Towards a Holistic, Total Engineering Cost Model

In this paper, we explore a new approach for a unified and interdisciplinary model for estimating the total engineering effort in developing and delivering a parametric software-intensive complex system. We begin by reviewing some of the limitations of using existing engineering discipline-focused tools for estimating total engineering cost and by articulating the benefits of such a holistic model. Applying a two step method combining heuristic analysis and data validation, we propose three hypotheses to expand the basic cost estimating relationship of COSYSMO, a systems engineering model, to the total engineering scope by including software size drivers. The implementation of the hypotheses and the validation approach are also discussed. We conclude the discussion by outlining the future work required to realize such a model and to apply it to supporting successful system development endeavours

Assessing the public acceptability of proposed policy interventions to reduce the misuse of antibiotics in Australia: A report on two community juries

Objective: To elicit the views of well-informed community members on the acceptability of proposed policy interventions designed to improve community use of antibiotics in Australia. Design: Two community juries held in 2016. Setting and participants: Western Sydney and Dubbo communities in NSW, Australia. Twenty-nine participants of diverse social and cultural backgrounds, mixed genders and ages recruited via public advertising: one jury was drawn from a large metropolitan setting; the other from a regional/rural setting. Main outcome measure: Jury verdict and rationale in response to a prioritization task and structured questions. Results: Both juries concluded that potential policy interventions to curb antibiotic misuse in the community should be directed towards: (i) ensuring that the public and prescribers were better educated about the dangers of antibiotic resistance; (ii) making community-based human and animal health-care practitioners accountable for their prescribing decisions. Patient-centred approaches such as delayed prescribing were seen as less acceptable than prescriber-centred approaches; both juries completely rejected any proposal to decrease consumer demand by increasing antibiotic prices. Conclusion: These informed citizens acknowledged the importance of raising public awareness of the risks, impacts and costs of antibiotic resistance and placed a high priority on increasing social and professional accountability through restrictive measures. Their overarching aim was that policy interventions should be directed towards creating collective actions and broad social support for changing antibiotic use through establishing and explaining the need for mechanisms to control and support better prescribing by practitioners, while not transferring the burdens, costs and risks of interventions to consumers