Unlock your insight:employing a gamified app to engage manufacturers with servitization

This paper discusses the creation and dissemination of the gamified software application Unlock Your Insight. The app is based on an original workshop activity designed to engage representatives from the manufacturing industry with research into servitization. Both the workshop activity and the app encourage participants and users to reflect upon their organization’s competitive strategy; comparing their current and future visions in relation to the competitiveness of their product, price or package that they offer their customers. We argue that the gamification and digitalization of the activity allowed servitization research to be disseminated further and more quickly than previously possible

Prospectus, May 1, 1985

https://spark.parkland.edu/prospectus_1985/1012/thumbnail.jp

Establishing and managing cover crops in Missouri for wildlife and pollinator benefits (2022)

"Acknowledgement: Portions of this publication have been adapted from these resources developed by Joe LaRose and Rob Myers with the USDA Sustainable Agriculture Research and Education (SARE) Program at the University of Missouri. Photo credits: Missouri Department of Conservation, Robert Pierce, Tim Reinbott."--Page 6."Cover crops can be established for a variety of agronomic benefits. These include preventing soil erosion, providing weed suppression, and improving soil health, potentially increasing yields for crops such as corn and soybeans that may be planted in a crop rotation system. Cover crops can be used with most agriculture production systems, including double-crop systems or used as a livestock forage."--Page 1.Written by Robert A. Pierce II, (Associate Extension Professor and State Wildlife Specialist), Tim Reinbott, (Director of Field Operations, MU South Farm and Research Center), Terryl Woods, (Research Specialist, Division of Plant Sciences and Technology), Charlie Ellis, (MU Extension Field Specialist, Agricultural Engineering), Ryan Milhollin, (Assistant Extension Professor, Agricultural Business and Policy)New 9/2022Includes bibliographical reference

The battle of the SNPs

This month’s Genome Watch highlights new perspectives on polygenic adaptation and its consequences for fitness in microbial populations

Intense seismicity during the 2014–15 Bárðarbunga-Holuhraun rifting event, Iceland, reveals the nature of dike-induced earthquakes and caldera collapse mechanisms

Over two weeks in August 2014 magma propagated 48km laterally from Bárðarbunga volcano before erupting at Holuhraun for 6 months, accompanied by collapse of the caldera. A dense seismic network recorded over 47,000 earthquakes before, during and after the rifting event. More than 30,000 earthquakes delineate the segmented dike intrusion. Earthquake source mechanisms show exclusively strike-slip faulting, occurring near the base of the dike along pre-existing weaknesses aligned with the rift fabric, while the dike widened largely aseismically. The slip-sense of faulting is controlled by the orientation of the dike relative to the local rift fabric, demonstrated by an abrupt change from right- to left-lateral faulting as the dike turns to propagate from an easterly to a northerly direction. Approximately 4,000 earthquakes associated with the caldera collapse delineate an inner caldera fault zone, with good correlation to geodetic observations. Caldera subsidence was largely aseismic, with seismicity accounting for 10% or less of the geodetic moment. Approximately 90% of the seismic moment release occurred on the northern rim, suggesting an asymmetric collapse. Well-constrained focal mechanisms reveal sub-vertical arrays of normal faults, with fault planes dipping inward at 60 9 , along both the north and south caldera margins. These steep normal faults strike sub-parallel to the caldera rims, with slip vectors pointing towards the center of subsidence. The maximum depth of seismicity defines the base of the seismogenic crust under Bárðarbunga as 6km b.s.l., in broad agreement with constraints from geodesy and geobarometry for the minimum depth to the melt storage region

IMproving the practice of intrapartum electronic fetal heart rate MOnitoring with cardiotocography for safer childbirth (the IMMO programme): protocol for a qualitative study.

INTRODUCTION: Suboptimal electronic fetal heart rate monitoring (EFM) in labour using cardiotocography (CTG) has been identified as one of the most common causes of avoidable harm in maternity care. Training staff is a frequently proposed solution to reduce harm. However, current approaches to training are heterogeneous in content and format, making it difficult to assess effectiveness. Technological solutions, such as digital decision support, have not yet demonstrated improved outcomes. Effective improvement strategies require in-depth understanding of the technical and social mechanisms underpinning the EFM process. The aim of this study is to advance current knowledge of the types of errors, hazards and failure modes in the process of classifying, interpreting and responding to CTG traces. This study is part of a broader research programme aimed at developing and testing an intervention to improve intrapartum EFM. METHODS AND ANALYSIS: The study is organised into two workstreams. First, we will conduct observations and interviews in three UK maternity units to gain an in-depth understanding of how intrapartum EFM is performed in routine clinical practice. Data analysis will combine the insights of an ethnographic approach (focused on the social norms and interactions, values and meanings that appear to be linked with the process of EFM) with a systems thinking approach (focused on modelling processes, actors and their interactions). Second, we will use risk analysis techniques to develop a framework of the errors, hazards and failure modes that affect intrapartum EFM. ETHICS AND DISSEMINATION: This study has been approved by the West Midlands-South Birmingham Research Ethics Committee, reference number: 18/WM/0292. Dissemination will take the form of academic articles in peer-reviewed journals and conferences, along with tailored communication with various stakeholders in maternity care

How to be a very safe maternity unit: An ethnographic study.

Maternity care continues to be associated with avoidable harm that can result in serious disability and profound anguish for women, their children, and their families, and in high costs for healthcare systems. As in other areas of healthcare, improvement efforts have typically focused either on implementing and evaluating specific interventions, or on identifying the contextual features that may be generative of safety (e.g. structures, processes, behaviour, practices, and values), but the dialogue between these two approaches has remained limited. In this article, we report a positive deviance case study of a high-performing UK maternity unit to examine how it achieved and sustained excellent safety outcomes. Based on 143 h of ethnographic observations in the maternity unit, 12 semi-structured interviews, and two focus groups with staff, we identified six mechanisms that appeared to be important for safety: collective competence; insistence on technical proficiency; monitoring, coordination, and distributed cognition; clearly articulated and constantly reinforced standards of practice, behaviour, and ethics; monitoring multiple sources of intelligence about the unit's state of safety; and a highly intentional approach to safety and improvement. These mechanisms were nurtured and sustained through both a specific intervention (known as the PROMPT programme) and, importantly, the unit's contextual features: intervention and context shaped each other in both direct and indirect ways. The mechanisms were also influenced by the unit's structural conditions, such as staffing levels and physical environment. This study enhances understanding of what makes a maternity unit safe, paving the way for better design of improvement approaches. It also advances the debate on quality and safety improvement by offering a theoretically and empirically grounded analysis of the interplay between interventions and context of implementation

The quality of vital signs measurements and value preferences in electronic medical records varies by hospital, specialty, and patient demographics

We aimed to assess the frequency of value preferences in recording of vital signs in electronic healthcare records (EHRs) and associated patient and hospital factors. We used EHR data from Oxford University Hospitals, UK, between 01-January-2016 and 30-June-2019 and a maximum likelihood estimator to determine the prevalence of value preferences in measurements of systolic and diastolic blood pressure (SBP/DBP), heart rate (HR) (readings ending in zero), respiratory rate (multiples of 2 or 4), and temperature (readings of 36.0 °C). We used multivariable logistic regression to investigate associations between value preferences and patient age, sex, ethnicity, deprivation, comorbidities, calendar time, hour of day, days into admission, hospital, day of week and speciality. In 4,375,654 records from 135,173 patients, there was an excess of temperature readings of 36.0 °C above that expected from the underlying distribution that affected 11.3% (95% CI 10.6–12.1%) of measurements, i.e. these observations were likely inappropriately recorded as 36.0 °C instead of the true value. SBP, DBP and HR were rounded to the nearest 10 in 2.2% (1.4–2.8%) and 2.0% (1.3–5.1%) and 2.4% (1.7–3.1%) of measurements. RR was also more commonly recorded as multiples of 2. BP digit preference and an excess of temperature recordings of 36.0 °C were more common in older and male patients, as length of stay increased, following a previous normal set of vital signs and typically more common in medical vs. surgical specialities. Differences were seen between hospitals, however, digit preference reduced over calendar time. Vital signs may not always be accurately documented, and this may vary by patient groups and hospital settings. Allowances and adjustments may be needed in delivering care to patients and in observational analyses and predictive tools using these factors as outcomes or exposures

A Global Assessment of Runoff Sensitivity to Changes in Precipitation, Potential Evaporation, and Other Factors

Precipitation (P) and potential evaporation (E) are commonly studied drivers of changing freshwater availability, as aridity (E/P) explains ∼90% of the spatial differences in mean runoff across the globe. However, it is unclear if changes in aridity over time are also the most important cause for temporal changes in mean runoff and how this degree of importance varies regionally. We show that previous global assessments that address these questions do not properly account for changes due to precipitation, and thereby strongly underestimate the effects of precipitation on runoff. To resolve this shortcoming, we provide an improved Budyko-based global assessment of the relative and absolute sensitivity of precipitation, potential evaporation, and other factors to changes in mean-annual runoff. The absolute elasticity of runoff to potential evaporation changes is always lower than the elasticity to precipitation changes. The global pattern indicates that for 83% of the land grid cells runoff is most sensitive to precipitation changes, while other factors dominate for the remaining 17%. This dominant role of precipitation contradicts previous global assessments, which considered the impacts of aridity changes as a ratio. We highlight that dryland regions generally display high absolute sensitivities of runoff to changes in precipitation, however within dryland regions the relative sensitivity of runoff to changes in other factors (e.g., changing climatic variability, CO-vegetation feedbacks, and anthropogenic modifications to the landscape) is often far higher. Nonetheless, at the global scale, surface water resources are most sensitive to temporal changes in precipitation

Prospectus, February 27, 1985

https://spark.parkland.edu/prospectus_1985/1004/thumbnail.jp