Un risque peut en cacher un autre : Le cas de la Supply Chain de la médecine nucléaire

International audienceLa perception du risque amplifie ou atténue la réponse au risque (Kasperson et Kasperson, 1996). Notreétude de cas sur une Supply Chain de médecine nucléaire montre que la perception du risque lié à la radioactivité amène les acteurs à ne pas prendre en considération les risques logistiques d'une Supply Chain en flux tendu, alors même que ces risques constituent une menace au bon déroulement de l'activité de soin. Cette recherche permet aux gestionnaires de comprendre l'impact de la perception des risques sur l'activité et les encourage à tendre vers une vision exhaustive des risques pour une meilleure performance de leur organisation

UNDERSTANDING THE UNDESIRABLE EFFECTS OF USING INTERORGANIZATIONAL SYSTEMS AND INTEGRATED INFORMATION SYSTEMS: CASE STUDIES AMONG SUPPLY CHAIN PARTNERS

Researchers and practitioners present entreprise integration to a Supply Chain as a lever for organizational performance. Yet if integration is generating performance, this cannot be done without the acceptance of new constraints due to integrated information systems implementation. We discuss the evaluation of the information systems that support the integration in order to uncover some negative consequences associated with their use. We mobilize the concept of undesirable effects and thus pose our research question: How can we identify and assess undesirable effects for users of integrated information systems or interorganizational systems? We analyze the perceptions of users on the effects of regular use of technology for their logistics activity. We adopt a qualitative methodology and select two case studies of just-in-time supply chain in the food and automotive industry. Data collection is carried out through interviews and analyzed by thematic coding. The results lead to identify twelve undesirable effects, four of which are specific to the use of interorganizational information systems. These results may extend the typology of misfits of Strong and Volkoff (2010) by entering the notion of undesirable effects to assess the negative consequences for users of the use of integrated information system

Pilates como enfoque alternativo de la terapia física

El Método Pilates es un sistema de acondicionamiento físico y mental que pretende mejorar la fuerza, flexibilidad, coordinación, ayudar a reducir el estrés, mejorar la concentración mental y fomentar una mayor sensación de bienestar; basado en los principios de respiración, concentración, centro (referencia al núcleo y el centro de gravedad), control muscular, precisión y fluidez. Aunque el Método Pilates existe desde la década de los años veinte, no ha sido hasta la actualidad cuando ha alcanzado su estatus de celebridad; siendo practicado por personas de todas las edades y grupos sociales.The Pilates Method is a system of physical and mental conditioning that aims to improve strength, flexibility, coordination, helps reduce stress, improve mental concentration and encourage a greater sense of well-being, based on the principles of breathing, concentration, core and the center of gravity), muscle control, precision and fluency. Although, the Pilates Method exists since the twenties, it has not been until today when it has reached its celebrity status, being practiced by people of all ages and social group

Meta-analysis and systematic review of skin graft donor-site dressings with future guidelines.

Background: Many types of split-thickness skin graft (STSG) donor-site dressings are available with little consensus from the literature on the optimal dressing type. The purpose of this systematic review was to analyze the most recent outcomes regarding moist and nonmoist dressings for STSG donor sites. Methods: A comprehensive systematic review was conducted across PubMed/MEDLINE, EMBASE, and Cochrane Library databases to search for comparative studies evaluating different STSG donor-site dressings in adult subjects published between 2008 and 2017. The quality of randomized controlled trials was assessed using the Jadad scale. Data were collected on donor-site pain, rate of epithelialization, infection rate, cosmetic appearance, and cost. Meta-analysis was performed for reported pain scores. Results: A total of 41 articles were included comparing 44 dressings. Selected studies included analysis of donor-site pain (36 of 41 articles), rate of epithelialization (38 of 41), infection rate (25 of 41), cosmetic appearance (20 of 41), and cost (10 of 41). Meta-analysis revealed moist dressings result in lower pain (pooled effect size = 1.44). A majority of articles (73%) reported better reepithelialization rates with moist dressings. Conclusion: The literature on STSG donor-site dressings has not yet identified an ideal dressing. Although moist dressings provide superior outcomes with regard to pain control and wound healing, there continues to be a lack of standardization. The increasing commercial availability and marketing of novel dressings necessitates the development of standardized research protocols to design better comparison studies and assess true efficacy.R01 EB021308 - NIBIB NIH HHSPublished versio

Mapping the field of military nursing research 1990–2013: A bibliometric review

BACKGROUND: Over the past 20 years, military forces worldwide have been engaged in a number of conflicts and humanitarian operations and the impact of this on the field of military nursing research is unknown. The aim of this bibliometric review was to investigate the research field of military nursing in the main databases with the purpose to describe trends in military nursing research since 1990. OBJECTIVES: To identify military nursing papers in the main databases and to describe the field of military nursing research for the period 1990–2013 in terms of research productivity, trends in topic focus, trends in authorship and country of publication. METHOD: Bibliometric review of published military nursing research papers was undertaken in March 2014 and data was extracted and coded and trends were analyzed using SPSSv21. RESULTS: In total 237 articles were included in the review. The majority of publications emanating from America (n = 175, 73.8%) and the quantity of papers has increased significantly since the commencement of the second Gulf War in Iraq from 2003 onwards (n = 156, 65.8%). This has been accompanied by a shift in topic focus from professional (n = 16, 20.3%) and occupational issues (n = 17, 21.5%) pre 2003, to clinical (n = 48, 30.4%) and an increase in multidisciplinary research from 4% in 1990–94 to 29% in 2010–13. The mean citations were 10.6 (sd 17.0) and the mean references per paper post 2003 showed a marked increase from 23.5 to 25.4. CONCLUSION: The military nursing research field appears stronger than it has been in the past twenty years and has demonstrated increased transferability to other fields. To maintain this momentum and further develop the field of military nursing research, military forces worldwide need to devise focused nursing research strategies that involve international and multidisciplinary collaboration.Department of HE and Training approved lis

Advanced therapeutic dressings for effective wound healing

Advanced therapeutic dressings that take active part in wound healing to achieve rapid and complete healing of chronic wounds is of current research interest. There is a desire for novel strategies to achieve expeditious wound healing due to the enormous financial burden worldwide. This paper reviews the current state of wound healing and wound management products, with emphasis on the demand for more advanced forms of wound therapy and some of the current challenges and driving forces behind this demand. The paper reviews information mainly from peer reviewed literature and other publicly available sources such as the FDA. A major focus is the treatment of chronic wounds including amputations, diabetic and leg ulcers, pressure sores, surgical and traumatic wounds (e.g. accidents and burns) where patient immunity is low and the risk of infections and complications are high. The main dressings include medicated moist dressings, tissue engineered substitutes, biomaterials based biological dressings, biological and naturally derived dressings, medicated sutures and various combinations of the above classes. Finally, the review briefly discusses possible prospects of advanced wound healing including some of the emerging approaches such as hyperbaric oxygen, negative pressure wound therapy and laser wound healing, in routine clinical care