146 research outputs found
Competing logics in evaluating employee performance: Building compromises through conventions
Recent interest in institutional complexity has raised the question how organizations manage rival institutional logics. In this paper we argue that organizations can embed compromises between institutional logics in conventions that impart information how organization members should align competing logics. Using the case of performance appraisal reform in a German public sector organization, we illustrate how a convention aligns accountability and professional logic and show how the compromise between these competing logics is established over time. By introducing the concept of convention, we provide an alternative to research that studies coexistence of logics in organizations as a result of organization members with different identities
Etablierung einer rheumatologischen FruÌherkennungssprechstunde unter Zuhilfenahme eines digitalen Fragebogen-Scoringsystems
Vor dem Hintergrund knapper rheumatologischer Ressourcen wurde eine
FruÌherkennungssprechstunde (FS) etabliert, die Patienten mit entzuÌndlich-rheumatischen
Erkrankungen fruÌh erkennen und einer entsprechenden Therapie zufuÌhren soll und
umgekehrt Patienten zeitsparend und sicher als nicht-entzuÌndlich identifiziert, so dass sie
keinen weiteren Sprechstundentermin benötigen.
Hierzu erhielten 500 Erstvorstellungs-Patienten einen Termin innerhalb von 2-3 Wochen an
drei Schwerpunktpraxen in Baden-WuÌrttemberg mit fuÌnf teilnehmenden Rheumatologen/-
innen. Sie wurden in der Praxis mit Hilfe eines digitalen Fragebogens (RhePort) befragt,
anschlieĂend kurz (3-5 Minuten) körperlich untersucht mit der Möglichkeit zur KlĂ€rung
unklarer Fragebogen-Antworten, danach erfolgte eine Bestimmung rheumatologischer
Basislaborwerte. Die Fragebogen-Antworten wurden mit einem in RhePort hinterlegten
Algorithmus gescort (von 0=sicher nicht-entzuÌndlich bis 4=sicher entzuÌndlich). Ebenso wurde
von den Rheumatologen nach Abschluss der FS ein Score ihrer Gesamt-EinschÀtzung vergeben
(FS-Score 1= sicher nicht-entzuÌndlich bis 4=sicher entzuÌndlich). RhePort-Score und FS-Score
wurden verglichen mit der âwahrenâ Diagnose, die bei einer ausfuÌhrlichen Zweituntersuchung
nach im Mittel 10 Wochen (Range 0-47) erfolgte.
Bei 490 auswertbaren Patienten (medianes Alter 51 Jahre, 70% Frauen) wurden 133
entzuÌndlich-rheumatische (27%) und 357 nicht-entzuÌndliche Erkrankungen (73%)
diagnostiziert. Bei einem Score >1 klassifizierte die rheumatologische EinschÀtzung nach
kombinierter digitaler Befragung, Kurzuntersuchung und Labor 130 von 133 Patienten als
entzuÌndlich (SensitivitĂ€t 98%). 261 von 357 wurden als richtigerweise nicht-entzuÌndlich
eingestuft (SpezifitÀt 73%). Eine Klassifikation allein auf Grund des RhePort-Fragebogens
(Score >1) erkannte 103 von 129 als entzuÌndlich (Sens. 80%) und 125 von 355 als nicht
entzuÌndlich (Spez. 35%). In der ROC-Analyse ergab sich fuÌr den RhePort-Algorithmus eine AUC
von 0,62. In der HĂ€lfte der FĂ€lle mit entzuÌndlichen Erkrankungen (69 von 133) wurde der
geplante Wiedervorstellungstermin nach Beurteilung in der FS auf einen Median von 2
Wochen nach Erstvorstellung (Range 0-10) vorgezogen, um eine beschleunigte
Therapieeinleitung zu ermöglichen.
Somit können die zusÀtzliche Kurzuntersuchung und die Bestimmung von rheumatologischen
Basis-Laborwerten SensitivitÀt und vor allem SpezifitÀt einer rheumatologischen
FruÌhsprechstunde entscheidend steigern im Vergleich zu einer alleinigen âautomatisiertenâ
Befragung mittels Fragebogen. Neben der fruÌhen Identifikation und Behandlung von
Patienten mit entzuÌndlich-rheumatischen Erkrankungen können durch schnelle Identifikation
nicht rheumatologisch behandlungsbeduÌrftiger Patienten KapazitĂ€ten fuÌr die Versorgung
geschaffen werden.Background and objectives: Regarding scarce capacities an early detection consultation (EDC) was established to discriminate patients in an outpatient setting with inflammatory from non-inflammatory rheumatic diseases.
Materials and methods: 500 patients suspicious of rheumatic disease received an appointment within 2 weeks. They were interviewed with the help of a digital questionnaire (RhePort), briefly physically examined followed by a determination of CRP. The questionnaire answers were scored using an algorithm within RhePort (from 0=certainly non-inflammatory to 4=safely inflammatory). Likewise, after completion of the EDC, the rheumatologists scored their overall assessment. RhePort score and EDC score were compared with the "true" diagnosis made in a detailed second examination after an average of 10 weeks.
Results: In 490 evaluable patients 133 inflammatory-rheumatic (27%) and 357 non-inflammatory diseases (73%) were diagnosed. With a score >1, the rheumatological assessment after EDC classified 130 out of 133 patients as inflammatory (sensitivity 98%) and 261 out of 357 as non-inflammatory (specificity 73%). A classification based solely on the RhePort questionnaire (score >1) identified 103 out of 129 as inflammatory (Sens. 80%) and 125 out of 355 as non-inflammatory (spec. 35%) resulting in an AUC of 0.62 after ROC analysis.
Conclusion: Combined EDC can decisively increase the sensitivity and specificity compared to an "automated" survey by means of a digital questionnaire alone. In addition to the early identification and treatment of inflammatory patients, rapid identification of patients who are not in need of rheumatological treatment can create capacities for care
Studentsâ Knowledge of and Attitudes Toward Dairy Production: A Survey Methodology Report
This report presents findings from a pilot survey conducted among undergraduate and graduate students (N = 410) at the University of Nebraska-Lincoln about studentsâ perspectives on technology usage, consumption, and sustainability in dairy production systems. An interdisciplinary research team developed the survey instrument and report. The main purpose of this pilot study was to create and administer survey items to support further research on experiential education and outreach opportunities related to robotics in small-scale dairy production and rural economic development. Descriptive findings indicated that most students had some familiarity with dairy production and the nutritional aspects of dairy products but expressed a desire to learn more. The majority of participants agreed that âThe sustainability of our food system is important to me personally.â Among three statements about technology usage in dairy production, the statement âtechnology will improve the livelihoods of people working in agricultureâ received the highest mean score, indicating that students largely agreed with this statement. Regarding animal welfare, students believed that caretakers should ensure the health of dairy cows. Many indicated that they think small dairy farms can be financially viable. Notably, most students agreed with the statement âI enjoy learning through immersive experiences (hands-on or virtual reality).â Half of the students expressed a high or moderate level of interest in agricultural-related careers, 80 percent showed a high or moderate interest in technology-related careers, and 82 percent demonstrated a high or moderate interest in careers in sustainability
Entwicklungsdynamik von VergĂŒtungssystemen in Nonprofit-Organisationen
Der Erforschung von VergĂŒtungssystemen fĂŒr FĂŒhrungskrĂ€fte und gehobene FachkrĂ€fte in Forprofit-Unternehmen wird in der Personalmanagementforschung hohe Aufmerksamkeit gewidmet. Hingegen wurde diese Thematik bislang fĂŒr Nonprofit- Organisationen (NPO) kaum untersucht. In diesem Beitrag wird ein mit Hilfe der Grounded Theory entwickeltes Modell vorgestellt, welches drei Grundtypen von VergĂŒtungssystemen fĂŒr FĂŒhrungskrĂ€fte und gehobene FachkrĂ€fte in NPOs unterscheidet und deren Entwicklungsdynamik aufzeigt. VergĂŒtungssysteme entwickeln sich demzufolge von Personen- ĂŒber Funktions- hin zu Leistungsorientierung. Der Ăbergang von Personen- zu Funktionsorientierung ist durch organisationales Wachstum und Ausdifferenzierung gekennzeichnet. Obwohl die Transparenz funktionenzentrierter VergĂŒtung in Verbindung mit individuellen Leistungsunterschieden in NPOs zunehmend Irritationen erzeugt, werden leistungsorientierte VergĂŒtungssysteme, wie sie in Forprofit- Unternehmen zu finden sind, in NPOs abgelehnt. Es wird diskutiert, welche Ursachen der Ablehnung zu Grunde liegen und unter welchen Bedingungen NPOs dennoch leistungsorientierte VergĂŒtungssysteme einfĂŒhren könnten.Although a considerable amount of research focuses on compensation systems for executives and specialists in for-profit organizations, this issue has tended to be neglected in the context of non-profit organizations (NPO). This paper introduces a model describing dynamics of compensation systems for executives and specialists in NPOs. The construction of the model is based on grounded theory method. We show that compensation systems in NPOs develop from person-based to function-based systems and from function-based to performance-based ones. The first change from person-based to function-based systems is characterized by organizational growth and differentiation. That followed, we find that NPOs do not implement performancebased systems even though the transparency of individual performance differences is a source of irritation in NPOs which have adopted a function-based compensation logic. Finally, we identify reasons for this non-adoption of performance-based systems and discuss the conditions under which performance-based compensation systems can be established in NPOs
Line Managers and HRM: A Relational Approach to Paradox
The scholarly literature on line manager involvement in HRM increasingly acknowledges competing demands that pervade this work. This chapter introduces a relational approach to paradox that postulates that the way line managers translate competing demands is highly relevant for, and impacts on, other HRM actorsâ experiences of tensions and abilities to handle them. We draw on suggestions from paradox literature that active engagement with competing demands can promote learning and focus on the role of training and supportive practices in organizations that enable the development of paradox mindsets and practical ways to handle tensions. By taking a relational approach to paradox, we model how individual responses to competing demands enable or hinder beneficial learning dynamics and promote virtuous cycles
Basal-Forebrain Cholinergic Nuclei Alterations are Associated With Medication and Cognitive Deficits Across the Schizophrenia Spectrum
© The Author(s) 2023. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.[Background and Hypothesis] The cholinergic system is altered in schizophrenia. Particularly, patientsâ volumes of basal-forebrain cholinergic nuclei (BFCN) are lower and correlated with attentional deficits. It is unclear, however, if and how BFCN changes and their link to cognitive symptoms extend across the schizophrenia spectrum, including individuals with at-risk mental state for psychosis (ARMS) or during first psychotic episode (FEP).[Study Design] To address this question, we assessed voxel-based morphometry (VBM) of structural magnetic resonance imaging data of anterior and posterior BFCN subclusters as well as symptom ratings, including cognitive, positive, and negative symptoms, in a large multi-site dataset (n = 4) comprising 68 ARMS subjects, 98 FEP patients (27 unmedicated and 71 medicated), 140 patients with established schizophrenia (SCZ; medicated), and 169 healthy controls.[Results] In SCZ, we found lower VBM measures for the anterior BFCN, which were associated with the anticholinergic burden of medication and correlated with patientsâ cognitive deficits. In contrast, we found larger VBM measures for the posterior BFCN in FEP, which were driven by unmedicated patients and correlated at-trend with cognitive deficits. We found no BFCN changes in ARMS. Altered VBM measures were not correlated with positive or negative symptoms.[Conclusions] Results demonstrate complex (posterior vs. anterior BFCN) and non-linear (larger vs. lower VBM) differences in BFCN across the schizophrenia spectrum, which are specifically associated both with medication, including its anticholinergic burden, and cognitive symptoms. Data suggest an altered trajectory of BFCN integrity in schizophrenia, influenced by medication and relevant for cognitive symptoms.M.K. acknowledges support from the National Bank Fellowship (McGill University) and the Swiss National Foundation (P2SKP3_178175). F.B. was supported by the Else Kröner Memorial Stipendium and the Hans und Klementia Langmatz Foundation. C.S. was supported by the German Federal Ministry of Education and Research (BMBF; 01ER0803) and the German Research Council (DFG; SO1336/7).Peer reviewe
Star Formation History of a Young Super-Star Cluster in NGC 4038/39: Direct Detection of Low Mass Pre-Main Sequence Stars
We present an analysis of the near-infrared spectrum of a young massive star
cluster in the overlap region of the interacting galaxies NGC 4038/39 using
population synthesis models. Our goal is to model the cluster population as
well as provide rough constraints on its initial mass function (IMF). The
cluster shows signs of youth such as thermal radio emission and strong hydrogen
emission lines in the near-infrared. Late-type absorption lines are also
present which are indicative of late-type stars in the cluster. The strength
and ratio of these absorption lines cannot be reproduced through either
late-type pre-main sequence (PMS) stars or red supergiants alone. Thus we
interpret the spectrum as a superposition of two star clusters of different
ages, which is feasible since the 1" spectrum encompasses a physical region of
~90 pc and radii of super-star clusters are generally measured to be a few
parsecs. One cluster is young (<= 3 Myr) and is responsible for part of the
late-type absorption features, which are due to PMS stars in the cluster, and
the hydrogen emission lines. The second cluster is older (6 Myr - 18 Myr) and
is needed to reproduce the overall depth of the late-type absorption features
in the spectrum. Both are required to accurately reproduce the near-infrared
spectrum of the object. Thus we have directly detected PMS objects in an
unresolved super-star cluster for the first time using a combination of
population synthesis models and pre-main sequence tracks. This analysis serves
as a testbed of our technique to constrain the low-mass IMF in young super-star
clusters as well as an exploration of the star formation history of young UC
HII regions.Comment: 26 pages, 5 figures, accepted for publication in the Astrophysical
Journa
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