Ethiopia’s modern education transitioned from traditional religious systems to modernduring emperor Menilek ii’s reign. a significant historical overview of modern educationin the country was laid from 1905 to 1941; however, scholars made a passive remarkto study the historical development of education in the period. therefore, this studypurposely assessed the period’s early missionary, government‑sponsored, and italian‑runmodern schools. to conduct this study, the researcher collected primary and secondarysources. the sources were then arranged, presented, and carefully examined. Finally, aqualitative research method of a descriptive research design was principally employedto analyze the data. the analysis revealed that ethiopia’s education development hasfaced many challenges from the beginning to 1941. Despite efforts from rulers andintellectuals, ethiopia’s education faced challenges such as church resistance and thefascist massacre of educated ethiopians in 1937, which resulted in the loss of educatedpreference. education remained deficient in quantity and inappropriate in quality. inconclusion, numerous challenges significantly hampered the development of moderneducation in ethiopia before 1941, leaving a lasting impact. thus, education did notbring modernity to ethiopia as expected. therefore, understanding these challenges iscrucial for informing contemporary educational policies and practices in ethiopia.

Introduction: The increasing prevalence of diabetes mellites (DM), especially type 2 diabetes mellitus, presents significant challenges for healthcare systems. Effective blood glucose management is essential for preventing serious complications, and telehealth offers a promising approach to improve patient engagement and adherence. The effectiveness of telehealth on blood glucose management should be investigated. The evaluated metric for diabetes management plans in this study was the change in blood glucose levels, specifically HbA1c, as an indicator of glycemic control. The impact of telehealth interventions on these outcomes was analyzed across various patient groups. This review conducts a comprehensive analysis of the current literature to offer insights that can guide clinical practices and inform policymakers about the advantages of telehealth in managing diabetes.
Methods: In this study, several evidence-based databases and relevant clinical trial registries were searched to evaluate the effects of telehealth on blood glucose management among patients with diabetes. The included studies were randomized controlled trials that compared telehealth with traditional in-person management. Microsoft Excel was used to extract and sort the data before it was exported to STATA/MP 17.0 for analysis. A weighted inverse variance random-effects model with a 95% confidence interval was employed to pool the data. Egger's test and Cochrane I2 statistics were used to assess publication bias and heterogeneity, respectively.
Result: This review identified six randomized controlled trials (RCTs) involving a total of 3,995 patients, with 2,022 in the telehealth intervention group and 1,973 in the control group, conducted across the USA, Asia, and Europe. The analysis showed a significant improvement in blood glucose control for patients using telehealth, evidenced by a Standard Mean Difference (SMD) of 0.20 (95% CI: 0.10-0.29; p < 0.001), with USA studies reflecting the highest SMD of 0.24 and diabetic veterans showing an even greater SMD of 0.41.
Conclusion and recommendations: This study demonstrates that telehealth interventions significantly enhance blood glucose management among patients with diabetes. The findings highlight the need for healthcare systems to prioritize telehealth integration into diabetes management protocols while developing tailored interventions to meet the diverse needs of various patient populations.

Keywords: Blood glucose; Diabetes mellitus; HbA1c; Meta-analysis; Systematic review; Telehealth.

Abstract
Unemployment, particularly graduate unemployment, brings a huge impact on the community. Thus, the fundamental purpose of the study was to examine the socioeconomic challenges of graduate unemployment in the community. To do this, descriptive research with a cross-sectional design was used to reckon the socioeconomic challenges of graduate unemployment in the community, and a mixed research approach was employed. Accordingly, 279 survey respondents, 6 unemployed graduates, 5 parents of job seekers for the interview, six discussants, and 3 key informants were selected by employed stratified, simple random, and purposive sampling methods. The data which are obtained from survey questionnaires were analyzed through descriptive statistics, while qualitative data were analyzed by narration and thematic. Hereof, the findings depict that families of jobseekers and their community members have faced economic and social-related troubles. Thus, it brings economic bankruptcy, family strain, menanced for social security, and young students have low interest in education because of the presence of graduate unemployment.




Keywords: Communiy, family, socioeconomic effects, unemployment

This research aimed at evaluation of a given land resource suitable for selected rain fed crops production (maltbarley, wheat and teff ) in Ambesh watershed. It also quantified suitable land and classified into the land mappingunits (LMUs), and presents a land suitability map. Land suitability assessment (LSA) made using climatic condition,topography, soil physical and chemical properties as a major factor integrated with a multi criteria decision making(MCDM) analysis in Ambesh watershed. Fourteen composite soil samples were taken by categorizing the water-shed into different land mapping units (LMUs) and analyzed in a soil laboratory. Climatic data, rainfall was obtainedfrom two meteorological stations nearby to the study area. Temperature data derived from Landsat 8 satellite ther-mal bands data. Data obtained from the soil laboratory and others were finally analyzed using ArcGIS environmentand priority estimation tool (PriEsT) software’s. Weighted Sum Overlay was implemented to investigate the final LSAmap of the watershed. Results revealed that LMUs, VRe–LPq and LPK.Pq–FLc LMUs has higher overall suitability for allthe selected rain fed crops. However, LMUs (VRe–NTu and NTu–VRe) has lower overall suitability values particularlyfor S1 suitability class (0.05% and 10.6%, respectively). The least suitable LMU is VRe–NTu with 0.05% S 1 suitability classand above 99% of the land laid under the suitability classes of moderately suitable, marginally suitable and not suit-able for the selected land utilization types. Moreover, about 219.06 ha (17.76%), 217.6 ha (17.64%), 168.9 ha (13.7%),of land are highly suitable for malt barley, teff and wheat crop production, respectively. In conclusion, during MCDM,classifying the land into closer homogeneities (LMU) an important application of LSA integrated with remote sens-ing and GIS for a better decision making. Meanwhile, majority (above two third’s) of the land in the watershedis under moderate and marginally suitable, it needs intensive land management activities to increase the land quali-ties and obtain high yields. LSA recommended before land utilization decision has to be made. It is also importantto classifying the land into LMUs to make it more homogeneous for sample taking and reducing the prestigious soillaboratory analysis costs.Keywords LMUs, Land suitability assessment, Malt Barley, RS, Teff, Weighted sum, Wheat

Executive Summary Concerns over chemical contaminants and toxins in local foods and beverages have been raised recently. These days, chronic illness is more common, and toxicants and other contaminants found in food and drink have been linked to many documented fatalities. The chemical toxicants that will be analyzed in this study include acrylamide (a processing toxicant arising from deep roasting of food samples), aflatoxin B1 (a poisonous chemical discharged by mold and fungi), pesticide residues (resulting from pesticide application to cereal, vegetable, and fruits), and methanol (a chemical toxicant produced by spontaneous fermentation of local alcoholic beverages). The acrylamide content of the food samples will be measured via LC/MS-MS. Aflatoxin analysis will be performed using high-performance liquid chromatography (HPLC), whilst pesticide residues and methanol concentrations will be assessed using a gas chromatography (GC) method equipped with computer-integrated software. This research will be undertaken in three phases. The first phase is collecting food and beverage samples (at least 30 food samples suspected of being chemically contaminated) from selected districts and assessing the toxic substances. The second phase relies on the results of the first phase; for severely contaminated foods, the sources of contamination and factors leading to the presence of chemical toxicants will be investigated. Finally, optimal processing will be investigated to remove or decrease toxic chemicals. The assessment of chemical contaminants in local foods and beverages is important as consumers become more conscious of their health and well-being. Therefore, this research aims to provide insight into the existence, concentrations, and possible health hazards associated with chemical contaminants in foods and beverages that are produced locally. It also makes actionable suggestions for resolving this pressing problem.

Executive Summary Concerns over chemical contaminants and toxins in local foods and beverages have been raised recently. These days, chronic illness is more common, and toxicants and other contaminants found in food and drink have been linked to many documented fatalities. The chemical toxicants that will be analyzed in this study include acrylamide (a processing toxicant arising from deep roasting of food samples), aflatoxin B1 (a poisonous chemical discharged by mold and fungi), pesticide residues (resulting from pesticide application to cereal, vegetable, and fruits), and methanol (a chemical toxicant produced by spontaneous fermentation of local alcoholic beverages). The acrylamide content of the food samples will be measured via LC/MS-MS. Aflatoxin analysis will be performed using high-performance liquid chromatography (HPLC), whilst pesticide residues and methanol concentrations will be assessed using a gas chromatography (GC) method equipped with computer-integrated software. This research will be undertaken in three phases. The first phase is collecting food and beverage samples (at least 30 food samples suspected of being chemically contaminated) from selected districts and assessing the toxic substances. The second phase relies on the results of the first phase; for severely contaminated foods, the sources of contamination and factors leading to the presence of chemical toxicants will be investigated. Finally, optimal processing will be investigated to remove or decrease toxic chemicals. The assessment of chemical contaminants in local foods and beverages is important as consumers become more conscious of their health and well-being. Therefore, this research aims to provide insight into the existence, concentrations, and possible health hazards associated with chemical contaminants in foods and beverages that are produced locally. It also makes actionable suggestions for resolving this pressing problem.

This study systematically assessed the concentrations of selected metals and the proximate composition of milk samples collected from six locations: Agerie Milk Cooperative, Andassa Livestock Research Center, Tekelehymanot Monastery, the College of Agriculture and Environmental Sciences, Bahir Dar Dairy Cooperative, and households in Keble-7, Bahir Dar city. Proximate composition, including moisture, ash, protein, and fat, was determined using the Kjeldahl digestion and Gerber methods, while metal analysis was performed using the Inductively Coupled Plasma Optical Emission Spectroscopy technique. The findings revealed significant variations (P

Objectives: This study aimed to assess the prevalence and risk factors of intestinal schistosomiasis in students atBochesa Elementary School in the wetlands of Lake Ziway.Methods: A cross-sectional study of 384 students was conducted in May 2016. Intestinal schistosomiasis wasexamined using the Kato-Katz technique. For the association between the prevalence of intestinal schistosomiasisand categorical variables, the chi-square (𝜒2 ) test was used. A binary logistic regression was applied.Results: The overall prevalence of intestinal schistosomiasis was 25.52%. Males were more infected (17.45%)than women (8.07%), and the difference was significant (𝜒2 = 17.756; P

Objectives: This study aimed to assess the prevalence and risk factors of malaria in individuals visiting health centers in the wetlands of Bahir Dar Zuria District, Northwest Ethiopia.
Methods: A cross-sectional study design was used on 422 study participants from three selected health centers from February to March 2020. Plasmodium parasite detection was examined using thick and thin blood smears, with a rapid diagnostic test. The chi-square (χ2) test was used to analyze the association between the prevalence of malaria and categorical variables, whereas binary logistic regression was used to identify potential risk factors using SPSS Version 25. For all types of tests, P-values below 0.05 were considered significant.
Results: The overall prevalence of malaria observed at the selected health centers around the wetlands of Bahir Dar Zuria District was 23.90% (95% confidence interval: 20.30-27.70%). There was a higher prevalence of malaria in males (39.78%) than in females (11.44%). The younger age group (16-30 years) was the most affected (47.76%), compared with the remaining 0-2 (19.23%), 3-15 (8.64%), 36-45 (37.25%), and above 45 years age groups (13.01%). Individuals with bed net-using habit decreased the risk of malaria infection by 99.70% compared with their counterparts (adjusted odds ratio: 0.003, 95% confidence interval: 0.001-0.011).
Conclusions: In this study, the wetlands of Bahir Dar Zuria District were found conducive to the survival and reproduction of mosquitoes, and the occurrence of malaria prevalence was very high. Therefore, wetland management practices and community mobilizations that might decrease vector abundance and malaria transmission should be strengthened in the study area.

Keywords: Bahir Dar Zuria; Malaria; Prevalence; Rapid diagnostic test; Wetlands.

Background
Digital health is a new health field initiative. Health professionals require security in digital places because cybercriminals target health care professionals. Therefore, millions of medical records have been breached for money. Regarding digital security, there is a gap in studies in limited-resource countries. Therefore, surveying health professionals’ attitudes toward digital health data security has a significant purpose for interventions.


Objective
This study aimed to assess the attitudes of health professionals toward digital health data security and their associated factors in a resource-limited country.


Methods
A cross-sectional study was conducted to measure health professionals’ attitudes toward digital health data security. The sample size was calculated using a single population. A pretest was conducted to measure consistency. Binary logistic regression was used to identify associated factors. For multivariable logistic analysis, a P value ≤.20 was selected using Stata software (version 16; StataCorp LP).


Results
Of the total sample, 95% (402/423) of health professionals participated in the study. Of all participants, 63.2% (254/402) were male, and the mean age of the respondents was 34.5 (SD 5.87) years. The proportion of health professionals who had a favorable attitude toward digital health data security at specialized teaching hospitals was 60.9% (95% CI 56.0%‐65.6%). Educational status (adjusted odds ratio [AOR] 3.292, 95% CI 1.16‐9.34), basic computer skills (AOR 1.807, 95% CI 1.11‐2.938), knowledge (AOR 3.238, 95% CI 2.0‐5.218), and perceived usefulness (AOR 1.965, 95% CI 1.063‐3.632) were factors associated with attitudes toward digital health data security.


Conclusions
This study aimed to assess health professionals’ attitudes toward digital health data security. Interventions on educational status, basic computer skills, knowledge, and perceived usefulness are important for improving health professionals’ attitudes. Improving the attitudes of health professionals related to digital data security is necessary for digitalization in the health care arena.