Pattern of surgical admissions to Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A five-year retrospective study

Background: Tikur Anbessa specialized hospital (TASH) is Ethiopia’s largest tertiary teaching and referral hospital admitting and treating surgical patients under various specialties. This study aims to analyze the magnitude and pattern of surgical admissions to this facility. Methods: A five-year Cross sectional retrospective analysis was done on all adult surgical admissions to TASH from Sept. 2010 to Sept. 2015. Results: There were a total of 8,698 surgical admissions of which, 4471 (51.4%) were male and 4227 (48.5%) were female with male to female ratio of 1.06:1. Their age ranged from 13 to 95, with mean age being 38.8 ± 16.2 years. Three thousand two hundred twenty two (46.5%) patients were from Addis Ababa. Of all admissions, 4706 (54.1%) were elective ones of which obstructive uropathy, 997(21.1%), esophageal diseases, 716(15.2%) and Urolithiasis, 573(12.2%) respectively are the top three. The rest, 3992 (44.9%), were emergency admissions, the top three ones being trauma, 1435(35.9%), appendicitis 281(7%) and Intestinal obstruction, 190(4.7%) respectively. General surgical (gastrointestinal, endocrine and vascular) cases account for 3414 (39.25%) of all admissions followed by urosurgical cases, 2114 (25.31%), cardiothoracic surgical cases, 1942 (22.33%), and neurosurgical cases, 1139 (13.1%). There were a total of 280 deaths with an overall mortality rate of 4% of which, 3.2% were from elective admissions and 5.2% from emergency ones. Mortality rate was the highest among neurosurgical patients being 6.3% followed by 4.3%, 3.8% and 3.5% in cardiothoracic, general surgical and urosurgical cases respectively. Conclusions: The admission pattern indicates quite a big number and diversity of cases though the bed capacity is limited. There are significant number of cases that could be treated at other secondary level hospitals. Trauma is the leading cause of emergency admissions and significant cause of mortality. We recommend increasing the number of beds, organizing separate trauma center and admitting only cases requiring tertiary level care. Keywords: pattern of surgical diseases; surgical admissions; Tikur Anbessa Specialized Hospital

Modeling the Images of Relativistic Jets Lensed by Galaxies with Different Mass Surface Density Distributions

The images of relativistic jets from extragalactic sources produced by gravitational lensing by galaxies with different mass surface density distributions are modeled. In particular, the following models of the gravitational lens mass distribution are considered: a singular isothermal ellipsoid, an isothermal ellipsoid with a core, two- and three-component models with a galactic disk, halo, and bulge. The modeled images are compared both between themselves and with available observations. Different sets of parameters are shown to exist for the gravitationally lensed system B0218+357 in multicomponent models. These sets allow the observed geometry of the system and the intensity ratio of the compact core images to be obtained, but they lead to a significant variety in the Hubble constant determined from the modeling results.Comment: 26 pages, 9 figures, will be published in the Astronomy Letters, 2011, v.37, N4, pp. 233-24

Gut microbiota-derived propionate reduces cancer cell proliferation in the liver

Peer reviewedPublisher PD

The Peculiar Type Ia Supernova 2005hk

We present a preliminary analysis of an extensive set of optical observations of the Type Ia SN 2005hk. We show that the evolution of SN 2005hk closely follows that of the peculiar SN 2002cx. SN 2005hk is more luminous than SN 2002cx, while still under-luminous compared to normal Type Ia supernovae. The spectrum at 9 days before maximum is dominated by conspicuous Fe III and Ni III lines, and the Si II 6355 line is also clearly visible. All these features have low velocity (~6000 km/s). The near maximum spectra show lines of Si II, S II, Fe II, Fe III, as well as other intermediate mass and iron group elements. Analysis with the code for synthetic spectra SYNOW indicates that all these spectral lines have similar velocities.Comment: 6 pages, 3 figures, submitted to the proceedings of the conference``The Multicoloured Landscape of Compact Objects and their Explosive Origins'', 2006 June 11--24, Cefalu, Sicily, to be published by AI