bluuebunny/crossref_metadata_2025 huggingface dataset:
On the International Сonference on Superconductivity and Magnetism in Turkey (ICSM’24)
Authors:   Kirensky Institute of Physics, Federal Research Center KSC SB RAS, 660036, Krasnoyarsk, Russia, Ovchinnikov S. G. , Degtyarenko P. N. ,   S-Innovations LLC, 20-2 Nauchnyi proezd, 117246, Moscow, Russia, Degtyarenko A. Yu. ,   Lebedev Physical Institute of the Russian Academy of Sciences, Leninsky ave. 53, 119991 Moscow, Russia, Kuzmicheva T.E. ,   Lebedev Physical Institute of the Russian Academy of Sciences, Leninsky ave. 53, 119991 Moscow, Russia
Published: August 2024

This article reports some results from the 9th International Conference on Superconductivity and Magnetism which was held in Oludeniz, Turkey
The Effect of Service Quality, Consumer Perceptions, and Facilities on Consumer Satisfaction: Case study in Indonesia
Authors: Utari Woro , Indrawati Mei , Sobakh Nurus , . Waras , . Rusdiyanto
Published: August 2024

This study examines the connections between facilities, customer satisfaction, service quality, and consumer impression. This study uses Ordinary Least Square (OLS) regression, Stata software for data analysis, and a sample of Surabaya hospital customer respondents. The study's findings demonstrate that while customer perceptions are unaffected, service quality significantly impacts customer satisfaction. Facilities also have a significant and beneficial impact on customer happiness. Amenities, customer perceptions, and service quality heavily affect customer satisfaction. The findings of this study can be used by the government and businesses in Surabaya, Indonesia, to inform policy decisions about hospital patient happiness, service quality, and customer perceptions. This research's theoretical application can clarify concepts in marketing management and offer factual data regarding the caliber of services: customer pleasure and their opinions of the facilities.
Division Construction Government Authority In Law Number 23 of 2014
Authors: Salmon Hendrik , Lekipiouw Sherlock
Published: August 2024

The concept of the division of government affairs in deconcentrating and co-administration has a long history in Indonesian constitutional records. Amendments to the 1945 Constitution, especially the second amendment concerning the concept and pattern of the division of a government, have indicated that a centralized government would actually pose a threat to disintegration so that strengthening decentralization is not a weakening of Indonesia, but an effort to strengthen it. In other words, the choice to use the concept of autonomy as broadly as possible should be understood as a way to build a just balance between central and regional power relations. One of the issues regarding the constitutionality of regional government that has become a space for academic debate after the issuance of Law No. 23 of 2014 concerning Trade Law relates to the concept of the division of government affairs between government structures. Moving on from the point of view of State Constitutional Law and State Administrative Law, the analysis will be directed at the parameters used to construct the division of authority between government structures based on executive power (Article 4 paragraph (1) of the 1945 Constitution of the Republic of Indonesia) or based on the authority stipulated by the constitution. In another part, Law Number 23 of 2014 has reduced the essence of the concept of deconcentrating which previously was only carried out by the Governor, now it is also carried out by the Regent/Mayor. In such a concept, the problem is how to juxtapose the decentralization method with other methods such as deconcentrating and co-administration and institutionalization of the three principles.
Cultural Aspects of Character Education found in Comic "Pelayaran Ke Dusung": An Ecranization through the Application of Augmented Reality
Authors: Suma Mansyur , Rahman Fathu , Dalyan M. , . Zakaria , Andini Citra , Wajadi Andi Muh. Farid
Published: August 2024

This research examines the cultural aspects of character education portrayed in Firdaus' comic, "Pelayaran Ke Dusung," which was nominated for a festival award. This comic has undergone the process of screen adaptation (ekranisasi) from the Epic I La Galigo with the main character, Sawerigading. To bring this comic closer to readers, it can be accessed through an Augmented Reality (AR) application. This approach aims to preserve the moral character values contained in the Epic I La Galigo. The objectives of this research are 1) to actualize thematic stories with local content that are relevant to actual life, and 2) to preserve the cultural values found in the comic "Pelayaran ke Dusung," which is popular among Gen Z. The results of this research show that comics with reflections or guidance on how the taught values can be implemented in real life provide a strong message, empowering readers to practice the values of Sipakatau, Sipakalebbi, and Sipakainge in their daily lives. In addition to developing AR-based comics, this research also conducts a comprehensive evaluation of the effectiveness of utilizing AR for comics. This not only focuses on technical aspects such as visual quality and interactivity but also on its impact on understanding and internalizing the traditional Bugis character values among the younger generation. The implications of this research are expected to provide empirical evidence regarding the potential of AR in bringing traditional values to life and making it more relevant and engaging for the younger generation.
The Role of Artificial Intelligeence in Supporting Commercial Companies Governance
Authors: NASR HAMADA MOHAMED ABDELATI , Emam Maher Ibrahim Ebed , Ahmed Mohamed Elaalim Adam , Alshamrani Ali Saeed
Published: August 2024

This study aims to address the role of artificial intelligence in supporting the governance of commercial companies, through descriptive and comparative analytical approach.The importance of the study was that governance is one of the most important mechanisms for improving companies’ performance and ensuring the integrity and transparency of their transactions, adopting artificial intelligence to support corporate governance is considered one of the most important features of good governance.The researcher addressed this study through two sections, The first section is devoted to the nature of governance and artificial intelligence and the position of countries on artificial intelligence, The second section discusses the adoption of artificial intelligence as one of the governance mechanisms for commercial companies.At the end of the study, the researcher reached some results and recommendations, the most important of which is that the Egyptian legislator should provide special legislation for artificial intelligence, The legislator should establish specialized courts in artificial intelligence cases, A special guarantee fund should be established to compensate for damages arising from artificial intelligence applications.
Potential Of Using Abai's Poetic Corpara for Research, Educational and Methodical Purposes
Authors: K.K. Pirmanova , A.D. Serikbayeva , N.М. Nurlybayev , D.A. Sabirova
Published: August 2024

The article describes the goals and objectives of creating national language corpora and their educational potential. The creation of Abai’s poetic corpora, the potential of the poetic corpora in solving research, educational and methodological problems is described as part of the research carried out by the authors.The article contains a demonstration of the capabilities of national language corpora, including poetic sub-corpora. The latter, from the authors’ point of view, can become a tool for studying both the theory and history of literature, the author’s style, the system of artistic images, means of expression and poetic syntax, rhythm, meter, rhyme, etc.As a potential for using the national corpora in general and the poetic corpus in particular, the authors name a conceptual analysis of the author’s poetic text, determining the “attraction” or “repulsion” of a lexeme to a metrical structure, identifying moments of intertextuality, searching and analyzing moments of homonymy, synonymy, antonymy, polysemy and etc.The article highlights different points of view on the possibilities of using the resources of national language corpora, including polar ones. The authors offer specific tasks for practicing various skills in teaching language and literature.The authors conclude that the poetic corpus of Abai as part of the National Corpora of the Kazakh language in the future opens up wide opportunities for linguistic and literary studies, preservation of the cultural and linguistic fund, as well as opportunities for use in the process of teaching language and literature by both native speakers and foreigners.
Resolution of Consumer Disputes for Compensation Through Compliment Night Reviewed From Economic Analysis Of Law Theory
Authors: Wahyuni Sri , Fakhriyah Efa Laela , Afriana Anita , Retnaningsih Sonyendah
Published: August 2024

When there is an agreement between the consumer and the business actor regarding participation as a member, the agreement that has been made together creates rights and obligations for each party and must be implemented in good faith. As agreed, the business actor has the right to receive a certain amount of payment and is obliged to provide member facilities such as accommodation, spa, gym and other services as agreed. On the other hand, the consumer has paid a certain amount of money as a member but has not received one of his rights, namely a complimentary night (lodging) for two nights at the hotel. Consumers have asked for their rights several times but business actors have not been able to fulfill them. The question arises, how to resolve disputes regarding compensation for consumer compliment night rights in terms of economic analysis of law theory? This case was resolved through court. The research method in this research uses a normative legal research method with a case approach. This research uses the theory of Economic Analysis of Law. The results of this research are to determine the resolution of compensation disputes regarding consumer rights in terms of economic analysis of law theory.
A Longitudinal Overview Of The Situation Of Families From An Inclusion Perspective Environmental And Family Factors Associated With Special Educational Needs
Authors: Vida Gergő , Faragó Beatrix
Published: August 2024

While diagnostic systems such as the ICD-11 and DSM-5 exclude social and economic factors as potential causes of disability and learning problems, statistics from the educational and social systems of many European countries contradict this approach. Our research focuses on the compensatory strategies of the education system in Hungary, as the literature suggests that disability, differential development, and learning problems are a major stress factor and problem to be solved for the education system, the individual, and the family.An examination of the Hungarian system is particularly warranted in light of the results of the most recent PISA surveys, which show that educational failure in this country is strongly correlated with family background. Our research has demonstrated that special educational needs are more strongly related to family background and social factors than to other factors, which may be indirect evidence that family and social background are significant variables in the management of stress. In the presence of an unfavorable social background, disability and learning disabilities place greater pressure and stress on the family, increasing the risk of disconnection and early school leaving.
Consequently, the role of proper education and cooperation is of paramount importance, as it is clear that neither the family nor the education system alone can be successful in dealing with stress.Our research has shown that resilience is intimately connected to parental factors, which are strongly influenced by parental education. Therefore, stress management and the avoidance of additional stress can be linked to the education system, even if indirectly. Furthermore, the formal education system is a crucial site for fostering effective attitudes, underscoring the importance of formal education in shaping attitudes and preparing individuals for lifelong learning, rather than simply imparting knowledge. To effectively manage stress, individuals must continuously develop and learn new coping strategies, and consciously cultivate resilience, as future stressors are unpredictable.
Assessing the Entrepreneurial University Framework: A Model for Institutional Self-Sufficiency
Authors: Dalimunthe Doli Muhammad Jafar , Harahap R Hamdani , Dalimunthe Ritha F , Absah Yeni
Published: August 2024

This study aims to explore the concept of the Entrepreneurial University at the University of Sumatera Utara, as it seeks to transition into an Independent University, known locally as Perguruan Tinggi Negeri Badan Hukum (PTNBH). A qualitative approach featuring interactive models was employed for the data analysis, drawing on contributions from the academic community and partners as key informants. The findings reveal that USU, in its capacity as a PTNBH, has not yet established specific mindsets or policies to govern entrepreneurial endeavors, resulting in a model that is neither integrated nor cohesive but rather operates in a fragmented manner. Obstacles to the USU's transformation include inadequate socialization and inconsistent policy implementation. Nonetheless, the USU's substantial human resource quality and quantity present significant strengths and opportunities for addressing its challenges. This research culminates in the development of an Entrepreneurial University Model designed to unify the academic community's involvement in all entrepreneurial programmes at the University of Sumatera Utara.
Heurística aplicada en inteligencia artificial, una revisión sistemática
Authors: Marcillo Fabricio , Castillo Anzules Marlon Sidney , Begnini Lucía
Published: August 2024

Este estudio revisa sistemáticamente la aplicación de heurísticas en la inteligencia artificial (IA), destacando su impacto en la eficiencia, precisión y calidad del desarrollo de software. La revisión se centró en herramientas de automatización, análisis de código y chatbots de IA. Los resultados muestran que la IA, cuando se aplica mediante heurísticas, ha mejorado significativamente la productividad de los desarrolladores y ha impulsado la evolución de nuevas habilidades y roles profesionales. Sin embargo, también se identificaron desafíos éticos y de seguridad, incluyendo preocupaciones sobre la privacidad de los datos y la necesidad de transparencia en las decisiones de la IA. Además, se discute cómo las heurísticas afectan diversas etapas del ciclo de vida del desarrollo de software, desde la planificación hasta el mantenimiento. Se concluye que, aunque las heurísticas en IA ofrecen numerosas ventajas, es crucial abordar los desafíos para maximizar su efectividad y garantizar un uso responsable y ético de estas tecnologías avanzadas.
Assessing Medico Legal Evidence and Legal Outcome among Cases of Sexual Assault (Rape) in Addis Ababa
Authors: Kebede Birhanu
Published: August 2024

ABSTRACT
Background: Sexual violence against women is a significant public health issue globally. The importance of medical evidence for decisions made by legal bodies is immense and is documented in high-resource countries. It is not clear what interventions work best in low resource countries like Ethiopia.
Objectives: To describe the medico legal findings of sexual assault cases and its association with legal outcome among victims of sexual violence cases in Addis Ababa.
Methods: This study conducted a retrospective cross sectional descriptive study in the ten sub cities of Addis Ababa assessing a one-year record of sexual assault that were reported between January 1,2012 and 31 December, 2012. Samples of 224 sexual assault cases were drawn from 10 police stations in the sub cities. Data were collected from standardized police charts and court records. The OR and 95% CI estimates were also used to compare outcome predictors. Logistic regression was done to determine the association between medico legal finding and predictors of outcome with conviction.
Results: The charge filing and conviction rates of the police-reported cases were 76.8% and 58.9%, respectively. The odds for conviction was more than six times more likely in unknown perpetrator and more than eight times more likely in cases where there was positive evidence of spermatozoa.
Conclusions: There was high charge filing and conviction rate. Sexual assaults by unknown assailant and visualization of sperm by direct microscopy were associated with conviction.
Recommendations: Qualitative study to survey police, prosecutors, physicians and judges regarding the usefulness of medical-legal evidence is recommended.
 
 
(Ethiopian Journal of Reproductive Health 2018;10:1--14)
Case Report: Spontaneous Fundal Uterine Rupture in a Grand Multipara before Onset of Labor
Authors: Nigatu Balkachew , Abraham Tizita , Negash Geremew
Published: August 2024

ABSTRACT
Uterine rupture is an obstetric emergency and which is associated with high maternal and fetal morbidity and mortality. It commonly occurs in uterus with one or more previous scar but is rare in unscarred uterus and especially without labor. The researcher presents a case of fundal uterine rapture in a 35 years old grand multipara who present with abdominal pain of 24 hours’ duration. But she has no history of pushing down pain (labor) and no history of trauma. Intraoperative finding showed fundal uterine rupture with a freshly dead baby free in the peritoneal cavity and total abdominal hysterectomy was done.
Keyword: Uterine fundus, rupture
 
 
(Ethiopian Journal of Reproductive Health 2018;10:65-69)
Abdominal Pregnancy: A Case Review
Authors: H. Gilcha , H. Kinfemichael , N. Kassa , K. Tadesse
Published: August 2024

Abstract
Abdominal pregnancy is a rare type of ectopic pregnancy which occurs in 1 in 10,000 ectopic pregnancies. It has a higher risk of maternal mortality and morbidity. We presented a case of a primigravida mother who presented with a complaint of abdominal pain. Ultrasound result showed abdominal pregnancy and she was operated and macerated fetus and placenta was removed. The pain was resolved and patient was discharged with improvement.
PREVALENCE OF VIA POSITIVE CERVICAL LESIONS AND DETERMINANT FACTORS AMONG WOMEN ATTENDING REGULAR GYNECOLOGY OUTPATIENT DEPARTMENT (RGOPD) AT SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE (SPHMMC)
Authors: Ansa Meseret , Mekonnen Tadios
Published: August 2024

ABSTRACT BACKGROUND Cervical cancer is one of the leading causes of death for middle-aged women in the developing world. But it is a preventable disease by using relatively inexpensive technologies to detect abnormal cervical tissue before it progresses to invasive cervical cancer. In Ethiopia, the incidence of cervical cancer is 35.9 per 100,000 women. There is scarce data on prevalence of precancerous cervical lesions and the determinant factors in Ethiopia. OBJECTIVE The main objective of this study is to determine the prevalence of VIA positive precancerous cervical lesion among women attending RGOPD at SPHMMC and to identify the determinant factors. METHODOLOGY Hospital- based cross sectional descriptive analytic study was conducted among 226 women visiting RGOPD at SPHMMC. All women aged 30-45 attending RGOPD & willing to give consent were included until the required sample size was attained during the study period. RESULTS A total of 224 questionnaires were collected for analysis with response rate of 99.1%. The mean age of the study participants was 35.7 years (SD 4.97). Fifty-four of the participants were found to have VIA positive precancerous cervical lesions making prevalence of VIA positive precancerous lesion 24.1%. Age at marriage and age first sexual intercourse were found to have strong association with risk of precancerous cervical lesion. Early age at birth of first child was found to be negatively associated with risk of having precancerous cervical lesion. CONCLUSION AND RECOMMENDATIONThe prevalence of VIA positive precancerous cervical lesion is higher than reports of most studies and emphasis should be given on incorporation of cervical cancer screening program into other reproductive health services. Age at marriage and age at first sexual intercourse were factors identified to have strong association with prevalence of precancerous cervical lesion. Promoting delayed onset of sexual activity and delaying the age at marriage are important measures as a primary prevention approach.KEYWORDS: VIA, cervical cancer (Ethiopian Journal of Reproductive Health 2018; 10; 2:22-30)
BARRIERS TO UTILIZATION OF LONG ACTING REVERSIBLE AND PERMANENT CONTRACEPTIVE METHODS IN ETHIOPIA: SYSTEMATIC REVIEW
Authors: Gebeyehu Abebaw , Asnake Mengistu , Dibaba Yohannes , Setegn Tesfaye , Yirga Meaza , Teklu Alula M. , Tura Gurmessa
Published: August 2024

ABSTRACT BACKGROUND Globally the use of Long-Acting Reversible and Permanent Methods (LARPMs) has been recommended as the first-line, highly effective options for pregnancy prevention. They have greater efficacy than short acting contraceptive methods and are associated with lower rates of unwanted pregnancy. Ethiopia has made significant progress in family planning (FP); however, one fourth of married women still have unmet need for FP and nearly three-fourth of family planning users depend on short acting injectable contraceptives. The aim of this study was to review existing researches to identify barriers to long acting reversible and permanent contraceptive use in emerging regions of Ethiopia.METHOD: Published and unpublished literatures were searched using major search engines and different search terms related to the topic. Literature search was carried out from March to May 2016. Six selection criteria were prepared to summarize the findings using PRISMA protocol. A checklist of eight-item quality assessment criteria was used to rate the quality of studies independently by two investigators, and the third investigator cross checked and decided on agreements. The studies were critically appraised, and thematic analysis was used to synthesize the data.RESULTS: Using the screening criteria, 69 eligible full-text articles and reports were reviewed; of which 34 articles and 8 policy/strategy documents were considered for data synthesis. The review has included policy related, individual, socio-cultural and health facility related barriers/factors affecting LARPMs use in emerging regions. Lack of strategies to reach the mobile population of emerging regions, facility readiness to provide LARPMs and quality of care were major policy and health care factors contributing for the low utilization of LARPMs. Low knowledge of LARPMs, health concerns, fear of side effects, and lower education were among individual level barriers identified through the review. Moreover, the review showed that men’s (partner’s) objection, desire for more children (especially by the male partner), absence of male involvement, lack of women’s decision-making power and lack of discussion with partners were gender related barriers.CONCLUSION: The regional disparity in LARPM use, particularly in emerging regions, requires targeted policy and strategic direction to address the prevailing inequality in family planning use and method mix. To improve the utilization of LARPMs, efforts should be made to address the key demand and supply side barriers. More context specific research evidences should be generated to understand barriers that are specific to these regions. (Ethiopian Journal of Reproductive Health 2018; 10; 3: 1-24)
FACTORS INFLUENCING ANTENATAL CARE UTILIZATION IN ETHIOPIA: A SYSTEMATIC REVIEW
Authors: Gudu Wondimu
Published: August 2024

ABSTRACT BACKGROUND Maternal death is a major public health problem in Ethiopia. Antenatal care (ANC) utilization is believed to promote the uptake of obstetric care services and hence improve maternal health. But ANC coverage is low and reviews on determinants of utilization are lacking in Ethiopia.OBJECTIVE Synthesize evidence on factors influencing ANC utilization in Ethiopia. METHODOLOGY Relevant articles were searched electronically, filtered and quality assessed. Factors were categorized using a conceptual framework adapted from Anderson’s model and bio-behavioural modelling in health care utilization. RESULTS Twenty-five studies were reviewed. Maternal education, place of residence, family income, husband’s approval, media exposure, pregnancy intention and previous bad obstetric history were the major individual factors affecting ANC utilization. The only health service factor was distance of a health facility. Most of the studies lack standardized outcome measures which could differentiate between non-use verses inadequate use of ANC. Only a single study used conceptual framework. Other important individual factors such as women’s autonomy, cultural beliefs, social networks and health facility factors such as quality, waiting time, and service fee were not examined. No study identified consumer satisfaction as a factor affecting ANC use. CONCLUSIONS AND RECOMMENDATIONS Comprehensive data on factors influencing ANC utilization is lacking in Ethiopia. The measurement of ANC utilization should be standardized and factors should be segregated into those influencing initiation verses adequate use of ANC. Programs intended to improve ANC utilization should focus on women’s education; promote planned pregnancy; target the underprivileged and expand their scope to involve partners in ANC provision. KEY WORDS: antenatal care, prenatal care, utilization, maternal health, factors, systematic review, Ethiopia(Ethiopian Journal of Reproductive Health 2018; 10; 3: 25-37)
DETERMINANTS OF HIGH FERTILITY AMONG MARRIED WOMEN IN ANGACHA DISTRICT, KAMBETA TEMBERO ZONE, SOUTHERN ETHIOPIA
Authors: Abebe Yosef , Kondale Mekdes , Jilo Gemechu Kejela , Hebo Sultan Hussen , Sidamo Negussie Boti
Published: August 2024

ABSTRACT BACKGROUND: Fertility is the major component of population dynamics, which is used to show a major role in the size, and structure of a particular population. In Ethiopia, total fertility rate is 4.6 children per woman. This high fertility brings a significant problem on the health of mothers and children. OBJECTIVE: To identify the determinants of high fertility in Angacha District, Southern Ethiopia.METHOD:A community-based case-control study design was conducted from September 20 to October 10, 2017 in Angacha district, Southern Ethiopia. A total of 388 married women in Angacha district were selected using simple random sampling technique. Bi-variable and multi-variable logistic regression analyses were performed.RESULT: A total of 388 eligible women (129 cases and 259 controls) requested to interview, of which 126 cases and 255 controls participated. Educational status of women (AOR[95% CI] = 0.36 [0.160.83]), desire to have more children before marriage (AOR[95% CI] = 0.51[0.28, 0.93]), age at first marriage (AOR[95% CI] = 4.77[2.59, 8.78]), history of under-five mortality (AOR[95% CI] = 4.22[2.43, 7.31]) and not ever use of contraceptive methods (AOR[95% CI] = 4.55[2.21, 9.39]) were identified as determinants of high fertility.CONCLUSION:In this study educational status of women, age at first marriage, desire to have children before marriage, not ever use of contraceptive methods and experiencing under-five mortality were identified as determinants of high fertility. Therefore, all concerned bodies should intervene in improving the education level of women, increase age at first marriage, reduce child mortality and improve the access to contraceptive methods.KEYWORDS: High Fertility, Married Women, Angacha, Southern Ethiopia(Ethiopian Journal of Reproductive Health 2018; 10; 3: 46-54)
GENDER DIFFERENCE IN INTENTION TO HAVE A CHILD AND ITS PREDICTORS AMONG HIGH SCHOOL ADOLESCENTS IN HAWASSA CITY, SOUTHERN ETHIOPIA: USING A THEORY OF PLANNED BEHAVIOR MODEL
Authors: Dinku Ribka , Tilahun Tizta , Teshome Tesfalem , Belachew Tefera
Published: August 2024

ABSTRACTBACKGROUND: Adolescent pregnancy is a public health concern worldwide. In developing world, onethird to one-half of women becomes mothers within 19 years of age. In Ethiopia, teenage pregnancies and deliveries is common, which has been associated with consequences including school dropout, high infant and maternal mortality and morbidity.OBJECTIVE: To determine gender difference in intention to have a child and its predictors among high school adolescents in Hawassa City, Southern Ethiopia from February to March 2015. METHODS: A comparative cross-sectional study was conducted in selected high schools of Hawassa City. Eight hundred sixteen adolescents were enrolled in the study using stratified sampling technique. Data were collected by using self-administered questionnaire. The collected data were entered and analyzed using Epi-data version 3.1 and statistical package for social science version 20 statistical software respectively. Multivariable linear regression model was used to compare intention to have a child by gender and other predictors. RESULT: Eight hundred seven adolescents participated in the study making the response rate of 98.8%. More than half of the respondents 470(58.5%) were in the age category of 15-17 years and 403(49.9%) of them were female. The proportion of adolescents who had desire to have a child before 20 years of age was 56(6.9%). Attitude (?=0.165, p<0.001), subjective norm (?= 0.408, p<0.001) and perceived behavioral control (?=0.168, p<<0.001) were significantly associated with intention to have a child. Being female (?= 0.0.021, p< 0.048), age group of 18-19 years (?= 0.0.041, p=0.021) and having low school performance (?=0.064, p=0.038) increases the intention. While in grade 12th adolescent students (?=- 0.034, p=0.03) and for those having good knowledge about family planning, pregnancy and related complications (?=-0.109, p=0.002) the intention to have a child decreases significantly. CONCLUSION: There was a gender difference in intention to have a child. Females had more intention than males. The theory of planned behavior variables was found to be significant predictors of intention to have a child. While working to control adolescent pregnancy, focus should also be given to their referents and changing their perception of on the understanding of their controlling ability. KEY WORDS: Adolescent Pregnancy, Intention to have a Child, a theory of planned behavior mode, Southern Ethiopia (Ethiopian Journal of Reproductive Health; 2018; 10; 4: 1-
ASSESSMENT OF DIETARY PRACTICE AND ASSOCIATED FACTORS AMONG PREGNANT MOTHER IN AMBO DISTRICT, WEST SHOA, OROMIA, ETHIOPIA, 2018
Authors: Tolera Bekele , Mideksa Samson , Dida Nagasa
Published: August 2024

ABSTRACTBACKGROUND: Poor maternal nutrition during pregnancy were associated with higher risk of having a preterm birth, low birth-weight, Intrauterine Growth Restrictions and facing with multiple threats to their own health and survival. There is no study conducted on assessment of dietary practices and associated factors during pregnancy in the study area.OBJECTIVE: To assess the dietary practices and associated factors among pregnant mothers in Ambo district west Shoa Zone, Oromia region, Ethiopia.METHODS: Community based cross sectional study supplemented with qualitative (FGD) was conducted from April, 9-19, 2018, by considering non-fasting season. Simple random sampling technique was utilized to select 10 kebeles out of 33 total kebeles. The study used SPSS windows of version 21.0. Multivariate logistic regression was used to determine factors associated with dietary practice and P-value of < 0.05 was used to declare statistical significance. Finally, 343 samples were allocated proportionally to each selected kebeles. RESULTS: Out of 343 pregnant women 338 were interviewed yielding response rate of 98.5%. Only one fourth of pregnant women with 95% CI 22.5-32.0 had good dietary practices. Nutrition information, average monthly income, husband occupation and age of pregnant woman were independent factors for good dietary practice. Families with average monthly income greater than 4,000 birr (AOR= 15.50 at 95% CI 3.89-61.78), pregnant mothers whose age in the rage of 27-35 year (AOR: 0.425 with 95% CI of 0.193-0.938), pregnant mothers who had no nutrition information (AOR: 0.020 with 95% CI of 0.006, 0.069), and daily laborer husband of pregnant mothers (AOR: 0.058 with 95% CI, 0.005-0.718).CONCLUSION: The prevalence of good dietary practice among respondents was very low. The factors associated with dietary practice were nutrition information, family monthly income, husband occupation and age of pregnant women. Thus, Ambo district health office should consider identified factors in their plan to reduce the prevalence of poor dietary practice. Particularly, health extension workers, and health workers have to give due attention by awareness creation of pregnant mothers. As well, it is recommended for further assessments on dietary practice to identify additional factors affecting dietary practices of pregnant mothers.KEYWORDS: Dietary practice, pregnant women meal frequency, Ambo, Oromia, Ethiopia.(Ethiopian Journal of Reproductive Health; 2018; 10; 4: 43-51)
OUTCOMES OF SECOND TRIMESTER SURGICAL ABORTION: THE EXPERIENCE OF A TERTIARY HEALTH FACILITY IN ETHIOPIA
Authors: Hurissa Tesfaye , Bell Jason , Wondafrash Mekitie , Surur Feiruz , MacAfee Lauren , Dalton Vanessa , Kahn Chava , Megan Yanik
Published: August 2024

ABSTRACTBACkGROUND: Abortion is defined as expulsion or extraction of a fetus before fetal viability. It is a very common occurrence globally (40-50 million per annum. There is increasing evidence to suggest that dilation and evacuation (D&E) leads to fewer complications than medical abortion for second trimester termination of pregnancy. However, there is no recent documentation of the outcome of such a method in Ethiopia. Hence the aim of this study is to document the outcome of second trimester D&E performed at St Paul Hospital and Millennium Medical College (SPHMMC). OBJECTIVE: To describe clinical characteristics and short-term outcomes of second trimester surgical abortion at SPHMMC. METHODS AND SUBJECTS: A retrospective cross-sectional study design was employed to review all cases of dilation and evacuation performed in the six months period from January 1, 2018- July 30, 2018. A structured questionnaire was used to collect selected socio-demographic data, clinical characteristics and acute complications. Data was entered and analyzed using IBM SPSS Statistics, version 20.0 (IBM Corp, Released 2011). RESULT: A total of 43 client records were reviewed and used for this analysis. The median (IQR) age of the study participants was 24 (20,26), with age range of 16 to 34 years old. The average gestational age is 16 weeks + 2 days (ranging from 13 weeks + 1 day to 20 weeks + 6 days). All women received doxycycline prior to performing D&E. No ultrasound was used during all the procedures. Over all complication rate is 2.3%, with 1 case of uterine perforation. The contraceptive uptake rate was 88.4% (38/43). The most common post abortion family planning method was long acting reversible contraceptives (LARC). CONCLUSION: Our review demonstrated that D&E is safe after applying recommended procedures in a tertiary health facility in Ethiopia. Further analysis using a larger sample should be undertaken and comparison should be made with medical induction in order to establish the safety and effectiveness of second trimester surgical abortion. kEY WORDS: second trimester safe abortion, Dilation & Evacuation (Ethiopian Journal of Reproductive Health; 2019; 11;1:1-8)
CASE REPORT: AN INCOMPLETE MOLAR PREGNANCY WITH UNUSUAL COMPLICATIONS
Authors: Nur Namus Muhajir , Yigeremu Mahlet
Published: August 2024

ABSTRACTINTRODUCTION: Gestational trophoblastic diseases (GTD) are a heterogeneous group of gestational and neoplastic conditions arising from the trophoblast. It is uncommon for gestational trophoblastic disease to present with Preeclampsia and syndrome prior to 24 weeks gestation. CASE PRESENTATION We present an unusual case of partial molar pregnancy which was diagnosed with severe preeclampsia and Partial HELLP associated with Severe anemia, Sepsis, Hyperthyroidism, Thrombocytopenia & CHF at 03 months of amenorrhea with ultrasound and Histopathology confirmed an incomplete molar pregnancy. Evacuation of the Uterus resulted in rapid resolution of signs, symptoms, and laboratory abnormalities. CONCLUSION This case demonstrates the acuteness in which life-threatening maternal conditions can arise with this uncommon complication of pregnancy, and the importance of early & correct identification of the characteristic laboratory & ultrasonographic findings associated with a molar pregnancy.kEY WORDS: Molar pregnancy, Preeclampsia, HELLP syndrome (Ethiopian Journal of Reproductive Health; 2019; 11;1:71-77)
Risk factors for mortality among eclamptics admitted to the surgical intensive care unit at Tikur Anbessa Hospital, Addis Ababa, Ethiopia
Authors: Berihun Eyob , Gaym Ashebir
Published: August 2024

AbstractBackground: Facilities for intensive care are scarce in low-resource settings. Identifyingdeterminants of mortality among eclamptics requiring intensive care will provide insightregarding prioritization as to which group of eclamptics would benefit from earlierreferral or transfer to ICU this will improve survival in the face of scarce resourcesavailable for ICU.Setting: Tikur Anbessa Hospital, a teaching and central referral hospital in Addis Ababa,Ethiopia.Objectives: To identify risk factors associated with mortality of eclamptics who requiredintensive care after admission to TAH- SICU.Methods: A ten years retrospective, hospital based case-control study. The case recordsof eclamptics admitted to the SICU during the study period were reviewed. Cases werethose mothers who died, with the survivors acting as controls. Several variables wereassessed among the cases and controls to assess their risk towards mortality; OR and95% CI computed.Results: The majority were below the age of 30 years, 124 (84.4%); nulliparous 103(70.1%) and from Addis 113 (76.9%). Lateralizing signs were observed in 11(7.5%). Agegreater than 29 years (OR 3.29; 95% CI, 1.18-9.12); being a housemaid (OR 5.93; 95%CI, 1.13-34.15); multiparity (OR 3.32, 95% CI 1.40-7.87) and the presence oflateralizing signs at admission (OR 4.57; 95% CI, 1.12-19.04) were significantlyassociated with the risk of mortality. The overall SICU case fatality rate was 25.9 %.Conclusion: More vigilant attention should be given to eclamptics older than 29 years,those with low-socioeconomic status, multiparous mothers and presence of lateralizingsigns at admission. Prioritizing ICU admission to these groups may improve survival.There is a need to conduct more studies on ICU mortality to come up with more detailedindications for prioritizing ICU admission.(Ethiop. J.Repr. Health .May 2007, 1(1):4-16)1. Ghandi Memorial Hospital, Addis Ababa, Ethiopia. 2. Department of Obstetrics and Gynecology
Quality of reproductive health services at private for-profit institutions in Addis Ababa
Authors: G. Egziabher Tigist , Melkamu Yilma
Published: August 2024

AbstractBackground: Private for-profit health institutions are expanding, and making considerablecontributions to improve health care for significant number of population. Their crucial share inreproductive health (RH) services in this area is growing rapidly. Assessing the quality of servicebeing provided by the private sector particularly in the area of RH provision has paramountimportance.Objective: To assess the quality of RH services at private for-profit health institutions in AddisAbaba and to provide programmatic recommendations.Methods: A descriptive cross-sectional study was conducted to assess the quality of service using astructured questionnaire through client exit interview, service provider interview, observation ofclient-provider interaction, provider’s technical competence and using a checklist for inventory ofequipment and supplies of health institutions. The study was conducted from April to December2006.Result: Ten private for profit health institutions were included in this study. A total of 411clients who came to receive RH services including family planning (FP), antenatal care(ANC),delivery services, postnatal care(PNC), post abortion care(PAC) and sexually transmittedinfection (STI) management were studied. Among others fourty six service providers wereinterviewed and 76 observations of client-provider interactions were made. Overall 91.2% exitinterview respondents reported satisfaction with services they received. In multivariate analysis,satisfaction of clients was lower for those women who reported waiting for a long time withoutgetting the service (OR=0.07, 95% CI: 0.03, 0.16), those who were not treated politely(OR=0.04, 95% CI: 0.01, 0.11), those who did not get satisfactory response for their questions(OR=0.02, 95% CI: 0.01, 0.08),and those with short consultation time (OR=0.13, CI: 0.05,0.31). All of the study institutions had basic equipment and supplies for the services. Majority ofthe providers received basic training in RH services. Inadequate supervision, less use of IECmaterials, and missed opportunity for VCT services was identified as a problem.Conclusion: Improving the use of IEC materials, refresher training and supportive supervisionfor the service providers by responsible authorities are recommended. It is suggested that creating amechanism to reduce long waiting time can improve client satisfaction.Keywords: Private for profit health sector, quality reproductive health services, Supportive supervision1Ethiopian Society of Obstetricians and Gynecologists, 2Department of Community Health, Addis Ababa University
Emergency contraception provision for sexually assaulted women at health facilities in Addis Ababa, Ethiopia
Authors: Worku Feleke , Abdella Ahmed
Published: August 2024

AbstractBackground: There is a real challenge of emergency contraception (EC) provision at health facilities in Addis Ababa, Ethiopia.Objective: The aim of the study was to assess EC provision for sexually assaulted women (SAW) during medical evaluation time.Methods: The study employed both qualitative and quantitative methods of data collection. It focused on five health facilitieswhere SAW in Addis Ababa and its environs were managed in 2005. A structured questionnaire was used to review the medicalrecords of SAW attending these facilities, and who faced the risk of unwanted pregnancy. In-depth interviews with health careproviders and selected SAW were also conducted.Results: Out of the 384 cases included in the study, 28.4% were provided with EC. Fifty-five percent of the cases were evaluatedwithin the first five days of the incident. Thirteen percent had already conceived by the time they were evaluated. All the fivehealth facilities considered sexual assault as an emergency. Among the reasons for failure to report early were: threat from the assailant,financial constraints, abduction, and the lack of services in the nearby health facility. Some of the conditions thatprompted rape survivors to report early to health facilities were presence of visible trauma, excessive bleeding from genitalia andfear of acquiring HIV.Conclusions: In order to improve EC provision, the necessary efforts have to be made by key stakeholders. Moreover, to provideappropriate medical care including counseling for SAW, regular training has to be organized for service providers.Keywords: sexual assault, risk of pregnancy, emergency contraception.
First Sexual Intercourse and Risky Sexual Behaviors among Undergraduate Students at Haramaya University, Ethiopia
Authors: Dingeta Tariku , Olijira Lemessa , Alemayehu Tadesse , Akililu Ayalu
Published: August 2024

Abstract
Back ground: First sexual intercourse is a milestone that varies considerably in its timing and its timing and represents an important developmental state. However, it has negative aspects such as unwanted pregnancy, sexually transmitted diseases and infection with HIV. Most adolescents do not use any form of contraception when entering into sexual intercourse for the first time.
Objective: To assess predictors of first sexual intercourse and associated risky sexual behaviors.
Methodology: This is an institution based cross-sectional study conducted from January to February 2010 among undergraduate students at Haramaya University. Quantitative data were collected from 846 randomly selected students.
Results: The majority (536,69.8%) of the students were male. From 843 participants 304(39.6%) ever had sex. The man (SD) age of first sex was 17.8(2.5) years. The majority of the respondents (138,45%) decided to have first sex because of falling in love, followed by curiosity (47,15.5%) of respondents. Out of the sexually active, 82(27%) had their first sexual intercourse with a casual partner. Less than half (42.8%) reported having used any contraceptive method during first sexual intercourse. Peer pressure, having friends who had sex, being male respondents, and discussion of sex related issues with boy or girl friend were among the factors predicting sexual initiation.
Conclusion: A sizable proportion of the participants had had initiated sexual intercourse. Peer pressure is the main reason mentioned for sexual initiation and risky sexual behaviors. Programs and intervention should seek to help individuals postpone their first sexual experience until they are ready for responsible decision making.
 
Ethiopian Journal of Reproductive Health, 2011, 5(1): 22-30
PREVALENCE OF INCISION EXTENSION DURING CESAREAN SECTION AT THREE TEACHING HOSPITALS IN ADDIS ABABA, ETHIOPIA
Authors: Abdella Ahmed , Tadesse Lia
Published: August 2024

Abstract
Background:  The most common major surgical procedure in obstetrics and gynecology in Cesarean Section (CS). Though advances in CS techniques, antibiotics, blood transfusion etc., have improved maternal and fetal outcomes. Cesarean delivery still poses higher maternal morbidity and mortality than vaginal delivery. One of the major causes of morbidity and mortality in CS is intra-operative hemorrhage which is partly caused by uterine incision extension (IE).
Objective: To determine the prevalence of uterine IE and assess factors associated with IE in CSs in three teaching hospitals in Addis Ababa, Ethiopia.
Methods: A cross-sectional study was undertaken from July 1 to August 30,2005 at three teaching hospital of Addis Ababa University. The data was entered and analyzed using EPI INFO statistical package, version 6.
Main Results: There were 42(12.7%) IEs among the 332 CS. Second state of labor (n=14, 34.1%), low station (m=16, 30.7%), occipito-posterior position (n=15, 25.4%), prolonged labor (21, 20.4%), rupture of membrane (n=16, 28.6%), and dystocia (n=86, 25.9%) were found to have significantly higher IE prevalence. Post-partum hemorrhage (PPH) due to tear of a vessel was seen in 33.3% of the IES. Even though the occurrence of IE was more common in those with emergency CS (13.4%), repeat CS (14.5%) and CS before term (16.7%) than elective (7.1%), primary (12.1%), and CS AT TERM (12.3%), respectively, the differences were not statistically significant.
Conclusion: IE is one major cause of intra-operative complications occurring in CS performed in the three teaching hospitals. In the presence of high risk factors (rupture of membranes, second stage of labor and low station of the presenting part), intra-operative complication should be anticipated and appropriate precautions made. Further studies are required to assess the long-term complications and better uterine incision techniques.
Ethiopian Journal of Reproductive Health, 2011, 5(1):31-38