Background: Few studies have considered the impact of demographic and clinical variables on help received respectively from services and relatives to satisfy needs of adults with severe mental disorders (SMD). Purpose...Background: Few studies have considered the impact of demographic and clinical variables on help received respectively from services and relatives to satisfy needs of adults with severe mental disorders (SMD). Purposes: To identify major needs receiving help and, using the Andersen’s Behavioural Model of Health Service Use, to identify and compare predisposing, enabling and need factors associated with help given respectively by services and relatives. Methods: 352 adults with SMD from Montreal (Canada) were interviewed using six standardized instruments. Clinical records were consulted. Multiple linear regression analyses were processed to measure level of help received from relatives and services. Results: Factors significantly associated with help from relatives were: higher number of perceived needs;fewer diagnoses;better community functioning;being younger, and in a conjugal relationship;living autonomously;having social support and better quality of life;and, marginally, being an immigrant. Factors significantly associated with help from services were: higher number of perceived needs, better quality of life, supervised housing, adjustment disorder and schizophrenia. Conclusions: Help overall is insufficient to meet users’ needs. Services are more helpful than relatives, in particular regarding health needs. Comparatively to help from services, help from relatives is associated with predisposing factors like age, marital status and nationality.展开更多
An enterprise based on web services can benefit from computer-based monitoring for its normal course of business. No services, delayed services, inadequate services and poor or delayed information flow all hinder or p...An enterprise based on web services can benefit from computer-based monitoring for its normal course of business. No services, delayed services, inadequate services and poor or delayed information flow all hinder or prevent the normal course of business. The health of the service-oriented approach, the communication flow and the services themselves directly equate to the health and vitality of the enterprise. By health we mean, availability, performance, integrity, and reliability of web services. This paper proposes and details an agent based approach for web service monitoring in an enterprise environment. The objective of this approach is to provide enhanced security, improved help desk information and attribution across a diverse web services landscape that is logically a system but physically distributed. The definition of the agents, their logical locations, their functionality and relationships has not been described previously. This architecture provides many advantages over previous methodologies for event monitoring including assignment of overlapping responsibilities, reduction in help desk effort and placement of measurements throughout the upper layers of the web services system. This is also the first enumeration of significant events and information requirements at the service level. It also assigns responsibility to the components (agents, handlers or the service itself) for logging and alerting such events. This architecture is currently being implemented by a major defense entity.展开更多
文摘Background: Few studies have considered the impact of demographic and clinical variables on help received respectively from services and relatives to satisfy needs of adults with severe mental disorders (SMD). Purposes: To identify major needs receiving help and, using the Andersen’s Behavioural Model of Health Service Use, to identify and compare predisposing, enabling and need factors associated with help given respectively by services and relatives. Methods: 352 adults with SMD from Montreal (Canada) were interviewed using six standardized instruments. Clinical records were consulted. Multiple linear regression analyses were processed to measure level of help received from relatives and services. Results: Factors significantly associated with help from relatives were: higher number of perceived needs;fewer diagnoses;better community functioning;being younger, and in a conjugal relationship;living autonomously;having social support and better quality of life;and, marginally, being an immigrant. Factors significantly associated with help from services were: higher number of perceived needs, better quality of life, supervised housing, adjustment disorder and schizophrenia. Conclusions: Help overall is insufficient to meet users’ needs. Services are more helpful than relatives, in particular regarding health needs. Comparatively to help from services, help from relatives is associated with predisposing factors like age, marital status and nationality.
文摘An enterprise based on web services can benefit from computer-based monitoring for its normal course of business. No services, delayed services, inadequate services and poor or delayed information flow all hinder or prevent the normal course of business. The health of the service-oriented approach, the communication flow and the services themselves directly equate to the health and vitality of the enterprise. By health we mean, availability, performance, integrity, and reliability of web services. This paper proposes and details an agent based approach for web service monitoring in an enterprise environment. The objective of this approach is to provide enhanced security, improved help desk information and attribution across a diverse web services landscape that is logically a system but physically distributed. The definition of the agents, their logical locations, their functionality and relationships has not been described previously. This architecture provides many advantages over previous methodologies for event monitoring including assignment of overlapping responsibilities, reduction in help desk effort and placement of measurements throughout the upper layers of the web services system. This is also the first enumeration of significant events and information requirements at the service level. It also assigns responsibility to the components (agents, handlers or the service itself) for logging and alerting such events. This architecture is currently being implemented by a major defense entity.