bluuebunny/crossref_metadata_2025_split huggingface dataset:
İlkokul Öğretmenlerinin Görüşlerine Göre İstenmeyen Öğrenci Davranışları
Authors: Çetin Selman , Öznacar Behçet 
Published: July 2024

Öz
Bu çalışmada Kuzey Kıbrıs Türk Cumhuriyeti’ndeki MEB’e bağlı devlet okullarında mevcut ilkokul öğretmenlerinin sınıf içi istenmeyen öğrenci davranışları ile karşılaşma durumları ve istenmeyen öğrenci davranışları ile baş etme yöntemlerini belirlemek amaçlanmıştır. Bu çalışma keşifsel özellikte olduğundan, nitel bir sorgulama yöntemini desteklemektedir. İlkokul öğretmenlerinin görüşleri ile sınırlandırılan bu çalışmada diğer bir sınırlılık ise çalışma kapsamına sadece ilkokul 1., 2. Ve 3. Sınıfta görev yapan öğretmenler dahil edilmiştir. Çalışma grubu oluştururken amaçlı örnekleme çeşitlerinden olan benzeşik örnekleme metodu kullanılmıştır. Çalışma grubu, 15 ilkokul öğretmeninden oluşmaktadır. Bu çalışmada, yarı yapılandırılmış olarak hazırlanan görüşme formu kullanılmıştır. Verilerin analizinde içerik analiz tekniği kullanılmıştır. Verilerin analizi için Maxqda 2020 programı kullanılmıştır. Sonuçlara göre, öğretmenlerin sınıfta istenmeyen davranışlar olarak tanımladığı davranışlar arasında dikkat dağınıklığı, şiddete eğilim, çevreyi kötü kullanma, akran zorbalığı gibi davranışlar bulunmuştur. Negatif davranışlarla başa çıkmak için uyarma, empati, iletişim kanallarını kullanma ve dersi ilginç hale getirme gibi yöntemleri kullandıkları belirlenmiştir. İstenmeyen davranışlarla karşılaşan öğretmenlerin çoğunlukla davranışı önlemek için uyarı, dikkati derse çekme, iletişim kurma ve aile ile konuşma gibi yöntemleri kullandığı ifade edilmiştir. Tüm seviye gruplarının dikkatini çekecek bir şekilde öğretim yapmak ve bireysel farklılıkları hesaba katmak istenmeyen davranışları azaltabilir. Öğrenci ile işbirliği yaparak, öğretmen, rehberlik servisi, okul yönetimi ve aile ile işbirliği yaparak öğrenciye profesyonel destek sağlamak faydalı olabilir. Sınıfta dikkati artırıcı oyunlar ve etkinlikler düzenlemek öğrencilere yardımcı olabilir.
Anahtar Kelimeler: İstenmeyen Öğrenci Davranışları, Öğretmen, Sınıf Yönetimi, İlkokul
Öğretmenlerin Mental İyi Oluş Düzeylerinin İncelenmesi
Authors: Aktunç Buket , Beyit Ceren 
Published: July 2024

Bu araştırmanın amacı Kuzey Kıbrıs’ta devlet okullarında çalışan okul öncesi ve ilkokul öğrtmenlerinin mental iyi oluş düzeylerinin çeşitli değişkenlere göre tespit edilmesidir. Araştırmada öğretmenlerin mental iyi oluş düzeylerinin çeşitli değişkenlere göre (cinsiyet, yaş, medeni durum, brans, kıdem yılı) incelenmesi amacıyla tarama modeli kullanılmıştır. Araştırmanın çalışma grubunu 2023/2024 eğitim- öğretim yılında Kuzey Kıbrıs’ta devlet anaokulları ve ilkokullarında görev yapmakta olan okul öncesi ve sınıf öğretmenleri oluşturmaktadır. Araştırmada veri toplamak amacıyla Tennant ve meslektaşları (2007) tarafından geliştirilen Demirtaş ve Baytemir (2019) tarafından Türkçe’uyarlaması yapılan Warwick-Edinburgh Mental İyi Oluş Ölçeği Kısa Formu (WEMİOÖ-KF) kullanılmıştır. Ayrıca sosyo-demografik değişkenlerin belirlenebilmesi amacıyla araştırmacılar tarafından belirlenen sorulardan oluşan form kullanılmıştır. Elde edilen veriler SPSS 22 programı ile analiz edilmiştir. İki grubun karşılaştırılmasında bağımsız örneklem t-testi, ikiden fazla grubun karşılaştırılmasında ise tek yönlü varyans analizi (Anova) kullanılmıştır. Öğretmenlerin mental iyi oluş düzeylerinin orta düzey olduğu tespit edilmiştir. Katılımcılardan erkek öğretmenlerin kadın öğretmenlere oranla, sınıf öğretmenlerininde okul öncesi öğretmenlerine oranla daha yüksek düzeyde iyi oluşa sahip olduğu belirlenmiştir. Öğretmenlerin medeni durumları ile mental iyi oluş düzeyleri arasında anlamlı bir farklılaşma tespit edilmemiştir. Öğretmenlerin yaşları ve kıdem yılları ile mental iyi oluş düzeyleri arasında negative yönlü ilişki olduğu, yaşları ve kıdem yılları arttıkça mental iyi oluş düzeylerinin düştüğü sonucuna ulaşılmıştır.
Prevalence and Associated Risk Factors of Immediate Postpartum Anemia in Two Teaching Hospitals in Mekelle
Authors: Fanta Girma Abraham , Zelelow Yibrah Berhe 
Published: July 2024

Background: Anemia is a major global health problem this fundamental health issue still has not been solved and continues to exist affecting the health, quality of life, and working capacity in billions of people all over the world. It has been estimated that of the 500,000 maternal deaths occurring each year on a global scale in association with delivery, 20% are caused by peripartum hemorrhage and anemia.
The frequency of postpartum anemia is poorly elucidated. The performance of postpartum hematocrit measurements after vaginal delivery to identify patients who are anemic is not practiced in our facility; so this research will help as to know the disease burden and also the most common associated factors.
Objectives: Determine the prevalence and associated risk factors of immediate postpartum anemia in teaching hospitals, Northern Ethiopia.
Methods: A facility based cross-sectional survey was employed in teaching hospitals in northern Ethiopia. A random sample of 236 postpartum women were included in the study. Socio-demographic and risk factors associated with postpartum anemia were collected by a standardized questionnaire. Blood samples were collected and processed using the standard procedures for hemoglobin determination. The samples were assessed for prevalence and associated factors for immediate postpartum anemia. A p-value <0.05 was considered significant in bivariate analysis. Variables which are found significant at bivariate analysis were analyzed by multivariate analysis. Then the final predictor was generalized by Odds ratio [OR] and 95% CI.
Result: All 236 women participated in the study making the overall response rate 100%. Almost half 120 (50.8%) of the respondents are urban dwellers and 26(11%) were unable to read and write.

The prevalence of immediate postpartum anemia in this study was 24.2%. There was significant association on multivariate analysis that the woman who came from rural areas are 66% less likely to develop postpartum anemia (AOR=0.34 and CI=0.118, 0.998); Mothers who are unable to read and write were 14.4 times more likely to have postpartum anemia (AOR=14.4 and 95% CI=2.27, 91.14); women who have estimated blood loss of less than 500 ml during delivery are 90.5% less likely to have postpartum anemia (AOR= 0.095 and CI=0.018,0.513);the mothers who deliver vaginally are 87% less likely to have immediate postpartum anemia (AOR=0.13 and CI=0.038, 0.454); mothers who are diagnosed to have PPH on clinical grounds were 7.4 times more likely to have immediate postpartum anemia (AOR=7.43 and CI=1.46, 37.79).

Conclusion and recommendation: The results from this study shows that the prevalence of postpartum anemia is high and shows there is a significant number of women who have postpartum anemia after vaginal delivery which will be missed with the current protocol that we are using.
Quality of Antenatal Care among Mothers Attending Antenatal Care and associated factors at Jimma Medical Center south west Ethiopia.
Authors: Asefa Fanta , Fikadu Gudina , Taye Abonesh 
Published: July 2024

Background: Globally complications during pregnancy, childbirth and the post-natal period are the leading causes of death and disability among women of reproductive age. The causes of these deaths are mostly preventable through proper care during pregnancy. Despite adoption of these model by Ethiopia, there is low utilization of antenatal care and skilled personnel at delivery in addition to poor quality of antenatal care which result in high maternal and perinatal mortality rate.
Objective: The main objective of this study was to assess quality of antenatal care among mothers attending antenatal care in Jimma University Medical center.
Methods: Hospital based cross sectional study was conducted among 358 mothers attending antenatal care in Jimma University Medical center, from April 01/2018 to May 31/2018.
Result: The study also showed that overall satisfaction of client was 58.1%. The likelihood of satisfaction from antenatal care service was higher among clients who started antenatal care visit before 16 weeks [AOR = 1.76 (95%CI =1.04-2.99)], routine investigation was done [AOR =6.1 (95% CI= 2.54-14.63)], respectful [AOR= 2.15 (95% CI= 1.18-3.9)], privacy was maintained [AOR=1.84 (95% CI=1.07-3.18)] and waiting time was less than 60 minute [AOR= 2.05 (95% CI= 1.28-3.29)].
Conclusion and recommendations:
This study also showed that gestational age at start of antenatal, routine investigation done, respectful, privacy and waiting time were independent predictors of client satisfaction. To improve quality of antenatal care there is need to provide in-service training for health care providers to improve providers’ practices as well as on importance of greeting clients.
Keyword: Quality antenatal, Jimma, Ethiopia
THE MAGNITUDE AND PATTERN OF CS DELIVERIES IN AA PRIVATE HEALTH CARE FACILITIES
Authors: Negussie Dr. Dereje , E. Mesfin , G/Y Asfawessen , T. Mesfin 
Published: July 2024

Abstract
Background: In Ethiopia, the national CS rate stands at 3.79% nationally currently, which is significantly below the World Health Organization (WHO) recommended rate of 10-15%, signifying barriers in access. However, CS rates in private facilities in Addis Ababa currently stand at 41%.
Objective: To assess the magnitude of CS deliveries, indications, and factors associated with CS delivery in private health facilities in Addis Ababa.
Methods: This is a retrospective, descriptive, cross-sectional study on magnitude, indications and associated factors of CS delivery from 24 private facilities in Addis Ababa.
Results: The study found a CS rate of 57.3%. CS was highest amongst age group (25-29 years) 42.0%, primiparous (35.0%) and at GA of 37-42(84.0%) weeks. And majority were primary CS 253(55.0%) the three most common indications were NRFHR (14.6%), maternal request, (10.8%), and breech presentation (8.8%). And the mean CS procedure and 48 hrs hospital cost were 4,905.00 and 14,657.00 ETB respectively.
Conclusion and recommendations: We have documented higher CS rate. The rates were higher amongst relatively young age group and primiparous. Indications as previous CS, non-reassuring fetal heart rate, and client request were the commonest. The reasons behind the high CS rate are likely a combination of provider behavior and incentives, social and cultural factors affecting the mothers’ decision. We recommend the conduct of further studies to uncover and address the causes the high CS rates.
Key words: CS rate, private facilities, Addis Ababa.
BARRIERS TO THE DETECTION, MANAGEMENT and PREVENTION OF PREECLAMPSIA/ECLAMPSIA IN ETHIOPIA: FORMATIVE REVIEW
Authors: Gudu Wondimu , Sripad Pooja 
Published: July 2024

Abstract
Background: Preeclampsia is the third leading cause of maternal mortality in Ethiopia accounting for 11% of maternal deaths. Barriers to the diagnosis, management and prevention of Preeclampsia are not well studied in Ethiopia.
Objectives: To explore barriers to the detection, management, and prevention of preeclampsia/ Eclampsia in Ethiopia
Methods: Desk review of Scientific papers, Health surveys, and national documents were done after employing a search strategy and browsing through databases (PubMed, Google Scholar,). Eight in-depth interviews with relevant stakeholders were also done for supplementation. Framework for analysis of barriers was devised and thematic synthesis of findings done
Results: Eight primary studies; three demographic surveys (DHS) and 11 national documents (2 policy papers; 2 legislations; 4 guidelines; 1 protocol and 2 training materials were included for data synthesis from the desk review. There is no national policy exclusively on preeclampsia. All drugs used in the management of preeclampsia/eclampsia are included in the essential medicine list but are not registered. In the standard guidelines, which health professionals could administer Magnesium is not specified. Moreover, elements of referral are not detailed and pre-referral care is substandard. None of the documents have recommended Aspirin for the prevention of preeclampsia. There is no national protocol on Preeclampsia care. But the national emergency Obstetric care training material has included updated information on Magnesium, anti-hypertensives, and Aspirin. Administration of loading dose magnesium at lower health facilities is not approved in any of the documents. There was a significant gap in drug procurement, distribution, and availability.
At health facility level inadequate training; perceived inability to provide Magnesium; lack of local guidelines; substandard quality care and Poor knowledge on preeclampsia by health providers were barriers whereas delayed care-seeking; alternative cultural remedies and poor awareness on preeclampsia were barriers at the community level.
Conclusion: There are substantial barriers to the detection, management, and prevention of Preeclampsia at all levels of health care provision which should be addressed with a concerted effort from all responsible stakeholders.
Key Words: Preeclampsia, Eclampsia, Barriers, Diagnosis, Management, Prevention
Factors Affecting Utilization of Modern Family Planning Method among Women with Psychiatric Illness Attending Psychiatric Outpatient Services at Amanuel Mental Specialized Hospital Addis Ababa, Ethiopia, 2018. An Institution Based Cross-Sectional Study
Authors: Seid Abdu , Wordofa Berhanu , Tesfaye Jembere 
Published: July 2024

ABSTRACT
Background: Barriers to effective use of contraception on the part of mentally ill patients magnified by their inability to establish reliable, long-term approaches to pregnancy prevention. The prevalence of unplanned pregnancies are high among psychiatric patients, due to the frequent lack of insight, lack of planning and behavioral control and potential medication interaction between hormonal contraceptives and some psychotropic drugs reducing contraceptive effectiveness. Therefore, Women who are mentally ill or who abuse drugs should be considered for the full range of contraceptive options.
Objective: To assess utilization and associated factors of modern family planning method among women with psychiatric illness attending psychiatric outpatient services at Amanuel mental specialized hospital Addis Ababa, Ethiopia 2018.
Method: Institution based cross-sectional study design was conducted to assess utilization and associated factors of modern family planning method among women with psychiatric illness attending psychiatric outpatient services and 413 study subjects were selected using systematic random sampling technique. Bivariate and multivariate analysis was carried out to determine the association between an independent variable with the outcome variable among study participants during the period of the study at Amanuel mental specialized hospital in Addis Ababa, Ethiopia.
Result: out of the total sampled women with psychiatric illness (40.2%) of the respondents were using modern family planning methods at the time of the study. According to the multiple logistic regressions at 95% C.I, educational level, resident, employment and counseling about family planning by staff found to be independently associated with utilization of modern family planning method.
Conclusion: In this study, 40.3% of them currently use a modern family planning method. Male condoms and injectable were the most known type of method. Moreover, injectable was the most common currently used method. Healthcare provider should be strengthening family planning counseling to enhance knowledge and utilization of modern family planning at mental health clinic and community level.
Key words: utilization, modern family planning, associated factors, mental illness, Addis Ababa
Epidermoid cyst complicating female genital mutilation and its psychological impact: A case report
Authors: Dejene Tafese 
Published: July 2024

Abstract
Epidermoid cysts are slowly growing tumors arising from invagination of the epidermis into the dermis traumatically or spontaneously. This implantation in the clitoris is most commonly induced by female genital mutilation. This is the case of epidermoid cyst of vulva reported in a 20 year old patient that caused significant worry and psychological disturbances on the patient.
Determinants of Intrauterine Contraceptive Device Utilization at Primary Health Care Facilities in Mekelle City, Northern Ethiopia
Authors: Temesgen Gebremaryam , Gebrehiwot Haftom , Hussen Sultan , Shegaze Mulugeta , Tolosie Kabtamu , Boti Negussie 
Published: July 2024

Abstract
Background: Each year, the current level of modern contraceptive use averts 188 million unintended pregnancies, which in turn results in 112 million fewer abortions. Of the 867 million women in the developing world who are sexually active and want to avoid becoming pregnant, about 222 million of them have an unmet need for modern contraception.
Objectives: To identify the determinant factors for utilization of intra uterine contraceptive device among women visiting primary health care facilities in Mekelle city.
Method: The facility based unmatched case-control study design was conducted among 234 women (78 cases and 156 controls). Data was collected by questionnaire. Data entry and cleaning was done using EPI- Info version 5.3.1 and analysis done using SPSS version 20. The study used a logistic regression model to identify the association between independent variables with Intra Uterine Contraceptive Device.
Result: Marital status ([AOR (95%CI) =8.59(2.60 - 28.43)], number of pregnancies (AOR (95%) CI=5.69(1.020-31.802), and number of alive children [AOR (95%CI) =3.5 (1.03-11.9) had a significant association with the use of Intra Uterine Contraceptive Device. Other determinants found to have significant association includes awareness about Intra Uterine Contraceptive Device, visual exposure to Intra Uterine Contraceptive Device, and participants told about the availability of health care provider able to insert Intra Uterine Contraceptive Device.
Conclusion: The study identified marital status, gravidity, number of alive children, information on availability of IUCD provider and visual exposure to IUCD and awareness to Intra Uterine Contraceptive Device as major determinants for use of Intra Uterine Contraceptive Device. Thus, stake holders like Tigray Regional health bureau, health care facilities and others stakeholder should work to strength in service quality to increase the utilization of this effective and safe modern contraceptive method IUCD.
Key word: Case control, Determinant factors, Intra Uterine Contraceptive Device, Logistic regression
Women's knowledge of preconception care: a systematic review and meta-analysis
Authors: Kassa Zemenu 
Published: July 2024

Abstract
Background: Preconception health care is improving maternal and unborn child outcomes by recognizing and identifying risky behaviors before pregnancy and lessening unintended pregnancies. This meta-analysis aimed to determine the pooled prevalence of women's knowledge across the world.
Method: Published and unpublished research reports women’s knowledge of preconception care were used. The databases used are PubMed, Medline, google scholar, google, and Cochrane Library. Unpublished articles searched from different repository electronic libraries and through google. Two independent authors (ZY and NH) searched articles by using the following key terms, “knowledge” OR “awareness”, “woman/women*” AND “preconception care”, “preconception care” OR “preconception health care”, “preconception care” AND “worldwide”. The critical appraisal was done using the Joana Brigg’s Institute (JBI) checklist for prevalence study, which has nine scores.
Results: Four hundred twenty-eight published and unpublished articles retrieved from different databases: PubMed, Medline, google scholar, google, and Cochrane Library. Unpublished articles searched from different repository electronic library and google. The pooled prevalence of women's knowledge of preconception care was 35.3% (95% CI: 24.5-47.8%).
Conclusion: This study showed that women's knowledge of preconception care is low. This finding suggests that governmental and non-governmental organizations shall give attention to the creation of awareness and implementation to enhance on preconception care.
Cervical Ectopic Pregnancy after IVF: A Case Report of Successful Conservative Management with Transvaginal Amniotic Sac Aspiration and Intra saccular Methotrexate Injection
Authors: Surur Feruz , Mutesim  
Published: July 2024

Cervical Ectopic Pregnancy (CEP) is a very rare condition accounting for less than 1 % of all Ectopic Pregnancies. Early diagnosis and management of the case are very essential in order to avoid serious and life-threatening complications, which are difficult to successfully manage in resource-poor settings. Here we are presenting a case report of a 38 yr. old Ethiopian mother who developed CEP following her 1st IVF therapy for secondary infertility secondary to Asherman’s syndrome. She was successfully managed conservatively, with aspiration and subsequent installation of methotrexate into the gestational sac. Early diagnosing with transvaginal ultrasound and serial B HCG measurement coupled with immediate therapeutic measures are the key issues in preventing the severe life-threatening complications of CEP and conserve the subsequent fertility potential of such patients.
Magnitude and Associated Factors for Sexually Transmitted Disease among Hawassa Industrial Park Workers, Southern Ethiopia
Authors: Gebeyehu Selamawit 
Published: July 2024

Background: Sexually Transmitted Infections are a group of infectious diseases spread through unprotected sexual intercourses and resulting in curable and incurable diseases. Around the world estimated about 376 million people become ill each year with one of four common curable Sexually Transmitted Infections. It is estimated about 86 million new cases of curable STIs occurred in Africa region.
Objectives: To assess the magnitude and associated factors for Sexually transmitted infections among Hawassa industrial park workers, Southern Ethiopia, 2020.
Methods: Institution based cross-sectional study design was conducted from July to August, 2020. Self-reported syndromic approach was used to assess magnitude and associated factors for STIs. Multistage sampling technique was used. Both bivariate and multivariable logistic regression analyses were employed. P-value of <0.05 and AOR with 95%CI was used to determine the presence of association between covariates and dependent variable.
Result: Self-reported Sexually Transmitted Infection magnitude in the last 12 months was 18.7% (18.54-18.91) among the Hawassa industry park workers. Hometown of residence (AOR=2.03; 95%CI: 1.16-3.55), Poor knowledge of STIs (AOR=2.59; 95%CI: 1.59-4.21,) Drinking alcohol (AOR=3.10; 95%CI: 1.68-5.71) ,View/read pornographic materials (AOR=4.28; 95%CI: 2.63-6.97) and age at first sexual intercourse<18 years (AOR=2.01; 95%CI: 1.23-3.28)were significantly associated with the magnitude of STIs.
Conclusion and Recommendation: Self-reported magnitude of STIs among HIP was found to be high. Design and implement work place based STI prevention and control programs which focus on reduction of risky sexual practice and promotion of safer sexual practices among these high-risk population is very crucial.