Conceptual models for designing information systems supporting the strategic analysis of technology environments

1 6 STRUCTURE OF THIS THESIS -Chapter I presents the motivations of this dissertation by illustrating two gaps in the current body of knowledge that are worth filling, describes the research problem addressed by this thesis and presents the research methodology used to achieve this goal. -Chapter 2 shows a review of the existing literature showing that environment analysis is a vital strategic task, that it shall be supported by adapted information systems, and that there is thus a need for developing a conceptual model of the environment that provides a reference framework for better integrating the various existing methods and a more formal definition of the various aspect to support the development of suitable tools. -Chapter 3 proposes a conceptual model that specifies the various enviromnental aspects that are relevant for strategic decision making, how they relate to each other, and ,defines them in a more formal way that is more suited for information systems development. -Chapter 4 is dedicated to the evaluation of the proposed model on the basis of its application to a concrete environment to evaluate its suitability to describe the current conditions and potential evolution of a real environment and get an idea of its usefulness. -Chapter 5 goes a step further by assembling a toolbox describing a set of methods that can be used to analyze the various environmental aspects put forward by the model and by providing more detailed specifications for a number of them to show how our model can be used to facilitate their implementation as software tools. -Chapter 6 describes a prototype of a strategic decision support tool that allow the analysis of some of the aspects of the environment that are not well supported by existing tools and namely to analyze the relationship between multiple actors and issues. The usefulness of this prototype is evaluated on the basis of its application to a concrete environment. -Chapter 7 finally concludes this thesis by making a summary of its various contributions and by proposing further interesting research directions.

Proyecto de implantación de un Sistema de BI para el análisis de la calidad de un Servicio.

Proyecto de implantación de un sistema de business intelligence para el análisis de la calidad de un servicio. El objetivo del presente proyecto es el análisis de una herramienta de apoyo al estudio de la calidad de un servicio, en este caso, servicio sanitario, enfocada desde la perspectiva del área de Ingeniería del software.

Construcción de un SIG para la Gestión de Explotación de Recursos del Subsuelo

Aquest Treball final de carrera (TFC) és una implantació d'una solució SIG, amb l¿objectiu d¿ajudar a prendre decisions en l'explotació de recursos del subsòl, dit d'una altra manera, una eina de suport per valorar quines són les parcel·les del terreny òptimes per iniciar la seva explotació. El Treball es divideix en dues parts, una teòrica i una altra pràctica. La part teòrica consisteix en l'estudi de les característiques fonamentals d'un SIG, a més d'un estudi pràctic dels aspectes generals del programa gvSIG. La part pràctica consisteix en el desenvolupament d'una solució SIG amb la finalitat de donar resposta als objectius proposats en aquest Treball final de carrera.

Análisis de contenido de la lista dedistribución IweTel (1998-2000)

La llista de distribució s'ha mostrat durant l'última dècada com una eina eficaç a l'hora de vertebrar la comunicació professional. De fet, és un primer pas cap a les comunitats virtuals. En aquest article s'estudia l'evolució d'un cas concret, IweTel, i de l'ús que els subscriptors van fer -ne, a partir de l'anàlisi de contingut dels missatges que van ser enviats entre 1998 i 2000. De l'estudi es desprèn que es tracta d'una llista utilitzada fonamentalment per a la comunicació professional i l'intercanvi d'informació, encara que pateix d'una falta notòria d'implicació activa per part dels seus subscriptors. Per altra banda, encara que han estat notables les millores fruit de la moderació, hi ha una absència viciosa de contingut científic o acadèmic en els debats desenvolupats.

Telemedicine influence on the follow-up of type 2 diabetes patients.

OBJECTIVE This study was designed to evaluate the impact of a teleassistance system on the metabolic control of type 2 diabetes patients. RESEARCH DESIGN AND METHODS We conducted a 1-year controlled parallel-group trial comparing patients randomized (1) to an intervention group, assigned to a teleassistance system using real-time transmission of blood glucose results, with immediate reply when necessary, and telephone consultations, or (2) to a control group, being regularly followed-up at their healthcare center. Study subjects were type 2 diabetes patients >30 years of age followed in the primary care setting. RESULTS A total of 328 type 2 diabetes patients were recruited from 35 family practices in the province of Málaga, Spain. There was a reduction in hemoglobin A1c after 12 months from 7.62 +/- 1.60% to 7.40 +/- 1.43% (P = 0.027) in the intervention group and from 7.44 +/- 1.31% to 7.35 +/- 1.38% (P = 0.303) in the control group. The difference in the change between groups was not statistically significant. There was also a significant decrease in systolic and diastolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, and body mass index in the intervention group. In the control group, the only significant decline was in low-density lipoprotein cholesterol. CONCLUSIONS A teleassistance system using real-time transmission of blood glucose results with an option to make telephone consultations is feasible in the primary care setting as a support tool for family physicians in their follow-up of type 2 diabetes patients.

Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial.

BACKGROUND Breast cancer survivors suffer physical impairment after oncology treatment. This impairment reduces quality of life (QoL) and increase the prevalence of handicaps associated to unhealthy lifestyle (for example, decreased aerobic capacity and strength, weight gain, and fatigue). Recent work has shown that exercise adapted to individual characteristics of patients is related to improved overall and disease-free survival. Nowadays, technological support using telerehabilitation systems is a promising strategy with great advantage of a quick and efficient contact with the health professional. It is not known the role of telerehabilitation through therapeutic exercise as a support tool to implement an active lifestyle which has been shown as an effective resource to improve fitness and reduce musculoskeletal disorders of these women. METHODS / DESIGN This study will use a two-arm, assessor blinded, parallel randomized controlled trial design. People will be eligible if: their diagnosis is of stages I, II, or IIIA breast cancer; they are without chronic disease or orthopedic issues that would interfere with ability to participate in a physical activity program; they had access to the Internet and basic knowledge of computer use or living with a relative who has this knowledge; they had completed adjuvant therapy except for hormone therapy and not have a history of cancer recurrence; and they have an interest in improving lifestyle. Participants will be randomized into e-CUIDATE or usual care groups. E-CUIDATE give participants access to a range of contents: planning exercise arranged in series with breathing exercises, mobility, strength, and stretching. All of these exercises will be assigned to women in the telerehabilitation group according to perceived needs. The control group will be asked to maintain their usual routine. Study endpoints will be assessed after 8 weeks (immediate effects) and after 6 months. The primary outcome will be QoL measured by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 version 3.0 and breast module called The European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire. The secondary outcomes: pain (algometry, Visual Analogue Scale, Brief Pain Inventory short form); body composition; physical measurement (abdominal test, handgrip strength, back muscle strength, and multiple sit-to-stand test); cardiorespiratory fitness (International Fitness Scale, 6-minute walk test, International Physical Activity Questionnaire-Short Form); fatigue (Piper Fatigue Scale and Borg Fatigue Scale); anxiety and depression (Hospital Anxiety and Depression Scale); cognitive function (Trail Making Test and Auditory Consonant Trigram); accelerometry; lymphedema; and anthropometric perimeters. DISCUSSION This study investigates the feasibility and effectiveness of a telerehabilitation system during adjuvant treatment of patients with breast cancer. If this treatment option is effective, telehealth systems could offer a choice of supportive care to cancer patients during the survivorship phase. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT01801527.

Cuestiones controvertidas en evaluación económica (I): perspectiva y costes de intervenciones sanitarias.

Economic evaluation of health care interventions has experienced a strong growth over the past decade and is increasingly present as a support tool in the decisions making process on public funding of health services and pricing in European countries. A necessary element using them is that agents that perform economic evaluations have minimum rules with agreement on methodological aspects. Although there are methodological issues in which there is a high degree of consensus, there are others in which there is no such degree of agreement being closest to the normative field or have experienced significant methodological advances in recent years. In this first article of a series of three, we will discuss on the perspective of analysis and assessment of costs in economic evaluation of health interventions using the technique Metaplan. Finally, research lines are proposed to overcome the identified discrepancies.

Cuestiones controvertidas en evaluación económica (III). Intervenciones sanitarias en tres situaciones especiales: enfermedades raras, tratamientos al final de la vida y externalidades en las evaluaciones.

The development of the economic evaluation of health care interventions has become a support tool in making decisions on pricing and reimbursement of new health interventions. The increasingly extensive application of these techniques has led to the identification of particular situations in which, for various reasons, it may be reasonable to take into account special considerations when applying the general principles of economic evaluation. In this article, which closes a series of three, we will discuss, using the Metaplan technique, about the economic evaluation of health interventions in special situations such as rare diseases and end of life treatments, as well as consideration of externalities in assessments, finally pointing out some research areas to solve the main problems identified in these fields.

Predictive analysis and mapping of indoor radon concentrations in Switzerland

It is estimated that around 230 people die each year due to radon (222Rn) exposure in Switzerland. 222Rn occurs mainly in closed environments like buildings and originates primarily from the subjacent ground. Therefore it depends strongly on geology and shows substantial regional variations. Correct identification of these regional variations would lead to substantial reduction of 222Rn exposure of the population based on appropriate construction of new and mitigation of already existing buildings. Prediction of indoor 222Rn concentrations (IRC) and identification of 222Rn prone areas is however difficult since IRC depend on a variety of different variables like building characteristics, meteorology, geology and anthropogenic factors. The present work aims at the development of predictive models and the understanding of IRC in Switzerland, taking into account a maximum of information in order to minimize the prediction uncertainty. The predictive maps will be used as a decision-support tool for 222Rn risk management. The construction of these models is based on different data-driven statistical methods, in combination with geographical information systems (GIS). In a first phase we performed univariate analysis of IRC for different variables, namely the detector type, building category, foundation, year of construction, the average outdoor temperature during measurement, altitude and lithology. All variables showed significant associations to IRC. Buildings constructed after 1900 showed significantly lower IRC compared to earlier constructions. We observed a further drop of IRC after 1970. In addition to that, we found an association of IRC with altitude. With regard to lithology, we observed the lowest IRC in sedimentary rocks (excluding carbonates) and sediments and the highest IRC in the Jura carbonates and igneous rock. The IRC data was systematically analyzed for potential bias due to spatially unbalanced sampling of measurements. In order to facilitate the modeling and the interpretation of the influence of geology on IRC, we developed an algorithm based on k-medoids clustering which permits to define coherent geological classes in terms of IRC. We performed a soil gas 222Rn concentration (SRC) measurement campaign in order to determine the predictive power of SRC with respect to IRC. We found that the use of SRC is limited for IRC prediction. The second part of the project was dedicated to predictive mapping of IRC using models which take into account the multidimensionality of the process of 222Rn entry into buildings. We used kernel regression and ensemble regression tree for this purpose. We could explain up to 33% of the variance of the log transformed IRC all over Switzerland. This is a good performance compared to former attempts of IRC modeling in Switzerland. As predictor variables we considered geographical coordinates, altitude, outdoor temperature, building type, foundation, year of construction and detector type. Ensemble regression trees like random forests allow to determine the role of each IRC predictor in a multidimensional setting. We found spatial information like geology, altitude and coordinates to have stronger influences on IRC than building related variables like foundation type, building type and year of construction. Based on kernel estimation we developed an approach to determine the local probability of IRC to exceed 300 Bq/m3. In addition to that we developed a confidence index in order to provide an estimate of uncertainty of the map. All methods allow an easy creation of tailor-made maps for different building characteristics. Our work is an essential step towards a 222Rn risk assessment which accounts at the same time for different architectural situations as well as geological and geographical conditions. For the communication of 222Rn hazard to the population we recommend to make use of the probability map based on kernel estimation. The communication of 222Rn hazard could for example be implemented via a web interface where the users specify the characteristics and coordinates of their home in order to obtain the probability to be above a given IRC with a corresponding index of confidence. Taking into account the health effects of 222Rn, our results have the potential to substantially improve the estimation of the effective dose from 222Rn delivered to the Swiss population.

Sistema de indicadores para la gestión sostenible de un destino turístico: aplicación a la Costa Brava centro

Strategic management is based upon a performance measurement system that allows gearing decision making towards accomplishing the established objectives.In a changing economic situation, the measurement of the effects of tourism is fundamental in order to know the efficiency and sustainability of that industry and of the territory in which takes place its activity. We propose a performance measurement system for the sustainable management of a tourism destination, so it will support the adoption of public policies and their follow-up, and as an instrument that will promote the responsible participation of the stakeholders with stakes in the destination. In accordance with the guidelines of the Agenda for a sustainable and competitive European tourism, we design a system based on the identification of the axes over which hinges the success of the management of tourism destinations, taking into account the long-term sustainability of this activity. We position the performance measurement system, and especially the balanced scorecard, as a support tool for the strategic planning of destinations. To the extent that this is possible, the performance measures are selected and structured according to the patterns of the balanced scorecard. Finally, we apply the conceptual model to the central Costa Brava

Centre d'Atenció a l'Usuari (CAU) : Implantació i adaptació de GLPI en un entorn universitari

A partir dels requeriments, definits per la Universitat de Lleida, es proposa una implementació d'una eina de suport basada en un producte de programari lliure anomenat GLPI. El procés d'implementació passa per la parametrització de GLPI al model requerit, mirant d'evitar la necessitat de modificar el codi del sistema escollit.

Implementing the Product Configurator in a Large Manufacturing Company

Työn tavoitteena on kuvata hissin ovien tuotekonfigurointiprosessia sekä SAP R/3 tuotekonfiguraattorin käyttöönoton aiheuttamia vaikutuksia. Työssä kuvataan myös uuden tuotekonfiguraattorin kehitystä, testausta, käyttöönottoa sekä pitkäaikaishallintaa. Tuotekonfigurointi on tehokas tapa toteuttaa massaräätälöintiä. Sen tarkoituksena on yhdistää massatuotannon ja asiakaskohtaisen tuotannon etuja tarjoamalla asiakkaille räätälöityjä, esisuunniteltuihin komponentteihin ja ennalta määrättyyn konfigurointimalliin perustuvia tuotteita. Näitä tuotteita tuotetaan konfigurointiprosessissa. Tämä prosessi voi olla erittäin monimutkainen ja altis virheille, joten sen tueksi on kehitetty tuotekonfiguraattoreita. Tuotekonfiguraattorit voivat tehostaa konfigurointiprosessia merkittävästi. KONE on valmistanut konfiguroitavia tuotteita useita vuosikymmeniä ja se on käyttänyt prosessien tukemiseen useita eri konfiguraattoreita. Näin ollen uuden konfiguraattorin käyttöönoton vaikutusten ei oleteta olevan niin dramaattisia kuin otettaessa konfiguraattoria käyttöön ensimmäisen kerran. Uudella konfiguraattorilla on kuitenkin useita vaikutuksia tuotteen hallintaan, konfigurointiprosessiin, tietojärjestelmiin, alihankkijoihin sekä asiakkaisiin. Konfiguraattorin käyttöönoton vaikutuksia tehostaa projektin liittyminen ERP järjestelmän käyttöönottoon

Projektisalkkunäkymät teknologiaohjelman päätöksenteon tukena

Tämän diplomityön tavoitteena on kuvata Teknologian kehittämiskeskuksen (Tekes) teknologiaohjelmien päätöksentekoa sekä kehittää teknologiaohjelman päätöksentekoa tukevia tiedon esittämistapoja eli projektisalkkunäkymiä. Työssä käytettiin laadullista tutkimusotetta. Työn toteuttamisessa noudatettiin osallistuvan havainnoinnin toiminta-tutkimuksen periaatteita. Siinä tutkija itse osallistuu havaitun tutkimusongelman ratkaisuun yhdessä tutkimuskohteensa kanssa. Tämän työn empiirinen aineisto kerättiin vuoden 2002 ja 2003 aikana toteutetun teknologiaohjelman ohjaustyökalun pilotointiprojektin yhteydessä. Pilotointiprojektin aikana tehdyt havainnot ja kehittämistyön kuvaus ja tulokset on koottu työn empiriassa esiteltyihin analyyseihin, johtopäätöksiin sekä jatkotoimenpide-ehdotuksiin. Työn tutkimustuloksina voidaan esittää, että teknologiaohjelman päätöksenteko perustuu ohjelman nykytilaan, tulevaisuuteen, projektien hyödyntämispotentiaaliin, haastavuuteen sekä verkottumiseen liittyvien tietojen tarkasteluun. Päätöksenteko jakaantuu ohjelmaorganisaation edustajien johtoryhmän, ohjelmapäällikön ja teknologia-asiantuntijan kesken. Heillä on päätöksentekoon, kommentointiin, esittelyyn sekä tiedoksisaantiin liittyviä rooleja. Nykyisin teknologiaohjelmien päätöksentekokäytännöt vaihtelevat ohjelmittain hyvinkin paljon. Päätöksentekoon kaivataan systematiikkaa sekä objektiivisuutta. Pilotointiprojektissa saatujen kokemusten perusteella visualisoidut projektisalkkunäkymät antavat teknologiaohjelmien päätöksenteolle kaivattua tukea. Salkkunäkymien avulla voidaan tarkastella ohjelman nykytilaa, tulevaisuutta, verkottumista, riskejä sekä tuotto-odotuksia. Salkkunäkymien tuottamisen helpottamiseksi tulisi edelleen kehittää projektikohtaisen tiedon keräämistapoja sekä projektisalkun hallinta-prosesseja.

Classifier combination for in vivo magnetic resonance spectra of brain tumours

Peer-reviewed

Approximation to the theory of affinities to manage the problems of the groupping process

New economic and enterprise needs have increased the interest and utility of the methods of the grouping process based on the theory of uncertainty. A fuzzy grouping (clustering) process is a key phase of knowledge acquisition and reduction complexity regarding different groups of objects. Here, we considered some elements of the theory of affinities and uncertain pretopology that form a significant support tool for a fuzzy clustering process. A Galois lattice is introduced in order to provide a clearer vision of the results. We made an homogeneous grouping process of the economic regions of Russian Federation and Ukraine. The obtained results gave us a large panorama of a regional economic situation of two countries as well as the key guidelines for the decision-making. The mathematical method is very sensible to any changes the regional economy can have. We gave an alternative method of the grouping process under uncertainty.