The Finnish Team Academy model: implications for management education

This article explores an innovative model of management education, the Team Academy based in Finland, in which teams of learners create and operate real enterprises, supported by coaches. The contributions of the article are to provide insights into how the Team Academy works, and to review its implications for theories of management learning and educational design. Based on a case study of the Team Academy model we argue that management education programmes need to be construed as artificially-created learning environments, and specifically as `micro-cultures’ - local contexts in which pedagogical and cultural practices coalesce. The concept of a micro-culture can bring together four main attributes of learning environments (social embeddedness, real-worldness, identity formation and normative). Construing learning environments in this way has likely important implications for the theory and practice of management learning and education, since a micro-culture is a complex, emergent phenomenon that is not necessarily controllable or transferable

Effect of Spacing on Canopy Microclimate, Vegetative Growth and Yield Attributes in Guava (Psidium guajava L.)

The present investigation was conducted to examine the effect of spacing on variation in canopy microclimate, vegetative growth and yield attributes in guava (cv. Allahabad Safeda). Oservations revealed that with wide plant spacing (from 6x2m to 6x4m), interception of solar radiation increased significantly. Similarly, with increase in spacing between plants, mean canopy temperature was need to increase while relative humidity decreased. Plant growth in terms of stock and scion girth, tree spread (N-S) and canopy volume increased with wide plant spacing, while tree height decreased with increase in plant spacing. Number of fruits per plant, yield per plant and fruiting density was higher at 6x5m and least in 6x2m spacing. Wider plant spacing was found to be better owing to maximum absorption of solar radiation and optimum microclimate in the orchard leading to better yield in plants, higher fruiting density and yield efficiency. However, yield/ha was maximum in 6x2m spacing during rainy season and in 6x3m spacing during winter

Influence of Nitrogen and Phosphorus Fertilization on Fruiting and Yield Characteristics in Ratoon Crop of Banana (Musa spp. AAA) Cv. Grande Naine

In ratoon crop of banana cv. Grande Naine, date of shooting could be advanced by 35 days with application of 200g N in 5 splits + 60g P2O5 (86 days), compared to 300g N in 5 splits + 60g P2O5 (121 days). Subsequently, date of harvest also got advanced by 53 days, and fruits were harvested on 9th December in the same treatment. Higher dose of N fertilization delayed shooting and harvesting period, taking 121 days for shooting and 145 days from shooting to harvest in the treatment 300g N (5 split doses) + 90g P2O5. Various N and P treatments affected bunch weight and number of hands per bunch significantly. Although N and P combination-treatments had no significant effect on bunch weight or number of hands per bunch, application of 200g N in 5 splits and 60g P2O5 per plant gave maximum bunch weight (18.11kg) and number of hands per bunch (10.61). Minimum bunch weight (15.37kg) and the least number of hands per bunch (7.08) were obtained with 150g N in 5 splits + 90g P2O5. Hand-weight (2.20kg), number of fingers per hand (19.75), and finger length (20.30cm) was highest with application of 200g N in 5 splits + 60g P2O5 per plant. Least hand-weight (1.64kg), number of fingers per hand (15.77), and finger-length (17.92cm) was recorded with 150g N in 5 splits + 90g P2O5. Bunch weight, number of hands per bunch, hand-weight and number of fingers per hand too was affected significantly with sole application of nitrogen or phosphorus

The take up of business support by minority ethnic enterprises: the experience of South Asian businesses in England

This research contributes to a greater understanding of minority ethnic business (MEB) needs and practices and helps identify the support needs of minority ethnic firms in relation to existing support provision. The aims are, therefore, to examine the take-up of support by minority ethnic enterprises focusing mainly on the South Asian community with some representation from the African-Caribbean and Korean communities. Fifty minority ethnic businesses across South West London were contacted and semi-structured interviews took place with the owner/owner managers. The findings suggest that policy makers need to appreciate the diversity of MEBs and policies aimed at these businesses should reflect that diversity

Misinterpreting P-Values in Research

The overuse of p-values to dichotomize the results of research studies as either being either significant or non-significant has taken some investigators away from the main task of determining the size of the difference between groups and the precision with which it is measured. Presenting the results of research as statements such as “p 0.05”, “NS” or as precise p-values has the effect of oversimplifying study findings. Further information regarding the size of the difference between groups is required. Presenting confidence intervals for the difference in effect, of say two treatments, in addition to p-values, has the distinct advantage of presenting imprecision on the scale of the original measurement. A statistically significant test also does not imply that the observed difference is clinically important or meaningful

Diagnosing ventilator-associated pneumonia (VAP) in UK NHS ICUs:the perceived value and role of a novel optical technology

BACKGROUND: Diagnosing ventilator-associated pneumonia (VAP) in an intensive care unit (ICU) is a complex process. Our aim was to collect, evaluate and represent the information relating to current clinical practice for the diagnosis of VAP in UK NHS ICUs, and to explore the potential value and role of a novel diagnostic for VAP, which uses optical molecular alveoscopy to visualise the alveolar space. METHODS: Qualitative study performing semi-structured interviews with clinical experts. Interviews were recorded, transcribed, and thematically analysed. A flow diagram of the VAP patient pathway was elicited and validated with the expert interviewees. Fourteen clinicians were interviewed from a range of UK NHS hospitals: 12 ICU consultants, 1 professor of respiratory medicine and 1 professor of critical care. RESULTS: Five themes were identified, relating to [1] current practice for the diagnosis of VAP, [2] current clinical need in VAP diagnostics, [3] the potential value and role of the technology, [4] the barriers to adoption and [5] the evidence requirements for the technology, to help facilitate a successful adoption. These themes indicated that diagnosis of VAP is extremely difficult, as is the decision to stop antibiotic treatment. The analysis revealed that there is a clinical need for a diagnostic that provides an accurate and timely diagnosis of the causative pathogen, without the long delays associated with return of culture results, and which is not dangerous to the patient. It was determined that the technology would satisfy important aspects of this clinical need for diagnosing VAP (and pneumonia, more generally), but would require further evidence on safety and efficacy in the patient population to facilitate adoption. CONCLUSIONS: Care pathway analysis performed in this study was deemed accurate and representative of current practice for diagnosing VAP in a UK ICU as determined by relevant clinical experts, and explored the value and role of a novel diagnostic, which uses optical technology, and could streamline the diagnostic pathway for VAP and other pneumonias. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41512-022-00117-x

Parameters associated with efficacy of epidural steroid injections in the management of postherpetic neuralgia: the Mayo Clinic experience

Purpose: Thirty percent of patients with postherpetic neuralgia (PHN) receiving conservative treatment report unsatisfactory pain relief. Epidural steroid injections (ESIs) are commonly used as a therapeutic intervention in these patients. In this study, we aimed to determine if there are variables that predict the efficacy of ESI in patients with PHN. Patients and methods: We retrospectively identified patients seen at Mayo Clinic who had PHN and received ESI. From their medical records, we abstracted the demographic variables, concurrent medication use, anatomic approach and medication for ESI, and degree of pain relief at 2 and 12 weeks' postintervention. Results: None of the studied variables were significantly associated with efficacy of ESI in patients with PHN. PHN that began < 11 months before treatment was predictive of a response to ESI at 12 weeks postintervention (positive predictive value, 55%). Patients who reported poor ESI efficacy 2 weeks after the intervention had a 94% chance of still having pain at 12 weeks. Conclusion: For this cohort of patients with PHN being treated with ESI, no demographic characteristics, concurrently used medications, or type of ESI were associated with ESI treatment efficacy at 2 or 12 weeks after the intervention.Open Access JournalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists

Background: Although spoken discourse is an outcome prioritised by all stakeholders in aphasia rehabilitation, assessment and treatment of discourse are not routine clinical practice. The small evidence base, varied clinical expertise, multiple barriers in the workplace, and challenges for clients in understanding their altered language abilities all contribute to this situation. These factors need serious consideration when developing a new treatment. Involving intended stakeholders as partners in the development process is recommended. This assists with future implementation by ensuring assessment and treatment are practical, feasible, and acceptable to those who will deliver and undertake it. Aims: This paper reports on the coproduction phase of the Linguistic Underpinnings of Narrative in Aphasia (LUNA) research project and describes the levels of partners’ involvement, the outcomes and impact of coproduction, and the factors that influenced it. Methods and procedures: Four partners with aphasia and four speech and language therapists (SLTs) worked with academic team members across a 6-month period to create the LUNA assessment and treatment. Separate sessions were held with partners with aphasia (monthly) and SLTs (fortnightly). Coproduction methods included open discussion, the Someone Who Isn’t Me (SWIM) technique (thinking from others’ perspectives), low and high fidelity prototypes, flexible brainstorming, card sort, and active experimentation with assessment and treatment tasks. Verbal and written information was presented, shared and documented during each session in supportive formats, and each session summarised as accessible minutes. Outcomes and Results: Partners contributed at consultation, cooperation, and co-learning levels during the coproduction phase. Outcomes included joined-up thinking across assessment-goal setting-treatment-desired outcomes; agreed decisions and content for assessment protocol and treatment manual; clarity on personalised, meaningful, and relevant treatment; therapeutic alliance operationalised in treatment manual; and more. Impacts included increased confidence, self-knowledge, pride, validation, peer support, networking, and benefits to SLTs’ services. Coproduction was positively influenced by consistent session structure and conduct, group dynamics, accessible communication methods, active task experimentation, and SWIM technique. Although the process was time and labour intensive, all partners considered this worthwhile. Conclusions: LUNA has exemplified how an inclusive coproduction process can work well despite the language challenges of aphasia. Authors also believe that coproduction with intended users has resulted in products (assessment protocol, treatment manual) that are more practical, feasible, and acceptable to clinicians and clients than if designed by academics alone. This latter claim now needs testing on a wide scale