671 research outputs found

    Environmental Scanning on the Internet

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    This study investigates the important organizational task of environmental scanning in an Internet context. A theoretical model relating potential causal factors to effectiveness of environmental scanning was formulated based on a synthesis of environmental scanning literature that took into consideration the Internet context. A questionnaire was developed for data collection. Responses from 105 organizations were tested for convergent and discriminant validity before the theoretical model was assessed using PLS analysis. Results showed that smaller organizations tend to scan more frequently on the Internet, both use of external consultants and volatility of competitor sector tend to cause organizations to scan more frequently on the Internet, and both use of external consultants and scanning frequency on the Internet tend to result in effectiveness of environ- mental scanning. Additional insights on these results were obtained through telephone interviews with 10 respondents

    Developing a Preliminary Framework for Knowledge Management in Organizations

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    More and more organizations are now trying to attain competitive superiority through better management and use of their knowledge assets. While some initial success stories on knowledge management initiatives have been reported, no coherent framework on knowledge management has yet been proposed. Using the grounded theory approach, we carried out a field study on the knowledge management initiative of a multi-national financial institution and, based on an initial analysis of our data, propose a preliminary framework that incorporates several critical success factors for knowledge management

    Understanding the System Fit Challenge at the Initial Post-Adoption Stage: The Roles of Emotions in Users\u27 Adaptation Behaviors

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    Users’ adaptation behaviors are vital to the success of the system if there is a poor fit between task and technology at the initial post-adoption stage. However, prior studies have mixed results on how users adapt to the fit challenge. We draw on coping theory and appraisal theory of emotion to develop an encounter-emotion-coping framework to reconcile the mixed results by exploring the links between fit, emotions, individual adaptation and task-technology adaptation behaviors. The paths were tested through a survey of 283 nurses. Results suggest that emotions felt by users in the initial stage explain the relationship between fit and the two adaptation behaviors. This study (1) extends our understanding of the consequences of fit issue, (2) unveils the roles of different emotions in eliciting users’ adaptation behaviors, and (3) differentiates individual adaptation from task-technology adaptation in terms of their emotional antecedents. Implications for practice are discussed

    Clima organizacional y satisfacción laboral en el tiempo del Covid-19 de una empresa de telecomunicaciones y construcción.

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    Para este trabajo de investigación se planteó el objetivo general determinar la relación entre el clima organizacional y la satisfacción laboral del personal de una empresa de telecomunicaciones y construcción que laboran en tiempos del COVID-19; los objetivos específicos fueron: identificar el nivel de clima organizacional del personal de una empresa de telecomunicaciones y construcción que laboran en tiempos del COVID-19, identificar el nivel de satisfacción laboral del personal y establecer la relación entre el Clima organizacional y la Satisfacción laboral de los mismos en tiempos de pandemia. La población con la que se trabajó fue con una muestra de 20 personas de ambos sexos, comprendidas por las edades de 25 a 64 años, de las cuales 40% serán del área administrativa y 60 % de logística y operaciones, durante los meses de marzo, abril y mayo del 2022. Se utilizó un enfoque cuantitativo de tipo aplicativo, no experimental y descriptivo de diseño de corte transversal y muestreo no probabilístico por conveniencia. Se utilizaron cuestionarios de clima organizacional y satisfacción laboral, el proceso estadístico a utilizar es el análisis descriptivo correlacional basado en frecuencias simples y porcentuales, lo que permitirá el logro de cada uno de los objetivos planteados en este trabajo, además, los involucrados podrán revaluar sus acciones dentro de la empresa mantener la armonía

    Establishing a core outcome set for peritoneal dialysis : report of the SONG-PD (standardized outcomes in nephrology-peritoneal dialysis) consensus workshop

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    Outcomes reported in randomized controlled trials in peritoneal dialysis (PD) are diverse, are measured inconsistently, and may not be important to patients, families, and clinicians. The Standardized Outcomes in Nephrology-Peritoneal Dialysis (SONG-PD) initiative aims to establish a core outcome set for trials in PD based on the shared priorities of all stakeholders. We convened an international SONG-PD stakeholder consensus workshop in May 2018 in Vancouver, Canada. Nineteen patients/caregivers and 51 health professionals attended. Participants discussed core outcome domains and implementation in trials in PD. Four themes relating to the formation of core outcome domains were identified: life participation as a main goal of PD, impact of fatigue, empowerment for preparation and planning, and separation of contributing factors from core factors. Considerations for implementation were identified: standardizing patient-reported outcomes, requiring a validated and feasible measure, simplicity of binary outcomes, responsiveness to interventions, and using positive terminology. All stakeholders supported inclusion of PD-related infection, cardiovascular disease, mortality, technique survival, and life participation as the core outcome domains for PD

    PCRRT Expert Committee ICONIC Position Paper on Prescribing Kidney Replacement Therapy in Critically Sick Children With Acute Liver Failure

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    Management of acute liver failure (ALF) and acute on chronic liver failure (ACLF) in the pediatric population can be challenging. Kidney manifestations of liver failure, such as hepatorenal syndrome (HRS) and acute kidney injury (AKI), are increasingly prevalent and may portend a poor prognosis. The overall incidence of AKI in children with ALF has not been well-established, partially due to the difficulty of precisely estimating kidney function in these patients. The true incidence of AKI in pediatric patients may still be underestimated due to decreased creatinine production in patients with advanced liver dysfunction and those with critical conditions including shock and cardiovascular compromise with poor kidney perfusion. Current treatment for kidney dysfunction secondary to liver failure include conservative management, intravenous fluids, and kidney replacement therapy (KRT). Despite the paucity of evidence-based recommendations concerning the application of KRT in children with kidney dysfunction in the setting of ALF, expert clinical opinions have been evaluated regarding the optimal modalities and timing of KRT, dialysis/replacement solutions, blood and dialysate flow rates and dialysis dose, and anticoagulation methods

    Measuring children’s involvement as an indicator of curriculum effectiveness : a curriculum evaluation of a selected child study centre in Singapore

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    This paper presents one aspect of a research project evaluating a curriculum model of a selected child study centre in Singapore. An issue of worldwide interest and concern is the ‘quality of learning’ debate as it relates to early childhood centres. In Singapore, the government is focusing on expansion in child care settings and increases in the amount of funded training. One of the issues surrounding prior-to-school education raises the question of how one measures the quality of teaching and learning, to describe the value of using, funding and promoting early education. The research reported in this study used a quasi experimental research paradigm to assess one aspect of the quality of a curriculum programme in a child study centre in Singapore. Children aged between 18 months and 6 years (N = 81) participated in the research. Using the observation scale of Laevers’ Child Involvement Scale, the active involvement of children in learning experiences was measured. The findings are presented and discussed

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Physical Parameters of the Multiplanet Systems HD 106315 and GJ 9827

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    HD 106315 and GJ 9827 are two bright, nearby stars that host multiple super-Earths and sub-Neptunes discovered by K2 that are well suited for atmospheric characterization. We refined the planets' ephemerides through Spitzer transits, enabling accurate transit prediction required for future atmospheric characterization through transmission spectroscopy. Through a multiyear high-cadence observing campaign with Keck/High Resolution Echelle Spectrometer and Magellan/Planet Finder Spectrograph, we improved the planets' mass measurements in anticipation of Hubble Space Telescope transmission spectroscopy. For GJ 9827, we modeled activity-induced radial velocity signals with a Gaussian process informed by the Calcium II H&K lines in order to more accurately model the effect of stellar noise on our data. We measured planet masses of M_b = 4.87 ± 0.37 M_⊕, M_c = 1.92 ± 0.49 M_⊕, and M_d = 3.42 ± 0.62 M_⊕. For HD 106315, we found that such activity radial velocity decorrelation was not effective due to the reduced presence of spots and speculate that this may extend to other hot stars as well (T_(eff) > 6200 K). We measured planet masses of M_b = 10.5 ± 3.1 M_⊕ and M_c = 12.0 ± 3.8 M_⊕. We investigated all of the planets' compositions through comparison of their masses and radii to a range of interior models. GJ 9827 b and GJ 9827 c are both consistent with a 50/50 rock-iron composition, GJ 9827 d and HD 106315 b both require additional volatiles and are consistent with moderate amounts of water or hydrogen/helium, and HD 106315 c is consistent with a ~10% hydrogen/helium envelope surrounding an Earth-like rock and iron core
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