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Driving for successful change processes in healthcare by putting staff at the wheel

Purpose – The purpose of this paper is to describe five salient factors that emerge in two successful change processes in healthcare. Organizational changes in healthcare are often characterized by problems and solutions that have been formulated by higher levels of management. This top-down management approach has not been well received by the professional community. As a result, improvement proc

Ru-Catalyzed Completely Deoxygenative Coupling of 2-Arylethanols through Base-Induced Net Decarbonylation

Substituted arylethanols can be coupled by using a readily available Ru catalyst in a fully deoxygenative manner to produce hydrocarbon chains in one step. Control experiments indicate that the first deoxygenation occurs through an aldol condensation, whereas the second occurs through a base-induced net decarbonylation. This double deoxygenation enables further development in the use of alcohols a

Biotic and Abiotic Drivers of Peatland Growth and Microtopography : A Model Demonstration

Peatlands are important carbon reserves in terrestrial ecosystems. The microtopography of a peatland area has a strong influence on its carbon balance, determining carbon fluxes at a range of spatial scales. These patterned surfaces are very sensitive to changing climatic conditions. There are open research questions concerning the stability, behaviour and transformation of these microstructures,

Adsorption of CO on the Fe3O4(001) Surface

The interaction of CO with the Fe3O4(001)-(√2 × √2)R45° surface was studied using temperature-programmed desorption (TPD), scanning tunneling microscopy (STM), and X-ray photoelectron spectroscopy (XPS), the latter both under ultrahigh vacuum (UHV) conditions and in CO pressures up to 1 mbar. In general, the CO-Fe3O4 interaction is found to be weak. The strongest adsorption occurs at surface defec

Cutting and Breaking the Embodied Self

This paper analyzes the Cutting and Breaking (C&B) events affecting the tangible aspects of the personal domain, that is to say the body and its parts. The study of the embodied Self, as the affected theme of C&B events, provides a unique opportunity to contribute to the understanding of the conceptualization of the personal domain, as well as providing an additional distinction between cu

The heat is on : Evaluation of workplace heat stress under a changing climate

Background: There are several scientific indications that increasing heat due to climate change is going to become the next big societal and scientific challenge. Climate change is recognized as a significant public health threat. However, there is a lack of research on its impacts on occupational safety and health. Aims and Objectives: The general aim of the research presented in this thesis was

Behaviour of freshwater snails (Radix balthica) exposed to the pharmaceutical sertraline under simulated predation risk

Due to their potential for affecting the modulation of behaviour, effects of selective serotonin reuptake inhibitors (SSRIs) in the environment are particularly interesting regarding interspecies interactions and non-consumptive effects (NCEs) induced by predator cues in prey organisms. We evaluated the effects of sertraline (0.4, 40 ng/L, 40 µg/L) over 8 days on activity and habitat choice in the

Diagrammatic iconicity explains asymmetries in Paamese possessive constructions

Grammatical asymmetries in possessive constructions are overtly coded in about 18% of the world’s languages according to the World Atlas of Language Structures (Dryer & Haspelmath, 2013). What primarily motivates these grammatical asymmetries is controversial and has been at the crux of the “iconicity vs. frequency” debate (e.g. Croft, 2008; Haiman, 2008; Haspelmath, 2008). This paper contribu

Spatial distribution and occurrence probability of regional new particle formation events in eastern China

In this work, the spatial extent of new particle formation (NPF) events and the relative probability of observing particles originating from different spatial origins around three rural sites in eastern China were investigated using the NanoMap method, using particle number size distribution (PNSD) data and air mass back trajectories. The length of the datasets used were 7, 1.5, and 3 years at rur

Augmenting Glioblastoma Chemotherapy with Polymers

Chemotherapeutics are vital for treating brain tumors such as glioblastoma, an aggressive and prolific cancer predominantly treated with DNA alkylating agents. The efficacy of antiglioblastoma drugs, such as temozolomide, is limited by their rapid clearance and instability under normal physiological conditions. Both local and systemic polymer-based therapeutics have shown promise for treating many