Knowledge management strategic context in technological trajectories of firm influences their innovation strategy: Looking at Malaysian multinational firm

The paper study on the knowledge management strategic context in technological trajectories of firm influences their innovation strategy. Thus, to make use of technology as a competitive weapon; managers must manage it as a part of the business system. Failure to develop and integrate technology strategy and business is a major contributing factor in the decline of a firm's competitiveness In a turbulent and rapidly changing environment, every organization faces the challenge of how to best manage its knowledge assets to generate value for the market place and obtain competitive advantage Such advantage derives from special capabilities that are rare, valuable, nonsubstitutable, and costly to imitate. Historically, the focus was on capabilities involving tangible assets; now, knowledge is widely recognized as the source for competitive advantage, with the tangible assets representing the physical manifestation of but a fraction of this knowledge As companies scramble to develop strategies for more proactively and strategically managing their knowledge, the field of knowledge management (KM) receives increasing attention from trade organizations and academic journals. From this study it was found that to improve the chances of conclusively demonstrating value to the K-Economy, a new KM implementation in an innovation organization should address issues such as organization's goals and strategies, access tacit knowledge, provide search tools, promote creativity, capture new learning and build a supportive culture,insufficient communication, failure to integrate knowledge, lack of time to learn, lack of training a senses there was little personal benefit in knowledge management

Cyber entrepreneurship: a note on indigenous perspective from a developing country

This research study is aimed at providing some insight into an emerging concept of cyber entrepreneurship with special reference to a development country like Pakistan. A detailed literature review is done in order to understand the concept and grasp the recent development in the emerging area. The main focus of this study was connecting and synchronizing available literature through practice with a special focus on Pakistani context. The present study will provide a useful implications in the area of entrepreneurship to the academic researchers and practitioners

Physical activity, smoking, and genetic predisposition to obesity in people from Pakistan:the PROMIS study

Background: Multiple genetic variants have been reliably associated with obesity-related traits in Europeans, but little is known about their associations and interactions with lifestyle factors in South Asians. Methods: In 16,157 Pakistani adults (8232 controls; 7925 diagnosed with myocardial infarction [MI]) enrolled in the PROMIS Study, we tested whether: a) BMI-associated loci, individually or in aggregate (as a genetic risk score - GRS), are associated with BMI; b) physical activity and smoking modify the association of these loci with BMI. Analyses were adjusted for age, age(2), sex, MI (yes/no), and population substructure. Results: Of 95 SNPs studied here, 73 showed directionally consistent effects on BMI as reported in Europeans. Each additional BMI-raising allele of the GRS was associated with 0.04 (SE = 0.01) kg/m(2) higher BMI (P = 4.5 x 10(-14)). We observed nominal evidence of interactions of CLIP1 rs11583200 (P-interaction = 0.014), CADM2 rs13078960 (P-interaction = 0.037) and GALNT10 rs7715256 (P-interaction = 0.048) with physical activity, and PTBP2 rs11165643 (P-interaction = 0.045), HIP1 rs1167827 (P-interaction = 0.015), C6orf106 rs205262 (P-interaction = 0.032) and GRID1 rs7899106 (P-interaction = 0.043) with smoking on BMI. Conclusions: Most BMI-associated loci have directionally consistent effects on BMI in Pakistanis and Europeans. There were suggestive interactions of established BMI-related SNPs with smoking or physical activity

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Understanding dynamic capability as an ongoing concept for studying technological capability

There are numerous conceptual and empirical studies regarding the topics of DCs in the literature.Many literatures have discussing on how to become dynamically capable firms by suggesting the concepts, the antecedents, and the consequences of DCs to achieve performance and sustainable competitive advantage under rapidly changing environment. Meanwhile, the concept of technological management is crucial in studying technological capabilities as it look at the technological capabilities to have important role in deciding the firm success instead of just confined to the study of technology portfolio to create fit with the overall firm objectives. As there is lack of focus of management of technology in this issue and little literature of technology in DCs, the study of technological capabilities as a source of competitive advantage from the concept of DCs is opening for the potential research area

Performance Evaluation of Carbon Black Nano-Particle Reinforced Asphalt Mixture

Applications of nanotechnology in the pavement industry have increased rapidly during the last decade in order to enhance a pavement’s sustainability and durability. Conventional asphalt binder generally does not provide sufficient resistance against rutting at high temperatures. Carbon black nano-particles (CBNPs, produced by perennial mountain trees’ carbonization) were mixed into the performance grade (PG) 58 asphalt binder in this study. Conventional asphalt binder tests (penetration, ductility and softening point), frequency sweep, performance grading, and bitumen bond strength tests were conducted to study the enhancement in the properties of asphalt binder. Dynamic modulus and wheel tracking tests were also performed to investigate the effect of CBNPs on asphalt mixture properties. Experimental results demonstrated that preferred dosage of CBNPs in asphalt is 10% by weight of the bitumen. Results of scanning electron microscopy (SEM) and storage stability tests validated homogenous and stable dispersion of CBNPs in the asphalt binder. Asphalt mixtures became stiffer and resistant to rutting at high temperatures by addition of CBNPs in asphalt binder. Significant improvement in bitumen aggregate bond strength was also observed by incorporating CBNPs. It is concluded that CBNPs can be used to effectively enhance the high-temperature performance and consequently the sustainability of flexible pavements

Physical activity, smoking, and genetic predisposition to obesity in people from Pakistan: the PROMIS study

Background: Multiple genetic variants have been reliably associated with obesity-related traits in Europeans, but little is known about their associations and interactions with lifestyle factors in South Asians. Methods: In 16,157 Pakistani adults (8232 controls; 7925 diagnosed with myocardial infarction [MI]) enrolled in the PROMIS Study, we tested whether: a) BMI-associated loci, individually or in aggregate (as a genetic risk score - GRS), are associated with BMI; b) physical activity and smoking modify the association of these loci with BMI. Analyses were adjusted for age, age2, sex, MI (yes/no), and population substructure. Results: Of 95 SNPs studied here, 73 showed directionally consistent effects on BMI as reported in Europeans. Each additional BMI-raising allele of the GRS was associated with 0.04 (SE = 0.01) kg/m2 higher BMI (P = 4.5 × 10−14). We observed nominal evidence of interactions of CLIP1 rs11583200 (Pinteraction = 0.014), CADM2 rs13078960 (Pinteraction = 0.037) and GALNT10 rs7715256 (Pinteraction = 0.048) with physical activity, and PTBP2 rs11165643 (Pinteraction = 0.045), HIP1 rs1167827 (Pinteraction = 0.015), C6orf106 rs205262 (Pinteraction = 0.032) and GRID1 rs7899106 (Pinteraction = 0.043) with smoking on BMI. Conclusions: Most BMI-associated loci have directionally consistent effects on BMI in Pakistanis and Europeans. There were suggestive interactions of established BMI-related SNPs with smoking or physical activity. Electronic supplementary material The online version of this article (doi:10.1186/s12881-015-0259-x) contains supplementary material, which is available to authorized users