https://repository.ju.edu.et//handle/123456789/192 2026-04-27T19:00:59Z https://repository.ju.edu.et//handle/123456789/10120 Practice and Management Outcome of Abdominal Trauma at Jimma Medical Center, Southwest Ethiopia. Abdulhakim Abduljebar; Wongel; Tadesse Introduction: Trauma is the leading cause of morbidity and mortality across the world. Majority of trauma related death occur because of bleeding from intra-abdominal injuries, which are preventable. To improve patients’ morbidity and mortality related to abdominal trauma knowledge update on the local pattern of abdominal injuries’, practice of management and patient outcome is essential. Objective: This study aimed at assessing patterns of practice and management outcomes of abdominal trauma patients admitted to JMC, General Surgery in patient ward from January 1, 2021, G.C. to December 31, 2023, G.C. Methods: A single institution based; retrospective cross-sectional study design was employed. A pretested structured data extraction checklist developed, and 126 patients admitted between January 1, 2021, G.C. to December 31, 2023, G.C. medical record charts reviewed and data on Sociodemographic, Circumstance of injury and clinical presentation, and pattern of management and patient outcome extracted. Result: the current study examined 126 patients medical record charts. Seventy-two percents of patients were from rural and male patients accounted for 85%. Blunt abdominal trauma (76%0 was the most frequently observed trauma type and road traffic accident (56%) was the main cause of injury. More than half of the patients had concomitant extra-abdominal trauma and chest (27.0%) was more frequently involved part. The mortality rate from abdominal trauma was 6.34% and 62.5% death were among patients with blunt trauma. Complication during the current hospital stay occurred in 13.5% and the mean length of hospital was 12.8 days. 2024-12-07T00:00:00Z https://repository.ju.edu.et//handle/123456789/9569 Assessing Knowledge, Attitude and Perception of Oral And Maxillofacial Surgery Specialty among Jumc Medical Professionals Wabi Tola; Walbek Assefa; Abeje Kebede Background : Oral and maxillofacial surgery specialty has grown rapidly in Ethiopia in recent years. However, the healthcare professionals specifically medical professionals remain unaware of its expanding scope of practice. This study aimed to assess professionals (dental and medical)knowledge, attitude and perception toward the oral and maxillofacial surgical specialty in JUMC. Methods : This study used a descriptive survey method to collect quantitative data from dental interns, medical interns, dental general practitioners, and medical general practitioners at Jimma University Medical Center. The study was conducted between March and April 2024, and a sample of 198 participants was selected using simple random sampling. A self-administered questionnaire was used to collect data, and descriptive and inferential statistical analysis was performed to analyze the data and understand the knowledge, attitude, and perception of medical professionals.. Results: The data reveals that a high percentage of participants demonstrated knowledge in different aspects of oral and maxillofacial surgery (OMFS). For example, 197 participants (99.5%) were aware that OMFS is a specialty branch of dentistry, and 195 participants (98.5%) recognized various treatment modalities offered by OMFS. Moreover, 160 participants (80.8%) knew that oral and maxillofacial surgeons have advanced their surgical skills, extending their expertise from tooth extraction to microvascular reconstruction of jaw defects. However, there were areas where participants showed less certainty, such as 22 participants (11.1%) being unsure about the management of common oral and maxillofacial conditions, and 62 (31.3%) and 67 (33.8%) participants being unsure about the roles of oral and maxillofacial surgeons in treating facial fractures and lacerations, respectively. Additionally, the data reveals that 15 participants (7.6%) were unaware of the growing usage of orthognathic and cosmetic surgery in the area, and 37 participants (18.7%) were unaware of the progress of surgical abilities in oral and maxillofacial surgery. Conclusions and recommendation: Participants generally demonstrate a high level of knowledge and awareness OMFS, but there are areas of uncertainty. Ongoing education is needed to address knowledge gaps. Positive attitudes towards OMFS and interdisciplinary collaboration exist, but acceptance of patient referrals to OMFS can be improved. Recommendations include targeted education, promoting collaboration, addressing misconceptions, and enhancing understanding among healthcare professionals to enhance patient care and outcomes. 2024-04-06T00:00:00Z https://repository.ju.edu.et//handle/123456789/9568 Assessment of Satisfaction of Surgical Patients Admitted To Elective Surgical Wards of Jimma University Medical Center, Jimma, South – West Of Ethiopia: Cross-Sectional Study From June 1, 2023 to August 30, 2023 G.C Muluken Tekle; Dabessa Mosissa; Mohammed Merga Purpose:The purpose of this study was to evaluate the degree of patient satisfaction with healthcare services at JUMC among patients undergoing elective surgery and to identify the variables influencing this satisfaction. Method and materials: A cross-sectional study was undertaken to assess the satisfaction level surgical patients in the surgical elective ward who were admitted at JUMC during the study period (June, 2023 to August, 2023). A pre-tested, structured and Amharic and Oromiffa version questionnaires was used to interview patients from elective surgical wards. Data was collected by self -administered questioners for patients who can read and write the questionnaire languages, otherwise it was collected by interviewing the patients by trained health workers. Data entry and analysis done by IBM SPSS statistics version 26, Descriptive statistics, cross tabulation and logistics regression analysis done to describe the outcome variables. Result: A total of One hundred and seventy three(173) patients were underwent this survey during the study period. Seven patients were excluded due to refusal to participate in the study. Ninety one (52.6%) patients were males. The minimum, maximum and median age of the patients were 16, 80 and 40 years respectively. The patients came from both rural and urban areas comparably (urban, n=86, 49.7%, rural n=87,50.3%). Eighty three patients were illiterate (48%), primary education 20.8% (grade 1 to 8, write and read), secondary education 31 (17.9%), certificate, diploma and above 23 (13.3%). The overall level of patient satisfaction with perioperative surgical Services at the JUMC was 115(66.5%). Inaccessibility of pharmacy and laboratory services 35.8% dissatisfaction and the fairness of medication and investigation costs 39.3% dissatisfaction On multivariate regression analysis patients who were from urban area are 59.6% less satisfied compared to those of rural (P=0.019, AOR=0.0404, CI=0.189 0.862).patients who were informed about the possible complications of the surgery were 2.96 times more satisfied compared to those who were not informed (PV=0.009, AOR=2.96, CI=1.307-6.708). Conclusion: The overall satisfaction of elective surgical patients low because of lack of proper information about their diagnosis, about the anticipated procedure and post op.complications which should be given emphasis on informing and educating our patients about their condition and planed treatment. There was also significant dissatisfaction with regard to accessibility of investigations, pharmacy services and their cos which needs administrative intervention 2023-11-06T00:00:00Z https://repository.ju.edu.et//handle/123456789/9567 Clinical Profiles and Surgical Outcome Of Hypospadias Repair in Pediatric Surgery at Jimma University Medical Center, Jimma, Ethiopia Yosef Lemma; Gersam Abera; Seifu Alemu Background: Hypospadias is one of the most common birth defect standing second after cryptorchidism in male. Surgery is the only effective treatment for hypospadias. If hypospadias is not managed appropriately and timely, it will affect the patient’s psychological, emotional and sexual well-being. Despite advent of safe anesthesia, and advanced surgical techniques, the incidence of postoperative complication is significant and it remains a great challenge for pediatric urologists and surgeons. Studies regarding hypospadias pattern and outcome are lacking in Low and middle income countries including Ethiopia. Thus this study was conducted to assess the clinical profiles and outcomes of hypospadias patients who underwent surgery at Jimma University Medical center (JUMC) Pediatrics surgical unit. Methods: This is a descriptive cross-sectional study conducted at JUMC on all pediatric patients who underwent surgery for hypospadias between 1 May 2018 and 30 April 2023. Predesigned extraction checklist was utilized for data collection and SPSS version 24 was used for data entry and analysis. Results: A total of 86 patients, who were operated for hypospadias, were included by fulfilling the selection criteria. The mean age at surgery was 3.7yr (Range, 4months-14 years) and only one-third, 27(31.4 %) patients were operated on in the recommended age group (6 18 months). Anterior/distal hypospadias was the most common 37(43%) followed by Middle, 36(42%). The majority had chordee 46(53.5%) and 35(76.1%) were severe forms. Tubularized incised plate repair 51(59.3%) was the major surgical technique employed for anterior and middle hypospadias, while staged urethroplasty was used in 20(23.5%) of patients mostly with posterior hypospadias. Post-operative complications occurred in 30(34.9%) patients and the commonest was urethrocutanous fistula 15(50%). No significant correlation was found between the occurrence of these complications and other factors. Conclusion: Most patients were presenting lately for hypospadias repair and anterior hypospadias was the most common type of hypospadias. Recommendation: Public awareness creation concerning hypospadias should be done. 2023-10-06T00:00:00Z