Organizational ambidestry in the modernization program of the Court of Justice of the State of Ceará

The Court of Justice of the State of Ceará (TJCE), Brazil, is implementing the Judiciary Modernization Program (Promojud) as a strategic change, in the context of digital transformation. The objective of the research is to investigate how the TJCE has been developing this change in the focus of organizational ambidexterity. This is a case study, using content analysis, having as a lens of analysis the Pettigrew model (context, content and process). As data collection, in addition to secondary data, the study was supported by interviews carried out in 2022, with 10 members of the governance structure created for Promojud. In the context of digital transformation, the contextual and structural ambidexterity constructs, as a process, have been supporting organizational ambidexterity (exploitation and exploration), as content. The results suggest that the use of strategic planning and project management, when well aligned with a solid governance structure, support both incremental and radical ambidexterity, in context and structure

Efeito da ambidestria organizacional no desempenho da internacionalização das instituições de ensino superior

The phenomenon of internationalization of Higher Education Institutions (HEIs) is expanding, particularly since the advent of Internationalization at Home (IaH), Internationalization of the Curriculum (IoC), and the urgent need for developing innovation capacity within HEIs to differentiate and expand themselves. In this context, this essay aims to understand the effect of organizational ambidexterity on the performance of internationalization of higher education institutions. This approach develops and defends the relationship between the constructs through a review of existing literature. The intertwining of innovation capacity (organizational ambidexterity) and internationalization performance is evident and perceptible to the existence of a proportion that the more ambidextrous an organization is, the greater the performance of internationalization. The conceptual model investigates the constructs: organizational ambidexterity (exploration and exploitation) and the performance of internationalization of HEIs (teach and research functionsk), structured in a conceptual model interconnected through theoretical proposition.O fenômeno da internacionalização das Instituições de Ensino Superior – IES está em expansão, principalmente depois da Internationalization at Home – IaH, da Internationalization of the Curriculum – IoC e da premência do desenvolvimento da capacidade de inovação das IESs para se diferenciarem e se expandirem. Nesse contexto, esta pesquisa objetiva entender o efeito da ambidestria organizacional no desempenho da internacionalização das instituições de ensino superior. Esta abordagem desenvolve e defende a relação entre os construtos mediante a revisão da literatura existente. O entrelaçamento entre a capacidade de inovação (ambidestria organizacional) e o desempenho de internacionalização é evidente e perceptível à existência de uma proporção de que quanto mais ambidestra for uma organização, maior o desempenho de internacionalização. O modelo conceitual investiga os construtos: a ambidestria organizacional (exploration e exploitation) e o desempenho da internacionalização das IESs (ensino e pesquisa), estruturados em um modelo conceitual, interligados por meio de proposição teórica

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)