Patterns and factors associated with low adherence to psychotropic medications during pregnancy-a cross-sectional, multinational web-based study.

BACKGROUND: No previous studies have explored how closely women follow their psychotropic drug regimens during pregnancy. This study aimed to explore patterns of and factors associated with low adherence to psychotropic medication during pregnancy. METHODS: Multinational web-based study was performed in 18 countries in Europe, North America, and Australia. Uniform data collection was ensured via an electronic questionnaire. Pregnant women were eligible to participate. Adherence was measured via the 8-item Morisky Medication Adherence Scale (MMAS-8). The Beliefs about Prescribed Medicines Questionnaire (BMQ-specific), the Edinburgh Postnatal Depression Scale (EPDS), and a numeric rating scale were utilized to measure women's beliefs, depressive symptoms, and antidepressant risk perception, respectively. Participants reporting use of psychotropic medication during pregnancy (n = 160) were included in the analysis. RESULTS: On the basis of the MMAS-8, 78 of 160 women (48.8%, 95% CI: 41.1-56.4%) demonstrated low adherence during pregnancy. The rates of low adherence were 51.3% for medication for anxiety, 47.2% for depression, and 42.9% for other psychiatric disorders. Smoking during pregnancy, elevated antidepressant risk perception (risk≥6), and depressive symptoms were associated with a significant 3.9-, 2.3-, and 2.5-fold increased likelihood of low medication adherence, respectively. Women on psychotropic polytherapy were less likely to demonstrate low adherence. The belief that the benefit of pharmacotherapy outweighed the risks positively correlated (r = .282) with higher medication adherence. CONCLUSIONS: Approximately one of two pregnant women using psychotropic medication demonstrated low adherence in pregnancy. Life-style factors, risk perception, depressive symptoms, and individual beliefs are important factors related to adherence to psychotropic medication in pregnancy.

Mobile E-commerce business model – A value web based approach to business models in mobile gaming industry

Tämän tutkimuksen tavoitteena oli tutkia langattomien internet palveluiden arvoverkkoa ja liiketoimintamalleja. Tutkimus oli luonteeltaan kvalitatiivinen ja siinä käytettiin strategiana konstruktiivista case-tutkimusta. Esimerkkipalveluna oli Treasure Hunters matkapuhelinpeli. Tutkimus muodostui teoreettisesta ja empiirisestä osasta. Teoriaosassa liitettiin innovaatio, liiketoimintamallit ja arvoverkko käsitteellisesti toisiinsa, sekä luotiin perusta liiketoimintamallien kehittämiselle. Empiirisessä osassa keskityttiin ensin liiketoimintamallien luomiseen kehitettyjen innovaatioiden pohjalta. Lopuksi pyrittiin määrittämään arvoverkko palvelun toteuttamiseksi. Tutkimusmenetelminä käytettiin innovaatiosessiota, haastatteluja ja lomakekyselyä. Tulosten pohjalta muodostettiin useita liiketoimintakonsepteja sekä kuvaus arvoverkon perusmallista langattomille peleille. Loppupäätelmänä todettiin että langattomat palvelut vaativat toteutuakseen useista toimijoista koostuvan arvoverkon.

ESL students' perceptions of web-based prewriting activities /

Although much research has explored computer mediated communication for its application in second language instruction, there still exists a need for empirical results from research to guide practitioners who wish to introduce web-based activities into their instruction. This study was undertaken to explore collaborative online task-based activities for the instruction of ESL academic writing. Nine ESL students in their midtwenties, enrolled at a community college in Ontario, engaged in two separate online prewriting activities in both a synchronous and an asynchronous environment. The students were interviewed in order to explore their perceptions of how the activities affected the generation and organization of ideas for academic essays. These interviews were triangulated with examples of the students' online writing, nonparticipatory observations of the students' interactions, and a discussion with the course instructor. The results of the study reveal that a small majority of students felt that brainstorming in writing with their peers in an asynchronous online discussion created a grammatical and lexical framework that supported idea generation and organization. The students did not feel that the synchronous chat activity was as successful. Although they felt that this activity also contributed to the generation of ideas, synchronous chat introduced a level of difficulty in communication that hindered the students' engagement in the task and failed to assist them with the organization of their ideas. The students also noted positive aspects of the web-based activities that were not related to prewriting tasks, for example, improved typing and word processing skills. Directions for future research could explore whether online prewriting activities can assist students in the creation of essays that are syntactically or lexically complex.

Web based content and hybrid teaching: student perceptions of the effectiveness of using web based content and hyper-linked teaching units in teaching hybrid business and marketing post secondary classes /

This exploratory, descriptive action research study is based on a survey of a sample of convenience consisting of 172 college and university marketing students, and 5 professors who were experienced in teaching in an internet based environment. The students that were surveyed were studying e-commerce and international business in 3^^ and 4*'' year classes at a leading imiversity in Ontario and e-commerce in 5^ semester classes at a leading college. These classes were taught using a hybrid teaching style with the contribution of a large website that contained pertinent text and audio material. Hybrid teaching employs web based course materials (some in the form of Learning Objects) to deliver curriculimi material both during the attended lectures and also for students accessing the course web page outside of class hours. The survey was in the form on an online questionnaire. The research questions explored in this study were: 1. What factors influence the students' ability to access and learn from web based course content? 2. How likely are the students to use selected elements of internet based curriculum for learning academic content? 3. What is the preferred physical environment to facilitate learning in a hybrid environment? 4. How effective are selected teaching/learning strategies in a hybrid environment? The findings of this study suggest that students are very interested in being part of the learning process by contributing to a course web site. Specifically, students are interested in audio content being one of the formats of online course material, and have an interest in being part of the creation of small audio clips to be used in class.

Using Ancillary Text to Index Web-based Multimedia Objects

PériCulture est le nom d'un projet de recherche à l'Université de Montréal qui fait partie d'un projet plus vaste basé à l'Université de Sherbrooke. Ce dernier visait à former un réseau de recherche pour la gestion du contenu culturel numérique canadien. L'objectif général de la recherche de PériCulture était d'étudier les méthodes d'indexation de contenus culturels non textuels sur le Web, plus spécifiquement des images. Les résultats de la recherche présentés ici s'appuient sur des travaux précédents en indexation d'images et en indexation automatique (de texte), par l'étude des propriétés du texte associé à des images dans un environnement réseau. Le but était de comprendre la façon dont le texte associé à des images sur des pages Web (appelé péritexte) peut être exploité pour indexer les images correspondantes. Nous avons étudié cette question dans le contexte de pages Web sélectionnées, c'est à dire : des pages de contenu culturel canadien contenant des objets multimédia auxquels était associé du texte (plus que simplement les noms de fichiers et les légendes) et qui étaient bilingues (anglais et français). Nous avons identifié les mots-clés utiles à l'indexation situés à proximité de l'objet décrit. Les termes d'indexation potentiels ont été identifiés dans diverses balises HTML et dans le texte intégral (chacun étant considéré comme une source différente de péritexte). Notre étude a révélé qu'un grand nombre de termes d'indexation utiles sont disponibles dans le péritexte de nombreux sites Web ayant un contenu culturel, et ce péritexte de différentes sources a une utilité variable dans la recherche d’information. Nos résultats suggèrent que ces termes peuvent être exploités de différentes manières dans les systèmes de recherche d’information pour améliorer les résultats de recherche.

Adoption of Koha Open Source Software in Libraries: a Web Based Study

Since last few years open source integrated library systems gaining attention of library and information science professionals. This paper tries to identify the extent of adoption of Koha, an open source ILS in libraries around the world through a Web based study. The study found that Koha adoption in libraries is still at infancy

Prototype of a Configurable Web-Based Assessment System

The MIT Prototype Educational Assessment System provides subjects and courses at MIT with the ability to perform online assessment. The system includes polices to handle harassment and electronic "flaming" while protecting privacy. Within these frameworks, individual courses and subjects can make their own policy decisions about such matters as to when assessments can occur, who can submit assessments, and how anonymous assessments are. By allowing assessment to take place continually and allowing both students and staff to participate, the system can provide a forum for the online discussion of subjects. Even in the case of scheduled assessments, the system can provide advantages over end-of-term assessment, since the scheduled assessments can occur several times during the semester, allowing subjects to identify and adjust those areas that could use improvement. Subjects can also develop customized questionnaires, perhaps in response to previous assessments, to suit their needs.

Validade e fidelidade da vers??o portuguesa reduzida do web based learning environment inventory

Resumen basado en el de la publicaci??n

Intelligent agents to improve adaptivity in a web-based learning environment

En esta tesis se propone el uso de agentes inteligentes en entornos de aprendizaje en línea con el fin de mejorar la asistencia y motivación del estudiante a través de contenidos personalizados que tienen en cuenta el estilo de aprendizaje del estudiante y su nivel de conocimiento. Los agentes propuestos se desempeñan como asistentes personales que ayudan al estudiante a llevar a cabo las actividades de aprendizaje midiendo su progreso y motivación. El entorno de agentes se construye a través de una arquitectura multiagente llamada MASPLANG diseñada para dar soporte adaptativo (presentación y navegación adaptativa) a un sistema hipermedia educativo desarrollado en la Universitat de Girona para impartir educación virtual a través del web. Un aspecto importante de esta propuesta es la habilidad de construir un modelo de estudiante híbrido que comienza con un modelo estereotípico del estudiante basado en estilos de aprendizaje y se modifica gradualmente a medida que el estudiante interactúa con el sistema (gustos subjetivos). Dentro del contexto de esta tesis, el aprendizaje se define como el proceso interno que, bajo factores de cambio resulta en la adquisición de la representación interna de un conocimiento o de una actitud. Este proceso interno no se puede medir directamente sino a través de demostraciones observables externas que constituyen el comportamiento relacionado con el objeto de conocimiento. Finalmente, este cambio es el resultado de la experiencia o entrenamiento y tiene una durabilidad que depende de factores como la motivación y el compromiso. El MASPLANG está compuesto por dos niveles de agentes: los intermediarios llamados IA (agentes de información) que están en el nivel inferior y los de Interfaz llamados PDA (agentes asistentes) que están en el nivel superior. Los agentes asistentes atienden a los estudiantes cuando trabajan con el material didáctico de un curso o una lección de aprendizaje. Esta asistencia consiste en la recolección y análisis de las acciones de los estudiantes para ofrecer contenidos personalizados y en la motivación del estudiante durante el aprendizaje mediante el ofrecimiento de contenidos de retroalimentación, ejercicios adaptados al nivel de conocimiento y mensajes, a través de interfaces de usuario animadas y atractivas. Los agentes de información se encargan del mantenimiento de los modelos pedagógico y del dominio y son los que están en completa interacción con las bases de datos del sistema (compendio de actividades del estudiante y modelo del dominio). El escenario de funcionamiento del MASPLANG está definido por el tipo de usuarios y el tipo de contenidos que ofrece. Como su entorno es un sistema hipermedia educativo, los usuarios se clasifican en profesores quienes definen y preparan los contenidos para el aprendizaje adaptativo, y los estudiantes quienes llevan a cabo las actividades de aprendizaje de forma personalizada. El perfil de aprendizaje inicial del estudiante se captura a través de la evaluación del cuestionario ILS (herramienta de diagnóstico del modelo FSLSM de estilos de aprendizaje adoptado para este estudio) que se asigna al estudiante en su primera interacción con el sistema. Este cuestionario consiste en un conjunto de preguntas de naturaleza sicológica cuyo objetivo es determinar los deseos, hábitos y reacciones del estudiante que orientarán la personalización de los contenidos y del entorno de aprendizaje. El modelo del estudiante se construye entonces teniendo en cuenta este perfil de aprendizaje y el nivel de conocimiento obtenido mediante el análisis de las acciones del estudiante en el entorno.