Public service innovation and multiple institutional logics: the case of hybrid social enterprise providers of health and wellbeing

Public sector organisations are confronted with growing health and social care needs in combination with severe resource constraints, prompting interest in innovative responses to such challenges. Public service and social innovation is poorly understood, particularly where innovators must navigate between the norms, practices and logics of public, private and civil society sectors. We contribute to the understanding of how innovating hybrid organisations are able to creatively combine co-existing logics. Case study evidence from newly established social enterprise providers of health and wellbeing services in England is utilised to examine how innovations are shaped by (i) an incumbent state or public sector logic, and two ‘challenger’ logics relating to (ii) the market and increasing competition; and (iii) civil society, emphasising social value and democratic engagement with employees and service users. The analysis shows how a more fluid and creative interplay of logics can be observed in relation to specific strategies and practices. Within organisations, these strategies relate to the empowerment of staff to be creative, financial management, and knowledge sharing and protection. The interplay of logics shaping social innovation is also found in relationships with key stakeholders, notably public sector funders, service users and service delivery partners. Implications are drawn for innovation in public services and hybrid organisations more broadly

The kinematics of molecular clumps surrounding hot cores in G29.96-0.02 and G31.41+0.31

We present high angular resolution interferometric observations of the 3 and 1.3mm continuum emission, and HCO+(1-0) and SiO(2-1)v=0 lines, obtained with the Owens Valley Radio Observatory millimeter-wave array, toward two hot cores (HCs) associated with two well known ultracompact (UC) HII regions: G29.96-0.02 and G31.41+0.31. These HCs are believed to host young forming massive stars which have been suggested to be surrounded by massive rotating accretion disks. The aim of these new observations is to study the structure and kinematics of the molecular clumps surrounding the HCs and nearby UCHII regions at moderately high angular resolution. Our observations reveal that the clumps within which the HCs and UCHII regions are embedded have a complex kinematical structure. The total mass of the clumps is estimated to be in the range 1000-3000 Msun, consistent with previous findings. Our observations also show compelling evidence that the clump in G29.96-0.02 is contracting onto the HC position, suggesting that the accretion process onto the massive young stellar object embedded in the HC is still ongoing. In these objects the kinematical structure that we observe is also compatible with the presence of a massive rotating disk within the HC, even though we cannot prove this suggestion with our data. The case of G31.41+0.31 is more complicated, and our data, although consistent with the presence of an inner disk and an infalling envelope around it, do not have the required spatial resolution to resolve the different structures.Comment: 13 pages, 15 figs, A&A in pres

90GHz and 150GHz observations of the Orion M42 region. A sub-millimeter to radio analysis

We have used the new 90GHz MUSTANG camera on the Robert C. Byrd Green Bank Telescope (GBT) to map the bright Huygens region of the star-forming region M42 with a resolution of 9" and a sensitivity of 2.8mJy/beam. 90GHz is an interesting transition frequency, as MUSTANG detects both the free-free emission characteristic of the HII region created by the Trapezium stars, normally seen at lower frequencies, and thermal dust emission from the background OMC1 molecular cloud, normally mapped at higher frequencies. We also present similar data from the 150GHz GISMO camera taken on the IRAM telescope. This map has 15" resolution. By combining the MUSTANG data with 1.4, 8, and 21GHz radio data from the VLA and GBT, we derive a new estimate of the emission measure (EM) averaged electron temperature of Te = 11376K by an original method relating free-free emission intensities at optically thin and optically thick frequencies. Combining ISO-LWS data with our data, we derive a new estimate of the dust temperature and spectral emissivity index within the 80" ISO-LWS beam toward OrionKL/BN, Td = 42K and Beta=1.3. We show that both Td and Beta decrease when going from the HII region and excited OMC1 interface to the denser UV shielded part of OMC1 (OrionKL/BN, Orion S). With a model consisting of only free-free and thermal dust emission we are able to fit data taken at frequencies from 1.5GHz to 854GHz.Comment: 18 pages, 8 figures, submitted to the Astrophysical Journa

Facing erythrocytosis: Results of an international physician survey.

We observed a good agreement among hematologists regarding the diagnostic procedures and a widespread awareness regarding the importance of the new 2016 WHO criteria and bone marrow his-tology. On the other side, we observed a marked heterogeneity in treatment practice, regarding both the Hct threshold and the use of anti-platelet agents

Atomic Carbon in M82: Physical conditions derived from simultaneous observations of the [CI] fine structure submillimeter wave transitions

We report the first extragalactic detection of the neutral carbon [CI] 3P2-3P1 fine structure line at 809 GHz. The line was observed towards M82 simultaneously with the 3P1-3P0 line at 492 GHz, providing a precise measurement of the J=2-1/J=1-0 integrated line ratio of 0.96 (on a [K km s^-1] -scale). This ratio constrains the [CI] emitting gas to have a temperature of at least 50 K and a density of at least 10^4 cm^-3. Already at this minimum temperature and density, the beam averaged CI-column density is large, 2.1 10^18 cm^-2, confirming the high CI/CO abundance ratio of approximately 0.5 estimated earlier from the 492 GHz line alone. We argue that the [CI] emission from M82 most likely arises in clouds of linear size around a few pc with a density of about 10^4 cm^-3 or slightly higher and temperatures of 50 K up to about 100 K.Comment: 4 pages, 2 figures, ApJL in press, postscript also available at ftp://apollo.ph1.uni-koeln.de/pub/stutzki/m82_pap.ps.gz e-mail-contact:[email protected]

Methanol maps of low-mass protostellar systems: the Serpens Molecular Core

Observations of Serpens have been performed at the JCMT using Harp-B. Maps over a 4.5'x5.4' region were made in a frequency window around 338 GHz, covering the 7-6 transitions of methanol. Emission is extended over each source, following the column density of H2 but showing up also particularly strongly around outflows. The rotational temperature is low, 15-20 K, and does not vary with position within each source. The abundance is typically 10^-9 - 10^-8 with respect to H2 in the outer envelope, whereas "jumps" by factors of up to 10^2 -10^3 inside the region where the dust temperature exceeds 100 K are not excluded. A factor of up to ~ 10^3 enhancement is seen in outflow gas. In one object, SMM4, the ice abundance has been measured to be ~ 3x10^-5 with respect to H2 in the outer envelope, i.e., a factor of 10^3 larger than the gas-phase abundance. Comparison with C18O J=3-2 emission shows that strong CO depletion leads to a high gas-phase abundance of CH3OH not just for the Serpens sources, but for a larger sample of protostars. The observations illustrate the large-scale, low-level desorption of CH3OH from dust grains, extending out to and beyond 7500 AU from each source, a scenario which is consistent with non-thermal (photo-)desorption from the ice. The observations also illustrate the usefulness of CH3OH as a tracer of energetic input in the form of outflows, where methanol is sputtered from the grain surfaces. Finally, the observations provide further evidence of CH3OH formation through CO hydrogenation proceeding on grain surfaces in low-mass envelopes.Comment: Accepted for publication in A&A

Absence of CALR Mutations in Idiopathic Erythrocytosis Patients with Low Serum Erythropoietin Levels

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