BackgroundHypertensive disorders of pregnancy are the most common causes of adverse maternal & perinatal outcomes. Such investigations in resource limited settings would help to have great design strategies in preventing maternal and perinatal morbidity and mortality.AimTo determine management outcome and factor associated with pregnancy related hypertensive disorder in Mettu Karl Referral Hospital, Mettu, Ethiopia.MethodA retrospective study deign was conducted at Mettu Karl Referral Hospital from 1st January 2010 to December 1st 2013 by reviewing medical records and logbooks. Descriptive, binary and multiple logistic regression analysis were used. A 95% CI and P- value of < 0.05 were considered statistically significant.ResultThe magnitude of pregnancy related hypertensive disorder was 2.4%. Majority 82.6% of the mothers were in the age range between 18 to 34 year with a mean age and standard deviation (SD) of 24.4 (SD ± 5.12). Sever preeclampsia was the most prevalent diagnosis made to 35.5% of the mother, followed by 19% cases of eclampsia and 12.4% of HELLP. Fetal management outcomes indicates 120.37 perinatal mortality per 1000 deliveries and a stillbirth rate of 10.2%, low birth weight of 30.5%, and low APGAR score of 18.5%, abortion 10.7% and preterm delivery 31.4%.ConclusionIn this study severe preeclampsia is the most common of all pregnancy related hypertension disorders followed by Eclampsia. Fetal complications like low Apgar score and preterm deliveries were statistically significant and associated with fetal management outcomes.

The global lockdown to mitigate COVID-19 pandemic health risks has altered human interactions with nature. Here, we report immediate impacts of changes in human activities on wildlife and environmental threats during the early lockdown months of 2020, based on 877 qualitative reports and 332 quantitative assessments from different studies. Hundreds of reports of unusual species observations from around the world suggest that animals quickly responded to the reductions in human presence. However, negative effects of lockdown on conservation also emerged, as confinement resulted in some park officials being unable to perform conservation, restoration and enforcement tasks, resulting in local increases in illegal activities such as hunting. Overall, there is a complex mixture of positive and negative effects of the pandemic lockdown on nature, all of which have the potential to lead to cascading responses which in turn impact wildlife and nature conservation. While the net effect of the lockdown will need to be assessed over years as data becomes available and persistent effects emerge, immediate responses were detected across the world. Thus, initial qualitative and quantitative data arising from this serendipitous global quasi-experimental perturbation highlights the dual role that humans play in threatening and protecting species and ecosystems. Pathways to favorably tilt this delicate balance include reducing impacts and increasing conservation effectiveness.

BackgroundIn least developing countries, there are few data on children’s critical care. This makes the provision of aid and improvement of outcome difficult.ObjectivesTo describe admission and outcome patterns of children managed in a general intensive care unit at Jimma University Specialized Hospital (JUSH), Ethiopia, over a 5-year period.MethodsA retrospective cross-sectional study design was used. All children from birth to 14 years of age who were admitted to the general ICU of the hospital from 2009–2013 were included. Patient charts and ICU documentation log were reviewed.ResultsA total of 170 children were admitted to the ICU of JUSH over the study period. The greater share was taken by males (54.7%), with a male-to-female ratio of 1.2:1. The overall mortality rate was 40%. The majority of the children were in the age range of 10–14 years (38.8%). Of the total number of patients admitted, 34.7% were trauma cases, 45.8% of whom died. The highest percentage, 69.5%, of trauma patients were admitted for head injuries. Among the trauma cases, burn and polytrauma were the second and third leading causes (15.3%) of admission. Postoperative patients and medical patients accounted for the rest of the admitted cases (28.2% and 27.6% of the cases respectively).ConclusionThe leading cause of admission and death was trauma. Postoperative and medical causes of admission were also significant. The mortality rate in the ICU was very high, and this could be due to various factors. Further research benchmarking and interventions are highly recommended.

Purpose: Cardiopulmonary resuscitation is a lifesaving procedure, performed to preserve patients' life until further management is going to follow. Having basic knowledge of CPR will be a crucial task of medical care providers. This study was done to evaluate knowledge, attitude, and practice and associated factors among clinical year medical students. Participants and Methods:Institutional based cross-sectional study was conducted to assess knowledge, attitude, practice and factors associated with cardiopulmonary resuscitation among clinical year medical students in Jimma University. A simple random sampling was used to assess the students. Structured questionnaire of a question about knowledge, attitude and practice of Cardiopulmonary resuscitation was used to collect the data. The collected data was filled on cleared for completeness, analyzed using SPSS windows version 16 and Chi-square and P-value was calculated. All P-values from 0.05 and below were considered significant. Results:The total response rate for this study is 98%. About 93.3% of the respondents had good knowledge about CPR of which, fifth year (36.2%), fourth year (34.1%) and interns (23%) respectively. Among studied participants (80.7%) students were not practiced CPR. Conclusion:Clinical year medical students had a better knowledge, attitude and practice score towards CPR. Overall, however, the majority of students' knowledge, attitude and practices toward to CPR in Jimma University were not sufficient, favorable and safe enough.

Knowledge about a type of Anesthesia to be used for cesarean section is not well investigated in developing countries. Knowing types and complications of anesthesia for Caesarean section will help mothers to have less stress and decide on their anesthetic choice. This study aimed to assess perception, knowledge and attitude of pregnant mothers towards Anesthesia for Cesarean section. A hospital-based cross-sectional study was conducted to assess knowledge and attitude of pregnant mothers attending antenatal care at Jimma University specialized hospital. Convenience sampling method was used to select participants from May 5 up to June 5, 2014. Chi-square and p-values were also calculated, and P-value < 0.05 was considered as significant association. 147 (69.7%) women in our survey were found totally unaware about various options of anesthesia technique. Fear of seeing things (60.3%) and previous experiences (7.94) were the main reasons for choosing general anesthesia in our population. The women who wanted to see their baby at birth, which accounts 12.6% and wants to be awakened during operation, which accounted to 6.54%, considered regional anesthesia as a safer technique. Most of the studied population is unaware of the existence of different anesthesia technique. The major source information about anesthesia was from experience, and most of the patient has no knowledge about importance of pre-operative evaluation.