Melioidosis is a significant health problem in tropical and subtropical regions, especially inSoutheast Asia and Northern Australia. Recurrent melioidosis is a major obstacle to eliminatingthe disease from the community in these nations. This work aims to propose and analyzea human melioidosis model with recurrent phenomena and an optimal control model byincorporating time-dependent control functions. The basic reproduction number (𝑅0) of theuncontrolled model is derived using the method of the next-generation matrix. Using theconstruction of a Lyapunov functional, we present the global asymptotic dynamics of theautonomous model in the presence of recurrent for both disease-free and endemic equilibria. Theglobal asymptotic stability of the model’s equilibria shows the absence of a backward bifurcationfor the model in both cases, whether in the absence or presence of relapse. The sensitivityanalysis aims to identify the parameters that have the most significant impact on the model’sdynamics. Furthermore, qualitative analysis of the model’s global dynamics and the changingeffect of the most influential parameters on 𝑅0 are supported by numerical experiments, with theresults being illustrated graphically. The model with time-dependent controls is analyzed usingoptimal control theory to assess the impact of various intervention strategies on the spread ofthe epidemic. The numerical results of the optimality system are carried out using the Forward–Backward Sweep method in Matlab. We also conducted a cost-effectiveness analysis using twoapproaches: the average cost-effectiveness ratio and the incremental cost-effectiveness ratio.
Keywords: Melioidosis model; B.pseudomallei; Recurrent; Global stability; Optimal control; Cost-effective strategy

This study investigates the status of biomass stove usage in East Gojjam, Ethiopia, and evaluates the health, economic, and environmental benefits of an improved biomass stove which was designed and fabricated using locally available materials. Major challenges in the study areas were uses of traditional three-stone stoves, which are inefficient and produce harmful emissions. The study aims to assess the status of stoves used, source, amount and type of biomass consumption per household, to analyze the health impact of improved biomass stove with conventional stove and to analyze the economic and environmental impact of the conventional and improved stove.Two stove models were fabricated: one for household use and another for institutional settings. Construction materials included angle iron, sheet metal, ceramic tiles, sand, and clay for insulation. Eucalyptus wood a commonly used local biomass fuel was standardized for all testing, including oven drying and storage procedures. Performance evaluation was based on cooking time, fuel consumption, and emissions (CO and PM2.5), using laboratory and field tests. Additional data were collected through surveys, interviews, focus group discussions, and direct observations from 400 households across three districts: Dejen, Yedwuha and Debrework.According to the result; the improved biomass stove significantly outperformed the conventional three stone stove: reducing cooking time by 51.61%, fuel consumption by 12.34%, carbon monoxide emissions by 99.72%, and PM2.5 emissions by 75.52%. It also demonstrated substantial environmental benefits, including lower firewood demand and reduced deforestation. Economically, households saved over 3,225 birr per year in fuel and time costs.In conclusion, the improved biomass stove offers a viable, scalable solution to Ethiopia’s household energy and health challenges. Its adoption can significantly mitigate household air pollution, improve public health, reduce environmental degradation, and strengthen economic resilience, particularly for women and children. The study recommends expanding the dissemination of the improved biomass stoves through targeted policy support, community education, and financing mechanisms.

This study presents a novel approach for optimizing UAV (unmanned aerial vehicle) Multicircularflight control by developing a fractional order proportional integral derivative (FOPID)-based hybridEagle strategy particle swarm optimization ant lion optimizer (HESPSOALO). The proposed algorithmcombines the strengths of particle swarm optimization (PSO) and the ant lion optimizer (ALO), whichare enhanced by the Eagle strategy to systematically fine-tune the FOPID controller parameters.This hybrid optimization method aims to improve system stability, responsiveness, and disturbancerejection in UAVs, particularly in challenging dynamic flight conditions. The proposed approachwas validated against traditional control methods that utilize FOPID (Base), the Base HESPSOALOalgorithm, the FOPID-based HPSOGWO (Hybrid Particle Swarm Optimization-Gray Wolf Optimizer),and the FOPID-based HGWOALO (Hybrid Gray Wolf Optimization-Ant Lion Optimizer) with a setof benchmark functions used in the analysis. The results demonstrate a minimization of positionand angular errors, reduced oscillations, and overall improved control stability for the FOPID-basedHESPSOALO compared with the other methods. Furthermore, a multicriteria decision-making(MCDM) framework is applied to evaluate the overall performance of alternative control strategiesutilizing the CRiteria importance through intercriteria correlation (CRITIC) and technique of orderpreference by similarity to ideal solution (TOPSIS) techniques. The MCDM analysis demonstratesthat among the evaluated criteria, Kp has the highest importance, with a weight of 0.244019,whereas Kd is deemed the least significant, with a weight of 0.161023. The ranking results revealthat the HESPSOALO algorithm (Base) is the best-performing controller method, with a rankingscore of 0.571161, indicating its superior control performance across major metrics. In contrast, theFOPID + HPSOGWO controller method ranks the lowest, with a score of 0.282794. The findings havesignificant industrial implications, particularly in sectors where UAVs are critical for precision tasks,such as logistics, agriculture, surveillance, and environmental monitoring. By optimizing the FOPIDcontroller parameters, the HESPSOALO algorithm enhances UAV stability, responsiveness, andreliability in dynamic environments, resulting in more precise control and robust performance undervarying conditions. This improvement may reduce operational risks and maintenance costs whileincreasing efficiency, prolonging UAV service life, and achieving energy savings. This study provides arobust solution for UAV control based on the potential of hybrid optimization algorithms to improveUAV precision and reliability in autonomous flight.Keywords: UAV multicircular flight control, FOPID, Hybrid optimization, CRITIC, TOPSIS

This study investigates how effectively Intergovernmental Authority on Development (IGAD) has addressed the crisis in Somalia since 1991, using realism theory as its analytical framework. It employs a qualitative case study approach to delve into IGAD's interventions and their implications, conducting an in-depth analysis of IGAD's official documents, resolutions, and crisisrelated reports concerning Somalia. By applying realism theory, the study scrutinizes IGAD's actions and motivations from a perspective centered on power politics, highlighting the significance of state interests and regional stability. It suggests that IGAD member states may resist to cooperate when they perceive IGAD's engagement in Somalia is regarded as a threat to their security interests. Despite IGAD's numerous peace initiatives, achieving sustainable peace in Somalia remains elusive. The paper asserts that while IGAD has made substantial efforts to resolve the Somalia conflict, its effectiveness has been constrained by the complexity of the conflict, external influences, and divergent interests among member states. To enhance IGAD's effectiveness, the study recommends various actions, including promoting regional economic integration, mobilizing external resources, improving transparency and accountability, fostering regional identity and solidarity, and maintaining a balanced power dynamic to prevent dominance by any single entity. Applying these measures could significantly improve IGAD's capacity to support peace and stability in Somalia and the entire East Africa region.



Keywords: Horn of Africa, IGAD, Somalia, Peace and security, Realism theory, Regional cooperation

Neo-colonialism is considered by many writers to be a strategy of the former colonialpowers and the new superpowers to implement various socioeconomic and politicalstrategies in developing countries. the Horn of africa, as a parcel of a developingregion, is recognized as a piece of the ‘grand chessboard’ of world geopolitics. inparticular, Us neo-colonialism has become an invisible government in almost allcountries in the Horn of africa. therefore, the main objective of this paper is to examineand write about the origin, discourses, concealment (mask), normative agents, andpotential perils of american neo-colonialism in the Horn of africa. indeed, the paperalso answers the question of whether the Us is a straightforward ally or a neo-colonialistin the Horn of africa. to document this, the paper would be limited to primary sourcessuch as letters, reports, and published secondary texts that have been available to thiswriter to date.
EYWORDS: Neocolonialism; Us concealment; Horn of africa; normative agents

Neo-colonialism is considered by many writers to be a strategy of the former colonialpowers and the new superpowers to implement various socioeconomic and politicalstrategies in developing countries. the Horn of africa, as a parcel of a developingregion, is recognized as a piece of the ‘grand chessboard’ of world geopolitics. inparticular, Us neo-colonialism has become an invisible government in almost allcountries in the Horn of africa. therefore, the main objective of this paper is to examineand write about the origin, discourses, concealment (mask), normative agents, andpotential perils of american neo-colonialism in the Horn of africa. indeed, the paperalso answers the question of whether the Us is a straightforward ally or a neo-colonialistin the Horn of africa. to document this, the paper would be limited to primary sourcessuch as letters, reports, and published secondary texts that have been available to thiswriter to date.
KEYWORDS: Neocolonialism; Us concealment; Horn ofafrica; normative agents

Background: Heart failure is a leading cause of hospital readmissions in the Amhara region, Northwest Ethiopia.Aim: This study aimed to determine the number of readmissions and identify the determinants among patients with heartfailure at referral hospitals in the Amhara region, Northwest Ethiopia, in 2023.Methods: A cross‐sectional study was conducted with 663 heart failure patients in Amhara region referral hospitals fromSeptember 2022 to February 2023. Simple random sampling was used for patient selection, and data were collected throughchart reviews and interviewer‐administered questionnaires. Zero‐inflated negative binomial models were applied for dataanalysis. Data collection tools were pre‐tested for reliability and validity.Results: Among 663 patients, 237 (35.7%) were readmitted at least once. An increased respiratory rate (IRR = 1.015; 95%CI: 1.0004, 1.031; p < 0.044) and longer medication duration (IRR = 1.011; 95% CI: 1.016, 1.051; p < 0.0001) were asso-ciated with more readmissions. Patients with poor social support had 59.4% fewer readmissions compared to those withgood social support (IRR = −1.595; 95% CI: −0.02, −0.005; p < 0.041). A higher body mass index (IRR = 0.115; 95% CI:0.035, 0.196; p < 0.004) was linked with a higher likelihood of remaining in the “always‐zero” group, while an increasedpulse rate reduced the odds (IRR = −0.013; 95% CI: −0.025, −0.008; p < 0.036). The mortality rate among readmittedpatients was 11.39%.Conclusion: This study found significant readmission rates among HF patients. Factors such as respiratory rate andmedication duration were linked to increased readmissions, while poor social support was associated with fewerreadmissions, this likely reflects limited healthcare access in low‐ and middle‐income countries among individuals withlower social support. The high mortality rate underscores the need for targeted interventions to improve patientoutcomes.

Enhancing heat transfer in thermal systems is crucial for energy efficiency. The use of Nano-fluids and twistedtape inserts in circular pipes are the most widely used passive heat transfer improvement techniques. Whilenanofluids, especially CuO-water, enhance thermal conductivity, twisted tapes create swirl flow to disturbboundary layers. The Nusselt number, friction factor, and thermal performance parameters of a circular pipecontaining Nano-fluids and twisted tapes at 180 and 120 degrees are studied numerically in this work. Thetwisted tape inserts are modeled as idealized helical baffles to induce secondary swirl flows, thereby disruptingthermal boundary layers and improving heat exchange. The research yields findings for a strip twist ratio of threeand a turbulent flow range of Re 4000–20,000. The RNG k–ε model is utilized to solve the governing equationsand a steady heat flux of 30,000 W/m2 is supplied. The highest simulation findings of Nusselt number for Nano-fluid are 5.25, 9.85, and 12.5 % higher in comparison to Gnielinski relations of water for plain tube and twistedtape inserts at 180 and 120 degrees respectively. However, increased pressure drop is noted as a trade-off, theoverall thermal performance factor of 1.42 was achieved for Nano-fluid flow in a pipe with a 120◦ twisted tapeinsert which yields a significant heat transfer improvement.
Keywords: CuO-water nano-fluid, Turbulent flow, Twisted tape, Heat transfer enhancement, CFD

Introduction One of the most important but underappreciated roles of nurses is patient advocacy. To advocatefor patients effectively, the nurses should have a favorable attitude towards patient advocacy. Despite this fact, thenurses’ attitude towards patient advocacy was not known in Ethiopia. Thus, this study aimed to assess nurses’ attitudetowards patient advocacy and its associated factors in East Gojjam Zone Public Hospitals, Northwest in 2023.Methods Institutional-based cross-sectional study design was conducted among 385 nurses in East Gojjam ZonePublic Hospitals from March 1 to April 30, 2023. Nurses were selected using simple random sampling techniquesfrom 11 public hospitals. The data were collected in a self-administered way. Binary logistic regression was used fordata analysis. All independent variables having a P value of < 0.25 in the bivariable logistic regression were fitted intoa multivariable logistic regression. The AOR at a 95% confidence interval was used to identify the strength of theassociation, and a p value of 0.05 was used to declare it statistically significant at the final model.Result A total of 385 nurses participated in the study, for a 91% response rate. Among these, 49.9% of nurses hadan unfavorable attitude. Being working in a primary hospital [AOR = 2.3; 95% CI: (1.4–3.8)], poor cooperation ofnurses [AOR = 1.7; 95% CI: (1.1–2.8)], being unsatisfied with the job [AOR = 1.7; 95% CI: (1.1–2.7)], and poor perceivedsupervision of work [AOR = 6.2; 95% CI: (3.7–9.8)] were factors associated with nurses’ attitudes towards patientadvocacy.Conclusion The number of nurses who had an unfavorable attitude towards patient advocacy was high. Workingin a primary hospital, poor cooperation with others, being dissatisfied with the job, and having an unfavorableperception towards the supervision of work were the factors associated with the unfavorable attitude of nursestowards patient advocacy. It is recommended that all hospitals better support the nurses to increase their jobsatisfaction and have good supervision of the nurses’ activities.Keywords Advocacy, Attitude, Nurse

Background: Evidence-based practice is clinical decision-making using the best evidence available in the context of individual patients' preferences and clinical expertise. It is serving as a crucial instrument for the health science disciplines to minimize the theory-practice gap although the level of practice is unknown. Thus, this study aimed to assess nurses' implementation of evidence-based practice in nursing process and its associated factors in South Wollo Zone Public Hospitals.
Methods: An explanatory sequential mixed method was employed from April 1 to May 29, 2023, among 419 nurses for the quantitative part and 15 others for the qualitative part. The data were collected using structured, pretested, self-administered questionnaires. Simple random and purposive sampling techniques were used to select participants for the quantitative and qualitative studies, respectively. The bivariable analysis was done primarily, and variables with a p-value < 0.25 were further examined using a multivariable logistic regression model to control con-founders. Then, variables having a p-value less than 0.05 with a 95% CI were used to declare significantly associated factors. The key informants were interviewed using pre-made interview guidelines, and then open code software was utilized to conduct a thematic analysis.
Result: Nurses who had poor implementation of evidence-based practice in the nursing process were 228 [54.42%; 95% CI: (49.8-59.3)]. Similarly, the key informants concluded that the implementation of evidence-based practice in the nursing process was low. Participants who were 31- 40 years old [AOR = 0.61, 95% CI: (0.38-0.99)], 41-50 years [AOR = 0.32, 95% CI: (0.15-0.65)], working at general hospitals [AOR = 3.37, 95% CI: (1.39-8.18)] and comprehensive specialized hospitals [AOR = 7.29, 95% CI: (3.06 - 17.31)], lack of training about evidence-based practice (AOR = 2.50, 95% CI: (1.36-4.56)], and lack of internet access [AOR = 2.46, 95% CI: (1.43-4.23)] were factors associated with poor levels of nurses' implementation of evidence-based practice in the nursing process. The absence of computers, libraries, and updated guidelines were other factors identified on the quality analysis.
Conclusion: Nurses' implementation of evidence-based practice in the nursing process was low. Age, working in general hospitals, and comprehensive and specialized hospitals, lack of training, and internet access were factors that had significant associations. Hence, hospital managers should give an attention to internet access and training about utilization of evidence-based practice in nursing process, particularly for those aged above thirty years old.

Keywords: Ethiopia; Evidence-based practice; Nurses; Nursing process.