40 research outputs found
Through the eyes of industrial researchers: how new “Connect & Develop” practices change the role of human resources in the lab
An intense debate is going on about more “open” strategies that are supposedly diffusing in industrial R&D. We here discuss the relationship between such practices and Human Resources Management (HRM) in industrial R&D Labs. The paper in fact aims at representing an original attempt of looking at the linkage between R&D strategy and HRM in some Italian high-tech firms. In particular, we identify, select and discuss a set of variables related to the management of HR in R&D that fit with the reconceptualization of innovation proposed by Chesbrough in the “Open Innovation” (OI) paradigm and inspired by the example of P&G’s model of Connect and Develop (C&D). More precisely, our objective is that of investigating the role of HRM in the shift towards “Open Innovation” through the bottom-up lenses of industrial researchers’ characteristics, feelings and behaviours. What we here suggest is that by observing behaviour and expectations of R&D workers, we can investigate the acceptance and implementation of new R&D management practices. Our empirical base is represented by 330 questionnaires completed by R&D personnel and collected through an online survey. The results have been discussed with the HR managers of each company, in order to also gain a “top-down” perspective on the observed dynamics. The research is carried out around three main groups of issues: HR characteristics (e.g., demographic parameters, productivity, time horizons, satisfaction, expectations, mobility, education), job organization aspects (e.g., teamwork vs. individual research, flexibility, decisional centres, work time allocation, type of relationships, communication flows), and HRM tools (e.g., talent attraction, training, evaluation methods, goal definition, roles, leadership, responsibility, incentives, career systems, problem sources). According to Chesbrough, firms fitting the OI model present characteristics related to the R&D structure itself. Nonetheless, even if this model has been widely enthusiastically discussed and sometimes criticized by both practitioners and researchers, we still lack a comprehensive understanding of how such changes effect dynamics and daily operations of an R&D lab. Our empirical analysis ultimately aims at understanding to what extent the shift towards an extended definition of R&D, which includes the new concept of C&D, can be considered as one of the main potential factors of change in HR organization. Beyond the relevance of our findings for the debate among scholars, we argue that managerial implications may derive from a better knowledge of individual perceptions and behaviours of R&D personnel. In fact, the changing pattern of innovation processes implies parallel changes in the organization of R&D labs, where the role of the most important component, i. e. researchers themselves, is not always adequately considered. This paper is a first attempt to explore these relationships. Through a convenience sample we first attempted to test various strategies to best collect data, provide timely valuable feedbacks to our industrial partners and better define our framework, matching early results with existing theories. Further research will aim at making the sample representative of the Italian industrial R&D system.Open Innovation Human Resources Management
Axial symptoms as main predictors of short-term subthalamic stimulation outcome in Parkinson's disease
: Deep brain stimulation (DBS) is an established therapeutic option for Parkinson's disease (PD) patients; however, a clear-cut definition of subthalamic (STN) DBS predictors in PD is lacking. We analyzed a cohort of 181 STN-treated PD patients and compared pre- vs. 1-year post-surgical motor, dyskinesia, Off time, and daily-life activities (ADL) scores. A multivariate linear regression analysis was used to evaluate the association between clinical/demographic characteristics and the extent of STN-DBS response for outcomes proving a significant change after surgery. After STN-DBS, we observed a significant improvement of motor symptoms (P < 0.001), dyskinesia (P < 0.001), and daily Off time (P < 0.001). Sex, PD duration, cognitive status, and the motor and axial response to levodopa significantly explained the motor improvement (R = 0.360, P = 0.002), with presurgical response of axial symptoms (Beta = 0.203, P = 0.025) and disease duration (Beta = 0.205, P = 0.013) being the strongest predictors. Considering the daily Off time improvement, motor and axial response at the levodopa challenge test and disease duration explained 10.6% of variance (R = 0.326, p < 0.001), with disease duration being the strongest predictor of improvement (Beta = 0.253, p: 0.001) and axial levodopa response showing a trend of significance in explaining the change (Beta = 0.173, p: 0.056). Dyskinesia improvement was not significantly explained by the model. Our findings highlight the emerging role of axial symptoms in PD and their response to levodopa as potentially pivotal also in the DBS selection process
COVID-19 and Parkinson's disease: what do we know so far?
Background:
Many studies on Parkinson’s disease (PD) patients affected by Coronavirus-disease-2019 (COVID-19) were recently published. However, the small sample size of infected patients enrolled in most studies did not allow to draw robust conclusions on the COVID-19 impact in PD.
Objective:
We aimed to assess whether the prevalence and outcome of COVID-19 in PD patients are different from those observed in the general population.
Methods:
We conducted a systematic review of studies reporting data on PD patients with a diagnosis of COVID-19 (PD-COVID+). We extracted prevalence, clinical-demographic data, outcome, and mortality. We also analyzed risk or protective factors based on comparisons between PD-COVID+ and control populations with PD without COVID-19 or without PD with COVID-19.
Results:
We included 16 studies reporting on a total of 11,325 PD patients, 1,061 with a confirmed diagnosis of COVID-19. The median infection prevalence ranged from 0.6% to 8.5%. PD-COVID+ patients had a median age of 74 and a disease duration of 9.4 years. Pooling all PD-COVID+ patients from included studies, 28.6% required hospitalization, 37.1% required levodopa dose increasing, and 18.9% died. The case fatality was higher in PD-COVID+ patients than the general population, with longer PD duration as a possible risk factor for worse outcome. Amantadine and vitamin D were proposed as potential protective factors.
Conclusion:
Available studies indicate a higher case fatality in PD patients affected by COVID-19 than the general population. Conversely, current literature does not definitively clarify whether PD patients are more susceptible to get infected. The potential protective role of vitamin D and amantadine is intriguing but deserves further investigation
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Anxiety, depression and worries in advanced Parkinson Disease during COVID-19 pandemic
Background
The psychological impact of the COVID-19 outbreak and lockdown on frail populations with advanced Parkinson disease (APD) and their caregivers may present with peculiar features and require specific interventions.
Methods
We enrolled here 100 APD patients and 60 caregivers. Seventy-four patients were treated with device-aided therapies (DAT) and 26 with standard medical treatment (SMT). Through a telephonic interview, subjects underwent the Hospital Anxiety and Depression Scale (HADS-A; HADS-D), and an ad hoc questionnaire to explore thoughts and emotions related to the pandemic.
Results
Depression was observed in 35% of APD patients and anxiety in 39%, with a significant reduction of the latter after the lockdown (p= 0.023). We found a significant correlation between the type of therapy and the HADS-A score (p= 0.004). Patients’ main worries were as follows: a possible higher risk of COVID-19 infection (25%), interruption of non-pharmacological treatments (35%), interruption of outpatient clinics (38%), PD complications related to COVID-19 (47%). Patients treated with DAT manifested worries about device-related issues and risk for caregivers’ infection. The 40% of caregivers showed anxiety, while the 21.7% of them showed depression.
Conclusion
Our study reveals a higher prevalence of anxiety and the presence of peculiar worries and needs in APD patients during the pandemic alongside psychological sequelae of their caregivers. These findings are important for neurologists and healthcare services to foster strategies for the management of psychological distress in both patients and caregivers
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Neurological comorbidity and severity of COVID-19
Objective
Neurological symptoms of COVID-19 patients have been recently described. However, no comprehensive data have been reported on pre-existing neurological comorbidities and COVID-19. This study aims at evaluating the prevalence of neurological comorbidities, and their association with COVID-19 severity.
Methods
We evaluated all consecutive patients admitted to the Emergency Room (ER) of our hospital between the 3rd March and the 14th April 2020, and diagnosed with COVID-19. Data on neurological and non-neurological diseases were extracted, as well as data on demographic characteristics and on severity degree of COVID-19. The prevalence of neurological comorbidities was calculated, and multivariate binary logistic regression analyses were used to estimate the association between neurological diseases and COVID-19 severity.
Results
We included 344 patients. Neurological comorbidities accounted for 22.4% of cases, with cerebrovascular diseases and cognitive impairment being the most frequent. Neurological comorbidity resulted independently associated with severe COVID-19 (OR 2.305; p = 0.012), as well as male gender (p = 0.001), older age (p = 0.001), neoplastic diseases (p = 0.039), and arterial hypertension (p = 0.045). When neurological comorbidity was associated with non-neurological comorbidities, the OR for severe COVID-19 rose to 7.394 (p = 0.005). Neurological patients, in particular cerebrovascular and cognitively impaired ones, received more respiratory support indication.
Conclusion
Neurological comorbidities represent a significant determinant of COVID-19 severity, deserving a thorough evaluation since the earliest phases of infection. The vulnerability of patients affected by neurological diseases should suggest a greater attention in targeting this population for proactive viral screening
La gestione delle attività di Ricerca e Sviluppo nell’era della conoscenza: verso il paradigma della Open Innovation
“La gestione delle attività di Ricerca e Sviluppo nell’era della conoscenza: verso il paradigma della Open Innovation
COVID-19 and Parkinson’s Disease: What Do We Know So Far?
Background: Many studies on Parkinson’s disease (PD) patients affected by Coronavirus-disease-2019 (COVID-19) were recently published. However, the small sample size of infected patients enrolled in most studies did not allow to draw robust conclusions on the COVID-19 impact in PD. Objective: We aimed to assess whether the prevalence and outcome of COVID-19 in PD patients are different from those observed in the general population. Methods: We conducted a systematic review of studies reporting data on PD patients with a diagnosis of COVID-19 (PD-COVID+). We extracted prevalence, clinical-demographic data, outcome, and mortality. We also analyzed risk or protective factors based on comparisons between PD-COVID+ and control populations with PD without COVID-19 or without PD with COVID-19. Results: We included 16 studies reporting on a total of 11,325 PD patients, 1,061 with a confirmed diagnosis of COVID-19. The median infection prevalence ranged from 0.6% to 8.5%. PD-COVID+ patients had a median age of 74 and a disease duration of 9.4 years. Pooling all PD-COVID+ patients from included studies, 28.6% required hospitalization, 37.1% required levodopa dose increasing, and 18.9% died. The case fatality was higher in PD-COVID+ patients than the general population, with longer PD duration as a possible risk factor for worse outcome. Amantadine and vitamin D were proposed as potential protective factors. Conclusion: Available studies indicate a higher case fatality in PD patients affected by COVID-19 than the general population. Conversely, current literature does not definitively clarify whether PD patients are more susceptible to get infected. The potential protective role of vitamin D and amantadine is intriguing but deserves further investigation.</jats:p
Motor and non-motor outcomes of subthalamic deep brain stimulation in a case of juvenile PARK-PINK1
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