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Samira Awel, Ismael Ahmed, Desalew Tilahun, Kenenisa Tegenu School of Nursing, College of Health Science, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Samira Awel, School of Nursing, College of Health Science, Institute of Health, Jimma University, P.O. Box 378, Jimma, Ethiopia, Tel +251 921918489, Email sawel791@gmail.comBackground: COVID-19 is a global pandemic with unprecedented medical, economic and social consequences affecting nations across the world. This epidemic arises while chronic diseases are continued to be a public health concern. Though evidence is generated on its impact on the health care system, little is known about the Impact of COVID − 19 on the care-seeking behavior of chronic patients.Objective: To assess the Impact of COVID-19 on healthcare-seeking behavior of patients with chronic diseases attending follow-up at public hospitals in Jimma zone, South West Ethiopia.Methods: Facility-based cross-sectional study design was employed. The sample was calculated using the single population proportion formula. Hospitals were selected by using simple random sampling. Then, the final calculated sample size for the study was proportionally allocated to each selected hospital. Data were collected from 400 participants through face-to-face interviews and card reviews. Data were entered into Epi-Data version 3.1 and then exported to SPSS version 23 for analysis. Binary and multivariable logistic regression analyses with 95% CI for odds ratio (OR) were used to identify significant factors.Results: Of the total respondents 156 (39.0%) of them had poor health-seeking behavior. Contact history with COVID − 19 patient (AOR = 2.8; 95% CI = 1.1– 7.0), perceived moderate depression (AOR = 2.3; 95% CI = 1.2– 4.2), perceived extreme depression (AOR = 4.3; 95% CI = 1.8– 10.5), shortage of medication (AOR = 2.4; 95% CI = 1.0– 6.2) increases the odds of poor health-seeking behavior. In addition, the odds of poor health-seeking in patients with no formal education were higher compared to patients with higher educational status (AOR = 2.7; 95% CI = 1.0– 9.0).Conclusion: COVID − 19 outbreaks affected the health-seeking behavior of patients with chronic diseases. The impact was found to be more significant among patients who had a contact history with COVID − 19 patients. Moreover, perceived depression, shortage of medication, and low educational status were significant predictors of poor health-seeking behavior. Therefore, working on the barriers to the health-seeking behavior of chronic patients may reduce the effect of COVID-19.Keywords: COVID-19, health-seeking behavior, chronic disease, Ethiopia

Samira Awel, Vinod V Bagilkar, Bekana Fekecha School of Nursing and Midwifery, College of Health Science, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Samira AwelSchool of Nursing and Midwifery, College of Health Science, Institute of Health, Jimma University, P.O. Box: 378, Jimma, EthiopiaTel +251 921918489Email sawel791@gmail.comBackground: Pregnancy and childbirth-related complications are unpredictable; however, it is preventable by timely care-seeking to obstetric care service.Objective: To assess delay in seeking institutional delivery service utilization and associated factors among mothers attending Jimma medical center, Southwest Ethiopia.Methods: Facility-based cross-sectional study design was employed. The sample size was determined by a single population proportion formula. Data were collected from 405 mothers by face-to-face interview and entered using epi-data version 3.1, then exported to SPSS version 23 for analysis. Binary and multivariable logistic regression analysis with 95% CI for odds ratio (OR) was used to identify significant factors.Results: The prevalence of delay in seeking institutional delivery service utilization was 189 (46.7%). Husbands’ educational status was found to be significantly associated with a maternal delay in seeking care, (AOR= 4.9; 95% CI=2.1– 11.3). Unemployed mothers and mothers with a low income had shown higher odds of delay (AOR= 6.0; 95% CI=1.7– 21.2), (AOR=2.1; 95% CI=1.2– 3.7) respectively. Similarly, mothers who live > 10 kilometers from health facility delayed about 2times, (AOR=1.8; 95% CI= 1.0– 3.2). Moreover, the likelihood of mothers with no antenatal care follow-up was found to have higher delay than mothers who have antenatal care follow-up (AOR =2.8; 95% CI =1.1– 6.7).Conclusion: Delay in seeking institutional delivery service was high. Factors such as the husband’s educational status, distance from the health facility, income, Antenatal care follow-up, and occupation of the mother were found significant factors of delay in seeking care. Therefore, it is important to reduce delay in seeking care for institutional delivery service utilization by working on barriers, plus empowering women, promoting antenatal care, and education.Keywords: delay in seeking, institutional delivery service, Ethiopia

A major challenge in high-resolution x-ray free-electron laser-based coherent diffractive imaging is the development of aerosol injectors that can efficiently deliver particles to the peak intensity of the focused X-ray beam. Here, we consider the use of a simple convergent-orifice nozzle for producing tightly focused beams of particles. Through optical imaging we show that 0.5 lm particles can be focused to a full-width at half maximum diameter of 4.2 lm, and we demonstrate the use of such a nozzle for injecting viruses into a micro-focused soft-X-ray FEL beam. [ABSTRACT FROM AUTHOR]

Investigates how pulmonary surfactant protein SP-B interacts similarly with dipalmitoylphastidylglycerol and dipalmitoylphosphatidylcholine in phosphatidylcholine/phosphatidylglycerol mixtures. Use of deuterium nuclear magnetic resonance in examination; Effect of SP-B on chain order in bilayers.