The role of supply chain integration in achieving competitive advantage: A study of UK automobile manufacturers

The competitive nature of the global automobile industry has resulted in a battle for efficiency and consistency in supply chain management (SCM). For manufacturers, the diversified network of suppliers represents more than just a production system; it is a strategic asset that must be managed, evaluated, and revised in order to attain competitive advantage. One capability that has become an increasingly essential means of alignment and assessment is supply chain integration (SCI). Through such practices, manufacturers create informational capital that is inimitable, yet transferrable, allowing suppliers to participate in a mutually-beneficial system of performance-centred outcomes. From cost reduction to time improvements to quality control, the benefits of SCI extend throughout the supply chain lifecycle, providing firms with improved predictability, flexibility, and responsiveness. Yet in spite of such benefits, key limitations including exposure to risks, supplier failures, or changing competitive conditions may expose manufacturers to a vulnerable position that can severely impact value and performance. The current study summarizes the perspectives and predictions of managers within the automobile industry in the UK, highlighting a dynamic model of interdependency and interpolation that embraces SCI as a strategic resource. Full commitment to integration is critical to achieving improved outcomes and performance; therefore, firms seeking to integrate throughout their extended supply chain must be willing to embrace a less centralized locus of control

Engineering: good for technology education?

Recent curriculum changes in the educational system of Australia have resulted in study options being available in Engineering for senior secondary students to use for university entrance. In other educational systems, Engineering is playing an increasingly important role, either as a stand-alone subject or as part of an integrated approach to Science, Mathematics and Technology. These developments raise questions about the relationship between Engineering and Technology education, some of which are explored in this paper

The Future of Employee-Employer Relations

[Excerpt] This paper seeks to initiate a discussion of the challenges facing the future of employee-employer relations in the United States. I take a very broad perspective to the task, one that reflects the expanded domain of issues, activities, and parties that must be considered if employee relations are to contribute to the twin challenges facing the American economy and workforce: The need to improve long term economic competitiveness while simultaneously improving our standards of living

The impact of trade liberalization upon inequality in developing countries - A review of theory and evidence-

The examination of the impact of trade reform and globalization is ultimately concerned with two fundamental goals: improving the average level of income per capita and achieving greater equality in the distribution of income. Trade liberalization is a key aspect of the broader topic of globalization", but is more clearly defined and more clearly linked to economic theory and policy. This study examines the evidence for developing countries over the last two decades concerning the impact of trade reform upon the distribution of wages. 2 Recent studies of the impact of trade upon distribution emerged as an attempt to understand the rapid growth in the relative wages of more versus less educated workers in the United States beginning in the 1970´s that could not be explained by changes in the relative supply of skill. This spawned an large, still expanding empirical and theoretic literature focusing on developing countries that subsequently led to examination of the same issues in developing countries. The principal theoretic reference point for the recent literature on trade and distribution is the Hecksher-Ohlin-Samuelson (or Hecksher-Ohlin-Viner, henceforth "HOS/HOV") model and related Stolper-Samuelson and Rybczinski theorems. The Stolper-Samuelson theorem as applied to production with skilled and unskilled labor leads to opposite predictions for the impact of trade liberalization on distribution for "Northern" countries with a comparative advantage in skilled labor versus "Southern" countries with a compative advantage in unskilled labor. In the North the Stolper-Samuelson theorem predicts that trade liberalization leads to a rise in relative wages, while leading to a fall in relative wages in the South. Consequently, for unchanging distributions of human capital within countries over time, trade liberalization would worsen the distribution of wages in the North while improving the distribution of wages in the South. This prediction of the Stolper-Samuelson theorem has been invoked by institutions such as the World Bank and International Monetary Fund to justify trade liberalization in the South, arguing that trade liberalization leads to both greater economic growth and better distribution of wages in the South. The remainder of this paper is organized into six sections: Sections II and III examine what the impact of trade liberalization and globalization has been. Section II presents the theoretic and methodological basis for studies concerning what the impact of liberalization upon distribution has been, while Section III summarizes and evaluates the empirical evidence. Sections IV and V examine the reasons for the empirical findings in Section III, or why trade liberalization has had the documented impacts upon distribution. Section IV summarizes the theoretic and methodological bases for these studies, while Section V summarizes and evaluates the relevant empirical literature. Section VI concludes."

Digital Orthopaedics: A Glimpse Into the Future in the Midst of a Pandemic.

BackgroundThe response to COVID-19 catalyzed the adoption and integration of digital health tools into the health care delivery model for musculoskeletal patients. The change, suspension, or relaxation of Medicare and federal guidelines enabled the rapid implementation of these technologies. The expansion of payment models for virtual care facilitated its rapid adoption. The authors aim to provide several examples of digital health solutions utilized to manage orthopedic patients during the pandemic and discuss what features of these technologies are likely to continue to provide value to patients and clinicians following its resolution.ConclusionThe widespread adoption of new technologies enabling providers to care for patients remotely has the potential to permanently change the expectations of all stakeholders about the way care is provided in orthopedics. The new era of Digital Orthopaedics will see a gradual and nondisruptive integration of technologies that support the patient's journey through the successful management of their musculoskeletal disease

Equivalent Mid-Term Results of Open vs Endoscopic Gluteal Tendon Tear Repair Using Suture Anchors in Forty-Five Patients.

BackgroundLittle is known about the relative efficacy of open (OGR) vs endoscopic (EGR) gluteal tendon repair of gluteal tendon tears in minimizing pain and restoring function. Our aim is to compare these 2 surgical techniques and quantify their impact on clinical outcomes.MethodsAll patients undergoing gluteal tendon tear repair at our institution between 2015 and 2018 were retrospectively reviewed. Pain scores, limp, hip abduction strength, and the use of analgesics were recorded preoperatively and at last follow-up. The Hip disability and Osteoarthritis Outcome Score Junior and Harris Hip Score Section1 were obtained at last follow-up. Fatty degeneration was quantified using the Goutallier-Fuchs Classification (GFC). Statistical analysis was conducted using one-way analysis of variance and t-tests.ResultsForty-five patients (mean age 66, 87% females) met inclusion criteria. Average follow-up was 20.3 months. None of the 10 patients (22%) undergoing EGR had prior surgery. Of 35 patients (78%) undergoing OGR, 12 (27%) had prior hip replacement (75% via lateral approach). The OGRs had more patients with GFC ≥2 (50% vs 11%, P = .02) and used more anchors (P = .03). Both groups showed statistical improvement (P ≤ .01) for all outcomes measured. GFC >2 was independently associated with a worst limp and Harris Hip Score Section 1 score (P = .05). EGR had a statistically higher opioid use reduction (P < .05) than OGR. Other comparisons between EGR and OGR did not reach statistical significance.ConclusionIn this series, open vs endoscopic operative approach did not impact clinical outcomes. More complex tears were treated open and with more anchors. Fatty degeneration adversely impacted outcomes. Although further evaluation of the efficacy of EGR in complex tears is indicated, both approaches can be used successfully

An Exploratory Study of Patient Falls

Debate continues between the contribution of education level and clinical expertise in the nursing practice environment. Research suggests a link between Baccalaureate of Science in Nursing (BSN) nurses and positive patient outcomes such as lower mortality, decreased falls, and fewer medication errors. Purpose: To examine if there a negative correlation between patient falls and the level of nurse education at an urban hospital located in Midwest Illinois during the years 2010-2014? Methods: A retrospective crosssectional cohort analysis was conducted using data from the National Database of Nursing Quality Indicators (NDNQI) from the years 2010-2014. Sample: Inpatients aged ≥ 18 years who experienced a unintentional sudden descent, with or without injury that resulted in the patient striking the floor or object and occurred on inpatient nursing units. Results: The regression model was constructed with annual patient falls as the dependent variable and formal education and a log transformed variable for percentage of certified nurses as the independent variables. The model overall is a good fit, F (2,22) = 9.014, p = .001, adj. R2 = .40. Conclusion: Annual patient falls will decrease by increasing the number of nurses with baccalaureate degrees and/or certifications from a professional nursing board-governing body

The long road to improvement in modelling & managing engineering processes (MMEP)

Managing complex engineering design processes is a challenge for industry, which is looking to academia to provide tools and methods to support them. The Modelling and Managing of Engineering Processes Special Interest Group of the Design Society aims to support industry in understanding, modelling and running design processes by bringing together a community of design researchers and interacting with industry by identifying research challenges and working together to resolve them. This paper maps out research challenges for MMEP and reflects over some of the challenges we have as a research community in meeting these ambitious goals. This paper begins by presenting an ambitious research roadmap developed in 2008 and then compares the roadmap with the research topics that current members of the MMEP SIG are working on before reflecting on how and where we have made progress and what would be serious progress in this area. Based on the analyses of research topics and progress, the paper concludes with a discussion of the evolution of research topics and associated challenges for design research, and sketches measures required for improving our efficacy as a research community