background : major injuries and death in accidents have roots in drowsiness. sleepiness is a main result of insufficient sleep. it is vital to explore drowsiness and its level. there are various sorts of methods in the forms of subjective and objective approaches. the goal of this study was to detect the association of subjective and interpretive drowsiness with facial dynamic changes. methods:...

A 22 year old male presented to our clinic with history of fatigue and breathlessness for four years. His clinical history had started during early childhood and was characterized by mental retardation. Mental retardation had prevented him from attending the school. Patient developed bilateral ptosis when he was thirteen years old. He was also giving history of double vision for the past 6 year...

BACKGROUND Mitochondrial myopathies (MM) are a heterogeneous group of inherited conditions resulting from a primary defect in the mitochondrial respiratory chain with consecutively impaired cellular energy metabolism. Small sized studies using mainly electrocardiography (ECG) and echocardiography have revealed cardiac abnormalities ranging from conduction abnormalities and arrhythmias to hypert...

Despite colonial echoes, settlement schemes represent a major element in ‘nation-building’ endeavours Tanzania's history. Their evolution through the 1960s was circuitous and haphazard. This article explores origins of one earliest linked to Julius Nyerere TANU: Kilombero Settlement Scheme (KSS). It traces its from 1959 ragged progress over subsequent decade before eventual transmutation under ...

<p class="abstract"><strong>Background:</strong> Knee osteoarthritis (OA) is a most common rheumatological disorder that causes functional limitation and disability. The problem in knee OA are joint pain stiffness. It will lead to decreased quality of life it have serious economic burden on any country due effect disability treatment.</p><p class="abstract"><str...

We describe a case of recurrent Kawasaki disease (KD) in a non-Asian 6-year-old boy who had been diagnosed with typical KD without cardiac involvement at age 3 years. He was admitted to the PICU 3 years later for heart failure, hypotension, and deterioration of his general condition. Ultrasonography revealed left ventricular dysfunction with a 44% ejection fraction and grade I mitral valve fail...