Systems approaches to risk assessing healthcare, how far have we come?

Systems approaches and their relevance to risk assessment are considered through an examination of a number of recent applications in England. The importance of visual mapping of systems is emphasised. This approach encourages participation from those within the system with less technical knowledge but with important information to add to a risk assessment. Other advantages outlined include the ability to readily identify system boundaries, map processes and record both strengths and weaknesses of existing or planned system changes. The use of risk assessment methods with this approach should be cautious, as any one method may only identify a sub-set of all risks.     

Development of guidelines for designing appliances for older persons

The ability of older adults to use a domestic appliance depends on their comprehension of the appliance's operation. This may depend on transfer of understanding from similar, more familiar technology. While this may assist their interaction with the new device, it may constrain the discovery of new functionality not represented in the familiar technology, and, thereby, constrain the discovery of advanced functionality. Older adults experience declining cognitive abilities associated with attention, perceptual encoding, and memory (cueing and recall). Designing appliances to extend cognitive abilities provides opportunity to prolong functional independence. Concepts from cognitive psychology, human factors, and gerontology are reviewed to explain age-related behavior towards technology to support innovative product development of technologies for older adults.     

The amount of ergonomics and user involvement in 151 design processes

Ergonomics, usability and user-centered design are terms that are well known among designers. Yet, products often seem to fail to meet the users' needs, resulting in a gap between expected and experienced usability. To understand the possible causes of this gap the actions taken by the designer during the design process are studied in this paper. This can show whether and how certain actions influence the user-friendliness of the design products. The aim of this research was to understand whether ergonomic principles and methods are included in the design process, whether users are involved in this process and whether the experience of the designer (in ergonomics/user involvement) has an effect on the end product usability. In this study the design processes of 151 tangible products of students in design were analyzed. It showed that in 75% of the cases some ergonomic principles were applied. User involvement was performed in only 1/3 of the design cases. Hardly any correlation was found between the designers' experience in ergonomic principles and the way they applied it and no correlations were found between the designers' experience in user involvement and the users' involvement in the design process.     

Teaching culture beyond nationalist boundaries: national identities,stereotyping, and culture in language education

The authors take a critical language pedagogy approach to examining a 2011 controversy over disparaging comments towards Mexicans made by commentators of the British Broadcasting Corporation’s automotive show Top Gear. In particular, they focus on the characterization of groups and individuals according to their nationality and examine the ubiquity of nationalism and its ability to shape our conception of culture and in turn our understandings of others as members of ‘X national culture.’ The fact that humor is often a justification for national stereotyping and that these stereotypes are also connected to racist discourse are also explored. In the second part of the article, the implications of the stereotyping debate for language classrooms are considered. The authors argue that the controversy itself can be used as a tool for critical engagement that helps students deconstruct the underlying nationalist paradigm in L2 classrooms and build greater intercultural awareness.

Español: Los autores examinan, desde una perspectiva de la pedagogía crítica del lenguaje, la controversia que surgió en el 2011 debido a los comentarios nocivos hechos hacia los mexicanos por los locutores del show automotriz del BBC, Top Gear. En particular, se enfocan en la caracterización de los grupos e individuos de acuerdo a su nacionalidad, y examinan la ubiquidad del nacionalismo y su capacidad para darle forma a nuestra conceptualización de la cultura y, a su vez, nuestra forma de ver a otros como miembros de una ‘cultural nacional X’. Los autores también exploran el hecho de que a menudo se utiliza el humor como una justificación para los estereotipos nacionales, y que estos estereotipos también están conectados al discurso racista. En la segunda parte del artículo, se consideran las implicaciones para la enseñanza de idiomas del debate sobre los estereotipos. Argumentan los autores que la controversia en sí se puede utilizar como una herramienta para promover una postura crítica que ayude a los alumnos a deconstruir el paradigma subyacente del nacionalismo en el salón de lenguas extranjeras y fomente la conciencia intercultural.     

From invited to uninvited participation (and back?): rethinking civil society engagement in technology assessment and development

In recent years, citizens?? and civil society engagement with science and technology has become almost synonymous with participation in institutionally organized formats of participatory technology assessment (pTA) such as consensus conferences or stakeholder dialogues. Contrary to this view, it is argued in the article that beyond these standardized models of ??invited?? participation, there exist various forms of ??uninvited?? and independent civil society engagement, which frequently not only have more significant impact but are profoundly democratically legitimate as well. Using the two examples of patient associations and environmental and consumer organizations in the field of nanotechnology, it is illustrated that interest-based civil society interventions do play an important role in the polycentric governance of science and technology. In conclusion, some implications for the activities of TA institutions and the design of novel TA procedures are outlined.     

Interactive profit-planning systems and market turbulence: A dynamic capabilities perspective

This article describes, theorizes and empirically investigates the concept of interactive profit-planning systems (PPS) through the lens of the dynamic capabilities logic. With this conceptualization: interactive PPS capabilities comprise budgeting, forecasting and results-reporting routines, in which top and middle managers interact to create knowledge for sensing, seizing, and business model reconfiguring (to manage strategic business change). Survey data from 331 Australian firms is analyzed employing partial least squares structural equation modeling. The data provides support for two hypotheses: (1) greater market turbulence strengthens the positive effect of interactive PPS capabilities on business unit performance; and (2) greater market turbulence strengthens the positive effect of flexibility values (of organizational culture) on interactive PPS capabilities. Our findings show that interactive PPS capabilities function according to the salient tenets of the dynamic capabilities logic, and clarify the beneficial roles of formal cybernetic control systems and the intertwined involvement of top and middle managers in using dynamic capabilities.     

The Role of Local Context in the Cross‐border Acquisitions by Emerging Economy Multinational Enterprises

This paper explores the role of local context in cross‐border acquisitions by emerging economy multinational enterprises (EMNEs). It argues that the importance of local context has remained despite the increased global integration of the world economy. Hypotheses are tested using data on Indian acquisitions hosted in 70 countries over an eight‐year period. Results, which are consistent across number and value of cross‐border acquisitions, show that the local context in host countries offers contrasting benefits. Emerging economy multinational enterprises exploited these benefits by embedding in host countries through acquisitions. The acquisition strategy is conventional in the motives underpinning internationalization, but novel in its geographical clustering of host countries, and idiosyncratic owing to the EMNE's ability to draw on home country embeddedness. The paper develops theoretical implications and extends the concept of embeddedness, treating it as a series of internalization or quasi‐internalization decisions across a variety of local contexts by multinationals.     

An integrative model of leadership behavior

Decades of questionnaire and interview studies have revealed various leadership behaviors observed in successful leaders. However, little is known about the actual behaviors that cause those observations. Given that lay observers are prone to cognitive biases, such as the halo effect, the validity of theories that are exclusively based on observed behaviors is questionable. We thus follow the call of leading scientists in the field and derive a parsimonious model of leadership behavior that is informed by established psychological theories. Building on the taxonomy of Yukl (2012), we propose three task-oriented behavior categories (enhancing understanding, strengthening motivation and facilitating implementation) and three relation-oriented behavior categories (fostering coordination, promoting cooperation and activating resources), each of which is further specified by a number of distinct behaviors. While the task-oriented behaviors are directed towards the accomplishment of shared objectives, the relation-oriented behaviors support this process by increasing the coordinated engagement of the team members. Our model contributes to the advancement of leadership behavior theory by (1) consolidating current taxonomies, (2) sharpening behavioral concepts of leadership behavior, (3) specifying precise relationships between those categories and (4) spurring new hypotheses that can be derived from existing findings in the field of psychology. To test our model as well as the hypotheses derived from this model, we advocate the development of new measurements that overcome the limitations associated with questionnaire and interview studies.     

A heuristic for the time constrained asymmetric linear sum assignment problem

The linear sum assignment problem is a fundamental combinatorial optimisation problem and can be broadly defined as: given an \(n \times m, m \ge n\) benefit matrix \(B = (b_{ij})\), matching each row to a different column so that the sum of entries at the row-column intersections is maximised. This paper describes the application of a new fast heuristic algorithm, Asymmetric Greedy Search, to the asymmetric version (\(n \ne m\)) of the linear sum assignment problem. Extensive computational experiments, using a range of model graphs demonstrate the effectiveness of the algorithm. The heuristic was also incorporated within an algorithm for the non-sequential protein structure matching problem where non-sequential alignment between two proteins, normally of different numbers of amino acids, needs to be maximised.     

Joint modeling of longitudinal and survival data with the Cox model and two-phase sampling

A common objective of cohort studies and clinical trials is to assess time-varying longitudinal continuous biomarkers as correlates of the instantaneous hazard of a study endpoint. We consider the setting where the biomarkers are measured in a designed sub-sample (i.e., case-cohort or two-phase sampling design), as is normative for prevention trials. We address this problem via joint models, with underlying biomarker trajectories characterized by a random effects model and their relationship with instantaneous risk characterized by a Cox model. For estimation and inference we extend the conditional score method of Tsiatis and Davidian (Biometrika 88(2):447–458, 2001) to accommodate the two-phase biomarker sampling design using augmented inverse probability weighting with nonparametric kernel regression. We present theoretical properties of the proposed estimators and finite-sample properties derived through simulations, and illustrate the methods with application to the AIDS Clinical Trials Group 175 antiretroviral therapy trial. We discuss how the methods are useful for evaluating a Prentice surrogate endpoint, mediation, and for generating hypotheses about biological mechanisms of treatment efficacy.