Influence of Knowledge Sharing Behaviors on Global Virtual Team Performance

Global virtual teams (GVT) are increasingly important in organizations. Barriers to knowledge sharing behavior (KSB) could negatively impact GVT performance. The purpose of this quantitative study was to discover the extent of predictive power of KSB on GVT performance and how Leader-member exchange (LMX) moderates this relationship. Research questions investigated the extent that KSB influences GVT performance and the extent that LMX moderates the relationship between KSB and GVT performance. LMX theory focuses on individual relationships between superiors and subordinates and ways each relationship impacts team dynamics and performance provided theoretical foundation for this study. Online survey measured the influence of KSB on GVT performance from 210 respondents as GVT members. Respondents were anonymous and consisted of individuals from different nationalities and ethnicities functioning in culturally diverse GVT across a global organization’s footprint. MANCOVA analysis showed a significant relationship between KSB and GVT performance and LMX relationship significantly moderates the relationship between KSB and GVT performance. Further study is recommended to understand the extent of gains in overall KSB among GVT performance, to understand GVT interaction from a social perspective, to understand shared experiences of GVT. Social change implication: study provides global organizations with an enriched understanding that KSB and LMX mediation are important to team performance which improve GVT

Stiff person syndrome presenting with sudden onset of shortness of breath and difficulty moving the right arm: a case report

<p>Abstract</p> <p>Introduction</p> <p>First described in 1956, stiff person syndrome is characterized by episodes of slowly progressive stiffness and rigidity in both the paraspinal and limb muscles. Although considered a rare disorder, stiff person syndrome is likely to be under-diagnosed due to a general lack of awareness of the disease in the medical community.</p> <p>Case presentation</p> <p>A 27-year-old Hispanic woman presented to our emergency department with a sudden onset of shortness of breath and difficulty moving her right arm. Her physical examination was remarkable in that her abdomen was firm to palpation and her right upper extremity was rigid on passive and active ranges of motion. Her right fingers were clenched in a fist. Her electromyography findings were consistent with stiff person syndrome in the right clinical setting. Stiff person syndrome is confirmed by testing for the anti-glutamic acid decarboxylase antibody. Her test for this was positive.</p> <p>Conclusion</p> <p>Stiff person syndrome may not be a common condition. However, if disregarded in the differential diagnosis, it can lead to several unnecessary tests being carried out causing a delay in treatment. This case report reveals some of the characteristic features of stiff person syndrome with an atypical presentation.</p

A Prospective Longitudinal Study of the Clinical Outcomes from Cryptococcal Meningitis following Treatment Induction with 800 mg Oral Fluconazole in Blantyre, Malawi

Introduction: Cryptococcal meningitis is the most common neurological infection in HIV infected patients in Sub Saharan Africa, where gold standard treatment with intravenous amphotericin B and 5 flucytosine is often unavailable or difficult to administer. Fluconazole monotherapy is frequently recommended in national guidelines but is a fungistatic drug compromised by uncertainty over optimal dosing and a paucity of clinical end-point outcome data. Methods: From July 2010 until March 2011, HIV infected adults with a first episode of cryptococcal meningitis were recruited at Queen Elizabeth Central Hospital, Blantyre, Malawi. Patients were treated with oral fluconazole monotherapy 800 mg daily, as per national guidelines. ART was started at 4 weeks. Outcomes and factors associated with treatment failure were assessed 4, 10 and 52 weeks after fluconazole initiation. Results: Sixty patients were recruited. 26/60 (43%) died by 4 weeks. 35/60 (58.0%) and 43/56 (77%) died or failed treatment by 10 or 52 weeks respectively. Reduced consciousness (Glasgow Coma Score ,14 of 15), moderate/severe neurological disability (modified Rankin Score .3 of 5) and confusion (Abbreviated Mental Test Score ,8 of 10) were all common at baseline and associated with death or treatment failure. ART prior to recruitment was not associated with better outcomes. Conclusions: Mortality and treatment failure from cryptococcal meningitis following initiation of treatment with 800 mg oral fluconazole is unacceptably high. To improve outcomes, there is an urgent need for better therapeutic strategies and point-of-care diagnostics, allowing earlier diagnosis before development of neurological deficit

Raymond H. Plaut

Free Vibration Analysis of an Inflated Toroidal Shel

Casimir effect for a DD-dimensional sphere

The Casimir force on a $D$-dimensional sphere due to the confinement of a massless scalar field is computed as a function of $D$, where $D$ is a continuous variable that ranges from $-\infty$ to $\infty$. The dependence of the force on the dimension is obtained using a simple and straightforward Green's function technique. We find that the Casimir force vanishes as $D\to +\infty$ ($D$ non-even integer) and also vanishes when $D$ is a negative even integer. The force has simple poles at positive even integer values of $D$.Comment: 22 pages, REVTeX, 4 uuencoded figures, OKHEP-94-0