INNOVATION-AS-PRACTICE: EXAMINING THE RELATIONSHIP BETWEEN LEADERS’ ESPOUSED AND ENACTED INNOVATION, AND INNOVATION OUTCOMES AND FIRM PERFORMANCE

Innovation is widely regarded as a critical source of competitive advantage in an increasingly changing environment and thus has attracted considerable attention from both academics and practitioners. Thousands of scholarly papers have been published on the subject of innovation, yet the field remains theoretically fragmented and largely disconnected from the indexes and rankings of the practitioner world. This thesis attempts to fill this gap through a qualitative research that examines the relationship between espoused and enacted innovation strategies, innovation outcomes and firm performance using a comprehensive practice-based framework o f organizational innovation. The specific research questions of this study are: How does the congruence between leaders\u27 espoused and enacted innovation strategies (EEIS) relate to innovation outcomes andfirm performance? How do innovation outcomes mediate the relationship between EEIS andfirm performance? Since a practice-based framework requires a qualitative methodology, a case based design is chosen for this study. Based on the criteria that have been tested by a large innovation survey, a theoretical sample of four firms has been identified for the purpose of this research. Qualitative and quantitative data were collected through archival research, semi-structured interviews, meeting observations and interactive discussion groups (Yin, 1994). in The findings of this research have provided a rich basis for analysis and theorizing and have lent support for the proposed comprehensive model of innovation. The gap between espoused and enacted innovation strategies has resulted in different types of innovation realized at each firm. Although four firms pursued different innovation strategies and had outcomes o f different magnitude, most o f them delivered expected firm performance. This confirms the equifinality of paths to performance, which thus can be achieved though incremental or radical innovation. This dissertation contributes to academic research by developing a multi­ dimensional framework and a comprehensive model of organizational innovation which will lead to the sustainable innovation outcomes; by developing a taxometry of different combinations of espoused and enacted innovation strategies; exploring the impact of incongruence between them on the short and long term performance, and by demonstrating the equifinality of innovation paths to performance whereby it can be achieved through innovations of different degrees of magnitude (i.e. incremental and radical)

Considerations on the slip demand of shear connectors in composite steel-concrete beams with solid slabs

The objective of this study is to provide insight into the expected slip demand in composite steel-concrete beams through numerical simulations. A wide parametric analysis is carried out evaluating the partial interaction performance of simply-supported beams designed considering a variety of floors, i.e. span length, slab thickness, shear connection strength, dead load to live load ratio and slab concrete strength. For each of these beams, the slip demand required to achieve the expected design capacity is evaluated. In this process, key parameters influencing the slip requirements are identified. These also include the construction sequence (propped or unpropped) and the shear connection distribution (uniform or non-uniform with different layouts)

Seismic Design and Preliminary Analyses of a Prefabricated Hybrid Steel-Concrete Wall

Steel frames with reinforced concrete infill walls (SRCWs) are an interesting structural solution for applications in seismic areas if designed to exploit the stiffness of reinforced concrete (RC) and the ductility and dissipative capacity of steel. Three horizontal resisting mechanisms can be identified in SRCW: 1) contribution of the steel frame; 2) direct interactions between the steel frame and the compression strut in the RC infill walls; 3) interactions between steel frame and the RC infill wall through friction and shear connectors. While Eurocode 8 considers SRCWs to behave essentially as RC walls, numerical analyses demonstrated that this assumption may be far from reality. Innovative solutions for SRCW and relevant design approaches were eventually proposed in order to achieve a structural system able to fully exploit the advantages of the steel and RC components. In this context, the present study investigates a type of innovative modular SRCW through numerical simulations allowing a better understanding of its structural behaviour

Hypertriglyceridemic waist identifies HIV+ men and women at increased cardiometabolic risk

Screening for increased waist circumference and hypertriglyceridemia (the hypertriglyceridemic-waist phenotype) is an inexpensive approach to identify patients at risk of coronary artery disease in apparently healthy individuals who may be at increased risk of type 2 diabetes and coronary heart disease because of an excess of intra-abdominal (visceral) fat. We examined the ralationship between the hypertriglyceridemic-waist and selected cardiometabolic risk factors in HIV individuals

Regulation of PERK expression by FOXO3: a vulnerability of drug-resistant cancer cells

The major impediment to effective cancer therapy has been the development of drug resistance. The tumour suppressive transcription factor FOXO3 promotes cell cycle arrest, senescence and cell death, and mediates the cytotoxic and cytostatic functions of cancer therapeutics. In consequence, FOXO3 is often downregulated as an adaptive response in cancer and particularly in chemotherapeutic drug-resistant cells. Consistently, we find that FOXO3 expression is attenuated in the drug-resistant MCF-7-EpiR and MCF-7-TaxR compared to the parental MCF-7 breast cancer cells. Using ChIP, short-interfering RNA (siRNA) knockdown, and overexpression assays as well as Foxo1/3/4−/− MEFs, we establish the endoplasmic reticulum (ER)-stress defence modulator PERK (eIF2AK3) as a direct downstream transcriptional target of FOXO3. In agreement, there is also a positive correlation between FOXO3 and PERK expression at the protein and RNA levels in breast cancer patient samples. We uncover that PERK expression is downregulated but its activity constitutively elevated in the drug-resistant cells. With this in mind, we exploit this adaptive response of low FOXO3 and PERK expression, and high PERK activity in drug-resistant breast cancer cells and show that these drug-resistant cells are specifically sensitive to PERK inhibition. In support of this finding, we show that ectopic overexpression of FOXO3 can reduce the sensitivity of the resistant cells to the PERK inhibitor GSK2606414, while the Foxo1/3/4−/− MEFs expressing lower levels of PERK are more sensitive to PERK inhibition compared to wild-type MEFs. PERK inhibitor-titration and -time course experiments showed that the drug-resistant cells, which express lower expression and higher activity levels of PERK, are more sensitive to the increasing concentrations of PERK inhibitor compared to parental MCF-7 cells. Our present work thus reveals a chemotherapeutic drug-resistant cancer cell vulnerability in PERK and suggests PERK as a potential target for cancer therapy, specifically in the context of drug-resistant cancers

Cost of noninfectious comorbidities in patients with HIV

OBJECTIVES: We hypothesized that the increased prevalence of noninfectious comorbidities (NICMs) observed among HIV-infected patients may result in increased direct costs of medical care compared to the general population. Our objective was to provide estimates of and describe factors contributing to direct costs for medical care among HIV-infected patients, focusing on NICM care expenditure. METHODS: A case-control study analyzing direct medical care costs in 2009. Antiretroviral therapy (ART)-experienced HIV-infected patients (cases) were compared to age, sex, and race-matched adults from the general population, included in the CINECA ARNO database (controls). NICMs evaluated included cardiovascular disease, hypertension, diabetes mellitus, bone fractures, and renal failure. Medical care cost information evaluated included pharmacy, outpatient, and inpatient hospital expenditures. Linear regression models were constructed to evaluate predictors of total care cost for the controls and cases. RESULTS: There were 2854 cases and 8562 controls. Mean age was 46 years and 37% were women. We analyzed data from 29,275 drug prescription records. Positive predictors of health care cost in the overall population: HIV infection (β = 2878; confidence interval (CI) = 2001-3755); polypathology (β = 8911; CI = 8356-9466); age (β = 62; CI = 45-79); and ART exposure (β = 18,773; CI = 17,873-19,672). Predictors of health care cost among cases: Center for Disease Control group C (β = 1548; CI = 330-2766); polypathology (β = 11,081; CI = 9447-12,716); age < 50 years (β = 1903; CI = 542-3264); protease inhibitor exposure (per month of use; β = 69; CI = 53-85); CD4 count < 200 cells/mm3 (β = 5438; CI = 3082-7795); and ART drug change (per change; β = 911; CI = 716-1106). CONCLUSION: Total cost of medical care is higher in cases than controls. Lower medical costs associated with higher CD4 strata are offset by increases in the care costs needed for advancing age, particularly for NICMs

Palm fruit colours are linked with the broad-scale distribution and diversification of primate colour vision systems

A long-standing hypothesis in ecology and evolution is that trichromatic colour vision (the ability to distinguish red from green) in frugivorous primates has evolved as an adaptation to detect conspicuous (reddish) fruits. This could provide a competitive advantage over dichromatic frugivores which cannot distinguish reddish colours from a background of green foliage. Using an unprecedented global data set, we test this hypothesis by combining colour vision, distribution and phylogenetic data for >400 primate species with fruit colour data for >1700 palm species, i.e. keystone fruit resources for tropical frugivores. Structural equation models reveal that species richness of trichromatic primates increases with the proportion of palm species that have conspicuous fruits, especially in subtropical African forests. In contrast, species richness of trichromats in Asia and the Americas is not positively associated with conspicuous palm fruit colours. Macroevolutionary analyses further indicate rapid and synchronous radiations of trichromats and conspicuous palms on the African mainland starting 10 million years ago. These results suggest that the distribution and diversification of African trichromatic primates is strongly linked to the relative availability of conspicuous (vs. cryptic) palm fruits, and that interactions between primates and palms are impacted by the co- evolutionary dynamics of primate colour vision systems and palm fruit colours

Long COVID in Children and Adolescents

Severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) has caused significant mortality and morbidity worldwide. In children, the acute SARS-CoV-2 infection is often asymptomatic or paucisymptomatic, and life-threatening complications are rare. Nevertheless, there are two long-term consequences of SARS-CoV-2 infection in children that raise concern: multisystem inflammatory syndrome in children (MIS-C) and long COVID. While the understanding and the experience regarding the acute phase of SARS-CoV-2 infection have remarkably increased over time, scientific and clinical research is still exploring the long-term effects of COVID-19. In children, data on long COVID are scant. Reports are conflicting regarding its prevalence, duration and impact on daily life. This narrative review explored the latest literature regarding long COVID-19 in the pediatric population. We showed that long COVID in children might be a relevant clinical problem. In most cases, the prognosis is good, but some children may develop long-term symptoms with a significant impact on their daily life. The paucity of studies on long COVID, including a control group of children not infected by SARS-CoV-2, prevents us from drawing firm conclusions. Whether the neuropsychiatric symptoms widely observed in children and adolescents with long COVID are the consequence of SARS-CoV-2 infection or are due to the tremendous stress resulting from the restrictions and the pandemics is still not clear. In both cases, psychological support can play a fundamental role in managing COVID pandemics in children. More knowledge is needed to share a standardized definition of the syndrome and improve its management and treatment

Covid-19 management in the pediatric age: Consensus document of the covid-19 working group in paediatrics of the Emilia-Romagna Region (re-co-ped), Italy

Since December 2019, coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has rapidly spread, becoming the first pandemic of the 21st century by number of deaths (over 2,000,000 worldwide). Many aspects of SARS-CoV-2 infection in children and adolescents remain unclear, and optimal treatment has not yet been defined. Therefore, our goal was to develop a consensus document, practically synthesizing the accumulated data and clinical experience of our expert group. Literature research was carried out using the keywords “COVID-19” or “SARS-CoV-2” and “children” or “pediatrics” and “prevention” or “diagnosis” or “MIS-C” or “treatment” in electronic databases (MEDLINE, PUBMED), existing guidelines and gray literature. The fact that the majority of the problems posed by SARS-CoV-2 infection in pediatric age do not need hospital care and that, therefore, infected children and adolescents can be managed at home highlights the need for a strengthening of territorial pediatric structures. The sharing of hospitalization and therapeutic management criteria for severe cases between professionals is essential to ensure a fair approach based on the best available knowledge. Moreover, the activity of social and health professionals must also include the description, management and limitation of psychophysical-relational damage resulting from the SARS-CoV-2 pandemic on the health of children and adolescents, whether or not affected by COVID-19. Due to the characteristics of COVID-19 pathology in pediatric age, the importance of strengthening the network between hospital and territorial pediatrics, school, educational, social and family personnel both for strictly clinical management and for the reduction in discomfort, with priority in children of more frail families, represents a priority