5,517 research outputs found
An investigation of psychological contracts in construction procurement
Purpose: A psychological contract (PC) is an unwritten contract with mutual obligations as the central issue and it fills the gaps in a relationship and shapes employee behaviour. To date, there has been limited research that has examined PC with respect to procurement methods in construction projects. There is a lot written about PCs, as a theoretical framework in areas such as strategic supplier partnering and relationships, but little research has been undertaken within a construction management context. An increased understanding of PC would enable procurement teams to identify the nuances associated with relationships in procurement and stakeholder selection. Aim/Objectives: This research aims to examine social exchanges in construction contracts so that partners can better manager their relationships in projects. Specific objectives of the broader research are to: identify the presence of psychological contracts in construction projects; identify and catalogue the affect that the PC’s has on the teams in various procurement models currently utilised within construction management and deliver a conceptual model of the PC in traditional and relationships style procurement scenarios. Method: This paper reports on the first stage of a broader research project. To check and maintain currency of the topic, focus groups are held with key industry players and this is followed by the development of a survey instrument administered to a large sample of construction professionals involved with project delivery (n=100). Results: PCs are clearly present in the construction delivery team and they have considerable effect on the interaction between the project stakeholders. It appears that the PC variables underpin behaviours to a considerable extent. The next stage of the research is to use the output from the triangulated survey to develop a conceptual model of the PC in traditional and relationships style procurement scenarios
Informal care and home-based palliative care: The health-related quality of life of carers
Health is an important factor in the capacity of family and friends (informal carers) to continue providing care for palliative care patients at home. This study investigates associations between the health-related quality of life (HRQOL) of current informal carers and characteristics of the carers and their caregiving situation, in a sample of Australian carers of palliative care patients. The cross-sectional study used the Short Form-36 Health Survey to measure HRQOL. It found carers to have better physical health and worse mental health than the general population. Of 178 carers, 35% reported their health to be worse than it was one year ago. Multiple regression analyses found that the HRQOL of carers whose health had deteriorated in the previous year was associated with the patient's care needs but not the carer's time input, unlike the carers reporting stable health. Clinicians caring for palliative care patients should be alert to the potential health impairments of informal carers and ensure that they are adequately supported in their caregiving role and have access to appropriate treatment and preventive health care. © 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc
Origami: a versatile modeling system for visualising chemical structure and exploring molecular function
Generalised risk-sensitive control with full and partial state observation
This paper generalises the risk-sensitive cost functional by introducing noise dependent penalties on the state and control variables. The optimal control problems for the full and partial state observation are considered. Using a change of probability measure approach, explicit closed-form solutions are found in both cases. This has resulted in a new risk-sensitive regulator and filter, which are generalisations of the well-known classical results
Design and implementation of a low-cost mechatronic shoe for biomechanical analysis of the human locomotion
In this paper the development of a low-cost and easy wearable mechatronic system for the measurement of ground reaction forces (GRF) for the biomechanical analysis of the human locomotion is presented. The system consists of an insole, a conditioning device for the signals produced by the sensors applied to the insole and a data acquisition system connected to a USB portable storage. The sensors applied to the insole can measure the reaction forces in the horizontal and vertical directions during locomotion. The prototype was validated by comparing the data from the sensors with the values obtained using a force platform
First-line support for assistance in breathing in children: statistical and health economic analysis plan for the FIRST-ABC trial
BACKGROUND: The FIRST-ABC trial comprises of two pragmatic, multicentre, parallel groups, non-inferiority randomised clinical trials designed to evaluate the clinical non-inferiority of first-line use of high flow nasal cannula (HFNC) to continuous positive airway pressure (CPAP) in critically ill children who require non-invasive respiratory support (NRS). OBJECTIVES: To describe the pre-specified statistical and health economic analysis for the FIRST-ABC trial before completion of patient recruitment and data collection. METHODS: The statistical analysis plan was designed by the chief investigators and statisticians. We define the primary and secondary outcomes, summarise methods for data collection and safety monitoring, and present a detailed description of the planned statistical and health economic analysis. RESULTS: The primary clinical outcome is time to liberation from respiratory support. The primary effect estimate will be the adjusted hazard ratio, reported with a 95% confidence interval. As a sensitivity analysis, the primary analysis will be repeated using time to start weaning of NRS. Subgroup analyses will be performed to test for interactions between the effect of allocated treatment group and pre-specified baseline covariates. The health economic analysis will follow the intention-to-treat principle and report the mean (95% confidence interval) incremental costs, quality-adjusted life years (QALYs) and cost-effectiveness up to 6Â months. All analyses will be performed separately for each of the two trials, and any results will not be combined. CONCLUSION: The FIRST-ABC trial will assess the non-inferiority of HFNC compared to CPAP in two parallel trials with shared infrastructure (step-up RCT and step-down RCT). We have developed a pre-specified statistical and health economics analysis plan for the FIRST-ABC study before trial completion to minimise analytical bias. TRIAL REGISTRATION: ISRCTN ISRCTN60048867 . Registered on 19 June 2019
The role of brand loyalty and social media in e-commerce interfaces: survey results and implications for user interfaces
This paper explores the role of brand loyalty and social media in e-commerce interfaces. A survey consisting of 118 respondents was contacted to address the questions relating to online shopping and brand loyalty. Link between the frequency of access and time spent on an e-commerce user interface, and brand loyalty, gender and age profile differences, and the role of social media to branding and on-line shopping was analyzed. It was found that online loyalty differs from offline loyalty and loyalty also differed across genders, showing men were more loyal than women when shopping online. Information shared about products on social media by friends and family played an important role in purchase decision making. Website interface and ease of navigation were also key aspects for online shopping. The research concluded with recommendations to create multimodal websites which are more interactive and targeted so customer experience is enhanced and loyalty is achieved through the use of interactivity and social media
Results of a randomized, double-blind phase II clinical trial of NY-ESO-1 vaccine with ISCOMATRIX adjuvant versus ISCOMATRIX alone in participants with high-risk resected melanoma.
BACKGROUND: To compare the clinical efficacy of New York Esophageal squamous cell carcinoma-1 (NY-ESO-1) vaccine with ISCOMATRIX adjuvant versus ISCOMATRIX alone in a randomized, double-blind phase II study in participants with fully resected melanoma at high risk of recurrence. METHODS: Participants with resected stage IIc, IIIb, IIIc and IV melanoma expressing NY-ESO-1 were randomized to treatment with three doses of NY-ESO-1/ISCOMATRIX or ISCOMATRIX adjuvant administered intramuscularly at 4-week intervals, followed by a further dose at 6 months. Primary endpoint was the proportion free of relapse at 18 months in the intention-to-treat (ITT) population and two per-protocol populations. Secondary endpoints included relapse-free survival (RFS) and overall survival (OS), safety and NY-ESO-1 immunity. RESULTS: The ITT population comprised 110 participants, with 56 randomized to NY-ESO-1/ISCOMATRIX and 54 to ISCOMATRIX alone. No significant toxicities were observed. There were no differences between the study arms in relapses at 18 months or for median time to relapse; 139 vs 176 days (p=0.296), or relapse rate, 27 (48.2%) vs 26 (48.1%) (HR 0.913; 95% CI 0.402 to 2.231), respectively. RFS and OS were similar between the study arms. Vaccine recipients developed strong positive antibody responses to NY-ESO-1 (p≤0.0001) and NY-ESO-1-specific CD4+ and CD8+ responses. Biopsies following relapse did not demonstrate differences in NY-ESO-1 expression between the study populations although an exploratory study demonstrated reduced (NY-ESO-1)+/Human Leukocyte Antigen (HLA) class I+ double-positive cells in biopsies from vaccine recipients performed on relapse in 19 participants. CONCLUSIONS: The vaccine was well tolerated, however, despite inducing antigen-specific immunity, it did not affect survival endpoints. Immune escape through the downregulation of NY-ESO-1 and/or HLA class I molecules on tumor may have contributed to relapse
Dynamical tunneling in molecules: Quantum routes to energy flow
Dynamical tunneling, introduced in the molecular context, is more than two
decades old and refers to phenomena that are classically forbidden but allowed
by quantum mechanics. On the other hand the phenomenon of intramolecular
vibrational energy redistribution (IVR) has occupied a central place in the
field of chemical physics for a much longer period of time. Although the two
phenomena seem to be unrelated several studies indicate that dynamical
tunneling, in terms of its mechanism and timescales, can have important
implications for IVR. Examples include the observation of local mode doublets,
clustering of rotational energy levels, and extremely narrow vibrational
features in high resolution molecular spectra. Both the phenomena are strongly
influenced by the nature of the underlying classical phase space. This work
reviews the current state of understanding of dynamical tunneling from the
phase space perspective and the consequences for intramolecular vibrational
energy flow in polyatomic molecules.Comment: 37 pages and 23 figures (low resolution); Int. Rev. Phys. Chem.
(Review to appear in Oct. 2007
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