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Governing the constructs of life : what constitutes ‘good’ governance?Morgan Jones, Molly January 2011 (has links)
This thesis explores contrasting perspectives on what constitutes 'good governance' for human embryonic stem cell (hESC) research. It asks whether there are systematic differences between perspectives of UK and US policy actors and what kinds of patterns are discernible. Biomedical technologies like hESCs generate complex interactions between public values, institutional interests, societal expectations and technological uncertainties. These pose serious governance challenges. Under such conditions, diverse aspects and implications of risk, ambiguity and uncertainty come into focus. We need appraisal processes that address these issues by combining quantitative and qualitative dimensions to 'open up' divergent governance framings. The research framework employed here uses and further develops one such elicitation and analysis process called Multicriteria Mapping (MCM). MCM combines qualitative sensitivity with quantitative precision, while also aiding transparency and reflexivity in documenting and understanding diverse stakeholder perspectives. We therefore address 'good' governance both as an analytical subject and as a rationale for testing a novel form of appraisal. The analysis discerns systematic patterns in perspectives on good governance across national contexts and between stakeholders, identifying several points of convergence and divergence. We examine underlying rationales behind individual perspectives, obtaining empirical support for recent theoretical arguments concerning technology appraisal and democratic deliberation. We find national policy literatures make greater use of moral and ethical language to frame governance challenges, by comparison with stakeholders' emphasis on institutional and socio-political factors. This suggests a more critical and cautious stance is needed towards the legitimatory language of 'bioethics' in policy making. Finally, we explore some of the normative implications for governance of culturally sensitive and scientifically uncertain issues. By providing reflexive explanations of factors influencing perspectives of policy actors, this thesis makes a number of interlinked theoretical, methodological, empirical and normative contributions to understanding of how good governance of biomedical technologies is and should be conducted.
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A service oriented architecture to implement clinical guidelines for evidence-based medical practiceAziz, Ayesha January 2015 (has links)
Health information technology (HIT) has been identified as the fundamental driver to streamline the healthcare delivery processes to improve care quality and reduce operational costs. Of the many facets of HIT is Clinical Decision Support (CDS) which provides the physician with patient-specific inferences, intelligently filtered and organized, at appropriate times. This research has been conducted to develop an agile solution to Clinical Decision Support at the point of care in a healthcare setting as a potential solution to the challenges of interoperability and the complexity of possible solutions. The capabilities of Business Process Management (BPM) and Workflow Management systems are leveraged to support a Service Oriented Architecture development approach for ensuring evidence based medical practice. The aim of this study is to present an architecture solution that is based on SOA principles and embeds clinical guidelines within a healthcare setting. Since the solution is designed to implement real life healthcare scenarios, it essentially supports evidence-based clinical guidelines that are liable to change over a period of time. The thesis is divided into four parts. The first part consists of an Introduction to the study and a background to existing approaches for development and integration of Clinical Decision Support Systems. The second part focuses on the development of a Clinical Decision Support Framework based on Service Oriented Architecture. The CDS Framework is composed of standards based open source technologies including JBoss SwitchYard (enterprise service bus), rule-based CDS enabled by JBoss Drools, process modelling using Business Process Modelling and Notation. To ensure interoperability among various components, healthcare standards by HL7 and OMG are implemented. The third part provides implementation of this CDS Framework in healthcare scenarios. Two scenarios are concerned with the medical practice for diagnosis and early intervention (Chronic Obstructive Pulmonary Disease and Lung Cancer), one case study for Genetic data enablement of CDS systems (New born screening for Cystic Fibrosis) and the last case study is about using BPM techniques for managing healthcare organizational perspectives including human interaction with automated clinical workflows. The last part concludes the research with contributions in design and architecture of CDS systems. This thesis has primarily adopted the Design Science Research Methodology for Information Systems. Additionally, Business Process Management Life Cycle, Agile Business Rules Development methodology and Pattern-Based Cycle for E-Workflow Design for individual case studies are used. Using evidence-based clinical guidelines published by UK's National Institute of Health and Care Excellence, the integration of latest research in clinical practice has been employed in the automated workflows. The case studies implemented using the CDS Framework are evaluated against implementation requirements, conformance to SOA principles and response time using load testing strategy. For a healthcare organization to achieve its strategic goals in administrative and clinical practice, this research has provided a standards based integration solution in the field of clinical decision support. A SOA based CDS can serve as a potential solution to complexities in IT interventions as the core data and business logic functions are loosely coupled from the presentation. Additionally, the results of this this research can serve as an exemplar for other industrial domains requiring rapid response to evolving business processes.
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Validity of Linear Position Transducers Versus the Optotrak Certus 3D Motion Capture SystemUnknown Date (has links)
The purpose of this study was to investigate the validity of linear position
transducers (LPTs), The Open Barbell System (OBS) and Tendo Weightlifting Analyzer
System (TWAS), in comparison to criterion measure Optotrak Certus (OC3D). Further,
we aimed to compare LPTs against each other. Twenty-five resistance-trained males were
recruited, and reported to the laboratory for one day of data collection. Subjects
performed one-repetition maximum (1 RM) testing of the squat, then had a standardized
rest before completing one set to failure with 70% 1 RM. There was no significant
difference in average velocity (AV) between either LPT vs. OC3D. T-tests revealed
significant differences between LPTs and OC3D peak velocity (PV) (OBS: p=0.02080;
TWAS: p<0.01). A significant difference was detected between OBS and TWAS PV
(p<0.01). OBS and TWAS demonstrated concurrent validity compared to OC3D for AV
(OBS: p=0.2014; TWAS: p=0.5466). Neither LPT was a valid measure ofPV (OBS:
p=0.0208; TWAS: p<0.01). / Includes bibliography. / Thesis (M.S.)--Florida Atlantic University, 2016. / FAU Electronic Theses and Dissertations Collection
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Electronics Instrumentation For Ion Trap Mass SpectrometersShankar, Ganesh Hassan 12 1900 (has links)
The thesis aims at building an experimental setup for conducting the boundary
ejection and resonance ejection experiments on wide variety of ion trap mass
analyzers. The experimental setup has two parts namely power electronics
circuits and mechanical assembly. The focus of the thesis is on the electronics
hardware which provides various power sources required for the operation of ion
trap mass spectrometer. The electronics circuits discussed in the thesis have
better performance, flexibility and ruggedness compared to the existing setup.
The traditional power supplies used in ion trap mass spectrometers are all
linear supplies. But one major drawback of these supplies is the high power
dissipation and consequently, the power efficiency degrades. We are trying to
introduce switch mode power supplies to reduce the power dissipation loss and
eventually increase the power efficiency. In the course of the work the
following power supplies have been developed. The supplies are - 1.Constant
current source, 2.Filament base, 3.gating power supply and pulsing circuit,
4.High voltage DC power supply and 5. High voltage RF generator.
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