Developing a distributed electronic health-record store for India

The DIGHT project is addressing the problem of building a scalable and highly available information store for the Electronic Health Records (EHRs) of the over one billion citizens of India

Framework of Six Sigma implementation analysis on SMEs in Malaysia for information technology services, products and processes

For the past two decades, the majority of Malaysia’s IT companies have been widely adopting a Quality Assurance (QA) approach as a basis for self-improvement and internal-assessment in IT project management. Quality Control (QC) is a comprehensive top-down observation approach used to fulfill requirements for quality outputs which focuses on the aspect of process outputs evaluation. However in the Malaysian context, QC and combination of QA and QC as a means of quality improvement approaches have not received significant attention. This research study aims to explore the possibility of integrating QC and QA+QC approaches through Six Sigma quality management standard to provide tangible and measureable business results by continuous process improvement to boost customer satisfactions. The research project adopted an exploratory case study approach on three Malaysian IT companies in the business area of IT Process, IT Service and IT Product. Semi-structured interviews, online surveys, self-administered questionnaires, job observations, document analysis and on-the-job-training are amongst the methodologies employed in these case studies. These collected data and viewpoints along with findings from an extensive literature review were used to benchmark quality improvement initiatives, best practices and to develop a Six Sigma framework for the context of the SMEs in the Malaysian IT industry. This research project contributed to both the theory and practice of implementing and integrating Six Sigma in IT products, services and processes. The newly developed framework has been proven capable of providing a general and fundamental start-up decision by demonstrating how a company with and without formal QIM can be integrated and implemented with Six Sigma practices to close the variation gap between QA and QC. This framework also takes into consideration those companies with an existing QIM for a new face-lift migration without having to drop their existing QIM. This can be achieved by integrating a new QIM which addresses most weaknesses of the current QIM while retaining most of the current business routine strengths. This framework explored how Six Sigma can be expanded and extended to include secondary external factors that are critical to successful QIM implementation. A vital segment emphasizes Six Sigma as a QA+QC approach in IT processes; and the ability to properly manage IT processes will result in overall performance improvement to IT Products and IT Services. The developed Six Sigma implementation framework can serve as a baseline for SMEs to better manage, control and track business performance and product quality; and at the same time creates clearer insights and un-biased views of Six Sigma implementation onto the IT industries to drive towards operational excellence

Enhancing Road Infrastructure Monitoring: Integrating Drones for Weather-Aware Pothole Detection

The abstract outlines the research proposal focused on the utilization of Unmanned Aerial Vehicles (UAVs) for monitoring potholes in road infrastructure affected by various weather conditions. The study aims to investigate how different materials used to fill potholes, such as water, grass, sand, and snow-ice, are impacted by seasonal weather changes, ultimately affecting the performance of pavement structures. By integrating weather-aware monitoring techniques, the research seeks to enhance the rigidity and resilience of road surfaces, thereby contributing to more effective pavement management systems. The proposed methodology involves UAV image-based monitoring combined with advanced super-resolution algorithms to improve image refinement, particularly at high flight altitudes. Through case studies and experimental analysis, the study aims to assess the geometric precision of 3D models generated from aerial images, with a specific focus on road pavement distress monitoring. Overall, the research aims to address the challenges of traditional road failure detection methods by exploring cost-effective 3D detection techniques using UAV technology, thereby ensuring safer roadways for all users

A country perspective in exploring the links between hospital pharmacies and pharmaceutical industry: a case study application

The pharmaceutical industry is one of the firms where the search for quality is very close to compliance. Yet a major paradigm change is occurring in this industry due to the increase of returns and recalls. Hence, in this paper the authors combine the findings of previous literature reviews with a case study approach. Findings from previous literature reviews emerged from the links explored between pharmaceutical drugs quality, reverse logistics and sustainability. With the addition of a case study on a global manufacturing corporation in the area of generic drugs products one step further is introduced: understanding the type of returns companies receive, in particular from hospital pharmacies. With this approach authors are creating a link between two different parties: the application of a quality by design (QbD) risk management approach with the reduction of variability and risk of noncompliance, through the increase of knowledge and value into their products and processes

Technical Debt Prioritization: State of the Art. A Systematic Literature Review

Background. Software companies need to manage and refactor Technical Debt issues. Therefore, it is necessary to understand if and when refactoring Technical Debt should be prioritized with respect to developing features or fixing bugs. Objective. The goal of this study is to investigate the existing body of knowledge in software engineering to understand what Technical Debt prioritization approaches have been proposed in research and industry. Method. We conducted a Systematic Literature Review among 384 unique papers published until 2018, following a consolidated methodology applied in Software Engineering. We included 38 primary studies. Results. Different approaches have been proposed for Technical Debt prioritization, all having different goals and optimizing on different criteria. The proposed measures capture only a small part of the plethora of factors used to prioritize Technical Debt qualitatively in practice. We report an impact map of such factors. However, there is a lack of empirical and validated set of tools. Conclusion. We observed that technical Debt prioritization research is preliminary and there is no consensus on what are the important factors and how to measure them. Consequently, we cannot consider current research conclusive and in this paper, we outline different directions for necessary future investigations

Establishing disability weights for congenital pediatric surgical conditions: A multi-modal approach

__Background:__ Burden of disease (BoD) as measured by Disability-Adjusted Life Years (DALYs) is one of the criteria for priority-setting in health care resource allocation. DALYs incorporate disability weights (DWs), which are currently expert-derived estimates or non-existent for most pediatric surgical conditions. The objective of this study is to establish DWs for a subset of key pediatric congenital anomalies using a range of health valuation metrics with caregivers in both high- and low-resource settings. __Method:__ We described 15 health states to health professionals (physicians, nurses, social workers, and therapists) and community caregivers in Kenya and Canada. The health states summaries were expert- and community-derived, consisting of a narrated description of the disease and a functional profile described in EQ-5D-5 L style. DWs for each health state were elicited using four health valuation exercises (preference ranking, visual analogue scale (VAS), paired comparison (PC), and time trade-off (TTO)). The PC data were anchored internally to the TTO and externally to existing data to yield DWs for each health state on a scale from 0 (health) to 1 (dead). Any differences in DWs between the two countries were analyzed. __Results:__ In total, 154 participants, matched by profession, were recruited from Kijabe, Kenya (n = 78) and Hamilton, Canada (n = 76). Overall calculated DWs for 15 health states ranged from 0.13 to 0.77, with little difference between countries (intra-class coefficient 0.97). However, DWs generated in Kenya for severe hypospadias and undescended testes were higher than Canadian-derived DWs (p = 0.04 and p < 0.003, respectively). __Conclusions:__ We have derived country-specific DWs for pediatric congenital anomalies using several low-cost methods and inter-professional and community caregivers. The TTO-anchored PC method appears best suited for future use. The majority of DWs do not appear to differ significantly between the two cultural contexts and could be used to inform further work of estimating the burden of global pediatric surgical disease. Care should be taken in comparing the DWs obtained in the current study to the existent list of DWs because methodological differences may impact on their compatibility

SOFTENG 2023: the ninth international conference on advances and trends in software engineering

The Ninth International Conference on Advances and Trends in Software Engineering (SOFTENG 2023), held between April 24th and April 28th, 2023, continued a series of events focusing on these challenging aspects for software development and deployment, across the whole life-cycle. Software engineering exhibits challenging dimensions in the light of new applications, devices, and services. Mobility, user-centric development, smart-devices, e-services, ambient environments, e-health and wearable/implantable devices pose specific challenges for specifying software requirements and developing reliable and safe software. Specific software interfaces, agile organization and software dependability require particular approaches for software security, maintainability, and sustainability. We take here the opportunity to warmly thank all the members of the SOFTENG 2023 technical program committee, as well as all the reviewers. The creation of such a high-quality conference program would not have been possible without their involvement. We also kindly thank all the authors who dedicated much of their time and effort to contribute to SOFTENG 2023. We truly believe that, thanks to all these efforts, the final conference program consisted of top-quality contributions. We also thank the members of the SOFTENG 2023 organizing committee for their help in handling the logistics of this event. We hope that SOFTENG 2023 was a successful international forum for the exchange of ideas and results between academia and industry and for the promotion of progress in the field of software engineering

Six Sigma

In the new millennium the increasing expectation of customers and products complexity has forced companies to find new solutions and better alternatives to improve the quality of their products. Lean and Six Sigma methodology provides the best solutions to many problems and can be used as an accelerator in industry, business and even health care sectors. Due to its flexible nature, the Lean and Six Sigma methodology was rapidly adopted by many top and even small companies. This book provides the necessary guidance for selecting, performing and evaluating various procedures of Lean and Six Sigma. In the book you will find personal experiences in the field of Lean and Six Sigma projects in business, industry and health sectors