Determinants of neonatal sepsis among neonates admitted to neonatal intensive care units in ethiopian hospitals: A systematic review and meta-analysis.

Objective: Several studies have identified risk factors for neonatal sepsis, but they are limited to specific geographical areas with results that may not be generalizable to other populations. Hence, the objective of this study was to determine the contributing factors, representative at a national level, that influence the occurrence of neonatal sepsis in neonates receiving hospital care in Ethiopia. Methods and materials: A thorough search was conducted across PubMed/Medline, Hinari, Cochrane Library, and Google Scholar to identify relevant studies. The pooled odds ratio was estimated using the random effect model. The heterogeneity among the included studies was evaluated using the I2 and Cochrane Q-statistics tests. Egger's tests used to assess publication bias. Results: A total of 19 studies comprising 6190 study participants were included. Neonatal sepsis was positively associated with several factors, namely: prolonged premature rupture of membrane (OR: 3.85, 95% CI: 2.31-6.42), low first minute APGAR score (OR: 3.74, 95% CI: 1.29-10.81), low fifth minute APGAR score (OR: 4.17, 95% CI: 1.76-9.91), delayed initiation of breastfeeding (OR: 3.41, 95% CI: 2.18-5.36), and infection of the maternal urinary tract (OR: 3.17, 95% CI: 1.87-5.35). Conclusion: Duration of rupture of membrane, APGAR score, time of initiation of breastfeeding, and urinary tract infection have a role in the development of neonatal sepsis.

Canada's legal preparedness against the COVID-19 Pandemic: A scoping review of federal laws and regulations.

As the world continues to grapple with the COVID-19 pandemic, the preparedness of governments to respond to it will likely undergo review. A key component is the legislative capacity and authority that governments had in place or could rapidly introduce to address the social, economic and health consequences of the emergency. We review Canada's legal preparedness for public health emergencies and the use of federal legislation to address the pandemic. We provide an overview of the concept of legal preparedness, summarize the federal statutes, regulations and orders enacted, and analyze the coherence of federal activity and its relevance to provinces, territories and international health regulations. We determine that the federal government has relied on spending power rather than constitutional authority over public health or existing legislation on influencing the course of the pandemic.

Alors que le monde entier ne cesse de lutter contre la pandémie de COVID­19, le dispositif de veille et de préparation des gouvernements fera probablement l'objet d'un examen. La capacité et l'autorité législatives que les gouvernements avaient en place ou pourraient instaurer rapidement pour faire face aux conséquences sociales, économiques et sanitaires de l'urgence est un élément clé. Nous passons en revue la préparation légale du Canada aux urgences de santé publique et l'utilisation de la législation fédérale pour lutter contre la pandémie. Nous présentons un aperçu du concept de préparation légale, résumons les lois, règlements et décrets fédéraux adoptés et analysons la cohérence de l'activité fédérale et sa pertinence pour les provinces, les territoires et les règlements sanitaires internationaux. Nous établissons que, pour influencer l'évolution de la pandémie, le gouvernement fédéral a plus compté sur le pouvoir de dépenser que sur l'autorité constitutionnelle concernant la santé publique ou la législation existante.

Prevalence of Computer Vision Syndrome and Associated Factors among Instructors in Ethiopian Universities: A Web-Based Cross-Sectional Study.

BACKGROUND: In this globalized and high-tech era, the computer has become an integral part of daily life. A constant use of computer for 3 hours and more per day can cause computer vision syndrome (CVS), which is one of the leading occupational hazards of the 21st century. The visual difficulties are the most common health problems associated with excessive computer use. Therefore, this study aimed to assess the prevalence and associated factors of CVS among instructors working in Ethiopian universities. METHODS: A web-based cross-sectional study was conducted among 422 university instructors in Ethiopia from February 02 to March 24, 2021. A structured and self-administered questionnaire prepared by Google Forms was shared among instructors through their e-mail addresses, Facebook, and Telegram accounts. Data cleanup and cross-checking were done before analysis using SPSS version 23. A multivariable logistic regression was applied to identify factors associated with CVS using p value <0.05 and 95% confidence interval. RESULTS: Of the total 416 participants, about 293 (70.4%) were reported to have CVS (95% CI: 65.9-74.5%), of which 54.6% were aged 24-33 years. Blurred vision, pain in and around the eye, and eye redness were the main symptoms reported. Working in third-established universities (AOR = 8.44, 95% CI: 5.47-21.45), being female (AOR = 2.69, 95% CI: 1.28-5.64), being 44 years old and above (AOR = 2.73, 95% CI: 1.31-5.70), frequently working on the computer (AOR = 5.51, 95% CI: 2.05-14.81), and sitting in bent back position (AOR = 8.10, 95% CI: 2.42-23.45) were the factors associated with computer vision syndrome. CONCLUSIONS: In this study, nearly seven-tenths of instructors in Ethiopian universities reported having symptoms of computer vision syndrome. Working in third-generation universities, being female, age, frequently working on the computer, and sitting in bent back position were statistically significant predictors in computer vision syndrome. Therefore, optimizing exposure time, addressing ergonomic hazards associated with computer usage through on-the-job and off-the-job training, and making the safety guidelines accessible for all university instructors would be critical to address the problem.