In emergency medical transport, “time to definite care” is very important. Emergency medical services and transport medicine agencies have several possible vehicle options for interfacility transfers. Use of a land vehicle, helicopter, or fixed wing aircraft will be dependent on patient condition, distance between sending and receiving hospitals, crew configuration and capabilities, and other factors such as weather and road conditions. This thesis lays out the complex process of patient transfers and highlights the challenges in decision making under time pressure; it then describes the behaviour of human operators in estimating time to definite care. To support the operators in choosing a transportation mode, a decision support tool was built, which provides relevant time estimates for interfacility transfers based on historical dispatch and call data. The goal is to enable operators to make evidence-based decisions on vehicle allocation. A prototype interface was generated and was evaluated through a usability study.

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The 'Arco Seco' or 'Dry Arc' region of the Republic of Panama is considered to be the driest in the country, where many areas of this region experience severe water stress during the months of January through May. This study was conducted to develop a tool for the assessment of sustainable implementation of water harvesting through ponds for agricultural purposes in the region. A computer based Decision Support System (DSS) has been developed specifically for the Arco Seco region in order to facilitate pond storage capacity estimation. As part of the DSS, four computer programs have been designed for four different case scenarios; the first one is for sites that have high water demand and no topographical restrictions for pond size; the second is for fairly high water demand, no topographical restrictions for pond size, and for farmers who wish to have a backup of water to use mostly during drier years; the third is for low water demand, usage during the dry season only, and topographical restrictions for pond size, and finally the fourth is for constant water demand throughout the year, and for sites where runoff is the only water source.* / *This dissertation is a compound document (contains both a paper copy and a CD as part of the dissertation).

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Due to space limitations in urban areas, underground construction has become a common practice worldwide. When using deep excavations, excessive lateral movements are a major concern because they can lead to significant displacements and rotations in adjacent structures. Therefore, accurate predictions of lateral wall deflections and surface settlements are important design criteria in the analysis and design of excavation support systems. This research shows that the current design methods, based on plane strain analyses, are not accurate for designing excavation support systems and that fully three-dimensional (3D) analyses including wall installation effects are needed. A complete 3D finite element simulation of the wall installation at the Chicago and State Street excavation case history is carried out to show the effects of modeling: (i) the installation sequence of the supporting wall, (ii) the excavation method for the wall, and (iii) existing adjacent infrastructure. This model is the starting point of a series of parametric analyses that show the effects of the system stiffness on the resulting excavation-related ground movements. Furthermore, a deformation-based methodology for the analysis and design of excavation support systems is proposed in order to guide the engineer in the different stages of the design. The methodology is condensed in comprehensive flow charts that allow the designer to size the wall and supports, given the allowable soil distortion of adjacent structures or predict ground movements, given data about the soil and support system.

Research has shown that data warehouses potentially offer great investment opportunities to business. To benefit from this, business needs to invest large sums of money. Such investments are very risky, as no guarantee of the success of these ventures can be given. Object-oriented development has proved successful for developing operational systems in industry. This study researches object-oriented techniques to discover whether these techniques could be used successfully in data warehousing. A literature study focuses on the definition of an information systems development methodology and defines the components of such methodology. A further literature study on four popular object-oriented methodologies determines the commonalities of these methodologies. In conclusion, a literature study on data warehouse methodologies is done to discover the phases and techniques used in developing data warehouses. Based on the literature, a method is proposed to build a data warehouse harnessing object-oriented phases and techniques. The proposed method is applied as an interpretive experiment, followed by an evaluation of the data warehouse implemented. / Thesis (M.Sc. (Computer Science))--North-West University, Potchefstroom Campus, 2009.

Current monitoring tools in the intensive care units focus on displaying physiologically monitored parameters (e.g. vital signs such as heart rate, respiratory rate and blood pressure) at the present moment. Added clinical utility can be found by analyzing how the conditions of a patient evolve with time, and automatically relating that dynamics to population trends. Variability analysis consists of monitoring patterns of variation over intervals in time of physiological signals such as heart rate and respiratory rate. Given that illness has been associated in multiple studies with altered variability, most commonly lack of variation, variability monitoring represents a tool whose contribution at the bedside still needs to be explored. With the long term objective of improving care, this thesis promotes the use of variability analysis through three distinct types of analysis: facing the technical challenges involved with the dimensionality of variability analysis, enhancing the physiological understanding of variability, and showing its utility in real world clinical applications. In particular, the contributions of this thesis include: the review and classification into domains of a large array of measures of variability; the design of system and methods to integrate multiple measures of variability into a unique score, called composite measure, bringing relevant information to specific clinical problems; the comparison of patterns of heart rate variability during exercise and sepsis development, showing the inability of single measures of variability to discriminate between the two kinds of stressors; the analysis of variability produced from a physiologically-based model of the cardiovascular system, showing that each single measure of variability is an unspecific sensor of the body, thereby promoting multivariate analysis to the only means of understanding the physiology underlying variability; the study of heart rate variability in a population at high risk of sepsis development, showing the ability of variability to predict the occurrence of sepsis more than 48 hours in advance respect to the time of diagnosis of the clinical team; the study of heart and respiratory rate variability in intubated intensive care unit patients, showing how variability can provide a better way of assessing extubation readiness respect to commonly used clinical parameters. Overall, it is hoped that these novel contributions will help promoting bedside applications of variability monitoring to improve patient care.

Research has shown that data warehouses potentially offer great investment opportunities to business. To benefit from this, business needs to invest large sums of money. Such investments are very risky, as no guarantee of the success of these ventures can be given. Object-oriented development has proved successful for developing operational systems in industry. This study researches object-oriented techniques to discover whether these techniques could be used successfully in data warehousing. A literature study focuses on the definition of an information systems development methodology and defines the components of such methodology. A further literature study on four popular object-oriented methodologies determines the commonalities of these methodologies. In conclusion, a literature study on data warehouse methodologies is done to discover the phases and techniques used in developing data warehouses. Based on the literature, a method is proposed to build a data warehouse harnessing object-oriented phases and techniques. The proposed method is applied as an interpretive experiment, followed by an evaluation of the data warehouse implemented. / Thesis (M.Sc. (Computer Science))--North-West University, Potchefstroom Campus, 2009.