Thesis--University of Turku, Finland, 2001. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (Ph. D.)--Rand Graduate School, 1995. / At head of title: Dissertation. "RGSD-126." Includes bibliographical references (p. 264-267).

Thesis (M.S.)--University of Michigan, 1995.

Thesis (M.S.)--University of Michigan, 1995.

Thesis--University of Turku, Finland, 2001. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 64-71).

Estudo de caso Ãnico com o objetivo geral de avaliar a estrutura, o processo e o resultado da atenÃÃo em diabetes no Centro Integrado de Diabetes e HipertensÃo de Barbalha-CearÃ. Da amostra constaram 108 prontuÃrios de saÃde de usuÃrios com diabetes mellitus tipo 2 e nove profissionais envolvidos na atenÃÃo em diabetes. A coleta de dados desenvolveu-se no perÃodo de julho a dezembro de 2011 utilizando-se de trÃs fontes de evidÃncias: prontuÃrios de saÃde, mapas e observaÃÃo direta. Para anÃlise adotou-se AvaliaÃÃo de Cuidados em SaÃde proposta por Donabedian (1980). Em relaÃÃo à caracterizaÃÃo dos usuÃrios, segundo se constatou ,85,2% eram do sexo feminino, mediana de idade de 67 anos, tempo de tratamento com mediana de 8 anos, 97,7% tinham hipertensÃo arterial, 91,6% estavam em acompanhamento com endocrinologista, 46,3% em uso de antidiabÃtico oral associado a anti-hipertensivo e insulina, 24,1% de aspirina e 23,1% de estatinas. Quanto ao componente estrutura, a estrutura fÃsica contraria em parte o preconizado pela AgÃncia Nacional de VigilÃncia SanitÃria, portanto, inadequada para atender plenamente as necessidades dos usuÃrios e dos profissionais. No tocante aos recursos materiais, medicamentos e insumos, suprem as necessidades quanto Ãs quantidades existentes. No referente ao componente processo, as consultas de enfermagem nÃo sÃo baseadas na metodologia da assistÃncia, as mÃdicas sÃo centradas na relaÃÃo queixa-conduta e as de nutriÃÃo na prescriÃÃo do plano e educaÃÃo alimentar. OrientaÃÃes quanto à alimentaÃÃo foram ofertadas aos usuÃrios pelo enfermeiro e mÃdico, com Ãnfase na restriÃÃo do sal, do aÃÃcar, das gorduras e na diminuiÃÃo dos carboidratos, enquanto os nutricionistas abordaram aspectos dos grupos alimentares, suas substituiÃÃes e regularidade dos horÃrios das refeiÃÃes. Apenas o endocrinologista orientou sobre atividade fÃsica. Quanto Ãs orientaÃÃes sobre medicamentos, o enfermeiro foi o principal responsÃvel. Evidenciaram-se lacunas no inerente à oferta de orientaÃÃes educativas grupais pelos profissionais de saÃde aos usuÃrios. O exame dos pÃs dos usuÃrios nÃo fazia parte do atendimento do endocrinologista e do enfermeiro. O auxiliar e o tÃcnico de enfermagem realizavam a verificaÃÃo da glicemia capilar, da pressÃo arterial, do peso corporal e da altura. Enquanto o recepcionista e o auxiliar de serviÃos gerais desempenharam parte das suas competÃncias tÃcnicas, o auxiliar e o tÃcnico de enfermagem apresentaram o maior nÃmero de registros nos prontuÃrios, seguidos pelo mÃdico. Embora o registro das consultas de nutriÃÃo tenha se revelado incipiente e as de enfermagem nÃo tenham atingido a totalidade dos prontuÃrios, o registro da aferiÃÃo da pressÃo arterial, da glicemia capilar e o do peso à prÃtica estabelecida na rotina do centro. Jà o registro da altura e do Ãndice de massa corpÃrea foi incipiente, enquanto o da circunferÃncia abdominal foi inexistente. No tocante ao exame do pà e do olho, os percentuais de registro foram baixos no perÃodo investigado. Segundo constatado, o registro de exames laboratoriais nÃo alcanÃou a totalidade dos prontuÃrios investigados, mas o registro de orientaÃÃes acerca da alimentaÃÃo e atividade fÃsica obteve percentuais expressivos no perÃodo estudado. Houve lacunas de registros quanto a estratÃgias educativas grupais referentes ao tratamento medicamentoso e nÃo medicamentoso. Quanto ao componente resultado, constatou-se no ano de 2007 que o serviÃo atendeu a exigÃncia do indicador LDL colesterol < 100mg/dl, em 2008 cumpriu o determinado para os indicadores hemoglobina A1c > 9%, A1c < 7% e o LDL < 100mg/dl. Contudo, no ano de 2009, o Ãnico indicador alcanÃado foi o LDL < 100 mg/dl. Diante dos resultados encontrados e compreendendo a avaliÃÃo em saÃde como instrumento para tomada de decisÃo, ressalta-se a importÃncia da atenÃÃo do gestor municipal, coordenaÃÃo e profissionais em reestruturar o referido centro em face das fragilidades constatadas. / This is a single case study that aimed to assess the structure, the process and the outcome of diabetes care in the Integrated Center for Diabetes and Hypertension of Barbalha-CE, Brazil. The sample consisted of 108 medical records of patients with diabetes mellitus type 2 and nine professionals involved in diabetes care. Data collection was carried out from July to December 2011, using three sources of evidence: medical records, maps and direct observation. For the analysis, we used the Health Care Evaluation proposed by Donabedian (1980). Regarding the characterization of users, we verified that 85.2% were female, median age of 67 years, with median treatment time of 8 years, 97.7% had hypertension, 91.6% were in endocrinology follow-up, 46.3% were using oral antidiabetic associated with antihypertensive and insulin, 24.1% aspirin and 23.1% statins. Regarding the component structure, the physical structure partly contradicts the recommendations of the National Agency for Sanitary Vigilance, therefore inadequate to fully meet the needs of users and professionals. As for the material resources, medicines and supplies, they met the needs concerning the existing quantities. Regarding the component process, we verified that nursing consultations are not based on the assistance methodology; medical consultations are centered on the complaint-behavior relationship; and nutrition consultations in the plan prescription and nutrition education. Guidelines on eating were offered to the users by nurses and doctors, focusing on restriction of salt, sugar, fat and carbohydrates decrease, while nutritionists approached aspects of the food groups, their replacements and regularity of mealtimes. Only the endocrinologist advised about physical activity. Regarding the guidelines on medication, nurses were the main responsible. We identified gaps inherent to the offer of group educational guidelines to users by health professionals. The foot examination was not part of the assistance of endocrinologists and nurses. The nurse assistants and technicians performed the verification of blood glucose, blood pressure, body weight and height. The receptionist and general services assistant played part of their technical skills, while the nurse assistants and technicians presented the highest number of medical records, followed by doctors. Although the register of nutrition consultations has proved incipient and the nursing consultations have not fully reached the records, the register of blood pressure, blood glucose and weight measurements are established practices in the daily routine of the center. The register of height and body mass index was incipient, while waist circumference was nonexistent. Regarding the foot and eye examination, the registration rates were low in the investigated period. We found that the register of laboratory tests did not reach all the records investigated, but the register of guidelines on diet and physical activity presented significant percentage during the study period. There were gaps in records on the group educational strategies concerning the medical and non-medical treatment. Regarding the component outcome, we verified that in 2007 the service has met the requirement of the indicator LDL cholesterol < 100mg/dl, in 2008 it has met the specific indicators for A1c hemoglobin > 9%, A1c < 7% and LDL < 100 mg/dl. However, in 2009, the only indicator achieved was LDL < 100 mg/dl. Considering the results found and understanding the health services evaluation as a tool for decision-making, we highlight the importance of the attention of the city manager, coordination and professionals in order to restructure the center in study, given the weaknesses noted.

As more systems are becoming embedded hardware-based, challenges regarding software safety and considerable consequences of their failure arise. Various safety standards assure certain safety aspects of systems, addressing areas including testing. The safety standards chosen for this thesis are ISO/IEC/IEEE 29119-2 &amp; 3, IEC 61508-1 &amp; 3, ISO 13849-1 &amp; 2, and ISO/IEC/IEEE 12207:2017. This thesis tackles the problem of compliance with safety standards by utilising a lightweight assessment method, leading to recommendations for improving the test process of an industrial control system. A case study is performed on an automation company to achieve the objectives of this thesis. The method used for the qualitative data analysis results in recommendations regarding the compliance of the company's test process with selected safety standards. As the final step, the execution of a focus group research leads to the industrial evaluation of the recommendations and assessment results. The company's development process fully complies with 22% and fails to comply with 58% of the extracted requirements from the selected safety standards. Furthermore, the thesis results in recommendations for improving the test process of an industrial control system. As a result of performing the case study, a method for a lightweight assessment of the development process of industrial control systems is achieved. The generic method follows five steps, firstly tabulating the data to attain assessment criteria and items, used by the assessment step to get a compliance degree per requirement. The analysis step comes next to shed light on areas of strength and weakness, leading to recommendations. The final step evaluates and refines the recommendations according to the results of a focus group. Further development of the method used in this thesis can lead to a generic method for assessing development processes, concerning safety standards, using limited resources.  The results of this generic method can lead to recommendations for test process improvements of control systems via safety standards.

This paper presents a quantitative comparison of perfective and corrective software maintenance performed by a large military contractor using a formal program release process. The analysis techniques used in the comparison make use of basic data collected throughout the maintenance process. The data collected allow the impact of performing perfective and corrective maintenance to be quantitatively compared. Both parametric and non-parametric statistical techniques are applied to test relationships between and among process and product data. The results provide valuable information for predicting future process and product characteristics, assessing perfective and corrective maintenance impact, and quantitatively comparing the impact of both types of requirements volatility. The results also support one common rule of thumb, cast some doubt on another, and lead to the formulation of a new one.

The thesis deals with the evaluation of IT processes maturity. In the theoretical part, management of information technologies and methods of assessment in the organization are described. Four methods are selected and used for the maturity assessment of the Release Management process in Česká pojišťovna a.s. In the practical section, a questionnaire is evaluated and the Release Management process maturity level is set. The main objective of this thesis is to evaluate maturity of Release Management process and suggest possible improvements. The objective was achieved through the completed questionnaires of Česká pojišťovna a.s. employees and subsequent consultations with the process owner. The thesis consists of six parts. The first chapter deals with the management of information technology in an organization. The second chapter is devoted to the evaluation of process maturity and description of the selected methods of maturity evaluation. The third chapter maps processes according to ITIL, Cobit 4.1 Cobit 5 and provide their introduction. The fourth chapter introduce the organization of Česká pojišťovna a.s.. The fifth chapter describes the specific process Migrating applications in the Česká pojišťovna a.s.. The sixth chapter focuses on the actual comparison of individual methods of evaluating and interpretation of the results.