Browsing by Author "Abebe Sintayehu"

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    Ambulatory Blood Pressure Control Pattern in Hypertensive Patients at Tikur Anbesa Specialized Hospital: A Cross Sectional Study
    (Addis Abeba University, 2021-05) Alemayehu Mulualem; Abebe Sintayehu; Yadeta Dejuma; Alemayehu Bekele
    Background: Hypertension is the most common cardiovascular problem globally with a particularly increasing burden in developing countries like Ethiopia. Ambulatory blood pressure (ABPM) is superior to office blood pressure (OBP) measurement for diagnosing, prognosticating and following treatment efficacy for hypertension. There is no available data on ABPM control pattern in Ethiopians. This study will determine the ABPM control patterns in Ethiopian hypertensive patients on treatment. Material and Methods: This was a cross sectional study in hypertensive patients at Tikur Anbessa Specialized Hospitals outpatient departments carried out during January to May 2021. ABPM values of 244 consecutively sampled patients were analyzed. All patients had their BP monitored over 24 h with a Tonoport V (GE CS V6 71), and the data was interpreted using GE CardiosoftTM ABPM software in accordance with European Society of hypertension guidelines. Ethical clearance was given by Addis Ababa University Institutional Review Board and the study was conducted in compliance to standard ethical guidelines. Results: The study involved 244 adult hypertensive patients; mean age of the patients was 59.4years and, 54% were females. 58.6% of patients had controlled OBP, while only 45.1% had controlled ABPM. The mean OBP was 137 (19)/81 (10) mmHg and mean 24-hr ABP was 137 (16)/81 (10) mmHg; mean daytime BP was 136/79 ± 17/11 mmHg; mean night-time BP, 138/84 ± 16/11 mmHg. Mean ABPM values were not significantly different between men and women. Comparison of ABPM values with OBP revealed high prevalence of the white coat effect (32%) and masked uncontrolled hypertension (46%). Presence of comorbidities particularly diabetes predicted poor ABPM control. Conclusion: More than half of patients had uncontrolled BP as per ABPM criteria and significant discrepancy exists between ABPM and OBP in assessing adequacy of BP control. Guiding management decisions using ABPM can improve BP control rates.
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    Factors Influencing the Performance of Pilgrimage and Heritage Tourism: The Case of Lalibela, Ethiopia
    (A.A.U, 2021-06) Abebe Sintayehu; Mitiku Meskerem
    Ethiopia, registered 13 tangible and intangible cultural and natural heritages under UNESCO world heritage list, that makes the country one of the few highly gifted with natural and historical tourism resources. However, although having better tourist destinations, and unique in historical heritages sites like Lalibela, Ethiopia is lagging behind other East African destinations. The rate at which the economic potential accrue to a destination significantly depends on various factors such as the tourist attraction site itself, hospitality of various stockholders, transport service, facilities like hotels, resorts, restaurants, shops and soon. Although the current multibillion dollar project on Gorgora, Koyesha, and Wenchi could create new natural tourist destinations, these would not complement the heritage tourism rather it would create competition. The positive experience with the tourist services and other facilities given by specific tourism destination, can encourage tourist memory and such travel experience can enhance the reliability to the destination. Therefore, it is essential for the management of tourist destinations to provide the best service for their respective tourists’ in encourage the creation of satisfaction and loyalty to tourists that can encourage increasing revenue and profits for tourist destinations. This paper using descriptive type study with both quantitative and qualitative research, assess the factors that influence the heritage and pilgrim tourism of Lalibela. Nonprobability convenience sampling and random sampling technique was used to select samples domestic and international tourists. The final finding uncovers that even though the country has very popular and unique destination, which is preferred by many tourists to visit frequently, increasing tourist satisfaction and overall performance is highly dependent on attraction, and facilities while transport and hospitality has also impact.
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    Prevalence of Cardiovascular Risk Factors in Systemic Lupus Erythematous Patients Having Rheumatology and Renal Clinc Follow Up
    (Addis Ababa University, 2024-03) Kindu Adugnaw; Abebe Sintayehu; Demelash Birhanu; Getachew Nebyu