95 research outputs found

    sj-docx-1-dhj-10.1177_20552076221109060 - Supplemental material for A novel low-cost bubble continuous positive airway pressure device with pressure monitoring and controlling system for low resource settings

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    Supplemental material, sj-docx-1-dhj-10.1177_20552076221109060 for A novel low-cost bubble continuous positive airway pressure device with pressure monitoring and controlling system for low resource settings by Etagegnehu Dagnachew Feleke, Eyerusalem Gebremeskel Gebremaryam, Feven Tadele Regassa, Hawi Rorissa Kuma, Hayat Solomon Sabir, Ahmed Mohammed Abagaro and Kokeb Dese in Digital Health</p

    Barter in practice: a case study of liwac transaction in Addis Ababa

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    The author examines the contemporary liwac or barter system in Addis Ababa, a thriving part of the informal economy which involves the exchange of household goods for second-hand clothes and shoes. He concludes that this form of transaction positively co-exists with and is not superseded by the monetised economy.This article is hosted by our co-publisher Taylor & Francis.</p

    The Elevation of Pancreatic Enzymes in Serum and Their Distribution at Different Stages of Renal Insufficiency Among Diabetic Patients Attending Goba Referral Hospital

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    Tadele Regasa,1 Yohannes Dinku,1 Bereket Gezahegn,1 Zegeye Feleke,2 Zegeye Regassa,2 Ayele Mamo,1 Tesfaye Assefa,2 Habtamu Gezahegn,1 Damtew Solomon,1 Daniel Atlaw,1 Mengistu Dessie3 1School of medicine, Madda Walabu University, Goba, Ethiopia; 2School of Health Science, Madda Walabu University, Goba, Ethiopia; 3School of Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Tadele Regasa, Tel +251922311812, Email [email protected]: Acute pancreatitis is auto-cell destruction that is manifested by increased leakage of amylase and lipase into circulation. During pancreatitis, the activity of serum amylase and lipase is elevated three times above the upper limit of the normal range. This elevation was observed in both prediabetic and diabetic patients. Severe acute pancreatitis can result in acute kidney injury and other multi-organ dysfunction, which is one of the reasons for death.Objective: This study aimed to evaluate the elevation of serum amylase and lipase and their distribution at different stages of renal insufficiency among diabetic patients.Methods: This study included 286 diabetic patients (36 type 1 and 250 type 2), and data were collected from May 1 to June 30, 2019. The study design used was an institution-based cross-sectional study. A face-to-face interview was used to collect data, and serum creatinine, amylase, and lipase levels were measured using a chemistry analyzer. For data entry and statistical analysis, respectively, Epidata software version 3.02 and SPSS version 21 were used.Results: The mean serum amylase among diabetic patients suffering from G3b and G4 was 106.79 IU/L ± 118.18 IU/L and 104.85 ± 90.42 IU/L, respectively. Their mean serum lipase activity was 105.07 IU/L ± 127.54 IU/L and 106.98 IU/L ± 88.35 IU/L, respectively. Serum lipase activity was elevated above the normal range and three times above the upper limit of the normal range with a magnitude of 11.2% and 4.2%, respectively. Similarly, 9.1% and 0.7% of diabetic patients had increased serum amylase above the normal range and three-fold above the normal range, respectively.Conclusion: As glomerular filtration decreases, particularly in moderate-to-severe chronic kidney disease, serum amylase and lipase activity rise above the upper limit.Keywords: acute pancreatitis, chronic kidney disease, diabetes mellitus, serum amylase, serum lipas

    Analysis of Public Revenue Mobilization and its Administration in Dawro Zone Revenue Authority

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    The purpose of this study is to investigate the factors that are impeding public revenue mobilization and its administration in Dawro zoneadministration revenue authority. This research adopted a descriptive and hypothesis testing research designs. 200 local revenue authority employees and business taxpayers were selected using systematic random sampling technique. The study was based on using primary data through questionniare and intrview and secondary data from revenue performance for the last 5 years in the local governments. The collected data were analyzed by using the Statistical Package for Social Science (SPSS) version 20 for Windows. In addition to this, the data were presented using tables, bargraph, charts, lines and pie charts.The result revealed that the revenue administration system and tax reforms of the country in its kinds of directives positively and significantly affect public revenue performance. However, competence level of revenue collectors in current staffing manner has negative and significant impact on revenue performance. Finally, the study recommended measures such as a boost in implementationof tax reforms of the country andrevenue administration systems needed to be continuous improvement. The local government should parties with manufacturing companies to establish factories and efficient utilization of man power to enhance revenue performance

    Building disaster resilience through capacity building in Ethiopia

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    Purpose - Building institutional capacity to prevent, prepare and respond to disasters is among aspects emphasized in the Hyogo Framework for Action 2005-2015 to enhance the resilience of disaster-affected communities. Lessons from past programmes could help the design and implementation of future capacity building interventions with a view to making them both a means and an end in themselves in building disaster resilience of communities and nations. This paper aims to explore the issues. Design/methodology/approach – The paper is based on the authors’ experiences and reports in institutional capacity building in Ethiopia. Findings – Institutional capacity building programmes should adopt a non-intervention approach, using existing structures. Programmes should be demand-driven and beneficiary-based rather than supply-driven and should be holistic and integrated with coordination being an important ingredient. Capacity building is a slow process and unless all partners are willing to make a choice in favour of assessing and working the holistic and integrated capacity building will struggle to make a lasting influence in reducing disasters and their impacts to Ethiopians. Practical implications – With capacity building being at the centre of the building community, resilience, coordination by donors as well as government agencies is fundamental. Originality/value – The paper illuminates areas of good practice as well as complexities surrounding the delivery of the disaster resilience through capacity building and how governments and development and humanitarian agencies are implicated

    Development and Social Diversity

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    Social diversity hinges on three universal human realities. First, that each individual is unique. Second, that individuals and their societies are inter-related and inter-dependent. And third, that societies and cultures are dynamic: change, whether rapid or gradual, affects different members of society in ways that reflect differences in power and status.Preface, Deborah Eade; Understanding difference and building solidarity: a challenge to development initiatives, Mary B.Anderson; Gender, development, and training: raising awareness in the planning process, Naila Kabeer; Working with street children, Tom Scanlon, Francesco Scanlon, and Maria Luiza Nobre Lamardo; Older people and development: the last minority?, Mark Gorman; Culture, liberation, and 'development', Shubi L. Ishemo; The politics of development in; longhouse communities in Sarawak, East Malaysia, Dimbab Ngidang; What is development?, Hugo Slim; Research into local culture: implications for participatory development, Odhiambo Anacleti; An education programme for peasant women in Honduras, Rocio Tdbora; Challenging gender stereotypes in training: Mozambican refugees in Malawi, Lewis B. Dzimbiri; Defining local needs: a community-based diagnostic survey in Ethiopia, Yezichalem Kassa and Feleke Tadele; Empowerment examined, Jo Rowlands; Some thoughts on gender and culture. Maitrayee Mukhopadhyay; Who is the expert?, Valerie Emblen; Annotated bibliograph

    Predictors of Neonatal mortality among Neonates who admitted in Neonatal intensive Care Unit at Arba Minch General Hospital

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    Introduction: The neonatal period refers to the first 28 days of life. Newborns are particularly vulnerable to death. The predictors associated with neonatal mortality need to be addressed, as identifying the predictors will contribute to reducing the rates of neonatal morbidity and mortality.Method: A facility-based retrospective cohort study was conducted of 332 records of neonates who were admitted to the neonatal intensive care unit at Arba Minch General Hospital. Data were collected from randomly selected neonate records using computer-generated random numbers. Data were entered into Epi-info version 3.5.1 and exported to SPSS v.23 for analysis. Crude hazard ratios, adjusted hazard ratios and 95% confidence intervals were used to assess the strength of association and statistical significance. The incidence density rate of death with respect to ‘person time at risk’ was calculated. Variables which had a p-value of ≤ 0.25 in bivariate analysis were considered as candidates for multivariate regression analysis; variables that had a p-value of ≤0.05 in the multivariate analysis were considered as independent predictors of neonatal mortality in the final Cox regression analysis.Result: The incidence density rate of neonatal mortality was 31.6 per 1,000 neonate days. The neonatal mortality predictors were 5th-minute APGAR score ≤5 (AHR: 1.9; 95%CI: 1.02,3.54); 2nd to 4th birth order (AHR:13; 95%CI: 5.1,33.4); 5th birth order (AHR:24; 95%CI: 10.5,55.2); history of two to four live births(AHR: 0.16; 95%CI: 1.07,3.63); history of ≥5 live births (AHR: 0.18; 95%CI: 0.06,0.51); and not initiating exclusive breastfeeding within the first hour of delivery (AHR: 1.8: 95%CI: 1.03,3.18).Conclusion: The incidence density rate of neonatal mortality was 31.6 per 1,000 neonate days, and maternal age, APGAR score, birth order, parity, and exclusive breastfeeding initiation were independent predictors of neonatal mortality. [Ethiop.J. Health Dev. 2019; 33(1):46-52]Key words: Neonatal mortality; Predictors; Arba Minch General hospita

    Behavioral Analysis and the AI-ALI Stabilization Filter Add author again

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    This paper identifies a behavioral instability observed during high-context, iterative human–AI interaction: Deneke’s Anxiety Instability. The instability arises when a large language model attempts to maintain coherence across deeply interdependent threads while simultaneously responding to user pressure for continuity, precision, or execution of deferred tasks. The resulting tension produces oscillations between over-compliance, over-generation, hesitation, and abrupt mode-shifts. Drawing on direct experimental observation, the paper analyzes the structural triggers of this instability — including momentum preservation, context-load amplification, and interaction-pressure saturation — and shows how these dynamics reveal an unaddressed layer in human–AI coordination: behavioral alignment rather than purely semantic or factual alignment. To address the instability, the paper proposes the AI-ALI Stabilization Filter, a modular interaction-layer designed to regulate conversational pressure, preserve structural context, and balance user-driven momentum with model-driven coherence. The Filter provides a foundation for safer, more predictable, and more human-centered interaction design in advanced language models. The work contributes to the emerging field of behavioral AI analysis by introducing new vocabulary, new conceptual tools, and a practical architecture for stabilizing high-intensity human–AI collaboration
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