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Debre Markos University offers a Browse by Title feature within its Institutional Research Repository System that enables users to easily find and access academic research outputs by their titles. This feature organizes theses, dissertations, and other scholarly works alphabetically or by keyword in the title, allowing researchers, students, and the community to quickly locate specific documents when they know all or part of a title. By focusing on titles, users can efficiently explore the repository's collection and discover relevant research materials without needing to search by author or department.

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Eco-friendly electrochemical sensing: An ultra-sensitive voltammetric analysis of ciprofloxacin in human serum, cow's milk and pharmaceutical samples using a glassy carbon electrode modified with poly(Na2[Cu(HR)4])
Journal Article
Adane Kassa a,*, Demisachew Shitaw a, Zelalem Bitew c, Atakilt Abebe b • Submitted: Jun 12, 2025
Natural & Computational Sciences Chemistry
Abstract Preview:
Recent advances in electrochemistry and electrode surface modification highlight the potential of transitionmetal coordination compounds as effective modifiers. This study presents sodium tetraresorcinolatocuprate(II)(Na₂[Cu(HR)₄]), a newly synthesized compound characterized using UV–Vis, FT-IR spectroscopy, ICP OES, andmelting point analysis. A poly(Na₂[Cu(HR)₄])/GCE was fabricated via potentiodynamic techniques, with cyclicvoltammetry and electrochemical impedance spectroscopy confirming the formation of a polymer film thatenhanced the electrode’s active area and electrocatalytic properties. The developed poly(Na₂[Cu(HR)₄])/GCEwas applied for determination of ciprofloxacin (CPF), an antibiotic prone to resistance issues, that requiresreliable monitoring in pharmaceutical and biological samples. The poly(Na₂[Cu(HR)₄]) modifier significantlyimproved CPF detection by reducing its oxidation potential and increasing current response by eightfoldcompared to unmodified electrodes, suggesting the modifier’s catalytic role in CPF oxidation. Differential pulsevoltammetry (DPV) showed a linear CPF response over concentrations of 1.0 × 10 8 to 4.0 × 10 4 M, withdetection and quantification limits of 2.0 nM and 6.8 nM, respectively. Analysis of commercial CPF brandsshowed 98.05–100.00 % accuracy, while spike recovery rates (99.25–100.40 %) and low interference errors(
Full Abstract:
Recent advances in electrochemistry and electrode surface modification highlight the potential of transitionmetal coordination compounds as effective modifiers. This study presents sodium tetraresorcinolatocuprate(II)(Na₂[Cu(HR)₄]), a newly synthesized compound characterized using UV–Vis, FT-IR spectroscopy, ICP OES, andmelting point analysis. A poly(Na₂[Cu(HR)₄])/GCE was fabricated via potentiodynamic techniques, with cyclicvoltammetry and electrochemical impedance spectroscopy confirming the formation of a polymer film thatenhanced the electrode’s active area and electrocatalytic properties. The developed poly(Na₂[Cu(HR)₄])/GCEwas applied for determination of ciprofloxacin (CPF), an antibiotic prone to resistance issues, that requiresreliable monitoring in pharmaceutical and biological samples. The poly(Na₂[Cu(HR)₄]) modifier significantlyimproved CPF detection by reducing its oxidation potential and increasing current response by eightfoldcompared to unmodified electrodes, suggesting the modifier’s catalytic role in CPF oxidation. Differential pulsevoltammetry (DPV) showed a linear CPF response over concentrations of 1.0 × 10 8 to 4.0 × 10 4 M, withdetection and quantification limits of 2.0 nM and 6.8 nM, respectively. Analysis of commercial CPF brandsshowed 98.05–100.00 % accuracy, while spike recovery rates (99.25–100.40 %) and low interference errors(
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EFFECTS OF AEROBIC, RESISTANCE AND COMBINED EXERCISE TRAINING ON BODY FAT AND GLUCOLIPED METABOLISM IN INACTIVE MID-AGED ADULTS WITH OVERWEIGHT OR OBESITY: A RANDMIZED TRIAL.
Journal Article
Friew Amare1*, Yehualaw Alemu1, Mollalign Enichalew1, Yalemsew Demilie1 and Solomon Adamu1 • Submitted: Sep 11, 2024
Sport Academy Sport Science
Abstract Preview:
Method Twenty inactive males (BMI 27.67 ± 0.88 kg/m2 , age 49.15 ± 2.58 years) participated in an eight-week wererandomly assigned to one of three intervention groups (combined (CT), resistance (RT), and aerobic (AT)) exercisemodalities to assess within-subject and between group changes in glycolipid profile. Data were analyzed usingrepeated measures ANCOVA.Result Pre-post mean values of body fat percentage (%BF), area under the curve (AUC), low density lipoprotein (LDL),high density lipoprotein (HDL) and total cholesterol (TC) decreased in all three groups. The main effect of exercisemodality on the AUC (F (2, 26) = 10.577, P = 0.001, η2 = 0.569) was significant. Post-hoc analyses revealed that the RTgroup (-30.653 ± 6.766, p = 0.001) with 11.53% and the CT group (M = -0.896, SE = 3.347, P = 0.015) with 3.79% exhib-ited significantly greater reductions in AUC compared to the AT group. LDL levels showed significant differentbetween groups (F (2, 26) = 6.33, p = 0.009, η2 = 0.442), specially significantly 3.7% lowered in AT (MD = 4.783, SE = 1.563,P = 0.002) and 3.79% lower in CT (MD = 4.57, SE = 1.284, P = 0.008) groups compared to the RT group. AT significantlyreduced TC by 17.716 ± 5.705 mg/dL (p = 0.02) compared to RT, representing a 7.97% decrease.Conclusion Exercise type significantly influences lipid profiles and glycemic control. Notably, both aerobic and com-bined training demonstrated a superior ability to modulate the lipid profile, and resistance training and combinedtraining were more effective in reducing the AUC.Trial registration May, 31st 2024. Registration no: PACTR202405463745521 “Retrospectively registered”.Keywords Glucose tolerance, Lipid profile, Resistance training, Aerobic training and combind training
Full Abstract:
Method Twenty inactive males (BMI 27.67 ± 0.88 kg/m2 , age 49.15 ± 2.58 years) participated in an eight-week wererandomly assigned to one of three intervention groups (combined (CT), resistance (RT), and aerobic (AT)) exercisemodalities to assess within-subject and between group changes in glycolipid profile. Data were analyzed usingrepeated measures ANCOVA.Result Pre-post mean values of body fat percentage (%BF), area under the curve (AUC), low density lipoprotein (LDL),high density lipoprotein (HDL) and total cholesterol (TC) decreased in all three groups. The main effect of exercisemodality on the AUC (F (2, 26) = 10.577, P = 0.001, η2 = 0.569) was significant. Post-hoc analyses revealed that the RTgroup (-30.653 ± 6.766, p = 0.001) with 11.53% and the CT group (M = -0.896, SE = 3.347, P = 0.015) with 3.79% exhib-ited significantly greater reductions in AUC compared to the AT group. LDL levels showed significant differentbetween groups (F (2, 26) = 6.33, p = 0.009, η2 = 0.442), specially significantly 3.7% lowered in AT (MD = 4.783, SE = 1.563,P = 0.002) and 3.79% lower in CT (MD = 4.57, SE = 1.284, P = 0.008) groups compared to the RT group. AT significantlyreduced TC by 17.716 ± 5.705 mg/dL (p = 0.02) compared to RT, representing a 7.97% decrease.Conclusion Exercise type significantly influences lipid profiles and glycemic control. Notably, both aerobic and com-bined training demonstrated a superior ability to modulate the lipid profile, and resistance training and combinedtraining were more effective in reducing the AUC.Trial registration May, 31st 2024. Registration no: PACTR202405463745521 “Retrospectively registered”.Keywords Glucose tolerance, Lipid profile, Resistance training, Aerobic training and combind training
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Effects of Eucalyptus camaldulensis Woodlot Plantation Expansion on Food Security in South Achefer District, West Gojjam, Amhara Region, Ethiopia
Journal Article
Kiros Getachew Belachew and Alemu Gashe Desta • Submitted: Jan 15, 2025
Agriculture and Natural resources Natural Resource Management
Abstract Preview:
Eucalyptus camaldulensis is commonly planted on farmland in highland Ethiopia because of its high economic proftability.However, the expansion of woodlot plantations has led to a decline in crop growth and yield, which negatively afects foodsecurity. To address this issue, this study aimed to examine the efects of Eucalyptus camaldulensis woodlot expansion on cropproduction and food security in South Achefer. Data were collected from 180 respondents using a three-stage sampling techniquefor the four kebeles in the district. Te survey data were analyzed using descriptive and inferential statistics, and a binary logitregression model using SPSS software version 24. Tis study found that most households (87%) perceived a rapid increase inEucalyptus woodlot expansion. Te allocation of more land for Eucalyptus woodlot expansion was positively and signifcantlyafected by family size, landholding size, total annual income, and availability of unproductive land. Additionally, the studyrevealed that Eucalyptus woodlots highly compete with nearly all grown crops for nutrients and moisture. Tis causes a reductionin yield from one to four quintals compared to the normal crop grown far from the Eucalyptus tree. Approximately three-fourths(71%) of the sampled farmers did not obtain stable food annually and were considered food insecure. To alleviate food insecurity,this study suggests that stakeholders should focus on improving livelihood alternatives rather than expanding Eucalyptuswoodlots.Keywords: access; availability; binary logistic regression; stability; utilization; woodlot
Full Abstract:
Eucalyptus camaldulensis is commonly planted on farmland in highland Ethiopia because of its high economic proftability.However, the expansion of woodlot plantations has led to a decline in crop growth and yield, which negatively afects foodsecurity. To address this issue, this study aimed to examine the efects of Eucalyptus camaldulensis woodlot expansion on cropproduction and food security in South Achefer. Data were collected from 180 respondents using a three-stage sampling techniquefor the four kebeles in the district. Te survey data were analyzed using descriptive and inferential statistics, and a binary logitregression model using SPSS software version 24. Tis study found that most households (87%) perceived a rapid increase inEucalyptus woodlot expansion. Te allocation of more land for Eucalyptus woodlot expansion was positively and signifcantlyafected by family size, landholding size, total annual income, and availability of unproductive land. Additionally, the studyrevealed that Eucalyptus woodlots highly compete with nearly all grown crops for nutrients and moisture. Tis causes a reductionin yield from one to four quintals compared to the normal crop grown far from the Eucalyptus tree. Approximately three-fourths(71%) of the sampled farmers did not obtain stable food annually and were considered food insecure. To alleviate food insecurity,this study suggests that stakeholders should focus on improving livelihood alternatives rather than expanding Eucalyptuswoodlots.Keywords: access; availability; binary logistic regression; stability; utilization; woodlot
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Effects of spraying chicken eggs with groundnut seed oil and different storage period on the quality and nutritional value
Journal Article
Ayalew, F.1*, Negasi, A.2, Mitiku, E.2 Addisu, A.1 and Desalegn, W.1 • Submitted: May 14, 2024
DMU Burie Campus Animal Science
Abstract Preview:
Abstract: The egg quality measurements were undertaken as egg weight loss (%), shell thickness,Haugh unit, yolk height, yolk width, yolk index and albumen height. The non-sprayed chickeneggs showed a higher weight loss percentage of 3.07% within 15 days of storage. However, itwas shown to be lower the weight loss of 0.48% when sprayed. Even though a progressivedecrease in yolk height, albumen height, yolk index and Haugh unit values were shown as thestorage period advances, sprayed eggs which resulted to be greater within each storage periodthan non-sprayed eggs. Non- sprayed eggs stored for 15, 10, 5, and 0 day had a Haugh unit valueof 52.42±2.66, 73.29±6.44, 77.51±3.88 and 85.72 ± 2.85, respectively. Whereas, Haugh unitvalues were shown as 82.43±4.31, 82.90 ±4.43, 84.73 ±3.25 and 85.52±6.37 respectively whichrecorded after spraying. There were significant differences (P < 0.05) in moisture percentage, fatand protein content among non-sprayed eggs kept for different storage period. But percentage ofash and carbohydrate were unaffected. There was gradually decreased in the percentage ofmoisture, fat and protein content as the storage period advances.Keywords: Haugh unit, Albumen height, Fat, Protein, Ash, Carbohydrate
Full Abstract:
Abstract: The egg quality measurements were undertaken as egg weight loss (%), shell thickness,Haugh unit, yolk height, yolk width, yolk index and albumen height. The non-sprayed chickeneggs showed a higher weight loss percentage of 3.07% within 15 days of storage. However, itwas shown to be lower the weight loss of 0.48% when sprayed. Even though a progressivedecrease in yolk height, albumen height, yolk index and Haugh unit values were shown as thestorage period advances, sprayed eggs which resulted to be greater within each storage periodthan non-sprayed eggs. Non- sprayed eggs stored for 15, 10, 5, and 0 day had a Haugh unit valueof 52.42±2.66, 73.29±6.44, 77.51±3.88 and 85.72 ± 2.85, respectively. Whereas, Haugh unitvalues were shown as 82.43±4.31, 82.90 ±4.43, 84.73 ±3.25 and 85.52±6.37 respectively whichrecorded after spraying. There were significant differences (P < 0.05) in moisture percentage, fatand protein content among non-sprayed eggs kept for different storage period. But percentage ofash and carbohydrate were unaffected. There was gradually decreased in the percentage ofmoisture, fat and protein content as the storage period advances.Keywords: Haugh unit, Albumen height, Fat, Protein, Ash, Carbohydrate
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Efficient removal of lead (II) from paint factory wastewater using Noug stalk activated carbon: A sustainable adsorption approach
Journal Article
Getasew Yirdaw • Submitted: Feb 15, 2025
College of Health Science Environmental Health
Abstract Preview:
Industries are among the largest global consumers of water, with a significant portion beingconverted into industrial wastewater. Paint factories, in particular, are major contributors toenvironmental lead pollution, releasing lead (II) through untreated effluents. Exposure to lead (II)poses serious health risks, including carcinogenic effects, neurological disorders, blood-relatedcomplications, and damage to vital organs such as the liver, kidneys, and lungs. While exten-sive research has focused on lead (II) removal from synthetic wastewater, limited studies haveaddressed the application of these methods to real industrial wastewater. This study aimed toevaluate the efficiency of Noug stalk activated carbon in removing lead (II) from paint factoryeffluent under optimized conditions. Laboratory experiments were conducted to assess the per-formance of Noug stalk activated carbon in treating wastewater from a paint factory. Statisticalanalysis using Statistical Package for Social Sciences version 20 was employed, with a pairedsample t-test determining the significance of differences in lead (II) concentrations before andafter treatment, considering a p-value of
Full Abstract:
Industries are among the largest global consumers of water, with a significant portion beingconverted into industrial wastewater. Paint factories, in particular, are major contributors toenvironmental lead pollution, releasing lead (II) through untreated effluents. Exposure to lead (II)poses serious health risks, including carcinogenic effects, neurological disorders, blood-relatedcomplications, and damage to vital organs such as the liver, kidneys, and lungs. While exten-sive research has focused on lead (II) removal from synthetic wastewater, limited studies haveaddressed the application of these methods to real industrial wastewater. This study aimed toevaluate the efficiency of Noug stalk activated carbon in removing lead (II) from paint factoryeffluent under optimized conditions. Laboratory experiments were conducted to assess the per-formance of Noug stalk activated carbon in treating wastewater from a paint factory. Statisticalanalysis using Statistical Package for Social Sciences version 20 was employed, with a pairedsample t-test determining the significance of differences in lead (II) concentrations before andafter treatment, considering a p-value of
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Enhancing Word Sense Disambiguation for Amharic homophone words using Bidirectional Long Short Term Memory network
Journal Article
Mequanent Degu Belete a, Lijalem Getanew Shiferaw b, Girma Kassa Alitasb a,*, Tariku Sinshaw Tamir • Submitted: Jul 14, 2024
Institute of Technology Electrical and Computer Engineering
Abstract Preview:
Given the Amharic language has a lot of perplexing terminology since it features duplicate homophone letters,fidel’s ሀ, ሐ, and ኀ (three of which are pronounced as HA), ሠ and ሰ (both pronounced as SE), አ and ዐ (bothpronounced as AE), and ጾ and ፀ (both pronounced as TSE). The WSD (Word Sense Disambiguation) model, whichtackles the issue of lexical ambiguity in the context of the Amharic language, is developed using a deep learningtechnique. Due to the unavailability of the Amharic wordnet, a total of 1756 examples of paired Amharicambiguous homophonic words were collected. These words were ዔህነቔ(dhnet) and ዔኅነቔ(dhnet), ምሁር(m’hur)and ምሑር(m’hur), በአል(be’al) and በዱል(be’al), አቱይ (abiy) and ዐቱይ(abiy), with a total of 1756 examples.Following word preprocessing, word2vec, fasttext, Term Frequency-Inverse Document Frequency (TFIDF), andbag of words (BoW) were used to vectorize the text. The vectorized text was divided into train and test data. Thetrain data was then analysed using Naive Bayes (NB), K-nearest neighbour (KNN), logistic regression (LG), de-cision trees (DT), random forests (RF), and random oversampling technique. Bidirectional Gate Recurrent Unit(BiGRU) and Bidirectional Long Short-Term Memory (BiLSTM) improved to 99.99 % accuracy even with limiteddatasets.
Key Words: Amharic language, Homophone, Machine learning, Deep learning, Bidirectional, BiLSTM, BiGRU, TFIDF, BoW, Word embedding, Amharic word sense disambiguation
Full Abstract:
Given the Amharic language has a lot of perplexing terminology since it features duplicate homophone letters,fidel’s ሀ, ሐ, and ኀ (three of which are pronounced as HA), ሠ and ሰ (both pronounced as SE), አ and ዐ (bothpronounced as AE), and ጾ and ፀ (both pronounced as TSE). The WSD (Word Sense Disambiguation) model, whichtackles the issue of lexical ambiguity in the context of the Amharic language, is developed using a deep learningtechnique. Due to the unavailability of the Amharic wordnet, a total of 1756 examples of paired Amharicambiguous homophonic words were collected. These words were ዔህነቔ(dhnet) and ዔኅነቔ(dhnet), ምሁር(m’hur)and ምሑር(m’hur), በአል(be’al) and በዱል(be’al), አቱይ (abiy) and ዐቱይ(abiy), with a total of 1756 examples.Following word preprocessing, word2vec, fasttext, Term Frequency-Inverse Document Frequency (TFIDF), andbag of words (BoW) were used to vectorize the text. The vectorized text was divided into train and test data. Thetrain data was then analysed using Naive Bayes (NB), K-nearest neighbour (KNN), logistic regression (LG), de-cision trees (DT), random forests (RF), and random oversampling technique. Bidirectional Gate Recurrent Unit(BiGRU) and Bidirectional Long Short-Term Memory (BiLSTM) improved to 99.99 % accuracy even with limiteddatasets.
Key Words: Amharic language, Homophone, Machine learning, Deep learning, Bidirectional, BiLSTM, BiGRU, TFIDF, BoW, Word embedding, Amharic word sense disambiguation
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Establishing recipiency in divergent L2 contexts of classroom Interacton: A conversation Analysis
Journal Article
Mengistu Anagaw Engida *, Haile Kassahun Bewuket , Mekonnen Esubalew Tariku , Wondiyfraw Mhiret Dessie • Submitted: Aug 22, 2024
Social Science and Humanities English Language and Literatures
Abstract Preview:
Establishing recipiency, an indispensable ingredient and manifestation of sustaining intersub-jectivity, constitutes the continuous monitoring of an ongoing turn in an interaction. The presentstudy intended to describe how interactants attending a freshman common course in an Ethiopianuniversity elicit and display recipiency in instances of Divergent L2 contexts exhibiting DIUs.Naturally occurring video-recorded classroom interactions of the purposively selected in-teractants have been analyzed in light of the Conversation Analytic framework to show howinteractants elicit and display recipiency. By deploying reactive tokens, incipient speakersnegotiate their rights to shape and reshape trajectories of an ongoing thereby displaying recipi-ency. This contributes to a better understanding of how interactures, in this case the establish-ment of intersubjectivity and L2 contexts, interplay and unfold in moments of DIUs. Also, viewinginteractants as incipient speakers, and thereby articulating turns in view of recipients is a con-dition for sustaining intersubjectivity through active engagement. This requires upholding un-wavering belief about recipients’ stake in an interactional exchange. Practically, being attentiveto recipients’ states in the different trajectories of interactional development, especially, in mo-ments of divergent L2 contexts that exhibit DIUs, would be illuminating. This is because the use ofresources to elicit and display recipiency and thereby consider incipient speakers’ levels ofrecipiency, on the part of floor-holding speaker, would enhance possibilities for intersubjectivity.
Keywords: Recipiency, DIUs, Intersubjectivity, Eliciting, Divergence
Full Abstract:
Establishing recipiency, an indispensable ingredient and manifestation of sustaining intersub-jectivity, constitutes the continuous monitoring of an ongoing turn in an interaction. The presentstudy intended to describe how interactants attending a freshman common course in an Ethiopianuniversity elicit and display recipiency in instances of Divergent L2 contexts exhibiting DIUs.Naturally occurring video-recorded classroom interactions of the purposively selected in-teractants have been analyzed in light of the Conversation Analytic framework to show howinteractants elicit and display recipiency. By deploying reactive tokens, incipient speakersnegotiate their rights to shape and reshape trajectories of an ongoing thereby displaying recipi-ency. This contributes to a better understanding of how interactures, in this case the establish-ment of intersubjectivity and L2 contexts, interplay and unfold in moments of DIUs. Also, viewinginteractants as incipient speakers, and thereby articulating turns in view of recipients is a con-dition for sustaining intersubjectivity through active engagement. This requires upholding un-wavering belief about recipients’ stake in an interactional exchange. Practically, being attentiveto recipients’ states in the different trajectories of interactional development, especially, in mo-ments of divergent L2 contexts that exhibit DIUs, would be illuminating. This is because the use ofresources to elicit and display recipiency and thereby consider incipient speakers’ levels ofrecipiency, on the part of floor-holding speaker, would enhance possibilities for intersubjectivity.
Keywords: Recipiency, DIUs, Intersubjectivity, Eliciting, Divergence
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Ethical dilemmas and decision-making in emergency and critical care nursing in Western Amhara region, Northwest Ethiopia: a multi-method qualitative study
Journal Article
Abebe Dilie Afenigus1* and Mastewal Ayehu Sinshaw2 • Submitted: Mar 20, 2025
College of Health Science Nursing
Abstract Preview:
Background Ethical dilemmas in emergency and critical care nursing often involve complex decision-makingthat impacts patient outcomes, emotional well-being of healthcare providers, and team dynamics. Understandingthese dilemmas and the decision-making processes involved is crucial for improving nursing practices and patientoutcomes in this context.Objective This study aims to explore the ethical dilemmas and decision-making processes of emergency and criticalcare nurses, using the Four Box. Method ethical decision-making framework.Methods A multi-method qualitative approach was employed, incorporating in-depth individual interviews(IDI), focus group discussions (FGD), and case studies to capture diverse perspectives. Data were collected from28 nurses working in emergency and critical care settings at Tibebe Ghion Specialized Hospital and Felege HiwotComprehensive Specialized Hospital through purposive sampling. The interviews and focus groups were audiorecorded, transcribed verbatim in Amharic, translated into English, and entered into OpenCode software for analysis.Inductive thematic analysis method was applied to analyze the data.Results The study revealed several key ethical dilemmas faced by nurses, including balancing patient autonomywith beneficence, and the allocation of limited resources during crises, opioid administration for pain managementvs. respiratory depression, and conflicts regarding informed consent. Nurses reported emotional and professionalimpacts from these dilemmas, contributing to moral distress, burnout, and ethical fatigue. Nurses emphasizedthe importance of interdisciplinary collaboration and structured decision-making frameworks to navigate thesechallenges. However, the lack of consistent access to ethics consultations and peer support during critical momentswas noted as a significant barrier.Conclusion and recommendation Nurses encounter complex ethical dilemmas that impact their emotional well-being and job satisfaction. Effective decision-making requires applying ethical principles, adhering to guidelines,and consulting peers. The study reveals the need for improved support systems, including more frequent and
comprehensive ethics training, better access to ethics consultations, and structured frameworks to guide decision-making in high-pressure situations.Clinical trial registration The study is not a clinical trial, a clinical trial number is not applicable.Keywords Ethical dilemma, Decision making, Emergency and critical care, Nursing
Full Abstract:
Background Ethical dilemmas in emergency and critical care nursing often involve complex decision-makingthat impacts patient outcomes, emotional well-being of healthcare providers, and team dynamics. Understandingthese dilemmas and the decision-making processes involved is crucial for improving nursing practices and patientoutcomes in this context.Objective This study aims to explore the ethical dilemmas and decision-making processes of emergency and criticalcare nurses, using the Four Box. Method ethical decision-making framework.Methods A multi-method qualitative approach was employed, incorporating in-depth individual interviews(IDI), focus group discussions (FGD), and case studies to capture diverse perspectives. Data were collected from28 nurses working in emergency and critical care settings at Tibebe Ghion Specialized Hospital and Felege HiwotComprehensive Specialized Hospital through purposive sampling. The interviews and focus groups were audiorecorded, transcribed verbatim in Amharic, translated into English, and entered into OpenCode software for analysis.Inductive thematic analysis method was applied to analyze the data.Results The study revealed several key ethical dilemmas faced by nurses, including balancing patient autonomywith beneficence, and the allocation of limited resources during crises, opioid administration for pain managementvs. respiratory depression, and conflicts regarding informed consent. Nurses reported emotional and professionalimpacts from these dilemmas, contributing to moral distress, burnout, and ethical fatigue. Nurses emphasizedthe importance of interdisciplinary collaboration and structured decision-making frameworks to navigate thesechallenges. However, the lack of consistent access to ethics consultations and peer support during critical momentswas noted as a significant barrier.Conclusion and recommendation Nurses encounter complex ethical dilemmas that impact their emotional well-being and job satisfaction. Effective decision-making requires applying ethical principles, adhering to guidelines,and consulting peers. The study reveals the need for improved support systems, including more frequent and
comprehensive ethics training, better access to ethics consultations, and structured frameworks to guide decision-making in high-pressure situations.Clinical trial registration The study is not a clinical trial, a clinical trial number is not applicable.Keywords Ethical dilemma, Decision making, Emergency and critical care, Nursing
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Ethiopian residents’ knowledge and attitude towards blood donation and its associated factors: systematic review and meta-analysis
Journal Article
Addisu Getie1*, Baye Tsegaye Amlak1, Temesgen Ayenew1, Mihretie Gedfew1, Gizachew Yilak3, Adam Wondmieneh2 and Melaku Bimerew • Submitted: Nov 22, 2024
College of Health Science Nursing
Abstract Preview:
AbstractIntroduction Despite the existence of numerous blood donation centers globally, there remains a significant gapbetween the demand and supply of blood. In Ethiopia, replacement blood donation is more common than voluntarydonation. The National Blood Bank of Ethiopia collects approximately 200,000 units of blood each year, while thedaily requirement is 18,000 units. Donors’ knowledge and attitudes are vital for ensuring a steady blood supply. Thissystematic review and meta-analysis sought to evaluate the knowledge and attitudes of Ethiopian residents regardingblood donation and the factors influencing them.Methods Relevant research articles were identified through searches of various databases. Data extraction andorganization were performed using Microsoft Excel, and the data were then analyzed using STATA/MP 17.0. Aweighted inverse variance random-effects model with a 95% confidence interval was employed to pool the data.Heterogeneity was examined with the Galbraith plot and Cochrane IÂČ statistics. To identify sources of heterogeneity,meta-regression, subgroup analysis, and sensitivity analysis were conducted. Publication bias was assessed usingEgger’s test and managed with trim and fill analysis. The adjusted odds ratio was calculated to explore the relationshipbetween knowledge and attitudes towards blood donation, with a significance threshold of p < 0.05.Results The pooled prevalence of favorable attitudes towards blood donation was 65.95%. Moderators such as studyyear (p = 0.72), publication year (p = 0.877), and sample size (p = 0.291) were not significant, indicating they did notcontribute to heterogeneity. Studies from Northern Ethiopia reported the highest prevalence of favorable attitudes at69.95%, while research on healthcare workers also indicated a high proportion of favorable attitudes at 69.29%. Therewas a significant association between knowledge and attitudes towards blood donation (AOR = 2.03).Conclusion The pooled prevalence of favorable attitudes towards blood donation was 65.95%, with the highestlevels observed in Northern Ethiopia and among healthcare workers. A significant association between knowledgeand positive attitudes towards blood donation was found. To enhance attitudes towards blood donation, increasingpublic awareness and education about the importance and safety of donating blood is crucial.Keywords Blood, Blood donation, Knowledge, Attitude, Systematic review, Meta-analysis, Ethiopia
Full Abstract:
AbstractIntroduction Despite the existence of numerous blood donation centers globally, there remains a significant gapbetween the demand and supply of blood. In Ethiopia, replacement blood donation is more common than voluntarydonation. The National Blood Bank of Ethiopia collects approximately 200,000 units of blood each year, while thedaily requirement is 18,000 units. Donors’ knowledge and attitudes are vital for ensuring a steady blood supply. Thissystematic review and meta-analysis sought to evaluate the knowledge and attitudes of Ethiopian residents regardingblood donation and the factors influencing them.Methods Relevant research articles were identified through searches of various databases. Data extraction andorganization were performed using Microsoft Excel, and the data were then analyzed using STATA/MP 17.0. Aweighted inverse variance random-effects model with a 95% confidence interval was employed to pool the data.Heterogeneity was examined with the Galbraith plot and Cochrane IÂČ statistics. To identify sources of heterogeneity,meta-regression, subgroup analysis, and sensitivity analysis were conducted. Publication bias was assessed usingEgger’s test and managed with trim and fill analysis. The adjusted odds ratio was calculated to explore the relationshipbetween knowledge and attitudes towards blood donation, with a significance threshold of p < 0.05.Results The pooled prevalence of favorable attitudes towards blood donation was 65.95%. Moderators such as studyyear (p = 0.72), publication year (p = 0.877), and sample size (p = 0.291) were not significant, indicating they did notcontribute to heterogeneity. Studies from Northern Ethiopia reported the highest prevalence of favorable attitudes at69.95%, while research on healthcare workers also indicated a high proportion of favorable attitudes at 69.29%. Therewas a significant association between knowledge and attitudes towards blood donation (AOR = 2.03).Conclusion The pooled prevalence of favorable attitudes towards blood donation was 65.95%, with the highestlevels observed in Northern Ethiopia and among healthcare workers. A significant association between knowledgeand positive attitudes towards blood donation was found. To enhance attitudes towards blood donation, increasingpublic awareness and education about the importance and safety of donating blood is crucial.Keywords Blood, Blood donation, Knowledge, Attitude, Systematic review, Meta-analysis, Ethiopia
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Ethiopian women experiencing infertility: sociocultural challenges and coping strategies
Journal Article
Tinisaie Biadigie adanea, Kelemu Zelalem Berhanub and Abatihun Alehegn Sewagegn • Submitted: Feb 26, 2024
Educational and Behavioral Sciences Education
Abstract Preview:
the main purpose of this study was to explore the social and cultural challenges andcoping strategies of women experiencing infertility in Bichena town, ethiopia. thisstudy followed a qualitative research approach and a descriptive phenomenologicaldesign. this study applied a purposive sampling technique and selected 30 samples.through in-depth interviews, focus group discussions and key informant interviewswere used. thematic analysis was employed for data analysis. the findings revealed thatwomen experiencing infertility were challenged by social challenges; the major socialcomponents were isolation, stigma, family and social pressure, marital instability, andlow social status. Women experiencing infertility were also challenged by culturalfactors. Missing cultural rituals, trouble in asking newborn mothers, not considering fullwomen or motherhood, and missing the value of children were the major culturalchallenges of women experiencing infertility. Women experiencing infertility also useda variety of coping strategies, such as religious, traditional, medical, and informalfosterage. the study concluded that women experiencing infertility in the study areawere challenged by social and cultural factors that made their lives bitter and useddifferent coping strategies to manage their ongoing problems. this study has theoreticalimplications for current literature knowledge and practical implications.
KEYWORDS: Coping strategies; women experiencing infertility; cultural challenge; social challenge
Full Abstract:
the main purpose of this study was to explore the social and cultural challenges andcoping strategies of women experiencing infertility in Bichena town, ethiopia. thisstudy followed a qualitative research approach and a descriptive phenomenologicaldesign. this study applied a purposive sampling technique and selected 30 samples.through in-depth interviews, focus group discussions and key informant interviewswere used. thematic analysis was employed for data analysis. the findings revealed thatwomen experiencing infertility were challenged by social challenges; the major socialcomponents were isolation, stigma, family and social pressure, marital instability, andlow social status. Women experiencing infertility were also challenged by culturalfactors. Missing cultural rituals, trouble in asking newborn mothers, not considering fullwomen or motherhood, and missing the value of children were the major culturalchallenges of women experiencing infertility. Women experiencing infertility also useda variety of coping strategies, such as religious, traditional, medical, and informalfosterage. the study concluded that women experiencing infertility in the study areawere challenged by social and cultural factors that made their lives bitter and useddifferent coping strategies to manage their ongoing problems. this study has theoreticalimplications for current literature knowledge and practical implications.
KEYWORDS: Coping strategies; women experiencing infertility; cultural challenge; social challenge
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