10.2147/imcrj.s399020] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 12/29/2022] [Indexed: 12/31/2022] Open
Abstract
Introduction Abscess of the tongue is a very rare disease that potentially compromises the airway. Acute tongue abscess symptoms include swelling or a lump in the deep tissues of the tongue, throbbing local pain, a discomfort that radiates to the ears, fever, difficulty swallowing, deliberate fixation of the tongue due to pain, and eventually, difficulties breathing. Case This is a 50-year-old male patient who presented with a complaint of severe tongue pain and swelling of three days duration. Associated with this, he had pain while swallowing, difficulty opening his mouth, shortness of breath, and drooling saliva. Likewise, he had a high-grade fever and a global type of headache. On physical examination, there was significant tongue swelling on the left anterolateral area, fluctuant on palpation, and had erythematous border. After informed consent was taken the patient was transferred to the operation room with the diagnosis of tongue abscess. Subsequently, incision and drainage were done under general anesthesia, and about 30mL of thick pus was drained. The pocket was washed with normal saline and 2% hydrogen peroxide. The patient was transferred to the surgical ward with stable vital signs and had been on antibiotics. He was discharged after two days of hospital stay. Conclusion Abscesses in the tongue are quite uncommon due to its rich vascular supply, lymphatic drainage, and saliva's immunologic advantage. Thorough diagnosis and successful treatment of tongue abscess prevent potential airway compromise. Antibiotic treatment should cover gram-positive and gram-negative anaerobes.
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Affiliation(s)
- Telila Mesfin
- Department of Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia,Correspondence: Telila Mesfin, Tel +251931504321, Email
| | - Gosaye Debele
- Department of Surgery, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Sisay Dadi
- Department of Internal Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Mesfin Tsegaye
- Department of Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Chala Kene
- Department of Midwifery, Madda Walabu University Goba General Hospital, Goba, Ethiopia
| | - Gudisa Tolosa
- Department of Medicine, Madda Walabu University Goba General Hospital, Goba, Ethiopia
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Mesfin T, Tekalegn Y, Aman M, Geta G, Ketema A, Defere F, Girma D, Tsegaye M, Mengistu T, Seyoum K. Ingestion of Metallic Materials Found in the Stomach and First Part of the Duodenum of a Schizophrenic Man: Case Report. Int Med Case Rep J 2022; 15:681-684. [DOI: 10.2147/imcrj.s386883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 11/16/2022] [Indexed: 11/25/2022] Open
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Abstract
The wide variety of traditional veterinary practices maintained within different ethnic groups provides an indication of the potential usefulness of this neglected knowledge for the Ethiopian livestock husbandry. In Ethiopia, as in other countries, traditional veterinary medicine involves the work of bone-setters, midwives, religious healers and people who claim the ability to communicate with devils. The knowledge of pastoralists in the areas of tick control, recognition of toxic plants, traditional surgery and traditional vaccination methods is described. Efforts by a Chinese veterinary team to promote traditional Ethiopian veterinary practices have been encouraging. Further evaluation of traditional veterinary practices is recommended as a condition for the integration of these practices with those of modern veterinary medicine. It is also suggested that this evaluation be coordinated and encouraged by the Veterinary Service of the Ministry of Agriculture in Ethiopia.
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Affiliation(s)
- T Mesfin
- Asela Veterinary Laboratory, Ethiopia
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Mengiste B, Mesfin T, Egziabher BG, Duarte CL. Cattle poisoning and mortality associated with tortoise clostridial toxicity in the Beletu District of Ethiopia. Trop Anim Health Prod 1990; 22:195-6. [PMID: 2219457 DOI: 10.1007/bf02241016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- B Mengiste
- Animal and Fishery Resource Development Department, South Eastern Agricultural Development, Addis Ababa, Ethiopia
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