WorldWideScience

Sample records for understanding innovative treatment

  1. Understanding the sorption and biotransformation of organic micropollutants in innovative biological wastewater treatment technologies.

    Science.gov (United States)

    Alvarino, T; Suarez, S; Lema, J; Omil, F

    2018-02-15

    New technologies for wastewater treatment have been developed in the last years based on the combination of biological reactors operating under different redox conditions. Their efficiency in the removal of organic micropollutants (OMPs) has not been clearly assessed yet. This review paper is focussed on understanding the sorption and biotransformation of a selected group of 17 OMPs, including pharmaceuticals, hormones and personal care products, during biological wastewater treatment processes. Apart from considering the role of "classical" operational parameters, new factors such as biomass conformation and particle size, upward velocity applied or the addition of adsorbents have been considered. It has been found that the OMP removal by sorption not only depends on their physico-chemical characteristics and other parameters, such as the biomass conformation and particle size, or some operational conditions also relevant. Membrane biological reactors (MBR), have shown to enhance sorption and biotransformation of some OMPs. The same applies to technologies bases on direct addition of activated carbon in bioreactors. The OMP biotransformation degree and pathway is mainly driven by the redox potential and the primary substrate activity. The combination of different redox potentials in hybrid reactor systems can significantly enhance the overall OMP removal efficiency. Sorption and biotransformation can be synergistically promoted in biological reactors by the addition of activated carbon. The deeper knowledge of the main parameters influencing OMP removal provided by this review will allow optimizing the biological processes in the future. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Understanding CLIL as an innovation

    Directory of Open Access Journals (Sweden)

    Richard Kiely

    2011-04-01

    Full Text Available Content and Language Integrated Learning (CLIL initiatives in schools have become widespread across Europe and beyond in the last decade or so. Drivers for this include the role of English as the language of international economic activity, media and culture, belief in the value of early start and meaning-focussed instruction in foreign language learning, and a policy position which promotes a multilingual Europe. In many contexts, CLIL initiatives are local: teachers and educational leaders with assistance from teacher educators and experts in universities establish programmes, which are then shaped by available resources, human and material. While the commitment, enthusiasm and energy for CLIL at classroom and school levels are essential requirements for educational innovation, they may not, in the longer term be enough for sustainability and ongoing development. This paper examines the implementation of CLIL as an innovation and identifies some issues where wider policy support and coordination may be useful. It draws on the findings of an evaluation study of a CLIL project implemented in four countries, and identifies issues and ways forward for an effective strategy for CLIL in terms of foreign language learning, subject learning, and positive learning experiences for every child.

  3. Innovative approach towards understanding optics

    Science.gov (United States)

    Garg, Amit; Bharadwaj, Sadashiv Raj; Kumar, Raj; Shudhanshu, Avinash Kumar; Verma, Deepak Kumar

    2016-01-01

    Over the last few years, there has been a decline in the students’ interest towards Science and Optics. Use of technology in the form of various types of sensors and data acquisition systems has come as a saviour. Till date, manual routine tools and techniques are used to perform various experimental procedures in most of the science/optics laboratories in our country. The manual tools are cumbersome whereas the automated ones are costly. It does not enthuse young researchers towards the science laboratories. There is a need to develop applications which can be easily integrated, tailored at school and undergraduate level laboratories and are economical at the same time. Equipments with advanced technologies are available but they are uneconomical and have complicated working principle with a black box approach. The present work describes development of portable tools and applications which are user-friendly. This is being implemented using open-source physical computing platform based on a simple low cost microcontroller board and a development environment for writing software. The present paper reports the development of an automated spectrometer, an instrument used in almost all optics experiments at undergraduate level, and students’ response to this innovation. These tools will inspire young researchers towards science and facilitate development of advance low cost equipments making life easier for Indian as well as developing nations.

  4. Innovation and entrepreneurship in India: understanding jugaad

    OpenAIRE

    Prabhu, Jaideep Charles; Jain, S

    2015-01-01

    In this paper, we use the term $\\textit{jugaad}$ to describe the frugal, flexible, and inclusive approach to innovation and entrepreneurship emerging from India. We articulate why this method is appropriate within the Indian context and highlight similarities between $\\textit{jugaad}$ and related types of innovation originating from other emerging (and developed) economies. Next, we identify different types of organizations that engage in $\\textit{jugaad}$ and elucidate their abilities, or la...

  5. Level of understanding of innovation among the Malaysian executives

    Science.gov (United States)

    Abidin, Norkisme Zainal; Suradi, Nur Riza Mohd; Shahabuddin, Faridatulazna; Mustafa, Zainol; Ismail, Wan Rosmanira

    2014-06-01

    Innovation is among the most frequently used word in the business world today. While many businessman and executives agree that innovation is needed to sustain their long term business success, many struggle to understand the concept of innovation. This study aims to measure the understanding level of innovation among the Malaysian executives using a survey questionnaire. Questions regarding innovation were posted to the respondents and they were requested to answer either it was True or False. Each respondent was given scores for their correct answers. The score of the right answers were then categorized into low, moderate and high understanding level. Results of the survey revealed that the understanding level of innovation among the Malaysian Executives is still at moderate level thus leading to the failure of many initiatives introduced by the organization or the government.

  6. Understanding University Faculty Perceptions about Innovation in Teaching and Technology

    Science.gov (United States)

    Kopcha, Theodore J.; Rieber, Lloyd P.; Walker, Brandy B.

    2016-01-01

    The purpose of this research is to understand faculty perceptions about innovation in teaching and technology in a college of education in a research-intensive university. This study was motivated by the creation of a new initiative begun in a large college of education at a Carnegie Research-Intensive university to promote innovation in teaching…

  7. Understanding energy technology developments from an innovation system perspective

    Energy Technology Data Exchange (ETDEWEB)

    Borup, M.; Nygaard Madsen, A. [Risoe National Lab., DTU, Systems Analysis Dept., Roskilde (Denmark); Gregersen, Birgitte [Aalborg Univ., Department of Business Studies (Denmark)

    2007-05-15

    With the increased market-orientation and privatisation of the energy area, the perspective of innovation is becoming more and more relevant for understanding the dynamics of change and technology development in the area. A better understanding of the systemic and complex processes of innovation is needed. This paper presents an innovation systems analysis of new and emerging energy technologies in Denmark. The study focuses on five technology areas: bio fuels, hydrogen technology, wind energy, solar cells and energy-efficient end-use technologies. The main result of the analysis is that the technology areas are quite diverse in a number of innovation-relevant issues like actor set-up, institutional structure, maturity, and connections between market and non-market aspects. The paper constitutes background for discussing the framework conditions for transition to sustainable energy technologies and strengths and weaknesses of the innovation systems. (au)

  8. Towards an understanding of business model innovation processes

    DEFF Research Database (Denmark)

    Taran, Yariv; Boer, Harry; Lindgren, Peter

    2009-01-01

    Companies today, in some industries more than others, invest more capital and resources just to stay competitive, develop more diverse solutions, and increasingly start to think more radically, when considering to innovate their business model. However, the development and innovation of business...... models is a complex venture and has not been widely researched yet. The objective of this paper is therefore 1) to build a [descriptive] theoretical understanding, based on Christensen’s (2005) three-step procedure, to business models and their innovation and, as a result of that, 2) to strengthen...... researchers’ and practitioners’ perspectives as to how the process of business model innovation can be realized. By using various researchers’ perspectives and assumptions, we identify relevant inconsistencies, which consequently lead us to propose possible supplementary solutions. We conclude our paper...

  9. Theory Building- Towards an understanding of business model innovation processes

    DEFF Research Database (Denmark)

    Taran, Yariv; Boer, Harry; Lindgren, Peter

    2009-01-01

    Companies today, in some industries more than others, invest more capital and resources just to stay competitive, develop more diverse solutions, and increasingly start to think more radically, when considering to innovate their business model. However, the development and innovation of business...... models is a complex venture and has not been widely researched yet. The objective of this paper is therefore 1) to build a [descriptive] theoretical understanding, based on Christensen's (2005) three-step procedure, to business models and their innovation and, as a result of that, 2) to strengthen...... researchers' and practitioners' perspectives as to how the process of business model innovation can be realized. By using various researchers' perspectives and assumptions, we identify relevant inconsistencies, which consequently lead us to propose possible supplementary solutions. We conclude our paper...

  10. Understanding Eco-innovation and Green Business Models

    DEFF Research Database (Denmark)

    Andersen, Maj Munch

    2014-01-01

    and definitions of ecoinnovationare lacking leading to much confusion and methodologically weak empirical analyses. This paperseeks to remedy this by offering a definition and taxonomy of eco-innovations and discussing theimplications for green business model thinking, bringing in examples of Danish successful...... patterns(cities/communities, physical planning, symbiosis)7. Business model eco-innovation (green value creation by novel financing or ownership modes)(See also Andersen 2006, 2008 for earlier versions).The taxonomy may be used to understand the conditions for creating green value for different types...... of companies and industries and how this is changing over time as the green economy matures. The complementarities and competition between these eco-innovations are significant for determining the rateand direction of green economic change. Understanding these processes is essential in developing efficient...

  11. Reaching an understanding innovations in how we view reading assessment

    CERN Document Server

    Sabatini, John; O'Reilly, Tenaha

    2012-01-01

    Reaching an Understanding: Innovations in How We View Reading Assessment builds upon the editors previous book Measuring Up: Advances in How We Assess Reading Ability by representing some early attempts to apply theory to help guide the development of new assessments and measurement models.

  12. Innovative Oral Treatments of Uterine Leiomyoma

    Directory of Open Access Journals (Sweden)

    Mohamed Sabry

    2012-01-01

    Full Text Available Uterine fibroids (leiomyoma, the benign tumors of the uterine wall, are very common cause of morbidity in reproductive age women usually in the form of excessive vaginal bleeding, chronic pelvic pain, miscarriage and infertility. These tumors are the leading indication for hysterectomy in the United States. Uterine fibroids are about 4 times higher in blacks compared to whites and constitute a major health disparity challenge. The estimated cost of uterine fibroids is up to $34.4 billion annually. Additionally, women who suffer from this disease and desire to maintain their future fertility have very limited treatment choices. Currently, there is no effective long-term medicinal treatment for uterine fibroids. While surgery has traditionally been the gold standard for the treatment of uterine fibroids, there is growing interest towards orally administered medications for the management of leiomyoma-related symptoms. In this paper, we will discuss these promising innovative oral medical treatments in detail.

  13. 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....

  14. Understanding the dynamics of multi-stakeholder innovation ...

    African Journals Online (AJOL)

    Through a European Union funded project called JOLISAA (Joint Learning in Innovation Systems in African Agriculture), the nature of smallholder oriented innovation systems have been explored in terms of partnerships, triggers that have given rise to them and the nature of the innovations themselves. The main objective ...

  15. Innovations in nanotechnology for water treatment

    Directory of Open Access Journals (Sweden)

    Gehrke I

    2015-01-01

    Full Text Available Ilka Gehrke, Andreas Geiser, Annette Somborn-SchulzFraunhofer Institute for Environmental, Safety and Energy Technology UMSICHT, Oberhausen, GermanyAbstract: Important challenges in the global water situation, mainly resulting from worldwide population growth and climate change, require novel innovative water technologies in order to ensure a supply of drinking water and reduce global water pollution. Against this background, the adaptation of highly advanced nanotechnology to traditional process engineering offers new opportunities in technological developments for advanced water and wastewater technology processes. Here, an overview of recent advances in nanotechnologies for water and wastewater treatment processes is provided, including nanobased materials, such as nanoadsorbents, nanometals, nanomembranes, and photocatalysts. The beneficial properties of these materials as well as technical barriers when compared with conventional processes are reported. The state of commercialization is presented and an outlook on further research opportunities is given for each type of nanobased material and process. In addition to the promising technological enhancements, the limitations of nanotechnology for water applications, such as laws and regulations as well as potential health risks, are summarized. The legal framework according to nanoengineered materials and processes that are used for water and wastewater treatment is considered for European countries and for the USA.Keywords: nanotechnology, water technology, nanoadsorbents, nanometals, nanomembranes, photocatalysis

  16. Innovations in nanotechnology for water treatment.

    Science.gov (United States)

    Gehrke, Ilka; Geiser, Andreas; Somborn-Schulz, Annette

    2015-01-01

    Important challenges in the global water situation, mainly resulting from worldwide population growth and climate change, require novel innovative water technologies in order to ensure a supply of drinking water and reduce global water pollution. Against this background, the adaptation of highly advanced nanotechnology to traditional process engineering offers new opportunities in technological developments for advanced water and wastewater technology processes. Here, an overview of recent advances in nanotechnologies for water and wastewater treatment processes is provided, including nanobased materials, such as nanoadsorbents, nanometals, nanomembranes, and photocatalysts. The beneficial properties of these materials as well as technical barriers when compared with conventional processes are reported. The state of commercialization is presented and an outlook on further research opportunities is given for each type of nanobased material and process. In addition to the promising technological enhancements, the limitations of nanotechnology for water applications, such as laws and regulations as well as potential health risks, are summarized. The legal framework according to nanoengineered materials and processes that are used for water and wastewater treatment is considered for European countries and for the USA.

  17. Understanding public sector innovations: the role of leadership activities for a climate for innovation

    NARCIS (Netherlands)

    Dorsman, S.J.; Tummers, L.G.; Thaens, M.

    2015-01-01

    Innovations are considered to be crucial for the success of public organizations. However, it is not a foregone conclusion that public organizations are innovative. This study is based on the leadership and innovation literature to consider whether team level leadership activities could be

  18. How Understandings Colour the Means and Ends in the Case of Environmental Innovations

    DEFF Research Database (Denmark)

    Holgaard, Jette Egelund

    2002-01-01

    Different understandings of the concept of innovation have resulted in different means and ends in the innovation activities within Dan-ish industry. The different emphasis on economic, technical, organ-isational, inter-organisational and institutional issues in product and process-innovation has...... influenced the initiatives made by state, market and civil society. Focusing on environmental innovations, this is revealed in the initiatives and outcome of the previous envi-ronmental policy in Denmark. The paper, makes an analyti-cal distinction between different understandings of innovation, ex...

  19. Understanding Innovative Potential (IP) in an ICT Context

    DEFF Research Database (Denmark)

    Rai, Sudhanshu

    Abstract; in this paper I discuss innovative potential at a firm level using information system literature and broadening my review to R&D literature as well. This review enables me to develop a theoretical frame of what researchers have indicated to be innovative potential or capacity at the fir...... to consider IP as a long term investment not only in human capital but in the way the human capital is allowed to engage with new ideas. I suggest IP can be build using institutional logics that enable openness and collegiality....

  20. Understanding Innovative Potential (IP) in an ICT Context

    DEFF Research Database (Denmark)

    Rai, Sudhanshu

    Abstract; in this paper I discuss innovative potential at a firm level using information system literature and broadening my review to R&D literature as well. This review enables me to develop a theoretical frame of what researchers have indicated to be innovative potential or capacity at the firm...... to consider IP as a long term investment not only in human capital but in the way the human capital is allowed to engage with new ideas. I suggest IP can be build using institutional logics that enable openness and collegiality....

  1. Understanding the innovation adoption process of construction clients, Clients driving Innovation

    NARCIS (Netherlands)

    Hartmann, Andreas; Dewulf, Geert P.M.R.; Reymen, Isabelle; Adams, L.; Guest, K.

    2006-01-01

    Although the role of clients in stimulating construction innovation seems to be controversial, little has been known about their innovation adoption behaviour. This paper presents first results of an ongoing research project the aim of which is to shed more light on the adoption processes of

  2. Understanding And Developing Innovative Products And Services: The Essential Elements

    DEFF Research Database (Denmark)

    Tan, Adrian; McAloone, Timothy Charles

    2006-01-01

    , not on the product itself, but on the activity and the effect on stakeholders. Innovative products are products that contain a difference, with appropriate, valuable and desirable effects induced on the company, consumer and society. The approach is exemplified through a case on the Sony Walkman. When designing...

  3. Understanding Innovation for Sustainable Business Management Capabilities and Competencies under Uncertainty

    OpenAIRE

    Wu, Kuo-Jui; Liao, Ching-Jong; Tseng, Ming-Lang; Chou, Pei-Jay

    2015-01-01

    In recent years, many firms have come to understand that innovation is an important issue in sustainable business management, as it helps improve firm capabilities and competencies. Because of the fiercely competitive environment in the hotel industry, innovation has become a critical factor in the process of hotel differentiation, leading to sustainable business success. However, the literature has not thoroughly examined the role of innovation or the hierarchical structure of the capabiliti...

  4. The Humanistic Treatment Philosophy of Innovative Drug Programs

    Science.gov (United States)

    Kolton, Marilyn S.

    1973-01-01

    This article presents a philosophy perceived by young professionals, often members of the counterculture, who completed a series of questions concerning innovative programs with a humanistic orientation to drug treatment. (Author/RK)

  5. Innovations in nanotechnology for water treatment

    OpenAIRE

    Gehrke, Ilka; Geiser, Andreas; Somborn-Schulz, Annette

    2015-01-01

    Ilka Gehrke, Andreas Geiser, Annette Somborn-SchulzFraunhofer Institute for Environmental, Safety and Energy Technology UMSICHT, Oberhausen, GermanyAbstract: Important challenges in the global water situation, mainly resulting from worldwide population growth and climate change, require novel innovative water technologies in order to ensure a supply of drinking water and reduce global water pollution. Against this background, the adaptation of highly advanced nanotechnology to traditional pro...

  6. Understanding investors' decisions to purchase innovative products : Drivers of adoption timing and range

    NARCIS (Netherlands)

    Hoffmann, A.O.I.; Broekhuizen, T.L.J.

    2010-01-01

    This paper integrates findings from marketing and finance literature to increase our understanding of consumers' decisions to purchase innovative investment products. Two different surveys administered to individual investors examine the psychological and sociological drivers of dispositional

  7. Innovative treatments for adults with obstructive sleep apnea

    Directory of Open Access Journals (Sweden)

    Weaver TE

    2014-11-01

    Full Text Available Terri E Weaver,1,2 Michael W Calik,1,2 Sarah S Farabi,1,2 Anne M Fink,1,2 Maria T Galang-Boquiren,2,3 Mary C Kapella,1,2 Bharati Prasad,2,4 David W Carley1,21Biobehavioral Health Science Department, College of Nursing, University of Illinois at Chicago; 2Center for Narcolepsy, Sleep and Health, University of Illinois at Chicago College of Nursing, 3Department of Orthodontics, University of Illinois at Chicago College of Dentistry, 4Sleep Center, Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, IL, USAAbstract: Obstructive sleep apnea (OSA affects one in five adult males and is associated with significant comorbidity, cognitive impairment, excessive daytime sleepiness, and reduced quality of life. For over 25 years, the primary treatment has been continuous positive airway pressure, which introduces a column of air that serves as a pneumatic splint for the upper airway, preventing the airway collapse that is the physiologic definition of this syndrome. However, issues with patient tolerance and unacceptable levels of treatment adherence motivated the exploration of other potential treatments. With greater understanding of the physiologic mechanisms associated with OSA, novel interventions have emerged in the last 5 years. The purpose of this article is to describe new treatments for OSA and associated complex sleep apnea. New approaches to complex sleep apnea have included adaptive servoventilation. There is increased literature on the contribution of behavioral interventions to improve adherence with continuous positive airway pressure that have proven quite effective. New non-surgical treatments include oral pressure devices, improved mandibular advancement devices, nasal expiratory positive airway pressure, and newer approaches to positional therapy. Recent innovations in surgical interventions have included laser-assisted uvulopalatoplasty, radiofrequency ablation, palatal implants, and electrical

  8. Understanding Supplier Resistance - Overcoming Obstacles to Supply Innovation

    Directory of Open Access Journals (Sweden)

    New Steve

    2014-11-01

    Full Text Available This paper explores an important but unexplored theme in the development of 'total quality' relationships in the supply chain: why suppliers may exhibit resistance to quality initiatives, and why what seems to customers as cooperation can appear as unwelcome interference or even exploitation to suppliers. This is a question of great relevance to all those seeking to understand current business practice, and also to those seeking to bring about practical improvements in supply chain quality. Too much of the supply chain and quality literature assumes the issue of supplier's compliance with customer initiatives is unproblematic (unable to understand this sentence; experience suggests it is one of the major obstacles in developing the quality-oriented, integrated supply chain.

  9. Innovative treatments for adults with obstructive sleep apnea.

    Science.gov (United States)

    Weaver, Terri E; Calik, Michael W; Farabi, Sarah S; Fink, Anne M; Galang-Boquiren, Maria T; Kapella, Mary C; Prasad, Bharati; Carley, David W

    2014-01-01

    Obstructive sleep apnea (OSA) affects one in five adult males and is associated with significant comorbidity, cognitive impairment, excessive daytime sleepiness, and reduced quality of life. For over 25 years, the primary treatment has been continuous positive airway pressure, which introduces a column of air that serves as a pneumatic splint for the upper airway, preventing the airway collapse that is the physiologic definition of this syndrome. However, issues with patient tolerance and unacceptable levels of treatment adherence motivated the exploration of other potential treatments. With greater understanding of the physiologic mechanisms associated with OSA, novel interventions have emerged in the last 5 years. The purpose of this article is to describe new treatments for OSA and associated complex sleep apnea. New approaches to complex sleep apnea have included adaptive servoventilation. There is increased literature on the contribution of behavioral interventions to improve adherence with continuous positive airway pressure that have proven quite effective. New non-surgical treatments include oral pressure devices, improved mandibular advancement devices, nasal expiratory positive airway pressure, and newer approaches to positional therapy. Recent innovations in surgical interventions have included laser-assisted uvulopalatoplasty, radiofrequency ablation, palatal implants, and electrical stimulation of the upper airway muscles. No drugs have been approved to treat OSA, but potential drug therapies have centered on increasing ventilatory drive, altering the arousal threshold, modifying loop gain (a dimensionless value quantifying the stability of the ventilatory control system), or preventing airway collapse by affecting the surface tension. An emerging approach is the application of cannabinoids to increase upper airway tone.

  10. Innovative treatments for adults with obstructive sleep apnea

    Science.gov (United States)

    Weaver, Terri E; Calik, Michael W; Farabi, Sarah S; Fink, Anne M; Galang-Boquiren, Maria T; Kapella, Mary C; Prasad, Bharati; Carley, David W

    2014-01-01

    Obstructive sleep apnea (OSA) affects one in five adult males and is associated with significant comorbidity, cognitive impairment, excessive daytime sleepiness, and reduced quality of life. For over 25 years, the primary treatment has been continuous positive airway pressure, which introduces a column of air that serves as a pneumatic splint for the upper airway, preventing the airway collapse that is the physiologic definition of this syndrome. However, issues with patient tolerance and unacceptable levels of treatment adherence motivated the exploration of other potential treatments. With greater understanding of the physiologic mechanisms associated with OSA, novel interventions have emerged in the last 5 years. The purpose of this article is to describe new treatments for OSA and associated complex sleep apnea. New approaches to complex sleep apnea have included adaptive servoventilation. There is increased literature on the contribution of behavioral interventions to improve adherence with continuous positive airway pressure that have proven quite effective. New non-surgical treatments include oral pressure devices, improved mandibular advancement devices, nasal expiratory positive airway pressure, and newer approaches to positional therapy. Recent innovations in surgical interventions have included laser-assisted uvulopalatoplasty, radiofrequency ablation, palatal implants, and electrical stimulation of the upper airway muscles. No drugs have been approved to treat OSA, but potential drug therapies have centered on increasing ventilatory drive, altering the arousal threshold, modifying loop gain (a dimensionless value quantifying the stability of the ventilatory control system), or preventing airway collapse by affecting the surface tension. An emerging approach is the application of cannabinoids to increase upper airway tone. PMID:25429246

  11. Understanding Absorptive Capacities is an "Innovation Systems" Context

    DEFF Research Database (Denmark)

    Narula, Rajneesh

    2004-01-01

    This paper seeks to broaden our understanding of the concept underlying absorptive capacity atthe macro -level, paying particular attention to the growth and development perspectives. Weprovide definitions of absorptive and technological capacity, external technology flows,productivity growth......, employment creation and their interrelations. We then analyse the elementsof absorptive capability, focusing on the nature of the relationship within a systems view of aneconomy, focusing primarily on the role of firm and non-firm actors and the institutions thatconnect them, both within and across borders...

  12. Network analysis: An innovative framework for understanding eating disorder psychopathology.

    Science.gov (United States)

    Smith, Kathryn E; Crosby, Ross D; Wonderlich, Stephen A; Forbush, Kelsie T; Mason, Tyler B; Moessner, Markus

    2018-03-01

    Network theory and analysis is an emerging approach in psychopathology research that has received increasing attention across fields of study. In contrast to medical models or latent variable approaches, network theory suggests that psychiatric syndromes result from systems of causal and reciprocal symptom relationships. Despite the promise of this approach to elucidate key mechanisms contributing to the development and maintenance of eating disorders (EDs), thus far, few applications of network analysis have been tested in ED samples. We first present an overview of network theory, review the existing findings in the ED literature, and discuss the limitations of this literature to date. In particular, the reliance on cross-sectional designs, use of single-item self-reports of symptoms, and instability of results have raised concern about the inferences that can be made from network analyses. We outline several areas to address in future ED network analytic research, which include the use of prospective designs and adoption of multimodal assessment methods. Doing so will provide a clearer understanding of whether network analysis can enhance our current understanding of ED psychopathology and inform clinical interventions. © 2018 Wiley Periodicals, Inc.

  13. Understanding Absorptive Capacities is an "Innovation Systems" Context

    DEFF Research Database (Denmark)

    Narula, Rajneesh

    2004-01-01

    This paper seeks to broaden our understanding of the concept underlying absorptive capacity atthe macro -level, paying particular attention to the growth and development perspectives. Weprovide definitions of absorptive and technological capacity, external technology flows,productivity growth......, employment creation and their interrelations. We then analyse the elementsof absorptive capability, focusing on the nature of the relationship within a systems view of aneconomy, focusing primarily on the role of firm and non-firm actors and the institutions thatconnect them, both within and across borders....... We also undertake to explain how the nature ofabsorptive capacity changes with stages of economic development, and the importance of thedifferent aspects of absorptive capability at different stages. The relationship is not a linear one:the benefits that accrue from marginal increases in absorptive...

  14. Developing Critical Understanding in HRM Students: Using Innovative Teaching Methods to Encourage Deep Approaches to Study

    Science.gov (United States)

    Butler, Michael J. R.; Reddy, Peter

    2010-01-01

    Purpose: This paper aims to focus on developing critical understanding in human resource management (HRM) students in Aston Business School, UK. The paper reveals that innovative teaching methods encourage deep approaches to study, an indicator of students reaching their own understanding of material and ideas. This improves student employability…

  15. Muscle fatigue: general understanding and treatment

    Science.gov (United States)

    Wan, Jing-jing; Qin, Zhen; Wang, Peng-yuan; Sun, Yang; Liu, Xia

    2017-01-01

    Muscle fatigue is a common complaint in clinical practice. In humans, muscle fatigue can be defined as exercise-induced decrease in the ability to produce force. Here, to provide a general understanding and describe potential therapies for muscle fatigue, we summarize studies on muscle fatigue, including topics such as the sequence of events observed during force production, in vivo fatigue-site evaluation techniques, diagnostic markers and non-specific but effective treatments. PMID:28983090

  16. Muscle fatigue: general understanding and treatment

    OpenAIRE

    Wan, Jing-jing; Qin, Zhen; Wang, Peng-yuan; Sun, Yang; Liu, Xia

    2017-01-01

    Muscle fatigue is a common complaint in clinical practice. In humans, muscle fatigue can be defined as exercise-induced decrease in the ability to produce force. Here, to provide a general understanding and describe potential therapies for muscle fatigue, we summarize studies on muscle fatigue, including topics such as the sequence of events observed during force production, in vivo fatigue-site evaluation techniques, diagnostic markers and non-specific but effective treatments.

  17. Innovations in minimally invasive facial treatments.

    Science.gov (United States)

    Jurado, José Roberto Parisi; Lima, Leila Freire Rego; Olivetti, Isabela Peixoto; Arroyo, Helena Hotz; de Oliveira, Ingrid Helena Lopes

    2013-06-01

    Patients are seeking healthier lives, and at the same time their concern about having a beautiful face and maintaining a youthful appearance over time has increased. Traditionally, surgeries based on tissue resection and resurfacing were the focus in facial rejuvenation. Over the last decade, minimally invasive procedures have expanded exponentially because of the variety of cosmetic products available on the market and because patients are looking for a better appearance with nonincision methods. The understanding of the aging process, facial anatomy, and ideal proportions is extremely important for successful rejuvenation procedures. Also, neuromodulators, chemical peels, filler properties, correct indications, and effectiveness must be well known by the injector for favorable results. Therefore, knowledge of all facial cosmetic options and an adequate facial analysis are essential for a better performance. In this article, the authors review some different product options and show cases of minimally invasive cosmetic procedures for the face currently used. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  18. [Innovations in locoregional treatments of breast cancer].

    Science.gov (United States)

    Vlastos, G; Monnier, S; Vinh-Hung, V

    2010-10-27

    Breast conserving therapy including breast conserving surgery followed by radiation therapy is the treatment of choice for early breast cancer. Sentinel lymph node biopsy is a minimally approach that allows to evaluate the axilla with less morbidity and avoid an axillary lymph node biopsy. This surgical technique is now evaluated in more specific situations. Modern surgical techniques such as oncoplastic surgery allow to excise larger tumors and obtain better cosmetic results. In a near future it is expected that intraoperative radiation therapy will remplace classicals approaches of radiotherapy for selected patients.

  19. DOE's Innovative Treatment Remediation Demonstration Program accelerating the implementation of innovative technologies

    International Nuclear Information System (INIS)

    Hightower, M.

    1995-01-01

    A program to help accelerate the adoption and implementation of new and innovative remediation technologies has been initiated by the Department of Energy's (DOE) Environmental Restoration Program Office (EM40). Developed as a Public-Private Partnership program in cooperation with the US Environmental Protection Agency's (EPA) Technology Innovation Office (TIO) and coordinated by Sandia National Laboratories, the Innovative Treatment Remediation Demonstration (ITRD) Program attempts to reduce many of the classic barriers to the use of new technologies by involving government, industry, and regulatory agencies in the assessment, implementation, and validation of innovative technologies. In this program, DOE facilities work cooperatively with EPA, industry, national laboratories, and state and federal regulatory agencies to establish remediation demonstrations using applicable innovative technologies at their sites. Selected innovative technologies are used to remediate small, one to two acre, sites to generate the full-scale and real-world operating, treatment performance, and cost data needed to validate these technologies and gain acceptance by industry and regulatory agencies, thus accelerating their use nationwide. Each ITRD project developed at a DOE site is designed to address a typical soil or groundwater contamination issue facing both DOE and industry. This includes sites with volatile organic compound (VOC), semi-VOC, heavy metal, explosive residue, and complex or multiple constituent contamination. Projects are presently underway at three DOE facilities, while additional projects are under consideration for initiation in FY96 at several additional DOE sites. A brief overview of the ITRD Program, program plans, and the status and progress of existing ITRD projects are reviewed in this paper

  20. Climate for innovation, 12-step orientation, and tobacco cessation treatment.

    Science.gov (United States)

    Muilenburg, Jessica L; Laschober, Tanja C; Eby, Lillian T

    2014-04-01

    This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program's 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Climate for Innovation, 12-Step Orientation, & Tobacco Cessation Treatment

    Science.gov (United States)

    Laschober, Tanja C.; Eby, Lillian T.

    2013-01-01

    This study examined the relationship between (1) three indicators of climate for innovation (clinician skills, absence of program obstacles, policy-related incentives) and adoption extensiveness of both behavioral treatments for tobacco cessation (TC) and system-level support for TC in substance use disorder treatment programs, (2) a program’s 12-step treatment orientation and adoption extensiveness, and (3) whether 12-step treatment orientation moderates the relationship between climate for innovation and adoption extensiveness. Data were obtained from a random sample of 1,006 program administrators. Hierarchical regression results showed that both absence of program obstacles and policy-related incentives are positively related to adoption extensiveness. Twelve-step treatment orientation is neither related to adoption extensiveness nor a moderator of the relationship between climate for innovation and adoption extensiveness. Although the adoption of both behavioral treatments for TC and system-level support for TC is not extensive, we conclude that a 12-step treatment orientation neither hampers nor promotes adoption extensiveness. PMID:24355811

  2. Hydrotherapy: An innovative treatment for obese Malaysians

    Science.gov (United States)

    Noordin, M. Hazim M.; Ahmad, Hartini; Baharin, Shamsuddin

    2015-12-01

    Malaysia is ranked as a country with the most obese population in the Southeast Asia region, and placed sixth in the Asia Pacific. Obesity does not only influence the persons' mobility and quality of health, but could also link to medical leaves and absenteeism affecting the overall workforce productivity and efficiency. Routine physical activity is essential for good health and it is particularly important for those who are trying to lose weight or to maintain a healthy weight. However, it is disheartening to note that only 32.6 percent Malaysians above the age of 15 are involved in physical exercise or vigorous sports. There is an emergence of many types of hydrotherapy system, which are either active or passive and these can be at hospital settings, public places or in individual homes. Such hydrotherapy, if properly programmed can promote the physical activity amongst the obese in Malaysia. Current research on the use of active and passive hydrotherapy for obesity treatment was carried out. Subjects of both sexes and diverse age ranges, immersed themselves in a heated pool within hospital setting and in a bath tubs with high energy turbulent movement of medium temperature water. These hydrotherapy sessions provide a form of physical exercise in water as compared to on the land exercise. The findings of the hydrotherapy sessions have shown encouraging results. Quantitative data was analysed, with the help of descriptive statistics and paired sample t-test. Qualitative data was analysed manually with help of thematic analysis and specialised qualitative assessment software. This study reveals that hydrotherapy has improved patient's mobility, flexibility and exercise capability. Results reveal the reduction in the weight of subjects, with both quantitative and qualitative data results show that Hydrotherapy improved the quality of life in term of body pain reduction and general health improvement. Therefore, it can be concluded that the hydrotherapy can be seen

  3. Protein Innovations Advance Drug Treatments, Skin Care

    Science.gov (United States)

    2012-01-01

    Dan Carter carefully layered the sheets of tracing paper on the light box. On each sheet were renderings of the atomic components of an essential human protein, one whose structure had long been a mystery. With each layer Carter laid down, a never-before-seen image became clearer. Carter joined NASA s Marshall Space Flight Center in 1985 and began exploring processes of protein crystal growth in space. By bouncing intense X-rays off the crystals, researchers can determine the electron densities around the thousands of atoms forming the protein molecules, unveiling their atomic structures. Cultivating crystals of sufficient quality on Earth was problematic; the microgravity conditions of space were far more accommodating. At the time, only a few hundred protein structures had been mapped, and the methods were time consuming and tedious. Carter hoped his work would help reveal the structure of human serum albumin, a major protein in the human circulatory system responsible for ferrying numerous small molecules in the blood. More was at stake than scientific curiosity. Albumin has a high affinity for most of the world s pharmaceuticals, Carter explains, and its interaction with drugs can change their safety and efficacy. When a medication enters the bloodstream a cancer chemotherapy drug, for example a majority of it can bind with albumin, leaving only a small percentage active for treatment. How a drug interacts with albumin can influence considerations like the necessary effective dosage, playing a significant role in the design and application of therapeutic measures. In spite of numerous difficulties, including having no access to microgravity following the 1986 Space Shuttle Challenger disaster, the image Carter had hoped to see was finally clarifying. In 1988, his lab had acquired specialized X-ray and detection equipment a tipping point. Carter and his colleagues began to piece together albumin s portrait, the formation of its electron densities coalescing on

  4. Helping Preservice Teachers (PSTs) Understand the Realities of Poverty: Innovative Curriculum Modules

    Science.gov (United States)

    Cho, Moon-Heum; Convertino, Christina; Khourey-Bowers, Claudia

    2015-01-01

    The purpose of this study was to develop an innovative addition to the curriculum to help preservice teachers cultivate an understanding of poverty. Using technology, an interdisciplinary team created two online learning modules entitled Teacher as Learning Facilitator and Teacher as Anthropologist. Preservice teachers valued the newly developed…

  5. Facilitating Evaluations of Innovative, Competence-Based Assessments: Creating Understanding and Involving Multiple Stakeholders

    Science.gov (United States)

    Gulikers, Judith T. M.; Baartman, Liesbeth K. J.; Biemans, Harm J. A.

    2010-01-01

    Schools are held more responsible for evaluating, quality assuring and improving their student assessments. Teachers' lack of understanding of new, competence-based assessments as well as the lack of key stakeholders' involvement, hamper effective and efficient self-evaluations by teachers of innovative, competence-based assessments (CBAs). While…

  6. The "Outsider/Insider" Assignment: A Pedagogical Innovation for Teaching Cross-Cultural Understanding

    Science.gov (United States)

    Garcia, Angela Cora

    2014-01-01

    In this paper, I describe an innovative assignment for teaching undergraduate students cross-cultural understanding. The Outsider/Insider assignment simultaneously teaches facts about cultural difference and skills for managing cross-cultural encounters. Briefly, the assignment is to write two short papers, one in which the student describes a…

  7. 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.

  8. Understanding the evolution of eco-innovative activity in the automotive sector: a patent based analysis

    DEFF Research Database (Denmark)

    Faria, Lourenco; Andersen, Maj Munch

    The paper aims to analyze the evolution of eco-innovative activity and strategies in the automotive sector over time. We suggest to use a patent count methodology tracking the development of selected technologies considered as promising ?green technologies? in the automotive sector. The paper...... contributes to an understanding of the industrial dynamics of the greening of industry and the economy , a theme little analyzed despite the huge and rapidly increasing literature on sustainable development and innovation. Our findings show that all the major firms in the automotive industry are diversifying...

  9. Understanding and Supporting Dynamic Capabilities of Design Teams in Production of Technology-Innovation

    DEFF Research Database (Denmark)

    Jensen, Ole Kjeldal

    current environment. This study explores the practices of engineering designers that are executing disruptive innovation projects for DONG Energy, a Danish energy utilities company. The aim of the study was to understand the role of the designer in disruptive innovation and to create a tool for supporting...... multidisciplinary design teams, while creating disruptive innovations. The results from this study are presented in five research Papers that address the following themes: 1) the willingness of engineers to follow formal procedures, 2) critical knowledge domains in front-end technology decisions, 3) knowledge...... associated with product development, such as market design; 3) the diversity of these domains was found to increase the barrier for effective transition from the front-end phase to the product development phase; 4) the transition gate was found to be a separate phase, with its own knowledge...

  10. Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations.

    Science.gov (United States)

    Johnson, Kimberly; Quanbeck, Andrew; Maus, Adam; Gustafson, David H; Dearing, James W

    2015-09-01

    Understanding influence networks among substance abuse treatment clinics may speed the diffusion of innovations. The purpose of this study was to describe influence networks in Massachusetts, Michigan, New York, Oregon, and Washington and test two expectations, using social network analysis: (1) Social network measures can identify influential clinics; and (2) Within a network, some weakly connected clinics access out-of-network sources of innovative evidence-based practices and can spread these innovations through the network. A survey of 201 clinics in a parent study on quality improvement provided the data. Network measures and sociograms were obtained from adjacency matrixes created by UCINet. We used regression analysis to determine whether network status relates to clinics' adopting innovations. Findings suggest that influential clinics can be identified and that loosely linked clinics were likely to join the study sooner than more influential clinics but were not more likely to have improved outcomes than other organizations. Findings identify the structure of influence networks for SUD treatment organizations and have mixed results on how those structures impacted diffusion of the intervention under study. Further study is necessary to test whether use of knowledge of the network structure will have an effect on the pace and breadth of dissemination of innovations.

  11. Understanding Innovation for Sustainable Business Management Capabilities and Competencies under Uncertainty

    Directory of Open Access Journals (Sweden)

    Kuo-Jui Wu

    2015-10-01

    Full Text Available In recent years, many firms have come to understand that innovation is an important issue in sustainable business management, as it helps improve firm capabilities and competencies. Because of the fiercely competitive environment in the hotel industry, innovation has become a critical factor in the process of hotel differentiation, leading to sustainable business success. However, the literature has not thoroughly examined the role of innovation or the hierarchical structure of the capabilities and competencies in sustainable business management. This study adopts interval-valued triangular fuzzy numbers and grey relational analysis to provide a competitive priority ranking for the aspects and criteria that assist firms in decision-making. The study results indicate that innovation in technology capabilities and networking and social capabilities—in addition to competencies in systemic thinking—are the most important aspects of sustainable business management. In particular, this study indicates that to succeed in building a sustainable business in the hotel industry, firms should upgrade and integrate their business technologies, collaborate with actors inside and outside the firm, build trust as well as a shared vision that includes common agreement, and develop competencies in inventive thinking to support innovation and foster changes in strategy, structure, administrative procedures, and systems when necessary.

  12. THE INNOVATION THEORY OF JOSEPH SCHUMPETER: FROM THE CLASSICAL DEFINITION OF THE TERM “INNOVATION” UP TO THE MODERN UNDERSTANDING OF THE INNOVATION IDEAS

    Directory of Open Access Journals (Sweden)

    A. Masliukivska

    2013-03-01

    Full Text Available The paper studies the evolution of the appearance of the term “innovation” and its classical definition. The study exposes the main provisions of innovation theory of Joseph Schumpeter and their modern understanding.

  13. THE INNOVATION THEORY OF JOSEPH SCHUMPETER: FROM THE CLASSICAL DEFINITION OF THE TERM “INNOVATION” UP TO THE MODERN UNDERSTANDING OF THE INNOVATION IDEAS

    OpenAIRE

    A. Masliukivska

    2013-01-01

    The paper studies the evolution of the appearance of the term “innovation” and its classical definition. The study exposes the main provisions of innovation theory of Joseph Schumpeter and their modern understanding.

  14. Understanding consumer motivations for interacting in online food communities – potential for innovation

    DEFF Research Database (Denmark)

    Jacobsen, Lina; Sørensen, Bjarne Taulo; Tudoran, Ana Alina

    This study contributes to the understanding of online user communities as a potential source of innovation. That would require an interest from users in interacting in such communities. In order to establish interaction, users must provide as well as consume information. However, depending...... on the innovation task, one may be more important than the other. It is therefore important to understand, how companies can increase user willingness to engage in these different interaction forms. This study investigates the influence of various motivation factors and user interests on intention to provide...... or consume information in online food communities. A survey was conducted among 1009 respondents followed by analysis based on Structural Equation Modelling. Results revealed the effect of motivation factors to be stronger than basic consumer interests indicating that companies can influence the intended...

  15. Innovative waste treatment and conditioning technologies at nuclear power plants

    International Nuclear Information System (INIS)

    2006-05-01

    The objective of this publication is to provide Member States with information on the most innovative technologies and strategies used in waste treatment and conditioning. At present, some of those technologies and strategies might not be widely implemented at nuclear power plants (NPP), but they have an important potential for their use as part of the long range NPP, utility, or national strategy. Thus, the target audience is those decision makers at the national and organizational level responsible for selecting waste processing technologies and strategies over a period of three to ten years. Countries and individual nuclear plants have limited financial resources which can be applied toward radioactive waste processing (treatment and conditioning). They are challenged to determine which of the many available technologies and strategies are best suited to meet national or local needs. This publication reduces the selection of processes for wastes generated by nuclear power plants to those technologies and strategies which are considered innovative. The report further identifies the key benefits which may derive from the adoption of those technologies, the different waste streams to which each technology is relevant, and the limitations of the technologies. The technologies and strategies identified have been evaluated to differentiate between (1) predominant technologies (those that are widely practiced in multiple countries or a large number of nuclear plants), and (2) innovative technologies (those which are not so widely used but are considered to offer benefits which make them suitable for broader application across the industry). Those which fall into the second category are the primary focus of this report. Many IAEA publications address the technical aspects of treatment and conditioning for radioactive wastes, covering research, technological advances, and safety issues. These studies and reports primarily target the research and technical staff of a

  16. Innovative technologies for the treatment of hazardous and mixed wastes

    International Nuclear Information System (INIS)

    Eyman, L.D.; Anderson, T.D.

    1988-01-01

    The treatment, storage, and disposal of hazardous and mixed wastes incur significant costs for Department of Energy (DOE) installations. These wastes must be managed under strict environmental controls and regulations to prevent the possibility of migration of hazardous materials to the biosphere. Through the Hazardous Waste Remedial Actions Program, the DOE is seeking to develop innovative ways of improving current treatment technologies to eliminate the hazardous components of wastes, reduce waste management costs, and minimize the volume requiring disposal as hazardous or mixed waste. Sponsored projects progress from research and development to field demonstration. Among the innovative technologies under development are supercritical water oxidation of hazardous chemicals, microwave-assisted destruction of chlorinated hydrocarbons, paramagnetic separation of metals from waste, detoxification and reclamation of waste acid, nitrate destruction through calcination, treatment/disposal of reactive metals, and methodologies for encapsulation. Technologies at a demonstration phase include detoxification of mixed waste sludge, microbial degradation of polychlorinated biphenyls in soil, and the remediation process for a hydrocarbon spill. 14 refs

  17. Understanding the joint effects of Cognitive Distance and Competition on Pioneering Innovations through the Dynamics between Suppliers and Competitors

    DEFF Research Database (Denmark)

    Li, Ying; Salomo, Søren

    2010-01-01

    with an optimal innovation performance, because a too small cognitive distance provides the focal innovating firm with too little novelty value, while a too large cognitive distance makes it difficult for firms to learn and collaborate with each other. Second, the empirical evidence for the relationship between...... as an exploratory innovation that is technologically new to the innovating focal firm and introduced first to the world. The result of the empirical tests using a Canadian innovation dataset, which contains information on product/process innovations across four decades, confirms an inverted U-shaped relationship...... advance our understanding why and how firms take potential external learning opportunities to undertake pioneering innovations under various levels of competitive pressure....

  18. Exploring the Usefulness of Two Conceptual Frameworks for Understanding How Organizational Factors Influence Innovation Implementation in Cancer Care

    Science.gov (United States)

    Urquhart, Robin; Sargeant, Joan; Grunfeld, Eva

    2013-01-01

    Moving knowledge into practice and the implementation of innovations in health care remain significant challenges. Few researchers adequately address the influence of organizations on the implementation of innovations in health care. The aims of this article are to (1) present 2 conceptual frameworks for understanding the organizational factors…

  19. Understanding Rheumatoid Arthritis (RA): Treatment and Causes

    Science.gov (United States)

    ... help my RA? What You Can Do: The Importance of Self-Care Although healthcare professionals can prescribe or recommend treatments to help patients manage their rheumatoid arthritis, the real key to living well with the disease lies with the patients ...

  20. One size does not fit all - understanding the front-end and back-ens of business model innovation

    DEFF Research Database (Denmark)

    Günzel, Franziska; Holm, Anna B.

    2013-01-01

    production and delivery have affected key components of these business models, namely value creation, proposition, delivery and capture in the period 2002–2011. Our findings suggest the need to distinguish between front-end and back-end business model innovation processes, and to recognize the importance......Business model innovation is becoming a central research topic in management. However, a lack of a common understanding of the nature of the business model leads to disregarding its multifaceted structure when analyzing the business model innovation process. This article proposes a more detailed...... understanding of the business model innovation process by drawing on existing knowledge from new product development literature and examining the front-end and the back-end of business model innovation of three leading Danish newspapers. We studied how changes introduced during the development of digital news...

  1. Understanding spermatogenesis is a prerequisite for treatment

    Directory of Open Access Journals (Sweden)

    Schulze Wolfgang

    2003-11-01

    Full Text Available Abstract Throughout spermatogenesis multiplication, maturation and differentiation of germ cells results in the formation of the male gamete. The understanding of spermatogenesis needs detailed informations about the organization of the germinal epithelium, the structure and function of different types of germ cells, endocrine and paracrine cells and mechanisms, intratesticular and extratesticular regulation of spermatogenesis. Normal germ cells must be discriminated from malformed, apoptotic and degenerating germ cells and tumor cells. Identification of the border line between normal and disturbed spermatogenesis substantiate the diagnosis of impaired male fertility. The profound knowledge of the complicate process of spermatogenesis and all cells or cell systems involved with is the prerequisite to develop concepts for therapy of male infertility or to handle germ cells in the management of assisted reproduction.

  2. 78 FR 53789 - Technology Innovations for Substance Abuse and Mental Health Treatment Conference & Related...

    Science.gov (United States)

    2013-08-30

    ... OFFICE OF NATIONAL DRUG CONTROL POLICY Technology Innovations for Substance Abuse and Mental... Sciences Research, will host a Technology Innovations for Substance Abuse and Mental Health Treatment... day are required to call ONDCP's Technology Innovations for Substance Abuse and Mental Health...

  3. 75 FR 62844 - Innovations in Technology for the Treatment of Diabetes: Clinical Development of the Artificial...

    Science.gov (United States)

    2010-10-13

    ... state of device systems for autonomous systems for the treatment of diabetes mellitus, the challenges in...] Innovations in Technology for the Treatment of Diabetes: Clinical Development of the Artificial Pancreas (an... a public workshop entitled ``Innovations in Technology for the Treatment of Diabetes: Clinical...

  4. 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...

  5. [Lichen ruber planus : Better understanding, better treatment!

    Science.gov (United States)

    Schilling, L; Vogt, T

    2018-02-01

    Lichen ruber, also called lichen ruber planus or lichen planus (LP), is a noncontagious inflammatory skin disease. LP is the main representative and namesake of the group of lichenoid diseases, which are characterized by small papules often accompanied by severe itching. With 65% of cases, LP is primarily a disease of the mucous membranes. In 20% of the cases, the disease is found on the skin and mucous membranes; skin involvement alone is seen in only about 10% of cases. Cutaneous LP has a very favorable 1‑year prognosis of almost 80% healing as opposed to the mucosa and the adnexal organs. Histologically, keratinocytes with vacuolar degeneration, leaving behind apoptotic Kamino bodies and the characteristic band-shaped lymphocytic infiltrate at the dermatoepithelial junction, are common to lichenoid diseases. The horny layer is firm and compact and the stratum granulosum is thickened as a correlate of the Wickham stripes. The molecular pathogenesis, still partially hypothetical, assumes trigger factors leading to the presentation of intrinsic or foreign antigens. The triggered inflammation becomes independent in the sense of a classical cell-mediated autoimmune disease. Other autoimmune diseases are often associated with LP. Classical anti-inflammatory-immunosuppressive therapeutic concepts dominate with systemic retinoids ranking first in the highest evidence class for cutaneous LP with limitations in treatment of both mucosal and adnexal LP. More recently, interesting and new complementary phototherapeutics have been identified.

  6. 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...

  7. Innovative technology of radwaste treatment for new applications

    International Nuclear Information System (INIS)

    Pokhitonov, Y.; Kolobov, E.; Orlov, A.; Kelley, D.

    2006-01-01

    Radioactive liquid waste products are created during many stages of the nuclear power cycle. Liquid waste is generated from the ore extraction process through to nuclear power plant decommissioning. Effective treatment of waste from the initial stage to the final stage has been a challenge for nuclear nations. This is particularly true for the more complex waste streams with organic, acid, alkaline, aqueous and metallic compositions. Today the nuclear community is keenly aware of safeguards that are necessary to protect and secure liquid waste. Innovative technologies are being developed to solidify these waste streams, to provide methods for safe transport and disposal, and to lessen the risk of accidents. With wide diversity of liquid compositions and activity levels, it is important to note that many of these products cannot be treated with existing, commonly used techniques. Additionally, as new generators of waste are designed and utilized, there is a need to consider new and safer methods for the treatment of waste. One solution to this problem is to apply proven, low cost polymers to absorb liquid compositions soon after production. The polymers may be combined to create a formula specifically designed to permanently solidify a waste stream in a simple one-step process. Principal advantages for using high tech polymers for treatment are high chemical and radiation stability after solidification without leaching. The purpose of the presented research is to: - determine the optimum bonding ratio for the complex waste stream; - evaluate the immobilization and stability process from polymer solidification after gamma irradiation (Cobalt 60 source). Conditions of the experiments and the test results are analyzed and evaluated in this paper. (author)

  8. 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...

  9. Towards a Framework for Understanding Innovation Implementation in the Air Force

    National Research Council Canada - National Science Library

    Byrd, Howard

    2003-01-01

    .... The success of the implementing such transformational innovations such as digital technical orders is critical to the Air Force's ability to support the overall DoD force transformation efforts. Despite the critical need for successful innovation implementation few studies are found exploring factors that facilitate innovation within DoD, or the Air Force.

  10. 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...

  11. 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.

  12. 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 ...

  13. 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 ...

  14. Therapeutic effect of beta radiation on onychomycosis: An innovative treatment

    International Nuclear Information System (INIS)

    Afroz, S.; Islam, N.; Rashid, H.; Shahidullah, M.; Ali, S.; Islam, S.K.M.; Hossain, S.; Ali, N.

    2005-01-01

    Full text: Onychomycosis is the most frequent cause of nail disease and the most prevalent type of dermatophytosis in Bangladesh. The humid and warm climate of this tropical country is congenial for the growth of fungi. Therapeutic limitations of conventional antimycotic agents in respect of low cure rates, high relapse rate, inherent side effects, long duration of treatment and high cost in treating onychomycosis have provided clear incentives to explore alternative forms of treatment procedure. The objectives of the present thesis work were: (i) To use beta radiation as a curative therapy for Onychomycosis, optimisation of its dosages and to promote an innovative clinical development in the field of therapeutic application of nuclear medicine; (ii) To assess the efficacy of beta radiation either alone or in combination with conventional antifungal therapy; and (iii) To reduce the duration of drug exposure and cost of treatment for onychomycosis. This is a PhD research work under the University of Dhaka and was sponsored by the Ministry of Science and Information and Communication Technology, Government of the people's republic of Bangladesh. This study is an open, randomised and controlled trial to verify the efficacy of beta radiation in patients with onychomycosis. Using the appropriate statistical formula, sample size of the study population was determined and in each group 92 patients were assigned. With an assumption of patients drop out and for better statistical analysis, a total of 330 patients, who fulfilled the inclusion criterion having diagnosed to have onychomycosis clinically and mycological were randomly allocated to enter in therapeutic regimen. Study population was randomised in three groups. Group A (n =110) received griseofulvin orally 500 mg once daily for 12-16 weeks; Group B (n=110) received beta radiation, 500 rads bi-weekly for 3 weeks (total 2500 rads); and Group C (n=110) received combined beta radiation (total 2500 rads in 3 weeks) and

  15. Understanding the adoption dynamics of medical innovations: affordances of the da Vinci robot in the Netherlands.

    Science.gov (United States)

    Abrishami, Payam; Boer, Albert; Horstman, Klasien

    2014-09-01

    This study explored the rather rapid adoption of a new surgical device - the da Vinci robot - in the Netherlands despite the high costs and its controversial clinical benefits. We used the concept 'affordances' as a conceptual-analytic tool to refer to the perceived promises, symbolic meanings, and utility values of an innovation constructed in the wider social context of use. This concept helps us empirically understand robot adoption. Data from 28 in-depth interviews with diverse purposively-sampled stakeholders, and from medical literature, policy documents, Health Technology Assessment reports, congress websites and patients' weblogs/forums between April 2009 and February 2014 were systematically analysed from the perspective of affordances. We distinguished five interrelated affordances of the robot that accounted for shaping and fulfilling its rapid adoption: 'characteristics-related' affordances such as smart nomenclature and novelty, symbolising high-tech clinical excellence; 'research-related' affordances offering medical-technical scientific excellence; 'entrepreneurship-related' affordances for performing better-than-the-competition; 'policy-related' affordances indicating the robot's liberalised provision and its reduced financial risks; and 'communication-related' affordances of the robot in shaping patients' choices and the public's expectations by resonating promising discourses while pushing uncertainties into the background. These affordances make the take-up and use of the da Vinci robot sound perfectly rational and inevitable. This Dutch case study demonstrates the fruitfulness of the affordances approach to empirically capturing the contextual dynamics of technology adoption in health care: exploring in-depth actors' interaction with the technology while considering the interpretative spaces created in situations of use. This approach can best elicit real-life value of innovations, values as defined through the eyes of (potential) users

  16. An innovative approach to the topical treatment of acne

    Directory of Open Access Journals (Sweden)

    Sparavigna A

    2015-04-01

    Full Text Available Adele Sparavigna, Beatrice Tenconi, Ileana De Ponti, Laura La PennaDermIng srl, Clinical Research and Bioengineering Institute, Monza, MB, ItalyAbstract: Acne is characterized by primary lesions on the face, chest, and back, and by a variety of other signs and symptoms. In particular, acne inflammatory lesions result from Propionibacterium acnes colonization and are of particular relevance as they can cause permanent scarring. Acne also causes significant psychological morbidity in affected patients. Products currently available for the treatment of acne include systemic and topical treatments. As these products can cause severe side effects, new, innovative therapies are needed. Farmaka Acne Cream (FAC is a novel, film-forming cream developed to treat mild and moderate acne. In vitro studies have demonstrated that FAC is as effective as 5% benzoyl peroxide in inhibiting growth of P. acnes. In 32 subjects with mild or moderate acne, FAC reduced all the major signs and symptoms of the disease. These included itching, erythema, and scaling, as well as reductions in the numbers of papules, pustules, and open and closed comedones. Acne severity improved in 38% of subjects, while none worsened. FAC was found to be effective in controlling sebum secretion, and was non-comedogenic. Most subjects (90% reported tolerability as good or very good, while clinical efficacy and cosmetic acceptability were judged as good. For assessment of contact sensitization and photosensitization, FAC was applied daily to the backs of 29 subjects in two symmetric areas for 10 days. Using a solar stimulator, one minimal erythema dose was delivered to one side of the back from days 11 to 13. The four different subareas of treated/untreated and irradiated/nonirradiated and combinations thereof were compared. No cases of contact sensitization or photosensitization were observed, and FAC is considered safe for use in intense sunlight. In vitro and in vivo studies provide

  17. 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...

  18. 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...

  19. Fundamentals of Melt-Water Interfacial Transport Phenomena: Improved Understanding for Innovative Safety Technologies in ALWRs

    Energy Technology Data Exchange (ETDEWEB)

    M. Anderson; M. Corradini; K.Y. Bank; R. Bonazza; D. Cho

    2005-04-26

    The interaction and mixing of high-temperature melt and water is the important technical issue in the safety assessment of water-cooled reactors to achieve ultimate core coolability. For specific advanced light water reactor (ALWR) designs, deliberate mixing of the core-melt and water is being considered as a mitigative measure, to assure ex-vessel core coolability. The goal of this work is to provide the fundamental understanding needed for melt-water interfacial transport phenomena, thus enabling the development of innovative safety technologies for advanced LWRs that will assure ex-vessel core coolability. The work considers the ex-vessel coolability phenomena in two stages. The first stage is the melt quenching process and is being addressed by Argonne National Lab and University of Wisconsin in modified test facilities. Given a quenched melt in the form of solidified debris, the second stage is to characterize the long-term debris cooling process and is being addressed by Korean Maritime University in via test and analyses. We then address the appropriate scaling and design methodologies for reactor applications.

  20. Fundamentals of Melt-Water Interfacial Transport Phenomena: Improved Understanding for Innovative Safety Technologies in ALWRs

    International Nuclear Information System (INIS)

    Anderson, M.; Corradini, M.; Bank, K.Y.; Bonazza, R.; Cho, D.

    2005-01-01

    The interaction and mixing of high-temperature melt and water is the important technical issue in the safety assessment of water-cooled reactors to achieve ultimate core coolability. For specific advanced light water reactor (ALWR) designs, deliberate mixing of the core-melt and water is being considered as a mitigative measure, to assure ex-vessel core coolability. The goal of this work is to provide the fundamental understanding needed for melt-water interfacial transport phenomena, thus enabling the development of innovative safety technologies for advanced LWRs that will assure ex-vessel core coolability. The work considers the ex-vessel coolability phenomena in two stages. The first stage is the melt quenching process and is being addressed by Argonne National Lab and University of Wisconsin in modified test facilities. Given a quenched melt in the form of solidified debris, the second stage is to characterize the long-term debris cooling process and is being addressed by Korean Maritime University in via test and analyses. We then address the appropriate scaling and design methodologies for reactor applications

  1. How innovative ICT tools can enhance understanding of interactions between societal, hydrological and environmental changes

    Science.gov (United States)

    Foglia, L.; Borsi, I.; Cannata, M.; De Filippis, G.; Criollo, R.; Mehl, S.; Rossetto, R.

    2017-12-01

    The interaction of environmental, physical, and socioeconomic processes alter and are altered by water and by how human can affect water use. For example, a warming climate increases the chance of warm temperatures and lack of precipitation, and when combined with growing population requires understanding of impact on water resources and on all the processes related to the water budget including evapotranspiration. On this foundation, humans add engineered and social systems to control, manage, utilize, and alter our water environment for a variety of uses and through a variety of organizational and individual decisions. Some engineered systems have mixed consequences, for example groundwater helped sustain agriculture during drought periods, but then groundwater levels critically decrease with no chances to recover in some parts of the world. Innovative ICT tools have been demonstrated as a helpful tool for enhancing human understanding of the effect that societal, economical, and policy-based decisions have on the water resources and on the environment in general. Here we apply the new FREEWAT platform to demonstrate the importance of developing ad-hoc database and hydrological models to simulate different scenarios using a participatory approach. Stakeholders have been involved in data collection, database design and model development during the entire project period and discussion between researcher and stakeholders have been fostered during Focus Groups and workshops organized in many countries in Europe and beyond (including case studies in Ukraine and Africa). FREEWAT is an open source and public domain GIS integrated modelling environment for simulation of water quantity and quality in surface water and groundwater with an integrated water management and planning module. FREEWAT aims at promoting water resource management by simplifying the application of the Water Framework Directive and related Directives. Fourteen case studies have been considered and

  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. Understanding the Real Barriers to Technology-Enhanced Innovation in Higher Education

    Science.gov (United States)

    Schneckenberg, Dirk

    2009-01-01

    Background: Academic staff have a key role to play in the innovation efforts of universities aiming to exploit the potential of web-based learning technologies. Although learning technologies are an important building block of educational innovation, the eLearning adoption rate of European academic staff appears disappointing. The majority of…

  4. Integrating Process and Factor Understanding of Environmental Innovation by Water Utilities

    NARCIS (Netherlands)

    Spiller, Marc; McIntosh, Brian S.; Seaton, Roger A.F.; Jeffrey, Paul J.

    2015-01-01

    Innovations in technology and organisations are central to enabling the water sector to adapt to major environmental changes such as climate change, land degradation or drinking water pollution. While there are literatures on innovation as a process and on the factors that influence it, there is

  5. Why did we make that cheese? An empirically based framework for understanding what drives innovation activity

    DEFF Research Database (Denmark)

    Harmsen, Hanne; Grunert, Klaus G.; Declerck, Francis

    2000-01-01

    In the more recent product development literature the interplay between R&D skills and competencies and market skills and competencies is seen as a major determinant of successful innovation. The study reported in this article was done in order to cast more light on these two constructs in an ind......In the more recent product development literature the interplay between R&D skills and competencies and market skills and competencies is seen as a major determinant of successful innovation. The study reported in this article was done in order to cast more light on these two constructs...... innovation and explaining innovation success in the case material. A new set of constructs focusing on what causes specific innovation activities to occur is proposed and a revised framework is developed. Udgivelsesdato: APR...

  6. Innovative diagnostics and treatment nanorobotics and stem cells

    CERN Document Server

    Jadczyk, Tomasz; Mishra, Sachin; Jędrzejek, Marek; Bołoz, Marta; Padmanabhan, Parasuraman; Wojakowski, Wojciech; Stárek, Zdeněk; Martel, Sylvain; Gulyás, Balázs

    2017-01-01

    This book focuses on nanorobotic agents and stem cells for biomedical applications.It is intended for researchers and clinicians interested in innovative diagnostic and therapeutic strategies based on nanorobots and stem cells.It presents current advances in the field of molecular machines, which could be applied to generate novel therapeutic-diagnostic systems.

  7. 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)

  8. Adoption of Evidence-Based Clinical Innovations: The Case of Buprenorphine Use by Opioid Treatment Programs

    Science.gov (United States)

    Andrews, Christina M.; D’Aunno, Thomas A.; Pollack, Harold A.; Friedmann, Peter D.

    2015-01-01

    This article examines changes from 2005 to 2011 in the use of an evidence-based clinical innovation, buprenorphine use, among a nationally representative sample of opioid treatment programs and identifies characteristics associated with its adoption. We apply a model of the adoption of clinical innovations that focuses on the work needs and characteristics of staff; organizations’ technical and social support for the innovation; local market dynamics and competition; and state policies governing the innovation. Results indicate that buprenorphine use increased 24% for detoxification and 47% for maintenance therapy between 2005 and 2011. Buprenorphine use was positively related to reliance on private insurance and availability of state subsidies to cover its cost and inversely related to the percentage of clients who injected opiates, county size, and local availability of methadone. The results indicate that financial incentives and market factors play important roles in opioid treatment programs’ decisions to adopt evidence-based clinical innovations such as buprenorphine use. PMID:24051897

  9. Adoption of evidence-based clinical innovations: the case of buprenorphine use by opioid treatment programs.

    Science.gov (United States)

    Andrews, Christina M; D'Aunno, Thomas A; Pollack, Harold A; Friedmann, Peter D

    2014-02-01

    This article examines changes from 2005 to 2011 in the use of an evidence-based clinical innovation, buprenorphine use, among a nationally representative sample of opioid treatment programs and identifies characteristics associated with its adoption. We apply a model of the adoption of clinical innovations that focuses on the work needs and characteristics of staff; organizations' technical and social support for the innovation; local market dynamics and competition; and state policies governing the innovation. Results indicate that buprenorphine use increased 24% for detoxification and 47% for maintenance therapy between 2005 and 2011. Buprenorphine use was positively related to reliance on private insurance and availability of state subsidies to cover its cost and inversely related to the percentage of clients who injected opiates, county size, and local availability of methadone. The results indicate that financial incentives and market factors play important roles in opioid treatment programs' decisions to adopt evidence-based clinical innovations such as buprenorphine use.

  10. Understanding How Program Managers Successfully Manage Innovation in Major Defense Acquisition Programs (MDAPs): An Exploratory Study

    National Research Council Canada - National Science Library

    Stinson, Benjamin

    2001-01-01

    .... The DoD 5000 Series encourages PMs to, "continually search for innovative practices that reduce cycle-time, reduce cost, and encourage team-work", yet little is contained in the DoD 5000 Series...

  11. UNDERSTANDING EFFECTS OF INNOVATIVE AND COLLABORATIVE APPROACHES ON SUPPLY CHAIN PERFORMANCE

    OpenAIRE

    Demir, Hakan; Sezen, Bulent

    2017-01-01

    Purpose- Main goalof this paper is to perform an exploratory and empirical research on theinteractions of collaboration and innovation elements that are presented in theliterature; co-creation, service dominant logic, open innovation, negativeentropy and entrepreneurship orientation. Moreover, this study aims to examinethe effects of these elements on supply chain performance attributes(reliability, responsiveness, flexibility, costs and asset management). Methodology- In order tounderstand t...

  12. From idea to blah! understanding mobile services development as interactive innovation

    Directory of Open Access Journals (Sweden)

    Eduardo Fontana

    2005-08-01

    Full Text Available Mobile communications are permeating virtually every aspect of our lives. The market is experiencing rapid improvements in technologies, while mobile operators are trying to figure out new ways their infrastructures can provide services to the customers. Furthermore, user-innovation with new ways of using these technologies generates powerful feedback loops back into the innovation processes. In this turbulent environment it is difficult to capture and conceptualize how newness comes about and what the main characteristics of innovation are. The aim of this paper is to illustrate how the concept of interactive innovation can be applied to explain the development of mobile services. This study adopts the perspective of the developer rather than the user. Moreover, through the social construction of technology lens, the concepts of sense-making and bricolage are applied to explain the innovation appropriation process during the mobile data value chain improvement process. One of the conclusions drawn is that in the rapidly changing and complex context of mobile services development, the traditional notion of ‘interactive innovation’ cannot fully explain this phenomenon that takes place.

  13. Dilemmas in the Analysis of Technological Change. A Cognitive Approach to Understand Innovation and Change in the Water Sector

    Directory of Open Access Journals (Sweden)

    Dino Borri

    2014-05-01

    Full Text Available In this paper we argue for the need to apply a cognitive approach to understand deep dynamics and determinants of technological evolutions. After examining main contributions from innovation studies to the conceptualization of innovation and change in complex socio-technical environments, we highlight the contribution coming from the application of the cognitive approach to evolutionary studies on technologies and we introduce the concept of technological memory as an interpretative tool to understand those changes. We discuss our hypothesis with reference to several observations carried out in different local contexts – Mexico, India and Italy – in relation to technological change in the water sector. In those cases deliberate attempts to substitute traditional technologies with modern ones led to interesting trajectories of change ranging from the collapse of old technologies to the development of multifaceted hybridization patterns.

  14. Towards a multidisciplinary understanding of product innovation: the Synopsis network project

    DEFF Research Database (Denmark)

    McAloone, Timothy Charles

    2002-01-01

    The product development research area has evolved from the area of engineering design, based upon the recognition that important aspects such as need, market, business, innovation of the company, technology management, etc. fuse together to form a field of competencies, containing its own......, psychology, anthropology, social science and operations management. The group of researchers is formally organised as a research network project, supported and part-funded by the Centre for Industrial Production at Aalborg University. The project, called "Synopsis", has a number of aims and foci...... a set of "images of innovation" which describe the subject from each our viewpoints. The ultimate goals of the network project are to produce: 1. A framework/reference system describing companies´ innovation activities, based upon national and international research findings 2. A vocabulary with which...

  15. The knowledge dynamics of organizational innovation : understanding the implementation of decision support for planners

    NARCIS (Netherlands)

    Sjarbaini, Vivyane Larissa Ratna Nirma

    2009-01-01

    This thesis argues that a knowledge perspective on organizational innovation provides essential insights. A cognitive-semiotic model on knowledge dynamics is presented and used to perform an empirical study. We seek an answer to the question: What happens to the knowledge of planners during an

  16. Doctors on-line: using diffusion of innovations theory to understand internet use.

    Science.gov (United States)

    Chew, Fiona; Grant, William; Tote, Rohit

    2004-10-01

    Family physicians must be aware of the latest and best evidence for a broad range of clinical and public health topics. The Internet is an important source of this information, but not all family physicians use the Internet. This study used "diffusion of innovations" theory to identify strategies for increasing Internet use by family physicians. We conducted a mail survey of 58 family physicians in a midsized Northeastern metropolitan area in the United States to assess Internet use and identify sources from which physicians obtain medical information. We then used diffusion of innovations theory to describe the process by which physicians learn and develop skills at using the Internet. Internet use begins when physicians are not constrained by a heavy patient volume and are able to learn about and observe the benefits of Internet use. When they experience its usefulness, their Internet browsing and searching develop and become more effortless and less time-consuming. The innovation attributes of diffusion of innovations theory act as predictors of Internet use among family physicians. Internet use by family physicians might be increased by providing them time to learn about how to use it and to experience its benefits. Integration of continuing medical education courses created for the purpose of developing and enhancing Internet usage skills into their schedule may be a workable solution. Demographic factors such as gender and training recency have no influence on Internet use by family physicians.

  17. Experts on Super Innovators: Understanding Staff Adoption of Learning Management Systems

    Science.gov (United States)

    Sinclair, Jane; Aho, Anne-Maria

    2018-01-01

    Learning management systems (LMSs) are widely used in higher education and offer a gateway to innovative, technology-enhanced teaching and learning. However, many university staff still choose not to adopt them or do not explore the more creative functionality. Previous research has developed models of technology adoption which map observed…

  18. Understanding the diversity of cooperation on innovation across countries: multilevel evidence from Europe

    Czech Academy of Sciences Publication Activity Database

    Srholec, Martin

    2015-01-01

    Roč. 24, 1-2 (2015), s. 159-182 ISSN 1043-8599 R&D Projects: GA ČR GAP402/10/2310 Institutional support: RVO:67985998 Keywords : innovation * cooperation * multilevel model Subject RIV: AH - Economics

  19. Innovation attributes and adoption decisions: perspectives from leaders of a national sample of addiction treatment organizations.

    Science.gov (United States)

    Knudsen, Hannah K; Roman, Paul M

    2015-02-01

    Drawing on diffusion theory to further knowledge about evidence-based practices (EBPs) in the treatment of substance use disorders (SUDs), this study describes the perceived importance of innovation attributes in adoption decisions within a national sample of SUD treatment organizations. Face-to-face interviews were conducted with leaders of 307 organizations. A typology differentiated organizations reporting: (1) adoption of a treatment innovation in the past year ("recent adoption"), (2) plans to adopt an innovation in the upcoming year ("planned adoption"), or (3) no actual or planned adoption ("non-adoption"). About 30.7% of organizations reported recent adoption, 20.5% indicated planned adoption, and 48.8% were non-adopters. Leaders of organizations reporting recent adoption (n=93) or planned adoption (n=62) rated the importance of innovation attributes, including relative advantage, compatibility, complexity, and observability, on these adoption decisions using a Likert scale that ranged from 0 to 5. Innovation attributes most strongly endorsed were consistency with the program's treatment philosophy (mean=4.47, SD=1.03), improvement in the program's reputation with referral sources (mean=4.00, SD=1.33), reputational improvement with clients and their families (mean=3.98, SD=1.31), and reductions in treatment dropout (mean=3.75, SD=1.54). Innovation characteristics reflecting organizational growth and implementation costs were less strongly endorsed. Adopters and planners were generally similar in their importance ratings. There were modest differences in importance ratings when pharmacological innovations were compared to psychosocial interventions. These findings are consistent with diffusion theory and suggest that efforts to link EBPs with client satisfaction and potential reputational benefits may enhance the diffusion of EBPs. Attention to these attributes when developing and evaluating SUD treatment interventions may enhance efforts to increase

  20. Investigation of an innovative technology for oil-field brine treatment

    Energy Technology Data Exchange (ETDEWEB)

    Miskovic, D.; Dalmacija, B.; Hain, Z.; Karlovic, E.; Maric, S.; Uzelac, N. (Inst. of Chemistry, Faculty of Sciences, V. Vlahovica 2 (YU))

    1989-01-01

    Various aspects of an innovative technology for oil field brine treatment were investigated on a laboratory scale. The both free and dispersed oily matter were separated by gravitation and sedimentation. Apart from the physico-chemical oil removal process, special attention was paid to different variants of improved microbiological treatment: dilution with fresh water and application of powdered activated carbon (PAC). Advanced treatment was carried out on granular biological activated carbon (GBAC). A technological scheme for complete treatment was proposed. (author).

  1. What is the impact of innovation on output in healthcare with a special focus on treatment innovations in radiotherapy? A literature review.

    Science.gov (United States)

    Jacobs, Maria; Boersma, Liesbeth; Dekker, Andre; Swart, Rachelle; Lambin, Philippe; de Ruysscher, Dirk; Verhaegen, Frank; Stultiens, Joost; Ramaekers, Bram; van Merode, Frits

    2017-11-01

    To analyse how often innovations in healthcare are evaluated regarding output, especially in radiotherapy. Output was defined as either survival, toxicity, safety, service, efficiency or cost-effectiveness. A systematic literature review was conducted, using three search strategies: (1) innovations in general healthcare; (2) radiotherapy-specific innovations, i.e. organizational innovations and general implementation of innovations; (3) innovations per tumour group/radiotherapy technique. Scientific levels were classified according to the system used in European Society for Medical Oncology guidelines. Finally, we calculated the percentage of implemented innovations in Dutch radiotherapy centres for which we found evidence regarding output in the literature review. Only 94/1072 unique articles matched the inclusion criteria. Significant results on patient outcome, service or safety were reported in 65% of papers, which rose to 76% if confined to radiotherapy reviews. A significant technological improvement was identified in 26%, cost-effectiveness in 10% and costs/efficiency in 36% of the papers. The scientific level of organizational innovations was lower than that of clinical papers. Dutch radiotherapy treatment innovations were adequately evaluated on outcome data before implementation in clinical routine in a minimum of 64-92% of cases. Only few studies report on output when considering innovations in general, but radiotherapy reviews give a reasonably good insight into innovation output effects, with a higher level of evidence. In Dutch radiotherapy centres only small improvements are possible regarding evaluation of treatment innovations before implementation. Advances in knowledge: This study is the first of its kind measuring how innovations are evaluated in scientific literature, before implementation in clinical practice.

  2. Cryogenic treatment of steel: from concept to metallurgical understanding

    DEFF Research Database (Denmark)

    Villa, Matteo; Somers, Marcel A. J.

    2017-01-01

    Subjecting steel to cryogenic treatment to improve its properties was conceived in the 30ies of the previous century. The proof of concept that properties, in particular wear resistance, can indeed be improved importantly, was reported in the next decades. Despite many investigations......, the metallurgical understanding of the microstructural changes involved in cryogenic treatment of steel has remained poor. It is believed that the improvement in wear resistance is promoted by an enhanced precipitation of carbides during tempering, but no explanation has been given as to how this enhanced...... precipitation can be obtained. In the last six years, the authors have applied in situ magnetometry, synchrotron X-Ray Diffraction and dilatometry to enlighten the phase transitions occurring in steels at cryogenic temperatures and to point out the connection between different treatment parameters...

  3. Innovations in agonist maintenance treatment of opioid-dependent patients

    NARCIS (Netherlands)

    Haasen, Christian; van den Brink, Wim

    2006-01-01

    PURPOSE OF REVIEW: To provide an overview of published studies on agonist maintenance treatment options for opioid-dependent patients. RECENT FINDINGS: The recent publication of controlled trials confirms earlier clinical evidence of the efficacy of diamorphine (heroin) in the treatment of opioid

  4. 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

  5. Understanding entrepreneurial intent in late adolescence: the role of intentional self-regulation and innovation.

    Science.gov (United States)

    Geldhof, G John; Weiner, Michelle; Agans, Jennifer P; Mueller, Megan K; Lerner, Richard M

    2014-01-01

    Entrepreneurship represents a form of adaptive developmental regulation through which both entrepreneurs and their ecologies benefit. We describe entrepreneurship from the perspective of relational developmental systems theory, and examine the joint role of personal attributes, contextual attributes, and characteristics of person-context relationships in predicting entrepreneurial intent in a sample 3,461 college students enrolled in colleges and universities in the United States (60 % female; 61 % European American). Specifically, we tested whether personal characteristics (i.e., gender, intentional self-regulation skills, innovation orientation) and contextual factors (i.e., entrepreneurial parents) predicted college students' intentions to pursue an entrepreneurial career. Our findings suggest that self-regulation, innovation orientation, and having entrepreneurial role models (i.e., parents) predict entrepreneurial intent. Limitations and future directions for the study of youth entrepreneurship are discussed.

  6. Understanding Managers Decision Making Process for Tools Selection in the Core Front End of Innovation

    DEFF Research Database (Denmark)

    Appio, Francesco P.; Achiche, Sofiane; McAloone, Tim C.

    2011-01-01

    and optimise the activities. To select these tools, managers of the product development team have to use several premises to decide upon which tool is more appropriate to which activity. This paper proposes an approach to model the decision making process of the managers. The results underline the dimensions......New product development (NPD) describes the process of bringing a new product or service to the market. The Fuzzy Front End (FFE) of Innovation is the term describing the activities happening before the product development phase of NPD. In the FFE of innovation, several tools are used to facilitate...... influencing the decision process before a certain tool is chosen, and how those tools impact the performance of cost, time and efficiency. In order to achieve this, five companies participated for the data collection. Interesting trends and differences emerge from the analysis of the data in hand, and several...

  7. TRASER: An innovative device for the treatment of nasal telangiectasias.

    Science.gov (United States)

    Friedman, Paul M; Tolkachjov, Stanislav N; Geddes, Elizabeth R; Tillman, Karl A; Zachary, Christopher B

    2017-08-01

    Destruction of blood vessels by selective photothermolysis has been successfully achieved using a number of different laser and light systems, none of which provide significant independent variation in parameters such as wavelength. To evaluate the safety and efficacy of a novel configurable device in the treatment of nasal telangiectasias. Fifteen subjects aged 42-73 with Fitzpatrick skin types I and II were treated for nasal telangiectasias of various sizes. Efficacy was measured by blinded analysis of pre and post images and self-assessment by the subjects. The primary endpoint was a 2-point improvement of telangiectasia based on a 5-point Telangiectasia Scale comparing the pre-treatment photograph to the post-treatment photograph at 30 days post final treatment by an independent reviewer. Treatment completion was defined as >75% vessel clearance. The TRASER (Total Reflection Amplification of Spontaneous Emission Radiation) was configured to produce a narrow spectral output, peaking at 541 ± 5 nm, with 20-40 millisecond pulses over an energy density range of 15-40 J/cm 2 utilizing a 12 mm spot size were delivered with contact sapphire cooling tip at approximately 10°C. All 13 subjects (100%) in the efficacy population achieved procedure success at the end of the final treatment, that is a 2-point improvement of telangiectasis on the telangiectasia scale (pre- vs. post-treatment). A single treatment was effective in >75% of patients with at least a 75% reduction in blood vessels. Larger vessels responded well to longer pulse durations (40 milliseconds) while smaller vessels responded best to shorter pulse durations (25 milliseconds). No serious adverse events (SAEs) were recorded. Short-term (1 month) follow up. The TRASER device is a safe and effective option for treatment of nasal telangiectasias with all subjects meeting primary endpoint success at the end of treatment and the majority of subjects demonstrating clearance after only one

  8. 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...

  9. Neurobiological considerations in understanding behavioral treatments for pathological gambling.

    Science.gov (United States)

    Potenza, Marc N; Balodis, Iris M; Franco, Christine A; Bullock, Scott; Xu, Jiansong; Chung, Tammy; Grant, Jon E

    2013-06-01

    Pathological gambling (PG), a disorder currently categorized as an impulse-control disorder but being considered as a nonsubstance addiction in Diagnostic and Statistical Manual of Mental Disorders (5th ed.) discussions, represents a significant public health concern. Over the past decade, considerable advances have been made with respect to understanding the biological underpinnings of PG. Research has also demonstrated the efficacies of multiple treatments, particularly behavioral therapies, for treating PG. Despite these advances, relatively little is known regarding how biological measures, particularly those assessing brain function, relate to treatments for PG. In this article, we present a conceptual review focusing on the neurobiology of behavioral therapies for PG. To illustrate issues related to study design, we present proof-of-concept preliminary data that link Stroop-related brain activations prior to treatment onset to treatment outcome in individuals with PG receiving a cognitive-behavioral treatment incorporating aspects of imaginal desensitization and motivational interviewing. We conclude with recommendations about current and future directions regarding how to incorporate and translate biological findings into improved therapies for individuals with nonsubstance and substance addictions. 2013 APA, all rights reserved

  10. Neurobiological considerations in understanding behavioral treatments for pathological gambling

    Science.gov (United States)

    Potenza, Marc N.; Balodis, Iris M.; Franco, Christine A.; Bullock, Scott; Xu, Jiansong; Chung, Tammy; Grant, Jon E.

    2013-01-01

    Pathological gambling (PG), a disorder currently categorized as an impulse-control disorder but being considered as a non-substance addiction in DSM-5 discussions, represents a significant public health concern. Over the past decade, considerable advances have been made with respect to understanding the biological underpinnings of PG. Research has also demonstrated the efficacies of multiple treatments, particularly behavioral therapies, for treating PG. Despite these advances, relatively little is known regarding how biological measures, particularly those assessing brain function, relate to treatments for PG. In this article, we present a conceptual review focusing on the neurobiology of behavioral therapies for PG. To illustrate issues related to study design, we present proof-of-concept preliminary data that link Stroop-related brain activations prior to treatment onset to treatment outcome in individuals with PG receiving a cognitive behavioral treatment incorporating aspects of imaginal desensitization and motivational interviewing. We conclude with recommendations about current and future directions regarding how to incorporate and translate biological findings into improved therapies for individuals with non-substance and substance addictions. PMID:23586456

  11. Intralesional hyaluronic acid: an innovative treatment for Peyronie's disease.

    Science.gov (United States)

    Gennaro, Romano; Barletta, Davide; Paulis, Gianni

    2015-10-01

    The significantly different effects of several conservative treatments for Peyronie's disease (PD) led us to conduct this study to evaluate the effectiveness of local treatment with injectable hyaluronic acid (HA) for patients with this disease. The study included 83 PD patients who underwent treatment and 81 PD patients who did not (control group). The inclusion criteria were: penile plaque volume <1 cm(3); clinical characteristics and ultrasonographic appearance compatible with active inflammation; and penile curvature <45°. The medical history of all PD patients was collected. Patients undertook six tests: routine laboratory tests; penile auto-photography during erection; dynamic penile colour-duplex ultrasound study; penile X-ray (mammography technique); index of erectile function questionnaire (IIEF); and pain intensity questionnaire (visual analog scale). Treated patients received thirty penile infiltrations by injection of 20 mg HA in 6 months. Follow-up checks were conducted at the end of treatment and 12 and 24 months after treatment. At 12-month follow-up all treated PD patients had experienced three statistically significant outcomes: reduction in plaque size (-93.7 %, p < 0.0001); improvement in penile curvature (-9.01°, p < 0.0001); and improvement in penile rigidity (mean IIEF score +3.8) with an average increase of 21.1 % (p < 0.0001). Furthermore, the improvements remained substantially stable at 24-month follow-up. Considering the minimally invasive approach in this study, the absence of major side effects, and the significant treatment outcomes achieved, we conclude that intralesional penile injections with HA are effective for treating Peyronie's disease.

  12. Understanding posterior meniscal roots lesions: from basic science to treatment

    Directory of Open Access Journals (Sweden)

    Raphael Serra Cruz

    Full Text Available ABSTRACT The variability of symptoms and the fact that they are not easily recognized in imaging studies make the diagnosis and treatment of posterior meniscal roots lesions a challenging task to the orthopedist. In recent years, a more precise understanding of the anatomy and biomechanical impair of the knee joint in these cases has enabled great advances in therapeutic approaches. Well-documented studies have shown that the repair of these lesions presents superior functional and clinical improvement when compared with meniscectomy. However, the progression of degenerative joint changes in the long-term still exhibits conflicting results.

  13. Biomarkers in anal cancer: from biological understanding to stratified treatment.

    Science.gov (United States)

    Jones, Christopher M; Goh, Vicky; Sebag-Montefiore, David; Gilbert, Duncan C

    2017-01-17

    Squamous cell carcinomas of the anus and anal canal represent a model of a cancer and perhaps the first where level 1 evidence supported primary chemoradiotherapy (CRT) in treating locoregional disease with curative intent. The majority of tumours are associated with infection with oncogenic subtypes of human papilloma virus and this plays a significant role in their sensitivity to treatment. However, not all tumours are cured with CRT and there remain opportunities to improve outcomes in terms of oncological control and also reducing late toxicities. Understanding the biology of ASCC promises to allow a more personalised approach to treatment, with the development and validation of a range of biomarkers and associated techniques that are the focus of this review.

  14. An innovative regenerative treatment of scars with dermal micrografts.

    Science.gov (United States)

    Svolacchia, Fabiano; De Francesco, Francesco; Trovato, Letizia; Graziano, Antonio; Ferraro, Giuseppe A

    2016-09-01

    Pathological scars occur following injuries and are often considered esthetically unattractive. Several strategies have been attempted to improve these types of scars using both surgical and nonsurgical methods. The most common treatments include cryotherapy, intralesional corticosteroid injections, 5-fluorouracil, bleomycin, interferon, and verapamil. In this study, we aim to investigate the effectiveness of dermal autologous micrografts in the treatment of pathological scars resulting from burns, trauma, or any iatrogenic source. We used a new clinical practice called Rigenera Protocol to obtain autologous micrografts which were in turn injectable in the patients. A significant improvement was observed in appearance and texture of the exaggerated scars in all cases following already 4 months of autologous micrograft treatment We have also shown that these micrografts are composed of mesenchymal stem cells and in addition, histological evaluation verified restoration of the structural layers immediately below the epidermis and a horizontal realignment of collagen fibers in the papillary dermis. Our results clearly demonstrate the optimal outcomes obtained following treatment with dermal micrografts on exaggerated scars with different etiologies. However, further studies are required to confirm the efficacy of this new technique. © 2016 Wiley Periodicals, Inc.

  15. Innovative Treatment Technologies for Natural Waters and Wastewaters

    Energy Technology Data Exchange (ETDEWEB)

    Childress, Amy E.

    2011-07-01

    The research described in this report focused on the development of novel membrane contactor processes (in particular, forward osmosis (FO), pressure retarded osmosis (PRO), and membrane distillation (MD)) in low energy desalination and wastewater treatment applications and in renewable energy generation. FO and MD are recently gaining national and international attention as viable, economic alternatives for removal of both established and emerging contaminants from natural and process waters; PRO is gaining worldwide attention as a viable source of renewable energy. The interrelationship of energy and water are at the core of this study. Energy and water are inextricably bound; energy usage and production must be considered when evaluating any water treatment process for practical application. Both FO and MD offer the potential for substantial energy and resource savings over conventional treatment processes and PRO offers the potential for renewable energy or energy offsets in desalination. Combination of these novel technologies with each other, with existing technologies (e.g., reverse osmosis (RO)), and with existing renewable energy sources (e.g., salinity gradient solar ponds) may enable much less expensive water production and also potable water production in remote or distributed locations. Two inter-related projects were carried out in this investigation. One focused on membrane bioreactors for wastewater treatment and PRO for renewable energy generation; the other focused on MD driven by a salinity gradient solar pond.

  16. Cartoon Hypnotherapy: An Innovative Treatment Approach for Childhood Emotional Disturbances.

    Science.gov (United States)

    Crowley, Richard J.; Mills, Joyce C.

    Cartoon research includes the areas of experimental designs carried out in school classroom environments to determine the effects of cartoon viewing on children's behavior and the medical utilization of cartoons as part of an overall treatment program. This study differs from previous research by accepting the reality of cartoon viewing and…

  17. Animal models for arthritis: innovative tools for prevention and treatment

    NARCIS (Netherlands)

    Kollias, G.; Papadaki, P.; Apparailly, F.; Vervoordeldonk, M.J.; Holmdahl, R.; Baumans, V.; Desaintes, C.; Di Santo, J.; Distler, J.; Garside, P.; Hegen, M.; Huizinga, T.W.J.; Jüngel, A.; Klareskog, L.; McInnes, I.; Ragoussis, I.; Schett, G.; Hart, B.t.; Tak, P.P.; Toes, R.; van den Berg, W.; Wurst, W.; Gay, S.

    2011-01-01

    The development of novel treatments for rheumatoid arthritis (RA) requires the interplay between clinical observations and studies in animal models. Given the complex molecular pathogenesis and highly heterogeneous clinical picture of RA, there is an urgent need to dissect its multifactorial nature

  18. Pressure ulcers: Current understanding and newer modalities of treatment

    Directory of Open Access Journals (Sweden)

    Surajit Bhattacharya

    2015-01-01

    Full Text Available This article reviews the mechanism, symptoms, causes, severity, diagnosis, prevention and present recommendations for surgical as well as non-surgical management of pressure ulcers. Particular focus has been placed on the current understandings and the newer modalities for the treatment of pressure ulcers. The paper also covers the role of nutrition and pressure-release devices such as cushions and mattresses as a part of the treatment algorithm for preventing and quick healing process of these wounds. Pressure ulcers develop primarily from pressure and shear; are progressive in nature and most frequently found in bedridden, chair bound or immobile people. They often develop in people who have been hospitalised for a long time generally for a different problem and increase the overall time as well as cost of hospitalisation that have detrimental effects on patient′s quality of life. Loss of sensation compounds the problem manifold, and failure of reactive hyperaemia cycle of the pressure prone area remains the most important aetiopathology. Pressure ulcers are largely preventable in nature, and their management depends on their severity. The available literature about severity of pressure ulcers, their classification and medical care protocols have been described in this paper. The present treatment options include various approaches of cleaning the wound, debridement, optimised dressings, role of antibiotics and reconstructive surgery. The newer treatment options such as negative pressure wound therapy, hyperbaric oxygen therapy, cell therapy have been discussed, and the advantages and disadvantages of current and newer methods have also been described.

  19. Understanding palliative care on the heart failure care team: an innovative research methodology.

    Science.gov (United States)

    Lingard, Lorelei A; McDougall, Allan; Schulz, Valerie; Shadd, Joshua; Marshall, Denise; Strachan, Patricia H; Tait, Glendon R; Arnold, J Malcolm; Kimel, Gil

    2013-05-01

    There is a growing call to integrate palliative care for patients with advanced heart failure (HF). However, the knowledge to inform integration efforts comes largely from interview and survey research with individual patients and providers. This work has been critically important in raising awareness of the need for integration, but it is insufficient to inform solutions that must be enacted not by isolated individuals but by complex care teams. Research methods are urgently required to support systematic exploration of the experiences of patients with HF, family caregivers, and health care providers as they interact as a care team. To design a research methodology that can support systematic exploration of the experiences of patients with HF, caregivers, and health care providers as they interact as a care team. This article describes in detail a methodology that we have piloted and are currently using in a multisite study of HF care teams. We describe three aspects of the methodology: the theoretical framework, an innovative sampling strategy, and an iterative system of data collection and analysis that incorporates four data sources and four analytical steps. We anticipate that this innovative methodology will support groundbreaking research in both HF care and other team settings in which palliative integration efforts are emerging for patients with advanced nonmalignant disease. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  20. Innovative processes for the treatment of radioactive liquid wastes

    International Nuclear Information System (INIS)

    Pacary, V.; Barre, Y.; Plasari, E.

    2008-01-01

    Full text of publication follows: Because of the high salinity (0.5 to 2 M) of liquid wastes and the variability of their composition, the method which is the most appropriate and commonly used to remove the contaminants consists in the in situ formation of adsorbent particles in the waste stream. This technique is often called coprecipitation. To increase the efficiency of this treatment, a study is performed to point out the impact of the choice of the process and the influence of operating parameters (mean residence time, stirring speed, etc.) on the formation of crystals and ultimately on their ability to capture radionuclide. Barium sulphate was chosen as a reference because it is a well known precipitate and a material used in the decontamination facilities to remove radiostrontium. Two issues are encountered with the classic treatments which are consequences of the variability of effluents composition. On the one hand when high activity effluents have to be treated, the efficiency of the classic processes can not be sufficient and the liquid must be once again decontaminated. Thus the volume of disposal waste produced by the treatment is doubled. On the other hand when low activity effluents have to be treated, the classic processes produce a low activity waste. Consequently the volume of storage occupied by this waste is disproportionate with regard to its low activity. To return the more flexible process, various configurations were tested. They can be classified in two categories: improvements of the classic treatments and new types of reactors. Because of the good results which are obtained, these processes are patent pending. To support the experimental investigations, a modelling study at the reactor scale is initiated to distinguish the influence of each process parameter. These models assume that the surface of adsorbent particles is continuously renewed by crystal growth. The aim of this work is to determine the decisive parameters which allow the

  1. Simulation-Based Performance Assessment: An Innovative Approach to Exploring Understanding of Physical Science Concepts

    Science.gov (United States)

    Gale, Jessica; Wind, Stefanie; Koval, Jayma; Dagosta, Joseph; Ryan, Mike; Usselman, Marion

    2016-01-01

    This paper illustrates the use of simulation-based performance assessment (PA) methodology in a recent study of eighth-grade students' understanding of physical science concepts. A set of four simulation-based PA tasks were iteratively developed to assess student understanding of an array of physical science concepts, including net force,…

  2. Pharmaceutical Innovation in the Treatment of Schizophrenia and Mental Disorders Compared with Other Diseases.

    Science.gov (United States)

    MacEwan, Joanna P; Seabury, Seth; Aigbogun, Myrlene Sanon; Kamat, Siddhesh; van Eijndhoven, Emma; Francois, Clement; Henderson, Crystal; Citrome, Leslie

    2016-01-01

    The objectives of this study were to assess the level of private and public investment in research and development of treatments for schizophrenia and other mental disorders compared to other diseases in order to present data on the economic burden and pharmaceutical innovation by disease area, and to compare the level of investment relative to burden across different diseases. The levels of investment and pharmaceutical innovation relative to burden across different diseases were assessed. Disease burden and prevalence for mental disorders (schizophrenia, bipolar disorder, and major depressive disorder); cancer; rheumatoid arthritis; chronic obstructive pulmonary disorder; diabetes; cardiovascular disease; and neurological disorders (dementia and epilepsy) were estimated from literature sources. Pharmaceutical treatment innovation was measured by the total number of drug launches and the number of drugs launched categorized by innovativeness. Research and development expenditures were estimated using published information on annual public and domestic private research and development expenditures by disease area. Lastly, investment relative to disease burden was measured among the set of disease classes for which all three measures were available: schizophrenia, bipolar disorder, major depressive disorder, cancer, rheumatoid arthritis, chronic obstructive pulmonary disease, diabetes, cardiovascular disease, and neurology (dementia and epilepsy combined). The level of investment and pharmaceutical innovation in mental disorders was comparatively low, especially relative to the burden of disease. For mental disorders, investment was $3.1 per $1,000 burden invested in research and development for schizophrenia, $1.8 for major depressive disorder, and $0.4 for bipolar disorder relative to cancer ($75.5), chronic obstructive pulmonary disease ($9.4), diabetes ($7.6), cardiovascular disease ($6.3), or rheumatoid arthritis ($5.3). Pharmaceutical innovation was also low

  3. Chronic pain: the burden of disease and treatment innovations

    Directory of Open Access Journals (Sweden)

    S. Monti

    2015-10-01

    Full Text Available Musculoskeletal conditions are the most frequent cause of chronic pain and affect around 1 in 5 adults in Europe. When chronic pain occurs, it becomes disease itself, with substantial clinical, social and economic impact. Effi cacy and tolerability problems are encountered with all therapeutic strategies available to treat musculoskeletal pain. This often limits effective analgesia and patients’ long term compliance, with the result that chronic pain is persistently underestimated and undertreated. Tapentadol is a novel, centrally acting analgesic that has been recently commercialized for the treatment of chronic pain. This new molecule, by combining two distinct mechanisms of action, μ-opioid receptor agonism (MOR and noradrenaline reuptake inhibition (NRI, introduces a new pharmacological class called MOR-NRI. Several studies demonstrated promising results in the management of both nociceptive and neuropathic pain and good tolerability profi le, particularly concerning side effects, compared to traditional opioids. This novel analgesic represents a possible therapeutic option also in the rheumatologic fi eld, particularly in the treatment of osteoarthritis and low back pain.

  4. Innovative approaches to bipolar disorder and its treatment

    Science.gov (United States)

    Cipriani, Andrea; Harmer, Catherine J.; Nobre, Anna C.; Saunders, Kate; Goodwin, Guy M.; Geddes, John R.

    2016-01-01

    All psychiatric disorders have suffered from a dearth of truly novel pharmacological interventions. In bipolar disorder, lithium remains a mainstay of treatment, six decades since its effects were serendipitously discovered. The lack of progress reflects several factors, including ignorance of the disorder's pathophysiology and the complexities of the clinical phenotype. After reviewing the current status, we discuss some ways forward. First, we highlight the need for a richer characterization of the clinical profile, facilitated by novel devices and new forms of data capture and analysis; such data are already promoting a reevaluation of the phenotype, with an emphasis on mood instability rather than on discrete clinical episodes. Second, experimental medicine can provide early indications of target engagement and therapeutic response, reducing the time, cost, and risk involved in evaluating potential mood stabilizers. Third, genomic data can inform target identification and validation, such as the increasing evidence for involvement of calcium channel genes in bipolar disorder. Finally, new methods and models relevant to bipolar disorder, including stem cells and genetically modified mice, are being used to study key pathways and drug effects. A combination of these approaches has real potential to break the impasse and deliver genuinely new treatments. PMID:27111134

  5. An innovative process for treatment of municipal wastewater with superior charcteristics compared to traditional techologies

    DEFF Research Database (Denmark)

    Schmidt, Jens Ejbye; Fitsios, E.; Angelidaki, Irini

    2002-01-01

    An innovative treatment process for municipal sewage, which results in low sludge production, low energy consumption, high COD removal and high energy and nutrients recovery, is described. The organic matter will primarly be removed through anaerobic degradation using high-flow reactors. For nitr...

  6. [Clinical study of integrative medicine in treatment of nephropathy: strategy and innovation].

    Science.gov (United States)

    Chen, Yi-Ping

    2008-05-01

    The author analyzed the main issues in current clinical study of integrative medicine in treatment of renal diseases, and proposed the target-oriented strategy for clinical study of different renal diseases, emphasizing the importance of method improvement for academic innovation.

  7. COMPOST-FREE BIOREACTOR TREATMENT OF ACID ROCK DRAINAGE LEVIATHAN MINE, CALIFORNIA INNOVATIVE TECHNOLOGY EVALUATION REPORT

    Science.gov (United States)

    As part of the Superfund Innovative Technology Evaluation (SITE) program, an evaluation of the compost-free bioreactor treatment of acid rock drainage (ARD) from the Aspen Seep was conducted at the Leviathan Mine Superfund site located in a remote, high altitude area of Alpine Co...

  8. Innovative treatment modalities for urinary incontinence: a European survey identifying experience and attitude of healthcare providers.

    Science.gov (United States)

    Kastelein, Arnoud W; Dicker, Maarten F A; Opmeer, Brent C; Angles, Sonia S; Raatikainen, Kaisa E; Alonso, Joan F; Tăut, Diana; Airaksinen, Olavi; Cardozo, Linda D; Roovers, Jan-Paul W R

    2017-11-01

    Urinary incontinence is a common condition in women, with a reported prevalence ranging from 25% to 51%. Of these women, an estimated 38% suffer from stress urinary incontinence (SUI). A European research consortium is investigating an innovative system based on information and communication technology for the conservative treatment of women with SUI. When introducing a new intervention, implementation barriers arise and need to be identified. Therefore, we investigated healthcare providers' experience with and attitude towards innovative care options. We performed an online survey to assess (1) the characteristics and practice of healthcare providers, (2) current protocols for SUI, (3) current use of biofeedback, and (4) knowledge about serious gaming. The survey was sent to members of professional societies in Europe (EUGA), UK (BSUG) and The Netherlands (DPFS). Of 341 questionnaires analyzed (response rate between 18% and 30%), 64% of the respondents had access to a protocol for the treatment of SUI, and 31% used biofeedback when treating patients with SUI. However, 92% considered that biofeedback has a clear or probable added value, and 97% of those who did not use biofeedback would change their practice if research evidence supported its use. Finally, 89% of respondents indicated that they had no experience of serious gaming, but 92% considered that it could be useful. Although inexperienced, European urogynecologists and physical therapists welcome innovative treatment options for the conservative treatment of SUI such as portable wireless biofeedback and serious gaming. Scientific evidence is considered a prerequisite to incorporate such innovations into clinical practice.

  9. Organisational innovation in health services: lessons from the NHS treatment centres

    National Research Council Canada - National Science Library

    Gabbay, J

    2011-01-01

    ... design and methods References Index 103 133 147 149 155 165 v List of abbreviationsOrganisational innovation in health services List of abbreviations A&E ACAD DH DTC GP G-Supp NHS NIHR PCT PFI SDO SHA TC accident and emergency (department) Ambulatory Care and Diagnostic Centre Department of Health ('the Department') diagnosis and treatment centr...

  10. Understanding and treating kleptomania: new models and new treatments.

    Science.gov (United States)

    Grant, Jon E

    2006-01-01

    Kleptomania, characterized by repetitive, uncontrollable stealing of items not needed for personal use, is a disabling disorder that often goes unrecognized in clinical practice. Although originally conceptualized as an obsessive compulsive spectrum disorder, emerging evidence (clinical characteristics, familial transmission, and treatment response) suggests that kleptomania may have important similarities to both addictive and mood disorders. In particular, kleptomania frequently co-occurs with substance use disorders, and it is common for individuals with kleptomania to have first-degree relatives who suffer from a substance use disorder. Additionally, there is some suggestion that selective serotonin reuptake inhibitors, the treatment of choice for obsessive compulsive disorder, may lack efficacy for kleptomania. Instead, other medications (lithium, anti-epileptics, and opioid antagonists) have shown early promise in treating kleptomania. Evidence suggests that there may be subtypes of kleptomania that are more like OCD, whereas others have more similarities to addictive and mood disorders. Subtyping of individuals with kleptomania may be a useful way to better understand this behavior and decide on effective treatment interventions.

  11. Innovative Approaches to Understanding Transportation/Societal Interactions. Volume 2 : Study Design Reports

    Science.gov (United States)

    1981-10-01

    In 1979, the Transportation Systems Center (TSC), under sponsorship of the Urban Mass Transportation Administration (UMTA), began a program of research directed toward improving the understanding of the role of transportation in society, in particula...

  12. Wow Technology’s innovative radioactive liquid waste treatment

    Energy Technology Data Exchange (ETDEWEB)

    Marin, A.

    2015-07-01

    WOW presents its revolutionary technology and equipment for liquid radioactive waste treatment: outperforming ultimate water decontamination and purification process, enhanced sludge concentration, no secondary waste nor consumables, fully automated, remote controlled and self-decontaminating device. The WOW’s technology is based upon a never before observed discovery of fluid dynamics science: the possibility of performing a molecular separation between solute and suspended elements and the solvent. The combination of such a molecular separation process with a standard vacuum evaporation improves the abatement performances by thousands of times, with respect to those of the state of the art vacuum evaporators. In addition to this, no secondary waste is produced during the process, as no filters, membranes, resins or additives are used. WOW equipment, automated and remote controlled, self decontaminates after use and can be designed and constructed either tailored to the application needs or with a modular approach for enhanced transportability and application flexibility. After the preliminary verification by CNR, the Italian National Research Center, Wow Technology decontamination device was tested c/o LENA, the Laboratory of Applied Nuclear Energy of the University of Pavia, Italy with a simulated solution 6000 times more contaminated than the nuclear reactor’s cooling water of Fukushima-Daiichi NPP. In addition to that, WOW Technology was also used in a real case at the Radiochemistry laboratory of the Pavia’s University Chemistry department. Both the above mentioned contaminated fluids have been successfully decontaminated without production of additional or secondary waste WOW Technology has already performed on industrial scale c/o the Nuclear Repository of S.S.M. in Saluggia, Italy: 45000 liters of acid radioactive solution have been successfully decontaminated to a Decontamination Factor (DF) of 335000 for Cs-137 by one single evaporation step and

  13. Acute pancreatitis in dogs: advances in understanding, diagnostics, and treatment.

    Science.gov (United States)

    Mansfield, Caroline

    2012-08-01

    Acute pancreatitis in dogs is a potentially reversible condition, but in severe forms it can cause systemic and local complications. These complications are driven by the cytokine, complement, and kinin systems, with the roles of these systems along with other substances such as nitric oxide being increasingly studied. The intestinal tract and altered pancreatic microcirculation also contribute greatly to the perpetuation of disease. Diagnosis remains difficult, because the true diagnostic utility of the current tests available is problematic to establish. Further understanding of the pathophysiology of this disease has opened up new areas of research into optimal treatments. In particular, the role of enteral nutrition has been the focus of much attention, and current recommendations are to feed earlier in the disease than previously thought. Copyright © 2012 Elsevier Inc. All rights reserved.

  14. Facilitating evaluations of innovative, competence-based assessments: creating understanding and involving multiple stakeholders.

    NARCIS (Netherlands)

    Gulikers, J.T.M.; Baartman, L.; Biemans, H.J.A.

    2010-01-01

    Schools are held more responsible for evaluating, quality assuring and improving their student assessments. Teachers’ lack of understanding of new, competence-based assessments as well as the lack of key stakeholders’ involvement, hamper effective and efficient self-evaluations by teachers of

  15. Development of innovative tools for understanding marine biodiversity and assessing good environmental status, within the European Marine Strategy Framework Directive

    Science.gov (United States)

    Borja, Angel; Uyarra, María C.

    2014-05-01

    Marine natural resources and ecosystem services constitute the natural capital that supports economies, societies and individual well-being. Good governance requires a quantification of the interactions and trade-offs among ecosystem services and understanding of how biodiversity underpins ecosystem functions and services across time, scales and sectors. Marine biodiversity is a key descriptor for the assessment within the Marine Strategy Framework Directive (MSFD), approved in 2008, which comprises a total of 11 descriptors. However, the relationships between pressures from human activities and climatic influences and their effects on marine biological diversity are still only partially understood. Hence, these relationships need to be better understood in order to fully achieve a good environmental status (GEnS), as required by the MSFD. This contribution is based upon the FP7 EU project DEVOTES (DEVelopment Of innovative Tools for understanding marine biodiversity and assessing good Environmental Status), which focus on developing innovative conceptual frameworks, methods and coherent, shared protocols to provide consistent datasets and knowledge at different scales, within four regional seas (Black Sea, Mediterranean, Atlantic and Baltic Sea). This project is developing innovative approaches to valuate biodiversity and ecosystem services and to develop public goods and sustainable economic activities from them. The research will benefit sea users and stakeholders, and will contribute to assess and monitor the environmental status of marine waters. The main objectives are: (i) to improve our understanding of the impact of human activities and variations associated to climate on marine biodiversity, (ii) to test indicators (referred in the Commission Decision on GEnS) and develop new ones for assessment at several ecological levels (species, habitat, ecosystems) and for the characterization and status classification of the marine waters, (iii) to develop, test

  16. Understanding passengers’ experiences of train journeys to inform the design of technological innovations\\ud

    OpenAIRE

    Oliveira, Luis; Bradley, Callum; Birrell, Stewart A.; Davies, Andy; Tinworth, Neil; Cain, Rebecca

    2017-01-01

    In this paper, we present results from a collaborative research between academic institutions and industry partners in the UK, which aimed to understand the experience of rail passengers and to identify how the design of technology can improve this experience. Travelling by train can often provide passengers with negative experiences. New technologies give the opportunity to design new interactions that support the creation of positive experiences, but the design should be based on solid unde...

  17. A structural model of treatment program and individual counselor leadership in innovation transfer.

    Science.gov (United States)

    Joe, George W; Becan, Jennifer E; Knight, Danica K; Flynn, Patrick M

    2017-03-23

    A number of program-level and counselor-level factors are known to impact the adoption of treatment innovations. While program leadership is considered a primary factor, the importance of leadership among clinical staff to innovation transfer is less known. Objectives included explore (1) the influence of two leadership roles, program director and individual counselor, on recent training activity and (2) the relationship of counselor attributes on training endorsement. The sample included 301 clinical staff in 49 treatment programs. A structural equation model was evaluated for key hypothesized relationships between exogenous and endogenous variables related to the two leadership roles. The importance of organizational leadership, climate, and counselor attributes (particularly counseling innovation interest and influence) to recent training activity was supported. In a subset of 68 counselors who attended a developer-led training on a new intervention, it was found that training endorsement was higher among those with high innovation interest and influence. The findings suggest that each leadership level impacts the organization in different ways, yet both can promote or impede technology transfer.

  18. From an Analytical Framework for Understanding the Innovation Process in Higher Education to an Emerging Research Field of Innovations in Higher Education

    Science.gov (United States)

    Cai, Yuzhuo

    2017-01-01

    While studies dealing with issues related to innovations in higher education proliferate, there has been little consensus on key concepts and central issues for research. To respond to the challenges, this paper calls for developing a new research field--studies on innovations in higher education, by integrating two disciplines, namely innovation…

  19. UNDERSTANDING THE NEUROINFLAMMATORY RESPONSE FOLLOWING CONCUSSION TO DEVELOP TREATMENT STRATEGIES

    Directory of Open Access Journals (Sweden)

    Zachary Robert Patterson

    2012-12-01

    Full Text Available Mild traumatic brain injuries (mTBI have been associated with long-term cognitive deficits relating to trauma-induced neurodegeneration. These long-term deficits include impaired memory and attention, changes in executive function, emotional instability and sensorimotor deficits. Furthermore, individuals with concussions show a high co-morbidity with a host of psychiatric illnesses (e.g. depression, anxiety, addiction and dementia. The neurological damage seen in mTBI patients is the result of the direct impact and mechanical injury, followed by a delayed neuroimmune response that can last hours, days and even months after the injury. As part of the neuroimmune response, a cascade of pro- and anti-inflammatory cytokines are released and can be detected at the site of injury as well as subcortical, and often contralateral, regions. It has been suggested that the delayed neuroinflammatory response to concussions is more damaging then the initial impact itself. However, evidence exists for favourable consequences of cytokine production following traumatic brain injuries as well. In some cases, treatments that reduce the inflammatory response will also hinder the brain's intrinsic repair mechanisms. At present, there is no evidence-based pharmacological treatment for concussions in humans. The ability to treat concussions with drug therapy requires an in-depth understanding of the pathophysiological and neuroinflammatory changes that accompany concussive injuries. The use of neurotrophic factors (e.g. nerve growth factor and anti-inflammatory agents as an adjunct for the management of post-concussion symptomology will be explored in this review.

  20. Innovation adoption in substance abuse treatment: exposure, trialability, and the Clinical Trials Network.

    Science.gov (United States)

    Ducharme, Lori J; Knudsen, Hannah K; Roman, Paul M; Johnson, J Aaron

    2007-06-01

    Researchers and policymakers are increasingly focusing on factors that facilitate or impede the diffusion of evidence-based treatment techniques into routine clinical practice. One potentially fruitful avenue of research is the influence of involvement in research networks as a predictor of organizational innovation. The Clinical Trials Network (CTN) is examining a number of behavioral and pharmacological treatment techniques in controlled multisite studies. Using data from participating CTN treatment programs and large samples of programs outside the CTN, these analyses examine the influence of exposure to clinical trials on the subsequent adoption of buprenorphine and voucher-based motivational incentives. The analyses show that, controlling for a variety of organizational characteristics, direct exposure to buprenorphine clinical trials in the CTN significantly increased the odds of subsequent adoption. By contrast, the adoption of motivational incentives was entirely explained by organizational characteristics. The findings suggest that adoption of treatment innovations is a function of exposure, organizational resources, nature of innovations, and stage of the diffusion process.

  1. Improving Care for Depression & Suicide Risk in Adolescents: Innovative Strategies for Bringing Treatments to Community Settings

    Science.gov (United States)

    Asarnow, Joan Rosenbaum; Miranda, Jeanne

    2015-01-01

    This article reviews the literature on interventions and services for depression and suicide prevention among adolescents, with the goals of placing this science within the context of current changing health care environments and highlighting innovative models for improving health and mental health. We examine the: challenges and opportunities offered by new initiatives and legislation designed to transform the U.S. health and mental healthcare systems; summarize knowledge regarding the treatment of depression and suicidality/self-harm in adolescents; and describe innovative models for partnering with health systems and communities. This review demonstrates that treatment models and service delivery strategies are currently available for increasing evidence-based care, particularly for depression, and concludes with recommendations for future research and quality improvement initiatives aimed at inspiring additional efforts to put science to work, bridge science and community practice, and develop strategies for partnering with communities to improve care, mental health, and well-being among adolescents. PMID:24437432

  2. Physical basics of endovenous laser treatment and potential of innovative developments

    Science.gov (United States)

    Sroka, R.; Esipova, A.; Schmedt, C. G.

    2017-04-01

    During the last decade, endoluminal laser treatment (ELT) has been rapidly developing. Protocols using radially emitting ELT fibres in combination with infrared laser light show clinical advantages over the bare-fibre technique and near infrared irradiation. Although the clinical response rate is high several side effects occurred. Innovative light application systems and feedback systems are therefore being under development to potentially improve the clinical situation. The irradiation patterns of bare fibres and radially emitting 1-ring and 2-ring fibres were measured using the goniometer technique. The device robustness, device handling and tissue effects were investigated using the established ox-foot-model. Furthermore, temperature measurements were performed either intraluminal within the irradiation field using a tiny temperature sensor and on the outer surface of the vessel wall by means of a thermocamera. All fibres showed sufficient mechanical and thermal robustness. The destruction threshold is far beyond the light powers employed during clinical application. The 1-ring fibre showed very high peak temperatures for a short time, while the 2-ring-fibre hold its somewhat lower maximum temperature for a longer time. Both forms of energy application resulted in the desired shrinkage and destruction effect. In this regard, the handling of the 2-ring fibre appears subjectively more convenient with reduced sticking-related problems. Acute tissue effects could be investigated to improve the understanding especially of the interaction between handling, maneuvers and tissue effects. The 2-ring radially emitting fibre in combination with IR laser light and specific application parameters showed improved handling and safety features.

  3. PACE Continuous Innovation Indicators—a novel tool to measure progress in cancer treatments

    Science.gov (United States)

    Paddock, Silvia; Brum, Lauren; Sorrow, Kathleen; Thomas, Samuel; Spence, Susan; Maulbecker-Armstrong, Catharina; Goodman, Clifford; Peake, Michael; McVie, Gordon; Geipel, Gary; Li, Rose

    2015-01-01

    Concerns about rising health care costs and the often incremental nature of improvements in health outcomes continue to fuel intense debates about ‘progress’ and ‘value’ in cancer research. In times of tightening fiscal constraints, it is increasingly important for patients and their representatives to define what constitutes ’value’ to them. It is clear that diverse stakeholders have different priorities. Harmonisation of values may be neither possible nor desirable. Stakeholders lack tools to visualise or otherwise express these differences and to track progress in cancer treatments based on variable sets of values. The Patient Access to Cancer care Excellence (PACE) Continuous Innovation Indicators are novel, scientifically rigorous progress trackers that employ a three-step process to quantify progress in cancer treatments: 1) mine the literature to determine the strength of the evidence supporting each treatment; 2) allow users to weight the analysis according to their priorities and values; and 3) calculate Evidence Scores (E-Scores), a novel measure to track progress, based on the strength of the evidence weighted by the assigned value. We herein introduce a novel, flexible value model, show how the values from the model can be used to weight the evidence from the scientific literature to obtain E-Scores, and illustrate how assigning different values to new treatments influences the E-Scores. The Indicators allow users to learn how differing values lead to differing assessments of progress in cancer research and to check whether current incentives for innovation are aligned with their value model. By comparing E-Scores generated by this tool, users are able to visualise the relative pace of innovation across areas of cancer research and how stepwise innovation can contribute to substantial progress against cancer over time. Learning from experience and mapping current unmet needs will help to support a broad audience of stakeholders in their

  4. PACE Continuous Innovation Indicators-a novel tool to measure progress in cancer treatments.

    Science.gov (United States)

    Paddock, Silvia; Brum, Lauren; Sorrow, Kathleen; Thomas, Samuel; Spence, Susan; Maulbecker-Armstrong, Catharina; Goodman, Clifford; Peake, Michael; McVie, Gordon; Geipel, Gary; Li, Rose

    2015-01-01

    Concerns about rising health care costs and the often incremental nature of improvements in health outcomes continue to fuel intense debates about 'progress' and 'value' in cancer research. In times of tightening fiscal constraints, it is increasingly important for patients and their representatives to define what constitutes 'value' to them. It is clear that diverse stakeholders have different priorities. Harmonisation of values may be neither possible nor desirable. Stakeholders lack tools to visualise or otherwise express these differences and to track progress in cancer treatments based on variable sets of values. The Patient Access to Cancer care Excellence (PACE) Continuous Innovation Indicators are novel, scientifically rigorous progress trackers that employ a three-step process to quantify progress in cancer treatments: 1) mine the literature to determine the strength of the evidence supporting each treatment; 2) allow users to weight the analysis according to their priorities and values; and 3) calculate Evidence Scores (E-Scores), a novel measure to track progress, based on the strength of the evidence weighted by the assigned value. We herein introduce a novel, flexible value model, show how the values from the model can be used to weight the evidence from the scientific literature to obtain E-Scores, and illustrate how assigning different values to new treatments influences the E-Scores. The Indicators allow users to learn how differing values lead to differing assessments of progress in cancer research and to check whether current incentives for innovation are aligned with their value model. By comparing E-Scores generated by this tool, users are able to visualise the relative pace of innovation across areas of cancer research and how stepwise innovation can contribute to substantial progress against cancer over time. Learning from experience and mapping current unmet needs will help to support a broad audience of stakeholders in their efforts to

  5. Current issues in the treatment of specific phobia: recommendations for innovative applications of hypnosis.

    Science.gov (United States)

    Spiegel, Sharon B

    2014-04-01

    Specific phobia is the most common and treatable of the anxiety disorders. Exposure-based therapies are the treatment of choice and empirically validated protocols are available that promise rapid and effective results. In many cases, however, patients are reluctant to comply with demanding schedules of exposure, increasing the risk of treatment failure. Furthermore, in clinical practice, patients often present with multiple phobias and other Axis I and Axis II disorders that can further complicate therapy. This article covers four important issues that have been addressed in the literature: (a) managing resistance to treatment, (b) reducing length of treatment, (c) clarifying the optimal application of relaxation training, and (d) applying advances in cognitive neuroscience. These issues are reviewed and recommendations proposed for ways in which to modify current treatments. Specific suggestions are provided for implementing these recommendations including examples of innovative applications of standard hypnotic techniques.

  6. Dermafrac ™ : An innovative new treatment for periorbital melanosis in a dark-skinned male patient

    Directory of Open Access Journals (Sweden)

    Kanika Sahni

    2013-01-01

    Full Text Available Periorbital melanosis (under eye dark circles is an often idiopathic cosmetically disturbing condition that is poorly responsive to currently available treatment modalities. We present the case of a 48-year-old man (skin phototype V with significant idiopathic periorbital melanosis and who had good to excellent reduction in periorbital melanosis with the new DermaFrac TM , which combines microneedling with simultaneous infusion of a serum containing active ingredients. The possible mechanisms of benefit are discussed. DermaFrac TM may be an innovative and effective new treatment option for patients with periorbital melanosis.

  7. Innovative research methods for studying treatments for rare diseases: methodological review.

    Science.gov (United States)

    Gagne, Joshua J; Thompson, Lauren; O'Keefe, Kelly; Kesselheim, Aaron S

    2014-11-24

    To examine methods for generating evidence on health outcomes in patients with rare diseases. Methodological review of existing literature. PubMed, Embase, and Academic Search Premier searched for articles describing innovative approaches to randomized trial design and analysis methods and methods for conducting observational research in patients with rare diseases. We assessed information related to the proposed methods, the specific rare disease being studied, and outcomes from the application of the methods. We summarize methods with respect to their advantages in studying health outcomes in rare diseases and provide examples of their application. We identified 46 articles that proposed or described methods for studying patient health outcomes in rare diseases. Articles covered a wide range of rare diseases and most (72%) were published in 2008 or later. We identified 16 research strategies for studying rare disease. Innovative clinical trial methods minimize sample size requirements (n=4) and maximize the proportion of patients who receive active treatment (n=2), strategies crucial to studying small populations of patients with limited treatment choices. No studies describing unique methods for conducting observational studies in patients with rare diseases were identified. Though numerous studies apply unique clinical trial designs and considerations to assess patient health outcomes in rare diseases, less attention has been paid to innovative methods for studying rare diseases using observational data. © Gagne et al 2014.

  8. The role of organizational affiliations and research networks in the diffusion of breast cancer treatment innovation.

    Science.gov (United States)

    Carpenter, William R; Reeder-Hayes, Katherine; Bainbridge, John; Meyer, Anne-Marie; Amos, Keith D; Weiner, Bryan J; Godley, Paul A

    2011-02-01

    The National Institutes of Health (NIH) sees provider-based research networks and other organizational linkages between academic researchers and community practitioners as promising vehicles for accelerating the translation of research into practice. This study examines whether organizational research affiliations and teaching affiliations are associated with accelerated diffusion of sentinel lymph node biopsy (SLNB), an innovation in the treatment of early-stage breast cancer. Surveillance Epidemiology and End Results-Medicare data were used to examine the diffusion of SLNB for treatment of early-stage breast cancer among women aged 65 years and older diagnosed between 2000 and 2002, shortly after Medicare approved and began reimbursing for the procedure. In this population, patients treated at an organization affiliated with a research network--the American College of Surgeons Oncology Group (ACOSOG) or other National Cancer Institute (NCI) cooperative groups--were more likely to receive the innovative treatment (SLNB) than patients treated at unaffiliated organizations (odds ratio: 2.70, 95% confidence interval: 1.77-4.12; odds ratio: 1.84, 95% confidence interval: 1.26-2.69, respectively). Neither hospital teaching status nor surgical volume was significantly associated with differences in SLNB use. Patients who receive cancer treatment at organizations affiliated with cancer research networks have an enhanced probability of receiving SLNB, an innovative procedure that offers the promise of improved patient outcomes. Study findings support the NIH Roadmap and programs such as the NCI's Community Clinical Oncology Program, as they seek to accelerate the translation of research into practice by simultaneously accelerating and broadening cancer research in the community.

  9. Depression in Parkinson Disease: Current Understanding and Treatment

    Directory of Open Access Journals (Sweden)

    Pei-Hao Chen

    2008-12-01

    Full Text Available Depression has a negative impact on activities of daily living, cognitive performance, and quality of life. Despite the high prevalence of depressive symptoms in Parkinson disease (PD, this important clinical feature is under-recognized by physicians. Effective diagnosis, assessment and treatment of depression are, therefore, important aspects of PD management. In this article, we review the literature concerning depression associated with PD, paying specific attention to clinical presentation, diagnosis, etiology, and the principles of management and treatment. The efficacy and safety of antidepressants must rely on empiric assessments of known risks and putative benefits to guide treatment decisions.

  10. 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.

  11. The biology and treatment of cancer: understanding cancer

    National Research Council Canada - National Science Library

    Stein, Gary S; Pardee, Arthur B. (Arthur Beck)

    2009-01-01

    ... 8 CANCER DETECTION AND BIOMARKERS Arthur B. Pardee and Peng Liang 145 vvi CONTENTS 9 CLINICAL CHALLENGES FOR TREATMENT AND A CURE Eleni Efstathiou and Christopher J. Logothetis 155 10 CLINICAL T...

  12. Understanding of latent tuberculosis, its treatment and treatment side effects in immigrant and refugee patients.

    Science.gov (United States)

    Butcher, Katie; Biggs, Beverley-Ann; Leder, Karin; Lemoh, Chris; O'Brien, Daniel; Marshall, Caroline

    2013-08-29

    Isoniazid treatment of latent tuberculosis infection (LTBI) is commonly prescribed in refugees and immigrants. We aimed to assess understanding of information provided about LTBI, its treatment and potential side effects. A questionnaire was administered in clinics at a tertiary hospital. Total Knowledge (TKS) and Total Side Effect Scores (TSES) were derived. Logistic regression analyses were employed to correlate socio-demographic factors with knowledge. Fifty-two participants were recruited, 20 at isoniazid commencement and 32 already on isoniazid. The average TKS were 5.04/9 and 6.23/9 respectively and were significantly associated with interpreter use. Approximately half did not know how tuberculosis was transmitted. The average TSES were 5.0/7 and 3.5/7 respectively, but were not influenced by socio-demographic factors. There was suboptimal knowledge about LTBI. Improvements in health messages delivered via interpreters and additional methods of distributing information need to be developed for this patient population.

  13. Understanding lupus nephritis: diagnosis, management, and treatment options

    Directory of Open Access Journals (Sweden)

    Mok CC

    2012-05-01

    Full Text Available Chi Chiu MokDepartment of Medicine, Tuen Mun Hospital and Center for Assessment and Treatment of Rheumatic Diseases, Pok Oi Hospital, Hong Kong, ChinaAbstract: Systemic lupus erythematosus (SLE predominantly affects women in their reproductive years. Renal disease (glomerulonephritis is one of the most frequent and serious manifestations of SLE. Of the various histological types of lupus glomerulonephritis, diffuse proliferative nephritis carries the worst prognosis. Combined with high-dose prednisone, mycophenolate mofetil (MMF has emerged as a first-line immunosuppressive treatment, although data regarding the efficacy of MMF on the long-term preservation of renal function are forthcoming. Cyclophosphamide is reserved for more severe forms of lupus nephritis, such as crescentic glomerulonephritis with rapidly deteriorating renal function, patients with significant renal function impairment at presentation, and refractory renal disease. Evidence for the calcineurin inhibitors in the treatment of lupus nephritis is weaker, and it concerns patients who are intolerant or recalcitrant to other agents. While further controlled trials are mandatory, B cell modulation therapies, such as rituximab, belimumab and epratuzumab are confined to refractory disease. Non-immunosuppressive measures, such as angiotensin-converting enzyme inhibitors, vigorous blood pressure control, prevention and treatment of hyperlipidemia and osteoporosis, are equally important.Keywords: lupus, nephritis, nephropathy, glomerulonephritis, treatment, therapy, women

  14. Recent understanding in the treatment of visceral leishmaniasis.

    Directory of Open Access Journals (Sweden)

    Rosenthal E

    2003-01-01

    Full Text Available Visceral leishmaniasis (VL is a severe disease associated with infection of the reticuloendothelial system by Leishmania species. The infection is acquired through sandfly bites. Recent large scale epidemics of VL in east Africa and India and the emergence of a HIV epidemic make VL a priority for the World Health Organization. Pentavalent antimonials have been cornerstone of treatment for the last six decades. The appearance of antimonial-resistance and the development of lipid formulations of amphotericin B have changed the pattern of VL treatment. Within the past five years, miltefosine has been demonstrated as the first effective and safe oral treatment against VL. The price of miltefosine is yet to be determined. However, miltefosine will certainly be cheaper than lipid formulations of amphotericin B, which are beyond the financial capacity of the poor countries. Because it can be administered orally, miltefosine is suited for the treatment of large number of patients who get affected during epidemics, particularly in regions where the parasites are resistant to the currently used agents. Here, we recommend different treatment schedules according to the resistance pattern and the region-specific socio-economical and cultural factors.

  15. Using diffusion of innovation theory to understand the factors impacting patient acceptance and use of consumer e-health innovations: a case study in a primary care clinic.

    Science.gov (United States)

    Zhang, Xiaojun; Yu, Ping; Yan, Jun; Ton A M Spil, Ir

    2015-02-21

    Consumer e-Health is a potential solution to the problems of accessibility, quality and costs of delivering public healthcare services to patients. Although consumer e-Health has proliferated in recent years, it remains unclear if patients are willing and able to accept and use this new and rapidly developing technology. Therefore, the aim of this research is to study the factors influencing patients' acceptance and usage of consumer e-health innovations. A simple but typical consumer e-health innovation--an e-appointment scheduling service--was developed and implemented in a primary health care clinic in a regional town in Australia. A longitudinal case study was undertaken for 29 months after system implementation. The major factors influencing patients' acceptance and use of the e-appointment service were examined through the theoretical lens of Rogers' innovation diffusion theory. Data were collected from the computer log records of 25,616 patients who visited the medical centre in the entire study period, and from in-depth interviews with 125 patients. The study results show that the overall adoption rate of the e-appointment service increased slowly from 1.5% at 3 months after implementation, to 4% at 29 months, which means only the 'innovators' had used this new service. The majority of patients did not adopt this innovation. The factors contributing to the low the adoption rate were: (1) insufficient communication about the e-appointment service to the patients, (2) lack of value of the e-appointment service for the majority of patients who could easily make phone call-based appointment, and limitation of the functionality of the e-appointment service, (3) incompatibility of the new service with the patients' preference for oral communication with receptionists, and (4) the limitation of the characteristics of the patients, including their low level of Internet literacy, lack of access to a computer or the Internet at home, and a lack of experience with

  16. Research of posibilities for implementation of innovations in advanced systems for biomass and other solidwaste treatment

    Directory of Open Access Journals (Sweden)

    Tomić Radoljub P.

    2015-01-01

    Full Text Available In the start, an aproach of the situation regarding the objectification of innovation is given (from the level of invention and patents, through design to commercialization of new products (development and manufacturing in accordance with advanced research and correct implementation of technological innovations. It shows the aspects of the integral system of industrial and municipal waste (there are biomass after the landscaping, green areas and parks, in the process of industrial production and processes which comprise the municipal utilities with waste treatments. Some of crucial elements of environmental policy and environmental objectives are emphasised. An algorithm of the activities of the work process regarding the management of solid waste-valuable raw material is given. It was pointed out that waste management is carried out, according to the requirements of legislation and the specifics of functioning of public enterprises and companies (including SMEs. Outputs are related to the development and implementation of systems for the treatment of solid waste (wood, biomass, industrial solid waste.

  17. Integration of treatment innovation planning and implementation: strategic process models and organizational challenges.

    Science.gov (United States)

    Lehman, Wayne E K; Simpson, D Dwayne; Knight, Danica K; Flynn, Patrick M

    2011-06-01

    Sustained and effective use of evidence-based practices in substance abuse treatment services faces both clinical and contextual challenges. Implementation approaches are reviewed that rely on variations of plan-do-study-act (PDSA) cycles, but most emphasize conceptual identification of core components for system change strategies. A two-phase procedural approach is therefore presented based on the integration of Texas Christian University (TCU) models and related resources for improving treatment process and program change. Phase 1 focuses on the dynamics of clinical services, including stages of client recovery (cross-linked with targeted assessments and interventions), as the foundations for identifying and planning appropriate innovations to improve efficiency and effectiveness. Phase 2 shifts to the operational and organizational dynamics involved in implementing and sustaining innovations (including the stages of training, adoption, implementation, and practice). A comprehensive system of TCU assessments and interventions for client and program-level needs and functioning are summarized as well, with descriptions and guidelines for applications in practical settings. (PsycINFO Database Record (c) 2011 APA, all rights reserved).

  18. Understanding the benefit of metformin use in cancer treatment

    Directory of Open Access Journals (Sweden)

    Goodwin Pamela J

    2011-04-01

    Full Text Available Abstract Biguanides have been developed for the treatment of hyperglycemia and type 2 diabetes. Recently, metformin, the most widely prescribed biguanide, has emerged as a potential anticancer agent. Epidemiological, preclinical and clinical evidence supports the use of metformin as a cancer therapeutic. The ability of metformin to lower circulating insulin may be particularly important for the treatment of cancers known to be associated with hyperinsulinemia, such as those of the breast and colon. Moreover, metformin may exhibit direct inhibitory effects on cancer cells by inhibiting mammalian target of rapamycin (mTOR signaling and protein synthesis. The evidence supporting a role for metformin in cancer therapy and its potential molecular mechanisms of action are discussed.

  19. Understanding Exercise-Associated Hyponatraemia: From Pathophysiology to Treatment

    Directory of Open Access Journals (Sweden)

    Sidonie Hubert

    2014-12-01

    Full Text Available The practice of extreme sports is becoming more and more common. Despite physiological adaptation, people who intensively exercise are exposed to exercise-associated complications, including hyponatraemia. Exercise-associated hyponatraemia seems to be a consequence of alteration of water regulation, particularly by excessive expression of vasopressin, sodium mobilisation, and interleukin-6 production by muscular cells. Preventing overhydration, both before and during effort, and prohibiting hypotonic solutes during treatment are the leading interventions to correct hyponatraemia.

  20. Disinfection by-products/precursor control using an innovative treatment process -- high energy electron beam irradiation

    International Nuclear Information System (INIS)

    Sawal, K.; Millington, B.; Slifker, R.A.; Cooper, W.J.; Nickelsen, M.G.; Kurucz, C.N.; Waite, T.D.

    1993-01-01

    When waters containing naturally occurring humic substances, precursors, are chlorinated, reaction (disinfection) by-products (DBPs) that may compromise the chemical water quality of the drinking water are formed. Two options exist for the treatment of THMs and other DBPs, removal of precursor material prior to chlorination, or destruction of the by-products once they are formed. The authors have initiated a study using an innovative process, high energy electron beam irradiation, as an alternative treatment for the destruction of toxic organic compounds. Preliminary studies indicated that the process would also be effective in the removal of precursors. An added advantage of this process is that is would serve as a primary disinfectant, destroying any toxic compounds in the source water and may assist in the removal of algae and cyanobacteria toxins. This paper discusses studies in precursor removal and control of THMs

  1. The interaction of R&D and market orientation in improving business performance: An empirically based framework for understanding what drives innovation activity

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Harmsen, Hanne

    1997-01-01

    The interplay between R&D skills and competencies and market skills and competencies is in the more recent product development literature seen as a major determinant of successful innovation. The study reported in this paper was done in order to c more light on these two constructs...... in a traditionally low-tech industry, where product development is nevertheless considered to be strategically important, i.e., the food processing industry. The results of a series of case studies indicate that constructs than R&D and market orientation may be more appropriate for understanding innovation...

  2. 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...

  3. 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...

  4. Barriers to innovation in human rabies prophylaxis and treatment: A causal analysis of insights from key opinion leaders and literature.

    Science.gov (United States)

    van de Burgwal, L H M; Neevel, A M G; Pittens, C A C M; Osterhaus, A D M E; Rupprecht, C E; Claassen, E

    2017-12-01

    Rabies is an essentially 100% fatal, zoonotic disease, caused by Lyssaviruses. Currently, the disease is vaccine-preventable with pre- and post-exposure prophylaxis (PrEP and PEP). Still, rabies virus is estimated to cause up to 60,000 human deaths annually, of which the vast majority occurs in rural Asia and Africa, due to the inaccessibility of prophylaxis and non-existence of treatment. Despite these unmet clinical needs, rabies control mainly focuses on the sylvatic reservoir and drug innovation receives relatively little attention compared to other neglected tropical diseases (NTDs). As such, the lag of innovation in human rabies prophylaxis and treatment cannot be explained by limited return on investment alone. Strategies countering rabies-specific innovation barriers are important for the acceleration of innovation in human rabies prophylaxis and treatment. Barriers throughout society, science, business development and market domains were identified through literature review and 23 semi-structured interviews with key opinion leaders worldwide. A subsequent root cause analysis revealed causal relations between innovation barriers and a limited set of root causes. Finally, prioritization by experts indicated their relative importance. Root causes, which are fundamental to barriers, were aggregated into four types: market and commercial, stakeholder collaboration, public health and awareness, and disease trajectory. These were found in all domains of the innovation process and thus are relevant for all stakeholders. This study identifies barriers that were not previously described in this specific context, for example the competition for funding between medical and veterinary approaches. The results stress the existence of barriers beyond the limited return on investment and thereby explain why innovation in human rabies medication is lagging behind NTDs with a lower burden of disease. A re-orientation on the full spectrum of barriers that hinder innovation in

  5. 3D scanning and printing as conversation tools: an innovative treatment of a vandalized bronze statue, The Thinker by Rodin

    NARCIS (Netherlands)

    Beentjes, T.; van der Molen, R.; Saunders, D.; Strlic, M.; Korenberg, C.; Luxford, N.; Birkhölzer, K.

    2013-01-01

    This contribution discusses the innovative treatment of a severely vandalized bronze sculpture, The Thinker by Auguste Rodin, from the Singer Museum in Laren, The Netherlands. Additional aspects of this controversial treatment such as decision making and documentation are also discussed. In 2007 the

  6. Mucopolysacccharidoses: from understanding to treatment, a century of discoveries

    Directory of Open Access Journals (Sweden)

    Roberto Giugliani

    2012-01-01

    -through, gene therapy and encapsulated modified cells may provide a better outcome for these diseases in the near future. As early diagnosis and early treatment seems to improve treatment outcomes, and as newborn screening is now technically feasible, pilot programs (including one in progress in an area with high-incidence of MPS VI in northeastern Brazil should provide information about its potential impact in reducing the morbidity associated with MPS diseases.

  7. Advances in the Understanding and Treatment of Male Urethritis.

    Science.gov (United States)

    Bachmann, Laura H; Manhart, Lisa E; Martin, David H; Seña, Arlene C; Dimitrakoff, Jordan; Jensen, Jørgen Skov; Gaydos, Charlotte A

    2015-12-15

    Neisseria gonorrhoeae and Chlamydia trachomatis are well-documented urethral pathogens, and the literature supporting Mycoplasma genitalium as an etiology of urethritis is growing. Trichomonas vaginalis and viral pathogens (herpes simplex virus types 1 and 2 and adenovirus) can cause urethritis, particularly in specific subpopulations. New data are emerging regarding the potential role of bacterial vaginosis-associated bacteria in urethritis, although results are inconsistent regarding the pathogenic role of Ureaplasma urealyticum in men. Mycoplasma hominis and Ureaplasma parvum do not appear to be pathogens. Men with suspected urethritis should undergo evaluation to confirm urethral inflammation and etiologic cause. Although nucleic acid amplification testing would detect N. gonorrhoeae and C. trachomatis (or T. vaginalis if utilized), there is no US Food and Drug Administration-approved clinical test for M. genitalium available in the United States at this time. The varied etiologies of urethritis and lack of diagnostic options for some organisms present treatment challenges in the clinical setting. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  8. [Understanding the pathophysiology of malnutrition for better treatment].

    Science.gov (United States)

    De Bandt, J-P

    2015-09-01

    Malnutrition results from an imbalance between intake and protein-energy requirements resulting in tissue losses with adverse functional consequences. However, it would be better to speak of "states of malnutrition" rather than "malnutrition". Indeed, the mechanisms involved associate, with varying degrees, intake deficiency and increased needs with different clinical consequences. Adaptation to nutrient deficiency aims at establishing lasting saving conditions by promoting optimization of energy reserve utilization while preserving protein pool. This is achieved by reducing basal metabolism (low T3), by decreasing the secretion of anabolic factors and moderately increasing catabolic hormones. Unlike the previous process, the metabolic response to injury or stress, which will sometime induce major increase in requirements, will have as immediate purpose the defense of the organism. The body will draw sometime substantially in its protein pool to produce the glucose required for example by the immune cells. Stress response stems from both an endocrine response, and an immuno-inflammatory one with the important role of pro-inflammatory cytokines released in response to pathogens and more recently alarmins in response to endogenous stress in the inflammatory phenomena of the stress response and in the resulting malnutrition state. Treatment of these malnutrition conditions will thus differ: promoting anabolism in one case and fighting resistance to anabolism and hypercatabolism in the other. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  9. 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...

  10. A recommendation to use the diffusion of innovations theory to understand school nurses' role in HPV vaccine uptake.

    Science.gov (United States)

    Rosen, Brittany; Goodson, Patricia

    Vaccinations represent one of the greatest public health achievements of the past century, but their success largely depends on populations' uptake. Seven years after its approval in 2006 for females, the HPV vaccination rates remain relatively low. Previous literature provides information about research examining U.S. physicians, pediatricians, and other healthcare providers' knowledge, attitudes, and professional practice toward the HPV vaccine. No research has yet investigated U.S. school nurses' role in educating the school community about the vaccine's benefits. Diffusion of Innovations theory is an appropriate perspective for examining school nurses as opinion leaders who can influence the uptake of the HPV vaccine for youth. This theory explains how innovations diffuse throughout a social system, and highlights the construct of opinion leadership. School nurses exhibit the characteristics of opinion leaders; therefore, Diffusion of Innovations can be a useful lens for assessing their role in efforts to promote HPV vaccination for youth.

  11. Applications of time-series analysis to mood fluctuations in bipolar disorder to promote treatment innovation: a case series

    Science.gov (United States)

    Holmes, E A; Bonsall, M B; Hales, S A; Mitchell, H; Renner, F; Blackwell, S E; Watson, P; Goodwin, G M; Di Simplicio, M

    2016-01-01

    Treatment innovation for bipolar disorder has been hampered by a lack of techniques to capture a hallmark symptom: ongoing mood instability. Mood swings persist during remission from acute mood episodes and impair daily functioning. The last significant treatment advance remains Lithium (in the 1970s), which aids only the minority of patients. There is no accepted way to establish proof of concept for a new mood-stabilizing treatment. We suggest that combining insights from mood measurement with applied mathematics may provide a step change: repeated daily mood measurement (depression) over a short time frame (1 month) can create individual bipolar mood instability profiles. A time-series approach allows comparison of mood instability pre- and post-treatment. We test a new imagery-focused cognitive therapy treatment approach (MAPP; Mood Action Psychology Programme) targeting a driver of mood instability, and apply these measurement methods in a non-concurrent multiple baseline design case series of 14 patients with bipolar disorder. Weekly mood monitoring and treatment target data improved for the whole sample combined. Time-series analyses of daily mood data, sampled remotely (mobile phone/Internet) for 28 days pre- and post-treatment, demonstrated improvements in individuals' mood stability for 11 of 14 patients. Thus the findings offer preliminary support for a new imagery-focused treatment approach. They also indicate a step in treatment innovation without the requirement for trials in illness episodes or relapse prevention. Importantly, daily measurement offers a description of mood instability at the individual patient level in a clinically meaningful time frame. This costly, chronic and disabling mental illness demands innovation in both treatment approaches (whether pharmacological or psychological) and measurement tool: this work indicates that daily measurements can be used to detect improvement in individual mood stability for treatment innovation (MAPP

  12. LINEAR ACCELERATOR FOR USE IN RADIOTHERAPY TREATMENT: STUDY OF PROCESS INNOVATION IN A SUS HOSPITAL OF SERRA GAÚCHA

    Directory of Open Access Journals (Sweden)

    Andréa Cristina Fermiano Fidelis

    2017-03-01

    Full Text Available The growth of health structures and their complexity have led Clinical Engineering professionals to carry out studies to develop and implement health technology management programs. In this way, employees of this area, integrated with the health system teams, have contributed to make feasible the use of technologies that offer greater security, functionality and reliability. The radiotherapy area, with the increase in the incidence of new cases of cancer, together with the contingency of the financial resources for health, high cost and complexity of the equipment, motivate studies for its adequate management. This research aimed to identify the technologies applied in the radiotherapy treatment, in particular the linear accelerator, as well as the concept of innovation, innovation in services, innovation in processes and the competitiveness acquired with the aid of innovation. The method used in the research has a qualitative approach, with an exploratory and descriptive objective, with semistructured and open questions and involved bibliographic research on the topic of Innovation and on Linear Accelerator, document analysis, Unit of High Complexity in Oncology visit and interviews at the General Hospital of Caxias do Sul South, presenting, finally, the impacts suffered in the hospital and in the community after the arrival of the Line Accelerator. The results showed that there was process and product innovation, incrementally, in the services offered by the hospital.

  13. Evaluation of innovative arsenic treatment technologies :the arsenic water technology partnership vendors forums summary report.

    Energy Technology Data Exchange (ETDEWEB)

    Everett, Randy L.; Siegel, Malcolm Dean; McConnell, Paul E.; Kirby, Carolyn (Comforce Technical Services, Inc.)

    2006-09-01

    The lowering of the drinking water standard (MCL) for arsenic from 50 {micro}g/L to 10 {micro}g/L in January 2006 could lead to significant increases in the cost of water for many rural systems throughout the United States. The Arsenic Water Technology Partnership (AWTP), a collaborative effort of Sandia National Laboratories, the Awwa Research Foundation (AwwaRF) and WERC: A Consortium for Environmental Education and Technology Development, was formed to address this problem by developing and testing novel treatment technologies that could potentially reduce the costs of arsenic treatment. As a member of the AWTP, Sandia National Laboratories evaluated cutting-edge commercial products in three annual Arsenic Treatment Technology Vendors Forums held during the annual New Mexico Environmental Health Conferences (NMEHC) in 2003, 2004 and 2005. The Forums were comprised of two parts. At the first session, open to all conference attendees, commercial developers of innovative treatment technologies gave 15-minute talks that described project histories demonstrating the effectiveness of their products. During the second part, these same technologies were evaluated and ranked in closed sessions by independent technical experts for possible use in pilot-scale field demonstrations being conducted by Sandia National Laboratories. The results of the evaluations including numerical rankings of the products, links to company websites and copies of presentations made by the representatives of the companies are posted on the project website at http://www.sandia.gov/water/arsenic.htm. This report summarizes the contents of the website by providing brief descriptions of the technologies represented at the Forums and the results of the evaluations.

  14. The innovative development in interferon beta treatments of relapsing-remitting multiple sclerosis

    DEFF Research Database (Denmark)

    Madsen, Claus

    2017-01-01

    The introduction of interferon beta therapies more than 20 years ago marked a milestone in the treatment of relapsing-remitting multiple sclerosis (RRMS) with a significant impact on the approach to modern multiple sclerosis (MS) care. Key learnings and perspectives from the early days of disease...... modifying therapies in MS have improved the knowledge base of MS, need for treatment, and patient care. The continuous development of interferons over the past two decades outlines a journey with increased understanding of the pharmacodynamics and pharmacokinetic mechanisms of interferons, leading...

  15. Behavioral couples treatment of alcohol and drug use disorders: current status and innovations.

    Science.gov (United States)

    Epstein, E E; McCrady, B S

    1998-09-01

    Research suggests that Behavioral Couples Therapy (BCT), tailored to treat alcohol problems, produces significant reduction in alcohol consumption and improvement in marital functioning. Having established basic clinical protocols for Alcohol Behavioral Couples Therapy (ABCT) and provided support for their efficacy, clinical researchers around the country continue to develop and study new applications of the basic ABCT treatment models, such as adding relapse prevention or Alcoholics Anonymous components. Recent research supporting the heterogeneity in the population of individuals with alcohol problems has prompted some researchers on ABCT to consider additional adaptations of the treatment models for specific subgroups of alcoholics, and for particular individual and couples characteristics. Adaptation of ABCT to treat new populations such as drug abusers, female alcoholics, and problem drinkers is under investigation. The current article provides an overview of theoretical and clinical aspects of ABCT, and research on efficacy of the basic model and on areas of innovation and adaptation to new populations. Directions for future research on ABCT are suggested.

  16. Innovative silvicultural treatments to enhance soil biodiversity in artificial black pine stands

    Science.gov (United States)

    Mocali, Stefano; De Meo, Isabella; Bianchetto, Elisa; Landi, Silvia; Salerni, Elena; Mori, Paolo; Bruschini, Silvia; Montini, Piergiuseppe; Samaden, Stefano; Cantiani, Paolo

    2015-04-01

    The decay of forest cover and soil erosion is a consequence of continual intensive forest exploitation, such as grazing and wildfires over the centuries. From the end of the eighteenth century up to the mid-1900s, black pine plantations were established throughout the Apennines' range in Italy, to improve forest soil quality. The main aim of this reafforestation was to re-establish the pine as a first cover, pioneer species. This was a preparatory step to the reintroduction of broadleaf trees, such as oaks and beech trees, and thus the reestablishment of mixed forest. A series of thinning activities were planned by foresters when these plantations were designed. Many stands, however, remain unthinned, which over time, has weakened the trees in the plantations. Alternative forms of regeneration have been and are being tested to improve the natural and artificial establishment of indigenous species. Thinning, however, remains the most common and one of the most successful regeneration methods used in pine forests. The project's main objective is to demonstrate the potential of an innovative silvicultural treatment to enhance the level of biodiversity in the soil of black pine stands. In particular, the project aims to evaluate the effects of selective thinning on soil biodiversity on young black pine stands. These effects will be compared to traditional thinning methods (selecting trees from below leaving well-spaced, highest-quality trees) and to areas of forest where silvicultural treatments (e.g. weeding, cleaning, liberation cutting) are not carried out.

  17. Deploying innovations in wearable technology to gain insight into clinical disorders and their treatment

    DEFF Research Database (Denmark)

    Parsons, Christine; Jensen, Kasper Løvborg; Linehan, Conor

    , but infrequent assessment. Wearable technology can provide new ways to understand physiology beyond the laboratory. In order to harness this potential, we need to develop methods to monitor patients unobtrusively, with minimal patient burden, and due concern for privacy issues. Furthermore, we need to ensure......Peripheral psychophysiological measures have been used to inform our understanding of symptoms in mental health disorders, to predict treatment response, and to investigate mechanisms of treatment change. Typically, psychophysiological measures are laboratory-based, yielding precise, reliable...... that methods developed are acceptable to patients, as well as being engaging to use. In this interdisciplinary project, we adopt approaches from human-computer interaction, where target users are involved in the design and refinement of our technological solutions. The engineering challenge involves building...

  18. DEMONSTRATION OF AQUAFIX AND SAPS PASSIVE MINE WATER TREATMENT TECHNOLOGIES AT SUMMITVILLE MINE SITE, INNOVATIVE TECHNOLOGY EVALUATION REPORT

    Science.gov (United States)

    As part of the Superfund Innovative Technology Evaluation (SITE) Program, the U.S. Environmental Protection Agency evaluated two passive water treatment (PWT) technologies for metals removal from acid mine drainage (AMD) at the Summitville Mine Superfund Site in southern Colorado...

  19. Understanding the Adoption Process of National Security Technology: An Integration of Diffusion of Innovations and Volitional Behavior Theories.

    Science.gov (United States)

    Iles, Irina A; Egnoto, Michael J; Fisher Liu, Brooke; Ackerman, Gary; Roberts, Holly; Smith, Daniel

    2017-11-01

    After the 9/11 terrorist attacks, the U.S. government initiated several national security technology adoption programs. The American public, however, has been skeptical about these initiatives and adoption of national security technologies has been mandated, rather than voluntary. We propose and test a voluntary behavioral intention formation model for the adoption of one type of new security technology: portable radiation detectors. Portable radiation detectors are an efficient way of detecting radiological and nuclear threats and could potentially prevent loss of life and damage to individuals' health. However, their functioning requires that a critical mass of individuals use them on a daily basis. We combine the explanatory advantages of diffusion of innovation with the predictive power of two volitional behavior frameworks: the theory of reasoned action and the health belief model. A large sample survey (N = 1,482) investigated the influence of factors identified in previous diffusion of innovation research on portable radiation detector adoption intention. Results indicated that nonfinancial incentives, as opposed to financial incentives, should be emphasized in persuasive communications aimed at fostering adoption. The research provides a new integration of diffusion of innovation elements with determinants of volitional behavior from persuasion literature, and offers recommendations on effective communication about new security technologies to motivate public adoption and enhance national safety. © 2017 Society for Risk Analysis.

  20. Understanding the formative stage of technological innovation system development: The case of natural gas as an automotive fuel

    International Nuclear Information System (INIS)

    Suurs, Roald A.A.; Hekkert, Marko P.; Kieboom, Sander; Smits, Ruud E.H.M.

    2010-01-01

    This study contributes to insights into mechanisms that influence the successes and failures of emerging energy technologies. It is assumed that for an emerging technology to fruitfully develop, it should be fostered by a Technological Innovation System (TIS), which is the network of actors, institutions and technologies in which it is embedded. For an emerging technology a TIS has yet to be built up. This research focuses on the dynamics of this build-up process by mapping the development of seven key activities: so-called system functions. The main contribution revolves around the notion of cumulative causation, or the phenomenon that the build-up of a TIS accelerates due to system functions reinforcing each other over time. As an empirical basis, an analysis is provided of the historical development of the TIS around automotive natural gas technology in the Netherlands (1970-2007). The results show that this TIS undergoes a gradual build-up in the 1970s, followed by a breakdown in the 1980s and, again, a build-up from 2000 to 2007. It is shown that underlying these trends are different forms of cumulative causation, here called motors of innovation. The study provides strategic insights for practitioners that aspire to support such motors of innovation.

  1. The Latin American treatment and innovation network in mental health h (LATINMH): rationale and scope.

    Science.gov (United States)

    Menezess, Paulo R; Araya, Ricardo; Miranda, Jaime; Mohr, David C; Price, Le Shanundra N

    2015-01-01

    Over the past 60 years Latin American countries have been experiencing noticeable demographic and socioeconomic changes, with marked impact on the population health in the region. There is growing recognition of the co-morbidity among mental and physical health problems impacting heavily on health care systems. These challenges open many opportunities for transformational change in the expanding field of global mental health. Given the growing evidence for the wide applicability and efficacy of specific components included in mental health treatment packages, research should focus more on improving the organization and efficiency with which we deliver these specific treatment components already proven to be efficacious. The Latin American Treatment and Innovation Network in Mental Health (LATIN-MH) is a research and training Hub based in Sao Paulo, Brazil, and Lima, Peru. It aims to address the co-morbidity between physical and mental chronic diseases, exploring the opportunity to use technology to support the treatment of these conditions. LATIN-MH strives to move beyond specific single-disease approaches and research silos, whilst maximizing the opportunities to work collaboratively with various groups in the Latin American region, thus contributing to fostering research and building capacity in mental health research. Mental Health, Chronic Disease, mHealth, Capacity Building (MeSH) Key concepts: Chronic diseases have now become the major determinants of the disease burden in Latin America, whereas psychiatric disorders accounted for almost one-third of years lived with disability worldwide in 2005. LATIN-MH is a research and training hub that aims to address the co-morbidity between physical and mental chronic diseases using technology to support their treatments. LATIN-MH strives to move beyond specific single-disease approaches and research siloes, whilst maximizing the opportunities to work collaboratively with various groups in the Latin American region

  2. Towards a neurobiological understanding of pain in chronic pancreatitis: mechanisms and implications for treatment

    Directory of Open Access Journals (Sweden)

    Søren S. Olesen

    2017-12-01

    Conclusion:. Chronic pancreatitis is associated with abnormal processing of pain at the peripheral and central level of the pain system. This neurobiological understanding of pain has important clinical implications for treatment and prevention of pain chronification.

  3. Water Exclosure Treatment System (WETS): An innovative device for minimizing beach closures.

    Science.gov (United States)

    Reimer, John R; Wu, Chin H; Sorsa, Kirsti K

    2018-06-01

    A Water Exclosure Treatment System (WETS) is developed and installed to minimize the occurrence of beach closures due to algae and Escherchia coli (E. coli) in an inland lake. WETS consists of an "exclosure" sub-system with a five-sided polypropylene, barrier that excludes offshore lake contaminated water from the swimming area. Inside the exclosure, water is pumped to a portable filtration-ultraviolet treatment sub-system with three components. First, heavy debris like aquatic plants are removed through a strainer. Second, fine particles are removed through a sand filter and backwashing is automated through a program logic controller triggered by pressure sensor readings. Third, pathogens, algae, bacteria, and viruses are inactivated through ultraviolet (UV) disinfection. To determine sizing of sand filters and evaluation of efficiency of UV disinfection and aid in the design of the inlet and outlet locations for the pump system, computational fluid dynamics modeling with a Lagrangian particle-tracking method are employed. Flushing time is determined to range from 0.67 to 1.89days. Residence time maps reveal inlet and outlet locations play an important role in depicting the duration of particles within the swimming area. Comprehensive water quality sampling is conducted and analyzed with ANOVA testing reveal that water quality parameters inside the exclosure are significantly different than those outside. There have been no beach closures issued since deployment of WETS. Overall, WETS, an innovative Water Exclosure Treatment System, provides safe, clean water inside the exclosure for minimizing beach closure. Published by Elsevier B.V.

  4. New Drugs for Anemia Treatment Based on a New Understanding of the Mechanisms of Stress Erythropoiesis

    Science.gov (United States)

    2015-11-01

    Award Number: W81XWH-12-1-0449 TITLE: New Drugs for Anemia Treatment Based on a New Understanding of the Mechanisms of Stress Erythropoiesis...COVERED 1Sep2012 - 31Aug2015 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER New Drugs for Anemia Treatment Based on a New Understanding of the...cell formation in "Nan" (neonatal anemia ) mice, raising the level of red cells to almost normal. It also causes an increase in the numbers of splenic

  5. 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...

  6. 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....

  7. Innovative Approaches for Immune Tolerance to Factor VIII in the Treatment of Hemophilia A

    Science.gov (United States)

    Sherman, Alexandra; Biswas, Moanaro; Herzog, Roland W.

    2017-01-01

    Hemophilia A (coagulation factor VIII deficiency) is a debilitating genetic disorder that is primarily treated with intravenous replacement therapy. Despite a variety of factor VIII protein formulations available, the risk of developing anti-dug antibodies (“inhibitors”) remains. Overall, 20–30% of patients with severe disease develop inhibitors. Current clinical immune tolerance induction protocols to eliminate inhibitors are not effective in all patients, and there are no prophylactic protocols to prevent the immune response. New experimental therapies, such as gene and cell therapies, show promising results in pre-clinical studies in animal models of hemophilia. Examples include hepatic gene transfer with viral vectors, genetically engineered regulatory T cells (Treg), in vivo Treg induction using immune modulatory drugs, and maternal antigen transfer. Furthermore, an oral tolerance protocol is being developed based on transgenic lettuce plants, which suppressed inhibitor formation in hemophilic mice and dogs. Hopefully, some of these innovative approaches will reduce the risk of and/or more effectively eliminate inhibitor formation in future treatment of hemophilia A. PMID:29225598

  8. An innovative integrated system utilizing solar energy as power for the treatment of decentralized wastewater.

    Science.gov (United States)

    Han, Changfu; Liu, Junxin; Liang, Hanwen; Guo, Xuesong; Li, Lin

    2013-02-01

    This article reports an innovative integrated system utilizing solar energy as power for decentralized wastewater treatment, which consists of an oxidation ditch with double channels and a photovoltaic (PV) system without a storage battery. Because the system operates without a storage battery, which can reduce the cost of the PV system, the solar radiation intensity affects the amount of power output from the PV system. To ensure that the power output is sufficient in all different weather conditions, the solar radiation intensity of 78 W/m2 with 95% confidence interval was defined as a threshold of power output for the PV system according to the monitoring results in this study, and a step power output mode was used to utilize the solar energy as well as possible. The oxidation ditch driven by the PV system without storage battery ran during the day and stopped at night. Therefore, anaerobic, anoxic and aerobic conditions could periodically appear in the oxidation ditch, which was favorable to nitrogen and phosphate removal from the wastewater. The experimental results showed that the system was efficient, achieving average removal efficiencies of 88% COD, 98% NH4+-N, 70% TN and 83% TP, under the loading rates of 140 mg COD/(g MLSS x day), 32 mg NH4+-N/(g MLSS x day), 44 mg TN/(g MLSS x day) and 5 mg TP/(g MLSS x day).

  9. Nanomedicine for Infectious Disease Applications: Innovation towards Broad-Spectrum Treatment of Viral Infections.

    Science.gov (United States)

    Jackman, Joshua A; Lee, Jaywon; Cho, Nam-Joon

    2016-03-02

    Nanomedicine enables unique diagnostic and therapeutic capabilities to tackle problems in clinical medicine. As multifunctional agents with programmable properties, nanomedicines are poised to revolutionize treatment strategies. This promise is especially evident for infectious disease applications, for which the continual emergence, re-emergence, and evolution of pathogens has proven difficult to counter by conventional approaches. Herein, a conceptual framework is presented that envisions possible routes for the development of nanomedicines as superior broad-spectrum antiviral agents against enveloped viruses. With lipid membranes playing a critical role in the life cycle of medically important enveloped viruses including HIV, influenza, and Ebola, cellular and viral membrane interfaces are ideal elements to incorporate into broad-spectrum antiviral strategies. Examples are presented that demonstrate how nanomedicine strategies inspired by lipid membranes enable a wide range of targeting opportunities to gain control of critical stages in the virus life cycle through either direct or indirect approaches involving membrane interfaces. The capabilities can be realized by enabling new inhibitory functions or improving the function of existing drugs through nanotechnology-enabled solutions. With these exciting opportunities, due attention is also given to the clinical translation of nanomedicines for infectious disease applications, especially as pharmaceutical drug-discovery pipelines demand new routes of innovation. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  10. Marketers Understanding Engineers and Engineers Understanding Marketers: The Opportunities and Constraints of a Cross-Discipline Course Using 3D Printing to Develop Marketable Innovations

    Science.gov (United States)

    Reifschneider, Louis; Kaufman, Peter; Langrehr, Frederick W.; Kaufman, Kristina

    2015-01-01

    Marketers are criticized for not understanding the steps in the engineering research and development process and the challenges of manufacturing a new product at a profit. Engineers are criticized for not considering the marketability of and customer interest in such a product during the planning stages. With the development of 3D printing, rapid…

  11. 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...

  12. "Maybe we should talk about it anyway": a qualitative study of understanding expectations and use of an established technology innovation in caring practices.

    Science.gov (United States)

    Stokke, Randi

    2017-09-15

    Technological innovations are strongly promoted to meet the demands posed by increased pressure on home care services and to assist ageing in place in western societies. Although heavily advocated as plug and play solutions, technologies have proven difficult and unpredictable when integrated into home care services. We need greater insight into what happens when technologies are integrated into caring practices. All technologies come with expectations as to their function. This study explores how actors who are involved with the social alarm, which is an established technology innovation, relate to, perceive and articulate these expectations of the technology in everyday living. The article presents results from a two-case study, using a triangulation of qualitative methods in order to gain an in-depth understanding of technology in use in home care services through "thick descriptions". The study was conducted in Norway and data were analysed using a stepwise deductive-inductive analysis. The empirical findings demonstrate that expectations regarding the social alarm, even though it represents a simple and well-established technology, are complex and multidimensional. The notion of script and domestication provided relevant tools for exploring these expectations and for understanding how actors interpret and adapt their practices of using the technology. This enabled a more comprehensive understanding of how technology opens up for different interpretations and puts values in play. This article suggests exploring technology in use as scripted in multidimensional script, and offers a frame for doing so. It also reveals how technology scripts and articulation prove important for understanding the complex reality when integrated into home care practices, thus identifying how using the technology leads to the taming and unleashing of both technology and actors. The study offers an increased understanding of how and why technology is unpredictable and works

  13. Understanding and assessing potential serious adverse events: a practical approach to understanding the benefits and harm of psoriasis treatments.

    Science.gov (United States)

    Papp, Kim; Guenther, Lyn; Shear, Neil; Binder, Carin; Tan, Jerry; Lynde, Charles; Gulliver, Wayne; Stang, Paul

    2013-01-01

    Any therapeutic intervention carries with it the potential for benefit and harm. Generally, benefit is far more common than risk; however, risk aversion drives many of the treatment decisions made by patients and their physicians. To provide guidelines to help clinicians improve their understanding of causality and the interpretation of harm. A group of dermatologists involved in data safety monitoring boards, clinical trial investigators, and a clinical epidemiologist identified the need for practical advice on how to understand and explain causality and harm and combined to share their knowledge. An explanation of how data are collected and the environment that shapes the data seen by clinicians is presented. The article spans an overview of the regulatory environment that informs trial design for regulatory approval to a description of types of designs that inform safety and techniques, such as the rule of three, to provide guidance to clinicians in interpreting the data. Communicating the potential for harm to patients is critical. Placing the potential for rare and serious risks into perspective for the patient is as important as discussing the potential benefits of medication.

  14. Innovations in the Treatment of Bulimia: Transpersonal Psychology, Relaxation, Imagination, Hypnosis, Myth, and Ritual.

    Science.gov (United States)

    Brown, Michael H.

    1991-01-01

    Written for counselors who must help clients deal with bulimia, this article reviews bulimia's most obvious physical signs and symptoms, etiology, and behavioral characteristics. Considers innovative counseling approaches including Transpersonal Psychology, relaxation training, imagination, fantasy, hypnosis, myths, and rituals. (Author)

  15. An Innovative Treatment Strategy to Counteract Retroactive Forces In Bimaxillary Dentoalveolar Cases

    Directory of Open Access Journals (Sweden)

    Reena R Kumar

    2010-01-01

    This paper presents a case report of a 30 yrs old male patient with Class I Bimaxillary Protrusion treated using innovative lingual forces with a labial appliance (without any additional intraoral or extraoral anchorage devices effectively with negligible anchorage loss.

  16. Innovative treatments for severe refractory asthma: how to choose the right option for the right patient?

    Science.gov (United States)

    Menzella, Francesco; Galeone, Carla; Bertolini, Francesca; Castagnetti, Claudia; Facciolongo, Nicola

    2017-01-01

    The increasing understanding of the molecular biology and the etiopathogenetic mechanisms of asthma helps in identification of numerous phenotypes and endotypes, particularly for severe refractory asthma. For a decade, the only available biologic therapy that met the unmet needs of a specific group of patients with severe uncontrolled allergic asthma has been omalizumab. Recently, new biologic therapies with different mechanisms of action and targets have been approved for marketing, such as mepolizumab. Other promising drugs will be available in the coming years, such as reslizumab, benralizumab, dupilumab and lebrikizumab. Moreover, since 2010, bronchial thermoplasty has been successfully introduced for a limited number of patients. This is a nonpharmacologic endoscopic procedure which is considered a promising therapy, even though several aspects still need to be clarified. Despite the increasing availability of new therapies, one of the major problems of each treatment is still the identification of the most suitable patients. This sudden abundance of therapeutic options, sometimes partially overlapping with each other, increases the importance to identify new biomarkers useful to guide the clinician in selecting the most appropriate patients and treatments, without forgetting the drug-economic aspects seen in elevated direct cost of new therapies. The aim of this review is, therefore, to update the clinician on the state of the art of therapies available for refractory asthma and, above all, to give useful directions that will help understand the different choices that sometimes partially overlap and to dispel the possible doubts that still exist. PMID:28919788

  17. Innovative approach for recycling phosphorous from agro-wastewaters using water treatment residuals (WTR).

    Science.gov (United States)

    Zohar, Iris; Ippolito, James A; Massey, Michael S; Litaor, Iggy M

    2017-02-01

    Phosphorus capture from polluting streams and its re-use using industrial byproducts has the potential to also reduce environmental threats. An innovative approach was developed for P removal from soil leachate and dairy wastewater using Al-based water treatment residuals (Al-WTR) to create an organic-Al-WTR composite (Al/O-WTR), potentially capable of serving as a P fertilizer source. Al-WTR was mixed with either soil leachate, or with dairy wastewater, both of which contained elevated P concentrations (e.g., 7.6-43.5 mg SRP L -1 ). The Al-WTR removed ∼95% inorganic P, above 80% organic P, and over 60% dissolved organic carbon (DOC) from the waste streams. P removal was correlated with P concentration in the waste streams and was consistent with an increase in Al/O-WTR P content as determined by X-ray fluorescence (XRF) and surface analysis using scanning electron microscopy-energy dispersive X-ray spectroscopy (SEM-EDS). Organic C was a major constituent in the original Al-WTR (31.4%) and increased by 1% in the Al/O-WTRs. Organic C accumulation on particles surfaces possibly enhanced weak P bonding. Desorption experiments indicated an initial and substantial P release (30 mg SRP kg -1 Al/O-WTR), followed by relatively constant low P solubility (ca. 10 mg kg -1 ). Organic C was continuously released to the solution (over 8000 mg kg -1 ), concomitantly with Ca and other electrolytes, possibly indicating dissolution from inner pores, accounting for the highly porous nature of the Al-WTR, evident by SEM images. The potential of P-loading on Al/O-WTR to promote P recycling should be further studied. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Innovations in Liposomal DDS Technology and Its Application for the Treatment of Various Diseases.

    Science.gov (United States)

    Oku, Naoto

    2017-01-01

    Liposomes have been widely used as drug carriers in the field of drug delivery systems (DDS), and they are thought to be ideal nano-capsules for targeting DDS after being injected into the bloodstream. In general, DDS drugs meet the needs of aged and super-aged societies, since the administration route of drugs can be changed, the medication frequency reduced, the adverse effects of drugs suppressed, and so on. In fact, a number of liposomal drugs have been launched and used worldwide including liposomal anticancer drugs, and these drugs have appeared on the market owing to various innovations in liposomal DDS technologies. The accumulation of long-circulating liposomes in cancer tissue is driven by the enhanced permeability and retention (EPR) effect. In this review, liposome-based targeting DDS for cancer therapy is briefly discussed. Since cancer angiogenic vessels are the ideal target of drug carriers after their injection and are critical for cancer growth, damaging of these neovessels has been an approach for eradicating cancer cells. Also, the usage of liposomal DDS for the treatment of ischemic stroke is possible, since we observed that PEGylated liposomes accumulate in the site of cerebral ischemia in transient middle cerebral artery occlusion (t-MCAO) model rats. Interestingly, liposomes carrying neuroprotectants partly suppress ischemia/reperfusion injury of these model rats, suggesting that the EPR effect also works in ischemic diseases by causing an increase in the permeability of the blood vessel endothelium. The potential of liposomal DDS against life-threatening diseases might thus be attractive for supporting long-lived societies.

  19. Improving care for depression and suicide risk in adolescents: innovative strategies for bringing treatments to community settings.

    Science.gov (United States)

    Asarnow, Joan Rosenbaum; Miranda, Jeanne

    2014-01-01

    This article reviews the literature on interventions and services for depression and suicide prevention among adolescents, with the goals of placing this science within the context of currently changing health care environments and highlighting innovative models for improving health and mental health. We examine the challenges and opportunities offered by new initiatives and legislation designed to transform the US health and mental health care systems; summarize knowledge regarding the treatment of depression and suicidality/self-harm in adolescents; and describe innovative models for partnering with health systems and communities. This review demonstrates that treatment models and service delivery strategies are currently available for increasing evidence-based care, particularly for depression, and concludes with recommendations for future research and quality improvement initiatives aimed at inspiring additional efforts to put science to work, bridge science and community practice, and develop strategies for partnering with communities to improve care, mental health, and well-being among adolescents.

  20. Understanding the Pathological Basis of Neurological Diseases Through Diagnostic Platforms Based on Innovations in Biomedical Engineering: New Concepts and Theranostics Perspectives

    Directory of Open Access Journals (Sweden)

    Laura Ganau

    2018-02-01

    Full Text Available The pace of advancement of genomics and proteomics together with the recent understanding of the molecular basis behind rare diseases could lead in the near future to significant advances in the diagnosing and treating of many pathological conditions. Innovative diagnostic platforms based on biomedical engineering (microdialysis and proteomics, biochip analysis, non-invasive impedance spectroscopy, etc. are introduced at a rapid speed in clinical practice: this article primarily aims to highlight how such platforms will advance our understanding of the pathological basis of neurological diseases. An overview of the clinical challenges and regulatory hurdles facing the introduction of such platforms in clinical practice, as well as their potential impact on patient management, will complement the discussion on foreseeable theranostic perspectives. Indeed, the techniques outlined in this article are revolutionizing how we (1 identify biomarkers that better define the diagnostic criteria of any given disease, (2 develop research models, and (3 exploit the externalities coming from innovative pharmacological protocols (i.e., those based on monoclonal antibodies, nanodrugs, etc. meant to tackle the molecular cascade so far identified.

  1. Bench to Bedside: Understanding Symptom Response to Acupuncture Treatment and Designing a Successful Acupuncture Treatment Program

    Science.gov (United States)

    2016-10-01

    decreases in alcohol and tobacco use. Conclusion: Acupuncture treatment may help veterans engage in positive health behaviors and feel more supported in...Investigators.(2009). The impact of cognitive behavioral group training on event-free survival in patients with myocardial infarction : the ENRICHD

  2. 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...

  3. 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....

  4. Innovative treatments for severe refractory asthma: how to choose the right option for the right patient?

    Directory of Open Access Journals (Sweden)

    Menzella F

    2017-08-01

    Full Text Available Francesco Menzella,1 Carla Galeone,1 Francesca Bertolini,2 Claudia Castagnetti,1 Nicola Facciolongo1 1Department of Medical Specialties, Pneumology Unit, IRCCS- Arcispedale Santa Maria Nuova, Reggio Emilia, Italy; 2Department of Animal Science, Iowa State University, Ames, IA, USA Abstract: The increasing understanding of the molecular biology and the etiopathogenetic mechanisms of asthma helps in identification of numerous phenotypes and endotypes, particularly for severe refractory asthma. For a decade, the only available biologic therapy that met the unmet needs of a specific group of patients with severe uncontrolled allergic asthma has been omalizumab. Recently, new biologic therapies with different mechanisms of action and targets have been approved for marketing, such as mepolizumab. Other promising drugs will be available in the coming years, such as reslizumab, benralizumab, dupilumab and lebrikizumab. Moreover, since 2010, bronchial thermoplasty has been successfully introduced for a limited number of patients. This is a nonpharmacologic endoscopic procedure which is considered a promising therapy, even though several aspects still need to be clarified. Despite the increasing availability of new therapies, one of the major problems of each treatment is still the identification of the most suitable patients. This sudden abundance of therapeutic options, sometimes partially overlapping with each other, increases the importance to identify new biomarkers useful to guide the clinician in selecting the most appropriate patients and treatments, without forgetting the drug-economic aspects seen in elevated direct cost of new therapies. The aim of this review is, therefore, to update the clinician on the state of the art of therapies available for refractory asthma and, above all, to give useful directions that will help understand the different choices that sometimes partially overlap and to dispel the possible doubts that still exist

  5. Learning from social media: utilizing advanced data extraction techniques to understand barriers to breast cancer treatment.

    Science.gov (United States)

    Freedman, Rachel A; Viswanath, Kasisomayajula; Vaz-Luis, Ines; Keating, Nancy L

    2016-07-01

    Past examinations of breast cancer treatment barriers have typically included registry, claims-based, and smaller survey studies. We examined treatment barriers using a novel, comprehensive, social media analysis of online, candid discussions about breast cancer. Using an innovative toolset to search postings on social networks, message boards, patient communities, and topical sites, we performed a large-scale qualitative analysis. We examined the sentiments and barriers expressed about breast cancer treatments by Internet users during 1 year (2/1/14-1/31/15). We categorized posts based on thematic patterns and examined trends in discussions by race/ethnicity (white/black/Hispanic) when this information was available. We identified 1,024,041 unique posts related to breast cancer treatment. Overall, 57 % of posts expressed negative sentiments. Using machine learning software, we assigned treatment barriers for 387,238 posts (38 %). Barriers included emotional (23 % of posts), preferences and spiritual/religious beliefs (21 %), physical (18 %), resource (15 %), healthcare perceptions (9 %), treatment processes/duration (7 %), and relationships (7 %). Black and Hispanic (vs. white) users more frequently reported barriers related to healthcare perceptions, beliefs, and pre-diagnosis/diagnosis organizational challenges and fewer emotional barriers. Using a novel analysis of diverse social media users, we observed numerous breast cancer treatment barriers that differed by race/ethnicity. Social media is a powerful tool, allowing use of real-world data for qualitative research, capitalizing on the rich discussions occurring spontaneously online. Future research should focus on how to further employ and learn from this type of social intelligence research across all medical disciplines.

  6. 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

  7. An innovative lab-based training program to help patient groups understand their disease and the research process.

    Directory of Open Access Journals (Sweden)

    Marion Mathieu

    2015-02-01

    Full Text Available Genuine partnership between patient groups and medical experts is important but challenging. Our training program meets this challenge by organizing hands-on, lab-based training sessions for members of patient groups. These sessions allow "trainees" to better understand their disease and the biomedical research process, and strengthen links between patients and local researchers. Over the past decade, we and our partner institutes have received more than 900 French patients, with the participation of over 60 researchers and clinicians.

  8. An innovative lab-based training program to help patient groups understand their disease and the research process.

    Science.gov (United States)

    Mathieu, Marion; Hammond, Constance; Karlin, David G

    2015-02-01

    Genuine partnership between patient groups and medical experts is important but challenging. Our training program meets this challenge by organizing hands-on, lab-based training sessions for members of patient groups. These sessions allow "trainees" to better understand their disease and the biomedical research process, and strengthen links between patients and local researchers. Over the past decade, we and our partner institutes have received more than 900 French patients, with the participation of over 60 researchers and clinicians.

  9. Technological innovation strategies for the specific treatment of Chagas disease based on Benznidazole.

    Science.gov (United States)

    de Moura Ferraz, Leslie Raphael; Alves, Alinne Élida Gonçalves; da Silva Nascimento, Débora Dolores Souza; E Amariz, Isabela Araújo; Ferreira, Aline Silva; Costa, Salvana Priscylla Manso; Rolim, Larissa Araújo; de Lima, Ádley Antonini Neves; Neto, Pedro José Rolim

    2018-02-13

    Caused by Trypanosoma cruzi, Chagas disease is responsible for public health problems greater in magnitude than those attributed to malaria, schistosomiasis, or leishmaniasis. A factor in the socioeconomic development of poor countries, Chagas disease can cause death due to a high parasitic burden during its acute phase due and irreversible damage in organs such as the heart, esophagus, and colon during its chronic phase, even when the number of parasites is minimal. For treating Chagas disease, benznidazole (BNZ) remains the drug of choice and, in Latin America, the only drug on the market for treating the disease. However, BNZ has exhibited insufficient activity in the chronic phase of Chagas disease, required administration in large doses, prolonged treatment, and shown a high incidence of adverse reactions (vomiting, rash, peripheral neuropathy, and spinal cord depression), toxicity, and low solubility in water. As an antidote, pharmaceutical technologies have been introduced that can improve BNZ's solubility and dissolution, as well as reduce side effects in light of its bioavailability, all of which can enhance therapy for Chagas disease. In response to that trend, by conducting a literature review, we sought to identify current pharmaceutical technologies used in tandem with BNZ to improve therapy for Chagas disease. Documented techniques include emulsion and microemulsion formation, solutions, parenteral formulas, micronization, and drug delivery systems supported by the development of nanoparticles and cyclodextrins, solid dispersions, and the use of metal-organic frameworks as innovative excipients. Such technologies increase the water solubility of BNZ by 4-25-fold on dissolution and an 85% release with efficacy in only a few minutes, as recorded during a viability experiment with nanoparticle suspensions. That experiment demonstrated the need for a lower concentration of BNZ to kill 50% of trypomastigote forms of T. cruzi, described in terms of the

  10. Curcumin and Inflammatory Bowel Disease: Potential and Limits of Innovative Treatments

    Directory of Open Access Journals (Sweden)

    Liza Vecchi Brumatti

    2014-12-01

    Full Text Available Curcumin belongs to the family of natural compounds collectively called curcuminoids and it possesses remarkable beneficial anti-oxidant, anti-inflammatory, anti-cancer, and neuroprotective properties. Moreover it is commonly assumed that curcumin has also been suggested as a remedy for digestive diseases such as inflammatory bowel diseases (IBD, a chronic immune disorder affecting the gastrointestinal tract and that can be divided in two major subgroups: Crohn’s disease (CD and Ulcerative Colitis (UC, depending mainly on the intestine tract affected by the inflammatory events. The chronic and intermittent nature of IBD imposes, where applicable, long-term treatments conducted in most of the cases combining different types of drugs. In more severe cases and where there has been no good response to the drugs, a surgery therapy is carried out. Currently, IBD-pharmacological treatments are generally not curative and often present serious side effects; for this reason, being known the relationship between nutrition and IBD, it is worthy of interesting the study and the development of new dietary strategy. The curcumin principal mechanism is the suppression of IBD inflammatory compounds (NF-κB modulating immune response. This review summarizes literature data of curcumin as anti-inflammatory and anti-oxidant in IBD, trying to understand the different effects in CD e UC.

  11. Neonatal respiratory distress: recent progress in understanding pathogenesis and treatment outcomes

    OpenAIRE

    So Young Kim

    2010-01-01

    Transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), and persistent pulmonary hypertension (PPHN) are the three most common disorders that cause respiratory distress after birth. An understanding of the pathophysiology of these disorders and the development of effective therapeutic strategies is required to control these conditions. Here, we review recent papers on the pathogenesis and treatment of neonatal respiratory disease.

  12. A longitudinal study of organizational formation, innovation adoption, and dissemination activities within the National Drug Abuse Treatment Clinical Trials Network.

    Science.gov (United States)

    Roman, Paul M; Abraham, Amanda J; Rothrauff, Tanja C; Knudsen, Hannah K

    2010-06-01

    The National Institute on Drug Abuse established the National Drug Abuse Treatment Clinical Trials Network (CTN) to conduct trials of promising substance abuse treatment interventions in diverse clinical settings and to disseminate results of these trials. This article focuses on three dimensions of CTN's organizational functioning. First, a longitudinal dataset is used to examine CTN's formation as a network of interorganizational interaction among treatment practitioners and researchers. Data indicate strong relationships of interaction and trust, but a decline in problem-centered interorganizational interaction over time. Second, adoption of buprenorphine and motivational incentives among CTN's affiliated community treatment programs (CTPs) is examined over three waves of data. Although adoption is found to increase with CTPs' CTN participation, there is only modest evidence of widespread penetration and implementation. Third, CTPs' pursuit of the CTN's dissemination goals are examined, indicating that such organizational outreach activities are underway and likely to increase innovation diffusion in the future.

  13. More than 5000 patients with metastatic melanoma in Europe per year do not have access to recommended first-line innovative treatments

    DEFF Research Database (Denmark)

    Kandolf Sekulovic, L.; Peris, Ketty; Hauschild, A.

    2017-01-01

    treated with innovative medicines and a number of reimbursed medicines. Conclusions Great discrepancy exists in metastatic melanoma treatment across Europe. It is crucial to increase the awareness of national and European policymakers, oncological societies, melanoma patients' associations and pharma...

  14. State of the art: diagnostic tools and innovative therapies for treatment of advanced thymoma and thymic carcinoma.

    Science.gov (United States)

    Ried, Michael; Marx, Alexander; Götz, Andrea; Hamer, Okka; Schalke, Berthold; Hofmann, Hans-Stefan

    2016-06-01

    In this review article, state-of-the-art diagnostic tools and innovative treatments of thymoma and thymic carcinoma (TC) are described with special respect to advanced tumour stages. Complete surgical resection (R0) remains the standard therapeutic approach for almost all a priori resectable mediastinal tumours as defined by preoperative standard computed tomography (CT). If lymphoma or germ-cell tumours are differential diagnostic considerations, biopsy may be indicated. Resection status is the most important prognostic factor in thymoma and TC, followed by tumour stage. Advanced (Masaoka-Koga stage III and IVa) tumours require interdisciplinary therapy decisions based on distinctive findings of preoperative CT scan and ancillary investigations [magnetic resonance imaging (MRI)] to select cases for primary surgery or neoadjuvant strategies with optional secondary resection. In neoadjuvant settings, octreotide scans and histological evaluation of pretherapeutic needle biopsies may help to choose between somatostatin agonist/prednisolone regimens and neoadjuvant chemotherapy as first-line treatment. Finally, a multimodality treatment regime is recommended for advanced and unresectable thymic tumours. In conclusion, advanced stage thymoma and TC should preferably be treated in experienced centres in order to provide all modern diagnostic tools (imaging, histology) and innovative therapy techniques. Systemic and local (hyperthermic intrathoracic chemotherapy) medical treatments together with extended surgical resections have increased the therapeutic options in patients with advanced or recurrent thymoma and TC. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  15. The understanding and interpretation of innovative technology-enabled multidimensional physical activity feedback in patients at risk of future chronic disease.

    Directory of Open Access Journals (Sweden)

    Max J Western

    Full Text Available Innovative physical activity monitoring technology can be used to depict rich visual feedback that encompasses the various aspects of physical activity known to be important for health. However, it is unknown whether patients who are at risk of chronic disease would understand such sophisticated personalised feedback or whether they would find it useful and motivating. The purpose of the present study was to determine whether technology-enabled multidimensional physical activity graphics and visualisations are comprehensible and usable for patients at risk of chronic disease.We developed several iterations of graphics depicting minute-by-minute activity patterns and integrated physical activity health targets. Subsequently, patients at moderate/high risk of chronic disease (n=29 and healthcare practitioners (n=15 from South West England underwent full 7-days activity monitoring followed by individual semi-structured interviews in which they were asked to comment on their own personalised visual feedback Framework analysis was used to gauge their interpretation and of personalised feedback, graphics and visualisations.We identified two main components focussing on (a the interpretation of feedback designs and data and (b the impact of personalised visual physical activity feedback on facilitation of health behaviour change. Participants demonstrated a clear ability to understand the sophisticated personal information plus an enhanced physical activity knowledge. They reported that receiving multidimensional feedback was motivating and could be usefully applied to facilitate their efforts in becoming more physically active.Multidimensional physical activity feedback can be made comprehensible, informative and motivational by using appropriate graphics and visualisations. There is an opportunity to exploit the full potential created by technological innovation and provide sophisticated personalised physical activity feedback as an adjunct to

  16. The understanding and interpretation of innovative technology-enabled multidimensional physical activity feedback in patients at risk of future chronic disease.

    Science.gov (United States)

    Western, Max J; Peacock, Oliver J; Stathi, Afroditi; Thompson, Dylan

    2015-01-01

    Innovative physical activity monitoring technology can be used to depict rich visual feedback that encompasses the various aspects of physical activity known to be important for health. However, it is unknown whether patients who are at risk of chronic disease would understand such sophisticated personalised feedback or whether they would find it useful and motivating. The purpose of the present study was to determine whether technology-enabled multidimensional physical activity graphics and visualisations are comprehensible and usable for patients at risk of chronic disease. We developed several iterations of graphics depicting minute-by-minute activity patterns and integrated physical activity health targets. Subsequently, patients at moderate/high risk of chronic disease (n=29) and healthcare practitioners (n=15) from South West England underwent full 7-days activity monitoring followed by individual semi-structured interviews in which they were asked to comment on their own personalised visual feedback Framework analysis was used to gauge their interpretation and of personalised feedback, graphics and visualisations. We identified two main components focussing on (a) the interpretation of feedback designs and data and (b) the impact of personalised visual physical activity feedback on facilitation of health behaviour change. Participants demonstrated a clear ability to understand the sophisticated personal information plus an enhanced physical activity knowledge. They reported that receiving multidimensional feedback was motivating and could be usefully applied to facilitate their efforts in becoming more physically active. Multidimensional physical activity feedback can be made comprehensible, informative and motivational by using appropriate graphics and visualisations. There is an opportunity to exploit the full potential created by technological innovation and provide sophisticated personalised physical activity feedback as an adjunct to support behaviour

  17. Frog Appliance- An Innovative Treatment Option for the Replacement of Missing Teeth in An Epileptic Child

    Science.gov (United States)

    Goyal, Anita; Reddy, Hanumanth; Sajjnar, Arun B; Jain, Sonal

    2015-01-01

    Epilepsy is a chronic neurological disease which may result in various oro-facial injuries among which fracture of crown and avulsion of tooth are commonly reported. Challenges come in growing epileptic children where fixed prosthesis could not be delivered and it demands a fixed semi-permanent prosthesis that needs strength along with esthetics. The present paper reports an innovative appliance which has fulfilled fore mentioned criteria; with the appliance named-frog appliance. PMID:26155578

  18. Rethinking the patient: using Burden of Treatment Theory to understand the changing dynamics of illness.

    Science.gov (United States)

    May, Carl R; Eton, David T; Boehmer, Kasey; Gallacher, Katie; Hunt, Katherine; MacDonald, Sara; Mair, Frances S; May, Christine M; Montori, Victor M; Richardson, Alison; Rogers, Anne E; Shippee, Nathan

    2014-06-26

    In this article we outline Burden of Treatment Theory, a new model of the relationship between sick people, their social networks, and healthcare services. Health services face the challenge of growing populations with long-term and life-limiting conditions, they have responded to this by delegating to sick people and their networks routine work aimed at managing symptoms, and at retarding - and sometimes preventing - disease progression. This is the new proactive work of patient-hood for which patients are increasingly accountable: founded on ideas about self-care, self-empowerment, and self-actualization, and on new technologies and treatment modalities which can be shifted from the clinic into the community. These place new demands on sick people, which they may experience as burdens of treatment. As the burdens accumulate some patients are overwhelmed, and the consequences are likely to be poor healthcare outcomes for individual patients, increasing strain on caregivers, and rising demand and costs of healthcare services. In the face of these challenges we need to better understand the resources that patients draw upon as they respond to the demands of both burdens of illness and burdens of treatment, and the ways that resources interact with healthcare utilization. Burden of Treatment Theory is oriented to understanding how capacity for action interacts with the work that stems from healthcare. Burden of Treatment Theory is a structural model that focuses on the work that patients and their networks do. It thus helps us understand variations in healthcare utilization and adherence in different healthcare settings and clinical contexts.

  19. Understanding the perceptions of and emotional barriers to infertility treatment: a survey in four European countries.

    Science.gov (United States)

    Domar, Alice; Gordon, Keith; Garcia-Velasco, Juan; La Marca, Antonio; Barriere, Paul; Beligotti, Fabiola

    2012-04-01

    Infertility can significantly impact women's lives and personal relationships. Despite the negative impact of infertility, a significant number of women who are struggling to conceive do not consult a physician. This cross-sectional survey was conducted to determine the emotional impact of infertility on women to identify which aspects of fertility treatment contribute to the psychological stress experienced by so many patients and to identify barriers to seeking treatment. Women (n = 445; 18-44 years) who had received fertility treatment within the past 2 years or were having trouble conceiving but had not received treatment, completed a 15-min survey online. Participants were from France (n = 108), Germany (n = 111), Italy (n = 112) and Spain (n = 114). Responses indicated that infertility causes a range of emotions and can strain relationships. Women who had received treatment were more likely to feel hopeful (26 versus 21%) and closer to their partner than women not in treatment (33 versus 19%, P < 0.05). Most women delayed starting treatment because of a desire to conceive naturally, and on the advice of physicians. Women aged ≥35 years took longer to seek help with their fertility issues. Injection-related anxiety was the second greatest barrier to treatment. This study has provided insight into the physical and psychological challenges of infertility treatments and permitted a better understanding of the factors that impact patient lives. A treatment protocol with minimal injections and provision of additional information may lessen the emotional impact and challenges of infertility and contribute to patient satisfaction with fertility treatment protocols.

  20. Community treatment adoption of contingency management: a conceptual profile of U.S. clinics based on innovativeness of executive staff.

    Science.gov (United States)

    Hartzler, Bryan; Rabun, Carl

    2013-07-01

    Community adoption of contingency management (CM) varies considerably, and executive innovativeness may help explain variance due to its presumed influence on clinic decision-making. Sixteen U.S. opioid treatment programs (OTPs) were visited, with ethnographic interviewing used in casual contacts with executives to inform their eventual classification by study investigators into one of Rogers' (2003) five adopter categories. Audio-recorded interviews were also conducted individually with the executive and three staff members (N = 64) wherein they reported reactions to clinic CM implementation during the prior year, from which study investigators later identified salient excerpts during interview transcript reviews. The executive sample was progressive, with 56% classified as innovators or early adopters. Implementation reports and corresponding staff reactions were generally consistent with what might be expected according to diffusion theory. Clinics led by innovators had durably implemented multiple CM applications, for which staff voiced support. Clinics led by early adopters reported CM exposure via research trial participation, with mixed reporting of sustained and discontinued applications and similarly mixed staff views. Clinics led by early majority adopters employed CM selectively for administrative purposes, with staff reticence about its expansion to therapeutic uses. Clinics led by late majority adopters had either deferred or discontinued CM adoption, with typically disenchanted staff views. Clinics led by a laggard executive evidenced no CM exposure and strongly dogmatic staff views against its use. Study findings are consistent with diffusion theory precepts, and illustrate pervasive influences of executive innovativeness on clinic practices and staff impressions of implementation experiences. Published by Elsevier B.V.

  1. Innovative technologies of liquid media treatment in the system of ecological and sanitary-hygienic control of waste landfills

    Directory of Open Access Journals (Sweden)

    Shevchenko Andrey

    2017-01-01

    Full Text Available The article focuses on the scientific and practical aspects of establishing a comprehensive system of environmental compliance for industrial and household waste landfills, including the system of industrial and environmental monitoring and control, modern innovations in the field of instrumental-analytical control of the state of environmental components, new methods of neutralization of complex industrial pollution. Priority is given to wastewater treatment from toxic compounds coming from the surface and drainage water seepage of landfill sites into surface and underground water sources.

  2. Application of Diffusion of Innovations Theory to the TIPs Evaluation Project Results and Beyond.

    Science.gov (United States)

    Hubbard, Susan M.; Huang, Judy Y.; Mulvey, Kevin P.

    2003-01-01

    Summarizes the results from four major studies under the Treatment Improvement Protocols (TIPs) evaluation project and uses the diffusion of innovations theory as a theoretical framework to understand substance abuse treatment providers awareness, attitudes, and practices regarding TIPs. (SLD)

  3. Overview of radiotracer experiments for better understanding of wastewater and water treatment plants in Lima (Peru))

    International Nuclear Information System (INIS)

    Calvo, C.S.; Maghella, G.; Mamani, E.; Berne, P.; Brisset, P.; Leclerc, J.-P.

    2004-01-01

    The objectives of this paper are to present an overview of possible applications of the radiotracers for better understanding of water and waste water treatment plants. Numerous experiments have been carried out in different plants located in Lima. Four processes have been investigated: desanders, floculators, clarifiers and digesters. Depending on the studied process, the experimental results have been interpreted at different levels of complexity: from simple troubleshooting to the modelling of the flow behaviour inside the process. (author)

  4. Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment

    OpenAIRE

    Ribeiro, Gerson Luiz Ulema; Jacob, Helder B.

    2016-01-01

    ABSTRACT Introduction: Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages...

  5. Neonatal respiratory distress: recent progress in understanding pathogenesis and treatment outcomes

    Directory of Open Access Journals (Sweden)

    So Young Kim

    2010-01-01

    Full Text Available Transient tachypnea of the newborn (TTN, respiratory distress syndrome (RDS, and persistent pulmonary hypertension (PPHN are the three most common disorders that cause respiratory distress after birth. An understanding of the pathophysiology of these disorders and the development of effective therapeutic strategies is required to control these conditions. Here, we review recent papers on the pathogenesis and treatment of neonatal respiratory disease.

  6. Understanding the nature of apraxia of speech: Theory, analysis, and treatment

    Directory of Open Access Journals (Sweden)

    Kirrie J. Ballard

    2010-08-01

    Full Text Available Researchers have interpreted the behaviours of individuals with acquired apraxia of speech (AOS as impairment of linguistic phonological processing, motor control, or both. Acoustic, kinematic, and perceptual studies of speech in more recent years have led to significant advances in our understanding of the disorder and wide acceptance that it affects phonetic - motoric planning of speech. However, newly developed methods for studying nonspeech motor control are providing new insights, indicating that the motor control impairment of AOS extends beyond speech and is manifest in nonspeech movements of the oral structures. We present the most recent developments in theory and methods to examine and define the nature of AOS. Theories of the disorder are then related to existing treatment approaches and the efficacy of these approaches is examined. Directions for development of new treatments are posited. It is proposed that treatment programmes driven by a principled account of how the motor system learns to produce skilled actions will provide the most efficient and effective framework for treating motorbased speech disorders. In turn, well controlled and theoretically motivated studies of treatment efficacy promise to stimulate further development of theoretical accounts and contribute to our understanding of AOS.

  7. 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...

  8. Understanding the mechanisms of thermal disintegrating treatment in the reduction of sludge production.

    Science.gov (United States)

    Camacho, P; Ginestet, P; Audic, J-M

    2005-01-01

    Among the technologies aimed at reducing sludge production, the combination of thermal treatment at 95 degrees C of sludge and the activated sludge process is a promising route. The feasibility of such a combined process is demonstrated (up to 60% sludge reduction) and the impacts of operating conditions on its efficiency are presented. Major emphasis was put on understanding the complex phenomena occurring within the thermal treatment: release and biodegradability of sludge organic matter, impact on the biological activity (decay, maintenance requirements, etc.). These effects were taken into account for the development of an ASM1-based model. Comparison between the modeling approach and experimental data (continuous and batch) showed that thermal treatment had three major issues partly explaining the reduction of sludge production: (i) a low release of organics; (ii) an immediate and reversible biological inactivation associated with additional maintenance energy requirements; and (iii) a potential inert production.

  9. Evaluating Application of Innovative Technologies to the Operation of a Wastewater Treatment Plant

    National Research Council Canada - National Science Library

    Eick, John

    1999-01-01

    An Advanced Wastewater Treatment Plant (AWTP) was installed at Camp Lejeune, NC, that incorporated tertiary treatment processes designed to protect the nutrient-sensitive nature of the receiving stream, the New River...

  10. Approving cancer treatments based on endpoints other than overall survival: an analysis of historical data using the PACE Continuous Innovation Indicators™ (CII).

    Science.gov (United States)

    Brooks, Neon; Campone, Mario; Paddock, Silvia; Shortenhaus, Scott; Grainger, David; Zummo, Jacqueline; Thomas, Samuel; Li, Rose

    2017-01-01

    There is an active debate about the role that endpoints other than overall survival (OS) should play in the drug approval process. Yet the term 'surrogate endpoint' implies that OS is the only critical metric for regulatory approval of cancer treatments. We systematically analyzed the relationship between U.S. Food and Drug Administration (FDA) approval and publication of OS evidence to understand better the risks and benefits of delaying approval until OS evidence is available. Using the PACE Continuous Innovation Indicators (CII) platform, we analyzed the effects of cancer type, treatment goal, and year of approval on the lag time between FDA approval and publication of first significant OS finding for 53 treatments approved between 1952 and 2016 for 10 cancer types (n = 71 approved indications). Greater than 59% of treatments were approved before significant OS data for the approved indication were published. Of the drugs in the sample, 31% had lags between approval and first published OS evidence of 4 years or longer. The average number of years between approval and first OS evidence varied by cancer type and did not reliably predict the eventual amount of OS evidence accumulated. Striking the right balance between early access and minimizing risk is a central challenge for regulators worldwide. We illustrate that endpoints other than OS have long helped to provide timely access to new medicines, including many current standards of care. We found that many critical drugs are approved many years before OS data are published, and that OS may not be the most appropriate endpoint in some treatment contexts. Our examination of approved treatments without significant OS data suggests contexts where OS may not be the most relevant endpoint and highlights the importance of using a wide variety of fit-for-purpose evidence types in the approval process.

  11. Humanistic psychotherapy research 1990-2015: from methodological innovation to evidence-supported treatment outcomes and beyond.

    Science.gov (United States)

    Angus, Lynne; Watson, Jeanne Cherry; Elliott, Robert; Schneider, Kirk; Timulak, Ladislav

    2015-01-01

    Over the past 25 years, humanistic psychotherapy (HP) researchers have actively contributed to the development and implementation of innovative practice-informed research measures and coding systems. Qualitative and quantitative research findings, including meta-analyses, support the identification of HP approaches as evidence-based treatments for a variety of psychological conditions. Implications for future psychotherapy research, training, and practice are discussed in terms of addressing the persistent disjunction between significant HP research productivity and relatively low support for HP approaches in university-based clinical training programs, funding agencies, and government-supported clinical guidelines. Finally, specific recommendations are provided to further enhance and expand the impact of HP research for clinical training programs and the development of treatment guidelines.

  12. 1842676957299765Latent class cluster analysis to understand heterogeneity in prostate cancer treatment utilities

    Directory of Open Access Journals (Sweden)

    Meghani Salimah

    2009-01-01

    Full Text Available Abstract Background Men with prostate cancer are often challenged to choose between conservative management and a range of available treatment options each carrying varying risks and benefits. The trade-offs are between an improved life-expectancy with treatment accompanied by important risks such as urinary incontinence and erectile dysfunction. Previous studies of preference elicitation for prostate cancer treatment have found considerable heterogeneity in individuals' preferences for health states given similar treatments and clinical risks. Methods Using latent class mixture model (LCA, we first sought to understand if there are unique patterns of heterogeneity or subgroups of individuals based on their prostate cancer treatment utilities (calculated time trade-off utilities for various health states and if such unique subgroups exist, what demographic and urological variables may predict membership in these subgroups. Results The sample (N = 244 included men with prostate cancer (n = 188 and men at-risk for disease (n = 56. The sample was predominantly white (77%, with mean age of 60 years (SD ± 9.5. Most (85.9% were married or living with a significant other. Using LCA, a three class solution yielded the best model evidenced by the smallest Bayesian Information Criterion (BIC, substantial reduction in BIC from a 2-class solution, and Lo-Mendell-Rubin significance of < .001. The three identified clusters were named high-traders (n = 31, low-traders (n = 116, and no-traders (n = 97. High-traders were more likely to trade survival time associated with treatment to avoid potential risks of treatment. Low-traders were less likely to trade survival time and accepted risks of treatment. The no-traders were likely to make no trade-offs in any direction favouring the status quo. There was significant difference among the clusters in the importance of sexual activity (Pearson's χ2 = 16.55, P = 0.002; Goodman and Kruskal tau = 0.039, P < 0.001. In

  13. Understanding, promoting and protecting geodiversity and geoheritage of the Piemonte region (Italy) through innovative techniques and public engagement in Earth Science studies

    Science.gov (United States)

    Giardino, Marco; Lozar, Francesca; Perotti, Luigi; Palomba, Mauro; Groppo, Chiara; Natalicchio, Marcello; Ghiraldi, Luca; Beltramo, Riccardo; Lombardo, Vincenzo

    2016-04-01

    The onset of Antropocene demonstrates the importance of considering both 1) geodiversity and 2) geoheritage as parts of the landscape "interfaces" where relationships between natural and socio-economic systems can be studied and interpreted. By definition: 1) is the variety, recognizable in nature ("diversity"), of geological features (rocks, minerals, fossils…), of geomorphological environments (and related forms and processes) and of soil characteristics; 2) is an integral part of the global natural heritage focusing on unique, special and representative sites of geological interests (geosites l.s.). In the Antropocene, both 1) and 2) hold a dynamic character, as the result of actions and interactions of natural and/or human factors. Therefore, geodiversity and geoheritage studies are essential for breaking down geological environments and human territories into their main parts and to understand the variables and mechanisms that control their changes. In this perspective, results of the multidisciplinary project PROGEO-Piemonte ("PROactive management of GEOlogical heritage in the Piemonte Region") are presented here: an innovative approach for assessing geodiversity in order to select areas of high potential value of geoheritage to be enhanced by targeted management actions. Since the geodiversity of Piemonte is materialized by elements of high scientific, educational, tourism, etc. value, the geosites where this geoheritage is preserved have been comprehensively analysed and characterized for encompassing both public and private interests. 9 strategic geothematic areas have been selected in the Piemonte Region to test this approach, and to improve social engagement aimed at protecting and promoting geodiversity ad geoheritage. The investigated areas represent the multifaceted geodiversity of Piemonte; each area is characterized by high potential for scientific studies, enhancement of public understanding of science, recreation activities and for economic

  14. South African Muslim Faith Healers perceptions of mental illness: understanding, aetiology and treatment.

    Science.gov (United States)

    Ally, Yaseen; Laher, Sumaya

    2008-03-01

    The important role that religious beliefs may have on perceptions of mental illness cannot be ignored. Many religions including Islam advocate witchcraft and spirit possession--all of which are thought to influence the behaviour of a person so as to resemble that of a mentally ill individual. Thus this research explored Muslim Faith Healers perceptions of mental and spiritual illness in terms of their understanding of the distinctions between the two, the aetiologies and the treatments thereof. Six Muslim Healers in the Johannesburg community were interviewed and thematic content analysis was used to analyse the data. From the results it is clear that the faith healers were aware of the distinction between mental and spiritual illnesses. It was also apparent that Islam has a clear taxonomy that distinguishes illness and the causes thereof. Treatments are then advised accordingly. Thus this paper argues that the predominant Western view of the aetiology and understanding of mental illness needs to acknowledge the various culturally inclined taxonomies of mental illness so as to better understand and aid clients.

  15. The experimental autoimmune encephalomyelitis (EAE) model of MS: utility for understanding disease pathophysiology and treatment

    Science.gov (United States)

    ROBINSON, ANDREW P.; HARP, CHRISTOPHER T.; NORONHA, AVERTANO; MILLER, STEPHEN D.

    2014-01-01

    While no single model can exactly recapitulate all aspects of multiple sclerosis (MS), animal models are essential in understanding the induction and pathogenesis of the disease and to develop therapeutic strategies that limit disease progression and eventually lead to effective treatments for the human disease. Several different models of MS exist, but by far the best understood and most commonly used is the rodent model of experimental autoimmune encephalomyelitis (EAE). This model is typically induced by either active immunization with myelin-derived proteins or peptides in adjuvant or by passive transfer of activated myelin-specific CD4+ T lymphocytes. Mouse models are most frequently used because of the inbred genotype of laboratory mice, their rapid breeding capacity, the ease of genetic manipulation, and availability of transgenic and knockout mice to facilitate mechanistic studies. Although not all therapeutic strategies for MS have been developed in EAE, all of the current US Food and Drug Administration (FDA)-approved immunomodulatory drugs are effective to some degree in treating EAE, a strong indicator that EAE is an extremely useful model to study potential treatments for MS. Several therapies, such as glatiramer acetate (GA: Copaxone), and natalizumab (Tysabri), were tested first in the mouse model of EAE and then went on to clinical trials. Here we discuss the usefulness of the EAE model in understanding basic disease pathophysiology and developing treatments for MS as well as the potential drawbacks of this model. PMID:24507518

  16. WORKSHOPS FOR USE A EDUCACIONAL STIMULUS PATIENT UNDERSTANDING THE ANTICOAGULATION TREATMENT

    Directory of Open Access Journals (Sweden)

    Ingrid Silva Bremer de Toledo

    2016-08-01

    Full Text Available Specialized clinics in anticoagulation are important to guide patients in treatment about dosage, interactions and adverse effects of anticoagulants, promoting greater safety and therapeutic efficacy. The purpose of this article is to perceive the understanding of patients on anticoagulant therapy before and after participating in educational workshops promoted by the anticoagulation clinic. The article is a qualitative case study, in which were made interviews and further analysis of its contents. The study was conducted in a general public hospital in Minas Gerais, which treats patients with indication to use Warfarin. While waiting for the result of blood collection for measuring the INR, patients participated in educational workshops, which were divided into four themes. Photographs were presented to patients who agreed to participate, and such patients were asked whether these pictures resembled something related to treatment. After data collection and transcription of the interviews, the data were subjected to content analysis. The workshops have provided important exchange of experiences among participants, showing that communication is important to better understand the health problems and treatment. The photographs are very important tools to rescue the memory, as the reports of the participants after the workshops were richer in learning and experiences.

  17. Virtual reality in the assessment, understanding, and treatment of mental health disorders.

    Science.gov (United States)

    Freeman, D; Reeve, S; Robinson, A; Ehlers, A; Clark, D; Spanlang, B; Slater, M

    2017-10-01

    Mental health problems are inseparable from the environment. With virtual reality (VR), computer-generated interactive environments, individuals can repeatedly experience their problematic situations and be taught, via evidence-based psychological treatments, how to overcome difficulties. VR is moving out of specialist laboratories. Our central aim was to describe the potential of VR in mental health, including a consideration of the first 20 years of applications. A systematic review of empirical studies was conducted. In all, 285 studies were identified, with 86 concerning assessment, 45 theory development, and 154 treatment. The main disorders researched were anxiety (n = 192), schizophrenia (n = 44), substance-related disorders (n = 22) and eating disorders (n = 18). There are pioneering early studies, but the methodological quality of studies was generally low. The gaps in meaningful applications to mental health are extensive. The most established finding is that VR exposure-based treatments can reduce anxiety disorders, but there are numerous research and treatment avenues of promise. VR was found to be a much-misused term, often applied to non-interactive and non-immersive technologies. We conclude that VR has the potential to transform the assessment, understanding and treatment of mental health problems. The treatment possibilities will only be realized if - with the user experience at the heart of design - the best immersive VR technology is combined with targeted translational interventions. The capability of VR to simulate reality could greatly increase access to psychological therapies, while treatment outcomes could be enhanced by the technology's ability to create new realities. VR may merit the level of attention given to neuroimaging.

  18. Why did we make that cheese? An empirically based framework for understanding what drives innovation activities in a low-tech industry

    DEFF Research Database (Denmark)

    Harmsen, Hanne; Grunert, Klaus G.

    The interplay between R&D skills and competencies and market skills and competencies is in the more recent product development literature seen as a major determinant of success for innovation. The study reported in this paper was done in order to more light on these two contructs in a traditionally...... and explaining innovation success in the case material. A new set of constructs focusing on what causes specific innovation activities to occur is prop and a revised framework is developed....

  19. Understanding low uptake of mass treatment for intestinal schistosomiasis among school children

    DEFF Research Database (Denmark)

    Muhumuza, Simon; Olsen, Annette; Nuwaha, Fred

    2015-01-01

    -effects of praziquantel, especially when the drug is taken on an empty stomach. The institutional, policy and community factors include inadequate preparation and facilitation of teachers and the school feeding policy, which requires parents to take responsibility for providing their children with food while at school...... for children, but also the economic and political aspects of drug distribution, including the school feeding policy.......Despite attempts to control intestinal schistosomiasis through school-based mass drug administration (MDA) with praziquantel using school teachers in Uganda, less than 30% of the school children take the treatment in some areas. The aim of the study was to understand why the uptake of praziquantel...

  20. 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.

  1. 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....

  2. Understanding cancer and its treatment in Thai traditional medicine: An ethnopharmacological-anthropological investigation.

    Science.gov (United States)

    Lumlerdkij, Natchagorn; Tantiwongse, Jaturapat; Booranasubkajorn, Suksalin; Boonrak, Ranida; Akarasereenont, Pravit; Laohapand, Tawee; Heinrich, Michael

    2018-04-24

    Thai traditional medicine (TTM) is widely practiced in Thailand and continues to gain importance in cancer management, but little is known about the TTM practitioners' emic concepts and practice. With this study we firstly aim to document the practice of cancer treatment and prevention by TTM practitioners and, secondly, to evaluate how such traditional concepts and practices are correlated with biomedical ones. This in turn can form the basis for developing novel strategies for designing pharmacological experiments and longer term strategies to develop TTM practice. Semi-structured interviews with 33 TTM practitioners were performed in five provinces in different regions of Thailand. The following information were recorded; basic information of informants, descriptions of cancer (mareng in Thai), causes, diagnosis, treatment, and prevention. Plants used in the treatment and prevention of mareng were also collected. Using an in depth ethnographic approach four representative case studies to assist in a better understanding of the characteristics of mareng, its diagnosis, treatment, and prevention are reported here. Five characteristics of mareng - waste accumulation (khong sia), chronic illnesses (krasai), inflammation (kan aksep), bad blood (luead) and lymph (namlueang), and the imbalance of four basic elements (dhātu si) - have been identified. Explanatory models of cancer in TTM were linked with biomedical concepts and relevant pharmacological actions. Traditional uses and available scientific evidence of medicinal plants mentioned in the case studies for the treatment or prevention of mareng are presented and discussed. Here for the first time five main characteristics of cancer based on Thai traditional medical concepts are analysed. Our findings are relevant not only for the planning of clinical studies or pharmacological experiment in the search for novel compounds for cancer treatment and prevention, but also for the integration of Thai traditional

  3. [Innovations on technology, management and concept are indispensible for scientific research, prevention and treatment of malignant tumor in China].

    Science.gov (United States)

    Cao, G W

    2017-01-10

    Malignant tumor has become the top cause of deaths before the average life expectancy in Chinese population. From the variations in the morbidity rate and mortality rate of malignant tumor in the mainland of China between 2000 and 2011, the primary prevention targeting the risk factors/etiological agents significantly reduced the morbidity rates of gastric cancer, esophageal cancer, and primary liver cancer, therefore reduced the mortality rates of these cancers. However, the contribution of clinical treatments to the mortality reduction was not obviously improved during this period. Importantly, it is necessary to conduct research to identify precancerous lesions and early tumors which are prone to progress to aggressive diseases for the active secondary prevention to avoid over-diagnosis and over-treatment. Multi-center, prospective randomized controlled clinical trials and prognosis evaluation independently carried out by third parts are needed to evaluate the longterm effectiveness of some clinical treatment efficiency for cancers with different histological types. On the basis of a series of population-based studies in China, the prevention and clinical treatments for malignant tumor need innovations on technology, management, and even concept; the mechanisms of "forward placement of strategic pass" for the prevention and control of malignant tumor should be established and improved to reduce the increasing disease burden due to malignant tumor in China.

  4. Perspectives of Japanese oncologists on the health economics of innovative cancer treatments.

    Science.gov (United States)

    Takura, Tomoyuki; Fujiya, Mikihiro; Shimada, Yasuhiro; Kohgo, Yutaka

    2016-08-01

    Few reports have thus far discussed the influence of economic factors on treatment decision-making by patients. The objective of the present study was to clarify the awareness among oncologists of health economics in cancer treatment. The present study was based on the questionnaire regarding health economics in cancer treatment carried out by the Japan Society of Clinical Oncology (JSCO) in July 2013. The subjects were trustees registered with JSCO. The survey investigated the influence of medical expenses on patient access to and selection of medical treatment in order to clarify the primary attributes of the respondents and their awareness of economics. The study also investigated the maximum allowable public medical expenses to prolong the life expectancy of a cancer patient by 1 year and the factors that can influence treatment selection. The 172 respondents had completed a mean of 30.3 ± 6.2 postgraduate years, and the mean number of patients they treated annually was 1323 ± 1963. The degree of treatment accessibility among patients was perceived positively by 112 (71.3 %) and negatively by 49 (28.7 %) of the respondents, irrespective of medical expenses. Of the 172 respondents, 66 (41.0 %) believed that the maximum allowable medical expenses for cancer treatment should be ≤4 million yen/LY, with 62 (39.8 %) reporting a value of 4.01-8 million yen/LY. The findings of this study suggest that a certain range of medical expenses has come to be regarded as the standard range of medical expenses for cancer treatment among oncologists, with answers based on the premise that patients should have access to effective medical treatment.

  5. Understanding Whole Systems Change in Health Care: Insights into System Level Diffusion from Nursing Service Delivery Innovations--A Multiple Case Study

    Science.gov (United States)

    Berta, Whitney; Virani, Tazim; Bajnok, Irmajean; Edwards, Nancy; Rowan, Margo

    2014-01-01

    Our study responds to calls for theory-driven approaches to studying innovation diffusion processes in health care. While most research on diffusion in health care is situated at the service delivery level, we study innovations and associated processes that have diffused to the system level, and refer to work on complex adaptive systems and whole…

  6. Role of Perceived Fair Interpersonal Treatment and Organization-Based Self-Esteem in Innovative Work Behavior in a Nigerian Bank

    Directory of Open Access Journals (Sweden)

    Oluyinka Ojedokun

    2012-10-01

    Full Text Available The purpose of this study is to examine the role of perceived fair interpersonal treatment, organization-based self-esteem, and some demographic characteristics in innovative work behavior among employees of a Nigerian bank. Data were collected from a randomly selected sample of 185 employees through a structured questionnaire. Hierarchical multiple regression and One-Way Analysis of Variance were carried out to test hypotheses. The results reveal significant positive influence of perceived fair interpersonal treatment and organization-based self-esteem on innovative work behavior. Lastly, the results show significant effect of level of education on innovative work behavior. The findings suggest that perceived fair interpersonal treatment and organization-based self-esteem are important predictors of innovative work behavior. Therefore, organizations should focus on improving the levels of organizational based self-esteem among employees who scored low on this trait by providing more recognition and importance. They should also strive to ensure fair interpersonal treatment among employees in order to promote motivation to engage in innovative work behavior.

  7. 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

  8. Innovative approach for prevention and treatment of post subarachnoid hemorrhage vasospasm: A preliminary report.

    Science.gov (United States)

    Venkataramana, Neelam K; Rao, Shailesh A V; Naik, Arun L; Shetty, Kishore; Murthy, Paparaja; Bansal, Abhilash; Panotopoulos, Christos

    2012-04-01

    More than one third of patients with subarachnoid hemorrhage (SAH) develop clinically significant vasospasm, as a leading morbidity and mortality factor for these patients. It is widely accepted that a) Degradation products of blood are the causative factors of vasospasm b) The amount of subarachnoid blood seen on admission CT is correlated to the risk of vasospasm c) Reducing the subarachnoid clot burden at the time of surgery reduces the risk of vasospasm. But there is no existing method to clear the blood from subarachnoid spaces satisfactorily. We have evaluated safety and feasibility of fluid exchange catheter system in SAH, to achieve this goal. We were successful in clearing cisternal blood in three patients with aneurysmal rupture with fluid exchange catheter system. Baseline CT scan of brain was performed immediately after the surgery and then at the end of irrigation. The amount of subarachnoid blood was evaluated. This innovative, fluid exchange catheter system infuses and aspirates micro volumes of drug solution in a cyclic mode, ensuring isobaric exchange of fluids. The result is good clearance of blood in subarachnoid spaces were seen in all the patients. Also, significant improvement in neurological deficits secondary to vasospasm was seen. We conclude that the fluid exchange catheter system is safe and adoptable in neurosurgical practice.

  9. Effects of an innovative strategy to contain grapevine Bois noir: field treatment with resistance inducers.

    Science.gov (United States)

    Romanazzi, Gianfranco; Murolo, Sergio; Feliziani, Erica

    2013-08-01

    Grapevine Bois noir (BN) is a phytoplasma disease that is widespread in most viticultural regions of the world, and it can result in heavy reductions to yields and grape juice quality. At present, there is no effective strategy to reduce the incidence of BN-infected grapevines. However, phytoplasma-infected plants can recover through spontaneous or induced symptom remission. Five elicitors (chitosan, two glutathione-plus-oligosaccharine formulations, benzothiadiazole, and phosetyl-Al) were applied weekly to the canopy of BN-infected 'Chardonnay' grapevines from early May to late July. The best and most constant recovery inductions were obtained with benzothiadiazole and the two glutathione-plus-oligosaccharine formulations. The plants that recovered naturally or following the elicitors showed qualitative and quantitative parameters of production no different from healthy plants. In another vineyard, diseased plants showed reduced shoot length and production compared with healthy plants, and there were no negative effects on these parameters for grapevines sprayed with a glutathione-plus-oligosaccharine formulation. The application of resistance inducers promoted the recovery of BN-infected grapevines with no adverse effects on the plants. Therefore, grapevine can be used as a model species to test this innovative strategy to contain phytoplasma diseases.

  10. Marion duPont Scott Equine Medical Center uses innovative lameness treatment

    OpenAIRE

    Lee, Kate

    2009-01-01

    Virginia Tech's Marion duPont Scott Equine Medical Center is now offering an equine lameness therapy that prevents further degeneration of the affected joint and offers a longer-lasting benefit than traditional steroid treatment.

  11. Environmental performance of an innovative waste refinery based on enzymatic treatment

    DEFF Research Database (Denmark)

    Tonini, Davide; Astrup, Thomas

    2011-01-01

    ) from the waste. The waste refinery was compared to alternative treatments such as incineration, bioreactor landfill and mechanical-biological treatment followed by utilization of the RDF (refuse-derived fuel) for energy. The performance of the waste refinery turned out to be comparable...... for virgin material and saving fossil resources. In this paper a life-cycle assessment of a pilot-scale waste refinery for the enzymatic treatment of municipal solid waste (MSW) is presented. The refinery produced a liquid (liquefied organic materials and paper) and a solid fraction (non-degradable materials...... with incineration for most environmental categories. Landfilling turned out to be the worst option with respect to most categories (especially energy-related such as GW). The refinery treatment has large margins of improvement with respect to the environmental performance. These are mainly associated...

  12. Mother-infant consultation during drug treatment: Research and innovative clinical practice

    Directory of Open Access Journals (Sweden)

    Lester Barry M

    2008-02-01

    Full Text Available Abstract Background This paper details a model for consulting with mothers and infants, and drug treatment staff used in a residential drug treatment program and relevant to other treatment settings. The role of parent-infant consultation based on the Neonatal Network Neurobehavioral Scale (NNNS was evaluated. Methods A sequential cohort model was used to assign participants to 1. NNNS consultation versus 2. standard care. The effects of NNNS consultation were evaluated using the Parenting Stress Index and NNNS summary scores. Results Participants in the NNNS consultation condition had significantly less stress overall, and less stress related to infant behavior than participants in standard care. There were no differences in infant behavior on the NNNS Summary scores. Conclusion The implications for NNNS consultation in drug treatment programs is outlined. The importance of prevention/intervention to establish satisfactory mother-infant interaction in recovery programs which include a central parenting component is indicated.

  13. An Innovative Membrane Bioreactor Process For Achieving Sustainable Advanced Wastewater Treatment

    Science.gov (United States)

    Chemicals of concern (COCs), such as pharmaceutical chemicals, steroid hormones, and pesticides, have been found to be widely distributed in water and wastewater. Conventionally operated wastewater treatment plants do not provide an effective barrier against the release of these...

  14. Innovative treatment trains of bottom ash (BA) from municipal solid waste incineration (MSWI) in Germany.

    Science.gov (United States)

    Holm, Olaf; Simon, Franz-Georg

    2017-01-01

    The industrial sector of bottom ash (BA) treatment from municipal solid waste incineration (MSWI) in Germany is currently changing. In order to increase the recovery rates of metals or to achieve a higher quality of mineral aggregates derived from BA, new procedures have been either implemented to existing plants or completely new treatment plants have been built recently. Three treatment trains, which are designated as entire sequences of selected processing techniques of BA, are introduced and compared. One treatment train is mainly characterized by usage of a high speed rotation accelerator whereas another is operating completely without crushing. In the third treatment train the BA is processed wet directly after incineration. The consequences for recovered metal fractions and the constitution of remaining mineral aggregates are discussed in the context of legislative and economical frameworks. Today the recycling or disposal options of mineral residues still have a high influence on the configuration and the operation mode of the treatment trains of BA despite of the high value of recovered metals. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Key Challenges in the Search for Innovative Drug Treatments for Special Populations. Converging Needs in Neonatology, Pediatrics, and Medical Genetics.

    Science.gov (United States)

    MacLeod, Stuart

    2017-08-04

    The explosion of knowledge concerning the interplay of genetic and environmental factors determining pathophysiology and guiding therapeutic choice has altered the landscape in pediatric clinical pharmacology and pharmacy. The need for innovative research methods and design expertise for small clinical trials to be undertaken in sparse populations has been accentuated. At the same time, shortfalls in critical human resources represent a key challenge, especially in low- and middle-income countries where the need for new research and education directions is greatest. Unless a specific action plan is urgently developed, there will be a continuing gap in availability of the essential expertise needed to address treatment challenges in special patient populations such as neonates, patients suffering from rare or neglected diseases, and children of all ages.

  16. Citric acid facilitated thermal treatment: An innovative method for the remediation of mercury contaminated soil

    International Nuclear Information System (INIS)

    Ma, Fujun; Peng, Changsheng; Hou, Deyi; Wu, Bin; Zhang, Qian; Li, Fasheng; Gu, Qingbao

    2015-01-01

    Highlights: • Hg content was reduced to <1.5 mg/kg when treated at 400 °C with citric acid. • The treated soil retained most of its original soil physicochemical properties. • Proton provided by citric acid facilitates thermal removal of mercury. • This thermal treatment method is expected to reduce energy input by 35%. - Abstract: Thermal treatment is a promising technology for the remediation of mercury contaminated soils, but it often requires high energy input at heating temperatures above 600 °C, and the treated soil is not suitable for agricultural reuse. The present study developed a novel method for the thermal treatment of mercury contaminated soils with the facilitation of citric acid (CA). A CA/Hg molar ratio of 15 was adopted as the optimum dosage. The mercury concentration in soils was successfully reduced from 134 mg/kg to 1.1 mg/kg when treated at 400 °C for 60 min and the treated soil retained most of its original soil physiochemical properties. During the treatment process, CA was found to provide an acidic environment which enhanced the volatilization of mercury. This method is expected to reduce energy input by 35% comparing to the traditional thermal treatment method, and lead to agricultural soil reuse, thus providing a greener and more sustainable remediation method for treating mercury contaminated soil in future engineering applications.

  17. Citric acid facilitated thermal treatment: An innovative method for the remediation of mercury contaminated soil

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Fujun [State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); Peng, Changsheng [The Key Lab of Marine Environmental Science and Ecology, Ministry of Education, Ocean University of China, Qingdao 266100 (China); Hou, Deyi [Geotechnical and Environmental Research Group, Department of Engineering, University of Cambridge, Cambridge CB2 1PZ (United Kingdom); Wu, Bin; Zhang, Qian; Li, Fasheng [State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); Gu, Qingbao, E-mail: guqb@craes.org.cn [State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing 100012 (China)

    2015-12-30

    Highlights: • Hg content was reduced to <1.5 mg/kg when treated at 400 °C with citric acid. • The treated soil retained most of its original soil physicochemical properties. • Proton provided by citric acid facilitates thermal removal of mercury. • This thermal treatment method is expected to reduce energy input by 35%. - Abstract: Thermal treatment is a promising technology for the remediation of mercury contaminated soils, but it often requires high energy input at heating temperatures above 600 °C, and the treated soil is not suitable for agricultural reuse. The present study developed a novel method for the thermal treatment of mercury contaminated soils with the facilitation of citric acid (CA). A CA/Hg molar ratio of 15 was adopted as the optimum dosage. The mercury concentration in soils was successfully reduced from 134 mg/kg to 1.1 mg/kg when treated at 400 °C for 60 min and the treated soil retained most of its original soil physiochemical properties. During the treatment process, CA was found to provide an acidic environment which enhanced the volatilization of mercury. This method is expected to reduce energy input by 35% comparing to the traditional thermal treatment method, and lead to agricultural soil reuse, thus providing a greener and more sustainable remediation method for treating mercury contaminated soil in future engineering applications.

  18. Fungal Biosorption, An Innovative Treatment for the Decolourisation and Detoxification of Textile Effluents

    Directory of Open Access Journals (Sweden)

    Antonella Pannocchia

    2010-08-01

    Full Text Available Textile effluents are among the most difficult-to-treat wastewaters, due to their considerable amount of recalcitrant and toxic substances. Fungal biosorption is viewed as a valuable additional treatment for removing pollutants from textile wastewaters. In this study the efficiency of Cunninghamella elegans biomass in terms of contaminants, COD and toxicity reduction was tested against textile effluents sampled in different points of wastewater treatment plants. The results showed that C. elegans is a promising candidate for the decolourisation and detoxification of textile wastewaters and its versatility makes it very competitive compared with conventional sorbents adopted in industrial processes.

  19. 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...

  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. Understanding Tremor in Multiple Sclerosis: Prevalence, Pathological Anatomy, and Pharmacological and Surgical Approaches to Treatment

    Directory of Open Access Journals (Sweden)

    Andrés Labiano-Fontcuberta

    2012-09-01

    Full Text Available Background: Given that tremor is one of the most prevalent and disabling features of multiple sclerosis (MS, we will review the most significant milestones in tremor in this disease in recent years, focusing on prevalence, clinical features, anatomical basis, and treatment.Methods: Data for this review were identified by searching MEDLINE with the search terms “multiple sclerosis” and “tremor”. References were also identified from relevant articles published between January 1966 and May 2012.Results: The predominant type of MS tremor is a large-amplitude, postural, and kinetic tremor, which most commonly affects the arms, although tremor can also involve head, neck, vocal cords, and trunk. Involvement of the tongue, jaw, or palate has not been reported. Although the anatomical basis underlying tremor in MS is poorly understood, the link between the cerebellum and the MS-related tremor is supported by clinical and experimental studies. Currently available medication is often unsuccessful in most cases. Surgical treatment can be a satisfactory alternative to treat severe and disabling tremor.Discussion: Tremor in MS patients could be considered as an advanced consequence of the disease and its presence suggests a more aggressive course. MS tremor can be severe and very disabling for a small group of patients. Treatment of MS tremor remains a great challenge. Recent studies suggest that dissociating tremor from cerebellar dysfunction using selected clinical tests would be the key issue to successful surgical treatment. Understanding the pathophysiology and biochemistry of tremor production in MS may lead to new therapeutic approaches.

  2. Innovation In Namibia: Preserving Private Health Insurance And HIV/AIDS Treatment

    NARCIS (Netherlands)

    Schellekens, Onno P.; de Beer, Ingrid; Lindner, Marianne E.; van Vugt, Michele; Schellekens, Peter; de Wit, Tobias F. Rinke

    2009-01-01

    Namibia, a lower-middle-income country in sub-Saharan Africa, suffers from a huge HIV/AIDS burden. An influx of donor funding in 2004-2007 increased support for publicly provided HIV care and treatment. This raised concern that private funding would be "crowded out," thereby leading to a reduction

  3. Thermal Treatment of Hydrocarbon-Impacted Soils: A Review of Technology Innovation for Sustainable Remediation

    Directory of Open Access Journals (Sweden)

    Julia E. Vidonish

    2016-12-01

    Full Text Available Thermal treatment technologies hold an important niche in the remediation of hydrocarbon-contaminated soils and sediments due to their ability to quickly and reliably meet cleanup standards. However, sustained high temperature can be energy intensive and can damage soil properties. Despite the broad applicability and prevalence of thermal remediation, little work has been done to improve the environmental compatibility and sustainability of these technologies. We review several common thermal treatment technologies for hydrocarbon-contaminated soils, assess their potential environmental impacts, and propose frameworks for sustainable and low-impact deployment based on a holistic consideration of energy and water requirements, ecosystem ecology, and soil science. There is no universally appropriate thermal treatment technology. Rather, the appropriate choice depends on the contamination scenario (including the type of hydrocarbons present and on site-specific considerations such as soil properties, water availability, and the heat sensitivity of contaminated soils. Overall, the convergence of treatment process engineering with soil science, ecosystem ecology, and plant biology research is essential to fill critical knowledge gaps and improve both the removal efficiency and sustainability of thermal technologies.

  4. Innovative systems for mixed waste retrieval and/or treatment in confined spaces

    International Nuclear Information System (INIS)

    Fekete, L.J.; Ghusn, A.E.

    1993-03-01

    Fernald established operations in 1951 and produced uranium and other metals for use at other DOE facilities. A part of the sitewide remediation effort is the removal, treatment, and disposal of the K-65 wastes from Silos 1 and 2. These silos contain radium-bearing residues from the processing of pitchblende ore. An Engineering Evaluation/Cost Analysis was prepared to evaluate the removal action alternatives using the preliminary characterization data and select a preferred alternative. The selected alternative consisted of covering the K-65 residues and the silo dome. The remediation of the K-65 wastes consists of the retrieval and treatment of the wastes prior to final disposal, which has not yet been determined. Treatment will be performed in a new facility to be built adjacent to the silos. The wastes must be retrieved from silos in an efficient and reliable way and delivered to the treatment facility. The first challenge of covering the wastes with bentonite has been successfully met. The second phase of retrieving the wastes from the silos is not due for a few years. However, conceptual design and configuration of the retrieval system have been developed as part of the Conceptual Design Report. The system is based on the utilization of hydraulic mining techniques, and is based on similar successful applications. This report describes the emplacement of the bentonite grant and the design for the slurry retrieval system

  5. [Understanding and treatment strategy of the pathogenesis of periodontal disease based on chronic inflammation].

    Science.gov (United States)

    Murakami, Tomohiko

    2016-05-01

    Prolonged inflammation continuously promotes the infiltration of macrophages in the organization and chronically induces the production of pro-inflammatory cytokines such as TNF and IL-1. In periodontal tissues, these inflammatory cytokines enhance the differentiation and activity of osteoclasts, which cause destruction of the alveolar bone. Therefore, inhibition of inflammatory cytokine production leads to the prevention or treatment of periodontal disease. IL-1 is a pro-inflammatory cytokine that strongly enhances the bone-resorbing activity of osteoclasts. Elucidation of mechanisms for the production of IL-1 is critical for understanding the pathogenesis of periodontal disease. This paper reviews recent findings of the molecular mechanisms regulating IL-1 production and focuses on inflammasome.

  6. Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment.

    Science.gov (United States)

    Ribeiro, Gerson Luiz Ulema; Jacob, Helder B

    2016-01-01

    Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages. Friction mechanics or sliding mechanics is attractive because of its simplicity; the space site is closed by means of elastics or coil springs to provide force, and the brackets slide on the orthodontic archwire. On the other hand, frictionless mechanics uses loop bends to generate force to close the space site, allowing differential moments in the active and reactive units, leading to a less or more anchorage control, depending on the situation. This article will discuss various theoretical aspects and methods of space closure based on biomechanical concepts.

  7. Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Gerson Luiz Ulema Ribeiro

    2016-04-01

    Full Text Available ABSTRACT Introduction: Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages. Friction mechanics or sliding mechanics is attractive because of its simplicity; the space site is closed by means of elastics or coil springs to provide force, and the brackets slide on the orthodontic archwire. On the other hand, frictionless mechanics uses loop bends to generate force to close the space site, allowing differential moments in the active and reactive units, leading to a less or more anchorage control, depending on the situation. Objective: This article will discuss various theoretical aspects and methods of space closure based on biomechanical concepts.

  8. Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis.

    Science.gov (United States)

    Dempster, Nicole R; Wildman, Beth G; Masterson, Tracy L; Omlor, Gregory J

    2017-10-01

    Children's health beliefs are significantly related to their adherence; however, pediatric literature has rarely tested health-related theories as a whole. The goal of the present study was to evaluate the use of the health belief model (HBM) in understanding children's adherence, both globally and to individual treatment components. Thirty-three patient-parent dyads completed questionnaires regarding health beliefs and adherence to medical regimens. Multiple linear regressions found a significant relationship among the HBM variables and reports of global adherence for children and parents. For children, the HBM variables were significantly related to adherence to aerosol medications, aerosol antibiotics, metered dose inhalers, and vitamins. For parents, the HBM variables were significantly related to children's adherence to airway clearance, oral antibiotics, and vitamins. Paired sample t tests found children and parents had significantly discrepant heath beliefs. These findings provide further support for the HBM in evaluating pediatric adherence, with evidence that barriers and cues to action may be targets for early intervention. Future research using this model to identify a comprehensive way to assess, understand, and elicit change in the adherence to medical regimens for youth with chronic illness would be beneficial.

  9. Nucleic Acids in Human Glioma Treatment: Innovative Approaches and Recent Results

    Directory of Open Access Journals (Sweden)

    S. Catuogno

    2012-01-01

    Full Text Available Gliomas are the most common primary central nervous system tumors with a dismal prognosis. Despite recent advances in surgery, radiotherapy, and chemotherapy, current treatment regimens have a modest survival benefit. A crucial challenge is to deliver drugs effectively to invasive glioma cells residing in a sanctuary within the central nervous system. New therapies are essential, and oligonucleotide-based approaches, including antisense, microRNAs, small interfering RNAs, and nucleic acid aptamers, may provide a viable strategy. Thanks to their unique characteristics (low size, good affinity for the target, no immunogenicity, chemical structures that can be easily modified to improve their in vivo applications, these molecules may represent a valid alternative to antibodies particularly to overcome challenges presented by the blood-brain barrier. Here we will discuss recent results on the use of oligonucleotides that will hopefully provide new effective treatment for gliomas.

  10. Nucleic Acids in Human Glioma Treatment: Innovative Approaches and Recent Results

    Science.gov (United States)

    Catuogno, S.; Esposito, C. L.; Quintavalle, C.; Condorelli, G.; de Franciscis, V.; Cerchia, L.

    2012-01-01

    Gliomas are the most common primary central nervous system tumors with a dismal prognosis. Despite recent advances in surgery, radiotherapy, and chemotherapy, current treatment regimens have a modest survival benefit. A crucial challenge is to deliver drugs effectively to invasive glioma cells residing in a sanctuary within the central nervous system. New therapies are essential, and oligonucleotide-based approaches, including antisense, microRNAs, small interfering RNAs, and nucleic acid aptamers, may provide a viable strategy. Thanks to their unique characteristics (low size, good affinity for the target, no immunogenicity, chemical structures that can be easily modified to improve their in vivo applications), these molecules may represent a valid alternative to antibodies particularly to overcome challenges presented by the blood-brain barrier. Here we will discuss recent results on the use of oligonucleotides that will hopefully provide new effective treatment for gliomas. PMID:22685651

  11. Use of Superficial Temporal Fascia Flap for Treatment of Postradiation Trismus: An Innovation.

    Science.gov (United States)

    Sharma, Rohit; Roy, Indranil Deb; Deshmukh, Tushar S; Bhandari, Amit

    2015-10-01

    Post radiation trismus severely reduces the quality of life. Radiation causes fibrosis of muscles of mastication resulting in severe restriction of mouth opening. Treatment options are limited as most of the local flaps are in the radiation zone. The present case is the first case in existing literature where, following the release of fibrosis secondary to radiation, superficial temporal fascia (STF) was used to cover the defect with excellent results and no recurrence after a year of follow up.

  12. The role of galenic innovation in improving treatment compliance and persistence: three case studies

    OpenAIRE

    Zoellner, York; Balp,; Gili Marco,

    2011-01-01

    York Zoellner1, Maria-Magdalena Balp2, Andrea Gili Marco21Hamburg University of Applied Sciences, Hamburg, Germany; 2Novartis Pharma AG, Basel, SwitzerlandBackground: The purpose of this study was to explore whether newer galenic formulations with lower treatment burdens are associated with better patient compliance and persistence compared with older more burdensome modalities.Methods: Data from the IMS Disease Analyzer database were analyzed retrospectively for two pairs of analogs (alendro...

  13. Innovations in management of cardiac disease: drugs, treatment strategies and technology.

    Science.gov (United States)

    Foëx, P

    2017-12-01

    Within the last generation, the management of patients with heart disease has been transformed by advances in drug treatments, interventions and diagnostic technologies. The management of arterial hypertension saw beta-blockers demoted from first- to third-line treatment. Recent studies suggest that the goal of treatment may have to change to lower systolic blood pressures to prevent long-term organ damage. Today less than 15% of coronary revascularizations are surgical and more than 85% are done by interventional cardiologists inserting coronary stents. Thus, managing patients on dual antiplatelet therapy has become an important issue. With new generations of coronary stents, recommendations are changing fast. In the past, decisions concerning non-cardiac surgery after acute myocardial infarction were based on the delay between infarction and non-cardiac surgery. Today, the main concern is the patient's status in respect of dual antiplatelet therapy after primary percutaneous intervention. There have been advances in the management of heart failure but new drugs (ivabradine, sacubitril/valsartan) and cardiac resynchronization are recommended only in patients with an ejection fraction below 35% on optimal medication. Heart failure remains a major perioperative risk factor. Prospective studies have shown that troponin elevations represent myocardial injury (not necessarily myocardial infarction), are mostly silent and are associated with increased 30-day mortality. Monitoring (troponin assays) for myocardial injury in non-cardiac surgery (MINS) seems increasingly justified. The treatment of MINS needs further research. Technological advances, such as intelligent, portable monitors benefit not only patients with cardiac disease but all patients who have undergone major surgery and are on the wards postoperatively. © The Author 2017. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please

  14. Numbers of Beauty: An Innovative Aesthetic Analysis for Orthognathic Surgery Treatment Planning.

    Science.gov (United States)

    Marianetti, Tito Matteo; Gasparini, Giulio; Midulla, Giulia; Grippaudo, Cristina; Deli, Roberto; Cervelli, Daniele; Pelo, Sandro; Moro, Alessandro

    2016-01-01

    The aim of this study was to validate a new aesthetic analysis and establish the sagittal position of the maxilla on an ideal group of reference. We want to demonstrate the usefulness of these findings in the treatment planning of patients undergoing orthognathic surgery. We took a reference group of 81 Italian women participating in a national beauty contest in 2011 on which we performed Arnett's soft tissues cephalometric analysis and our new "Vertical Planning Line" analysis. We used the ideal values to elaborate the surgical treatment planning of a second group of 60 consecutive female patients affected by skeletal class III malocclusion. Finally we compared both pre- and postoperative pictures with the reference values of the ideal group. The ideal group of reference does not perfectly fit in Arnett's proposed norms. From the descriptive statistical comparison of the patients' values before and after orthognathic surgery with the reference values we observed how all parameters considered got closer to the ideal population. We consider our "Vertical Planning Line" a useful help for orthodontist and surgeon in the treatment planning of patients with skeletal malocclusions, in combination with the clinical facial examination and the classical cephalometric analysis of bone structures.

  15. MDMA and PTSD treatment: "PTSD: From novel pathophysiology to innovative therapeutics".

    Science.gov (United States)

    Sessa, Ben

    2017-05-10

    There is a range of therapies to treat Post Traumatic Stress Disorder (PTSD) but treatment resistance remains high, with many sufferers experiencing the chronic condition. Engagement in trauma-focused psychotherapy is difficult for some patients with PTSD, especially those with extreme affect dysregulation associated with recall of traumatic memories. In recent years there have been a number of neuroscientific and clinical studies examining the potential role for adjunctive drug-assisted psychotherapy using 3,4,-methylenedioxmethamphetamine (MDMA) as a treatment for PTSD. re-visiting of a novel approach to trauma-focused psychotherapy with Used just two or three times, under careful medical supervision and specialised psychotherapy support MDMA appears to facilitate the recall of traumatic memories without the user feeling overwhelmed by the negative affect that usually accompanies such memories. This therapeutic approach began in the 1980s and was subsequently shelved in the midst of public health concerns surrounding the recreational use of the drug ecstasy. When pharmaceutical grade MDMA is used in a clinical setting it does not share the same risk profiles as ecstasy. Recent phase one neurophysiological studies and phase two clinical studies are showing promise as a potential new approach to managing treatment-resistant PTSD. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

  16. Fistula Fortnight: innovative partnership brings mass treatment and public awareness towards ending obstetric fistula.

    Science.gov (United States)

    Ramsey, K; Iliyasu, Z; Idoko, L

    2007-11-01

    As part of the global Campaign to End Fistula, the Fistula Fortnight, a 2-week mass obstetric fistula treatment project, was organized in northern Nigeria to contribute to reducing the backlog of untreated fistulas and raise awareness regarding obstetric fistulas and safe motherhood. An array of partners joined forces to provide free surgical treatment, strengthen the capacity of existing facilities to manage obstetric fistulas, and utilize media strategies to raise awareness. The Fistula Fortnight took place from February 21 to March 6, 2005, at 4 established fistula repair centers in the northern Nigeria states of Kano, Katsina, Kebbi, and Sokoto. A total of 569 women received treatment, with an 87.8% rate of successful closures. The highly publicized event also raised awareness on the issue of obstetric fistula and helped put a face to maternal deaths. The Fortnight, which required extensive and thoughtful planning involving many persons cognizant of health system and quality of care issues, was effective in drawing attention to the vast fistula problem and contributed to reducing the backlog of patients.

  17. "There is a chain of connections": using syndemics theory to understand HIV treatment side effects.

    Science.gov (United States)

    Gagnon, Marilou

    2018-03-12

    Side effects are central to the experience of living longer with HIV but rarely have they been studied alone. Unlike other aspects of that experience, like quality of life, treatment adherence, chronicity, episodic disability, aging, health, and viral load suppression, side effects have not benefited from the same level of empirical and theoretical engagement from qualitative researchers. In this paper, we draw on syndemics theory and 50 qualitative interviews to better understand the experience of HIV treatment side effects. Two main categories were identified in the data: side effects as a product and side effects as a risk factor. The first category suggests that side effects are not just the product of taking antiretroviral drugs. They are also the product of particular conditions and tend to cluster with other health problems. The second category puts forward the idea that side effects can act as a syndemic risk factor by exposing PLWH to a greater risk of developing health problems and creating conditions in which psychosocial issues are more likely to emerge. The paper concludes by calling for more research on the complex nature of side effects and for the development of comprehensive approaches for the assessment and management of side effects.

  18. The Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Adoption Scale: evaluating the diffusion of a tobacco treatment innovation to a statewide prenatal care program and providers.

    Science.gov (United States)

    Windsor, Richard; Cleary, Sean; Ramiah, Kalpana; Clark, Jeannie; Abroms, Lorien; Davis, Amanda

    2013-01-01

    When a new patient education program is being considered for adoption by a public health agency, it is essential to determine provider perceptions of its acceptability for routine use. In 2007, the West Virginia Bureau of Public Health Perinatal Program, Right From The Start (RFTS), decided to adopt the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Program. RFTS is a statewide perinatal home visitation initiative delivered by designated care coordinators (DCCs). The authors developed the SCRIPT Adoption Scale (SAS) in the absence of a valid instrument to assess the perceived attributes of a tobacco treatment innovation among the RFTS DCC population. They evaluated the validity of the five constructs of the Rogers' Diffusion of Innovations model in an organization (relative advantage, compatibility, complexity, observability, and trialability) to predict SCRIPT use. After reviewing the literature and developing draft SAS forms, 2 expert panel reviews established the face and content validity of a 43-item SAS. It was administered to 90% (85/90) of the RFTS DCC population. Psychometric analyses confirmed the validity and reliability of a 28-item scale. All 28 items had factor loadings greater than 0.40 (range = 0.43-0.81). All SAS subscales were strongly correlated, r = 0.51 to 0.97, supporting the convergent validity of a 5-factor SAS. There was a significant association between the DCC SAS score and DCC SCRIPT Program Implementation Index supporting the SAS convergent (construct) validity (r = 0.38). The SAS internal consistencyr = 0.93 and stabilityr = 0.76. Although 2 specific subscales need to be improved, the SAS can be adapted by prenatal care programs to measure the attributes of adoption of new, evidence-based patient education and counseling methods.

  19. 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...

  20. Innovating in a Government Context: An Evaluation of a Dutch Water Innovation Program Using the Cyclic Innovation Model

    OpenAIRE

    Patrick van der Duin; Hans Hermeler

    2014-01-01

    Innovation is of vital importance, not only to commercial companies, but also to governments. For the Dutch, innovation in the field of water management is even a matter of survival, because much of their country lies below sea level. An evaluation of a water innovation program carried out by the Dutch government, using the cyclic innovation model, shows that there is a broad understanding of innovation, that innovators see innovation as a significant break from the "old" and recognize the co...

  1. Innovative wastewater treatment process with reduced energy consumption and regeneration of nutrients

    DEFF Research Database (Denmark)

    Schmidt, Jens Ejbye; Fitsios, E.; Angelidaki, Irini

    Treatment of municipal wastewater by anaerobic digestion was investigated. A new process is described here, where anaerobic digestion of municipal wastewater is the main step for removal of organic matter, resulting in much lower sludge production. Steps for removal nutrients are also included. T...... and no substrate limitation was observed for the used granules. Experiment with UASB reactors showed COD removal efficiencies between 49-82 for the toal COD and 25-99 for the soluble COD. No significant differences were observed between reactor performance at 22 and 37 degree C....

  2. Sustaining innovation and improvement in the treatment of childhood cancer: lessons from high-income countries.

    Science.gov (United States)

    Pritchard-Jones, Kathy; Pieters, Rob; Reaman, Gregory H; Hjorth, Lars; Downie, Peter; Calaminus, Gabriele; Naafs-Wilstra, Marianne C; Steliarova-Foucher, Eva

    2013-03-01

    Cancer in children and adolescents is rare and biologically very different from cancer in adults. It accounts for 1·4% of all cancers worldwide, although this proportion ranges from 0·5% in Europe to 4·8% in Africa, largely because of differences in age composition and life expectancy. In high-income countries, survival from childhood cancer has reached 80% through a continuous focus on the integration of clinical research into front-line care for nearly all children affected by malignant disease. However, further improvement must entail new biology-driven approaches, since optimisation of conventional treatments has in many cases reached its limits. In many instances, such approaches can only be achieved through international collaborative research, since rare cancers are being subdivided into increasingly smaller subgroups on the basis of their molecular characteristics. The long-term effect of anticancer treatment on quality of life must also be taken into account because more than one in 1000 adults in high-income countries are thought to be survivors of cancer in childhood or adolescence. The introduction of drugs that are less toxic and more targeted than those currently used necessitates a partnership between clinical and translational researchers, the pharmaceutical industry, drug regulators, and patients and their families. This therapeutic alliance will ensure that efforts are focused on the unmet clinical needs of young people with cancer. Most children with cancer live in low-income and middle-income countries, and these countries account for 94% of all deaths from cancer in people aged 0-14 years. The immediate priority for these children is to improve access to an affordable, best standard of care in each country. Every country should have a national cancer plan that recognises the unique demographic characteristics and care needs of young people with cancer. Centralisation of the complex components of treatment of these rare diseases is essential

  3. The last innovation in achalasia treatment; per-oral endoscopic myotomy.

    Science.gov (United States)

    Aslan, Fatih; Akpınar, Zehra; Alper, Emrah; Atay, Aynur; Yurtlu, Derya Aslan; Çekiç, Cem; Bor, Serhat; Ünsal, Belkis

    2015-05-01

    Per-oral endoscopic myotomy (POEM) is a minimally invasive endoscopic treatment option for patients with achalasia and has been performed since 2010. It is less invasive than Heller myotomy and its use is spreading rapidly worldwide. We present our results of POEM that, to the best of our knowledge, are the first cases in Turkey. We enrolled patients between May 2014 and September 2014; 8 patients with achalasia whose complaints recurred after pneumatic balloon dilatation underwent POEM. The procedure was performed under general anesthesia at the endoscopy unit of the gastroenterology clinic. Demographic data was recorded before the procedure, and the results of the procedure were recorded prospectively. The median age of the patients was 42.5 (30-72) years. Preoperative and postoperative median Eckardt scores were 10 (8-12) and 1 (0-2), respectively. The median total duration of the procedure was 101 (71-158) min, and the median myotomy length was 13.5 (10-16) cm. Postoperative oral intake started on median day 1 (1-2) and the length of hospital stay was 4 (3-6) days. In 2 patients, capnoperitoneum developed during the procedure and was treated with a Veress needle. POEM is a safe endoscopic treatment modality for patients with achalasia in centers that are experienced in advanced endoscopic techniques.

  4. Microbiota of Chronic Diabetic Wounds: Ecology, Impact, and Potential for Innovative Treatment Strategies

    Directory of Open Access Journals (Sweden)

    Sónia G. Pereira

    2017-09-01

    Full Text Available World Health Organization considered diabetes as one of the 20th century epidemics, estimating that over 10% of the world population is diabetic or at high risk. Self-assessment studies indicate that diabetic patients consider chronic wounds to affect their quality of life more dramatically than vision loss or renal failure. In addition to being the main reason for diabetic patients’ hospitalization, the economic burden of diabetic chronic wounds is close to 1% of United Kingdom and United States health systems budgets, which exceeds the funds allocated to the treatment of some types of cancer in both countries. Among the factors preceding the emergence of chronic diabetic wounds, also designated diabetic foot ulcers (DFUs, hygiene and pressure in specific areas are under patient control, while others are still far from being understood. A triple impairment in the innervation, immune responses, and vascularization associated to DFU has been extensively studied by the scientific community. However, the skin natural microbiota has only recently emerged as having a tremendous impact on DFU emergence and evolution to chronicity. Despite the great inter- and intra-variability of microbial colonizers, ongoing efforts are now focused on deciphering the impact of commensal and pathogenic microbiota on DFU etiology, as well as the mechanisms of interkingdom microbial–host communication. This review summarizes recent work in this context and offers new microbiological perspectives that may hold potential in the prevention and treatment of chronic diabetic wounds.

  5. Current treatments in Parkinson's including the proposal of an innovative dopamine microimplant

    Directory of Open Access Journals (Sweden)

    M. Velázquez-Paniagua

    2016-04-01

    Full Text Available Parkinson's disease is a chronic, debilitating, progressive neurological disorder of multifactorial origin. It affects between 0.3% and 2% of the over-65 population worldwide, with a predilection for men, and is characterised by bradykinesia, muscular rigidity, resting tremor and postural instability. Parkinson's is caused by decreased dopamine levels due to the loss of dopaminergic neurons in the substantia nigra. Because dopamine is a highly oxidisable molecule, precursors such as levodopa, together with catechol-O-methyltransferase and monoamine oxidase inhibitors to prevent degradation, are used in the treatment of this disease. These therapies, however, are not without their adverse effects. Surgical treatments for Parkinson's include pallidotomy, therapy deep brain stimulation, and stem cells. A more recent development involves a titanium dioxide micro-implant containing nanopores that stabilise the dopamine for continuous release. When inserted into the caudate nucleus, this micro-implant was found to counteract 85% of symptoms in hemiparkinsonian rats, and is a promising therapy for patients with Parkinson's disease.

  6. Integration of an innovative biological treatment with physical or chemical disinfection for wastewater reuse

    Energy Technology Data Exchange (ETDEWEB)

    De Sanctis, Marco, E-mail: marco.desanctis@ba.irsa.cnr.it [Water Research Institute, CNR, Via F. De Blasio 5, 70123 Bari (Italy); Del Moro, Guido [Water Research Institute, CNR, Via F. De Blasio 5, 70123 Bari (Italy); Levantesi, Caterina; Luprano, Maria Laura [Water Research Institute, CNR, Via Salaria Km 29.600, 00015 Monterotondo, RM (Italy); Di Iaconi, Claudio [Water Research Institute, CNR, Via F. De Blasio 5, 70123 Bari (Italy)

    2016-02-01

    In the present paper, the effectiveness of a Sequencing Batch Biofilter Granular Reactor (SBBGR) and its integration with different disinfection strategies (UV irradiation, peracetic acid) for producing an effluent suitable for agricultural use was evaluated. The plant treated raw domestic sewage, and its performances were evaluated in terms of the removal efficiency of a wide group of physical, chemical and microbiological parameters. The SBBGR resulted really efficient in removing suspended solids, COD and nitrogen with an average effluent concentration of 5, 32 and 10 mg/L, respectively. Lower removal efficiency was observed for phosphorus with an average concentration in the effluent of 3 mg/L. Plant effluent was also characterized by an average electrical conductivity and sodium adsorption ratio of 680 μS/cm and 2.9, respectively. Therefore, according to these gross parameters, the SBBGR effluent was conformed to the national standards required in Italy for agricultural reuse. Moreover, disinfection performances of the SBBGR was higher than that of conventional municipal wastewater treatment plants and met the quality criteria suggested by WHO (Escherichia coli < 1000 CFU/100 mL) for agricultural reuse. In particular, the biological treatment by SBBGR removed 3.8 ± 0.4 log units of Giardia lamblia, 2.8 ± 0.8 log units of E. coli, 2.5 ± 0.7 log units of total coliforms, 2.0 ± 0.3 log units of Clostridium perfringens, 2.0 ± 0.4 log units of Cryptosporidium parvum and 1.7 ± 0.7 log units of Somatic coliphages. The investigated disinfection processes (UV and peracetic acid) resulted very effective for total coliforms, E. coli and somatic coliphages. In particular, a UV radiation and peracetic acid doses of 40 mJ/cm{sup 2} and 1 mg/L respectively reduced E. coli content in the effluent below the limit for agricultural reuse in Italy (10 CFU/100 mL). Conversely, they were both ineffective on C.perfringens spores. - Highlights: • SBBGR system showed high

  7. An innovative treatment method for an aqueous waste from the enhanced oil recovery process

    Energy Technology Data Exchange (ETDEWEB)

    Alimahmoodi, M.; Mulligan, C.N. [Concordia Univ., Montreal, Quebec (Canada)

    2009-07-01

    Anaerobic treatment was evaluated to determine its effectiveness in treating a waste stream from the process of Enhanced Oil Recovery (EOR) to remove solubilized CO{sub 2} (98%) and petroleum hydrocarbons (83%) using formate (2 g/L) and sucrose (2.5 g/L) as electron donors in two consecutive reactors. The method of evolutionary operation (EVOP) factorial design was applied to optimize the system and the net energy ratio (NER) of 3.7 was calculated for the system which showed a sustainable biogas production. This method is less complex than other competitive methods, and in addition to its low energy requirements, it can produce CH{sub 4} from CO{sub 2} as a clean source of energy. (author)

  8. Immune Checkpoint Inhibitors: An Innovation in Immunotherapy for the Treatment and Management of Patients with Cancer.

    Science.gov (United States)

    Dine, Jennifer; Gordon, RuthAnn; Shames, Yelena; Kasler, Mary Kate; Barton-Burke, Margaret

    2017-01-01

    Cancer survival rates are generally increasing in the United States. These trends have been partially attributed to improvement in therapeutic strategies. Cancer immunotherapy is an example of one of the newer strategies used to fight cancer, which primes or activates the immune system to produce antitumor effects. The first half of this review paper concisely describes the cell mechanisms that control antitumor immunity and the major immunotherapeutic strategies developed to target these mechanisms. The second half of the review discusses in greater depth immune checkpoint inhibitors that have recently demonstrated tremendous promise for the treatment of diverse solid tumor types, including melanoma, non-small cell lung cancer, and others. More specifically, the mechanisms of action, side effects, and patient and family management and education concerns are discussed to provide oncology nurses up-to-date information relevant to caring for cancer-affected patients treated with immune checkpoint inhibitors. Future directions for cancer immunotherapy are considered.

  9. Phytoremediation of explosives in groundwater using innovative wetlands-based treatment technologies

    Energy Technology Data Exchange (ETDEWEB)

    Sikora, F.J.; Behrends, L.L.; Coonrod, H.S.; Phillips, W.D. [Tennessee Valley Authority, Muscle Shoals, AL (United States). Environmental Research Center; Bader, D.F. [Army Environmental Center, Aberdeen Proving Ground, MD (United States)

    1997-12-31

    Many army ammunition plants across the country have problems with groundwater contaminated with explosives. A field demonstration was initiated at the Milan Army Ammunition Plant near Milan, Tennessee early in 1996 to demonstrate the feasibility of treating contaminated groundwater with constructed wetlands. Two different systems were designed and installed. A lagoon system consisted of two cells in series with each cell having dimensions of 24 x 9.4 x 0.6 m (L x W x H). A gravel-bed system consisted of three gravel-beds operated in series with a primary anaerobic cell having dimensions of 32 x 11 x 1.4 m (L x W x H), followed by a pair of secondary cells each with dimensions of 5.5 x 11 x 1.4 m (L x W x H). The primary cell is maintained anaerobic by adding powdered milk to the water every two weeks. The secondary cells are maintained aerobic via reciprocation, whereby water is pumped back and forth from one cell to another to cause a recurrent fill and drain action. The lagoons were planted with sago pond weed, water stargrass, elodea, and parrot feather. The gravel-bed wetlands were planted with canary grass, wool grass, sweet flag, and parrot feather. Water began flowing to each of the wetland treatment systems at 19 L min{sup {minus}1} starting in June 1996. The design hydraulic retention time through each treatment system was approximately 10 days. Influent and effluent water samples were collected every 2 weeks. Intensive sampling of water interior to the wetlands occurred every 2 months.

  10. The role of galenic innovation in improving treatment compliance and persistence: three case studies.

    Science.gov (United States)

    Zoellner, York; Balp, Maria-Magdalena; Marco, Andrea Gili

    2011-01-01

    The purpose of this study was to explore whether newer galenic formulations with lower treatment burdens are associated with better patient compliance and persistence compared with older more burdensome modalities. Data from the IMS Disease Analyzer database were analyzed retrospectively for two pairs of analogs (alendronate sodium once daily vs once weekly and immediate-release vs extended-release methylphenidate) and one pair of drugs with similar indications but important differences in convenience and dosing instructions (desferrioxamine vs deferasirox). Compliance was calculated as the sum of prescription durations for all prescriptions for each patient over 1 year. Persistence was calculated as the time between first and last prescriptions over 2 years (1 year for deferasirox and desferrioxamine). Data from Germany and the UK were available and used for analysis. Incremental improvements in compliance were +30% in the UK and +26% in Germany for alendronate once weekly vs once daily, +14% in the UK and +19% in Germany for extended-release vs immediate-release methylphenidate, and +15% in Germany for desferrioxamine vs deferasirox. Incremental improvements in persistence were +9 months in the UK and +8 months in Germany for alendronate once weekly vs once daily, +4 months in the UK and +3 months in Germany for extended-release vs immediate-release methylphenidate, and +2 months in Germany for deferasirox vs desferrioxamine. The new formulations that we evaluated were associated with better compliance and persistence compared with older formulations. Despite the fact that some sources of bias could not be excluded, it is likely that these improvements can be attributed to the lower treatment burdens of the galenic formulations of the drugs considered. Further investigation is required to confirm these findings and to determine whether new galenic formulations can improve health outcomes in routine clinical practice.

  11. An innovative treatment method for an aqueous waste from the enhanced oil recovery process

    Energy Technology Data Exchange (ETDEWEB)

    Alimahmoodi, M.; Mulligan, C.N. [Concordia Univ., Montreal, PQ (Canada)

    2009-07-01

    Carbon dioxide (CO{sub 2}) injection is an enhanced oil recovery (EOR) method that reduces the viscosity of oil. It is used in combination with large volumes of water that is injected under pressure into the crude oil zone to increase oil production. A large stream of waste water is generated which is contaminated primarily with dissolved CO{sub 2} and dissolved petroleum hydrocarbons. CO{sub 2} is a significant greenhouse gas and the main cause of global warming. The presence of petroleum hydrocarbons (TPH) in the wastewater can contaminate ground and surface waters with dissolved hydrocarbons that can affect the human central nervous system, blood, immune system, lungs, skin, and eyes. Application of chemical or physiochemical treatment processes for aqueous waste streams containing dissolved gases such as CO{sub 2} has many operational or technical complications such as complexity of the process, application of complex chemicals such as patented solvents, and practical limitations of the methods. The key purpose of this study was to develop a new biological method based on the anaerobic approach to remove CO{sub 2} and TPH as the main contaminants of the aqueous waste stream resulting from crude oil extraction processes. The paper presented the materials and methods, with particular reference to the inoculum; basic elements and nutrients; materials used as electron donors; analytical methods; and experimental approach. It was concluded that the anaerobic approach could be applied efficiently for the treatment of the waste stream from an EOR process containing CO{sub 2} and TPH. 25 refs., 4 tabs., 5 figs.

  12. INNOVATIVE TREATMENTS FOR TAKAYASU’S ARTERITIS: A FOCUS ON INTERLEUKIN-6 INHIBITORS. THE AUTHORS’ EXPERIENCE WITH TOCILIZUMAB AND A REVIEW OF LITERATURE

    Directory of Open Access Journals (Sweden)

    T. V. Beketova

    2017-01-01

    Full Text Available The need for further improvement of treatments for Takayasu’s arteritis (TA, the progress in understanding the mechanisms of the disease, and the introduction of biological agents (BA in rheumatology practice have created preconditions for developing a new TA pharmacotherapy using BA associated with interleukin 6 (IL-6 inhibition. The authors describe their two own cases of tocilizumab (TCZ use for complicated TA. They analyze the results of TCZ treatment by the data of preliminary trials in 115 patients with TA, which have been published in 30 literature sources, as well as the results of Phase III double-blind, randomized placebo-controlled trials (RPCTs of the safety and efficacy of TCZ in 18 patients with refractory TA. In one case with a long history of complicated TA, the control of TA activity and the reduction in the dose of glucocorticoids due to TCZ use contributed to the favorable course of pregnancy and labor. In the other case with the onset of TA and focal pulmonary tuberculosis (TB treated with anti-TB drugs during TCZ monotherapy for 6 months could control TA and achieve TB cure. Preliminary trials showed that TCZ treatment-induced remission or improvement was observed in 85% of patients with TA, including that with a refractory course. RPCTs indicated that the relapse-free survival after 6-month maintenance treatment with TCZ was higher than that in the placebo group (51 and 23%, respectively; but the differences failed to reach statistical significance (p = 0.0596. Due to the fact that a recurrence of TA can occur in patients treated with TCZ, it is appropriate to combine this drug with cytostatic drugs, methotrexate in particular. The use of IL-6 inhibitors should be considered as a potentially effective and relatively safe innovative (off-label treatment for refractory TA in patients with intolerance or contraindications to standard therapy, which requires further larger randomized clinical trials. Since now

  13. Understanding the Role of Serotonin in Female Hypoactive Sexual Desire Disorder and Treatment Options.

    Science.gov (United States)

    Croft, Harry A

    2017-12-01

    (serotonin). Serotonin overactivity is a putative cause of sexual dysfunction in patients with HSDD. The unique pharmacologic profile of flibanserin tones down inhibitory serotonergic function and restores dopaminergic and noradrenergic function. Croft HA. Understanding the Role of Serotonin in Female Hypoactive Sexual Desire Disorder and Treatment Options. J Sex Med 2017;14:1575-1584. Copyright © 2017 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

  14. The role of galenic innovation in improving treatment compliance and persistence: three case studies

    Directory of Open Access Journals (Sweden)

    Gili Marco A

    2011-08-01

    Full Text Available York Zoellner1, Maria-Magdalena Balp2, Andrea Gili Marco21Hamburg University of Applied Sciences, Hamburg, Germany; 2Novartis Pharma AG, Basel, SwitzerlandBackground: The purpose of this study was to explore whether newer galenic formulations with lower treatment burdens are associated with better patient compliance and persistence compared with older more burdensome modalities.Methods: Data from the IMS Disease Analyzer database were analyzed retrospectively for two pairs of analogs (alendronate sodium once daily vs once weekly and immediate-release vs extended-release methylphenidate and one pair of drugs with similar indications but important differences in convenience and dosing instructions (desferrioxamine vs deferasirox. Compliance was calculated as the sum of prescription durations for all prescriptions for each patient over 1 year. Persistence was calculated as the time between first and last prescriptions over 2 years (1 year for deferasirox and desferrioxamine. Data from Germany and the UK were available and used for analysis.Results: Incremental improvements in compliance were +30% in the UK and +26% in Germany for alendronate once weekly vs once daily, +14% in the UK and +19% in Germany for extended-release vs immediate-release methylphenidate, and +15% in Germany for desferrioxamine vs deferasirox. Incremental improvements in persistence were +9 months in the UK and +8 months in Germany for alendronate once weekly vs once daily, +4 months in the UK and +3 months in Germany for extended-release vs immediate-release methylphenidate, and +2 months in Germany for deferasirox vs desferrioxamine.Conclusion: The new formulations that we evaluated were associated with better compliance and persistence compared with older formulations. Despite the fact that some sources of bias could not be excluded, it is likely that these improvements can be attributed to the lower treatment burdens of the galenic formulations of the drugs considered

  15. 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....

  16. Innovative water treatment system coupled with energy production using photo-Fenton reaction.

    Science.gov (United States)

    Tokumura, M; Morito, R; Shimizu, A; Kawase, Y

    2009-01-01

    The treatment of colored effluent coupled with energy production using a modified photo-Fenton process has been examined. Fe and carbon plates were employed as an anode and cathode, respectively. In acidic solution, Fe plates would corrode, which leads to elute ferrous ion from Fe plates into the solution and to yield hydrogen gas at the cathode and to generate an electric energy. The eluted ferrous ion could be used for the photo-Fenton reaction. As a result, decolorization of colored effluent and production of electricity and hydrogen could be carried out simultaneously and effectively. It was found that the Orange II concentration in the colored effluent flow decreased up to 84.2% of inlet concentration at 0.8 of relative position in the liquid flow path of continuous photo-reactor. In our proposed system, the energy production, such as an electric power and a hydrogen gas, can be generated at the same time as the decolorization of colored effluent. The produced electric power was 16.5 Wh kg(-1)-Fe(reacted). The produced hydrogen gas was estimated as 13 g-H(2) kg(-1)-Fe(reacted).

  17. Innovation of natural essential oil-loaded Orabase for local treatment of oral candidiasis.

    Science.gov (United States)

    Labib, Gihan S; Aldawsari, Hibah

    2015-01-01

    Oral candidiasis may be manifested in the oral cavity as either mild or severe oral fungal infection. This infection results from the overgrowth of Candida species normally existing in the oral cavity in minute amounts based on many predisposing factors. Several aspects have spurred the search for new strategies in the treatment of oral candidiasis, among which are the limited numbers of new antifungal drugs developed in recent years. Previous studies have shown that thyme and clove oils have antimycotic activities and have suggested their incorporation into pharmaceutical preparations. This study aimed to investigate the possibility of the incorporation and characterization of essential oils or their extracted active ingredients in Orabase formulations. Orabase loaded with clove oil, thyme oil, eugenol, and thymol were prepared and evaluated for their antifungal activities, pH, viscosity, erosion and water uptake characteristics, mechanical properties, in vitro release behavior, and ex vivo mucoadhesion properties. All prepared bases showed considerable antifungal activity and acceptable physical characteristics. The release pattern from loaded bases was considerably slow for all oils and active ingredients. All bases showed appreciable adhesion in the in vitro and ex vivo studies. The incorporation of essential oils in Orabase could help in future drug delivery design, with promising outcomes on patients' well-being.

  18. Innovative formulation of nystatin particulate systems in toothpaste for candidiasis treatment.

    Science.gov (United States)

    Pinto Reis, Catarina; Vasques Roque, Luís; Baptista, Marina; Rijo, Patrícia

    2016-01-01

    Oral candidiasis is a mycosis on the mucous membranes of the mouth but not limited to the mouth. Nystatin is one of the most frequently employed antifungal agents to treat infections and may be safely given orally as well as applied topically but its absorption through mucocutaneous membranes such as the gut and the skin is minimal. The purpose of this study is to enhance the effectiveness of nystatin using particulate system such as beads, micro- and nanoparticles of alginate incorporated into toothpaste. Those particulate systems of nystatin were prepared by extrusion/external gelation for beads and emulsification/internal gelation for micro- and nanoparticles and characterized. Small, anionic charged and monodispersed particles were successfully produced. The type of particulate system influenced all previous parameters, being microparticles the most suitable particulate system of nystatin showing the slowest release, the highest inhibitory effect of Candida albicans over a period of one year. Those results allowed the conclusion that alginate exhibits properties that enable the in vitro functionality of encapsulated nystatin and thus may provide the basis for new successful approaches for the treatment of oral antifungal infections such as oral candidiasis.

  19. Shale gas produced water treatment using innovative microbial capacitive desalination cell.

    Science.gov (United States)

    Stoll, Zachary A; Forrestal, Casey; Ren, Zhiyong Jason; Xu, Pei

    2015-01-01

    The rapid development of unconventional oil and gas production has generated large amounts of wastewater for disposal, raising significant environmental and public health concerns. Treatment and beneficial use of produced water presents many challenges due to its high concentrations of petroleum hydrocarbons and salinity. The objectives of this study were to investigate the feasibility of treating actual shale gas produced water using a bioelectrochemical system integrated with capacitive deionization-a microbial capacitive desalination cell (MCDC). Microbial degradation of organic compounds in the anode generated an electric potential that drove the desalination of produced water. Sorption and biodegradation resulted in a combined organic removal rate of 6.4 mg dissolved organic carbon per hour in the reactor, and the MCDC removed 36 mg salt per gram of carbon electrode per hour from produced water. This study is a proof-of-concept that the MCDC can be used to combine organic degradation with desalination of contaminated water without external energy input. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Funding innovation for treatment for rare diseases: adopting a cost-based yardstick approach.

    Science.gov (United States)

    Fellows, Garret Kent; Hollis, Aidan

    2013-11-16

    Manufacturers justify the high prices for orphan drugs on the basis that the associated R&D costs must be spread over few patients. The proliferation of these drugs in the last three decades, combined with high prices commonly in excess of $100,000 per patient per year are placing a substantial strain on the budgets of drug plans in many countries. Do insurers spend a growing portion of their budgets on small patient populations, or leave vulnerable patients without coverage for valuable treatments? We suggest that a third option is present in the form of a cost-based regulatory mechanism. This article explores the use of a cost-based price control mechanism for orphan drugs, adapted from the standard models applied in utilities regulation. A rate-of-return style model, employing yardsticked cost allocations and a modified two-stage rate of return calculation could be effective in setting a new standard for orphan drugs pricing. This type of cost-based pricing would limit the costs faced by insurers while continuing to provide an efficient incentive for new drug development.

  1. A New Understanding of the Heat Treatment of Nb-Sn Superconducting Wires

    Science.gov (United States)

    Sanabria, Charlie

    Enhancing the beam energy of particle accelerators like the Large Hadron Collider (LHC), at CERN, can increase our probability of finding new fundamental particles of matter beyond those predicted by the standard model. Such discoveries could improve our understanding of the birth of universe, the universe itself, and/or many other mysteries of matter--that have been unresolved for decades--such as dark matter and dark energy. This is obviously a very exciting field of research, and therefore a worldwide collaboration (of universities, laboratories, and the industry) is attempting to increase the beam energy in the LHC. One of the most challenging requirements for an energy increase is the production of a magnetic field homogeneous enough and strong enough to bend the high energy particle beam to keep it inside the accelerating ring. In the current LHC design, these beam bending magnets are made of Nb Ti superconductors, reaching peak fields of 8 T. However, in order to move to higher fields, future magnets will have to use different and more advanced superconducting materials. Among the most viable superconductor wire technologies for future particle accelerator magnets is Nb3Sn, a technology that has been used in high field magnets for many decades. However, Nb3Sn magnet fabrication has an important challenge: the fact the wire fabrication and the coil assembly itself must be done using ductile metallic components (Nb, Sn, and Cu) before the superconducting compound (Nb3 Sn) is activated inside the wires through a heat treatment. The studies presented in this thesis work have found that the heat treatment schedule used on the most advanced Nb3Sn wire technology (the Restacked Rod Process wires, RRPRTM) can still undergo significant improvements. These improvements have already led to an increase of the figure of merit of these wires (critical current density) by 28%.

  2. 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...

  3. 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)

  4. Innovation of natural essential oil-loaded Orabase for local treatment of oral candidiasis

    Directory of Open Access Journals (Sweden)

    Labib GS

    2015-06-01

    Full Text Available Gihan S Labib,1,2 Hibah Aldawsari1 1Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; 2Department of Pharmaceutics, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt Purpose: Oral candidiasis may be manifested in the oral cavity as either mild or severe oral fungal infection. This infection results from the overgrowth of Candida species normally existing in the oral cavity in minute amounts based on many predisposing factors. Several aspects have spurred the search for new strategies in the treatment of oral candidiasis, among which are the limited numbers of new antifungal drugs developed in recent years. Previous studies have shown that thyme and clove oils have antimycotic activities and have suggested their incorporation into pharmaceutical preparations. This study aimed to investigate the possibility of the incorporation and characterization of essential oils or their extracted active ingredients in Orabase formulations. Methods: Orabase loaded with clove oil, thyme oil, eugenol, and thymol were prepared and evaluated for their antifungal activities, pH, viscosity, erosion and water uptake characteristics, mechanical properties, in vitro release behavior, and ex vivo mucoadhesion properties. Results: All prepared bases showed considerable antifungal activity and acceptable physical characteristics. The release pattern from loaded bases was considerably slow for all oils and active ingredients. All bases showed appreciable adhesion in the in vitro and ex vivo studies. Conclusion: The incorporation of essential oils in Orabase could help in future drug delivery design, with promising outcomes on patients’ well-being. Keywords: antifungal activity, clove oil, eugenol, mucoadhesion, oral gel, thyme oil, thymol

  5. Redefining cancer: a new paradigm for better and faster treatment innovation.

    Science.gov (United States)

    Stewart, David J; Batist, Gerald

    2014-01-01

    Common cancers may arise from several different mutations, and each causative mutation may require different treatment approaches. There are also several mechanisms by which malignancies may become resistant to therapy, and each mechanism will also require a different therapeutic strategy. Hence, the paradigm of devising therapies based on tumor type is suboptimal. Each common malignancy may now be regarded as a collection of morphologically similar but molecularly distinct orphan diseases, each requiring unique approaches. Current strategies that employ randomized clinical trials (RCTs) in unselected patients carry a high risk of misleading results. Available data suggest that it is reasonable to grant marketing approval for new anticancer agents based solely on high single-agent response rates in small phase I-II studies involving molecularly-defined patient groups where benefit from other therapies is unlikely. This could markedly speed patient access to important therapies while reducing health care costs by slashing drug development costs. Feasible post-approval surveillance procedures could provide ongoing monitoring of drug safety. While assessment of drug combinations would be more complex due to variable contributions of each component, new strategies have been proposed. In addition to savings from more efficient clinical trials methods, it is essential that we also markedly reduce costs of complying with clinical research regulations. Compliance is too cumbersome and expensive, and current regulatory inflexibility markedly slows progress while escalating health care costs. This requires urgent attention. Regulatory approaches intended to enhance safety may instead potentially cost far more life-years than they save by delaying approval of effective therapies. 

  6. 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...

  7. 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...

  8. 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.

  9. 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....

  10. Investigating Teachers' Exploration of a Professional Development Website: An Innovative Approach to Understanding the Factors that Motivate Teachers to Use Internet-Based Resources

    Science.gov (United States)

    Beach, Pamela; Willows, Dale

    2014-01-01

    This qualitative study examined an innovative methodology, combining screen capture technology and a retrospective think aloud, for exploring the use of Internet-based resources by elementary teachers. Pre-service and in-service teachers explored "The Balanced Literacy Diet," a free, interactive, and evidenced-informed professional…

  11. Innovative organotypic in vitro models for safety assessment: aligning with regulatory requirements and understanding models of the heart, skin, and liver as paradigms.

    NARCIS (Netherlands)

    Pridgeon, Chris S; Schlott, Constanze; Wong, Min Wei; Heringa, Minne B; Heckel, Tobias; Leedale, Joe; Launay, Laurence; Gryshkova, Vitalina; Przyborski, Stefan; Bearon, Rachel N; Wilkinson, Emma L; Ansari, Tahera; Greenman, John; Hendriks, Delilah F G; Gibbs, Sue; Sidaway, James; Sison-Young, Rowena L; Walker, Paul; Cross, Mike J; Park, B Kevin; Goldring, Chris E P

    2018-01-01

    The development of improved, innovative models for the detection of toxicity of drugs, chemicals, or chemicals in cosmetics is crucial to efficiently bring new products safely to market in a cost-effective and timely manner. In addition, improvement in models to detect toxicity may reduce the

  12. Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.

    Science.gov (United States)

    Arora, Sanjeev; Kalishman, Summers; Thornton, Karla; Dion, Denise; Murata, Glen; Deming, Paulina; Parish, Brooke; Brown, John; Komaromy, Miriam; Colleran, Kathleen; Bankhurst, Arthur; Katzman, Joanna; Harkins, Michelle; Curet, Luis; Cosgrove, Ellen; Pak, Wesley

    2010-09-01

    The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based interdisciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case-based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multidisciplinary experts in medical specialties, mental health, and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities, and treatment-induced depression. In addition, data were obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider. Evaluation of the ECHO program incorporates an annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators, and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy, and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable

  13. Expanding Access to HCV Treatment - Extension for Community Healthcare Outcomes (ECHO) Project: Disruptive Innovation in Specialty Care

    Science.gov (United States)

    Arora, Sanjeev; Kalishman, Summers; Thornton, Karla; Dion, Denise; Murata, Glen; Deming, Paulina; Parish, Brooke; Brown, John; Komaromy, Miriam; Colleran, Kathleen; Bankhurst, Arthur; Katzman, Joanna; Harkins, Michelle; Curet, Luis; Cosgrove, Ellen; Pak, Wesley

    2013-01-01

    The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNMHSC) as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based inter-disciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multi-disciplinary experts in medical specialties, mental health and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities and treatment-induced depression. In addition data was obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider, evaluation of the ECHO program incorporates annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable

  14. 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...

  15. Innovation: treatment by protons of a two years old girl under general anesthesia; Innovation: traitement par protons d'une enfant de deux ans sous anesthesie generale

    Energy Technology Data Exchange (ETDEWEB)

    Pechmagre, C.; Oliveres, S.; Helfre, S.; Delacroix, S.; Ferrand, R.; Habrand, J.L.; Lacroix, F. [Institut Curie, Centre de Protontherapie, 91 - Orsay (France); Esteve, M. [Institut Curie, Dept. d' Anesthesie-Reanimation-Douleur, 91 - Orsay (France); Orbach, D. [Institut Curie, Dept. de Pediatrie, 91 - Orsay (France); Rodriguez, J. [Institut Curie, Service de Chirurgie ORL, 91 - Orsay (France)

    2006-11-15

    The proton therapy is a technique known for the treatment of skull tumors, skull base and face. Now it is possible to use it for young children because of the general anesthesia and teams collaboration. This method of treatment offers perspectives because of the number of young children treated. (N.C.)

  16. 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.

  17. 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...

  18. 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....

  19. A systematic review of the relationship between staff perceptions of organizational readiness to change and the process of innovation adoption in substance misuse treatment programs.

    Science.gov (United States)

    Kelly, Peter; Hegarty, Josephine; Barry, Joe; Dyer, Kyle R; Horgan, Aine

    2017-09-01

    Translating innovation, such as contemporary research evidence, into policy and practice is a challenge, not just in substance misuse treatment programs, but across all spheres of healthcare. Organizational readiness to change (ORC) has been described as a fundamental concept, and an important determinant of the process of innovation adoption. The aim of this review was to describe the relationship between staff perceptions of ORC and the process of innovation adoption: exposure, adoption, implementation and integration into practice, in substance misuse treatment programs. This systematic review was conducted in accordance with PRISMA guidelines and fourteen papers were identified as being eligible for inclusion. This review was designed to include all constructs of ORC, but only one tool was used in all of the included papers. Despite this, the heterogeneity of studies in this review made a direct comparison of ORC related variables challenging. None of the included papers clearly related to one stage of the process of innovation adoption, and all of the included papers related to the early stages of the process. Only one paper attempted to measure the sustained integration of an innovation into practice. Overall, the papers were assessed as being low in terms of evidential hierarchy and the quality of the papers was assessed as being on average fair. ORC measurements provide us with a measure of organizational functioning which can be important in terms of predicting how successfully new innovations are adopted. Motivation for change was high in programs where staff identified more program deficits and these staff could also identify more specific needs, but were less likely to have exposure to new innovations. Better program resources and specific staff attributes, increase the likely hood of successful innovation adoption. A good organizational climate is potentially the strongest predictor for the adoption of new practices. It may be beneficial to measure ORC

  20. Work(er)-Driven Innovation

    Science.gov (United States)

    Smith, Raymond

    2017-01-01

    Purpose: The focus on innovation as a foundational element of enhanced organisational performance has led to the promoting and valuing of greater levels of employee participation in innovation processes. An emergent concept of employee-driven innovation could be argued to have hindered understandings of the creative and transformative nature of…

  1. Teaching innovation is social interaction

    DEFF Research Database (Denmark)

    Petersen, Monika Hoeck; Olsen, Bente

    2015-01-01

    The paper aims to explore how teaching practitioners teach innovation – by cross comparing the local nursing college innovation program and the innovation teaching at the bachelor program in Mechatronic engineering at the local University; to explore and develop attention points in understanding ...... that emerging entrepreneurial attitudes are linked to the social processes of interaction between the participants of teachers and students....

  2. Assessment of environmental impacts and operational costs of the implementation of an innovative source-separated urine treatment.

    Science.gov (United States)

    Igos, Elorri; Besson, Mathilde; Navarrete Gutiérrez, Tomás; Bisinella de Faria, Ana Barbara; Benetto, Enrico; Barna, Ligia; Ahmadi, Aras; Spérandio, Mathieu

    2017-12-01

    Innovative treatment technologies and management methods are necessary to valorise the constituents of wastewater, in particular nutrients from urine (highly concentrated and can have significant impacts related to artificial fertilizer production). The FP7 project, ValuefromUrine, proposed a new two-step process (called VFU) based on struvite precipitation and microbial electrolysis cell (MEC) to recover ammonia, which is further transformed into ammonium sulphate. The environmental and economic impacts of its prospective implementation in the Netherlands were evaluated based on life cycle assessment (LCA) methodology and operational costs. In order to tackle the lack of stable data from the pilot plant and the complex effects on wastewater treatment plant (WWTP), process simulation was coupled with LCA and costs assessment using the Python programming language. Additionally, particular attention was given to the propagation and analysis of inputs uncertainties. Five scenarios of VFU implementation were compared to the conventional treatment of 1 m 3 of wastewater. Inventory data were obtained from SUMO software for the WWTP operation. LCA was based on Brightway2 software (using ecoinvent database and ReCiPe method). The results, based on 500 iterations sampled from inputs distributions (foreground parameters, ecoinvent background data and market prices), showed a significant advantage of VFU technology, both at a small and decentralized scale and at a large and centralized scale (95% confidence intervals not including zero values). The benefits mainly concern the production of fertilizers, the decreased efforts at the WWTP, the water savings from toilets flushing, as well as the lower infrastructure volumes if the WWTP is redesigned (in case of significant reduction of nutrients load in wastewater). The modelling approach, which could be applied to other case studies, improves the representativeness and the interpretation of results (e.g. complex relationships

  3. Aging Prisoners' Treatment Selection: Does Prospect Theory Enhance Understanding of End-of-Life Medical Decisions?

    Science.gov (United States)

    Phillips, Laura L.; Allen, Rebecca S.; Harris, Grant M.; Presnell, Andrew H.; DeCoster, Jamie; Cavanaugh, Ronald

    2011-01-01

    Purpose: With the rapid growth in the older inmate population and the economic impact of end-of-life treatments within the cash-strapped prison system, consideration should be given to inmate treatment preferences. We examined end-of-life treatment preferences and days of desired life for several health scenarios among male inmates incarcerated…

  4. Understanding motivation for substance use treatment: the role of social pressure during the transition to adulthood.

    Science.gov (United States)

    Goodman, Ilana; Peterson-Badali, Michele; Henderson, Joanna

    2011-06-01

    Research has shown that social pressure is related to treatment motivation and plays an important role in treatment engagement in adults with problematic substance use. Despite the shifts in autonomy and decision-making in emerging adulthood, the factors affecting treatment motivation (e.g., readiness to comply with treatment) during this period have been largely ignored. In this cross sectional study, 134 youth (83 males and 51 females) presenting to an outpatient substance abuse program completed questionnaires regarding substance use history, mental health, social pressure to reduce use and enter treatment, and treatment motivation. Age was positively related to identification of internal reasons for seeking treatment and negatively related to external coercive social pressures as a motivator for treatment. Peer pressure accounted for significant variance in Identified (e.g., personal choice and commitment to the program) and Introjected (e.g., guilt about continued substance use) treatment motivation. Family pressure was related only to External treatment motivation when peer pressure was considered in the regression model. These results highlight the importance of emerging adult peers as motivators of youths' treatment seeking. Limitations, directions for future research and treatment implications are discussed. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  5. Qualitative interviews with non-national tuberculosis patients in Cairo, Egypt: understanding the financial and social cost of treatment adherence

    OpenAIRE

    Lohiniva, Anna L.; Mokhtar, Alaa; Azer, Ashraf; Elmoghazy, Esaam; Kamal, Eman; Benkirane, Manal; Dueger, Erica

    2015-01-01

    Limited data are available about the challenges of non-national TB patients undergoing long-term treatment courses in an urban setting. This study aimed to understand the financial and social cost of adherence of non-national TB patients in Cairo, Egypt as a means to inform the development of context-specific interventions to support treatment adherence. In 2011, 22 in-depth interviews were conducted with TB patients from Sudan, Ethiopia, Eritrea, Somalia and Djibouti to obtain qualitative da...

  6. An innovative implementation of LCA within the EIA procedure: Lessons learned from two Wastewater Treatment Plant case studies

    International Nuclear Information System (INIS)

    Larrey-Lassalle, Pyrène; Catel, Laureline; Roux, Philippe; Rosenbaum, Ralph K.; Lopez-Ferber, Miguel; Junqua, Guillaume; Loiseau, Eléonore

    2017-01-01

    , even if the conclusions of the EIAs with or without LCA were partially common for local on-site impacts, LCA gives crucial additional information on global and off-site impacts and highlights the processes responsible for them. Finally, for all EIA steps investigated, interest in LCA was demonstrated for both WWTP case studies. The feasibility in terms of skills, time and cost of such implementation has also been assessed. - Highlights: • An innovative methodology for a first-stage implementation of LCA in EIA is proposed. • Its applicability is demonstrated on two Wastewater Treatment Plant case studies. • The conclusions for the four EIA steps investigated differ with or without LCA. • LCA provides valuable additional information on 1) global and 2) off-site impacts. • LCA identifies pollution transfers towards a life cycle perspective.

  7. Managing Human Resource Learning for Innovation

    DEFF Research Database (Denmark)

    Nielsen, Peter

    Managing human resource learning for innovation develops a systemic understanding of building innovative capabilities. Building innovative capabilities require active creation, coordination and absorption of useful knowledge and thus a cohesive management approach to learning. Often learning...... in organizations and work is approached without considerations on how to integrate it in the management of human resources. The book investigates the empirical conditions for managing human resources learning for innovation. With focus on innovative performance the importance of modes of innovation, clues...

  8. An Innovative System for the Efficient and Effective Treatment of Non-Traditional Waters for Reuse in Thermoelectric Power Generation

    Energy Technology Data Exchange (ETDEWEB)

    John Rodgers; James Castle

    2008-08-31

    This study assessed opportunities for improving water quality associated with coal-fired power generation including the use of non-traditional waters for cooling, innovative technology for recovering and reusing water within power plants, novel approaches for the removal of trace inorganic compounds from ash pond effluents, and novel approaches for removing biocides from cooling tower blowdown. This research evaluated specifically designed pilot-scale constructed wetland systems for treatment of targeted constituents in non-traditional waters for reuse in thermoelectric power generation and other purposes. The overall objective of this project was to decrease targeted constituents in non-traditional waters to achieve reuse criteria or discharge limitations established by the National Pollutant Discharge Elimination System (NPDES) and Clean Water Act (CWA). The six original project objectives were completed, and results are presented in this final technical report. These objectives included identification of targeted constituents for treatment in four non-traditional water sources, determination of reuse or discharge criteria for treatment, design of constructed wetland treatment systems for these non-traditional waters, and measurement of treatment of targeted constituents in non-traditional waters, as well as determination of the suitability of the treated non-traditional waters for reuse or discharge to receiving aquatic systems. The four non-traditional waters used to accomplish these objectives were ash basin water, cooling water, flue gas desulfurization (FGD) water, and produced water. The contaminants of concern identified in ash basin waters were arsenic, chromium, copper, mercury, selenium, and zinc. Contaminants of concern in cooling waters included free oxidants (chlorine, bromine, and peroxides), copper, lead, zinc, pH, and total dissolved solids. FGD waters contained contaminants of concern including arsenic, boron, chlorides, selenium, mercury

  9. 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...

  10. Updates and Future Horizons on the Understanding, Diagnosis, and Treatment of Sturge-Weber Syndrome Brain Involvement

    Science.gov (United States)

    Lo, Warren; Marchuk, Douglas A.; Ball, Karen L.; Juhasz, Csaba; Jordan, Lori C.; Ewen, Joshua B.; Comi, Anne

    2012-01-01

    Aim: To review recent developments in the understanding, diagnosis, and treatment of Sturge-Weber syndrome (SWS). Method: Members of the Brain Vascular Malformation Consortium Sturge-Weber Syndrome National Workgroup contributed their expertise to review the literature and present promising directions for research. Results: The increasing number…

  11. 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....

  12. Etiology and Treatment of Obesity: Understanding a Serious, Prevalent, and Refractory Disorder.

    Science.gov (United States)

    Brownell, Kelly D.; Wadden, Thomas A.

    1992-01-01

    Examines obesity, arguing for establishment of "reasonable weight," which may differ from health and aesthetic ideals. Integrates information of etiology, social beliefs about body weight, theory, and treatment into comprehensive intervention model. Sees advances in treatment most likely when research is driven by theory on etiology of weight…

  13. Innovations in Lithotripsy Technology

    Science.gov (United States)

    Zhong, Pei

    2007-04-01

    The introduction of shock wave lithotripsy (SWL) in the early 1980's revolutionized the surgical management for kidney stone disease. Since then, although numerous 2nd- and 3rd-generation lithotripters have been developed using various means for shock wave generation, focusing, patient coupling and stone localization, the technical improvements in these devices were largely made based on practical concerns for user convenience and multifunctionality of the system rather than a clear understanding of the working principles of SWL. In this paper, the fundamental mechanisms of stone comminution and tissue injury in SWL revealed by basic studies in the past two decades are first reviewed. This is followed by a summary of the innovations in SWL technology developed in recent years that have been demonstrated to provide improved stone comminution with concomitantly reduced tissue injury both in vitro using phantom systems and in vivo in animal models. Furthermore, the role of treatment strategy in determining the overall outcome of clinical lithotripsy is emphasized, and future prospects for lithotripsy research and technological innovations are discussed.

  14. An exploration of Xhosa speaking patients' understanding of cancer treatment and its influence on their treatment experience.

    Science.gov (United States)

    Lourens, Mariana

    2013-01-01

    Cultural beliefs often influence people in seeking appropriate health care. In South Africa, misperceptions and fear about medical interventions contribute to the fact that many indigenous people prefer to make use of traditional healers. This qualitative study explores Xhosa patients' perception of cancer and cancer treatment modalities, and their need for support. Language creates an image of the unknown to which people attach meaning. Oncology social workers play an important role in educating people about cancer and the treatment thereof, as doctors seldom have time to deal with the psychosocial aspects of cancer. Health care providers need to be sensitive to patients' perceptions to render the best possible cancer care.

  15. Treatment of a "Gummy Smile": Understanding Etiology is Key to Success.

    Science.gov (United States)

    Bynum, Jeff

    2016-02-01

    When dealing with excessive gingival display it is important for the treating clinician to properly identify the etiology, as potential etiologic factors can vary widely. Treatment decisions in this case involving a patient with high lip dynamics and a "gummy smile" were complicated because treatment recommendations differed for each of the several etiologies involved. The treatment performed, which included orthodontics combined with crown lengthening and in which the final restorations were segmented anterior to posterior to give both the clinician and laboratory improved control, was designed to meet the patient's desired esthetic outcome while addressing the areas of risk established in the preoperative assessment.

  16. 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...

  17. 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...

  18. 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...

  19. 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....

  20. 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.

  1. 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.

  2. 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...

  3. Defining Innovation in Neurosurgery: Results from an International Survey.

    Science.gov (United States)

    Zaki, Mark M; Cote, David J; Muskens, Ivo S; Smith, Timothy R; Broekman, Marike L

    2018-03-28

    Innovation is a part of the daily practice of neurosurgery. A clear definition of what constitutes innovation is currently lacking, however, and opinions vary from continent to continent, from hospital to hospital, and from surgeon to surgeon. In this study, we distributed an online survey to neurosurgeons from multiple countries to investigate what neurosurgeons consider innovative, by gathering opinions on several hypothetical cases. The anonymous survey consisted of a total of 52 questions and took approximately 10 minutes to complete. A total of 355 neurosurgeons across all continents excluding Antarctica completed the survey. Neurosurgeons achieved consensus (>75%) in considering specific cases to be innovative, including laser resection of meningioma, focused ultrasound for tumor, oncolytic virus, DBS for addiction, and photodynamic therapy for tumor. Although the new dura substitute case was not considered innovative, there was consensus among neurosurgeons indicating that IRB approval was still necessary to maintain ethical standards. Furthermore, although 90% of neurosurgeons considered an oncolytic virus for GBM to be innovative, only 78% believed that IRB approval was necessary prior to treatment. Our results indicate that innovation is a heterogeneous concept among neurosurgeons that necessitates standardization to ensure appropriate patient safety without stifling progress. We discuss the ethical drawbacks of not having a clear definition of innovation, the current challenges in achieving a unified understanding of innovation in neurosurgery, and offer suggestions for uniting the field going forward. Copyright © 2018. Published by Elsevier Inc.

  4. Meta-omics approaches to understand and improve wastewater treatment systems

    NARCIS (Netherlands)

    Rodríguez, E.; García-Encina, P.A.; Stams, A.J.M.; Maphosa, F.; Sousa, D.Z.

    2015-01-01

    Biological treatment of wastewaters depends on microbial processes, usually carried out by mixed microbial communities. Environmental and operational factors can affect microorganisms and/or impact microbial community function, and this has repercussion in bioreactor performance. Novel

  5. Understanding and improving treatment adherence in patients with psychotic disorders: A review and a proposed intervention

    NARCIS (Netherlands)

    A.B.P. Staring (Anton); C.L. Mulder (Niels); M. van der Gaag (Mark); J.-P. Selten (Jean-Paul); A.J.M. Loonen (Anton); M.W. Hengeveld (Michiel)

    2006-01-01

    textabstractNon-adherence to treatment of patients with psychotic disorders is related to higher rates of relapse, hospitalization, and suicide. Important predictors of non-adherence include poor social structure, cognitive deficits, negative medication attitude, side effects, depression, a

  6. Understanding and improving treatment adherence in patients with psychotic disorders: Review and a proposed intervention

    NARCIS (Netherlands)

    Staring, A.B.P.; Mulder, C.L.; van der Gaag, M.; Selten, J.P.; Loonen, A.J.M.; Hengeveld, M.W.

    2006-01-01

    Abstract: Non-adherence to treatment of patients with psychotic disorders is related to higher rates of relapse, hospitalization, and suicide. Important predictors of non-adherence include poor social structure, cognitive deficits, negative medication attitude, side effects, depression, a

  7. 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...

  8. 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....

  9. An Innovative Framework for Delivering Psychotherapy to Patients With Treatment-Resistant Posttraumatic Stress Disorder: Rationale for Interactive Motion-Assisted Therapy

    Directory of Open Access Journals (Sweden)

    Marieke J. van Gelderen

    2018-05-01

    Full Text Available Despite an array of evidence-based psychological treatments for patients with a posttraumatic stress disorder (PTSD, a majority of patients do not fully benefit from the potential of these therapies. In veterans with PTSD, up to two-thirds retain their diagnosis after psychotherapy and often their disorder is treatment-resistant, which calls for improvement of therapeutic approaches for this population. One of the factors hypothesized to underlie low response in PTSD treatment is high behavioral and cognitive avoidance to traumatic reminders. In the current paper we explore if a combination of personalized virtual reality, multi-sensory input, and walking during exposure can enhance treatment engagement, overcome avoidance, and thereby optimize treatment effectiveness. Virtual reality holds potential to increase presence and in-session attention and to facilitate memory retrieval. Multi-sensory input such as pictures and music can personalize this experience. Evidence for the positive effect of physical activity on fear extinction and associative thinking, as well as embodied cognition theories, provide a rationale for decreased avoidance by literally approaching cues of the traumatic memories. A dual-attention task further facilitates new learning and reconsolidation. These strategies have been combined in an innovative framework for trauma-focused psychotherapy, named Multi-modular Motion-assisted Memory Desensitization and Reconsolidation (3MDR. In this innovative treatment the therapeutic setting is changed from the face-to-face sedentary position to a side-by-side activating context in which patients walk toward trauma-related images in a virtual environment. The framework of 3MDR has been designed as a boost for patients with treatment-resistant PTSD, which is illustrated by three case examples. The intervention is discussed in context of other advancements in treatment for treatment-resistant PTSD. Novel elements of this approach are

  10. How Trauma and Attachment Can Impact Neurodevelopment: Informing Our Understanding and Treatment of Sexual Behaviour Problems

    Science.gov (United States)

    Creeden, Kevin

    2009-01-01

    Over the last several years there has been a notable increase in neurological and neurodevelopmental research, with a keen interest in applying this research to our understanding of everyday human learning and behaviour. One aspect of this research has examined how the experience of trauma in childhood can affect neurodevelopment with implications…

  11. Issues In-Depth: Advancing Understanding of Drug Addiction and Treatment

    Science.gov (United States)

    Miller, Roxanne Greitz

    2009-01-01

    While most school districts utilize a drug abuse resistance curriculum, as science teachers, it is our responsibility to understand the science behind drug addiction in order to most effectively educate our students against drug abuse. In the last two decades, increases in scientific technology have permitted significant discoveries surrounding…

  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. 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...

  15. The innovative behaviour of tourism firms

    DEFF Research Database (Denmark)

    Sundbo, Jon; Orfila-Sintes, Francina; Sørensen, Flemming

    2007-01-01

    systems. The article suggests that large size, professionalism, but also entrepreneurship among small tourism firms are important determinants of innovation. Varied innovation networks are another determinant as are supportive innovation systems. These determinants favour Spanish firms, which are more...... innovative than Danish ones. In the final section, policy recommendations are presented.......Tourism firms operate in a competitive sector where innovating is often a condition for survival. This article presents a theoretical framework for understanding tourist firms’ innovative behaviour and innovation systems in tourism. The innovativeness of tourism firms and its determinants...

  16. 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

  17. Management and organizational innovation in Brazil: evidence from technology innovation surveys

    Directory of Open Access Journals (Sweden)

    Daniel Paulino Teixeira Lopes

    2014-12-01

    Full Text Available From a broad perspective on the topic of innovation, considering not only technological innovations in products and processes but also management and organizational innovations, this study seeks to (1 discuss the main theoretical and conceptual approaches to innovation, especially management and organizational innovation; (2 understand how the subject has been studied since 1998 by the official innovation survey in Brazil (PINTEC; and (3 examine the evidence presented in three editions of the survey. The results show that innovation involves diverse phenomena and that there is a strong interrelation between technological innovation in products and processes and management and organizational innovations.

  18. Improving the understanding and treatment of complex grief: an important issue for psychotraumatology

    Directory of Open Access Journals (Sweden)

    Paul A. Boelen

    2016-09-01

    Full Text Available In the Netherlands, every year 500,000 people are confronted with the death of a close relative. Many of these people experience little emotional distress. In some, bereavement precipitates severe grief, distress, and dysphoria. A small yet significant minority of bereaved individuals develops persistent and debilitating symptoms of persistent complex bereavement disorder (PCBD (also termed prolonged grief disorder, posttraumatic stress disorder, and depression. Knowledge about early identification of, and preventive care for complex grief has increased. Moreover, in recent years there has been an increase in treatment options for people for whom loss leads to persistent psychological problems. That said, preventive and curative treatments are effective for some, but not all bereaved individuals experiencing distress and dysfunction following loss. This necessitates further research on the development, course, and treatment of various stages of complex grief, including PCBD. Highlights of the article:

  19. Understanding experiences and outcomes in treatment of binge eating disorder and obesity: A mixed method study

    DEFF Research Database (Denmark)

    Meyer, Lene; Tjørnhøj-Thomsen, Tine; Lau, Marianne Engelbrecht

    Background: Binge eating disorder (BED) has recently been recognized as a diagnosis in the DSM-5 (Diagnostic Manual of Mental Disorders). BED is a severe eating disorder with physical, social and psychological consequences. The prevalence of BED is 2-3% and the majority develop weight problems...... and obesity. Treatment is found effective in reducing eating disorder symptomatology, but rarely leads to weight loss. It is still unknown how the issue of obesity can be addressed in BED treatment without increasing the risk of binge eating relapse. Objectives: The study is an explorative investigation...... of the outcome of a newly developed group based treatment that combines psychotherapy and either weight loss or well-being components for patients with binge eating disorders and obesity. Methods: The study uses a convergent mixed methods design. Qualitative and quantitative data are gathered using in...

  20. 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...

  1. Understanding treatment effect mechanisms of the CAMBRA randomized trial in reducing caries increment

    OpenAIRE

    Cheng, J; Chaffee, BW; Cheng, NF; Gansky, SA; Featherstone, JDB

    2015-01-01

    © International & American Associations for Dental Research 2014. The Caries Management By Risk Assessment (CAMBRA) randomized controlled trial showed that an intervention featuring combined antibacterial and fluoride therapy significantly reduced bacterial load and suggested reduced caries increment in adults with 1 to 7 baseline cavitated teeth. While trial results speak to the overall effectiveness of an intervention, insight can be gained from understanding the mechanism by which an int...

  2. Understanding academic clinicians' varying attitudes toward the treatment of childhood obesity in Canada: a descriptive qualitative approach.

    Science.gov (United States)

    Bailey, Karen; Pemberton, Julia; Frankfurter, Claudia

    2013-05-01

    This qualitative study aims to understand academic physicians' attitudes towards the treatment of pediatric obesity in Canada. A stratified sample of 24 participants (surgeons, pediatricians, family practitioners) were recruited from 4 Canadian regions. Semi-structured interviews were conducted and transcribed. A codebook was developed through iterative data reduction and conceptual saturation ensured. Validity was ensured through triangulation, audit trail, and member-checking. This study revealed 45 themes with regional, specialty, and experiential differences. Quebec and Ontario emphasized education of physicians and parents to improve treatment and favored surgical intervention. Half of surgeons felt surgery was the only successful treatment option, while non-surgeons favored behavioral interventions. Experienced physicians in Western Canada desired more evidence to improve patient care, while inexperienced physicians focused on early detection and home environments. Across Canada participants advocated for program development and system change. Respondents expressed family involvement as integral to treatment success and shifting away from blame and moving towards a healthy lifestyles approach. Canadian regional differences in physicians' attitudes towards pediatric obesity treatment exist, influenced by experience and specialty. We will understand how themes identified in this study influence real life clinical decision making by applying these results to create a discrete choice-based conjoint survey. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Understanding and improving treatment adherence in patients with psychotic disorders : A review and a proposed intervention

    NARCIS (Netherlands)

    Staring, Anton B.P.; van der Gaag, Mark; Selten, Jean-Paul; Loonen, Anton J.M.; Hengeveld, Michiel W.; Mulder, Cornelis L.

    2006-01-01

    Non-adherence to treatment of patients with psychotic disorders is related to higher rates of relapse, hospitalization, and suicide. Important predictors of non-adherence include poor social structure, cognitive deficits, negative medication attitude, side effects, depression, a sealing-over

  4. Fearing Fat: A Literature Review of Family Systems Understandings and Treatments of Anorexia and Bulimia.

    Science.gov (United States)

    Killian, Kyle D.

    1994-01-01

    Reviews literature examining family variables associated with anorexia nervosa and bulimia nervosa and family systems treatments for these eating disorders. Presents definitions of and diagnostic criteria for anorexia and bulimia, and discusses prevalence of these disorders. Reviews role played by psychopathological, sociological, and…

  5. Understanding genetic variation in in vivo tolerance to artesunate: implications for treatment efficacy and resistance monitoring.

    Science.gov (United States)

    Pollitt, Laura C; Sim, Derek; Salathé, Rahel; Read, Andrew F

    2015-03-01

    Artemisinin-based drugs are the front-line weapon in the treatment of human malaria cases, but there is concern that recent reports of slow clearing infections may signal developing resistance to treatment. In the absence of molecular markers for resistance, current efforts to monitor drug efficacy are based on the rate at which parasites are cleared from infections. However, some knowledge of the standing variation in parasite susceptibility is needed to identify a meaningful increase in infection half-life. Here, we show that five previously unexposed genotypes of the rodent malaria parasite Plasmodium chabaudi differ substantially in their in vivo response to treatment. Slower clearance rates were not linked to parasite virulence or growth rate, going against the suggestion that drug treatment will drive the evolution of virulence in this system. The level of variation observed here in a relatively small number of genotypes suggests existing 'resistant' parasites could be present in the population and therefore, increased parasite clearance rates could represent selection on pre-existing variation rather than de novo resistance events. This has implications for resistance monitoring as susceptibility may depend on evolved traits unrelated to drug exposure.

  6. Multi-Dimensional Impact of the Public–Private Center for Translational Molecular Medicine (CTMM) in the Netherlands: Understanding New 21st Century Institutional Designs to Support Innovation-in-Society

    Science.gov (United States)

    2016-01-01

    Abstract Knowledge translation is at the epicenter of 21st century life sciences and integrative biology. Several innovative institutional designs have been formulated to cultivate knowledge translation. One of these organizational innovations has been the Center for Translational Molecular Medicine (CTMM), a multi-million public–private partnership in the Netherlands. The CTMM aims to accelerate molecular diagnostics and imaging technologies to forecast disease susceptibilities in healthy populations and early diagnosis and personalized treatment of patients. This research evaluated CTMM's impact on scientific, translational, clinical, and economic dimensions. A pragmatic, operationally-defined process indicators approach was used. Data were gathered from CTMM administrations, through a CTMM-wide survey (n = 167) and group interviews. We found that the CTMM focused on disease areas with high human, clinical, and economic burden to society (i.e., oncology, cardiovascular, neurologic, infection, and immunity diseases). CTMM displayed a robust scientific impact that rests 15%–80% above international reference values regarding publication volume and impact. Technology translation to the clinic was accelerated, with >50% of projects progressing from pre-clinical development to clinical testing within 5 years. Furthermore, CTMM has generated nearly 1500 Full Time Equivalent (FTE) of translational R&D capacity. Its positive impact on translational, (future) clinical, and economic aspects is recognized across all surveyed stakeholders. As organizational innovation is increasingly considered critical to forge linkages between life sciences discoveries and innovation-in-society, lessons learned from this study may inform other institutions with similar objectives such as the Clinical and Translational Science Awards (CTSA) Program of the National Institutes of Health (NIH) in the United States. PMID:27195965

  7. Multi-Dimensional Impact of the Public-Private Center for Translational Molecular Medicine (CTMM) in the Netherlands: Understanding New 21(st) Century Institutional Designs to Support Innovation-in-Society.

    Science.gov (United States)

    Steuten, Lotte M

    2016-05-01

    Knowledge translation is at the epicenter of 21st century life sciences and integrative biology. Several innovative institutional designs have been formulated to cultivate knowledge translation. One of these organizational innovations has been the Center for Translational Molecular Medicine (CTMM), a multi-million public-private partnership in the Netherlands. The CTMM aims to accelerate molecular diagnostics and imaging technologies to forecast disease susceptibilities in healthy populations and early diagnosis and personalized treatment of patients. This research evaluated CTMM's impact on scientific, translational, clinical, and economic dimensions. A pragmatic, operationally-defined process indicators approach was used. Data were gathered from CTMM administrations, through a CTMM-wide survey (n = 167) and group interviews. We found that the CTMM focused on disease areas with high human, clinical, and economic burden to society (i.e., oncology, cardiovascular, neurologic, infection, and immunity diseases). CTMM displayed a robust scientific impact that rests 15%-80% above international reference values regarding publication volume and impact. Technology translation to the clinic was accelerated, with >50% of projects progressing from pre-clinical development to clinical testing within 5 years. Furthermore, CTMM has generated nearly 1500 Full Time Equivalent (FTE) of translational R&D capacity. Its positive impact on translational, (future) clinical, and economic aspects is recognized across all surveyed stakeholders. As organizational innovation is increasingly considered critical to forge linkages between life sciences discoveries and innovation-in-society, lessons learned from this study may inform other institutions with similar objectives such as the Clinical and Translational Science Awards (CTSA) Program of the National Institutes of Health (NIH) in the United States.

  8. Factors affecting ambulance utilization for asthma attack treatment: understanding where to target interventions.

    Science.gov (United States)

    Raun, L H; Ensor, K B; Campos, L A; Persse, D

    2015-05-01

    Asthma is a serious, sometimes fatal condition, in which attacks vary in severity, potentially requiring emergency medical services (EMS) ambulance treatment. A portion of asthma attacks requiring EMS ambulance treatment may be prevented with improved education and access to care. The aim of this study was to identify areas of the city with high rates of utilization of EMS ambulance for treatment, and the demographics, socio-economic status, and time of day associated with these rates, to better target future interventions to prevent emergencies and reduce cost. A cross-sectional study was conducted on individuals in Houston, TX (USA) requiring ambulance treatment for asthma attacks from 2004 to 2011. 12,155 EMS ambulance-treated asthma attack cases were linked to census tracts. High rate treatment areas were identified with geospatial mapping. Census tract demographic characteristics of these high rate areas were compared with the remainder of the city using logistic regression. The association between case level demographics and the time of day of asthma attack within the high rate area was also assessed with logistic regression. EMS ambulance-treated high rate areas were identified and found to have a utilization incidence rate over six times higher per 100,000 people than the remainder of the city. There is an increased risk of location in this high rate area with a census tract level increase of percent of population: earning less than $10,000 yearly income (RR 1.21, 1.16-1.26), which is black (RR 1.08, 1.07-1.10), which is female (RR 1.34, 1.20-1.49) and have obtained less than a high school degree (RR 1.02, 1.01-1.03). Within the high rate area, case level data indicates an increased risk of requiring an ambulance after normal doctor office hours for men compared with women (RR 1.13, 1.03-1.22), for black compared with Hispanic ethnicity (RR 1.31, 1.08-1.59), or for adults (less than 41 and greater than 60) compared with children. Interventions to prevent

  9. Using the internet to understand smokers' treatment preferences: informing strategies to increase demand.

    Science.gov (United States)

    Westmaas, J Lee; Abroms, Lorien; Bontemps-Jones, Jeuneviette; Bauer, Joseph E; Bade, Jeanine

    2011-08-26

    Most smokers attempt to quit on their own even though cessation aids can substantially increase their chances of success. Millions of smokers seek cessation advice on the Internet, so using it to promote cessation products and services is one strategy for increasing demand for treatments. Little is known, however, about what cessation aids these smokers would find most appealing or what predicts their preferences (eg, age, level of dependence, or timing of quit date). The objective of our study was to gain insight into how Internet seekers of cessation information make judgments about their preferences for treatments, and to identify sociodemographic and other predictors of preferences. An online survey assessing interest in 9 evidence-based cessation products and services was voluntarily completed by 1196 smokers who visited the American Cancer Society's Great American Smokeout (GASO) webpage. Cluster analysis was conducted on ratings of interest. In total, 48% (572/1196) of respondents were "quite a bit" or "very much" interested in nicotine replacement therapy (NRT), 45% (534/1196) in a website that provides customized quitting advice, and 37% (447/1196) in prescription medications. Only 11.5% (138/1196) indicated similar interest in quitlines, and 17% (208/1196) in receiving customized text messages. Hierarchical agglomerative cluster analysis revealed that interest in treatments formed 3 clusters: interpersonal-supportive methods (eg, telephone counseling, Web-based peer support, and in-person group programs), nonsocial-informational methods (eg, Internet programs, tailored emails, and informational booklets), and pharmacotherapy (NRT, bupropion, and varenicline). Only 5% (60/1196) of smokers were "quite a bit" or "very much" interested in interpersonal-supportive methods compared with 25% (298/1196) for nonsocial-informational methods and 33% (399/1196) for pharmacotherapy. Multivariate analyses and follow-up comparisons indicated that level of interest in

  10. Contemporary Understanding of Diagnosis and Treatment of Children with Cystic Fibrosi

    Directory of Open Access Journals (Sweden)

    A. A. Baranov

    2015-01-01

    Full Text Available The issue of contemporary diagnosis and correct management of patients with cystic fibrosis is relevant not only for Russia, but for the entire world. Despite achievements of the contemporary medical science, underdiagnosis of this systemic genetic disorder leading to severe incapacitation and death of pulmonary and heart failure in the vast majority of cases is still observed. The burden induced by this disease is so severe that neonatal screening has been introduced to suspect and detect disease and start pathogenetic treatment capable of stopping or slowing progression of the disease as soon as possible. Apart from the contemporary classification and diagnostic criteria, the article presents treatment goals and components requiring a multidisciplinary approach in detail. Specific attention is given to methods of kinesitherapy, use of antibacterial drugs and enzyme replacement therapy, which primarily determine prognosis of the disease. 

  11. New Drugs for Anemia Treatment Based on a New Understanding of the Mechanisms of Stress Erythropoiesis

    Science.gov (United States)

    2013-09-01

    antagonist that inhibits stomach acid production. It is commonly used in the treatment of peptic ulcer disease (PUD) and gastroesophageal reflux disease ...mainly used as an over-the-counter drug to treat heartburn and peptic ulcers . 3. Sulfadimethoxine (Albon) is a low-dosage, rapidly absorbed, long...production and that is mainly used as an over-the-counter drug to treat heartburn and peptic ulcers . 2. Figure 16 Nizatidine, a histamine H2-receptor

  12. Pelvic inflammatory disease in the adolescent: understanding diagnosis and treatment as a health care provider.

    Science.gov (United States)

    Woods, Jennifer L; Scurlock, Amy M; Hensel, Devon J

    2013-06-01

    Pelvic inflammatory disease (PID) is a common clinical syndrome with highest rates in adolescents, but no studies have singularly focused on this population in relationship to established guidelines for diagnosis and treatment. The study objective was to assess knowledge of diagnosis and treatment criteria for PID within an adolescent population and to compare factors associated with adherence to Centers for Disease Control and Prevention guidelines in outpatient settings. Data were collected as part of a retrospective chart review of evaluation, diagnosis, and treatment of sexually transmitted infections in adolescent women in an outpatient setting. Participant charts were eligible for review if they were 12 to 21 years of age and were given an International Classification of Diseases, Ninth Revision/chart diagnosis of PID. Two primary outcome variables were utilized: meeting PID diagnosis guidelines (no/yes) and correct treatment for subject meeting criteria with guidelines (no/yes). The study controlled for race, age, medical venue, and current/past infection with gonorrhea/chlamydia. Subjects (n = 150) were examined for the primary outcome variables; 78% (117/150) met at least 1 criterion for PID diagnosis. Nearly 75% (111/150) had cervical motion tenderness, 34% (51/150) adnexal tenderness, and 5% (7/150) had uterine tenderness; nearly 11% (16/150) were positive for all 3 criteria. Symptoms associated with PID were compared for subjects meeting diagnosis criteria versus subjects not meeting diagnosis criteria: abdominal pain and vomiting were significantly associated with PID diagnosis at P Pelvic inflammatory disease and cervicitis appear to be confused by providers in the diagnosis process, and educational tools may be necessary to increase the knowledge base of practitioners in regard to PID.

  13. Managing innovation complexity: About the co-existence of innovation types

    OpenAIRE

    Pohlmann, Philipp Adrian

    2014-01-01

    The purpose of this study is to contribute to the changing innovation management literature by providing an overview of different innovation types and organizational complexity factors. Aiming at a better understanding of effective innovation management, innovation and complexity are related to the formulation of an innovation strategy and interaction between different innovation types is further explored. The chosen approach in this study is to review the existing literature on different inn...

  14. Understanding Treatment Disconnect and Mortality Trends in Renal Cell Carcinoma Using Tumor Registry Data.

    Science.gov (United States)

    Smaldone, Marc C; Egleston, Brian; Hollingsworth, John M; Hollenbeck, Brent K; Miller, David C; Morgan, Todd M; Kim, Simon P; Malhotra, Aseem; Handorf, Elizabeth; Wong, Yu-Ning; Uzzo, Robert G; Kutikov, Alexander

    2017-04-01

    The paradoxical rise in overall and cancer-specific mortality despite increased detection and treatment of renal cell carcinoma (RCC) is termed "treatment disconnect." We reassess this phenomenon by evaluating impact of missing data and rising incidence on mortality trends. Using Surveillance, Epidemiology, and End Results data, we identified patients with RCC diagnosis from 1973 to 2011. We estimated mortality rates by tumor size after accounting for lags from diagnosis to death using multiple imputations for missing data from 1983. Mortality rates were estimated irrespective of tumor size after adjustment for prior cumulative incidence using ridge regression. A total of 78,891 patients met inclusion criteria. Of 70,212 patients diagnosed since 1983, 10.4% had missing data. Significant attenuation in cancer-specific mortality was noted from 1983 to 2011 when comparing observed with imputed rates: Δobs0.05 versus Δimp0.10 (P=0.001, 7 cm tumors). Holding incidence of RCC constant to 2011 rates, temporal increase in overall mortality for all patients was attenuated (Pmortality trends. These findings were supported by assessment of mortality to incidence ratio trends. Missing data and rising incidence may contribute substantially to the "treatment disconnect" phenomenon when examining mortality rates in RCC using tumor registry data. Caution is advised when basing clinical and policy decisions on these data.

  15. Complicated Pericarditis: Understanding Risk Factors and Pathophysiology to Inform Imaging and Treatment.

    Science.gov (United States)

    Cremer, Paul C; Kumar, Arnav; Kontzias, Apostolos; Tan, Carmela D; Rodriguez, E Rene; Imazio, Massimo; Klein, Allan L

    2016-11-29

    Most patients with acute pericarditis have a benign course and a good prognosis. However, a minority of patients develop complicated pericarditis, and the care of these patients is the focus of this review. Specifically, we address risk factors, multimodality imaging, pathophysiology, and novel treatments. The authors conclude that: 1) early high-dose corticosteroids, a lack of colchicine, and an elevated high-sensitivity C-reactive protein are associated with the development of complicated pericarditis; 2) in select cases, cardiovascular magnetic resonance imaging may aid in the assessment of pericardial inflammation and constriction; 3) given phenotypic similarities between recurrent idiopathic pericarditis and periodic fever syndromes, disorders of the inflammasome may contribute to relapsing attacks; and 4) therapies that target the inflammasome may lead to more durable remission and resolution. Finally, regarding future investigations, the authors discuss the potential of cardiovascular magnetic resonance to inform treatment duration and the need to compare steroid-sparing treatments to pericardiectomy. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  16. 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...

  17. Translating research into practice: the role of provider-based research networks in the diffusion of an evidence-based colon cancer treatment innovation.

    Science.gov (United States)

    Carpenter, William R; Meyer, Anne-Marie; Wu, Yang; Qaqish, Bahjat; Sanoff, Hanna K; Goldberg, Richard M; Weiner, Bryan J

    2012-08-01

    Provider-based research networks (PBRNs)--collaborative research partnerships between academic centers and community-based practitioners--are a promising model for accelerating the translation of research into practice; however, empirical evidence of accelerated translation is limited. Oxaliplatin in adjuvant combination chemotherapy is an innovation with clinical trial-proven survival benefit compared with prior therapies. The goal of this study is to examine the diffusion of oxaliplatin into community practice, and whether affiliation with the National Cancer Institute's (NCI's) Community Clinical Oncology Program (CCOP)--a nationwide cancer-focused PBRN--is associated with accelerated innovation adoption. This retrospective observational study used linked Surveillance, Epidemiology, and End Results-Medicare and NCI CCOP data to examine Medicare participants with stage III colon cancer initiating treatment in 2003 through 2006, the years surrounding oxaliplatin's Food and Drug Administration approval. A fixed-effects analysis examined chemotherapy use among patients treated outside academic centers at CCOP-affiliated practices compared with non-CCOP practices. Two-group modeling controlled for multiple levels of clustering, year of chemotherapy initiation, tumor characteristics, patient age, race, comorbidity, Medicaid dual-eligibility status, and education. Of 4055 community patients, 35% received 5-fluoruracil, 20% received oxaliplatin, 7% received another chemotherapy, and 38% received no chemotherapy. Twenty-five percent of CCOP patients received oxaliplatin, compared with 19% of non-CCOP patients. In multivariable analysis, CCOP exposure was associated with higher odds of receiving guideline-concordant treatment in general, and oxaliplatin specifically. These findings contribute to a growing set of evidence linking PBRNs with a greater probability of receiving treatment innovations and high-quality cancer care, with implications for clinical and research

  18. Understanding Product Attachment and Expected Product Lifetime by Extending Technology Acceptance Model (TAM) with Product Personalization and Innovation Diffusion Theory (IDT)

    Science.gov (United States)

    Yun, Younghwa

    2013-01-01

    Identifying and understanding consumers is fundamental, especially for quickly spreading new products. In recent years, the popularity of digital gadgets has sky rocketed; however, there has also been a growing tendency of relative obsolescence--replacement of a product regardless of the demise of its perfect functioning. Therefore, a question is…

  19. Understanding the Influence of Socioeconomic Environment on Paediatric Antiretroviral Treatment Coverage: Towards Closing Treatment Gaps in Sub-Saharan Africa.

    Science.gov (United States)

    Adeyinka, Daniel A; Evans, Meirion R; Ozigbu, Chamberline E; van Woerden, Hugo; Adeyinka, Esther F; Oladimeji, Olanrewaju; Aimakhu, Chris; Odoh, Deborah; Chamla, Dick

    2017-03-01

    Many sub-Saharan African countries have massively scaled-up their antiretroviral treatment (ART) programmes, but many national programmes still show large gaps in paediatric ART coverage making it challenging to reduce AIDS-related deaths among HIV-infected children. We sought to identify enablers of paediatric ART coverage in Africa by examining the relationship between paediatric ART coverage and socioeconomic parameters measured at the population level so as to accelerate reaching the 90-90-90 targets. Ecological analyses of paediatric ART coverage and socioeconomic indicators were performed. The data were obtained from the United Nations agencies and Forum for a new World Governance reports for the 21 Global Plan priority countries in Africa with highest burden of mother-to-child HIV transmission. Spearman's correlation and median regression were utilized to explore possible enablers of paediatric ART coverage. Factors associated with paediatric ART coverage included adult literacy (r=0.6, p=0.004), effective governance (r=0.6, p=0.003), virology testing by 2 months of age (r=0.9, p=0.001), density of healthcare workers per 10,000 population (r=0.6, p=0.007), and government expenditure on health (r=0.5, p=0.046). The paediatric ART coverage had a significant inverse relationship with the national mother-to-child transmission (MTCT) rate (r=-0.9, p<0.001) and gender inequality index (r=-0.6, p=0.006). Paediatric ART coverage had no relationship with poverty and HIV stigma indices. Low paediatric ART coverage continues to hamper progress towards eliminating AIDS-related deaths in HIV-infected children. Achieving this requires full commitment to a broad range of socioeconomic development goals. Copyright© by the National Institute of Public Health, Prague 2017

  20. Understanding social disparities in hypertension prevalence, awareness, treatment, and control: the role of neighborhood context.

    Science.gov (United States)

    Morenoff, Jeffrey D; House, James S; Hansen, Ben B; Williams, David R; Kaplan, George A; Hunte, Haslyn E

    2007-11-01

    The spatial segregation of the US population by socioeconomic position and especially race/ethnicity suggests that the social contexts or "neighborhoods" in which people live may substantially contribute to social disparities in hypertension. The Chicago Community Adult Health Study did face-to-face interviews, including direct measurement of blood pressure, with a representative probability sample of adults in Chicago. These data were used to estimate socioeconomic and racial-ethnic disparities in the prevalence, awareness, treatment, and control of hypertension, and to analyze how these disparities are related to the areas in which people live. Hypertension was significantly negatively associated with neighborhood affluence/gentrification, and adjustments for context eliminated the highly significant disparity between blacks/African-Americans and whites, and reduced the significant educational disparity by 10-15% to borderline statistical significance. Awareness of hypertension was significantly higher in more disadvantaged neighborhoods and in places with higher concentrations of blacks (and lower concentrations of Hispanics and immigrants). Adjustment for context completely eliminated blacks' greater awareness, but slightly accentuated the lesser awareness of Hispanics and the greater levels of awareness among the less educated. There was no consistent evidence of either social disparities in or contextual associations with treatment of hypertension, given awareness. Among those on medication, blacks were only 40-50% as likely as whites to have their hypertension controlled, but context played little or no role in either the level of or disparities in control of hypertension. In sum, residential contexts potentially play a large role in accounting for racial/ethnic and, to a lesser degree, socioeconomic disparities in hypertension prevalence and, in a different way, awareness, but not in treatment or control of diagnosed hypertension.

  1. Developing Agreed and Accepted Understandings of Spirituality and Spiritual Care Concepts among Members of an Innovative Spirituality Interest Group in the Republic of Ireland

    Directory of Open Access Journals (Sweden)

    Fiona Timmins

    2016-03-01

    Full Text Available A Spirituality Interest Group (SIG was set up in in the School of Nursing and Midwifery, Trinity College Dublin, Republic of Ireland (ROI, in March 2013. This paper reports on some of the journey and requirements involved in developing the group. It highlights the essential work of establishing agreed understandings in an objective way in order for the group to move forward with action. These agreed understandings have contributed to the group’s success. Outlining the group’s journey in arriving at agreements may be of use to others considering creating similar groups. One key action taken to determine the suitability of the group’s aims and terms of reference was the distribution of a Survey Monkey to group members (n = 28 in 2014. One early meeting of the group discussed future goals and direction using the responses of this anonymous survey. This paper reports on the results of the survey regarding the establishment of the SIG and the development of a shared understanding of spiritual care among the members. There is consensus in the group that the spiritual care required by clients receiving healthcare ought to be an integrated effort across the healthcare team. However, there is an acceptance that spirituality and spiritual care are not always clearly understood concepts in practice. By developing shared or at least accepted understandings of spirituality and spiritual care, SIG hopes to be able to underpin both research and practice with solid foundational conceptual understanding, and in the process also to meet essential prerequisites for achieving the group’s aims.

  2. Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique.

    Science.gov (United States)

    Storrer, Carmen Lucia Mueller; Valverde, Fabiane Kristine Bochenek; Santos, Felipe Rychuv; Deliberador, Tatiana Miranda

    2014-09-01

    The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. This technique had corrected esthetic alterations of smile, reducing the upper lip elevation, which results in a smaller gingival display. An upper lip lengthening as well as a reduction in the upper lip shortening when the patient smiled could be observed. The high smile line was corrected without compromising the labial harmony. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile. The patient expressed a high degree of satisfaction.

  3. Treatment of gummy smile: Gingival recontouring with the containment of the elevator muscle of the upper lip and wing of nose. A surgery innovation technique

    Directory of Open Access Journals (Sweden)

    Carmen Lucia Mueller Storrer

    2014-01-01

    Full Text Available The containment of the elevator muscle of the upper lip and wing of nose was used for the treatment of patients with gummy smile. This technique had corrected esthetic alterations of smile, reducing the upper lip elevation, which results in a smaller gingival display. An upper lip lengthening as well as a reduction in the upper lip shortening when the patient smiled could be observed. The high smile line was corrected without compromising the labial harmony. This study presents an innovative and effective therapeutic option to obtain a natural and harmonious smile. The patient expressed a high degree of satisfaction.

  4. Encouraging innovation: ten research priorities for achieving universal access to HIV/AIDS prevention, treatment and care in Europe by 2010

    DEFF Research Database (Denmark)

    Lazarus, Jeff; Laukamm-Josten, Ulrich; Atun, Rifat A

    2008-01-01

    there have been many declarations and strategies addressing HIV/AIDS, today the goal is universal access to HIV/AIDS prevention, treatment, care and support services by 2010. The articles included in this thematic issue of the Central European Journal of Public Health on HIV/AIDS reflect this, while the ten...... priorities listed below are immediate and sometimes innovative research needs in the context of preventing HIV among the most-at-risk populations. While by no means exhaustive, they are intended to point out gaps in existing knowledge and thus serve as inspiration for future research efforts....

  5. Lead toxicokinetics. Development of a biokinetic model to understand and predict the outcome of treatment.

    Science.gov (United States)

    de Vries, I; Spaans, E; van Dijk, A; Meulenbelt, J

    1998-01-01

    Quite often physicians contact the Dutch Poisons Control Centre for information on patients with increased lead exposure. The most important questions raised by physicians dealing with these patients are how to estimate the lead exposure and the total lead body burden, how to interpret blood lead concentrations and whether the patient needs treatment. In order to answer these questions we need knowledge of the toxicokinetics of lead in the human body. To achieve insight and to make this knowledge accessible to physicians a biokinetic model for lead metabolism in the human body was developed. A four-compartment model with first-order kinetics, based on the concept of Kneip, was used. A biokinetic model uses a mathematical approach to translate the complex biological and kinetic behaviour of lead. In order to develop this biokinetic model two computer programmes were used. At the moment the model is tested with clinical data from patient treated at the medical toxicology outpatient clinic of the Utrecht University Hospital (this department cooperates very closely with the National Poisons Control Centre). Especially with regard to chelation therapy for elevated blood lead levels due to chronic exposure, the model is very helpful in visualising the toxicokinetics of lead in the human body. Toxicokinetic model might help improve knowledge of lead toxicokinetics, leading to well-considered guidelines for treatment of lead intoxications.

  6. Understanding variation in the quality of the surgical treatment of prostate cancer.

    Science.gov (United States)

    Schroeck, Florian R; Jacobs, Bruce L; Hollenbeck, Brent K

    2013-01-01

    More than 80% of men with prostate cancer undergo active treatment, which can be associated with significant morbidity. Outcomes of surgical treatment vary widely depending on who treated the patient and where the patient was treated, implying that there is room for improvement. Factors influencing outcomes include patient characteristics as well as some measure of procedure volume. Although relationships between volume and outcomes for prostatectomy can most likely be explained by differences between surgeons (e.g., experience, technical skill), the hospital environment (e.g., team communication, safety culture) has the potential to either amplify or dampen the effects. Although most patient factors are immutable, these other aspects of surgical care and the delivery environment provide opportunities for quality improvement. Collaborative quality improvement initiatives may prove to be an important vehicle for achieving better prostate cancer care. These grass roots organizations, driven largely by urologists dedicated to providing prostate cancer care, have had initial successes in improving some aspects of quality in prostate cancer care, including reducing unwarranted use of imaging and perioperative morbidity. However, much of the variation in functional outcomes after prostate cancer surgery arises from differences in technical skill. Evaluating and improving intraoperative surgeon performance will inevitably be challenging, as they require acquisition and interpretation of data collected in the operating room. To this end, several methods have been described to objectively assess what happens in the operating room.

  7. 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...

  8. Using the Diffusion of Innovations theory to understand the uptake of genetics in nursing practice: identifying the characteristics of genetic nurse adopters.

    Science.gov (United States)

    Andrews, Verity; Tonkin, Emma; Lancastle, Deborah; Kirk, Maggie

    2014-04-01

    To identify the characteristics of nurses who are using genetics in practice and consider the implications of the findings for optimizing its wider uptake. Nurses are crucial in realizing the benefits from advances in genetic and genomic health care. Although many recognize genetics as an important component of disease, most feel unprepared to engage with it in practice. The Diffusion of Innovation theory provides a useful framework to describe different levels of engagement. Identifying the characteristics of nurses who have engaged with genetics (adopters) may provide insights of relevance to promoting wider adoption. A primarily quantitative approach over two phases, using online surveys conducted during 2011. In phase 1, consensus (>75%) was sought from experts in genetics and nursing on four potential Indicators of Genetic Adoption could identify nurses who have adopted genetics. In phase 2, oncology and primary care nurses were surveyed to identify the characteristics and demographic indicators of genetic nurse adopters. A consensus was achieved to include all Indicators of Genetic Adoption (phase 1). In phase 2, 27·3% of respondents (n = 24/88) were categorized as being adopters. Eighteen characteristics were determined to be statistically significant (Mann-Whitney) in defining an adopter and included being open to experience and being more knowledgeable of and confident in using genetics. Nurses can be categorized in terms of their engagement with genetics through several distinguishing characteristics. Further research is needed to test the generalizability of the findings to a larger sample and other areas of nursing practice. © 2013 John Wiley & Sons Ltd.

  9. Understanding treatment effect mechanisms of the CAMBRA randomized trial in reducing caries increment.

    Science.gov (United States)

    Cheng, J; Chaffee, B W; Cheng, N F; Gansky, S A; Featherstone, J D B

    2015-01-01

    The Caries Management By Risk Assessment (CAMBRA) randomized controlled trial showed that an intervention featuring combined antibacterial and fluoride therapy significantly reduced bacterial load and suggested reduced caries increment in adults with 1 to 7 baseline cavitated teeth. While trial results speak to the overall effectiveness of an intervention, insight can be gained from understanding the mechanism by which an intervention acts on putative intermediate variables (mediators) to affect outcomes. This study conducted mediation analyses on 109 participants who completed the trial to understand whether the intervention reduced caries increment through its action on potential mediators (oral bacterial load, fluoride levels, and overall caries risk based on the composite of bacterial challenge and salivary fluoride) between the intervention and dental outcomes. The primary outcome was the increment from baseline in decayed, missing, and filled permanent surfaces (ΔDMFS) 24 mo after completing restorations for baseline cavitated lesions. Analyses adjusted for baseline overall risk, bacterial challenge, and fluoride values under a potential outcome framework using generalized linear models. Overall, the CAMBRA intervention was suggestive in reducing the 24-mo DMFS increment (reduction in ΔDMFS: -0.96; 95% confidence interval [CI]: -2.01 to 0.08; P = 0.07); the intervention significantly reduced the 12-mo overall risk (reduction in overall risk: -19%; 95% CI, -7 to -41%;], P = 0.005). Individual mediators, salivary log10 mutans streptococci, log10 lactobacilli, and fluoride level, did not represent statistically significant pathways alone through which the intervention effect was transmitted. However, 36% of the intervention effect on 24-mo DMFS increment was through a mediation effect on 12-mo overall risk (P = 0.03). These findings suggest a greater intervention effect carried through the combined action on multiple aspects of the caries process rather than

  10. Forming Ideal Types by Understanding: The Psychoanalytic Treatment of Suicidal Men

    Directory of Open Access Journals (Sweden)

    Reinhard Lindner

    2010-04-01

    Full Text Available This paper discusses the application of a qualitative methodology—forming ideal types by understanding—to the psychoanalytic psychotherapy of suicidal men. The paper focuses on a particular phase of the methodology: the validation through external expert replication. Data of cases from psychoanalytic treatment, analysed by the originating group in Germany, is analysed by a group in London, UK, which formed to undertake the task of blind comparison. We describe the contribution of this method in the field of psychoanalytic research, the method developed for generating data and the processes through which data are analysed. We demonstrate the comparative findings from the first (German and second (UK analyses and explore the meanings of the similarities and differences. The paper concludes with an appraisal of the strengths and limitations (in terms of moderate levels of generalisation of results from this method for research in the field of qualitative psychotherapy research. URN: urn:nbn:de:0114-fqs1002120

  11. Managing severe obesity: understanding and improving treatment adherence in bariatric surgery.

    Science.gov (United States)

    Hood, Megan M; Corsica, Joyce; Bradley, Lauren; Wilson, Rebecca; Chirinos, Diana A; Vivo, Amanda

    2016-12-01

    Severe obesity (body mass index ≥40 kg/m 2 ) is a chronic disease that is associated with significantly increased risk of serious and chronic health problems as well as impaired quality of life. For those with severe obesity, bariatric surgery is the most effective treatment for significant and long-term weight loss and resolution of comorbid medical conditions, particularly diabetes. Long-term success is thought to depend to some degree on the patient's ability to adhere to a complex set of behaviors, including regular attendance at follow up appointments and following stringent dietary, exercise, and vitamin recommendations. Here, we summarize the current research on behavioral adherence in patients with severe obesity presenting for bariatric surgery and we highlight challenges and make recommendations for improved self-management before and after surgery.

  12. CHRONIC FUNCTIONAL CONSTIPATION IN CHILDREN — FROM UNDERSTANDING THE PROBLEM TO THE PROPER TREATMENT

    Directory of Open Access Journals (Sweden)

    V.F. Privorotskiy

    2010-01-01

    Full Text Available Functional origin is known in 95% of children with constipation. According to ICD-10 there is traditional distinction between syndrome of irritated bowel and proper functional constipation which have wide spectrum of causes. Rome criteria III propose initial diagnostic criteria of these disorders but the use of the criteria in pediatrics is frequently complicated. Clinical practice of pediatrician demands differentiation of constipations into hypertonic and hypotonic ones. Treatment programs include necessary component — laxative drugs which are useful in cases of subcompensated and decompensated types of constipation. One of the laxative drugs is Forlax containing polyethyleneglycol 4.000; it can be given to children 6 months old and older. The literature data shows high efficiency and safety of the drug.Key words: children, constipation, laxative drugs.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2010;9(6:69-77

  13. Asthma exacerbations: Understanding role of viral respiratory tract infections and possible treatment strategies

    Directory of Open Access Journals (Sweden)

    Kavita Sekhri

    2015-01-01

    Full Text Available Asthma is common, affecting around 500 billion people worldwide. It is a complex disease influenced by both genetic and environmental factors. Upper respiratory tract infections with viruses commonly precipitate severe and sustained asthma exacerbations (AEs. Exacerbations are responsible for the enormous amount of emotional and economic stress apart from imposing risk of hospitalization and even death. Hence, agents targeting these infections can contribute toward decreasing asthma morbidity and associated financial burden. Over the past years novel, pharmacological therapies are evolved for the treatment of asthma, but their exact role in exacerbations is still unclear. This article reviews the role of respiratory viral infections in AEs and discusses role of new therapeutic approaches to overcome it. Medline, Medscape, EMBASE, Cochrane database, Scopus and clinicaltrials.gov were searched using terms such as "asthma," "AE" and "viral respiratory infections." Journal articles published from 2000 to 2013 describing AEs were screened.

  14. 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.

  15. 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...

  16. Understanding Virulence in the Brucellae and Francisellae: Towards Efficacious Treatments for Two Potential Biothreat Agents

    Energy Technology Data Exchange (ETDEWEB)

    Rasley, A; Parsons, D A; El-Etr, S; Roux, C; Tsolis, R

    2009-12-30

    Francisella tularensis, Yersinia pestis and Brucellae species are highly infectious pathogens classified as select agents by the Centers for Disease Control and Prevention (CDC) with the potential for use in bioterrorism attacks. These organisms are known to be facultative intracellular pathogens that preferentially infect human monocytes. As such, understanding how the host responds to infection with these organisms is paramount in detecting and combating human disease. We have compared the ability of fully virulent strains of each pathogen and their non-pathogenic near neighbors to enter and survive inside the human monocytic cell line THP-1 and have quantified the cellular response to infection with the goal of identifying both unique and common host response patterns. We expanded the scope of these studies to include experiments with pathogenic and non-pathogenic strains of Y. pestis, the causative agent of plague. Nonpathogenic strains of each organism were impaired in their ability to survive intracellularly compared with their pathogenic counterparts. Furthermore, infection of THP-1 cells with pathogenic strains of Y. pestis and F. tularensis resulted in marked increases in the secretion of the inflammatory chemokines IL-8, RANTES, and MIP-1{beta}. In contrast, B. melitensis infection failed to elicit any significant increases in a panel of cytokines tested. These differences may underscore distinct strategies in pathogenic mechanisms employed by these pathogens.

  17. Seeking Innovation: Librarians Help Push Organizations Ahead.

    Science.gov (United States)

    Hudner, Ed

    2002-01-01

    Defines and discusses innovation in organizations and considers roles that information professionals can play in encouraging and supporting innovation in their organizations. Highlights include understanding future possibilities; contributing to strategy development; distilling information to create added value; developing partnerships; organizing…

  18. The adoption of pharmaceutical innovation and its impact on the treatment costs for Alzheimer's disease in Taiwan.

    Science.gov (United States)

    Lo, Te-Fen; Hsieh, Chee-Ruey

    2014-09-01

    As the population ages, the number of people living with Alzheimer's disease (AD) has been increasing over time. Between 1999 and 2006, four new AD drugs were approved for insurance coverage in Taiwan. We investigate the heterogeneous influences of adopting these new drugs on healthcare expenditures. We also evaluate whether the adoption of pharmaceutical innovation creates any "offsetting" effect in the sense that an increase in one component of the health care costs is offset by the decrease in the other components of health care costs. AD patients are defined in this study as those who are diagnosed with ICD-9-CM code 331.0. Based on longitudinal insurance claims data, we identify 1,088 AD patients whose first diagnosis occurred between 1997 and 2007. After excluding the period before each patient's AD diagnosis, 4,629 patient-year observations are found to constitute an unbalanced panel data set used in this study. We employ the correlated-random-effects quantile regression (CREQR) method to explicitly control for the unobserved heterogeneity and to consider the heterogeneous influences of adopting new drugs on different points of the conditional distribution function of health expenditures. Our empirical findings are consistent with previous evidence that the adoption of pharmaceutical innovation is costly. To be specific, the expenditure-increasing effect is mainly reflected by the increase in expenditure on drugs in the outpatient sector. In addition, we find evidence of a significant offsetting effect in the sense that new-drug users tend to make less use of inpatient services. As a result, the net effect of adopting pharmaceutical innovation is heterogeneous across AD patients: the use of new drugs is expenditure-increasing for patients whose health care costs are distributed below the 75th quantile; by contrast, the use of new drugs is expenditure-neutral above the 75th quantile, that is, the increase in the drug costs is almost completely offset by the

  19. 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...

  20. 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....

  1. Revelation and Innovation of Value

    DEFF Research Database (Denmark)

    Saghaug, Kristin Margrethe

    show that many of the business owners in this study try to balance between their personal values and economic values. A further investigation into this results in a model of innovation of value from a theological perspective in respect to business model innovation. It is the very understanding......Kristin F. Saghaug’s Phd thesis investigates the interaction of revelatory theology, artistic creativity and small business owners in a business model innovation context. This project challenges mainstream business management’s concept of value and adds to the understanding of the innovation...... process through a pioneering conversation across different specialized domains. How can philosophical theology, namely, Paul Tillich’s theory of revelation, contribute to productive reflection on the innovation of value among small business owners in a business model innovation context? Empirical findings...

  2. Animal models to improve our understanding and treatment of suicidal behavior.

    Science.gov (United States)

    Gould, T D; Georgiou, P; Brenner, L A; Brundin, L; Can, A; Courtet, P; Donaldson, Z R; Dwivedi, Y; Guillaume, S; Gottesman, I I; Kanekar, S; Lowry, C A; Renshaw, P F; Rujescu, D; Smith, E G; Turecki, G; Zanos, P; Zarate, C A; Zunszain, P A; Postolache, T T

    2017-04-11

    Worldwide, suicide is a leading cause of death. Although a sizable proportion of deaths by suicide may be preventable, it is well documented that despite major governmental and international investments in research, education and clinical practice suicide rates have not diminished and are even increasing among several at-risk populations. Although nonhuman animals do not engage in suicidal behavior amenable to translational studies, we argue that animal model systems are necessary to investigate candidate endophenotypes of suicidal behavior and the neurobiology underlying these endophenotypes. Animal models are similarly a critical resource to help delineate treatment targets and pharmacological means to improve our ability to manage the risk of suicide. In particular, certain pathophysiological pathways to suicidal behavior, including stress and hypothalamic-pituitary-adrenal axis dysfunction, neurotransmitter system abnormalities, endocrine and neuroimmune changes, aggression, impulsivity and decision-making deficits, as well as the role of critical interactions between genetic and epigenetic factors, development and environmental risk factors can be modeled in laboratory animals. We broadly describe human biological findings, as well as protective effects of medications such as lithium, clozapine, and ketamine associated with modifying risk of engaging in suicidal behavior that are readily translatable to animal models. Endophenotypes of suicidal behavior, studied in animal models, are further useful for moving observed associations with harmful environmental factors (for example, childhood adversity, mechanical trauma aeroallergens, pathogens, inflammation triggers) from association to causation, and developing preventative strategies. Further study in animals will contribute to a more informed, comprehensive, accelerated and ultimately impactful suicide research portfolio.

  3. Understanding the Biology of Thermogenic Fat: Is Browning A New Approach to the Treatment of Obesity?

    Science.gov (United States)

    Vargas-Castillo, Ariana; Fuentes-Romero, Rebeca; Rodriguez-Lopez, Leonardo A; Torres, Nimbe; Tovar, Armando R

    2017-07-01

    Obesity is characterized by an excess of white adipose tissue (WAT). Recent evidence has demonstrated that WAT can change its phenotype to a brown-like adipose tissue known as beige/brite adipose tissue. This transition is characterized by an increase in thermogenic capacity mediated by uncoupling protein 1 (UCP1). This browning process is a potential new target for treating obesity. The aim of this review is to integrate the different mechanisms by which beige/brite adipocytes are formed and to describe the physiological, pharmacological and nutritional inducers that can promote browning. An additional aim is to show evidence of how some of these inducers can be used as potential therapeutic agents against obesity and its comorbidities. This review shows the importance of brown and beige/brite adipose tissue and the mechanisms of their formation. Particularly, the two theories of beige/brite adipocyte origin are discussed: de novo differentiation and transdifferentiation. The gene markers that identify these types of adipocytes and the involvement of microRNAs in the epigenetic regulation of the browning process is also discussed. Additionally, we describe the transcriptional control of UCP1 expression by some of the inducers of browning. Furthermore, we describe in detail how some bioactive dietary compounds can induce browning and their subsequent beneficial health effects. The evidence suggests that browning is a new potential strategy for the treatment of obesity and obesity-associated metabolic disorders. Copyright © 2017 IMSS. Published by Elsevier Inc. All rights reserved.

  4. Current Understanding of Molecular Pathology and Treatment of Cardiomyopathy in Duchenne Muscular Dystrophy

    Directory of Open Access Journals (Sweden)

    Tirsa L. E. van Westering

    2015-05-01

    Full Text Available Duchenne muscular dystrophy (DMD is a genetic muscle disorder caused by mutations in the Dmd gene resulting in the loss of the protein dystrophin. Patients do not only experience skeletal muscle degeneration, but also develop severe cardiomyopathy by their second decade, one of the main causes of death. The absence of dystrophin in the heart renders cardiomyocytes more sensitive to stretch-induced damage. Moreover, it pathologically alters intracellular calcium (Ca2+ concentration, neuronal nitric oxide synthase (nNOS localization and mitochondrial function and leads to inflammation and necrosis, all contributing to the development of cardiomyopathy. Current therapies only treat symptoms and therefore the need for targeting the genetic defect is immense. Several preclinical therapies are undergoing development, including utrophin up-regulation, stop codon read-through therapy, viral gene therapy, cell-based therapy and exon skipping. Some of these therapies are undergoing clinical trials, but these have predominantly focused on skeletal muscle correction. However, improving skeletal muscle function without addressing cardiac aspects of the disease may aggravate cardiomyopathy and therefore it is essential that preclinical and clinical focus include improving heart function. This review consolidates what is known regarding molecular pathology of the DMD heart, specifically focusing on intracellular Ca2+, nNOS and mitochondrial dysregulation. It briefly discusses the current treatment options and then elaborates on the preclinical therapeutic approaches currently under development to restore dystrophin thereby improving pathology, with a focus on the heart.

  5. Understanding bipolar disorder in late life: clinical and treatment correlates of a sample of elderly outpatients.

    Science.gov (United States)

    Montes, Jose M; Alegria, Analucía; Garcia-Lopez, Aurelio; Ezquiaga, Elena; Balanzá-Martínez, Vicent; Sierra, Pilar; Toledo, Francisco; Alcaraz, Carmen; Perez, Josefina; de Dios, Consuelo

    2013-08-01

    The aim of this study was to examine the demographic, clinical, and treatment correlates of bipolar disorder (BD) in outpatients 65 years or older and to compare patients with BD subtype I (BD-I) versus BD subtype II (BD-II) and patients with early onset (EO; 50 years old) of the illness. Sixty-nine consecutive outpatients with BD were included. Diagnosis was delayed for a mean of 14.1 years, significantly longer in patients with EO (18.6 years) than with LO (3.3 years). Mild to moderate depressive symptoms were detected in 29% of the patients. The patients were receiving a mean of 3 different psychotropic medications. Antidepressantswere more frequently prescribed to patients with BD-II than to patients with BD-I (75.80% vs. 48.60%) and to patients with EO (71.7%) than to LO (35.3%). Geriatric BD has similar clinical characteristics with those of younger ages, and these do not seem to greatly differ with subtype or age of onset.

  6. Understanding regime shifts

    DEFF Research Database (Denmark)

    Heymann, Matthias; Nielsen, Kristian Hvidtfelt

    ”. Danish wind power development is all the more surprising, as the innovation process in wind technology was carried to a large extent by non-academic craftsmen and political activists. Many features of this innovation story have been investigated and that research makes it possible to summarize...... the current understanding of the regime shift....

  7. New ways of organizing innovation work

    DEFF Research Database (Denmark)

    Grex, Sara; Møller, Niels

    2006-01-01

    There is an intensified focus in innovation and companies ability to create innovation. In many companies these activities are organized by projects, but studies show this innovation is stifled in this structure. In this paper we argue that there is a need for developing alternative ways...... of organizing innovative activities in project-based settings. We propose the Contextual Design method as a way of both studying innovation work processes and an approach to redesign the innovation work organization. We find that the method can contribute to a better understanding of the innovation work...

  8. The Various Shapes of Innovation

    Directory of Open Access Journals (Sweden)

    Roubou I.

    2015-12-01

    Full Text Available Background: Innovation is one of the most difficult words to define, especially when it comes to health technology. The aim of this article is to get a better understanding of the multi-dimensional facet of innovation, how this is valued by different stakeholders and the way forward in order to create innovative interventions for the sake of the patients and the society.

  9. Why do we suffer? Understanding, treatment and processing of suffering in terms of existential analysis

    Directory of Open Access Journals (Sweden)

    Alfried Längle

    2016-12-01

    Full Text Available The paper describes the existential analytical model within which the content of suffering is denoted and structured. The model shows that we suffer from when we suffer. Suffering is diverse in its «how» and «why.» The author highlights the features of various forms of suffering in accordance with their classification in the existential-analytical anthropology and reveals the essence of suffering. Within the framework of existential analysis there is an assumption that experience is perceived as fulfilling with suffering when the fundamental structures of existence are threatened or damaged, and the features of the contents of these structures are considered. Significant attention is paid to the ratio of human suffering and the loss of human sense of life, what is behind the feeling of senselessness of suffering. Suffering and pain fully or partly represent a threat to our very life and throw into question human lust for life. To avoid this, it is necessary to appeal to the vast opportunities of a person, and drawing strength from its sources to meet adequately the destructive factors and the abyss of existence. The paper considers the issue of activity which enables stepwise treatment of suffering. The model of stepwise coping with suffering is proposed. It helps to overcome the stagnation in the condition of suffering and returns to the world and life. Practical steps are suggested. These steps are applicable for all forms of suffering. They lay the basis for gaining inner peace. So we can target our efforts over the suffering and prevent the occurrence of mental illness (e.g., depression, hysteria, addiction, PTSD, etc..

  10. Regulatory barriers to hazardous waste technology innovation

    International Nuclear Information System (INIS)

    Kuusinen, T.L.; Siegel, M.R.

    1991-02-01

    The primary federal regulatory programs that influence the development of new technology for hazardous waste are the Resource Conservation and Recovery Act (RCRA) and the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA, also commonly known as Superfund). Two important aspects of RCRA that can create barriers to hazardous waste technology innovation are technology-based waste pre-treatment standards and a cumbersome permitting program. By choosing a technology-based approach to the RCRA land disposal restrictions program, the US Environmental Protection Agency (EPA) has simultaneously created tremendous demand for the technologies specified in its regulations, while at the same time significantly reduced incentives for technology innovation that might have otherwise existed. Also, the RCRA hazardous waste permitting process can take years and cost hundreds of thousands of dollars. The natural tendency of permit writers to be cautious of unproven (i.e., innovative) technology also can create a barrier to deployment of new technologies. EPA has created several permitting innovations, however, to attempt to mitigate this latter barrier. Understanding the constraints of these permitting innovations can be important to the success of hazardous waste technology development programs. 3 refs

  11. Iran’s Pharmaceutical Sectoral Innovation System

    Directory of Open Access Journals (Sweden)

    Bahman Kargar Shahamat

    2017-12-01

    Full Text Available Abstract By reviewing economic performance, two main phenomena could be identified: The first phenomenon is prior to the third wave of the Industrial Revolution in which limited resources are the predominant input; in other words, physical and natural resources are much more credited than human resources. The second phenomenon resonates with the third wave of industrial revolution to the present time, suggesting the pivotal role of humans in production and accumulation of wealth, in which limited resources are no longer considered as predominant input. The present research seeks to understand the behavioral logic of the players of Iran's pharmaceutical sector so as to infer the innovative treatment of the firms in this sector. The concept of innovative system is indebted to the efforts economists and other scientists have made by analyzing economic development based upon technological development. Meanwhile, sectoral innovation system (SIS is a tool for analyzing a technological sector in the context of evolutionary economics with an emphasis on institutional capabilities. The structure of such an approach is composed of some components through which performance analysis of certain technological sector could be made possible. In research, we use expert panel with 12 experts from Universities, Companies, Governmental institutes. The current study wishes to explain structural model of institutional elements in this technological sector. Subsequently, in light of such an explanation, structural elements of this sector would be analyzed through identification of legal and regulatory framework, innovative culture, innovative infrastructure, financial resources, information resources, technology transfer mechanisms, commercialization support and marketing.

  12. 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...

  13. 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...

  14. 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

  15. New innovative electrocoagulation (EC) treatment technology for BWR colloidal iron utilizing the seeding and filtration electronically (SAFETTM) system

    International Nuclear Information System (INIS)

    Denton, Mark S.; Bostick, William D.

    2007-01-01

    The presence of iron (iron oxide from carbon steel piping) buildup in Boiling Water Reactor (BWR) circuits and wastewaters is decades old. In, perhaps the last decade, the advent of precoatless filters for condensate blow down has compounded this problem due to the lack of a solid substrate (e.g., Powdex resin pre-coat) to help drop the iron out of solution. The presence and buildup of this iron in condensate phase separators (CPS) further confounds the problem when the tank is decanted back to the plant. Iron carryover here is unavoidable without further treatment steps. The form of iron in these tanks, which partially settles and is pumped to a de-waterable high integrity container (HIC), is particularly difficult and time consuming to de-water (low shear strength, high water content). The addition upstream from the condensate phase separator (CPS) of chemicals, such as polymers, to carry out the iron, only produces an iron form even more difficult to filter and de-water (even less shear strength, higher water content, and a gel/slime consistency). Typical, untreated colloidal material contains both sub-micron particles up to, let's say 100 micron. It is believed that the sub-micron particles penetrate filters, or sheet filters, thus plugging the pores for what should have been the successful filtration of the larger micron particles. Like BWR iron wastewaters, fuel pools/storage basins (especially in the decon. phase) often contain colloids which make clarity and the resulting visibility nearly impossible. Likewise, miscellaneous, often high conductivity, waste streams at various plants contain such colloids, iron, salts (sometimes seawater intrusion and referred to as Salt Water Collection Tanks), dirt/clay, surfactants, waxes, chelants, etc. Such waste streams are not ideally suited for standard dead-end (cartridges) or cross-flow filtration (UF/RO) followed even by demineralizers. Filter and bed plugging are almost assured. The key to solving these dilemmas

  16. 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...

  17. 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...

  18. Applying the polarity rapid assessment method to characterize nitrosamine precursors and to understand their removal by drinking water treatment processes.

    Science.gov (United States)

    Liao, Xiaobin; Bei, Er; Li, Shixiang; Ouyang, Yueying; Wang, Jun; Chen, Chao; Zhang, Xiaojian; Krasner, Stuart W; Suffet, I H Mel

    2015-12-15

    Some N-nitrosamines (NAs) have been identified as emerging disinfection by-products during water treatment. Thus, it is essential to understand the characteristics of the NA precursors. In this study, the polarity rapid assessment method (PRAM) and the classical resin fractionation method were studied as methods to fractionate the NA precursors during drinking water treatment. The results showed that PRAM has much higher selectivity for NA precursors than the resin approach. The normalized N-nitrosodimethylamine formation potential (NDMA FP) and N-nitrosodiethylamine (NDEA) FP of four resin fractions was at the same level as the average yield of the bulk organic matter whereas that of the cationic fraction by PRAM showed 50 times the average. Thus, the cationic fraction was shown to be the most important NDMA precursor contributor. The PRAM method also helped understand which portions of the NA precursor were removed by different water treatment processes. Activated carbon (AC) adsorption removed over 90% of the non-polar PRAM fraction (that sorbs onto the C18 solid phase extraction [SPE] cartridge) of NDMA and NDEA precursors. Bio-treatment removed 80-90% of the cationic fraction of PRAM (that is retained on the cation exchange SPE cartridge) and 40-60% of the non-cationic fractions. Ozonation removed 50-60% of the non-polar PRAM fraction of NA precursors and transformed part of them into the polar fraction. Coagulation and sedimentation had very limited removal of various PRAM fractions of NA precursors. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Incumbent Participation in Open Innovation

    DEFF Research Database (Denmark)

    Ørding Olsen, Anders

    and performance of the SME partners. Findings support the hypothesis that open innovation engagement with incumbents has a negative impact on future survival and performance, moderated by radicalness and technological maturity. This elaborates on open innovation by increased understanding of drawbacks...

  20. After the FLUSH trial: a prospective observational study of lipiodol flushing as an innovative treatment for unexplained and endometriosis-related infertility.

    Science.gov (United States)

    Brent, Kira; Hadden, Wendy E; Weston-Webb, Marianne; Johnson, Neil P

    2006-08-01

    To assess the demographics, efficacy and safety of lipiodol flushing fertility treatment. Prospective observational study. Secondary level care infertility clinic and radiology centre based in Auckland, New Zealand. The first cohort of 100 New Zealand women with infertility to undergo lipiodol flushing as an innovative fertility treatment. Women received lipiodol flushing performed by a hysterosalpingogram technique and were followed up at 6 months. Clinical pregnancy at 6 months post-treatment; and live birth or ongoing pregnancy. The overall pregnancy rate was 30% and the live birth or ongoing pregnancy rate 27%. For women under 40 years old, a 32% pregnancy rate and a 25% live birth or ongoing pregnancy rate were seen in women with unexplained infertility, and a 50% pregnancy rate and a 47% live birth or ongoing pregnancy rate were seen in women with endometriosis. Of women aged 40 years and older, the pregnancy rate was 13% and the live birth or ongoing pregnancy rate was 13%. The pregnancy rates included those occurring after additional interventions, such as intrauterine insemination and in vitro fertilisation, accounting for 12 of the 30 pregnancies. There were no treatment complications. This study provides further evidence of the efficacy and safety of lipiodol flushing fertility treatment.

  1. Innovation system foresight

    DEFF Research Database (Denmark)

    Dahl Andersen, Allan; Andersen, Per Dannemand

    2014-01-01

    an improved integration of the contemporary understanding of innovation into foresight. Furthermore, the article explores four preliminary implications of ISF on the conceptual design of foresight, including the goal of foresight, system definition and boundary setting, participation of actors, and finally...

  2. Perception and understanding of dental practitioners in provision of dental treatment to pregnant women in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Aisha Wali

    2016-01-01

    Full Text Available Aim: The aim of the study was to that assess the perceptions and understanding of dental practitioners in the provision of dental treatment to pregnant women. Materials and Methods: The study was a quantitative, cross-sectional type. A sample size of 200 dental practitioners were included in the study between the period of 6 months, i.e. June–December. A cluster sampling technique was employed covering four different dental institutes. A structured questionnaire was designed to assess the perception and understanding of dental practitioners in providing treatment to the pregnant women. Statistical Analysis: Statistical analysis was performed using SPSS version 19. Chi-square test was done to analyze the association of perception of dental practitioners in treating pregnant women in relation to gender. Results: A total of 200 dental practitioners filled the questionnaire out of which 43% (86 were males and 57% (114 were females. Eighty-two percent of the total participants said that it is safe to provide dental treatment during pregnancy, almost 90.4% of the total dentist interviewed was aware of the special position in which to place a pregnant woman on a dental chair. 85.5% of the study population do not prefer taking radiographs of a pregnant woman, 63% of the entire dentist surveyed prefers to use local anesthesia before any dental procedure on a pregnant patient. 96.5% care to educate their pregnant patient about improving dental health care. 59.5% of the dental practitioners said that they would consult the patient's gynecologist as a mandatory requirement before treating the patient. 57% of the dental practitioners answered with gingivitis. 70.5% agreed on scaling. The majority of the dentists prescribed paracetamol 85.5%. Conclusion: Little is known about the perception and utilization of dental practitioners in providing dental treatment to pregnant women in Pakistan. The present survey concluded that dental practitioners lack

  3. Understanding Responsible Innovation in Small Producers’ Clusters in  Vietnam through Actor Network Theory (ANT)

    NARCIS (Netherlands)

    Voeten, J.; de Haan, J.A.C.; Roome, N.; de Groot, G.A.

    2013-01-01

    There is increasing evidence that innovation offers perspectives for poverty alleviation in small producers’ contexts in developing countries. However, innovations sometimes imply additional harmful environmental and social consequences, which are not in line with broader poverty alleviation and

  4. Understanding Alzheimer's

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues Understanding Alzheimer's Past Issues / Fall 2007 Table of Contents For ... and brain scans. No treatment so far stops Alzheimer's. However, for some in the disease's early and ...

  5. 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...

  6. Qualitative interviews with non-national tuberculosis patients in Cairo, Egypt: understanding the financial and social cost of treatment adherence.

    Science.gov (United States)

    Lohiniva, Anna L; Mokhtar, Alaa; Azer, Ashraf; Elmoghazy, Esaam; Kamal, Eman; Benkirane, Manal; Dueger, Erica

    2016-11-01

    Limited data are available about the challenges of non-national TB patients undergoing long-term treatment courses in an urban setting. This study aimed to understand the financial and social cost of adherence of non-national TB patients in Cairo, Egypt as a means to inform the development of context-specific interventions to support treatment adherence. In 2011, 22 in-depth interviews were conducted with TB patients from Sudan, Ethiopia, Eritrea, Somalia and Djibouti to obtain qualitative data. Analysis was based on thematic analysis that aimed to identify recurrent themes and codes from the narratives. The study identified a number of factors that influence TB treatment adherence. Uncertain financial status due to limited or no employment was frequently discussed in interviews, which resulted in fear of not being able to support family, loss of pride, dependence on family and friends, fear of losing housing, food insecurity and limited food options. Respondents also feared infecting other household members and longed for opportunities to discuss their illness and treatment experiences with other individuals but their social networks were often limited. TB-related stigma was driven by shame and blame of infection. Respondents also believed stigma was based on their foreign origin. Stigma manifested in distancing and exclusion in various ways, resulting in isolation, psychological distress and reluctance to disclose TB status to others. Poverty-related factors and social context with a special focus on stigma should be considered when developing strategies for supporting long-term treatment courses for non-national patients in Cairo and other similar urban settings. © 2015 John Wiley & Sons Ltd.

  7. Value system for distruptive innovation

    DEFF Research Database (Denmark)

    Li, Jizhen; Zhang, Si; Hu, Yimei

    and the market trajectory is the terminal, through the coordination of the elements in the value system the success of firms in disruptive innovation could be obtained and sustained. In other words, with the understanding of how value system works in disruptive innovation, the failure of incumbent firms may......After reviewing the theory of disruptive innovation, this paper forms a new framework for analyzing disruptive innovation from the perspective of value system, which suggests that the technology per se is the value source, industrial Ecosystem is the carrier, business model is the instrument...

  8. Innovation through accelerators: A case for open innovation

    Directory of Open Access Journals (Sweden)

    Lerato E. Mohalajeng

    2016-12-01

    Full Text Available Background: Open innovation is becoming a progressive business practice in Southern Africa because it plays a significant role in economic development through promoting the commercialisation of new ideas. The challenge is that while the benefits of open innovation are widely spoken about, not much is understood about the challenges and successes of open innovation accelerators (OIAs in taking ideas to market. Aim: The purpose of this research was to investigate an OIA in South Africa for taking ideas to market. Setting: The Innovation Hub is a science park in Pretoria, South Africa, using open innovation to stimulate entrepreneurship in South Africa. Through The Innovation Hub Open IX, a webbased platform, an opportunity to investigate the bridging from invention to commercialisation is presented. Methods: A qualitative research method using semi-structured, in-depth interviews was applied to collect data. Five key stakeholders of the OIA were interviewed. Results: The findings suggest that stakeholder buy-in is essential for commercialisation through OIAs in South Africa. By involving stakeholders in the initial phases of the open innovation process, the likelihood of a solution being incorporated and fitted into the organisation’s business strategy is increased. Conclusion: The insight gained from this research suggests policymakers, research institutions and commercial businesses ought to explore various innovations across industries relevant to their open innovation proficiencies. This research makes a significant contribution to an indepth understanding of what is needed to bridge the gap from invention to successful commercialisation through open innovation.

  9. Conceptualizing innovation capabilities: A contingency perspective

    Directory of Open Access Journals (Sweden)

    Tor Helge Aas

    2017-01-01

    understanding of the strategy-innovation link as well as clarifies the conceptual understanding of capabilities within the strategy literature and establishes the relationship between these structures and innovation management theory.

  10. Co-existence of tic disorders and attention-deficit/hyperactivity disorder-recent advances in understanding and treatment.

    Science.gov (United States)

    Rothenberger, Aribert; Roessner, Veit; Banaschewski, Tobias; Leckman, James F

    2007-06-01

    In daily clinical practice of child psychiatry tic disorders (TD) and attention-deficit/hyperactivity disorder (ADHD) as well as their co-existence are common and need careful evidence-based approaches in differential diagnostics and treatment choice. Hence, their relationship at different levels (e.g., psychopathology, neuropsychology, neurobiology, treatment) needs to be elucidated in more detail. The articles of this supplement deal with this subject. It is unclear if TD + ADHD represents an own clinical entity and which component (TD vs. ADHD) is most important in case of co-existence with respect to accompanying problems like emotional or cognitive disturbances. This editorial gives a short overview of the essential research topics concerning TD + ADHD and shows where (in this ECAP supplement and other literature) empirically based answers can be found. Probably, the identification of separate or common "endophenotypes" for TD-only, ADHD-only and for TD + ADHD would help to sort out the complexities and this supplement may nurture such a perspective of future research for a better understanding and treatment of youths with TD + ADHD and their families.

  11. 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.

  12. 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...

  13. 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...

  14. 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...

  15. Assessment of an Innovative Voluntary Substance Abuse Treatment Program Designed to Replace Compulsory Drug Detention Centers in Malaysia.

    Science.gov (United States)

    Khan, Farrah; Krishnan, Archana; Ghani, Mansur A; Wickersham, Jeffrey A; Fu, Jeannia J; Lim, Sin How; Dhaliwal, Sangeeth Kaur; Kamarulzaman, Adeeba; Altice, Frederick L

    2018-01-28

    As part of an ongoing initiative by the Malaysian government to implement alternative approaches to involuntary detention of people who use drugs, the National Anti-Drug Agency has created new voluntary drug treatment programs known as Cure and Care (C&C) Centers that provide free access to addiction treatment services, including methadone maintenance therapy, integrated with social and health services.   We evaluated early treatment outcomes and client satisfaction among patients accessing C&C treatment and ancillary services at Malaysia's second C&C Center located in Kota Bharu, Kelantan. In June-July 2012, a cross-sectional convenience survey of 96 C&C inpatients and outpatients who entered treatment >30 days previously was conducted to assess drug use, criminal justice experience, medical co-morbidities, motivation for seeking treatment, and attitudes towards the C&C. Drug use was compared for the 30-day-period before C&C entry and the 30-day-period before the interview. Self-reported drug use levels decreased significantly among both inpatient and outpatient clients after enrolling in C&C treatment. Higher levels of past drug use, lower levels of social support, and more severe mental health issues were reported by participants who were previously imprisoned. Self-reported satisfaction with C&C treatment services was high. Conclusions/Importance: Preliminary evidence of reduced drug use and high levels of client satisfaction among C&C clients provide support for Malaysia's ongoing transition from compulsory drug detention centers (CDDCs) to these voluntary drug treatment centers. If C&C centers are successful, Malaysia plans to gradually transition away from CDDCs entirely.

  16. 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...

  17. 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

  18. Human resources in innovation systems

    DEFF Research Database (Denmark)

    Nielsen, René Nesgaard

    2007-01-01

    the research questions which are studied in the thesis.      Chapter 2 reviews relevant literature on systems of innovation, human capital, and skill-biased technological and organisational change. It is stated in the chapter that this thesis primarily refers to a system of innovation approach as its......Human resources in innovation systems: With focus on introduction of highly educated labour in small Danish firms This thesis has two purposes: (1) a ‘general' purpose to enhance our knowledge on the relationship between innovation, technological and organisational change, and human resources...... stemming from human resources - such as insight, understanding, creativity, and action - are inherently important to all innovation processes. The chapter also suggests a tentative conceptual and analytical framework for studying human resources and their development within a system of innovation approach...

  19. Innovation as Social Practice

    DEFF Research Database (Denmark)

    Sproedt, Henrik

    2012-01-01

    relational view on knowledge and knowing (Cook and Brown 1999; Carlile, 2004). I argue, that we do not understand, and consequently cannot support the complex social process of innovating with others across boundaries, if we only apply a hierarchical, divisional, system approach to knowledge. In order...... to meaningfully transform knowledge across boundaries we cannot separate it from knowing and context. We need to adopt a multi-level relational-practice view of knowledge and knowing, embracing the complex dynamic interplay between knowledge and knowing on different levels of the social: relating individuals......, group relations and organizational rules. What would a coherent conceptual framework for innovation practice look like?...

  20. Priority setting for resources to improve the understanding of information about claims of treatment effects in the mass media.

    Science.gov (United States)

    Semakula, Daniel; Nsangi, Allen; Oxman, Andrew D; Sewankambo, Nelson K

    2015-05-01

    Claims about benefits and harms of treatments are common in the media. We engaged health journalists in prioritizing concepts of evidence-based medicine that we believe the public needs to understand to be able to assess claims about treatment effects; and which could improve how journalists report such information. We conducted a three-day workshop with a group of Ugandan journalists in which we presented and explained the concepts. We asked journalists to prioritize groups of related concepts using four pre-specified criteria i.e. relevance of the concepts to journalists and their audiences; ease of comprehension; feasibility of developing resources for teaching the concepts and, whether such resources would potentially have an impact. Using a modified Delphi technique, participants ranked each group of concepts using these criteria on a scale of one to six (one = lowest; 6 = highest). We analyzed the rankings in real time using STATA statistical software. All six groups of concepts were considered relevant and comprehensible with scores of five and six on a scale of one to six. Twenty two out of 25 participants reported having understood the concepts well, with subjective scores of above 75 on a scale of one to 100. Journalists in Uganda recognize the importance of evidence-based medicine concepts in assessing claims about benefits and harms of treatments to them and their audiences. They should be empowered to use these and similar concepts in order to improve how information about effects of treatments is relayed in the media. © 2015 Chinese Cochrane Center, West China Hospital of Sichuan University and Wiley Publishing Asia Pty Ltd.

  1. Innovative strategies using communications technologies to engage gay men and other men who have sex with men into early HIV testing and treatment in Thailand.

    Science.gov (United States)

    Anand, Tarandeep; Nitpolprasert, Chattiya; Ananworanich, Jintanat; Pakam, Charnwit; Nonenoy, Siriporn; Jantarapakde, Jureeporn; Sohn, Annette H; Phanuphak, Praphan; Phanuphak, Nittaya

    2015-04-01

    One-in-three men who have sex with men (MSM) surveyed between 2007 and 2010 in Bangkok were HIV infected; 54% of new infections in Thailand are expected to be among MSM. Although MSM are the top internet-accessing population in Thailand, it has not been optimally used to scale up early HIV testing and counselling (HTC) and linkage to treatment. Thailand needs innovative technology-based strategies to help address the exploding epidemic of HIV among gay men and other MSM. Adam's Love, an innovative web-based communications strategy, was launched in 2011 by the Thai Red Cross AIDS Research Centre. It includes a dedicated website, integrated social media and web message boards for online counselling, recruitment and appointment making, a club membership programme offering non-financial incentives for HTC, targeted marketing and promotions, and collaboration with MSM-friendly clinics and private hospitals to improve accessibility of HTC services. Between September 2011 and January 2015, the website engaged 1.69 million viewers, and gained more than 8 million page views. An estimated 11,120 gay men and other MSM received online counselling; 8,288 MSM were referred to HTC services; 1,223 to STI testing services; and 1,112 MSM living with HIV were advised regarding HIV treatment. In total, 1,181 MSM recruited online were enrolled in the club membership programme, and 15.5% were diagnosed with HIV. The Adam's Love programme has successfully demonstrated the potential for utilising 'online-to-offline' recruitment models in Thailand, and has attracted national and regional recognition as a trusted resource on HIV and referral to testing and care.

  2. The Dynamics of Digital Platform Innovation

    DEFF Research Database (Denmark)

    Eaton, Ben

    2016-01-01

    Curated platforms provide an architectural basis for third parties to develop platform complements and for platform owners to control their implementation as a form of open innovation. The refusal to implement complements as innovations can cause tension between platform owners and developers. Th...... digital platforms. In doing so, it uses IS notions of digitalization to challenge traditional understandings of innovation in platform architectures....

  3. Spatial and Social Networks in Organizational Innovation

    Science.gov (United States)

    Wineman, Jean D.; Kabo, Felichism W.; Davis, Gerald F.

    2009-01-01

    Research on the enabling factors of innovation has focused on either the social component of organizations or on the spatial dimensions involved in the innovation process. But no one has examined the aggregate consequences of the link from spatial layout, to social networks, to innovation. This project enriches our understanding of how innovation…

  4. A Survey of the Innovation Surveys

    NARCIS (Netherlands)

    Hong, Shangqin; Oxley, Les; McCann, Philip

    Both theoretical and conceptual understanding of innovation has developed significantly since the early 1980s. More noticeable, however, are the major changes that have been experienced in empirically-oriented innovation research as a result of the introduction of firm level innovation surveys.

  5. Neutralization of Bothrops asper venom by antibodies, natural products and synthetic drugs: contributions to understanding snakebite envenomings and their treatment.

    Science.gov (United States)

    Lomonte, Bruno; León, Guillermo; Angulo, Yamileth; Rucavado, Alexandra; Núñez, Vitelbina

    2009-12-01

    Interest in studies on the neutralization of snake venoms and toxins by diverse types of inhibitors is two-fold. From an applied perspective, results enclose the potential to be translated into useful therapeutic products or procedures, to benefit patients suffering from envenomings. From a basic point of view, on the other hand, neutralizing agents may be used as powerful dissecting tools to determine the relative role of toxins within the context of the overall pathology induced by a venom, or to increase our understanding on the molecular mechanisms by which toxins exert their harmful actions upon particular targets. The venom of the snake Bothrops asper has been the subject of a number of experimental studies addressing its neutralization by antibodies, as well as by non-immunologic inhibitors, including natural products derived from plants or animals, or synthetic drugs. As summarized in the present review, neutralization studies on this venom and some of its isolated toxins have contributed to a better understanding of envenomings by this species, and their treatment. In addition, such studies have provided valuable knowledge on the mechanisms of action and the relative functional importance of particular toxins of this venom, especially in the case of its myotoxic phospholipases A(2) and hemorrhagic metalloproteinases.

  6. Innovative postmarket device evaluation using a quality registry to monitor thoracic endovascular aortic repair in the treatment of aortic dissection.

    Science.gov (United States)

    Beck, Adam W; Lombardi, Joseph V; Abel, Dorothy B; Morales, J Pablo; Marinac-Dabic, Danica; Wang, Grace; Azizzadeh, Ali; Kern, John; Fillinger, Mark; White, Rodney; Cronenwett, Jack L; Cambria, Richard P

    2017-05-01

    United States Food and Drug Administration (FDA)-mandated postapproval studies have long been a mainstay of the continued evaluation of high-risk medical devices after initial marketing approval; however, these studies often present challenges related to patient/physician recruitment and retention. Retrospective single-center studies also do not fully represent the spectrum of real-world performance nor are they likely to have a sufficiently large enough sample size to detect important signals. In recent years, The FDA Center for Devices and Radiological Health has been promoting the development and use of patient registries to advance infrastructure and methodologies for medical device investigation. The FDA 2012 document, "Strengthening the National System for Medical Device Post-market Surveillance," highlighted registries as a core foundational infrastructure when linked to other complementary data sources, including embedded unique device identification. The Vascular Quality Initiative (VQI) thoracic endovascular aortic repair for type B aortic dissection project is an innovative method of using quality improvement registries to meet the needs of device evaluation after market approval. Here we report the organization and background of this project and highlight the innovation facilitated by collaboration of physicians, the FDA, and device manufacturers. This effort used an existing national network of VQI participants to capture patients undergoing thoracic endovascular aortic repair for acute type B aortic dissection within a registry that aligns with standard practice and existing quality efforts. The VQI captures detailed patient, device, and procedural data for consecutive eligible cases under the auspices of a Patient Safety Organization (PSO). Patients were divided into a 5-year follow-up group (200 acute; 200 chronic dissections) and a 1-year follow-up group (100 acute; 100 chronic). The 5-year cohort required additional imaging details, and the 1-year

  7. Informed consent and stimulant medication: adolescents' and parents' ability to understand information about benefits and risks of stimulant medication for the treatment of attention-deficit/hyperactivity disorder.

    Science.gov (United States)

    Schachter, Debbie; Tharmalingam, Sukirtha; Kleinman, Irwin

    2011-04-01

    This study of informed consent examines understanding of information needed to consent to stimulant treatment for attention-deficit/hyperactivity disorder (ADHD). The understanding of adolescents with ADHD, their parents, control adolescents, and their parents is compared. Fifty-eight ADHD and 64 control adolescents between the ages of 12 and 16 and their parents were studied. Baseline understanding of information was determined. Subjects received information relevant to informed consent for stimulation medication and afterward were evaluated on their recall understanding and their final understanding. Knowledge was increased after the information session for all subjects. There was no significant difference between unadjusted baseline, recall, and final knowledge of control adolescents and parents. Although unadjusted baseline, recall, and final knowledge of ADHD adolescents is significantly less than that of parents, 78% of ADHD adolescents had final understanding scores within 2 standard deviations of parents' scores. After controlling for baseline understanding and cognitive variables, there was no significant difference between understanding of ADHD adolescents and ADHD parents, whereas control adolescents understanding scores were higher than that of their parents. Understanding was highly associated with mathematics achievement in all groups. The majority of adolescents with ADHD, both with and without a history of stimulant medication treatment, have understanding that is similar to their parents and their inclusion in the informed consent process should be encouraged. Extra care should be afforded to those adolescents with low numeracy or literacy to ensure their understanding.

  8. 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...

  9. 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...

  10. 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....

  11. 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...

  12. 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...

  13. William Watson Cheyne (1852-1932): a life in medicine and his innovative surgical treatment of congenital hydrocephalus.

    Science.gov (United States)

    Watson, Caroline C; Griessenauer, Christoph J; Loukas, Marios; Blount, Jeffrey P; Tubbs, R Shane

    2013-11-01

    William Watson Cheyne lived and trained during a period of great advances in medical knowledge and surgical techniques. Despite his various contributions to the fields of bacteriology and surgery, little is known about his career or his life apart from his affiliations with Joseph Lister. This article aims to identify Cheyne as a pioneer in the treatment of congenital hydrocephalus and sheds light on the man who existed in Lister's shadow for most of his life. Cheyne's technique for surgical intervention of hydrocephalus was a great turning point and contributes to the current treatment strategy utilized today for hydrocephalus.

  14. Impact of diabetes and obesity on the prostate and urethra: implications to improved bladder dysfunction understanding and treatment.

    Science.gov (United States)

    Christ, George J; Bushman, Wade; Fraser, Matthew O

    2009-12-01

    Alterations in bladder function are well documented in response to diabetes and obesity. Nonetheless, clinical manifestations of bladder dysfunction are diverse and the efficacy of available therapy is suboptimal. Since the bladder is only 1 component of the lower urinary tract, we explored existing evidence for the potential contribution(s) of other major lower urinary tract structures to diabetes and obesity related bladder dysfunction, namely the prostate and the urethra. We performed a MEDLINE database search of the relevant literature. A relatively large literature exists on bladder dysfunction and the urethra. However, when additional search terms were added, such as prostate, diabetes and obesity, there was a dramatic decrease in the number of retrieved citations. These observations are consistent with the vanishingly small available literature on the impact of diabetes on prostatic biology and urethral function, and their potential impact on bladder physiology/dysfunction. The available literature documents significant alterations in prostatic biology and urethral function in the setting of diabetes and/or obesity. The observed diversity in diabetes and obesity related bladder dysfunction, and the variable efficacy of currently available treatments may be related at least in part to the differential impact of these disease states on the complex integration of bladder function with other structural components of the lower urinary tract, namely the urethra and the prostate. More comprehensive investigations of this system should lead to improved understanding of the mechanistic basis for the observed pathophysiology and identify novel treatment regimens.

  15. Systematic Understanding of Mechanisms of a Chinese Herbal Formula in Treatment of Metabolic Syndrome by an Integrated Pharmacology Approach.

    Science.gov (United States)

    Chen, Meimei; Yang, Fafu; Yang, Xuemei; Lai, Xinmei; Gao, Yuxing

    2016-12-16

    Metabolic syndrome (MS) is becoming a worldwide health problem. Wendan decoction (WDD)-a famous traditional Chinese medicine formula-has been extensively employed to relieve syndromes related to MS in clinical practice in China. However, its pharmacological mechanisms still remain vague. In this study, a comprehensive approach that integrated chemomics, principal component analysis, molecular docking simulation, and network analysis was established to elucidate the multi-component and multi-target mechanism of action of WDD in treatment of MS. The compounds in WDD were found to possess chemical diversity, complexity and drug-likeness compared to MS drugs. Six nuclear receptors were obtained to have strong binding affinity with 217 compounds of five herbs in WDD. The importance roles of targets and herbs were also identified due to network parameters. Five compounds from Radix Glycyrrhizae Preparata can hit all six targets, which can assist in screening new MS drugs. The pathway network analysis demonstrated that the main pharmacological effects of WDD might lie in maintaining lipid and glucose metabolisms and anticancer activities as well as immunomodulatory and hepatoprotective effects. This study provided a comprehensive system approach for understanding the multi-component, multi-target and multi-pathway mechanisms of WDD during the treatment of MS.

  16. Systematic Understanding of Mechanisms of a Chinese Herbal Formula in Treatment of Metabolic Syndrome by an Integrated Pharmacology Approach

    Directory of Open Access Journals (Sweden)

    Meimei Chen

    2016-12-01

    Full Text Available Metabolic syndrome (MS is becoming a worldwide health problem. Wendan decoction (WDD—a famous traditional Chinese medicine formula—has been extensively employed to relieve syndromes related to MS in clinical practice in China. However, its pharmacological mechanisms still remain vague. In this study, a comprehensive approach that integrated chemomics, principal component analysis, molecular docking simulation, and network analysis was established to elucidate the multi-component and multi-target mechanism of action of WDD in treatment of MS. The compounds in WDD were found to possess chemical diversity, complexity and drug-likeness compared to MS drugs. Six nuclear receptors were obtained to have strong binding affinity with 217 compounds of five herbs in WDD. The importance roles of targets and herbs were also identified due to network parameters. Five compounds from Radix Glycyrrhizae Preparata can hit all six targets, which can assist in screening new MS drugs. The pathway network analysis demonstrated that the main pharmacological effects of WDD might lie in maintaining lipid and glucose metabolisms and anticancer activities as well as immunomodulatory and hepatoprotective effects. This study provided a comprehensive system approach for understanding the multi-component, multi-target and multi-pathway mechanisms of WDD during the treatment of MS.

  17. Interactive highly realistic virtual reality as a tool for understanding the genesis and treatment of psychotic symptoms.

    Science.gov (United States)

    Zányi, Eva; Selmanovic, Elmedin; Broome, Matthew; Czanner, Silvester; Birchwood, Max; Chalmers, Alan; Singh, Swaran

    2009-01-01

    Schizophrenia can be a devastating lifelong psychotic disorder with a poor prognosis. National guidelines in the UK recommend the provision of cognitive behavioral therapy (CBT) to all those suffering with psychotic disorders, but there is a lack of trained therapists in the UK able to provide such a treatment. Developing high quality automated technologies that can serve as an adjunct to conventional CBT should enhance the provision of this therapy, and increase the efficiency of the therapists in practice. The latter will occur by enabling alternate professionals to aid in the delivery of therapy, to enable behavioral experiments to be conducted in the clinic, and for sessions to be recorded and re-played such that the patient can deliver therapy to him or herself. As such the system will enable patients to become experts in, and providers of, their own treatment and decrease the number of sessions needed to be led by a trained CBT therapist. A key feature of any such system is the level of realism required to ensure a compelling session in which the user is not adversely affected by the system itself. This paper presents a high-fidelity virtual environment to help better understand the environmental triggers for psychosis.

  18. Promoting healthcare innovation on the demand side.

    Science.gov (United States)

    Eisenberg, Rebecca S; Price, W Nicholson

    2017-04-01

    Innovation policy often focuses on fortifying the incentives of firms that develop and sell new products by offering them lucrative rights to exclude competitors from the market. Regulators also rely on these same firms-and on similar incentives-to develop information about the effects of their products in patients, despite their obvious conflict of interest. The result may be a distorted understanding that leads to overuse of expensive new medical technologies. Recent technological advances have put healthcare payers in an excellent position to play a larger role in future innovation to improve healthcare and reduce its costs. Insurance companies and integrated healthcare providers have custody of treasure troves of data about healthcare provision and outcomes that can yield valuable insights about the effects of medical treatment without the need to conduct costly clinical trials. Some integrated healthcare systems have seized upon this advantage to make notable discoveries about the effects of particular products that have changed the standard of care. Moreover, to the extent that healthcare payers can profit from reducing costs, they will seek to avoid inappropriate use of costly technologies. Greater involvement of payers in healthcare innovation thus offers a potential counterweight to the incentives of product sellers to promote excessive use of costly new products. In recent years, the federal government has sought to promote innovation through analysis of healthcare records in a series of initiatives; some picture insurers as passive data repositories, while others provide opportunities for insurers to take a more active role in innovation. In this paper, we examine the role of health insurers in developing new knowledge about the provision and effects of healthcare-what we call 'demand-side innovation'. We address the contours of this underexplored area of innovation and describe the behavior of participating firms. We examine the effects of current legal

  19. 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...

  20. Innovative systems for cultural heritage conservation. Millimeter wave application for non-invasive monitoring and treatment of works of art.

    Science.gov (United States)

    Bruno, Bisceglia; De Leo, Roberto; Pastore, Anna Pia; von Gratowski, Svetlana; Meriakri, Viatcheslav

    2011-01-01

    A novel non invasive technique and a suitable apparatus for disinfestation of artworks is introduced. Non destructive and non invasive techniques are often irreplaceable in order to preserve and restore cultural heritage objects in its structure and shape. Although many techniques are available for art and archaeological works the non invasive methods are preferred as they leave the object untouched after treatment. Environmental parameters, such as humidity, can damage culture heritage objects and also results in spring up variety of pests and other micro-organisms. Non-invasive monitoring of these damage and also disinfestation treatments and drying with help of electromagnetic waves are preferred as they keep the object untouched after treatment. Application of millimeter waves for solving this problem is discussed here. Millimeter waves have high spatial resolution and absorption in water as well as in bio-objects that are usually moist and at the same time minimal interaction with dry culture heritage objects by itself. Different phases of the microwaves treatment (MW) of artworks are described, some results are shown and discussed. Many biological forms don't survive over a certain temperature, called lethal temperature which, for most xylophages is about 53-55 degrees C, while for moulds and funguses is between 65 and 70 degrees C. In order to evaluate the management of disinfestation of works of art, incident power, temperature, exposure time were monitored. The monitoring of temperature is essential in order to prevent damages. A computer simulation allows to predict and monitor the heating process.

  1. Innovative Technology for the Assisted Delivery of Intensive Voice Treatment (LSVT[R]LOUD) for Parkinson Disease

    Science.gov (United States)

    Halpern, Angela E.; Ramig, Lorraine O.; Matos, Carlos E. C.; Petska-Cable, Jill A.; Spielman, Jennifer L.; Pogoda, Janice M.; Gilley, Phillip M.; Sapir, Shimon; Bennett, John K.; McFarland, David H.

    2012-01-01

    Purpose: To assess the feasibility and effectiveness of a newly developed assistive technology system, Lee Silverman Voice Treatment Companion (LSVT[R] Companion[TM], hereafter referred to as "Companion"), to support the delivery of LSVT[R]LOUD, an efficacious speech intervention for individuals with Parkinson disease (PD). Method: Sixteen…

  2. Innovations in Implementation of Trauma-Informed Care Practices in Youth Residential Treatment: A Curriculum for Organizational Change

    Science.gov (United States)

    Hummer, Victoria Latham; Dollard, Norin; Robst, John; Armstrong, Mary I.

    2010-01-01

    Children in the child welfare system frequently experience trauma within the caregiving relationship. These traumatic experiences may be compounded by system trauma and place these children at high risk of emotional disorders and placement in out-of-home (OOH) mental health treatment programs. This article reviews the literature on trauma and…

  3. Innovative manure treatments in the USA – state of the art (Tratamientos Innovadores de estiercoles en USA - estado del arte)

    Science.gov (United States)

    Currently, the potential impact of manure on the environment represents one of the world agriculture’s major challenges. Treatment technologies can play an important role in the management of livestock manure by providing a more flexible approach to land application and acreage limitations and by so...

  4. Understanding Innovation Adoption in the Air Force

    National Research Council Canada - National Science Library

    Evans, Morgan J

    2006-01-01

    .... The United States Air Force is seeking to adapt to this new information age by transforming its business processes in order to sustain its competitive advantage as the world's most respected air force...

  5. 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...

  6. 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....

  7. 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....

  8. 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...

  9. 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...

  10. Balloon-Occluded Retrograde Transvenous Obliteration of a Gastric Vascular Malformation: An Innovative Approach to Treatment of a Rare Condition

    Energy Technology Data Exchange (ETDEWEB)

    Hansing, Catherine E., E-mail: catherine.e.hansing.mil@mail.mil [Naval Medical Center Portsmouth, Transitional Year/Graduate Medical Education Department, Medical Corps, United States Navy (United States); Marquardt, Joseph P.; Sutton, Daniel M.; York, John D. [Naval Medical Center Portsmouth, Radiology Department, Medical Corps, United States Navy (United States)

    2017-02-15

    Arteriovenous malformations (AVMs) are a high-flow form of a vascular malformation, which can be found anywhere in the body. While historically treated surgically, a multidisciplinary approach utilizing multiple specialties and treatment modalities is now commonly employed. In order to effectively treat an AVM, the nidus must be targeted and eradicated, which can be done via multiple approaches. We present the case of a 43-year-old male with a gastric wall AVM, which was initially incompletely treated using a percutaneous transarterial approach. The gastric AVM was noted to have dominant drainage through a gastrorenal shunt; therefore, Balloon-occluded Retrograde Transvenous Obliteration (BRTO) was utilized to eradicate the AVM nidus. This case illustrates the utility of Interventional Radiology, specifically BRTO, as another treatment option for challenging AVMs.

  11. Efficacy and toxicity of orally administrated anti-coccidial drugs for innovative treatments of Myxobolus sp. infection in Puntazzo puntazzo

    OpenAIRE

    Athanassopoulou, F.; Karagouni, E.; Dotsika, E.; Ragias, V.; Tavla, J.; Christofilloyanis, P.; Vatsos, Ioannis N.

    2004-01-01

    This study tested drugs and therapeutic compounds to determine effective commercial treatment for fishes infected with myxosporeans. Two series of shore-based experiments and 1 field trial were performed. For the shore-based experiments we used Puntazzo puntazzo (ca. 20 g wt) with kidneys infected with Myxobolus sp. Initially, 6 different doses of Fumagillin, 2 doses of Toltrazuril, and 1 dose of Amprolium, ESB3 and Salinomycin were tested. In the second shore-based experiment, infected fish ...

  12. 'Mind the gap' between the development of therapeutic innovations and the clinical practice in oncology: A proposal of the European Organisation for Research and Treatment of Cancer (EORTC) to optimise cancer clinical research.

    Science.gov (United States)

    Kempf, Emmanuelle; Bogaerts, Jan; Lacombe, Denis; Liu, Lifang

    2017-11-01

    In Europe, most of the cancer clinical research dedicated to therapeutic innovations aims primarily at regulatory approval. Once an anticancer drug enters the common market, each member state determines its real-world use based on its own criteria: pricing, reimbursement and clinical indications. Such an innovation-centred clinical research landscape might neglect patient-relevant issues in real-world setting, such as comparative effectiveness of distinct treatment options or long-term safety monitoring. The European Organisation for Research and Treatment of Cancer (EORTC) advocates reforming the current 'innovation-centred' system to a truly 'patient-centred' paradigm with systematically coordinated applied clinical research in conjunction with drug development, featuring the following strategy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. 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?...

  14. Conceptualising strategic innovation leadership for competitive survival and excellence

    DEFF Research Database (Denmark)

    Abdullah, Maizura Ailin; Lindgren, Peter

    2008-01-01

    )Network innovation leadership (upstream)Product innovation leadership (downstream)Customer innovation leadership (downstream) Our discussion chiefly concerns the challenges of innovation leadership while introducing our proposed framework. In the final manuscript, we will include practical suggestions on how...... the innovation process. Until recently, the literature has not dealt with the strategic (and combined) use of innovation and leadership in order for companies to be leaders in the industry- What we term as innovation leadership. The significance of innovation is widely acknowledged in a range of organizations......, societies and in global competition. Thus, it is important for companies to develop the ability to lead innovation and to understand what leadership of innovation is all about. Innovation is an ongoing, never-ending concept and process. Though literature exists on managing innovation, innovation management...

  15. Understanding reasons for treatment interruption amongst patients on antiretroviral therapy – A qualitative study at the Lighthouse Clinic, Lilongwe, Malawi

    Directory of Open Access Journals (Sweden)

    Julia Tabatabai

    2014-09-01

    Full Text Available Background: In recent years, scaling up of antiretroviral therapy (ART in resource-limited settings moved impressively towards universal access. Along with these achievements, public health HIV programs are facing a number of challenges including the support of patients on lifelong therapy and the prevention of temporary/permanent loss of patients in care. Understanding reasons for treatment interruption (TI can inform strategies for improving drug adherence and retention in care. Objective: To evaluate key characteristics of patients resuming ART after TI at the Lighthouse Clinic in Lilongwe, Malawi, and to identify their reasons for interrupting ART. Design: This study uses a mixed methods design to evaluate patients resuming ART after TI. We analysed an assessment form for patients with TI using pre-defined categories and a comments field to identify frequently stated reasons for TI. Additionally, we conducted 26 in-depth interviews to deepen our understanding of common reasons for TI. In-depth interviews also included the patients’ knowledge about ART and presence of social support systems. Qualitative data analysis was based on a thematic framework approach. Results: A total of 347 patients (58.2% female, average age 35.1±11.3 years with TI were identified. Despite the presence of social support and sufficient knowledge of possible consequences of TI, all patients experienced situations that resulted in TI. Analysis of in-depth interviews led to new and distinct categories for TI. The most common reason for TI was travel (54.5%, n=80/147, which further differentiated into work- or family-related travel. Patients also stated transport costs and health-care-provider-related reasons, which included perceived/enacted discrimination by health care workers. Other drivers of TI were treatment fatigue/forgetfulness, the patients’ health status, adverse drug effects, pregnancy/delivery, religious belief or perceived/enacted stigma. Conclusions

  16. Understanding reasons for treatment interruption amongst patients on antiretroviral therapy--a qualitative study at the Lighthouse Clinic, Lilongwe, Malawi.

    Science.gov (United States)

    Tabatabai, Julia; Namakhoma, Ireen; Tweya, Hannock; Phiri, Sam; Schnitzler, Paul; Neuhann, Florian

    2014-01-01

    In recent years, scaling up of antiretroviral therapy (ART) in resource-limited settings moved impressively towards universal access. Along with these achievements, public health HIV programs are facing a number of challenges including the support of patients on lifelong therapy and the prevention of temporary/permanent loss of patients in care. Understanding reasons for treatment interruption (TI) can inform strategies for improving drug adherence and retention in care. To evaluate key characteristics of patients resuming ART after TI at the Lighthouse Clinic in Lilongwe, Malawi, and to identify their reasons for interrupting ART. This study uses a mixed methods design to evaluate patients resuming ART after TI. We analysed an assessment form for patients with TI using pre-defined categories and a comments field to identify frequently stated reasons for TI. Additionally, we conducted 26 in-depth interviews to deepen our understanding of common reasons for TI. In-depth interviews also included the patients' knowledge about ART and presence of social support systems. Qualitative data analysis was based on a thematic framework approach. A total of 347 patients (58.2% female, average age 35.1±11.3 years) with TI were identified. Despite the presence of social support and sufficient knowledge of possible consequences of TI, all patients experienced situations that resulted in TI. Analysis of in-depth interviews led to new and distinct categories for TI. The most common reason for TI was travel (54.5%, n=80/147), which further differentiated into work- or family-related travel. Patients also stated transport costs and health-care-provider-related reasons, which included perceived/enacted discrimination by health care workers. Other drivers of TI were treatment fatigue/forgetfulness, the patients' health status, adverse drug effects, pregnancy/delivery, religious belief or perceived/enacted stigma. To adequately address patients' needs on a lifelong therapy, adherence

  17. 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...

  18. 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...

  19. 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 ...

  20. Understanding the tissue interaction of new treatment modalities in laparoscopic surgery in view of safe and effective application (Conference Presentation)

    Science.gov (United States)

    Grimbergen, Matthijs C. M.; Klaessens, John H.; van der Veen, Albert J.; Verdaasdonk, Rudolf M.

    2016-03-01

    During laparoscopic surgery, devices are require to either cut, ablate or coagulate tissue and veins with high precision and controlled lateral damage preferably in an one-for-all modality. The tissue interactions of 3 new treatment modalities were studied using special imaging techniques to obtain a better understanding the working mechanism in view of effective and safe application. The Plasmajet produces a high temperature ionized gas 'flame' directed to the tissue surface at the tip of a 4 mm diameter rigid hand piece. The Lumenis DUO CO2 laser enables endoscopic laser energy delivery through a 1 mm outer diameter flexible hollow waveguide. The 2 µm 'Thulium' laser is delivered by (standard) 400 µm diameter optical fiber. Thermal imaging and Schlieren techniques were used to assess the superficial ablative and coagulation effects these surgical instruments scanning at preset velocities and distances from the surface of biological tissues and phantoms . The CO2 was very effective in tissue ablation even at a distance up to 10 mm due to a very small diverging beam from the hollow waveguide. In contrast, the Thulium laser showed less ablation and increasing coagulation at larger distance to the tissue. The gas 'flame' of the Plasmajet spread the thermal energy over the surface for effective superficial ablation and coagulation. However, the pressure of the gas flow is substantial on the tissue surface creating turbulence and even indirect cooling. The specific ablation and coagulation effects of the three treatment modalities have to be appreciate and the effective and safe application will depend on the preference and skills of the surgeon

  1. Neurodevelopmental consequences of pediatric cancer and its treatment: applying an early adversity framework to understanding cognitive, behavioral, and emotional outcomes.

    Science.gov (United States)

    Marusak, Hilary A; Iadipaolo, Allesandra S; Harper, Felicity W; Elrahal, Farrah; Taub, Jeffrey W; Goldberg, Elimelech; Rabinak, Christine A

    2017-12-22

    Today, children are surviving pediatric cancer at unprecedented rates, making it one of modern medicine's true success stories. However, we are increasingly becoming aware of several deleterious effects of cancer and the subsequent "cure" that extend beyond physical sequelae. Indeed, survivors of childhood cancer commonly report cognitive, emotional, and psychological difficulties, including attentional difficulties, anxiety, and posttraumatic stress symptoms (PTSS). Cognitive late- and long-term effects have been largely attributed to neurotoxic effects of cancer treatments (e.g., chemotherapy, cranial irradiation, surgery) on brain development. The role of childhood adversity in pediatric cancer - namely, the presence of a life-threatening disease and endurance of invasive medical procedures - has been largely ignored in the existing neuroscientific literature, despite compelling research by our group and others showing that exposure to more commonly studied adverse childhood experiences (i.e., domestic and community violence, physical, sexual, and emotional abuse) strongly imprints on neural development. While these adverse childhood experiences are different in many ways from the experience of childhood cancer (e.g., context, nature, source), they do share a common element of exposure to threat (i.e., threat to life or physical integrity). Therefore, we argue that the double hit of early threat and cancer treatments likely alters neural development, and ultimately, cognitive, behavioral, and emotional outcomes. In this paper, we (1) review the existing neuroimaging research on child, adolescent, and adult survivors of childhood cancer, (2) summarize gaps in our current understanding, (3) propose a novel neurobiological framework that characterizes childhood cancer as a type of childhood adversity, particularly a form of early threat, focusing on development of the hippocampus and the salience and emotion network (SEN), and (4) outline future directions for

  2. The innovative plasma tilting furnace for treatment of radioactive and problematic chemical waste. From paper to reality

    International Nuclear Information System (INIS)

    Deckers, Jan; Gonzalez, Alicia; Cano, David

    2014-01-01

    The operation and maintenance of nuclear power plants, the nuclear fuel cycle in general, research laboratories and pharmaceutical, medical and industrial facilities generate large amounts of low-level radioactive wastes which, along with the historical radioactive wastes from past nuclear activities, needs to be treated to minimise the volume to be disposed of. Plasma technology offers a very effective way of treating this waste with a high volume reduction factor (VRF), free from organics, liquids and moisture, and meets without doubt the acceptance criteria for safe storage and disposal. By means of a plasma beam of approximately 5000 deg. C, the inorganic materials are melted into a glassy slag, containing the radioactive isotopes while the organic material is gasified and afterwards oxidized in an afterburner and purified in an off-gas cleaning system. This paper describes the principles of plasma, the different waste feed systems, off gas treatment, operational experience and future plasma plants. In particular a new full-scale plasma facility for the treatment of radioactive waste at the Kozloduy Nuclear Power Plant in Bulgaria is described. This facility is designed and now under construction by the Joint Venture Iberdrola Ingenieria y Construccion and Belgoprocess. (authors)

  3. Argon green-Nd: YAG dual laser posterior hyaloidotomy: An innovative approach toward treatment of premacular hemorrhage

    Directory of Open Access Journals (Sweden)

    Ashish Sharma

    2013-01-01

    Full Text Available Background: Neodymium: YAG (Nd: YAG laser and argon laser has been used to treat premacular hemorrhage either alone or rarely in combination. Materials and Methods: We describe a new technique of treating premacular hemorrhage by performing hyaloidotomy using a combination of argon green-Nd: YAG laser. We utilized subthreshold energy levels of Nd: YAG laser of 2.0 mJ as compared to the normal recommendation of 3.6-50 mJ. Results and Conclusions: This technique is easy, effective, and safe to manage premacular hemorrhage. The principle behind this combined laser treatment was to make the internal limiting membrane (ILM taut by initial exposure to argon green laser, which allowed us to employ the subthreshold energy levels of Nd: YAG laser. We would like to assess the role of this combined treatment modality in comparison to other modalities, including solitary laser therapy in the management of premacular hemorrhage by performing a prospective, randomized long-term study.

  4. Incremental Innovation and Progress in Advanced Squamous Cell Lung Cancer: Current Status and Future Impact of Treatment.

    Science.gov (United States)

    Langer, Corey J; Obasaju, Coleman; Bunn, Paul; Bonomi, Philip; Gandara, David; Hirsch, Fred R; Kim, Edward S; Natale, Ronald B; Novello, Silvia; Paz-Ares, Luis; Pérol, Maurice; Reck, Martin; Ramalingam, Suresh S; Reynolds, Craig H; Socinski, Mark A; Spigel, David R; Wakelee, Heather; Mayo, Carlos; Thatcher, Nick

    2016-12-01

    Squamous cell lung cancer (sqCLC) is an aggressive form of cancer that poses many therapeutic challenges. Patients tend to be older, present at a later stage, and have a high incidence of comorbidities, which can compromise treatment delivery and exacerbate toxicity. In addition, certain agents routinely available for nonsquamous cell histologic subtypes, such as bevacizumab and pemetrexed, are contraindicated or lack efficacy in sqCLC. Therapeutic progress has been much slower for advanced sqCLC, with median survival times of approximately 9 to 11 months in most studies. Herein, we discuss the current therapeutic landscape for patients with sqCLC versus with nonsquamous NSCLC. Current evidence indicates that new targeted treatments, notably monoclonal antibodies such as ramucirumab and necitumumab, and immunotherapies such as nivolumab and pembrolizumab can provide survival prolongation, although the benefits are still relatively modest. These incremental improvements, all realized since 2012, in aggregate, will very likely have a clinically meaningful impact for patients with sqCLC. We also discuss recent genomic studies of sqCLC that have identified potentially actionable molecular targets, as well as the relevant targeted agents in clinical development. Finally, we discuss the magnitude of survival benefit and the risk-to-benefit ratio that would prove clinically meaningful in this underserved patient population with unmet needs. Copyright © 2016 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved.

  5. 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...

  6. Innovation Dialectics: An Extended Process Perspective on Innovation in Services

    DEFF Research Database (Denmark)

    Nardelli, Giulia

    2017-01-01

    Services are characterised by the involvement of customers and other interest groups in the innovation process. The aim of this study is to understand how and why, in the service context, tensions and potential conflicts between heterogeneous interest groups unfold during processes of innovation...... service context. The findings suggest that tensions and conflicts between heterogeneous interest groups are an intrinsic element of innovation processes in services, and that emphasising them might actually support a clearer understanding of processes of innovation in services. The outcome of the analysis....... The empirical field in which the investigation was set is facility services, a type of business-to-business support services. The findings were extracted from a longitudinal, in-depth case study of a Danish, multi-national organisation over 13 years, complemented with an explorative study in the Danish facility...

  7. Understanding the hydrologic impacts of wastewater treatment plant discharge to shallow groundwater: Before and after plant shutdown

    Science.gov (United States)

    Hubbard, Laura E.; Keefe, Steffanie H.; Kolpin, Dana W.; Barber, Larry B.; Duris, Joseph W.; Hutchinson, Kasey J.; Bradley, Paul M.

    2016-01-01

    Effluent-impacted surface water has the potential to transport not only water, but wastewater-derived contaminants to shallow groundwater systems. To better understand the effects of effluent discharge on in-stream and near-stream hydrologic conditions in wastewater-impacted systems, water-level changes were monitored in hyporheic-zone and shallow-groundwater piezometers in a reach of Fourmile Creek adjacent to and downstream of the Ankeny (Iowa, USA) wastewater treatment plant (WWTP). Water-level changes were monitored from approximately 1.5 months before to 0.5 months after WWTP closure. Diurnal patterns in WWTP discharge were closely mirrored in stream and shallow-groundwater levels immediately upstream and up to 3 km downstream of the outfall, indicating that such discharge was the primary control on water levels before shutdown. The hydrologic response to WWTP shutdown was immediately observed throughout the study reach, verifying the far-reaching hydraulic connectivity and associated contaminant transport risk. The movement of WWTP effluent into alluvial aquifers has implications for potential WWTP-derived contamination of shallow groundwater far removed from the WWTP outfall.

  8. Current understanding of treatment and management protocol for adult diabetic in-patients at a tertiary care hospital

    International Nuclear Information System (INIS)

    Waki, N.; Memon, A.; Khan, M.O.; Masood, S.; Rouf, M.; Mirza, R.

    2012-01-01

    Objective: To assess the current understanding of treatment and management protocols for adult diabetic in-patients at a tertiary care hospital. Methods: This cross-sectional study, conducted at the Civil Hospital Karachi from July to September 2009, involved 450 participants, who were interviewed through a well-structured questionnaire regarding the patient's demography, clinical features, past medical history, type of diabetes mellitus, duration, associated complications, and also involved patient notes for laboratory tests and management. SPSSv15.0 was used for descriptive analysis. Results: The study population of 450 diabetics had 144 (32%) males and 306 (68%) females. Of the total, 435 (96.7%) patients had type 2 diabetes. There were 231 (51%) patients using insulin, 168 (37.3%) oral hypoglycaemic drugs, and 51 (11.3%) using both. Among patients using insulin, regular insulin usage stood at 30% followed by a combination of regular insulin and NPH (26.7%) and NPH alone at 6%. The most popular drug used was metformin (27.3%) and the least used drug was glitazones (4%). In the study population, 73.3% patients controlled their diabetes with diet, and 24.7% with regular exercise. Conclusion: Majority of the study population had type 2 diabetes with a female preponderance. Insulin was prescribed for half the patients. Metformin was the most frequently used oral hypoglycaemic drug. (author)

  9. From genome-wide association studies to Mendelian randomization: Novel opportunities for understanding cardiovascular disease causality, pathogenesis, prevention, and treatment.

    Science.gov (United States)

    Benn, Marianne; Nordestgaard, Børge G

    2018-02-19

    The Mendelian randomization approach is an epidemiologic study design incorporating genetic information into traditional epidemiologic studies to infer causality of biomarkers, risk factors, or lifestyle factors on disease risk. Mendelian randomization studies often draw on novel information generated in genome-wide association studies on causal associations between genetic variants and a risk factor or lifestyle factor. Such information can then be used in a largely unconfounded study design free of reverse causation to understand if and how risk factors and lifestyle factors cause cardiovascular disease. If causation is demonstrated, an opportunity for prevention of disease is identified; importantly however, before prevention or treatment can be implemented, randomized intervention trials altering risk factor levels or improving deleterious lifestyle factors needs to document reductions in cardiovascular disease in a safe and side-effect sparse manner. Documentation of causality can also inform on potential drug targets, more likely to be successful than prior approaches often relying on animal or cell studies mainly.The present review summarizes the history and background of Mendelian randomization, the study design, assumptions for using the design, and the most common caveats, followed by a discussion on advantages and disadvantages of different types of Mendelian randomization studies using one or more samples and different levels of information on study participants. The review also provides an overview of results on many of the risk factors and lifestyle factors for cardiovascular disease examined to date using the Mendelian randomization study design.

  10. Social Dynamics of Participatory Innovation

    DEFF Research Database (Denmark)

    Sproedt, Henrik

    2011-01-01

    , relating, cognitive social capital and the justification of knowledge are described as different but interdependent dimensions of transforming knowledge across boundaries in participatory innovation. A multi-level concept of social dynamics of participatory innovation is proposed, and a model......A conceptual framework for a coherent understanding of knowledge as a socially constructed resource in flux over boundaries when innovating with others is constructed. Starting with an overview of different perspectives on innovation, showing a development towards a more iterative social process...... perspective on innovation. Then, a similar development in the field of knowledge and knowing is presented, where the perspective changes from a divisional systemthinking towards a more relational view of complementing combinations of knowledge and knowing, recognizing the challenge of boundaries. Further...

  11. ICT Innovation in Emerging Economies

    DEFF Research Database (Denmark)

    Xiao, Xiao; B. Califf, Christopher; Sarker, Saonee

    2013-01-01

    a third of the world’s largest 25 economies, and that they are likely to be critical for the success of a global economy, it is important to understand how these economies innovate, what factors affect innovation in such nations, and what are the impacts. However, to the best of our knowledge, little......ICT innovation is known to significantly elevate a country’s growth and to enhance productivity. It is now well-acknowledged that emerging economies are beginning to innovate at a rapid rate despite some of the challenges they face. Given that these countries with such economies now comprise...... economies, what needs to be studied, and how they should be studied. We attempt to contribute in this area by: (1) providing a comprehensive framework of existing research on ICT innovation in emerging economies, (2) highlighting the gaps that have been left behind, and (3) providing specific guidelines...

  12. Danish User-Centered Innovation

    DEFF Research Database (Denmark)

    Jeppesen, Lars Bo

    2007-01-01

    provides valuable information for scholars, managers and policy makers. The DUCI lab team consists of a number of academics, six major Danish companies and representatives from Danish Government. The efforts of the DUCI team focuses on the identification of best practice user innovation inside leading edge......Danish User-centered Innovation Lab (DUCI lab) is a collaboration between faculty at Copenhagen Business School, Aarhus School of Business and Massachusetts Institute of Technology, based at Copenhagen Business School. DUCI lab is a unique effort to understand the issues involved in user innovation...... processes, with particular emphasis on managing user driven innovation. The project takes advantage of CBS location in Denmark. Denmark has been at the forefront in creating policies that favor user driven innovation. CBS's location at the heart of one of the world's most vibrant user driven regions...

  13. System thinking shaping innovation ecosystems

    Science.gov (United States)

    Abreu, António; Urze, Paula

    2016-11-01

    Over the last few decades, there has been a trend to build innovation platforms as enablers for groups of companies to jointly develop new products and services. As a result, the notion of co-innovation is getting wider acceptance. However, a critical issue that is still open, despite some efforts in this area, is the lack of tools and models that explain the synergies created in a co-innovation process. In this context, the present paper aims at discussing the advantages of applying a system thinking approach to understand the mechanisms associated with co-innovation processes. Finally, based on experimental results from a Portuguese co-innovation network, a discussion on the benefits, challenges and difficulties found are presented and discussed.

  14. Molecular biomarkers of resistance to anti-EGFR treatment in metastatic colorectal cancer, from classical to innovation.

    Science.gov (United States)

    Giampieri, Riccardo; Scartozzi, Mario; Del Prete, Michela; Maccaroni, Elena; Bittoni, Alessandro; Faloppi, Luca; Bianconi, Maristella; Cecchini, Luca; Cascinu, Stefano

    2013-11-01

    Systematic dissection of the EGFR pathway was considered as the best way to identify putative markers of resistance to anti-EGFR therapies. This kind of approach leaves other, less known but by no means less important, putative mechanisms of resistance. We tried to shed some light on these mechanisms of resistance. We performed a research through Pubmed database of all published articles highlighting mechanisms of resistance to Cetuximab and Panitumumab based therapies, published in 2000-2012 period. We reviewed the "classical" molecular factors, extensively analyzed as predictive factors for efficacy to anti-EGFR therapy, such as K-ras, B-raf, and PI3K-mTOR-Akt, focusing on their predictive or prognostic value and on the controversial aspects of the biomarker analysis for clinical practice. On the second part we will then move on to other less known molecular markers, for the future understanding of biological mechanisms underlying anti-EGFR therapy resistance, such as non-canonical heterodimer candidates, microRNA, IGF1-IGF1R, HGF-cMET and secondary mutations of EGFR. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  15. Innovation through developing consumers’ community. Part I: Innovation in action

    Science.gov (United States)

    Gălăţanu (Avram, E.; Avasilcăi, S.

    2015-11-01

    Technological changes and need for innovation represents the main concerns for organizational growth and profitability. However the main priority is still about achieving high performance through product development and consumers' engagement activities. As implementation of open innovation applications increased and value co — creation became well known and major process, companies were engaged into value co — innovation activities. From this point of view the need for joint efforts with consumers in product development arose. Thus the primary condition for an organization to be consumer centric is to define clear the vision and mission which reflects the common efforts for co — creation and diffusion of innovation. As Research & Development processes evolved and interest for innovative concepts and products arose, companies started to implement the specific instruments for consumers' attraction and engagement into design and product development. The digitalized innovation became the main source for establishing the direct communication with the consumers. In order to achieve organization growth, profitability and recognition, the companies should be aware of the innovation importance and the need for internal change. From this point of view, there is necessary to assess the organizational structures, to implement new policies and to establish strategic targets. Basically it is justified the need for platform occurrence and development. Based on case study of BMW Group, recognised leader in automotive industry for innovative concepts, there will be analysed main features within organizational context which promotes the innovation implementation. There will be provided the review of the BMW Group experience of innovation activities, main consumers' engagement strategies, the values which promote the consumer — centric product development, new opportunities assessment, major policies and concerns. The foreseen result is to understand how companies are

  16. 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

  17. http://z.umn.edu/INNOVATIONS 2011, Vol. 2, No. 2, Article 45 INNOVATIONS in pharmacy 1 An estimation of the effect of 100% Compliance with Diabetes Treatment: Can we reduce cost of illness with higher compliance rates?

    Directory of Open Access Journals (Sweden)

    Güvenç Koçkaya, MD

    2011-01-01

    Full Text Available Introduction: The current study was designed to estimate the direct cost of noncompliance of diabetes patients to the US health system. Understanding these expenses can inform screening and education budget policy regarding expenditure levels that can be calculated to be cost-beneficial.Materials and Method: The study was conducted in three parts. First, a computer search of National Institutes of Health websites and professional society websites for organizations with members that treat diabetes, and a PubMed search were performed to obtain the numbers required for calculations. Second, formulas were developed to estimate the risk of non-compliance and undiagnosed diabetes. Third, risk calculations were performed using the information obtained in part one and the formulas developed in part two.Results: Direct risk reduction for diabetes-related kidney disease, stroke, heart disease, and amputation were estimated for 100% compliance with diabetes treatment. Risk, case and yearly cost reduction calculated for a 100% compliance with diabetes treatment were 13.6%, 0.9 million and US$ 9.3 billion, respectively.Conclusion: Society, insurers, policy makers and other stakeholders could invest up to these amounts in screening, education and prevention efforts in an effort to reduce these costly and traumatic sequelae of noncompliant diabetes patients.

  18. 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...

  19. Open innovation : State of the art and future perspectives

    NARCIS (Netherlands)

    Huizingh, K.R.E.

    Open innovation has become one of the hottest topics in innovation management. This article intends to explore the limits in our understanding of the open innovation concept. In doing so, I address the questions of what (the content of open innovation), when (the context dependency) and how (the

  20. INNOVATION - THE ROLE OF TRUST

    Directory of Open Access Journals (Sweden)

    Kornélia Lazányi

    2017-11-01

    Full Text Available Innovations and constant change are inevitable parts of our everyday lives. It is not only because advanced technologies are more effective, but mostly because in the 21st century more and more realise that scarce resources – among them the safe and clean environment as such - necessitate a paradigm change and intense innovation. This revolution is easily trackable in the organisational and (supranational policies. However, innovation, and its necessary prerequisites are seldom investigated from the individuals’ point of view. It is easy to understand that inter-organisational trust is inevitable on both the consumers’ and the providers’ (innovators’ side, however, it has to be made clear that an innovative organisation has to create a trusting environment within the company, in order to foster collaboration, the generation of new ideas, creativity and finally innovation. The present paper endeavours to call attention to the notion of trust and its antecedents and consequences in relation to innovations. The aim is to provide assistance in understanding how to develop trust in each other and hence foster further innovations and development.