Human Capital and Innovation in Developing Countries:A Firm Level Study

In this paper we test whether human capital endowments of firms and additional practices of firms, such as formal training and employee slack time, have a positive relation with the innovative output of firms. This paper contributes to the literature about factors that influence innovation at the firm level and the literature about human capital and innovation at the national level. Furthermore, we study this relation in developing countries, while most studies about innovation have been done in developed countries. We test this relation in Kenya, Tanzania and Uganda with data stemming from the Enterprise Surveys of the World Bank. Our results show that there exists a positive relation between human capital and innovation. In particular, the role of practices of firms such as offering formal training and employee slack time are conducive for innovative output

Answers to a Discussion Note: On the ‘Metaphor of the Metaphor’

Should a debate of the choice(s) between metaphorical investigation and epistemological realism in organizational research be prioritized as Willy McCourt called for in Organization Studies? (McCourt 1997) We argue here against doing any such thing — a ‘realism’ debate in organizational theory would merely be a ‘red herring’ (Hausman 1998). Theoretical investigation from Ricoeur to Derrida has liberated us from the need to re-visit the theme, but examination of Gareth Morgan's (and Gibson Burrell's) intellectual development, as begun by McCourt, is of interest because it reveals two very different ‘realisms’. What is of interest about ‘realism’ is not an eitherlor of either ‘realism’ or ‘constructivism’, but a polyphony of the many voices (‘selfs’) of research

A 40 Gbaud integratedsilicon coherent receiver

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Follow-up care by patient's own general practitioner after contact with out-of-hours care. A descriptive study

BACKGROUND: Little is known about the care process after patients have contacted a GP cooperative for out-of-hours care. The objective of this study was to determine the proportion of patients who seek follow-up care after contact with a GP cooperative for out-of-hours care, and to gain insight into factors that are related to this follow-up care. METHODS: A total of 2805 patients who contacted a GP cooperative for out-of-hours care were sent a questionnaire. They were asked whether they had attended their own GP within a week after their contact with the cooperative, and for what reason. To investigate whether other variables are related to follow-up care, a logistic regression analysis was applied. Variables that entered in this analysis were patient characteristics (age, gender, etc.) and patient opinion on correctness of diagnosis, urgency and severity of the medical complaint. RESULTS: The response rate was 42%. In total, 48% of the patients received follow-up care from their own GP. Only 20% were referred or advised to attend their own GP. Others attended because their medical condition worsened or because they were concerned about their complaint. Variables that predicted follow-up care were the patient's opinion on the correctness of the diagnosis, patient's health insurance, and severity of the medical problem. CONCLUSION: Almost half of all patients in this study who contacted the GP cooperative for out-of-hours care attended their own GP during office hours within a week, for the same medical complaint. The most important factor that predicted follow-up care from the patient's own GP after an out-of-hours contact was the patient's degree of confidence in the diagnosis established at the GP cooperative. Despite the limited generalisability, this study is a first step in providing insight into the dimension of follow-up care after a patient has contacted the GP cooperative for out-of-hours primary care

Interview Emile Roemer

Het zal niemand ontgaan zijn, het is crisis in Nederland. Er moet nodig hervormd worden en de burger weet veelal niet meer waar hij aan toe is. Terwijl de regering samen met de gedoogpartij bezuinigingen doorvoert die vergaande consequenties hebben voor grote groepen van de Nederlandse samenleving, zakken traditioneel grote partijen (het CDA en de PvdA) steeds verder weg in de peilingen. Een partij die het in de peilingen voor de wind gaat, is de SP. De redactie interviewde fractievoorzitter Emile Roemer

Religion as an Existential Resource: On Meaning-Making, Religious Coping and Rituals

In this paper, we make a contribution to the treatment of post-traumatic stress disorder. We show how religion can function as an existential resource. Religions enable people to perceive an underlying pattern of order and purpose below the surface of life’s incomprehensible inevitabilities such as death and suffering. Religion then works as a meaning-making system that can positively influence the individual’s mental health. Recently, the relations between religion and health have been studied particularly in the context of the ‘religious coping paradigm’. Religious coping is aiming at a ‘search for significance’. Religious coping will often occur where non-religious coping fails, especially in situations involving loss of life, health and relational embeddedness. Religious activities and acts can also enable religious coping. A crucial religious act is the ritual. What are the functions of ritual, and how can a ritual contribute to the mental health of an individual in crisis? What is, in this context, the role of myths and symbols? Several examples are given of how rituals can work as therapeutic tools in the treatment of traumatic disorders. We conclude by stating that religion, being a robust form of meaning-making, is not the sole system able to contribute to working through a trauma, and that its success is far from guaranteed. | Durch unseren Artikel möchten wir zur Behandlung der Folgen der posttraumatischen Belas- tungsstörung beitragen. Wir zeigen, wie die Religion als Kraftquelle der Existenz funktionieren kann. Die Religionen ermöglichen den Menschen, das Muster einer tieferen Ordnung und eines tieferen Sinnes in Bezug auf scheinbar unverständliche Beschaffenheiten des Lebens wie der Tod oder das Leiden, zu erblicken. Auf diese Weise funktioniert die Religion als ein Sinngebendes System, das die geistige Gesundheit positiv beeinflussen kann. Neulich wurden die Zusammenhänge zwischen Religion und Gesundheit im Rahmen des „religiösen Bewältigungsparadigmas“ geforscht. Das Ziel der religiösen Bewältigung ist die „Suche nach Bedeutung und Wichtigkeit“. Religiöse Bewältigung findet häufig dann statt, wenn die nicht-religiöse Bewältigung versagt, vor allem in Situationen, in denen Themen wie Verlust des Lebens, Gesundheit oder Beziehungen betroffen sind. Auch religiöse Taten und Handlungen können die religiöse Bewältigung ermöglichen. Eine der grundlegenden religiösen Handlungen ist das Ritual. Was sind die Funktionen des Rituals und wie kann das Ritual zur psychischen Gesundheit der in der Krise befindlichen Person beitragen? Welche Rolle spielen die Mythen und Symbole in diesem Zusammenhang? Wir zeigen zahlreiche Beispiele dafür, wie Rituale bei traumatischen Störungen zum therapeutischen Instrument werden können. Als Schlussfolgerung behaupten wir, dass die Religion – obwohl sie eine grundlegende Form der Sinngabe ist, aber doch nicht das einzige System, das zur Verarbeitung des Traumas beitragen kann und dessen Erfolg bei Weitem nicht sicher ist

An 8-channel receive array for improved 31 P MRSI of the whole brain at 3T.

PURPOSE: To demonstrate a 1 H/31 P whole human brain volume coil configuration for 3 Tesla with separate 31 P transmit and receive components that maintains 1 H MRS performance and delivers optimal 31 P MRSI with 1 H decoupling. METHODS: We developed an 8-channel 31 P receive array coil covering the head to be used as an insert for a commercial double-tuned 1 H/31 P birdcage transmit-receive coil. This retains the possibility of using low-power rectangular pulses for 1 H-decoupled 3D 31 P MRSI (nominal resolution 17.6 cm3 ; acquisition duration 13 min) but increases the SNR with the receive sensitivity of 31 P surface coils. The performance of the combined coil setup was evaluated by measuring 1 H and 31 P SNR with and without the 31 P receive array and by assessing the effect of the receive array on the transmit efficiencies of the birdcage coil. RESULTS: Compared to the birdcage coil alone, the 31 P insert in combination with the birdcage achieved an average 31 P SNR gain of 1.4 ± 0.4 in a center partition of the brain. The insert did not cause losses in 1 H MRS performance and transmit efficiency, whereas for 31 P approximately 20% more power was needed to achieve the same γB1. CONCLUSION: The new coil configuration allows 1 H MRSI and optimal 1 H-decoupled 3D 31 P MRSI, with increased SNR of the human brain without patient repositioning, for clinical and research purposes at 3 Tesla.C. Rodgers is funded by the Wellcome Trust and the Royal Society (Grant Number 098436/Z/12/Z)

What's the effect of the implementation of general practitioner cooperatives on caseload? Prospective intervention study on primary and secondary care

<p>Abstract</p> <p>Background</p> <p>Out-of-hours care in the primary care setting is rapidly changing and evolving towards general practitioner 'cooperatives' (GPC). GPCs already exist in the Netherlands, the United Kingdom and Scandinavia, all countries with strong general practice, including gatekeepers' role. This intervention study reports the use and caseload of out-of-hours care before and after implementation of a GPC in a well subscribed region in a country with an open access health care system and no gatekeepers' role for general practice.</p> <p>Methods</p> <p>We used a prospective before/after interventional study design. The intervention was the implementation of a GPC.</p> <p>Results</p> <p>One year after the implementation of a GPC, the number of patient contacts in the intervention region significantly increased at the GPC (OR: 1.645; 95% CI: 1.439-1.880), while there were no significant changes in patient contacts at the Emergency Department (ED) or in other regions where a simultaneous registration was performed. Although home visits decreased in all general practitioner registrations, the difference was more pronounced in the intervention region (intervention region: OR: 0.515; 95% CI: 0.411-0.646, other regions: OR: 0.743; 95% CI: 0.608-0.908). At the ED we observed a decrease in the number of trauma cases (OR: 0.789; 95% CI: 0.648-0.960) and of patients who came to hospital by ambulance (OR: 0.687; 95% CI: 0.565-0.836).</p> <p>Conclusions</p> <p>One year after its implementation more people seek help at the GPC, while the number of contacts at the ED remains the same. The most prominent changes in caseload are found in the trauma cases. Establishing a GPC in an open health care system, might redirect some patients with particular medical problems to primary care. This could lead to a lowering of costs or a more cost-effective out of hours care, but further research should focus on effective usage to divert patient flows and on quality and outcome of care.</p

Experiences and attitudes of Dutch rheumatologists and oncologists with regard to their patients’ health-related Internet use

The objective of this study is to explore the experiences and attitudes of rheumatologists and oncologists with regard to their patients’ health-related Internet use. In addition, we explored how often physicians referred their patients to health-related Internet sites. We sent a questionnaire to all the rheumatologists and oncologists in the Netherlands. The questionnaire included questions concerning demographics, experiences with patients’ health-related Internet use, referral behavior, and attitudes to the consequences of patients’ health-related Internet use (for patients themselves, the physician-patient relationship and the health care). The response rate was 46% (N = 238). Of these respondents, 134 practiced as a rheumatologist and 104 as an oncologist. Almost all physicians encountered their patients raising information from the Internet during a consultation. They were not, however, confronted with their patients’ health-related Internet use on a daily basis. Physicians had a moderately positive attitude towards the consequences of patients’ health-related Internet use, the physician-patient relationship and the health care. Oncologists were significantly less positive than rheumatologists about the consequences of health-related Internet use. Most of the physicians had never (32%) or only sometimes (42%) referred a patient to a health-related Internet site. Most physicians (53%) found it difficult to stay up-to-date with reliable Internet sites for patients. Physicians are moderately positive about their patients’ health-related Internet use but only seldom refer them to relevant sites. Offering an up-to-date site with accredited websites for patients might help physicians refer their patients

Computerised speechreading training for deaf children: A randomised controlled trial

Purpose: We developed and evaluated in a randomised controlled triala computerised speechreading training programme to determine a) whether it is possible to train speechreading in deaf children and b) whether speechreading training results in improvements in phonological and reading skills.Previous studies indicate a relationship between speechreading and reading skill and further suggest this relationshipmay be mediated by improved phonological representations. This is important since many deaf children find learning to read to be very challenging. Method: Sixty-six deaf 5-7 year olds were randomised into speechreading and maths training arms. Each training programme was comprised of10 minutesessionsa day, 4 days a week for 12 weeks. Children were assessed on a battery of language and literacy measures before training, immediately after training, 3 months and 10 months after training. Results: We found no significant benefits for participants who completed the speechreading training, compared to those who completed the maths training, on the speechreading primary outcome measure. However, significantly greater gains were observed in the speechreading training group on one of the secondary measures of speechreading. There was also some evidence of beneficial effects of the speechreading training on phonological representations, however these effects were weaker. No benefits were seen toword reading. Conclusions: Speechreading skill is trainable in deaf children. However, to support early reading, training may need to be longer or embedded in a broader literacy programme. Nevertheless, a training tool that can improve speechreading is likely to be of great interest to professionals working with deaf children