Browsing by Author "Bekele Sisay"

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    An Assessment on Pharmaceutical Storage System in The Case of Arsi Zone Governmental Health Centers
    (Addis Ababa University, 2018-06-24) Bekele Sisay; Mitiku Shiferaw
    The Health facilities of any region in the country have a responsibility for establishing of reliable, cost-effective, and sustainable pharmaceutical supply chains that will capable for meeting the demand of its local area people and patients, likely wise all H/Facilities found in the Arsi Zone are responsible to avail and store pharmaceutical for preventing and curative health services. To accomplish different health activities the health facilities, need enough warehouse space for storage of supplies. Unlike other products pharmaceutical supplies need standard warehouse for minimizing of wastages due to poor storage management activities any pharmaceutical warehouse components are arranged to provide cost-effective and efficient product flows to clinical users. These components comprise 1) the warehouse facility; 2) the material handling equipment & layout; 3) warehouse internal operations or activities 4) receiving and issuing of orders from suppliers or users. The total population of H/centers found under the ZHD is 98 and the sample size was 40 for this study. Primly all Zonal H/centers were stratified by 26 woredas and H/centers found under the woreda town were selected for assessment purposely being they have high volume patient and supply consumptions. The researcher believes that the impact of poor storage practices & shortages of space in high volume H/centers were sever than the rest nearby H/Centers. The rest 14 were selected in random probability methods. (40% X 96). The research method for gathering of information employed was a mix of interviewing to store managers and relevant management members by using the standard questionaries’ which was categorized in to six major sections. In addition to this I observe the actual operation practices inside warehouses during my selfpresentation of questioners to the store heads like availability of pallets, shelves, recording & documentation practices and finally about space adequacy status. The total sum of the recommendations was then presented to AAUSC for academic fulfillment and the statement of my recommendations will be my next phase of effort to realize this research in to practices
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    Computed to Myography Pattern of Bone Fracture and outcome of Road Traffic Accident in Tikur Anbessa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia.
    (Addis Ababa University, 2017-10) Bekele Sisay; Admassie Daniel
    Background:Road traffic accident (RTA) is defined as a collision between two or more, between vehicle and pedestrians, between vehicles and fixed animals obstacles. Of all the transportation systems that people use, road transport is the most widely used, complex and dangerous because it is highly associated with the rise in road traffic collisions. Road traffic accidents have become a huge global public health and development problem with highest burden in developing country, especially highest cause of mortality and disability in Africa. Ethiopia, one of developing country in Africa suffering one the most frequent car accidents and mortality.Aim:Aimed at determining the pattern of bone fractures in TASH and assess outcome of RTA. Methods:The study is a retrospective cross sectional study involves all patients sustained road traffic accident coming to department of radiology and having CT from February to August. The CT scan will be examine by senior radiology residents and revised by radiologist. The chart of the patient will be revised for pertinent clinical information and to assess the outcome the accident. Results:A total of 131RTA victims were included in the study of which 95 (72.5%) were male and majority of them are from urban 81(61.8%). The most affected people were passengers (45%) followed by pedestrians (35.1%) and those found in between 20-29 years of age (33.6%). The fracture occurred were in lower limb (22.3%), spine (21.8%), upper limb (19%), pelvic bone(16.6) and head (15.2%) and the most fractured body region was head and neck(23.2%). Over all fracture of vertebral bone, skull and pelvic bone was the top leading frequently fractures. Majority of patients have either neurologic or movement impairment (61.1%) and others cured (22.1%) and died (7.6%) Conclusions:In this study, RTA commonly affects males and those productive age groups (20-49yr). Of all fracture of lower limb was the leading followed by fracture of spine and pelvic bone fractures respectively. With specific bone fracture vertebral bone fracture is the commonest. The outcome of the patient at the time of their discharge or on their follow up, most of them had some degree of neurologic or movement impairments.