Many small business owners lack strategies needed to prevent permanent business closure in the wake of extreme natural disaster situations. After a natural disaster, small businesses suffer financial losses in millions of dollars related to damage and destruction that disrupt their lives, families, and communities. This multiple case study explored strategies that 5 small business owners in northeastern Florida used to avoid permanent business closure in the aftermath of a natural disaster. The theory of planned behavior and vested interest theory were the conceptual frameworks used in this multiple case study. In-depth interviews with purposively selected small business owners were supplemented with a review of documentation from archival records. Yin's 5-step analysis guided the coding process of participants' responses, and member checking was used to validate the transcribed data. The major themes of the study revealed the owners' strategies relating to flood barriers, maintaining adequate insurance coverage, damage and destruction aftermath, and experience with natural disasters. This study's implications for social change include contributing to social stability and continuing economic growth by benefitting small business owners without a natural disaster plan or a plan that needs updating, new small business owners, and community organizations. This study may benefit small businesses by providing lessons learned on how to survive natural disasters.

This dissertation explores crisis management policies, programs, and training in the Kingdom of Saudi Arabia’s premier airliners, Saudi Arabian Airlines. Saudi Arabian Airlines is a domestic and international carrier with a major role in the transportation of millions of Muslim pilgrims to the Kingdom during the annual Hajj season. This event places enormous strains on the capacity of the carrier, the airport, ground support systems, and the societal infrastructure of country. There have been tireless efforts by the Airline’s staffers to serve millions of visitors including pilgrims in a timely, safe and appropriate manner. Crisis management for Saudi Arabian Airlines includes assessment of natural and man-made risks in the firm’s operational environment, the development of a comprehensive response plan that includes training of staff at all levels of the firm, compliance with all relevant legal and regulatory mandates, and the use of effective response tools and systems. Saudi Arabian Airlines is viewed herein as best approached through the theoretical lens of Systems Theory, which speaks to the interdependency that exists within complex, multi-faceted systems. To identify the approach taken by Saudi Arabian Airlines to crisis management and to assess whether or not its response could be enhanced through additional planning, training or other strategies, a case study including review of relevant literature augmented by a survey of a sample of industry employees was undertaken. The survey instrument, coupled with an analysis of relevant crisis management protocols and practices including those recommended by organizations such as the International Air Transport Association was sued. The study identifies a need for additional training of the Airlines’ employees for a more effective crisis response

Indiana University-Purdue University Indianapolis (IUPUI) / Physicians receive multiple CCDs for a single patient encompassing various encounters and medical history recorded in different information systems. It is cumbersome for providers to explore different pages of CCDs to find specific data which can be duplicated or even conflicted. This study describes the steps towards a system that integrates multiple CCDs into one consolidated document for viewing or processing patient-level data. Also, the impact of the system on healthcare providers’ perceived workload is evaluated. A modular system is developed to consolidate and de-duplicate CDA-based documents. The system is engineered to be scalable, extensible and open source. The system’s performance and output has evaluated first based on synthesized data and later based on real-world CCDs obtained from INPC database. The accuracy of the consolidation system along with the gaps in identification of the duplications were assessed. Finally, the impact of the system on healthcare providers’ workload is evaluated using NASA TLX tool. All of the synthesized CCDs were successfully consolidated, and no data were lost. The de-duplication accuracy was 100% based on synthesized data and the processing time for each document was 1.12 seconds. For real-world CCDs, our system de-duplicated 99.1% of the problems, 87.0% of allergies, and 91.7% of medications. Although the accuracy of the system is still very promising, however, there is a minor inaccuracy. Due to system improvements, the processing time for each document is reduced to average 0.38 seconds for each CCD. The result of NASA TLX evaluation shows that the system significantly decreases healthcare providers’ perceived workload. Also, it is observed that information reconciliation reduces the medical errors. The time for review of medical documents review time is significantly reduced after CCD consolidation. Given increasing adoption and use of Health Information Exchange (HIE) to share data and information across the care continuum, duplication of information is inevitable. A novel system designed to support automated consolidation and de-duplication of information across clinical documents as they are exchanged shows promise. Future work is needed to expand the capabilities of the system and further test it using heterogeneous vocabularies across multiple HIE scenarios.

京都大学 / 0048 / 新制・課程博士 / 博士(理学) / 甲第20157号 / 理博第4242号 / 新制||理||1610(附属図書館) / 京都大学大学院理学研究科数学・数理解析専攻 / (主査)准教授 照井 一成, 教授 岡本 久, 教授 長谷川 真人 / 学位規則第4条第1項該当 / Doctor of Science / Kyoto University / DFAM

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In a world full of digital information we should be able to easily collect, organize, annotate, and leverage information from many different sources. This should be easy to do and not interrupt our normal workflow. A system to support information collection and organization should be user-friendly and as unobtrusive as possible, while still allowing for flexible and intelligent annotation. It should also be able to leverage the inherent information content of a collection of annotated information. We present a system that will demonstrate how these ideas can come together to make information collection easier and more productive. The system facilitates collection, organization, and annotation of information using screen captures, and leverages the information content of the annotated collection to automatically summarize the information and find additional related information via searchable document repositories. ScreenCrayons is a system for collecting annotations on any type of document or visual information from any application. The basis for the system is a screen capture upon which the user can highlight the relevant portions of the image. The user can define any number of topics for organizing notes. Each topic is associated with a highlighting "crayon." In addition the user can supply annotations in digital ink or text. Algorithms are described that summarize captured images based on the highlight strokes so as to provide overviews of many annotations as well as being able to "zoom in" on particular information about a given note and the context of that note. Annotations the user makes on the screen captures are automatically associated with regions of text that are then used to formulate queries to a search engine. The results of these queries are filtered and ranked based on their similarity to the original annotations. The system then presents links to these documents to the user. We also describe an experiment that shows that the documents found by the annotation system are generally found to be more relevant to a user's topic than the users own queries using the search engine.

There has been a recent trend towards increasing accountability of mental health care providers through the use of treatment outcome measures, in order to reduce spending and improve patient care. This qualitative study utilized focus groups to elicit input regarding the need and possible content involved in creating an improved outcome measure specifically designed for severe emotionally disturbed (SED) children and adolescents. We conducted 60-90 minute focus groups with each of the following three separate constituent groups who are regularly involved in the care of SED youth at the Utah State Hospital (USH), including a) hospital clinical staff, b) affiliated education staff, and c) parents/primary caregivers; as well as clinical staff at a community mental health youth outpatient clinic, the Wasatch Mental Health (WMH) Youth Outpatient Program. While the groups agreed that a new unified system of tracking outcomes could be beneficial as an aid in improving outcomes, their greater concern is about a lack of communication between disciplines and between levels of care. Six broad domains were divided between two sections of Internal versus External Locus of Control (Internal: Behavior, Social/Emotional, Academic/Cognitive, and Strength-Based Assessment; External: Collaboration among Care Providers and Family) and 23 subdomains were generated based on themes identified from the focus groups' responses. We also compared these domains and subdomains to ones previously generated by a USH pilot study and found some overarching similarities, but also some notable differences and both should be considered in any future outcome measure created. However, the most prevalent theme we found was a desire for an increase in collaboration and communication between constituencies and throughout levels of care, which is vitally important to improve care and long-term outcomes of SED youth.

Objectives: The aim of this study was to gain a thorough understanding of parents’ perceptions of and experiences with the care networks surrounding young children (<=12 years) with inherited metabolic diseases (IMDs). Methods: In this mixed methods study, parent participants created a ‘care map’ depicting their child’s network of care providers. We analyzed care maps using social network analysis. A subset of parents participated in a semi-structured interview. We analyzed interviews thematically and integrated quantitative and qualitative results narratively. Results: Sixty parents contributed care maps and 10 participated in interviews. Parent-drawn care networks were large with few connections between providers. Parents felt responsible for creating and maintaining care networks and for coordinating care. They valued providers who trusted them as part of their child’s health care team. Conclusions: Our findings highlight the complexity of care for children with IMDs and can inform the design of interventions to improve care.