BackgroundThe global burden of road injuries is known to follow complex geographical, temporal and demographic patterns. While health loss from road injuries is a major topic of global importance, there has been no recent comprehensive assessment that includes estimates for every age group, sex and country over recent years.MethodsWe used results from the Global Burden of Disease (GBD) 2017 study to report incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years for all locations in the GBD 2017 hierarchy from 1990 to 2017 for road injuries. Second, we measured mortality-to-incidence ratios by location. Third, we assessed the distribution of the natures of injury (eg, traumatic brain injury) that result from each road injury.ResultsGlobally, 1 243 068 (95% uncertainty interval 1 191 889 to 1 276 940) people died from road injuries in 2017 out of 54 192 330 (47 381 583 to 61 645 891) new cases of road injuries. Age-standardised incidence rates of road injuries increased between 1990 and 2017, while mortality rates decreased. Regionally, age-standardised mortality rates decreased in all but two regions, South Asia and Southern Latin America, where rates did not change significantly. Nine of 21 GBD regions experienced significant increases in age-standardised incidence rates, while 10 experienced significant decreases and two experienced no significant change.ConclusionsWhile road injury mortality has improved in recent decades, there are worsening rates of incidence and significant geographical heterogeneity. These findings indicate that more research is needed to better understand how road injuries can be prevented.

Exclusive breastfeeding is defined as feeding infants only breast milk with no addition of any liquid or solids.Evidence shows that sixty percent of under-five mortality caused by malnutrition and more than two-thirds of those are associated with inappropriate breast feeding practices during infancy. The objective of this paper was to assess exclusive breast feeding practice and associated factors among 6-24 months young child in Kemba Woreda. Community based cross sectional study was conducted among 562 mothers who have young children. Univariate, binary and Multivariate analysis was conducted by SPSS version 20. Significant factors were identified based on P-value less than 0.05. From all respondent 40.6% exclusive breast feed for six months and the rest 59.4% started additional complementary food before six months. Age of mothers those who are in age group >=30 years, Education level those who have no formal education AOR 2.76(1.63-4.69), occupational of mothers those who work as daily workers AOR 3.06(1.03-9.12) and Private work activity (merchant, farmers) AOR 2.39(1.61-3.53), mothers who have no post natal follow up and who did not have Growth monitoring follow up for their child in Health service AOR(1.64(1.05-2.55), 1.95(1.19-3.17)) respectively were significantly associated factors for starting additional complementary food before six months in the study area. A significant proportion of mothers were started additional complementary food before sex months. Extending maternal leave, practical support of mothers on adapting breast milk expression feeding and organizing baby center in government institution and continuous health education on importance of exclusive breast feeding should be considered for improving exclusive breast feeding practice to optimal level.

Gastrointestinal and peritoneal ischemic disease due to unknown etiology present with intestinal obstruction and/or peritonitis otherwise in healthy patient emerged as fatal disease at Arba Minch General Hospital. This disorder was diagnosed based on intraoperative finding. Clinical presentation and natural history of disease progression were similar. It is estimated that about 6–10 lives are being claimed each year at Arba Minch Hospital with this disease of unidentified cause accounting for the largest figure of surgical department. Here we report case analysis and literature review illustrating clinical presentation, workup, preoperative diagnosis, intraoperative diagnosis, and final outcome of fatal gastrointestinal and peritoneal ischemic disease.