<p>Within the field of medical informatics, patient medical records are the sole source of information for dealing with clinical activities concerning the documentation, care, progression, and ongoing interactions between the patient and clinicians. Electronic or computer-based patient records (CPRs) have had a presence within health care in some form and magnitude for the past thirty years yet only recently have been incorporated in health care to a larger extent. Due to the wide variation of professions in health care, there is a problem of CPRs not being able to fulfill all the possibilities and demands the individual professionals need, since many CPRs are designed as a generic system, to be used across multiple professions.</p><p>The focus of this report is on the utilization of a generic CPR in a specialist clinical setting, i.e., a physical therapy clinic, and to analyze how the therapists utilize the different components and features in a generic CPR. The purpose of the evaluation was to investigate how viable the CPR was as a documentation tool and to which extent it supported the therapists in their clinical, documentation and delivery of care activities. In this study, a total of seven physical therapists participated in a post-usage evaluation of an existing CPR. The evaluation was achieved by interpretative research with open-ended interviews and observations. The results of the study showed that despite some shortcomings, the generic CPR was an effective tool for the clinicians, not only as a documenting aid, but also enabling them to quickly research the patients' prior diagnosis and treatment history, plan for future care, support decision-making and to communicate with other professionals so as to coordinate treatment and planning.</p>

Informationsteknologi spelar en allt viktigare roll i dagens organisationer. Trots detta har lite forskning genomförts kring hur en organisation resonerar vid utvärdering av nya system och hur de förs in i organisationen. För att införandet av ny teknologi skall ske med bästa möjliga resultat i en organisation krävs en ökad kunskap om vad som kan vara kritiskt avgörande för framgång. Då införandeprocessen är en komplex process kan det för att uppnå framgång vara klokt att identifiera vilka faktorer som kan vara viktiga att behandla för den specifika organisationen. I denna studie kartläggs hur utvärderingen av en IT-produkt genomförs i en specifik kontext på ett sådant sätt att den slutgiltiga produkten skall motsvara det specifika organisatoriska behovet. I arbetet studeras etableringen av framgångsfaktorer före införande av ett stödsystem i en organisation. Arbetet med att identifiera organisatoriska framgångsfaktorer har genomförts som en tillämpning av 2G-metoden. De identifierade faktorerna ingick i ett utvärderingsramverk som användes vid utvärderingen av potentiella nya system. Vid analysen ansågs de identifierade faktorerna vara kritiska för framgång vid införandet av ett nytt ärendehanteringssystem i organisationen

There exist several methods, which can be used for evaluation of commercially available CASE-tools. Each method has its own focus and is based on specific underlying assumptions. There have been attempts to standardise evaluation of CASE-tools; however available methods differs much from each other. One such method, named the 2G method has been proposed, which for each application, will establish a specific evaluation framework. This framework is tailored to the organisation at a specific point in time (since an organisation will change over time). The method consists of two phases which are iterated a sufficient number of times before a stable evaluation framework will be the result. The 2G method has been successfully applied on several applications in different organisations, though only for evaluation of CASE-tools before adoption. In this dissertation we report on an application of the 2G method, which aims to evaluate a CASE-tool from a company context which has already adopted a CASE-tool. As part of this method application the 2G method has also been transferred to the organisation. An additional issue this dissertation addresses is what kind of support a general Qualitative Research Tool will offer a method user when using the tool in a 2G method application. Likewise the goal includes to establish is what is poorly or unsupported in such tool in a 2G application. This dissertation will show that the 2G method is applicable also in a scenario where a CASE-tool has already been adopted, and therefore demonstrate that the method also is useful in evaluation studies performed after a CASE-tool has been adopted in an organisation. From the experiences of the application points will be made concerning what kind of support one would like to have in a qualitative research tool to simplify the work during the 2G applications.

Within the field of medical informatics, patient medical records are the sole source of information for dealing with clinical activities concerning the documentation, care, progression, and ongoing interactions between the patient and clinicians. Electronic or computer-based patient records (CPRs) have had a presence within health care in some form and magnitude for the past thirty years yet only recently have been incorporated in health care to a larger extent. Due to the wide variation of professions in health care, there is a problem of CPRs not being able to fulfill all the possibilities and demands the individual professionals need, since many CPRs are designed as a generic system, to be used across multiple professions. The focus of this report is on the utilization of a generic CPR in a specialist clinical setting, i.e., a physical therapy clinic, and to analyze how the therapists utilize the different components and features in a generic CPR. The purpose of the evaluation was to investigate how viable the CPR was as a documentation tool and to which extent it supported the therapists in their clinical, documentation and delivery of care activities. In this study, a total of seven physical therapists participated in a post-usage evaluation of an existing CPR. The evaluation was achieved by interpretative research with open-ended interviews and observations. The results of the study showed that despite some shortcomings, the generic CPR was an effective tool for the clinicians, not only as a documenting aid, but also enabling them to quickly research the patients' prior diagnosis and treatment history, plan for future care, support decision-making and to communicate with other professionals so as to coordinate treatment and planning.

When systematically adopting a CASE (Computer-Aided Software Engineering) tool, an organisation evaluates candidate tools against a framework of requirements, and selects the most suitable tool for usage. A method, called 2G, has been proposed that aims at developing such frameworks based on the needs of a specific organisation. This method includes a pilot evaluation phase, where state-of-the-art CASE-tools are explored with the aim of gaining more understanding of the requirements that the organisation adopting CASE-tools puts on candidate tools. This exploration results in certain output data, parts of which are used in interviews to discuss the findings of the tool exploration with the organisation. This project has focused on identifying the characteristics of these data, and subsequently to hypothesise a representation of the data, with the aim of providing guidelines for future tool support for the 2G method. The approach to reaching this aim was to conduct a case study of a new application of the pilot evaluation phase, which resulted in data that could subsequently be analysed with the aim of identifying characteristics. This resulted in a hypothesised data representation, which was found to fit the data from the conducted application well, although certain situations were identified that the representation might not be able to handle.

The master thesis is focused on control procedures in EPS-IMS networks. Firstly the thesis describes systems IMS and EPS. The second part of thesis includes the theory of control procedures in EPS such as cell acquisition, random access procedure, identification of subscriber, authentication of subscriber, security procedures, tracking area procedure, default bearer creation, implementation of CSFB procedure and detach procedure. Processes related to subsystem IMS such as registration to IMS, bearer creation for IMS signalling and voice service VoLTE are the next part of thesis. The next main topic is the VoLTE implementation problematic and VoLTE cooperation with diverse terminals. There is also explained the principle of Circuit Switched Fallback for realization voice services in EPS without VoLTE service. All procedures mentioned above except of procedures which are related to IMS were captured and analyzed using software Wireshark and QualiPoc. The final part of the thesis is lab task creation based of the analyzed messages.

La préservation de l’environnement et des ressources naturelles pour les prochaines générations est aujourd’hui considérée comme un des axes les plus prioritaires dans presque tous les secteurs économiques. Le secteur des Technologies de l’Information et de la Communication est loin d’être épargné de cette tendance écologique. Nous considérons dans cette thèse la problématique de la conservation d’énergie dans le contexte technologique actuel caractérisé par: • La coexistence d’une multitude de technologies d’accès sans fil offrant un environnement riche et dynamique • Des terminaux mobiles multimodaux • Limitations persistantes des sources d’énergie sur les terminaux mobiles. Dans ce contexte très riche, les possibilités offertes aux usagers sont à double tranchant. D’un côté, elles peuvent très bien améliorer la QoS en offrant toujours la meilleure connectivité en fonction du contexte de l’utilisateur. D’un autre côté, et sans une bonne optimisation de la consommation d’énergie sur le terminal, la disponibilité de celui-ci peut vite diminuer et donc faire baisser la QoE à cause de l’énergie nécessaire pour gérer plusieurs interfaces radio en parallèle. Nous considérons essentiellement les liens entre les stations de base (ou les point d’accès) et les terminaux mobiles. Notre objectif étant d’analyser la consommation d’énergie sur ces liens pour ensuite proposer des contributions permettant de mieux la maitriser. Nous focalisons essentiellement sur l’exploitation des multiples interfaces et du multi-flux pour étudier, analyser et proposer des solutions dynamiques et adaptatives d’ordonnancement, de sélection et de gestion d’interfaces minimisant la consommation d’énergie / Since the last decades, environmental issues are becoming among the major concerns for most human activities, including the Information and Communication Technologies sector. This will surely influence upcoming networking technologies, architectures and usage practices. New approaches and methodologies are required in order to evaluate and to reduce the Carbon Footprint toward what is commonly denoted as Green Networks. Within the ICT sector, the main efforts are related to energy saving techniques. These efforts started in early stages within wireless technologies, mainly because of energy limitations on mobile devices such as mobile phones and wireless sensors. Additionally, because of health considerations, standardization bodies and government had set stringent policies and limits on electromagnetic radiation levels that can be emitted by radio stations. For these reasons, many academic and industrial research and development activities had led to a number of relatively energy efficient solutions. In this thesis, we consider energy efficiency in the context of Heterogeneous Wireless Access Networks. These are composed of multi-standards wireless network solutions, with non uniform topologies and cell sizes and Multi-Modal mobile terminals able to manage simultaneously different connections. The main contributions of our studies include the proposal of new optimization solutions regarding user association and scheduling techniques at both flow and packet levels for multi-homed mobile terminals. An overall context-based solution is also proposed in order to provide end-to-end energy efficient networking solutions

The use of mobile communication has remarkably increased during the last years. It is the usage of 2G, 3G and in particular LTE that has increased. With every year that passes the con- sumers are putting higher demands on data rate and coverage. To solve the problem with coverage the signal can be relayed and thus amplified at the receiver end. To know if it’s pos- sible to relay the signal it’s important to know what signal is received locally. The company Network Expertise has given us a problem, due to that we want to investigate two things in this thesis. 1) Which signal parameters are relevant and which signal levels are good and bad for LTE. 2) How can signal measurements be done for 2G, 3G and 4G with an Android based system. To solve the first problem, a literature study was conducted where we found information about how past measurements have been made and what is relevant when measuring an LTE signal. The second problem was solved by developing an application for Android which implements the relevant measurements that was defined in the literature study. The application and the possibilities in Android have been reviewed and compared with similar tools for signal measurements. The relevant parameters for LTE measurements are RSRP, RSRQ, EARFCN and neighboring cells RSRP, RSRQ and EARFCN. Additional relevant parameters are ECI, MCC and MNC. LTE parameters which are possible to retrieve with an Android based telephone through An- droid API are RSRP, RSRQ and ECI (with some telephone models). The telephone must also support API level 17. For 3G it’s possible to retrieve RSCP, EcNo (with some telephone mod- els) and for 2G it’s possible to retrieve RSSI. MCC and MNC are both possible to retrieve in Android. Information about neighboring cells are not available for neither of the technologies. The quality level for the LTE parameter RSRP is great above -80 dBm level, good down to -90 dBm, moderate down to -100 dBm and bad below -100 dBm. Signal level for the LTE parame- ter RSRQ is great above -10 dBm, good down to -15 dBm, moderate down to -20 dBm and bad below -20 dBm. With the available version of Android is not sufficient to do advance signal measurements. / Användningen av mobil kommunikation har ökat kraftigt under de senaste åren. Det är användningen av 2G, 3G och speciellt LTE som har ökat. För varje år som går ställer konsumenterna högre krav på hastigheter och mobiltäckning. För att lösa problemen med täckning kan signalen förstärkas på mottagarsidan i en så kallad repeater. För att veta om det är möjligt att förstärka signalen är det viktigt att veta vilken signal som tas emot lokalt. Företaget Network Expertise har ett behov som leder oss fram till att undersöka två saker i denna rapport. 1) Vilka signalparametrar är relevanta och vilka signalnivåer är bra och dåliga för LTE? 2) Hur kan signalmätningar göras för 2G, 3G och 4G med ett androidbaserat system? För att lösa första problemet genomfördes en litteraturstudie där vi tog fram information om hur tidigare mätningar har gjorts och vad som är relevant vid mätning av en LTEsignal. Det andra problemet löstes genom att utveckla en applikation för Android som kan göra relevanta mätningar som definierades i förstudien. Applikationen och möjligheterna som erbjuds i Android har utvärderats och jämförts med liknande verktyg för att mäta signaler. De relevanta parametrarna för LTE-mätningar är RSRP, RSRQ, EARFCN och närliggande cellers RSRP, RSRQ och EARFCN. Ytterligare information som har relevans är ECI, MCC och MNC. LTE-parametrarna som går att hämta med en androidbaserad telefon via Android API är RSRP, RSRQ och ECI (med vissa telefonmodeller). Telefonen måste också stödja API-nivå17. För 3G går det att hämta RSCP och EcNo (med vissa telefonmodeller) och för 2G går det att hämta RSSI. MCC och MNC går båda att hämta via API. Information om närliggande celler är inte tillgängligt för varken 2G, 3G eller 4G. Kvalitetsnivån för LTE-parametern RSRP är utmärkt över -80 dBm insignal, bra ner till -90 dBm, medel ner till -100 dBm och dålig under -100 dBm. Kvalitetsnivån för LTE-parametern RSRQ är utmärkt över -10 dB, bra ner till -15 dB, medel ner till -20 dB och dålig under -20 dB. I dagsläget är androidplattformen inte riktigt mogen för att göra avancerade signalmätningar.

É esperado que a produção de combustíveis a partir de resíduos lignocelulósicos alcance representatividade na matriz energética mundial. Neste cenário, leveduras desempenharão importante papel como plataformas microbianas para os processos de conversão dos açúcares derivados da biomassa em etanol (de segunda geração) e em outros produtos de interesse. Apesar dos avanços consideráveis na área, a fermentação de hidrolisados lignocelulósicos ainda apresenta alguns desafios científicos e tecnológicos, como por exemplo, os problemas enfrentados na fermentação devido à presença de diversos inibidores oriundos dos processos de pré-tratamento e hidrólise da biomassa (tais como furaldeídos, compostos fenólicos e ácidos orgânicos). A geração destes inibidores reduz consideravelmente a eficiência da etapa fermentativa, e muitas vezes, inviabiliza o processo como um todo. Neste contexto, o presente trabalho estudou a identificação dos principais compostos lignocelulósicos inibidores na fermentação por leveduras presentes em cinco amostras de hidrolisados industriais. Ácido glicólico e ácido acético, dentre os ácidos orgânicos foram identificados em todas as amostras analisadas. Em relação aos furaldeídos, foram detectados furfural e 5- hidroximetil-furufural (HMF) em todas as amostras analisadas. Os principais e mais abundantes compostos fenólicos identificados pelo sistema foram ácido p-cumárico (em 4 de 5), ácido ferúlico (em 3 de 5) e ácido vanílico (em 3 de 5). Tendo os principais compostos quantificados e identificados, realizou-se um estudo de mínimas e máximas concentrações de alguns destes inibidores em quatro diferentes linhagens laboratoriais e industriais (CEN.PK113-7D, CEN.PK112, SA-1 e JAY270), a fim de verificar a toxicidade dos mesmos frente aos principais parâmetros cinéticos da fermentação (fase lag, µmáx, produção de biomassa e etanol). De forma geral, a linhagem industrial S. cerevisiae SA-1 se mostrou mais tolerante frente às demais linhagens, em praticamente todas as condições analisadas. Visto que a presença de algumas bactérias nas linhas de produção de etanol é sabida, procurou-se verificar a resistência destas na presença dos compostos inibitórios. Ao comparar a resistência frente aos inibidores entre bactérias lácticas e leveduras laboratoriais e industriais, notou-se uma potencial robustez das bactérias frente às leveduras, uma vez que as últimas foram incapazes de crescer no meio de cultivo acrescido de um coquetel de inibidores, enquanto que as bactérias apresentaram crescimento. Por fim, investigou-se a influência conjunta de três compostos inibitórios (ácido acético, HMF e ácido p-cumárico) sobre os principais parâmetros fisiológicos da linhagem SA-1, a mais tolerante das linhagens avaliadas. Assim, através de um delineamento composto central rotacional (DCCR), pode-se analisar estatisticamente os efeitos dos três inibidores, com o qual verificou-se que a maior toxicidade (redução da velocidade específica de crescimento) é exercida pelo HMF. De uma maneira geral, a linhagem SA-1 pode ser considerada uma plataforma microbiana com grande potencial de aplicação na produção de etanol de segunda geração, bem como no estudo das bases moleculares para tolerância aos inibidores oriundos desses processos. / It is expected that the production of fuels from lignocellulosic residues will be representative in the world energy matrix. In this scenario, yeasts will play an important role as microbial platforms for the conversion processes of sugars derived from biomass into ethanol and other products of interest. Despite the considerable advances in the area, the fermentation of lignocellulosic hydrolysates still presents some scientific and technological challenges, such as the problems faced in the fermentation due to the presence of several inhibitors from the processes of pretreatment and hydrolysis of biomass (such as furaldehydes, phenolic compounds and organic acids). The presence of these inhibitors considerably reduces the efficiency of the fermentation step, and often hampers the process itself. In this context, the present work aimed to identify major inhibitory lignocellulosic compounds for yeast fermentation present in five samples of industrial hydrolysates. Glycolic acid and acetic acids were identified in all samples analysed. In relation to furaldehydes, furfural and 5-hydroxymethyl-furfural (HMF) were detected in all samples as well. The major and most abundant phenolic compounds identified were p-coumaric acid (in 4 out of 5 samples), ferulic acid (in 3 out of 5) and vanillic acid (in 3 out of 5). After quantification of these compounds, minimum and maximum concentrations of the major ones were studied in four different laboratory and industrial strains (CEN.PK113-7D, CEN.PK112, SA-1 and JAY270), in order to verify their toxicity against physiological parameters such as elongation of lag phase and growth rate. In general, the S. cerevisiae SA-1 industrial strain was more tolerant in comparison to the other 3 strains for virtually all compounds investigated. Since bacteria is present during fuel ethanol production, , the resistance of these bacteria for the same inhibitory compounds was also evaluated. When comparing the resistance against inhibitors between lactic acid bacteria and yeast strains, a higher robustness of bacteria in relation to yeasts was observed, since yeasts were unable to grow in a medium supplemented with a cocktail of inhibitors, whereas bacteria did grow. Finally, the influence of three inhibitory compounds (acetic acid, HMF and p-coumaric acid) on the main physiological parameters of the strain SA-1, the most tolerant among the strains evaluated, was investigated. Thus, using a rotatable central composite design (RCCD), the effects of the three inhibitors were analysed, and it was found that the highest toxicity (reduction in specific growth rate) is caused by HMF. Overall, SA-1 is a promising platform yeast strain for second generation ethanol production and for understanding strain robustness toward lignocellulosic inhibitory compounds.

Submitted by Fábio Henrique de Azevedo (fhazvdo@yahoo.com.br) on 2018-10-09T11:47:48Z No. of bitstreams: 1 Relatório técnico-científico.pdf: 7773319 bytes, checksum: a4494c93c456073f98183f0e5cc7d4ba (MD5) / Rejected by Lucilene Cordeiro da Silva Messias null (lubiblio@bauru.unesp.br), reason: Solicitamos que realize uma nova submissão seguindo as orientações abaixo: 1 - Inserir no corpo do texto a ata de defesa, pois é um ítem obrigatório Agradecemos a compreensão on 2018-10-09T11:59:07Z (GMT) / Submitted by Fábio Henrique de Azevedo (fhazvdo@yahoo.com.br) on 2018-10-09T12:34:34Z No. of bitstreams: 1 Relatório técnico-científico (com ata de defesa e parecer circunstanciado).pdf: 9097240 bytes, checksum: b71a5582e2b7e262dc5c6bca51828641 (MD5) / Rejected by Lucilene Cordeiro da Silva Messias null (lubiblio@bauru.unesp.br), reason: Solicitamos que realize uma nova submissão seguindo as orientações abaixo: 1 - A ficha catalográfica deve ser inserida logo após a folha de rosto 2 - A ata de defesa deve ser inserida logo após a ficha catalográfica. Agradecemos a compreensão on 2018-10-09T13:28:26Z (GMT) / Submitted by Fábio Henrique de Azevedo (fhazvdo@yahoo.com.br) on 2018-10-09T14:43:08Z No. of bitstreams: 1 Relatório técnico-científico (com ficha após folha e ata após ficha).pdf: 8492090 bytes, checksum: df7b797887e36395132db5ba2202de80 (MD5) / Approved for entry into archive by Lucilene Cordeiro da Silva Messias null (lubiblio@bauru.unesp.br) on 2018-10-09T17:19:37Z (GMT) No. of bitstreams: 1 azevedo_fh_me_bauru.pdf: 8492090 bytes, checksum: df7b797887e36395132db5ba2202de80 (MD5) / Made available in DSpace on 2018-10-09T17:19:37Z (GMT). No. of bitstreams: 1 azevedo_fh_me_bauru.pdf: 8492090 bytes, checksum: df7b797887e36395132db5ba2202de80 (MD5) Previous issue date: 2018-03-28 / No Brasil a televisão (TV) de sinal aberto, apesar da sua grande abrangência, vem perdendo espaço para a televisão a cabo e para a internet com conteúdo via fluxo de mídia (streaming). Apesar dos atuais aparelhos de TV serem hoje denominados televisores inteligentes (SmartTV) eles são, na realidade, uma combinação de TV com internet, dependendo de conexão à rede de banda larga e aplicativos de redes sociais para oferecer interatividade na programação de TV aberta. Essa necessidade de outro dispositivo (smartphone, tablet etc.) faz com que as pessoas percam o interesse e deixem de assistir à televisão, pois se distraem com a variedade de funções que tais equipamentos possuem (e-mail, sites de notícias, dentre outros). Os fabricantes de televisores estão aprimorando a qualidade de imagens e sons dos atuais aparelhos de TV e vendem a sensação de se estar dentro dos programas veiculados. Porém, falta ainda um último passo nessa percepção que é o da interação entre os dois lados da tela. O objetivo desta pesquisa foi propor uma solução ao telespectador, trazendo de volta a simplicidade de assistir à televisão, mas com a capacidade de interação já oferecida em alguns programas televisivos através do uso do controle remoto. Portanto, nesta pesquisa técnico-científica propôs-se um novo método para a interatividade televisiva, utilizando a interatividade do canal de retorno ao Sistema Brasileiro de Televisão Digital: com o uso de um cartão inteligente de telefones celulares de tecnologia GSM (cartão SIM) e dos sinais de telecomunicação utilizados no país, buscou-se oferecer uma alternativa para solucionar o problema de interatividade do canal de retorno sem o uso da internet e suas mídias sociais. Como resultado prático deste projeto, é relatado neste relatório técnico-científico o Pedido Nacional de Invenção, o Modelo de Utilidade, o Certificado de Adição de Invenção e entrada na fase nacional do PCT do Instituto Nacional da Propriedade Industrial – INPI para o registro de patente do cartão inteligente. / Despite its massive scope, the market share for analogue TV in Brazil has been decreasing; cable TV and streaming are taking over. Although TV sets are presently referred to as "intelligent devices" (Smart TV), in fact they blend TV programming and internet, thus needing connection with broadband network and social network applications in order to offer interactivity for analogue TV programming. The need for additional equipment (such as a smartphone or a tablet computer) induces viewers not to watch television; for they get distracted by the diversity of options such devices present (email, news websites, etc.). TV set manufacturers are currently improving the quality of its image and sound, making one feel they are within the show; however there is one step missing in this perception: the intercommunication between the two sides of the screen. This study proposes solutions to the viewer, retrieving that feeling of simplicity inherent to watching TV but with the existing interaction offered in some programs by means of the remote control. Therefore, this technical and scientific study introduces a new method of TV interactivity, employing the return channel interactivity to the Brazilian Digital Television System with the SIM card (intelligent card for GSMtechnology cell phones) and the telecommunication signals used in Brazil. This feature may promote a problem-solving alternative concerning the return channel interactivity, without the internet and its social media, however. As a practical result, the National Patent Application, the Utility Model, the Certificate of Addition to Invention and the entry in the national phase of the PCT at the National Institute of Industrial Property (INPI) are here reported, so that the patent to the intelligent card can be registered.