4,015 research outputs found

    Wise by Design: A Wisdom-Based Framework for Innovation and Organizational Design and its Potential Application in the Future of Higher Education

    Get PDF
    A wiser socio-economic system, by design and not by chance, may well benefit from a series of design principles drawn from the well of wisdom. This dissertation focused on a refined set of eight components of wisdom through research designed to explore if, how, and when they are invoked by a group of experts participating in a futures discussion about organizations in their field of practice, American higher education. The aim was to explore a set of wisdom-centered design principles (denoted as Wise By Design [WBD]) for social innovation, specifically in the design of organizations that would thrive in the future. After four rounds of engagement with a panel of experts with approximately 500 years of accumulated experience in the field, six conclusions were reached: a) an organization could be seen as wise; if leadership, management, and innovation practices are augmented by wisdom; b) the use of design principles based on wisdom and futures inquiry could help organizations develop wise processes; c) wise people develop the ability to take an objectivized balanced perspective when confronted with situations, decisions, or requests for advice; d) wisdom could be described as a multi-channel sense-and-respond adaptive system with the higher purpose of flourishing of self and others; e) interoperability and dual hybridity, both administrative and academic, could enable institutions of higher education to thrive in the future; and f) this field of research could lead into a discussion on the value of exploring artificial wisdom. The electronic version of this Dissertation is at Ohiolink ETD Center, http://etd.ohiolink.edu and AURA http://aura.antioch.edu

    The Practice of Overlapping Surgery Is Safe in Total Knee and Hip Arthroplasty

    Get PDF
    Background: Overlapping surgery occurs when a surgeon performs 2 procedures in an overlapping time frame. This practice is commonplace in the setting of total joint arthroplasty and is intended to increase patient access to experienced surgeons, improve efficiency, and advance the surgical competence of surgeons and trainees. The practice of overlapping surgery has been questioned because of safety and ethical concerns. As the literature is scarce on this issue, we evaluated the unplanned hospital readmission and reoperation rates associated with overlapping and non-overlapping total joint arthroplasty procedures. Methods: We reviewed 3,290 consecutive primary total knee and hip arthroplasty procedures that had been performed between November 2010 and July 2016 by 2 fellowship-trained senior surgeons at a single institution. Overlapping surgery was defined as the practice in which the attending surgeon performed a separate procedure in another room with an overlapping room time of at least 30 minutes. Patient baseline characteristics and 90-day rates of complications, readmissions, and reoperations were compared between overlapping and non-overlapping procedures. Subanalyses also were done on patients with a body mass index (BMI) of ‚Č•30 kg/m2 and those with an American Society of Anesthesiologists (ASA) score of 3 or 4. The level of significance was set at 0.05. Results: Of the 2,833 procedures that met the inclusion criteria, 57% (1,610) were overlapping and 43% (1,223) were non-overlapping. Baseline demographics, BMI, and ASA scores were similar between the groups. No significant differences were found between the overlapping and non-overlapping procedures in terms of the 90-day rates of complications (5.2% vs. 6.6%, respectively; p = 0.104), unplanned readmissions (3.4% vs. 4.3%; p = 0.235), or reoperations (3.1 vs. 3.1; p = 1.0) in the analysis of the entire cohort or in subgroup analyses of obese patients and patients with an ASA score of 3 or 4. The total mean operating room time was 5.8 minutes higher for overlapping procedures. Conclusions: Overlapping procedures showed no increase in terms of the 90-day rates of complications, readmissions, or reoperations when compared with non-overlapping procedures. There was just over a 5-minute increase in mean operating room time for overlapping procedures. Our data suggest that overlapping surgery does not lead to detrimental outcomes following total knee arthroplasty or total hip arthroplasty. Future investigations evaluating patient-oriented outcomes and satisfaction are warranted. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence

    Antibiotic cement spacer for isolated medial wall acetabular deficiency in the setting of infected hip arthroplasty

    Get PDF
    Periprosthetic joint infections remain challenging for orthopaedic surgeons. These are typically treated with 2-stage revision with an antibiotic spacer and arthroplasty reimplantation after infection eradication. We report a novel technique to create an antibiotic cement spacer construct in the setting of significant acetabular medial wall destruction due to osteolysis and infection. The medial wall of the acetabulum was reconstructed using antibiotic cement with 2 screws acting as a rebar. An acetabular liner was then cemented into place forming a cement construct similar to a reconstruction cage in function. This technique created a firm acetabular construct that allowed for the placement of a stable articulating spacer. The spacer allowed for infection eradication and was successfully converted into a revision total hip arthroplasty

    Wise by Design: A Wisdom-Based Framework for Innovation and Organizational Design and its Potential Application in the Future of Higher Education

    Get PDF
    A wiser socio-economic system, by design and not by chance, may well benefit from a series of design principles drawn from the well of wisdom. This dissertation focused on a refined set of eight components of wisdom through research designed to explore if, how, and when they are invoked by a group of experts participating in a futures discussion about organizations in their field of practice, American higher education. The aim was to explore a set of wisdom-centered design principles (denoted as Wise By Design [WBD]) for social innovation, specifically in the design of organizations that would thrive in the future. After four rounds of engagement with a panel of experts with approximately 500 years of accumulated experience in the field, six conclusions were reached: a) an organization could be seen as wise; if leadership, management, and innovation practices are augmented by wisdom; b) the use of design principles based on wisdom and futures inquiry could help organizations develop wise processes; c) wise people develop the ability to take an objectivized balanced perspective when confronted with situations, decisions, or requests for advice; d) wisdom could be described as a multi-channel sense-and-respond adaptive system with the higher purpose of flourishing of self and others; e) interoperability and dual hybridity, both administrative and academic, could enable institutions of higher education to thrive in the future; and f) this field of research could lead into a discussion on the value of exploring artificial wisdom. The electronic version of this Dissertation is at Ohiolink ETD Center, http://etd.ohiolink.edu and AURA http://aura.antioch.edu

    The Waterfront Doctrine

    Get PDF

    Vuelo de Cóndor

    Get PDF
    The fast improvement of computer technologies has open way to the creation of realistic experiences within videogames in recent years, this has allowed the local and global video game design industry to grow quickly, making videogames a very powerful tool, both for Fun and leisure as for learning and development of psychological and cognitive skills, thanks to the gameplay factor, or also called "ludification", which engages the user to stay immersed in the experience. Vuelo De Condor proposes a narrative that rescues the Ecuadorian roots, personifying an experience about the freedom of the Andean condors in the surroundings of the snowy mountain Antisana and, at the same time, invigorates the value of this bird for Ecuador, the condor as a national bird which is in danger of extinction. Based on extensive study of the animal, as well as the habitat and surroundings; Theories of game design and user experience; And the use of several digital tools applied in order to provide the final user a game with a theoretical, technical, practical and conceptual basis.La r√°pida mejora de tecnolog√≠as inform√°ticas ha dado paso a la creaci√≥n de experiencias realistas dentro de los videojuegos en los √ļltimos a√Īos, esto ha permitido que la industria de dise√Īo de videojuegos tanto local como global crezca r√°pidamente volviendo a los videojuegos una herramienta muy poderosa tanto para diversi√≥n y ocio como para aprendizaje y desarrollo de habilidades psicol√≥gicas y cognitivas, gracias al factor de jugabilidad, o tambi√©n denominado ‚Äúludificaci√≥n‚ÄĚ, lo cual engancha al usuario para que permanezca inmerso en la experiencia. Vuelo De C√≥ndor propone una narrativa que rescata las ra√≠ces ecuatorianas, personific√°ndose en una experiencia sobre la libertad de los c√≥ndores andinos en los alrededores del nevado Antisana y, a la vez, vigoriza el valor de esta ave para el Ecuador, el c√≥ndor como un ave patri√≥tica que se encuentra en peligro de extinci√≥n. Bas√°ndose en un amplio estudio del animal, as√≠ como de su h√°bitat y los alrededores; teor√≠as de dise√Īo de juegos y de experiencia de usuario; y el uso de varias herramientas digitales aplicadas para lograr brindar al usuario final un juego tenga un sustento tanto te√≥rico, t√©cnico, practico y conceptual

    El mercadeo para comerciantes y microempresas

    Get PDF
    En la actualidad, la finalidad e interpretaci√≥n del mercadeo en el sector comercial y micro empresarial se percibe como un gasto en el proceso de desarrollo, minimizando las ganancias esperadas por los socios o due√Īos, sin darse cuenta, que el mercadeo es una herramienta catalizadora que bien aplicada no representa una inversi√≥n muy alta, y si, tiene como finalidad construir relaciones redituables con los clientes actuales y futuros. Pero la realidad muestra que el mercadeo es una herramienta b√°sica para el emprendimiento en el sector real y la aplicaci√≥n de este no requiere invertir grandes cantidades de dinero en el desarrollo de las dichas actividades, en este documento encontrar√° los pasos y la manera de aplicaci√≥n del marketing en una manera f√°cil y pr√°ctica de aplicar mezclando los cinco pasos fundamentales del mercadeo desde la idea del negocio hasta la manera en que puede posicionarse en el mercado, dejando como inquietud asta donde est√° dispuesto a llegar en la aplicaci√≥n de la herramient

    D-Amino Acids in Plants: New Insights and Aspects, but also More Open Questions

    Get PDF
    The relevance of the homochirality of proteinogenic amino acids for life is undisputed, but also to their D-enantiomers a growing number of biological functions could be assigned. When it comes to D-amino acids in plants, information was relatively scarce for a long time. Nowadays, also in this field, knowledge is growing which will be presented and discussed in this review. In this respect, it was shown that D-amino acids are taken up by plants from soil but could also be synthesized de novo. Investigations of plant D-amino acid metabolism as well as other studies revealed a central function of D-Ala in plants, which await further elucidation. Also other D-amino acids are shown to cause physiological effects in plants, ranging from nitrogen utilization over stress adaptation to chloroplast division, and indicate that D-amino acids are responsible for a variety of yet poorly understood or even undiscovered functions in plants
    • ‚Ķ
    corecore