Awareness of Breast Cancer and Its Early Detection Measures Among Female Students, Northern Ethiopia

Globally breast cancer is the most common of all cancers. Since risk reduction strategies cannot eliminate the majority of breast cancers, early detection remains the cornerstone of breast cancer control. This paper, therefore, attempts to assess the awareness of breast cancer and its early detection measures among female students in Mekelle University, Ethiopia. An institution based cross-sectional study was conducted on randomly selected female students. Multistage sampling technique was employed to select the participants. A pre-tested structured questionnaire was used. Data analysis was carried out using SPSS version 16. In this study, 760 students participated making a response rate of 96 percent. Respondents with good knowledge score for risk factors, early detections measures and warning signs of breast cancer were 1.4 percent, 3.6 percent and 22.1 percent respectively. The majority 477 (62.8 percent) of participants practiced self-breast examination. In conclusion the participants had poor knowledge of risk factors, early detection measures and early warning signs of breast cancer.Therefore, the Ministry of health of Ethiopia together with its stalk holders should strengthen providing IEC targeting women to increase their awareness about breast cancer and its early detection measure

Developing the Business Process Management Performance of an Information System Using the Delphi Study Technique

Information systems are used to manage an organisation’s business process management (BPM), its operations and performance. Thus, organisations will benefit from systematic processes for evaluating their business information systems with the aim of developing BPM and business information systems performance. The Delphi Study Technique (DST) is a structured business study technique that can be used as a systematic and interactive assessment process based on controlled feedback from business experts, professionals, or others with relevant experience. The Delphi study technique (also known as the Delphi method) has produced significant achievements in evaluating and improving BPM through identifying BPM values to be used as key indicators. This paper describes the essential stages for measuring the performance of an information system by combining the Delphi method and BPM values to improve an organisation’s business performance. The paper provides examples of the use of DST and discusses empirical results from the published literature

Developing the Business Process Management Performance of an Information System Using the Delphi Study Technique

Information systems are used to manage an organisation’s business process management (BPM), its operations and performance. Thus, organisations will benefit from systematic processes for evaluating their business information systems with the aim of developing BPM and business information systems performance. The Delphi Study Technique (DST) is a structured business study technique that can be used as a systematic and interactive assessment process based on controlled feedback from business experts, professionals, or others with relevant experience. The Delphi study technique (also known as the Delphi method) has produced significant achievements in evaluating and improving BPM through identifying BPM values to be used as key indicators. This paper describes the essential stages for measuring the performance of an information system by combining the Delphi method and BPM values to improve an organisation’s business performance. The paper provides examples of the use of DST and discusses empirical results from the published literature

Background and objectives of launching The Ethiopian Journal of Health Development, 1984

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Prediksi Kepopuleran Lagu Berdasarkan Tangga Lagu Billboard Menggunakan Decision Tree dan K-means

Billboard telah menjadi sumber terpercaya untuk peringkat popularitas lagu selama 60 tahun terakhir, dan sebagian besar label rekaman mengacu pada peringkat yang diberikan Billboard. Lagu hits biasanya tidak hanya dipengaruhi oleh lirik dan artis yang menyanyikannya, beberapa lagu hits dipengaruhi juga oleh faktor sepeti artis, genre, label rekaman dan lain sebagainya. Namun jika label rekaman dapat memprediksi sendiri apakah sebuah lagu dapat masuk ke dalam peringkat yang ada di Billboard tentunya akan sangat membantu. Dalam tangga lagu terdapat atribut yang dipertimbangkan seperti artis, judul, genre dan lainnya sehingga kombinasi berbagai atribut tersebut menjadi suatu pola dalam mengelompokkan sebuah lagu dalam tangga lagu. Penelitian ini bertujuan membangun sistem yang dapat memprediksi apakah suatu lagu dapat dikategorikan menjadi hits atau tidak menggunakan Decision Tree dan K-Means

Evaluation of pre-service training on integrated management of neonatal and childhood illness in Ethiopia

Background: The Integrated Management of Newborn and Childhood Illness strategy equips health workers with essential knowledge and skills to effectively manage sick children with common neonatal and childhood diseases. Since in-service training is very demanding to achieve the desired coverage of training of health workers, pre-service training is taken as a solution. At the time of the survey, most public and some private health professionals’ training institutions were conducting pre-service training. However, several concerns have been expressed on the training. Therefore, this survey was conducted to assess the status of pre-service Integrated Management of New-born and Childhood Illness training. Methods: A cross sectional survey on health professional training institutes/schools to evaluate pre-service Inte-grated Management of Newborn and Childhood Illness training was conducted in November 2007. Data was col-lected using pre-tested questionnaires, focused group interviews with teachers and students, observation of stu-dents while managing sick children using Integrated Management of Newborn and Childhood Illness guidelines, and reviews of pediatric course outlines and other teaching/learning materials. Data was entered in computer and analyzed using SPSS for Windows version 12.0.1. Results: Twenty nine health professionals’ training institutions (34 academic programs) which have started pre-service training were included in the survey. Of the 34 programs 22 were diploma nursing, 6 Bachelor of Sciences nursing, 4 health officer and the remaining two medicine. Thirty (88.2%) programs have integrated it in their cur-riculum. All academic programs had at least one fulltime staff for Integrated Management of Newborn and Child-hood Illness classroom instruction. Twenty nine (85.3%) programs had staff trained in case management skills. All the 34 academic programs taught health workers skills, 28(82.3%) used mixed approach. Integrated Management of Newborn and Childhood Illness was either incorporated for 21 (61.8%) or added to the previous teaching 11 (32.3%). The instructor to student ratio was low for most of the schools. Main challenges encountered in the pre-service teaching were constraints with trained staff and other resources each by 28 (82.3%) programs. Integrated Management of Newborn and Childhood Illness was included in student evaluation by all programs (100%). All students and instructors (100%) rated that Integrated Management of Newborn and Childhood Illness concept is very relevant or extremely relevant but majority said the time given was short. The over all mean score of students clinical practice was 63.5%. Conclusion: This study demonstrated that Integrated Management of Newborn and Childhood Illness was intro-duced into the teaching programs of most health professional training institutions. The most preferred teaching style was the mixed approach. Group discussion and demonstration were commonly used methods and Integrated Management of Newborn and Childhood Illness questions were included in students’ evaluation in almost all pro-grams. Shortage of IMNCI trained staff and teaching materials were major challenges. The use of teaching materi-als prepared for pre-service training like handbook and model chapter was limited. Instructors and students atti-tude towards IMNCI was very good. The students overall performance in managing sick child as per the IMNCI guidelines was above average. We recommend that the respective bodies at every level make every effort to strengthen IMNCI pre-service teaching through revisiting curricula, facilitating staff training, availing teaching materials and allocating adequate time. Exploring for an alternative/innovative and sustainable training approach is an assignment for all

Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis.

BackgroundUterine rupture has a significant public health importance, contributing to 13% of maternal mortality and 74%-92% of perinatal mortality in Sub-Saharan Africa, and 36% of maternal mortality in Ethiopia. The prevalence and predictors of uterine rupture were highly variable and inconclusive across studies in the country. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence and predictor of uterine rupture in Ethiopia.MethodsThis systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2009 checklist. PubMed, Cochrane Library, Google Scholar, and African Journals Online databases were searched. The Newcastle- Ottawa quality assessment tool was used for critical appraisal. I2 statistic and Egger's tests were used to assess the heterogeneity and publication bias, respectively. The random-effects model was used to estimate the pooled prevalence and odds ratios with a 95% confidence interval.ResultsSixteen studies were included, with a total of 91,784 women in the meta-analysis. The pooled prevalence of uterine rupture was 2% (95% CI: 1.99, 3.01). The highest prevalence was observed in the Amhara regional state (5%) and the lowest was in Tigray region (1%). Previous cesarean delivery (OR = 9.95, 95% CI: 3.09, 32.0), lack of antenatal care visit (OR = 8.40, 95% CI: 4.5, 15.7), rural residence (OR = 4.75, 95% CI: 1.17, 19.3), grand multiparity (OR = 4.49, 95% CI: 2.83, 7.11) and obstructed labor (OR = 6.75, 95%CI: 1.92, 23.8) were predictors of uterine rupture.ConclusionUterine rupture is still high in Ethiopia. Therefore, proper auditing on the appropriateness of cesarean section and proper labor monitoring, improving antenatal care visit, and birth preparedness and complication readiness plan are needed. Moreover, early referral and family planning utilization are the recommended interventions to reduce the burden of uterine rupture among Ethiopia women

Podoconiosis in East and West Gojam Zones, Northern Ethiopia

Background: Podoconiosis is a neglected tropical disease (NTD) that is prevalent in red clay soil-covered highlands of tropical Africa, Central and South America, and northern India. It is estimated that up to one million cases exist in Ethiopia. This study aimed to estimate the prevalence of podoconiosis in East and West Gojam Zones of Amhara Region in northern Ethiopia. Methodology/Principal Findings: A cross-sectional household survey was conducted in Debre Eliyas and Dembecha woredas (districts) in East and West Gojam Zones, respectively. The survey covered all 17,553 households in 20 kebeles (administrative subunits) randomly selected from the two woredas. A detailed structured interview was conducted on 1,704 cases of podoconiosis identified in the survey. Results: The prevalence of podoconiosis in the population aged 15 years and above was found to be 3.3% (95% CI, 3.2% to 3.6%). 87% of cases were in the economically active age group (15–64 years). On average, patients sought treatment five years after the start of the leg swelling. Most subjects had second (42.7%) or third (36.1%) clinical stage disease, 97.9% had mossy lesions, and 53% had open wounds. On average, patients had five episodes of acute adenolymphangitis (ALA) per year and spent a total of 90 days per year with ALA. The median age of first use of shoes and socks were 22 and 23 years, respectively. More men than women owned more than one pair of shoes (61.1% vs. 50.5%; x2 = 11.6 p = 0.001). At the time of interview, 23.6% of the respondents were barefoot, of whom about two-thirds were women. Conclusions: This study showed high prevalence of podoconiosis and associated morbidities such as ALA, mossy lesions and open wounds in northern Ethiopia. Predominance of cases at early clinical stage of podoconiosis indicates the potential for reversing the swelling and calls for disease prevention interventions