WorldWideScience

Sample records for electromobility fast-tracking innovation

  1. An innovative strategy to increase a professional workforce: the fast track initiative for health visitors in England.

    Science.gov (United States)

    Sayer, Lynn; Barriball, K Louise; Bliss, Julie; Bakhshi, Savita; While, Alison E

    2016-04-01

    Fast tracking is one strategy that organizations use to ameliorate workforce shortfalls by attracting new recruits, and accelerating their skills development and experience. In response to the Government's target of rapidly expanding the number of health visitors in England's National Health Service, the fast track initiative was launched to recruit newly qualified (fast track) as well as experienced (standard entry) nurses and midwives onto health visiting programmes. This paper evaluates the fast track initiative, from the perspective of fast track and standard entry students, practice teachers and health visitor managers. A mixed methods design was used comprising a questionnaire survey (n = 71 students), semi-structured interviews (n = 37 students), telephone interviews (n = 13 managers) and six focus groups (n = 24 practice teachers). Data were collected between April 2012 and July 2013. Descriptive statistics, t-tests and the Pearson Chi-square test were used to analyse the quantitative data. The qualitative data were analysed thematically. Motivations for health visiting as a career choice were similar for fast track and standard entry students, with career progression and interest in health promotion being key motivators. There was consensus that personal qualities and characteristics were more important than experience or qualifications. However, fast track students were significantly less confident about their public health competencies in leadership and management (p communication (p  0.5). Fast tracking offers a useful recruitment strategy in order to expand the health visitor workforce, but longitudinal research is needed to confirm benefits such as retention and career trajectories. © The Author(s) 2015.

  2. Fast track-hoftealloplastik

    DEFF Research Database (Denmark)

    Hansen, Torben Bæk; Gromov, Kirill; Kristensen, Billy B

    2017-01-01

    Fast-track surgery implies a coordinated perioperative approach aimed at reducing surgical stress and facilitating post-operative recovery. The fast-track programme has reduced post-operative length of stay and has led to shorter convalescence with more rapid functional recovery and decreased...... morbidity and mortality in total hip arthroplasty. It should now be a standard total hip arthroplasty patient pathway, but fine tuning of the multiple factors in the fast-track pathway is still needed in patients with special needs or high comorbidity burden....

  3. From Chalk and Talk to Walking the Walk: Facilitating Dynamic Learning Contexts for Entrepreneurship Students in Fast-Tracking Innovations

    Science.gov (United States)

    Gilbert, David H.

    2012-01-01

    Purpose: The purpose of this paper is to examine the notion of designing and developing applied, industry-engaged learning environments that embrace ambiguity and uncertainty in overcoming pedagogical inertia in educating young entrepreneurs and innovators. The research reported on proposes a solution to the dual expectations of producing…

  4. Fast-Track Teacher Recruitment.

    Science.gov (United States)

    Grant, Franklin Dean

    2001-01-01

    Schools need a Renaissance human-resources director to implement strategic staffing and fast-track teacher-recruitment plans. The HR director must attend to customer satisfaction, candidate supply, web-based recruitment possibilities, stabilization of newly hired staff, retention of veteran staff, utilization of retired employees, and latest…

  5. Nanotechnology for environmentally sustainable electromobility

    Science.gov (United States)

    Ellingsen, Linda Ager-Wick; Hung, Christine Roxanne; Majeau-Bettez, Guillaume; Singh, Bhawna; Chen, Zhongwei; Whittingham, M. Stanley; Strømman, Anders Hammer

    2016-12-01

    Electric vehicles (EVs) powered by lithium-ion batteries (LIBs) or proton exchange membrane hydrogen fuel cells (PEMFCs) offer important potential climate change mitigation effects when combined with clean energy sources. The development of novel nanomaterials may bring about the next wave of technical improvements for LIBs and PEMFCs. If the next generation of EVs is to lead to not only reduced emissions during use but also environmentally sustainable production chains, the research on nanomaterials for LIBs and PEMFCs should be guided by a life-cycle perspective. In this Analysis, we describe an environmental life-cycle screening framework tailored to assess nanomaterials for electromobility. By applying this framework, we offer an early evaluation of the most promising nanomaterials for LIBs and PEMFCs and their potential contributions to the environmental sustainability of EV life cycles. Potential environmental trade-offs and gaps in nanomaterials research are identified to provide guidance for future nanomaterial developments for electromobility.

  6. Percentage of Fast-Track Receipts

    Data.gov (United States)

    Social Security Administration — The dataset provides the percentage of fast-track receipts by state during the reporting fiscal year. Fast-tracked cases consist of those cases identified as Quick...

  7. PUC fast track nips returns

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    In the first of what it says will be annual cost-of-capital proceedings to set returns on equity and rates of return on rate base for electric utilities, the California Public Utilities Commission (PUC) lowered from 1989 levels the 1990 returns on common equity (ROE) and rates of return (ROR) for the state's four major investor-owned electric utilities. Under this fast-track procedure, by May 8 of every year, utilities will have to file an application for rate adjustments that reflect their projected costs of capital for the following year

  8. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Niels Kristian Stahl; Kristensen, Billy B

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery...

  9. Fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik

    2012-01-01

    thromboembolic complications in particular (V); feasibility studies showing excellent outcomes following fast-track bilateral simultaneous total knee arthroplasty (VI) and non-septic revision knee arthroplasty (VII); how acute pain relief in total hip arthroplasty is not enhanced by the use of local infiltration......Fast-track hip and knee arthroplasty aims at giving the patients the best available treatment at all times, being a dynamic entity. Fast-track combines evidence-based, clinical features with organizational optimization including a revision of traditions resulting in a streamlined pathway from...... on clinical and organizational aspects of fast-track hip and knee arthroplasty (I–IX). A detailed description of the fast-track set-up and its components is provided. Major results include identification of patient characteristics to predict length of stay and satisfaction with different aspects...

  10. Fast-track revision knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Niels Kristian Stahl; Kristensen, Billy B

    2011-01-01

    Abstract Background and purpose Fast-track surgery has reduced the length of hospital stay (LOS), morbidity, and convalescence in primary hip and knee arthroplasty (TKA). We assessed whether patients undergoing revision TKA for non-septic indications might also benefit from fast-track surgery....... Methods 29 patients were operated with 30 revision arthroplasties. Median age was 67 (34-84) years. All patients followed a standardized fast-track set-up designed for primary TKA. We determined the outcome regarding LOS, morbidity, mortality, and satisfaction. Results Median LOS was 2 (1-4) days...... undergoing revision TKA for non-septic reasons may be included in fast-track protocols. Outcome appears to be similar to that of primary TKA regarding LOS, morbidity, and satisfaction. Our findings call for larger confirmatory studies and studies involving other indications (revision THA, 1-stage septic...

  11. Fast-track surgery in India.

    Science.gov (United States)

    Nanavati, Aditya J; Nagral, Sanjay; Prabhakar, Subramaniam

    2014-01-01

    Fast-track surgery or 'enhanced recovery after surgery' or 'multimodal rehabilitation after surgery' is a form of protocol-based perioperative care programme. It is an amalgamation of evidence-based practices that have been proven to improve patient outcome independently and exert a synergistic effect when applied together. The philosophy is to treat the patient's pathology with minimal disturbance to the physiology. Several surgical subspecialties have now adopted such protocols with good results. The role of fast-track surgery in colorectal procedures has been well demonstrated. Its application to other major abdominal surgical procedures is not as well defined but there are encouraging results in the few studies conducted. There has been resistance to several aspects of this programme among gastrointestinal and general surgeons. There is little data from India in the available literature on the application of fast-tracking in gastrointestinal surgery. In a country such as India the existing healthcare structure stands to gain the most by widespread adoption of fast-track methods. Early discharge, early ambulation, earlier return to work and increased hospital efficiency are some of the benefits. The cost gains derived from this programme stand to benefit the patient, doctor and government as well. The practice and implementation of fast-track surgery involves a multidisciplinary team approach. It requires policy formation at an institutional level and interdepartmental coordination. More research is required in areas like implementation of such protocols across India to derive the maximum benefit from them. Copyright 2014, NMJI.

  12. Fast track pathway for perforated appendicitis.

    Science.gov (United States)

    Frazee, Richard; Abernathy, Stephen; Davis, Matthew; Isbell, Travis; Regner, Justin; Smith, Randall

    2017-04-01

    Perforated appendicitis is associated with an increased morbidity and length of stay. "Fast track" protocols have demonstrated success in shortening hospitalization without increasing morbidity for a variety of surgical processes. This study evaluates a fast track pathway for perforated appendicitis. In 2013, a treatment pathway for perforated appendicitis was adopted by the Acute Care Surgery Service for patients having surgical management of perforated appendicitis. Interval appendectomy was excluded. Patients were treated initially with intravenous antibiotics and transitioned to oral antibiotics and dismissed when medically stable and tolerating oral intake. A retrospective review of patients managed on the fast track pathway was undertaken to analyze length of stay, morbidity, and readmissions. Thirty-four males and twenty-one females with an average age of 46.8 years underwent laparoscopic appendectomy for perforated appendicitis between January 2013 and December 2014. Pre-existing comorbidities included hypertension 42%, diabetes mellitus 11%, COPD 5% and heart disease 2%. No patient had conversion to open appendectomy. Average length of stay was 2.67 days and ranged from 1 to 12 days (median 2 days). Postoperative morbidity was 20% and included abscess (6 patients), prolonged ileus (3 patients), pneumonia (1 patient), and congestive heart failure (1 patient). Five patients were readmitted for abscess (3 patients), congestive heart failure (1 patient), and pneumonia (1 patient). A fast track pathway for perforated appendicitis produced shorter length of stay and acceptable postoperative morbidity and readmission. This offers the potential for significant cost savings over current national practice patterns. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Delirium in fast-track colonic surgery

    DEFF Research Database (Denmark)

    Kurbegovic, Sorel; Andersen, Jens; Krenk, Lene

    2015-01-01

    BACKGROUND: Postoperative delirium (PD) is a common but serious problem after major surgery with a multifactorial pathogenesis including age, pain, opioid use, sleep disturbances and the surgical stress response. These factors have been minimised by the "fast-track methodology" previously...... demonstrated to enhance recovery and reduce morbidity. METHODS: Clinical symptoms of PD were routinely collected three times daily from preoperatively until discharge in a well-defined enhanced recovery program after colonic surgery in 247 consecutive patients. RESULTS: Total median length of hospital stay...

  14. Dossier electromobility and services; Dossier Elektromobilitaet und Dienstleistungen

    Energy Technology Data Exchange (ETDEWEB)

    Marwede, Max; Knoll, Michael

    2010-07-01

    According to the individual electromobility, the dossier under consideration reports on the political, environmental, economic and technical context within which municipalities may cover new services for sustainable mobility. Among others, measures to promote electromobility in the communities as well as a framework for business models for the electrical mobility are presented. As a business model, Better Place, STAWAG StromSTA {sup registered} Mobile, rolling energy storages and drive current provider are presented.

  15. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

    Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik

    2014-01-01

    guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN...

  16. Fast-track knee arthroplasty – status and future challenges

    DEFF Research Database (Denmark)

    Kehlet, Henrik; Thienpont, Emmanuel

    2013-01-01

    Fast-track programs have been developed for different surgical procedures leading to higher patient satisfaction and lower morbidity. This concept has been extended to knee arthroplasty in recent years. The purpose of this narrative review was to discuss the different aspects of fast-track knee a...

  17. Feasibility of fast-track elements in pediatric surgery.

    Science.gov (United States)

    Reismann, M; Arar, M; Hofmann, A; Schukfeh, N; Ure, B

    2012-02-01

    We recently showed that fast-track pathways could be applied to only one third of patients undergoing routine pediatric surgery. The aim of this study was to investigate various fast-track elements in various procedure types irrespective of the applicability of a whole fast-track pathway. Patients undergoing routine surgical procedures from April 2009 to April 2010 were included in the study. 11 groups of procedures were differentiated and quality criteria were established for 8 fast-track elements: analgesia, postoperative nutrition, postoperative mobilization, applicability of minimally invasive surgery when appropriate, hospital stay, postoperative symptoms, complications, and parental evaluation. A fast-track element was considered as successfully applied if used in at least 75% of patients. The hospital stay was compared with data from the German reimbursement system (G-DRG). A total of 203 patients were included. Optimal analgesia was achieved in all procedure types except in oncologic surgery (58%) and ureteral reimplantation (71%). Significant nausea and vomiting occurred only after Kasai operation and "other laparoscopic procedures". Early nutrition was achieved in all procedures except after fundoplication (67%) and Kasai operation (62%). Early postoperative mobilization was not successful after hypospadias repair (40%) and ureteral reimplantation (43%). Minimally invasive techniques could not be applied in 48% of thoracic procedures and in 58% of oncological patients. There were no fast-track associated complications. In 4 of 11 procedure types, the mean hospital stay was significantly reduced compared to G-DRG data. There were 4 readmissions (2%). 2 weeks after discharge 94% of interviewed parents evaluated fast-track treatment as excellent. Fast-track elements in pediatric surgery increase patient comfort, reduce hospital stay, and achieve a high patient satisfaction. We wish to emphasize the benefits of using fast-track elements irrespective of

  18. Cognitive dysfunction after fast-track hip and knee replacement

    DEFF Research Database (Denmark)

    Krenk, Lene; Kehlet, Henrik; Bæk Hansen, Torben

    2014-01-01

    , and the pathogenic mechanisms are still unclear. We evaluated a large uniform cohort of elderly patients in a standardized approach, after major joint replacement surgery (total hip and knee replacement). Patients were in an optimized perioperative approach (fast track) with multimodal opioid-sparing analgesia......, early mobilization, and short length of stay (LOS ≤3 days) and discharged to home. METHODS: In a prospective multicenter study, we included 225 patients aged ≥60 years undergoing well-defined fast-track total hip or total knee replacement. Patients had neuropsychological testing preoperatively and 1...... this (23.6% of patients with early POCD had late onset vs 6.7% in non-POCD group; risk difference 16.9 (95% CI, -2.1% to 41.1%; P = 0.089). CONCLUSIONS: The incidence of POCD early after total hip and knee replacement seems to be lower after a fast-track approach than rates previously reported...

  19. Short Hospital Stay after Laparoscopic Colorectal Surgery without Fast Track

    DEFF Research Database (Denmark)

    Burgdorf, Stefan K; Rosenberg, Jacob

    2012-01-01

    a stoma (10 versus 10 days, ns), with no changes in the perioperative care regimens. Furthermore there were significant lower blood loss (50 versus 200 mL, P ... in our department resulted in shorter hospital stay without using fast track principles for peri- and postoperative care in patients not receiving a stoma during the operation. Consequently, we aimed to reduce hospitalisation without increasing cost in nursing staff per hospital bed. Length of stay......Purpose. Short hospital stay and equal or reduced complication rates have been demonstrated after fast track open colonic surgery. However, fast track principles of perioperative care can be difficult to implement and often require increased nursing staff because of more concentrated nursing tasks...

  20. Fast-track surgery for breast cancer is possible

    DEFF Research Database (Denmark)

    Mertz, Birgitte G; Kroman, Niels; Williams, Helene

    2013-01-01

    INTRODUCTION: Breast cancer is common among Danish women with more than 4,100 new cases annually. In 2008 the concept of fast-track surgery was introduced at the Department of Breast Surgery at Rigshospitalet, Copenhagen. The aim of this study is to describe the new clinical pathway for breast...... to provide immediate advice and support. CONCLUSION: The results confirm that a short stay can be successfully carried out for breast cancer patients. Implementing the fast-track programme involved the introduction of a clear clinical pathway for the patients and more effective daily routines. Patients felt...... cancer patients after implementation of a fast-track surgery programme. MATERIAL AND METHODS: A clinical pathway of all involved disciplines was developed including anaesthetic, analgesics, nausea and vomiting, drain and wound management, discharge assessment and psychosocial support. RESULTS...

  1. Delirium after fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Krenk, Lene; Rasmussen, L S; Hansen, T B

    2012-01-01

    BACKGROUND: /st>Postoperative delirium (PD) is a serious complication after major surgery in elderly patients. PD is well defined and characterized by reduced attention and disorientation. Multimodal optimization of perioperative care (the fast-track methodology) enhances recovery, and reduces...

  2. Waiting time at a fast-track diagnostic clinic

    NARCIS (Netherlands)

    Basta, Y. L.; Tytgat, K. M. A. J.; Klinkenbijl, J. H. G.; Fockens, P.; Smets, E. M. A.

    2016-01-01

    Purpose - Guidelines stating maximum waiting times fail to take cancer patients' expectations into account. Therefore, the purpose of this paper is to assess patients' expectations and experiences with their waiting time at a fast-track clinic. Design/methodology/approach - Patients were selected

  3. Fast Tracking East African Political Federation: The Role and ...

    African Journals Online (AJOL)

    The revival of the East African community (EAC) in 1999 ushered in new hope for the transformation of the region by a functioning entity with powers to allocate the resources necessary for development. However, the fast tracking East African political federation has failed to provide a clear link between itself – as a statutory

  4. Low manipulation prevalence following fast-track total knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Jørgensen, Christoffer C.; Gromov, Kirill

    2015-01-01

    BACKGROUND AND PURPOSE: Postoperative joint stiffness following total knee arthroplasty (TKA) may compromise the outcome and necessitate manipulation. Previous studies have not been in a fast-track setting with optimized pain treatment, early mobilization, and short length of stay (LOS), which ma...

  5. A blueprint for multidisciplinary fast track gastrointestinal oncology care

    NARCIS (Netherlands)

    Basta, Y.L.

    2017-01-01

    In this thesis, we have evaluated the implementation of two key concepts of the Gastro Intestinal oncology Center Amsterdam (GIOCA): multidisciplinary teams (MDT) and the fast delivery of care in fast track clinics (FTC). The first part of this thesis investigates the value of multidisciplinary

  6. Patient-reported outcome after fast-track knee arthroplasty

    DEFF Research Database (Denmark)

    Larsen, Kristian; Hansen, Torben B; Søballe, Kjeld

    2012-01-01

    wanted to describe the association between physical function, health-related quality-of-life (HRQOL) and patient satisfaction. METHODS: The study consisted of 211 consecutive fast-track patients of which none received additional rehabilitation beyond an instructional exercise plan at discharge, which...

  7. Fast Track: Elementary School. What Works Clearinghouse Intervention Report

    Science.gov (United States)

    What Works Clearinghouse, 2014

    2014-01-01

    "Fast Track" is a comprehensive intervention designed to reduce conduct problems and promote academic, behavioral, and social improvement. The program's components include the "Promoting Alternative THinking Strategies" curriculum, parent groups, parent-child sharing time, child social skills training, home visiting, child…

  8. Getting on the fast track, or how to get an MLIS through distance education, with a specialization in medical librarianship.

    Science.gov (United States)

    Detlefsen, Ellen G

    2004-01-01

    The article describes an innovation in MLIS education for medical librarianship, with an introduction to the FastTrack, the distance education program at the University of Pittsburgh's library and information science school, together with an overview of a model program linking the biomedical library at Vanderbilt University with the School of Information Sciences in Pittsburgh. Admissions requirements and specific curriculum for the distance education master's degree are detailed in an FAQ format.

  9. Readmissions after fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Husted, Henrik; Otte, Kristian Stahl; Kristensen, Billy B

    2010-01-01

    With the implementation of fast-track surgery with optimization of both logistical and clinical features, the postoperative convalescence has been reduced as functional milestones have been achieved earlier and consequently length of stay (LOS) in hospital has been reduced. However, it has been s...... speculated that a decrease in LOS may be associated with an increase in readmissions in general, including risk of dislocation after total hip arthroplasty (THA) or manipulation after total knee arthroplasty (TKA)....

  10. Successful integration of fast track projects into turnarounds

    Energy Technology Data Exchange (ETDEWEB)

    Williams, J. Patrick; Loureiro, Ramon C. [KBC Advanced Technologies, Surrey (United Kingdom)

    2012-07-01

    Fast track projects can provide quick wins and competitive advantage. However, in most cases the implementation of these projects requires a shutdown for installing the necessary tie-ins or integration into an upcoming turnaround (TA). Depending on the nature of the project and complexity of the TA, the integration can be seamless or result in cost or duration overruns and safety incidents. The risk of such overruns and safety incidents increases with the amount of project work to be integrated into the operations, maintenance and inspection schedules to be executed during the TA. The risk further increases with TA size and other factors. If not planned and scheduled properly and in a timely fashion, capital projects, in particular fast track projects trying to take advantage of an upcoming TA, can severely impact both TA performance, and the safety and reliability of the facility until the next opportunity for eliminating the defects introduced during the TA. Successful TAs are those delivered in a safe, on time, on budget manner, and with the quality standards needed for a leak-free start-up and a safe and reliable operation over the next run cycle. This paper discusses the key elements that are required to minimize the TA risks derived from the inclusion of fast track projects and how to establish the cut off criteria to either cancel or defer the project, or delay the TA in order to balance TA scope freeze and the case for compelling economics.(author)

  11. FAST TRACK SURGERY IN TOTAL KNEE ARTHROPLASTY - A REVIEW.

    Directory of Open Access Journals (Sweden)

    Pencho Kosev

    2015-08-01

    Full Text Available The number of orthopedic surgeons who are convinced in the need for significant changes in planned total knee arthroplasty (TKA is increasing slowly and steadily. A new approach to pain control has been developed over the past 10-15 years, and the introduction of techniques to reduce perioperative stress, and the use of minimally invasive surgical techniques can help limit postoperative complications and shorten recovery time. This type of optimization is regarded as Fast-track Care program, where improved healing process is particularly useful to comorbid patients.

  12. Environmental Impact Assessment of Kathmandu Terai Fast-Track

    Directory of Open Access Journals (Sweden)

    Padam Kanta Dahal

    2014-12-01

    Full Text Available  Road transport is dominant necessity for the overall economic development of any nation. In case of Nepal, an easy access between the Capital City and Terai, the store-house of the country and is very necessary. To facilitate this promotion of an improved core road network, Government of Nepal has launched the Kathmandu Terai Fast Track Project. Many concerned personalities and sectors had considered this project to be number one in the list of seventeen projects of national pride declared by the government. The main objective of this study was to identify the impacts of proposed project implementation on physical, biological, socio-economic and cultural environment of the project area and propose mitigation measures to avoid or mitigate such impacts. Primary information collection and secondary data review was the source of data with cross sectional descriptive study design. Data was taken purposively in the project affected area. Length of 72.6 km fast track from Kathmandu – Lalitpur – Makawanpur and up to Nijgadh in Bara district to link with the East West Highway will be of four lanes with 50 m on each side. The project was proposed to have 96 bridges big or small; 1.6 km long tunnel will be built in Thingan of Makawanpur on public-private partnership. It had projected costs of more than NRs 250 million. The impacts on land use will be on about 30km of agricultural land, 43km of forests and about 3km of other land uses, bridges etc. in the main alignment. The impacts on human life will mainly be in villages near the alignment. There are 38 villages within about 50m of the main alignment. The project can be continued with minimum of environmental degradation by applying the mitigation measures. Nation has been investing a lot of resources. Upon the completion of the fast track, the distance and time to reach the capital city from Terai will come down to only 1.5 hours and will transform the capital, eastern Terai and the country as a

  13. Fast-track video-assisted thoracoscopic surgery

    DEFF Research Database (Denmark)

    Holbek, Bo Laksafoss; Petersen, René Horsleben; Kehlet, Henrik

    2016-01-01

    -assisted thoracoscopic surgery (RATS), robotic, thoracotomy, single-incision, uniportal, natural orifice transluminal endoscopic surgery (NOTES), chest tube, air-leak, digital drainage, pain management, analgesia, perioperative management, anaesthesia and non-intubated. References from articles were screened for further...... articles. Using abstracts, areas of interest for developing a fast-track protocol were selected. Results The minimally invasive approach can be divided into several surgical methods that need further research to establish superiority. The role of intubation has to be further examined as well as the role...

  14. Short Hospital Stay after Laparoscopic Colorectal Surgery without Fast Track

    Directory of Open Access Journals (Sweden)

    Stefan K. Burgdorf

    2012-01-01

    Full Text Available Purpose. Short hospital stay and equal or reduced complication rates have been demonstrated after fast track open colonic surgery. However, fast track principles of perioperative care can be difficult to implement and often require increased nursing staff because of more concentrated nursing tasks during the shorter hospital stay. Specific data on nursing requirements after laparoscopic surgery are lacking. The purpose of the study was to evaluate the effect of operative technique (open versus laparoscopic operation, but without changing nurse staffing or principles for peri- or postoperative care, that is, without implementing fast track principles, on length of stay after colorectal resection for cancer. Methods. Records of all patients operated for colorectal cancer from November 2004 to December 2008 in our department were reviewed. No specific patients were selected for laparoscopic repair, which was solely dependent on the presence of two specific surgeons at the same time. Thus, the patients were not selected for laparoscopic repair based on patient-related factors, but only on the simultaneous presence of two specific surgeons on the day of the operation. Results. Of a total of 540 included patients, 213 (39% were operated by a laparoscopic approach. The median hospital stay for patients with a primary anastomosis was significantly shorter after laparoscopic than after conventional open surgery (5 versus 8 days, while there was no difference in patients receiving a stoma (10 versus 10 days, ns, with no changes in the perioperative care regimens. Furthermore there were significant lower blood loss (50 versus 200 mL, and lower complication rate (21% versus 32%, in the laparoscopic group. Conclusion. Implementing laparoscopic colorectal surgery in our department resulted in shorter hospital stay without using fast track principles for peri- and postoperative care in patients not receiving a stoma during the operation. Consequently, we

  15. Second Generation of a Fast-track Liver Resection Programme

    DEFF Research Database (Denmark)

    Schultz, Nicolai A; Larsen, Peter N; Klarskov, B

    2018-01-01

    was given to all patients before surgery, catheters and drains were systematically removed early, and patients were mobilized and started eating and drinking from the day of surgery. An opioid-sparing multimodal pain treatment was given for the first week. The discharge criteria were (1) pain sufficiently......BACKGROUND: Recent developments in perioperative pathophysiology and care have documented evidence-based, multimodal rehabilitation (fast-track) to hasten recovery and decrease morbidity and hospital stay in several major surgical procedures. The aim of this study was to investigate the effect over...

  16. Anesthetic and adjunctive drugs for fast-track surgery.

    Science.gov (United States)

    Baldini, G; Carli, F

    2009-08-01

    With the changes in health care dictated by economic pressure, there has been a realization that hospital stay could be shortened without compromising quality of care. Advances in surgical technology and anesthetic drugs have made an impact in the way perioperative care is delivered with some emphasis on multidisciplinary approach. From the expansion of ambulatory care, lessons were learnt how to apply same concepts to major surgery with the understanding that interventions to attenuate the surgical stress would facilitate the return to "baseline". Beside minimal invasive approach to surgery, anesthesia interventions are arranged with the intent to decrease the negative effects of surgical stress and pain, to minimize the side effects of drugs and at the same time to facilitate the recuperation which follows after surgery. Fast-track or accelerated care encompasses many aspects of anesthesia care, not only preoperative preparation and prehabilitation, but intraoperative attenuation of surgical stress and postoperative rehabilitation. The anesthesiologist is part of this team with the specific mission to use medications and techniques which have the least side effects on organ functions, provide analgesia which in turn facilitates the intake of food and mobilization out of bed. This chapter has been conceived with the intention to direct the clinician towards procedure-specific protocols where the choice of medications and techniques is based on published evidence. The success of implementing fast-track depends more on dynamic harmony amongst the various participants (surgeons, anesthesiologists, nurses, nutrtionists, physiotherapists) than on reaching an optimum level of excellence at each separate organization level.

  17. Sleep disturbances after fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Krenk, L; Jennum, P; Kehlet, H

    2012-01-01

    on the fourth postoperative night. There was no association between opioid use, pain scores, and inflammatory response with a disturbed sleep pattern. CONCLUSIONS: /st>Despite ultra-short LOS and provision of spinal anaesthesia with multimodal opioid-sparing analgesia, REM sleep was almost eliminated......BACKGROUND: /st>Major surgery is followed by pronounced sleep disturbances after traditional perioperative care potentially leading to prolonged recovery. The aim was to evaluate the rapid eye movement (REM) sleep duration and sleep architecture before and after fast-track hip and knee replacement......, and on the fourth postoperative night at home. Sleep staging was performed according to the American Academy of Sleep Medicine manual. Opioid use, pain, and inflammatory response (C-reactive protein) were also evaluated. RESULTS: /st>The mean LOS was 1.5 (1-2) days. The mean REM sleep time decreased from a mean...

  18. Nursing in fast-track total hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Specht, Kirsten; Kjaersgaard-Andersen, Per; Kehlet, Henrik

    2015-01-01

    must still focus on the individual patient. Nurses need to have enough education to manage the complex tasks and increased responsibility. To prevent undesirable outcomes in the future, there is a need to pay attention to the nursing quality in balance with the nursing budget. It may, therefore......AIM: To describe the increased activity in total hip arthroplasty (THA) and total knee arthroplasty (TKA) from 2002 to 2012 in a single orthopaedic department, the organisation of fast-track and its consequences for nursing care. METHODS: Retrospective, descriptive design. Data collection; from...... gained tasks from surgeons and physiotherapists and thus gained more responsibility, for example, for pain management and mobilisation. Staffing levels in the ward in 2002 and 2012 were almost unchanged; 16.0 and 15.8 respectively. Nurses were undertaking more complicated tasks. CONCLUSION: Nursing care...

  19. Early recovery after fast-track Oxford unicompartmental knee arthroplasty

    DEFF Research Database (Denmark)

    Munk, Stig; Dalsgaard, Jesper; Bjerggaard, Karin

    2012-01-01

    trauma. We investigated changes in leg-extension power (LEP) in the first month after MIS Oxford UKA and its relation to pain, knee motion, functional performance, and knee function. Patients and methods In 35 consecutive Oxford UKA patients, LEP was measured 1 week before and 1 month after surgery...... together with knee motion, knee swelling, the 30-second chair-stand test, and Oxford knee score. Assessment of knee pain at rest and walking was done using a visual analog scale. Results 30 patients were discharged on the day after surgery, and 5 on the second day after surgery. LEP and functional...... supervision in the first month after discharge. Interpretation Fast-track MIS Oxford UKA with discharge on the day after surgery is safe and leads to early recovery of knee motion and strength even when no physiotherapy is used....

  20. Fast Tracking for the ATLAS LVL2 Trigger

    CERN Document Server

    Baines, J T M; Emeliyanov, D; Konstantinidis, N P; Parodi, F; Schiavi, C; Sutton, M; Computing In High Energy Physics

    2005-01-01

    We present a set of algorithms for fast track reconstruction at the second level (LVL2) trigger of ATLAS, using three-dimensional space points (= hits) from the silicon trackers. The strategy is to determine the position z_0 of the interesting pp interaction along the beam axis prior to any track reconstruction and then retain only groups of hits which point back to that z_0 and perform combinatorial tracking only inside those groups. We give results and discuss the advantages of this approach, which is generic enough to be applicable to other multi-collision experiments. We also make a qualitative comparison with a complementary approach which is based on Look-Up Tables (LUT) and is also used in ATLAS.

  1. Mobile with renewable energy. Marketable solutions for climate-friendly electromobility; Erneuerbar mobil. Marktfaehige Loesungen fuer eine klimafreundliche Elektromobilitaet

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-03-15

    This publication presents the goals envisioned by the German Federal Environmental Ministry for electromobility, which are outlined by the four keywords clean, gentle, economic, and practical. It then reports on focal areas of state funding and on projects: field trials on electromobility in private automotive traffic; field trials on electromobility in commercial automotive traffic; hybrid busses for environmentally friendly public transport; accompanying scientific research; and battery recycling.

  2. Evidence Basis for Regional Anesthesia in Multidisciplinary Fast-Track Surgical Care Pathways

    DEFF Research Database (Denmark)

    Carli, Francesco; Kehlet, Henrik; Baldini, Gabriele

    2011-01-01

    Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type of surge...

  3. Implementation of the scientific evidence into daily practice - example from fast-track colonic cancer surgery

    DEFF Research Database (Denmark)

    Hammer, J.; Harling, H.; Wille-Jorgensen, P.

    2008-01-01

    Objective To report the implementation and results of fast-track surgery for colonic cancer in the daily routine. Method A total of 131 consecutive patients scheduled for elective colonic cancer resections entered a fast-track perioperative course after thorough information. The regimen contained...

  4. Which fast track elements predict early recovery after colon cancer surgery?

    NARCIS (Netherlands)

    Vlug, M. S.; Bartels, S. A. L.; Wind, J.; Ubbink, D. T.; Hollmann, M. W.; Bemelman, W. A.; Sprangers, Mirjam; Preckel, Benedikt; Bossuyt, Patrick; Gouma, Dirk; van Berge Henegouwen, Mark; Fuhring, Jan; Lenthe, Ineke Picard-van; Bakker, Chris; King-Kalimanis, Bellinda; Hofland, Jan; Dejong, Cornelis; van Dam, Ronald; Cuesta, Miguel; van der Peet, Donald; van Zalingen, Edith; Noordhuis, Astrid; de Jong, Dick; Engel, Alexander; Goei, T. Hauwy; de Stoppelaar, Erica; van den Dongen, Marjon; van Wagensveld, Bart; van Tets, Willem; van den Elsen, Maarten; Swart, Annemiek; Gerhards, Michael; de Wit, Laurens; Siepel, Muriel; Molly, Glaresa; Gasthuis, Onze Lieve Vrouwe; van Geloven, Anna; Juttmann, Jan; Clevers, Wilfred; Bieleman, Andrea; van der Zaag, Edwin; Coenen, Ludo; Bonekamp, Elly; Cense, Huib; van Abeelen, Jacobus; van Iterson-de Jong, Diana; Krombeen, Margriet

    2012-01-01

    Aim It is questioned whether all separate fast track elements are essential for enhanced postoperative recovery. We aimed to determine which baseline characteristics and which fast track elements are independent predictors of faster postoperative recovery in patients undergoing resection for colon

  5. Fast Track Surgery at the University Teaching Hospital of Kigali: A ...

    African Journals Online (AJOL)

    ADMIN

    ... Fast Track Surgery, hospital stay, mobilization, beneficial effects, Randomised control trial. Introduction. Fast-track surgery (FTS) was initiated by the Danish surgeon H Kehlet in the field of elective colorectal surgery in the 1990s 1, 2, and has rapidly gained popularity around the world because of its significant benefits and ...

  6. ["Fast-track" and elective, laparoscopic colo-rectal surgery].

    Science.gov (United States)

    Widmaier, U; Karrer, M; Schoenberg, M H

    2007-08-01

    The aim of this prospective clinical evaluation was to investigate the influence of "Fast-track"-treatment in patients undergoing laparoscopic colorectal operations and its effect on morbidity, hospital stay and recovery. Bowel cleaning under enteral hypercaloric nutrition (Biosorb Energie, Fa. Nutricia, Germany) was achieved with Fleet (Ferring Arzneimittel, Germany) one day prior to surgery. A peridural catheter was placed preoperatively. Intraoperative electrolyte substitution should not exceed 12 ml/kg KG/h. In case of decreasing intraoperative blood pressure hydroxyethylstarch 6% was substituted. The nasogastric tube was removed immediately after the operation, the urinary catheter was removed on the first postoperative day. The patients stayed on the intermediate care department for one night and started already there with oral feeding and mobilisation (for 2 h). The following days mobilisation increased to 4 h daily under normal enteral nutrition without infusions. Between June 2003 and January 2006, 147 patients undergoing elective colorectal surgery were included in this study. Diverticulitis (n = 114), malignant tumors of the sigmoid colon (n = 6) or rectal cancer (n = 13), colonic adenomas (n = 5), stenotic Crohn's disease (n = 4) and small bowel carcinoid (n = 1), rectal prolaps (n = 1) and elongated colon sigmoideum (n = 4) were indications for surgical treatment. Laparoscopic sigmoid resection (n = 117), left hemicolectomy (n = 11), ileocecal resection (n = 8), anterior resection with total mesorectal excision (n = 9), abdomino-perineal exstirpation (n = 1) and anterior-segmental resection of the rectum (n = 1) were performed. Drainages were removed on the 2nd, peridural catheter on the 3rd postoperative day. Defecation occurred in all patients until the 2 (nd) postop. day. Early postoperative complication rate was 15% (22/147 patients) without mortality. 8 patients (5%) with anastomotic leakage were reoperated. The mean hospital stay was 6 days. The

  7. Fast-track aquifer characterization and bioremediation of groundwater

    International Nuclear Information System (INIS)

    Owen, S.B.; Erskine, J.A.; Adkisson, C.

    1995-01-01

    A short duration step-drawdown pumping test has been used to characterize a highly permeable aquifer contaminated with petroleum hydrocarbons in support of an in situ, closed loop extraction and reinjection bioremediation system for groundwater. The short-term pumping test produces a manageable quantity of contaminated groundwater while yielding a range of values for transmissivity and specific yield parameters. This range of aquifer coefficients is used in an analytical model to estimate a range of groundwater extraction rates that provide a suitable radius of influence for the extraction and reinjection system. A multi-enzyme complex catalyzed bioremediation process has been used to aerobically degrade petroleum hydrocarbons. Enzymes, amino acids, and biosurfactants are supplied to the extracted groundwater to significantly speed up the degradation by naturally occurring bacteria. During the process, amino acids promote the rapid growth of the microbial population while enzymes and bacteria attach to hydrocarbons forming a transformation state complex that degrades to fatty acids, carbon dioxide, and water. This paper presents a case study of a fast-track bioremediation using pumping test data, analytical modeling, and an enzyme technology

  8. Orchestrating care through the fast-track perspective: A qualitative content analysis of the provision of individualised nursing care in orthopaedic fast-track programmes.

    Science.gov (United States)

    Berthelsen, Connie Bøttcher; Frederiksen, Kirsten

    2017-02-01

    The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim and Lundman. The main theme of the overall interpretation was Orchestrating care through the fast-track perspective, accompanied by three sub-themes: Identifying and legitimising relevant individual care in the fast-track programme, Struggling to fit all patients in the fast-track programme and Justifying individualised care-related actions in the fast-track programme. The study concluded that, even though the nurses struggled to comply with the programme, they still found themselves compromising their nursing care and ethics to follow the standardised regime. There is a need to establish more specific inclusion criteria to maintain the effective elements in the programme and to facilitate nurses' opportunities to offer individual care, thereby ensuring that fragile patients have access to other possibilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Evidence Basis for Regional Anesthesia in Multidisciplinary Fast-Track Surgical Care Pathways

    DEFF Research Database (Denmark)

    Carli, Francesco; Kehlet, Henrik; Baldini, Gabriele

    2011-01-01

    Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type of surge......Fast-track programs have been developed with the aim to reduce perioperative surgical stress and facilitate patient's recovery after surgery. Potentially, regional anesthesia and analgesia techniques may offer physiological advantages to support fast-track methodologies in different type...... of surgeries. The aim of this article was to identify and discuss potential advantages offerred by regional anesthesia and analgesia techniques to fast-track programs. In the first section, the impact of regional anesthesia on the main elements of fast-track surgery is addressed. In the second section......, procedure-specific fast-track programs for colorectal, hernia, esophageal, cardiac, vascular, and orthopedic surgeries are presented. For each, regional anesthesia and analgesia techniques more frequently used are discussed. Furthermore, clinical studies, which included regional techniques as elements...

  10. The risk of manipulation under anesthesia due to unsatisfactory knee flexion after fast-track total knee arthroplasty

    DEFF Research Database (Denmark)

    Wied, Christian; Thomsen, Morten G; Kallemose, Thomas

    2015-01-01

    BACKGROUND: Fast-track TKA has significantly shortened the time available for physiotherapists to optimize knee ROM before discharge. Safety aspects concerning knee stiffness and the need for manipulation in a fast-track setting need to be illuminated. The study aims were to analyze if fast-track...

  11. Time-driven Activity-based Cost of Fast-Track Total Hip and Knee Arthroplasty

    DEFF Research Database (Denmark)

    Andreasen, Signe E; Holm, Henriette B; Jørgensen, Mira

    2017-01-01

    BACKGROUND: Fast-track total hip and knee arthroplasty (THA and TKA) has been shown to reduce the perioperative convalescence resulting in less postoperative morbidity, earlier fulfillment of functional milestones, and shorter hospital stay. As organizational optimization is also part of the fast......-track methodology, the result could be a more cost-effective pathway altogether. As THA and TKA are potentially costly procedures and the numbers are increasing in an economical limited environment, the aim of this study is to present baseline detailed economical calculations of fast-track THA and TKA and compare...... this between 2 departments with different logistical set-ups. METHODS: Prospective data collection was analyzed using the time-driven activity-based costing method (TDABC) on time consumed by different staff members involved in patient treatment in the perioperative period of fast-track THA and TKA in 2 Danish...

  12. When is it optimal to delegate: the theory of fast-track authority

    Czech Academy of Sciences Publication Activity Database

    Celik, Levent; Karabay, B.; McLaren, J.

    2015-01-01

    Roč. 7, č. 3 (2015), s. 347-389 ISSN 1945-7669 Institutional support: RVO:67985998 Keywords : fast-track authority * free trade * protectionist rents Subject RIV: AH - Economics Impact factor: 1.359, year: 2015

  13. Restoring integrity--A grounded theory of coping with a fast track surgery programme.

    Science.gov (United States)

    Jørgensen, Lene Bastrup; Fridlund, Bengt

    2016-01-01

    The aim of this study was to generate a theory conceptualizing and explaining behavioural processes involved in coping in order to identify the predominant coping types and coping type-specific features. Patients undergoing fast track procedures do not experience a higher risk of complications, readmission, or mortality. However, such programmes presuppose an increasing degree of patient involvement, placing high educational, physical, and mental demands on the patients. There is a lack of knowledge about how patients understand and cope with fast track programmes. The study design used classical grounded theory. The study used a multimodal approach with qualitative and quantitative data sets from 14 patients. Four predominant types of coping, with distinct physiological, cognitive, affective, and psychosocial features, existed among patients going through a fast track total hip replacement programme. These patients' main concern was to restore their physical and psychosocial integrity, which had been compromised by reduced function and mobility in daily life. To restore integrity they economized their mental resources, while striving to fulfil the expectations of the fast track programme. This goal was achieved by being mentally proactive and physically active. Three out of the four predominant types of coping matched the expectations expressed in the fast track programme. The non-matching behaviour was seen among the most nervous patients, who claimed the right to diverge from the programme. In theory, four predominant types of coping with distinct physiological, cognitive, affective, and psychosocial features occur among patients going through a fast track total hip arthroplasty programme.

  14. Prospective randomized controlled trial to evaluate "fast-track" elective open infrarenal aneurysm repair.

    Science.gov (United States)

    Muehling, Bernd M; Halter, Gisela; Lang, Gunter; Schelzig, Hubert; Steffen, Peter; Wagner, Florian; Meierhenrich, Rainer; Sunder-Plassmann, Ludger; Orend, Karl-Heinz

    2008-05-01

    Fast-track programs have been introduced in many surgical fields to minimize postoperative morbidity and mortality. Morbidity after elective open infrarenal aneurysm repair is as high as 30%; mortality ranges up to 10%. In terms of open infrarenal aneurysm repair, no randomized controlled trials exist to introduce and evaluate such patient care programs. This study involved prospective randomization of 82 patients in a "traditional" and a "fast-track" treatment arm. Main differences consisted in preoperative bowel washout (none vs. 3 l cleaning solution) and analgesia (patient controlled analgesia vs. patient controlled epidural analgesia). Study endpoints were morbidity and mortality, need for postoperative mechanical ventilation, and length of stay (LOS) on intensive care unit (ICU). The need for assisted postoperative ventilation was significantly higher in the traditional group (33.3% vs. 5.4%; p = 0.011). Median LOS on ICU was shorter in the fast-track group, 41 vs. 20 h. The rate of postoperative medical complications was significantly lower in the fast-track group, 16.2% vs. 35.7% (p = 0.045). We introduced and evaluated an optimized patient care program for patients undergoing open infrarenal aortic aneurysm repair which showed a significant advantage for "fast-track" patients in terms of postoperative morbidity.

  15. Safety of fast track surgery in pancreaticoduodenectomy: a Meta-analysis

    Directory of Open Access Journals (Sweden)

    LI Weinan

    2017-01-01

    Full Text Available ObjectiveTo investigate the safety and clinical effect of fast track surgery in pancreaticoduodenectomy, one of the most complex surgeries in general surgery. MethodsThe Chinese and foreign databases were searched for articles on the application of fast tract surgery in pancreaticoduodenectomy published from January 1994 to April 2016. Two researchers evaluated the quality of the articles which met the inclusion criteria and extracted related data. Stata 12.0 software was used to analyze the overall incidence rate of complications and the incidence rates of pancreatic leakage and gastrointestinal emptying disorder, and the Begg rank correlation test and Egger linear regression method were used to investigate publication bias. ResultsThe fast track surgery group had a significantly lower overall incidence rate of complications than the conventional group (RR=0.748, 95%CI: 0.680-0.824, P<0.001. There was no significant difference in the incidence rate of pancreatic leakage between the two groups (RR=0.894, 95%CI:0.734-1.089, P=0.266. The fast track surgery group had a significantly lower incidence rate of gastrointestinal emptying disorder than the conventional group (RR=0.520, 95%CI:0.400-0.670, P<0.001. ConclusionFast track surgery is safe and effective in pancreaticoduodenectomy, but the application of some measures in fast track surgery still needs more medical evidence.

  16. Comparison of remifentanil and low-dose fentanyl for fast-track cardiac anesthesia

    DEFF Research Database (Denmark)

    Khanykin, Boris; Siddiqi, Rizwan; Jensen, Per F

    2013-01-01

    BACKGROUND: Different anesthetic techniques have been used for fast tracking in cardiac anesthesia. Remifentanil, with its unique pharmacokinetic profile, could be an ideal drug for fast tracking. Possible limitations of remifentanil are rapid onset of postoperative pain after discontinuation...... of the drug infusion, which may increase the risk of an ischemic event. We conducted this randomized study to compare the efficacy of remifentanil versus low doses of fentanyl in fast-track cardiac anesthesia. It has been hypothesized that remifentanil would provide a safe anesthesia with no impact...... anesthesia. The study was designed as a prospective randomized study. The primary outcomes were changes in the cardiac index and creatine kinase MB fraction (CKMB), extubation times, mobilization times, and lengths of stay in the intensive care unit (ICU) and the hospital. Frequency of myocardial infarction...

  17. Maintaining Unity - Relatives in older patient's fast-track treatment programmes. A Grounded theory study

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

    2014-01-01

    AIM: To generate a substantive grounded theory of relatives' pattern of behaviour in older patients' fast-track treatment programmes during total hip or knee replacement. BACKGROUND: Fast-track treatment programmes are designed to make total hip and knee replacements more efficient through recovery...... improvements. The support of relatives during older patients' trajectory is important. However, knowledge is needed on the relatives' pattern of behaviour to strengthen their involvement in fast-track treatment programmes. DESIGN: We used a Glaserian grounded theory approach based on a systematic generation...... of theory from data to explain the latent pattern of behaviour of relatives. METHODS: Data were collected from 2010-2011 in orthopaedic wards at two Danish university hospitals and consisted of 14 non-participant observations, 14 postobservational interviews and five interviews. Seven relatives of patients...

  18. High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement

    DEFF Research Database (Denmark)

    Specht, Kirsten; Kjaersgaard-Andersen, Per; Kehlet, Henrik

    2015-01-01

    BACKGROUND AND PURPOSE: Patient satisfaction is important in fast-track total hip and knee replacement (THR, TKR). We assessed: (1) how satisfied patients were with the treatment; (2) factors related to overall satisfaction; and (3) whether there was a difference between THR and TKR regarding...... length of stay (LOS) and patient satisfaction. PATIENTS AND METHODS: In this follow-up study, a consecutive series of 445 patients undergoing THR and TKR completed a questionnaire 2 weeks after discharge. LOS and short-term patient satisfaction with the fast-track management were measured. Patient...... comorbidity, or LOS. THR patients had shorter mean LOS than TKR patients, even though the median LOS was 2 days for both groups. THR patients were more satisfied than TKR patients in the first weeks after discharge. INTERPRETATION: Patient satisfaction is high following fast-track THR and TKR, with scores...

  19. Fast track diagnosis as a means of reducing diagnostic delay in cancer

    DEFF Research Database (Denmark)

    Larsen, Mette Bach; Vedsted, Peter; Olesen, Frede

    of cancer and expanded services to the general practitioners. Objective: To investigate the diagnostic delay of cancer, patient and provider satisfaction and health economic aspects in two Danish regions with special emphasis on the possible benefits of fast track diagnosis. Methods: The study...... in diagnostic delay will be described in uni- and multivariate analysis models based on three types of delay (patient, doctors and system delay) and stratified by diagnosis. The second part of the analysis will focus on the possible benefits from fast track diagnosis in terms of reduced diagnostic delay......Background: Denmark has the highest morbidity and mortality from cancer in Western Europe, and studies suggest that Danish cancer patients are diagnosed at a later stage than patients in the other Nordic countries. To address this issue a Danish hospital has introduced fast track diagnosis...

  20. A Survey on the Reliability of Power Electronics in Electro-Mobility Applications

    DEFF Research Database (Denmark)

    Gadalla, Brwene Salah Abdelkarim; Schaltz, Erik; Blaabjerg, Frede

    2015-01-01

    Reliability is an important issue in the field of power electronics since most of the electrical energy is today processed by power electronics. In most of the electro-mobility applications, e.g. electric and hybridelectric vehicles, power electronic are commonly used in very harsh environment....... Temperature variations, vibration and also the stresses affecting the device (which can come even from the device itself or from external sources) and may cause unreliable system. Thus, designing reliable power electronic components is important for the aim of reducing the energy losses, maintenance cost...... and extending the service lifetime as well. Research within power electronics is of high interest as it has an important impact in the industry of the electro-mobility applications. According to the aforementioned explanations, this paper will provide an overview of the common factors (thermal cycles, power...

  1. Postoperative morbidity after fast-track laparoscopic resection of rectal cancer

    DEFF Research Database (Denmark)

    Stottmeier, S; Harling, H; Wille-Jørgensen, Peer Anders

    2012-01-01

    Aim: Analysis was carried out of the nature and chronological order of early complications after fast-track laparoscopic rectal surgery with a view to optimize the short-time outcome of rectal cancer surgery. Method: 102 consecutive patients who underwent elective fast-track laparoscopic rectal...... cancer surgery were analysed prospectively from the Danish Colorectal Cancer Database supplemented by data from the medical records. We studied in detail the nature and chronological order of postoperative morbidity and reason for prolonged stay (>5 days). Results: Twenty-five patients (25 per cent) had...

  2. Convalescence after colonic resection with fast-track versus conventional care

    DEFF Research Database (Denmark)

    Hjort Jakobsen, D; Sonne, E; Basse, L

    2004-01-01

    BACKGROUND: Multi-modal rehabilitation programmes may improve early postoperative body composition, pulmonary function, exercise capacity, and reduce hospital stay. So far, no data are available on convalescence after discharge. AIM: The objectives were to compare convalescence data (fatigue, sleep...... vs. 8 days in the fast-track vs. conventional care group, respectively (p sleep were increased in the conventional care group when compared with the fast-track group (p ... results in earlier resumption of normal activities with reduced fatigue and need for sleep postoperatively compared to conventional care, and without increased need for nursing care or visits to general practitioners. However, readmissions may occur more frequently....

  3. Effect of an Emergency Department Fast Track on Press-Ganey Patient Satisfaction Scores

    Directory of Open Access Journals (Sweden)

    Hwang, Calvin E.

    2014-12-01

    Full Text Available Introduction: Mandated patient surveys have become an integral part of Medicare remuneration, putting hundreds of millions of dollars in funding at risk. The Centers for Medicare & Medicaid Services (CMS recently announced a patient experience survey for the emergency department (ED. Development of an ED Fast Track, where lower acuity patients are rapidly seen, has been shown to improve many of the metrics that CMS examines. This is the first study examining if ED Fast Track implementation affects Press-Ganey scores of patient satisfaction. Methods: We analyzed returned Press-Ganey questionnaires from all ESI 4 and 5 patients seen 11AM - 11PM, August-December 2011 (pre-fast track, and during the identical hours of fast track, August-December 2012. Raw ordinal scores were converted to continuous scores for paired student t-test analysis. We calculated an odds ratio with 100% satisfaction considered a positive response. Results: An academic ED with 52,000 annual visits had 140 pre-fast track and 85 fast track respondents. Implementation of a fast track significantly increased patient satisfaction with the following: wait times (68% satisfaction to 88%, OR 4.13, 95% CI [2.32-7.33], doctor courtesy (90% to 95%, OR 1.97, 95% CI [1.04-3.73], nurse courtesy (87% to 95%, OR 2.75, 95% CI [1.46-5.15], pain control (79% to 87%, OR 2.13, 95% CI [1.16-3.92], likelihood to recommend (81% to 90%, OR 2.62, 95% CI [1.42-4.83], staff caring (82% to 91%, OR 2.82, 95% CI [1.54-5.19], and staying informed about delays (66% to 83%, OR 3.00, 95% CI [1.65-5.44]. Conclusion: Implementation of an ED Fast Track more than doubled the odds of significant improvements in Press-Ganey patient satisfaction metrics and may play an important role in improving ED performance on CMS benchmarks. [West J Emerg Med. 2015;16(1:34–38.

  4. Serious renal and urological complications in fast-track primary total hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Bjerregaard, Lars S; Jørgensen, Christoffer C; Kehlet, Henrik

    2016-01-01

    BACKGROUND: Overall medical complications have been reduced after fast-track total hip (THA) and knee arthroplasty (TKA), but data on specific renal and urological (RU) complications are limited. METHODS: To describe the incidence and consequences of serious RU complications resulting in length o...

  5. Orthostatic intolerance during early mobilization after fast-track hip arthroplasty

    DEFF Research Database (Denmark)

    Jans, O; Bundgaard-Nielsen, M; Solgaard, S

    2012-01-01

    BACKGROUND: /st>Early postoperative mobilization is a cornerstone in fast-track total hip arthroplasty (THA), but postoperative orthostatic intolerance (OI) may delay early recovery or lead to fainting, falls, and prosthesis dislocation or fracture. However, the prevalence and pathophysiology of OI...

  6. Fast-track IPP based on LM6000 gas turbines brings quick power to Ecuador

    Energy Technology Data Exchange (ETDEWEB)

    Pinder, Ron [GE Marine and Industrial Engines, Evendale, OH (United States); Garcia, Ernesto [Stewart and Stevenson International Inc., Coral Gables, FL (United States)

    1996-11-01

    With the country suffering from severe power shortages, the Ecuadorian government began a process of power sector liberalization, allowing private fast-track IPPs to construct much needed capacity. One of these crucial projects, the Electroquil power plant in Guayaquil, began operation in May this year. (author)

  7. Families' Divided: The place of the Family in Zimbabwe's Fast Track ...

    African Journals Online (AJOL)

    The political history and the political economy continue to mould the quality of life for most families in significant ways. Human beings have always lived in families from the beginning of time. The family is a pillar of society as it influences the way society is structured, organized and functions, yet the Fast Track Land Reform ...

  8. Subacute pain and function after fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Andersen, Lasse Østergaard; Gaarn-Larsen, L; Kristensen, B B

    2009-01-01

    study. The purpose was to describe the prevalence and intensity of subacute postoperative pain and opioid related side effects, use of analgesics and functional ability 1-10 and 30 days postoperatively. Fast-track total hip and knee arthroplasty with early discharge (

  9. The Effects of the Fast Track Preventive Intervention on the Development of Conduct Disorder across Childhood

    Science.gov (United States)

    Child Development, 2011

    2011-01-01

    The impact of the Fast Track intervention on externalizing disorders across childhood was examined. Eight hundred-ninety-one early-starting children (69% male; 51% African American) were randomly assigned by matched sets of schools to intervention or control conditions. The 10-year intervention addressed parent behavior-management, child social…

  10. Fast track surgery at the University Teaching Hospital of Kigali: a ...

    African Journals Online (AJOL)

    Background: Fast Track Surgery is synonymous with Enhanced Recovery after Surgery. It was started in the 1990's initially for colorectal surgery, but later became applicable to other aspects of surgery. Its core elements include epidural or regional anaesthesia, perioperative fluid management, minimally invasive surgical ...

  11. The role of pain for early rehabilitation in fast track surgery.

    DEFF Research Database (Denmark)

    Holm, Bente; Kristensen, Morten Tange; Myhrmann, Lis

    the clinical pathway for fast track programs, including transfer and ambulation from day one, with further physiotherapy daily. Patients were discharged, according to the following discharge criteria: Independence in transfer and ambulation, able to walk with crutches, independence in toileting and dressing...

  12. Physiotherapy Exercise After Fast-Track Total Hip and Knee Arthroplasty: Time for Reconsideration?

    DEFF Research Database (Denmark)

    Bandholm, Thomas; Kehlet, Henrik

    2012-01-01

    not contain the right active ingredients (too little intensity) or is offered at the wrong time (too late after surgery). We propose changing the focus to earlier initiated and more intensive physiotherapy exercise after THA and TKA (fast-track physiotherapy exercise), to reduce the early loss of muscle...

  13. Fast-track surgery-an update on physiological care principles to enhance recovery

    DEFF Research Database (Denmark)

    Kehlet, Henrik

    2011-01-01

    INTRODUCTION: The concept of fast-track surgery (enhanced recovery programs) has been evolved and been documented to be successful by decreasing length of stay, morbidity and convalescence across procedures. FUTURE STRATEGIES: However, there are several possibilities for further improvement of mo...

  14. SMEs in Energy: Are they the parallel fast track for electrification of Africa?

    Energy Technology Data Exchange (ETDEWEB)

    Abdel-Rahman, Mohamed

    2010-09-15

    The African continent is suffering from a chronic energy shortage that hiders its development. The conventional wisdom is to put the Mega projects under focus. However, a parallel fast track for the energy as an SME business may bring faster results to the continent. To that end, this paper presents proposed steps to promote the concept within the continent.

  15. When is it optimal to delegate: the theory of fast-track authority

    Czech Academy of Sciences Publication Activity Database

    Celik, Levent; Karabay, Bilgehan; McLaren, J.

    2015-01-01

    Roč. 7, č. 3 (2015), s. 347-389 ISSN 1945-7669 R&D Projects: GA ČR(CZ) GAP402/12/0666 Institutional support: PRVOUK-P23 Keywords : fast-track authority * free trade * protectionist rents Subject RIV: AH - Economics Impact factor: 1.359, year: 2015

  16. Fast Tracking School Site Acquisition: A Perspective of an Eminent Domain Attorney.

    Science.gov (United States)

    Behrens, Jerry

    This paper discusses key issues in fast-tracking the acquisition of school sites in California. Discussion addresses: (1) assembling an experienced team; (2) whether the property owner is a willing or unwilling seller; (3) level of community support or opposition to the site; (4) timing and commencement of California Environmental Quality Act…

  17. A modified fast-track program for pancreatic surgery: a prospective single-center experience.

    Science.gov (United States)

    di Sebastiano, Pierluigi; Festa, Leonardina; De Bonis, Antonio; Ciuffreda, Andrea; Valvano, Maria Rosa; Andriulli, Angelo; di Mola, F Francesco

    2011-03-01

    The objective of this study is to evaluate the impact of a fast-track protocol in a high-volume center for patients with pancreatic disorders. The concept of fast-track surgery allowing accelerated postoperative recovery is accepted in colorectal surgery, but efficacy data are only preliminary for patients undergoing major pancreatic surgery. We aimed to evaluate the impact of a modified fast-track protocol in a high-volume center for patients with pancreatic disorders. Between February 2005 and January 2010, 145 subjects had resective pancreatic surgery and were enrolled in the program. Essential features of the program were no preanaesthetic medication, upper and lower air-warming device, avoidance of excessive i.v. fluids perioperatively, effective control of pain, early reinstitution of oral feeding, and immediate mobilization and restoration of bowel function following surgery. Outcome measures were postoperative complications such as pancreatic fistula, delayed gastric emptying, biliary leak, intra-abdominal abscess, post-pancreatectomy hemorrhage, acute pancreatitis, wound infection, 30-day mortality, postoperative hospital stay, and readmission rates. On average, patients were discharged on postoperative day 10 (range 6-69), with a 30-day readmission rate of 6.2%. Percentage of patients with at least one complication was 38.6%. Pancreatic anastomotic leakage occurred in seven of 101 pancreatico-jejunostomies, and biliary leak in three of 109 biliary jejunostomies. Postoperative hemorrhage occurred in ten (6.9%) patients and wound infection in nine (6.2%) cases. In-hospital mortality was 2.7%. Fast-track parameters, such as normal food and first stool, correlated significantly with early discharge (jaundice, and resumption of normal diet by the 5th postoperative day were independent factors of early discharge. Fast-track programs are feasible, easy, and also applicable for patients undergoing a major surgery such as pancreatic resection.

  18. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway.

    Science.gov (United States)

    Muehling, Bernd M; Halter, Gisela L; Schelzig, Hubert; Meierhenrich, Rainer; Steffen, Peter; Sunder-Plassmann, Ludger; Orend, Karl-Heinz

    2008-07-01

    Fast track programs, multimodal therapy strategies, have been introduced in many surgical fields to minimize postoperative morbidity and mortality. In terms of lung resections no randomized controlled trials exist to evaluate such patient care programs. In a prospective, randomized controlled pilot study a conservative and fast track treatment regimen in patients undergoing lung resections was compared. Main differences between the two groups consisted in preoperative fasting (6h vs 2h) and analgesia (patient controlled analgesia vs patient controlled epidural analgesia). Study endpoints were pulmonary complications (pneumonia, atelectasis, prolonged air leak), overall morbidity and mortality. Analysis was performed in an intention to treat. Both study groups were similar in terms of age, sex, preoperative forced expiratory volume in one second (FEV(1)), American Society of Anesthesiologists score and operations performed. The rate of postoperative pulmonary complications was 35% in the conservative and 6.6% in the fast track group (p=0.009). A subgroup of patients with reduced preoperative FEV(1) (<75% of predicted value) experienced less pulmonary complications in the fast track group (55% vs 7%, p=0.023). Overall morbidity was not significantly different (46% vs 26%, p=0.172), mortality was comparable in both groups (4% vs 3%). We evaluated an optimized patient care program for patients undergoing lung resections in a prospective randomized pilot study. Using this fast track clinical pathway the rate of pulmonary complications could be significantly decreased as compared to a conservative treatment regimen; our results support the implementation of an optimized perioperative treatment in lung surgery in order to reduce pulmonary complications after major lung surgery.

  19. Effects of fast-track in a university emergency department through the National Emergency Department Overcrowding Study.

    Science.gov (United States)

    Aksel, Gokhan; Bildik, Fikret; Demircan, Ahmet; Keles, Ayfer; Kilicaslan, Isa; Guler, Sertac; Corbacioglu, Seref Kerem; Turkay, Asli; Bekgoz, Burak; Dogan, Nurettin Ozgur

    2014-07-01

    To determine the impact of a fast track area on emergency department crowding and its efficacy for non-urgent patients. The prospective cross-sectional study was conducted in an adult emergency department of a university-affiliated hospital in Turkey from September 17 to 30, 2010. Non-urgent patients were defined as those with Canadian Triage Acuity Scale category 4/5. The fast track area was open in the emergency department for one whole week, followed by another week in which fast track area was closed. Demographic information of patients, their complaints on admission, waiting times, length of stay and revisits were recorded. Overcrowding evaluation was performed via the National Emergency Department Overcrowding Study scale. In both weeks, the results of the patients were compared and the effects of fast track on the results were analysed. Continuous variables were compared via student's t test or Mann Whitney U test. Demographic features of the groups were evaluated by chi-square test. A total of 249 patients were seen during the fast track week, and 239 during the non-fast track week at the emergency department. Satisfaction level was higher in the fast track group than the non-fast track group (p overcrowding in the emergency department was lessened. It also improved effectiveness and quality measures.

  20. Early Progressive Strength Training to Enhance Recovery After Fast-Track Total Knee Arthroplasty

    DEFF Research Database (Denmark)

    Jakobsen, Thomas Linding; Kehlet, Henrik; Husted, Henrik

    2014-01-01

    OBJECTIVE: To compare 7 weeks of supervised physical rehabilitation with or without progressive strength training (PST) commenced early after fast-track total knee arthroplasty (TKA) on functional performance. METHODS: In total, 82 patients with a unilateral primary TKA were randomized to 2...... different interventions: 7 weeks of supervised physical rehabilitation with PST (PST group) and without PST (CON group) commenced early after fast-track TKA. The primary outcome was the maximal distance walked in 6 minutes (6-minute walk test). Secondary outcomes were lower extremity strength and power......, knee joint effusion and range of motion, knee pain, and self-reported disability and quality of life. All outcome measures were assessed before TKA (baseline) and 4, 8, and 26 weeks after TKA. RESULTS: There was no statistically significant difference between the PST and CON groups in the change score...

  1. Convalescence after colonic resection with fast-track versus conventional care

    DEFF Research Database (Denmark)

    Hjort Jakobsen, D; Sonne, E; Basse, L

    2004-01-01

    undergoing fast-track rehabilitation with continuous epidural analgesia, enforced oral nutrition, mobilisation, planned early discharge, and 30 consecutive patients undergoing conventional care. Patients were interviewed preoperatively and 14 and 30 days postoperatively. RESULTS: Median hospital stay was 2......BACKGROUND: Multi-modal rehabilitation programmes may improve early postoperative body composition, pulmonary function, exercise capacity, and reduce hospital stay. So far, no data are available on convalescence after discharge. AIM: The objectives were to compare convalescence data (fatigue, sleep......, time to resume normal activities, and functional capabilities) and need for nursing care and contact to general practitioner with fast-track multi-modal rehabilitation compared with conventional care after colonic surgery. METHODS: Non-randomised, prospective controlled study in 30 consecutive patients...

  2. After colonic surgery: The lived experience of participating in a fast-track programme

    DEFF Research Database (Denmark)

    Norlyk, Annelise; Harder, Ingegerd

    2009-01-01

    Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of partici......Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience......; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient...

  3. The role of pain for early rehabilitation in fast track surgery.

    DEFF Research Database (Denmark)

    Holm, Bente; Kristensen, Morten Tange; Myhrmann, Lis

    , pain medication with only oral analgesics. Two trained physiotherapists assessed all patients on postoperative day 1 (POD 1) and on the day of discharge (DOD) for: Independence in three basic functions of transfer and ambulation: 1) Get in and out of bed, 2) Sit to stand from a chair and 3) Walking......  Introduction: The purpose of this study was to investigate the relationship between early functional mobility and pain intensity on the first day after surgery and on the planned day of discharge in a well-defined fast-track programme after total knee arthroplasty (TKA) using the local injections...... the clinical pathway for fast track programs, including transfer and ambulation from day one, with further physiotherapy daily. Patients were discharged, according to the following discharge criteria: Independence in transfer and ambulation, able to walk with crutches, independence in toileting and dressing...

  4. Patient-reported outcome after fast-track hip arthroplasty: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Hansen Torben B

    2010-11-01

    Full Text Available Abstract Background A fast-track intervention with a short preoperative optimization period and short postoperative hospitalization has a potential for reduced convalescence and thereby a reduced need for postoperative rehabilitation. The purpose of this study was to describe patient-related outcomes, the need for additional rehabilitation after a fast-track total hip arthroplasty (THA, and the association between generic and disease specific outcomes. Methods The study consisted of 196 consecutive patients of which none received additional rehabilitation beyond an instructional exercise plan at discharge, which was adjusted at one in-patient visit. The patients filled in 3 questionnaires to measure health-related quality-of-life (HRQOL and hip specific function (EQ-5 D, SF36, and Harris Hip Score (HHS at 2 time points pre- and 2 time points postoperatively. The observed results were compared to normative population data for EQ-5 D, SF36, and HHS. Results 3-months postoperatively patients had reached a HRQOL level of 0.84 (SD, 0.14, which was similar to the population norm (P = 0.33, whereas they exceeded the population norm at 12 months postoperatively (P P P = 0.35. For HHS, patients never reached the population norm within 12 months postoperatively. Generic and disease specific outcomes were strongly associated. Conclusions If HRQOL is considered the primary outcome after THA, the need for additional postoperative rehabilitation for all THA patients following a fast-track intervention is questionable. However, a pre- or early postoperative physical intervention seems relevant if the PF of the population norm should be reached at 3 months. If disease specific outcome is considered the primary outcome after fast-track THA, clear goals for the rehabilitation must be established before patient selection, intervention type and timing of intervention can be made.

  5. A fast track path improves access to palliative care for people with learning disabilities.

    Science.gov (United States)

    Whitington, Jane; Ma, Peng

    People with learning disabilities often experience inequalities in accessing general health services. This group, their families and carers need access to effective palliative care when facing a life limiting illness. This article describes the development and implementation of a fast track referral pathway for people with learning disabilities at St Francis Hospice in Essex. Our aim is to share this pathway so others can replicate the collaborative working to improve access to palliative care services for this group.

  6. Impact of a Fast-track Esophagectomy Protocol on Esophageal Cancer Patient Outcomes and Hospital Charges

    DEFF Research Database (Denmark)

    Shewale, Jitesh B; Correa, Arlene M; Baker, Carla M

    2015-01-01

    OBJECTIVE: To evaluate the effects of a fast-track esophagectomy protocol (FTEP) on esophageal cancer patients' safety, length of hospital stay (LOS), and hospital charges. BACKGROUND: FTEP involved transferring patients to the telemetry unit instead of the surgical intensive care unit (SICU) after...... = 0.013) and pulmonary complications (27% vs 20%; P = 0.016). Multivariable analysis revealed FTEP to be associated with shorter LOS (P location. FTEP was also associated with a lower rate of pulmonary complications (odds ratio = 0...

  7. The Effects of the Fast Track Preventive Intervention on the Development of Conduct Disorder Across Childhood

    OpenAIRE

    2011-01-01

    The impact of the Fast Track intervention on externalizing disorders across childhood was examined. Eight hundred-ninety-one early-starting children (69% male; 51% African American) were randomly assigned by matched sets of schools to intervention or control conditions. The 10-year intervention addressed parent behavior-management, child social cognitive skills, reading, home visiting, mentoring, and classroom curricula. Outcomes included psychiatric diagnoses after grades 3, 6, 9, and 12 for...

  8. Fast-track rehabilitation in elective colorectal surgery patients: a prospective clinical and immunological single-centre study.

    Science.gov (United States)

    Wichmann, Matthias W; Eben, Ricarda; Angele, Martin K; Brandenburg, Franzis; Goetz, Alwin E; Jauch, Karl-Walter

    2007-07-01

    Recent clinical data indicate that fast-track surgery (multimodal rehabilitation) leads to shorter postoperative length of hospital stay, faster recovery of gastrointestinal function as well as reduced morbidity and mortality rates. To date, no study has focused on the effects of fast-track surgery on postoperative immune function. This study was initiated to determine whether fast-track rehabilitation results in improved clinical and immunological outcome of patients undergoing colorectal surgery. Forty patients underwent either conventional or fast-track rehabilitation after colorectal surgery. In addition to clinical parameters (return of gastrointestinal function, food intake, pain score, complication rates and postoperative length of stay), we determined parameters of perioperative immunity by flow cytometry (lymphocyte subgroups) and enzyme-linked immunosorbent assay (interleukin-6). Our findings indicate a better-preserved cell-mediated immune function (T cells, T-helper cells, natural killer cells) after fast-track rehabilitation, whereas the pro-inflammatory response (C-reactive protein, interleukin-6) was unchanged in both study groups. Furthermore, we detected a significantly faster return of gastrointestinal function (first bowel movement P<0.001, food intake P<0.05), significantly reduced pain scores in the postoperative course (P < 0.05) and a significantly shorter length of postoperative stay (P<0.001) in patients undergoing fast-track rehabilitation. Fast-track rehabilitation after colorectal surgery results in better-preserved cell-mediated immunity when compared with conventional postoperative care. Furthermore, patients undergoing fast-track rehabilitation suffer from less pain and have a faster return of gastrointestinal function in the postoperative course. In addition, postoperative length of hospital stay was significantly shorter in fast-track patients.

  9. Earplugs during the first night after cardiothoracic surgery may improve a fast-track protocol.

    Science.gov (United States)

    Menger, Johannes; Urbanek, Bernhard; Skhirtladze-Dworschak, Keso; Wolf, Viktoria; Fischer, Arabella; Rinösl, Harald; Dworschak, Martin

    2018-01-01

    Sleep deprivation after major surgery is common and associated with worse outcome. Noise is one important reason for sleep fragmentation, which contributes to enhanced morbidity. The purpose of this work was to evaluate the impact of earplugs on patients' sleep quality during their first night after cardiothoracic surgery to eventually improve an existing fast-track concept. Sixty-three patients undergoing cardiothoracic surgery eligible for a postoperative fast-track regimen on our cardiothoracic post anesthesia care unit (C-PACU) were prospectively included. They were randomized to either sleep with or without earplugs. Quality of sleep was measured using questionnaires for patients and nurses. Required pain medications, pain intensity, and length of hospital stay were secondary outcome variables. Twenty-seven patients were randomized to the intervention group (earplugs) and 36 to the control group. Mean (SD) age was 61 (12) years. Self-reported quality of sleep was better in the intervention group (median, IQR [range]: 3, 2-4 [1-5] vs. 4, 3-5 [1-5]; scale: 1, "excellent," to 5, "very poor"; P=0.025). Patients of the intervention group also experienced less severe pain (P=0.047) despite similar dosages of administered analgesics and expressed improved satisfaction regarding their C-PACU stay (P=0.032). Implementation of the use of earplugs in a fast-track concept following cardiothoracic surgery is efficient and easy. Earplugs improved the quality of sleep as well as patient satisfaction and attenuated pain intensity. They may thereby contribute to a faster recovery, less morbidity, and reduced costs.

  10. Fast Track to the Cloud: Design Patterns for 12-Factor Earth Sciences Applications

    Science.gov (United States)

    Pawloski, Andrew; McLaughlin, Brett; Lynnes, Christopher

    2016-01-01

    As expanding service offerings and decreasing prices make the cloud increasingly attractive to Earth Science applications, there are nontrivial practical considerations which can hinder its meaningful use. In this talk, we will discuss architectural recommendations and lessons learned while working on EOSDIS' cloud efforts, particularly the NASA-compliant General Application Platform (NGAP) and its associated applications. Prominent in our findings is the importance of 12-factor design patterns and the powerful "wins" they enable in the cloud. We will share our strategies for "fast-tracking" applications to the cloud --whether they be legacy, planned for the future, or somewhere in between.

  11. Postoperative Sleep Disturbances after Zolpidem Treatment in Fast-Track Hip and Knee Replacement

    DEFF Research Database (Denmark)

    Krenk, Lene; Jennum, Poul; Kehlet, Henrik

    2014-01-01

    treatment with zolpidem would significantly improve sleep architecture following...... major surgery, although there was improved feeling of sleep quality and fatigue associated with fewer postoperative arousals. CITATION: Krenk L; Jennum P; Kehlet H. Postoperative sleep disturbances after zolpidem treatment in fast-track hip and knee replacement.......STUDY OBJECTIVES: Previous studies have demonstrated pronounced reduction of REM sleep on the first nights following major surgery which may influence pain, analgesic use, and recovery. This placebo-controlled, randomized, double-blind study set out to evaluate the effect of zolpidem on sleep...

  12. Time course and reasons for 90-day mortality in fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Jørgensen, Christoffer Calov; Kehlet, H

    2017-01-01

    : Prospective observational study in 13,775 consecutive THA/TKAs with similar fast-track protocols and a median length of stay of 2 days. Complete 90-days follow-up through national registries, followed by review of medical records and death certificates. Relation between mortality and surgically induced organ...... was pulmonary (6/28) and gastrointestinal (6/28), while the most common reported cause of death were pulmonary (9/28) and cardiac events (6/28). In five of the seven unlikely related deaths mortality was attributed to underlying cancer. CONCLUSION: Ninety-days mortality was 0.3% in THA and TKA, but only 28...

  13. Pathogenesis of morbidity after fast-track laparoscopic colonic cancer surgery

    DEFF Research Database (Denmark)

    Stottmeier, S; Harling, H; Wille-Jørgensen, P

    2011-01-01

    AIM: Analysis of the nature and time course of early complications after laparoscopic colonic surgery is required to allow rational strategies for their prevention and management. METHOD: One hundred and four consecutive patients who underwent elective fast-track laparoscopic colonic cancer surgery...... were analysed prospectively from the Danish Colorectal Cancer Database, supplemented by data from the medical records. We studied in detail the time course of morbidity and reasons for prolonged stay (> 3 days). RESULTS: Seventeen (16.3%) patients had one or more complications. Surgical complications...

  14. Design of a 300-Watt Isolated Power Supply for Ultra-Fast Tracking Converters

    DEFF Research Database (Denmark)

    Nguyen-Duy, Khiem; Ouyang, Ziwei; Petersen, Lars Press

    2015-01-01

    This paper presents the design of a medium-powerrating isolated power supply for ultra-fast tracking converters and MOS-gate driver circuits in medium and high voltage applications. The key feature of the design is its very low circuit input-to-output parasitic capacitance, which maximizes its...... noise immunity from noise due to fast changes in voltage. The converter is a voltage-controlled current source, utilizing a transformer with extremely low inter-winding parasitic capacitance, which is achieved by separating the windings by a significant distance. Experimental measurements show...

  15. Evaluation of a fast-track programme for patients undergoing liver resection

    DEFF Research Database (Denmark)

    Schultz, Nicolai A.; Larsen, Peter Nørgaard; Klarskov, Birthe Michaelsen

    2013-01-01

    removed early, and patients were mobilized and started eating and drinking from the day of surgery. An opioid-sparing multimodal pain treatment was given for the first week. Discharge criteria were: pain sufficiently controlled by oral analgesics alone, patient comfortable with discharge and no untreated......BACKGROUND: Recent developments in perioperative pathophysiology and care have documented evidence-based, multimodal rehabilitation (fast-track) to hasten recovery and to decrease morbidity and hospital stay for several major surgical procedures. The aim of this study was to investigate the effect...

  16. Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial

    Directory of Open Access Journals (Sweden)

    Swart Annemiek

    2006-11-01

    Full Text Available Abstract Background Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay. The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst track multimodal management versus standard care was conceived to determine whether laparoscopic surgery, fast track perioperative care or a combination of both is to be preferred over open surgery with standard care in patients having segmental colectomy for malignant disease. Methods/design The LAFA-trial is a double blinded, multicenter trial with a 2 × 2 balanced factorial design. Patients eligible for segmental colectomy for malignant colorectal disease i.e. right and left colectomy and anterior resection will be randomized to either open or laparoscopic colectomy, and to either standard care or the fast track program. This factorial design produces four treatment groups; open colectomy with standard care (a, open colectomy with fast track program (b, laparoscopic colectomy with standard care (c, and laparoscopic surgery with fast track program (d. Primary outcome parameter is postoperative hospital length of stay including readmission within 30 days. Secondary outcome parameters are quality of life two and four weeks after surgery, overall hospital costs, morbidity, patient satisfaction and readmission rate. Based on a mean postoperative hospital stay of 9 +/- 2.5 days a group size of 400 patients (100 each arm can reliably detect a minimum difference of 1 day between the four arms (alfa = 0.95, beta = 0.8. With 100 patients in each arm a difference of 10% in subscales of the Short Form 36 (SF-36 questionnaire and social functioning can be detected. Discussion The LAFA-trial is a randomized controlled multicenter trial that will provide evidence on the merits of fast track perioperative care and laparoscopic colorectal surgery in

  17. Does BMI influence hospital stay and morbidity after fast-track hip and knee arthroplasty?

    DEFF Research Database (Denmark)

    Husted, Henrik; Jørgensen, Christoffer C; Gromov, Kirill

    2016-01-01

    Background and purpose - Body mass index (BMI) outside the normal range possibly affects the perioperative morbidity and mortality following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in traditional care programs. We determined perioperative morbidity and mortality in such pat......Background and purpose - Body mass index (BMI) outside the normal range possibly affects the perioperative morbidity and mortality following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in traditional care programs. We determined perioperative morbidity and mortality...... in such patients who were operated with the fast-track methodology and compared the levels with those in patients with normal BMI. Patients and methods - This was a prospective observational study involving 13,730 procedures (7,194 THA and 6,536 TKA operations) performed in a standardized fast-track setting....... Complete 90-day follow-up was achieved using national registries and review of medical records. Patients were grouped according to BMI as being underweight, of normal weight, overweight, obese, very obese, and morbidly obese. Results - Median length of stay (LOS) was 2 (IQR: 2-3) days in all BMI groups. 30...

  18. A Fast Track approach to deal with the temporal dimension of crop water footprint

    Science.gov (United States)

    Tuninetti, Marta; Tamea, Stefania; Laio, Francesco; Ridolfi, Luca

    2017-07-01

    Population growth, socio-economic development and climate changes are placing increasing pressure on water resources. Crop water footprint is a key indicator in the quantification of such pressure. It is determined by crop evapotranspiration and crop yield, which can be highly variable in space and time. While the spatial variability of crop water footprint has been the objective of several investigations, the temporal variability remains poorly studied. In particular, some studies approached this issue by associating the time variability of crop water footprint only to yield changes, while considering evapotranspiration patterns as marginal. Validation of this Fast Track approach has yet to be provided. In this Letter we demonstrate its feasibility through a comprehensive validation, an assessment of its uncertainty, and an example of application. Our results show that the water footprint changes are mainly driven by yield trends, while evapotranspiration plays a minor role. The error due to considering constant evapotranspiration is three times smaller than the uncertainty of the model used to compute the crop water footprint. These results confirm the suitability of the Fast Track approach and enable a simple, yet appropriate, evaluation of time-varying crop water footprint.

  19. Fast-track program in laparoscopic liver surgery: Theory or fact?

    Science.gov (United States)

    Sánchez-Pérez, Belinda; Aranda-Narváez, José Manuel; Suárez-Muñoz, Miguel Angel; Eladel-Delfresno, Moises; Fernández-Aguilar, José Luis; Pérez-Daga, Jose Antonio; Pulido-Roa, Ysabel; Santoyo-Santoyo, Julio

    2012-11-27

    To analyze our results after the introduction of a fast-track (FT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic Unit. All patients (43) undergoing laparoscopic liver surgery between March 2004 and March 2010 were included and divided into two consecutive groups: Control group (CG) from March 2004 until December 2006 with traditional perioperative cares (17 patients) and fast-track group (FTG) from January 2007 until March 2010 with FT program cares (26 patients). Primary endpoint was the influence of the program on the postoperative stay, the amount of re-admissions, morbidity and mortality. Secondarily we considered duration of surgery, use of drains, conversion to open surgery, intensive cares needs and transfusion. Both groups were homogeneous in age and sex. No differences in technique, time of surgery or conversion to open surgery were found, but more malignant diseases were operated in the FTG, and then transfusions were higher in FTG. Readmissions and morbidity were similar in both groups, without mortality. Postoperative stay was similar, with a median of 3 for CG vs 2.5 for FTG. However, the 80.8% of patients from FTG left the hospital within the first 3 d after surgery (58.8% for CG). The introduction of a FT program after laparoscopic liver surgery improves the recovery of patients without increasing complications or re-admissions, which leads to a reduction of the stay and costs.

  20. The use of a break-even analysis: financial analysis of a fast-track program.

    Science.gov (United States)

    Saywell, R M; Cordell, W H; Nyhuis, A W; Giles, B K; Culler, S D; Woods, J R; Chu, D K; McKinzie, J P; Rodman, G H

    1995-08-01

    To calculate the financial break-even point and illustrate how changes in third-party reimbursement and eligibility could affect a program's fiscal standing. Demographic, clinical, and financial data were collected retrospectively for 446 patients treated in a fast-track program during June 1993. The fast-track program is located within the confines of the emergency medicine and trauma center at a 1,050-bed tertiary care Midwestern teaching hospital and provides urgent treatment to minimally ill patients. A financial break-even analysis was performed to determine the point where the program generated enough revenue to cover its total variable and fixed costs, both direct and indirect. Given the relatively low average collection rate (62%) and high percentage of uninsured patients (31%), the analysis showed that the program's revenues covered its direct costs but not all of the indirect costs. Examining collection rates or payer class mix without examining both costs and revenues may lead to an erroneous conclusion about a program's fiscal viability. Sensitivity analysis also shows that relatively small changes in third-party coverage or eligibility (income) requirements can have a large impact on the program's financial solvency and break-even volumes.

  1. Application of fast track surgery in routine nursing for patient with colorectal cancer.

    Science.gov (United States)

    Liu, Yongrui

    2017-12-01

    Objective : To investigate the clinical effect of fast track surgery (FTS) in perioperative nursing of colorectal cancer surgery. Background : In recent years, many complicated surgery began to develop in the direction of low invasion and short hospital time, which provides an unprecedented opportunity for the development of fast track surgery (FTS). Methods : According to different nursing measures, 156 cases of colorectal cancer patients treated in our hospital were divided into FTS nursing group (86 cases) and traditional nursing group (70 cases). FTS nursing care and traditional nursing care were respectively employed to analyze and compare postoperative recovery and complications of the two groups. Results : FTS nursing group was significantly shorter than the traditional care group in terms of the first postoperative exhaust time, the first defecation time, the first eating time, ambulation time and postoperative hospital time, with statistical significance ( P  < .05); compared with the conventional nursing group, FTS group significantly had lower incidence of postoperative intestinal obstruction, lower limb vein thrombus formation and gastrointestinal discomfort, with statistical significance ( P  < .05); FTS group has less situations of nausea and vomiting, incision infection, pulmonary infection, urinary tract infection and anastomotic leakage compared to the conventional nursing group. Conclusion : FTS nursing can effectively promote the postoperative recovery of intestinal function for patients with colorectal cancer and reduce the occurrence of postoperative complications, which will relieve postoperative pain and shorten the length of stay, giving patients increased rehabilitation quality.

  2. Psychopharmacologic treatment and blood transfusion in fast-track total hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Gylvin, Silas Hinsch; Jørgensen, Christoffer Calov; Fink-Jensen, Anders

    2017-01-01

    transfusion databases and The Danish National Database of Reimbursed Prescriptions for information regarding blood transfusions and psychopharmacologic treatment. All participating orthopedic centers followed similar perioperative guidelines. Multiple logistic regression analysis was applied to calculate odds...... ratios (ORs) for transfusion between preoperative users and nonusers of psychotropics. RESULTS Of 8402 patients, 569 (6.8%) were SSRI users versus 7833 (93.2%) nonusers. A total of 109 (19,2%) patients in the SSRI group and 700 (8.9%) in the “no-SSRI” group received blood intra- or postoperatively.......79-6.13). Singular use of antipsychotics (APs) increased the transfusion risk (OR, 2.37; 95% CI, 1.04-2.41), while AP medicine in combination with antidepressants did not. CONCLUSIONS Preoperative treatment with SSRIs, OAs, or APs are independent risk factors for blood transfusion in elective fast-track THA and TKA....

  3. Liberal or restrictive fluid administration in fast-track colonic surgery

    DEFF Research Database (Denmark)

    Holte, K; Foss, N B; Andersen, J

    2007-01-01

    BACKGROUND: Evidence-based guidelines on optimal perioperative fluid management have not been established, and recent randomized trials in major abdominal surgery suggest that large amounts of fluid may increase morbidity and hospital stay. However, no information is available on detailed...... surgery were randomized to 'restrictive' (Group 1) or 'liberal' (Group 2) perioperative fluid administration. Fluid algorithms were based on fixed rates of crystalloid infusions and a standardized volume of colloid. Pulmonary function (spirometry) was the primary outcome measure, with secondary outcomes...... of exercise capacity (submaximal exercise test), orthostatic tolerance, cardiovascular hormonal responses, postoperative ileus (transit of radio-opaque markers), postoperative nocturnal hypoxaemia, and overall recovery within a well-defined multimodal, fast-track recovery programme. Hospital stay...

  4. "Fast-track" strategies in long-term public disability programs around the world.

    Science.gov (United States)

    Rajnes, David

    2012-01-01

    Long-term public disability programs in the United States and several other countries have incorporated fast-track (FT) procedures that share a common goal of accelerating applicants through various stages of the disability determination process--generally for those with severe disabilities, blindness, or terminal illness. This article identifies a variety of FT procedures either implemented or under consideration in public long-term disability programs operated in the United States and other countries; compares FT procedures in those disability programs with respect to specific program features, differences with respect to the administrative components involved in those procedures, and the level of technology used; examines more generally why countries may consider implementing FT procedures; and describes how FT procedures may be employed to improve overall processing of claims and contribute to disability case management.

  5. First prototype of a silicon tracker using an artificial retina for fast track finding

    CERN Document Server

    Neri, N.; Caponio, F.; Citterio, M.; Coelli, S.; Fu, J.; Geraci, A.; Monti, M.; Petruzzo, M.; Bedeschi, F.; Marino, P.; Morello, M.J.; Piucci, A.; Punzi, G.; Spinella, F.; Stracka, S.; Walsh, J.; Ristori, L.; Tonelli, D.

    2014-01-01

    We report on the R\\&D for a first prototype of a silicon tracker based on an alternative approach for fast track finding. The working principle is inspired from neurobiology, in particular by the processing of visual images by the brain as it happens in nature. It is based on extensive parallelisation of data distribution and pattern recognition. In this work we present the design of a practical device that consists of a telescope based on single-sided silicon detectors; we describe the data acquisition system and the implementation of the track finding algorithms using available digital logic of commercial FPGA devices. Tracking performance and trigger capabilities of the device are discussed along with perspectives for future applications.

  6. Activity, Sleep and Cognition After Fast-Track Hip or Knee Arthroplasty

    DEFF Research Database (Denmark)

    Krenk, Lene; Jennum, Poul; Kehlet, Henrik

    2013-01-01

    postoperatively with actigraphs for sleep and activity assessment. Pain scores were recorded daily. Cognition was evaluated by 2 cognitive tests. Results showed a mean age was 70.5years and mean LOS was 2.6days. Actigraphs showed increased daytime sleep and decreased motor activity postoperatively. Early......Optimized perioperative care after total hip and knee arthroplasty (THA/TKA) has decreased length of stay (LOS) but data on activity, sleep and cognition after discharge are limited. We included 20 patients ≥60years undergoing THA/TKA, monitoring them for 3days preoperatively and 9days...... postoperatively cognitive decline and increased pain returned to preoperative levels by postoperative day (POD) 5-9. Despite the small sample size the study illustrated that post-discharge activity is decreased and daytime sleep is increased after fast-track THA/TKA, while cognition and pain return...

  7. Health preemption behind closed doors: trade agreements and fast-track authority.

    Science.gov (United States)

    Crosbie, Eric; Gonzalez, Mariaelena; Glantz, Stanton A

    2014-09-01

    Noncommunicable diseases result from consuming unhealthy products, including tobacco, which are promoted by transnational corporations. The tobacco industry uses preemption to block or reverse tobacco control policies. Preemption removes authority from jurisdictions where tobacco companies' influence is weak and transfers it to jurisdictions where they have an advantage. International trade agreements relocate decisions about tobacco control policy to venues where there is little opportunity for public scrutiny, participation, and debate. Tobacco companies are using these agreements to preempt domestic authority over tobacco policy. Other transnational corporations that profit by promoting unhealthy foods could do the same. "Fast-track authority," in which Congress cedes ongoing oversight authority to the President, further distances the public from the debate. With international agreements binding governments to prioritize trade over health, transparency and public oversight of the trade negotiation process is necessary to safeguard public health interests.

  8. FATRAS - A Novel Fast Track Simulation Engine for the ATLAS Experiment

    CERN Document Server

    Fleischmann, S; The ATLAS collaboration

    2010-01-01

    Monte Carlo simulation of the detector response is an inevitable part of any kind of analysis which is performed with data from the LHC experiments. These simulated data sets are needed with large statistics and high precision level, which makes their production a CPU-cost intensive task. ATLAS has thus concentrated on optimizing both full and fast detector simulation techniques to achieve this goal within the computing limits of the collaboration. At the early stages of data-taking, in particular, it is necessary to reprocess the Monte Carlo event samples continuously, while integrating adaptations to the simulation modules to improve the agreement with the data taken from the detector itself. We present a new, fast track simulation engine which establishes a full Monte Carlo simulation which is based on modules and the geometry of the ATLAS standard track reconstruction application. This is combined with a fast parametric-response simulation of the Calorimeter. This approach shows a high level of agreement ...

  9. The value of materials R&D in the fast track development of fusion power

    Science.gov (United States)

    Ward, D. J.; Taylor, N. P.; Cook, I.

    2007-08-01

    The objective of the international fusion program is the creation of power plants with attractive safety and environmental features and viable economics. There is a range of possible plants that can meet these objectives, as studied for instance in the recent EU studies of power plant concepts. All of the concepts satisfy safety and environmental objectives but the economic performance is interpreted differently in different world regions according to the perception of future energy markets. This leads to different materials performance targets and the direction and timescales of the materials development programme needed to meet those targets. In this paper, the implications for materials requirements of a fast track approach to fusion development are investigated. This includes a quantification of the overall benefits of more advanced materials: including the effect of trading off an extended development time against a reduced cost of electricity for resulting power plants.

  10. Impact of the fast track prevention program on health services use by conduct-problem youth.

    Science.gov (United States)

    Jones, Damon; Godwin, Jennifer; Dodge, Kenneth A; Bierman, Karen L; Coie, John D; Greenberg, Mark T; Lochman, John E; McMahon, Robert J; Pinderhughes, Ellen E

    2010-01-01

    We tested the impact of the Fast Track conduct disorder prevention program on the use of pediatric, general health, and mental health services in adolescence. Participants were 891 public kindergarten boys and girls screened from a population of 9594 children and found to be at risk for conduct disorder. They were assigned randomly (by school) to intervention or control conditions and were followed for 12 years. Intervention lasted 10 years and included parent training, child social-cognitive skills training, reading tutoring, peer-relations enhancement, and classroom curricula and management. Service use was assessed through annual interviews of parents and youth. Youth assigned to preventive intervention had significantly reduced use of professional general health, pediatric, and emergency department services relative to control youth on the basis of parent-report data. For control-group youth, the odds of greater use of general health services for any reason and general health services use for mental health purposes were roughly 30% higher and 56% higher, respectively. On the basis of self-report data, the intervention reduced the likelihood of outpatient mental health services among older adolescents for whom odds of services use were more than 90% higher among control-group youth. No differences were found between intervention and control youth on the use of inpatient mental health services. Statistical models controlled for key study characteristics, and potential moderation of the intervention effect was assessed. Random assignment to the Fast Track prevention program is associated with reduced use of general health and outpatient mental health services in adolescents. Future studies should examine the mechanism of this impact and service use patterns as subjects reach young adulthood.

  11. Network calculation in the low voltage network of the Düsseldorf utility company in respect of future electromobility

    OpenAIRE

    Sánchez García, Josefina

    2011-01-01

    Nowadays, everybody talk about Electromobility as something revolutionary but distant. Over recent years there has been a given social awareness about global warming due to greenhouse gases. People are aware of the need of changing in order to the current situation does not harm future generations. This has resulted in policies and laws at national and European level, in addition to global agreements like the Kyoto protocol, and more recently the Copenhagen summit. In particula...

  12. Serious renal and urological complications in fast-track primary total hip and knee arthroplasty; a detailed observational cohort study

    DEFF Research Database (Denmark)

    Bjerregaard, Lars S; Jorgensen, Christoffer C; Kehlet, Henrik

    2016-01-01

    BACKGROUND: Overall medical complications have been reduced after fast-track total hip (THA) and knee arthroplasty (TKA), but data on specific renal and urological (RU) complications are limited. METHODS: To describe the incidence and consequences of serious RU complications resulting in length o...

  13. Introducing the fast track surgery principles can reduce length of stay after autologous breast reconstruction using free flaps

    DEFF Research Database (Denmark)

    Bonde, Christian; Khorasani, Hoda; Eriksen, Kirsten

    2015-01-01

    INTRODUCTION: The concept of fast-track surgery (FTS) is a peri- and postoperative care concept developed to reduce length of hospital stay (LOS) and morbidity after surgery. FTS programmes have been reported from other surgical specialities, but there are few reports of FTS in plastic surgery. M...

  14. Fast-track, ambulatory ultrasound-guided Tru-Cut liver biopsy is feasible and cost-efficient

    DEFF Research Database (Denmark)

    Huang, Chenxi; Lorentzen, Torben; Skjoldbye, Bjørn

    2015-01-01

    safely discharged from our institution. No fatality or long-term complications were found during this study. CONCLUSION: The fast-track approach reported herein is a feasible option when adequate patient information is given. Besides the obvious, positive effect on patient logistics and departmental...

  15. Fast-track, ambulatory ultrasound-guided Tru-Cut liver biopsy is feasible and cost-efficient

    DEFF Research Database (Denmark)

    Huang, Chenxi; Lorentzen, Torben; Skjoldbye, Bjørn

    2015-01-01

    INTRODUCTION: Most institutions perform percutaneous liver biopsy with a post-biopsy patient observation period lasting up to eight hours, which is resource-demanding. This study aimed to evaluate the safety of liver biopsy performed in a fast-track set-up with an only one-hour post-biopsy observ......INTRODUCTION: Most institutions perform percutaneous liver biopsy with a post-biopsy patient observation period lasting up to eight hours, which is resource-demanding. This study aimed to evaluate the safety of liver biopsy performed in a fast-track set-up with an only one-hour post......-biopsy observation time. METHODS: Patients referred to our institution underwent fast-track ultrasound-guided 18-gauge Tru-Cut liver biopsy procedures. Each single biopsy procedure was followed by a post-procedure observational period of one hour and an additional focused assessment with sonography for trauma before...... safely discharged from our institution. No fatality or long-term complications were found during this study. CONCLUSION: The fast-track approach reported herein is a feasible option when adequate patient information is given. Besides the obvious, positive effect on patient logistics and departmental...

  16. A prospective randomized trial comparing traditional and fast-track patient care in elective open infrarenal aneurysm repair.

    Science.gov (United States)

    Muehling, Bernd; Schelzig, Hubert; Steffen, Peter; Meierhenrich, Rainer; Sunder-Plassmann, Ludger; Orend, Karl-Heinz

    2009-03-01

    Fast-track recovery programs have led to reduced patient morbidity and mortality after major surgery. In terms of elective open infrarenal aneurysm repair, no evidence is available about such programs. To address this issue, we have conducted a randomized prospective pilot study. The study involved prospective randomization of 101 patients with the indication for elective open aneurysm repair in a traditional and a fast-track treatment arm. The basic fast-track elements were no bowel preparation, reduced preoperative fasting, patient-controlled epidural analgesia (PCEA), enhanced postoperative feeding, and postoperative mobilization. Morbidity and mortality, need for postoperative mechanical ventilation, length of stay (LOS) in the intensive care unit (ICU) and total length of postoperative hospital stay were analyzed in terms of an intention to treat. Demographic data for the two groups were similar. In the fast-track group the need for postoperative ventilation was significantly lower (6.1% versus 32%; p = 0.002), the median LOS on ICU did not significantly differ (20 h versus 32 h; p = 0.183), full enteral feeding was achieved significantly earlier (5 versus 7 days; p < 0.0001), and the rate of postoperative medical complications-gastrointestinal, cardiac, pulmonary, renal, and infective-was significantly lower (16% versus 36%; p = 0.039). The postoperative hospital stay was significantly shorter in the fast-track group (10 days versus 11 days; p = 0.016); the mortality rate in both groups was 0%. An optimized patient care program in open infrarenal aortic aneurysm repair shows favorable results concerning need for postoperative assisted mechanical ventilation, time to full enteral feeding, and incidence of medical complications. Further ranomized multicentric trials are necessary to justify broad implementation (clinical trials. gov identifier NCT 00615888).

  17. Experience with "Fast track" postoperative care after deep brain stimulation surgery.

    Science.gov (United States)

    Martín, Nuria; Valero, Ricard; Hurtado, Paola; Gracia, Isabel; Fernández, Carla; Rumià, Jordi; Valldeoriola, Francesc; Carrero, Enrique J; Tercero, Francisco Javier; de Riva, Nicolás; Fàbregas, Neus

    A 24-h-stay in the post-anesthesia care unit (PACU) is a common postoperative procedure after deep brain stimulation surgery (DBS). We evaluated the impact of a fast-track (FT) postoperative care protocol. An analysis was performed on all patients who underwent DBS in 2 periods: 2006, overnight monitored care (OMC group), and 2007-2013, FT care (FT group). The study included 19 patients in OMC and 95 patients in FT. Intraoperative complications occurred in 26.3% patients in OMC vs. 35.8% in FT. Post-operatively, one patient in OMC developed hemiparesis, and agitation in 2 patients. In FT, two patients with intraoperative hemiparesis were transferred to the ICU. While on the ward, 3 patients from the FT developed hemiparesis, two of them 48h after the procedure. Thirty eight percent of FT had an MRI scan, while the remaining 62% and all patients of OMC had a CT-scan performed on their transfer to the ward. One patient in OMC had a subthalamic hematoma. Two patients in FT had a pallidal hematoma, and 3 a bleeding along the electrode. A FT discharge protocol is a safe postoperative care after DBS. There are a small percentage of complications after DBS, which mainly occur within the first 6h. Copyright © 2016 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Fertility and the fast-track: Continued childbearing among professionals in Sweden, 1991-2009

    Directory of Open Access Journals (Sweden)

    Maria Stanfors

    2014-08-01

    Full Text Available Background: During recent decades women have made considerable advances in education and the labor market, even in fast-track professions such as law, medicine, and academia. While women have entered high-status professions, the career paths of some jobs have changed little and are still inflexible, which implies that professional gains may be offset by familial losses. Objective: We investigate continued childbearing, focusing on the relationship between occupation and second and third births, among highly educated men and women in three high-status professions. Methods: We analyze the determinants of having a second or a third birth using longitudinal data from population registers in Sweden, 1991-2009. We use descriptive statistics and logistic models. Results: Net of demographic and socioeconomic controls, medical doctors are more likely to continue childbearing than lawyers and academics, irrespective of parity and gender. The patterns that emerge are independent of income. Public sector work is conducive to continued childbearing, especially for women. Conclusions: Although there are more opportunities to combine career and family in Sweden than in many other countries, this does not hold equally for all. The results indicate that working conditions and career structures contribute to making it easier for some groups than others to combine a professional career and children. Patterns that emerge reflect that women and men are not equally sensitive to career structures that imply a tradeoff between career and children at an early stage of the career. This puts policies promoting work and family for all into perspective.

  19. Dental fast track: prenatal enamel growth, incisor eruption, and weaning in human infants.

    Science.gov (United States)

    Mahoney, Patrick

    2015-03-01

    Correlation between the timing of permanent first molar eruption and weaning age in extant primates has provided a way to infer a life history event in fossil species, but recent debate has questioned whether the same link is present in human infants. Deciduous incisors erupt at an age when breast milk can be supplemented with additional foods (mixed feeding), and weaning is typically complete before permanent first molars erupt. Here, I use histological methods to calculate the prenatal rate by which enamel increases in thickness and height on human deciduous incisors, canines, and molars (n = 125). Growth trajectories for each tooth type are related to the trimesters and assessed against the eruption sequence and final crown height. Analyses show that central incisors initiate early in the second trimester with significantly faster secretion rates relative to canines and second molars, which initiate closer to birth. Even though initial extension rates were correlated with crown height and scaled with positive allometry within each tooth class, the relatively short incisors still increased in height at a significantly faster rate than the taller canines and molars. The incisor prenatal "fast track" produces a greater proportion of the crown before birth than all other tooth types. This growth mechanism likely facilitates early incisor eruption at a time when the mixed feeding of infants can be initiated as part of the weaning process. Findings provide a basis from which to explore new links between developmental trends along the tooth row and mixed feeding age in other primates. © 2014 Wiley Periodicals, Inc.

  20. Orchestrating care through the fast-track perspective: Orthopaedic nurses’ perceptions and experiences of providing individualised nursing care in older patients’ standardised fast-track programmes after total hip or knee replacement

    DEFF Research Database (Denmark)

    Bøttcher Berthelsen, Connie; Frederiksen, Kirsten

    2017-01-01

    individualised care-related actions in the fast-track programme. The study concluded that, even though the nurses struggled to comply with the programme, they still found themselves compromising their nursing care and ethics to follow the standardised regime. There is a need to establish more specific inclusion......The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised...... fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim...

  1. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty

    DEFF Research Database (Denmark)

    Jans, Øivind; Jørgensen, Christoffer; Kehlet, Henrik

    2014-01-01

    BACKGROUND: Preoperative anemia has been associated with increased risk of allogeneic blood transfusion and postoperative morbidity and mortality. The prevalence of preoperative anemia and its association with postoperative outcomes has not previously been reported in relation to fast...... DESIGN AND METHODS: This was a prospective observational database study with data obtained from six high-volume Danish fast-track surgical centers. Preoperative hemoglobin and patient demographics were collected prospectively using questionnaires while outcome and transfusion data were collected using......-track elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). We aimed to evaluate the prevalence of preoperative anemia in elective fast-track THA and TKA and its association with risk of perioperative transfusion, prolonged length of hospital stay (LOS), and postoperative readmission. STUDY...

  2. A "package solution" fast track program can reduce the diagnostic waiting time in head and neck cancer

    DEFF Research Database (Denmark)

    Sørensen, Jesper Roed; Johansen, Jørgen; Gano, Lars

    2014-01-01

    In 2007, a fast track program for patients with suspicion of head and neck cancer (HNC) was introduced in Denmark to reduce unnecessary waiting time. The program was based on so called "package solutions" including pre-booked slots for outpatient evaluation, imaging, and diagnostic surgical...... procedures. The purpose of this study is to present a model for fast track handling of patients suspicious of cancer in the head and neck region and to evaluate the effect of implementation on the diagnostic work up time. Patients with suspicion of HNC referred to the same university department of ENT Head...... and Neck Surgery during three comparable time intervals 2006-2007, 2007-2008, and 2011-2012 (groups 1-3) were investigated. We recorded the time from patient referral, to first consultation and final diagnosis. The first interval was before initiation of the "package solution", the second just after...

  3. Fast-track, ambulatory ultrasound-guided Tru-Cut liver biopsy is feasible and cost-efficient

    DEFF Research Database (Denmark)

    Huang, Chenxi; Lorentzen, Torben; Skjoldbye, Bjørn

    2015-01-01

    INTRODUCTION: Most institutions perform percutaneous liver biopsy with a post-biopsy patient observation period lasting up to eight hours, which is resource-demanding. This study aimed to evaluate the safety of liver biopsy performed in a fast-track set-up with an only one-hour post......-biopsy observation time. METHODS: Patients referred to our institution underwent fast-track ultrasound-guided 18-gauge Tru-Cut liver biopsy procedures. Each single biopsy procedure was followed by a post-procedure observational period of one hour and an additional focused assessment with sonography for trauma before...... throughput, this approach may also reduce diagnostic work-up time and bring financial benefits. Therefore, we encourage the use of this approach in institutions comparable to our own. FUNDING: not relevant. TRIAL REGISTRATION: not relevant....

  4. Innovation

    Science.gov (United States)

    EPA frames innovation as critical to the protection of human health and the environment through initiatives such as sustainable practices, innovative research, prize competitions, innovation awards, partnerships, and community activities.

  5. Psychopharmacologic treatment and blood transfusion in fast-track total hip and knee arthroplasty.

    Science.gov (United States)

    Gylvin, Silas Hinsch; Jørgensen, Christoffer Calov; Fink-Jensen, Anders; Johansson, Pär I; Kehlet, Henrik

    2017-04-01

    Selective serotonin reuptake inhibitors (SSRIs) and other psychotropics are receiving increasing attention due to reports on inhibition of thrombocyte function and an increased bleeding risk in surgical settings. Studies in total hip and total knee arthroplasty (THA and TKA, respectively) have shown conflicting results, questioning whether the potential increased bleeding risk is of clinical importance. Prospective consecutive collection of data on preoperative comorbidity in patients undergoing primary unilateral THA or TKA was cross-referenced with regional transfusion databases and The Danish National Database of Reimbursed Prescriptions for information regarding blood transfusions and psychopharmacologic treatment. All participating orthopedic centers followed similar perioperative guidelines. Multiple logistic regression analysis was applied to calculate odds ratios (ORs) for transfusion between preoperative users and nonusers of psychotropics. Of 8402 patients, 569 (6.8%) were SSRI users versus 7833 (93.2%) nonusers. A total of 109 (19,2%) patients in the SSRI group and 700 (8.9%) in the "no-SSRI" group received blood intra- or postoperatively. Preoperative SSRI treatment was a risk factor for perioperative transfusion (OR, 1.98; 95% confidence interval [CI], 1.44-2.70). Other antidepressants (OAs) were associated with an increased risk of transfusion (OR, 1.69; 95% CI, 1.17-2.44) as well as the combination of SSRIs and OAs (OR, 3.31; 95% CI, 1.79-6.13). Singular use of antipsychotics (APs) increased the transfusion risk (OR, 2.37; 95% CI, 1.04-2.41), while AP medicine in combination with antidepressants did not. Preoperative treatment with SSRIs, OAs, or APs are independent risk factors for blood transfusion in elective fast-track THA and TKA. © 2017 AABB.

  6. [Application of clinical nursing pathway in fast-track program of splenomegaly advanced schistosomiasis patients].

    Science.gov (United States)

    Zhou, Rui-hong; Liu, Jia-xin; Pan, Jie; Zhou, Lu; Liu, Ling; Li, Qin

    2015-10-01

    To evaluate the effect of clinical nursing pathway in fast-track program (FTS-CNP) in splenomegaly advanced schistosomiasis patients during the perioperative period. A total of 80 patients with splenomegaly advanced schistosomiasis who were treated with selective operation in the Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases from January, 2012 to December, 2014 were divided into an observation group (n = 40) and a control group (n = 40). FTS-CNP was implemented in the observation group, while the routine nursing was used in the control group. Then the physical rehabilitation and psychological health levels of the patients in the two groups post-operation were observed and compared. After the operation, the duration of first taking food [(14.67 ± 2.90) h], first anus exhausting [(25.30 ± 3.46) h], first off-bed activity [ (29.40 ± 5.57) h], as well as the duration of hospital stays [(19.00 ± 2.82) d] of patients in the observation group were all shorter than those of the patients in the control group [(44.50 ± 6.71) h, (52.80 ± 6.95) h, (35.05 ± 10.37) h, (25.08 ± 2.39) d, respectively] , and the incidence rate of postoperative complications (7.50%) of the former was lower than that of the latter (25.00%), and all the differences were statistically significant (all P observation group were lower than those of the patients in the control group (46.89 8.92, 47.06 ± 10.29), both differences were statistically significant (both P < 0.01). FTS-CNP can promote the physical and psychological recovery of the splenomegaly advanced schistosomiasis patients post-operation, and also can shorten the hospitals stays and reduce the complications.

  7. Fast track-finding processor based on RAM look-up table for the VENUS detector at KEK

    Energy Technology Data Exchange (ETDEWEB)

    Ohsugi, T.; Chiba, Y.; Hayashibara, I.; Taketani, A.; Yasuishi, S.; Arai, Y.; Sakamoto, H.; Uehara, S.

    1988-06-20

    We have developed a fast track-finding processor using signals from the central tracking chamber of the VENUS detector in the TRISTAN experiments. Particle tracks are recognized by a look-up table made with a high-speed static RAM. This method enables us to implement the track finder in the first level triggering. The track finder has been working excellently under heavy background due to synchroton radiation. A processing time of 110 ns is attained.

  8. Fast-track recovery technique applied to primary total hip and knee replacement surgery. Analysis of costs and complications.

    Science.gov (United States)

    Wilches, C; Sulbarán, J D; Fernández, J E; Gisbert, J M; Bausili, J M; Pelfort, X

    To determine the cost reduction and complication rates of using an enhanced recovery pathway (Fast-track) when compared to traditional recovery in primary total hip replacement (THR) and total knee replacement (TKR), as well as to determine if there were significant differences in complication rates. Retrospective review of 100 primary total arthroplasties using the Fast-track recovery system and another 100 using conventional recovery. Gender, Charlston comorbidity index, ASA score, length of stay and early complications were measured, as well in-hospital complications and those in the first six months, re-admissions and transfusion rates. The total and daily cost of stay was determined and the cost reduction was calculated based on the reduction in the length of stay found between the groups. Both groups where comparable as regards age, gender, ASA score, and Charlston index. The mean reduction in length of stay was 4.5 days for TKR and 2.1 days for THR. The calculated cost reduction was 1266 euros for TKR and 583 euros for THR. There were no statistically significant differences between groups regarding in-hospital complications, transfusion requirements, re-admissions and complication rates in the first six months. There are few publications in the literature reviewed that analyse the cost implications of using fast-track recovery protocols in arthroplasty. Several published series comparing recovery protocols found no significant differences in complication rates either. The use of a fast-track recovery protocol resulted in a significant cost reduction of 1266 euros for the TKR group and 583 for the THR group, without affecting complication rates. Copyright © 2016 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Fast-track pathway for reduction of dislocated hip arthroplasty reduces surgical delay and length of stay

    DEFF Research Database (Denmark)

    Gromov, Kirill; Willendrup, Fatin; Palm, Henrik

    2015-01-01

    -track patients with a suspected dislocation (with no radiographic verification) were moved directly to the post-anesthesia care unit and then straight to the operating room. Dislocation was confirmed under fluoroscopy with reduction under general anesthesia. Surgical delay (in hours), LOS (in hours......), perioperative complications, and complications during the hospital stay were recorded. Dislocation status for fast-track patients (confirmed or unconfirmed by fluoroscopy) was also recorded. RESULTS: Both surgical delay (2.5 h vs. 4.1 h; p

  10. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty.

    Science.gov (United States)

    Jans, Øivind; Jørgensen, Christoffer; Kehlet, Henrik; Johansson, Pär I

    2014-03-01

    Preoperative anemia has been associated with increased risk of allogeneic blood transfusion and postoperative morbidity and mortality. The prevalence of preoperative anemia and its association with postoperative outcomes has not previously been reported in relation to fast-track elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). We aimed to evaluate the prevalence of preoperative anemia in elective fast-track THA and TKA and its association with risk of perioperative transfusion, prolonged length of hospital stay (LOS), and postoperative readmission. This was a prospective observational database study with data obtained from six high-volume Danish fast-track surgical centers. Preoperative hemoglobin and patient demographics were collected prospectively using questionnaires while outcome and transfusion data were collected using national databases and patient charts. Adjusted risk estimates for transfusion, prolonged LOS, and all-cause readmission according to preoperative anemia status were obtained by multivariate logistic regression. A total of 5.165 THA or TKA procedures were included with a mean patient age of 67 ± 11 years and a median LOS of 2 (interquartile range, 2-3) days. A total of 662 patients (12.8%) had preoperative anemia according to World Health Organization classification. Preoperative anemia was associated with increased risk of receiving transfusion during admission (odds ratio [OR], 4.7; 95% confidence interval [CI], 3.8-5.8), increased risk of readmission within 90 days from surgery (OR, 1.4; 95% CI, 1.1-1.9), and increased risk of LOS of more than 5 days (OR, 2.5; 95% CI, 1.9-3.4) after adjustment for preoperative patient-related risk factors. Preoperative anemia in elective fast-track THA and TKA is independently associated with transfusion and increased postoperative morbidity, supporting the need for preoperative evaluation and treatment. © 2013 American Association of Blood Banks.

  11. Thigh and knee circumference, knee-extension strength, and functional performance after fast-track total hip arthroplasty

    DEFF Research Database (Denmark)

    Holm, Bente; Kristensen, Morten Tange; Husted, Henrik

    2011-01-01

    OBJECTIVE: To (1) quantify changes in knee-extension strength and functional-performance at discharge after fast-track total hip arthroplasty (THA) and (2) investigate whether these changes correlate to changes in thigh and knee circumference (ie, swelling) or pain. DESIGN: A prospective, descrip......OBJECTIVE: To (1) quantify changes in knee-extension strength and functional-performance at discharge after fast-track total hip arthroplasty (THA) and (2) investigate whether these changes correlate to changes in thigh and knee circumference (ie, swelling) or pain. DESIGN: A prospective......, descriptive, hypothesis-generating study. SETTING: A special unit for fast-track hip and knee arthroplasty operations at a university hospital. PARTICIPANTS: Twenty-four patients (20 women and 4 men; ages 69 ± 6.1 years) scheduled for primary unilateral THA. METHODS: All patients were evaluated before surgery...... and on the day of hospital discharge. MAIN OUTCOME MEASURES: Knee-extension strength, thigh and knee joint circumference, hip pain, and functional performance (Timed Up & Go, 30-Second Chair Stand, and 10-Meter Walk tests). RESULTS: All investigated variables changed significantly from before to after surgery...

  12. Safeguarding Self-Governance: A Grounded Theory of Older Patients’ Pattern of Behavior in Relation to their Relatives in Fast-track Programs

    DEFF Research Database (Denmark)

    Berthelsen, Connie B.; Frederiksen, Kirsten; Lindhardt Damsgaard, Tove

    2014-01-01

    Abstract The aim of this study was to generate a grounded theory of older patients’ pattern of behavior in relation to their relatives’ involvement in fast-track programs during total joint replacement. Sixteen patients were recruited in orthopedic wards. Data collection included 11 interviews...... with patients and 15 non-participant observations of interactions between patients, relatives, and health professionals during scheduled meetings throughout the fast-track program. The constant comparative method was used for simultaneous data collection, data analysis, and coding. Safeguarding self......, shielding, distancing, and masking. Keywords: Fast-track program, grounded theory, older patients, relatives, total joint replacement....

  13. Safeguarding Self-Governance: A Grounded Theory of Older Patients’ Pattern of Behavior in Relation to their Relatives in Fast-track Programs

    DEFF Research Database (Denmark)

    Berthelsen, Connie B.; Frederiksen, Kirsten; Lindhardt Damsgaard, Tove

    2014-01-01

    Abstract The aim of this study was to generate a grounded theory of older patients’ pattern of behavior in relation to their relatives’ involvement in fast-track programs during total joint replacement. Sixteen patients were recruited in orthopedic wards. Data collection included 11 interviews......-governance emerged in the analysis as the core category of our theory and pattern of behavior of the older patients in relation to their relatives. The older patients’ main concern was to complete the fast-track program while maintaining autonomy, which they resolved through four strategies of actions: embracing......, shielding, distancing, and masking. Keywords: Fast-track program, grounded theory, older patients, relatives, total joint replacement....

  14. Integrative taxonomy on the fast track - towards more sustainability in biodiversity research.

    Science.gov (United States)

    Riedel, Alexander; Sagata, Katayo; Suhardjono, Yayuk R; Tänzler, Rene; Balke, Michael

    2013-03-27

    A so called "taxonomic impediment" has been recognized as a major obstacle to biodiversity research for the past two decades. Numerous remedies were then proposed. However, neither significant progress in terms of formal species descriptions, nor a minimum standard for descriptions have been achieved so far. Here, we analyze the problems of traditional taxonomy which often produces keys and descriptions of limited practical value. We suggest that phylogenetics and phenetics had a subtle and so far unnoticed effect on taxonomy leading to inflated species descriptions. The term "turbo-taxonomy" was recently coined for an approach combining cox1 sequences, concise morphological descriptions by an expert taxonomist, and high-resolution digital imaging to streamline the formal description of larger numbers of new species. We propose a further development of this approach which, together with open access web-publication and automated pushing of content from journal into a wiki, may create the most efficient and sustainable way to conduct taxonomy in the future. On demand, highly concise descriptions can be gradually updated or modified in the fully versioned wiki-framework we use. This means that the visibility of additional data is not compromised, while the original species description -the first version- remains preserved in the wiki, and of course in the journal version. A DNA sequence database with an identification engine replaces an identification key, helps to avoid synonyms and has the potential to detect grossly incorrect generic placements. We demonstrate the functionality of a species-description pipeline by naming 101 new species of hyperdiverse New Guinea Trigonopterus weevils in the open-access journal ZooKeys. Fast track taxonomy will not only increase speed, but also sustainability of global species inventories. It will be of great practical value to all the other disciplines that depend on a usable taxonomy and will change our perception of global

  15. Innovation

    DEFF Research Database (Denmark)

    Nielsen, Janni; Yaganeh, Suzanne; Bloch Rasmussen, Leif

    2013-01-01

    This paper contributes to a theoretical discussion of creation of innovation with participants in, or outside, organisations. We address the creation of innovation with a complex theoretical understanding drawing on the Scandinavian and the Participatory Design tradition introducing two approaches...... to the processes of innovation. We ask if innovation can be initiated and enhanced looking at two collaborative approaches; participatory innovation (PIN) and cooperative innovation (COIN). We invite to dialogue and reflections on PIN’s conflict and creative frictions on one side and COIN’s complexity......, complementarity in diversity and the didactic scaffolding of the innovation process on the other side. Our contribution focuses on the methods and practices for facilitation of co-creating activities between different groups leading to cooperation, and innovation in thinking....

  16. Fall-related admissions after fast-track total hip and knee arthroplasty - cause of concern or consequence of success?

    DEFF Research Database (Denmark)

    Jørgensen, Christoffer C; Kehlet, Henrik; Hansen, Torben Bæk

    2013-01-01

    Total hip (THA) and knee arthroplasty (TKA) are common procedures in elderly persons, who are at potential increased risk of postoperative fall due to loss of muscle strength and impaired balance. Fast-track surgery with early mobilization and opioid-sparing analgesia have improved outcomes after...... these procedures, but early mobilization and short hospitalization length of stay (LOS) could potentially increase the risk of falls after discharge. We investigated injuries, circumstances, and the timing of fall-related hospital admissions 90 days after fasttrack THA and TKA....

  17. 'Fast-track' colonic surgery in Austria and Germany--results from the survey on patterns in current perioperative practice.

    Science.gov (United States)

    Hasenberg, T; Keese, M; Längle, F; Reibenwein, B; Schindler, K; Herold, A; Beck, G; Post, S; Jauch, K W; Spies, C; Schwenk, W; Shang, E

    2009-02-01

    'Fast-track' rehabilitation has been shown to accelerate recovery, reduce general morbidity and decrease hospital stay after elective colonic surgery. Despite this evidence, there is no information on the acceptance and utilization of these concepts among the entirety of Austrian and German surgeons. In 2006, a questionnaire concerning perioperative routines in elective, open colonic resection was sent to the chief surgeons of 1270 German and 120 Austrian surgical centres. The response rate was 63% in Austria (76 centres) and 30% in Germany (385 centres). Mechanical bowel preparation is used by the majority (Austria, 91%; Germany, 94%); the vertical incision is the standard method of approach to the abdomen in Austria (79%) and Germany (83%), nasogastric decompression tubes are rarely used, one-third of the questioned surgeons in both countries use intra-abdominal drains. Half of the surgical centres allow the intake of clear fluids on the day of surgery and one-fifth offer solid food on that day. Epidural analgesia is used in three-fourths of the institutions. Although there is an evident benefit of fast-track management, the survey shows that they are not yet widely used as a routine in Austria and Germany.

  18. Innovation

    OpenAIRE

    2009-01-01

    Il s’agit du second ouvrage paru dans le cadre du projet « Innovation und Recht », financé par la Fondation Volkswagen. D’approche interdisciplinaire, celui-ci a pour ambition de dé­terminer l’impact du droit existant sur l’innovation en vue de le faire évoluer. Au regard du droit de la concurrence et de la régulation sectorielle actuels, les auteurs se consacrent aux possibilités offertes par une orientation accrue vers l’innovation, notamment dans le secteur prometteur des télécommunication...

  19. A renal colic fast track pathway to improve waiting times and outcomes for patients presenting to the emergency department

    Directory of Open Access Journals (Sweden)

    Al Kadhi O

    2017-07-01

    Full Text Available Omar Al Kadhi,1 Kate Manley,1 Madhavi Natarajan,1 Valmiki Lutchmedial,2 Abbi Forsyth,2 Kate Tabrett,2 Jonathan Betteridge,2 William Finch,3 Heinrich Hollis4 1Department of Urology, Norfolk and Norwich University Hospitals NHS Foundation Trust, 2Faculty of Medicine and Health Sciences, University of East Anglia, 3Department of Urology, 4Department of Emergency Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK Introduction: Renal colic is commonly encountered in the emergency department (ED. We validated a fast track renal colic (FTRC initiative to decrease patient waiting times and streamline patient flow.Method: The FTRC pathway was devised according to the National Institute for Health and Care Excellence clinical summary criteria for the management of patients with suspected renal colic. ED triage nurses use the pathway to identify patients with likely renal colic suitable for fast track to analgesia, investigation and management. Investigations, diagnosis and patient demographics were recorded for 1157 consecutive patients coded as renal colic at a single-center ED over 12 months.Results: Three hundred and two patients were suitable for the FTRC pathway (26.1%, while 855 were seen by the ED clinicians prior to onward referral. Also, 83.9% of patients underwent computed tomography scan. In the FTRC group, 57.3% of patients had radiologically confirmed calculi versus 53.8% in the non-FTRC group (p=0.31. Alternative diagnoses among FTRC patients (2.6% included ovarian pathology (n=1, diverticulitis (n=2 and incidental renal cell carcinoma (n=2, while 26.1% had no identifiable pathology. No immediately life-threatening diagnoses were identified on imaging. Computed tomography scans performed in the non-FTRC group identified two ruptured abdominal aortic aneurysms and alternative diagnoses (2.57% including ovarian pathology (n=7, cholecystitis (n=2, incidental renal cell carcinoma (n=3 and inflammatory bowel

  20. Spouses’ involvement in older patients’ fast-track programmes during total hip replacement using case management intervention. A study protocol of the SICAM-trial

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Kristensson, Jimmie

    2015-01-01

    Aim To present the protocol of a two-group quasi-experimental study of spouses’ involvement through case management (The SICAM-trial) in older patients’ fast-track programmes during total hip replacement. Background Patients in fast-track programmes are required to take an active part...... and subsequently include the intervention group to avoid contamination of the control group. A case manager will be recruited to perform the case management intervention. Data will be collected from both groups at baseline, 2 weeks and 3 months after surgery. Outcome measures for patients include: functional...... to education of the health professionals in their need to include relatives in fast-track programmes. The study was funded by the Novo Nordisk Foundation and the Regional Health Scientific Foundation of Sealand....

  1. How Big Data Fast Tracked Human Mobility Research and the Lessons for Animal Movement Ecology

    Directory of Open Access Journals (Sweden)

    Michele Thums

    2018-02-01

    Full Text Available The rise of the internet coupled with technological innovations such as smartphones have generated massive volumes of geo-referenced data (big data on human mobility. This has allowed the number of studies of human mobility to rapidly overtake those of animal movement. Today, telemetry studies of animals are also approaching big data status. Here, we review recent advances in studies of human mobility and identify the opportunities they present for advancing our understanding of animal movement. We describe key analytical techniques, potential bottlenecks and a roadmap for progress toward a synthesis of movement patterns of wild animals.

  2. How Big Data Fast Tracked Human Mobility Research and the Lessons for Animal Movement Ecology

    KAUST Repository

    Thums, Michele

    2018-02-13

    The rise of the internet coupled with technological innovations such as smartphones have generated massive volumes of geo-referenced data (big data) on human mobility. This has allowed the number of studies of human mobility to rapidly overtake those of animal movement. Today, telemetry studies of animals are also approaching big data status. Here, we review recent advances in studies of human mobility and identify the opportunities they present for advancing our understanding of animal movement. We describe key analytical techniques, potential bottlenecks and a roadmap for progress toward a synthesis of movement patterns of wild animals.

  3. Innovation

    DEFF Research Database (Denmark)

    Helms, Niels Henrik

    2012-01-01

    Kravet om innovation og kreativitet er på flere måder en stor og en ny udfordring for voksenuddannelserne. Det udfordrer det didaktiske dilemma, det at vi skal gøres til kompetente og frie mennesker gennem pædagogiske handlinger, som netop pålægger os en ufrihed. – Men hvor denne ufrihed...... innovative, netop er det, vi endnu ikke kender...

  4. Indirect Effects of the Fast Track Intervention on Conduct Disorder Symptoms and Callous-Unemotional Traits: Distinct Pathways Involving Discipline and Warmth.

    Science.gov (United States)

    Pasalich, Dave S; Witkiewitz, Katie; McMahon, Robert J; Pinderhughes, Ellen E

    2016-04-01

    Little is known about intervening processes that explain how prevention programs improve particular youth antisocial outcomes. We examined whether parental harsh discipline and warmth in childhood differentially account for Fast Track intervention effects on conduct disorder (CD) symptoms and callous-unemotional (CU) traits in early adolescence. Participants included 891 high-risk kindergarteners (69% male; 51% African American) from urban and rural United States communities who were randomized into either the Fast Track intervention (n = 445) or non-intervention control (n = 446) groups. The 10-year intervention included parent management training and other services (e.g., social skills training, universal classroom curriculum) targeting various risk factors for the development of conduct problems. Harsh discipline (Grades 1 to 3) and warmth (Grades 1 and 2) were measured using parent responses to vignettes and direct observations of parent-child interaction, respectively. Parents reported on children's CD symptoms in Grade 6 and CU traits in Grade 7. Results demonstrated indirect effects of the Fast Track intervention on reducing risk for youth antisocial outcomes. That is, Fast Track was associated with lower scores on harsh discipline, which in turn predicted decreased levels of CD symptoms. In addition, Fast Track was associated with higher scores on warmth, which in turn predicted reduced levels of CU traits. Our findings inform developmental and intervention models of youth antisocial behavior by providing evidence for the differential role of harsh discipline and warmth in accounting for indirect effects of Fast Track on CD symptoms versus CU traits, respectively.

  5. A reengineering success story: process improvement in emergency department x-ray cycle time, leading to breakthrough performance in the ED ambulatory care (Fast Track) process.

    Science.gov (United States)

    Espinosa, J A; Treiber, P M; Kosnik, L

    1997-01-01

    This article describes the journey of a multidisciplinary reengineering team, which worked to reduce a critical, high-leverage process in an emergency department setting. The process selected was emergency department radiology services. This process was selected on a rational basis. The team knew tht 60 percent of our emergency department patients were truly ambulatory, and that most could be seen in a "fast track" process as part of our emergency department's core mission. However, we knew from customer satisfaction data, that patients would like to be "in and out" of emergency department Fast Track in less than an hour. Over half of our Fast Track patients require x-rays. For most, this was their sole reason for seeking emergency care. Our state, at the start of the project, included an average x-ray cycle time of over 60 minutes. The associated Fast-Track cycle time was over 90 minutes median. It was clear to the emergency department leadership, as well as to members of the Fast-Track management team, that a cycle time of 30 minutes or less for x-ray service was needed as a necessary condition to an hour or less Fast Track cycle time. It was also felt that a more rapid x-ray cycle time would allow for more rapid turn over of ED rooms, leading to a virtual greater capacity to the ED. It was hoped that this would lead to a reduction in the time from arrival to treatment by the emergency physician for all patients.

  6. Postoperative Urinary Catheterization Thresholds of 500 versus 800 ml after Fast-track Total Hip and Knee Arthroplasty

    DEFF Research Database (Denmark)

    Bjerregaard, Lars S; Hornum, Ulla; Troldborg, Charlotte

    2016-01-01

    according to group assignment. The primary outcome was the number of patients catheterized before their first voluntary micturition. Thirty-day telephonic follow-up was on voiding difficulties, urinary tract infections, and readmissions. RESULTS: Of 800 patients allocated, 721 (90%) were included in a per......BACKGROUND: No evidence-based threshold exists for postoperative urinary bladder catheterization. The authors hypothesized that a catheterization threshold of 800 ml was superior to 500 ml in reducing postoperative urinary catheterization and urological complications after fast-track total hip...... and understood Danish. Participants were randomly allocated to a catheterization threshold of 500 or 800 ml, using opaque sealed envelopes. Group assignment was unmasked. Ultrasound bladder scans were performed every second hour until the first voluntary micturition, with subsequent urinary catheterization...

  7. A Comparative Study of Analog Voltage-mode Control Methods for Ultra-Fast Tracking Power Supplies

    DEFF Research Database (Denmark)

    Høyerby, Mikkel Christian Wendelboe; Andersen, Michael Andreas E.

    2007-01-01

    This paper presents a theoretical and experimental comparison of the standard PWM/PID voltage-mode control method for single-phase buck converters with two highperformance self-oscillating (a.k.a. sliding mode) control methods. The application considered is ultra-fast tracking power supplies...... (UFTPSs) for RF power amplifiers, where the switching converter needs to track a varying reference voltage precisely and quickly while maintaining low output impedance. The small-signal analyses performed on the different controllers show that the hysteretic-type controller can achieve the highest loop......-oscillating control is shown to reduce the worst-case UFTPS output impedance by a factor of 10....

  8. Progressive strength training (10 RM) commenced immediately after fast-track total knee arthroplasty: is it feasible?

    DEFF Research Database (Denmark)

    Jakobsen, Thomas Linding; Husted, Henrik; Kehlet, Henrik

    2012-01-01

    Purpose: To explore the feasibility of progressive strength training commenced immediately after total knee arthroplasty (TKA). Methods: A pilot study was conducted at an outpatient training facility. Fourteen patients with unilateral TKA were included from a fast-track orthopedic arthroplasty unit....... They received rehabilitation including progressive strength training of the operated leg (leg press and knee-extension), using relative loads of 10 repetition maximum with three training sessions per week for 2 weeks. Rehabilitation was commenced 1 or 2 days after TKA. At each training session, knee pain, knee...... joint effusion and training load were recorded. Isometric knee-extension strength and maximal walking speed were measured before the first and last session. Results: The training load increased progressively (p strength training exercises...

  9. Relatives in older patients' fast-track treatment programme during total hip or knee replacement. A grounded theory study

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher

    The aim of this Ph.D.-dissertation was to generate grounded theories of relatives, patients, and health professionals’ pattern of behaviour, respectively, in relation to the relatives of older patients’ fast-track treatment programmes during total hip or knee replacement. The dissertation includes...... three classic grounded theory studies discovered through Glaser’s theoretical and methodological framework. The constant comparative method was the guiding principle of simultaneous data collection, data analysis, and substantive and theoretical coding, while theoretical sampling and writing memos. Data...... and considerate support in concern for the patients; Substituting mode, with practical and cognitive support; and Adapting mode, by trying to fit in with the patients’ and health professionals’ requirements. Study II: 16 patients aged 70 to 94 were included and data was collected through 15 non...

  10. A fast track clinic improves diagnosis and treatment times for those investigated for lung cancer in Northland District Health Board.

    Science.gov (United States)

    Williams, Sophie; Davies, Peter; Johnson, Blair; Iles, Stephen

    2018-03-23

    In 2009, a Respiratory Fast Track Clinic (RFTC) was introduced successfully by Southern District Health Board. Advancing on this model by incorporating further biopsy methods, we aimed to streamline our investigative cancer pathway. The RFTC introduction was bi-phasic with staggered introduction of computed tomography (CT), and then biopsy, to the first service appointment (FSA). Patients with suspected lung cancer were identified for a six-month period preceding the RFTC. The time for the diagnostic pathway was then contrasted to the two RTFC introductory phases. In total, 212 patients were investigated for suspected lung cancer. Endobronchial ultrasound (EBUS) was the most utilised biopsy method. Time from GP referral to FSA improved significantly (p=0.005). Similarly, time from FSA to diagnosis and treatment improved, median times reducing from 15 to 0 (p=improve survival if incorporated into the RFTC model.

  11. First results of the silicon telescope using an 'artificial retina' for fast track finding

    Energy Technology Data Exchange (ETDEWEB)

    Neri, N. [Istituto Nazionale di Fisica Nucleare - INFN, Sezione di Milano, Milano (Italy); Abba, A.; Caponio, F.; Geraci, A.; Grizzuti, M.; Lusardi, N. [INFN Milano and Politecnico di Milano, Milano (Italy); Citterio, M.; Coelli, S.; Fu, J.; Monti, M.; Petruzzo, M. [INFN Milano, Milano (Italy); Bedeschi, F.; Ninci, D.; Piucci, A.; Spinella, F.; Walsh, J. [INFN Pisa, Pisa (Italy); Cenci, R.; Marino, P.; Morello, M. J.; Stracka, S. [INFN Pisa and Scuola Normale Superiore di Pisa, Pisa (Italy); Punzi, G. [INFN Pisa and Universita di Pisa, Pisa (Italy); Tonelli, D. [CERN, Geneva (Switzerland); Ristori, L. [INFN Pisa, Pisa (Italy); Fermilab, Batavia, Illinois (United States)

    2015-07-01

    We present the first results of the prototype of a silicon tracker with trigger capabilities based on a novel approach for fast track finding. The working principle of the 'artificial retina' is inspired by the processing of visual images by the brain and it is based on extensive parallelization of data distribution and pattern recognition. The algorithm has been implemented in commercial FPGAs in three main logic modules: a switch for the routing of the detector hits, a pool of engines for the digital processing of the hits, and a block for the calculation of the track parameters. The architecture is fully pipelined and allows the reconstruction of real-time tracks with a latency less then 100 clock cycles, corresponding to 0.25 microsecond at 400 MHz clock. The silicon telescope consists of 8 layers of single-sided silicon strip detectors with 512 strips each. The detector size is about 10 cm x 10 cm and the strip pitch is 183 μm. The detectors are read out by the Beetle chip, a custom ASICs developed for LHCb, which provides the measurement of the hit position and pulse height of 128 channels. The 'artificial retina' algorithm has been implemented on custom data acquisition boards based on FPGAs Xilinx Kintex 7 lx160. The parameters of the tracks detected are finally transferred to host PC via USB 3.0. The boards manage the read-out ASICs and the sampling of the analog channels. The read-out is performed at 40 MHz on 4 channels for each ASIC that corresponds to a decoding of the telescope information at 1.1 MHz. We report on the first results of the fast tracking device and compare with simulations. (authors)

  12. The impact of a fast track area on quality and effectiveness outcomes: a Middle Eastern emergency department perspective.

    LENUS (Irish Health Repository)

    Devkaran, Subashnie

    2009-01-01

    BACKGROUND: Emergency department (ED) overcrowding is a ubiquitous problem with serious public health implications. The fast track area is a novel method which aims to reduce waiting time, patient dissatisfaction and morbidity. |The study objective was to determine the impact of a fast track area (FTA) on both effectiveness measures (i.e. waiting times [WT] and length of stay [LOS]) and quality measures (i.e. LWBS rates and mortality rates) in non-urgent patients. The secondary objective was to assess if a FTA negatively impacted on urgent patients entering the ED. METHODS: The study took place in a 500 bed, urban, tertiary care hospital in Abu Dhabi, United Arab Emirates. This was a quasi-experimental, which examined the impact of a FTA on a pre-intervention control group (January 2005) (n = 4,779) versus a post-intervention study group (January 2006) (n = 5,706). RESULTS: Mean WTs of Canadian Triage Acuity Scale (CTAS) 4 patients decreased by 22 min (95% CI 21 min to 24 min, P < 0.001). Similarly, mean WTs of CTAS 5 patients decreased by 28 min (95% CI 19 min to 37 min, P < 0.001) post FTA. The mean WTs of urgent patients (CTAS 2\\/3) were also significantly reduced after the FTA was opened (P < 0.001). The LWBS rate was reduced from 4.7% to 0.7% (95% CI 3.37 to 4.64; P < 0.001). Opening a FTA had no significant impact on mortality rates (P = 0.88). CONCLUSION: The FTA improved ED effectiveness (WTs and LOS) and quality measures (LWBS rates) whereas mortality rate remained unchanged.

  13. Innovation

    OpenAIRE

    2008-01-01

    Voilà deux approches complémentaires de la problématique de l’innovation et des pôles de compétitivité. L’innovation, facteur-clef de compétitivité, y est considérée sous deux angles. D’un côté, celui de la politique industrielle et de sa mise en œuvre à l’échelon territorial via la création de pôles de compétitivité et des partenariats institutionnels que cela implique. D’un autre côté, l’angle des systèmes nationaux d’innovation et de leur comparaison internationale ; ces systèmes sont cons...

  14. Innovation

    DEFF Research Database (Denmark)

    Torfing, Jacob; Ricard, Lykke Margot

    2017-01-01

    Innovation i krydsfeltet mellem forskellige styringsparadigmer i offentlige organisationer. New Public Governance gør det muligt at skabe offentlig værdi på nye måder. Men NPG er ingen trylledrik, der fra den ene dag til den anden skaber balance mellem borgernes store forventninger og en trængt...

  15. Innovation

    African Journals Online (AJOL)

    ... libraries as support for the reading intervention is also an important part of the project. The focus of this article is on the use of family literacy workshops to introduce the reading programme and the fledgling school libraries to parents and the potential role of the school library in supporting reading activities. Innovation Vol.

  16. Innovation

    African Journals Online (AJOL)

    In order to gain experience in scanning of diverse media, projects have deliberately been kept small. It has been found that management of scanned images is as important as the process of scanning. Adequate planning, correct storage procedures and accurate metadata are essential to the success of a project. Innovation ...

  17. Innovation

    African Journals Online (AJOL)

    The purpose of Innovation journal of appropriate librarianship and information work in Southern Africa is to publish material on libraries, information supply and other related matters in South and Southern Africa. Vol 45 (2012). DOWNLOAD FULL TEXT Open Access DOWNLOAD FULL TEXT Subscription or Fee Access ...

  18. 171. Funcionamiento y resultados del programa de fast-track en el tratamiento de la tetralogía de fallot

    Directory of Open Access Journals (Sweden)

    J. Orrit Palacios

    2010-01-01

    Conclusiones: La corrección completa de la tetralogía de Fallot con el programa de fast-track de anestesia disminuye la ventilación mecánica, la estancia en cuidados intensivos y el tiempo de hospitalización. Asimismo se reducen los costes económicos del tratamiento.

  19. Nurse Practitioners' attitude to nutritional challenges dealing with the patients' nutritional needs and ability to care for themselves in a fast track program

    DEFF Research Database (Denmark)

    Graarup, Jytte; Pedersen, Preben Ulrich; Bjerrum, Merete

    2014-01-01

    Background: Nutrition plays an important role to the success of fast track programs, but under nutrition are still reported. Nutritional care seems to be a low priority among nurses even though it is well-known that insufficient nutrition has severe consequences for the patients. The aim is to re...

  20. INNOVATION

    DEFF Research Database (Denmark)

    Helms, Niels Henrik

    2012-01-01

    Kravet om innovation og kreativitet er på flere måder en stor og en ny udfordring for voksenuddannelserne. Det udfordrer det didaktiske dilemma, det at vi skal gøres til kompetente og frie mennesker gennem pædagogiske handlinger, som netop pålægger os en ufrihed. – Men hvor denne ufrihed tidligere...... kunne begrundes med, at skolen eller uddannelsen vidste bedre, så er det ikke længere tilfældet. Skolen skal sørge for, at vi lærer noget – og ikke noget andet. Men det kan ikke længere med bestemthed afgøres, hvad det er vi skal lære i skolen, fordi det nye, det kreative og ikke mindst innovative...

  1. Innovation

    OpenAIRE

    2012-01-01

    Présenté par FutuRIS, plate-forme prospective sur la recherche, l’innovation et la société animée par l’Association Nationale de la Recherche et de la Technologie, ce volume livre un panorama du système français de recherche et d’innovation dans son environnement européen. Sont abordés dans une première partie les champs décisionnels concernés, les politiques nationales menées en matière de R&D, les relations entre enseignement supérieur et recherche et l’Espace européen de la recherche à l’h...

  2. Innovation

    OpenAIRE

    2011-01-01

    Cette publication biennale, dont voici le septième volume, recense les tendances et les grandes orientations scientifiques, technologiques et industrielles, dans l’ensemble de la zone OCDE, ainsi que dans les grandes économies non membres. Outre les notes par pays en matière de recherche et d’innovation, le rapport présente l’évolution des politiques nationales et leur évaluation en termes de « dosage ». Comme l’OCDE célèbre cette année son 50e anniversaire, cette édition 2010 comporte égalem...

  3. Fast track management reduces the systemic inflammatory response and organ failure following elective infrarenal aortic aneurysm repair.

    Science.gov (United States)

    Muehling, Bernd M; Ortlieb, Lutz; Oberhuber, Alexander; Orend, Karl Heinz

    2011-05-01

    Systemic inflammatory response syndrome (SIRS) is common after abdominal aortic aneurysm (AAA) repair. The aim of this study was to analyze the impact of a multimodal fast track (FT) regimen on incidence rates of SIRS after elective infrarenal AAA repair. Post hoc analysis of a randomized controlled trial including 99 patients after either traditional (TC) or FT care. Basic FT elements were no bowel preparation, reduced preoperative fasting, patient controlled epidural analgesia, enhanced postoperative feeding and mobilization. The presence of SIRS, organ failure and mortality, length of stay (LOS) on intensive care unit (ICU) were analyzed during the postoperative course. The incidence of SIRS in the FT treatment arm was significantly lower as compared to TC: 28% vs. 50%, P = 0.04. The rate of any organ failure (AOF) and multiple organ failure (MOF) was lower in the FT group: AOF: 16% vs. 36%, P = 0.039; MOF: 2% vs. 12%; P = 0.112. LOS on ICU showed a slight advantage for FT care: 20 hours vs. 32 hours (P = 0.183). An optimized patient care program in elective open AAA repair significantly decreases the postoperative incidence of SIRS as well as rates of organ failure.

  4. Innovation

    OpenAIRE

    2008-01-01

    A l’heure où le gouvernement fédéral accroît ses dépenses de R&D de 7 % pour réaliser l’objectif de Lisbonne des 3 % de R&D dans le PIB à l’horizon 2010, cette étude publiée par la Fondation Hans Böckler du DGB tombe à point nommé. Ses auteurs passent en revue pour les évaluer les politiques d’innovation technologique menée par 9 Länder, dont bien entendu la Bavière et le Bade-Wurtemberg, mais aussi la Saxe ou la Sarre. (ib)

  5. Inhibiting Interference - a grounded theory of health professionals' pattern of behaviour related to the relatives of older patients in fast-track treatment programmes

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

    2014-01-01

    AIM: To generate a grounded theory explaining health professionals' pattern of behaviour and experience related to the relatives of older patients in fast-track treatment programmes during total joint replacement. BACKGROUND: Health professionals uphold standardised care for patients, and effect...... on quality is seen when relatives support patients during total joint replacement. Since health professionals often have problematic relationships with relatives, knowledge is needed of the health professionals' pattern of behaviour in relation to relatives of older patients in fast-track treatment programme....... DESIGN: Grounded theory according to Glaser's methodology was used to generate substantive theory of health professionals' pattern of behaviour. METHODS: Data were collected from 2010 to 2011 by 44 health professionals in orthopaedic wards at two Danish hospitals. Data from nonparticipant observations...

  6. Comparison of two modes of ventilation after fast-track cardiac surgery: Adaptive support ventilation versus synchronized intermittent mandatory ventilation

    International Nuclear Information System (INIS)

    Aghadavoudi, O.

    2012-01-01

    Objective: There is substantial debate regarding the appropriate protocol for ventilatory management in fast-track cardiac anesthesia (FTCA). This study was carried out to assess and compare the risks and benefits of respiratory weaning based on adaptive support ventilation (ASV) and synchronized intermittent mandatory ventilation (SIMV) after uncomplicated cardiac surgery. Methodology: In a randomized clinical trial, after receiving approval of the Department Research Committee and informed consent from study subjects, 100 patients undergoing elective coronary artery bypass graft (CABG) surgery with cardiopulmonary bypass (CPB) were enrolled during a 4-month period at a university-based hospital. After surgery and admission to the intensive care unit (ICU), patients were randomized to ASV and SIMV groups. Arterial blood gas (ABG) and hemodynamic variables, respiratory and ventilator characteristics including lung compliance, rapid shallow breathing index (RSBI), tidal volume (TV), respiratory rate (RR), peak inspiratory pressure (P peak), mean airway pressure (p mean), Pao2/FIo2, duration of mechanical ventilation and tracheal intubation, and length of ICU stay were recorded and compared between the two groups. The data were analyzed in 82 patients after considering the exclusion criteria. Results: There were no differences between ASV and SIMV groups in demographics and preoperative characteristics. The duration of tracheal intubation and the length of ICU stay were similar in both groups. There were no statistically and clinically relevant differences between the two groups in ABG, hemodynamic changes, and respiratory and ventilator characteristics during ICU stay. Conclusion: Although ASV may facilitate postoperative respiratory management in FTCA, both ASV and SIMV provide similarly safe and practicable respiratory weaning in the cardiac ICU. The evaluation of potential advantages in patient outcomes and resource utilization of respiratory weaning based on ASV

  7. Safety and efficacy of fast-track surgery in perioperative nursing for biliary calculi surgery: a meta-analysis

    Directory of Open Access Journals (Sweden)

    LI Qinan

    2015-10-01

    Full Text Available ObjectiveTo systematically review the efficacy and safety of fast-track surgery (FTS in perioperative nursing for biliary calculi surgery. MethodsOnline databases of PubMed, Cochrane Library, CBM, CNKI, VIP, and Wanfang Data were comprehensively searched for relevant randomized controlled trials (RCTs. Potential bias was evaluated by Cochrane tools and data were analyzed by RevMan 5.3. ResultsA total of 11 RCTs with 1455 patients were included (738 cases in FTS group and 717 cases in control group. The results of meta-analysis showed that FTS significantly reduced the length of postoperative hospital stay (MD=-4.10, 95% CI: -5.68 to -2.52, P<0.000 01 and hospital costs (MD=-0.47, 95%CI: -0.60 to -0.34, P<0.000 01; meanwhile, FTS shortened the time to gastrointestinal recovery (SMD=-2.05, 95%CI: -2.84 to -1.27, P<0.000 01, as well as the time to first defecation (SMD=-1.27, 95% CI: -2.08 to -0.46, P<0.000 01. As for safety, FTS significantly reduced the total complications of choledocholithiasis (RR=0.53, 95%CI: 0.43-0.65, P<0.000 01 and hepatolithiasis (RR=0.52, 95% CI: 0.35-0.77, P=0.001. ConclusionFTS is effective and safe in perioperative nursing for biliary calculi surgery. It can significantly reduce the length of postoperative hospital stay, enhance gastrointestinal recovery, shorten the time to first defecation, and reduce total complications.

  8. Beyond trend analysis: How a modified breakpoint analysis enhances knowledge of agricultural production after Zimbabwe's fast track land reform

    Science.gov (United States)

    Hentze, Konrad; Thonfeld, Frank; Menz, Gunter

    2017-10-01

    In the discourse on land reform assessments, a significant lack of spatial and time-series data has been identified, especially with respect to Zimbabwe's ;Fast-Track Land Reform Programme; (FTLRP). At the same time, interest persists among land use change scientists to evaluate causes of land use change and therefore to increase the explanatory power of remote sensing products. This study recognizes these demands and aims to provide input on both levels: Evaluating the potential of satellite remote sensing time-series to answer questions which evolved after intensive land redistribution efforts in Zimbabwe; and investigating how time-series analysis of Normalized Difference Vegetation Index (NDVI) can be enhanced to provide information on land reform induced land use change. To achieve this, two time-series methods are applied to MODIS NDVI data: Seasonal Trend Analysis (STA) and Breakpoint Analysis for Additive Season and Trend (BFAST). In our first analysis, a link of agricultural productivity trends to different land tenure regimes shows that regional clustering of trends is more dominant than a relationship between tenure and trend with a slightly negative slope for all regimes. We demonstrate that clusters of strong negative and positive productivity trends are results of changing irrigation patterns. To locate emerging and fallow irrigation schemes in semi-arid Zimbabwe, a new multi-method approach is developed which allows to map changes from bimodal seasonal phenological patterns to unimodal and vice versa. With an enhanced breakpoint analysis through the combination of STA and BFAST, we are able to provide a technique that can be applied on large scale to map status and development of highly productive cropping systems, which are key for food production, national export and local employment. We therefore conclude that the combination of existing and accessible time-series analysis methods: is able to achieve both: overcoming demonstrated limitations of

  9. Why do 'fast track' patients stay more than four hours in the emergency department? An investigation of factors that predict length of stay.

    Science.gov (United States)

    Gill, Stephen D; Lane, Stephen E; Sheridan, Michael; Ellis, Elizabeth; Smith, Darren; Stella, Julian

    2018-03-23

    Low-acuity 'fast track' patients represent a large portion of Australian EDs' workload and must be managed efficiently to meet the National Emergency Access Target. The current study determined the relative importance and estimated marginal effects of patient and system-related variables in predicting ED fast track patients who stayed longer than 4 h in the ED. Data for ED presentations between 1 July 2014 and 30 June 2015 were collected from a large regional Australian public hospital. Only 'fast track' patients were included in the analysis. A gradient boosting machine was used to predict which patients would have an ED length of stay greater or less than 4 h. The performance of the final model was tested using a validation data set that was withheld from the initial analysis. A total of 27 variables were analysed. The model's performance was very good (area under receiver operating characteristic curve 0.89, where 1.0 is perfect prediction). The five most important variables for predicting length of stay were time-dependent and system-related (not patient-related); these were the amount of time taken from when the patient arrived at the ED to: (i) order imaging; (ii) order pathology; (iii) request admission to hospital; (iv) allocate a clinician to care for the patient; and (v) handover a patient between ED clinicians. We identified the most important variables for predicting length of stay greater than 4 h for fast track patients in our ED. Identifying factors that influence length of stay is a necessary step towards understanding ED patient flow and identifying improvement opportunities. © 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  10. LCA of Electromobility

    DEFF Research Database (Denmark)

    Cerdas, Felipe; Egede, Patricia; Herrmann, Christoph

    2018-01-01

    of the vehicle’s manufacturing stage. Moreover, the additional requirements for metals like copper and aluminium for the battery system as well as rare earth metals for the production of electric motors might lead to shifting the problem to other life cycle stages or areas of impact. On the other side...

  11. What Is Required to End the AIDS Epidemic as a Public Health Threat by 2030? The Cost and Impact of the Fast-Track Approach.

    Directory of Open Access Journals (Sweden)

    John Stover

    Full Text Available In 2011 a new Investment Framework was proposed that described how the scale-up of key HIV interventions could dramatically reduce new HIV infections and AIDS-related deaths in low and middle income countries by 2015. This framework included ambitious coverage goals for prevention and treatment services for 2015, resulting in a reduction of new HIV infections by more than half, in line with the goals of the declaration of the UN High Level Meeting in June 2011. However, the approach suggested a leveling in the number of new infections at about 1 million annually-far from the UNAIDS goal of ending AIDS by 2030. In response, UNAIDS has developed the Fast-Track approach that is intended to provide a roadmap to the actions required to achieve this goal. The Fast-Track approach is predicated on a rapid scale-up of focused, effective prevention and treatment services over the next 5 years and then maintaining a high level of programme implementation until 2030. Fast-Track aims to reduce new infections and AIDS-related deaths by 90% from 2010 to 2030 and proposes a set of biomedical, behavioral and enabling intervention targets for 2020 and 2030 to achieve that goal, including the rapid scale-up initiative for antiretroviral treatment known as 90-90-90. Compared to a counterfactual scenario of constant coverage for all services at early-2015 levels, the Fast-Track approach would avert 18 million HIV infections and 11 million deaths from 2016 to 2030 globally. This paper describes the analysis that produced these targets and the estimated resources needed to achieve them in low- and middle-income countries. It indicates that it is possible to achieve these goals with a significant push to achieve rapid scale-up of key interventions between now and 2020. The annual resources required from all sources would rise to US$7.4Bn in low-income countries, US$8.2Bn in lower middle-income countries and US$10.5Bn in upper-middle-income-countries by 2020 before

  12. Fast-track surgery combined with laparoscopy could improve postoperative recovery of low-risk rectal cancer patients: a randomized controlled clinical trial.

    Science.gov (United States)

    Feng, Fan; Li, Xiao Hua; Shi, Hai; Wu, Guo Sheng; Zhang, Hong Wei; Liu, Xiao Nan; Zhao, Qing Chuan

    2014-06-01

    In this study we aimed to assess the feasibility and safety of fast-track surgery (FTS) combined with laparoscopy for treating patients with rectal cancer and compare the results with those of the conventional perioperative intervention group. A total of 120 patients with rectal cancer were prospectively randomly assigned to the FTS combined with laparoscopy group and the conventional perioperative intervention plus laparoscopy group from November 2011 to November 2012. All patients received radical anterior resection with total mesorectal excision. Their baseline characteristics and the perioperative outcomes were recorded for analyses. Compared with the conventional perioperative intervention group, the fast-track protocol combined with laparoscopy could shorten the time to the first flatus (53.44 ± 23.64 h vs 67.85 ± 20.12 h, P = 0.001) and first defecation (65.23 ± 22.24 h vs 86.98 ± 24.85 h, P = 0.000) after operation, accelerate the decrease of white blood cell count (P laparoscopy may accelerate the clinical recovery of patients with rectal cancer after surgery. © 2014 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  13. Climate-friendly electromobility. Financial obstacles to the market introduction by 2020; Klimafreundliche Elektromobilitaet. Finanzielle Huerden zur Markteinfuehrung bis 2020

    Energy Technology Data Exchange (ETDEWEB)

    Kortlueke, Norbert; Pieprzyk, Bjoern

    2010-05-15

    The study calculates the cost and funding requirements for the introduction of electromobility on the basis of different scenarios, as well as the avoided climate-relevant gaseous emissions and the avoided cost of imports of fossil fuels. By 2020, the German government plans to have one million electric-powered road vehicles. To achieve this, funds must be made available to compensate the investment cost. For a fleet of lightweight vehicles, conventional passenger cars, plug-in hybrid vehicles, vans and busses, funds of about 840 million Euro will be required until 2020. The calculations are based on a forecast of the development of energy cost (200 US${sub 2008}/barrel of oil in 2020) and battery cost (300 Euro/kWh in 2020). Calculations show that this funding volume will be sufficient. During the first years, the focus will be on lightweight vehicles, shifting to compact and medium-sized cars between 2012 and 2014. In 2015, funding will have a peak of about 140 million Euro and will then decline. From 2020, all electric-powered vehicles will be economically efficient. With a moderate energy price increase (100 US${sub 2008}/barrel of oil in 2020), the funding volume will increase to one thousand million Euro up to 2020, with a peak of nearly 160 million Euro in 2016. Compact electric cars will require funding also in 2020 and beyond. In another scenario, with a battery price increase of 500 Euro/kWh and a moderate energy price increase to 100 US${sub 2008}/barrel of oil in 2020, the volume of funds required will increase up to 2.7 thousand million Euro. Some car types will require funding beyond 2020. In 2020, one million of electric cars will save between 1.14 and 2.1 million t of CO{sub 2eq} and between 320 and 790 million Euro/a of imported fossil fuels, depending on the share of renewables in gross power consumption. [German] Inhalt der Studie ist die Darstellung der Differenzkosten und des Foerderbedarfs zur Markteinfuehrung der Elektromobilitaet auf

  14. An innovative fast track solution for food bolus impaction due to Jackhammer esophagus in an emergency department: the "Nitro-Push Blind Technique" case report.

    Science.gov (United States)

    Marano, Luigi; Cecchi, Alessandro; Chiodo, Federica; Gullo, Francesco; Fiorillo, Pasquale; Roncetti, Luca; Longaroni, Mattia; Silvestri, Gianluca Proietti; Lolli, Silvano; Nicolic, Giorgio; Patriti, Alberto

    2016-08-18

    In the medical literature are described only few clinical cases of esophageal food bolus impaction due to esophageal motility disorders. Moreover, the management of this condition is highly variable with no evidence in the literature to strongly support a clear defined intervention. In this paper we describe for the first time a case of 53-year-old male with food bolus impaction due to Jackhammer esophagus referred to emergency department. On the basis of the known esophageal past medical history as well as the absence of bones in the bolus, the patient was submitted to a new conservative treatment, the "Nitro-Push Blind Technique". The new technique performed with naso-gastric tube thrust after nitrates medication in definite clinical case supported by known functional disease, represents a safe and successful method, with short observational period to minimize exposure to potential morbidity and reduce the inpatient stay in emergency department. It should be recommended, once validated in a larger cohort, as the initial treatment of choice in the selected patients with food boneless bolus impaction in the emergency settings. Indeed, this management provides only minimal deviation from the current practice and is hence technically easy to learn and perform.

  15. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients

    DEFF Research Database (Denmark)

    Husted, Henrik; Holm, Gitte; Jacobsen, Steffen

    2008-01-01

    . Epidemiological, physical, and perioperative parameters were registered and correlated to LOS and patient satisfaction. RESULTS: 92% of the patients were discharged directly to their homes within 5 days, and 41% were discharged within 3 days. Age, sex, marital status, co-morbidity, preoperative use of walking......BACKGROUND AND PURPOSE: Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR). The aim of this prospective study was to identify patient characteristics associated with LOS and patient satisfaction...... aids, pre- and postoperative hemoglobin levels, the need for blood transfusion, ASA score, and time between surgery and mobilization, were all found to influence postoperative outcome in general, and LOS and patient satisfaction in particular. INTERPRETATION: We identified several patient...

  16. Diagnostic methods for fast-track identification of endometrial cancer in women with postmenopausal bleeding and endometrial thickness greater than 5 mm

    DEFF Research Database (Denmark)

    Dueholm, Margit; Marinowskij, Edvard; Hansen, Estrid Stæhr

    2015-01-01

    efficiency (area under the curve) for malignancy diagnosis (ES, 0.90; TVS, 0.88; GIS, 0.92; HYpattern, 0.91). When insufficient samples were incorporated, ES was less efficient than the other techniques. ES was not more efficient in the subgroup of women without localized lesions than in the subgroup...... of women with localized lesions. MRI and HYpattern added limited efficiency, whereas hysteroscopy with biopsy was most efficient. CONCLUSIONS: As a first-line technique, pattern recognition on TVS, GIS, and HYpattern correctly identifies 9 of 10 women with malignancy and is superior to pattern recognition...... on ES when insufficient samples are included. Endometrial pattern evaluated with TVS and GIS is a fast and efficient first-line diagnostic tool that outperforms ES in women with or without localized lesions. Malignant patterns on TVS/GIS should warrant fast-track evaluation, whereas women with benign...

  17. Implantación de un protocolo Fast-Track en cistectomía radical en una hospital terciario: Resultados

    OpenAIRE

    Ortega Lucea, Sonia María; Martínez Ubieto, Javier

    2014-01-01

    Introducción La cistectomía radical más linfadenectomía es el tratamiento de elección del tumor vesical músculo invasivo, siendo el procedimiento urológico asociado a las tasas más altas de morbimortalidad y estancia hospitalaria. La aplicación de programas de recuperación multimodal mejorada o ¿fast-track¿ pretende acelerar la recuperación postquirúrgica sin aumentar la morbilidad y su aplicación a la cistectomía radical ha reportado también resultados positivos1 Objetivos Se plantea este es...

  18. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients

    DEFF Research Database (Denmark)

    Husted, Henrik; Holm, Gitte; Jacobsen, Steffen

    2008-01-01

    BACKGROUND AND PURPOSE: Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR). The aim of this prospective study was to identify patient characteristics associated with LOS and patient satisfaction....... Epidemiological, physical, and perioperative parameters were registered and correlated to LOS and patient satisfaction. RESULTS: 92% of the patients were discharged directly to their homes within 5 days, and 41% were discharged within 3 days. Age, sex, marital status, co-morbidity, preoperative use of walking...... aids, pre- and postoperative hemoglobin levels, the need for blood transfusion, ASA score, and time between surgery and mobilization, were all found to influence postoperative outcome in general, and LOS and patient satisfaction in particular. INTERPRETATION: We identified several patient...

  19. Thromboembolic and major bleeding events in relation to perioperative bridging of vitamin K antagonists in 649 fast-track total hip and knee arthroplasties

    DEFF Research Database (Denmark)

    Jørgensen, Christoffer C.; Kehlet, Henrik; Husted, Henrik

    2017-01-01

    Background - The benefit of preoperative bridging in surgical patients with continuous anticoagulant therapy is debatable, and drawing of meaningful conclusions may have been limited by mixed procedures with different thromboembolic and bleeding risks in most published studies.  Patients and meth......Background - The benefit of preoperative bridging in surgical patients with continuous anticoagulant therapy is debatable, and drawing of meaningful conclusions may have been limited by mixed procedures with different thromboembolic and bleeding risks in most published studies.  Patients...... and methods - This was an observational cohort treatment study in consecutive primary unilateral total hip and knee arthroplasty patients between January 2010 and November 2013 in 8 Danish fast-track departments. Data were collected prospectively on preoperative comorbidity and anticoagulants in patients...

  20. A prospective cohort study to investigate cost-minimisation, of Traditional open, open fAst track recovery and laParoscopic fASt track multimodal management, for surgical patients with colon carcinomas (TAPAS study

    Directory of Open Access Journals (Sweden)

    van Duivendijk Peter

    2010-06-01

    Full Text Available Abstract Background The present developments in colon surgery are characterized by two innovations: the introduction of the laparoscopic operation technique and fast recovery programs such as the Enhanced Recovery After Surgery (ERAS recovery program. The Tapas-study was conceived to determine which of the three treatment programs: open conventional surgery, open 'ERAS' surgery or laparoscopic 'ERAS' surgery for patients with colon carcinomas is most cost minimizing? Method/design The Tapas-study is a three-arm multicenter prospective cohort study. All patients with colon carcinoma, eligible for surgical treatment within the study period in four general teaching hospitals and one university hospital will be included. This design produces three cohorts: Conventional open surgery is the control exposure (cohort 1. Open surgery with ERAS recovery (cohort 2 and laparoscopic surgery with ERAS recovery (cohort 3 are the alternative exposures. Three separate time periods are used in order to prevent attrition bias. Primary outcome parameters are the two main cost factors: direct medical costs (real cost price calculation and the indirect non medical costs (friction method. Secondary outcome parameters are mortality, complications, surgical-oncological resection margins, hospital stay, readmission rates, time back to work/recovery, health status and quality of life. Based on an estimated difference in direct medical costs (highest cost factor of 38% between open and laparoscopic surgery (alfa = 0.01, beta = 0.05, a group size of 3×40 = 120 patients is calculated. Discussion The Tapas-study is three-arm multicenter cohort study that will provide a cost evaluation of three treatment programs for patients with colon carcinoma, which may serve as a guideline for choice of treatment and investment strategies in hospitals. Trial registration ISRCTN44649165.

  1. STTARR: a radiation treatment and multi-modal imaging facility for fast tracking novel agent development in small animal models

    International Nuclear Information System (INIS)

    Yeung, Ivan; McKee, Trevor; Jaffray, David; Hill, Richard

    2014-01-01

    Small animal models play a pivotal role in the pipeline development of novel agents and strategies in personalized cancer therapy. The Spatio-Temporal Targeting and Amplification of Radiation Response Program (STTARR) consists of an animal imaging and precision radiation facility designed to provide innovative biologic imaging and targeted radiation treatment strategies in small animals. The design is to mirror the imaging and radiation treatment facility in a modern cancer center. The STTARR features imaging equipment of small animal scale including CT, MRI, PET, SPECT, Optical devices as well as image guided irradiators. The fleet of imaging and irradiation equipment provides a platform for identification of biological targets of the specific molecular pathways that influence both tumor progression and a patient's response to radiation therapy. Examples will be given in the utilization of the imaging facilities for development in novel approaches in cancer therapy including a PET-FAZA study for hypoxia measurement in a pancreatic adenocarcinoma xenograft model. In addition, the cone-beam image guided small animal irradiator developed at our institute will also be described. The animal platform (couch) provides motion in 3 dimensions to position the animal to the isocentre of the beam. A pair of rotational arms supporting the X-ray/detector pair enables acquisition of cone-beam images of the animal which give rise to image guided precision of 0.5 mm. The irradiation energy ranges from 50 to 225 kVp at a dose rate from 10-400 cGy/min. The gantry is able to direct X-ray beam of different directions to give conformal radiation treatment to the animal. A dedicated treatment planning system is able to perform treatment planning and provide commonly used clinical metrics in the animal treatment plan. Examples will be given to highlight the use of the image guided irradiator for research of drug/irradiation regimen in animal models. (author)

  2. Study Protocol: Phase III single-blinded fast-track pragmatic randomised controlled trial of a complex intervention for breathlessness in advanced disease

    Directory of Open Access Journals (Sweden)

    Brafman-Kennedy Barbara

    2011-05-01

    Full Text Available Abstract Background Breathlessness in advanced disease causes significant distress to patients and carers and presents management challenges to health care professionals. The Breathlessness Intervention Service (BIS seeks to improve the care of breathless patients with advanced disease (regardless of cause through the use of evidence-based practice and working with other healthcare providers. BIS delivers a complex intervention (of non-pharmacological and pharmacological treatments via a multi-professional team. BIS is being continuously developed and its impact evaluated using the MRC's framework for complex interventions (PreClinical, Phase I and Phase II completed. This paper presents the protocol for Phase III. Methods/Design Phase III comprises a pragmatic, fast-track, single-blind randomised controlled trial of BIS versus standard care. Due to differing disease trajectories, the service uses two broad service models: one for patients with malignant disease (intervention delivered over two weeks and one for patients with non-malignant disease (intervention delivered over four weeks. The Phase III trial therefore consists of two sub-protocols: one for patients with malignant conditions (four week protocol and one for patients with non-malignant conditions (eight week protocol. Mixed method interviews are conducted with patients and their lay carers at three to five measurement points depending on randomisation and sub-protocol. Qualitative interviews are conducted with referring and non-referring health care professionals (malignant disease protocol only. The primary outcome measure is 'patient distress due to breathlessness' measured on a numerical rating scale (0-10. The trial includes economic evaluation. Analysis will be on an intention to treat basis. Discussion This is the first evaluation of a breathlessness intervention for advanced disease to have followed the MRC framework and one of the first palliative care trials to use fast

  3. Multi-month prescriptions, fast-track refills, and community ART groups: results from a process evaluation in Malawi on using differentiated models of care to achieve national HIV treatment goals.

    Science.gov (United States)

    Prust, Margaret L; Banda, Clement K; Nyirenda, Rose; Chimbwandira, Frank; Kalua, Thokozani; Jahn, Andreas; Eliya, Michael; Callahan, Katie; Ehrenkranz, Peter; Prescott, Marta R; McCarthy, Elizabeth A; Tagar, Elya; Gunda, Andrews

    2017-07-21

    In order to facilitate scale-up of antiretroviral therapy (ART) in Malawi, innovative and pragmatic models have been developed to optimize the efficiency of HIV service delivery. In particular, three models of differentiated care have emerged for stable patients: adjusted appointment spacing through multi-month scripting (MMS); fast-track drug refills (FTRs) on alternating visits; and community ART groups (CAGs) where group members rotate in collecting medications at the facility for all members. This study aimed to assess the extent to which ART patients in Malawi are differentiated based on clinical stability and describe the characteristics and costs associated with the models of differentiated care offered. A mixed methods process evaluation was conducted from 30 purposefully selected ART facilities. Cross-sectional data for this evaluation was collected between February and May 2016. The following forms of data collection are reported here: structured surveys with 136 health care workers; reviews of 75,364 patient clinical records; 714 observations of visit time and flow; and 30 questionnaires on facility characteristics. Among ART patients, 77.5% (95% confidence interval [CI] 74.1-80.6) were eligible for differentiated models of care based on criteria for clinical stability from national guidelines. Across all facilities, 69% of patients were receiving MMS. In facilities offering FTRs and CAGs, 67% and 6% of patients were enrolled in the models, respectively. However, eligibility criteria were used inconsistently: 72.9% (95% CI 66.3-78.6) of eligible patients and 42.3% (95% CI 33.1-52.0) ineligible patients received MMS. Results indicated that patient travel and time costs were reduced by 67%, and the unit costs of ART service delivery through the MMS, FTR and CAG models were similar, representing a reduction of approximately 10% in the annual unit cost of providing care to stable patients that receive no model. MMS is being implemented nationally and has

  4. A stochastic frontier analysis of technical efficiency in smallholder maize production in Zimbabwe: The post-fast-track land reform outlook

    Directory of Open Access Journals (Sweden)

    Nelson Mango

    2015-12-01

    Full Text Available This article analyses the technical efficiency of maize production in Zimbabwe’s smallholder farming communities following the fast-track land reform of the year 2000 with a view of highlighting key entry points for policy. Using a randomly selected sample of 522 smallholder maize producers, a stochastic frontier production model was applied, using a linearised Cobb–Douglas production function to determine the production elasticity coefficients of inputs, technical efficiency and the determinants of efficiency. The study finds that maize output responds positively to increases in inorganic fertilisers, seed quantity, the use of labour and the area planted. The technical efficiency analysis suggests that about 90% of farmers in the sample are between 60 and 75% efficient, with an average efficiency in the sample of 65%. The significant determinants of technical efficiency were the gender of the household head, household size, frequency of extension visits, farm size and the farming region. The results imply that the average efficiency of maize production could be improved by 35% through better use of existing resources and technology. The results highlight the need for government and private sector assistance in improving efficiency by promoting access to productive resources and ensuring better and more reliable agricultural extension services.

  5. Fast track consultation in the infectious diseases department of a French university hospital: evaluation of the service delivered to the general practitioner.

    Science.gov (United States)

    Weiss, Nicolas; Courjon, Johan; Pradier, Christian; Caisso, Cécile; Mondain, Véronique; Roger, Pierre-Marie; Demonchy, Elisa

    2018-02-01

    Since 2010, the Infectious Diseases (ID) department of the Nice university hospital (France) has implemented a fast track consultation (FTC): it allows General Practitioners (GP) to directly reach an ID specialist through a dedicated phone number for initial advice. Depending on the first observation, a formal consultation can be planned within 48 h. Our aim was to evaluate in a pilot study, the contribution of the FTC regarding the management of patients 28 days after the first phone contact. This prospective current care study was conducted between November 2014 and January 2015 in our ID department. The GP indicates the most likely diagnosis, the therapeutic strategy and the patient's management he would have applied. After the formal consultation, ID specialist provides his diagnosis, therapeutic strategy and patient's management. An adjudicative committee has evaluated the benefit of the FTC after 28 days of follow-up. Fifty-one patients referred by 49 GP were included. ID specialists modified the diagnosis in 22 (43%) patients, antibiotic treatment in 35 (68%) and treatment plan in 30 patients (59%). FTC provided at least one service for 41/51 patients (94%): antibiotic treatment was reassessed for 11 (22%) patients, averted for 9 (18%) patients, unnecessary hospitalization was avoided for 8 (16%) of them and emergency room visit averted for 5 (10%) patients. FTC can provide significant improvement in the management of the patients in terms of decrease in unnecessary hospitalization, emergency room visit averted and appropriate use of antibiotics.

  6. China's challenging fast track. Far more energy will have to be produced - and conserved - to power the expanding economy and protect the environment

    International Nuclear Information System (INIS)

    Wei Zhihong

    2004-01-01

    China's economy is on a fast track, with growth projected to quadruple in the first two decades of this century. A mix of clean and affordable energy sources will be needed to fuel and sustain development. Since China opened to outside markets in the 1980s, the national economy has expanded steadily, with an average annual growth rate of 9.6% in gross domestic product (GDP) from 1980 to 2000. Development has stayed strong in this century, and GDP grew 9.1% in 2003, the highest rate in the past six years. For the first time, per capita GDP topped $1000, reaching $1090 last year. How to best manage and sustain growth is driving energy decisions. Analyses show that China has entered a stage of manufacturing, chemical, and heavy industrial development that is energy intensive. At the same time, demands for energy at home and in businesses are growing among China's population of 1.3 billion people. As consumption grows, so do concerns about air, water, and land pollution in the context of sustainable energy development

  7. Fast tracking using edge histograms

    Science.gov (United States)

    Rokita, Przemyslaw

    1997-04-01

    This paper proposes a new algorithm for tracking objects and objects boundaries. This algorithm was developed and applied in a system used for compositing computer generated images and real world video sequences, but can be applied in general in all tracking systems where accuracy and high processing speed are required. The algorithm is based on analysis of histograms obtained by summing along chosen axles pixels of edge segmented images. Edge segmentation is done by spatial convolution using gradient operator. The advantage of such an approach is that it can be performed in real-time using available on the market hardware convolution filters. After edge extraction and histograms computation, respective positions of maximums in edge intensity histograms, in current and previous frame, are compared and matched. Obtained this way information about displacement of histograms maximums, can be directly converted into information about changes of target boundaries positions along chosen axles.

  8. ATLAS FTK: Fast Track Trigger

    CERN Document Server

    Amerio, S; The ATLAS collaboration; Andreazza, A; Annovi, A; Beretta, M; Bevacqua, V; Bogdan, M; Bossini, E; Boveia, A; Cavaliere, V; Canelli, F; Blazey, G; Cervigni, F; Cheng, Y; Citterio, M; Crescioli, F; Dell’Orso, M; Drake, G; Dunford, M; Giannetti, P; Giorgi, F; Hoff, J; Kapliy, A; Kasten, M; Kim, Y K; Kimura, N; Lanza, A; Liberali, V; Liu, T; Magalotti, D; McCarn, A; Melachrinos, C; Meroni, C; Negri, A; Neubauer, M; Penning, B; Piendibene, M; Proudfoot, J; Riva, M; Roda, C; Sabatini, F; Sacco, I; Shochet, M; Stabile, A; Tang, F; Tang, J; Tripiccione, R; Tuggle, J; Vercesi, V; Verzocchi, M; Villa, M; Vitillo, R A; Volpi, G; Webster, J; Wu, J; Yorita, K; Zhang, J

    2011-01-01

    A track reconstruction system for the trigger of the ATLAS detector at the Large Hadron Collider is described. The Fast Tracker is a highly parallel hardware system designed to operate at the Level-1 trigger output rate. It will provide high-quality tracks reconstructed over the entire inner detector by the start of processing in the Level-2 trigger. The system is based on associative memories for pattern recognition and fast FPGA’s for track reconstruction. Its design and expected performance under instantaneous luminosities up to 3 × 10^34/cm^2/s are discussed.

  9. ATLAS FTK: Fast Track Trigger

    CERN Document Server

    Volpi, Guido; The ATLAS collaboration

    2015-01-01

    An overview of the ATLAS Fast Tracker processor is presented, reporting the design of the system, its expected performance, and the integration status. The next LHC runs, with a significant increase in instantaneous luminosity, will provide a big challenge to the trigger and data acquisition systems of all the experiments. An intensive use of the tracking information at the trigger level will be important to keep high efficiency in interesting events, despite the increase in multiple p-p collisions per bunch crossing (pile-up). In order to increase the use of tracks within the High Level Trigger (HLT), the ATLAS experiment planned the installation of an hardware processor dedicated to tracking: the Fast TracKer (FTK) processor. The FTK is designed to perform full scan track reconstruction at every Level-1 accept. To achieve this goal, the FTK uses a fully parallel architecture, with algorithms designed to exploit the computing power of custom VLSI chips, the Associative Memory, as well as modern FPGAs. The FT...

  10. Development, effectiveness and cost-effectiveness of a new out-patient Breathlessness Support Service: study protocol of a phase III fast-track randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Bausewein Claudia

    2012-09-01

    Full Text Available Abstract Background Breathlessness is a common and distressing symptom affecting many patients with advanced disease both from malignant and non-malignant origin. A combination of pharmacological and non-pharmacological measures is necessary to treat this symptom successfully. Breathlessness services in various compositions aim to provide comprehensive care for patients and their carers by a multiprofessional team but their effectiveness and cost-effectiveness have not yet been proven. The Breathlessness Support Service (BSS is a newly created multiprofessional and interdisciplinary outpatient service at a large university hospital in South East London. The aim of this study is to develop and evaluate the effectiveness and cost effectiveness of this multidisciplinary out–patient BSS for the palliation of breathlessness, in advanced malignant and non-malignant disease. Methods The BSS was modelled based on the results of qualitative and quantitative studies, and systematic literature reviews. A randomised controlled fast track trial (RCT comprising two groups: 1 intervention (immediate access to BSS in addition to standard care; 2 control group (standard best practice and access to BSS after a waiting time of six weeks. Patients are included if suffering from breathlessness on exertion or at rest due to advanced disease such as cancer, chronic obstructive pulmonary disease (COPD, chronic heart failure (CHF, interstitial lung disease (ILD or motor neurone disease (MND that is refractory to maximal optimised medical management. Both quantitative and qualitative outcomes are assessed in face to-face interviews at baseline, after 6 and 12 weeks. The primary outcome is patients' improvement of mastery of breathlessness after six weeks assessed on the Chronic Respiratory Disease Questionnaire (CRQ. Secondary outcomes for patients include breathlessness severity, symptom burden, palliative care needs, service use, and respiratory measures (spirometry

  11. Lithium for future technologies. Demand and supply with special regard to electro-mobility; Lithium fuer Zukunftstechnologien. Nachfrage und Angebot unter besonderer Beruecksichtigung der Elektromobilitaet

    Energy Technology Data Exchange (ETDEWEB)

    Angerer, Gerhard; Marscheider-Weidemann, Frank; Wendl, Matthias; Wietschel, Martin

    2009-12-15

    Lithium according to the above source whereas other noted sources, with (Roskill, 2009) among them, state them at 28 - 30 Mio. t Lithium. With regard to the geological resources of the USGS estimation just about 20 % of the geological occurrence is exploited in the Pluralismus-scenario, 49 % in the Dominanz-scenario. The bottom line of this study is that even under extreme assumptions a Lithiumshortage is not to be anticipated within the next four decades. On the other hand the fact that the world Li-reserves are concentrated on very few countries of which some currently don't belong to geopolitically stable regions (e.g. Bolivia) has to be considered. Furthermore the mining of Lithium intervenes in up to now mostly untouched ecosystems such as the salt-lakes in South America and China. For the preservation of the commodity base a working recycling system for Lithium has to be established in time. In a long-term perspective the development of alternative battery systems has to be promoted further. Additionally other raw materials have to be analysed on possible future shortages in the context of electro-mobility. Cobalt, copper,indium or neodymium for example are commodities which could cause trouble in future.

  12. In patients undergoing fast track total knee arthroplasty, addition of buprenorphine to a femoral nerve block has no clinical advantage: A prospective, double-blinded, randomized, placebo controlled trial.

    Science.gov (United States)

    van Beek, Rienk; Zonneveldt, Harry J; van der Ploeg, Tjeerd; Steens, Jeroen; Lirk, Phillip; Hollmann, Marcus W

    2017-07-01

    Several adjuvants have been proposed to prolong the effect of peripheral nerve blocks, one of which is buprenorphine. In this randomized double blinded placebo controlled trial we studied whether the addition of buprenorphine to a femoral nerve block prolongs analgesia in patients undergoing total knee arthroplasty in a fast track surgery protocol. The treatment group (B) was given an ultrasound-guided femoral nerve block with ropivacaine 0.2% and 0.3mg buprenorphine. We choose to use 2 control groups. Group R was given a femoral nerve block with ropivacaine 0.2% only. Group S also received 0.3 mg buprenorphine subcutaneously. Only patients with a successful block were enrolled in the study. We found no difference in our primary outcome parameter of time to first rescue analgesic. We found lower opioid use and better sleep quality the first postoperative night in patients receiving buprenorphine perineurally or subcutaneously. Buprenorphine did not lead to any significant change in pain or mobilization. We found a high overall incidence of nausea and vomiting. In patients undergoing total knee arthroplasty, in the setting of a fast track surgery protocol, the addition of buprenorphine to a femoral nerve block did not prolong analgesia.

  13. Innovative learning for innovation

    NARCIS (Netherlands)

    Dr.Ir. Hay Geraedts

    2010-01-01

    Introduction Innovation is crucial for companies who have to react to constantly changing markets. Several national and European research institutes stress the importance of developing innovation for small and medium size enterprises (SMEs). This was a trigger to design a minor on strategic

  14. Fast track antibody V-gene rescue, recombinant expression in plants and characterization of a PfMSP4-specific antibody.

    Science.gov (United States)

    Kapelski, Stephanie; Boes, Alexander; Spiegel, Holger; de Almeida, Melanie; Klockenbring, Torsten; Reimann, Andreas; Fischer, Rainer; Barth, Stefan; Fendel, Rolf

    2015-02-05

    Monoclonal antibodies (mAbs) are essential tools in biological research, diagnosis and therapy, and are conventionally produced in murine hybridoma cell lines. Professional applications of mAbs depend on the steady supply of material. Because hybridoma cultures can stop producing the antibody or even die, preservation of the unique epitope specificity of mAbs by rescue of the sequences encoding the antibody variable domains (V regions) is important. The availability of these sequences enables not only the recombinant expression of the original antibody for further applications, but opens the road for antibody engineering towards innovative diagnostic or therapeutic applications. A time- and cost-efficient production system enabling the detailed analysis of the antibodies is an essential requirement in this context. Sequences were rescued from three hybridoma cell lines, subjected to sequence analysis, subcloned into binary expression vectors and recombinantly expressed as chimeric mAb (constant regions of human IgG1:k1) in Nicotiana benthamiana plants. The properties of the recombinant and the murine mAbs were compared using competition enzyme-linked immunosorbent assay (ELISA) and surface plasmon resonance (SPR) spectroscopy. The recognition of native PfMSP4 by the recombinant mAb was analysed by immunofluorescence staining of Pf 3D7A schizonts and by western blot analysis of merozoite extract. The rescued sequences of all three hybridoma cell lines were identical. The recombinant mAb was successfully expressed as IgG in plants at moderate levels (45 mg/kg fresh leaf weight). Preservation of the original epitope was demonstrated in a competition ELISA, using recombinant mAb and the three murine mAbs. EGF_PfMSP4-specific affinities were determined by SPR spectroscopy to 8 nM and 10 nM for the murine or recombinant mAb, respectively. Binding to parasite PfMSP4 was confirmed in an immunofluorescence assay showing a characteristic staining pattern and by western blot

  15. Changing the regulation for regulating the change: Innovation-driven regulatory developments for smart grids, smart metering and e-mobility in Italy

    International Nuclear Information System (INIS)

    Lo Schiavo, Luca; Delfanti, Maurizio; Fumagalli, Elena; Olivieri, Valeria

    2013-01-01

    For a long time considered as technologically mature, electric systems are now facing a period of rapid evolution, inspired by climate change concerns. Several studies show that current regulation of natural monopolies does not offer sufficient incentives for network operators (and network users) to participate in this process. Taking Italy as a case study, this paper analyses how energy regulation can change to support the current transformation. We describe the recent regulatory interventions in the domain of smart grids, smart metering and electromobility, with a specific emphasis on the provisions aimed at fostering innovation—an issue that until recently has received almost no attention in the literature nor in the practice of regulation. The progress we observe is considerable in all new areas of concern, and, above all, in the regulator's commitment to provide the right incentives for investments in demonstration projects: the acquisition of experience is regarded as essential to move to more sophisticated regulatory instruments. Finally, regulation is also increasingly concerned with network users, both traditional and new, with the objective to stimulate more active behaviours. - Highlights: ► Regulatory changes in Italy: smart grids, smart metering and electromobility. ► Identification of indicators for regulating innovative investments. ► Demonstration projects for smart grids and EV recharging infrastructures. ► Proposal of an output-based regulation for smart grids. ► Time of Use pricing for residential and small commercial consumers

  16. Innovation af innovation

    DEFF Research Database (Denmark)

    Harste, Gorm

    2009-01-01

    , at innovation af innovationen forsøges gennemført på en måde, hvor tiden kræves at forholde sig til sin egen tidslighed i form af fremtid, nutid, fortid og ikke mindst i form af samtidighed. I tiden skal vi iagttage, hvordan vi iagttager tiden. Vi dobbelt-koder tiden på samme måde, som forskning forsker i...... organisationssystemerne. De to typer systemer kan noget helt bestemt med fænomenet tid. De kan synkronisere. Analyseres organisationssystemer ser vi, imidlertid at innovation kræver ro. Stærkt innovative systemer er militærsystemet og kunstsystemet, der også inddrages, og hvor vi ser paradokset mellem innovation og...... involution. Tid er med et medium og ikke et lufttomt rum. Tid er end ikke en gasart, men udgør et solidt fluidum, som samfundet bader i og flyder i, konstant i bevægelse. Reformer forudsætter former, og innovation forudsætter involution. Kun sådan muliggøres evolution....

  17. Orchestrating innovation

    NARCIS (Netherlands)

    Berkers, F.T.H.M.; Klein Woolthuis, R.J.A.; Boer, J. de

    2015-01-01

    Orchestrating Innovation increases the probability of success, minimizing the probability of failure of technological innovations by creating sustained societal and economic value. Orchestrating innovation propagates to take into account and actively involve all relevant stakeholders of the (future)

  18. Open Innovation

    OpenAIRE

    Gassmann, Oliver; Enkel, Ellen

    2006-01-01

    In the past 10 years, numerous interesting articles, book chapters, and books have been written on open innovation strategies in mainly large companies. While closed innovation models have resulted in important breakthrough innovations, many large companies have abandoned vertical integration strategies in recent years and have moved toward a combination of both closed and open innovation models that are used for reaching different sets of innovative goals. The definition of open innovation a...

  19. Orchestrating innovation

    OpenAIRE

    Berkers, F.T.H.M.; Klein Woolthuis, R.J.A.; Boer, J. de

    2015-01-01

    Orchestrating Innovation increases the probability of success, minimizing the probability of failure of technological innovations by creating sustained societal and economic value. Orchestrating innovation propagates to take into account and actively involve all relevant stakeholders of the (future) ecosystem in which the innovation will, can or has to be adopted.

  20. Innovative didaktik

    DEFF Research Database (Denmark)

    Lund, Birthe

    Innovative didaktik. This deals with innovative didaktik from at methodological point of view in three ways - how to define the concept, how to develop it and how analyse it. Issues analysed: How to create innovative students? How to create innovative learning envoriments? These are core questions...

  1. Mindful innovation

    DEFF Research Database (Denmark)

    Olsen, Poul Bitsch

    2008-01-01

    Mindful innovation is an approach to innovation that pays attention to people's experience in an organization rather than to formal organization or social role.......Mindful innovation is an approach to innovation that pays attention to people's experience in an organization rather than to formal organization or social role....

  2. FATRAS - the ATLAS Fast Track Simulation project

    NARCIS (Netherlands)

    Mechnich, J.

    2011-01-01

    The Monte Carlo simulation of the detector response is an integral component of any analysis performed with data from the LHC experiments. As these simulated data sets must be both large and precise, their production is a CPU-intensive task. ATLAS has developed full and fast detector simulation

  3. What is the fast track to future energy systems with lower CO2 emissions? Main findings and recommendations from Workshop on Future Energy Systems, Technical University of Denmark, 19 - 20 November 2008

    Energy Technology Data Exchange (ETDEWEB)

    Soenderberg Petersen, L.; Larsen, Hans (eds.)

    2009-04-15

    As part of the DTU Climate Change Technologies programme, DTU arranges a series of workshops and conferences on climate change technology focusing on assessment of and adaptation to climate changes as well as on mitigation of green house gasses (GHG). Each workshop target a specific problem area. This workshop focuses on the challenges for the future energy system from a Danish perspective as well as world wide with regard to both technology needs and policy measures with particular focus on identifying a fast track to energy systems with lower CO{sub 2} emissions. In the coming years, energy systems will be changed to consist of a combination of central units and smaller decentralized units - to a large extent based on renewable energy. At the same time there will be close links between the supply of energy and the individual end user of energy. These links will be based on extensive use of information and communication technology. This will allow end users to respond adequately to price signals and use the electricity for loading electric cars, laundry etc. while the electricity prices are low due to for example surplus of wind generated electricity. The workshop assessed the perspectives for a rapid development of energy systems with more renewable energy in order to reduce CO{sub 2} emissions. Furthermore, the workshop gives recommendations for the implementation of such energy systems. The recommendations are targeted at the research community, industry and public authorities. The recommendations include opportunities for synergy between the research community, the government and the energy industry as well as public authorities. This report presents summary and recommendations from the workshop. (au)

  4. Global use structures of the magnetic materials neodymium and dysprosium. A scenario-based analysis of the effect of the diffusion of electromobility on the demand for rare earths

    International Nuclear Information System (INIS)

    Gloeser-Chahoud, Simon; Kuehn, Andre; Tercero Espinoza, Luis

    2016-01-01

    the market for NdFeB magnets. Dysprosium is a crucial component for the temperature resistance of the NdFeB magnets in traction motors for electric vehicles and is currently regarded as a particularly critical raw material for electromobility. [de

  5. Collaborative innovation

    DEFF Research Database (Denmark)

    Torfing, Jacob; Sørensen, Eva; Hartley, Jean

    2013-01-01

    There are growing pressures for the public sector to be more innovative but considerable disagreement about how to achieve it. This article uses institutional and organizational analysis to compare three major public innovation strategies. The article confronts the myth that the market......-driven private sector is more innovative than the public sector by showing that both sectors have a number of drivers of as well as barriers to innovation, some of which are similar, while others are sector specific. The article then systematically analyzes three strategies for innovation: New Public Management...... for enhancing public innovation is contingent rather than absolute. Some contingencies for each strategy are outlined....

  6. Technology Innovation

    Science.gov (United States)

    EPA produces innovative technologies and facilitates their creation in line with the Agency mission to create products such as the stormwater calculator, remote sensing, innovation clusters, and low-cost air sensors.

  7. Science Innovation

    Science.gov (United States)

    EPA provides innovative research activities that help transform the protection of human health and the environment with high-risk, high-reward Pathfinder Innovation Projects, the P3 student competition, and low-cost air monitoring.

  8. Innovation hubs

    DEFF Research Database (Denmark)

    O´Hara, J.; Hansen, Poul H. Kyvsgård; Turner, N.

    2008-01-01

    hubs that attempts to discover the causes of failure of innovation hubs through the comparison of successful and failed hubs. Success factors for innovation hubs are also discussed and suggestions are made as to lessons that can be learned from the experiences of innovation hubs."......"Whilst ‘incremental innovation' is an imperative for the short-to-medium term success of a company, there is also a need for companies to engage in innovation activity that goes beyond the incremental in order to guarantee long-term success. However, such ‘radical innovation' (RI) poses new...... of separation from the culture and routines of the mainstream organisation. Unfortunately, it would appear that many attempts to set-up innovation hubs have ended in failure within a few years; not before considerable time, effort and resource has been expended. This paper reports on a study of six innovation...

  9. Responsive Innovation

    DEFF Research Database (Denmark)

    Pedersen, Carsten

    Although the importance of stakeholder networks has been recognized in recent years, a non-teleological model that incorporates their collective sensing into innovation processes has so far not been developed. Hence, this paper argues that traditional linear and sequential innovation models...... are insufficient in hypercompetitive environments. Instead, it is proposed that companies should ground their innovation processes in the collective sensing of frontline-employees and customers that operate around the organizational periphery. This frames the concept of responsive innovation, where key...

  10. Political innovations

    DEFF Research Database (Denmark)

    Sørensen, Eva

    2017-01-01

    are mainly interested in assessing and promoting innovations in public service delivery, but have paid little or no attention to the need for innovations in polity, politics and policy. This article develops a research agenda for studying innovations in political institutions, in the political process...... and in policy outputs. It proposes a number of research themes related to political innovations that call for scholarly attention, and identifies push and pull factors influencing the likelihood that these themes will be addressed in future research....

  11. Energy monitoring and managing for electromobility purposes

    Science.gov (United States)

    Slanina, Zdenek; Docekal, Tomas

    2016-09-01

    This paper describes smart energy meter design and implementation focused on using in charging stations (stands) for electric vehicle (follows as EV) charging support and possible embedding into current smart building technology. In this article there are included results of research of commercial devices available in Czech republic for energy measuring for buildings as well as analysis of energy meter for given purposes. For example in described module there was required measurement of voltage, electric current and frequency of power network. Finally there was designed a communication module with common interface to energy meter for standard communication support between charging station and electric car. After integration into smart buildings (home automation, parking houses) there are pros and cons of such solution mentioned1,2.

  12. Brugerdreven innovation

    DEFF Research Database (Denmark)

    Helms, Niels Henrik; Larsen, Lasse Juel

    2007-01-01

    På et generelt plan er vores afsæt et opgør med traditionelle modeller for kreativitet og innovation. Artiklen mener, at brugerdreven innovation ikke bare en god idé, men en beskrivelse af, hvordan innovation finder sted. Vores afsæt er interaktionsdesign, hvor vi bygger på den antagelse...

  13. Facilitating innovations

    NARCIS (Netherlands)

    Buurma, J.S.; Visser, A.J.; Migchels, G.

    2011-01-01

    Many innovations involve changes which transcend the individual business or are only achievable when various businesses and/or interested parties take up the challenge together. In System Innovation Programmes, the necessary innovations are facilitated by means of workshops related to specific areas

  14. Open innovation

    DEFF Research Database (Denmark)

    Bogers, Marcel; Chesbrough, Henry; Moedas, Carlos

    2018-01-01

    Open innovation is now a widely used concept in academia, business, and policy making. This article describes the state of open innovation at the intersection of research, practice, and policy. It discusses some key trends (e.g., digital transformation), challenges (e.g., uncertainty......), and potential solutions (e.g., EU funding programs) in the context of open innovation and innovation policy. With this background, the authors introduce select papers published in this Special Section of California Management Review that were originally presented at the second annual World Open Innovation...

  15. Informal Innovation

    DEFF Research Database (Denmark)

    Hartmann, Mia Rosa Koss; Hartmann, Rasmus Koss

    Informal innovation, defined as the development and putting-into-use of novel solutions by non-R&D employees without prior formal approval from or subsequent revealing to superiors, has been recurrently observed in organizational research. But even as it is increasingly recognized that R......, creating a need for further informal innovation. We discuss the generalizability of these findings and implications for research and managerial practice.......&D is not the only plausible source of innovation inside organizations, informal innovation has yet to be systematically explored or theorized. We propose a theory of informal innovation based on analyses of prior literature and mixed-method, multi-site studies of innovation at the working level of two extreme...

  16. Innovation @ NASA

    Science.gov (United States)

    Roman, Juan A.

    2014-01-01

    This presentation provides an overview of the activities National Aeronautics and Space Administration (NASA) is doing to encourage innovation across the agency. All information provided is available publicly.

  17. Responsive Innovation

    DEFF Research Database (Denmark)

    Pedersen, Carsten

    Although the importance of stakeholder networks has been recognized in recent years, a non-teleological model that incorporates their collective sensing into innovation processes has so far not been developed. Hence, this paper argues that traditional linear and sequential innovation models are i...... stakeholders engaged in the organization’s ongoing business activities collectively identify issues that central managers subsequently can resolve.......Although the importance of stakeholder networks has been recognized in recent years, a non-teleological model that incorporates their collective sensing into innovation processes has so far not been developed. Hence, this paper argues that traditional linear and sequential innovation models...

  18. Design & Innovation

    DEFF Research Database (Denmark)

    Boelskifte, Per; Jørgensen, Ulrik

    2005-01-01

    The new design and innovation programme at DTU is challenging some of the standard concepts dominating most engineering educations. The programme, its background, context and basic educational ideas are presented and discussed in this paper. To build competences that match the need for innovative...

  19. Sensitive innovation

    DEFF Research Database (Denmark)

    Søndergaard, Katia Dupret

    Present paper discusses sources of innovation as heterogenic and at times intangible processes. Arguing for heterogeneity and intangibility as sources of innovation originates from a theoretical reading in STS and ANT studies (e.g. Callon 1986, Latour 1996, Mol 2002, Pols 2005) and from field work...

  20. Entrepreneurial Innovation

    NARCIS (Netherlands)

    Rigotti, L.; Ryan, M.; Vaithianathan, R.

    2001-01-01

    This paper constructs an equilibrium model of entrepreneurial innovation where individuals differ in their attitude toward uncertainty.Unlike previous models of innovation, the firm-formation process is endogenous.An entrepreneur, who owns residual profits, utilizes an uncertain technology and hires

  1. Innovation process

    DEFF Research Database (Denmark)

    Kolodovski, A.

    2006-01-01

    Purpose of this report: This report was prepared for RISO team involved in design of the innovation system Report provides innovation methodology to establish common understanding of the process concepts and related terminology The report does not includeRISO- or Denmark-specific cultural, econom...

  2. MAPPING INNOVATION

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff; Koch, Christian

    2011-01-01

    By adopting a theoretical framework from strategic niche management research (SNM) this paper presents an analysis of the innovation system of the Danish Construction industry. Theories within SNM look upon innovation in a sector as a socio-technical phenomenon and identifies three levels of socio......-technical interaction within which sectorial innovation can be explained. The analysis shows a multifaceted landscape of innovation around an existing regime, built in the existing ways of working and developing over generations. The regime is challenged from various niches and the sociotechnical landscape through...... trends as globalization. Three niches (Lean Construction, BIM and System Deliveries) are subject to a detailed analysis showing partly incompatible rationales and various degrees of innovation potential. The paper further discusses how existing policymaking operates in a number of tensions one being...

  3. Participatory Innovation

    DEFF Research Database (Denmark)

    Buur, Jacob; Matthews, Ben

    2008-01-01

    An increasing number of corporations engage with users in co-innovation of products and services. But there are a number of competing perspectives on how best to integrate these understandings into existing corporate innovation development processes. This paper maps out three of the dominant...... approaches, compares them in terms of goals, methods and basic philosophy, and shows how they may beneficially enrich one another. We will present an industrial innovation case that has been instrumental to the development of what we have termed ‘Participatory Innovation’. Based on this we will list...... the challenges such an approach sets to innovation management, and discuss research directions we see as fundamental to the development of the field of user-driven innovation. Udgivelsesdato: September...

  4. Responsible innovation

    CERN Document Server

    De Woot, Philippe

    2015-01-01

    Economic development is rooted in disruption, not in equilibrium. And a powerful engine of economic development is innovation; but is this innovation always for the common good? The dark side of the extraordinary dynamism of innovation lies precisely in its destructive power. If simply left to market forces, it could lead to social chaos and great human suffering. To face the challenges of our time, we must create the proper climate and culture to develop strong entrepreneurial drive. But, more than ever, we must give this entrepreneurial drive its ethical and societal dimensions. Responsible innovation means a more voluntary orientation towards the great problems of the 21st century, e.g. depletion of the planet's resources, rising inequality, and new scientific developments potentially threatening freedom, democracy and human integrity. We need to transform our ceaseless creativity into real progress for humankind. In this respect, the rapid development of social innovation opens the door for new methods an...

  5. Accidental Innovation

    DEFF Research Database (Denmark)

    Austin, Robert D.; Devin, Lee; Sullivan, Erin E.

    2012-01-01

    Historical accounts of human achievement suggest that accidents can play an important role in innovation. In this paper, we seek to contribute to an understanding of how digital systems might support valuable unpredictability in innovation processes by examining how innovators who obtain value from...... they incorporate accidents into their deliberate processes and arranged surroundings. By comparing makers working in varied conditions, we identify specific factors (e.g., technologies, characteristics of technologies) that appear to support accidental innovation. We show that makers in certain specified...... conditions not only remain open to accident but also intentionally design their processes and surroundings to invite and exploit valuable accidents. Based on these findings, we offer advice for the design of digital systems to support innovation processes that can access valuable unpredictability....

  6. Nuclear innovation in Saskatchewan: innovation

    Energy Technology Data Exchange (ETDEWEB)

    Alexander, N. [Sylvia Fedoruk Canadian Centre for Nuclear Innovation, Saskatoon, SK (Canada)

    2015-07-01

    This paper describes nuclear innovation in Saskatchewan. The first stage is the Canadian Institute for Science and Innovation Policy (CSIP) and how you have a successful discussion about a technically complex issue, understand what information people need in order to have an informed discussion, understand how to convey that information to those people in a constructive way.

  7. Participatory Innovation

    DEFF Research Database (Denmark)

    Buur, Jacob; Matthews, Ben

    2008-01-01

    An increasing number of corporations engage with users in co-innovation of products and services. But there are a number of competing perspectives on how best to integrate these understandings into existing corporate innovation development processes. This paper maps out three of the dominant appr...... the challenges such an approach sets to innovation management, and discuss research directions we see as fundamental to the development of the field of user-driven innovation. Udgivelsesdato: September......An increasing number of corporations engage with users in co-innovation of products and services. But there are a number of competing perspectives on how best to integrate these understandings into existing corporate innovation development processes. This paper maps out three of the dominant...... approaches, compares them in terms of goals, methods and basic philosophy, and shows how they may beneficially enrich one another. We will present an industrial innovation case that has been instrumental to the development of what we have termed ‘Participatory Innovation’. Based on this we will list...

  8. Design & Innovation

    DEFF Research Database (Denmark)

    Boelskifte, Per; Jørgensen, Ulrik

    2005-01-01

    The new design and innovation programme at DTU is challenging some of the standard concepts dominating most engineering educations. The programme, its background, context and basic educational ideas are presented and discussed in this paper. To build competences that match the need for innovative...... and design oriented engineers in industry and society has turned out to challenge a number of the standard – and often taken for granted – concepts in engineering education still dominated world wide by rather strict norms and concepts of learning that do not challenge the students creativity and innovative...

  9. Innovation Awards

    Science.gov (United States)

    EPA promotes environmental stewardship by recognizing innovators in schools, communities and businesses in categories such as environmental education, green chemistry, smart growth, green power, and reducing air pollution and climate change impacts.

  10. Online Innovation

    DEFF Research Database (Denmark)

    Vujovic, Sladjana; Ulhøi, John Parm

    2008-01-01

    on proprietary knowledge. Design/methodology/approach - The paper borrows from the theory of communities-of-practice, which takes into account social relations, contacts, and the transfer and incorporation of knowledge. Open source innovation is not the exclusive preserve of computer nerds, but also has...... implications for existing software manufacturers. The paper therefore includes the case of IBM, a company which has successfully integrated this new and more open way of collaboration into its business model. Findings - The paper concludes that online computer-based innovation fundamentally challenges current...... for practitioners directly involved in innovation and product development. Originality/value - This paper develops a conceptual framework for understanding product development based on non-proprietary knowledge, which cannot be adequately accounted for by traditional corporate innovation theory alone....

  11. Reconsidering Innovation

    DEFF Research Database (Denmark)

    Vaaben, Nana Katrine

    Innovation and reforms seem to be on the agenda everywhere, not least in political attempts to reorganize the public sector in ways that are supposed to enable our welfare societies to survive economic turmoil and sinister future prognosis. This paper examines how classical anthropological theories...... and debates about change, myths, and othering can help us rethink theoretical approaches to innovation in organizational studies, and the concern is especially to consider the implications that our “innovation myths” can have for public employees and the valuation their work. The argument in the paper...... is that innovation is better understood as a perspective (a prism) than as a product or a process, and that this perspective tends to “other” people who’s work is not visible as a positive asset in a budget, but may be visible as a positive contribution in people’s lives. The way in which that point is made...

  12. MAPPING INNOVATION

    DEFF Research Database (Denmark)

    Thuesen, Christian Langhoff; Koch, Christian

    2011-01-01

    By adopting a theoretical framework from strategic niche management research (SNM) this paper presents an analysis of the innovation system of the Danish Construction industry. The analysis shows a multifaceted landscape of innovation around an existing regime, built around existing ways of working...... and developed over generations. The regime is challenged from various niches and the socio-technical landscape through trends as globalization. Three niches (Lean Construction, BIM and System Deliveries) are subject to a detailed analysis showing partly incompatible rationales and various degrees of innovation...... potential. The paper further discusses how existing policymaking operates in a number of tensions one being between government and governance. Based on the concepts from SNM the paper introduces an innovation map in order to support the development of meta-governance policymaking. By mapping some...

  13. Participatory Innovation

    DEFF Research Database (Denmark)

    Buur, Jacob; Matthews, Ben

    In this paper we discuss the potential for Participatory Design (PD) to make a fundamental contribution to the business-oriented field of user-driven innovation, taking note of where we find PD can best benefit from interaction with this other field. We examine some of the challenges that must be...... be addressed if PD is to contribute to innovation processes in companies. We conclude by presenting a research agenda comprising of six promising topics to shape a new discipline of Participatory Innovation.......In this paper we discuss the potential for Participatory Design (PD) to make a fundamental contribution to the business-oriented field of user-driven innovation, taking note of where we find PD can best benefit from interaction with this other field. We examine some of the challenges that must...

  14. Innovation networks

    OpenAIRE

    Ahrweiler, Petra; Keane, Mark T.

    2013-01-01

    This paper advances a framework for modeling the component interactions between cognitive and social aspects of scientific creativity and technological innovation. Specifically, it aims to characterize Innovation Networks; those networks that involve the interplay of people, ideas and organizations to create new, technologically feasible, commercially-realizable products, processes and organizational structures. The tri-partite framework captures networks of ideas (Concept Level), people (Ind...

  15. Leadership Innovations

    Science.gov (United States)

    1993-04-01

    leadership " and " leadership in innovation." 3 THEORY , AS AN INSTRUMENT OF ANALYSIS FOR INNOVATION IN LEADERSHIP There are many...attributes of a leader.𔃺 Attempts to define leadership usually contrast it with "followship", management ," or sometimes - with ’beadship."’" These...plausible theory . - . . . -. - -- Nevertheless, some authors consider, and I agree, that there is no true leadership theory because existing

  16. Software Innovation

    DEFF Research Database (Denmark)

    Rose, Jeremy

      Innovation is the forgotten key to modern systems development - the element that defines the enterprising engineer, the thriving software firm and the cutting edge software application.  Traditional forms of technical education pay little attention to creativity - often encouraging overly ratio...... out the new field of software innovation. It organizes the existing scientific research into eight simple heuristics - guiding principles for organizing a system developer's work-life so that it focuses on innovation.......  Innovation is the forgotten key to modern systems development - the element that defines the enterprising engineer, the thriving software firm and the cutting edge software application.  Traditional forms of technical education pay little attention to creativity - often encouraging overly...... rationalistic ways of thinking which stifle the ability to innovate. Professional software developers are often drowned in commercial drudgery and overwhelmed by work pressure and deadlines. The topic that will both ensure success in the market and revitalize their work lives is never addressed. This book sets...

  17. Everyday Innovation

    DEFF Research Database (Denmark)

    Lippke, Lena; Wegener, Charlotte

    2014-01-01

    activities in which teachers succeed to balance continuities and discontinuities. Studying innovation as a balance between change and stability thus involves emerging, negotiated processes of learning and participation in everyday practices where people talk, interact and conduct their work and studies......Purpose – The purpose of this paper is to explore how vocational teachers’ everyday practices can constitute innovative learning spaces that help students to experience engagement and commitment towards education and thus increase their possibilities for completing their studies despite notable...... difficulties. Design/methodology/approach – Based on two ethnographic field studies, we analyse vocational teaching situations in which teachers and students engage in daily remaking of the vocational educational training practice. It is argued that these everyday situations can be understood as innovative...

  18. Collaborative innovation

    DEFF Research Database (Denmark)

    Timenes Laugen, Bjørge; Lassen, Astrid Heidemann

    2011-01-01

    Industry and academia alike are increasingly becoming aware of the fact that innovation does not take place in isolated cells or functions within the firm. Although the idea of involving internal and external actors in the new product development (NPD) process is not new, the knowledge about...... the benefits and pitfalls is still limited. This paper aims to contribute to refining the concept of open innovation, by investigating how strategic priorities influence the degree of external and internal involvement in the NPD process, moderated by contextual factors. The results indicate that suppliers...... are heavily involved in the NPD process in firms in B2C markets aiming at increasing the innovation volume. For B2B companies the reverse picture emerges. However, when the aim is to increase the radicality of new products, suppliers and customers are heavily involved for firms in B2B markets....

  19. Open innovation

    DEFF Research Database (Denmark)

    West, Joel; Bogers, Marcel

    2017-01-01

    Interest in open innovation (OI) as a field of research has grown exponentially since the phrase was coined by Chesbrough in his 2003 book, with numerous articles, special issues, books, and conference sessions. Various reviews of the literature have summarized prior work, offered new frameworks......, and identified opportunities for future research. Here we summarize these opportunities, which include more research on outbound OI, the role of open innovation in services, and network forms of collaboration such as consortia, communities, ecosystems, and platforms. Research should also examine the use of OI...... is rejected, abandoned, or fails. Finally, we consider how OI can be better linked to prior theoretical research, including topics such as absorptive capacity, user innovation, resources, dynamic capabilities, business models, and the definition of the firm....

  20. Reconsidering Innovation

    DEFF Research Database (Denmark)

    Vaaben, Nana Katrine

    Innovation og reformer er på dagsordenen allevegne, ikke mindst i politiske forsøg på at reorganisere den offentlige sektor for at få velfærdssamfundet til at kunne overleve økonomisk tumult og dystre fremtidsprognoser. Dette papir undersøger, hvordan klassiske antropologiske teorier og debatter om...... forandring og myter kan hjælpe os med at genoverveje teoretiske forståelser af innovation i organisatoriske studier. I særlig grad sættes der fokus på de implikationer som vores "innovationsmyte" kan have for offentligt ansatte og værdsættelsen af deres arbejde. Analysens argument er, at innovation ikke skal...

  1. Responsive Innovation

    DEFF Research Database (Denmark)

    Pedersen, Carsten

    In dynamic environments, competitive advantage lies in developing useful knowledge from continuous streams of unstructured and ambiguous data. Frontline employees and certain groups of customers are often the first to sense emerging issues of strate-gic importance due to their experiential insights...... of the firm’s daily operations. Yet, they are rarely asked to provide updated information about critical issues. The present paper seeks to conceptually develop the notion of responsive innovation, by drawing on literary streams concerning collective sensing, strategic issue diagnosis and integra......-tive strategy within a micro foundations perspective. It is posited that companies should root their innovation processes in the collective sensing of frontline-employees and customers that operate around the organizational periphery. This frames the con-cept of responsive innovation, where individuals engaged...

  2. Effektiv innovation

    DEFF Research Database (Denmark)

    Søndergaard, Katia Dupret; Brandi, Ulrik

    2011-01-01

    Er det vækst og udvikling eller åbenhed, videnudvikling, netværk, leg og innovation? Eller er det prisregulering, tilpasning og stærk styring, som skal gøre universiteterne til førende drivkræfter for dansk vækst?......Er det vækst og udvikling eller åbenhed, videnudvikling, netværk, leg og innovation? Eller er det prisregulering, tilpasning og stærk styring, som skal gøre universiteterne til førende drivkræfter for dansk vækst?...

  3. Policy Innovation in Innovation Policy

    DEFF Research Database (Denmark)

    Borras, Susana

    as with national and sub-national governments in Europe, all of them introducing interesting novelties in their innovation policy. These changes refer to different aspects of policy, mainly the content of policy initiatives towards science, technology and innovation; the instruments governments are using...... to achieve their goals; and the actors in the policy system that are being mobilised in pursuing these goals. This paper deals with these policy changes, paying special attention to the novelties introduced since the early 1990s in Europe. The perspective of this paper deals mainly on the changes introduced...... at the EU level, and mentions similar trends taking place at national and sub-national levels. The questions that guide the contents here are essentially three, namely, what are the main traits of innovation policies in Europe since the 1990s and how have the EU and different national governments approached...

  4. Innovative Pedagogy

    DEFF Research Database (Denmark)

    The main purpose of this book is to take a closer look at how students and teachers in educational institutions apply the innovative, the playful and the emotional and creative dimensions of learning. With this contribution, the authors aim at reaching an international audience of educators at se...

  5. Financing Innovation

    International Development Research Centre (IDRC) Digital Library (Canada)

    Finance, real estate and business services are expanding their share with regard to government services. South Africa's ...... Although limited in amplitude, venture capital (VC) initiatives have existed since the 1980s, supported by the Brazilian Innovation Agency (FINEP) and BNDES (Melo 1988 and 1994). The question ...

  6. Balanced Innovation Management

    National Research Council Canada - National Science Library

    King, David R

    2007-01-01

    The Department of Defense has demonstrated success in managing innovation. The military's approach to innovation management extends beyond traditional distinctions between internal and external innovation modes...

  7. Innovation Teams : Before Innovation Work is Begun

    OpenAIRE

    Johnsson, Mikael

    2014-01-01

    This paper focuses on innovation teams before innovation work is begun. The reason is that innovation teams are considered to be successful doing such work. However, prior studies show problems in innovation-related-knowledge, - knowledge gaps, -information and -awareness why this research aims to understand these aspects and how they relate to newly formed innovation team as they need to handle these aspects. Two case studies conducted during 1,5 years show that a newly formed innovation tea...

  8. Rethinking Open Innovation Beyond the Innovation Funnel

    OpenAIRE

    Wim Vanhaverbeke

    2013-01-01

    In his article, I first argue that open innovation can be applied in situations where companies do not themselves develop new products or services. As a consequence, open innovation becomes relevant for a much larger group of organizations than previously considered. Second, I argue that open-innovation scholars have insufficiently differentiated open-innovation initiatives in terms of their impact on companies’ growth: some open-innovation initiatives lead to incremental innovations in an ex...

  9. Innovation Enablers for Innovation Teams - A Review

    OpenAIRE

    Johnsson, Mikael

    2017-01-01

    This review consolidates research on innovation enablers for innovation teams, defined within this research as factors that enable a crossfunctional team within an organization to conduct innovation work, to provide a deeper understanding of what factors enable innovation teams to conduct innovation work, which means that this research involves three areas to provide a holistic picture: the organizational context, the team itself, and the individuals within the innovation team. A systematic d...

  10. Innovation Assessment

    DEFF Research Database (Denmark)

    Hasselbalch, Jacob

    2017-01-01

    Current regulatory approaches are ill-equipped to address the challenges of governing through periods of disruptive technological change. This article hones in on the use of assessment regimes at the level of the European Union, particularly in the work of the Commission, to argue for a missing...... middle between technology assessment and impact assessment. Technology assessment focuses on the upstream governance of science and technology, while impact assessment focuses on the downstream governance of the impacts of specific policy options. What is missing is a form of midstream governance, which...... I label innovation assessment, to steer polities through periods of disruptive technological change, during which innovations have taken concrete forms and are beginning to diffuse, but still exhibit much scope for rapid, unexpected change and alternative trajectories of development. By juxtaposing...

  11. Innovations in urban agriculture

    NARCIS (Netherlands)

    Schans, van der J.W.; Renting, Henk; Veenhuizen, Van René

    2014-01-01

    This issuehighlights innovations in urban agriculture. Innovation and the various forms of innovations are of particular importance because urban agriculture is adapted to specific urban challenges and opportunities. Innovation is taking place continuously, exploring the multiple fundions of urban

  12. The myths of innovation

    National Research Council Canada - National Science Library

    Berkun, Scott

    2007-01-01

    ... . . . . . . . . . . . . . . . . . . . . . . 1 Chapter 2 We understand the history of innovation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Chapter 3 There is a method for innovation...

  13. Open innovations, innovation communities and firm's innovative activities

    Directory of Open Access Journals (Sweden)

    Getejanc Vesna

    2016-01-01

    Full Text Available The open innovation paradigm emphasizes the fact that firms can improve their performance by opening their business models and reduce their R&D costs by effective incorporation of external knowledge. In other words, companies are able to capture value through knowledge that exists outside the boundaries of their organization. The shift from closed to open model of innovation has imposed the necessity to adopt more open approach to innovation within traditional academic view of business strategy. The adoption of this innovative approach is emphasized even more, by the necessity for stronger connection and cooperation among the participants of the innovation process. Free will and collaboration are the main characteristics of open source software, which is recognized in literature as the role model of open innovation and is a rapidly growing method of technology development. Furthermore, innovative communities represent a great opportunity for improvement of the companies' innovation activities, since they have become an important source for identifying the needs and problems of the users. Their development has been fostered by information technologies and recent social changes in user behavior. Recognizing and better understanding the motivation of the members of the innovation communities that guide them to participate in the process of idea generation, can have significant influence on their incorporation within the innovation process. Equally important is to define the incentives that are suited for stimulating and fostering innovative user activities. Taking this topic in consideration, the purpose of this article is to address the following questions: In what way does the collaboration in open source software projects have positive effect on companies' innovation performance? What are the innovation communities and how can companies establish successful interaction with them? Why does the interaction with innovation communities lead to

  14. Innovative Therapeutics

    Directory of Open Access Journals (Sweden)

    Laura M.G. Meems, MD, PhD

    2016-12-01

    Full Text Available Natriuretic peptides (NPs are essential for the maintenance of volume homeostasis, and can be of myocardial, renal, and endothelial origin. Advances in peptide engineering have enabled the design of innovative designer NPs that go beyond native peptides in efficacy, specificity, and resistance to enzymatic degradation. Therefore, designer NPs provide an unparalleled opportunity for the treatment of cardiovascular disease. In this review, we report the conceptual framework of peptide engineering of the NPs that resulted in designer peptides for cardiovascular disease. We specifically provide an update on those currently in clinical trials for heart failure and hypertension.

  15. Innovative instrumentation

    International Nuclear Information System (INIS)

    Anon.

    1983-01-01

    At this year's particle physics conference at Brighton, a parallel session was given over to instrumentation and detector development. While this work is vital to the health of research and its continued progress, its share of prime international conference time is limited. Instrumentation can be innovative three times — first when a new idea is outlined, secondly when it is shown to be feasible, and finally when it becomes productive in a real experiment, amassing useful data rather than operational experience. Hyams' examples showed that it can take a long time for a new idea to filter through these successive stages, if it ever makes it at all

  16. Approaching Service Innovation Patterns

    OpenAIRE

    NAGY Andrea

    2013-01-01

    The present paper aims at analyzing the types of innovation in the field of services. First, the concept of innovation is defined and second, field literature is reviewed from the perspective of service innovation. The main types of innovation are identified based on several attempts at defining innovation, the most notable being Schumpeter’s. Thus, it is possible to approach concepts such as product and process innovation, incremental and radical innovation. Another aim has been to regard se...

  17. Innovators Intent

    DEFF Research Database (Denmark)

    Granados, Maria Luisa; Rai, Sudhanshu

    With this paper we want to explore further the innovators intent, where social enterprises use imaginative ways to take advantage of information technology to create, share and manage the knowledge pool of their small enterprise. We draw on several perspectives on how information processing needs...... of understanding on how IT can support the management of knowledge within the context of SEs dealing with different contextual settings influenced by: constant tensions between social and economic objectives, more focus on sustainability than competiveness, limited resources, and high levels of democratic...... are addressed, as well as the manner in which IT enables and facilitates sense-making. Studies exploring the role of IT in organisations abound, however our focus is not large organisations but small social enterprises (SEs) and how they use IT to further their business objectives. Hence there is still a lack...

  18. Funding innovation

    CERN Multimedia

    Marina Giampietro

    2012-01-01

    For the first time, six knowledge and technology transfer activities are set to benefit from a dedicated fund made available by the Knowledge Transfer group. This initiative cements CERN’s commitment to sharing its technological knowledge and expertise with society.   GEM detectors for flame detection and early earthquake prediction, radio-frequency absorbers for energy recovery, and exotic radioisotopes for medical applications are among the projects funded by the recently introduced KT Fund. “CERN’s scientific programme generates a considerable amount of intellectual property, a natural driver for innovation,” explains Giovanni Anelli, Head of the Knowledge Transfer Group. “Very often, though, financial support is needed to bring the newly-born technologies a step further and make them ready for transfer to other research institutes or to companies.” This is where the KT fund comes into play. It provides vital support in the early sta...

  19. Innovation in Your Community

    Science.gov (United States)

    EPA has many innovation programs that can help the public bring innovative solutions to their local areas by reducing waste, engaging students to contribute innovative ideas, and helping businesses implement sustainable practices.

  20. Organizing Systemic Innovation

    NARCIS (Netherlands)

    F.P.H. Jaspers (Ferdinand)

    2009-01-01

    textabstractSystemic innovation refers to product development activities that involve the change of multiple interdependent components. Unlike autonomous innovation, which refers to components that change independently, systemic innovation is for many firms the norm rather than the exception. This

  1. Workplace innovation and social innovation : an introduction

    NARCIS (Netherlands)

    Jürgen Howaldt; Dr. Ben Fruytier; Peter R.A. Oeij; Steven Dhondt

    2016-01-01

    This is the introduction to the special issue of World Review of Entrepreneurship, Management and Sustainable Development (WREMSD) dedicated to workplace innovation and social innovation related to work and organisation. As technological and business model innovations alone are not sufficient to

  2. Workplace innovation and social innovation: an introduction

    NARCIS (Netherlands)

    Howaldt, J.; Oeij, P.R.A.; Dhondt, S.; Fruytier, B.

    2016-01-01

    This is the introduction to this special issue of World Review of Entrepreneurship, Management and Sustainable Development (WREMSD) dedicated to workplace innovation and social innovation related to work and organisation. As technological and business model innovations alone are not sufficient to

  3. Bridging conflicting innovation spheres of tourism innovation

    DEFF Research Database (Denmark)

    Fuglsang, Lars; Sørensen, Flemming; Nordli, Anne Jørgensen

    2016-01-01

    that in tourist destinations actors belong to conflicting innovation spheres but can be brought together in innovation processes when a diplomat enable compromises and when innovation spheres change from personalized to more generalized forms of activity during interaction. The findings are relevant not only...

  4. Challenging the Innovation Paradigm

    CERN Document Server

    Sveiby, Karl Erik; Segercrantz, Beata

    2012-01-01

    Innovation is almost always seen as a "good thing". Challenging the Innovation Paradigm is a critical analysis of the innovation frenzy and contemporary innovation research. The one-sided focus on desirable effects of innovation misses many opportunities to reduce the undesirable consequences. Authors in this book show how systemic effects outside the innovating firms reduce the net benefits of innovation for individual employees, customers, as well as for society as a whole - also the innovators' own organizations. This book analyzes the dominant discourses that construct and recons

  5. Speeding Up Innovation

    DEFF Research Database (Denmark)

    Sørensen, Flemming; Mattsson, Jan

    2016-01-01

    Minimisation of time-to-market strategies can provide companies with a competitive advantage in dynamic and competitive environments. Using parallel innovation processes has been emphasised as one strategy to speed up innovation processes and consequently minimise the time-to-market of innovations....... Much innovation today takes place in open structures in which networks play an important role. However, little is known about how innovation networks can facilitate parallel innovation processes. This paper discusses how innovation network structures develop and support exploration and exploitation...... in parallel innovation processes and in this way sustain speedy innovation processes. A case study of an innovation network is carried out by analysing communication structures and the information contents of emails related to a particular innovation process. The analysis shows how certain characteristics...

  6. User Innovation Management

    DEFF Research Database (Denmark)

    Kanstrup, Anne Marie; Bertelsen, Pernille

    User Innovation Management (UIM) is a method for fo-opereation with users in innovation projects. The UIM method emphasizes the practice of a participatorty attitude.......User Innovation Management (UIM) is a method for fo-opereation with users in innovation projects. The UIM method emphasizes the practice of a participatorty attitude....

  7. Innovation fri for floskler

    DEFF Research Database (Denmark)

    Bukh, Per Nikolaj

    2009-01-01

    Anmeldelse af Roberto Verganti, 2009, Design-Driven Innovation: Changing the Rules of Competition by Radically Innovating what things mean, Harvard Business Press. Udgivelsesdato: 27. november......Anmeldelse af Roberto Verganti, 2009, Design-Driven Innovation: Changing the Rules of Competition by Radically Innovating what things mean, Harvard Business Press. Udgivelsesdato: 27. november...

  8. Education and Social Innovation

    DEFF Research Database (Denmark)

    Rasmussen, Palle

    The working paper is an attempt to structure the issue of education and social innovation and indicate topics that can be investigated further. Three aspects are outlined, the contribution of social innovation in educational provision, the educative dimension of social innovation and the issue...... of education for social innovation....

  9. Entrepreneurship, Innovation and Institutions

    NARCIS (Netherlands)

    Stam, E.; Nooteboom, B.

    2011-01-01

    This paper discusses the nature of entrepreneurship and its relation to innovation along a cycle in which exploration and exploration follow upon each other. We place the roles of entrepreneurship in innovation policy within this cycle of innovation. Different types of innovation along the cycle of

  10. Making Collaborative Innovation Accountable

    DEFF Research Database (Denmark)

    Sørensen, Eva

    The public sector is increasingly expected to be innovative, but the prize for a more innovative public sector might be that it becomes difficult to hold public authorities to account for their actions. The article explores the tensions between innovative and accountable governance, describes the...... the foundation for these tensions in different accountability models, and suggest directions to take in analyzing the accountability of collaborative innovation processes.......The public sector is increasingly expected to be innovative, but the prize for a more innovative public sector might be that it becomes difficult to hold public authorities to account for their actions. The article explores the tensions between innovative and accountable governance, describes...

  11. Innovation Across the Supply Chain

    DEFF Research Database (Denmark)

    Druehl, Cheryl; Carrillo, Janice; Hsuan, Juliana

    Innovation is an integral part of every firm’s ongoing operations. Beyond product innovation, supply chain innovations offer a unique source of competitive advantage. We synthesize recent research on innovation in the supply chain, specifically, innovative supply chain processes...

  12. Socio-Ecological Innovation

    DEFF Research Database (Denmark)

    Edgeman, Rick; Eskildsen, Jacob Kjær

    is part of the enterprise cultural fabric, is foundational to enterprise strategy, and contributes to the financial security of the enterprise. Innovation for Sustainability is innovation that is specifically targeted to address ecological and / or societal considerations. That is, Innovation......Socio‐Ecological Innovation or SEI is innovation resulting from strategic integration of sustainable innovation and innovation for sustainability. In particular SEI is regarded as critical to organizations intent on progressing toward Sustainable Enterprise Excellence (SEE) and, indeed, progressing...... toward the asymptotic goal of becoming a continuously relevant and responsible organization (CR2O). Sustainable Innovation is something that is attained only when innovation in an enterprise is regular, systematic, and systemic to the endeavors of the enterprise itself – that is – Sustainable Innovation...

  13. Systems of Innovation

    OpenAIRE

    Soete, Luc; Verspagen, Bart; Weel, Bas ter

    2009-01-01

    We review the literature on national innovation systems. We first focus on the emergence of the concept of innovation systems, reviewing its historical origins and three main flavours (associated to three “founding fathers†of the concept). After this, we discuss how the notion of innovation systems filled a need for providing a broader basis for innovation policy. We conclude with some perspectives on the future of the innovation systems literature.

  14. STRATEGIC INNOVATION APPROACH

    OpenAIRE

    Dogan, Nilhun

    2017-01-01

    In recentyears, the concept of innovation has become the most debated topic inliterature and in particular, the strategic importance of innovation managementfor businesses is emphasized. In this context, the strategic innovationapproach, which emerged as a synergy of innovation and strategic management,seems to play an important role in achieving sustainable competitive advantage.The aim of this article is to emphasize the importance of innovation andstrategic innovation approach.  

  15. Medical innovation laws: an unnecessary innovation.

    Science.gov (United States)

    Richards, Bernadette

    2016-06-01

    Objective This paper aims to demonstrate that any suggestion that there is a need for specific innovation laws is flawed. Innovation is central to good medical practice and is adequately supported by current law. Methods The paper reviews the nature of medical innovation and outlines recent attempts in the UK to introduce specific laws aimed at 'encouraging' and 'supporting' innovation. The current legal framework is outlined and the role of the law in relation to medical innovation explored. Results The analysis demonstrates the cyclic relationship between medical advancement and the law and concludes that there is no requirement for specific innovation laws. Conclusions The law not only supports innovation and development in medical treatment but encourages it as central to a functioning medical system. There is no need to introduce specific laws aimed at medical innovation; to do so represents an unnecessary legal innovation and serves to complicate matters. What is known about the topic? Over recent months, there has been a great deal of discussion surrounding the law in the context of medical innovation. This was driven by the attempts in the UK to introduce specific laws in the Medical Innovation Bill. The general subject matter - negligence and the expected standard of care in the provision of treatment - is very well understood, but not in cases where the treatment can be described as innovative. The general rhetoric in both the UK and Australia around the Medical Innovation Bill demonstrates a lack of understanding of the position of the law with regards to innovative treatment. What does this paper add? This paper adds clarity to the debate. It presents the law and explains the manner in which the law can operate around innovative treatment. The paper asserts that medical innovation is both supported and encouraged by existing legal principles. What are the implications for practitioners? The paper presents an argument that can guide the policy position

  16. The concept of early rehabilitation (fast track in operative gynecology

    Directory of Open Access Journals (Sweden)

    О. S. Lashkul

    2017-04-01

    Full Text Available Introduction. Application of laparoscopic techniques corresponds to the principles of the FTS maximally. Aim – to assess the impact of the early multimodal rehabilitation concept use on the postoperative period. Material and Methods. The study involved 39 patients who were randomized by method of envelopes into two groups. In the basic group (20 patients a multimodal protocol of early rehabilitation was used. In the control group (19 patients a traditional perioperative regimen was performed. In both groups, vaginal hysterectomy with laparoscopic support under general anesthesia combined with mechanical ventilation was carried out. Fentanyl analgesia (5 - 3 mcg / kg / hr and 0.5% bupivacaine solution into epidural space (6.8 mL were given. The volume of the infusion in the main group was 5 - 6 ml / kg / h, in the control group - 10 ml / kg / hr. The perioperative analgesia included NSAIDs (deksetoprofen, ketorolac, paracetamol. Noninvasive monitoring was carried out by monitor "Leon" (blood pressure, heart rate, capnogram, the hourly diuresis was taken into account, and thermometry was done. Postoperatively in both groups 24 hours prolonged epidural analgesia with small boluses of 0.25% bupivacaine solution (4 ml / hour in combination with systemic injection of dexketoprofen (100-150 mg / day + ketorolac (60 mg / day + paracetamol (2000 mg / day was used. Results. The groups were homogeneous by anamnestic (the onset of menstruation, number of pregnancies, childbirths, induced abortions, spontaneous abortions, anthropometric and demographic characteristics, by the duration of operations and the reference levels of systolic, diastolic, mean arterial pressure and heart rate. The volume of blood loss (ml in patients with FTS was (282 ± 22, in patients of the control group - (347±21, p˂0.05. Intraoperative hemohydrobalance (ml in patients with FTS was (547 ± 57, in the control group - (942 ± 62, p˂0.05. The postoperative bed-day index in patients of the main group (FTS was significantly lower (5.00 ± 0.26 than in the control group of patients without FTS (7.16 ± 0.40, p˂0.05. Conclusions. Optimal anesthetic tactic allows patients to be extubated quickly and to eliminate postoperative pain in the first 24 hours effectively. Using the early multimodal rehabilitation protocol reduces the time of patients’ recovery after vaginal hysterectomy with laparoscopic assistance.

  17. LM6000s bring fast track power to Tanzania

    Energy Technology Data Exchange (ETDEWEB)

    Lukas, R. [Stone and Webster Canada Ltd., Toronto, ON (Canada); Sutcliffe, K. [Stewart and Stevenson Services, Houston, TX (United States); Oosthuizen, P. [Roshcon, Johannesburg (South Africa)

    1996-06-01

    Like many developing countries, Tanzania is in urgent need of power. To ease the situation, the Tanzanian government utility, Tanzania Electric Supply Company (Tanesco) recently began operating a power plant using two LM6000 aeroderivative gas turbines at a facility in Ubungo. The plant began operation just 165 days after the order was placed. (author)

  18. Fast-track protocols in devascularization for cirrhotic portal hypertension

    Directory of Open Access Journals (Sweden)

    Yang Fei

    2015-06-01

    Full Text Available Summary Introduction/objective: fast-tract surgery (FTS has been rapidly embraced by surgeons as a mechanism for improving patient care and driving down complications and costs. The aim of this study was to determine if any improvement in outcomes occurred after FTS protocol for selective double portazygous disconnection with preserving vagus (SDPDPV compared with non-FTS postoperative care. Methods: patients eligible for SDPDPV in the period January 2012-April 2014 were randomly selected for the FTS group or non-FTS group. A designed protocol was used in the FTS group with emphasis on an interdisciplinary approach. The non-FTS group was treated using previously established standard procedures. The number of postoperative complications, time of functional recovery and duration of hospital stay were recorded. Results: patients in the FTS group (n=59 and non-FTS group (n=57 did not differ in terms of preoperative data and operative details (p>0.05. The FTS procedure led to significantly better control and faster restoration of gastrointestinal functions, food tolerance, rehabilitation and hospital discharge (p<0.05. Postoperative complications, including nausea/vomiting, severe ascites, wound infection, urinary tract infection and pulmonary infection were all significantly lower in the FTS group (p<0.05. According to the postoperative morbidity classification used by Clavien, overall complications and grade I complications were both significantly lower in the FTS group compared with the non-FTS group (p<0.05. Conclusion: adopting the FTS protocol helped to recover gastrointestinal functions, to reduce frequency of postoperative complications and to reduce hospital stay. The FTS strategy is safe and effective in improving postoperative outcomes.

  19. Fast-track surgery for bilateral total knee replacement

    DEFF Research Database (Denmark)

    Husted, H; Troelsen, A; Otte, K S

    2011-01-01

    Bilateral simultaneous total knee replacement (TKR) has been considered by some to be associated with increased morbidity and mortality. Our study analysed the outcome of 150 consecutive, but selected, bilateral simultaneous TKRs and compared them with that of 271 unilateral TKRs in a standardised...

  20. Study of hardware implementations of fast tracking algorithms

    International Nuclear Information System (INIS)

    Song, Z.; Huang, G.; Wang, D.; Lentdecker, G. De; Dong, J.; Léonard, A.; Robert, F.; Yang, Y.

    2017-01-01

    Real-time track reconstruction at high event rates is a major challenge for future experiments in high energy physics. To perform pattern-recognition and track fitting, artificial retina or Hough transformation methods have been introduced in the field which have to be implemented in FPGA firmware. In this note we report on a case study of a possible FPGA hardware implementation approach of the retina algorithm based on a Floating-Point core. Detailed measurements with this algorithm are investigated. Retina performance and capabilities of the FPGA are discussed along with perspectives for further optimization and applications.

  1. The fast track to L\\"owner's theorem

    OpenAIRE

    Hansen, Frank

    2011-01-01

    The operator monotone functions defined in the positive half-line are of particular importance. We give a version of the theory in which integral representations for these functions can be established directly without invoking L\\"owner's detailed analysis of matrix monotone functions of a fixed order or the theory of analytic functions. We found a canonical relationship between positive and arbitrary operator monotone functions defined in the positive half-line, and this result effectively re...

  2. Perioperative factors affecting fast tracking in paediatrics cardiac ...

    African Journals Online (AJOL)

    Young age was found to be a factor associated with prolonged mechanical ventilation and extubation. Further, the presence of pulmonary hypertension, lower cardiac grade and ventricular dysfunction were found to be factors significantly associated with prolonged weaning. While, cardiac disease occurring in combination, ...

  3. Fast track developments, Gulf of Mexico -- options and organization

    International Nuclear Information System (INIS)

    Craig, M.J.K.; Carruth, R.E.

    1995-01-01

    The pressure continues to compress the 'idea to barrel' time period -- to get oil and gas from a discovery into the pipeline as quickly, cheaply and safely as possible. This paper discusses the range of development options presently available in the Gulf of Mexico (GoM) to meet these goals, and a project organizational structure that allows for maximum implementation efficiency. The structural options range from a standard 4-pile to a single, freestanding caisson, and the spectrum of 'minimum structures' in between. Developments in water depths of 100 feet and 200 feet are addressed, as are each system's associated costs, relative risks and startup times. Project organization is also addressed in terms of an effective in-house and out-of-house project organizational structure, the necessary attributes of the key members of this organization, and the most effective types of contracting

  4. A Landscape of Opportunities: Fast Tracking Down Under

    OpenAIRE

    Jain, Lorna

    2009-01-01

    Reflexivity is important to nursing as it allows opportunity to reflect on how knowledge, both formal and tacit, and understanding have been developed within the context of the nurse’s own perspectives (Freshwater 2002; Johns & Freshwater 2005). When embarking on my nursing career I was encouraged to keep a diary of my journey so that I would be able to look back and make sense of multifaceted learning experiences I would encounter along the way. Keeping a diary was particularly pertinent as,...

  5. Perioperative Factors Affecting Fast Tracking in Paediatrics Cardiac ...

    African Journals Online (AJOL)

    jen

    East and Central African Journal of Surgery - Volume 14 Number 2 – July/August 2009. 38. Perioperative ... the presence of pulmonary hypertension, lower cardiac grade and ventricular dysfunction were found to be ... Patients with left ventricular hypertrophy are susceptible to diastolic dysfunction; diastolic dysfunction ...

  6. Delirium in the fast-track surgery setting

    DEFF Research Database (Denmark)

    Krenk, Lene; Rasmussen, Lars S; Kehlet, Henrik

    2012-01-01

    Postoperative delirium (PD) and postoperative cognitive dysfunction (POCD) are two separate syndromes of cognitive decline after major surgery, especially in the elderly. Pathogenesis is multifactorial with some common risk factors, and to reduce the risk, a multimodal approach is necessary...

  7. Following a fast track course for refugee teachers

    NARCIS (Netherlands)

    Maaike Hajer; Catarina Economou

    2017-01-01

    The aim of this small explorative study was to get an impression of the participants’ views and understanding of the role of becoming a teacher in Swedish schools, realising the characteristic of pedagogy aimed for in the curriculum (in Lgr11 and Lgy), specifically the interaction patterns and

  8. Organising for innovation in regional innovation systems

    DEFF Research Database (Denmark)

    Brink, Tove

    2017-01-01

    The research in this paper reveals how organising the innovation ecosystem can enable the achievement of the aim for innovation and competiveness. The research was conducted from June 2014 to May 2015 using a qualitative deductive approach among operation & maintenance (O&M) actors in offshore wind...... and educational training. A contribution is made to application of the triple helix notion to enable innovation in offshore wind ecosystems....

  9. Open Innovation Ecosystem: Towards Collaborative Innovation

    OpenAIRE

    Böhmer, Annette Isabel; Lindemann, Udo

    2015-01-01

    Innovation is a precondition for the success of companies in today’s markets to differentiate from their competitors. Particularly disruptive innovations are addressed in numerous research contributions, product contests and advertisements. They carry a high risk of failure and often require a high investment in research and development. (Watty, 2013) Corporate groups are often very successful in specialized market segments and with incremental innovations adapted to the needs ...

  10. Innovation Types and Talent Management for Innovation

    Directory of Open Access Journals (Sweden)

    Juan A. Marin-Garcia

    2011-12-01

    Full Text Available Companies need to become innovative and in order to do so, they must learn how to be able to manage the talent of their workforce In this working paper we have reviewed the literature concerning the concept of innovation as a key for the challenge for change in companies to establish a synthesis and a classification of the types of innovation required. We propose a number of competencies needed by the different staff members (support, technicians, managers, etc as well, so that they can succeed in being innovative in different ways.

  11. Innovation and collective entrepreneurship

    DEFF Research Database (Denmark)

    Spear, Roger

    2012-01-01

    This paper aims to examine different forms of innovation including social innovation, and why innovation and social innovation have become important themes in public policy – in a context of the increasing and diverse demands on welfare regimes, and in an era of constrained budgets. It will review......, including the role of the institutional and policy framework. It will set this analysis within the context of public policy, demonstrating the role of public policy in enabling such innovations in the social and solidarity economy....... different perspectives on innovation and social innovation and the dynamic interaction through collective entrepreneurship in the the social and solidarity economy; bringing out process and outcome dimensions of innovation. And it will develop an understanding of the drivers and barriers to innovation...

  12. Containers, facilitators, innovators?

    DEFF Research Database (Denmark)

    Makkonen, Teemu; Merisalo, Maria; Inkinen, Tommi

    2018-01-01

    : are they containers, facilitators or innovators? This is investigated here through empirical material derived from 27 interviews with top departmental management in three Finnish cities (Helsinki, Espoo and Vantaa). The results show that local city governments (LCGs) consider cities as facilitators of innovation...... without the active role of LCGs as innovators. City employees are innovative – the seeming lack of public sector innovation is actually a result of measurement issues that favour (patentable) technological innovations rather than those more common to LCGs, meaning service and organisational types....... Therefore, LCGs can be seen as highly innovative organisations. There are, however, barriers to innovation in the public sector, such as the cost of innovation activity, the lack of incentives for it, and working culture that does not support it. Lastly, the results show that LCGs have not really fully...

  13. Building a wave energy policy focusing on innovation, manufacturing and deployment

    International Nuclear Information System (INIS)

    Dalton, G.; Gallachoir, B.P.O.

    2010-01-01

    The Irish Government has set a goal to make Ireland a world leader for research, development and deployment of ocean energy technologies. Ireland has a wave energy resource of 21 TWh and an ambition is to achieve at least 500 MW installed generating capacity from ocean energy by 2020. This paper investigates what is required to move from ambition to delivery. A successful wave energy strategy will require focused policies that will stimulate innovation to develop the technologies, manufacturing to produce the devices and deployment to build the required wave power plants. The paper draws on the successful policies in Ireland that have stimulated each of these dimensions, albeit for different sectors. From 2004 to 2008, successful policies in (ICT and biotech) innovation led to an increase in Ireland's Innovation Index score from 0.48 to 0.53. The policy focus on (food and pharmaceuticals) manufacturing in Ireland resulted in high levels of economic growth over the period 1998-2002, reaching >10% GDP growth levels per annum, and full employment. Successful wind energy policies deployment has accelerated rapidly since 2003 and reached 1.2 GW installed capacity in 2009 representing 15% of Ireland's total installed capacity. The paper draws on appropriate elements of these policies to build a successful wave energy policy for Ireland. It also draws on the successful policies adopted in Denmark for innovation, manufacturing and deployment of wind energy. The Danish wind turbine manufacturers hold a world market share of approximately 40%. The paper proposes establishing a wave energy strategy group to develop an action plan to deliver the 500 MW. It also proposes a novel extension of corporate tax specifically for wave energy companies, an initial 30% capital grant scheme for wave energy developers, a grid code for wave energy devices and fast tracking of planning decisions through an amended approach to strategic infrastructure. (author)

  14. Purchasing and Innovation

    DEFF Research Database (Denmark)

    Hanghøj, Astrid; Mols, Niels Peter

    2015-01-01

    show that integrative, relational, innovative,and intelligence capabilities are positively related to innovation. However, relational capabilities are not found to have significant effect on purchasings contribution to supply and practice innovation, i.e. new markets, new suppliers, and new purchasing...... practices. The relationship between intelligence capabilities and purchasings contribution to product and production innovations depends on the level of innovation capabilities.......In this paper we develop a number of hypotheses relating four purchasing capabilities to two measures of purchasings contribution to innovation. The hypotheses are tested with data collected through a websurvey completed by 321 purchasing professionals in Danish production companies. Our results...

  15. Triggering system innovation in agricultural innovation systems

    NARCIS (Netherlands)

    Turner, James A.; Williams, Tracy; Nicholas, Graeme; Foote, Jeff; Rijswijk, Kelly; Barnard, Tim; Beechener, Sam; Horita, Akiko

    2017-01-01

    This article describes a process for stimulating engagement among change agents to develop a shared understanding of systemic problems in the agricultural innovation system (AIS), challenge prevalent institutional logics and identify actions they might undertake to stimulate system innovation.

  16. When innovative instructional designs are too innovative

    DEFF Research Database (Denmark)

    Kjærgaard, Thomas; Wahl, Christian

    2015-01-01

    This paper presents a study of what happens when innovation of an instructional design is too innovative. The study investigates an implementation process of a new instructional design in nursing education. The new instructional design should be a step away for a functionalist approach to learning...

  17. Innovating innovation Policy. Rethinking green innovation policy in evolutionary perspective

    NARCIS (Netherlands)

    Arentsen, Maarten J.; Dinica, V.; Marquart, N.E.

    1999-01-01

    Advanced environmental standards such as sustainability require substantial improvements in the environmental performances of present technologies. Governments are faced with the challenge to design green innovation policies able to support producers and users of technologies to comply with such

  18. Pathfinder Innovation Projects

    Science.gov (United States)

    The Pathfinder program supports high-risk, high-reward research ideas with funding and staff time. The goal is to feed a culture of innovation in the Agency and integrate innovative ideas in EPA research programs.

  19. Innovation and STEM Schools

    Science.gov (United States)

    Roberts, Julia Link

    2015-01-01

    How do schools with a focus on science, technology, engineering, and mathematics (STEM) fit in with state goals to increase innovation and to boost the economy? This article briefly discusses how educators can encourage creativity and innovation.

  20. Detecting Social Innovation agency

    DEFF Research Database (Denmark)

    Pel, Bonno; Dorland, Jens; Wittmayer, Julia

    2017-01-01

    Considering that it is important for the social innovation research field to confront its methodological challenges, this contribution addresses the challenge of choosing appropriate units of analysis. In processes of transformative social innovation, the agency is distributed and therefore...

  1. Diversity and Innovation

    DEFF Research Database (Denmark)

    Østergaard, Christian Richter; Timmermans, Bram; Kristinsson, Kári

    2007-01-01

    Denne metoderapport udgør og beskriver den kvantitative analyse, som er grundlaget for kapitel 6 og appendiks 2 i Forsknings- og Innovationsstyrelsens rapport om Innovation og mangfoldighed - Ny viden og erfaringer med medarbejderdreven innovation...

  2. Roadmap for Inclusive Innovation

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The Roadmap for Inclusive Innovation data set shares the status of action items under the Roadmap for Inclusive Innovation. Each action or project has been assigned...

  3. In search of Innovation

    DEFF Research Database (Denmark)

    Lex, Simon Westergaard

    2016-01-01

    This essay explores innovation as a socially and culturally embedded practice, coming to life in correlation between structural organizational conventions and entrepreneurial performances. With an empirical departure, it describes a rational understanding of creation, and it identifies innovation...

  4. Innovative Work Behavior

    DEFF Research Database (Denmark)

    Pihl-Thingvad, Signe; Klausen, Kurt Klaudi

    work behaviour of the employees in a particular empirical setting. Innovative work behaviour has become an important concept in the literature on innovation. Theories on managing change and innovation in public service organizations would suggest that managers have several possibilities when ensuring...... the behaviour of both managers and employees. In order to ensure the implementation of innovation, public managers must pay close attention to the behaviour of the employees. This paper focuses on how and to which extend innovation is implemented into public service organizations, by examining the innovative...... the implementation of innovation. There is, however, still a gap (both empirical and theoretical) in the literature on how managers can contribute to and strengthen the employees’ innovative work behaviour in public service organizations. Therefore, we focus on the following research questions. Which management...

  5. Cyclical innovations and production

    OpenAIRE

    Greiner, Alfred

    1994-01-01

    Cyclical innovations and production : a formal model of the firm reflecting Schumpeterian ideas / Alfred Greiner and Horst Hanusch. - In: Innovation in technology, industries, and institutions / ed. by Yuichi Shionoya ... - Ann Arbor : Univ. of Michigan Press, 1994. - S. 157-169

  6. Innovations, status, and networks

    NARCIS (Netherlands)

    P. Wang (Pengfei)

    2016-01-01

    markdownabstractTo obtain and maintain competitive advantage, firms need to implement appropriate innovation strategies (i.e. exploration or exploitation) and acquire status in external networks. In this dissertation, I investigate how innovation strategy, status, and network structure jointly

  7. Dis-locating innovation

    NARCIS (Netherlands)

    Barba Latta, Iulian I.V.

    2017-01-01

    This dissertation dwells on an experimental approach to the emergence of alternative innovations, interrogated through their spatiotemporal and material conditions. Proceeding from the more recent spate of contributions that grant recognition to innovation processes as a common feature of any

  8. Logistic innovations in transport

    Directory of Open Access Journals (Sweden)

    Mirosław Antonowicz

    2014-03-01

    Full Text Available Introduction: The article discusses the issue of logistic innovations in transport. The essentials of logistic innovations in transport together with some examples of specific innovations are presented. The role of the client's needs in transport innovations is indicated. The most vital postulates affecting the innovativeness of shipping companies and derived from the author's experience as well as scholarly publications, are time, safety, reliability as well as comprehensiveness of service offer. Following the analysis of the issue, and on the grounds of Kaizen's and Lean's method, the concept of continuous innovations is suggested as very useful for the development of transport. The potential of clusters as the source of logistic innovations in transport is emphasised. Methods: The discussion of the issue was preceded by the author's analysis of written sources on innovativeness, the evaluation of ratings of innovativeness as well as the analysis of rewarded innovative solutions in transport subsequent to the businesses participation in the programme of innovative solutions in transport. The role of innovation practical business operations is argued following the analysis of some strategic documents such as: 2011 White Paper and the Strategy for the Development of Transport by 2020 adopted by the Polish government in 2013. Aim: The aim of the article is to present the role and significance of the issue of logistic innovations in transport and to cite instances of practical solutions implemented by shipping companies, the solutions which resulted in measurable effects. Following the author's observation of the instances of innovative solutions as well as his analysis of the ratings of innovativeness, the article aims to present the conclusions as for the specific kinds of activities which are indispensable to foster innovativeness in transport. Conclusions: The conclusions derived from the author's analyses and observations show that logistic

  9. Entrepreneurship and Innovation Policy

    OpenAIRE

    Erik Stam

    2008-01-01

    What is meant by entrepreneurship, innovation and economic growth is often not clear or very idiosyncratic. This paper starts with a discussion of the nature of entrepreneurship and its relation to innovation. The second section provides an overview of theory and empirical research on the relation between entrepreneurship, innovation and economic growth. The paper continues with a study on entrepreneurship and innovation in the Netherlands in an international and historical perspective. After...

  10. Institutionel innovation i professionsfeltet

    OpenAIRE

    Bretlau, Lars

    2008-01-01

    The title of this master dissertation is: ”Institutional innovation in Bachelor Degrees of profes-sion – potentials and barriers”. The question examined in the dissertation are: why innovation is becoming increasingly desi-rable for professions and which institutional potentials and barriers can be expected as a con-sequence of implementing institutional innovation in the Danish professional education sector? These questions aim to examine how challenges of innovation can be openly and system...

  11. Strategy of technical innovation

    International Nuclear Information System (INIS)

    Lee, Ga Jong

    1990-12-01

    This book deals with policy of scientific technique and technical innovation such as research for development and types of technical innovation, historical development and process of technical innovation, economic growth, technology change and investment for research and development, structure and form of technical transfer with the meaning process, from, structure and theory, economic growth and investment of research and development with experiential analysis and case study on strategy of technical innovation in electron and fine chemical industry.

  12. 16 tales of innovation

    DEFF Research Database (Denmark)

    16 Tales of Innovation are told by 16 leaders, who have completed the LAICS executive master program, a collaboration between Aarhus University and Copenhagen Business School. The book is based on their Master theses and illustrates how they have experimented with different innovation tools, models...... and innovation theories within their own organization. Here they share their unique insights into the processes, methods and the impact of their academic work with innovation in practice....

  13. Innovating for sustainability

    DEFF Research Database (Denmark)

    The theme of the articles is innovating for sustainability. Empirically the articles shows how enterprises makes environmental innovations related to their processes and products within the organic dairy industry, the fish processing industry and the car industry.......The theme of the articles is innovating for sustainability. Empirically the articles shows how enterprises makes environmental innovations related to their processes and products within the organic dairy industry, the fish processing industry and the car industry....

  14. The Pharmakon of Innovation

    DEFF Research Database (Denmark)

    Johnsen, Christian Garmann

    , the concept of management is attributed a curious dual function, as being, on the one hand, the ‘toxic’ that can ‘kill’ innovation, and, on the other hand, ‘cure’ that will make the organization innovative. Informed by Derrida’s reflection upon the dual meaning of Plato’s concept of pharmakon, as being both...... weather management is the cure or the poison for innovation. We will therefore show how management is the pharmakon of innovation....

  15. Measuring Manufacturing Innovativeness

    DEFF Research Database (Denmark)

    Blichfeldt, Henrik; Knudsen, Mette Præst

    2017-01-01

    Globalization and customization increases the pressure on manufacturing companies, and the ability to provide innovativeness is a potential source of competitive advantage. This paper positions the manufacturing entity in the innovation process, and investigates the relation between innovation vers...... technology and organizational concepts. Based on Danish survey data from the European Manufacturing Survey (EMS-2015) this paper finds that there is a relation between innovative companies, and their level of technology and use of organizational concepts. Technology and organizational concepts act...

  16. Social Innovation Europe: Country Summary: Poland. Social Innovation in Poland

    OpenAIRE

    Klimczuk, Andrzej

    2015-01-01

    The history of social innovation in country, challenges being addressed by social innovation. the key actors, who is promoting social innovation. A few of the key projects that illustrate social innovation.

  17. Technical innovation and management

    International Nuclear Information System (INIS)

    Yoon, Yang Cheol

    1982-08-01

    This book gives explanations of the conception of technical innovation, development plan in Korea, connection between technology and a growth factor in national income, problem of technical innovation in developing country, analysis on cooperation between a developed country and a developing country, evaluation and strategy of technical development in Korea, technical innovation of industry, management of technical industry, analysis of special condition in Korea.

  18. Business Model Innovation Leadership

    DEFF Research Database (Denmark)

    Lindgren, Peter

    2012-01-01

    When SME´s practice business model (BM) innovation (BMI), leading strategically BMs through the innovation process can be the difference between success and failure to a BM. Business Model Innovation Leadership (BMIL) is however extremely complex to carry out especially to small and medium size...

  19. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    Viardot, Eric

    management such as user innovation, crowd sourcing and crowd funding, as well as social media. In line with the constant globalization of innovation, the first volume of Revolution of Innovation Management offers a variety of international perspectives on these topics with illustrations and analysis coming...

  20. China's Innovation Paradox

    Science.gov (United States)

    Chan, Jeremy

    2015-01-01

    China aims to become an innovation-led nation by 2020, but its leadership is generally sceptical--and oftentimes hostile--to the market forces, open exchange of ideas, and creative destruction that have unlocked innovation in other countries. Instead, Beijing hopes to promote innovation in China through a massive expansion in higher education,…

  1. Bureaucracy and Innovation Revisited

    DEFF Research Database (Denmark)

    Hartmann, Mia Koss; Koss Hartmann, Rasmus

    expectations of epistemic boundaries and these expectations lead to both innovation and innovation hiding, which interact to produce low levels of overt innovation. We make this argument based on three years of full-time in-depth ethnographic field studies in two police units and two military units...

  2. Competition and Innovation Policy

    OpenAIRE

    Philip Lowe

    2008-01-01

    Innovation and competition go hand in hand. Innovative markets are competitive markets and innovative companies succeed in them. In the European Commission, as in competition authorities across the world, our focus is on ensuring that this happens in the most efficient and fair manner.

  3. Innovation, exports and productivity

    NARCIS (Netherlands)

    Cassiman, B.; Golovko, E.; Martinez-Ros, E.

    2010-01-01

    We argue that the positive association found between firm productivity and exports in the literature relates to the firm's innovation decisions. Using a panel of Spanish manufacturing firms we find strong evidence that product innovation - and not process innovation - affects productivity and

  4. Innovate or Die.

    NARCIS (Netherlands)

    Jagersma, P.K.

    2003-01-01

    Concentrates on innovation as an under-exploited path to success in the business community, though reckons becoming innovative is not easy. Suggests innovative companies have a number of common characteristics, which are ten strategies to be implemented to create success, these are listed in full.

  5. Regional Trends in Electromobility - Regional Study North America

    OpenAIRE

    Turrentine, Tom; Garas, Dhalia

    2015-01-01

    The subproject “Regional Trends in Electro mobility” aims at identifying and analyzing major trends in the field of electro mobility. The trend analysis will monitor research effort and upcoming technologies, policies, products and market developments in different focus regions around the world continuously to enable a systematic analysis of global trends. The regional trend analysis for electro mobility is a major keystone for the project success and therefore cooperation with...

  6. ACCOUNTING OF THE INNOVATION OPERATIONS

    Directory of Open Access Journals (Sweden)

    S. Kafka

    2017-08-01

    Full Text Available The main points of innovation of enterprises, the requirements for innovation, sources of funding, stages of the life cycle of product innovation, the order of recording transactions of innovative character were researched.

  7. Staging Collaborative Innovation Processes

    DEFF Research Database (Denmark)

    Pedersen, Signe; Clausen, Christian

    Organisations are currently challenged by demands for increased collaborative innovation internally as well as with external and new entities - e.g. across the value chain. The authors seek to develop new approaches to managing collaborative innovative processes in the context of open innovation...... and public private innovation partnerships. Based on a case study of a collaborative design process in a large electronics company the paper points to the key importance of staging and navigation of collaborative innovation process. Staging and navigation is presented as a combined activity: 1) to translate...

  8. Service co-innovation

    DEFF Research Database (Denmark)

    Henten, Anders; Sundbo, Jon; Sundbo, Donna

    This paper examines the factors affecting the innovativeness of service encounters. The assumption is that a considerable share of innovations in service industries is initiated in the service encounters. The theoretical foundation of this paper builds on a combination of research tradition...... of studies of the degree of satisfaction of the users with the services in the service encounters and studies that examine service innovation processes. The paper is based on research conducted in 21 service delivery situations in as many service companies. Drivers of and barriers to encounterbased service...... innovation and a model are presented. The conclusion is that employees are the core factor in connecting customers with the innovating organization....

  9. Innovation policies for tourism

    DEFF Research Database (Denmark)

    Hjalager, Anne-Mette

    2012-01-01

    The nature, extent, and implications of innovation in tourism are increasingly investigated in academic research, but the policies that affect these transformations in the industry and at tourism destinations are not equally well conceptualised theoretically or analysed empirically. The purpose...... of this article is, in an analysis of the literature, to interpret the rationale behind innovation policy, and to explain the persisting challenges related to acquisition of an informed foundation for policies based upon quantitative and qualitative inquiries. Observed in a historical perspective, innovation...... framework of policy instruments for innovation in tourism. New generations of policies instigate a mainstreaming of the innovation agenda in ways that proceed beyond the traditional policy concepts....

  10. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    This edited collection explores how digitalization is changing the management of innovation, and the subsequent implications for the next phases in its development. The authors identify and examine relevant phenomena which are related to the ongoing digital breakthrough in the context of innovation...... management such as user innovation, crowd sourcing and crowd funding, as well as social media. In line with the constant globalization of innovation, the first volume of Revolution of Innovation Management offers a variety of international perspectives on these topics with illustrations and analysis coming...

  11. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    This edited volume explores how the rapid development of business model innovation changes innovation management at an international level. It discusses the next phases in its development, and the impact that this could have on the field. The authors identify and examine recent trends which have...... the potential to disrupt the traditional way of managing innovation, notably in terms of creativity, product development, and process change. In line with the constant globalization of innovation, the second volume of Revolution of Innovation Management offers a variety of international perspective...

  12. Essence: Facilitating Software Innovation

    DEFF Research Database (Denmark)

    Aaen, Ivan

    2008-01-01

      This paper suggests ways to facilitate creativity and innovation in software development. The paper applies four perspectives – Product, Project, Process, and People –to identify an outlook for software innovation. The paper then describes a new facility–Software Innovation Research Lab (SIRL) ......) – and a new method concept for software innovation – Essence – based on views, modes, and team roles. Finally, the paper reports from an early experiment using SIRL and Essence and identifies further research.......  This paper suggests ways to facilitate creativity and innovation in software development. The paper applies four perspectives – Product, Project, Process, and People –to identify an outlook for software innovation. The paper then describes a new facility–Software Innovation Research Lab (SIRL...

  13. Competitive Advantage through Innovation

    DEFF Research Database (Denmark)

    Brem, Alexander; Maier, Maximilian; Wimschneider, Christine

    2016-01-01

    to failure several times. Before the current situation of the company, it remains challenging in the future as well. Hence, the Nespresso story provides interesting space for discussion and learning about what innovation is, how innovation emerges, and under which circumstances innovation can serve...... as a source for competitive advantage. Research limitations/implications Especially given the current market situation, the case offers different starting points for discussion about innovation and long-term company success. Practical implications Especially before the current market situation, the case...... offers different starting points for discussion about innovation and the success of a company on the long term. The case is designed to give practitioners a better understanding on what an innovation as, and how competitive advantages can be linked to innovation. Originality/value This case of Nespresso...

  14. Marketing Innovations in Croatia

    Directory of Open Access Journals (Sweden)

    Ljiljana Božić

    2011-06-01

    Full Text Available The purpose of this paper is to analyze the introduction of marketing innovations by companies in Croatia. This study provides an insight into the innovativeness with regard to the introduction of marketing innovations. It explores the presence of marketing innovations in general and the introduction of four types of marketing innovation (significant changes to the aesthetic design or packaging, new media or techniques for product promotion, new methods for product placement or sales channels and new methods of pricing goods or services. The changes in all four elements of the marketing mix are described. The paper also explores the extent to which the introduction of marketing innovation is related to the companies that introduce other types of innovations.

  15. Arbejde, innovation og projekter

    DEFF Research Database (Denmark)

    Grex, Sara

    . The objective of the project is to investigate the organizational possibilities for developing ways of organizing so that innovative processes in project-oriented companies can be supported. The problem is answered through a literature review of theories within innovation, project management, and project......This PhD-project is about innovation and project management. It is about the challenges and dilemmas companies and participants in innovative activities experience in relation to generate innovation, but especially the project is about how innovative activities can be organized in project......-oriented organizations. Project organization and project work are forms of organizing and working that becomes more and more widespread with project management as the dominant way of managing. At the same time there is an increased demand and request for more innovation in many companies and organizations. However...

  16. Logistics Innovation Process Revisited

    DEFF Research Database (Denmark)

    Gammelgaard, Britta; Su, Shong-Iee Ivan; Yang, Su-Lan

    2011-01-01

    Purpose – The purpose of this paper is to learn more about logistics innovation processes and their implications for the focal organization as well as the supply chain, especially suppliers. Design/methodology/approach – The empirical basis of the study is a longitudinal action research project...... innovation process model may include not just customers but also suppliers; logistics innovation in buyer-supplier relations may serve as an alternative to outsourcing; logistics innovation processes are dynamic and may improve supplier partnerships; logistics innovations in the supply chain are as dependent...... into the process of a logistics innovation in an oriental healthcare supply chain context. The study is, however, still limited in disclosing end-to-end supply chain benefits including concrete performance improvements at the suppliers. Examining logistics innovation processes should result not only...

  17. Frugal innovation process

    DEFF Research Database (Denmark)

    Hossain, Mokter; Levänen, Jarkko; Lindeman, Sara

    2017-01-01

    The objective of this paper is to understand the processes of the development of frugal innovation with an entrepreneurial spirit. The contributions of this study are twofold. First, we explore, compare, and contrast two very different contexts - grassroots and elite - of frugal innovation...... processes. Second, we show how individuals have very different understandings of frugal innovations as well as capacities and resources needed for the development of frugal innovations. Two prominent frugal innovation cases are used in this study. One innovation was developed by individuals from the USA...... and another developed by an individual from the Gujarat, India. Using effectuation theory we find that there are some distinct differences between two categories regarding finance, access to science and technology, the motivation of innovators, options they have, actions they take, etc....

  18. Innovation Production Models

    Directory of Open Access Journals (Sweden)

    Tamam N. Guseinova

    2016-01-01

    Full Text Available The article is dedicated to the study of the models of production of innovations at enterprise and state levels. The shift towards a new technology wave induces a change in systems of division of labour as well as establishment of new forms of cooperation that are reflected both in theory and practice of innovation policy and management. Within the scope of the research question we have studied different generation of innovation process, starting with simple linear models - "technology push" and "market pull" - and ending with a complex integrated model of open innovations. There are two organizational models of innovation production at the enterprise level: start-ups in the early stages of their development and ambidextrous organizations. The former are prone to linear models of innovation process, while the latter create innovation within more sophisticated inclusive processes. Companies that effectuate reciprocal ambidexterity stand out from all the rest, since together with start-ups, research and development centres, elements of innovation infrastructure and other economic agents operating in the same value chain they constitute the core of most advanced forms of national innovation systems, namely Triple Helix and Quadruple Helix systems. National innovation systems - models of innovation production at the state level - evolve into systems with a more profound division of labour that enable "line production" of innovations. These tendencies are closely related to the advent and development of the concept of serial entrepreneurship that transforms entrepreneurship into a new type of profession. International experience proves this concept to be efficient in various parts of the world. Nevertheless, the use of above mentioned models and concepts in national innovation system should be justified by socioeconomic conditions of economic regions, since they determine the efficiency of implementation of certain innovation processes and

  19. INTERORGANIZATIONAL INNOVATION DYNAMICS

    Directory of Open Access Journals (Sweden)

    Dan SERGHIE

    2013-06-01

    Full Text Available The directions of research on innovation or on the staging of innovative processes progress have evaluated over time from an innovational perspective constraint within an activity pursued by the entrepreneur (regarded as an entity creating possible and numerous innovative combinations to an innovational perspective (induced in innovative processes and structures framed and carried wider within the organizational internal environment, as response triggered and driven by market requirements. Nowadays, innovation is approached from the perspective of development in networks and system organizations. This latest innovation perspective by relating the areas of knowledge from which to reclaim constituent elements of the process, allowed researchers to focus on the study of the sequencing of actions (from generation to design and then to marketing innovation as a process generated and conducted in networks, communities of innovation in systems and groups of companies or structures such as double helix or triple helix, in which the collaborative paradigm plays a central role. These structures include companies, individuals, universities and public organizations.

  20. Open innovation with an effective open innovation team.

    OpenAIRE

    Vanvoorden, Jonas

    2014-01-01

    This master's thesis explores how open innovation teams can successfully support open innovation inside of an organisation. Open innovation is a paradigm introduced by Henry Chesbrough (2003) a decade ago. It expands the innovation potential of organisations by opening them up to new ways of working with external partners. To implement open innovation, many companies rely on a small group of managers named open innovation teams. Although open innovation teams can potentially be vital for impl...

  1. Learning to Innovate

    DEFF Research Database (Denmark)

    Mei, Maggie

    . Specifically, essay 1 focuses on how to manage ambidextrous learning for superior radical and incremental innovation capabilities; essay 2 examines how learning through knowledge sharing in the context of standard setting impacts on firms’ innovation performance; and essay 3 moves down to project level...... the relationship between organizational learning and innovation creation in an organizational context. Taking a nuanced view of organizational learning, the dissertation investigates how three different organizational learning processes could affect innovation creation at the firm level and project level...... to the understanding of managing organizational learning for innovation creation at firms. The three studies in this dissertation show how three prominent organizational learning processes impact on firms’ innovation performance. Furthermore, the studies in this dissertation emphasize that there are limitation...

  2. Managing collaborative innovation networks

    DEFF Research Database (Denmark)

    Stevens, Vidar; Agger, Annika

    2017-01-01

    . Empirical research on the management of collaborative policy innovation processes is, however, scarce. Therefore, we review in this article a case to add new insights to the causal link between collaboration, management, and innovation. Specifically, we examine the management strategies which helped......Collaborative innovation networks are increasingly used as vehicles for fostering innovative policy solutions. However, scholars have noted that the extent to which collaborative networks can actually contribute to the development of innovative policy solutions depends on how they are managed...... a Flemish administrative network to develop a radical new Spatial Planning Policy Plan. This study shows that the best way to manage collaborative innovation networks is not to press directly for results, but take the time to invest in relationship-building and together agree on a planning and clear process...

  3. Adoption of Innovation

    DEFF Research Database (Denmark)

    This edited volume brings together academics from both innovation and marketing fields to explore the additional value for companies that can be generated with the innovations in marketing and the marketing of innovations. If ideas need to reach the marketplace, then marketing strategies, concepts...... innovation and marketing research need to be much stronger as companies have to convince internal and external stakeholders to achieve successful innovation strategies. State-of-the-art research output from different perspectives would suit the needs of a researcher as well as the company CEO alike....... and tools - such as the continuous development of new product and services - become vital for their success. On the other hand, marketing management is influenced by innovation as illustrated by the way social media and Internet have revolutionized the traditional marketing-mix. Such linkages between...

  4. Political Parties and Innovation

    DEFF Research Database (Denmark)

    Bischoff, Carina Saxlund; Christiansen, Flemming Juul

    2017-01-01

    Public innovation and political parties are usually not studied together. Given the key position parties hold in representative democracies, it is somewhat odd that their influence on public innovation has not been explored. We propose to open this line of inquiry and introduce a typology...... that highlights four avenues for studying the links between public innovation and political parties: linkage, programme, interaction and policy. We use the typology to discuss relevant themes and empirical examples in existing literature and to formulate of a number of hypotheses about innovation of political...... parties themselves as well their impact on potentially innovative public decisions. One major expectation is that hierarchical parties with centralized leadership make more efficient decisions but that sustainable innovation outcomes promoted by collaborative efforts are easier to obtain for decentralized...

  5. Everyday-Oriented Innovation

    DEFF Research Database (Denmark)

    Munnecke, Max

    , business, and society. The study addresses the concern that vision projects do not produce sufficient navigational innovation maps, and seeks to improve their quality by modelling a new methodological framework. The study was conducted as a series of four research cycles which modelled and experimented......The exploration of radical innovation has long been regarded as fundamental to business growth. In the 21st century, modern organisations increasingly seek to combine business innovation with the broader goal to confront social and environmental challenges. Vision projects are related phenomena...... which explore and map radical innovation opportunities within everyday activities. The aim of a vision project is to produce an innovation map that can empower an organisation to navigate between potential innovation opportunities and pro‐actively confront modern challenges for the benefit of people...

  6. Management Innovation Capabilities

    DEFF Research Database (Denmark)

    Harder, Mie

    Management innovation is the implementation of a new management practice, process, technique or structure that significantly alters the way the work of management is performed. This paper presents a typology categorizing management innovation along two dimensions; radicalness and complexity. Then......, the paper proposes a model of the foundations of management innovation. Propositions and implications for future research are discussed.......Management innovation is the implementation of a new management practice, process, technique or structure that significantly alters the way the work of management is performed. This paper presents a typology categorizing management innovation along two dimensions; radicalness and complexity. Then......, the paper introduces the concept of management innovation capabilities which refers to the ability of a firm to purposefully create, extend and modify its managerial resource base to address rapidly changing environments. Drawing upon behavioral theory of the firm and the dynamic capabilities framework...

  7. Lead User Innovation

    DEFF Research Database (Denmark)

    Brem, Alexander; Larsen, Henry

    2015-01-01

    User innovation and especially the integration of lead users is a key topic in the innovation management literature of recent years. This paper contributes by providing a rare perspective into what easily could be seen as innovation failure, shown from two perspectives. We show how a lack of shared...... imagination hampers participation and kills innovation between interdependent stakeholders at the threshold between invention and innovation in practice. We present a first case in the fun-sport industry where an external lead user and diverse firm representatives in different functions fail to create......, deliver and capture the value of an innovatively new device together. From the perspective of the lead user, we show antecedents and effects of social interaction between organizational actors and the lead user on the development of social capital, especially trust and shared imagination. The second case...

  8. Public sector innovation

    DEFF Research Database (Denmark)

    Wegener, Charlotte

    2012-01-01

    This paper explores the value dimension of public innovation in the light of practitioners’ values and asks why there seems to be a clash between innovation imperatives and workplace practices in the public sector. The paper contributes to the research on public innovation from a practice...... perspective by providing evidence from an ethnographic field study on innovation in social and health care studies in Denmark. These studies are part of the vocational education and training (VET) system, which combines coursework at a college and internship in the elder care sector. The study is thus cross...... initiate innovations grounded in their values. The main point put forward is that the value dimension of public innovation must be understood not only in terms of value creation (economic or non-economic), which frontline practitioners are required to contribute to, but also as value-based practices...

  9. Innovativeness in production systems

    DEFF Research Database (Denmark)

    Blichfeldt, Henrik; Knudsen, Mette Præst

    a positive influence of the ability of the manufacturing system to provide specific capabilities that enables the entire production system to positively influence the competitiveness. A comparative case study of three SMEs shows that competitive advantages are obtained through innovative technologies......Alignment of market demand and manufacturing capabilities are directly linked to the potential competitive advantage. Pressure for manufacturing companies to customize increase the need for productions systems to handle innovations, especially in SMEs. The paper claims that innovativeness has...

  10. Inside Real Innovation

    Science.gov (United States)

    2011-11-01

    there is a wheel inside your container of dental floss , and a wheel on the trackwheel computer mouse. We will find that virtually any innovation...where benefits accrue to the users and where return is extracted for investment in the process. In short, we define innovation as useful...includes the items on the right-hand side. It encompasses the people who will use the innovation, the benefits they can expect from it, the behaviors they

  11. Innovation policies for tourism

    DEFF Research Database (Denmark)

    Hjalager, Anne-Mette

    2012-01-01

    The nature, extent, and implications of innovation in tourism are increasingly investigated in academic research, but the policies that affect these transformations in the industry and at tourism destinations are not equally well conceptualised theoretically or analysed empirically. The purpose...... framework of policy instruments for innovation in tourism. New generations of policies instigate a mainstreaming of the innovation agenda in ways that proceed beyond the traditional policy concepts....

  12. Explaining Management Innovation Pervasiveness

    OpenAIRE

    Harder, Mie

    2011-01-01

    Management innovation is the introduction of new management practices, processes, techniques or organizational structures that significantly alter the way the work of management is performed. This paper examines a particular characteristic of management innovation: i.e. pervasiveness. Based on the behavioral theory of the firm, the determinants of firms’ adoption of pervasive management innovations are explored. I find that performance shortfalls have a direct positive effect on t...

  13. Innovation in business groups

    OpenAIRE

    Sharon Belenzon; Tomer Berkovitz

    2007-01-01

    Using novel data on European firms, this paper investigates the relationship between business groups and innovation. Controlling for various firm characteristics, we find that group affiliates are more innovative than standalones. We examine several hypotheses to explain this finding, focusing on group internal capital markets and knowledge spillovers. We find that group affiliation is particularly important for innovation in industries that rely more on external funding and in groups with mo...

  14. Business Model Innovation

    OpenAIRE

    Dodgson, Mark; Gann, David; Phillips, Nelson; Massa, Lorenzo; Tucci, Christopher

    2014-01-01

    The chapter offers a broad review of the literature at the nexus between Business Models and innovation studies, and examines the notion of Business Model Innovation in three different situations: Business Model Design in newly formed organizations, Business Model Reconfiguration in incumbent firms, and Business Model Innovation in the broad context of sustainability. Tools and perspectives to make sense of Business Models and support managers and entrepreneurs in dealing with Business Model ...

  15. Corporate creativity and innovation

    OpenAIRE

    Ericsson, Camilla; Dahlby, Tove

    2009-01-01

    This essay discusses organizational culture and focus on corporate creativity and innovation. The aim is to see which organizational factors that foster creativity and innovation in organizations. The essay will provide answer on how organizational culture can encourage creativity and innovation and how organizations can promote the rise of a creative work environment. The research design of this essay is a qualitative case study with interviews at Gotland Energi AB (GEAB). The interviews pro...

  16. Management Innovation Capabilities

    DEFF Research Database (Denmark)

    Harder, Mie

    , the paper introduces the concept of management innovation capabilities which refers to the ability of a firm to purposefully create, extend and modify its managerial resource base to address rapidly changing environments. Drawing upon behavioral theory of the firm and the dynamic capabilities framework......Management innovation is the implementation of a new management practice, process, technique or structure that significantly alters the way the work of management is performed. This paper presents a typology categorizing management innovation along two dimensions; radicalness and complexity. Then......, the paper proposes a model of the foundations of management innovation. Propositions and implications for future research are discussed....

  17. Successful innovation by motivation

    Directory of Open Access Journals (Sweden)

    Petra Koudelková

    2015-10-01

    Full Text Available Innovation is one of the most important factors for business growth. Human capital plays a significant role in the successful process of innovation. This article deals with employee motivation in the innovation process and the main scientific aim of this study is to present results of research that was undertaken in the Czech Republic at the beginning of 2013. Questionnaires were used for the survey and statistical analyses such as Chi square test or Hierarchical cluster analysis were used for data processing. This study also provides a theoretical and practical overview of business innovation in the Czech Republic.

  18. Evaluation of innovation processes

    Directory of Open Access Journals (Sweden)

    Jakub Tabas

    2012-01-01

    Full Text Available In present, innovations are spoken as an engine of the world economy because the innovations are transforming not only business entities but the whole industries. The innovations have become a necessity for business entities in order to survive on floating challenging markets. This way, innovations are driving force of companies’ performance. The problem which arises here is a question of measurement innovation’s effect on the financial performance of company or selection between two or more possible variants of innovation’s realization. Various authors which are focused on innovations processes are divided into two groups in their attitudes towards the question of influence of innovations on financial performance of companies. One group of the authors present the idea that any reliable measurement is not possible or efficient. The second group of authors present some methods theoretically applicable on this measurement but they base their approaches mostly on the methods of measurement of investments effectiveness or they suggest employment of indicators or ratios which wouldn’t be clearly connected with the outcome of innovation process. The aim of submitted article is to compare different approaches to evaluation of the innovation processes. The authors compare various approaches here and by use of analysis and synthesis, they determine their own method how to measure outcome of innovation process.

  19. Learning to Innovate

    DEFF Research Database (Denmark)

    Mei, Maggie; Laursen, Keld; Atuahene-Gima, Kwaku

    and balance) affect firms? incremental and radical innovation capabilities. Based on organizational learning theory and the dominant logic literature, we develop the theoretical arguments that the synergy of ambidexterity drives incremental innovation capability and the balance dimension of ambidexterity...... influences radical innovation capability. We conjecture that also there is an interaction effect between synergy and balance on both radical and incremental innovation capabilities. We base our empirical analysis on a survey of a wide range of high-tech firms in China. We find broad support for our...... theoretical arguments....

  20. Essence: Facilitating Software Innovation

    DEFF Research Database (Denmark)

    Aaen, Ivan

    2008-01-01

      This paper suggests ways to facilitate creativity and innovation in software development. The paper applies four perspectives – Product, Project, Process, and People –to identify an outlook for software innovation. The paper then describes a new facility–Software Innovation Research Lab (SIRL......) – and a new method concept for software innovation – Essence – based on views, modes, and team roles. Finally, the paper reports from an early experiment using SIRL and Essence and identifies further research....

  1. Drivers for Welfare Innovation

    DEFF Research Database (Denmark)

    Wegener, Charlotte

    2015-01-01

    on the empirical material, the paper proposes a ‘driver’ model for context sensitive research of innovation in welfare workplaces. The model involves three elements which can be regarded as drivers for innovation: i) craft (i.e. professional skills and knowledge), ii) levers (i.e. experiments and adjustment......Innovation has become a key goal towards which teaching and workplace learning needs to be directed. Now perceived as germane and even necessary in almost all kinds of welfare work, the innovation potential in everyday practices and ways of allowing for employer creativity have become a highly...

  2. Regional Innovation Clusters

    Data.gov (United States)

    Small Business Administration — The Regional Innovation Clusters serve a diverse group of sectors and geographies. Three of the initial pilot clusters, termed Advanced Defense Technology clusters,...

  3. Explaining Management Innovation Pervasiveness

    DEFF Research Database (Denmark)

    Harder, Mie

    on the behavioral theory of the firm, the determinants of firms’ adoption of pervasive management innovations are explored. I find that performance shortfalls have a direct positive effect on the pervasiveness of adopted innovations. Likewise, I find a direct effect of education level, richness of internal......Management innovation is the introduction of new management practices, processes, techniques or organizational structures that significantly alter the way the work of management is performed. This paper examines a particular characteristic of management innovation: i.e. pervasiveness. Based...

  4. Innovation and wound healing.

    Science.gov (United States)

    Harding, Keith

    2015-04-01

    Innovation in medicine requires unique partnerships between academic research, biotech or pharmaceutical companies, and health-care providers. While innovation in medicine has greatly increased over the past 100 years, innovation in wound care has been slow, despite the fact that chronic wounds are a global health challenge where there is a need for technical, process and social innovation. While novel partnerships between research and the health-care system have been created, we still have much to learn about wound care and the wound-healing processes.

  5. Innovation in practice, dialogue

    DEFF Research Database (Denmark)

    Reinhard, CarrieLynn D.

    Presentation at the March 19, 2010 project meeting for the Virtual Worlds Research Group.  This presentation is the first report of research conducted in June, 2009, in how the Danish firm Innovation Lab makes sense of innovation as it relates to virtual world technologies.  The method used...... in this study was the focus group, modified using Dervin's Sense-Making Methodology.  This presentation focuses on how the members of Innovation Lab defined what is innovation, with discussion on whether or not having a unified definition within the organization makes the most sense....

  6. Collaborative Policy Innovation

    DEFF Research Database (Denmark)

    Sørensen, Eva; Waldorff, Susanne Boch

    2014-01-01

    Governments all over the Western world currently face wicked problems that call for policy innovation. A new strand of research in public innovation points to collaboration between public authorities and relevant and affected stakeholders as an important driver of public innovation. A case study...... of collaborative policy innovation in the area of mental health care in Denmark indicates that collaboration can contribute to qualify the politicians’ understanding of wicked policy problems, and to fostering new creative policy solutions. The study also shows, however, that the new problem understandings...

  7. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    Brem, Alexander; Viardot, Eric

    2017-01-01

    of ambidexterity, which we defined as the ability of companies to realize exploration and exploitation simultaneously in their innovation management process. Some contributions in the book also emphasized the necessity to adopt a more collaborative process with external stakeholders and to move to more “open......What a change in the last three years in the realm of innovation Management! Three years ago, we concluded our book about “Evolution of Innovation Management” (Brem and Viardot 2013) by underlining some essential trends in the management of innovation. Most specifically, we stressed the importance...

  8. Public Procurement and Innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    Max Rolfstam examines the increasing emphasis on public procurement as a means to stimulate innovation and the theoretical implications of this policy development. While ‘regular’ public procurement may be regarded as the outcome of anonymous market processes, public procurement of innovation must...... be understood as a special case of innovation, where social processes – and consequently the institutions governing these social processes – need to be considered. This book contributes to our understanding with a detailed institutional analysis of the public procurement of innovation....

  9. Social Shaping of Innovation

    DEFF Research Database (Denmark)

    Buur, Jacob; Mack, Alexandra

    - in particular in a large corporation? This workshop explores how innovation is socially shaped in organizations. Based on our experiences with practices around innovation and collaboration, we start from three proposition about the social shaping of innovation: • Ideas don't thrive as text (i.e. we need...... to consider other media) • Ideas need socialization (ideas are linked to people, we need to be careful about how we support the social innovation context) • Ideas are local (ideas spring out of a local contingency, we need to take care in how we like them to travel)....

  10. Innovation Policy Development and the Emergence of New Innovation Paradigms

    DEFF Research Database (Denmark)

    Tanev, Stoyan; Knudsen, Mette Præst; Bisgaard, Tanja

    2011-01-01

    The objective of the present article is to discuss innovation policy issues related to three emerging innovation paradigms: user-driven innovation, open innovation, and value cocreation. It provides a summary of insights based on innovation policy practices and challenges in Denmark. The choice o...

  11. Faster and Cheaper: Creating a Culture of Innovation for AFRL Intellectual Property

    Science.gov (United States)

    2016-01-01

    foosball game tables, video games, treadmill desks, bicycles , garden spaces, as well as nap 3 pods.17 Every work week also earns employees the...Education Portfolio: A Report from the Federal Inventory of STEM Education Fast- Track Action Committee (Washington, DC: Office of Science and...STEM Education Fast- Track Action Committee (Washington, DC: Office of Science and Technology Policy, December 2011). “Our Culture,” Google Company

  12. Innovation in nuclear technology

    International Nuclear Information System (INIS)

    Bertel, E.

    2007-01-01

    Innovation has been a driving force for the success of nuclear energy and remains essential for its future. For the continued safe and economically effective operation and maintenance of existing nuclear systems, and to meet the goals set out by projects aiming at designing and implementing advanced systems for the future, efficient innovation systems are needed. Consequently, analysing innovation systems is essential to understand their characteristics and enhance their performance in the nuclear sector. Lessons learnt from innovation programmes that have already been completed can help enhance the effectiveness of future programmes. The analysis of past experience provides a means for identifying causes of failure as well as best practices. Although national and local conditions are important factors, the main drivers for the success of innovative endeavors are common to all countries. Cooperation and coordination among the various actors are major elements promoting success. All interested stakeholders, including research organisations, industrial actors, regulators and civil society, have a role to play in supporting the success of innovation, but governments are an essential trigger, especially for projects with long durations and very ambitious objectives. Governments have a major role to play in promoting innovation because they are responsible for the overall national energy policy which sets the stage for the eventual deployment of innovative products and processes. Moreover, only governments can create the stable legal and regulatory framework favourable to the undertaking and successful completion of innovation programmes. International organisations such as the NEA may help enhance the effectiveness of national policies and innovation programmes by providing a forum for exchanging information, facilitating multilateral collaboration and joint endeavors, and offering technical support for the management of innovative programmes

  13. Innovation and network collaboration

    DEFF Research Database (Denmark)

    Kesting, Peter; Müller, Sabine; Jørgensen, Frances

    2011-01-01

    and their inherent shortage of resources. In this paper, we propose that human resource management (HRM) practices may provide a means by which SMEs can increase their innovation capacity through network collaboration. Following a brief presentation of the relevant literature on networks, and innovation in networks...

  14. Calling All Innovators

    Science.gov (United States)

    Wagner, Tony

    2012-01-01

    In a study of highly innovative young people in their 20s, the author found that although many people in the millennial generation want to do meaningful work and make a difference in the world, conventional high schools and colleges are not preparing their graduates to be innovators and entrepreneurs. This is a serious problem, he asserts, because…

  15. Dis-locating innovation

    NARCIS (Netherlands)

    Barba Latta, Iulian I.V.

    2017-01-01

    This dissertation dwells on an experimental approach to the emergence of alternative innovations, interrogated through their spatiotemporal and material conditions. Proceeding from the more recent spate of contributions that grant recognition to innovation processes as a common

  16. Public Entrepreneurship and Innovation

    OpenAIRE

    Roberts, Nancy

    1992-01-01

    This article presents a conceptual framework of public entrepreneurship. Public entrepreneurship is defined as the generation of a novel or innovative idea and the design and implementation of the innovative idea into public sector practice. The conceptual framework is used to distinguish between public entrepreneurs and other actors in the policy process, and to clarify the differences between policy, political, executive, and bureaucratic entrepreneurs....

  17. Five Waves of Innovation

    DEFF Research Database (Denmark)

    Østergaard, Claus Møller; Rosenstand, Claus Andreas Foss; Gertsen, Frank

    2012-01-01

    Building on previous well-argued work by Jon Sundbo (1995a), on how innovation has evolved in three phases or waves since 1880, this paper’s contribution is extending the historical line, by offering arguments and explanations for two additional waves of innovation that explain the most recent de...

  18. Trust and innovation

    NARCIS (Netherlands)

    Nooteboom, B.; Bachmann, R.; Zaheer, A.

    2013-01-01

    In innovation, trust is especially needed as well as especially problematic. One needs trust under uncertainty and in innovation uncertainty is high. If one were certain about conditions, conduct and outcomes one would no longer talk about trust. This is related to a paradox of information

  19. Metaphors of Open Innovation

    NARCIS (Netherlands)

    Marien van den Boom

    2010-01-01

    In this paper we turn to the field of innovation management and the use of metaphors to address the question: what kind of alternative metaphors and narratives have some open-innovation organizations introduced highlighting and fostering knowledge-intensive organizational change? First we draw a

  20. Innovation as Consumption

    DEFF Research Database (Denmark)

    Hienerth, Christoph; von Hippel, Eric; Jensen, Morten Berg

    In this paper we report upon a first empirical exploration of the relative efficiency of innovation development by product users vs. product producers. In a study of over 50 years of product innovation in the whitewater kayaking field, we find users in aggregate were approximately 3X more efficie...

  1. Green product innovation strategy

    NARCIS (Netherlands)

    Driessen, P.H.

    2005-01-01

    Over the last decades, companies have started to incorporate green issues in product innovation strategies. This dissertation studies green product innovation strategy, its antecedents and its outcomes. A three-stage approach is followed. In the first stage, the topic is explored and a preliminary

  2. Innovations in Hospitality Industry

    Science.gov (United States)

    Dzhandzhugazova, Elena A.; Blinova, Ekaterina A.; Orlova, Liubov N.; Romanova, Marianna M.

    2016-01-01

    The article focuses on the study of the role and importance of innovation, its classification, the problems of its application in the hotel industry with emphasis on the application of sensory marketing tools in the development of the innovative marketing mix within the hospitality industry. The article provides an analysis of the "seven…

  3. Innovation and the City

    Science.gov (United States)

    Kleiman, Neil; Forman, Adam; Ko, Jae; Giles, David; Bowles, Jonathan

    2013-01-01

    With Washington trapped in budget battles and partisan gridlock, cities have emerged as the best source of government innovation. Nowhere is this more visible than in New York City. Since taking office in 2002, Mayor Bloomberg has introduced a steady stream of innovative policies, from a competition to recruit a new applied sciences campus and a…

  4. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    Viardot, Eric

    This edited collection explores how digitalization is changing the management of innovation, and the subsequent implications for the next phases in its development. The authors identify and examine relevant phenomena which are related to the ongoing digital breakthrough in the context of innovation...

  5. Innovation without Design?

    DEFF Research Database (Denmark)

    Pinheiro-Croisel, Rebecca; Hernes, Tor

    2012-01-01

    This paper explores innovation and social behaviourist theory in relation to sustainable urban projects in the highly institutionalized public sector (towns). Using empirical data from France, we examine the dynamics of a design process in which unexpected practices generated innovative urban des...

  6. Innovation in Virtual Networks

    DEFF Research Database (Denmark)

    Hu, Yimei; Sørensen, Olav Jull

    2011-01-01

    The purpose of this article is to explore and highlight the particular innovation characteristics and modes of the chinese game industry from a networking perspective......The purpose of this article is to explore and highlight the particular innovation characteristics and modes of the chinese game industry from a networking perspective...

  7. Designing collaborative policy innovation

    DEFF Research Database (Denmark)

    Agger, Annika; Sørensen, Eva

    2014-01-01

    , the chapter investigates the extent to which and how collaboration between politicians and relevant stakeholders can spur the formulation, implementation and diffusion of new innovative policies. A case study of a process of collaborative policy innovation in a Danish municipality shows that collaborative...

  8. Business model innovation paths

    NARCIS (Netherlands)

    Chesbrough, H.; Di Minin, Alberto; Piccaluga, A.

    2013-01-01

    This chapter explains the business model concept and explores the reasons why “innovation” and “innovation in services” are no longer exclusively a technological issue. Rather, we highlight that business models are critical components at the centre of business innovation processes. We also attempt

  9. Constellations-driven innovation

    DEFF Research Database (Denmark)

    Hansbøl, Mikala

    2011-01-01

    a particularly useful point of departure for engaging in researching innovation and didactic design of digital teaching and learning instruments such as the Theme Board that are programmed and serviced 'in the sky'. I call this approach: constellation-driven innovations....

  10. Innovation - Vol 31 (2005)

    African Journals Online (AJOL)

    . Bernard Dione, Henri Séne. http://dx.doi.org/10.4314/innovation.v31i1.26501 · National library associations: websites and electronic discussion groups. Al-Amin Yusuph. http://dx.doi.org/10.4314/innovation.v31i1.26503 · Building a vibrant ...

  11. Rescue US energy innovation

    Science.gov (United States)

    Anadon, Laura Diaz; Gallagher, Kelly Sims; Holdren, John P.

    2017-10-01

    President Trump has proposed severe cuts to US government spending on energy research, development and demonstration, but Congress has the `power of the purse' and can rescue US energy innovation. If serious cuts are enacted, the pace of innovation will slow, harming the economy, energy security and global environmental quality.

  12. Selecting and evoking innovators

    DEFF Research Database (Denmark)

    Kanstrup, Anne Marie; Christiansen, Ellen

    2006-01-01

    prepared for and conducted selection of and collaboration with innovators. The outcome was successful in the sense that the innovators produced excellent foundation for conceptual interaction design by creating mock-ups and explanations incarnating their preferences, attitudes and habits. By referring...

  13. Innovation in Product Development

    DEFF Research Database (Denmark)

    McAloone, Tim C.; Restrepo-Giraldo, John Dairo

    2005-01-01

    The course on Innovation in Product Development attempts to identify and understand the nature of innovation and product development and their important factors. The course takes both a theoretical and a practical approach and employs a mix of lectures, project work and group discussion. Format...

  14. Being an information innovator

    CERN Document Server

    Rowley, Jennifer

    2012-01-01

    This groundbreaking book is the first to discuss and apply the rhetoric and theories of innovation and entrepreneurship in information organizations. It both celebrates existing examples of good practice, and promotes the development of innovative and entrepreneurial behaviour at all organizational levels.

  15. Organizational Learning: Leading Innovations

    Science.gov (United States)

    Collinson, Vivienne; Cook, Tanya Fedoruk

    2013-01-01

    This article examines the interplay among the environment, learning, leaders, and innovations in school systems. Six conditions that, together, have potential to shape an environment that supports organizational learning are illustrated with data from two leaders of innovation: one in an environment that resisted change; the other in a supportive…

  16. Customer Innovation Process Leadership

    DEFF Research Database (Denmark)

    Lindgren, Peter; Jørgensen, Jacob Høj; Goduscheit, René Chester

    2007-01-01

    Innovation leadership has traditionally been focused on leading the companies' product development fast, cost effectively and with an optimal performance driven by technological inventions or by customers´ needs. To improve the efficiency of the product development process focus has been on diffe......Innovation leadership has traditionally been focused on leading the companies' product development fast, cost effectively and with an optimal performance driven by technological inventions or by customers´ needs. To improve the efficiency of the product development process focus has been...... to handle shorter and faster product life cycles. Continuously changing customer needs are pushing companies' competence of continuous innovation to a maximum - but still this seems not to be enough to stay competitive on the global market and reach the goals of growth. This article therefore suggests...... another outlook to future innovation leadership - Customer Innovation Process Leadership - CIP-leadership. CIP-leadership moves the company's innovation process closer to the customer innovation process and discusses how companies can be involved and innovate in customers' future needs and lead...

  17. Revolution of Innovation Management

    DEFF Research Database (Denmark)

    Brem, Alexander; Viardot, Eric

    2017-01-01

    Why another book on innovation, and why use the big word “revolution”? The simple answer to this question is the fact that we believe the time is right to explore what could be the next phase of innovation management not only in corporate practice, but also in the academic field....

  18. Bottom-linked innovation

    DEFF Research Database (Denmark)

    Kristensen, Catharina Juul

    2018-01-01

    Employee-driven innovation is gaining ground as a strategy for developing sustainable organisations in the public and private sector. This type of innovation is characterised by active employee participation, and the bottom-up perspective is often emphasised. This article explores an issue that has...... hitherto been paid little explicit attention, namely collaboration between middle managers and employees in innovation processes. In contrast to most studies, middle managers and employees are here both subjects of explicit investigation. The collaboration processes explored in this article are termed...... ‘bottom-linked innovation’. The empirical analysis is based on an in-depth qualitative study of bottom-linked innovation in a public frontline institution in Denmark. By combining research on employee-driven innovation and middle management, the article offers new insights into such collaborative...

  19. Pragmatic Software Innovation

    DEFF Research Database (Denmark)

    Aaen, Ivan; Jensen, Rikke Hagensby

    2014-01-01

    We understand software innovation as concerned with introducing innovation into the development of software intensive systems, i.e. systems in which software development and/or integration are dominant considerations. Innovation is key in almost any strategy for competitiveness in existing markets......, for creating new markets, or for curbing rising public expenses, and software intensive systems are core elements in most such strategies. Software innovation therefore is vital for about every sector of the economy. Changes in software technologies over the last decades have opened up for experimentation......, learning, and flexibility in ongoing software projects, but how can this change be used to facilitate software innovation? How can a team systematically identify and pursue opportunities to create added value in ongoing projects? In this paper, we describe Deweyan pragmatism as the philosophical foundation...

  20. Play. Learn. Innovate

    DEFF Research Database (Denmark)

    Sproedt, Henrik

    as a communication designer, a manager in retail, and a consultant I have been involved in several innovation projects from different perspectives. After experiencing that a major factor for success or failure of innovation processes – which always entail change – were people and how they relate to each other, I......„Play. Learn. Innovate. – Grasping the Social Dynamics of Participatory Innovation“ the title of this thesis describes how the complex interplay of unexpected events led to some burning questions and eventually to this thesis, which one could call an innovation*1*. During several years......, organizations, complexity, and knowledge – but also drawing on psychology, sociology, and philosophy – I did not find any satisfying approach that resonated with my complex experiences in innovation practice where in the messy everyday of projects the only thing I knew for sure was that my role and function...

  1. Cross-sectoral Innovation

    DEFF Research Database (Denmark)

    Petersen, Lene Ekholm

    2016-01-01

    workers like nurses, therapists, teachers and educators. The study indicates that the importance of the welfare worker has been overlooked in past discussions about the influence of talent on innovation and economic growth. Cooke (2013) sees the core process of innovation as knowledge recombination......, which in this case is a cluster: Zealand Welfare Cluster. The paper will analyse the process of constructing Zealand Welfare Cluster by using the discussion about knowledge presented by Amin and Cohendet (2009) and Gherardi and Nicolini (2003) and the discussion about competitive advantage outlined...... University Press. Asheim B. 2007. Differentiated Knowledge Bases and Varieties of Regional Innovation Systems. Innovation: The European Journal of Social Science Research, 20:3, 223-241. Boschma R. 2005. Proximity and Innovation: A Critical Assessment. Regional Studies, 39:1, 61-74. Brown, J.S. and P. Duguid...

  2. Innovation for Sustainable Tourism

    DEFF Research Database (Denmark)

    Carlsen, Jack; Edwards, D; Forde, P

    Innovation is the key to responding to the future challenges that confront all sectors of society and the economy, and especially in tourism. Within tourism, there are numerous corporations and destinations around the world that are responding to the ecological, social and economic challenges...... for an integrated overview of the drivers, barriers, processes and networks for innovation. The cases have been prepared for use in research and teaching of innovation, and the analysis and case notes are both designed to facilitate discussion and further investigation of innovation, not only in tourism......, but in other economic sectors as well. Being an online publication, it is expected that updates in successive editions of this first book will add further to the description and analysis of innovation for sustainable tourism and hence provide a resource for those seeking to enhance the teaching, research...

  3. Organisations in Innovation Systems

    DEFF Research Database (Denmark)

    Borrás, Susana

    Organisations are crucial elements in an innovation system. Yet, their role is so ubiquitous that it is difficult to grasp and to examine from the perspective of public policy. Besides, links between the literature at firm and system levels on the one hand, and public policy and governance studies...... on the other, are still scarce. The purpose of this paper is to define the conceptual background of innovation policy in relation to the role of organisations in general, and entrepreneurship and intrapreneurship in particular. In so doing, this paper aims at making three contributions. Firstly......, it distinguishes between different types of organisations in the innovation system, a crucial topic in understanding innovation dynamics and blurring borders. Secondly, it identifies the organisation-related bottlenecks in the innovation system, and examines the policy instruments to solve them. Thirdly...

  4. Staging Collaborative Innovation Processes

    DEFF Research Database (Denmark)

    Pedersen, Signe; Clausen, Christian

    Organisations are currently challenged by demands for increased collaborative innovation internally as well as with external and new entities - e.g. across the value chain. The authors seek to develop new approaches to managing collaborative innovative processes in the context of open innovation...... and public private innovation partnerships. Based on a case study of a collaborative design process in a large electronics company the paper points to the key importance of staging and navigation of collaborative innovation process. Staging and navigation is presented as a combined activity: 1) to translate...... the diverse matters of concern into a coherent product or service concept, and 2) in the same process move these diverse holders of the matters of concern into a translated actor network which carry or support the concept....

  5. The Innovating Self

    DEFF Research Database (Denmark)

    Hellström, Tomas; Hellström, Christina; Berglund, Henrik

    2002-01-01

    This paper explores the relevance of the concept of self in the process of independent technological innovation. In‐depth interviews were conducted with technological innovators from start‐up firms in IT, biotech and advanced services concerning the subjective and social forms of engagement...... in the innovation process. Emerging factors in the interview data revealed aspects pertaining to the innovator’s reflexive self‐conception, innovator ego‐involvement in the venture, forms of commitment and control, personal and social stakes, and various self‐oriented cognitive strategies. It is argued...... that the self‐concept allows the innovator to come into view as a social and subjective being who is involved in reflexive activities such as dynamic role‐taking, “is” vs “ought” reflections and social negotiations....

  6. In search of Innovation

    DEFF Research Database (Denmark)

    Lex, Simon Westergaard

    2016-01-01

    as a retrospective concept that entails a “re-development” process from the final product to the initial idea. Furthermore, it (re)locates innovation “in the (organizational) box”, and discusses the prototype as an enchanting artifact that entraps and transmits an innovative sensation. The essay concludes......This essay explores innovation as a socially and culturally embedded practice, coming to life in correlation between structural organizational conventions and entrepreneurial performances. With an empirical departure, it describes a rational understanding of creation, and it identifies innovation...... that innovation, although put forward as a strategic vision of a prosperous future, rather seems to serve as an inducted fundamental, a working imperative, from which employees are to manage and negotiate their everyday work. The essay emerges from ethnographic fieldwork that is consciously organized...

  7. Organising to Enable Innovation

    DEFF Research Database (Denmark)

    Brink, Tove

    2016-01-01

    . The findings reveal a continous organising process between individual/ team creativity and organisational structures/control to enable innovation at firm level. Organising provides a dynamic approach and contains the integrated reconstruction of creativity, structures and boundaries for enhanced balance......The purpose of this conceptual paper is to reveal how organising can enable innovation across organisational layers and organisational units. This approach calls for a cross-disciplinary literature review. The aim is to provide an integrated understanding of innovation in an organisational approach...... of explorative and exploitative learning in uncertain environments. Shedding light on the cross-disciplinary theories to organise innovation provides a contribution at the firm level to enable innovation....

  8. Intellectual Property and Innovation

    CERN Multimedia

    CERN. Geneva

    2017-01-01

    Francis Gurry has led WIPO as Director General since 1st October, 2008. He was reappointed in May 2014 for a second six-year term, which runs until September 2020. Under his leadership, WIPO is addressing major challenges. These include managing the stress on the international patent and copyright systems produced by rapid technological change, by globalisation and increased demand; reducing the knowledge gap between developed and developing countries; and ensuring that the intellectual property (IP) system serves its fundamental purpose of encouraging creativity and innovation in all countries. Every year, WIPO publishes the Global Innovation Index (GII), which provides detailed metrics about the innovation performance of countries and economies around the world. The 2016 edition highlighted CERN as an example of successful, regional innovation initiatives. In this seminar Mr. Gurry will share his knowledge and views on the role of IP in innovation. You can read a message from Mr. Gurry here : http://...

  9. Mapping your innovation strategy.

    Science.gov (United States)

    Anthony, Scott D; Eyring, Matt; Gibson, Lib

    2006-05-01

    In the complex sport of American football, teams rely on playbooks as thick as the Manhattan phone directory. But when it comes to creating innovative growth businesses-which is at least as complicated as professional football--most companies have not developed detailed game plans. Indeed, many managers have concluded that a fog enshrouds the world of innovation, obscuring high-potential opportunities. The authors believe that companies can penetrate that fog by developing growth strategies based on disruptive innovations, as defined by Clayton Christensen. Such innovations conform to a pattern: They offer an entirely new solution; they perform adequately along traditional dimensions and much better along other dimensions that matter more to target customers; and they are not initially appealing to powerful incumbents. Companies can develop customized checklists, or playbooks, by combining this basic pattern with analysis of major innovations in their markets. The key early on is to focus not on detailed financial estimates--which will always guide companies toward the markets most hostile to disruptive innovations--but on how well the innovation fits the pattern of success. It's also crucial to encourage flexibility: Companies must be willing to kill projects that are going nowhere, exempt innovations from standard development processes, and avoid burdening project teams with extra financing, which can keep them heading in the wrong direction. Companies can create competitive advantage by becoming champions at defining the pattern of successful innovations and executing against it. But as that pattern becomes obvious--and others emerge-building a sustainable advantage on innovation competencies will again prove elusive.

  10. Developing a Framework for Ethnomedicine Innovation System in ...

    African Journals Online (AJOL)

    This proposed linkage is expected to be fast-tracked through Foreign Direct Investment (FDI) flow, in form of technology transfer, technical collaboration, technical assistance, technology-based strategic alliances, among others in the field of ethnomedicine. Through this linkage, the acquisition of tacit knowledge, product and ...

  11. Innovation Across the Federal Government

    Science.gov (United States)

    Innovation happens at EPA, but it also takes place at many other government agencies including NASA, DARPA, HHS, OPM, and USGS through projects such as SBIR, innovation labs, innovation offices, and high-risk, high-reward scientific research.

  12. Innovation in government : workforce practices.

    Science.gov (United States)

    2009-01-01

    A review of the literature on innovation within government provides detailed case studies on innovative practices adopted by transportation agencies across the U.S. These case studies focus on operational innovations adopted by transportation agencie...

  13. Sustainable development through process innovation

    NARCIS (Netherlands)

    Sleeman, E.; Oonk, J.; Krist-Spit, mw. C.E.

    1998-01-01

    Innovation of processes is one of the corner stones of sustainable development. Innovation may be characterized by the degree of intervention in the existing basematerials-processes-products chains. Four types of innovation are distinguished [1]:

  14. Promoting innovation in pediatric nutrition

    Science.gov (United States)

    Truly impactful innovation can only be recognized in retrospect. Moreover, almost by definition, developing algorithmic paths on roadmaps for innovation are likely to be unsuccessful because innovators do not generally follow established routes. Nonetheless, environments can be established within ...

  15. Innovation patterns in sustainable tourism

    DEFF Research Database (Denmark)

    Hjalager, Anne Mette

    1997-01-01

    Innovation in tourism is a matter of limited research and political consideration. Nevertheless, an increased environmental concern advanced by consumers, local inhabitants and authorities provokes innovative action within the tourism industry. This article offers a typology of innovations relate...

  16. Innovation Policy in European Union

    Directory of Open Access Journals (Sweden)

    Marta-Christina Suciu

    2006-11-01

    Full Text Available The innovation policies aim to analyze priority factors shaping innovative performance and to reflect the increasing appreciation of the economic and social importance of innovation. This paper is commissioned to examine topics of current interest or concern to innovation policy-makers in Europe. Based on literature and the framework of the European Action Plan for Innovation, this paper investigates different levels and fields of European innovational systems and practices.

  17. Preparing Nurse Leaders to Innovate: Iowa's Innovation Seminar.

    Science.gov (United States)

    Joseph, M Lindell; Rhodes, Ann; Watson, Carol A

    2016-02-01

    Currently, no doctoral guidelines to teach innovation exist. Using Christensen's theory of disruptive innovation, the five discovery skills used by disruptive innovators provide the framework for designing a leadership development approach to enable and support a mindset to innovate. Executive leadership students were provided with didactic content on innovation, were assigned to non-healthcare settings for an anthropological dig to uncover innovative activities, and were provided with reflective prompts to enable a new context for innovation. Faculty collaborated with other fields and took risks to provide new contexts to innovate. Students identified and proposed innovations for current health care issues. Some of the innovations included processes, evaluation methods, data analytics for care design, and patient engagement solutions. Faculty crossed borders for field experiences, as well as disciplinary borders. This collaborative seminar demonstrated that it is possible to develop executive nurse leaders to innovate. Copyright 2016, SLACK Incorporated.

  18. Global use structures of the magnetic materials neodymium and dysprosium. A scenario-based analysis of the effect of the diffusion of electromobility on the demand for rare earths; Globale Verwendungsstrukturen der Magnetwerkstoffe Neodym und Dysprosium. Eine szenariobasierte Analyse der Auswirkung der Diffusion der Elektromobilitaet auf den Bedarf an Seltenen Erden

    Energy Technology Data Exchange (ETDEWEB)

    Gloeser-Chahoud, Simon; Kuehn, Andre; Tercero Espinoza, Luis

    2016-06-15

    the market for NdFeB magnets. Dysprosium is a crucial component for the temperature resistance of the NdFeB magnets in traction motors for electric vehicles and is currently regarded as a particularly critical raw material for electromobility. [German] Neodym-Eisen-Bor-Magnete (NdFeB) haben als die derzeit staerksten Permanentmagnete in den vergangenen Jahren einen erheblichen Nachfrageschub erlebt, insbesondere fuer die Herstellung kompakter elektrischer Servomotoren mit hohem Wirkungsgrad und hoher Leistungsdichte, was vor allem fuer mobile Anwendungen in den Traktionsmotoren von Hybrid- und Elektrofahrzeugen oder fuer E-Bikes entscheidende Vorteile bietet. Aber auch im allgemeinen Maschinenbau (Foerder- und Pumpsysteme, Werkzeuge, Klimaanlagen, Liftmotoren etc.), in den elektrischen Kleinmotoren konventioneller Pkw oder in den Generatoren grosser Windkraftanlagen mit permanent magnetischem Direktantrieb werden vermehrt NdFeB-Magnete verbaut. Dennoch besteht nach wie vor hohe Unsicherheit in den Verwendungsstrukturen von NdFeB Magneten bzw. den enthaltenen Seltenerd-Elementen Neodym und Dysprosium. Ein wirkungsvolles Instrument zur Erhoehung der Markttransparenz und des Verstaendnisses von komplexen anthropogenen Stoffkreislaeufen ist die dynamische Stoffflussmodellierung. Im vorliegenden Arbeitspapier wird dieses Instrument zur eingehenden Analyse der Verwendungsstrukturen von NdFeB-Magneten und den enthaltenen Seltenen Erden auf globaler Ebene eingesetzt. Ueber die dynamische Modellierung von Produkt-Verwendungszyklen werden heutige Verwendungsstrukturen offengelegt und zukuenftige Magnetmengen in obsoleten Produktstroemen quantifiziert. Dabei konnte gezeigt werden, dass die Magnete im heutigen Schrottaufkommen hauptsaechlich in obsoleten Elektronikanwendungen wie Festplatten(HDD), CD- und DVD-Laufwerken enthalten sind, woraus das Recycling auf Grund der kleinen Magnete und der hohen Materialstreuung kaum wirtschaftlich erscheint, in absehbarer Zukunft aber mit

  19. Innovation: the classic traps.

    Science.gov (United States)

    Kanter, Rosabeth Moss

    2006-11-01

    Never a fad, but always in or out of fashion, innovation gets rediscovered as a growth enabler every half dozen years. Too often, though, grand declarations about innovation are followed by mediocre execution that produces anemic results, and innovation groups are quietly disbanded in cost-cutting drives. Each managerial generation embarks on the same enthusiastic quest for the next new thing. And each generation faces the same vexing challenges- most of which stem from the tensions between protecting existing revenue streams critical to current success and supporting new concepts that may be crucial to future success. In this article, Harvard Business School professor Rosabeth Moss Kanter reflects on the four major waves of innovation enthusiasm she's observed over the past 25 years. She describes the classic mistakes companies make in innovation strategy, process, structure, and skills assessment, illustrating her points with a plethora of real-world examples--including AT&T Worldnet, Timberland, and Ocean Spray. A typical strategic blunder is when managers set their hurdles too high or limit the scope of their innovation efforts. Quaker Oats, for instance, was so busy in the 1990s making minor tweaks to its product formulas that it missed larger opportunities in distribution. A common process mistake is when managers strangle innovation efforts with the same rigid planning, budgeting, and reviewing approaches they use in their existing businesses--thereby discouraging people from adapting as circumstances warrant. Companies must be careful how they structure fledgling entities alongside existing ones, Kanter says, to avoid a clash of cultures and agendas--which Arrow Electronics experienced in its attempts to create an online venture. Finally, companies commonly undervalue and underinvest in the human side of innovation--for instance, promoting individuals out of innovation teams long before their efforts can pay off. Kanter offers practical advice for avoiding

  20. Adding to The Innovation Taxonomy

    Directory of Open Access Journals (Sweden)

    Bengt-Arne Vedin

    2014-02-01

    Full Text Available Innovation might be described in a number of categories: radical, disruptive, incremental, or, by type, product, process, and service innovation. Social and conceptual innovations are decidedly more abstract. In recent years, open and also frugal innovation have been defined. This essay suggests and contemplates four additional concepts. Mesovation is in between radical and incremental innovation. Exovation stands for systematic ways to reduce barriers to innovation. Metovations are novel methods or systems affecting conditions for innovation. Lastly, ynnovation would be cultural innovation.

  1. Innovation Leadership in Danish SMEs

    DEFF Research Database (Denmark)

    Abdullah, Maizura Ailin; Lindgren, Peter

    2008-01-01

    to reflect upon today's developments in innovation.  For this, we propose SMEs to "lead" innovation, i.e. innovation leadership, in order to succeed in today's volatile business environment.  Innovation leadership is a strategic way of thinking and practice innovation that is applicable to all organizations......, but especially in SMEs. This is because SMEs are flexible, lightly-structured and thus can adapt to the requirements of the innovation leadership model. Unfortunately SMEs also lack multiple resources that are needed in order to lead innovation. This paper discusses the potential of innovation leadership in SMEs...

  2. Redução do período de internação e de despesas no atendimento de portadores de cardiopatias congênitas submetidos à intervenção cirúrgica cardíaca no protocolo da via rápida The reduction in hospital stay and costs in the care of patients with congenital heart diseases undergoing fast-track cardiac surgery

    Directory of Open Access Journals (Sweden)

    Alfredo Manoel da Silva Fernandes

    2004-07-01

    Full Text Available OBJETIVO: Avaliar o atendimento de cardiopatas congênitos e cardiopatas isquêmicos submetidos à cirurgia cardíaca no protocolo de atendimento na via rápida (fast-track recovery em relação ao convencional. MÉTODOS: Avaliada a movimentação de 175 pacientes, 107 (61% homens e 68 (39% mulheres, idades entre 0,3-81 anos nas diferentes unidades hospitalares. RESULTADOS: A taxa de alta das diferentes unidades hospitalares por unidade de tempo, dos cardiopatas congênitos atendidos no protocolo da via rápida em relação ao convencional foi: a 11,3 vezes a taxa de alta quando assistidos no protocolo da via convencional, quanto ao tempo de permanência no centro cirúrgico; b 6,3 vezes quanto à duração da intervenção cirúrgica; c 6,8 vezes quanto à duração da anestesia; d 1,5 vezes quanto à duração da perfusão; e 2,8 vezes quanto à permanência na unidade de recuperação pós-operatória I; f 6,7 vezes quanto à permanência no hospital (período de tempo entre a data da internação e a data da alta; g 2,8 vezes quanto à permanência na unidade de internação pré-operatória; h 2,1 vezes quanto à permanência na unidade de internação após a alta da recuperação pós-operatória; i associada com redução de despesas pré e pós-operatórias. A diferença não foi significativa nos portadores de cardiopatia isquêmica. CONCLUSÃO: Verificou-se redução do período de internação e de despesas no atendimento dos pacientes submetidos à intervenção cirúrgica cardíaca no protocolo da via rápida.OBJECTIVE: To assess the care provided to patients with congenital heart diseases and ischemic heart diseases undergoing cardiac surgery according to the fast-track recovery protocol compared with those undergoing the conventional procedure. METHODS: The transfer of patients from one hospital unit to another was assessed for 175 patients, 107 (61% men and 68 (39% women, with ages ranging from 0.3 to 81 years. RESULTS: The

  3. Projekt i innovation

    OpenAIRE

    Rasmussen, Dorte Sams Marstrand

    2017-01-01

    AbstraktProjektet ”Projekt i innovation”, tager afsæt i et HR-ledelsesperspektiv i organisationen Google, hvor det undersøges, hvordan innovation udspiller sig i praksis, hvilket sker gennem i en komparativ analyse, med en ansat medarbejder i organisationen. Projektet har til formål at undersøge, om der i organisationen eksisterer særlig tilgange til arbejdet, når det handler om at skabe innovation, og hvad der kræves af individet i ansættelsen. Da innovation kan opleves som et abstrakt begre...

  4. Open innovation in networks

    DEFF Research Database (Denmark)

    Hu, Yimei

    Open innovation in networks has been a popular topic for long, this paper rethinks the concepts of innovation network and network organization, and clarifies the differences between them based on the network perspective. Network perspective means that: network is the context of firms; market...... and hierarchy can be analyzed from a network approach. Within a network perspective, there are different levels of network, and a firm may not always has the power to “manage” innovation networks due to different levels of power. Based on the strength of a firm’s power, its role may varies from manager...

  5. EFFECT OF CORPORATE INNOVATION ABILITY ON THE CHOICE BETWEEN PRODUCT INNOVATION AND PROCESS INNOVATION

    OpenAIRE

    Zeng Wu; Tian Zhilong

    2010-01-01

    With the method of duopoly game theory, the effect of firms’ innovation ability on the choice between product and process innovation is studied. The concept of cost coefficient of product innovation is introduced, and the criterion equation for the innovation type is derived. The following conclusions are made: the more the product innovation ability, the more the possibility for the firms to carry out the product innovation in both the Bertrand and the Cournot competitions. Wi...

  6. Trends in innovation management development

    Directory of Open Access Journals (Sweden)

    Krstić Milan

    2017-01-01

    Full Text Available In the background of technological progress generations of innovation can be found. Each of them is implemented as a process in which the idea of a change is born, and only after that the change is commercialized, this leading to its adoption by a wider range of users. Therefore, innovation management is organized as a set of management activities which results in innovation, thus gaining its importance. This paper briefly presents conducted theoretical desktop research, in order to determine the character of the innovative management development. The results suggest three key stages in the development of innovation management, namely: Management of individual technological innovation, Portfolio Innovation Management and Total Innovation management. The latest findings in the field of innovation management indicate that it is necessary to revise the concept of innovation in terms of its perception as an ecosystem. The paper points out the possible ways of further research in innovation management.

  7. Innovative powertrains 2008; Innovative Fahrzeugantriebe 2008

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    Our 6th congress ''Innovative Powertrains'' is going to happen in Dresden. We will meet from November 6th to 7th under the focus of ''Systems Evaluation of Innovative Powertrains''.Fuel consumption and CO{sub 2} reduction is getting more and more importance in the development of powertrains. Only with optimized powertrain systems on a sustainable base remarkable progress will be demonstrated. Total optimized systems not necessarily can be guaranteed by just combining optimized components. This is true especially under the aspects of cost, dominating the market success and so the affectivity of innovations. So not only the electrification of powertrains with motors, fuels cells and batteries but also realizing the full potential of traditional combustion based powertrain systems is interesting. This congress will evaluate the newest development in the fields of combustion engines, transmissions, plug-in-hybrids, range-extenders as well as battery electric systems. An accompanying poster and technical exhibition is enforcing discussions directly in the presence of exponents. A social program will give you and your accompanying persons an insight to the history and specialities of Dresden. The foreseeable changes in society towards a more ecological thinking and acting, new legislative frameworks and exciting potential out of new technologies allow us a new rating of mobility systems up to now not being competitive. We live in an exciting time, where engineers and researchers more then ever are asked for answers to this change.

  8. Innovative island mobile vet.

    Science.gov (United States)

    Forster, Dan

    2016-06-11

    One of the UK's first mobile veterinary clinics was recently awarded a Queen's Award for Innovation. Mobile Vet was launched on the Isle of Wight in 2013 by Dan Forster and his wife Kirsty, a veterinary nurse. British Veterinary Association.

  9. Rural Innovation Fund Grantees

    Data.gov (United States)

    Department of Housing and Urban Development — There is a need for innovative and catalytic economic development and housing programs that create jobs through business development and expansion and expand the...

  10. Biomimetics: nature based innovation

    National Research Council Canada - National Science Library

    Bar-Cohen, Yoseph

    2012-01-01

    "Based on the concept that nature offers numerous sources of inspiration for inventions related to mechanisms, materials, processes, and algorithms, this book covers the topic of biomimetics and the inspired innovation...

  11. Innovation in Family Firms

    DEFF Research Database (Denmark)

    Filser, Matthias; Brem, Alexander; Gast, Johanna

    2016-01-01

    , organizational culture and behaviour, resources, and innovation and strategy. Second, based on a thorough literature review the major research avenues are reflected. The comparison of the results of both analyses showed the following areas for future research on family firm innovation: members‘ individual human......Over the past decade, research on innovation in family firms has received growing attention by scholars and practitioners around the globe with a wide range of aspects explored within the current body of literature. Despite the constantly growing number of scientific publications, research lacks...... a comprehensive and critical review of past and present research achievements. First, conducting a bibliometric analysis with a focus on innovation in family firms, we identify five topical clusters that help to understand the foundations of recent findings: namely ownership and governance, structural settings...

  12. Strategic innovation portfolio management

    Directory of Open Access Journals (Sweden)

    Stanković Ljiljana

    2015-01-01

    Full Text Available In knowledge-based economy, strategic innovation portfolio management becomes more and more important and critical factor of enterprise's success. Value creation for all the participants in value chain is more successful if it is based on efficient resource allocation and improvement of innovation performances. Numerous researches have shown that companies with best position on the market found their competitiveness on efficient development and exploitation of innovations. In decision making process, enterprise's management is constantly faced with challenge to allocate resources and capabilities as efficiently as possible, in both short and long term. In this paper authors present preliminary results of realized empirical research related to strategic innovation portfolio management in ten chosen enterprises in Serbia. The structure of the paper includes the following parts: theoretical background, explanation of research purpose and methodology, discussion of the results and concluding remarks, including limitations and directions for further research.

  13. Balancing optimization and innovation

    Science.gov (United States)

    2017-05-01

    Disruption is often a bad word in established industries, and electricity generation is no exception. But with silicon solar cells getting ever closer to efficiency limits, innovative solutions are needed.

  14. Broadband pushing global innovation

    CERN Multimedia

    Chapman, Matt

    2007-01-01

    "The growth in high-speed internet access around the world has changed the way business and academics collaborate, and let to a "globalisation of innovation", according to a department head at CERN."(1/2 page)

  15. Innovation and learning

    DEFF Research Database (Denmark)

    Drejer, Anders

    2003-01-01

    Due to external challenges necessitating high degrees of innovation and customization without sacrificing cost and quality, many industrial firms need to transform their entire approach to product development. Traditionally, industrial firms have adopted a singular approach to product development...

  16. Capabilities for innovation

    DEFF Research Database (Denmark)

    Nielsen, Peter; Nielsen, René Nesgaard; Bamberger, Simon Grandjean

    2012-01-01

    and in particular their ability to develop firm-specific innovative capabilities through employee participation and creation of innovative workplaces. In this article, we argue that national institutional conditions can play an enhancing or hampering role in this. Especially the norms and values governing relations...... on some of the important institutional conditions in Danish firms derived from the Nordic model, such as the formal and informal relations of cooperation between employers and employees in firms and their function in building capabilities for innovation. The foundation of the empirical analysis...... is a survey that collected information from 601 firms belonging to the private urban sector in Denmark. The survey was carried out in late 2010. Keywords: dynamic capabilities/innovation/globalization/employee/employer cooperation/Nordic model Acknowledgment: The GOPA study was financed by grant 20080053113...

  17. Innovation and Entrepreneurship Studies

    DEFF Research Database (Denmark)

    Landström, Hans; Åström, Fredrik; Harirchi, Gouya

    2015-01-01

    influence our way of thinking and acting. Depending on the way we define these concepts, we will tend to use different knowledge-bases when acting as policy-makers, or as researchers. Therefore, it becomes important to elaborate on the knowledge bases that we have within the fields of innovation...... and entrepreneurship. This study we elaborate on the question: Can innovation and entrepreneurship be seen as one or two fields of research? We will elaborate on this issue by comparing the core works in innovation and entrepreneurship studies respectively, as identified by Fagerberg et al. (Research Policy 41...... and innovation research. The study shows that we are talking about two more or less separate fields of research. Despite common roots in Schumpeter and some interrelated works, the two fields seem to have drifted apart over the last decades. However, there seems to be some elements of overlaps, for example...

  18. Processes of Institutional Innovation

    DEFF Research Database (Denmark)

    Boxenbaum, Eva; Acquier, Aurélien; Pinheiro, Rebecca

    How does innovation come about in a highly institutionalized field like the construction sector? The construction sector is characterized by relatively rigid routines, strong professional boundaries, clear division of labor, and elaborate national legislation. It tends to lag behind other sectors...... of the economy when it comes to innovation, being perceived as mechanically responding to external (client) needs and as implementing innovations that originate elsewhere (Winch 1998, Harty 2008). Sustainable construction represents a remarkable break with this tradition with strong ambitions to boost...... construction in terms of its economic, environmental and social performance. In sustainable construction, new technologies are appearing, new 'best practices' are being formulated, and new managerial systems and labels are being introduced. For instance, innovations like zeroenergy housing and eco...

  19. Center Innovation Fund Program

    Data.gov (United States)

    National Aeronautics and Space Administration — To stimulate and encourage creativity and innovation within the NASA Centers. The activities are envisioned to fall within the scope of NASA Space Technology or...

  20. Collaborative Policy Innovation

    DEFF Research Database (Denmark)

    Sørensen, Eva; Waldorff, Susanne Boch

    2014-01-01

    and policy ideas produced in collaborative governance arenas are not diffused to the formal political institutions of representative democracy because the participating politicians only to a limited extent function as boundary spanners between the collaborative governance arena and the decision making arenas......Governments all over the Western world currently face wicked problems that call for policy innovation. A new strand of research in public innovation points to collaboration between public authorities and relevant and affected stakeholders as an important driver of public innovation. A case study...... of collaborative policy innovation in the area of mental health care in Denmark indicates that collaboration can contribute to qualify the politicians’ understanding of wicked policy problems, and to fostering new creative policy solutions. The study also shows, however, that the new problem understandings...

  1. Subsidizing Media Innovation

    DEFF Research Database (Denmark)

    Kammer, Aske; Hobel, Emil

    When the Danish Parliament revised the media-subsidy framework in 2013/2014, one of the new initiatives was the introduction of a pool of funding earmarked to establishing and developing new news media – the so-called “innovation fund”. So, as the news industry struggles to keep journalism a viable...... and economically sustainable activity, the institutionalization of financial support for media innovation constitute one way for policy makers to bring (parts of) the journalistic environment up-to-date with the digital age, thereby improving the conditions for an informed citizenry in the future (Kammer...... scrutinizes the practical administration of the innovation fund in the first two years of its existence, analyzing all applications for innovation subsidies in 2014 and 2015 as well as all acceptance and rejection letters. With this empirical material and a combination of quantitative and qualitative...

  2. Neighbourhood System of Innovation

    DEFF Research Database (Denmark)

    Muchie, Mammo; Kraemer-Mbula, Erika

    2010-01-01

    The innovation systems literature has provided a useful framework to analyse the linkages of firms and other organisations with both domestic and foreign actors. Although the concept of innovation systems was originally developed at the national level (Freeman, 1982; Nelson & Winter, 1982; Lundvall......, 1985; Nelson, 1988, etc), the literature has expanded rapidly over the years. Since its origins innovation systems have been defined at different levels. National, regional, local, sectoral and technological systems of innovation now constituted alternative units of analysis to better understand...... the processes of creation, diffusion and use of knowledge. These different views, rather than conflicting, tend to complement each other and depend on the attributed boundaries to the system subject of analysis....

  3. Garlic breeding system innovations

    NARCIS (Netherlands)

    Zheng, S.J.; Kamenetsky, R.; Féréol, L.; Barandiaran, X.; Rabinowitch, H.D.; Chovelon, V.; Kik, C.

    2007-01-01

    This review outlines innovative methods for garlic breeding improvement and discusses the techniques used to increase variation like mutagenesis and in vitro techniques, as well as the current developments in florogenesis, sexual hybridization, genetic transformation and mass propagation. Sexual

  4. Towards the Innovation Function

    Directory of Open Access Journals (Sweden)

    Paulo Antônio Zawislak

    2008-12-01

    Full Text Available This paper explores the main elements that influence innovation and the relationships among them. It is pointed out that innovation results from an entrepreneurial action inside an established institutional context, sustained by resources, abilities and competences and with the support of the necessary financial capital. Therefore, it is proposed that innovation is a function (just as the microeconomic production function composed of entrepreneurship, institutions, capabilities and capital. Each one of these elements is explored individually, so that later the relationships among them can be analyzed. It is still suggested that the size of the firm is a moderator in the relationship between these elements and innovation. The study’s contribution it is the development of a conceptual model.

  5. THE FEATURES OF INNOVATIVE ACTIVITY UNDER THE OPEN INNOVATION MODEL

    Directory of Open Access Journals (Sweden)

    Julia P. Kulikova

    2014-01-01

    Full Text Available The article discusses the distinctive characteristics of open and closed models of functioning of the innovation sphere. Justified the use of interaction marketing approach to relationship management of innovation sphere. Two sets of marketing functions - network and process for the effective functioning of innovation networks. Given matrix scorecard marketing functions in the innovation network.

  6. Stepwise innovation adoption : a neglected concept in innovation research

    NARCIS (Netherlands)

    Huizingh, K.R.E.; Brand, M.J.

    2009-01-01

    Most innovation researchers tend to consider innovation adoption as a binary process, implying that companies have either adopted an innovation or not. In this paper we focus on e-commerce as an innovation that can be adopted stepwise. We distinguish between two levels of e-commerce, basic and

  7. 2016 Innovation Report

    Science.gov (United States)

    Colorado Department of Education, 2016

    2016-01-01

    The Innovation Schools Act of 2008, (§ 22-32.5-102, C.R.S. et.seq) was created in response to district and school leaders' interest in finding a way for districts to develop and implement innovative practices in a wide variety of areas for the purpose of improving student outcomes. The Act provides a formal process that allows schools to petition…

  8. Innovation i folkeskolen

    DEFF Research Database (Denmark)

    Jensen, Julie Borup

    2014-01-01

    udmøntning i en folkeskolekontekst. Den bygger på en kvalitativ undersøgelse på en folkeskole, hvor lærerne igennem længere tid har eksperimenteret med innovationsfremmende undervisning. Det viser sig, at det at arbejde med innovation i en folkeskolekontekst afføder et behov for en større drøftelse og...... kontinuerligt producerer ny innovation....

  9. Detecting Social Innovation agency

    DEFF Research Database (Denmark)

    Pel, Bonno; Dorland, Jens; Wittmayer, Julia

    2017-01-01

    Considering that it is important for the social innovation research field to confront its methodological challenges, this contribution addresses the challenge of choosing appropriate units of analysis. In processes of transformative social innovation, the agency is distributed and therefore...... fundamentally difficult to detect and ascribe. This contribution addresses the challenge to develop methodologies that are consistent with this relational ontology, critically evaluating the three main unit of analysis choices that guided an international comparison of 20 transnational SI networks...

  10. Knowledge and Continuous Innovation

    DEFF Research Database (Denmark)

    Boer, Harry; Caffyn, S.; Corso, M.

    1999-01-01

    Competition today is forcing companies to increase their effectiveness through exploiting synergy and learning in product innovation. Literature, however, is still mainly focused on how product development projects, seen largely as isolated efforts, should be organised and managed. This article p...... is based on collaborative research by the authors, based on their involvement in the Euro-Australian co-operation project CIMA (Euro-Australian co-operation centre for Continuous Improvement and innovation MAnagement)....

  11. Innovative confinement concepts workshop

    International Nuclear Information System (INIS)

    Kirkpatrick, R.C.

    1998-01-01

    The Innovative Confinement Concepts Workshop occurred in California during the week preceding the Second Symposium on Current Trends in International Fusion Research. An informal report was made to the Second Symposium. A summary of the Workshop concluded that some very promising ideas were presented, that innovative concept development is a central element of the restructured US DOE. Fusion Energy Sciences program, and that the Workshop should promote real scientific progress in fusion

  12. Open-market innovation.

    Science.gov (United States)

    Rigby, Darrell; Zook, Chris

    2002-10-01

    Companies in many industries are feeling immense pressure to improve their ability to innovate. Even in these tough economic times, executives have pushed innovation initiatives to the top of their priority lists, but they know that the best ideas aren't always coming out of their own R&D labs. That's why a growing number of companies are exploring the idea of open-market innovation--an approach that uses tools such as licensing, joint ventures, and strategic alliances to bring the benefits of free trade to the flow of new ideas. For instance, when faced with the unanticipated anthrax scare last fall, Pitney Bowes had nothing in its R&D pipeline to help its customers combat the deadly spores. So it sought help from outside innovators to come up with scanning and imaging technologies that could alert its customers to tainted letters and packages. And Dow Chemical and Cargill jointly produced a new form of plastic derived from plant starches--a breakthrough product that neither company could have created on its own. In this article, Bain consultants Darrell Rigby and Chris Zook describe the advantages and disadvantages of open-market innovation and the ways some companies are using it to gain competitive advantage. By importing ideas from the outside, the authors say, companies can collect more and better ideas from different kinds of experts. Creative types within a company will stick around longer if they know their ideas will eventually find a home--as internal R&D projects or as concepts licensed to outside buyers. Exporting ideas also gives companies a way to measure an innovation's real value. However, the authors warn against entering into open-market innovation without properly structuring deals: Xerox and TRW virtually gave away their innovations and had to stand by while other companies capitalized on them.

  13. Corporate identity design Innovation

    OpenAIRE

    Costa, Carlos Casimiro da; Fernandes, António Augusto; Medeiros, Albertina

    2009-01-01

    Corporate identity, as a tool for identifying an interactive structure trough visual depict representation in particular, the creativity domains, where is possible to explore an innovative knowledge through systemic perspective. Innovation has origin in the exploration of creativity and in the capacity to connect the dots (Jobs, Steve), usually suspended asleep or that belong to our internal/external scenery. Most of the individuals interpret creativity as a generic procedure, something whic...

  14. Corporate Social Innovation

    OpenAIRE

    Elle, Cæcilie; Forsberg, Aske Dedenroth; Toudahl Hansen, Lasse; van Deurs Formann Jensen, Camilla; Osmundsen, Bjarke; Schaumburg, Iben Cathrine

    2013-01-01

    This project illustrates how Danish companies can combine social responsibility and profit through innovation, and how it affects business legitimacy. In this context we use the concept of Corporate Social Innovation (CSI) to describe the dynamic flows within this field. The companies are motivated to incorporate CSI due to general tendencies and circumstances, though they are confronted with different challenges. The analysis illustrates, on behalf of an analysis of six Danish companies, th...

  15. Open Innovation Practices and their Effect on Innovation Performance

    DEFF Research Database (Denmark)

    Ebersberger, Bernd; Bloch, Carter Walter; Herstad, Sverre

    2013-01-01

    innovation practices have a strong impact on innovation performance. Second, results suggest that that broad-based approaches yield the strongest impacts, and that the collective of open innovation strategies appear more important than individual practices. Third, intramural investments are still important......This paper develops an indicator framework for examining open innovation practices and their impact on performance. The analysis, which is based on Community Innovation Survey (CIS) data for Austria, Belgium, Denmark and Norway, yields a number of interesting results. First, we find that open...... for innovative performance, stressing that open innovation is not a substitute for internal knowledge building....

  16. Internal Determinants of Product Innovation and Management Innovation

    DEFF Research Database (Denmark)

    Harder, Mie

    This paper adopts a behavioral theory of the firm perspective in order to compare the antecedents of two types of innovation: Management innovation refers to the adoption of new management practices or organizational structures, whereas product innovation refers to the introduction of new products......, adopting either type of innovation increases the likelihood of simultaneously adopting the other....... or services on the market. The study further distinguishes between two categories of innovation within each type: new to the firm and new to the industry innovations. The findings indicate that there are more differences than similarities between the antecedents of the two types of innovation. However...

  17. Open Innovation Practices and their Effect on Innovation Performance

    DEFF Research Database (Denmark)

    Ebersberger, Bernd; Bloch, Carter Walter; Herstad, Sverre

    2013-01-01

    This paper develops an indicator framework for examining open innovation practices and their impact on performance. The analysis, which is based on Community Innovation Survey (CIS) data for Austria, Belgium, Denmark and Norway, yields a number of interesting results. First, we find that open...... innovation practices have a strong impact on innovation performance. Second, results suggest that that broad-based approaches yield the strongest impacts, and that the collective of open innovation strategies appear more important than individual practices. Third, intramural investments are still important...... for innovative performance, stressing that open innovation is not a substitute for internal knowledge building....

  18. The innovator's DNA.

    Science.gov (United States)

    Dyer, Jeffrey H; Gregersen, Hal B; Christensen, Clayton M

    2009-12-01

    "How do I find innovative people for my organization? And how can I become more innovative myself?" These are questions that stump most senior executives, who know that the ability to innovate is the "secret sauce" of business success. Perhaps for this reason most of us stand in awe of the work of visionary entrepreneurs such as Apple's Steve Jobs, Amazon's Jeff Bezos, eBay's Pierre Omidyar, and P&G's A.G. Lafley. How do these individuals come up with groundbreaking new ideas? In this article, Dyer, of Brigham Young University; Gregersen, of Insead; and Christensen, of Harvard Business School, reveal how innovative entrepreneurs differ from typical executives. Their study demonstrates that five "discovery skills" distinguish the most creative executives: Associating helps them discover new directions by making connections among seemingly unrelated questions, problems, or ideas. Questioning allows innovators to break out of the status quo and consider new ideas. Through observing, innovators carefully and consistently look out for small behavioral details--in the activities of customers, suppliers, and other companies -to gain insights about new ways of doing things. In experimenting, they relentlessly try on new experiences and explore the world. And through networking with diverse individuals from an array of backgrounds, they gain radically different perspectives.

  19. Toward a Curriculum Innovation

    Science.gov (United States)

    Thoronka, Kevin F. W.

    2008-05-01

    This paper proposes an innovation on HIV prevention, in response to the United Nations Millennium Development Goal to combat HIV/AIDS. The curriculum innovation is through a participatory research design of life skills based education course, involving both healthy faculty tutors and young community leaders at the centre. The innovation builds onto the strengths of previous IIV prevention interventions and argues that effective life skills based education targets the individual, peers and the wider community since the same levels are crucial in HIV transmission. The innovation also recommends a rethinking of the content used to teach and learn life skill based education to prevent HIV and recommends that such content is to be co-conducted by the young community involvement. The content is to be delivered in a participatory way in order for the young community leaders to engage in critical action to prevent HIV. Because of the novelty of such an intervention, the innovation recognizes that such an approach to the design and implementation of the curriculum initiative is complex and involves careful planning, monitoring and evaluation to yield desired outcomes. In conclusion, the innovation recommends that HIV prevention can be possible even in a country such as Sierra Leone, with increasing HIV prevalence in the world.

  20. Innovative process engineering: a generic model of the innovation process

    OpenAIRE

    Pénide, Thomas; Gourc, Didier; Pingaud, Hervé; Peillon, Philippe

    2013-01-01

    International audience; Innovation can be represented as a knowledge transformation process perceived with different levels of granularity. The milestones of this process allow assessment for its each step and set up feedback loops that will be highlighted. This innovation process is a good starting point to understand innovation and then to manage it. Best practices being patterns of processes, we describe innovation best practices as compulsory steps in our innovation process. To put into p...

  1. Strengthening regional innovation through network-based innovation brokering

    OpenAIRE

    Svare, Helge; Gausdal, Anne Haugen

    2015-01-01

    The primary objective of this paper is to demonstrate how regional innovation system theory may be translated into manageable micro-level methods with the potential for strengthening the productive dynamics of a regional innovation system. The paper meets this objective by presenting network-based innovation brokering (NBIB), a practical method designed using insights from regional innovation system theory and trust theory. Five cases from two Norwegian regional innovation networks show that ...

  2. Adult Learning in Innovative Organisations

    Science.gov (United States)

    Sutherland Olsen, Dorothy

    2016-01-01

    The relationship between learning and innovation has been a central theme in studies of innovation (Fagerberg et al., 2005, Borras & Edquist, 2014, Lundvall & Johnsen, 1994). Studies of the workplace have also claimed a relationship between skills or training and a firm's ability to innovate (Toner, 2011). Recent studies of innovation in…

  3. Product Innovations in Emerging Economies

    DEFF Research Database (Denmark)

    Xiao, Xiao; Sarker, Saonee; Rai, Sudhanshu

    2011-01-01

    Studies on enterprise innovations have established the relationships between a number of determinants and enterprise innovativeness. However, such studies in general have been conducted in developed economies. Recent literature has called for broadening innovation-related research to other contex....... Initial findings show that firm size, sales value, and external R&D will affect enterprise innovations in the presence of collaborative capacity....

  4. OECD Reviews of Regional Innovation

    DEFF Research Database (Denmark)

    Maguire, Karen; Marsan, Giulia Ajmone; Nauwelaers, Claire

    This book examines regional innovation in central and southern Denmark, looking at its role in the economy, its governance and policy context and regional strategies for innovation driven growth.......This book examines regional innovation in central and southern Denmark, looking at its role in the economy, its governance and policy context and regional strategies for innovation driven growth....

  5. New frontiers in open innovation

    CERN Document Server

    Vanhaverbeke, Wim; West, Joel

    2014-01-01

    Companies have to innovate to stay competitive, and they have to collaborate with other organizations to innovate effectively. Although the benefits of "open innovation" have been described in detail before, mechanisms underlying how companies can be successful "open innovators" have not be understood well. A growing community of innovation management researchers started to develop different frameworks to understand open innovation in a more systematic way. This book provides a thorough examination of research conducted to date on open innovation, as well as a comprehensive overview of what will be the most important, most promising and most relevant research topics in this area during the next decade. "Open Innovation: Researching a new paradigm" (OUP 2006) was the first initiative to bring open innovation closer to the academic community. Open innovation research has since then been growing in an exponential way and research has evolved in different and unexpected directions. As the research field is growin...

  6. Strategy of technology and innovation

    International Nuclear Information System (INIS)

    Kim, Yeon Min

    1998-10-01

    This book introduces strategy of technology and innovation which includes design and development of strategy of technology, performance of strategy of technology and building and practice of strategy of development. The contents of this book are form of industrial innovation, act in strategy, advantage of technical innovation, new perspective of studying and innovation, alliance with competitor, cost of transmission and innovation, learning cycle of new product and power of consistency of product.

  7. The Dynamics of Innovation Influents

    DEFF Research Database (Denmark)

    Reijonen, Satu; Pinheiro-Croisel, Rebecca

    Despite a growing interest, sustainable energy innovations encounter difficulties in attaining market success. This paper investigates the role of contracts, a hitherto understudied innovation influent, in generating more conducive conditions for sustainable energy innovations in building projects...... of the project and the ways in which the benefits and costs are calculated and thereby create a strong entanglement of the sustainable energy innovation and the design project. Furthermore, the dynamics lead to favouring of uptake of existing innovations rather than generating completely novel solutions...

  8. Innovation patterns in sustainable tourism

    DEFF Research Database (Denmark)

    Hjalager, Anne Mette

    1997-01-01

    Innovation in tourism is a matter of limited research and political consideration. Nevertheless, an increased environmental concern advanced by consumers, local inhabitants and authorities provokes innovative action within the tourism industry. This article offers a typology of innovations related...... strategies by the tourism industry. In addition, new products or processes are often exclusively a result of innovative efforts undertaken in other branches, for instance suppliers, causing a certain delay of endogenous innovation in the core tourism industry....

  9. HARNESSING INNOVATION POTENTIAL OF CROWDSOURCING

    OpenAIRE

    Slavica ROCHESKA; Marjan ANGELESKI; Dimitar NIKOLOSKI; Gjorgji MANCHESKI

    2014-01-01

    The new innovation paradigm is based upon articulation of external and internal sources of innovation. Nowadays, crowdsourcing is coming up as significant external source in innovation processes of the companies. Crowdsourcing enables harnessing of initiatives, ideas, solutions and knowledge of the crowd so as to enhance innovation performance and induce a value creation. Given that existing innovation literature does not cover sufficiently the issues related to crowdsourcing this paper is to...

  10. From Innovation Community to Community Innovation User-initiated Innovation in Wireless Leiden

    NARCIS (Netherlands)

    van Oost, Elizabeth C.J.; Verhaegh, Stefan; Oudshoorn, Nelly E.J.

    2009-01-01

    The role of users in innovation processes has gained increasing attention in innovation studies, technology studies, and media studies. Scholars have identified users and use practices as a source of innovation. So far, however, little insight has been generated in innovation processes in which

  11. Iberdrola's Innovation Network

    International Nuclear Information System (INIS)

    Tejedor-Escobar, E.; Martinez-Cid, P. M.

    2009-01-01

    Iberdrola's Innovation Network was created as a place where the company shares and promotes ideas and projects with its technological partners. The network consists of multiple nodes each one with its specific scope where the company exposes its vision and strategy related to the node's thematic. It also enables a interchange of opinions, know-how and resources in order to develop R and D projects that solve Iberdrola's needs. Based on the concept of Open Innovation, the network is open for anybody that wants to join and that has interest in the diverse matters treated in the nodes. The Innovation Network is targeted to manufacturers/providers, universities, technological centers and associations. The Innovation Network offers to its member the acquisitions of relevant information and know-how, as well as the possibility of participating in the projects that are generated. Iberdrola's strong commitment with Innovation, together with its definitive internationalization process, make that the available resources provided by Iberdrola itself, as well as the interest areas and the project are very important for any stake holder in the sector. (Author) 4 refs

  12. EDUCATION FOR INNOVATION

    Directory of Open Access Journals (Sweden)

    Domingos Antonio Giroletti

    2012-05-01

    Full Text Available This article attempts to discuss the Brazilian development in the second decade of the XXI century, its main challenges and bow to overcome them. It is discussed the relationship between education and innovation as well as its linkage with the development process. It departs from the analysis of the world scenario after the economist crisis of 2008 and the implications for Brazil’s economy. The relationship between education and innovation is examined and special attention is given to the role of the educational system and how it can contribute to prepare more innovative people, better adjusted to the present time and to the changes that we are living. Another focus of analysis refers to the need to increase a culture of innovation among us, adopting proper strategies to improve it and to surpass some resistances against its improvement, especially among university students and professors due to the confusion between innovation and globalization and globalization and capitalistic exploration. Finally, it will be necessary to transform globalization as an economic process into a project of civilization.

  13. National Innovation Systems

    DEFF Research Database (Denmark)

    Lundvall, Bengt-Åke

    2007-01-01

    of the innovation system is defined and it is illustrated that it is necessary both to understand micro-behaviour in the core and understand "the wider setting" within which the core operates. Concepts used in organization theory referring to fit and misfit may be used to enrich the understanding of the performance...... of power, to institution building and to the openness of innovation systems.......The term national system of innovation has been around for more than 20 years and today it has become widely spread among policy makers as well as among scholars all over the world. This paper takes stock and looks ahead from a somewhat personal point of view. It also gives some insight into how...

  14. Crowdsourcing Business Model Innovation

    DEFF Research Database (Denmark)

    Waldner, Florian; Poetz, Marion

    Successfully adapting existing business models or developing new ones significantly influences a firm?s ability to generate profits and develop competitive advantages. However, business model innovation is perceived as a complex, risky and uncertain process and its success strongly depends...... models in the podcast industry, we provide first exploratory insights into the value of crowdsourcing for innovating a firm?s business model, and discuss which characteristics of crowd-contributors increase the quantity and quality of the outcome....... on whether or not firms are capable of understanding and addressing their customers? needs. This study explores how crowdsourcing-based search approaches can contribute to the process of business model innovation. Drawing on data from a crowdsourcing initiative designed to develop ideas for new business...

  15. Process innovation laboratory

    DEFF Research Database (Denmark)

    Møller, Charles

    2007-01-01

    will increasingly be driven by business process models. Consequently business process modelling and improvement is becoming a serious challenge. The aim of this paper is to establish a conceptual framework for business process innovation (BPI) in the supply chain based on advanced EIS. The challenge is thus....... The process innovation laboratory facilitates innovation by using an integrated action learning approach to process modelling in a controlled environment. The study is based on design science and the paper also discusses the implications to EIS research and practice......Most organizations today are required not only to operate effective business processes but also to allow for changing business conditions at an increasing rate. Today nearly every business relies on their enterprise information systems (EIS) for process integration and future generations of EIS...

  16. Offshoring of Innovation

    DEFF Research Database (Denmark)

    Haakonsson, Stine

    2013-01-01

    This chapter is an investigation into the internationalization of innovation in the Danish food-related biotech industry. The process of the internationalization of innovation in food and ingredients into new markets has followed a similar path: first, the companies enter new markets...... with their products developed in the home economy; secondly, they increasingly adjust their products to the new markets; and thirdly, some of the more high-tech companies have developed international techno-scientific networks. These companies explain the development as a strategy for ‘tapping into new knowledge......’ by collaborating with local research facilities and suppliers. The companies engage in various constructs of global innovation networks more or less simultaneously according to the type of technology. The type of engagement and entry mode relates to the host location. Similar companies develop different network...

  17. Navigating Cognitive Innovation

    Directory of Open Access Journals (Sweden)

    Michael S. Kristensen

    2017-11-01

    Full Text Available This paper revisits the concept of Cognitive Innovation with the aim of helping newcomers appreciate its (intended demarcating purpose and relevance to the wider literature on cognition and creativity in the humanities, arts, and sciences. Particular emphasis is paid to discussion of the pitfalls of sense-making and the concept’s affordance. The main argument presented is that proponents of the concept face the dilemma of seeking to demonstrate its transdisciplinary nature and applicability vis-a-vis retaining its semantic distinctness. Proceeding from a classification of Cognitive Innovation as a dispositional construct, we discuss how it feeds into existing research approaches and opens up new sensibilities in related areas. The perspectives of temporality, interdisciplinary balancing, technology, and metatheories are proposed as promising areas for future elaboration of the function of Cognitive Innovation.

  18. Innovation in China

    DEFF Research Database (Denmark)

    MacDonald, Greg; Yow, Yit-Seng; Li, Xing

    China's economy is growing quickly, and is innovation-led.  Europe can relate to China through joint R&D, programmes which offer an alternative vehicle of engagement to the traditional political and economic approaches. Innovation in China: The Dawning of the Asian Century promotes an awareness...... of the dynamics of innovation in China. It examines Chinese and European approaches to science and technology and contends that the ‘rules for survival' in R&D and education are changing in favour of China, in terms of base R&D parameters such as research expenditure, scientists trained, papers published...... and patents awarded. The authors recommend options for Europe and China to connect through longitudinal R&D  projects and ‘carrousel-training exchanges' in environmental and health related fields....

  19. Experience Innovation in Tourism

    DEFF Research Database (Denmark)

    Jensen, Jens Friis; Sørensen, Flemming

    2017-01-01

    This paper discusses how front-line employees can play an important role in innovation processes that lead tourism companies from service production to experience creation. The increasing focus on experiential value by customers in general (Sundbo and Sørensen, 2013) puts pressure on service...... and typically do not consider front-line employees to be important innovation agents (Sørensen and Jensen, 2012). However, in this paper, an analysis of an experiment in Tivoli Gardens exemplifies the innovation and value creating potential of involving front-line employees in developing new practices...... companies to move from functional service production to creating experiences (Pine and Gilmore, 2013). This is also the case in tourism companies. In tourism, most encounters between employees and tourists operate on a service logic (Sørensen and Jensen, 2015). Thus, we suggest there is a value potential...

  20. Employee-driven innovation

    DEFF Research Database (Denmark)

    Kesting, Peter; Ulhøi, John Parm

    2015-01-01

    of contemporary research on routine and organizational decision making to the specific case of EDI. Findings – The main result of the paper is that, from a theoretical point of view, it makes perfect sense to involve ordinary employees in innovation decisions. However, it is also outlined that naıve or ungoverned...... participation is counterproductive, and that it is quite difficult to realize the hidden potential in a supportive way. Research limitations/implications – The main implication is that basic mechanisms for employee participation also apply to innovation decisions, although often in a different way. However......Purpose – The purpose of this paper is to outline the “grand structure” of the phenomenon in order to identify both the underlying processes and core drivers of employee-driven innovation (EDI). Design/methodology/approach – This is a conceptual paper. It particularly applies the insights...

  1. Logistics innovation development

    DEFF Research Database (Denmark)

    Pedrosa, Alex; Blazevic, Vera; Jasmand, Claudia

    2015-01-01

    innovation development. Data was analyzed for similarities and differences in boundary-spanning employees’ knowledge acquisition and their interactions with customers across six innovations. Findings — Results show that boundary-spanning employees engage sequentially in deepening and broadening customer......Purpose — This paper aims to investigate the microfoundations of customer knowledge acquisition during logistics innovation development. Specifically, we explore the activities and behaviors of employees with customer contact (i.e., boundary-spanning employees) to deepen and broaden their knowledge...... and diverse customer firm members. Research limitations/implications — In general, this paper contributes to the understanding of the individuals’ behaviors underlying organization-level phenomena, such as logistics service providers’ customer knowledge acquisition. Practical implications — Findings...

  2. Crowdsourcing Business Model Innovation

    DEFF Research Database (Denmark)

    Waldner, Florian; Poetz, Marion

    Successfully adapting existing business models or developing new ones significantly influences a firm?s ability to generate profits and develop competitive advantages. However, business model innovation is perceived as a complex, risky and uncertain process and its success strongly depends...... on whether or not firms are capable of understanding and addressing their customers? needs. This study explores how crowdsourcing-based search approaches can contribute to the process of business model innovation. Drawing on data from a crowdsourcing initiative designed to develop ideas for new business...... models in the podcast industry, we provide first exploratory insights into the value of crowdsourcing for innovating a firm?s business model, and discuss which characteristics of crowd-contributors increase the quantity and quality of the outcome....

  3. Crowdsourcing business model innovation

    DEFF Research Database (Denmark)

    Waldner, Florian; Poetz, Marion Kristin; Bogers, Marcel

    2016-01-01

    Successfully adapting existing business models or developing new ones significantly influences a firm’s ability to generate profits and develop competitive advantages. However, business model innovation is perceived as a complex, risky and uncertain process and its success strongly depends...... on whether or not the firm is capable of understanding and addressing their customers’ needs. We conduct a quantitative exploratory case study to investigate how crowdsourcing-based search approaches among user communities can contribute to developing business model innovation. Drawing on data from...... a crowdsourcing initiative designed to develop ideas for new business models in the podcast industry, we provide first exploratory insights into the value of crowdsourcing for innovating a firm’s way of creating, delivering and capturing value, and discuss characteristics of crowd-contributors that influence...

  4. Business Model Innovation

    DEFF Research Database (Denmark)

    Ahrensbach Rasmussen, Klement

    The topics of business model innovation (BMI) and organizational design have potentially important links. And yet, there has been little cross-fertilization of ideas between the two fields. The purpose of this thesis is to fill that gap by proposing and developing an organizational view of BMI...... that focuses on the missing links between business model innovation and organizational design theory. Guided by the research question—what is the role of organizational design in the process of business model innovation?—the thesis not only investigates how BMI activity unfolds, but also looks at the different...... roles of the firm’s organizational design and where the activity takes place. Moreover, this research provides ample detail on how organizational complementarities emerge or vanish as a result of the fit or misfit between business model elements and design choices. To drive home these important points...

  5. Open Innovation in Lithuania

    DEFF Research Database (Denmark)

    Brix, Jacob; Sejer Jakobsen, Henning; Holst Jørgensen, Lars

    2011-01-01

    In May 2011 the Danish Technological Institute and Vilnius Gediminas Technological University started a state-of-the-art innovation project in Lithuania called ‘UnInova’. The main objective of the UnInova project is to develop and train key persons from companies and universities to co-create and......In May 2011 the Danish Technological Institute and Vilnius Gediminas Technological University started a state-of-the-art innovation project in Lithuania called ‘UnInova’. The main objective of the UnInova project is to develop and train key persons from companies and universities to co......-create and generate new knowledge, to develop the new knowledge, and to disseminate it around in their organizations. Moreover, the goal of the project is to create Lithuanian experts in relation to innovative technology transfer, industry and business partnerships, and the creation and maintaining of business...

  6. Open innovation using blog

    DEFF Research Database (Denmark)

    Nicolajsen, Hanne Westh; Scupola, Ada; Sørensen, Flemming

    2010-01-01

    This article discusses the potential of involving users in service innovation through social software in the form of a blog. After a theoretical discussion of user involvement, and in particular about the pros and cons of user involvement using social software, the article reports from a field...... experiment at a university library. In the experiment a blog was established in an attempt to collect innovation ideas from the library users. The experiment documents, that a blog may provide for very different types of input resulting in insight into user’s perception of the library services, critics......, wishes, concrete ideas etc. Additionally the experiment sheds light on the challenges using a blog to involve users in service innovation....

  7. Innovative customer loyalty programs

    OpenAIRE

    Kotel, N. M.; Котель, Н. М.

    2013-01-01

    Currently, the vast majority of demanding consumers has tired of monotonous bonuses and benefits companies. Today innovations play an important role in all areas of our lives. And marketing is not an exception. So, the marketers make innovative and personalized solutions to create loyal customers. In this connection, in the present conditions the development of innovative customer loyalty program is one of the priorities of any company. Инновации в различных сферах деятельности играют важн...

  8. Logistics innovation development

    DEFF Research Database (Denmark)

    Pedrosa, Alex; Blazevic, Vera; Jasmand, Claudia

    2014-01-01

    to investigate the role of boundary-spanning employees in deepening and broadening customer knowledge while developing logistics service innovations. Findings The results show that boundary-spanning employees’ engage sequentially in deepening and broadening customer knowledge throughout the logistics innovation......, this paper contributes to the understanding of the individuals’ behaviors underlying organization-level phenomena, such as logistics service providers’ customer knowledge acquisition. Practical implications (if applicable) Our findings illustrate that boundary-spanning employees might be well advised......Purpose This paper aims to investigate the microfoundations—boundary-spanning employees activities and behaviors—of deepening and broadening customer knowledge during logistics innovation development. Design/methodology/approach A multiple case study approach (six case studies) was adopted...

  9. Firms, crowds, and innovation.

    Science.gov (United States)

    Felin, Teppo; Lakhani, Karim R; Tushman, Michael L

    2017-05-01

    The purpose of this article is to suggest a (preliminary) taxonomy and research agenda for the topic of "firms, crowds, and innovation" and to provide an introduction to the associated special issue. We specifically discuss how various crowd-related phenomena and practices-for example, crowdsourcing, crowdfunding, user innovation, and peer production-relate to theories of the firm, with particular attention on "sociality" in firms and markets. We first briefly review extant theories of the firm and then discuss three theoretical aspects of sociality related to crowds in the context of strategy, organizations, and innovation: (1) the functions of sociality (sociality as extension of rationality, sociality as sensing and signaling, sociality as matching and identity), (2) the forms of sociality (independent/aggregate and interacting/emergent forms of sociality), and (3) the failures of sociality (misattribution and misapplication). We conclude with an outline of future research directions and introduce the special issue papers and essays.

  10. LOGISTICS - EVOLUTION THROUGH INNOVATION

    Directory of Open Access Journals (Sweden)

    Petrache Alexandru Constantin

    2015-07-01

    Full Text Available The current economic conditions, the rapidity with which the exchange of information, resources and products in the market takes place makes the logistics seem appreciably less significant. However, the importance of logistics has been presented in the military field, through strategies that have led to wining of the great wars that mankind has seen, through the supply of troops with food or moving military equipment. The literature in the field of logistics has numerous works on this topic. But while most focuses on efficient ways of carrying out the component activities of logistics or the strategies of organizations with regard to logistics or its functions, research on dynamics of logistics is underdeveloped. To be able to propose new methods or strategies of logistic activities is necessary to understand the development of this concept, determinant factors and economic and social conditions that gave rise to such developments. Thus, after a presentation of the main landmarks of the historical development of logistics we highlight the importance of the innovation within an organization's value chain innovation, in particular, and how to conduct the business in general. Using generations of innovation identified in the literature, we determine the generation of logistics development, taking into account innovation and how to conduct business. In addition for a better highlight of the own vision over the logistics generations identified, we will present the graphical concept for each generation in part. Last but not least, for each generation identified we try to allocate the chronological landmarks featured in order to reinforce the importance played by innovation in the development of the logistics industry and to give future directions of research within this topic. The study took into account the information presented in articles, books and websites of the relevant specialty in logistics and innovation to be able to build and expose a

  11. Innovation quality in knowledge cities

    DEFF Research Database (Denmark)

    Makkonen, Teemu; Inkinen, Tommi

    2014-01-01

    competitions and the realized impacts of winning an award are largely the same: media coverage and a credibility boost. The importance of innovation awards in innovation policy was, however, considered only as mediocre or modest. As a conclusion it can be stated that innovation awards are an additional tool......Innovation awards have for long attracted policy makers as a method for innovation promotion. Still, academic research on innovation awards has thus far received little attention. In particular, empirical studies on the motives to enter award competitions and the realized impacts of winning...... for innovation promotion, alongside innovation inducement policies including tax reductions and direct funding, as they produce significant positive effects for the award winning companies, and an additional indicator of innovation quality in the context of knowledge cities....

  12. The Pharmakon of Innovation

    DEFF Research Database (Denmark)

    Johnsen, Christian Garmann

    While popular management handbooks tends to promise concrete lessons, prescriptions and advice for how to make an successful organization, this paper argues that there can resides considerable ambiguity and obscurity in the writings of management gurus. In the discourse on management innovation...... ‘poison’ and ‘remedy’, we will engage with the management guru Gary Hamel’s book The Future of Management. Although Hamel attempts to establish a clear-cut distinction between principles of management that obstructs and those managerial principles that facilitate innovation, it is ultimately indeterminate...

  13. Assessment of Innovation Competency

    DEFF Research Database (Denmark)

    Nielsen, Jan Alexis

    2015-01-01

    of the recorded talk in interaction that occurred in teacher group discussion sessions at 5 upper secondary schools. Based on the analysis, it was possible to extrapolate assessment criteria for 5 subcompetencies relevant to innovation (creative competency, collaboration competency, navigation competency, action...... competency, and communication competency) as well as assessment criteria for a number of skills relevant to these subcompetencies. These assessment criteria, it is argued, largely resonate with existing literature and they provide a detailed glimpse into how assessment of innovation competency could...

  14. Ideudvikling ved kreativ innovation

    DEFF Research Database (Denmark)

    Sejer Jakobsen, Henning; Rebsdorf, S.O.

    Med begrebsdefinitioner og en solid videnskabsteoretisk fundering viser "Ideudvikling ved kreativ innovation" både hvorfor kreativitet og innovation er vigtigt, men også hvordan systematisk ideudvikling er muligt. Begreberne perspektiveres ved en historisk og normativ anskuelse, der giver en bred...... og brugbar forståelse af hele skabelsesprocessen. Idestigen med Tanke - Ide - Løsning er hele grundlaget, og med introduktionen til Creative Idea Solution (CIS) gives læseren en konkret model for, hvordan en proces på grænsen af kaos kan blive til en kontrolleret forandringsproces. Det normative...

  15. Technology, Innovation and Knowledge

    DEFF Research Database (Denmark)

    Andersson, Ulf; Dasi, Angels; Mudambi, Ram

    2016-01-01

    The relevance of ideas is at the core of the IB field and has been captured in concepts like technology, innovation and knowledge. While these concepts have evolved over the last decades, the point that the ideas and the international connectivity are central for IB remains genuine. This paper...... is an attempt to take stock of the evolution of the concepts technology, innovation and knowledge in IB literature along the past five decades with a particular focus on the role of the Columbia Journal of World Business (CJWB) and the Journal of World Business (JWB) in this evolution. Likewise, our objective...

  16. A Political Innovator?

    DEFF Research Database (Denmark)

    Tang, Yi; Lin, Yu; Andersen, Torben Juul

    2016-01-01

    Political networking is frequently used in transition economies to gain superior performance. This study draws on upper echelons theory (UET) and the resource-based view (RBV) to analyze the relationship between political networking and firm innovation moderated by the core self-evaluation (CSE......) of the CEO. Based on a sample of 381 manufacturing firms extracted from the Entrepreneurs Survey System of Chinese CEOs with 2014 data from the Jiangsu province, the study finds that political networking is positively related to explorative and exploitative innovation but negatively moderated by the CSE...

  17. Service innovation in China

    DEFF Research Database (Denmark)

    Slepniov, Dmitrij; Jin, Jun

    2014-01-01

    the industry by increasing transparency and connectedness between track owners and third-party logistics (3PL) companies. We find that the service concept helped the company to diversify as well as enhanced its growth and competitive advantages in a very competitive environment of the second and third tier...... Chinese cities. Both internal and external factors played a significant role in influencing the development and implementation of service innovation in the case. The paper details and discusses the factors that affect service innovation in China. Research Limitations – The study is exposed...

  18. Are you innovative enough?

    DEFF Research Database (Denmark)

    Drejer, Anders

    2008-01-01

    Many countries have been influenced by Corporate Governance for very good reasons. But there seems to be a downside to this. For instance, Denmark currently has a larger number of entrepreneurs per capita than the USA. However, at the same time, the net growth from start-ups is close to zero....... This indicates that too few start-ups survive and prosper in the long run. Also, the overall hit rate of Danish innovation projects has been measured to be as low as 6%-7%. This serves to illustrate the need for working systematically with innovative competence and management, perhaps even the need to supplement...

  19. Innovative presentations for dummies

    CERN Document Server

    Anthony, Ray

    2014-01-01

    Be the speaker they follow with breakthrough innovative presentations Innovative Presentations For Dummies is a practical guide to engaging your audience with superior, creative, and ultra-compelling presentations. Using clear language and a concise style, this book goes way beyond PowerPoint to enable you to reimagine, reinvent, and remake your presentations. Learn how to stimulate, capture, and hold your audience in the palm of your hand with sound, sight, and touch, and get up to speed on the latest presentation design methods that make you a speaker who gets audiences committed and acting

  20. Subsidizing Media Innovation

    DEFF Research Database (Denmark)

    Kammer, Aske; Hobel, Emil

    When the Danish Parliament revised the media-subsidy framework in 2013/2014, one of the new initiatives was the introduction of a pool of funding earmarked to establishing and developing new news media – the so-called “innovation fund”. So, as the news industry struggles to keep journalism a viab...... subsidized, (2) what characterizes the successful applicants’ approaches to innovation, and (3) which patterns exist in this connection, and it measures each of these three dimensions against the welfare framework that the national context provides....