889 resultados para quality of service, web services, composite web services, optimisation, genetic algorithms


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"Updates Personnel bibliography no. 86."

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"November 1993."

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Formerly Internal Revenue Service publication 455.

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Photocopy of: 1976 ed. Los Angeles : Human Interaction Research Institute.

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Photocopy of: 1975 ed.

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O tema central deste estudo é descrever e analisar a metodologia de avaliação adotada pela Secretaria de Estado da Saúde de São Paulo para avaliar os hospitais administrados por Organizações Sociais de Saúde (OSS), localizados na região metropolitana de São Paulo. O objetivo é descrever e analisar as dimensões selecionadas pela CGCSS – Coordenadoria de Gestão de Contratos de Serviços de Saúde e identificar os indicadores e as informaçoes geradas pelas OSS e encaminhadas rotineiramente para a CGCSS, além das ações tomadas em relação ao resultado dos indicadores e metas. Trata-se de uma pesquisa qualitativa, exploratória e descritiva, sendo analisados documentos técnicos e realizadas entrevistas semiestruturadas com técnicos da Secretaria de Estado da Saúde de São Paulo e com integrantes da Comissão de Avaliação da Execução dos Contratos de Gestão das Organizações Sociais. Conclui-se que a metodologia de avaliação de desempenho da OSS atende ao disposto na legislação estadual constante na lei nº 846/98, por meio do controle dos indicadores acordados previamente. Porém, a metodologia carece de indicadores capazes de avaliar a qualidade do serviço e o uso dos recursos financeiros. Um dos fatores relevantes em relação à pesquisa foi a falta de acesso aos dados, o que constitui a falta de publicização dos dados, por parte da SES/SP. Porém com a ajuda de alguns membros da comissão foi possível o acesso tardio, por entenderem ser informações públicas.

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Objective: To assess the reliability and validity of a brief measure of quality of life recently developed by the World Health Organization, the WHOQOL-BREF, and to examine its association with a variety of clinical and sociodemographic factors in older depressed patients. Design: Cross-sectional study. Methods: Older depressed patients (N=41) underwent diagnostic assessment using the Composite International Diagnostic Interview (CIDI) and were independently assessed on a variety of measures including the WHOQOL-BREF (a 26-item self-report questionnaire generating four domain scores), Hamilton Depression Rating Scale (HAM-D); Geriatric Depression Scale (GDS); Mini-mental State Examination (MMSE); Modified Barthel Index (MBI); Instrumental activities of daily living (IADL), and measures of physical health status and social relationships. Estimates of inter-rater and test-retest reliability, and concurrent validity were made. Results: 39 subjects completed the study. The majority of subjects (94.9%) received a diagnosis of DSM-IV Major Depressive Disorder. Levels of comorbidity were high. Three of the four domains of the WHOQOL-BREF (Physical, Psychological and Environment domains) demonstrated satisfactory reliability and validity. However, the Social Relationships domain exhibited poor validity. Quality of life scores were strongly correlated with severity of depression, number of self-reported physical symptoms and self-assessed general health status. There was no relationship between diagnostic comorbidity and quality of life scores. Conclusions: The WHOQOL-BREF was successfully administered to older depressed patients although the concurrent validity of one of its four domains was poor. Quality of life scores were strongly correlated with severity of depression, raising the issue of measurement redundancy.

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A variety of current and future wired and wireless networking technologies can be transformed into a seamless communication environments through application of context-based vertical handovers. Such seamless communication environments are needed for future pervasive/ubiquitous systems. Pervasive systems are context aware and need to adapt to context changes, including network disconnections and changes in network Quality of Service (QoS). Vertical handover is one of many possible adaptation methods. It allows users to roam freely between heterogeneous networks while maintaining the continuity of their applications. This paper proposes a vertical handover mechanism suitable for multimedia applications in pervasive systems. The paper focuses on the handover decision making process which uses context information regarding user devices, user location, network environment and requested QoS. (C) 2004 Elsevier B.V. All rights reserved.

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To assess the health-related quality-of-life (HRQOL) of children/adolescents with cystic fibrosis (CF) and compare HRQOL in children managed by cystic fibrosis outreach service (CFOS) with those treated in a cystic fibrosis center (CFC). To compare HRQOL of children with CF in Queensland with previously published HRQOL data from the United States and examine the relationship between HRQOL scores and pulmonary function. Study design: Participants were children/adolescents with CF and their parents managed by the Royal Children’s Hospital Queensland at a CFC or CFOS. Two HRQOL surveys were used: PedsQL™ and Cystic Fibrosis Questionnaire (CFQ). Results: There were 91 CFC and 71 CFOS participants with similar demographics. PedsQL™ total summary score was statistically higher in CFOS, P = .05. There was no significant difference in CFQ scores between groups. Queensland parents reported lower HRQOL for their children compared with US parents (P

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Vertical handovers can transform heterogeneous networks into an integrated communication environment. Such integration can lead to seamless communication if context information is used to support vertical handovers. Seamless communication environments are needed for future pervasive/ubiquitous systems, which are context aware and can adapt to context changes, including network disconnections, changes in network quality of service and changes in user preferences. This paper describes a generic, context-aware handover solution for multimedia applications and illustrates how this handover works for redirection of communication between WLANs and GPRS or UMTS networks. A description of a prototype for WLAN/GPRS handover and the results of handover experiments are also presented.

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This paper proposes an architecture for pervasive computing which utilizes context information to provide adaptations based on vertical handovers (handovers between heterogeneous networks) while supporting application Quality of Service (QoS). The future of mobile computing will see an increase in ubiquitous network connectivity which allows users to roam freely between heterogeneous networks. One of the requirements for pervasive computing is to adapt computing applications or their environment if current applications can no longer be provided with the requested QoS. One of possible adaptations is a vertical handover to a different network. Vertical handover operations include changing network interfaces on a single device or changes between different devices. Such handovers should be performed with minimal user distraction and minimal violation of communication QoS for user applications. The solution utilises context information regarding user devices, user location, application requirements, and network environment. The paper shows how vertical handover adaptations are incorporated into the whole infrastructure of a pervasive system

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Pervasive systems need to be context aware and need to adapt to context changes, including network disconnections and changes in network Quality of Service (QoS). Vertical handover (handover between heterogeneous networks) is one of possible adaptation methods. It allows users to roam freely between heterogeneous networks while maintaining continuity of their applications. This paper proposes a vertical handover approach suitable for multimedia applications in pervasive systems. It describes the adaptability decision making process which uses vertical handovers to support users mobility and provision of QoS suitable for users’ applications. The process evaluates context information regarding user devices, User location, network environment, and user perceived QoS of applications.