1,720,956 research outputs found

    Pain Management Practice and Associated Factors among Nurses Working At Jimma University Medical Center, Jimma, Ethiopia, 2022

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    Introduction: A multidisciplinary team approach, incorporating non-pharmacological and pharmacological pain management strategies, using procedural sedation before carrying out extremely painful procedures, using pain medications during painful procedures, and observing the side effects of pain medications are all part of appropriate pain management practice, which is the cornerstone for the management of pain. Staff-related hurdles and healthcare system barriers are some of the linked factors or impediments that might directly or indirectly affect adequate pain management practice. Objective: To assess pain management practice and associated factors among nurses working at Jimma University Medical Center, Jimma, Ethiopia, 2022. Methods: Institution-based Cross-sectional study design was conducted at Jimma University Medical Center from July 20_ to Dec 30. A total of 241 selected Nurses were included. The participants were selected using systematic random sampling after determining the sampling interval (K) by dividing the number of units in the population by the desired sample size and the (K) value becomes 2. The random start number was 3 for each cluster and collected samples every 2 intervals from each unit until the desired sample was collected. Data was collected using a pretested questionnaire. Descriptive statistics were computed to present the data and describe the study participants. Logistic regression analysis was done to identify factors associated with the outcome. Results: A total of 241 nurses participated in the study, giving a response rate of 100%. Less than two thirds (61.60%) of the study nurses reported that they have practiced about pain management. The respondents had a mean of 6.54 years (3.41 SD) of work experience with a minimum and maximum of 1 and 20years, respectively. The Pain scoring techniques (AOR=0.040, 95%CI=0.017, 0.096), inadequate assess the pain due to lack of time (AOR=0.299, 95%CI=0.102, 0.774), and educate Patient about pain management (AOR=0.099, 95%CI=0.032, 0.304) were statistically significant with pain management practice. Conclusion: The overall pain management practice of the nurses in the study area was poor. Pain scoring techniques, inadequate assess the pain due to lack of time, and educate the patient about pain management were statistically associated with pain management practice

    Determinants of Multi-Drug-Resistant Tuberculosis among Tuberculosis Patients in Jimma Zone Southwest Ethiopia, 2025: A Case-Control Study

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    Background: Tuberculosis (TB), caused by Mycobacterium tuberculosis (MTB), remains the leading infectious killer globally, with an estimated 10.6 million new cases and 1.25 million deaths annually. Despite progress in TB control, Multi-drug-resistant tuberculosis (MDR-TB) remains a major global public health challenge.However; there is limited evidence on the determinants of MDR-TB in the study area. Objective: To identify the determinants of multi-drug-resistant tuberculosis (MDR-TB) among tuberculosis patients in Jimma Zone, Southwest Ethiopia, 2025 Methods: A facility-based unmatched case-control study was conducted among TB patients attending Shenen Gibe and Limu Genet General Hospitals from March to May, 2025. A total of 64 cases and 128 controls were selected using a simple random sampling method. Cases were MDR TB patients, while controls were Drug susceptible TB patients. Data were collected through a structured questionnaire using Kobo Toolbox and review of clinical records, then analyzed using SPSS version 27. Bivariable and multivariable binary logistic regression analyses were performed to identify determinants of MDR-TB. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported, with statistical significance set at p < 0.05. Results: A total of 192 participants (64 cases and 128 controls) were included in this study with 100% response rate. Among the participants, 33 (51.6%) of the cases and 57 (44.5%) of the controls were males. Daily laborers (AOR = 8.50; 95% CI: 3.10–24.38), rural residence (AOR = 3.93; 95% CI: 1.45–10.63), history of contact with TB patients (AOR = 7.99; 95% CI: 2.80–22.80), history of drug interruption (AOR = 4.36; 95% CI: 1.41–13.50), history of previous TB treatment (AOR = 3.20; 95% CI: 1.16–8.89), and being underweight (AOR = 2.66; 95% CI: 1.02–6.90) were found to be determinants of MDR-TB. Conclusion: MDR-TB was significantly associated with sociodemographic, clinical, and behavioral factors. Targeted interventions focusing on daily laborers, rural residents, patients with a history of TB contact or drug interruption, history of previous TB treatment and underweight individuals are essential to reduce the burden of drug-resistant TB in the region

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We 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

    Dispelling the Myths Behind First-author Citation Counts

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    We 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

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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