Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness

<b>Background</b> In this article we outline Burden of Treatment Theory, a new model of the relationship between sick people, their social networks, and healthcare services. Health services face the challenge of growing populations with long-term and life-limiting conditions, they have responded to this by delegating to sick people and their networks routine work aimed at managing symptoms, and at retarding - and sometimes preventing - disease progression. This is the new proactive work of patient-hood for which patients are increasingly accountable: founded on ideas about self-care, self-empowerment, and self-actualization, and on new technologies and treatment modalities which can be shifted from the clinic into the community. These place new demands on sick people, which they may experience as burdens of treatment.<p></p> <b>Discussion</b> As the burdens accumulate some patients are overwhelmed, and the consequences are likely to be poor healthcare outcomes for individual patients, increasing strain on caregivers, and rising demand and costs of healthcare services. In the face of these challenges we need to better understand the resources that patients draw upon as they respond to the demands of both burdens of illness and burdens of treatment, and the ways that resources interact with healthcare utilization.<p></p> <b>Summary</b> Burden of Treatment Theory is oriented to understanding how capacity for action interacts with the work that stems from healthcare. Burden of Treatment Theory is a structural model that focuses on the work that patients and their networks do. It thus helps us understand variations in healthcare utilization and adherence in different healthcare settings and clinical contexts

Applying tropos to socio-technical system design and runtime configuration

Recent trends in Software Engineering have introduced the importance of reconsidering the traditional idea of software design as a socio-tecnical problem, where human agents are integral part of the system along with hardware and software components. Design and runtime support for Socio-Technical Systems (STSs) requires appropriate modeling techniques and non-traditional infrastructures. Agent-oriented software methodologies are natural solutions to the development of STSs, both humans and technical components are conceptualized and analyzed as part of the same system. In this paper, we illustrate a number of Tropos features that we believe fundamental to support the development and runtime reconfiguration of STSs. Particularly, we focus on two critical design issues: risk analysis and location variability. We show how they are integrated and used into a planning-based approach to support the designer in evaluating and choosing the best design alternative. Finally, we present a generic framework to develop self-reconfigurable STSs

Why isn't there more Financial Intermediation in Developing Countries?

Financial intermediation, Mutual insurance , Safety nets , Microfinance , Microcredit

A Factory-based Approach to Support E-commerce Agent Fabrication

With the development of Internet computing and software agent technologies, agent-based e-commerce is emerging. How to create agents for e-commerce applications has become an important issue along the way to success. We propose a factory-based approach to support agent fabrication in e-commerce and elaborate a design based on the SAFER (Secure Agent Fabrication, Evolution & Roaming) framework. The details of agent fabrication, modular agent structure, agent life cycle, as well as advantages of agent fabrication are presented. Product-brokering agent is employed as a practical agent type to demonstrate our design and Java-based implementation

Delegated portfolio management: a survey of the theoretical literature

This paper provides a selective review of the theoretical literature on delegated portfolio management as a principal-agent relationship. The main focus of the paper is to review the analytical issues raised by the peculiar nature of the delegated portfolio management relationship within the broader class of principalagent models. In particular, the paper discusses the performance of linear vs. nonlinear compensation contracts in a single-period setting, the possible effects of limited liability of portfolio managers, the role of reputational concerns in a multiperiod framework, and the incentives to noise trading. In addition, the paper deals with some general equilibrium dimensions and asset pricing implications of delegated portfolio management. The paper also suggests some directions for future research. JEL Classification: D82, G11adverse selection, agency, Delegated portfolio management, Moral Hazard, principal-agent models

TensorLayer: A Versatile Library for Efficient Deep Learning Development

Deep learning has enabled major advances in the fields of computer vision, natural language processing, and multimedia among many others. Developing a deep learning system is arduous and complex, as it involves constructing neural network architectures, managing training/trained models, tuning optimization process, preprocessing and organizing data, etc. TensorLayer is a versatile Python library that aims at helping researchers and engineers efficiently develop deep learning systems. It offers rich abstractions for neural networks, model and data management, and parallel workflow mechanism. While boosting efficiency, TensorLayer maintains both performance and scalability. TensorLayer was released in September 2016 on GitHub, and has helped people from academia and industry develop real-world applications of deep learning.Comment: ACM Multimedia 201

Rethinking bank business models: the role of intangibles

<p>Purpose: This paper provides a new way of rethinking banking models by using qualitative research on intangibles. This is required because the banking sector has been transformed significantly by the changing environment over the past two decades. The 2007-2009 financial crisis also added to concerns about existing bank business models.</p> <p>Design/Methodology approach: Using qualitative data collected from interviews with bank managers and analysts in the UK, this paper develops a grounded theory of bank intangibles.</p> <p>Findings: The model reveals how intangibles and tangible/financial resources interact in the bank value creation process, how they actively respond to environmental changes, how bank intangibles are understood by external observers such as analysts, and how bankers and analysts differ in their views.</p> <p>Research implications: Grounded theory provides the means to further develop bank models as business models and theoretical models. This provides the means to think beyond conventional finance constructs and to relate bank models to a wider theoretical literature concerning intellectual capital, organisational and social systems theory, and ‘performativity’.</p> <p>Practical implications: Such development of bank models and of a systems perspective is critical to the understanding of banks by bankers, by observers and for their ‘critical and reflexive performativity’. It also has implications for systemic risk and bank regulation.</p> <p>Social implications: Improvement in bank models and their use in open and transparent processes are key means to improve public accountability of banks.</p> <p>Originality: The paper reveals the core role of intellectual capital (IC) in banks, in markets, and in developing theory and research at firm and system levels. </p&gt

Responsibility modelling for civil emergency planning

This paper presents a new approach to analysing and understanding civil emergency planning based on the notion of responsibility modelling combined with HAZOPS-style analysis of information requirements. Our goal is to represent complex contingency plans so that they can be more readily understood, so that inconsistencies can be highlighted and vulnerabilities discovered. In this paper, we outline the framework for contingency planning in the United Kingdom and introduce the notion of responsibility models as a means of representing the key features of contingency plans. Using a case study of a flooding emergency, we illustrate our approach to responsibility modelling and suggest how it adds value to current textual contingency plans

Management and its public: imagining management practices

This paper suggests that there is value in a conversation between science technology studies and management philosophy. In particular, the paper illustrates how a cocktail of two powerful forces in STS, actor network theory and public understanding of science, can serve to foreground aspects of management hitherto hidden. Actor network theorists persuasively demonstrate that contemporary experience involves human and non-human agents in material and heterogeneous practices. This position leads to a claim that we must increasingly learn to live in tension, as aspects of social life present themselves as full of open ended options that are come to rest either no-where or elsewhere. This paper examines such actor net work concerns through a discussion of agency and raises questions regarding relationships between managerial agency, epistemology of management and public understanding of management. In this context, publics are considered as a legitimate and powerful location through which notions of science and management are coproduced. A case is made for the value of fiction in actor net work studies of organisational behaviour by reference to literature of public understanding of science (PUS). PUS is rendered comparatively relevant here by reference to contextual parallels between science and management such as contemporary challenges to the singular naturalistic narrative, changing social status of disciplinary knowledge and contemporary governance and responsibility debates that impact on day to day practices. In making this comparison it is suggested that whilst it is not uncommon to find a mix of character traits in representations of the contingent and vulnerable human-scientist there is little space for either the vulnerable or heroic manager in popular culture. To close this discussion and offer a point of departure for further discussion this study playfully examines a particular popular fiction Eric (Faust) [Terry Pratchett 1990]. Using material from this fiction, management is reframed in terms of resonance, public understanding of business management and coproduction processes. Finally, this study stops and turns to its readers to continue imaging management and its public