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  • 1.
    Lagerstedt, Marianne
    KTH, School of Technology and Health (STH), Medical Engineering.
    Mot nätverkssjukvård i komplex miljö: - behov av en vetenskaplig syn på ledning för säker vård och effektiv resursanvändning2016Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Since 2008 advanced home healthcare agencies (ASiH) in a larger Swedish county council has underwent a transformation, to become part of a coming concept: networked healthcare (NVS). NVS means that intermediate multi-organizational healthcare (IMV) will be produced often in the home, and from 2013 to an increasing number of patients in different age groups with different diagnoses and medical conditions - in large variability of needs. At the same time IMV has proved to be not simply practical to implement in a resource-efficient and patientsafe way. Based on theories from Command and Control Science the safetyproblem that arise in connection with IMV is a sign of the less known increasing need of the direction and coordination support that IMV requires.

    With a casestudy based research approach with interactive elements, different qualitative methods has been used in two phases between 2008 - 2013. The first phase is characterized by a phenomenological approach, while the second phase has a critical hermeneutic approach. Research methods includes fieldvisits with informal discussions, in-depth interviews, validation with respondents and two different methodologies for textanalysis.

    The main result shows that practical aggravating circumstances for safe care consists of lesser known and from 2013 increasing problems with direction and coordination, through expanded advanced IMV in the home as a part of NVS concept. This also as a result of inadequate and inappropriate direction and coordination support for IMV.

    The thesis concludes that the NVS represents a resource intensive health care concept, which requires a new view on the management issue and a network-related methodology for direction and coordination. This is to promote ethical, equitable, patientsafe and dignified advanced IMV so an optimized use of resources can be implemented, through shared responsibility and coordination in patientuniquely designed networkconstellations as a given work model.

  • 2.
    Sampaio, José Nuno
    KTH, School of Technology and Health (STH).
    Light Design : Outdoor Urban Public Places: - Urban Lighting: Design and Technologies -2017Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Most of the present time outdoor lighting investments seem to be focused on road and automotive traffic facilities or oriented toward safety, security and efficiency. 

    We can identify this in many of the world cities, as a globally spread common practice, where lighting is still highly perceived as a pure matter of quantities’ distribution. 

    Considering the tendency for the Human being to become an Urban-being, the future of human quality of life will, most probably, depend on the fortune of so called sustainable cities. 

    By lighting design, and promoting the return of the city lights to the Human scale, is argued that the Urban Planning approach may not correspond best to the person viewpoint, due to scale. 

    Will be explored, this way, by positioning the perspective at human eye level and not zenith bird-view, the traditional perspective over the city, where from not a soul ever experiences urbanity. 

    The method definition will be based mostly on observations and analysis of the Light and Lighting transitions taking place in cities, experienced by its inhabitants, from daytime to night time.

  • 3.
    Vega Barbas, Mario
    KTH, School of Technology and Health (STH), Medical Engineering, Medical sensors, signals and systems. Universidad Politécnica de Madrid.
    Accessible interaction solution based on confidence for the deployment of pervasive sensitive services in intelligent environments2016Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Services based on the Information and Communications Technologies (ICT) are present more and more in the lives of people. The advancement of ICT in technical and social acceptance terms has led the creation of new models of service provision. These provision models involve further integration with people's activities so that are not only present in their professions or civic space but also in a more intimate areas related to their own identity. So it is now common to find services aware of user's health, their domestic habits, ideology, etc. Therefore, the analysis of existing services must be open out to include other aspects related to the way of being and feeling of their members. This way is possible to ensure both the technical correctness of its features as promoting safe and respectful solutions both of civic rights as the way of being and feeling of its members.

    From the engineering point of view, the user perspective has historically encompassed under the concept of technological acceptance. Within this field can be interpreted as friendly solutions adapted to users will encourage the acceptance by them. Solution acceptance is desirable although it is difficult to ensure. This difficulty is due to the lack of the number of variables that affect the acceptance of technological solutions and the difficulty of optimizing the known variables.

    In this thesis it is studied and characterized one of the variables that affect the acceptance of existing services: confidence. Confidence is defined in psychological terms, providing its characterization with the aim of be used in typical methods of engineering. Also different tools are proposed to facilitate the optimization of this confidence in services whose complexity establishes this variable in a basic issue to improve acceptance.

    Health services deployed in a home have been chosen as working context for this thesis. This scenario presents a number of acceptance restrictions on the technology used to create services and how they manage the acquired user information. It comes to highly sensitive and delocalized services that can affect to the user's perception of the environment, the home, and generate fear or rejection to prevent final adoption as a valid solution.

    Once defined the generic framework, the main objective of this dissertation is focused on promote the acceptance of new pervasive and personalized health services and their deployment in domestic intelligent environments through a layout that promotes a psychological state of confidence in users. To achieve this goal, a set of results, both conceptual, technological and experimental, have been provided. In particular, it has offered a complete characterization of the feeling of confidence from a viewpoint of engineering and a definition of sensitive or delocalized pervasive service. Furthermore, a method for the inclusion of the Interaction Design discipline in engineering processes of such services through a set of patterns of interaction is offered. Finally, this thesis provides the development of a software architecture to ensure proper deployment of these pervasive sensitive services in intelligent environments in a confident way.

    Discussion of the results suggests the extension of the deployment model to different services of the Information Society that handle sensitive data both in the context of the digital home and other settings where the user perform everyday activities such as work spaces or schools. The future work lines include the imminent need to apply the results to ongoing developments, within research projects in those the author takes part, and the development of new research lines aimed at creating new spaces and interaction technologies as advanced accessible interfaces, toys of the future, confident visualization systems or security systems based on the condition of the user.

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