1,720,958 research outputs found
Gender based difference in glycemic control and diabetes related chronic complications among type 2 diabetic patients in Debre Berhan city public hospitals
No full textIntroduction: Type 2 diabetes mellitus (T2DM) is a growing public health concern, particularly in low- and middle-income countries like Ethiopia. There is limited data on gender differences in glycemic control and diabetes related chronic complications in Ethiopia. This study aimed to assess gender-based difference in glycemic control and diabetes related chronic complications among T2DM patients in Debre Berhan public hospitals, Ethiopia. Methods: A comparative cross-sectional study was carried out at public hospitals in Debre Berhan. Data were gathered from 258 T2DM patients (129 men and 129 women). Using Hemoglobin A1c (HgA1c), level of glycemic control was assessed. To compare gender differences in diabetes related chronic complications and glycemic control, the chi-square test and Independent sample t-test were employed. However logistic regression was employed to identify gender-specific factors of poor glycemic control. Results: Women had poorer glycemic control, with a mean difference of 0.51 (95 % CI: 0.04–0.97) as compared with men. Alcohol consumption (AOR = 3.2; 95 % CI: 1.25–7.98), drug non-adherence (AOR = 4.1; 95 % CI: 1.01–17.54) and diabetic complications (AOR = 0.3; 95 % CI: 0.10–0.88) were significant factors for poor glycemic control in men. For women, rural residence (AOR = 0.2; 95 % CI: 0.03–0.58), duration of diabetes >5 years (AOR = 4.3; 95 % CI: 1.15–16.17), and drug non-adherence (AOR = 4.7; 95 % CI: 1.14–19.42) were significant factors for poor glycemic control. There were no significant gender differences in diabetes related chronic complications. Conclusion: This study revealed significant gender differences in glycemic control among T2DM patients. Female patients experienced worse glycemic control. There were no gender differences in the prevalence of diabetes related chronic complications. This study highlights the importance of considering both general and specific factors when assessing and improving glycemic control in T2DM. Future studies should involve large sample sizes and gender focused studies to gain a deeper understanding of the relevant factors
Diabetes knowledge and glycemic control among type 2 diabetes patients at public hospitals in Debre Berhan, Ethiopia.
No full textBackgroundDiabetes mellitus is a growing global health issue, especially in low- and middle-income countries like Ethiopia. To the best of our knowledge, the impact of diabetes knowledge on glycemic control in Ethiopia has not been documented. This study assessed diabetes knowledge and its relationship with glycemic control among Type 2 diabetes (T2DM) patients in Debre Berhan, Ethiopia.MethodsA cross-sectional study was conducted involving 380 patients diagnosed with T2DM who were receiving care at two hospitals in Debre Berhan from January 1 to March 30, 2024. Patients' knowledge was assessed using the modified Diabetes Knowledge Questionnaire (DKQ-18), categorizing outcomes as either good or poor. Glycemic control was evaluated using hemoglobin A1c (HbA1c) levels. Logistic regression analyses were conducted to identify predictors of poor diabetes knowledge. Correlation analysis was used to evaluate the relationship between knowledge and glycemic control.ResultsAmong the 380 participants, 75.2% were older than 45 years, and 51.3% were male. Overall, 62.4% of participants had poor knowledge of diabetes. Additionally, 72.6% had poor glycemic control, with HbA1C levels ≥7%. The mean average diabetes knowledge score was 7.9 (SD = 3.49) out of 18, and the median HbA1C was 8%. Diabetes knowledge was significantly associated (p ConclusionsThe study found that the majority of patients had a low level of diabetes knowledge. Enhancing diabetes education and identifying additional factors that influence glycemic control are crucial for achieving optimal diabetes management in Ethiopia. Public health initiatives should prioritize enhancing diabetes knowledge through targeted educational programs and resources to support effective diabetes management and achieve optimal glycemic control
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Swyer–James–Macleod syndrome mimicking pulmonary embolism in adults: a case report
No full textAbstract Background Swyer–James–MacLeod syndrome (SJMS) is a rare lung condition characterized by a unilateral lung hyperlucency and reduction in the pulmonary vasculature, with or without the presence of bronchiectasis. In the 1950s, Swyer, James, and Macleod simultaneously characterized the syndrome for the first time. It is typically diagnosed in childhood. Adult-onset cases are extremely rare, with little literature available on its clinical presentation and diagnostic challenges. Swyer–James–MacLeod syndrome can mimic other lung disorders, resulting in misdiagnosis and improper treatment. Case presentation A 49- year-old woman from Debre Berhan, Ethiopia, presented to the emergency department of Hakim Gizaw Teaching Hospital with symptoms and radiographic findings mimicking acute pulmonary embolism. On the basis of the clinical presentation and radiographic findings, the patient was first treated as a probable case of pulmonary embolism. Anticoagulant therapy and oxygen support were initiated. Nevertheless, additional testing using a chest computed tomography angiography revealed left lung hyperlucency, decreased vascularity, bronchiectasis, and a negative result for pulmonary embolism. As a result, Swyer–James–MacLeod syndrome was diagnosed. Conclusion The symptoms of Swyer–James–MacLeod syndrome can be mistaken for pulmonary embolism, which could lead to ineffective treatment and needless expenses. In individuals presenting with symptoms suggestive of pulmonary embolism, this case emphasizes the significance of considering Swyer–James–MacLeod syndrome as a differential diagnosis, especially in the absence of established risk factors for pulmonary embolism
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Incidence of diabetic foot ulcer and its predictors among adult diabetes patients in Northern Ethiopia: a retrospective cohort study
No full textAbstract Diabetic foot ulcer (DFU) is a leading cause of lower limb amputation worldwide. The rate of diabetes-related amputations is rising in Ethiopia. However, the incidence of diabetic foot ulcer and its predictors were less studied in Ethiopia, particularly in the study area. An institution-based retrospective cohort study was conducted. Systematic random sampling was used to select a sample of 321 patients out of 1050 diabetes patients. Data were entered into EpiData and analysed using SPSS. Kaplan-Meier survivor functions were used for survival analysis. Cox proportional hazard regression was used to identify predictors, and multivariable analysis was declared with a p ≤ 0.25. The incidence of diabetic foot ulcers was 1.01 per 100 person-years (95%: CI, 0.74–1.40. Obesity (AHR = 2.94: 95% CI: 1.11–7.79), neuropathy (AHR = 2.94: 95% CI: 1.47–5.90), rural residence (AHR = 2.73: 95% CI: 1.27–5.88), hypertension (AHR = 5.61: 95% CI: 2.49–12.90), age ≥ 70 years (AHR = 15.03: 95% CI: 3.58–63.10) and abnormal high-density lipoprotein (AHR = 3.71: 95% CI: 1.81–7.62) increased the hazard of diabetic foot ulcer. The overall incidence of diabetic foot ulcers was relatively low in this cohort. We recommend targeted intervention, including regular screening, patient education, and early therapeutic management
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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