Made available in DSpace on 2014-06-12T15:59:19Z (GMT). No. of bitstreams: 2 arquivo5090_1.pdf: 295189 bytes, checksum: 39c52722be8604ec8e51c1e69ea30f77 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2002 / Uma das maiores dificuldades encontradas no gerenciamento de projetos de software, é saber a dimensão do que está sendo gerenciado. Inúmeras dúvidas são pertinentes aos gerentes de projeto quando se fala em dimensionamento, prazo e custo dos projetos. Diante dos problemas encontrados no desenvolvimento de software, tais como software que não atende aos requisitos de funcionalidade e qualidade esperados pelo cliente, projetos que extrapolam prazo e custo previsto, entre outros, pesquisas têm mostrado que o elevado número de projetos fracassados são decorrentes de uma gerência de projetos ineficiente. A gestão de projetos e produtos de software somente atinge determinado nível de eficácia e exatidão se houver medidas que possibilitem gerenciar através de fatos. Dessa forma, identificamos as métricas como uma das principais ferramentas de apoio ao gerente de projetos, pois fornecem um conjunto de informações tangíveis para planejar o projeto, realizar estimativas, gerenciar e controlar os projetos com maior precisão. Por outro lado, um sistema efetivo de medição é recomendado por vários modelos de qualidade de software, como aspecto fundamental para subsidiar as atividades de planejamento e gerenciamento de projetos. Entre esses modelos, o Capability Maturity Model for Software (CMM) destaca-se como um dos modelos de qualidade de software mais adotados no mundo e recomenda fortemente o uso de métricas. Particularmente o nível 2 de maturidade do CMM, recomenda que sejam estabelecidos processos básicos de gerência de projetos de software para controlar e acompanhar custos, cronogramas e funcionalidades, todos recomendando o uso de métricas. O trabalho apresentado nesta dissertação foca na qualidade do desenvolvimento de software, através de uma gerência de projetos eficiente, guiada pelas normas do CMM nível 2 e fazendo uso de métricas como ferramenta fundamental para uma efetiva gerência de projetos. Sem a utilização de métricas, o planejamento e acompanhamento de projetos tornam-se atividades empíricas, realizadas com base apenas no sentimento e experiência dos gerentes de projetos. Com este trabalho buscamos contribuir para o aperfeiçoamento do gerenciamento de projetos nas organizações que realizam desenvolvimento de software, introduzindo nas mesmas uma cultura de utilização de métricas para realização de acompanhamento dos projetos, gerenciamento da qualidade do produto gerado e construção de uma base histórica para estimativas de projetos futuros, segundo as diretrizes do CMM 2

Purpose: to describe the knowledge, beliefs, and attitudes of physicians and hospital administrators regarding the role and scope of practice of acute care nurse practitioners in rural Montana. Background: Nurse practitioners have been increasingly called upon to provide high quality and cost-effective healthcare in variety of settings and have consistently shown to provide a high-level of patient care in both the primary and acute care settings. The acute care nurse practitioner specialty is relatively new, and with very few licensed acute care nurse practitioners in the state of Montana, the role and scope of practice is not well understood by physicians and hospital administrators who are often tasked with hiring and recruiting providers in the hospital setting. The Consensus Model, which served as the conceptual framework for this project, advocates that nurses provide care for the population that is specific to their licensure, accreditation, certification, and education. Method: Some 28 physicians and hospital administrators completed a survey that included 21 Likert scale statements that were divided into the subscales of Knowledge, Belief, and Attitude. Results included: 1) An existing gap in knowledge regarding the role and scope of practice of acute care nurse practitioners, 2) acute care nurse practitioners should always have some form of physician oversite, and 3) there is disparity in patient outcomes when patient care is provided by nurse practitioners. Conclusion: Attitudes of survey respondents were overwhelmingly positive for the future of acute care nurse practitioners filling various provider roles in the hospital setting. These results can provide a foundation for future inquiry and can assist in the development of education and collaborative efforts to further advance the utilization of acute care nurse practitioners in Montana.

Tandhygienistyrket är en relativt ung profession. Munhälsovården har ännu inte uppnått professionellt status som yrkesverksamhet. Inte heller har tandhygienistens disciplin – munhälsovetenskapen- status som vetenskaplig disciplin. Det som har saknats har framför allt varit teoribildning inom munhälsovård/munhälsovetenskap.1983 publicerades den första begreppsmodellen inom munhälsovård – The Human Needs Conceptual Model for Dental Hygiene – konstruerad av M L Darby (BSDH, MS) och M M Walsh (MS,EdD). Ett viktigt steg i en disciplins teoribildningsprocess är emellertid att begreppsmodeller analyseras och utvärderas. Då kan begreppsmodellens bidrag till professionaliseringsprocessen och utvecklingen av disciplinens vetenskapliga status bedömas.Föreliggande studie analyserar och utvärderar Darbys och Walsh’ begreppsmodell. Syftet är att beskriva och analysera de förutsättningar som begreppsmodellen vilar på samt att beskriva och utvärdera de förusättningar som begreppsmodellen har att fungera som ett ramverk vid forskning, praktik, utbildning och administration för tandhygienister.Beskrivningen av analysen och utvärderingen utgår från hermeneutisk tolkning där J Fawcetts instrument för analys och utvärdering av begreppsmodeller använts som tolkningsram.Studien utgår från ett vårdvetenskapligt perspektiv som bland annat betraktar munhälsovetenskap som en gren av vårdvetenskap där en kärna av kunskaper, färdigheter och attityder ses som gemensamma för alla de vårdande professioner där vårdandets humanistiska dimension är viktigare än dess tekniska dimension. Likaså utgår den från att munhälsovårdens främsta syfte är att främja hälsa, inte att förebygga eller bota sjukdom.Studien visar att Darbys och Walsh’ begreppsmodell är baserad på en behovsteoretisk grund. Detta medför en världsbild där människan befinner sig i en växelverkande interaktion med sin omgivning. Vidare innebär detta att munhälsovårdens unika fokus är klientens behov och att tandhygienistens uppgift är att reducera spänningar inom det system som klienten utgör. Begreppsmodellens behovsteoretiska grund är dockotydligt beskriven och därför är den svår att använda. Begreppsmodellens innehåll är också dåligt utvecklat på det sättet att den endast kan användas som ramverk för praktiken då den saknar riktlinjer för forskning, utbildning och administration.Darbys och Walsh’ begreppsmodell kan därför endast användas i den praktiska verksamheten och då av de tandhygienister som har ett livs- och yrkesparadigm som är baserat på behovsteori.Däremot bedöms begreppsmodellens bidrag till munhälsovetenskapen som mycket stort eftersom den är den första begreppsmodell som skapas och på så sätt öppnar vägen för fortsatt teoribildning inom tandhygienistens disciplin.

Purpose – The purpose of this study is to propose a conceptual framework and research agenda for the development of sustainable business models for companies in the software industry. Methodology – The study was implemented by using primary and secondary data in the methodology. The primary data entailed a qualitative approach where in-depth interviews with five software companies was conducted. The secondary data included a literature review of relevant topics and grey literature from the interviewed companies. Findings – This study proposes a modified set of sustainable business model archetypes for the software industry. The software-specific archetypes are Maximize energy efficiency with renewables and natural processes, Create value from waste, Deliver software as a service, Adopt a stewardship role, Encourage sustainability, Repurpose for the society/environment and Develop scale up solutions. Implications – The revised set of archetypes have been developed in order to set a theoretical framework that can be practiced by software companies to develop their sustainability work. Therefore, this study provides practitioners with a streamlined framework to develop clear sustainable guidelines, activities, principles and goals towards a sustainable business model. Originality / value – This study proposes a conceptual framework on how software companies can develop a sustainable business model with a practical and theoretical foundation. The study proposes a research approach that has not been conducted in the software industry before, using the eight archetypes as an analysis tool. The suggested framework of this study therefore presents unique industry-specific archetypes for the software industry, created by the authors of this study.

Background The noise-exposed population in the mining industry in South Africa poses unique problems to the occupational audiologist working in this environment, due to the broad linguistic and cultural diversity in the audiology and mining environment. Unfortunately, the problems are also exacerbated by a high incidence of pseudohypacusis within this population who are incentivised by compensation for NIHL. A solution to these specific problems would be the reliable and valid use of an objective test of function such as the DPOAE. The rationale for the study therefore was to extend the body of knowledge about the use of DPOAEs in the noise-exposed mining population. Methodology The current study was divided into two phases: phase one’s objectives entailed the investigation of the characteristics of DPOAEs in a noise-exposed mining population; phase two aimed to develop a multivariate regression model that would facilitate the prediction of the hearing threshold levels from the DPOAE levels in this population. Objectives The objectives in phase one of the study were to investigate the bivariate correlations between DPOAE levels and air-conduction hearing threshold levels in noise-exposed gold miners, for the three stimulus procedures. The study also aimed to investigate the bivariate correlations between various pure-tone averages (PTA) and the DPOAE averages of f2 frequencies closest to those pure-tone frequencies. Similarly, the Speech Recognition Thresholds (SRT) were correlated with DPOAE averages of f2 frequencies closest to the PTA. xx The study further aimed to investigate the characteristics of DPOAEs in noiseexposed gold miners by comparing the average DPOAE levels for different age category groups, different ethnic groups and for different occupation types. Finally, phase one aimed to describe the characteristics of emission level and noise floor differences (DP-NF) in a DPOAE database of a noise-exposed gold mining population. Phase two of the study had the objective of developing a multivariate prediction model using stepwise regression analysis to identify which of the DPOAE frequencies produced the best prediction of the audiogram frequencies when multivariate inputs were used for each stimulus procedure. The objective was also to evaluate the use of the predicted audiograms’ calculated percentage loss of hearing (PLH) with that of the actual PLH. This retrospective record review used an audiological database from a mine in the North West province of South Africa that contained 4800 records. The required sample size to be representative of the population was statistically determined. The records were randomly selected resulting a sample size for the FB2-S group of 161, for the FB1-S group of 177 and the FB1-S group of 155 respectively. The hearing loss characteristics in the samples ranged from normal to profound losses with the majority being mild to moderate hearing losses. Results The findings of phase one showed negative correlations ranging from -0.327 to -0.573 for Frequency Band 1- Replicated (FB1-R) between DPOAE levels and air conduction hearing threshold levels. Similarly, Frequency Band 1-Single (FB1-S) and Frequency Band 2-Single (FB2-S) also showed negative correlations (ranging from -0.203 to -0.609 and -0.274 to -0.738 respectively). These correlation strengths have been confirmed previously by other published studies. xxi Correlations between groups of frequencies on an audiogram and averaged match groups of DPOAE frequencies by intensity levels, both for PTA and SRT, ranged between -0.323 and -0.661. No statistically significant differences were found between the DPOAE measurements and ethnic groups of African and Caucasian (Sample size of 175 for FB1-S, 137 for FB1-R and 161 for FB2-S). No differences were found between the DPOAE levels and the occupation types of mining team members, stopers and drillers. There was, however, a relational finding of a progressive decrement of DPOAE intensity levels by decade of age increase (Sample size of 37 for FB1-S, 45 for FB1-R and 155 for FB2-S). Mean DP levels in this population ranged from 1.5 to -14 dB SPL, and mean NF levels in the sample ranged from 0.1 to -16.8 dB SPL with the mean DP-NF difference ranges form 0.4 to 9.3 dBSPL. More than 60% of the data collected resulted in a DP-NF of less than 10 dB SPL. The simple correlation relationship between hearing threshold levels and DPOAEs did not sufficiently explain the variance within the sample and due to the fact that a number of the independent variables in the sample were highly correlated, there was a call to use a method that allows for multicolinearity (i.e. stepwise regression analysis) in order to develop a prediction model. Consequently, phase two of the study was able to compare actual air-conduction hearing threshold levels with those calculated with the prediction model, and then calculate predicted percentage loss of hearing (PLH) with actual PLH found in the noise-exposed gold miners. In phase two, with the use of the predictive models, the predicted hearing threshold levels were found to differ from the actual thresholds by no more than 7dB HL across all frequencies (average of 5 dB HL for FB1-R, 2 dB HL for FB1-S and 3 dB HL for FB2-S). The differences for each audiogram frequency between the actual and the predicted thresholds are represented on scatter plots in phase two of the thesis. The PLH of the predicted audiograms was calculated using the weighted xxii tables prescribed by the Compensation for Occupational Diseases and Injuries Act (COIDA). A comparison of the predicted PLH with the actual PLH indicated that the predicted PLH ranged between minus 1.3% PLH and plus 6.7% PLH of the actual PLH. Results of the study are discussed with regards to the clinical implications, and the implications for training occupational audiologists in South Africa. The results of this study will improve and inform practice in the mining environment and in the field of compensation for NIHL. By developing a reliable prediction tool which is implemented on an objective test proven to document the extent of damage incurred from noise-exposure, a clinician will gain greater confidence in an accurate diagnosis, thereby further safeguarding a vulnerable population. The results from this study are highly relevant to the mining industry and will add value to the industrial development of South Africa by informing the policy on hearing conservation and compensation, thereby increasing the awareness of the need for improved occupational health and safety conditions and sustainable development in the mining industry.

The Sharing Economy is an innovative social, economic and technological paradigm which is shaping worldwide production and consumption patterns of many industries. Its strength relies on factors of competitiveness such as the use of idle capacity, temporary access to resources without transfer of ownership, the flexibility and adaptability of its models, and the participation of a growing number of players allowed by peer-to-peer digital platforms. From the management perspective, the conditions for lasting competitiveness lies on sustainability, the paradigm integrating the supply, demand, and technological dimensions in a holistic, or ecosystem, perspective. Tourism is among the industries making extensive use of sharing digital platforms and experiencing changes that foster the sustainability debate. The PhD Thesis aims to investigate the relationships between competitiveness and sustainability in the tourism and hospitality accommodation industry in the Sharing Economy Era. Its investigation is multifaced and is addressed through three studies adopting a post-modernist perspective that builds on qualitative approaches and strategies for data collection and analysis. The Part I of the Thesis explores the Sharing Economy concept’s evolution and the sustainability issues through an in-depth review of the literature. Results reveal the leading economic-technological evolution of the paradigm over the social one, and its dual links with sustainability in relation to the extensive use of peer-to-peer digital platforms. Therefore, the evolution of the Sharing Economy activities have shown that today competitiveness is built on the interactions of an ever-increasing number of actors and factors, both off-line and on-line, within a complex ecosystem for the creation of – shared – value. The tourism industry strongly challenges this relationship between extended competition and sustainability. The Part II evaluates the competitiveness model and its evolution during the Sharing eTourism Era in the tourism and hospitality accommodation sector introducing an ecosystem perspective for the creation and distribution of shared value. Specifically, it investigates how the non-traditional and informal tourist services have affected the structure of the industry and have altered the competition among the actors, through semi-structured in-depth interviews. Results show that competitiveness is given by the balance among the complex interactions of internal and external ecosystem’s actors and factors. On a micro level this imply that businesses must adopts an ecosystem vision compensating for negative externalities which translate into the adoption of Business Models promoting sustainability for the creation of sustainable shared value. Therefore, the Part III investigates through the use of an illustrative case study how peer-to-peer digital platforms in the tourist accommodation service can boost profitability while strengthening economic, social and environmental sustainability by applying the innovative Business Model for Sustainability. The research sheds light on the complex Sharing Economy literature and lays the theoretical foundations for the implementation of managerial strategies aimed at promoting extended sustainable competition-cooperation.

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Introduction One out of five reported motor vehicle collision injuries occur to the upper extremities. Certain parts of The Total HUman Model for Safety (THUMS) lack validation against experimental data, including the elbow. The aim of this project is to refine and validate the elbow joint of THUMS, with focus on anatomical response of the elbow during axial impact applied to the wrist. Methods Internal contacts in the elbow were modified and new contacts assigned between bones and ligaments of the elbow. The posterior part of the radial- and ulnar collateral ligaments, and joint capsule was implemented to the model. Elasticmodulus of the cortical bones of the elbow was increased as well as the shell thickness of the humeral cortical bone. The updated model was validated against an experiment where an axial load was applied to the wrist of a female cadaver. The experimental resultant force in the wrist was then compared with the wrist force obtained from the simulations. Results The correlation between the experimental and simulation resultant wrist force for the updated model resulted in a CORA score of 0.882. This gave a 6.7% higher CORA score compared with the original model. Hourglass energy was reduced from 63.52% of internal energy to 0.78%. Energy ratio and contact energies indicated that the simulation was stable. Discussion Movement of elbow bones was assessed to be more anatomically correct, by accounting for the posterior ligament and elbow capsule support. The contact peak force in the humerus was lower and occurred earlier in the simulation in the updated model compared to the original. This is believed to be due to the reduced gap between the elbow bones after increasing the shell thickness of the humeral cortical bone. The model setup resembled the experiment in a good manner. Conclusion The upper extremity of THUMS was refined for improved biofidelity, with focus on the anatomical response of the elbow joint under an axial impact. However, further model improvements are suggested as well as extended validated against other experimental impact results. / Introduktion En av fem rapporterade krockskador med motorfordon förekommer i de övre extremiteterna. Vissa strukturer hos Total HUman Model for Safety (THUMS) saknar validering gentemot experimentell data, där armbågen är ett av dem. Syftet med detta projekt är att förfina och validera armbågsleden hos THUMS, med fokus på dess anatomiska respons under axiellt islag applicerad på handleden. Metod Interna kontakter i armbågen modifierades och nya kontakter tilldelades mellan ben och ligament. De posteriora delarna av kollateral ligament hos radius och ulna implementerades i modellen, så även armbågens ledkapseln. Elasticitetsmodulen hos de kortikala benen i armbågen höjdes och skalets tjocklek idet humerala kortikala benet utökades. Den uppdaterade modellen validerades mot ett experiment där en axiell belastning hade applicerats mot en kvinnlig kadavers handled. Den resulterande kraften i handleden från experimentet jämfördes sedan med erhållen kraft i handleden från simuleringarna. Resultat Korrelationen mellan den experimentella kraften och simulerade kraften hos den uppdaterade modellen resulterade i ett CORA-poäng på 0,882. Detta är en ökning med 6,7% jämfört med den ursprungliga modellen. Hourglassenergin reducerades från 63,52% av inre energi till 0,78%. Energiförhållandet och kontaktenergier indikerade stabil simulering. Diskussion Rörelsen av armbågens ben bedömdes vara mer anatomiskt korrekt, med hänsyn till stödet från de posteriora ligamentet och armbågens ledkapsel. Den maximala islagskraften i humerus minskade och uppträdde tidigare i simuleringen hos den uppdaterade modellen jämfört med originalet. Detta tros bero på reducerat avstånd mellan armbågens ben genom ökandet av skaltjockleken hos det humeralakortikala benet. Modelluppställningen motsvarade experimentets uppställning. Konklusion De övre extremiteterna av THUMS förfinades i syfte att förbättra biofideliteten. Fokus låg på armbågens anatomiska respons under ett axielltislag. Både ytterligare förbättringar av modellen och utökad validering mot andra experimentella islag rekommenderas. / Technology

Globally, approximately 1.2 million people die each year due to traffic accidents. Upper extremity injuries account for 18% to 25% of all car accident injuries. In order to be able to analyze these crash-related injuries, Human body models(HBMs) are used as a complement to FE simulations. An example of a HBM is the THUMS SAFER that is based on a 50 percentile American male. The aim of this study was to improve the upper extremity of the THUMS SAFER with respect to Autoliv's requirements to better predict fractures. In addition, this was validated against the Forman experiment(Forman, et al., The journal of trauma and acute care surgery, vol. 77, 2014) where human cadavers of the upper extremity were axially impacted to replicate a car collision. This was done by generating the upper extremity geometry with segmentation of medical images of a right human hand in combination with the complete STL-geometry of the forearm from the Piper project. The STL-geometry of the segmented human hand and Piper forearm was integrated and a complete STL-geometry of the upper extremity was obtained. Based on the complete STL-geometry, the FE-arm HEX 4.0 was built with modelling of bones, ligaments, soft tissue and skin with corresponding material choice in accordance with Autoliv's requirements. The model HEX 4.0 was improved considering an increased mesh density from an average of 94% to 98%. HEX 4.0 was also validated against the data from the Forman experiment for experiments 5, 6 and 15. It showed a good correlation with the acceleration curves between the simulated and experimental values for the three experiments. The reaction force in the elbow was compared for experiment 15, where the simulated value 5.7 kN divided by a factor of 1.4 from 4 kN for the experiment. Furthermore, the fi rst principal strains that occurred in HEX 4.0 were analysed by 17 ms were the highest acceleration was achieved for experiments 5 and 6. Both experiments were shown to be close to the failure threshold of bones. However, the highest value e5=9.8E-03 occurred in the radius for experiment 5, while e6=9.3E-03 in a ligament for experiment 6. In addition, the failure threshold for experiment 15 exceeded 5 ms in lunate, schapoid and triquetrum. This indication of fractures is in good agreement with the experimental results where the corresponding bones resulted in fractures in experiment 15. HEX 4.0 was an improved upper extremity of the THUMS SAFER considering an increased mesh density. It is also capable of indicating fractures and corresponding positions in the form of analyzes of occurring stresses and strains. Nevertheless, improvements and further validation of HEX 4.0 has been proposed in the future work section. / Globalt, dör varje år ungefär 1.2 miljoner personer på grund av trafi kolyckor. Skador på övre extremitet utgör 18% till 25% av alla skador inom bilolyckor. För att kunna analysera dessa krockrelaterade skador används humanmodeller(HBM) som komplement för FE-simuleringar. Ett exempel på en HBM är THUMS SAFER som är baserad på en "50 percentile" amerikans man. Målet med denna studie är att förbättra över extremiten av THUMS SAFER med avseende på Autolivs krav för att bättre kunna förutspå frakturer. Dessutom validerades detta mot Forman experiment(Forman, et al., The journal of trauma and acute care surgery, vol. 77, 2014) där övre extremitet av människokadaver blev axiellt påverkade för att replikera en bilkollsion. Detta gjordes genom att generera STL-geometrin av en övre extremitet med segmentering av medicinska bilder av en höger människohand i kombination med färdig STL-geometri av underarmen från Piper projektet. STL-geometrin av den segmenterande människohanden och Piper underarmen integrerades och en komplett STL-geometri av övre extremiteten erhölls. Baserad på den kompletta STL-geometrin byggdes FE-armen HEX 4.0 med modellering av ben, ligament, mjukvävnad samt hud med motsvarande materialval i enighet med Autolivs krav. Modellen HEX 4.0 förbättrades i form av en ökad mesh densitet från medelvärdet 94% till 98%. Den validerades även gentemot data från Forman experimentet för experiment 5, 6 och 15. Det påvisade en god korrelation på accelerations kurvorna mellan de simulerade och experimentella värdena för de tre experimenten. Reaktionskraften i armbågen jämfördes för experiment 15 där den simulerade värdet 5.7 kN skiljde sig med en faktor 1.4 från 4 kN för experimentet. Ytterligare analyserades första huvudtöjningarna som uppkom i HEX 4.0 vid 17 ms, då den högsta accelerationen uppnådes för experiment 5 och 6. Det visades att båda experimenten låg nära gränsen för benfraktur, däremot uppkom det högsta värdet e5=9.8E-03 i radius för experiment 5, samt e6=9.3E-03 i ett ligament för experiment 6. Dessutom överskred gränsen för benfrakturer för experiment 15 efter 5 ms i lunate, schapoid och triquetrum. Denna indikation av frakturer stämmer väl med resultatet av experimentet där motsvarande benen resulterades i frakturer i experiment 15. HEX 4.0 är en förbättrad övre extremitet av THUMS SAFER i form av förbättrad meshdensitet. Den är även kapabel att indikera frakturer och motsvarande position i form av analyser på förekommande spänningar och töjningar. Förbättringar och ytterligare validering av HEX 4.0 föreslås för framtida arbete.