9 research outputs found
Exploring knowledge value creation practices : an interpretive case study
The gaining popularity of Knowledge Management (KM) has been reinforced by the quest for innovation and value creation. Value creation is grounded in the appropriate combination of human networks, social capital, intellectual capital, and technology assets, facilitated by a culture of change. It is indicated that the future of KM tends to focus on the study of the impact on people in terms of value or knowledge value creation. Because of this, the positive relationship between KM and value creation has been discussed extensively in the literature. However, the majority of the studies on knowledge value creation have been widely undertaken to highlight several case studies demonstrating success in developed countries, whilst very few studies have been done in the cultural context of developing countries. These studies in developing economies have identified several distinctive features, in particular socio-cultural factors that have an important role and influence in KM practices. A call has been made for further research to explore KM in different organisational and cultural contexts in developing economies. Thailand is an example of a developing country where a number of distinctive socio-cultural features have been identified. It therefore represents an interesting case to conduct a study on the influence of these cultural features on KM practices within an organisational context. The objective of this empirical study is to explore knowledge value creation practices in a Thai organisation. The research adopts an interpretive stance and employs a case study approach involving multiple data collection methods. It is based on the researcher's personal expertise and close involvement in the selected case study organisation for over a decade. The study characterises Thai distinctive culture in terms of collectiveness, shyness, conscientiousness and seniority, and indicates that these distinctive socio-cultural features critically influence (a) the social network ties and relationships between employees within and across teams, (b) the resulting level of trust between employees, and (c) the ability to share and create knowledge effectively in the organisational socio-cultural environment. The study is limited to a Thai organisation, but can be generalised to other organisations that exhibit similar characteristics. It provides interesting insights into the socio-cultural factors affecting knowledge management adoption in a Thai organisation and a foundation to further the research on the validation of the theoretical model that emerged from this empirical study.EThOS - Electronic Theses Online ServiceGBUnited Kingdo
Radiation-Induced Errors in the Software Level of Real-Time Soft Processing System
FPGAs' and programmable hardware's high performance and flexibility have made them a reasonable choice for space-oriented applications, although susceptible to soft errors. This paper proposes a comprehensive analysis of the effects of microarchitectural faults on soft processors due to radiations, identifying the hardware sources of errors and how they propagate to software-level
Further Clarification of Pain Management Complexity in Radiotherapy: Insights from Modern Statistical Approaches
Background: The primary objective of this study was to assess the adequacy of analgesic care in radiotherapy (RT) patients, with a secondary objective to identify predictive variables associated with pain management adequacy using a modern statistical approach, integrating the Least Absolute Shrinkage and Selection Operator (LASSO) algorithm and the Classification and Regression Tree (CART) analysis. Methods: This observational, multicenter cohort study involved 1387 patients reporting pain or taking analgesic drugs from 13 RT departments in Italy. The Pain Management Index (PMI) served as the measure for pain control adequacy, with a PMI score < 0 indicating suboptimal management. Patient demographics, clinical status, and treatment-related factors were examined to discern the predictors of pain management adequacy. Results: Among the analyzed cohort, 46.1% reported inadequately managed pain. Non-cancer pain origin, breast cancer diagnosis, higher ECOG Performance Status scores, younger patient age, early assessment phase, and curative treatment intent emerged as significant determinants of negative PMI from the LASSO analysis. Notably, pain management was observed to improve as RT progressed, with a greater discrepancy between cancer (33.2% with PMI < 0) and non-cancer pain (73.1% with PMI < 0). Breast cancer patients under 70 years of age with non-cancer pain had the highest rate of negative PMI at 86.5%, highlighting a potential deficiency in managing benign pain in younger patients. Conclusions: The study underscores the dynamic nature of pain management during RT, suggesting improvements over the treatment course yet revealing specific challenges in non-cancer pain management, particularly among younger breast cancer patients. The use of advanced statistical techniques for analysis stresses the importance of a multifaceted approach to pain management, one that incorporates both cancer and non-cancer pain considerations to ensure a holistic and improved quality of oncological care
MORFEO enters final design phase
MORFEO (Multi-conjugate adaptive Optics Relay For ELT Observations, formerly
MAORY), the MCAO system for the ELT, will provide diffraction-limited optical
quality to the large field camera MICADO. MORFEO has officially passed the
Preliminary Design Review and it is entering the final design phase. We present
the current status of the project, with a focus on the adaptive optics system
aspects and expected milestones during the next project phase
Accesso alla giustizia: amministrazione centralizzata emodelli alternativi di risoluzione delle controversie
Il convegno, organizzato con il direttivo della Scuola di Specializzazione per le Professioni Forensi, affronta il delicato tema dell'accesso alla giustizia attraveso due momenti autonomi: ADR e sistema ordinamentale e ADR e modelli di controllo nel settore dei servizi di pubblica utilità . Segnatamente, l'impianto di carattere generale della prima sessione è stato strettamente funzionale all'analisi delle ADR come meccanismi di controllo di mercato, sopratutto nell'area dell'economia dei servizi pubblici
Adequacy of Pain Treatment in Radiotherapy Departments: Results of a Multicenter Study on 2104 Patients (Arise)
Aim: The frequent inadequacy of pain management in cancer patients is well known. Moreover, the quality of analgesic treatment in patients treated with radiotherapy (RT) has only been rarely assessed. In order to study the latter topic, we conducted a multicenter, observational and prospective study based on the Pain Management Index (PMI) in RT Italian departments. Methods: We collected data on age, gender, tumor site and stage, performance status, treatment aim, and pain (type: CP—cancer pain, NCP—non-cancer pain, MP—mixed pain; intensity: NRS: Numeric Rating Scale). Furthermore, we analyzed the impact on PMI on these parameters, and we defined a pain score with values from 0 (NRS: 0, no pain) to 3 (NRS: 7–10: intense pain) and an analgesic score from 0 (pain medication not taken) to 3 (strong opioids). By subtracting the pain score from the analgesic score, we obtained the PMI value, considering cases with values < 0 as inadequate analgesic prescriptions. The Ethics Committees of the participating centers approved the study (ARISE-1 study). Results: Two thousand one hundred four non-selected outpatients with cancer and aged 18 years or older were enrolled in 13 RT departments. RT had curative and palliative intent in 62.4% and 37.6% patients, respectively. Tumor stage was non-metastatic in 57.3% and metastatic in 42.7% of subjects, respectively. Pain affected 1417 patients (CP: 49.5%, NCP: 32.0%; MP: 18.5%). PMI was < 0 in 45.0% of patients with pain. At multivariable analysis, inadequate pain management was significantly correlated with curative RT aim, ECOG performance status = 1 (versus both ECOG-PS3 and ECOG- PS4), breast cancer, non-cancer pain, and Central and South Italy RT Departments (versus Northern Italy).Conclusions: Pain management was less adequate in patients with more favorable clinical condition and stage. Educational and organizational strategies are needed in RT departments to reduce the non-negligible percentage of patients with inadequate analgesic therapy
MAVIS on the VLT: A Powerful, Synergistic ELT Complement in the Visible
International audienceOn 1 June 2021 ESO and a consortium of Australian, Italian and French institutions signed an agreement for the design and construction of the MCAO Assisted Visible Imager and Spectrograph (MAVIS). This Very Large Telescope (VLT) instrument will push the frontier of new astronomical instrument technologies to provide, for the first time, wide-field, diffraction-limited angular resolution at visible wavelengths. In combination with the VLT Adaptive Optics Facility, it will use multi- conjugate adaptive optics (MCAO) to feed a 4k × 4k imager covering 30 × 30 arcseconds, as well as an Integral Field Spectrograph (IFS). Angular resolution down to 18 milliarcseconds will be achieved at a wavelength of 550 nm (V band). The IFS will provide four spectral modes, with spectral resolutions from 4000 to over 15000 between 370 and 950 nm. This will enable a wide variety of science cases, spanning themes that include the emergence of the Hubble sequence, resolving the contents of nearby galaxies, star clusters over cosmic time and the birth, life, and death of stars and their planets. Delivering visible images and integral- field spectroscopy at an angular resolution two to three times better than that of the Hubble Space Telescope will make MAVIS a powerful complement at visible wavelengths to future facilities like the James Webb Space Telescope and the 30–40-metre-class ground-based telescopes currently under construction, which are all optimised for science at infrared wavelengths