103,551 research outputs found
A model to evaluate diabetes self-management programmes
No full textSelf-management has emerged as an approach to enhance quality of care for patients suffering from long term conditions, and to control costs of health services. So far, however, the effects of this approach as adopted by the Saudi healthcare system in the early 1990s remain unclear. Although current models define the concept of self-management, they do not provide a systematic development or an explanatory theory of how self management affects the outcomes of care. The objective of this research is to develop a framework applicable to the evaluation of self-management programmes. The evaluation model is built on patient-related intervention. The effectiveness of these interventions is determined by the levels of patient engagement and effective participation. Therefore, studying factors that influence patients‘ adherence to self-management activities is crucial to explain the outcomes of these interventions. We apply this framework to the case of diabetes mellitus, one of the most common chronic conditions in Saudi Arabia, causing huge burdens on patients and healthcare providers.A non-experimental retrospective cross-sectional survey research design has been employed to conduct this research using a self-administered questionnaire. Closed-ended questions were used to measure all study variables related to model construction. One open-ended question was used to investigate barriers to diabetes self-management. A non-probability convenient sample design was used to select diabetes centres participated in this study and a systematic approach for selecting patients in these centres. Research data were collected from five diabetes centres and clinics in the main five regions in Saudi Arabia. Quantitative data were analysed using simple, multiple and logistic regressions, whereas a directed content analysis approach was used to analyse qualitative data.The results of this study revealed that diabetes self-management improves clinical outcomes and reduces utilization of health services. The theoretical approaches underpinning self-management were based on established models from the field of health psychology. By investigating the effect of self-efficacy patients‘ beliefs, and locus of control on self-management, we found that these behavioural theories support the core assumptions of self-management. Self-efficacy was the most significant predictor of self-management followed by patient beliefs. Social support, effective communication between patients and health providers in addition to diabetes knowledge were all important factors to positively influence diabetes self-management. However a new construct, misconception of fatalism from the Islamic point of view, was found to play a negative role in diabetes management. The research model also suggests that diabetes knowledge was influenced by several factors. Education level was the most significant predictor of diabetes knowledge followed by age and diabetes education. It was also found that group education improves diabetes knowledge more than individual education.This model is a valid tool that could be used to evaluate self-management programmes in other chronic diseases. It can be used as a decision making supporting tool; to identify different components of self-management interventions, and to compare outcomes of programmes. It can also be used to group patients into different categories to facilitate providing tailored services suitable for each group. It could assist health providers to plan new interventions or to refine existing ones by allocating efforts and financial resources toward the most influential factors that affect patients‘ adherence to self-management activities.<br/
Abdullah Topaloğlu ile sözlü tarih görüşmesi
No full textBu görüşme, Genç Hayat Vakfı tarafından, Sokağımdan Tarih Yazıyorum başlığı altında gerçekleştirilmiştir. Görüşmeler, İstanbul'un, Beyoğlu, Fatih, Eyüp, Kağıthane, Şişli, Maltepe, Üsküdar, Tuzla, Beykoz ve Sarıyer ilçelerinde yaşayan ve bu ilçelerdeki ortaöğretim kurumlarında eğitim gören lise öğrencileri tarafından yapılmıştır. Bu proje kapsamında, Üsküdar ilçesinde yapılan görüşmelerin sayısı 12'dir.1955 yılında İstanbul ilinin Üsküdar ilçesine bağlı Kuzguncuk semtinde doğan Abdullah Topaloğlu’nun ailesi Haliç’ten Beylerbeyi’ne ve daha sonra da Kuzguncuk’a taşınır. Yahudiler ve Rumlarla aynı mahallede, aynı sokakta oturduklarını, beraber büyüdüklerini ve beraber oynadıklarını söyler. O yıllarda gayrimüslimlerin değil, Müslümanların azınlıkta olduğunu, 6- 7 Eylül Olayları’nın ilçeye hiçbir şekilde yansımadığını ve herkesin bir diğerine saygı gösterdiğini ifade eder. Semtteki eğlence hayatına da değinen Topaloğlu, sinemaya gittiklerini ve arkadaşlarıyla pastanede buluştuklarını anlatır. Son olarak ilçenin meczuplarından bahseder.Genç Hayat VakfıOkçu, B., Bekçi, M., Gezer, F., Akpınar, E., Dağcı, İ.. "Amigo'yu, Duduka'yı tanımayan Kuzguncuklu değildir." Sokağımdan Tarih Yazıyorum. 06 Üsküdar
Citizens, not subjects: Debunking the Sectarian Narrative of Bahrain’s Pro-Democracy Movement
No full textAbdullah Movüd ile sözlü tarih görüşmesi
No full textBu görüşme, Genç Hayat Vakfı tarafından, Sokağımdan Tarih Yazıyorum başlığı altında gerçekleştirilmiştir. Görüşmeler, İstanbul'un, Beyoğlu, Fatih, Eyüp, Kağıthane, Şişli, Maltepe, Üsküdar, Tuzla, Beykoz ve Sarıyer ilçelerinde yaşayan ve bu ilçelerdeki ortaöğretim kurumlarında eğitim gören lise öğrencileri tarafından yapılmıştır. Bu proje kapsamında, Beyoğlu ilçesinde yapılan görüşmelerin sayısı 19'dur.1942 yılında İstanbul ilinin Beyoğlu ilçesine bağlı Gümüşsuyu semtinde doğan Abdullah Movüd, doğduğundan beri Taksim’de yaşamaktadır. Çocukluğu, Hacı Salih Lokantası’nın sahibi olan babasının dükkanında çalışarak geçer. Beyoğlu’nun değişimine tanıklık etmiş biri olarak çocukluğundaki İstanbul’u anlatır. İstiklal Caddesi’nde yürüyen insanların birbirlerine selam vermeden geçmediğini söyler. İstanbul’un Fatih, Eminönü, Sirkeci ve Üsküdar’dan ibaret olduğundan bahseder. Tophane’de kurulan Amerikan Pazarı’nda, gurbetçilerin, Türkiye’de bulunmayan ürün ve gıda malzemelerini sattığını ancak bu pazarın Bülent Ecevit zamanında kaldırıldığını söyler. Denize girmek için Florya’ya gittikleri dönemlerde denizin, kumları sayılacak kadar temiz olduğunu ifade eden Movüd, çocukluk döneminde yaygın olan hamam kültüründen de bahseder.Genç Hayat VakfıBatman, M., Doğan, H., Saluğ, D., Aras, F., Alpakut U..“Kabataş'ta denize baktığın zaman kumları sayabilirdin.”. Sokağımdan Tarih Yazıyorum. 01 Beyoğlu
Variations on the Author
No full text“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
Dynamic augmentation of SCORM pre-authored course materials with adaptive links to supplementary resources
No full textIn a SCORM compliant courseware, content and the pedagogic approach to be taken are predefined by the course author. As a consequence, users are unable to learn according to their preferences, and implicitly they will all encounter the same learning experience. Recent attempts to personalise learning in SCORM often resulted in either modifying or substituting SCORM specification elements. Nonetheless, SCORM is a widely-used solution to interoperability problems. For this reason, this work focuses on supplementing SCORM rather than redefining it. This is accomplished by dynamically associating each pre-authored learning material in a SCORM package with adaptive links to relevant supplementary resources upon delivery. As a result, we have developed a Personalised Link Service (PLS) to deliver these links into user’s SCORM-compliant learning environment. In this paper, we present the design of a PLS authoring architecture which enables the automatic generation of a concept map from a SCORM package and consequently links to alternative learning resources, and a PLS run-time service oriented architecture which delivers these alternative resources, alongside the SCORM defined resources, according to a user model. We demonstrate the feasibility of our architecture by implementing a service to support a simple notion of a user model (Preferred Learning style)
[Newspaper Clipping: Author Claims Evidence of Second JFK Assassin #1]
No full textNewspaper article titled "Author Claims Evidence of Second JFK Assassin." The article states that author Richard J. Whalen concluded "that there is circumstantial evidence to support the theory of a second assassin in the shooting of President John F. Kennedy.
Also By The Same Author: AKTiveAuthor, a Citation Graph Approach to Name Disambiguation
No full textThe desire for definitive data and the semantic web drive for inference over heterogeneous data sources requires co-reference resolution to be performed on those data. In particular, name disambiguation is required to allow accurate publication lists, citation counts and impact measures to be determined. This paper describes a graph-based approach to author disambiguation on large-scale citation networks. Using self-citation, co-authorship and document source analyses, AKTiveAuthor clusters papers, achieving precision of 0.997 and recall of 0.818 over a test group of eight surname clusters
John F. Kennedy telegram to Roosevelt
No full textJersey Homesteads (later the Borough of Roosevelt) was established in the 1930s as an agro-industrial cooperative community. It was established specifically for urban Jewish garment workers, many of whom had emigrated from Europe. President John F. Kennedy sent a telegram to the citizens of Roosevelt, New Jersey, apologizing for not being able to attend the memorial dedication in honor of former President Franklin Delano Roosevelt. (Jersey Homesteads became Roosevelt in 1945 in honor of the president.) President Kennedy expressed his gratitude to the people of Roosevelt for constructing the memorial, and commented that it will serve as a constant reminder of Roosevelt's good works
Logarithmic variance profiles and the corresponding f-1 spectra of temperature fluctuations in turbulent Rayleigh-Bénard convection
No full textWe report experimental results for the temperature variance 2(z) and the corresponding frequency spectra P(f) in turbulent Rayleigh-Bénard convection (RBC) in a cylindrical sample of aspect ratioT= D/L = 1:00 (D = 1:12 m is the diameter and L = 1:12 m the height). The measurements were conducted in the Rayleigh-number range 1011 < Ra < 1:35 1014 and Pr ' 0:8. For Ra = 1:35x1014, 2(z) could be described well by a logarithmic dependence on the vertical position z in a range of z 1 < z < z 2 with z 1 ' 70 and z 2 = 0:1L. Here L=(2Nu) is the thickness of a thin thermal sublayer adjacent to the horizontal plate where the heat flux (denoted by the Nusselt number Nu) is carried mostly by thermal diffusion. In the log layer, we found that the temperature spectra had a significant frequency range over which P(f) f with close to 1. As Ra decreased, increased so that the log layer became thinner. At Ra = 2:05 1011, z 2 < z 1 and therefore there was no range for a log layer. Correspondingly, the temperature spectrum near the horizontal plate did not have the f1 scaling form either
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