The aim of this thesis is to conduct a qualitative study investigating the mostfavourable text placement on social networking sites (SNS) to best communicateinformation through text. To discover a suitable placement for text, we utilizeconscious and unconscious visual gaze points from participants. To discover thevisual gravity of participants, the research methods of eye tracking and survey areused. The eye tracking supplies unpretentious and real-time behavioral insight asgaze points. Whereas the survey supplies subjective conscious visual gravity data.Previous research suggests that users are drawn to elements containing text.Furthermore, another theory describes users seeking task-relevant information, agoal is to uncover where is the best placement to aid users seeking task-relevantinformation. The conclusion of this thesis uncovered that users are drawn to textelements unconsciously, but conscious visual gravity could be based on imageexposure. Furthermore, the most favourable placement for text is centered along avertical axis on a 1:1 image and slightly higher than the horizontal axis line.

Decision making processes of natural resources for sustainable development are very complex processes that contain large amounts of contradicting criteria and alternatives and/or objectives. Hence efficiency of planning and decision making is highly dependent on the structure of the decision problems. In this re-spect Multi Criteria Decision Aid (MCDA) is the most widely used method. Particularly GIS-based MCDA using the Analytical Hierarchy Process (AHP) is a well-known method in this respect. However, there are interrelationships and interdependences among problems of the real world. As a result, many spatial problems cannot be structured hierarchally because the importance of the criteria determines the importance of the alternatives, and the importance of the alternatives also determines the importance of the criteria. Analytical Network Process (ANP) based MCDA is a new planning and decision making ap-proach that allows the decision problem to be modeled considering feedbacks and interdependence among criteria. This study critically reviews GIS-based MCDA using the AHP method and the ANP based MCDA method and forwarded recommendations for future works. To attain this, practical decision making processes were used of urban form selection for a sustainable development of the Stockholm region. For this purpose literature was reviewed, separate methodologies were developed, criteria were formulated to be analyzed using GIS and SuperDecision software‟s, and finally reasonable results were achieved and separately presented to critically evaluate both the methods and the outcome. This study showed that GIS has the potential to be an important decision aid tool, that the ANP seems to give more realistic results than the GIS-based MCDA method, and that a compact scenario that over time follows already established polycentric pattern would be the best alternative urban form for a sustainable develop-ment of Greater Stockholm.

Background: Tertiary hospitals have multiple specialist outpatient clinics attended by patients suffering from various comorbid diseases. This results in individuals attending more than one clinic per month, since dedicated clinic days are seldom on the same day. As patients attend discrete clinics, they have separate encounters with various prescribers, increasing the potential for irrational drug use. In addition, multiple clinic visits have a negative socio-economic impact on health care users from poorer communities where financial resources are limited due to transport expenses and days of work missed. The aim of this study was to determine the prescribing pattern of drugs to chronic disease outpatients, and find possible solutions to provide a system that would reduce overprescribing of chronic medication at Steve Biko Academic Hospital (SBAH) in one measure namely drug duplication. Methods: A retrospective descriptive cross-sectional study with the use of convenience sampling was employed to determine the medication prescribing practises to comorbid chronic disease patients attending multiple specialist clinics at SBAH from February 1, 2018-May 31, 2018. Participants were selected according to their appearance in the hospital records, with sample saturation reached when each participant had visited all the different clinics. Chronic disease outpatients attending the SBAH clinics had reviews every three months. The reviews were controlled by issuing patients with medication for a three-month period, where after a follow up visit was mandatory in order to ensure prescription and medication renewal. Therefore, each patient visited all the clinics rendering a service relating to a specific chronic condition within a four-month period that determined the study period chosen. Hospital records of patients attending the most frequently visited clinics as reported by the SBAH Pharmacy and Therapeutics committee (PTC) were evaluated. These clinics included outpatient departments of diabetes, haematology, internal medicine, neurology, oncology and psychiatry. Each drug prescription observed was evaluated using guidelines of World Health Organization (WHO) titled, “How to investigate drug use in health facilities: selected drug use indicators.” Prescribing indicators relevant to this study were used from the WHO guidelines. Results: One hundred and six patients were multiple clinic-attendees during the study period. Of the 106 patients retained, 103 (97.17%) patients attended two clinics and three (2.83%) patients attended three clinics. Regarding the WHO prescribing indicators, the average number of visits to SBAH by the comorbid chronic disease outpatients observed was 3.03 visits during the four-month study period. Prescription analysis included 80 (75.47%) patients out of 106 patients attending multiple clinics at the same time. The average number of drugs prescribed per encounter was 4.97. The results also showed that 45.45% of the 187 prescriptions observed contained five or more drugs. Most frequently prescribed drugs were tramadol 51 (5.49%), followed by simvastatin 48 (5.17%) and enalapril 45 (4.84%). Drug duplication occurred in 68 individual cases in the 80 patients observed. In total, drug duplication affected 39 patients (48.75%) [95% CI = 37.80%: 59.70%]. The most duplicated drug classes were analgesics 18 (26.47%), followed by anti-depressants 14 (20.59%) cases recorded. Conclusion: The results from this study support findings from similar studies at different institutions. The study confirmed multiple clinic visits are prevalent in the medical disciplines, often prescribing drugs from the same class. Clinical implications from these frequent and separate encounters may result in irrational prescribing, adverse drug events, drug-drug interactions and polypharmacy. The establishment of polypharmacy to comorbid chronic disease patients indicates the high risk of drug-drug interactions and adverse drug events. A prospective study would have provided more data for analysis to determine the level of polypharmacy and drug duplication. Thus, supplementation of this study with further studies could provide conclusions on whether the patients suffered from problematic or had appropriate polypharmacy. Physicians treating multiple clinicattendees should be equipped to monitor rationality of prescribing encounters. Installation of an advanced electronic Hospital Information System (HIS) could aid in improving drug prescribing in tertiary hospitals. Use of electronic prescribing tools as shown in previous studies is a requirement to improve tertiary hospitals in developing countries such as SBAH. The incidence of drug duplication at SBAH builds on existing evidence of unnecessary healthcare costs because of medication errors. / Dissertation (MSc)--University of Pretoria, 2020. / Pharmacology / MSc (Pharmacology) / Unrestricted

Enhetstestning mot databaser inriktade mot geografiska informationssystem kan vara ett komplicerat arbete att utföra. Det innebär både att ha tillgång till användbart data samt att använda verktyg för att utföra dessa tester på. Denna studie har undersökt hur data bestående av ytor kan genereras och hur verktyg inriktade på enhetstestning mot databaser kan användas för att uppnå en förbättrad arbetsmetodik för enhetstestning mot databaser. Arbetet har resulterat i förslag på metoder som kan användas för att generera geografiska data. En applikation har utvecklats för att generera dessa data. Dessutom har en metod för att genomföra enhetstester mot en postgreSQL databas, baserad på verktyget pgTAP, presenterats. Föreslagna metoder kan möjliggöra en förbättring av arbetsmetodiken vid enhetstestning mot databasermen det finns fortfarande många förbättringar att utforska.

This diploma thesis focuses on the problem of implementation of information systems for electronic documentation in health care, especially in rehabilitation. The theoretical part describes the nature and meaning of managerial changes in general, reviews various types of changes, discusses what causes these changes and how they affect their surroundings, and describes the key steps and models for effective handling of these managerial changes. The second part deals with problems of introducing electronic documentation and information systems in a special case of the Czech Republic. The empirical part focuses on implementation of information system in the rehabilitation institute Kladruby. Using qualitative research methods a sequence of interviews was carried out with the staff of the rehabilitation department. The result of the research presented in this thesis is a summary of advantages and disadvantages of the information system, attitudes of respondents to the implementation of the information system, and recommendations how to further optimize the information system. The second part describes the feedback of four rehabilitation centers in the USA with a long-term experience with the implementation of information systems and a simple comparison of respondents' experience in the USA and the...

CHARLES UNIVERSITY IN PRAGUE Faculty of Arts Institute of Information Studies and Librarianship February 2012 DISERTATION THESIS ABSTRACT Information Systems Quality Measurement and Evaluation This dissertation thesis includes a concept of an information system evaluation based on the criteria provided with respect to the philosophical, historical and cultural context and using contemporary methodologies well proven in industrial quality assurance systems. The reasoning and proper foundations are made with the sampling methodology through the selected sources interpretation. A comprehensive and an integral approach apply paradigms inspired with for example Aristotle, Giordano Bruno, Confucius and also with the contemporary authorities in philosophy and arts (Belohradsky), information science (Wiener, Shannon, Nielsen), management (Ducker), economy (Stieglitz), psychology and sociology (Kohoutek, Koukolik), quality assurance systems and software and information technology quality assurance systems based on the CSN, EN, ISO and IEC standards. The essence and the nature of information are put to the relation with a value in its social, economic and ethic sense. Based on the information systems quality model designed on such basis, using the statistic methodologies and the seven year data retention pool, the...

Magister Commercii (Information Management) - MCom(IM) / In the past, the Western Cape Department of Health had no formal or technologically enabled system for patient administration. This resulted in an administrative burden, increased waiting times for patients and doctors who needed results back from other sections, and missing patient files within the community health institutions such as clinics and hospitals. The Primary Healthcare Information System (PHCIS) was developed to solve this problem. However, it was later discovered that even though the PHCIS had been installed across the Western Cape clinics, there was a limited adoption and use of the PHCIS. Hence, the aim of this study was to investigate the factors that hinder the adoption and use of PHCIS by healthcare workers in the public healthcare clinics in the Khayelitsha sub-district in the Western Cape Province

A 15-facility healthcare organization utilized organizational change management techniques to aid with the adoption of a clinical information system to accomplish desired cultural transformation. The aim of this article was to provide a description of team member and physician attitudes toward change during conversion to a new clinical information system of electronic documentation. The tool developed and utilized was a change readiness survey to assess randomly selected team member and physician perceived readiness for the transition to an electronic documentation system. This article reviewed the rationale for using organizational change management techniques to facilitate adoption of a new clinical information system and discussed development of a change readiness survey tool. It explored the findings from the first 3 years of the survey.

Aim: Public health systems have embraced health informatics and information technology as a potential transformational tool to improve real-time surveillance systems, communication, and sharing of information among various agencies. Global pandemic outbreaks like Zika and Ebola were quickly controlled due to electronic surveillance systems enabling efficient information access and exchange. However, there is the need for a more robust technology to enhance adequate epidemic forecasting, data sharing, and effective communication. The purpose of this review was to examine the use of informatics and information technology tools and its impact on public health delivery. Method: Investigators searched six electronic databases. These were MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, Cochrane Database of Systematic Reviews, COMPENDEX, Scopus, and Academic Search Premier from January 2000 to 31 March 2016. Results: A total of 60 articles met the eligibility criteria for inclusion. These studies were organized into three areas as (1) definition of the term public health informatics; (2) type of public health surveillance systems and implications for public health; and (3) electronic surveillance systems functionality, capability, training, and challenges. Our analysis revealed that due to the growing expectations to provide real-time response and population-centered evidence-based public health in this information-driven age there has been a surge in informatics and information technology adoption. Education and training programs are now available to equip public health students and professionals with skills in public health informatics. However, obstacles including interoperability, data standardization, privacy, and technology transfer persist. Conclusion: Re-engineering the delivery of public health is necessary to meet the demands of the 21st century and beyond. To meet this expectation, public health must invest in workforce development and capacity through education and training in informatics.

Geographic Information System (GIS) is “an organized collection of computer hardware, software, geographic data, and personnel designed to efficiently capture, store, update, manipulate, analyze, and display all forms of geographically referenced information” (ESRI, 1997a). The Natural Resources Management Department at California Polytechnic State University, San Luis Obispo, California, hereafter NRM, was one of the early users of GIS technology. Although GIS was primarily used as an educational tool, it was also used for cataloging and displaying resource information for management planning and research projects. As the computing technology advanced, GIS became more powerful and easier to use. NRM faculty and students realized that GIS is the best tool to manage spatial information. In addition, GIS can also manage temporal data. While we are proud of past achievements using GIS, its future prospects for managing time and space information promise even more exciting possibilities and tangible benefits. This scholarly project is a compilation of GIS achievements in NRM.