The practice of software project management evolves alongside emerging new technologies such as advances in new tools and resources in Application Programming Interfaces (APIs) and machine learning applications. This thesis evaluates the ways in which a small software development unit, characteristics of other small enterprises, has embraced emerging trends in the development of digital technologies in order to establish and maintain successful practice. A qualitative research approach was adopted to elicit an understanding of the critical knowledge acquired as the unit developed and its members become effective practitioners. The research identifies and analyses the acquired knowledge that underpins successful practice, and uses the results of this analysis to propose a support system to enhance future practice. This is a challenge is that there is limited evidence of Small and Medium Enterprises (SMEs) engaging in knowledge management (KM) or in organisational learning (OL) initiatives. In developing projects, smaller software development organisations rely on implicit knowledge and Agile to resolve complexity. Consequently, and specifically in a small business, the development of this bespoke system, represents a novel approach to Knowledge Management (KM) and Organisational Learning (OL). Projects were identified as key sources and locus of development, innovation knowledge, skills, know-how and learning within the unit. This outcome has reinforced the proposal for a links-based system around individual projects. As in Chapter Nine, the system is as a web-based repository of project templates. The templates capture key insights into critical decisions and significant advances in current practice that arise from work within individual projects. The proposed system captures the unit’s knowledge. In addition, it provides an accessible resource that not only supports critical reflection and decision making but also retains key aspects of organisational learning (OL) and know-how. Further, while complementing continuing implicit learning, it has the further benefit of maintaining organisational resilience where individuals’ skills may be lost or where the unit faces high staff turnover. Moreover, the system can serve to induct newcomers to the unit. Accordingly, for a small software development unit with no prior knowledge management initiative or system in place, the research’s immediate contribution is through modelling, capturing and representing the acquired knowledge. This thesis provides insights into the management of software project knowledge through web technology. The prototype was successfully designed, implemented, evaluated and made available to the research unit working group. Such a system provides an effective measure for application at organisational and project levels, the evaluation of practice and the reuse of project knowledge to improve performance and effective practice. A further contribution made by this research is in revealing the range of the acquired knowledge, the know-how and the soft skills that complement the technical skills of software development within the research unit. The set of know-how and soft skills could be valuable where measures for effective professional practice are required. The analysed data revealed the range of capabilities the members developed to enable the application of implicit knowledge. Such insights, perceptions, and understanding enabled them to engage with clients, as well as manage risks and changes, assist key business processes and, importantly, deliver projects successfully. These skills contribute to the members’ individual professional development and capabilities. These might be termed Confidence, Relationships, Communication and Self-Management, Cooperation and Teamwork. Similarly, the research revealed the range of Know-How the members have developed. This range would include Understanding of Business Processes, Experimentation and Problem Solving, Reusing of Project Knowledge, Establishing and Marinating Quality, Project Time Estimates, and Learning from Project Failure the thesis also highlights the additional range of critical knowledge encapsulated within projects. This knowledge specifically related to Business Processes, Business Domains, Client and Working Environment. Such contextual implicit knowledge is part of the critical knowledge the practitioners acquired. Consequently, a model of successful practice within the unit was then built upon facets of this salient knowledge. An evaluation provided feedback on the system and assessed its suitability for the research unit. The unit members were satisfied with how the prototype restricted the key elements related to their knowledge and practice without duplicating information and acknowledged that it was the knowledge management system that best suits their needs. A focus group meeting with another similar software development unit highlighted and validated commonalities and differences in experience and in the nature of the individual organisations. The findings suggest that the proposed approach to recognising and utilising knowledge for transfer, reuse and consolidating effective practice is, potentially, extendable to similar domains. Continued research would explore the wider generalisability of this approach. Further research would explore extensions or revisions of the prototype that might further clarify the benefits and limitations of such an approach as well as providing a model for knowledge management in similar small-scale environments. This research might also serve as a template or road map for the implementation of KM initiatives elsewhere, such as start-up companies where there is a lack of software development expertise. Furthermore, the proposed system could serve as a model for the development of comparable systems in organisations where projects form the core of their work.

One of the challenges in cardiovascular disease management is the clinical decision-making process. When a clinician is dealing with complex and uncertain situations, the decision on whether or how to intervene is made based upon distinct information from diverse sources. There are several variables that can affect how the vascular system responds to treatment. These include: the extent of the damage and scarring, the efficiency of blood flow remodelling, and any associated pathology. Moreover, the effect of an intervention may lead to further unforeseen complications (e.g. another stenosis may be “hidden” further along the vessel). Currently, there is no tool for predicting or exploring such scenarios. This thesis explores the development of a highly adaptive real-time simulation of blood flow that considers patient specific data and clinician interaction. The simulation should model blood realistically, accurately, and through complex vascular networks in real-time. Developing robust flow scenarios that can be incorporated into the decision and planning medical tool set. The focus will be on specific regions of the anatomy, where accuracy is of the utmost importance and the flow can develop into specific patterns, with the aim of better understanding their condition and predicting factors of their future evolution. Results from the validation of the simulation showed promising comparisons with the literature and demonstrated a viability for clinical use.

Rehabilitation and training are extremely important process that help people who have suffered some form of trauma to regain their ability to live independently and successfully complete activities of daily living. VR and MR have been used in rehabilitation and training, with examples in a range of areas such as physical and cognitive rehabilitation, and medical training. However, previous research has mainly used non-immersive VR such as using video games on a computer monitor or television. Immersive VR Head-Mounted Displays were first developed in 1965 but the devices were usually large, bulky and expensive. In 2016, the release of low-cost VR HMDs allowed for wider adoption of VR technology. This thesis investigates the impact of these devices in supporting activities of daily living through three novel applications: training driving skills for a powered wheelchair in both VR and MR; and using VR to help with the cognitive rehabilitation of stroke patients. Results from the acceptability study for VR in cognitive rehabilitation showed that patients would be likely to accept VR as a method of rehabilitation. However, factors such as visual issues need to be taken into consideration. The validation study for the Wheelchair-VR project showed promising results in terms of user improvement after the VR training session but the majority of the users experienced symptoms of cybersickness. Wheelchair-MR didn’t show statistically significant results in terms of improvements but did show a mean average improvement compared to the control group. The effects of cybersickness were also greatly reduced compared to VR. We conclude that VR and MR can be used in conjunction with modern games engines to develop virtual environments that can be adapted to accelerate the rehabilitation and training of patients coping with different aspects of daily life.