127,649 research outputs found
Strategic and Operational Management of Supplier Involvement in New Product Development: a Contingency Perspective
This paper examines how firms succeed to leverage supplier involvement in product development. The paper extends earlier work on managing supplier involvement by providing an integrated analysis of results, processes and conditions both at the level of individual development projects and the overall firm. Following a multiple-case study approach with theoretical sampling, the study is carried out by examining eight projects in which four manufacturers from different industries involve multiple suppliers. The findings suggest that successful supplier involvement is dependent on the coordinated design, execution and evaluation of strategic, long-term processes and operational, short-term management processes and the presence of enabling factors such as a cross-functional oriented organization. The required intensity of these processes and enablers depends on contingencies such as firm size and environmental uncertainty. In contrast with previous research, we find no indications that managing supplier involvement requires a different approach in highly innovative projects compared to less innovative projects.innovation;new product development;purchasing;supplier relations;R&D management
Individual cognitive stimulation therapy for dementia : a clinical effectiveness and cost-effectiveness pragmatic, multicentre, randomised controlled trial
Background Group cognitive stimulation therapy programmes can benefit cognition and quality of life for people with dementia. Evidence for home-based, carer-led cognitive stimulation interventions is limited. Objectives To evaluate the clinical effectiveness and cost-effectiveness of carer-delivered individual cognitive stimulation therapy (iCST) for people with dementia and their family carers, compared with treatment as usual (TAU). Design A multicentre, single-blind, randomised controlled trial assessing clinical effectiveness and cost-effectiveness. Assessments were at baseline, 13 weeks and 26 weeks (primary end point). Setting Participants were recruited through Memory Clinics and Community Mental Health Teams for older people. Participants A total of 356 caregiving dyads were recruited and 273 completed the trial. Intervention iCST consisted of structured cognitive stimulation sessions for people with dementia, completed up to three times weekly over 25 weeks. Family carers were supported to deliver the sessions at home. Main outcome measures Primary outcomes for the person with dementia were cognition and quality of life. Secondary outcomes included behavioural and psychological symptoms, activities of daily living, depressive symptoms and relationship quality. The primary outcome for the family carers was mental/physical health (Short Form questionnaire-12 items). Health-related quality of life (European Quality of Life-5 Dimensions), mood symptoms, resilience and relationship quality comprised the secondary outcomes. Costs were estimated from health and social care and societal perspectives. Results There were no differences in any of the primary outcomes for people with dementia between intervention and TAU [cognition: mean difference â0.55, 95% confidence interval (CI) â2.00 to 0.90; p-valueâ=â0.45; self-reported quality of life: mean difference â0.02, 95% CI â1.22 to 0.82; p-valueâ=â0.97 at the 6-month follow-up]. iCST did not improve mental/physical health for carers. People with dementia in the iCST group experienced better relationship quality with their carer, but there was no evidence that iCST improved their activities of daily living, depression or behavioural and psychological symptoms. iCST seemed to improve health-related quality of life for carers but did not benefit carersâ resilience or their relationship quality with their relative. Carers conducting more sessions had fewer depressive symptoms. Qualitative data suggested that people with dementia and their carers experienced better communication owing to iCST. Adjusted mean costs were not significantly different between the groups. From the societal perspective, both health gains and cost savings were observed. Conclusions iCST did not improve cognition or quality of life for people with dementia, or carersâ physical and mental health. Costs of the intervention were offset by some reductions in social care and other services. Although there was some evidence of improvement in terms of the caregiving relationship and carersâ health-related quality of life, iCST does not appear to deliver clinical benefits for cognition and quality of life for people with dementia. Most people received fewer than the recommended number of iCST sessions. Further research is needed to ascertain the clinical effectiveness of carer-led cognitive stimulation interventions for people with dementia
PUBLIC RELATIONS AND COOPERATION OFFICE OF SEBELAS MARET UNIVERSITY : DESCRIPTION AND FUNCTIONS
This final project report is written based on the job training, which has
been conducted during two months in Public Relations and Cooperation Office,
located on Jl. Ir. Sutami 36 A Kentingan Surakarta 57126. The purposes of final
project are to describe and to explain the functions of the Public Relations and
Cooperation Office of Sebelas Maret University.
Public Relations and Cooperation Office is an institution which maintains
mutual communication with internal and external public, having a good
cooperation between an organization and its public and involves the management
of problem and issue. The functions of Public Relation and Cooperation Office are
maintaining good communication between company and its public, maintaining
good communication and spreading information from Sebelas Maret University,
distributing public opinion to the rector or vice rector IV about Sebelas maret
University âs image and activities.
From the discussion, it is concluded that Public Relation and Cooperation
Office has conducted its role and functions well. However, it still has to work hard
to reach its goal. Besides, the Public Relations and Cooperation Office needs to
hold a professional work training frequently to improve its professionalism. The
Public Relations and Cooperation Office also needs to make the office tidy so it
becomes a beautiful office
Electronic Consultations Between Primary and Specialty Care Clinicians: Early Insights
Outlines how e-consultation enables clinicians and specialists to communicate more easily and reduce the need for in-person referrals; experiences for patients, clinicians, and health systems; benefits such as continuity of care; and barriers to adoption
Interoperability and information sharing
Communication and information sharing are two of the most pressing issues facing the public safety community today. In previous chapters of this volume, authors have made note of the changing public safety landscape as it relates to the need for enhanced information and intelligence sharing among a broad cross-section of organizations. Public safety organizations, particularly law enforcement agencies, have been quick to adopt emerging technologies that have allowed for greater communication and information sharing capacities. While substantial improvements have been made over the decades that enhanced communication and information sharing, many challenges remain in the move to seamlessly integrated communication capacities. The key challenge in the upcoming decades relates to the technical and cultural changes necessary to achieve integrated communication systems. There is no shortage of resources given to increasing the communications capacity of the public safety community, yet serious challenges remain in the degree of interoperability within and across public safety domains. Interoperability has in many ways become the defining issue in the arenas of communications and information sharing. This chapter will provide an overview of critical historical events that placed questions of interoperability and information sharing on the national agenda. The chapter will also provide an overview of national models for information sharing
A survey and tutorial of electromagnetic radiation and reduction in mobile communication systems
This paper provides a survey and tutorial of electromagnetic (EM) radiation exposure and reduction in mobile communication systems. EM radiation exposure has received a fair share of interest in the literature; however, this work is one of the first to compile the most interesting results and ideas related to EM exposure in mobile communication systems and present possible ways of reducing it. We provide a comprehensive survey of existing literature and also offer a tutorial on the dosimetry, metrics, international projects as well as guidelines and limits on the exposure from EM radiation in mobile communication systems. Based on this survey and given that EM radiation exposure is closely linked with specific absorption rate (SAR) and transmit power usage, we propose possible techniques for reducing EM radiation exposure in mobile communication systems by exploring known concepts related to SAR and transmit power reduction in mobile systems. Thus, this paper serves as an introductory guide to EM radiation exposure in mobile communication systems and provides insights toward the design of future low-EM exposure mobile communication networks
Department of Homeland Security Science and Technology Directorate: Developing Technology to Protect America
In response to a congressional mandate and in consultation with Department of Homeland Security's (DHS) Science and Technology Directorate (S&T), the National Academy conducted a review of S&T's effectiveness and efficiency in addressing homeland security needs. This review included a particular focus that identified any unnecessary duplication of effort, and opportunity costs arising from an emphasis on homeland security-related research. Under the direction of the National Academy Panel, the study team reviewed a wide variety of documents related to S&T and homeland security-related research in general. The team also conducted interviews with more than 200 individuals, including S&T officials and staff, officials from other DHS component agencies, other federal agencies engaged in homeland security-related research, and experts from outside government in science policy, homeland security-related research and other scientific fields.Key FindingsThe results of this effort indicated that S&T faces a significant challenge in marshaling the resources of multiple federal agencies to work together to develop a homeland security-related strategic plan for all agencies. Yet the importance of this role should not be underestimated. The very process of working across agencies to develop and align the federal homeland security research enterprise around a forward-focused plan is critical to ensuring that future efforts support a common vision and goals, and that the metrics by which to measure national progress, and make changes as needed, are in place
The effectiveness and cost-effectiveness of respite for caregivers of frail older people
The proportion of frail elderly people in the industrialized world is increasing. Respite care is a potentially important way of maintaining the quality of life for these people and their caregivers. The objective of this systematic review was to determine the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their caregivers. To identify relevant studies, 37 databases were searched, and reference checking and citation searches were undertaken. Well-controlled effectiveness studies were eligible for inclusion, with uncontrolled studies admissible only in the absence of higher-quality evidence. Studies assessed the effect of community-based respite on caregivers of frail elderly people relative to usual care or to another support intervention. Eligible economic evaluations also addressed costs. Where appropriate, data were synthesized using standard meta-analytic techniques. Ten randomized, controlled trials, seven quasi-experimental studies and five uncontrolled studies were included in the review. For all types of respite, the effects upon caregivers were generally small, with better-controlled studies finding modest benefits only for certain subgroups, although many studies reported high levels of caregiver satisfaction. No reliable evidence was found that respite care delays entry to residential care or adversely affects frail older people. The economic evaluations all assessed day care, which tended to be associated with similar or higher costs than usual care. Given the increasing numbers of frail elderly people and the lack of up-to-date, good-quality evidence for all types of respite care, better-quality evidence is urgently needed to inform current policy and practice
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Engaging Opportunities: Connecting young people with contemporary research and researchers
This is the final report for âEngaging Opportunitiesâ, an RCUK-funded School-University Partnership between the Open University and the Denbigh Teaching School Alliance. Informed by action research, this four-year project was designed to create structured, strategic, sustainable and equitable mechanisms for effective school-university engagement with research. The report describes an evidence-based strategy designed to embed school-university engagement with research within the Universityâs strategic planning for research and the operational practices of researchers. Through the early stages of our partnership we noted a lack of suitable planning tools that work for researchers, teachers and students. We therefore introduced a flexible and adaptable framework of four types of activityâopen lectures, open dialogues, open inquiry and open creativityâcombined with an upstream approach to planning based on a set of six principles. A sub-set of these activities were evaluated through a combination of surveys, interviews and interventions. In conclusion, we argue that institutional and professional cultures can be resistant to the prospect of fully embedding school-university engagement with research in a structured, strategic and sustainable manner, and offer suggestions for how this context could and should be changed
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