Notes

Wide spread complement amounts throughout individuals with age-related macular damage having exceptional as well as reduced regularity variations within the CFH gene.
Responsiveness is one of the intrinsic goals of health systems. This study aimed at assessing the responsiveness of inpatient care in accordance to nurses' perspectives, particularly in internal medicine 'medical' and surgical departments, at the Gazan public general hospitals in 2020.

This cross-sectional descriptive study was conducted at 5 public general hospitals in Gaza. Data were collected from 277 nurses using an interview-based questionnaire composed mainly of 36 items to measure responsiveness on a 4-point Likert scale. Descriptive statistics, independent t-test and analysis of variance (ANOVA) using SPSS 22.0.

The overall responsiveness was about 77.5%. Access to social support was the highest-performing domain but it was the less important. Dignity was the second-highest in performance but the most important domain. Choice of provider and quality of basic amenities were almost the lowest in both performance and importance. Hospital, marital status, educational level, position at work, income,s need to emphasize on better allocation of budget for client-orientation domains of responsiveness as well. Hospital characteristics had a pivotal role in creating significant differences among respondents. Likewise, socioeconomic status and cultural diversity of nurses led to significant variations in their responses, hence, this calls for robust and well-designed researches, including non-public hospitals, to determine the most influential factors.
Non-motor symptoms (NMSs) of Parkinson's disease (PD) were often overlooked and less studied. Little is known about NMSs in Ethiopia. The aim of the study was to determine the prevalence of NMSs and associated factors.

A multi-center cross-sectional observational study was conducted. NMS questionnaire was used to screen for the NMSs. Both descriptive and analytical statistics were used to analyze the data.

Total of 123 PD patients with median of 4 years were investigated. The mean age of PD patients was 62.9 years. The mean age of PD onset was 58.3 years. In 23.6% the age of onset was below age 50. Males accounted 72.4%. click here Majority of the patients were on Levodopa alone and 31.7% were on levodopa plus trihexyphenidyl. Longer duration of illness was associated with frequent occurrence of NMSs. Constipation was the commonest NMS (78%), followed by urinary urgency (67.5%) and nocturia (63.4%). An unexplained pain was reported by 45.5 %, cognitive impairment (45.5%), and sleep disturbance was reported by 45.5% of the study participants. Neurophysciatric symptoms were reported by small proportion of the patients. Lower monthly earning was associated with swallowing problem, unexplained weight change, and lighheadness.

The prevalence of NMS was high among PD patients in Ethiopia. Constipation was the commonest NMS. Longer duration of illness was associated with frequent occurrence of NMSs. Lower monthly earning was associated with swallowing problem, unexplained weight change, and lighheadness.
The prevalence of NMS was high among PD patients in Ethiopia. Constipation was the commonest NMS. Longer duration of illness was associated with frequent occurrence of NMSs. Lower monthly earning was associated with swallowing problem, unexplained weight change, and lighheadness.
Visual health is linked to school achievement, quality of life and productivity. But eye screening in school children is not routinely done in most Ethiopian schools. This study was done to determine prevalence and pattern of ocular morbidity among school children in Roman Dega-Kedida, Southern Ethiopia.

This was a cross-sectional study. All children aged 16 years or less, attending the school during the study period were included. Data entry and statistical analyses were performed using SPSS Version 16. A P - value of < 0.05 was considered statistically significant.

A total of 778 children participated in this study. The female to male ratio was 1.061. The mean age was 11.34(±2.31) years. A total of 201 (25.8%) children had ocular morbidities. The most common was trachoma found in 85(10.9%). Of these, 49(56.5%) had active trachoma, while 37(43.5%) had either trachoma scar or trachomatous trichiasis. Allergic conjunctivitis was found in 49(6.3%), refractive error in 37(4.8%), and xerophthalmia in 17(2.2%) children. Visual impairment in one or both eyes was found in 41(5.3%) children. Thirty-two children (4.1%) had bilateral Visual impairment of which 6(18.8%) had moderate to severe visual impairment. The cause of visual impairment was refractive error in 37(90.2%), corneal opacity in 3(7.3%) and cataract in 1(2.4%) child.

Most of the ocular diseases observed were either preventable or treatable. Health education to the community and establishing regular school screening program is recommended.
Most of the ocular diseases observed were either preventable or treatable. Health education to the community and establishing regular school screening program is recommended.
The objective of the study was to report on the main parameters of ocular biometry and Intraocular lens (IOL)power of patients attending a cataract surgical campaign in Eastern Ethiopia.

The study was a cross-sectional study on 765 eyes which were eligible for cataract surgery during a mass cataract surgical campaign conducted from April 04 to April 10, 2018 at Bisidimo Hospital, Eastern Ethiopia. Ocular biometric parameters were measured by automated keratorefractometer and Sonomed A-Scan (Model 300AP) using contact applanation method. Multiple linear regression analysis was done to determine association of ocular biometry components with socio demography of the study subjects.

The mean corneal curvature and anterior chamber depth (ACD, measured from corneal epithelium to lens) were found to be 7.61 mm and 2.88mm respectively. The mean axial length was estimated to be 22.98 mm. The mean refractive power of IOL was calculated to be 19.34D. The mean axial length in females was shorter than that of males by 0.24 (P - value = 0.01). The mean ACD in males was also larger than that of females by 0.1 (P - value = 0.001).

This study provided a larger population based normative data on ocular biometry in Ethiopia. The female sex was a strong predictor of small axial length. Increasing age had no effect on axial length but was found to be a stronger predictor of shallow ACD.
This study provided a larger population based normative data on ocular biometry in Ethiopia. The female sex was a strong predictor of small axial length. Increasing age had no effect on axial length but was found to be a stronger predictor of shallow ACD.
Typhoon is the most common disaster in the Philippines and lead to injury, death, and damage to property. Although public hazard education is conducted with considerable effort, the disaster preparedness of society is low. Thus, this study aimed to assess the cognitive factors of typhoon preparedness among public high school students in the Philippines.

A descriptive correlation design was used to determine the relationship between cognitive with typhoon preparedness of grades nine and ten public high schools' students. Nine hundred thirty-three students were selected through purposive sampling from disaster prone areas of the Philippines.

The grand mean and standard deviation (M = 3.03, SD = .338) result revealed that the respondents' cognitive factors in terms of perceived severity, susceptibility, self-efficacy, and response efficacy toward typhoon preparedness (M = 3.11, SD = .421) was high. The result of Pearson's r, p-value and determination coefficient showed that perceived severity, selfefficacy, and response efficacy were positively linear in the relationship to planning, mitigation and response.

The respondent's cognitive factors were high toward typhoon preparedness. Cognitive factors in terms of perceived severity, self-efficacy, and response efficacy determine typhoon preparedness.
The respondent's cognitive factors were high toward typhoon preparedness. Cognitive factors in terms of perceived severity, self-efficacy, and response efficacy determine typhoon preparedness.
Despite recent promising pharmacological and technological advances in neurosurgical intensive care, the overall TBI-related mortality and morbidity remain high and still pose a major clinical problem. The aim of this study was to evaluate the effect of oral simvastatin on the clinical outcome of patients with severe TBI.

In a double-blind placebo-controlled randomized clinical trial a total of 98 patients with severe TBI in Imam Khomeini Hospital in Sari, Iran, were evaluated. Patients who meet the inclusion criteria were randomly allocated into two groups (n=49). In addition to supportive therapies, the intervention group received oral simvastatin (40 mg, daily) for 10 days, and the control group received the placebo (10 days). Patients' Glasgow coma scale (GCS) score, in hospital mortality, duration of mechanical ventilation and length of ICU and neurosurgery ward stay were evaluated during three-time intervals (T1 admission, T2 discharge and T3 one month after discharge).

The percentage of consciousroving GCS score during TBI recovery.
Globally, road traffic accidents (RTAs) are the leading killer of young people and are projected to be the 7
leading cause of death by 2030. This study is aimed at analyzing the spatial distribution of road traffic accident and identifying hotspot areas across Kebeles (smallest administrative division in Ethiopia) of Hawassa city administration in Ethiopia.

Secondary data on daily traffic accident record from October 2013 to June 2018 was obtained from Hawassa city administration police department. The spatial clustering and hotspots identification were carried through Moran's I and Getis-Ord Gi* statistics. Data analysis was conducted using GeoDa 1.16.0.0 and ArcGIS 10.2 softwares.

Drivers within age group of 18-30 years, who were hired by private business owners and who had no driving license committed the highest number of traffic accidents. The majority of traffic accidents were caused due to careless driving, failure to give priority for pedestrian, high speed and driver failure to give priority for each other. In addition, about 82.01% of traffic accidents were recorded on asphalts road and 11.51% by gravel road. Spatial clustering of road traffic accidents for accidents occurred on gravel road and in sunny weather conditions found to be significant. Different hotspot areas were identified for gravel type of road and sunny weather condition.

The concerned government bodies involved in policymaking are recommended to give special attention to young driver who were hired by private business owners. Interventions to mitigate the occurrence of traffic accident would take in to account the identified hotspot areas.
The concerned government bodies involved in policymaking are recommended to give special attention to young driver who were hired by private business owners. Interventions to mitigate the occurrence of traffic accident would take in to account the identified hotspot areas.
BPH is the major cause of bladder outlet obstruction over the age of 40 years. Multiple surgical management options have been described of which STVP and TURP are the oldest and widely available procedures. The objective of this study is to describe and compare the intraoperative and early outcome situations of STVP and TURP.

This is a hospital-based retrospective descriptive study that compares intraoperative and early outcomes of STVP and TURP in Menilik II Hospital from January 2017 to December 2019. The study samples were 72 STVP and 72 TURP patients.

The mean duration of surgery in the STVP group was 97.8 minutes which is significantly longer than TURP group (66.15 minutes). Duration of post-op catheterization and hospital stay are significantly longer in STVP than TURP.

The duration of surgery, length of hospital stays and post op catheterization are longer in STVP. There was no significant difference in intra-op and early complications from STVP and TURP.
The duration of surgery, length of hospital stays and post op catheterization are longer in STVP.
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