bluuebunny/crossref_metadata_2025 huggingface dataset:
Bir Hukuk Terimi Olarak Müşterek Lafız ve Fürû-i Fıkha Tesiri
Authors: Hançer Alaaddin , Buğda Alimcan
Published: July 2024

İslam hukukunun temel dinamiklerine yer verilen İslam hukuk usulü eserlerinde üzerinde durulan önemli konulardan biri de lafız konusudur. Lafızlar, bu hukuk usulü eserlerinde lafız – mana ilişkisine dayalı olarak geniş bir taksimat çerçevesinde incelemeye tabi tutulmuştur. Bu taksimat şemasında yer verilen konulardan biri de çok anlamlı lafızlardır. Bu çalışmada, İslam hukuk ilmi kapsamında birden çok anlamı haiz lafızların oluşum şekilleri ve fıkhi hükümlerin şekillenmesinde etkin rolü ele alınmıştır. Çalışma, hukukçular arasında ihtilafa sebep olan etkenlerden birini gündeme taşımak, ihtilafların gelişigüzel, keyfi bir şekilde oluşmadığını, her ihtilafın makul bir gerekçesinin olduğunu tespit etmek üzere hazırlanmıştır. İhtilaflar bu amaca matuf olarak Hanefî, Malikî, Hanbelî ve Şafiî mezhepleri kapsamında değerlendirilmiştir. Bu mezheplere mensup hukukçuların verilen örnekler üzerinden görüşleri aktarılırken ileri sürdükleri delillere de yer verilmiştir. İlgili mezheplere mensup hukukçuların kaleme aldıkları temel eserlerin konu ile ilgili kısımları taranmış, konu ile ilintili bulunan çağdaş hukukçuların çalışmaları incelenmiştir. Çok anlamlı lafızların etki ettiği hükümler incelenirken verilen örnekler temsili olarak seçilmiştir. Verilen örneklerin fıkhın farklı alanlarından olmasına dikkat edilmiştir. Çalışmanın çok anlamlı lafızların sebep olduğu ihtilafların anlaşılmasında önemli katkı sağlayacağı ve hukukçular arasında fıkhın farklı alanlarında bu kadar ihtilafın neden kaynaklandığı sorusuna cevap niteliği taşıyacağı düşünülmektedir. Ayrıca hukuki ihtilafların pratikte ümmet için genişlik imkânı sunduğu, ibadet ve muâmelât çerçevesinde karşılaşılan problemlerin çözümünde sağladığı kolaylığın anlaşılmasına vesile olacağı beklenmektedir.
Gross morphological changes of placenta associated with maternal anemia
Authors: Gebremeskel Teshome , Mulu Abay , Kumbi Solomon , Ergete Wondwossen
Published: July 2024

Introduction: – Placenta is a feto-maternal organ composed of maternal component, decidua basalis, and a fetal component, chorion frondosum. The intra-uterine survival of the fetus is dependent on this vital organ.
Aim: – The main aim of this study is to compare the macro architectural changes of placenta associated with maternal anemia in Dessie Referral Hospital, Northeast Ethiopia.
Methods:  A comparative cross sectional method was conducted from May-June, 2018 at Dessie Referral Hospital. A total of 96 placentas (48 anemic and 48 non-anemic) was collected after delivery at labor room. EPI data version 4.2.0 was used to enter the data and analyzed by SPSS version 24. One way ANOVA and independent sample t- test was used to compare the mean differences of the groups.
Results: In pregnancies with maternal anemia, mean placental weight was 544±98 g and in non- anemic mother’s it was 502±93 g (p=0.03). The mean birth weight in anemic group was 2502±360 g and in non-anemic group 3035±305 g (p<0.001). The mean number of cotyledons, was 13.5±1.8 and 17.6±1.1, (p<0.001) in anemic and non-anemic groups, respectively. There was a significant difference in mean placental diameter of anemic 18±1.5 cm and 17±1.5 cm in non-anemic mothers (p<0.001).
Conclusions: Placenta was larger in anemic mothers than non-anemic mothers with amplify in mean placental weight, thickness and diameter. It was larger in weight, diameter and thickness in mild and moderate anemic but smaller in severe anemic mothers than non-anemic mothers. Maternal anemia was associated with decrease in number of cotyledons and birth weight of fetus
Magnitude of Female Genital Mutilation in Ethiopia: A systematic review and Meta-analysis
Authors: Muche Achenef
Published: July 2024

Background: Female Genital Mutilation (FGM) is a major harmful traditional practice which affects the health and well-being of women and girls. FGM is widespread across Ethiopia with a varying degree. Even though, there are various studies conducted on prevalence of FGM in Ethiopia, it has inconsistent findings. Therefore, this review was conducted to identify the pooled prevalence of FGM among women and children and its regional variations in Ethiopia
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed to review published and unpublished studies conducted in Ethiopia. The databases used were; PubMed, Google Scholar, CINAHL an AJOL. Data were extracted using the Joanna Briggs Institute tool for prevalence studies. The meta-analysis was conducted using STATA version 14 software. The heterogeneity and publication bias was assessed using the I2 statistics and Egger’s test respectively. Descriptive information of studies was presented in narrative form and quantitative results were presented in forest plots.  Random effects model was used to estimate the pooled prevalence of FGM with the corresponding 95% confidence interval.
Results: A total of 25 studies were included in the analysis. Twenty articles included with 44,283 participants and 14 articles with 38,230 participants to estimate pooled prevalence of FGM among women and children less than 15 year respectively. The pooled prevalence of FGM among women and children aged less than 15 years in Ethiopia was 84.6% (95% CI: 80.51%, 88.7 %%) and 49.79% (95% CI: 41.91%, 57.68%) respectively. The highest prevalence of FGM among women was observed in Somali region (91.09 % (95 % CI: 85.75, 96.44)), and the lowest reported in Harari region (79.50% (95 % CI: 76.77, 82.23)). The highest prevalence of FGM among children less than 15 years was observed in South Nation Nationalities and Peoples Region (SNNPR) (82.20% (95 % CI: 79.52, 84.88)) and the lowest reported in Harari region (19% (95 % CI: 16.35, 21.65)).  
Conclusions: The prevalence of FGM is high in Ethiopia with a wide variation was observed across regions. Attentions should be emphasized to end or reduce the practice, mainly   at the high FGM clustered regions of Ethiopia.
Explaining Gender Disparity in Risky Sexual Behavior among Undergraduate University Students in Ethiopia
Authors: Gutu Birhanu
Published: July 2024

ABSTRACTObjective: The aim of this research is to explain gender disparity in risky sexual behaviors among undergraduate students in Ethiopia.Setting: this study was conducted at Dambi Dollo University undergraduate students in Ethiopia. Participants: From the total of 633 sample size 579 received and returned complete questionnaire from which 330 were males and 279 were females. Simple random sampling method was used to select the participants. Respondents enrolled under other programs than regular program were excluded.Primary outcome: risky sexual behaviour is the primary outcome measured in this study. It is derived from any sexual act that can enhance the transmission of sexually transmitted infections including HIV and unplanned pregnancy. STATA 15 was used for data management and analysis. A multivariate decomposition analysis for non-linear model was used to determine the magnitude and drivers of gender disparity in risky sexual behavior. Latent class analysis was also used to produce latent class in HIV/AIDS related knowledge.Result: There is a 33.2% extra risk in sexual behavior among males with a 95% CI (26.4, 39.9). Of this disparity, 32.6% with 95% CI (6.5 to 15.1), p<0.001, is attributable to differences in characteristics between boys and girls. The remaining 67.4% with a 95% CI (14.1 to 30.6), P<0.001, of the raw difference is, however, explained by the differences in response behavior to changes in characteristics between the sexes. Being Muslim, communication with parents, communication with friends, substance use and knowledge about HIV/AIDS explained the observed male-female gap in risky sexual behavior.Conclusions: Addressing gender inequalities in risky sexual behavior among youth requires gender sensitive policies and strategies. Risk reduction strategies should focus on religions, parents and peers. Policy on substance ban should be in place and effectively administered. Gender sensitive awareness raising and educational programs about substance use and HIV/AIDS should be strengthened.
A case of non-puerperal uterine inversion in reproductive age
Authors: Dinku Getu
Published: July 2024

Non- puerperal uterine inversion is a rare clinical condition which most often occurs with tumor implanted of the fundus of the uterus.  Leiomyoma is the commonest cause as a leading point for non-puerperal uterine inversion to occur. Unusual case report of non-puerperal uterine inversion caused by sub mucous leiomyoma is reported to 38 years old para 5 presented with vaginal bleeding and protruding mass per vagina with anemia and offensive discharge.
Uterine inversion was corrected abdominally by Haultain's procedure after vaginal myomectomy followed by abdominal hysterectomy. Both the ovaries were conserved.
Key words : uterine inversion, non-puerperal , leiomyoma
IN VITRO FERTILIZATION (IVF) OUTCOMES AND PREDICTING FACTORS IN A RESOURCE-LIMITED SETTING
Authors: Belay Lemi , Mekuria Thomas , Wondafrash Mekitie
Published: July 2024

Abstract
Introduction
Ethiopia has only one public In-vitro fertilization (IVF) center which was opened one year back. The aim of the study is therefore to determine predictors of the outcome of IVF in the only and newly opened public fertility center in Addis Ababa, Ethiopia.
Methods
The study is conducted in the public IVF center in Ethiopia between; April 01, 2019, to March 30, 2020. A retrospective cross-sectional study design was employed. All IVF clients meeting the inclusion criteria were included in the analysis.
Result
There was a total of 199 couples included in the study. The clinical pregnancy rate was found to be 30.1%. The odds of getting pregnant is 61% less among participants with female partners age ?35 years, AOR 0.39, CI 0.18-0.83 with a p-value of 0.015. Good responders ((?4 oocytes retrieved) accounts for 152(76.4%) of the cases. Age of female partner, day 3 Follicle Stimulating Hormone (FSH), and Antral Follicle Count (AFC) count ?5 were significantly associated with good ovarian stimulation response with a p-value of 0.050,0.002 and 0.005 respectively.
Conclusion
Even though near two-third of the study participants did not know their exact date of birth, the reported age of female partner <35 years is associated with both good ovarian response and occurrence of pregnancy emphasizing its importance for clinical decision making. Day 3 FSH and AFC ?5 were associated with good ovarian stimulation response. Therefore, we recommend the combination of female partner age, day 3 FSH, and AFC ?5 to predict ovarian response in low resource settings, since variables can be readily available without much cost to patients. Furthermore, we would like to recommend follow up studies with better sample size and prospective cohort design to appropriately compare the different predictors of ovarian response in our setting to develop evidence-based set up specific IVF protocols and guidelines
Keywords: Pregnancy rate, IVF, Resource limited setting, Predictors, Infertility, Ethiopia
Premises and Rationale of Contraceptive Services Accessing in Southern Ethiopia: A Phenomenological Exploration.
Authors: Ali Abraham , Hanson Lori , Madda Mellese
Published: July 2024

Background
Despite the encouraging engagements of the government and health workers in the provision of contraceptive services in Ethiopia, there are limited documents revealing the knowledge and experiences of the health service providers, health leaders and the beneficiaries about the premises and rationale for accessing contraceptive services. Therefore, the study was conducted with the aim of exploring health care providers and user’s lived experiences under which premises/rationale is the service being given.
Methods
Interpretative phenomenological qualitative methodology was employed to explore the lived experiences of health service providers, managers and service user women. Data were collected using focus group discussions and key informant interview. Data were analyzed using an interpretive phenomenological analysis framework including phases of data immersion, transcribing, coding, theme development and phenomenological interpretation through hermeneutic circle.
 
Result
The study captured enabling context for contraceptive service provision and use from various rationales, organization and expansion of contraceptive services to the community and households. The finding indicated that contraceptive service provision from the demographic, socio-economic perspectives understood adequately all in the hierarchies but the human right based rationale was less obvious except at higher level health leaders.
Conclusion
The study concludes that the premises/rationale for contraceptive services provision from the bigger picture for providing contraceptive services, the human right approach, remained elusive as one moves down to the hierarchies in health care organizations. On the other hand, the demographic, economic and health rationales are more obvious. Hence, the study recommends the disconnect in the broader premises of providing contraceptive services (the human rights approach) has to properly be communicated to the lower level health managers, service providers and service users. 
Key words: Demography, Economy, Human rights, Contraception, Phenomenology, Rationale
Vaginal Leech Infestation
Authors: Senbeta Dr. Habtamu Beyene , Sori Dr. Demisew Amenu
Published: July 2024

ABSTRACT
BACKGROUND: Vaginal  bleeding  during childhood  is always abnormal,rare and warrants diagnostic evaluation. Leech bites are a recognized cause of bleeding from any human orifice upon exposure to water which is infested with leeches.The definitive diagnosis relies on meticulous history taking, as well as a judicious examination including speculum examination. A high level of suspicion is necessary to make the diagnosis.
CASE  DETAILS:  A 3 years old young girl presented  with  vaginal  bleeding  of  1  weeks  duration on 28/10/2016  to Jimma university Hospital Medical Center,Ethiopia.On examination,  she had normal vital signs and blood soaked vulva, there was  a  dark moving worm in vaginal introits with instillation of saline  into  the  vagina. The leech  was  removed  from  the  vagina with help of suction tube and  She  was  discharged with good condition on the 2ndpost procedure day.
CONCLUSION: Vaginal leech infestation in children can cause Life-threatening conditions from failure or delay in making the diagnosis and management. In addition, the importance of  instillation of saline to vagina not only used for treatment;it can also used for diagnosis in children with intact hymen and where pediatrics speculum is not available.
MAGNITUDE OF POSTPARTUM HEMORRHAGE AND ASSOCIATED FACTORS AMONG WOMEN DELIVERED AT HIDAR 11 HOSPITAL, NORTHEAST ETHIOPIA.
Authors: Damtie Yitayish , Kefale Bereket , Andualem Atsedemariam
Published: July 2024

BACKGROUND: Postpartum hemorrhage is a significant public health problem, causing considerable maternal mortality and morbidity. There was limited evidence on postpartum hemorrhage in the study area. Hence, this study aimed to assess the magnitude of postpartum hemorrhage and associated factors among women delivered in Hidar 11 Hospital.
METHOD: A retrospective cross-sectional study was conducted in Hidar 11 hospital from December 30/2018 to January 25/2019. A two year (from December 1/ 2016 to December 1/2018) document review was conducted to select 232 samples. The collected data were analyzed using SPSS version 23. Bi-variable and multivariable logistic regression model were used to identify factors associated with postpartum hemorrhage. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was used as a measure of association. Statistical significance was declared at a P - value less than 0.05.
RESULT: The overall magnitude of postpartum hemorrhage was 12.1%. Being rural in residence (AOR=3.60, 95%CI: (1.36, 19.37)), pre delivery hematocrit level ?33% (AOR=3.36, 95%CI: (1.11, 10.1)), presence of premature rapture of membrane (AOR=4.68, 95%CI: (1.56, 14.0)) and gestational age> 42 week (AOR=17.1, 95%CI: (1.82, 161.3)) were significantly associated with postpartum hemorrhage.
CONCLUSION: The magnitude of postpartum hemorrhage was high. Residence, pre delivery hematocrit level, premature rupture of membrane and gestational age were factors associated with postpartum hemorrhage. Healthcare providers should screen women for infection and anemia, tell the gestational age during their antenatal care visit and provide a 24 hours ambulance service for pregnant women living in rural area.
KEYWORDS: Postpartum hemorrhage, antenatal care, uterine atony, retained placenta, Ethiopia
THE MAGNITUDE AND DETERMINANTS OF INDUCED ABORTION AMONG COLLEGE STUDENTS IN DEBRE TABOR TOWN, NORTHWEST ETHIOPIA
Authors: Tilahun Muche Zelalem , Behaile Teklemariam Awgichew , Chekol Abebe Endeshaw , Tilahum Anemut , Abebe Zewde Edget
Published: July 2024

Background: Abortion is a sensitive and contentious issue with religious, moral, cultural, and political dimensions. Out of an estimated 210 million pregnancies that occur in the world each year, 38% are unwanted, of which 22% end up in abortion. Globally, 358,000 women die each year as a result of causes related to pregnancy and childbirth. Abortion is one of the top five causes of maternal death in Ethiopia. Therefore, this study was conducted to assess the magnitude and associated factors of induced abortion among college students in Debre Tabor Health science college, Begiemidir teachers’ college and Fekede Egzi college.
Methods:  An institutional based cross-sectional study was conducted from February 3 to May 28,2021. A total of 236 female students were recruited from Debre Tabor Health Science College, Begiemidir Teachers’ college and Fekede Egzi college using systematic random sampling technique. The data were collected using self-administered questionnaire, and data analysis was done by SPSS version 25.0.
Result: The magnitude of unintended pregnancy and unsafe induced abortion was 59.8% and 18.6% respectively. Out of the total study participants, 91(38.6%) did use emergency contraceptive pills following unprotected sexual intercourse. Majority 44(75.9%) of abortion was induced. Out of respondents who had induced abortion 22(50%) were attended by their mother.
Conclusion: The prevalence of induced abortion was generally high in the study area. Department, year of study and condom use were strongly associated with induced abortion.
Predictors of Delay for Institutional Delivery among Pregnant Mothers in Gamo Zone of Southern Ethiopia: The Generalized Estimating Equations (GEE)
Authors: Gergiso Kabtamu Tolosie , Hebo Sultan Hussen , Wachare Seifu Wanaka , Sidamo Negussie Boti , Chekol Bitewu Mekonnen
Published: July 2024

Background: Delay in institutional delivery refers to the time interval from the first onset of labour to start receiving the first healthcare. This study aimed to assess the associated factors of the maternal delays for institutional delivery service utilization in Selected Gamo Zone Health Centres, Southern Ethiopia in 2019.
Methods: A retrospective study was conducted in rural districts of the Gamo zone. A total of 394 postnatal mothers were selected by simple random sampling. The Generalized Estimating Equations (GEE) was used to examine associations between outcome maternal delay time and independent variables.
Results: The mean age of respondents was 29 years (range from 19 to 40 years).  Out of the total 391 mothers, 266 (68.03%) were unemployed and 125 (31.97%) were employed. The unemployed mother had Exp (0.5572) = 1.75 times higher odds of being maternal delay compared to employed. Similarly, mothers whose poor knowledge on danger signs of labor and childbirth had Exp (0.5216) = 1.68 times higher odds of being maternal delay as compared to whose good knowledge. The odds of being the husband decision maker for institutional delivery service utilization (Exp (0.8006) =2.23) times higher odds of being maternal delay compared to jointly. 
Conclusions: The maternal delay time is significantly determined by the mother’s occupation, number of children, final decision maker for institutional delivery service utilization, mother’s knowledge on danger signs of labor and childbirth and delay time. However, variables religion, residence, mother’s education, previous pregnancy related problem, ANC follow-up, and birth preparedness had no significant effect on maternal delay. Therefore, due attention needs to be given to encourage unemployed mothers, promoting couples in involvement in decision making for institutional delivery service utilization, enhancing education on family planning and creating awareness on danger signs of labor and childbirth.
The Gynecologic Laparoscopic Surgery: Experience of Center of Fertility and Reproductive Medicine at St. Paul’s Hospital Millennium Medical College
Authors: Kasa Ayallew , Abdella Mustefa
Published: July 2024

Background: Recent data suggests that up to 80% of gynecologic surgeries can be accomplished laparoscopically.  However, laparoscopy does not come without risks – specifically risks of injury to the bowel, urinary tract, and vasculature.  This study assesses the indications for, as well as the complications and outcomes of laparoscopic surgery at the Center of Fertility and Reproductive Medicine at St Paul’s Hospital Millennium Medical College.
Methods and Materials: This is a cross sectional retrospective study using data abstracted from medical records between April 2019 to September 2020. We included all gynecologic laparoscopies done during this date range. The data was collected with Open Data Kit (ODK) software and then transferred to Microsoft Excel for analysis. We set statistical significance at P <0.05.
Results: There were 135 gynecologic surgeries performed, with a mean patient age of 32.4 years. About two-thirds of them presented with primary infertility, and 30% had a previous laparotomy or laparoscopy. Twenty percent had previously been diagnosed with tuberculosis. The main indication for laparoscopy was hydrosalpinx which accounted for 51.1% of surgeries.  For patients who underwent surgery for a diagnosis of hydrosalpinx, the majority (54%) underwent bilateral salpingectomy. Our complication rate was 3.7% and rate of conversion to laparotomy was 5.2%.
Conclusion: Our complication rate was higher than previously published laparoscopic complication rates from Asia and Europe. The majority of our complications were bladder and bowel injuries. Complications were managed predominately by conversion to laparotomy.
Keywords:  gynecology, laparoscopy, complications, Saint Paul’s Hospital Millennium Medical College.
The Significance of Three Dimensional Soft Tissue Markers in Estimating Fetal Weight Among Iraqi women; A Cross-Sectional Study
Authors: Nori Wassan , Hameed Humadi Esraa , Akram Nabeeha N.
Published: July 2024

Background  Estimating fetal weight (EFW) is essential for safeguarding laboring mothers and newborns. Higher birth weight is associated with poor delivery outcomes; earlier detection is crucial to improve the outcome. Current use of a two-dimensional ultrasonic shows limitations, especially among higher birth weight and those in the late third trimester. We aimed to examine whether the fractional thigh volume (FTV), a three-dimensional ultrasonic parameter, can predict fetal birth weight at 38-42 weeks.
Methods A cross-sectional study recruited 80  pregnant women who fulfilled the criteria; at University Hospital from June 2018 for 14 months. Patients were referred cases for labor induction. Women were assessed by clinical and obstetrical examination. A three-dimensional ultrasound evaluated FTV at the labor ward; 24-48 hours before delivery. Maternal demographics, an indication of admission, and outcomes were recorded. After delivery, the infants' actual birth weight was recorded.
Results The actual birth weight versus EFW by FTV was 3438.01 ±693.04 vs. 3548.47±706.71 grams. A third-degree polynomial equation highlighted the correlation between the EFW by FTV versus actual birth weight. ANOVA tested the equation accuracy, as  F-ratio was 299.58, P value< 0.0001. The concordance correlation coefficient was 0.95.
Conclusion, the strong correlations of  FTV in predicting fetal weight with a substantial concordance agreement, besides its simplicity and rapid examination time, especially when incorporated into commercial software, makes FTV a recommended marker for predicting EFW.
The Health Belief Model Attitudes of Iraqi Women towards Breast Cancer and Its Early Detection Methods
Authors: Jwad Taher Taqi Mohammed , Saadi Rami , Sarray Firas
Published: July 2024

Health Belief Model (HBM) is a very effective paradigm designed to explore behaviours, especially in breast cancer prevention. This study aimed to determine women’s attitudes regarding breast cancer by using HBM and the interaction between attitudes and practice. This prevalence survey was performed on a consecutive sample of 657 women visiting the primary healthcare centres in Baghdad/ Iraq. The data was collected over four months in 2019. A specially designed questionnaire of modified and translated health belief model related to breast cancer was adopted and filled out through face-to-face interviews. The age of participants was between (20-59) years. Women with adequate practice of BSE (Breast Self-Exam) had higher perceived benefits, susceptibility, and motivation than those who inadequately practised it. Women with adequate practice of mammography had higher perceived benefits and health motivation, and lower barriers, threat, and severity of breast cancer other than those with inadequate practice. Those participants who were more likely to perform CBE (Clinical Breast Exam) adequately, those with higher levels of perceived seriousness and health motivation. Study results suggested that practices of screening for breast cancer were inadequate in a majority of participants and need to be improved by educational health programs.
Association between Serum Progesterone Levels and Endometrial Status on hCG Injection in IVF Cycle
Authors: Moramezi Farideh , Ghobadi Samaneh , Salemi Shabnam , Mohamad Jafari Razeih
Published: July 2024

Background: Endometrial thickness is a determining factor in successful implantation and pregnancy. So, this study is aimed at assessing the association between the serum levels of progesterone and endometrial status on the day of hCG injection in women treated with in-vitro fertilization (IVF).
Methods: Totally, 71 women who underwent IVF cycle were prospectively recruited in this study. On the day of hCG injection, their serum progesterone levels were evaluated with the ELISA kit. The endometrial thickness was examined using transvaginal ultrasound. Patients were divided into two groups, including patients with progesterone ? 1 ng /ml and progesterone> 1 ng/ml. Eventually, patients' demographic and clinical features were statistically compared between two groups.
Results: Among all the evaluated demographic and clinical factors, only the rate of nulligravid (P= 0.03) and abortion (P= 0.02) in the progesterone group ? 1 ng/ml was significantly higher than their rate in the progesterone group > 1 ng/ml. Moreover, the mean (SD) endometrial thickness was not significantly different between the two groups (P= 0.83).
Conclusion: No significant relationship existed between the serum level of progesterone on the day of hCG injection and the endometrial thickness in women treated with IVF. However, a significant negative correlation existed between its level and the rate of gravidity and abortion.
Prevalence and Determinants of Unintended Pregnancy Among Mothers Delivered in Tertiary and General hospitals, Tigray Region, Ethiopia
Authors: Ataklti Shiferaw  , Amanuel Gessessew  , Girmatsion Fisseha  , Hale Teka  , Sumeya Ahmed  , Jessica Morgan  , Gelila Goba  , Yemane Awol
Published: July 2024

Background: Unintended pregnancy represents an important public health challenge in many countries, especially in the developing world. Numerous prevention strategies have been employed worldwide in an effort to address this problem. Unintended pregnancies contribute significantly to adverse health, social and economic outcomes and increase the risks of maternal death as well as neonatal, infant and child mortality. At present, standardized efforts to reduce the incidence of unintended pregnancy are sparse.
 
Objective: This study aimed to assess prevalence and determinants unintended pregnancy among mothers delivered in Ayder Comprehensive Specialized Hospital and Mekelle hospital.
 
Methods: A facility based cross-sectional study was conducted over a period of two months (January 1, 2018 to February 30, 2018). The study was conducted in among 614 postpartum mothers across two hospital sites during the aforementioned time period. Bivariate logistic regression was used to assess for association between the independent variables and unintended pregnancy. Statistical significance was determined as P < 0.05.
 
Results: A totals of 614 mothers participated in the study.  The prevalence of unintended pregnancy was 42.8%. Mistimed pregnancy accounting for 33.7 % and unwanted pregnancy accounting for 9.1%. About 88 % of mistimed pregnancies were due to contraception not used and 12% are due to contraception failure. Lower level of education, interpregnancy interval of 6 months to 5 years, older maternal age, and larger family size were factors significantly associated with unintended pregnancy.
Conclusions:  Nearly half of women had an unintended pregnancy, a rate higher than previously reported. Lower level of education, older maternal age, and larger family were factors significantly associated with unintended pregnancy. The high prevalence of unintended pregnancies in Mekelle highlights the need for implementation strategies that encourage education of women, creating awareness on family planning and child spacing.
Partograph utilization is associated with educational status of obstetrics care givers in Ilu Aba Bor Zone, Ethiopia: a cross-sectional study
Authors: Aynalem Getamesay , Teshome Fentaneh , Negera Ebissa
Published: July 2024

Background: Worldwide, several thousands of mothers die every year due to pregnancy and birth related complications. Most of maternal deaths can be minimized by using partograph routinely. However, the level of utilization and associated factors among obstetrics care providers in Ilu Aba Bor Zone has been barely known.
Objective: This study assessed the level of partograph utilization and its predictors among obstetric care givers working in public health institutions of Ilu Aba Bor Zone, South West Ethiopia.
Methods: An institution-based cross-sectional study design was employed. A structured self-administered and pretested questionnaire adapted from available literatures were used. In addition to descriptive statistics, logistic regression analysis was applied to assess association.
Results: The level of partograph utilization among obstetrics care providers in the study area was 32.8%. Receiving on-job training on partograph (AOR (Adjusted Odds Ratio) = 2.21, 95%CI (Confidence Interval) = 1.19, 4.11), working in a hospital compared to working in a health center (AOR = 2.43, 95%CI = 1.01, 5.82), having BSc (Bachelor of Science) and above educational status in contrast to having Diploma (AOR = 3.12, 95%CI = 1.59, 6.12), and having partograph in a health facility (AOR= 4.19, 95%CI = 2.12, 8.29) were positively associated with partograph use.
Conclusions: Partograph utilization level was much lower than World Health Organization recommendation. On-job training on partograph, work place, educational status, and partograph availability were predictors of level of partograph utilization among the obstetric care givers.
COJOINED TWINS: SAFE TERMINATION OF PREGNANCY THROUGH DILATION AND EVACUATION AT LATER GESTATION: A CASE SERIES
Authors: Fessehaye Abraham , Diress Tesfaye , Bekele Delayehu , Belay Lemi
Published: July 2024

Abstract
Background: Currently, there is limited evidence on termination of pregnancy for cojoined twin documented with only 33 cases reports to-date. This study aimed to  describe the clinical and procedure characteristics of second trimester dilation and evacuation(D&E) for cojoined twins at later gestation.
Methods: This retrospective case series was conducted at a tertiary-level hospital in Ethiopia from February 2023- July 2023. Women who had a cojoined twin pregnancy in later gestation (?20 weeks) and underwent second trimester D&E were retrospectively studied through chart review. Clinical presentation, D&E procedural description, and procedure outcomes of the cases were analyzed. 
Results: Three women who had a cojoined twin in later gestation (?20 weeks) and underwent second trimester D&E were identified. In two of the cases, a two- day cervical preparation with laminaria was used to prepare the cervix while overnight Foley catheter (1-day preparation) was used for similar purpose in the third case. A cervical dilation of 3 cm was achieved in all cases and was deemed adequate to proceed with the procedure by the managing physicians. Intra-operative ultrasound guidance was utilized in all the cases and there were no complications encountered.
Conclusion: Our case series underscores the importance of achieving adequate cervical preparation, utilization of intra-operative ultrasound guidance, and handling the procedure by the most experienced provider, in increasing the safety and effectiveness of D&E procedures for conjoined twin at later gestation.
Keywords: cojoined twin, dilation and evacuation, D&E for conjoined twin, D&E for twin
INVENTARISASI POTENSI PAKAN KUSKUS DI TAMAN NASIONAL MANUSELA (RESORT MASIHULAN)
Authors: Kunu Pretty , Puttileihalat Maya , Sahusilawane John
Published: July 2024

This research aims to determine the types of plants that have the potential to be used as cuscus food, determine the parts of plants that function as cuscus food, and determine the availability of cuscus food in their habitat. This research uses a descriptive method using the route transect technique carried out in Manusela National Park (Masihulan Resort). The research instrument generally carried out by researchers is field observation. The data obtained consisted of the type of feed consumed by cuscus, the plants consumed by cuscus (leaves, fruit and bark), and the potential types of feed (density, dominance and frequency) at the research location. The results of data analysis show that there are 27 types of plants that are categorized as cuscus food in the research area and the most preferred cuscus are Bintanggur (Calophyllum inopyllum), Wako (Carallia brachiate merr.), Wapane, Forest Nutmeg (Knema cinerea), Redwood (Pinus sylvestris), Forest Belo (Diospyrus celebica), Siki Wood (Palaquium javense burck). The results of the research show that the part of the plant most liked and consumed by cuscus is the leaves of young shoots in very large quantities compared to the fruit and bark of the tree. Finally, the research results show that the availability and regeneration of cuscus feed is still very good, this can be seen from the dominance values ​​obtained both at tree level and at pole level.
PERANAN KELEMBAGAAN KELOMPOK USAHA PERHUTANAN SOSIAL HUTAN ADAT DI NEGERI HUTUMURI KECAMATAN LEITIMUR SELATAN KOTA AMBON
Authors: Lelapary Jezenia , Silaya Thomas , Iskar Iskar
Published: July 2024

Customary Forest is one of the social forestry schemes in the framework of sustainable forest management by utilizing indigenous communities as the main actors in order to improve welfare, environmental balance and socio-cultural dynamics. Customary Forest is a forest located within the territory of the customary law community. This study aims to examine the role of the Social Forestry Business Group (SFBG) and customary institutions in the management of Customary Forests in Hutumuri village.. The research method used was descriptive qualitative, with data collected through interviews and field observations. Sampling is done by purposive sampling where sampling is based on previously known characteristics or properties of the population (Sugiyono, 2016). The results showed that SFBG has an important role in managing forest resources sustainably and improving the welfare of local communities. SFBG functions in social forestry business development, compliance with regulations, supervision, evaluation, and reporting. The SFBG organizational structure includes a chairperson, secretary, treasurer, planning, implementation, and supervision, each with specific roles. Customary institutions also play an important role in the planning and implementation of institutional improvement programs, such as the inauguration of soa heads and saniri negeri, the establishment of SFBG, and training on forest product processing. In addition, there is a role in the application for the determination of customary forests to the Minister of Environment and Forestry, the location of customary forests belongs to the state or Soa, and the marking of boundaries involves each Soa. In conclusion, the synergy between SFBG and customary institutions is crucial for the successful management of Hutan Adat in Negeri Hutumuri.
PENGARUH PEMBERIAN ARANG SEKAM DAN PUPUK ORGANIK CAIR DARI LIMBAH BUAH DAN SAYUR TERHADAP PERTUMBUHANBIBIT GAHARU (Aquilaria malaccensis)
Authors: Sanaky Rizka Ayu Wahyuli , Siahaya Ludia , Tetelay Febian
Published: July 2024

This study aims to determine the effect of applying husk charcoal and liquid organic fertilizer from fruit and vegetable waste in increasing the growth of agarwood seedlings (Aqualaria malaccensis). This research was carried out in the Nursery of the Department of Forestry, Faculty of Agriculture, Pattimura University for three months. The method used in this study is a Complete Random Design (RAL) with 2 factors and 3 replicates. The first factor is the dose of liquid organic fertilizer from fruit and vegetable waste consisting of 4 levels, namely A0 (No liquid organic fertilizer), A1 (100 ml), A2 = (200 ml), A3 = (300 ml) The second factor is the application of husk charcoal consisting of 2 levels, namely B1 (No husk charcoal), B2 (Husk charcoal). The results showed that A1B2 treatment (100 ml POC + husk charcoal medium) gave the highest results on plant height, A2B1 (200 ml POC + no husk charcoal media) gave the highest results on plant diameter, while the highest number of leaves was A0B1 (control + no husk charcoal).
PERTUMBUHAN DAN PERKEMBANGAN TANAMAN SAMAMA(Anthocepalus macrophyllus) DI DEMPLOT SUMBER BENIH DESA HATUSUA KECAMATAN KAIRATU KABUPATEN SERAM BAGIAN BARAT
Authors: Yali Joko Istia Yali Joko Istia , Siahaya Ludia , Irwanto Irwanto
Published: July 2024

The aim of this research is to determine the diameter increment and height increment, growth and development of Samama Plants (Anthocepalus marcophyllus) as well as environmental factors that influence the growth of Samama Plants (Anthocepalus marcophyllus). This research was carried out in Block III of Samama Plants (Anthocepalus marcophyllus) in the Seed Source Demonstration Plot in Hatusua Village, Kairatu District, West Seram Regency. Initial data was taken in January 2022 and continued with final data collection in July 2022. This research uses a quantitative analysis method by calculating the Average Annual Increment (MAI), current annual increment (CAI) and analysis simple regression. The results of further research show that the growth of Samama (AnthocepHalus marcopHyllus) plants in the seed source demonstration plot of Hatusua village, West Seram Regency with a Current Annual Rate (CAI) diameter in 2022 is 1.2 (cm/tnm/yr) and an average annual increase (MAI) diameter is 3.05 (cm/tnm/yr), current annual increment (CAI) is high, namely 1.77 (m/tnm/yr) and average annual increment (MAI) is high, namely 2.93 (m /tnm/yr). The development of the Samama plant in measurements in 2022, the walnut plant has developed. From the results of research in 2022, the growth of the Samama plant is at the pole and tree level. There are 8 trees on the pole with diameters ranging from 14.5 – 20.
PERSEPSI MASYARAKAT TERHADAP PENGELOLAAN HUTAN DESADI NEGERI MORELLA KECAMATAN LEIHITU KABUPATEN MALUKU TENGAH
Authors: Iskar Iskar , Silaya Thomas , Rumra Siti
Published: July 2024

The purpose of this study was to find out the community perceptions of village forest management in Morella Country. The research method is descriptive qualitative. The sample was determined using a purposive sampling method which only focused on communities directly involved in Village Forest (HD) management with a total of 31 respondents and several figures as key informants. Data collection methods were carried out by means of observation, interviews and literature study. Data analysis used descriptive statistics with a Likert scale as the measurement scale, namely strongly agree (3), agree (2), disagree (1) with high, medium and low categorization for each value. The research results show that the community's perception of village forest management in Morella Country is classified in the 'Medium' category, including perceptions of pre-licensing village forest management, namely socialization and facilitation, formation of LPHD, technical verification and issuance of permits and post-licensing, namely HD planning and implementation..
GRAVIDEZ NA ADOLESCÊNCIA: UMA REVISÃO DE LITERATURA DOS ASPECTOS PSICOSSOCIAIS
Authors: Santos Pereira Ferreira Amanda , Guimarães Silva Alerrandro
Published: July 2024

This research sought to discuss teenage pregnancy, a literature review of psychosocial aspects, starting from the point that teenage pregnancy is a complex phenomenon influenced by several psychosocial factors, which include family, socioeconomic, educational and cultural aspects. Early pregnancy often brings with it concerns about maternal and child health, as well as additional challenges such as maintaining formal education and adapting to new parental responsibilities at a stage in life where emotional and financial support can be scarce. The methodology used was bibliographic, which included, in addition to articles, monographs, already published materials, by authors such as: Almeida (2003); Breno (2016); Duarte (2020); Giordano (2016); Morgan (2016); Martinez (2018); Oms (2015); Saletti (2017); Silva (2010), among others. The results show that teenage pregnancy is a complex and multifaceted phenomenon, whose psychosocial aspects play a fundamental role in understanding and effective intervention. Family, socioeconomic and cultural aspects emerge as significant determinants, influencing both the incidence and outcomes of this condition. The results also show that family and community support plays a crucial role in the experience of pregnant teenagers. The emotional and practical support offered by the family can be decisive for the physical and psychological well-being of young mothers during this critical phase of their lives. Sexuality in adolescence can be seen as a field of learning and emotional development, where young people explore their desires, limits and responsibilities. The search for intimacy and the need to belong can lead to positive experiences of self-discovery, but they can also expose teens to risks such as unplanned pregnancy.
DESCONSTRUINDO PRECONCEITOS E DISCUTINDO GÊNERO E SEXUALIDADE: A IMPORTÂNCIA DA FORMAÇÃO CONTINUADA PARA ESTUDANTES DE PEDAGOGIA
Authors: Faustino Pinto Vanessa
Published: July 2024

The qualitative study presented in this research aims to promote reflections for future teachers on the relevance of studying gender and sexuality to act effectively within the school context. Knowing that when approached at school, teachers often face difficulties in dealing with different situations, such as, for example, students’ doubts, or even when they are limited only to teaching Natural Sciences, not taking into account cultural issues. , prejudice, demystification of differences, respect for others, among other factors to be worked on regarding this issue that involve the terms gender and sexuality within education. The research was divided into two moments, the first with the theoretical review that points to conceptual reflections, with the first part entitled gender, bringing grounded considerations of the term. The second part entitled sexuality, pointing out how concepts are treated theoretically, providing reflections to the reader, followed by the third part entitled “Gender and Sexuality in the school context”, theoretically demonstrating how teachers can work on issues related to gender and sexuality in order to provide students with knowledge that encourages respect and equity, thus seeking to eliminate taboos and prejudices surrounding this topic. And the second part of the studies with the proposal to analyze the conceptions of undergraduate students in Pedagogy, composed of 36 students, of whom are from the city of Rosana and surrounding areas. on the topic of gender and sexuality and thus providing reflections on the different forms of action within the school context, awakening their interest in issues involving prejudice, indifference, taboos.
CONSUMO CULTURAL E FORMAÇÃO DE IDENTIDADES
Authors: Martins Faustino Larissa , Lucia de Castro Ana
Published: July 2024

Pensar como as identidades são formadas na contemporaneidade é um desafio instigante nas Ciências Sociais quando consideramos a influência do consumo midiático em tal processo. As transformações tecnológicas e dos meios de comunicação que constituem a modernidade causaram impacto direto sobre as relações sociais e a questão da representatividade na mídia. Neste artigo serão levantadas reflexões sobre a relação entre esses temas destacando a relevância de aplicar uma abordagem interseccional na análise, bem como buscar entender as relações de poder que atravessam a estrutura de mídias dominantes, para enfim abordar a questão das formas de existência que sempre estiveram presentes. Para seguir tal caminho, a reflexão é iniciada pensando o movimento dessas estruturas na construção de uma narrativa e de uma identidade nacional, de acordo com Stuart Hall (1932-2014). O impacto do olhar opositor de mulheres negras espectadoras frente à violência da mídia dominante branca também é abordado neste artigo, norteado por bell hooks (1952-2021).
NAVIGATING THE NUANCES OF TACIT KNOWLEDGE REVISITED: COMPARATIVE STUDIES IN MANAGEMENT THEORY APPLIED TO INDIGENOUS KNOWLEDGE IN GOOD HEALTH AND WELL-BEING
Authors: Penteado Dr. Ana
Published: July 2024

This article reviews previous studies and provides a rationale for the inclusion of the concept of tacit knowledge in Indigenous Knowledge as an economic resource for stakeholders. It conducts a historical and revisited comparative analysis of tacit knowledge in the management theory of oral knowledge in Indigenous Knowledge within the realm of scientific investigation. The main argument is focused on the recognition of tacit knowledge accumulated and often lacking scientific validation in its continuous existence perpetuated by local communities, tribal and Indigenous Peoples on our planet. Tacit knowledge, often shared in goodwill and good faith among stakeholders, particularly non-Indigenous Peoples, implies a moral and legal obligation of benefit-sharing for all parties involved. The case studies presented in this article illustrate the role of tacit knowledge in Indigenous Knowledge and its past uses in traditional medicine utilised in patents, having deep implications for benefit-sharing on drug profits. In reviewing past findings in the native botany drugs discovery market, this article illustrates the developments in the integration of traditional medicine into national systems of health, which often fail to express tacit knowledge value independently of the verification of Western science as a justification for its efficacy.