Trust and distrust: Polar opposites, or independent but co-existing?

This article provides an empirical test of whether trust and distrust can co-exist in the mind of an employee. Two interrelated questions are considered: firstly, whether trust and distrust judgements are ‘symmetrical’ or whether they can occur ‘simultaneously’ as separate constructs; and, secondly, whether trust and distrust judgements entail the same or conceptually different expectations as revealed in their expressions and anticipated manifestations. Using a concurrent mixed-method design incorporating a structured card sort and in-depth interviews, data were collected from 56 participants in two organizations. The card-sort findings offer little support for the co-existence of trust and distrust, but suggest they could be separate constructs. Interview data indicate that participants do perceive trust and distrust as entailing different sets of expectations and having different manifestations, providing some support for the ‘separate constructs’ thesis. We also find evidence of two new combinations of weak levels of trust and distrust not previously specified. The findings highlight how employees’ trust and distrust judgements are shaped, in part, by managerial actions and policies relating to quality of communication and job security. They also emphasize how, when employees are distrustful, different practice interventions may be needed to reduce distrust from those used to build trust

A change in the NICE guidelines on antibiotic prophylaxis

Since 2008, NICE clinical guidelines have stated: ‘Antibiotic prophylaxis against infective endocarditis is not recommended for people undergoing dental procedures’. This put UK guidance at odds with guidance in the rest of the world, where antibiotic prophylaxis is recommended for patients at high-risk of infective endocarditis undergoing invasive dental procedures. Many dentists also felt this wording prohibited the use of antibiotic prophylaxis, regardless of the wishes of the patient or their personal risk of infective endocarditis and made it difficult for them to use their clinical judgment to deliver individualised care in the best interests of their patients. NICE have now changed this guidance to ‘Antibiotic prophylaxis against infective endocarditis is not recommended routinely for people undergoing dental procedures.’ This article examines the implications of this small but important change

Prolonged lymphatic leak after retroperitoneal lymph node dissection: a case report

<p>Abstract</p> <p>Introduction</p> <p>Persistent lymphatic drainage following retroperitoneal lymph node dissection for testicular tumor is an uncommon complication.</p> <p>Case presentation</p> <p>We describe a 21-year old man of Caucasian origin who had metastatic non-seminomatous germ cell tumor of the testis, and underwent retroperitoneal lymph node dissection, nephrectomy and partial inferior vena cava excision for a residual mass. The patient subsequently developed persistent lymphatic drainage causing foot drop that eventually responded to conservative medical and surgical measures.</p> <p>Conclusion</p> <p>This postoperative condition usually responds well to conservative measures but has the potential for serious morbidity if it is not managed appropriately.</p

Conceptualising and mapping coupled estuary, coast and inner shelf sediment systems

Whilst understanding and predicting the effects of coastal change are primarily modelling problems, it is essential that we have appropriate conceptual frameworks for (1) the formalisation of existing knowledge; (2) the formulation of relevant scientific questions and management issues; (3) the implementation and deployment of predictive models; and (4) meaningful engagement involvement of stakeholders. Important progress continues to be made on the modelling front, but our conceptual frameworks have not evolved at a similar pace. Accordingly, this paper presents a new approach that re-engages with formal systems analysis and provides a mesoscale geomorphological context within which the coastal management challenges of the 21st century can be more effectively addressed. Coastal and Estuarine System Mapping (CESM) is founded on an ontology of landforms and human interventions that is partly inspired by the coastal tract concept and its temporal hierarchy of sediment sharing systems, but places greater emphasis on a hierarchy of spatial scales. This extends from coastal regions, through landform complexes, to landforms, the morphological adjustment of which is constrained by diverse forms of human intervention. Crucially, CESM integrates open coastal environments with estuaries and relevant portions of the inner shelf that have previously been treated separately. In contrast to the nesting of littoral cells that has hitherto framed shoreline management planning, CESM charts a complex web of interactions, of which a sub-set of mass transfer pathways defines the sediment budget, and a multitude of human interventions constrains natural landform behaviour. Conducted within a geospatial framework, CESM constitutes a form of knowledge formalisation in which disparate sources of information (published research, imagery, mapping, raw data etc.) are generalised into usable knowledge. The resulting system maps provide a framework for the development and application of predictive models and a repository for the outputs they generate (not least, flux estimates for the major sediment system pathways). They also permit comparative analyses of the relative abundance of landforms and the multi-scale interactions between them. Finally, they articulate scientific understanding of the structure and function of complex geomorphological systems in a way that is transparent and accessible to diverse stakeholder audiences. As our models of mesoscale landform evolution increase in sophistication, CESM provides a platform for a more participatory approach to their application to coastal and estuarine management

Applying and Interpreting Mixture Distribution Latent State-Trait Models

Latent state-trait (LST) models are commonly applied to determine the extent to which observed variables reflect trait-like versus state-like constructs. Mixture distribution LST (M-LST) models relax the assumption of population homogeneity made in traditional LST models, allowing researchers to identify subpopulations (latent classes) with differing trait- and state-like attributes. Applications of M-LST models are scarce, presumably because of the analysis complexity. We present a step-by-step tutorial for evaluating M-LST models based on an application to mother, father, and teacher reports of children’s inattention (n = 811). In the application, we found three latent classes for mother and father reports and four classes for teacher reports. All reporter solutions contained classes with very low, low, and moderate levels of inattention. The teacher solution also contained a class with high inattention. Comparable mother and father (but not teacher) classes exhibited similar levels of trait and state variance

Institutional factors influencing the performance of local governments in monitoring the implementation of decentralisation : the case of Uganda

Implementing decentralisation policy reforms by local governments (LGs) in Uganda have been assigned an important role in the implementation of the policy. One such role is the monitoring of decentralisation programmes to ensure that they are efficiently and effectively implemented. In their efforts to execute their monitoring role, a number of institutional factors influence their performance. This article examines the institutional factors affecting the monitoring role of LGs in implementing this policy in Uganda.1 It is demonstrated that the institutional factors including the degree of LGs’ autonomy in exercising decentralised powers; the capacity building extended to LGs; and the working relationship among inter-governmental organs. The collaboration between LGs and civil society organisations have significantly limited the efficiency and effectiveness of LGs’ efforts in executing their monitoring role. The research is based on legislation other policy documents related to local government. And an empirical research in selected local governments. The article is presented from a public administrative point of view. It is argued that both central government and local governments will have to introduce deliberate initiatives to address the problems that are associated with the institutional factors if LGs are to effectively and efficiently execute their monitoring role that will give effect to successful implementation of the decentralisation policy.am2016School of Public Management and Administration (SPMA

Chaotic Interaction of Langmuir Solitons and Long Wavelength Radiation

In this work we analyze the interaction of isolated solitary structures and ion-acoustic radiation. If the radiation amplitude is small solitary structures persists, but when the amplitude grows energy transfer towards small spatial scales occurs. We show that transfer is particularly fast when a fixed point of a low dimensional model is destroyed.Comment: LaTex + 4 eps file