829 research outputs found
The predictors to medication adherence among adults with diabetes in the United Arab Emirates.
BackgroundDiabetes is a chronic medical condition and adherence to medication in adults with diabetes is important. Identifying predictors to medication adherence in adults with diabetes would help identify vulnerable patients who are likely to benefit by improving their adherence levels.MethodsWe conducted a cross-sectional study at the Dubai Police Health Centre between February 2015 and November 2015. Questionnaires were used to collect socio-demographic, clinical and disease related variables and the primary measure of outcome was adherence levels as measured by the Morisky Medication Adherence Scale (MMAS-8©). Multivariate logistic regression was carried out to identify predictors to adherence.ResultsFour hundred and forty six patients were interviewed. Mean age 61 year +/- 11. 48.4 % were male. The mean time since diagnosis of diabetes was 3.2 years (Range 1-15 years). Two hundred and eighty eight (64.6 %) patients were considered non-adherent (MMAS-8© adherence score < 6) while 118 (26.5 %) had moderate adherence (MMAS-8© adherence score 6 = <8) and 40 (9.0 %) high adherence (MMAS-8© adherence scores <8) to their medication respectively. The strongest predictor for adherence as predicted by the multi-logistic regression model was the patient's level of education. A technical diploma certificate as compared to a primary school level of education was the strongest predictor of adherence (OR = 66.1 CI: 6.93 to 630.43); p < 0.001). The patient's age was also a predictor of adherence with older patients reporting higher levels of adherence (OR = 1.113 (CI: 1.045 to 1.185; p = 0.001 for every year increase in age). The duration of diabetes was also a predictor of adherence (OR = 1.830 (CI: 1.270 to 2.636; p = 0.001 for every year increase in the duration of diabetes). Other predictors to medication adherence include Insulin use, ethnicity and certain cultural behaviours.ConclusionA number of important predictors to medication adherence in diabetics were identified in this study. Such predictors could help develop policies for improving adherence in diabetics
Recommended from our members
Autonomic Control for Quality Collaborative Video Viewing
We present an autonomic controller for quality collaborative video viewing, which allows groups of geographically dispersed users with different network and computer resources to view a video in synchrony while optimizing the video quality experienced. The autonomic controller is used within a tool for enhancing distance learning with synchronous group review of online multimedia material. The autonomic controller monitors video state at the clients' end, and adapts the quality of the video according to the resources of each client in (soft) real time. Experimental results show that the autonomic controller successfully synchronizes video for small groups of distributed clients and, at the same time, enhances the video quality experienced by users, in conditions of fluctuating bandwidth and variable frame rate
Recommended from our members
Experiences in Teaching eXtreme Programming in a Distance Learning Program
As university-level distance learning programs become more and more popular, and software engineering courses incorporate eXtreme Programming (XP) into their curricula, certain challenges arise when teaching XP to students who are not physically co-located. In this paper, we present our experiences and observations from managing such an online software engineering course, and describe some of the specific challenges we faced, such as students' aversion to using XP and difficulties in scheduling. We also present some suggestions to other educators who may face similar situations
Recommended from our members
A Uniform Programming Abstraction for Effecting Autonomic Adaptations onto Software Systems
Most general-purpose work towards autonomic or self-managing systems has emphasized the front end of the feedback control loop, with some also concerned with controlling the back end enactment of runtime adaptations -- but usually employing an effector technology peculiar to one type of target system. While completely generic "one size fits all" effector technologies seem implausible, we propose a general purpose programming model and interaction layer that abstracts away from the peculiarities of target specific effectors,enabling a uniform approach to controlling and coordinating the low-level execution of reconfigurations, repairs,micro-reboots, etc
Recommended from our members
Optimizing Quality for Collaborative Video Viewing
The increasing popularity of distance learning and online courses has highlighted the lack of collaborative tools for student groups. In addition, the introduction of lecture videos into the online curriculum has drawn attention to the disparity in the network resources used by the students. We present an architecture and adaptation model called AI2TV (Adaptive Internet Interactive Team Video), a system that allows geographically dispersed participants, possibly some or all disadvantaged in network resources, to collaboratively view a video in synchrony. AI2TV upholds the invariant that each participant will view semantically equivalent content at all times. Video player actions, like play, pause and stop, can be initiated by any of the participants and the results of those actions are seen by all the members. These features allow group members to review a lecture video in tandem to facilitate the learning process. We employ an autonomic (feedback loop) controller that monitors clients' video status and adjusts the quality of the video according to the resources of each client. We show in experimental trials that our system can successfully synchronize video for distributed clients while, at the same time, optimizing the video quality given actual (fluctuating) bandwidth by adaptively adjusting the quality level for each participant
Recommended from our members
Adaptive Synchronization of Semantically Compressed Instructional Videos for Collaborative Distance Learning
The increasing popularity of online courses has highlighted the need for collaborative learning tools for student groups. In addition, the introduction of lecture videos into the online curriculum has drawn attention to the disparity in the network resources available to students. We present an e-Learning architecture and adaptation model called AI2TV (Adaptive Interactive Internet Team Video), which allows groups of students to collaboratively view a video in synchrony. AI2TV upholds the invariant that each student will view semantically equivalent content at all times. A semantic compression model is developed to provide instructional videos at different level-of-details to accommodate dynamic network conditions and usersäó» system requirements. We take advantage of the semantic compression algorithmäó»s ability to provide different layers of semantically equivalent video by adapting the client to play at the appropriate layer that provides the client with the richest possible viewing experience. Video player actions, like play, pause and stop, can be initiated by any group member and and the results of those actions are synchronized with all the other students. These features allow students to review a lecture video in tandem, facilitating the learning process. Experimental trials show that AI2TV successfully synchronizes instructional videos for distributed students while concurrently optimizing the video quality, even under conditions of fluctuating bandwidth, by adaptively adjusting the quality level for each student while still maintaining the invariant
Recommended from our members
A Control Theory Foundation for Self-Managing Computing Systems
The high cost of operating large computing installations has motivated a broad interest in reducing the need for human intervention by making systems self-managing. This paper explores the extent to which control theory can provide an architectural and analytic foundation for building self-managing systems. Control theory provides a rich set of methodologies for building automated self-diagnosis and self-repairing systems with properties such as stability, short settling times, and accurate regulation. However, there are challenges in applying control theory to computing systems, such as developing effective resource models, handling sensor delays, and addressing lead times in effector actions. We propose a deployable testbed for autonomic computing (DTAC) that we believe will reduce the barriers to addressing research problems in applying control theory to computing systems. The initial DTAC architecture is described along with several problems that it can be used to investigate
- …