877 research outputs found
Observing Suppliers observing Early Supplier Involvement: An Empirical Research based upon the Social Systems Theory of Niklas Luhmann.
supplier, involvement, Luhmann
The making of strategic realities : an application of the social systems theory of Niklas Luhmann
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Observing suppliers observing early supplier involvement : an empirical research based upon the social systems theory of Niklas Luhmann
In this empirical study, the focus is on the risks involved with implementing practices of Early Supplier Involvement (ESI) from the perspective of suppliers, which has not been given its due attention. For suppliers, making sense of ESI implies dealing with the following chicken-and-egg problem: the capabilities to be offered depend on the way the business is defined and vice versa. In this paper, a model is presented to describe how suppliers have made sense of this chicken-and-egg problem. This model was used for an empirical exploration of the risks involved with ESI-strategies and draws significantly on theoretical and methodological insights of the social systems theory of the late German sociologist Niklas Luhmann. Until now, social systems theory has not gained much attention within organization studies. As such, this study also aims to illustrate some of the potential of social systems theory
De-colonizing water:Dispossession, water insecurity, and Indigenous claims for resources, authority, and territory
High postoperative risk after pneumonectomy in elderly patients with right-sided lung cancer
The present study investigated postoperative mortality (POM), its
predictors and relationship with long-term survival in patients who
underwent surgery for lung cancer. The 30-day mortality after thoracotomy
in 1,830 patients from the Flemish multicentre hospital-based lung cancer
registry was analysed according to patient, tumour, treatment and hospital
characteristics and compared with 5-yr survival figures for the same
patients. Overall POM was 4.4%. In univariate analysis age, extent of
surgery and low hospital volume were associated with a higher POM. In
multiple regression analysis age, extent of surgery and side of the
pneumonectomy proved to be independent predictors of POM. In patients aged
>70 yrs who underwent right-sided pneumonectomy POM was 17.8%. Overall,
mortality was comparable to published series from referral centres. Age
and extent of resection are the main predictors of postoperative mortality
in lung-cancer patients. In the operable elderly patient, age alone does
not justify denying the survival benefit experienced by resection of lung
cancer. The high mortality after right-sided pneumonectomy in elderly
patients warrants caution, as the treatment benefit may become marginal
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