Ethiopian medical journal (Ethiop Med J)

Publisher: Ethiopian Medical Association

Current impact factor: 0.00

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2005 Impact Factor 0.128
2004 Impact Factor 0.174
2001 Impact Factor 0.103
2000 Impact Factor 0.149
1999 Impact Factor 0.102
1998 Impact Factor 0.086
1997 Impact Factor 0.169

Impact factor over time

Impact factor

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
Other titles Ethiopian medical journal
ISSN 0014-1755
OCLC 1777978
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Cardiovascular diseases are leading causes of mortality worldwide. Specific etiologies vary in different regions and these variations are explained by the concept of Epidemiologic transition. Objectives: To describe the pattern of echocardiographically detected cardiac diseases among patients who presented to Cardiac clinic of Ayder referral hospital and to analyze associations of cardiac diseases with age and economic status. Methods: A retrospective review of records of adult patients who had echocardiographic study at Cardiac Clinic of Ayder referral hospital from September 2011 to June 2013 was made. The collected data was analyzed using SPSS Version 21. Results: Total of 1028 echocardiograms were reviewed. The mean age of the patients was 50.6 (sd =18.7) years with male to female ratio of 0.93. Commonest echocardiographic abnormality was Valvular heart disease (44.6%), with rheumatic in younger and degenerative etiologies in older age groups. Diastolic heart failure accounted for 31.9% of abnormal studies, 60.4% of which were ascribed to hypertensive heart disease. Pulmonary hypertension of any etiology was diagnosed in 32.6% of the cases. Among patients with rheumatic heart diseases, co-occurrence of Mitral and Aortic valve disease was the commonest. Conclusion: Valvular disease was the most common echocardiographic finding among adult cardiac patients in the study area.
    Ethiopian medical journal 09/2015; 52(4):173-83.
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    ABSTRACT: Vitelline duct anomalies (VDA) are rare complications of persistent omphalomesentric duct or vitelline duct connecting the developing embryo with the yolk sac. VDA can be asymptomatic (detected incidentally) or symptomatic, most common of which is Meckel's diverticulum. A patent vitelline duct is the. most common symptomatic presentation in African children and we present here a four day old neonate with patent vitelline duct with ileal prolapse. The neonate was operated with the patent vitelline duct and gangrenous ileum resected and end to end ileal anastomosis done.
    Ethiopian medical journal 09/2015; 52(4):207-10.
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    ABSTRACT: Introduction: Preterm premature rupture of membranes is a common complication of pregnancy associated with significant maternal, fetal and neonatal risks. An understanding of its magnitude and consequences is critical in providing appropriate intervention to prevent poor pregnancy outcomes. Objective: To describe maternal and perinatal outcomes of preterm premature rupture of membranes at Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Methodology: A Retrospective cross-sectional descriptive study done at Tikur Anbessa Hospital from June, 2010 G.C. to June, 2013 G.C. Results: The prevalence ofpreterm premature rupture of membranes in this study was 1.4%. Intra-amniotic infection, seen in 31.5% (35/111), was the commonest maternal complication. The mean latency period from rupture of membranes to delivery was 6.6 days. Twenty-six (23.2%) neonates were delivered by cesarean section. There were a total of 12 perinatal deaths, 4 (3.6%) stillbirths (2 antepartum and 2 itrapartum) and 8 (7.1%) early neonatal deaths, making the gross perinatal mortality rate to be 107 per 1000 live births. Prematurity was the commonest cause of neonatal death. Conclusion and recommendations: Although the prevalence of preterm premature rupture of membranes in this study appears lower than many prior reports, the level of maternal and perinatal morbidity is high compared to many prior reports from similar setups. Especially the proportion of mothers presenting with established chorioamnionitis is high. Therefore, it is important that women be well informed regarding maternal, fetal and neonatal complications ofpremature rupture of membranes so that proper and timely management is provided.
    Ethiopian medical journal 09/2015; 52(4):165-72.
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    ABSTRACT: Lymphoma management begins with an accurate diagnosis & staging. Major advances in imaging techniques, make cross sectional imaging and nuclear medicine technique an excellent tool for patient work up. However, limited access to modern imaging modality in resource limited set up and luck of standardized imaging work up challenged patient's management. Assess the local lymphoma imaging work up and management challenges in patients with lymphoma and develop local imaging and reporting guideline. A semistructured qualitative interview to six conveniently selected physicians (hematologists, oncologists & pathologists) who primarily takes care of lymphoma patient and literature review on the role of various imaging modalities, recommendation and experience of other countries were used as a methodology Conventional and basic imaging modalities are used in the work up of patient in our set up. The imaging recommendation for these patients requires at least CT of the chest, abdomen and pelvis for initial diagnosis and FDG-PET and/or PET-CTfor follow up and recurrence. Due to the comparable diagnostic potentials of US and its wide spread availability, makes US still the primary imaging modality. Luck of required information's and inconsistency in the radiologists report found to challenge physicians in their patient management. The study concluded that US should still stay as the most important imaging modality in the initial treatment, staging and follow up patients in resource limited set up. It also recommended the general imaging work up and reporting framework.
    Ethiopian medical journal 09/2015; 52(4):197-206.
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    ABSTRACT: The global burden of communicable diseases (CD) and non-communicable diseases (NCD) in low and middle-income countries (LMICs) likely stems from a common substratum of societal and system inadequacies. In order to appropriately control these conditions and to manage the determinants and deterrents of both CDs and NCDs related deaths and disabilities, joint strategies aimed at both systemic and population levels are warranted. Although deficiencies exist within the health systems of LMICs, assets which could be leveraged efficiently to produce desirable outcomes also abound. Significant changes are already taking place through health initiatives within LMICs, opening up opportunities for further success through the involvement of international agencies. The role of these agencies, including donor countries and LMICs' Diaspora, is to strengthen and support the opportunities offered by on-going changes at the country level. There is a need to better understand and support the drivers and processes of positive change within LMICs in order to harness them for more widespread benefit through scale-up efforts. Strategies for addressing CDs and NCDs should be devised and implemented as complementary rather than competing 'sides of the same coin'.
    Ethiopian medical journal 09/2015; 52(4):185-8.
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    ABSTRACT: Background: Adnexal torsion remains a challenging diagnosis, often leading to delayed operative intervention and resultant ovarian loss. Objective: To describe the clinical profile and therapeutic approaches of adnexal torsion in the Ethiopian setting. Methods: A retrospective cross sectional descriptive chart review ofwomen with surgically proven adnexal torsion was conducted in two teaching hospitals from Jan 1 2007 - Dec 31, 2011. Results: A total of 53 women with AT were analyzed. About 33(62%) of torsion occurred in the age group of 20 - 29 years. The most common symptoms were lower abdominal pain 52 (98.1 %) followed by nausea and vomiting 46 (86.8%), whereas, the common physical findings were lower abdominal tenderness 49(92.5%) and palpable pelvic mass 40 (76.9%). Adnexal torsion was considered in the diferential diagnosis upon initial evaluation only in 27 (51%) of the cases. Of the study subjects, only 7(13.2%) had surgery within 24 hours of arrival to the facility and the mean time from initial evaluation to surgery was 53.8±44.5 hours. Moderately positive correlation was observed between ultrasound and intra-operative adnexal size measurement (r = 0.716, p = 0.000). Using non-parametric independent sample test, none of the clinical profile categories studied show significant difference in mean time from initial evaluation to surgery. Despite the overwhelmingly benign pathology, most 46 (86.8%) ofpatients underwent adnexectomy_with only 3(5.7%) adnexal salvage rate. Conclusion: Delayed surgical intervention and low ovarian salvage rate inspite of predominantly benign pathology was observed. Therefore, high degree of suspicion, especially in patients with high risk factors, and timely intervention must be exercised in an effort to salvage the adnexae.
    Ethiopian medical journal 09/2015; 52(4):155-64.
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    ABSTRACT: Background: Acute appendicitis is the most common cause of acute abdomen in children. The rate of appendicular perforation may be related to duration from the onset of symptom presentation to treatment. Objective: To describe the clinical characteristics and assess symptom duration as a risk factor for perforation in children with acute appendicitis. PATENTS AND METHODS: A retrospective analysis of medical records of 322 children under 15 years of ages with intraoperative diagnosis of acute appendicitis between the periods of September 2006 and August 2010. Results: Acute appendicitis accounted for 87.5% of all cases of acute abdomen during the study period. Two hundred patients were boys and 122 patients were girls giving male to female ratio of 1.6:1. The mean and median ages were 10.4 and 11 years respectively. The youngest patient was 3 years old. The peak age range was 10-14 years. The most common presenting symptoms were abdominal pain (100%), anorexia (85.1%), vomiting (83.9%), and fever (82.3%). Right lower quadrant tenderness was the leading physical finding observed in 83.9% of patients. The mean duration of symptoms in children with non-perforated appendicitis was 2.5 days whereas the mean duration of symptoms in children with perforated appendicitis was 5.2 days. The mean length of hospital stay in children with non-perforated appendicitis was 3.6 days whereas the mean length of hospital stay in children with perforated appendicitis was 8.4 days. Leucocytosis was observed in 74.5% of children and the mean leucocyte count was 13150/mm3. The incidences of perforation if symptoms were present for less than 24 hours, 24-48 hours and more than 48 hours were 4.1%, 10.2%, and 45.3%, respectively. Postoperative wound infection was observed in 1.9% and 31% of children with non-perforated and perforated appendicitis, respectively. Two children died in the hospital. Conclusion: Acute appendicitis was the commonest cause of acute abdomen in children. It was more prevalent in children aged 10-14 years. The commonest presenting symptoms and signs were abdominal pain, anorexia, vomiting, and fever and right lower quadrant tenderness. The risk of perforation is directly proportional to the duration of illness at presentation. Perforated appendicitis was associated with increased morbidity, mortality and prolonged hospital stay.
    Ethiopian medical journal 09/2015; 52(4):189-95.
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    ABSTRACT: The need for ethics review committees (ERCs) is imperative in the conduct of research to ensure the protection of the rights, safety and well-being of research participants. However, the capacities of most ERCs in Africa are limited in terms of trained experts, competence, resources as well as standard operating procedures. The aim of this report is to share experiences of one of the local institutional ERCs, the Armauer Hansen Research Institute (AHRI)/All Africa Leprosy and Tuberculosis Rehabilitation and Training Center (ALERT) Ethics Review Committee (AAERC), to other ERCs found in academic and research institutions in the Country. In this report, we used an empirical approach to review archived documents of the AAERC Secretariat to assess the Committee's strengths and weaknesses. The experiences of the AAERC in terms of its composition, routine work activities, learning practices and pitfalls that require general attention are summarized. In spite of this summary, the Committee strongly acknowledges the functions and roles of other ERCs in the Country. In addition, an independent assessment of the Committee's activity in general is warranted to evaluate its performance and further assess the level of awareness or oversights among researchers about the roles of ERCs.
    Ethiopian medical journal 03/2015; 53 Suppl 1:15-24.
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    ABSTRACT: Mediccil malpractice is professional negligence by a healthcare provider in which the treatment provided falls below the starndard and causes injury or death to the patient. To describe the adverse medical events, claims and decisions taken by the Ethiopian Health Professionals Ethics Committee at the Federal level. A three-year report of the Ethics Committee and relevant documents of proclamations and regulations were reviewed. Between January 2011 and December 2013, the committee reviewed 60 complaints against health professionals. About one third of the complaints were filed by the patients and/or their families, about 32% by the police or court and the rest were filed by Addis Ababa health bureau, health professionals and other unrelateed observers. Thirty-nine complaints were related to death of the patient and 15 complaints were about disability. Twenty-five of the claims were against Obstetric and Gynecology specialists and 9 were against general surgeons. The committee verified that 14 of the 60 claims hadethical breach and/or negligence (incompetence). The committee took reasonable time to review complaints and respond the concerned authorities. The study showed that of the total claims lower than a quarter (23.3%) were proven beyond the benefit ofdoubt. More than 3/4 (76.7) of the complaints were wrong. Hospitals should lead in preventing patient injury. Creation of more awareness among Obstetrics and Gynecology specialists, General and Orthopaedic Surgeons about medical errors is needed and special training should be those joining these specialities.
    Ethiopian medical journal 03/2015; 53 Suppl 1:1-6.

  • Ethiopian medical journal 03/2015; 53 Suppl 1:2 p preceding 1.

  • Ethiopian medical journal 01/2015; 53(1):39-42.