PurposeA large number of studies indicate that coercive forms of organizational control and performance management in health care services often backfire and initiate dysfunctional consequences. The purpose of this article is to discuss new approaches to performance management in health care services when the purpose is to support innovative changes in the delivery of services.Design/methodology/a

Many studies have suggested that the neocortex operates as a global network of functionally interconnected neurons, indicating that any sensory input could shift activity distributions across the whole brain. A tool assessing the activity distribution across cortical regions with high temporal resolution could then potentially detect subtle changes that may pass unnoticed in regionalized analyses.

We present a tool for modeling conflict situations that enables simulation and testing of situation awareness in shared autonomy, in this case in an autonomous driving scenario. The flexibility of the tool allows definition of new conflict situations, integration with various control and conflict detection systems, as well as customization of Takeover Request (TOR) signals and different means of c

Aims: To identify individuals with incidental fatty liver disease (FLD), and to evaluate its prevalence, metabolic co-morbidities and impact on follow-up. Methods: We leveraged the data-lake of Helsinki Uusimaa Hospital district (Finland) with a population of 1.7 million (specialist and primary care). A phrase recognition script on abdominal imaging reports (2008–2020) identified/excluded FLD or c

Several authors have described how the formalization of recent decades has steered doctoral education towards structured curricula, more managerial control and new models for supervision. Largely absent from these accounts, however, is if and how doctoral education has been affected by the concurrent changes in research governance, in particular by the ‘projectification’ of research. For this studSeveral authors have described how the formalization of recent decades has steered doctoral education towards structured curricula, more managerial control and new models for supervision. Largely absent from these accounts, however, is if and how doctoral education has been affected by the concurrent changes in research governance, in particular by the ‘projectification’ of research. For this stud

Background: Obsessive-compulsive disorder (OCD) and co-occurring posttraumatic stress disorder (PTSD) is associated with more severe and chronic OCD. However, findings regarding treatment effectiveness of cognitive behavioral treatment (CBT) with exposure and response prevention (ERP) with this comorbidity are mixed. Research aimed at understanding the precise barriers to OCD treatment effectivene

β-mannanases are pivotal enzymes that cleave the mannan backbone to release short chain mannooligosaccharides, which have tremendous biotechnological applications including food/feed, prebiotics and biofuel production. Due to the high temperature conditions in many industrial applications, thermophilic mannanases seem to have great potential to overcome the thermal impediments. Thus, structural an

Background: The number of pregnant women with congenital heart disease (CHD) is rising, and the disease poses increased risks of cardiovascular and obstetric complications during pregnancy, potentially impacting breastfeeding success. This study aimed to investigate breastfeeding in primiparous women with CHD compared to primiparous women without CHD, and to examine potential hindering factors for

This report will discuss how principles from the advanced physics of cryogenics influenced my composition Der Rufer for percussion quartet. In this paper I explain how I translated information and concepts from superfluid helium (He II) to music composition. Achieved using different methods ranging from purely intuitive to quasi-quantitative, I transferred the following eight principles from ultra

Objective To investigate the time to first childbirth and to compare the prevalence of assisted reproductive treatment (ART) in women with congenital heart disease (CHD) compared with women without CHD. Methods All women in the national register for CHD who had a registered first childbirth in the Swedish Pregnancy Register between 2014 and 2019 were identified. These individuals (cases) were matc

Adaptation is central to address climate impacts. At present, we have a limited understanding of the effectiveness of adaptation to reduce risks in a warming world, because adaptation remains insufficiently addressed in climate impact projections. Where projections exist, these are assessed mostly in case study settings. The importance of water is apparent within the field of climate adaptation, w

A compact reduced mechanism covering a wide range of conditions is developed for use in simulations of NH3/n-heptane combustion in engines. Reduction targets were selected after reviewing available experimental studies of NH3 combustion in engines. Ignition, flames and oxidation of NH3/n-heptane mixtures were targeted. Particularly, mixtures with very low molar percentage of n-heptane which are im

Background: Mutants have had a fundamental impact upon scientific and applied genetics. They have paved the way for the molecular and genomic era, and most of today’s crop plants are derived from breeding programs involving mutagenic treatments. Results: Barley (Hordeum vulgare L.) is one of the most widely grown cereals in the world and has a long history as a crop plant. Barley breeding started

Lignin is an abundant polyaromatic polymer with a wide range of potential future uses. However, the conversion of lignin into valuable products comes at a cost, and medium- to high-value applications are thus appropriate. Two examples of these are polymers (e.g., as fibers, plasticizers, or additives) and flow batteries (e.g., as redox species). Both of these areas would benefit from lignin-derive

Lingua-Palatal 1 (1997) utilizes a new model of articulation that uses tongue tip to upper palate constrictions far in excess of traditional phonatory linguistics. It is a teaching piece developed from a new model of articulation that extends the 9-point phonetic model to over fifty points.

Human rights concerns in relation to the impacts brought forth by artificial intelligence (‘AI’) have revolved around examining how it affects specific rights, such as the right to privacy, non-discrimination and freedom of expression. However, this article argues that the effects go deeper, potentially challenging the foundational assumptions of key concepts and normative justifications of the hu

I. LifeHouse (stopping Epi) II. Noyve III. SephthThe pieces that comprise Mountains Songs (1995) focus on primarily unvoiced airflow, while the oral cavity is divided into three components--aperture, mid- to rear-cavity, and lingual positioning. These pieces extend what has been commonly referred to as extended vocal techniques by exploring the potential of sound as produced through respiration, p

Sirens (1998) is a tour-de-force of a new vocal style. A real crowd pleaser, this piece calls a pub from Joyce's Sirens the home for Ben Dollard, Stephen Dedaelus, Tom Kernan and Father (Bob) Cowley.