Implementação ESB numa unidade hospitalar. Uso normalizado de mensagens HL7

Atualmente, os sistemas de informação hospitalares têm de possibilitar uma utilização diferenciada pelos diferentes intervenientes, num cenário de constante adaptação e evolução. Para tal, é essencial a interoperabilidade entre os sistemas de informação do hospital e os diversos fornecedores de serviços, assim como dispositivos hospitalares. Apesar da necessidade de suportar uma heterogeneidade entre sistemas ser fundamental, o acesso/troca de informação deve ser feito de uma forma protocolada, segura e transparente. A infraestrutura de informação médica moderna consiste em muitos sistemas heterogéneos, com diversos mecanismos para controlar os dados subjacentes. Informações relativas a um único paciente podem estar dispersas por vários sistemas (ex: transferência de pacientes, readmissão, múltiplos tratamentos, etc.). Torna-se evidente a necessidade aceder a dados do paciente de forma consolidada a partir de diferentes locais. Desta forma, é fundamental utilizar uma arquitetura que promova a interoperabilidade entre sistemas. Para conseguir esta interoperabilidade, podem-se implementar camadas de “middleware” que façam a adaptação das trocas de informação entre os sistemas. Todavia, não resolvemos o problema subjacente, ou seja, a necessidade de utilização de um standard para garantir uma interacção fiável entre cliente/fornecedor. Para tal, é proposto uma solução que passa por um ESB dedicado para a área da saúde, denominada por HSB (Healthcare Service Bus). Entre as normas mais usuais nesta área devem-se salientar o HL7 e DICOM, esta última mais especificamente para dispositivos de imagem hospitalar, sendo a primeira utilizada para gestão e trocas de informação médica entre sistemas. O caso de estudo que serviu de base a esta dissertação é o de um hospital de média dimensão cujo sistema de informação começou por ser uma solução monolítica, de um só fornecedor. Com o passar dos anos, o fornecedor único desagregou-se em vários, independentes e concorrentes, dando lugar a um cenário extremamente preocupante em termos de manutenção e evolução futura do sistema de informação existente. Como resultado do trabalho efetuado, foi proposta uma arquitetura que permite a evolução do sistema atual de forma progressiva para um HSB puro.

Measuring data transfer in heterogeneous IoT environments

Dissertação para obtenção do Grau de Mestre em Engenharia Electrotécnica e de Computadores

Segurança de Redes em Sistemas de Experimentação Remota

O crescimento dos sistemas de informação e a sua utilização massiva criou uma nova realidade no acesso a experiências remotas que se encontram geograficamente distribuídas. Nestes últimos tempos, a temática dos laboratórios remotos apareceu nos mais diversos campos como o do ensino ou o de sistemas industriais de controlo e monitorização. Como o acesso aos laboratórios é efectuado através de um meio permissivo como é o caso da Internet, a informação pode estar à mercê de qualquer atacante. Assim, é necessário garantir a segurança do acesso, de forma a criar condições para que não se verifique a adulteração dos valores obtidos, bem como a existência de acessos não permitidos. Os mecanismos de segurança adoptados devem ter em consideração a necessidade de autenticação e autorização, sendo estes pontos críticos no que respeita à segurança, pois estes laboratórios podem estar a controlar equipamentos sensíveis e dispendiosos, podendo até eventualmente comprometer em certos casos o controlo e a monotorização de sistemas industriais. Este trabalho teve como objectivo a análise da segurança em redes, tendo sido realizado um estudo sobre os vários conceitos e mecanismos de segurança necessários para garantir a segurança nas comunicações entre laboratórios remotos. Dele resultam as três soluções apresentadas de comunicação segura para laboratórios remotos distribuídos geograficamente, recorrendo às tecnologias IPSec, OpenVPN e PPTP. De forma a minimizar custos, toda a implementação foi assente em software de código aberto e na utilização de um computador de baixo custo. No que respeita à criação das VPNs, estas foram configuradas de modo a permitir obter os resultados pretendidos na criação de uma ligação segura para laboratórios remotos. O pfSense mostrou-se a escolha acertada visto que suporta nativamente quaisquer das tecnologias que foram estudadas e implementadas, sem necessidade de usar recursos físicos muito caros, permitindo o uso de tecnologias de código aberto sem comprometer a segurança no funcionamento das soluções que suportam a segurança nas comunicações dos laboratórios remotos.

Humble leadership and team voice

This study examines the direct and indirect effects of humble leadership on team voice. Although the relationship between leadership styles and voice is widely investigated, humble leadership and team voice, both relatively new constructs, remained out of sight. Drawing upon social interdependence theory, information exchange, team psychological safety, and team-efficacy are proposed to mediate the relationship between humble leadership and team voice. Research is conducted at the team-level analysis and involved 209 team members from 52 teams in 21 companies collected through a snowball sample. Results were provided by the SPSS macro PROCESS using the regression-based approach and bootstrapping techniques. Findings showed that humble leadership is positively related to team voice. Furthermore, findings supported the mediating effect of information exchange. However, no support was given for the mediating effects of team psychological safety and team-efficacy. Theoretical and practical implications of the findings are addressed.

Tecnologias da informação e comunicação na formação continuada de professores: estudode caso em escolas do Brasil e Portugal com recursos e aplicação do Google+

Tese de Doutoramento em Ciências da Educação (área de especialização em Tecnologia Educativa)

Ensino, aprendizagem e avaliação no Ensino Superior: Perspetivas e práticas

Tese de Doutoramento em Ciências da Educação - Especialidade de Desenvolvimento Curricular

Factors associated with the donation and non-donation of embryos for research: a systematic review

Background: Systematic knowledge on the factors that influence the decisions of IVF users regarding embryo donation for research is a core need for patient-centred policies and ethics in clinical practice. However, no systematic review has been provided on the motivations of patients who must decide embryo disposition. This paper fills this gap, presenting a systematic review of quantitative and qualitative studies, which synthesizes the current body of knowledge on the factors and reasons associated with IVF patients’ decisions to donate or not to donate embryos for research. Methods: A systematic search of studies indexed in PubMed, ISIWoK and PsycINFO, published before November 2013, was conducted. Only empirical, peer-reviewed, full-length, original studies reporting data on factors and reasons associated with the decision concerning donation or non-donation of embryos for research were included. Eligibility and data extraction were performed by two independent researchers and disagreements were resolved by discussion or a third reviewer, if required. The main quantitative findings were extracted and synthesized and qualitative data were assessed by thematic content analysis. Results: A total of 39 studies met the inclusion criteria and were included in the review. More than half of the studies (n ¼ 21) used a quantitative methodology, and the remaining were qualitative (n ¼ 15) or mixed-methods (n ¼ 3) studies. The studies were derived mainly from European countries (n ¼ 18) and the USA(n ¼ 11). The proportion of IVF users who donated embryos for research varied from 7% in a study in France to 73% in a Swiss study. Those who donate embryos for research reported feelings of reciprocity towards science and medicine, positive views of research and high levels of trust in the medical system. They described their decision as better than the destruction of embryos and as an opportunity to help others or to improve health and IVF treatments. The perception of risks, the lack of information concerning research projects and the medical system and the conceptualization of embryos in terms of personhood were the most relevant motives for not donating embryos for research. Results relating to the influence of sociodemographic characteristics and reproductive and gynaecological history were mostly inconclusive. Conclusions: Three iterative and dynamic dimensions of the IVF patients’ decision to donate or not to donate embryos for research emerged from this review: the hierarquization of the possible options regarding embryo disposition, according to the moral, social and instrumental status attributed to embryos; patients’ understanding of expectations and risks of the research on human embryos; and patients’ experiences of information exchange and levels of trust in the medical-scientific institutions.

Development of an integrated approach to reliability management and operation

The research described in this thesis has been developed as a part of the Reliability and Field Data Management for Multi-component Products (REFIDAM) Project. This project was founded under the Applied Research Grants Scheme administered by Enterprise Ireland. The project was a partnership between Galway-Mayo Institute of Technology and Thermo King Europe. The project aimed to develop a system in order to manage the information required for reliability assessment and improvement of multi-component products, by establishing information flows within the company and information exchange with fleet users.

Estudi d'un sistema integrat en una empresa tecnològica

El projecte que es presenta és l’estudi de diferents sistemes integrats (ERP) per a la seva implementació en una empresa de desenvolupament de software. Els sistemes integrats són sistemes de gestió de la informació que integren i automatitzen moltes de les pràctiques del negoci d’una empresa per a facilitar-ne l’intercanvi d’informació entre les diferents parts. El projecte ha estat desenvolupat seguint la metodologia METRICA per a la implementació de software, i a partir d’aquesta metodologia s’han estudiat les característiques de l’empresa i posteriorment s’ha fet un anàlisi dels diferents sistemes integrats que podrien ser bones opcions per a implementar-los en l’empresa estudiada. Finalment, s’ha escollit el sistema integrat que més requisits acomplia per a ser instal·lat en l’empresa.

NanoImpactNet - Stakeholders' knowledge needs for research on the health and environmental impact of nanomaterials

NanoImpactNet (NIN) is a multidisciplinary European Commission funded network on the environmental, health and safety (EHS) impact of nanomaterials. The 24 founding scientific institutes are leading European research groups active in the fields of nanosafety, nanorisk assessment and nanotoxicology. This 4−year project is the new focal point for information exchange within the research community. Contact with other stakeholders is vital and their needs are being surveyed. NIN is communicating with 100s of stakeholders: businesses; internet platforms; industry associations; regulators; policy makers; national ministries; international agencies; standard−setting bodies and NGOs concerned by labour rights, EHS or animal welfare. To improve this communication, internet research, a questionnaire distributed via partners and targeted phone calls were used to identify stakeholders' interests and needs. Knowledge gaps and the necessity for further data mentioned by representatives of all stakeholder groups in the targeted phone calls concerned: potential toxic and safety hazards of nanomaterials throughout their lifecycles; fate and persistence of nanoparticles in humans, animals and the environment; risks associated to nanoparticle exposure; participation in the preparation of nomenclature, standards, methodologies, protocols and benchmarks; development of best practice guidelines; voluntary schemes on responsibility; databases of materials, research topics and themes. Findings show that stakeholders and NIN researchers share very similar knowledge needs, and that open communication and free movement of knowledge will benefit both researchers and industry. Consequently NIN will encourage stakeholders to be active members. These survey findings will be used to improve NIN's communication tools to further build on interdisciplinary relationships towards a healthy future with nanotechnology.

A Study of Alcohol Problems and Marriage from a Treatment Perspective

This thesis is concerned with alcohol problems and marital relationships. It is particularly interested in these dynamics from a treatment perspective. The study addresses theory, research and clinical practice in the field of alcohol problems. It specifically considers these areas as they relate to enhancing understanding of the dynamics between alcohol problems and marriage. The study examines three theoretical paradigms, the disease concept of addiction, behavioural/cognitive behavioural and systems based approaches to understanding alcohol addiction. This provides a multiple theory base from which research in the field and the clinical data collected in the current research is analysed and interpreted. The study reviews research findings that have contributed to the recognition of marital treatment interventions as significant in the alcohol field. It highlights the discrepancies between such research findings and developments in actual clinical practice. In doing so, the study illustrates the gap between theory, research and clinical practice. The need for a more effective framework of information exchange across these areas of activity is identified and a model for better exchange is presented and discussed. This model highlights the importance of including clients' experiences to influence policy, practice, theory and research. In the research, specific attention is focused on the experiences of couples in alcohol treatment. Clinical data is collected from a series of alcohol treatment couples group therapy sessions. The research analysis of the clinical data identifies and extracts concerns as expressed by couples in treatment. Interpretation of these identified concerns or themes is conducted by employing the theoretical constructs of the three selected theoretical paradigms in conjunction with group work theory. On the basis of the findings in this thesis a model for a maritally sensitive assessment framework is developed. The model identifies a number of factors that should be considered in order to enhance appreciation of the interaction between alcohol problems and marital dynamics. This has particular significance for treatment interventions.This resource was contributed by The National Documentation Centre on Drug Use.

Creació d'un Sistema d'Informació Geogràfica de Carreteres amb GEOMEDIA PROFESSIONAL 5.2

Aquest document detalla, desglossant la informació en diferents capítols, les tasques que s'han fet per a construir un sistema d'informació geogràfica (SIG) de carreteres emprant el producte Geomedia Professional 5.2 d'Intergraph: què és un SIG, per a què serveix, quins usos pot tenir i què el diferencia d'altres productes semblants com ara un programari de disseny assistit per ordinador (CAD) o un sistema de teledetecció, nocions de cartografia, formats d'intercanvi d'informació geogràfica, etc.

Megapoles

Megapoles is a network of 15 European capital cities established in recognition that these cities face similar public health challenges. The aim of the network is to improve health and reduce health inequalities through information exchange, comparison and co-operation between capital cities. Since its establishment in 1997 Megapoles has produced a number of publications that focus on the distinctive features of health promotion in an urban context. The Megapoles member cities are: Amsterdam, Athens, Berlin, Brussels, Copenhagen, Dublin, Helsinki, Lazio-Roma, Lisbon, London, Lyon, Madrid, Oslo, Stockholm and Vienna. Although not a capital city Lyon is a participant in the Megapoles network. Member cities are represented on the Megapoles network by senior politicians and health executives.

NanoImpactNet - building a multi-stakeholder dialogue on the health and environmental impact of nanomaterials

NanoImpactNet (NIN) is a multidisciplinary European Commission funded network on the environmental, health and safety (EHS) impact of nanomaterials. The 24 founding scientific institutes are leading European research groups active in the fields of nanosafety, nanorisk assessment and nanotoxicology. This 4-year project is the new focal point for information exchange within the research community. Contact with other stakeholders is vital and their needs are being surveyed. NIN is communicating with 100s of stakeholders: businesses; internet platforms; industry associations; regulators; policy makers; national ministries; international agencies; standard-setting bodies and NGOs concerned by labour rights, EHS or animal welfare. To improve this communication, internet research, a questionnaire distributed via partners and targeted phone calls were used to identify stakeholders' interests and needs. Knowledge gaps and the necessity for further data mentioned by representatives of all stakeholder groups in the targeted phone calls concerned: • the potential toxic and safety hazards of nanomaterials throughout their lifecycles; • the fate and persistence of nanoparticles in humans, animals and the environment; • the associated risks of nanoparticle exposure; • greater participation in: the preparation of nomenclature, standards, methodologies, protocols and benchmarks; • the development of best practice guidelines; • voluntary schemes on responsibility; • databases of materials, research topics and themes, but also of expertise. These findings suggested that stakeholders and NIN researchers share very similar knowledge needs, and that open communication and free movement of knowledge will benefit both researchers and industry. Subsequently a workshop was organised by NIN focused on building a sustainable multi-stakeholder dialogue. Specific questions were asked to different stakeholder groups to encourage discussions and open communication. 1. What information do stakeholders need from researchers and why? The discussions about this question confirmed the needs identified in the targeted phone calls. 2. How to communicate information? While it was agreed that reporting should be enhanced, commercial confidentiality and economic competition were identified as major obstacles. It was recognised that expertise was needed in the areas of commercial law and economics for a wellinformed treatment of this communication issue. 3. Can engineered nanomaterials be used safely? The idea that nanomaterials are probably safe because some of them have been produced 'for a long time', was questioned, since many materials in common use have been proved to be unsafe. The question of safety is also about whether the public has confidence. New legislation like REACH could help with this issue. Hazards do not materialise if exposure can be avoided or at least significantly reduced. Thus, there is a need for information on what can be regarded as acceptable levels of exposure. Finally, it was noted that there is no such thing as a perfectly safe material but only boundaries. At this moment we do not know where these boundaries lie. The matter of labelling of products containing nanomaterials was raised, as in the public mind safety and labelling are connected. This may need to be addressed since the issue of nanomaterials in food, drink and food packaging may be the first safety issue to attract public and media attention, and this may have an impact on 'nanotechnology as a whole. 4. Do we need more or other regulation? Any decision making process should accommodate the changing level of uncertainty. To address the uncertainties, adaptations of frameworks such as REACH may be indicated for nanomaterials. Regulation is often needed even if voluntary measures are welcome because it mitigates the effects of competition between industries. Data cannot be collected on voluntary bases for example. NIN will continue with an active stakeholder dialogue to further build on interdisciplinary relationships towards a healthy future with nanotechnology.

Let's talk: public evaluation of large projects: variational inequialities, bilevel programming and complementarity. a survey

Large projects evaluation rises well known difficulties because -by definition- they modify the current price system; their public evaluation presents additional difficulties because they modify too existing shadow prices without the project. This paper analyzes -first- the basic methodologies applied until late 80s., based on the integration of projects in optimization models or, alternatively, based on iterative procedures with information exchange between two organizational levels. New methodologies applied afterwards are based on variational inequalities, bilevel programming and linear or nonlinear complementarity. Their foundations and different applications related with project evaluation are explored. As a matter of fact, these new tools are closely related among them and can treat more complex cases involving -for example- the reaction of agents to policies or the existence of multiple agents in an environment characterized by common functions representing demands or constraints on polluting emissions.