Internal Medicine

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Browsing Internal Medicine by Author "Abdu Mengesha"

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    Prevalence and Complications of Elective Myomectomy in Three Teaching Hospitals in Addis Ababa, Ethiopia: a Retrospective Cross-Sectional Study
    (Addis Ababa University, 2024-10-13) Siraj Awel; Abdu Mengesha
    Myomectomy, which is a surgical removal of myoma (uterine fibroid), is one of the most commonly done gynecological procedures and the most common indication for hysterectomy worldwide. The procedure could be done for multiple indications, including abdominal pain, abnormal uterine bleeding and abdominal mass, infertility, and recurrent miscarriages. Even though the procedure is considered to be safe, complications still arise, including hemorrhage, infections, fever, conversion to hysterectomy, blood transfusion, venous thromboembolism, and organ injuries depending on the size, number, and location of myomas.
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    Protocol Based Breaking Bad News: Awarness and Practice among Resident Physicians Working in Tikur Anbessa Specialized Hospital, College of Health Science, Addis Ababa University
    (Addis Ababa University, 2023-08-19) Amir Nuri; Abdu Mengesha
    Effective communication is at ‘the heart of the art of medicine, and it is recognized that in developing countries, with inefficient health care systems, the emphasis to foster better communication is lacking. Skillful delivery of bad news can provide comfort for the patient and family. There is a widespread problem with physicians’ and students’ skills and knowledge on standardized ways of Breaking Bad News (BBN). Improvements are needed on knowledge, attitude, skill and practice of protocol-based BBN such as the Setting, Perception, Innovation, Knowledge, Emotion, Summary and strategy (SPIKES) protocol. Data regarding practicing such protocols is little in Ethiopia and in developing countries as a whole. This study will determine resident physician’s awareness and practice of protocol-based BBN in the different specialty fields of Tikur Anbessa Specialized Hospital (TASH), and serve as an evidence-based input to improve medical curriculum design
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    Short Term Maternal & Neonatal outcome of Operative Vaginal Delivery among Mothers who Gave Birth at Three Teaching Hospitals in Addis Ababa: a Cross-Sectional Study
    (Addis Ababa University, 2024-07-05) Aweke Belay; Abdu Mengesha
    Operative vaginal deliveries (OVD) are obstetric forceps or vacuum-assisted vaginal births carried out by trained healthcare professionals to speed up the second stage of labor. OVD is carried out when there is a sign of a disorder affecting the mother or the fetus or whenever there is a threat to the mother or the fetus that could be mitigated by second-stage intervention. Fetal distress, protracted labor, maternal tiredness, and any conditions where the mother would not be a good candidate for the Valsalva maneuver are common indications for the use of obstetric forceps and vacuum. OVD can cause severe maternal, neonatal morbidity and even mortality, especially in poor countries like Ethiopia.