8,613 research outputs found

    Healthcare Innovation Absenteeism: The Rise of Physician Entrepreneurs & Medical Startups

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    For years, warning signs have illuminated imminent days of reckoning for stalled healthcare innovation across the dynamic American healthcare landscape. An evolving epic battle for healthcare innovation delivery has silently raged and set arena stages throughout the healthcare industry. Urgent innovative healthcare delivery is needed to ameliorate longstanding points of failures in providing healthcare delivery to society. Historically, the science of medicine has fostered cultural practices of innovation absenteeism and resistance to change. Mired by archaic processes, legacy systems, and fractionally useful equipment, our current healthcare ecosystems are unsustainable. Recently, some unhindered frontline physicians opted to take on a portion of critical healthcare challenges and followed their ideas to leverage clinical expertise and drive the agenda for changing healthcare innovation delivery. Our qualitative multi-case study design centered around empirical evidence that answered the research question: How do physician entrepreneurs navigate decision-making strategies for medical startups from ideation, innovation, to commercialization of new medical products and services? We examined 21 cases of physician founded medical startups to understand particularizations around physician entrepreneurship. Findings suggest three contributions towards knowledge accumulation about physician entrepreneurs and medical startups: exclusive decision-making processes, industry-specific insights, and illuminations of physician voices that might not otherwise be heard

    The crisis of cultural authority in museums : contesting human remains in the collections of Britain

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    Museums in Britain have displayed and researched human remains since the eighteenth century. However, in the last two decades human remains in collections have become subject to claims and controversies. Firstly, human remains associated with acquisition during the colonial period have become increasingly difficult to retain and have been transfered to culturally affiliated overseas indigenous groups. Secondly, a group of British Pagans have formed to make claims on ancient human remains in collections. Thirdly, human remains that are not requested by any community group, and of all ages, have become the focus of concerns expressed about their treatment by members of the profession. A discourse arguing for 'respect' has emerged, which argues that all human remains should be treated with new care. The claims made on human remains have been vigourously but differentially contested by members of the sector, who consider the human remains to be unique research objects. This thesis charts the influences at play on the contestation over human remains and examines its construction. The academic literature tends to understand changes to museums as a result of external factors. This thesis argues that this problem is influenced by a crisis of legitimacy and establishes that there are strong internal influences. Through a weak social constructionist approach I demonstrate that the issue has been promoted by influential members of the sector as part of a broader attempt to distance themselves from their foundational role, as a consequence of a crisis of cultural authority stimulated by external and internal factors. The symbolic character of human remains in locating this problem is informed by the unique properties of dead bodies and is influenced by the significance of the body as a scientific object; its association with identity work and as a site of political struggle, in the high modem period

    "Alien and Critical": The Modernist Satiric Practices of Djuna Barnes, Wyndham Lewis, and Virginia Woolf

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    This dissertation offers an extended analysis of the modernist satiric practices of authors Djuna Barnes, Wyndham Lewis, and Virginia Woolf in a selection of works spanning different genres published between 1913 and 1954. With these authors works as evidence, I suggest that satire undergoes a significant shift in the first half of the twentieth century as it departs from its premodern roots as a fixed genre or mode, instead becoming a diffuse element that intermittently shapes formal aspects and produces complex critiques. This shift partly results from new formulations of genderfrom altered understandings of masculinity and femininity to the emergence of what we now refer to as queer, nonbinary, and trans identitiesand the way in which what I call the instrumentality of satire enables a range of satiric attacks across different subject positions and a volatile political spectrum. Through a highly comparative approach, I draw upon formalist, feminist, and sociological theories to trace the different networks in which the texts of focus and their authors are embedded (networks of readers, artistic movements, political transformations, marketplaces, and discourses of gender and sexuality) to understand more thoroughly the satire that emerges from these texts. Each chapter pairs discrete investigations of works by each individual author, guided by an overarching topic (Chapter 1 explores networks of satire, Chapter 2 examines satiric method and the novel, and Chapter 3 considers satiric forms of life writing), and ends with a shorter section that compares the three authors works within a specific thematic framework (Chapter 1 with respect to the notion of authority, Chapter 2 through party scenes, and Chapter 3 concerning the portrait genre). My research reveals that the modernist satiric exchanges within these networks can be analyzed as, on the one hand, manifestations of the selected periods political dynamics and, on the other hand, cultural productions that altered how gender was discursively constructed within specific social environments of that period. In brief, the study illustrates how gender and its performance, aesthetics, and rhetoric become central to the production and function of satire in modernist art and literature

    Love Between Worlds: Edward Burne-Jones and the Theology of Art

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    This dissertation explores the theological formation of Edward Burne-Jones (1833-1898) and argues that his artistic vision was shaped by and became a practice of theology. Burne-Jones was drawn to the controversial Oxford ‘Tractarian’ Movement and pursued education at the University of Oxford to become an Anglican priest. He was inspired by John Henry Newman, who lived and preached in Birmingham during Burne-Jones’s adolescence. Contrary to most scholarship, I argue for the continuing prevalence of the Tractarian theological perspective in his art, even after he decided not to preach or practise conventional religion. His art is deeply informed by the complex theological principles he studied. This becomes what I identify as a theology of art that considers and presents theological ideas not in words but in art. I have conducted archival research into Burne-Jones’s personal history and education, and the theological figures, debates, and controversies that shaped him. This included letters and diaries of mentors and friends of Burne-Jones which have been scarcely accessed. Furthermore, Burne-Jones’s own university notebooks and letters have shown direct evidence of Burne-Jones’s theological knowledge. I have also pursued extensive research into theology and church history, particularly of Anglicanism before and in the nineteenth century. To understand how this translates into his artistic practice, I have researched and interpreted various works and projects of Burne-Jones, emphasising his methods of design. This has led to a wide-ranging assessment of his drawings in print rooms across Britain. Ultimately, I argue for the recurrence of the theological and artistic theme I call love between worlds, a concept connecting Burne-Jones’s study of the Tractarian notions of incarnation, sacramentality, and God’s love expressed through the economy of salvation in Christ, and the subject of the pursuit of romantic love that pervades Burne-Jones’s artistic projects

    The influence of joint venture collaboration on the performance of multinational pharmaceutical companies in South Africa

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    This study investigated the influence of joint venture collaboration on the performance of multinational pharmaceutical companies (MNPCs) conducting business in South Africa. The study sample consist of five international MNPCs engaged in joint venture collaboration agreement, and four local South African non-joint venture collaboration pharmaceutical companies for the purpose of comparison. The study collected dataset from the consolidated annual financial statements over the period between 2010 and 2019. Firm performance was measured using return on assets, return on equity (ROE) and return on investment (ROI) as dependent variables. Market share, research, and development (R&D) expenditure and capital expenditure (capex) were independent variables, representing market-seeking, knowledge-seeking and efficiency-seeking motives of the company respectively. The study employed Pedroni residual cointegration test to gauge whether the variables have a long-run relationship. The pooled mean group (PMG) estimator was adopted under the auto-regression distributed lag (ARDL) for both sample-wide and firm-specific estimations. The findings of the study in the sample-wide estimations were that joint venture collaboration had a significant positive influence on the performance of MNPCs in the long run. However, in the short run, only market share mattered for the performance of the joint venture in the study. When compared with non-joint venture firms in the study, the driver of positive performance in the long run and short run was market share, while capex had a negative effect in both long run and short run. There were also firm-specific differences. The practical implication of the findings of this study is that, in the long run, joint ventures enhance firm performance; however, market-seeking is the strongest driver of firm performance in the short run. Pharmaceutical firms should therefore pursue joint venture collaboration for long-term survival and intensify efforts to grow market share or seek new markets for short-term growth and survival. Firm-specific differences indicated the need for firm-specific strategies as suitable.Business ManagementD. Phil. (Management Studies

    Reshoring Process of Manufacturing Process in the UK: An Emergent Theory Perspective.

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    Purpose: The aim of this research is to examine the reshoring process by shedding light on the drivers, barriers, decision-making and implementation phase. Current theoretical explanations of reshoring have not adequately considered the dynamics of the phenomenon. This research aim is to theoretically explain reshoring through the perspective of the emergent theory that takes into consideration the dynamic environment in which the reshoring process occurs. Practically, the research aim is to provide a conceptual framework that includes information about the reshoring steps and decision-making, and how to apply each step in a dynamic environment. This conceptual framework’s main purpose is to assist and support reshoring managerial decisions to relocate back to the UK successfully by adopting a flexible approach consistent with the dynamic environment. Design/methodology/approach – The research deploys mixed methods. The quantitative research was conducted using a survey that obtained 113 complete responses from UK reshored manufacturing. The qualitative research collected data from 10 interviewees through semi-structured in-depth interviews. The quantitative data was analysed using SPSS26 and descriptive statistics. The qualitative data was analysed using thematic analysis and NVIVO. Findings – The findings of the research suggest that reshoring drivers, barriers, decision-making and implementation is a dynamic process. The drivers and barriers emerge from the business environment unpredictability, and therefore should be identified based on a flexible reshoring approach, which is able to consider, add, and eliminate factors accordingly with the environmental uncertainties. The decision-making and implementation process emerges from the dynamic drivers and barriers and occurs in an unpredictable environment. This makes the decision making- phases highly dynamic. Thus, this research proposes this phase should be based on a flexible approach characterised by a looping process, not sequential (Mintzberg et al., 1976). Contribution – First, the research sheds light on the dynamics of the reshoring process, and the importance of formulating a reshoring strategy that takes into consideration the uncertainties of the environment. Second, the analysis revealed a UK perspective of the drivers and barriers of reshoring. The study contributes to extending the factors related to the drivers and barriers to a larger set. New findings concerning driver factors are the government support for reshoring, legal issues, and the “made-in-effect”. For the barriers, the study shows novel findings – which are: the lack of availability of factories and lands for manufacturing, legal issues, and psychological challenges. The new findings have been explained and discussed in the context of the UK economy and market. Concerning the decision-making and implementation phase, the study contributes to an in-depth explanation by providing the steps of these phases and by empirically explaining what happens in each phase. Third, this study contributes to forming a theoretical explanation of the reshoring process dynamics based on emergent theory (Mintzberg et al., 1976). The reshoring process, grounded upon emergent theory, is a dynamic phenomenon that requires an emergent strategy. The emergent strategy is characterized by management’s ability to continuously adjust and adapt to environment unpredictibilities and uncertainties (Mintzberg & Waters, 1985). This is done through continuous cycles of decision making until the reshoring is achieved (Mintzberg & Waters, 1985). The strength of this theory is that it considers the risks and opportunities of the environment in which the reshoring occurs (Mintzberg & Waters, 1985). Fourth, this research proposes an empirically and theory-based conceptual framework of the reshoring process to support future decision-makers with their reshoring strategies. This conceptual framework is the first to have the complete phases of reshoring, which are the drivers, barriers, decision-making and implementation. In the conceptual framework, the reshoring process phases are explained through a step-by-step guide to support reshoring decision-makers. Thus, the research contributes to a practical understanding of the process of reshoring through a dynamic lens by explaining each phase and its steps set in an unpredictable environment. Originality/value – The literature is missing a theoretical understanding of the reshoring process. This research provides a theoretical explanation of the reshoring process from a dynamical lens based on the emergent theory. New empirical findings from a UK perspective have been explained and discussed that are important for future reshoring decision-makers. Moreover, the theory-based conceptual framework is the first to include a step-by-step flexible practice approach that includes all the reshoring phases