380 research outputs found

    Fatal Retroperitoneal Bleeding Caused by Metastasis of a Sigmoid Carcinoma

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    Retroperitoneal bleeding is relatively rare and a potentially life-threatening condition with significant mortality. Early recognition requires a high index of suspicion. Increased life expectancy, the widespread use of anticoagulants, and the rise of endovascular interventions have caused an increase in the incidence of retroperitoneal bleeding. We present a case of a 74-year-old woman who died because of retroperitoneal bleeding caused by retroperitoneal metastasis of a sigmoid carcinoma with angioinvasive growth into a lumbar artery. In addition we discuss etiology, diagnostic management, and treatment strategy

    Fire in the Records: The Dark Side of Knowledge Management

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    This paper discusses the implications of buyers and sellers being influenced by the information they receive and how that impacts their decision-making process in the context of a high-value low-frequency transaction (HVLFT). Using an exploratory case study, we explore a dark dimension of knowledge where tacit or explicit knowledge has been lost, distorted, suppressed, misrepresented, or misappropriated resulting in ambiguity and increased risk in decision making. The case study focuses on the decision-making process and the information flow seen from the perspective of different stakeholders involved in a HVLFT. Based on this case study we propose, articulate, and apply a model that explicitly acknowledges the dark side of knowledge. Our findings suggest the need for the application of convergent technologies to ameliorate the risk and asymmetricity caused by the dark side of knowledge and enhance governance particularly in the context of HVLFT

    Beter werken met de motorboogzaag

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    Counterbalancing the Asymmetric Information Paradigm on High-Value Low-Frequency Transactions

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    This paper examines the impact of asymmetric information on the purchase of high-value infrequently traded assets. If a high-value asset is infrequently traded in a market its valuation becomes less predictable and more tension can exist between the vendor and the purchaser. Often the vendor possesses more knowledge of the asset, which leads to an asymmetric information paradigm between the two parties, nurturing a dark side of information and knowledge management. Using the New Zealand real estate industry as the context of a design science research study, a purchase decision process model for high-value infrequently traded assets has been developed. It aims to support the novice real estate purchaser to realise the potential pitfalls they should avoid. The study also calls for a unified system with codifiable, explicit information that can be used by all stakeholders in high-value infrequently transactions. Thus reducing the asymmetric information imbalance between vendor and purchaser
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