62 research outputs found
Adaptive Process Distribution at the Edge of IoT using the Integration of BPMS and Containerization
No full textTäna levivad pilvepõhised värkvõrgu (asjade interneti) süsteemid tuginevad protsesside halduseks kaugel asuvatel andmekeskustel, mis toob endaga kaasa latentsusprobleeme. Vastusena sellele probleemile on varem välja pakutud servaarvutuse lähenemine, kus arvutused viiakse läbi asjade interneti süsteemi võrgule füüsiliselt lähemal. Mitmete servaarvutuse metoodikate seas on uduarvutus lähenemine, kus rõhk on arvutuste liigutamisel värkvõrgu seadmetele endile. Ehkki uduarvutusel põhinev arhitektuur on paljutõotav, tõstatab see küsimuse – kuidas värkvõrgu protsessihaldussüsteemid (BPMS4IoT-süsteemid) äriprotsesse heterogeensetele värkvõrgu seadmetele jaotama peaksid? Levinud on lähenemine, kus protsesside töövooülesannete käituseks tuginetakse ühisele platvormile. Näiteks, kui haldusserver defineerib teatud töövoo ülesandena Pythoni skripti ja määrab selle seadmele, siis peab seadme töövookäitusmootor toetama vastavat mehhanismi skriptide jooksutamiseks. Selline nõue ei ole paindlik, arvestades värkvõrgu seadmete heterogeensust. Käesolevas magistritöös pakub autor välja raamistiku, mis eraldab töövoo ülesannete käitusmeetodi käitusmootorist kasutades selleks konteinertehnoloogiat. Töö käigus arendati välja raamistiku prototüüp ning viidi läbi katseid mikroarvutitel põhinevail seadmetel. Lisaks võrreldi väljapakutud uduarvutuse raamistiku jõudlust pilvearvutusel põhineva süsteemiga.Emerging cloud-centric Internet of Things (IoT) system relies on distant data centers to manage the entire processes, which raises the issue of latency. To address the issue, researchers have introduced the Edge computing methodologies that carry out computation closer to the edge network of IoT system. Among the numerous Edge computing approaches, Mist computing paradigm emphasises the mechanism that moves the computation further to the front-end IoT devices. Although the architecture of Mist computing is promising, it raises a new challenge in how the Business Process Management System for IoT (BPMS4IoT) distributes the business process workflow to the heterogeneous IoT devices? In general, executing business process workflows relies on the common platform for executing customized tasks. For example, if the management server defines a Python script task in a workflow, which has been allocated to an IoT device, the workflow engine of the IoT device must have the compatible execution method. Such a requirement is less flexible when one considers the heterogeneity of the IoT devices. Therefore, in this thesis, the author proposes a framework to decouple the workflow task execution method from the workflow engines using the containerization technology. A proof-of-concept prototype has been developed and has been tested on several single-board computers-based IoT devices. Further, a case study has been performed to demonstrate the performance of the proposed framework comparing to the cloud-centric system
Cardio-metabolic abnormalities among patients with severe mental illness at a Regional Referral Hospital in southwestern Uganda.
No full textPatients with severe mental illness (SMI) have a higher burden of premature cardio-metabolic abnormalities, including diabetes mellitus, hypertension, hyperlipidemia, and obesity resulting into a 3-fold increase in mortality, and up to 20% reduction in life expectancy compared to the general population. Although over 30% of Ugandans have some form of mental illness, there are no national or hospital-based screening guidelines for cardio-metabolic abnormalities among these patients a general trend in most low-income countries. The screening rates for cardio-metabolic abnormalities in most low-income countries are at only 0.6%. The objective of this study was to describe the cardio-metabolic abnormalities among patients with SMI at Mbarara Regional Referral Hospital. Through a cross-sectional study, we recruited 304 patients with SMI and evaluated them for cardio-metabolic abnormalities using the National Cholesterol Education Programme Adult Treatment Panel III criteria for dyslipidemias, World Health Organisation criteria for diabetes mellitus, obesity, and the Joint national committee criteria for hypertension. We then determined the proportion of participants who met the criteria for each of the individual cardio-metabolic abnormalities. Of the 304 participants, 44.41% were male and 55.59% female with a mean age of 38.56±13.66 years. Almost half (46.38%) of the participants were either overweight or obese, 33.22% had abdominal obesity, 40.46% were hypertensive, 34.11% had low high-density lipoproteins, 37.42% had hypertriglyceridemia and 34.77% had hypercholesterolemia. Based on fasting blood sugar, 11.18% and 9.87% had pre-diabetes and diabetes respectively. There is a high level of cardio-metabolic abnormalities among patients with psychiatric disorders and thus metabolic screening for these abnormalities should be done routinely during psychiatric reviews. There is a need for national guidelines for screening of metabolic abnormalities among patients with SMI so that these abnormalities can be detected early enough at stages where they can be either reversed or delayed to progress to cardiovascular disease
Knowledge and Health Care Seeking Behaviours on Cancer of the Cervix among Rural Women- A Case Study of Isingiro District
No full textCervical cancer is an abnormal growth of cells in the cervical region of the uterus. Cancer of the cervix occurs when the cells of the cervix change in a way that leads to unregulated growth and invasion of other tissues or organs of the body. Cancer of the cervix is the most common cancer affecting women in Africa and in the developing countries, second only to breast cancer worldwide(Franco et al 2003). Very few studies on knowledge and health care seeking behaviors have been carried out among women living in rural areas in Africa. Cervical cancer has threatened the lives of women in Uganda leading to other associated long-term problems in families. Keywords: Cancer of the Cervix,Knowledge,Health care seeking behaviours. Aim This study was intended to assess the knowledge of cervical cancer and the related health care seeking practices among the rural women in Isingiro district, south-western Uganda. Methods It was a community based cross sectional study, involving women of 18 years and above. The study participants werefirst given an explanation of the study and thereafter, a questionnaire was administered for data collection. The sample size estimated using the formula: N= Z2p (1-p)/ e2. Results According to the study, the knowledge, prevalence of symptoms and predisposing factors to cervical cancer was at 4.62 %( 18/385) and 0.00 %( 0/385) respectively. The study also revealed that; 98.35% (374/385) would accept CaCx screening, 0.33 %( 01/385) had utilized cervical cancer screening facilities and that 97.02 %( 374/385) did not screen due to lack of knowledge on CaCx. There is need to conduct a community based study to know the practices of health workers and assess if they are educating and offering suggestions for screening for cancer of the cervix. The research therefore recommends intervention the relevant stakeholders in the health care system to demystify facts on this disease among rural women, especially in Isingiro district.
Best practices in the African Medicines Regulatory Harmonization initiative: Perspectives of regulators and medicines manufacturers.
No full textIn the African Medicines Regulatory Harmonization initiative, national regulatory authorities (NRAs) within each of Africa's regional economic communities coordinate their activities, rely on the work of one another and other trusted regulatory authorities, and apply other principles of smart regulation. The first regional medicines regulatory harmonization (MRH) initiative in Africa was launched in 2012, with the goal of accelerating access to quality, safe, effective medical products, and now five MRH initiatives are active on the continent. Thus, a wealth of knowledge regarding best practices and approaches to dealing with common challenges has accumulated. The goal of this qualitative study was to gather and share information on these best practices. To do this, we conducted interviews with key participants from four regional MRH initiatives-the East African Community (EAC), Southern African Development Community (SADC), Economic Community of West African States (ECOWAS), and Intergovernmental Authority on Development (IGAD)-as well as representatives from the pharmaceutical industry. Here we explore major themes that emerged from the interviews: 1. Transparency and reliability are critical; 2. Reliance is essential for smart regulation; 3. Multiple successful strategies for NRA capacity building have been identified; 4. Communication between heads of agencies is essential; 5. Cooperation at the regional level is not possible without leadership at the NRA level; 6. Sustainable funding remains challenging; and 7. Industry has important insights. We hope that the information on best practices shared in this article can benefit regional MRH initiatives inside and outside of Africa, ultimately helping them accelerate access to quality, safe, effective medical products
Using blood pressure height index to define hypertension among secondary school adolescents in southwestern Uganda
No full textBest practices in the African Medicines Regulatory Harmonization initiative: Perspectives of regulators and medicines manufacturers
No full textIn the African Medicines Regulatory Harmonization initiative, national regulatory authorities (NRAs) within each of Africa’s regional economic communities coordinate their activities, rely on the work of one another and other trusted regulatory authorities, and apply other principles of smart regulation. The first regional medicines regulatory harmonization (MRH) initiative in Africa was launched in 2012, with the goal of accelerating access to quality, safe, effective medical products, and now five MRH initiatives are active on the continent. Thus, a wealth of knowledge regarding best practices and approaches to dealing with common challenges has accumulated. The goal of this qualitative study was to gather and share information on these best practices. To do this, we conducted interviews with key participants from four regional MRH initiatives—the East African Community (EAC), Southern African Development Community (SADC), Economic Community of West African States (ECOWAS), and Intergovernmental Authority on Development (IGAD)—as well as representatives from the pharmaceutical industry. Here we explore major themes that emerged from the interviews: 1. Transparency and reliability are critical; 2. Reliance is essential for smart regulation; 3. Multiple successful strategies for NRA capacity building have been identified; 4. Communication between heads of agencies is essential; 5. Cooperation at the regional level is not possible without leadership at the NRA level; 6. Sustainable funding remains challenging; and 7. Industry has important insights. We hope that the information on best practices shared in this article can benefit regional MRH initiatives inside and outside of Africa, ultimately helping them accelerate access to quality, safe, effective medical products
Effect of universal test and treat on retention and mortality among people living with HIV-infection in Uganda: An interrupted time series analysis
No full textBACKGROUND: Few studies have analysed the effect of HIV universal test and treat (UTT) on retention and mortality among people living with HIV (PLHIV) in routine care. We examined six-month retention and mortality at 11 health facilities (HFs) run by a large NGO, The AIDS Support Organisation (TASO), before and after UTT. METHODS: We used a quasi-experimental study using patient data extracted from 11 TASO HFs. Two periods, one before UTT (2015–2016) and the other during UTT (2017–2018) were compared. The primary outcome was six-month retention defined as the proportion of PLHIV who were alive and in care at six months from enrolment. The secondary outcome was six-month mortality defined as the proportion of PLHIV who died within six months from enrolment. We performed an interrupted time series analysis using graphical aids to study trends in six-month retention and mortality and a segmented regression to evaluate the effect of UTT. We used a generalized linear mixed model (GLMM) and generalized estimating equations (GEE) to account for facility-level clustering. RESULTS: Of the 20,171 PLHIV registered between 2015 and 2018 and included in the analysis, 12,757 (63.2%) were enrolled during the UTT period. 5256/7414 (70.9%) of the pre-UTT period compared to 12239/12757 (95.9%) of the UTT were initiated on ART treatment with 6 months from enrolment. The median time from enrolment to initiating ART was 14 (interquartile range (IQR): 0–31) days for the pre-UTT compared to 0 (IQR: 0–0) days for the UTT period. The median age at enrolment was 32.5 years for the pre-UTT and 35.0 years for the UTT period. Overall, the six-month retention just after scale-up of UTT, increased by 9.2 percentage points (p = 0.002) from the baseline value of 82.6% (95% CI: 77.6%-87.5%) but it eventually decreased at a rate 1.0 percentage point (p = 0.014) for cohorts recruited each month after UTT. The baseline six-month mortality was 3.3% (95% CI: 2.4%-4.2%) and this decreased by 1.6 percentage points (p = 0.003) immediately after UTT. The six-month mortality continued decreasing at a rate of 0.1 percentage points (p = 0.002) for cohorts enrolled each month after UTT. Retention differed between some health facilities with Rukungiri HF having the highest and Soroti the lowest retention. Retention was slightly higher among males and younger people. Mortality was highest among people aged 50 years and more. The effect of UTT on retention and mortality was similar across sex and age groups. CONCLUSION: Overall, UTT significantly led to an immediate increase in retention and decrease in mortality among PLHIV enrolled in HIV care from 11 HFs run by TASO in Uganda. However, retention (and mortality) significantly decreased for cohorts enrolled each month after UTT. Retention was highest in Rukungiri and lowest in Soroti HFs and slightly higher in males and younger people. Mortality was highest in older patients and lowest in adolescents. We recommend for innovative interventions to improve the overall retention particularly in facilities reporting low retention in order to achieve the UNAIDS 2030 target of 95-95-95
in Uganda: a qualitative study
No full textINTRODUCTION: HIV self-testing is a flexible, accessible and acceptable emerging technology with a particular potential to identify people living with HIV who are reluctant to interact with conventional HIV testing approaches. We assessed the acceptability, perceived reliability and challenges associated with distributing HIV self-test (HIVST) to young men who have sex with men (MSM) in Uganda.
METHODS: Between February and May, 2018, we enrolled 74 MSM aged ≥18 years purposively sampled and verbally consented to participate in six focus group discussions (FGDs) in The AIDS Support Organization (TASO Masaka and Entebbe). We also conducted two FGDs of 18 health workers. MSM FGD groups included individuals who had; (1) tested greater than one year previously; (2) tested between six months and one year previously; (3) tested three to six months previously; (4) never tested. FGDs examined: (i) the acceptability of HIVST distribution; (iii) preferences for various HIVST distribution channels; (iv) perceptions about the accuracy of HIVST; (v) challenges associated with HIVST distribution. We identified major themes, developed and refined a codebook. We used Nvivo version 11 for data management.
RESULTS: MSM participants age ranged between 19 and 30 years. Participants described HIVST as a mechanism that would facilitate HIV testing uptake in a rapid, efficient, confidential, non-painful; and non-stigmatizing manner. Overall, MSM preferred HIVST to the conventional HIV testing approaches. Health workers were in support of distributing HIVST kits through MSM peers. MSM participants were willing to distribute the kits and recommended HIVST to their peers and sexual partners. They suggested HIVST kit distribution model work similarly to the current condom and lubricant peer model being implemented by TASO. Preferred channels were peers, hot spots, drop-in centres, private pharmacies and MSM friendly health facilities. Key concerns regarding use of HIVST were; unreliable HIVST results, social harm due to a positive result, need for a confirmatory test and linking both HIV positive and negative participants for additional HIV services.
CONCLUSIONS: Distribution of HIVST kits by MSM peers is an acceptable strategy that can promote access to testing. HIVST was perceived by participants as beneficial because it would address many barriers that affect their acceptance of testing. However, a combined approach that includes follow-up, linkage to HIV care and prevention services are needed for effective results
The impacts of COVID-19 on older adults in Uganda and Ethiopia: Perspectives from non-governmental organization staff and volunteers
No full text© 2024 Dhillon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.The COVID-19 pandemic had a substantial impact on older adults, especially in Sub-Saharan Africa (SSA). To support older adults during this time, non-governmental organizations (NGOs) coordinated programs to help provide for basic needs related to food and water security and healthcare. This research explores the attitudes, perceptions and experiences of NGO staff and volunteers who provided support to older adults in SSA in rural East Africa during the COVID-19 pandemic. In-depth interviews (n = 28) were conducted with NGO staff and volunteers in Uganda and Ethiopia between September and December of 2022. Overall, NGO staff and volunteers reported high levels of knowledge surrounding the COVID-19 pandemic and stated that one positive of the COVID-19 pandemic was the improved hygiene practices. However, the NGO staff and volunteers also reported that the pandemic and the associated public health measures exacerbated pre-existing social inequalities, such as increasing pre-existing levels of food insecurity. The exacerbation of pre-existing social inequalities may be one reason for the increased reliance on NGO services. The learnings from the COVID-19 pandemic and associated public health measures can be utilized to create targeted strategies to mitigate the negative impacts of future public health crises on vulnerable populations.Social Sciences and Humanities Research Council || Ontario Graduate Scholarship
Questions asked during interviews of industry representatives.
No full textQuestions asked during interviews of industry representatives.</p
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