1,720,956 research outputs found
EXPERIENCES OF HOME-BASED CAREGIVERS OF ADVANCED CANCER PATIENTS FROM A REGIONAL FAITH-BASED PALLIATIVE CARE CENTER IN KENYA
No full textFULL TEXTCancer is the third leading cause of mortality in Kenya. Eighty percent of cancer cases present at advanced stages, when little curative care can be done and palliative care is their best option of care. Majority of the end of life care in Kenya is done in the home setting, yet little is known about the caregiver‟s lived experiences. This qualitative study was done with the following objectives: to explore caregivers‟ burdens, to identify the perceived effects of caregiving on primary caregivers and to identify perceived sources of support for caregivers. A purposive sampling method was used to recruit participants from the palliative clinic. Data was collected using 12 in-depth interviews and direct observation in the patients‟ home settings. A thematic analytic method was used to analyze the data. Caregiver burden in this study was mostly due to competing tasks, lack of knowledge in managing the symptoms, difficult hospital experiences and financial strains, and vulnerability for female caregivers. Consequently, caregiving had a physical, emotional, psychological and financial impact on the caregivers. Their support systems, which still do not meet caregivers needs; include family members, the neighbors and community, religious institutions, and healthcare workers. Recommendations include the establishment of coordinated efforts with the palliative care team and healthcare workers in dispensaries to support families in end of life care and to introduce the use of phones to aid in the follow up and support of caregivers. Family conferences should include sessions on how to care for and support the primary caregiver. During clinic reviews, caregivers too should be screened and supported accordingly. Further studies are needed to look into the use of telephones for follow up of caregivers, the introduction of caregiver-targeted screening tools on their quality of life and their impact on improving caregivers‟ well-being and the prevalence of gender-based violence among caregivers
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
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
Sources of Support for Primary Home Based Caregivers of Advanced Cancer Patients From AIC Kijabe Hospital, Kiambu County
No full textFULL TEXTEighty percent of cancer cases in Kenya present at advanced stages, when little curative
care can be done and palliative care is their best option of care. Majority of the end of life
care in Kenya is done in the home setting, yet little is known about the caregiver’s lived
experiences and their support systems. A qualitative study was conducted to explore this. A
purposive sampling method was used to identify and recruit twelve participants from the
Kijabe Palliative clinic database. Data was collected in patient’s homes through in-depth
interviews and direct observation. A thematic analytic method was used to analyze the data.
This paper shall discuss the four main themes that emerged: family members, social and
community networks, religious institutions and healthcare providers.1. National Research Fund
2. Sentimental Energy Lt
Financial Toxicity Related to Advanced Cancer Patients’ Care: Case study of Selected Households of Kiambu County, Kenya
Get PDFPurpose: The aim of this study is to investigate family caregiver’s experiences on household financial burden related to cancer treatment/care following referral to a palliative care unit in Kenya. Methodology: Case study approach was used to collect data from caregivers of advanced cancer patients following referral to a palliative care unit at Kijabe Mission Hospital in Kenya. This approach is best suited to gain insight into economic implication of the rising cost of cancer treatment which has put a considerable financial strain on affected families, leading to adverse outcomes of caring for patients with advanced cancer. Semi-structured in-depth interviews, documentary data and field notes, observations were used to collect information relating to financial and economic impact of the careburden experiences from theoretical sample of 12 caregivers. This approach enabled an in-depth, multifaceted explorations of complex issues related to in their real-world contexts. The case study method was particularly chosen because of its richness to gain an in-depth understanding of an issue, event, or phenomenon of interest in its natural real-life context. A socio-technical coding matrix was used to analyze qualitative data thematically, along with additional themes that emerged from the data. All ethical considerations were observed accordingly. Findings – Four (4) male and eight (8) female caregivers interviewed were between 18 to 67 years. The study reports families facing enormous financial strain and difficulties treating their patient with advanced cancer patient. Treating patient with advanced cancer is reported to drain resources threatening to bring vicious cycle of poverty and financial stability. Family members get frustrated at their inability to meet growing demands related to care, treatment and management of their patient in advanced stage of cancer. Financial concerns, catastrophic health expenditure (CHE) and distress financing (DF as part of devastating effects of cancer, limited health insurance coverage and gaps in financing are among the key concerns identified. Unique contributions to theory, practice and policy: This study builds evidence towards social and conomic consequences of treating advanced cancer diseases that affect household families and impact on life of patients with advanced cares. Hence, seeks to shape how multidisciplinary cancer care teams’ practices to become more aware of the costs of their clinical decisions. Findings of this study also form basis of review of already existing policies related to insurance coverage provided by state agency to tailor it to chronic diseases. Further research is required to mitigate financial toxicity and additional financial safety nets Key words: financial burden, cancer, economics, Kenya DOI: 10.7176/JHMN/101-06 Publication date:June 30th 202
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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe 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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