The rate of operative reduction of intussusception decreased by 77% following the introduction of USGHR as the initial non-surgical intervention. Therefore, we believe USGHR should be fully implemented in our hospital, and recommend that this study serves as an example to other institutions in our country as well as in other developing countries facing similar challenges.

Background: The Ethiopian Health Management Information System (HMIS) has been implemented since 2008 to improve the provision of health services, and ultimately, to improve health status of the population. Currently, information revolution is one of the transformation agenda in Ethiopia. Ironically, as in many low-income countries, lack of reliable data and grossly inadequate appreciation and use of available information for planning and management of health services were also true for the HMIS of Ethiopia. This, therefore, to assess the level of implementation HMIS program and utilization of data generated in governmental hospitals of western Oromia, Ethiopia. Methods and Material: The study was conducted in seven randomly selected Western Oromia Hospitals. A descriptive facility based cross-sectional study design with quantitative and qualitative data collection method was employed. The final sample size was calculated to be 620. The samples were selected by simple random sampling technique. The collected data was checked for any inconsistencies and analyzed by fitting multivariate logistic regression in SPSS version 17.0 statistical package. Result: Of the total 620 sampled population, 569 participated with an overall response rate of 91.8%. Of the total respondents, 504 (88.6%) were ever implemented HMIS tools to collect patients data in their respective hospital. Of which, only 85 (16.9%) perceived that they regularly analyze the collected data into meaningful information. Despite the inspiring message by H. E. Dr. Kesetebirhan Admasu former Minister, Federal Ministry of Health, Ethiopia "….health information is much more than collecting figures. Data have no value in themselves; value and relevance come after data management and analysis…the process whereby data are transformed into information and knowledge for action." In this study, only 221 (43.8%) reported they used HMIS generated information for a different actions in their respective hospitals. This study revealed that the major challenges for consistent implementation and use of HMIS were incomplete data filling 174 (34.5%) followed by a shortage of trained human power 158 (31.3%) in HMIS. Furthermore, there was statistically significant association between consistent implementation of HMIS program with presence of HMIS reporting format, regular monitoring and evaluation, trained staffs and having regular feedback. Conclusions: In this study, more than three-fourths of participants perceived they were ever implemented HMIS to generate information. But, less than half of participants reported they used the output of HMIS generated information for reporting, planning and decision making at local level.

Histiocytic Sarcoma(HS) is an extremely rare non-Langerhans neoplasm primarily composed of malignant cells with morphologically and immunohistochemically showing features of mature tissue histiocytes. It can affect any part of the body with unknown etiology and is an aggressive disease with a worse prognosis and management often requires multimodal treatment. Here, we report a 9 year old boy who was diagnosed with histiocytic sarcoma after he presented with left-side chest pain, dry cough, and significant weight loss of four months duration. Contrast-enhanced chest CT scan shows a heterogeneous contrast-enhancing solid extra parenchymal mass lesion that appears to be attached to the posteromedial basal pleura with adjacent lung subsegmental collapse and a minimal amount of ipsilateral pleural effusion. There was no evidence of systemic arterial supply. The patient underwent left posterolateral thoracotomy and mass excision. The biopsy and immunohistochemical examination confirmed the diagnosis of Histiocytic Sarcoma. The mass recurred after a month, and he started systemic chemotherapy with a CHOP regimen. Despite the multimodal treatment, he had a progressive disease with multiorgan involvement and was put on palliative care.

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In this paper, we will describe a week old neonate who was referred to Black Lion Referral Hospital with a diagnosis of ambiguous genitalia and was screened for associated congenital anomalies. The neonate was evaluated with Trans-fontanel Ultrasound and Brain MRI, which showed the absence of the lateral and third ventricles and associated Intracranial multiple anomalies.