What is Strategic Competence and Does it Matter? Exposition of the Concept and a Research Agenda

Drawing on a range of theoretical and empirical insights from strategic management and the cognitive and organizational sciences, we argue that strategic competence constitutes the ability of organizations and the individuals who operate within them to work within their cognitive limitations in such a way that they are able to maintain an appropriate level of responsiveness to the contingencies confronting them. Using the language of the resource based view of the firm, we argue that this meta-level competence represents a confluence of individual and organizational characteristics, suitably configured to enable the detection of those weak signals indicative of the need for change and to act accordingly, thereby minimising the dangers of cognitive bias and cognitive inertia. In an era of unprecedented informational burdens and instability, we argue that this competence is central to the longer-term survival and well being of the organization. We conclude with a consideration of the major scientific challenges that lie ahead, if the ideas contained within this paper are to be validated

Progression from ocular hypertension to visual field loss in the English hospital eye service

Background There are more than one million National Health Service visits in England and Wales each year for patients with glaucoma or ocular hypertension (OHT). With the ageing population and an increase in optometric testing, the economic burden of glaucoma-related visits is predicted to increase. We examined the conversion rates of OHT to primary open-angle glaucoma (POAG) in England and assessed factors associated with risk of conversion. Methods Electronic medical records of 45 309 patients from five regionally different glaucoma clinics in England were retrospectively examined. Conversion to POAG from OHT was defined by deterioration in visual field (two consecutive tests classified as stage 1 or worse as per the glaucoma staging system 2). Cox proportional hazards models were used to examine factors (age, sex, treatment status and baseline intraocular pressure (IOP)) associated with conversion. Results The cumulative risk of conversion to POAG was 17.5% (95% CI 15.4% to 19.6%) at 5 years. Older age (HR 1.35 per decade, 95% CI 1.22 to 1.50, p<0.001) was associated with a higher risk of conversion. IOP-lowering therapy (HR 0.45, 95% CI 0.35 to 0.57, p<0.001) was associated with a lower risk of conversion. Predicted 5-year conversion rates for treated and untreated groups were 14.0% and 26.9%, respectively. Conclusion Less than one-fifth of OHT patients managed in glaucoma clinics in the UK converted to POAG over a 5-year period, suggesting many patients may require less intensive follow-up. Our study provides real-world evidence for the efficacy of current management (including IOP-lowering treatment) at reducing risk of conversion

’The Changing Contours of Fairness: Using Multiple Lenses to Focus the HRM Research Agenda

Purpose: Organizational justice research has become the main paradigm of research in the field of HRM. The paper outlines a number of underlying challenges to which this paradigm is illsuited. It broadens the traditional understanding of what is meant by fairness within the HRM literature to help explain how justice judgements are formed and may be used to influence societal level fairness processes. It develops a framework to aid our understanding of the fairness of decisions that individuals or organizations make. Design/methodology/approach: The paper presents a conceptual review of the main paradigms used in fairness research. It draws upon the organizational justice literature as the dominant paradigm in HRM research, and conducts a cross-disciplinary review that introduces a range of theories less frequently used by HRM researchers – specifically capability theory, game theory, tournament theory, equity sensitivity theory, theories of intergenerational equity and burden sharing. It demonstrates the relevance of these theories to a number of areas of organizational effectiveness. Findings: The paper shows that researchers are now augmenting the organizational justice research paradigm under two important pressures – (1) awareness of hidden structures that preclude the option for real fairness; and (2) new variables that are being added to the consideration of organizational justice. Research limitations/implications: The fairness theories are used to identify a number of important and future research agendas in the field of HRM. Many of the judgements made by employee suggested by the theories now need measurement at the individual level. It remains to be seen whether these judgements are highly situational and context-dependent or may be used to identify important individual characteristics. It is also likely that fairness judgements act as an important of a range of HRM-related outcomes such as trust and engagement. practical implications HR functions have invested significant resources in employee engagement or insight units, but if their policies trigger significant inequality of outcomes, perceived problems of justice, a lack of burden sharing, no sense proportionality, organizations may not be able to achieve other important HR strategies such as sustaining and deepening employee engagement, developing organizational advocacy, building an employer brand, or being seen to have authenticity in its values. The framework suggests a broadened educational base for HR practitioners around fairness. It also suggests that there may be complex employees segments concerning perceptions of fairness. Originality/value: The cross-disciplinary perspective taken on fairness helps deconstruct the judgements that employees likely make, enabling organizations and individuals alike to ask more critical questions about their respective behaviour

Matrix Quantization of Turbulence

Based on our recent work on Quantum Nambu Mechanics \cite{af2}, we provide an explicit quantization of the Lorenz chaotic attractor through the introduction of Non-commutative phase space coordinates as Hermitian $N \times N$ matrices in $R^{3}$. For the volume preserving part, they satisfy the commutation relations induced by one of the two Nambu Hamiltonians, the second one generating a unique time evolution. Dissipation is incorporated quantum mechanically in a self-consistent way having the correct classical limit without the introduction of external degrees of freedom. Due to its volume phase space contraction it violates the quantum commutation relations. We demonstrate that the Heisenberg-Nambu evolution equations for the Matrix Lorenz system develop fast decoherence to N independent Lorenz attractors. On the other hand there is a weak dissipation regime, where the quantum mechanical properties of the volume preserving non-dissipative sector survive for long times.Comment: 14 pages, Based on invited talks delivered at: Fifth Aegean Summer School, "From Gravity to Thermal Gauge theories and the AdS/CFT Correspondance", September 2009, Milos, Greece; the Intern. Conference on Dynamics and Complexity, Thessaloniki, Greece, 12 July 2010; Workshop on "AdS4/CFT3 and the Holographic States of Matter", Galileo Galilei Institute, Firenze, Italy, 30 October 201

Scaling and synchronization in a ring of diffusively coupled nonlinear oscillators

Chaos synchronization in a ring of diffusively coupled nonlinear oscillators driven by an external identical oscillator is studied. Based on numerical simulations we show that by introducing additional couplings at $(mN_c+1)$-th oscillators in the ring, where $m$ is an integer and $N_c$ is the maximum number of synchronized oscillators in the ring with a single coupling, the maximum number of oscillators that can be synchronized can be increased considerably beyond the limit restricted by size instability. We also demonstrate that there exists an exponential relation between the number of oscillators that can support stable synchronization in the ring with the external drive and the critical coupling strength $\epsilon_c$ with a scaling exponent $\gamma$. The critical coupling strength is calculated by numerically estimating the synchronization error and is also confirmed from the conditional Lyapunov exponents (CLEs) of the coupled systems. We find that the same scaling relation exists for $m$ couplings between the drive and the ring. Further, we have examined the robustness of the synchronous states against Gaussian white noise and found that the synchronization error exhibits a power-law decay as a function of the noise intensity indicating the existence of both noise-enhanced and noise-induced synchronizations depending on the value of the coupling strength $\epsilon$. In addition, we have found that $\epsilon_c$ shows an exponential decay as a function of the number of additional couplings. These results are demonstrated using the paradigmatic models of R\"ossler and Lorenz oscillators.Comment: Accepted for Publication in Physical Review

Direct transition to high-dimensional chaos through a global bifurcation

In the present work we report on a genuine route by which a high-dimensional (with d>4) chaotic attractor is created directly, i.e., without a low-dimensional chaotic attractor as an intermediate step. The high-dimensional chaotic set is created in a heteroclinic global bifurcation that yields an infinite number of unstable tori.The mechanism is illustrated using a system constructed by coupling three Lorenz oscillators. So, the route presented here can be considered a prototype for high-dimensional chaotic behavior just as the Lorenz model is for low-dimensional chaos.Comment: 7 page

Frontal Structure of the Antarctic Circumpolar Current in the South Indian Ocean

Using recently published atlas data [Olbers et al., 1992] and the Fine Resolution Antarctic Model (FRAM) [Webb et al., 1991], an investigation has been conducted into the structure of the frontal jets centered around the region of the islands of Crozet (46°27'S, 52°0'E) and Kerguelen (48°15'S, 69°10'E) in the south Indian Ocean. Geostrophic current velocities and transports were calculated from the temperature and salinity fields available from the atlas and compared with results from FRAM and previous studies. We have identified the Agulhas Return Front (ARF) and the Subtropical Front (STF), as well as the following fronts of the Antarctic Circumpolar Current (ACC): the Subantarctic Front (SAP), the Polar Front (PF), and the Southern ACC Front (SACCF), from temperature and salinity characteristics and from geostrophic currents. This analysis of model and atlas data indicates that the jets associated with the ARF, STF, and SAF are topograpliically steered into a unique frontal system north of the islands, having some of the largest temperature and salinity gradients anywhere in the world ocean. The frontal jet associated with the ARF is detectable up to 75°E and has associated with it several northward branching jets. The PF bifurcates in the region of the Ob'Lena (Conrad) seamount; subsurface and surface expressions are identified, separated by as much as 8° of latitude immediately west of the Kerguelen Plateau. The surface expression, carrying the bulk of the transport (~65 Sv), is steered through the col in the Kerguelen Plateau at 56°S, 6° south of the latitude normally associated with the PF at this meridian. On crossing the plateau it rejoins the subsurface expression. In the south, passing eastward along the margin of the Antarctic continent and through the Princess Elizabeth Trough, a frontal jet is identified transporting up to 35 Sv, believed to be the SACCF [Orsi et al., 1995], placing the southern extent of the ACC in the region at 67°S. Copyright 1996 by the American Geophysical Union

Auditing service delivery in glaucoma clinics using visual field records: A feasibility study

© 2019 Author(s). Objective This study aimed to demonstrate that large-scale visual field (VF) data can be extracted from electronic medical records (EMRs) and to assess the feasibility of calculating metrics from these data that could be used to audit aspects of service delivery of glaucoma care. Method and analysis Humphrey visual field analyser (HFA) data were extracted from Medisoft EMRs from five regionally different clinics in England in November 2015, resulting in 602 439 records from 73 994 people. Target patients were defined as people in glaucoma clinics with measurable and sustained VF loss in at least one eye (HFA mean deviation (MD) outside normal limits ≥2 VFs). Metrics for VF reliability, stage of VF loss at presentation, speed of MD loss, predicted loss of sight years (bilateral VF impairment) and frequency of VFs were calculated. Results One-third of people (34.8%) in the EMRs had measurable and repeatable VF loss and were subject to analyses (n=25 760 patients). Median (IQR) age and presenting MD in these patients were 71 (61, 78) years and -6 (-10, -4) dB, respectively. In 19 264 patients with >4 years follow-up, median (IQR) MD loss was -0.2 (-0.8, 0.3) dB/year and median (IQR) intervals between VF examinations was 11 (8, 16) months. Metrics predicting loss of sight years and reliability of examinations varied between centres (p<0.001). Conclusion This study illustrates the feasibility of assessing aspects of health service delivery in glaucoma clinics through analysis of VF databases. Proposed metrics could be useful for blindness prevention from glaucoma in secondary care centres

In situ measurement of the acoustic performance of a full scale tramway low height noise barrier prototype

International audienceThe performance of a full scale low height barrier prototype meant to attenuate tramway noise is measured in situ. The prototype is made of a simple L-shape assembly of pressed wood boards covered on the source side with fibrous absorbing material, and has been set up temporarily in a residential area in the town of Saint-Martin-d'H` eres, near Grenoble, through which a tramway line passes. A series of pass-by measurements were made at a close receiver location corresponding to the typical height of human ears, with and without the device. The tram speed has been measured as well using an auxiliary microphone located very close to the track. A significant variability in pass-by levels has been found between the different trams, even when applying an approximate correction for speed. However it is shown that the barrier provides on average an attenuation of more than 10 dB(A), during the whole pass-by. Spectral analysis of the recorded signals is carried out as well to estimate the barrier insertion loss more accurately. Furthermore, comparisons between measurements and simplistic BEM calculations show that numerical predictions can yield rather good estimates of the actual in situ performance, within a few dB(A)

Cardiovascular magnetic resonance of scar and ischemia burden early after acute ST elevation and non-ST elevation myocardial infarction

<p>Abstract</p> <p>Background</p> <p>The acute coronary syndrome diagnosis includes different classifications of myocardial infarction, which have been shown to differ in their pathology, as well as their early and late prognosis. These differences may relate to the underlying extent of infarction and/or residual myocardial ischemia. The study aim was to compare scar and ischemia mass between acute non-ST elevation myocardial infarction (NSTEMI), ST-elevation MI with Q-wave formation (Q-STEMI) and ST-elevation MI without Q-wave formation (Non-Q STEMI) in-vivo, using cardiovascular magnetic resonance (CMR).</p> <p>Methods and results</p> <p>This was a prospective cohort study of twenty five consecutive patients with NSTEMI, 25 patients with thrombolysed Q-STEMI and 25 patients with thrombolysed Non-Q STEMI. Myocardial function (cine imaging), ischemia (adenosine stress first pass myocardial perfusion) and scar (late gadolinium enhancement) were assessed by CMR 2–6 days after presentation and before any invasive revascularisation procedure. All subjects gave written informed consent and ethical committee approval was obtained. Scar mass was highest in Q-STEMI, followed by Non-Q STEMI and NSTEMI (24.1%, 15.2% and 3.8% of LV mass, respectively; p < 0.0001). Ischemia mass showed the reverse trend and was lowest in Q-STEMI, followed by Non-Q STEMI and NSTEMI (6.9%, 14.7% and 19.9% of LV mass, respectively; p = 0.012). The combined mass of scar and ischemia was similar between the three groups (p = 0.17). The ratio of scar to ischemia was 3.5, 1.0 and 0.2 for Q-STEMI, Non-Q STEMI and NSTEMI, respectively.</p> <p>Conclusion</p> <p>Prior to revascularisation, the ratio of scar to ischemia differs between NSTEMI, Non-Q STEMI and Q-STEMI, whilst the combined scar and ischemia mass is similar between these three types of MI. These results provide in-vivo confirmation of the diverse pathophysiology of different types of acute myocardial infarction and may explain their divergent early and late prognosis.</p