Hypertension affects one in five adults worldwide. Healthcare processes require interdisciplinary cooperation and coordination between medical teams, clinical processes, and patients. The lack of patients’ empowerment and adherence to treatment makes necessary to integrate patients, data collecting devices and clinical processes. For this reason, in this paper we propose a model based on Business Process Management paradigm, together with a group of technologies, techniques and IT principles which increase the benefits of the paradigm. To achieve the proposed model, the clinical process of the hypertension is analyzed with the objective of detecting weaknesses and improving the process. Once the process is analyzed, an architecture that joins health devices and environmental sensors, together with an information system, has been developed. To test the architecture, a web system connected with health monitors and environment sensors, and with a mobile app have been implemented.
A Mass Customisation model is discussed as a competitive positioning strategy in the marketplace adding value to the customer’s end-use. It includes the user as part of the construction process responding to the customer’s demands and wishes. To the present day, almost all proposals for Mass Customisation have been focused on the design phase and single family houses. The reality is that the processes carried out in the work execution are so inefficient that the costs of the Mass Customisation models are assumed by the customer and they do not offer solutions that support the change management. Furthermore, this inefficiency often makes Mass Customisation unfeasible in terms of deadlines and site management. Therefore, the present proposal focuses on achieving the paradigm of Mass Customisation in the traditional residential construction complementary to the existing proposals in the design phase. All this through the proposal of a framework for the integral management in the work execution, which will address change management introduced by the users offering an efficient and productive model that reduces costs in the process. This model will focus on the synergy between different strategies, techniques and technologies currently used in the construction management (such as Lean Construction or Six Sigma), together with, other strategies and technologies that have proven to be valid solutions in other fields (such as Business Process Management, Service Oriented Architecture, etc.).
Current mobile devices need to run applications with high computational demands and critical response times. The mobile edge computing (MEC) paradigm was developed to improve the performance of these devices. This new computation architecture allows for the mobile devices to execute applications on fog nodes at the network edge; this process is called data processing offloading. This article presents a security model for the externalization of application execution in multi-tier MEC environments. The principal novelty of this study is that the model is able to modify the required security level in each tier of the distributed architecture as a function of the degree of trust associated with that tier. The basic idea is that a higher degree of trust requires a lower level of security, and vice versa. A formal framework is introduced that represents the general environment of application execution in distributed MEC architectures. An architecture is proposed that allows for deployment of the model in production environments and is implemented for evaluation purposes. The results show that the security model can be applied in multi-tier MEC architectures and that the model produces a minimal overhead, especially for computationally intensive applications.
17 March 2020 in Journal of Medical Internet Research
Background: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease with a high global prevalence. The main scientific societies dedicated to the management of this disease have published clinical practice guidelines for quality practice. However, at present, there are important weaknesses in COPD diagnosis criteria that often lead to underdiagnosis or misdiagnosis.Objective: We sought to develop a new support system for COPD diagnosis. The system was designed to overcome the weaknesses detected in current guidelines with the goals of enabling early diagnosis, and improving the diagnostic accuracy and quality of care provided.Methods: We first analyzed the main clinical guidelines for COPD to detect weaknesses that exist in the current diagnostic process, and then proposed a redesign based on a business process management (BPM) strategy for its optimization. The BPM system acts as a backbone throughout the process of COPD diagnosis in this proposed approach. The newly developed support system was integrated into a health information system for validation of its use in a hospital environment. The system was qualitatively evaluated by experts (n=12) and patients (n=36).Results: Among the 12 experts, 10 (83%) positively evaluated our system with respect to increasing the speed for making the diagnosis, helping in interpreting results, and encouraging opportunistic diagnosis. With an overall rating of 4.29 on a 5-point scale, 27/36 (75%) of patients considered that the system was very useful in providing a warning about possible cases of COPD. The overall assessment of the system was 4.53 on a 5-point Likert scale with agreement to extend its use to all primary care centers.Conclusions: The proposed system provides a functional method to overcome the weaknesses detected in the current diagnostic process for COPD, which can help foster early diagnosis, while improving the diagnostic accuracy and quality of care provided.
1 January 2017 in Education Research International
The emotional profile of university students has been related to both academic performance and professional success. Such evidence has led higher education professionals to ask whether students can be trained in emotional skills at university stage. However, learning specific emotional skills requires a considerable investment of time from students. This paper presents an intervention aimed at developing emotional skills through interdisciplinary teamwork, without adding specific courses that could decrease the time that students devote to their core studies. The results indicated that working in interdisciplinary teams improved the level of emotional skills without hindering the attainment of academic objectives.
In this paper is proposed a service model for the industrial machinery which provides a design pattern which details, classifies and organises the services that ideally the machine should possess in order to facilitate its self-management and proactive management of the business logic for which it is responsible. This pattern also establishes those services which will enable the machine to communicate and cooperate with other machines or manufacturing elements, as well as with the remaining business processes. The proposed pattern are based on service oriented architecture (SOA) and Web services extensions (WS-*) in order to ensure that the industrial machinery attains high levels of self management and especially so that it can show the rest of the organisation and from a perspective of functionality, in a normalised manner, overcoming barriers imposed by technological and physical restrictions typical of these components and which traditionally have kept them isolated from the general business model.