New Framework and Metrics for Economic Evaluation of Medical Technology in the Presence of Heterogeneity and Its Application to the Evaluation of Bariatric Surgery

Thesis (Ph.D.)--University of Washington, 2016-07

Resilience of small-scale societies’ livelihoods: a framework for studying the transition from food gathering to food production

The origins of agriculture and the shift from hunting and gathering to committed agriculture is regarded as one of the major transitions in human history. Archeologists and anthropologists have invested significant efforts in explaining the origins of agriculture. A period of gathering intensification and experimentation and pursuing a mixed economic strategy seems the most plausible explanation for the transition to agriculture and provides an approach to study a process in which several nonlinear processes may have played a role. However, the mechanisms underlying the transition to full agriculture are not completely clear. This is partly due to the nature of the archeological record, which registers a practice only once it has become clearly established. Thus, points of transitions have limited visibility and the mechanisms involved in the process are difficult to untangle. The complexity of such transitions also implies that shifts can be distinctively different in particular environments and under varying historical and social conditions. In this paper we discuss some of the elements involved in the transition to food production within the framework of resilience theory. We propose a theoretical conceptual model in which the resilience of livelihood strategies lies at the intersection of three spheres: the environmental, economical, and social domains. Transitions occur when the rate of change, in one or more of these domains, is so elevated or its magnitude so large that the livelihood system is unable to bounce back to its original state. In this situation, the system moves to an alternative stable state, from one livelihood strategy to another.

Secure Web Service Clients on Mobile Devices

Enterprise apps on mobile devices typically need to communicate with other system components by consuming web services. Since most of the current mobile device platforms (such as Android) do not provide built-in features for consuming SOAP services, extensions have to be designed. Additionally in order to accommodate the typical enhanced security requirements of enterprise apps, it is important to be able to deal with SOAP web service security extensions on client side. In this article we show that neither the built-in SOAP capabilities for Android web service clients are sufficient for enterprise apps nor are the necessary security features supported by the platform as is. After discussing different existing extensions making Android devices SOAP capable we explain why none of them is really satisfactory in an enterprise context. Then we present our own solution which accommodates not only SOAP but also the WS-Security features on top of SOAP. Our solution heavily relies on code generation in order to keep the flexibility benefits of SOAP on one hand while still keeping the development effort manageable for software development. Our approach provides a good foundation for the implementation of other SOAP extensions apart from security on the Android platform as well. In addition our solution based on the gSOAP framework may be used for other mobile platforms in a similar manner.

An iterative analytical design framework for the optimal designing of an off-grid renewable energy based hybrid smart micro-grid

Creative ways of utilising renewable energy sources in electricity generation especially in remote areas and particularly in countries depending on imported energy, while increasing energy security and reducing cost of such isolated off-grid systems, is becoming an urgently needed necessity for the effective strategic planning of Energy Systems. The aim of this research project was to design and implement a new decision support framework for the optimal design of hybrid micro grids considering different types of different technologies, where the design objective is to minimize the total cost of the hybrid micro grid while at the same time satisfying the required electric demand. Results of a comprehensive literature review, of existing analytical, decision support tools and literature on HPS, has identified the gaps and the necessary conceptual parts of an analytical decision support framework. As a result this research proposes and reports an Iterative Analytical Design Framework (IADF) and its implementation for the optimal design of an Off-grid renewable energy based hybrid smart micro-grid (OGREH-SμG) with intra and inter-grid (μG2μG & μG2G) synchronization capabilities and a novel storage technique. The modelling design and simulations were based on simulations conducted using HOMER Energy and MatLab/SIMULINK, Energy Planning and Design software platforms. The design, experimental proof of concept, verification and simulation of a new storage concept incorporating Hydrogen Peroxide (H2O2) fuel cell is also reported. The implementation of the smart components consisting Raspberry Pi that is devised and programmed for the semi-smart energy management framework (a novel control strategy, including synchronization capabilities) of the OGREH-SμG are also detailed and reported. The hybrid μG was designed and implemented as a case study for the Bayir/Jordan area. This research has provided an alternative decision support tool to solve Renewable Energy Integration for the optimal number, type and size of components to configure the hybrid μG. In addition this research has formulated and reported a linear cost function to mathematically verify computer based simulations and fine tune the solutions in the iterative framework and concluded that such solutions converge to a correct optimal approximation when considering the properties of the problem. As a result of this investigation it has been demonstrated that, the implemented and reported OGREH-SμG design incorporates wind and sun powered generation complemented with batteries, two fuel cell units and a diesel generator is a unique approach to Utilizing indigenous renewable energy with a capability of being able to synchronize with other μ-grids is the most effective and optimal way of electrifying developing countries with fewer resources in a sustainable way, with minimum impact on the environment while also achieving reductions in GHG. The dissertation concludes with suggested extensions to this work in the future.

A Stationless Bikeshare Proof of Concept for College Campuses

Bikeshares promote healthy lifestyles and sustainability among commuters, casual riders, and tourists. However, the central pillar of modern systems, the bike station, cannot be easily integrated into a compact college campus. Fixed stations lack the flexibility to meet the needs of college students who make quick, short-distance trips. Additionally, the necessary cost of implementing and maintaining each station prohibits increasing the number of stations for user convenience. Therefore, the team developed a stationless bikeshare based on a smartlock permanently attached to bicycles in the system. The smartlock system design incorporates several innovative approaches to provide usability, security, and reliability that overcome the limitations of a station centered design. A focus group discussion allowed the team to receive feedback on the early lock, system, and website designs, identify improvements and craft a pleasant user experience. The team designed a unique, two-step lock system that is intuitive to operate while mitigating user error. To ensure security, user access is limited through near field ii communications (NFC) technology connected to a mechatronic release system. The said system relied on a NFC module and a servo working through an Arduino microcontroller coded in the Arduino IDE. To track rentals and maintain the system, each bike is fitted with an XBee module to communicate with a scalable ZigBee mesh network. The network allows for bidirectional, real-time communication with a Meteor.js web application, which enables user and administrator functions through an intuitive user interface available on mobile and desktop. The development of an independent smartlock to replace bike stations is essential to meet the needs of the modern college student. With the goal of creating a bikeshare that better serves college students, Team BIKES has laid the framework for a system that is affordable, easily adaptable, and implementable on any university expressing an interest in bringing a bikeshare to its campus.

Pivoting the player: a framework for player character research in offline computer role-playing games

This article introduces a theoretical framework for the analysis of the player character (PC) in offline computer role-playing games (cRPGs). It derives from the assumption that the character constitutes the focal point of the game, around which all the other elements revolve. This underlying observation became the foundation of the Player Character Grid and its constituent Pivot Player Character Model, a conceptual framework illustrating the experience of gameplay as perceived through the PC’s eyes. Although video game characters have been scrutinised from many different perspectives, a systematic framework has not been introduced yet. This study aims to fill that void by proposing a model replicable across the cRPG genre. It has been largely inspired by Anne Ubersfeld’s semiological dramatic character research implemented in Reading Theatre I (1999) and is demonstrated with reference to The Witcher (CD Projekt RED 2007).

Helping you to make the right choice for your web filtering

We have designed this flowchart to help you choose the web filtering option that best suits your needs from three different options: Our free standard web filtering service, enhanced user based filtering or a solution from our framework agreement.

Detección automatizada de desfiguraciones en un sitio web mediante una solución basada en Software Libre

La desfiguración de sitios web es uno de los ataques más populares hoy en día y se basan en realizar un cambio en el código HTML de una página web, que se presenta como un cambio visual en la imagen del mismo. En el presente trabajo se propone desarrollar un sistema mediante el cual se puedan detectar y/o reportar dichos cambios de una forma temprana y automatizada. El Software Libre (SL) ofrece la posibilidad de crear soluciones y es el marco sobre el cual se propone una solución.

Aplicación de administración con Angular, Node y Express para una aplicación Django

En este trabajo de fin de grado se ha desarrollado una aplicación de administración que sustituye a las que ofrecen por defecto las aplicaciones creadas con el framework de desarrollo web Django. La aplicación está compuesta por dos partes: un servidor, desarrollado con Node y Express, que ataca a la base de datos MySQL de la aplicación Django (es el nexo de unión entre ambas), y expone una API que es utilizada por la otra parte que compone la aplicación, la parte del cliente. La API es totalmente privada, siendo necesario un token de autenticación válido para poder obtener una respuesta satisfactoria de la misma. La generación del token también es tarea del servidor. El cliente, que es la parte que ve el usuario final, está desarrollada usando el framework Angular. La interfaz de usuario utiliza Bootstrap, por lo que su visualización es correcta en cualquier tipo de dispositivo, tanto de escritorio como móvil. En definitiva, se ha desarrollado una aplicación JavaScript End-to-End, empleando las últimas tecnologías web, mejorando ostensiblemente, las prestaciones que ofrece un panel de administración generado automáticamente por una aplicación Django.

Russian social networks on the web: cohesion and coherence in Vkontakte

In this thesis connections between messages on the public wall of the Russian social network Vkontakte are analysed and classified. A total of 1818 messages from three different Vkontakte groups were collected and analysed according to a new framework based on Halliday and Hasan’s (1976) research into cohesion and Simmons’s (1981) adaptation of their classification for Russian. The two categories of textuality, cohesion and coherence, describe the linguistic connections between messages. The main aim was to find out how far the traditional categories of cohesion are applicable to an online social network including written text as well as multimedia-files. In addition to linguistic cohesion the pragmatic and topic coherence between Vkontakte messages was also analysed. The analysis of pragmatic coherence classifies the messages with acts according to their pragmatic function in relation to surrounding messages. Topic coherence analyses the content of the messages, describes where a topic begins, changes or is abandoned. Linguistic cohesion, topic coherence and pragmatic coherence enable three different types of connections between messages and these together form a coherent communication on the message wall. The cohesion devices identified by Halliday and Hasan and Simmons were found to occur in these texts, but additional devices were also identified: these are multimodal, graphical and grammatical cohesion.

APIs de seguridad en .NET Framework

Este trabajo hace un estudio de algunas de las herramientas de seguridad disponibles en .Net Framework así como la forma de usarlas en un desarrollo web bajo la metodología de desarrollo de ASP.NET siguiendo el modelo Vista-Controlador y usando como entorno de desarrollo Visual Studio. Además de repasar las herramientas disponibles y la forma de uso se ha desarrollado también una aplicación de ejemplo: ItemCoteca-Web; en la que se demuestra cómo resolver el registro de usuarios, la autenticación y autorización de forma segura. En paralelo se ha implementado un cliente Android: Itemcoteca-app que realiza autenticación, registro y dispone de un chat seguro de incidencias para hablar con administradores OnlineEste trabajo no solo presenta las APIs disponibles sino también las buenas prácticas que define Microsoft para el uso de sus herramientas. En particular nos centramos en los tres tipos de controladores que podemos encontrar en una aplicación web Asp.net que son Controllers, WebApi y SignalR, comentando sus diferencias y su uso para clientes Web y móviles.

An Agile Innovation Framework Supported through Business Incubators

Part 9: Innovation Networks

Enterprise Collaboration Framework for Managing, Advancing and Unifying the Functionality of Multiple Cloud-Based Services with the Help of a Graph API

Part 5: Service Orientation in Collaborative Networks

Application of a policy framework for the public funding of drugs for rare diseases

BACKGROUND: In many countries, decisions about the public funding of drugs are preferentially based on the results of randomized trials. For truly rare diseases, such trials are not typically available, and approaches by public payers are highly variable. In view of this, a policy framework intended to fairly evaluate these drugs was developed by the Drugs for Rare Diseases Working Group (DRDWG) at the request of the Ontario Public Drug Programs. OBJECTIVE: To report the initial experience of applying a novel evaluation framework to funding applications for drugs for rare diseases. METHODS: Retrospective observational cohort study. MEASURES: Clinical effectiveness, costs, funding recommendations, funding approval. KEY RESULTS: Between March 2008 and February 2013, eight drugs were evaluated using the DRDWG framework. The estimated average annual drug cost per patient ranged from 28,000 to 1,200,000 Canadian dollars (CAD). For five drugs, full evaluations were completed, specific funding recommendations were made by the DRDWG, and funding was approved after risk-sharing agreements with the manufacturers were negotiated. For two drugs, the disease indications were determined to be ineligible for consideration. For one drug, there was insufficient natural history data for the disease to provide a basis for recommendation. For the five drugs fully evaluated, 32 patients met the predefined eligibility criteria for funding, and five were denied based on predefined exclusion criteria. CONCLUSIONS: The framework improved transparency and consistency for evaluation and public funding of drugs for rare diseases in Ontario. The evaluation process will continue to be iteratively refined as feedback on actual versus expected clinical and economic outcomes is incorporated. © 2014 Society of General Internal Medicine.

Implementación de un framework para la inclusión de logros en "¡Acepta el Reto!"

“Implementación de un framework para la inclusión de logros en ¡Acepta el Reto!” es un proyecto que tiene como objetivo la inclusión de un sistema de logros en ¡Acepta el reto! Los logros son reconocimientos, independientes de la funcionalidad de la web, dentro de ¡Acepta el reto!, que es una página web que propone ejercicios de programación y a su vez los compila y los ejecuta. La labor del framework desarrollado es vigilar las acciones que los usuarios van realizando en el portal para otorgarles los distintos logros implementados. Durante el diseño se ha prestado especial atención a la posibilidad de añadir nuevos logros tras el despliegue del sistema y a la eficiencia en el proceso de comprobación de los mismos. Para demostrar su efectividad, se han hecho pruebas de carga utilizando los datos de usuarios, envíos y ejercicios actuales de la web.