Rapid Atrophy of the Lumbar Multifidus Follows Experimental Disc or Nerve Root Injury.

Study Design. Experimental study of muscle changes after lumbar spinal injury. Objectives. To investigate effects of intervertebral disc and nerve root lesions on cross-sectional area, histology and chemistry of porcine lumbar multifidus. Summary of Background Data. The multifidus cross-sectional area is reduced in acute and chronic low back pain. Although chronic changes are widespread, acute changes at 1 segment are identified within days of injury. It is uncertain whether changes precede or follow injury, or what is the mechanism. Methods. The multifidus cross-sectional area was measured in 21 pigs from L1 to S1 with ultrasound before and 3 or 6 days after lesions: incision into L3 - L4 disc, medial branch transection of the L3 dorsal ramus, and a sham procedure. Samples from L3 to L5 were studied histologically and chemically. Results. The multifidus cross-sectional area was reduced at L4 ipsilateral to disc lesion but at L4 - L6 after nerve lesion. There was no change after sham or on the opposite side. Water and lactate were reduced bilaterally after disc lesion and ipsilateral to nerve lesion. Histology revealed enlargement of adipocytes and clustering of myofibers at multiple levels after disc and nerve lesions. Conclusions. These data resolve the controversy that the multifidus cross-sectional area reduces rapidly after lumbar injury. Changes after disc lesion affect 1 level with a different distribution to denervation. Such changes may be due to disuse following reflex inhibitory mechanisms.

Group perceptions of knowledge management

This paper reports preliminary results of a project investigating how staff in UK organisations perceive knowledge management in their organisation as a group. The group setting appears to be effective in surfacing opinions and enabling progress in both understanding and action to be made. Among the findings thus far are the importance of the knowledge champion role and the state of the “knowledge management life cycle” in each organisation, and continuing confusion between knowledge, information and mechanisms.

Towards an inter-organisational knowledge transfer framework for SMEs

This paper aims to develop a framework for SMEs to help them understand, and thus to improve, the process of knowledge exchange with their customers or suppliers. Through a review of the literature on knowledge transfer, organisational learning, social network theory and electronic networks, the key actors, key factors and their relationships in the process are identified. Finally, a framework containing all above points is proposed.

Editorial

On behalf of the Operational Research Society, Palgrave Macmillan and the editorial team, I am pleased to welcome readers to this, the first issue of Knowledge Management Research & Practice (KMRP). The aim of KMRP is to provide an outlet for rigorous, high-quality, peer-reviewed articles on all aspects of managing knowledge, organisational learning, intellectual capital and knowledge economics. The Editorial Board intends that there be a particular emphasis on cross-disciplinary approaches, and on the mixing of 'hard' (e.g. technological) and 'soft' (e.g. cultural or motivational) issues. This issue features four regular papers and an editorial paper; in addition, there are two book reviews. KMRP is intended as a truly international journal. The papers in this issue feature authors based in five different countries on three continents; eight different countries and four continents if the editorial paper is included. The first of the regular papers is 'The Knowledge-Creating Theory Revisited: Knowledge Creation as Synthesizing Process', by Ikujiro Nonaka and Ryoko Toyama. There can be few readers who are unaware of the work on knowledge creation by Nonaka and his co-workers such as Takeuchi, and this paper seeks to revisit and extend some of the earlier ideas. The second paper is 'Knowledge Sharing in a Multi-Cultural Setting: A Case Study' by Dianne Ford and Yolande Chan. They present a case study that explores the extent to which knowledge sharing is dependent on national culture. The third paper is 'R&D Collaboration: The Role of bain Knowledge-creating Networks' by Malin Brännback. She also draws upon Nonaka and Takeuchi's work on knowledge creation, using the case of knowledge-creating networks in biopharmaceutical R&D involving both universities and industry as an example. The fourth regular paper is 'The Critical Role of Leadership in Nurturing a Knowledge Supporting Culture' by Vincent Ribière and Alea Saa Sitar. They examine the role of leaders in knowledge management generally, and especially in knowledge organisations, from the viewpoint of 'leading through a knowledge lens'. In addition, this issue includes an 'editorial paper', 'Knowledge Management Research & Practice: Visions and Directions' by the editorial team of John Edwards, Meliha Handzic, Sven Carlsson, and Mark Nissen. This paper presents a small survey of academics and practitioners, outlines key directions for knowledge management research and practice, and gives the editorial team's views on how KMRP can help promote scholarly inquiry in the field. We trust that you will both enjoy reading this first issue and be stimulated by it, and cordially invite you to contribute your own paper(s) to future issues of KMRP.

Knowledge management research and practice:visions and directions

This editorial paper outlines key directions for knowledge management research and practice. The editorial team presents the results from a small survey of academics and practitioners about the present and future of knowledge management, and the editors include their own informed views on how this journal can help promote scholarly inquiry in the field.

Provision of pharmaceutical care by community pharmacists:a comparison across Europe

Objective To investigate the provision of pharmaceutical care by community pharmacists across Europe and to examine the various factors that could affect its implementation. Methods A questionnaire-based survey of community pharmacies was conducted within 13 European countries. The questionnaire consisted of two sections. The first section focussed on demographic data and services provided in the pharmacy. The second section was a slightly adapted version of the Behavioral Pharmaceutical Care Scale (BPCS) which consists of three main dimensions (direct patient care activities, referral and consultation activities and instrumental activities). Results Response rates ranged from 10–71% between countries. The mean total score achieved by community pharmacists, expressed as a percentage of the total score achievable, ranged from 31.6 (Denmark) to 52.2% (Ireland). Even though different aspects of pharmaceutical care were implemented to different extents across Europe, it was noted that the lowest scores were consistently achieved in the direct patient care dimension (particularly those related to documentation, patient assessment and implementation of therapeutic objectives and monitoring plans) followed by performance evaluation and evaluation of patient satisfaction. Pharmacists who dispensed higher daily numbers of prescriptions in Ireland, Germany and Switzerland had significantly higher total BPCS scores. In addition, pharmacists in England and Ireland who were supported in their place of work by other pharmacists scored significantly higher on referral and consultation and had a higher overall provision of pharmaceutical care. Conclusion The present findings suggest that the provision of pharmaceutical care in community pharmacy is still limited within Europe. Pharmacists were routinely engaged in general activities such as patient record screening but were infrequently involved in patient centred professional activities such as the implementation of therapeutic objectives and monitoring plans, or in self-evaluation of performance.

O problema mente-corpo na psicologia fenomenológica de Edith Stein : implicações para uma fundamentação da ciência psicológica

Psychology is a relatively new scientific branch and still lacks consistent methodological foundation to support its investigations. Given its immaturity, this science finds difficulties to delimit its ontological status, which spawnes several epistemological and methodological misconceptions. Given this, Psychology failed to demarcate precisely its object of study, leading, thus, the emergence of numerous conceptions about the psychic, which resulted in the fragmentation of this science. In its constitution, psychological science inherited a complex philosophical problem: the mind-body issue. Therefore, to define their status, Psychology must still face this problem, seeking to elucidate what is the mind, the body and how they relate. In light of the importance of this issue to a strict demarcation of psychological object, it was sought in this research, to investigate the mind-body problem in the Phenomenological Psychology of Edith Stein (1891-1942), phenomenologist philosopher who undertook efforts for a foundation of Psychology. For that, the discussion was subsidized from the contributions of the Philosophy of Mind and the support of the phenomenological method to the mind-body problem. From there, by a qualitative bibliographical methodology, it sought to examine the problem of research through the analysis of some philosophical-psychological philosopher's works, named: "Psychic Causality” (Kausalität Psychische, 1922) and “Introduction to Philosophy" (Einführung in die Philosophie, 1920). For this investigation, it was made, without prejudice to the discussion, a terminological equivalence between the terms mind and psyche, as the philosopher used the latter to refer to the object of Psychology. It sought to examine, therefore, how Stein conceived the psyche, the body and the relationship between them. Although it wasn't the focus of the investigation, it also took into account the spiritual dimension, as the philosopher conceived the human person as consisting of three dimensions: body, psyche and spirit. Given this, Stein highlighted the causal mechanism of the psyche, which is based on the variations of the vital force that emerges from the vital sphere. In relation to the corporeal dimension, the philosopher, following the analysis of Edmund Husserl (1859-1938), highlighted the dual aspect of the body, because it is at the same time something material (Körper) and also a linving body (Leib). On the face of it, it is understood that the psyche and the body are closely connected, so that it constitutes a dual-unit which is manifested in the Leib. This understanding of the problem psyche-mind/body provides a rich analysis of this issue, enabling the overcoming of some inconsistencies of the monistic and dualistic positions. Given this, it allows a strict elucidation of the Psychology object, contributing to the foundation of this science.

As relações de interação e integração entre cérebro, corpo-propriamente-dito e meio-ambiente na constituição da mente consciente

This dissertation will be marked by our proposal to hold a theoretical perspective to the classical mind-body problem, and more precisely for the defense of the idea that consciousness (or conscious mind) emerges from the interaction and integration relationships between body proper, brain and environment. This purpose will lead us to assume an alternative position with respect to the more traditional perspectives to the mind-body problem, ie an alternative perspective not only in relation to the dualistics forms of mind-body, but also in regards to the reductive physicalists, which usually reduces mind to brain. Aiming to support a position that both avoid the idea that mind and body are distinct substances and the theory that the brain explains the consciousness in its totality, we will dedicate an important part of this work to explain how the structure of consciousness depends significantly of the body proper and the bodily information mechanisms as well as the environment and the physiological mechanisms through which we place ourselves in space, in front of us and the other bodies (organic and inorganic). Given that the relationship between brain, body and environment involves different mental levels — from the most primitive and unconscious mental mechanisms until conscious and sophisticated levels — we will proceed to the task of assuming a model to explain in what sense these levels contribute to that our instincts and the most sophisticated dimensions of our mental life are part of the one and the same process, which is why we will structure our argument from the ideia that mind, self, and consciousness are the different hierarchical levels which make up the totality of our psychic life and therefore organic one. Imbued with this conceptual approach, we will advance to the focus of this work, namely the reasons that will lead us to give a prominent role to the body proper and the environment in the constitution of the conscious mind, or even the reasons that will lead us to defend the thesis according to which we are embodied and situated, as well as the reasons that will lead us to reject the theoretical positions that dichotomize man and world. In order to support the thesis that we are embodied and situated, and therefore with the purpose of overcoming the theoretical paradigms that dichotomize consciousness and world, we will turn out to the authors and the perspectives we believe to be more successful in this endeavor, including the phenomenological approaches to bodily self-consciousness, the enactivists perspectives and the researches dedicated to mapping the interaction and integration relationships between brain, body and environment. To achieve our goals, the dissertation will be divided into two chapters: the first chapter will emphasize in what way the structuring of consciousness depends on the body proper and the environment, while in the second chapter we will resort to the phenomenological dimensions of bodily self-consciousness, emphasizing the bodily information channels that provide us the immediate certainty, in a first person perspective, that the self is bodily in a non-metaphorical sense.

I/Q imbalance in two-way AF relaying: Performance analysis and detection mode switch

This paper studies the impact of in-phase and quadrature-phase imbalance (IQI) in two-way amplify-and-forward (AF) relaying systems. In particular, the effective signal-to-interference-plus-noise ratio (SINR) is derived for each source node, considering four different linear detection schemes, namely, uncompensated (Uncomp) scheme, maximal-ratio-combining (MRC), zero-forcing (ZF) and minimum mean-square error (MMSE) based schemes. For each proposed scheme, the outage probability (OP) is investigated over independent, non-identically distributed Nakagami-m fading channels, and exact closed-form expressions are derived for the first three schemes. Based on the closed-form OP expressions, an adaptive detection mode switching scheme is designed for minimizing the OP of both sources. An important observation is that, regardless of the channel conditions and transmit powers, the ZF-based scheme should always be selected if the target SINR is larger than 3 (4.77dB), while the MRC-based scheme should be avoided if the target SINR is larger than 0.38 (-4.20dB).

Energy efficiency analysis of rank-1 Ricean fading MIMO channels

This paper studies the energy efficiency (EE) of a point-to-point rank-1 Ricean fading multiple-input-multiple-output (MIMO) channel. In particular, a tight lower bound and an asymptotic approximation for the EE of the considered MIMO system are presented, under the assumption that the channel is unknown at the transmitter and perfectly known at the receiver. Moreover, the effects of different system parameters, namely, transmit power, spectral efficiency (SE), and number of transmit and receive antennas, on the EE are analytically investigated. An important observation is that, in the high signal-to-noise ratio regime and with the other system parameters fixed, the optimal transmit power that maximizes the EE increases as the Ricean-K factor increases. On the contrary, the optimal SE and the optimal number of transmit antennas decrease as K increases.

I/Q imbalance in two-way AF relaying: Power allocation and performance analysis

We investigate the performance of dual-hop two-way amplify-and-forward (AF) relaying in the presence of inphase and quadrature-phase imbalance (IQI) at the relay node. In particular, the effective signal-to-interference-plus-noise ratio (SINR) at both sources is derived. These SINRs are used to design an instantaneous power allocation scheme, which maximizes the minimum SINR of the two sources under a total transmit power constraint. The solution to this optimization problem is analytically determined and used to evaluate the outage probability (OP) of the considered two-way AF relaying system. Both analytical and numerical results show that IQI can create fundamental performance limits on two-way relaying, which cannot be avoided by simply improving the channel conditions.

”De leker de här lekarna som är förbjudna av vuxna – för att skapa sig en egen värld.”

Syftet med denna studie är att ta reda på om det finns lekar som förskollärare upplever som problematiska, icke önskvärda eller rent av förbjuder i sin verksamhet, vilka regler som finns för lek i deras verksamhet, samt vilka diskurser kring lek i förskolan som ligger till grund för dessa uppfattningar. Vi vill även undersöka hur förskollärarna själva ser på hur faktorer som genus och egna lekerfarenheter i barndomen har påverkat deras synsätt. Metoden för studien är enskilda intervjuer av semistrukturerad karaktär, samt analys av respondenternas utsagor utifrån ett poststrukturalistiskt perspektiv. Studiens resultat visar att det bland de intervjuade förskollärarna finns föreställningar om lek som bygger på diskurser om lek som lärande, utveckling och bearbetning. När det gäller reglering av lek så ges här uttryck för ståndpunkter som vilar på diskurser om att leken ska vara säker och bygga på samtycke och ömsesidighet mellan de som leker och att ingen får bli kränkt. En slutsats av studien är att det inom svensk förskoleverksamhet både existerar förhållningssätt om totalförbud mot vissa typer av lekar, till exempel vapenlek, men även förhållningssätt som accepterar sådana lekar. En annan slutsats är att pedagoger i förskolan kan uppleva att den pedagogiska miljön begränsar deras möjligheter att tillåta vissa typer av lekar.