Estimation of the Direct Cost of Management of Venous Thromboembolism in Three Reference Hospitals in the City of Yaoundé: A Retrospective Study over a Three-Year Period

Background: Venous thromboembolism (VTE) is a major public health problem due to its increasing frequency, mortality and management cost. This cost may require major financial efforts from patients, especially in developing countries like ours where less than 7% of the population has health insurance. This study aimed to estimate the direct cost of managing VTE in three reference hospitals in Yaoundé. Methods: This was a cross-sectional retrospective study over a three-year period (from January 1st 2018 to December 31 2020) carried out in the Cardiology departments of the Central and General Hospitals, and the Emergency Centre of the city of Yaoundé. All patients managed during the study period for deep vein thrombosis and pulmonary embolism confirmed by venous ultrasound coupled with Doppler and computed tomography pulmonary angiography respectively were included. For each patient, we collected sociodemographic and clinical data as well as data on the cost of consultation, hospital stay, workups and medications. These data were analysed using SPSS version 23.0. Results: A total of 92 patient’s records were analysed. The median age was 60 years [48 - 68] with a sex ratio of 0.53. The median direct cost of management of venous thromboembolism was 766,375 CFAF [536,455 - 1,029,745] or $1415 USD. Management of pulmonary embolism associated with deep vein thrombosis was more costly than isolated pulmonary embolism or deep vein thrombosis. Factors influencing the direct cost of management of venous thromboembolism were: hospital structure (p = 0.015), health insurance (p 0.001), type of pulmonary embolism (p = 0.021), and length of hospital stay (p = 0.001). Conclusion: Management of VTE is a major financial burden for our patients and this burden is influenced by the hospital structure, health insurance, type of pulmonary embolism and length of hospital stay.

Assessment of Municipal Solid Waste Management in the Farmgate Area of Dhaka North City Corporation

This investigation is focused on conducting a thorough analysis of Municipal Solid Waste Management (MSWM). MSWM encompasses a range of interdisciplinary measures that govern the various stages involved in managing unwanted or non-utilizable solid materials, commonly known as rubbish, trash, junk, refuse, and garbage. These stages include generation, storage, collection, recycling, transportation, handling, disposal, and monitoring. The waste materials mentioned in this context exhibit a wide range of items, such as organic waste from food and vegetables, paper, plastic, polyethylene, iron, tin cans, deceased animals, byproducts from demolition activities, manure, and various other discarded materials. This study aims to provide insights into the possibilities of enhancing solid waste management in the Farmgate area of Dhaka North City Corporation (DNCC). To accomplish this objective, the research examines the conventional waste management methods employed in this area. It conducts extensive field surveys, collecting valuable data through interviews with local residents and key individuals involved in waste management, such as waste collectors, dealers, intermediate dealers, recyclers, and shopkeepers. The results indicate that significant amounts of distinct waste categories are produced daily. These include food and vegetable waste, which amount to 52.1 tons/day;polythene and plastic, which total 4.5 tons/day;metal and tin-can waste, which amounts to 1.4 tons/day;and paper waste, which totals 5.9 tons/day. This study highlights the significance of promoting environmental consciousness to effectively shape the attitudes of urban residents toward waste disposal and management. It emphasizes the need for collaboration between authorities and researchers to improve the current waste management system.

Development and Application of Procedures for the Management of Skin Toxicity Related to Immune Checkpoint Inhibitors in Patients with Lung Cancer

Objective: To establish the procedures for the management of skin toxicity related to immune checkpoint inhibitors in patients with lung cancer and explore the effect of application. Methods: A total of 24 evidence-based evidences were collected from 7 aspects, including risk factors, baseline screening, ICIs monitoring, daily skin care, multidisciplinary management, symptom management and health education. A total of 157 lung cancer patients and 94 nurses from 8 wards of the Oncology department of our hospital from November 2022 to May 2023 were selected by convenience sampling. A total of 77 patients and 46 nurses from ward 1 - 4 were divided into the baseline group. There were 80 patients and 48 nurses in Ward 5 - 8 as the evidence-based practice group. In the baseline group, patients were treated with routine methods such as assessing skin symptoms, taking medication according to symptoms, guiding to keep skin clean and moist, eating a light diet, and avoiding scratching. The evidence-based practice group adopts an evidence-based continuous improvement model for nursing. The differences in the severity of symptoms of skin toxicity in the second cycle of medication and the knowledge and practice of self-care of skin toxicity were compared between the two groups before and after the use of the syndrome, as well as the differences in the implementation rate of review indicators, evidence-based ability and knowledge and practice of skin toxicity care before and after the use of the syndrome. Results: The incidence and severity of cutaneous toxicity were significantly lower after treatment than before treatment (P P < 0.05). Conclusion: The implementation of immune checkpoint inhibitor-related skin toxicity management procedures can effectively reduce the incidence and severity of skin toxicity symptoms, optimize the clinical pathway, and improve the quality of care.

Smart City Rail Transit Operation and Management Information Construction Strategy

Rail transit is considered one of the safest and most efficient modes of transportation.Ticketing,vehicle dispatching,and passenger flow control during rail transit operations in China have been improving over the years.Smart city construction and intelligent management models has also been increasingly emphasized with the rapid development of information and internet technology.Therefore,it is essential to conduct relevant research and discussions to improve the overall efficiency and quality of urban rail transit operation and management.This article provides an overview of smart city rail transit operation and management informatization,the principles of construction,and the functions of smart city rail transit operation and management informatization.Additionally,it discusses the strategies for the construction of smart city rail transit operation and management information and its development prospects.

Application and Promotion of Whole-Process Capacity Management Model for CHF Patients Led by Specialist Nurses in “Heart Failure Center Alliance Unit”

Objective: To implement the whole-process capacity management model led by specialist nurses, improve the capacity management behavior of medical staff, and build a standardized, standardized and operable CHF capacity management system. Methods: According to the evidence pyramid principle and search strategy, 2 evidence-based nursing backbone completed literature search in both Chinese and English, and finally included 7 literatures. Results: Around the three key links of capacity assessment, monitoring and management, stakeholders were invited to evaluate each evidence according to the FAME principle, that is, the feasibility, suitability, effectiveness and clinical significance of evidence. Finally, 11 best evidences were obtained and 5 clinical review indicators of the cost project were transformed. This study formulated the competence management plan for CHF patients based on the current situation, established competence load evaluation criteria for CHF patients, and determined the target “dry weight” value for CHF patients. Conclusion: The whole-course volume management model of CHF patients guided by specialist nurses should be established and applied and promoted in the “heart failure Center Alliance unit”, so as to improve the capacity management ability of medical staff for CHF patients, enhance the self-management ability of CHF patients, improve the capacity management behavior and health outcomes, and effectively reduce the hospitalization rate and mortality rate of CHF patients in the region.

2022 Chinese expert consensus and guidelines on clinical management of toxicity in anti-CD19 chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma

Adoptive cellular immunotherapy with chimeric antigen receptor(CAR)T cells has emerged as a novel modality for treating relapsed and/or refractory B-cell non-Hodgkin lymphoma(B-NHL).With increasing approval of CAR T-cell products and advances in CAR T cell therapy,CAR T cells are expected to be used in a growing number of cases.However,CAR T-cell-associated toxicities can be severe or even fatal,thus compromising the survival benefit from this therapy.Standardizing and studying the clinical management of these toxicities are imperative.In contrast to other hematological malignancies,such as acute lymphoblastic leukemia and multiple myeloma,anti-CD19 CAR T-cell-associated toxicities in B-NHL have several distinctive features,most notably local cytokine-release syndrome(CRS).However,previously published guidelines have provided few specific recommendations for the grading and management of toxicities associated with CAR T-cell treatment for B-NHL.Consequently,we developed this consensus for the prevention,recognition,and management of these toxicities,on the basis of published literature regarding the management of anti-CD19 CAR T-cell-associated toxicities and the clinical experience of multiple Chinese institutions.This consensus refines a grading system and classification of CRS in B-NHL and corresponding measures for CRS management,and delineates comprehensive principles and exploratory recommendations for managing anti-CD19 CAR T-cell-associated toxicities in addition to CRS.

文旅融合:“Citywalk”热潮下的冷思考

“Citywalk”(城市漫步)强调慢节奏和沉浸式体验,是深受年轻人追捧的文旅消费新范式。“Citywalk”火爆出圈的背后,也存在着产品辨识度不高、利润低、专业性不强、产品更迭慢等问题。“文旅融合”的有效健康发展,需要在资源供给、产品创新、服务品质等方面开展全方位、多领域的合作联动,成果共享才能形成互利共赢新格局。

Patient satisfaction and follow-up adherence to glaucoma case management clinic in China

AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.

A New Approach for Assessing the Drought Risk Management Capacity at the Municipal Level in Brazil

Long-term drought has occurred in all regions of Brazil, and its effects have been more intense in recent decades. Poor management of drought can exacerbate significant consequences, severely compromising water, food, energy, economic security, natural systems, and high fire risk that can affect biomes. It also slowly and indirectly affects the society living on vulnerable geographic space. This article discusses a methodology for assessing the drought risk management capacity at the municipal level in Brazil, and this new approach is statistically based using environmental data provided by the municipalities, from observational networks to data banks and remotely sensed data. It presents a method to indicate the steps of priority actions for the phases of drought management. It also characterized the long-term drought in Brazil (hydrological drought) between 1982 and 2022. The proposed approach provides a better understanding and the use of various drought indices to develop the most appropriate action steps for mitigation and adaptation. The final goal is to increase the resilience for those affected by drought. The work was developed based on the actions defined by the Brazilian Federal Government (Preparation, Prevention, Mitigation, Response, Recovery, and Restoration). This aims to improve the management of risk and disaster typified as drought in Brazil and to contribute with scientific knowledge to legislators regarding adaptation and resilience policies to drought extremes in parts of the country. At the end, we expect to highlight to managers and decision-makers the critical points in the government’s proactive and reactive actions to drought that need to be better managed.

Overview of the immunological mechanisms in hepatitis B virus reactivation:Implications for disease progression and management strategies

Hepatitis B virus(HBV)reactivation is a clinically significant challenge in disease management.This review explores the immunological mechanisms underlying HBV reactivation,emphasizing disease progression and management.It delves into host immune responses and reactivation’s delicate balance,spanning innate and adaptive immunity.Viral factors’disruption of this balance,as are interac-tions between viral antigens,immune cells,cytokine networks,and immune checkpoint pathways,are examined.Notably,the roles of T cells,natural killer cells,and antigen-presenting cells are discussed,highlighting their influence on disease progression.HBV reactivation’s impact on disease severity,hepatic flares,liver fibrosis progression,and hepatocellular carcinoma is detailed.Management strategies,including anti-viral and immunomodulatory approaches,are critically analyzed.The role of prophylactic anti-viral therapy during immunosuppressive treatments is explored alongside novel immunotherapeutic interventions to restore immune control and prevent reactivation.In conclusion,this compre-hensive review furnishes a holistic view of the immunological mechanisms that propel HBV reactivation.With a dedicated focus on understanding its implic-ations for disease progression and the prospects of efficient management stra-tegies,this article contributes significantly to the knowledge base.The more profound insights into the intricate interactions between viral elements and the immune system will inform evidence-based approaches,ultimately enhancing disease management and elevating patient outcomes.The dynamic landscape of management strategies is critically scrutinized,spanning anti-viral and immunomodulatory approaches.The role of prophylactic anti-viral therapy in preventing reactivation during immunosuppressive treatments and the potential of innovative immunotherapeutic interventions to restore immune control and proactively deter reactivation.

Risk Assessment and Management of Alien Invasive Species Corythucha ciliata in Guangde City

Through two years of systematic investigation,it was found that Corythucha ciliata occurred in the main streets of Guangde City and spread rapidly to roads and streets of some villages and towns.The investigation found that C.ciliata could harm indigenous tree species such as Broussonetia papyrifera,and could also quickly occupy the living space of thrips,the original leaf pest of local Platanus acerifolia.Literature review also suggested that the pest would also be a potential threat to indigenous tree species,such as Rhododendron simsii Planch,Prunus cerasifera Ehrhar,etc.Guangde City,located in the middle and lower reaches of the Yangtze River,was sunny,hot and dry in summer from 2021 to 2022.However,C.ciliata had no obvious diapause habits in summer,with strong adaptability.It was easy to control C.ciliata,but was difficult to eradicate the pest.According to the risk analysis index system of dangerous forest pests,the risk value of C.ciliata was determined as R=1.80,belonging to moderately dangerous pest in Guangde.Through quarantine,publicity,winter and summer management measures,the occurrence of C.ciliata was controlled to a certain extent,and the harm and transmission risk of the pest were reduced.

Energy Management and Capacity Optimization of Photovoltaic, Energy Storage System, Flexible Building Power System Considering Combined Benefit

Building structures themselves are one of the key areas of urban energy consumption,therefore,are a major source of greenhouse gas emissions.With this understood,the carbon trading market is gradually expanding to the building sector to control greenhouse gas emissions.Hence,to balance the interests of the environment and the building users,this paper proposes an optimal operation scheme for the photovoltaic,energy storage system,and flexible building power system(PEFB),considering the combined benefit of building.Based on the model of conventional photovoltaic(PV)and energy storage system(ESS),the mathematical optimization model of the system is proposed by taking the combined benefit of the building to the economy,society,and environment as the optimization objective,taking the near-zero energy consumption and carbon emission limitation of the building as the main constraints.The optimized operation strategy in this paper can give optimal results by making a trade-off between the users’costs and the combined benefits of the building.The efficiency and effectiveness of the proposed methods are verified by simulated experiments.

Heat transfer enhanced inorganic phase change material compositing carbon nanotubes for battery thermal management and thermal runaway propagation mitigation

Developing technologies that can be applied simultaneously in battery thermal management(BTM)and thermal runaway(TR)mitigation is significant to improving the safety of lithium-ion battery systems.Inorganic phase change material(PCM)with nonflammability has the potential to achieve this dual function.This study proposed an encapsulated inorganic phase change material(EPCM)with a heat transfer enhancement for battery systems,where Na_(2)HPO_(4)·12H_(2)O was used as the core PCM encapsulated by silica and the additive of carbon nanotube(CNT)was applied to enhance the thermal conductivity.The microstructure and thermal properties of the EPCM/CNT were analyzed by a series of characterization tests.Two different incorporating methods of CNT were compared and the proper CNT adding amount was also studied.After preparation,the battery thermal management performance and TR propagation mitigation effects of EPCM/CNT were further investigated on the battery modules.The experimental results of thermal management tests showed that EPCM/CNT not only slowed down the temperature rising of the module but also improved the temperature uniformity during normal operation.The peak battery temperature decreased from 76℃to 61.2℃at 2 C discharge rate and the temperature difference was controlled below 3℃.Moreover,the results of TR propagation tests demonstrated that nonflammable EPCM/CNT with good heat absorption could work as a TR barrier,which exhibited effective mitigation on TR and TR propagation.The trigger time of three cells was successfully delayed by 129,474 and 551 s,respectively and the propagation intervals were greatly extended as well.

Smart Energy Management System Using Machine Learning

Energy management is an inspiring domain in developing of renewable energy sources.However,the growth of decentralized energy production is revealing an increased complexity for power grid managers,inferring more quality and reliability to regulate electricity flows and less imbalance between electricity production and demand.The major objective of an energy management system is to achieve optimum energy procurement and utilization throughout the organization,minimize energy costs without affecting production,and minimize environmental effects.Modern energy management is an essential and complex subject because of the excessive consumption in residential buildings,which necessitates energy optimization and increased user comfort.To address the issue of energy management,many researchers have developed various frameworks;while the objective of each framework was to sustain a balance between user comfort and energy consumption,this problem hasn’t been fully solved because of how difficult it is to solve it.An inclusive and Intelligent Energy Management System(IEMS)aims to provide overall energy efficiency regarding increased power generation,increase flexibility,increase renewable generation systems,improve energy consumption,reduce carbon dioxide emissions,improve stability,and reduce energy costs.Machine Learning(ML)is an emerging approach that may be beneficial to predict energy efficiency in a better way with the assistance of the Internet of Energy(IoE)network.The IoE network is playing a vital role in the energy sector for collecting effective data and usage,resulting in smart resource management.In this research work,an IEMS is proposed for Smart Cities(SC)using the ML technique to better resolve the energy management problem.The proposed system minimized the energy consumption with its intelligent nature and provided better outcomes than the previous approaches in terms of 92.11% accuracy,and 7.89% miss-rate.

Asset specificity and farmers' intergenerational succession willingness of apple management

Understanding the factors behind apple farmers’willingness to pass on the management of their farms to their descendants is crucial to the continuity of apple production.Due to the high specificity of the human capital,physical assets,land assets,and geographical location in apple production,this study used a binary logistic regression and a mediating effect model to explore the impact of asset specificity on farmers’intergenerational succession willingness of apple management(FISWAM)and to examine the mediating effects of loss aversion in the impact of asset specificity on the FISWAM.The results showed that about 18.68%of the respondents expressed willingness to transfer their apple business between generations,and the FISWAM was generally weak.In addition to the negative impact of geographical location specificity(GLS),human capital specificity(HCS),physical assets specificity(PAS),and land assets specificity(LAS)can enhance the FISWAM.Loss aversion plays a partial mediating role in the impact of PAS,LAS,and GLS on the FISWAM.

物质循环视角下的“可持续漂浮城市”解析——以BIG事务所“Oceanix City”方案为例

随着时代发展,现代城市正面临着土地短缺、住房紧张、能源枯竭以及海平面上升等一系列问题。因而探索陆地之外的生存空间,进而缓解多种城市问题是人们长久以来的愿景。近年来,联合国人居署提出可持续发展的漂浮城市概念,并由BIG事务所设计了世界上第一个弹性化和可持续的漂浮城市原型——Oceanix City。该城市通过引入城市农业,配置能量、水分、养分等循环系统实现最大限度自给自足,满足居民日常生活需求,达到可持续发展的目标。文章运用文献研究法梳理了从漂浮建筑、漂浮社区到漂浮城市的发展历程,并以“Oceanix City”方案为案例分析对象,从物质循环视角入手解析方案的规划设计与建造、循环系统的运作等方面,总结得出拓展海上空间、引入城市农业并构建物质循环系统是应对上述城市问题的有效方式,以期为未来城市的可持续发展提供启示。

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Development of a Lightweight Model for Handwritten Dataset Recognition: Bangladeshi City Names in Bangla Script

The context of recognizing handwritten city names,this research addresses the challenges posed by the manual inscription of Bangladeshi city names in the Bangla script.In today’s technology-driven era,where precise tools for reading handwritten text are essential,this study focuses on leveraging deep learning to understand the intricacies of Bangla handwriting.The existing dearth of dedicated datasets has impeded the progress of Bangla handwritten city name recognition systems,particularly in critical areas such as postal automation and document processing.Notably,no prior research has specifically targeted the unique needs of Bangla handwritten city name recognition.To bridge this gap,the study collects real-world images from diverse sources to construct a comprehensive dataset for Bangla Hand Written City name recognition.The emphasis on practical data for system training enhances accuracy.The research further conducts a comparative analysis,pitting state-of-the-art(SOTA)deep learning models,including EfficientNetB0,VGG16,ResNet50,DenseNet201,InceptionV3,and Xception,against a custom Convolutional Neural Networks(CNN)model named“Our CNN.”The results showcase the superior performance of“Our CNN,”with a test accuracy of 99.97% and an outstanding F1 score of 99.95%.These metrics underscore its potential for automating city name recognition,particularly in postal services.The study concludes by highlighting the significance of meticulous dataset curation and the promising outlook for custom CNN architectures.It encourages future research avenues,including dataset expansion,algorithm refinement,exploration of recurrent neural networks and attention mechanisms,real-world deployment of models,and extension to other regional languages and scripts.These recommendations offer exciting possibilities for advancing the field of handwritten recognition technology and hold practical implications for enhancing global postal services.

Study of the Management and Recovery of Biodegradable Waste in the City of Kankan,Guinea

This research,carried out during September and October 2020 in the city of Kankan,made it possible to take stock of the city’s household waste management.The quantities of waste from the four main landfills in the city are assessed,namely:Sogbè(1350.3 m^(3)),Station(195.5 m^(3)),Station University of Kankan(2491.5 m^(3))and Salamani(369.6 m^(3)).Waste from three landfills/dumps was characterized for 26 days.This characterization covered 5,010.6 kg of waste,composed of 4263.9 kg of organic matter,462.1 kg of recyclable matter and 284.6 kg of inorganic matter.The survey concerned a target population of 403 inhabitants,which made it possible to determine a production ratio per habitant per day of(0.48 kg/habitant/d).Finally,a composting experiment of 2000 kg of organic matter was carried out.The results obtained during this study constitute the basic elements allowing defining a better policy of management of household solid waste in the city of Kankan.

Postoperative pain assessment and management among nurses in selected hospitals in Benin City,Edo State,Nigeria

Objective:This study was designed to determine the nurse assessment of postoperative pain and its management in selected hospitals,Benin City,Edo State,Nigeria.Materials and Methods:A descriptive cross-sectional survey was adopted.The target population consist of 222 purposely nurses who are in the cadre of nursing officer II to chief nursing officer who works in the various surgical wards/units of the selected health facilities.The data were collected from the participants using the pretested structured questionnaire developed by the researcher.Results:Results showed that 66.2%of nurses had a poor level of knowledge on postoperative pain assessment.The McGill Pain Questionnaire was the most used pain assessment tool with a mean score of 2.84 whereas the Dallas Pain Questionnaire was the least used with a mean score of 1.90.“Providing clean,calm,and well-ventilated ward environment”(3.69±0.61)was the most used nonpharmacological method for postoperative pain management,followed by“distraction,relaxation,and guided imagery”(3.52±0.50),“dressing,bandage,splint,and reinforce wound sites postoperatively”(3.39±0.54),and“early ambulation/exercise”(3.20±0.62).The most used pharmacological interventions were“acetaminophen”(3.63±0.55),“topical anesthetic”(2.92±0.62),“nonselective nonsteroidal anti-inflammatory drugs”(2.87±0.43),and“mixed opioid agonist-antagonist”(2.56±0.56).Conclusion:There is a poor level of knowledge on postoperative pain assessment among nurses in this study setting.It is,therefore,pertinent for hospitals to organize continuous in-service training for postoperative pain assessment and management,especially on nonpharmacological approaches among nurses.