6 research outputs found

    Public Perspectives on Project Success – Influenced by National Culture?

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    AbstractProject success, both the determination and the achievement, is a widely discussed subject. Literature seems to agree on one thing: whether a project is considered a success depends on the perspective taken to judge it. But how the public project manager determines the success of his project is not clearly discussed in literature. In 2013 we conducted a research using Q-methodology to reveal which success criteria are important to Dutch public project managers who are in charge of construction projects. In the follow up research, described in this paper, we will extend the research to several European countries. Within the European Union national governments are the largest initiators and clients of large infrastructure projects, which are put up for tender in an international market. In this international context it is essential for private companies, consultancies or contractors, to better understand their public client, in order to come up with internationally competitive bids, successfully collaborate and complete complex projects. The objective of this follow up research is to expose managerial viewpoints on project success in different European countries. The respondents in the research performed early 2014 are governmental project managers, who are responsible for the execution of an internal assignment and who are the representative of the client to the contractor. The position of the respondents in the government organization is similar to the research already carried out in the Netherlands. Based on the research (Hofstede, 2001) into differences in the national culture of countries variations between these countries can be expected. This paper describes the set-up of the study and hypotheses, based on literature, influences of culture on the perception of project success

    Repetitive transcranial magnetic stimulation (rTMS) for schizophrenia patients treated with clozapine

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    Objectives: Biological strategies to improve treatment efficacy in clozapine-treated patients are urgently needed. Repetitive transcranial magnetic stimulation (rTMS) merits consideration as intervention for patients with persistent auditory hallucinations (AH) or negative symptoms (NS) not responding sufficiently to clozapine treatment. Methods: Data from 10 international RCTs of rTMS for patients being treated with clozapine were pooled. Two levels of symptomatic response were defined: improvement of ≥20% and ≥50% on study-specific primary endpoint scales. Changes in the positive and negative syndrome scale (PANSS) from baseline to endpoint assessment were also analysed. Results: Analyses of 131 patients did not reveal a significant difference for ≥20% and ≥50% response thresholds for improvement of AH, negative or total symptoms between active and sham rTMS groups. The number needed to treat (NNT) for an improvement in persistent AH was nine following active rTMS. PANSS scores did not improve significantly from baseline to endpoint between active and sham groups in studies investigating NS and AH. Conclusions: rTMS as a treatment for persistent symptoms in clozapine-treated patients did not show a beneficial effect of active compared to sham treatment. For AH, the size of the NNTs indicates a possible beneficial effect of rTMS
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