Browsing by Author "Abebe, Gashaw"

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    Assessment on Maginitude and Associated Factors on Suxamethoneum Induced Post Operative Myalgia in Adult Elective Surgical Patients From January 1, 2017 To March 1, 2017 At Zewuditu Memorial Hospital, Addis Ababa. Cross Sectional Study
    (Addis Abeba University, 2017-06) Abebe, Gashaw; Abrar, Meron (PhD)
    Background: - Suxamethoneum is a depolarizing muscle relaxant first introduce into clinical practice in 1951, it remains the drug of choice in clinical situations in which rapid paralysis and air way control are priorities. The administrations of succinylcholine may produce post-operative myalgia. Post-operative myalgia is thought to be caused by motor units firing at physiological higher rate following Suxamethoneum administration, leading to unsynchronized muscle contractions causing shearing forces of skeletal muscle fibers. The postoperative myalgia is generalized aches and pains that commonly occur 24 to 48 hours after Suxamethoneum Objectives: - To assess the magnitude and associated factors of Suxamethoneum induced post- operative myalgia in adult elective surgical procedures that were under gone from January 1, 2017 to March 1, 2017 in Zewuditu memorial hospital, Addis Ababa, Ethiopia. Method:-On 283 eligible patients Hospital based cross sectional study was conducted from January 1, 2017 to March 1, 2017 G.C at Zewuditu Memorial Hospital, using structured questionnaires and checklists and data were collected from all elective surgical patients who fulfill the inclusion criteria during study period and the magnitude of post-operative myalgia was calculated (%), associated factors with myalgia was investigated. Multivariate logistic regression analysis was conducted to identify significant predictors based on p-value less than 0.05 with 95% confidence level. Results:-Among 160 elective surgical patient the magnitude of Suxamethoneum induced post operative myalgia in the first 24 to 48hours were in 92(57.5%) and in which at 24hour the magnitude were about 84(52.5%) where as at 48 hour 74(46.2). The independent predictors of Suxamethoneum induced post operative myalgia in this study are being female, incidence fasciculation during induction and analgesia preoperatively. Conclusion and recommendation:-The magnitude of Suxamethoneum induced post operative myalgia in the first 24-48hrs was higher. To minimize the magnitude of Suxamethoneum induced post operative myalgia and post operative patient discomfort different prevention techniques should be applied. If possible it better to avoid the use of Suxamethoneum regularly for elective surgical patients. It is also recommended that premedication of patients with analgesic agent before induction anesthesia and defaciculat with NDNMBA.
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    Opportunities And Challenges of Teaching And Learning In Mother Tongue As A Medium of Instruction: The Case of Sidama Language
    (Addis Ababauniversity, 2007-07) Abebe, Gashaw; Adugna, Getachew
    The main objective of this study was aiu-zed 11' .il1Ve!itig(ltjllg. (hI! . q,PPQrll1lljtie$ . ci.;ld challenges of teaching and learning in Sidamigna as a medium of instruction in the .firs! C) de primal) schools of idama Zone and Awassa Kifle Ketema Administrative To\\'n. Although a lot of effort has been exerted in promoting Sidamigna as a medium of illstruction in the ZOlle, much remains to be done and other problems to be tackled. Hellce, Ihi paper is specifically aimed al identifying those problems and suggest possible solutions to the problems identified. To achieve this end, a descriptive survey method was employed. The source of the data for the study were students. teachers, principals. parents and education bureau officials. The sampling techniques applied in the study were simple random sampling, purposive and availability sampling (te~hniques) . The illstruments used to collect the data were questionnaires, interviews andfocu group discussions. The data collected were analyzed both quantitatively and qualitativel)'. The data gathered though questionnaires were analyzed by using frequency counts and their percentage " where as the data gathered through intervievv ([ndfoclIs grollp disClIssiolls were analyzed using descriptive statements and/or explanations. The findings of the study indicated that students, teachers prinCipals, education bureall officials and parents were supportive of using Sidamigna as a medium of instruction. In the study it was also found out that textbooks are prepared for the students are in line with their age and ability. The students also confirmed that their learning ill their mother tongue has also helped them to follow their lessons with out difficult)" to actively participate in the classroom and to feel proud and develop confidence in their OMll langllage/ or being used as a medium of instruction. However, the majority of the srlldenls and parents preferred if Amharic and English were used as a medium of instruction, the majority of whom chose English. The findings of the study also reveled that there is deficiency of educational materials. Textbooks are in short supply; supplementary reading materials, references, teachers guides and library facilities are almost absent. Moreover, lack of COllllllitmell! and interest by sOllie teachers to teach in the language, a mismatch benveen Ihe !raining program and the knowledge gained when put in actual practice, shortage of Ihe dllration of the training program for teachers, lack of involvement by parel7/S in school activities were the major problems identified during the study. Based on the findings, supply of the necessary curricula materials, upgrading unqualified teachers, supervising and evaluating the training program at TTl, persuasion of students, parents and the community to ensure participation and suggested. Moreover, further in depth investigation of the problems at all levels in also recommended
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    Opportunities and Challenges of Teaching. and Challenges of Teaching and Learnin Mother Tongue As A Medium of Instruction: The Caseof Sidama Languacj
    (Addis Ababa University, 2007-07) Abebe, Gashaw; Adugna, Getachew (PhD)
    The lIIain objective of this study was aimed at investigating the opporl/lilities alld challenges of leaching and learning in Sidamigna as a mediulll of instruclioll ill Ihejirsl cycle prilllwJ! schools ofSid{/m{/ Zone and A\IIassa Kifle Ketema Admillistralil'!' TO\llIl . Although a lot of effort has been exerted in promoting Sidamiglla as a mediullI of illstruction ill tlte ZOll e, IIIUCIt relllains to be done and other problems 10 be lackled. Hence, tit is paper is specifically aimed at identifYing those problems and suggesl possible solutions to the problems identified. To achieve this end, a descriptive survey method \\'as elllployed The source of the dala for the study were students. teachers. prillcipals. parents and education bureau officials. The sampling techniques applied ill Ihe slud), were simple randolll sampling. purposive and availability sampling (te;:hniqu es). Tlte inSlmlllents used to colleCl the data were questionnaires, interviews am/foclls group discussions. The data collected were analyzed both quantitalively and qualitalively. The data gathered though questionnaires were analyzed by using frequency coullls and Ih eir percenlages; where as tlte data gathered through interviell' alld focus group discussialls were analyzed 1.lsing descnjJtive statements and/or explanatioll s. The fin dings of the study indicated that students. teachers principals. educalioll bureau offiCials alld parellts were suppartive of using Sidamigna as a llI ediullI of inslructioll. III the stud)! it was also found out that textbooks are prepared for the students are in line with their age and ability. The students also confirmed that their learning in Iheir 1lI0lher longue has also helped them to follow their lessons witlt oul difficull)'. ro acliveil' parlicipale in Ihe classroolll and to feel proud and develop confidence in rh eir own languagefor being used as a Illedium of instruction. However. the majoril)' of rhe sludenls and parenls preferred if Amharic and English were used as a llIedium of instmclion . the majorily of WltOIll chose English. The findings of tlte study also reveled that there is deficiency of educational malerials. Textbooks are in short supply; supplementwJ! reading materials, references. teachers guides and libraI')' facililies are almost absent. Moreover. lack of COllllll illllellr alld illrerest by SOllie teachers to teach in the language, a misrllalch belweell Ihe rraillillg program and the knowledge gained when put in actual praclice. shortage of rhe dural ion of the training program for teachers, lack of involvement by parents in school aClivilies were the major problems identified during the study. Based 0/1 the findings, supply of the necessary curricula materia ls. upgrading IIl1quaitfied leachers. supervising and evaluating the training program at TTl, persuasion of sludents, parents and the cOl11l11ullity to ensure participation and suggested. Moreover. jilrther ill depth investigation of the problems at all levels in also recommended.