Paperi- ja selluteollisuus: Kestävän kehityksen rooli alalla ja alan tulevaisuus: Delfoi-tutkimus

Tutkimuksen tavoitteena oli hahmottaa paperi- ja selluteollisuuden nykytilaa ja tulevaisuutta kirjallisuuden sekä empiirisen tutkimuksen avulla. Tutkimuksen avulla hahmotettiin erityisesti kestävän kehityksen ja CSR:n merkitystä paperi- ja selluteollisuudessa, paperi- ja selluteollisuuden tämänhetkistä tilannetta sekä kilpailuedun lähteitä ja liiketoiminnan mahdollisuuksia alalla tulevaisuudessa. Tutkimuksen tutkimusmenetelmä oli kvalitatiivinen ja tutkimusmenetelmänä käytettiin Delfoi-menetelmää. Tutkimuksen perusteella voidaan todeta, että kestävä kehitys on tärkeä aihe paperi- ja selluteollisuudessa ja sen voidaan olettaa tulevaisuudessa olevan alalla vieläkin merkityksellisempi. Ympäristöllisistä tekijöistä ja näkökulmista on metsäteollisuudessa puhuttu jo vuosikymmenten ajan ja alan kansainvälistyminen sekä alalla viime aikoina tapahtuneet muutokset ovat nostaneet kiinnostusta kestävää kehitystä kohtaan entisestään. Tutkimuksen mukaan paperi- ja selluteollisuuden nykytilanne on tällä hetkellä haastava ja kilpailu alalla on kovaa. Syitä alan haastavaan tilanteeseen ovat alalla viime aikoina tapahtuneet muutokset ja kilpailun kiristyminen. Tulevaisuuden kilpailuedun lähteinä alalla voidaan nähdä muun muassa kestävään kehitykseen liittyvät tekijät, uudet tuotteet sekä materiaalit, markkinarakojen hyödyntäminen sekä kannattavuuden parantaminen. Uusia liiketoiminnan mahdollisuuksia alalla tulevaisuudessa ovat erikoistuotteet, bioenergia, innovaatiot, sivutuotteiden käyttö, kierrätettävät materiaalit, pakkausmateriaalit sekä biotalous.

Cross-border transmission capacity development – Experiences from the Nordic electricity markets

The liberalisation of the wholesale electricity markets has been considered an efficient way to organise the markets. In Europe, the target is to liberalise and integrate the common European electricity markets. However, insufficient transmission capacity between the market areas hampers the integration, and therefore, new investments are required. Again, massive transmission capacity investments are not usually easy to carry through. This doctoral dissertation aims at elaborating on critical determinants required to deliver the necessary transmission capacity investments. The Nordic electricity market is used as an illustrative example. This study suggests that changes in the governance structure have affected the delivery of Nordic cross-border investments. In addition, the impacts of not fully delivered investments are studied in this doctoral dissertation. An insufficient transmission network can degrade the market uniformity and may also cause a need to split the market into smaller submarkets. This may have financial impacts on market actors when the targeted efficient sharing of resources is not met and even encourage gaming. The research methods applied in this doctoral dissertation are mainly empirical ranging from a Delphi study to case studies and numerical calculations.

Challenges in conducting and publishing research on the Middle East and Africa in leading journals

Purpose – The purpose of this paper is to examine the reasons for the lack of research attention paid to the Middle East (ME) and Africa regions. In particular, this study seeks to identify the reasons for and implications of the paucity of ME- and Africa-based studies in high-quality international journals in the marketing field with a specific focus on the challenges in conducting and publishing research on these regions. Design/methodology/approach – The authors conducted a systematic review of the literature on the ME and Africa regions to identify papers published in 23 high-quality marketing, international business, and advertising journals. This search resulted in 301 articles, among which 125 articles were based on primary or secondary data collected from a local source in those regions. The authors of these 125 articles constitute the Delphi study sample. These academics provided input in an effort to reach a consensus regarding the two proposed models of academic research in both regions. Findings – This paper differs from previous studies, where academic freedom emerged as the most important inhibitor to conducting and publishing research. The most frequently mentioned challenges in conducting research in Africa were access to data, data collection issues, diversity of the region, and lack of research support infrastructure. For the ME, the most often described challenges included validity and reliability of data, language barriers, data collection issues, and availability of a network of researchers. Editors’ and reviewers’ low interest and limited knowledge were ranked high in both regions. South Africa, Israel, and Turkey emerged as outliers, in which research barriers were less challenging than in the rest of the two regions. The authors attribute this difference to the high incidence of US-trained or US-based scholars originating from these countries. Originality/value – To the best of the knowledge, no marketing studies have discussed the problems of publishing in high-quality international journals of marketing, international business, and advertising for either region. Thus, most of the issues the authors discuss in this paper offer new insightful results while supplementing previous research on the challenges of conducting and publishing research on specific world regions.

Kinesiska affärsetableringar i Sverige : Kartläggning över områden som förbättrar chanserna att lyckas

Aim and starting point: The aim of the Bachelor thesis is to examine and define the paramount knowledge Chinese businessmen need in order to succeed with their establishment in Sweden. The authors also seek to answer what incentives attract Chinese businessmen to come to Sweden, as well as how Chinese establishments in Sweden can be predicted to appear in the future. Results/conclusions: The study outlines key areas in which Chinese businessmen should have knowledge in order to succeed with their establishment in Sweden. The results also gives an indication on how Chinese business establishments in Sweden will appear in the future, into which areas the Chinese mainly invest/establish in, as well as why and how these are done. On the basis of this material the authors generate proposals for educational packages which among others can be sold to Chinese businessmen. Knowledge overview: Here relevant theory connected to the area of study is presented. The knowledge overview presents the Swedish in relation to the Chinese perspective in areas such as: culture, hierarchy, relations, Face, communication, HRM, education, CSR and labour law. The knowledge overview can itself contribute to fostering an understanding of differences between Sweden and China. Method: The area of research has been accessed by a combination of methods. The study is both deductive and explorative. The main channel of information and data collection are in-depth interviews which are used as a deductive starting point, an expert investigation and as a Grounded Theory. As a complement the authors have also conducted a delphi study in which an expert panel answered questions concerning the future of Chinese establishments in Sweden. The deductive and explorative parts have been analyzed individually and have each generated a conclusion. These conclusions have then been interwoven in a synthesis that highlights and creates new knowledge.

The Neuropsychiatric Inventory-Clinician rating scale (NPI-C): Reliability and validity of a revised assessment of neuropsychiatric symptoms in dementia

Background: Neuropsychiatric symptoms (NPS) affect almost all patients with dementia and are a major focus of study and treatment. Accurate assessment of NPS through valid, sensitive and reliable measures is crucial. Although current NPS measures have many strengths, they also have some limitations (e.g. acquisition of data is limited to informants or caregivers as respondents, limited depth of items specific to moderate dementia). Therefore, we developed a revised version of the NPI, known as the NPI-C. The NPI-C includes expanded domains and items, and a clinician-rating methodology. This study evaluated the reliability and convergent validity of the NPI-C at ten international sites (seven languages). Methods: Face validity for 78 new items was obtained through a Delphi panel. A total of 128 dyads (caregivers/patients) from three severity categories of dementia (mild = 58, moderate = 49, severe = 21) were interviewed separately by two trained raters using two rating methods: the original NPI interview and a clinician-rated method. Rater 1 also administered four additional, established measures: the Apathy Evaluation Scale, the Brief Psychiatric Rating Scale, the Cohen-Mansfield Agitation Index, and the Cornell Scale for Depression in Dementia. Intraclass correlations were used to determine inter-rater reliability. Pearson correlations between the four relevant NPI-C domains and their corresponding outside measures were used for convergent validity. Results: Inter-rater reliability was strong for most items. Convergent validity was moderate (apathy and agitation) to strong (hallucinations and delusions; agitation and aberrant vocalization; and depression) for clinician ratings in NPI-C domains. Conclusion: Overall, the NPI-C shows promise as a versatile tool which can accurately measure NPS and which uses a uniform scale system to facilitate data comparisons across studies. Copyright © 2010 International Psychogeriatric Association.

Climate Engineering: gesellschaftliches Konfliktpotenzial und öffentliche Partizipationsmöglichkeiten

Aufbauend auf den Ergebnissen einer Literatur- und Medienanalyse wurde erstmals zum Thema Climate Engineering ein sogenanntes Gruppen-Delphi durchgeführt, um aktuelle und argumentativ fundierte Einschätzungen von Experten zu den möglichen sozialen und kulturellen Folgen von Climate Engineering, insbesondere auch in Deutschland, zu erhalten. Die Ergebnisse dieser diskursiven Form der Expertenbefragung zeigen deutlich, dass die Verfahren des Climate Engineering differenziert betrachtet und bewertet werden müssen. Auf Akzeptanzprobleme stoßen vor allem Maßnahmen, bei denen hohe Unsicherheit über die potenziellen Nebenwirkungen besteht. In der Literatur und unter den Experten besteht Einigkeit darüber, dass es bereits jetzt, in der Frühphase der Entwicklung von Climate Engineering-Strategien, notwendig sei, die Bürger über diese Technologien und Strategien aufzuklären.

Metodología de formulación de indicadores para la mejora en la implantación de los programas de calidad. Aplicación al caso de las universidades públicas españolas

El planteamiento fundamental del trabajo ha consistido en explorar las posibilidades existentes para establecer una metodología basada en un modelo cuantitativo para la condensación de indicadores relacionados con los sistemas de calidad en el ámbito universitario público. El modelo incluye tanto la evaluación de activos tangibles como intangibles. Se ha seguido una metodología adaptada al planteamiento: - Realizando un estudio tipo DELPHI (DELPHI 1) entre las Unidades Técnicas de Calidad de las universidades de la Comunidad de Madrid, para conocer la situación de la implantación de metodologías de planificación estratégica en la universidad. - Definiendo tres niveles de gestión (bases, activos e indicadores) para la construcción del modelo cuantitativo. - Realizando una propuesta inicial de bases, activos e indicadores, incluyendo activos intangibles. - Realizando un segundo estudio tipo DELPHI (DELPHI 2) entre expertos con responsabilidad directiva en universidades, para debatir y revisar la propuesta. - Por último diseñando una metodología y la correspondiente herramienta para la condensación de los indicadores. En resumen, se ha generado una propuesta consolidada y actualizada de las bases estratégicas, los activos tangibles e intangibles y los indicadores en ambos casos, diseñándose una metodología (herramienta) que permite implementar la definición de los tres niveles de control, establecer una ponderación de cada uno de los elementos en los tres niveles y establecer una cuantificación de la importancia o contribución de cada elemento para la propia institución, y sirve para facilitar la toma de decisiones por priorización de actuaciones, establecer objetivos para los indicadores, valorar el grado de cumplimiento y modificar la estrategia de una institución universitaria. ABSTRACT The fundamental approach of the work has been to explore the possibilities to establish a methodology based on a quantitative model for condensing indicators related to quality assurance systems in Higher Education Institutions (HEI), particularly public universities. The model includes both assessment of tangible and intangible assets. A methodology adapted to the approach has been followed: - Performing a type DELPHI study (DELPHI 1) between the Technical Quality Units of the universities of the Community of Madrid, to know the level of implementation of strategic planning methodologies in HEI. - Defining three levels of management (bases, assets and indicators) to build the quantitative model. - Performing an initial proposal bases, assets and indicators, including intangible assets. - Making a second study type DELPHI (DELPHI 2) between experts with managerial responsibility in universities, to discuss and review the proposal. - Finally designing a methodology and related tool for condensing indicators. In short, a proposal consolidated and updated for strategic bases, the tangible and intangible assets and indicators of both types of assets has been performed. A methodology (tool) that allows to implement the definition of the three levels of control, establish a weighting each of the elements on three levels and establish a quantification of the importance and contribution of each element to the institution itself, has been designed. The methodology serves: - To facilitate decision-making by prioritizing activities. - To set targets for indicators. - To assess the degree of compliance and - To modify the strategy of the HEI.

Outsourcing:assessing the risks and benefits for organisations, sectors and nations

Purpose - This research aims to assess the risks and benefits of outsourcing for organisations, sectors and nations. The literature on outsourcing contains little evidence of research on holistic issues of its impact at systems levels beyond the firm, notably sectors and nations. Design/methodology/approach - A Delphi study with senior strategists from private and public sectors captured perspectives and specific observations on benefits and risks of outsourcing. Emergent issues on outsourcing policy, strategy and decision-making processes were synthesised into a framework for analysing factors associated with outsourcing. Findings - The findings suggest that a more holistic view of outsourcing is needed, linking local, organisational issues with sector and national level actions and outcomes. In this way, aggregate risks and benefits can be assessed at different systems levels. Research limitations/implications - Future research might address the motivations for outsourcing; currently there is little research evidence to assess whether outsourcing is a mechanism for failing to solve internal problems, and moving responsibility and risk out of the firm. Additionally most outsourcing research to date has concentrated on an activity either being "in" or "out"; there is little research exploring the circumstances in which mixed models might be appropriate. Practical implications - The framework provides an aid to research and an aide memoire for managers considering outsourcing. Originality/value - This paper contributes to knowledge on understanding of outsourcing at different systems levels, particularly highlighting the implications of outsourcing for sectors and nations. Previously most research has focused at the level of the firm or dyadic relationship. © Emerald Group Publishing Limited.

Predicting Financial Sources for the Lodging Industry

Given the various changes that have occurred in the financing of the lodging industry, investors and developers interested in the industry are concerned about future sources of capital and the terms at which they will be available. This article presents results of a Delphi study which illustrates the extent to which individual financial institutions are expected to provide capital to the lodging industry and looks at terms and criteria used to make loans.

A global effort to advance systems change to address the needs of families where a parent has a mental illness.

As part of the Prato Collaborative I am undertaking a Delphi Study to explore the developmental journeys that nine different countries (including NI and Ireland) have undertaken to better meet the needs of families where a parent has a mental illness in adult mental health and children’s services. This research has potential to impact FFP in adult mental health and children's services.

Development of an activity disease score in patients with uveitis (UVEDAI)

To develop a disease activity index for patients with uveitis (UVEDAI) encompassing the relevant domains of disease activity considered important among experts in this field. The steps for designing UVEDAI were: (a) Defining the construct and establishing the domains through a formal judgment of experts, (b) A two-round Delphi study with a panel of 15 experts to determine the relevant items, (c) Selection of items: A logistic regression model was developed that set ocular inflammatory activity as the dependent variable. The construct “uveitis inflammatory activity” was defined as any intraocular inflammation that included external structures (cornea) in addition to uvea. Seven domains and 15 items were identified: best-corrected visual acuity, inflammation of the anterior chamber (anterior chamber cells, hypopyon, the presence of fibrin, active posterior keratic precipitates and iris nodules), intraocular pressure, inflammation of the vitreous cavity (vitreous haze, snowballs and snowbanks), central macular edema, inflammation of the posterior pole (the presence and number of choroidal/retinal lesions, vascular inflammation and papillitis), and global assessment from both (patient and physician). From all the variables studied in the multivariate model, anterior chamber cell grade, vitreous haze, central macular edema, inflammatory vessel sheathing, papillitis, choroidal/retinal lesions and patient evaluation were included in UVEDAI. UVEDAI is an index designed to assess the global ocular inflammatory activity in patients with uveitis. It might prove worthwhile to motorize the activity of this extraarticular manifestation of some rheumatic diseases.

Indicateurs sécurité en obstétrique : une étude Delphi [Patient safety indicators for obstetrics: a Delphi based study]

OBJECTIVE: Clinical indicators are increasingly used to assess safety of patient care. In obstetrics, only a few indicators have been validated to date and none is used across specialties. The purpose of this study was to identify and assess for face and content validity a group of safety indicators that could be used by anaesthetists, obstetricians and neonatologists involved in labour and delivery units. MATERIALS AND METHODS: We first conducted a systematic review of the literature to identify potential measures. Indicators were then validated by a panel of 30 experts representing all specialties working in labour and delivery units. We used the Delphi method, an iterative questionnaire-based consensus seeking technique. Experts determined on a 7-point Likert scale (1=most representative/7=less representative) the soundness of each indicator as a measure of safety and their possible association with errors and complications caused by medical management. RESULTS: We identified 44 potential clinical indicators from the literature. Following the Delphi process, 13 indicators were considered as highly representative of safety during obstetrical care (mean score</=2.3). Experts ranked 6 of these indicators as being strongly associated to potential errors and complications. CONCLUSIONS: We identified and validated for face and content, a group of six clinical indicators to measure potentially preventable iatrogenic complications in labour and delivery units.

Malaria chemoprophylaxis recommendations for immigrants to Europe, visiting relatives and friends--a Delphi method study.

BACKGROUND: Numbers of travellers visiting friends and relatives (VFRs) from Europe to malaria endemic countries are increasing and include long-term and second generation immigrants, who represent the major burden of malaria cases imported back into Europe. Most recommendations for malaria chemoprophylaxis lack a solid evidence base, and often fail to address the cultural, social and economic needs of VFRs. METHODS: European travel medicine experts, who are members of TropNetEurop, completed a sequential series of questionnaires according to the Delphi method. This technique aims at evaluating and developing a consensus through repeated iterations of questionnaires. The questionnaires in this study included questions about professional experience with VFRs, controversial issues in malaria prophylaxis, and 16 scenarios exploring indications for prescribing and choice of chemoprophylaxis. RESULTS: The experience of participants was rather diverse as was their selection of chemoprophylaxis regimen. A significant consensus was observed in only seven of 16 scenarios. The analysis revealed a wide variation in prescribing choices with preferences grouped by region of practice and increased prescribing seen in Northern Europe compared to Central Europe. CONCLUSIONS: Improving the evidence base on efficacy, adherence to chemoprophylaxis and risk of malaria and encouraging discussion among experts, using techniques such as the Delphi method, may reduce the variability in prescription in European travel clinics.

PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique

Objective There is limited evidence regarding the quality of prescribing for children in primary care. Several prescribing criteria (indicators) have been developed to assess the appropriateness of prescribing in older and middle-aged adults but few are relevant to children. The objective of this study was to develop a set of prescribing indicators that can be applied to prescribing or dispensing data sets to determine the prevalence of potentially inappropriate prescribing in children (PIPc) in primary care settings.


Design Two-round modified Delphi consensus method.


Setting Irish and UK general practice.


Participants A project steering group consisting of academic and clinical general practitioners (GPs) and pharmacists was formed to develop a list of indicators from literature review and clinical expertise. 15 experts consisting of GPs, pharmacists and paediatricians from the Republic of Ireland and the UK formed the Delphi panel.


Results 47 indicators were reviewed by the project steering group and 16 were presented to the Delphi panel. In the first round of this exercise, consensus was achieved on nine of these indicators. Of the remaining seven indicators, two were removed following review of expert panel comments and discussion of the project steering group. The second round of the Delphi process focused on the remaining five indicators, which were amended based on first round feedback. Three indicators were accepted following the second round of the Delphi process and the remaining two indicators were removed. The final list consisted of 12 indicators categorised by respiratory system (n=6), gastrointestinal system (n=2), neurological system (n=2) and dermatological system (n=2).


Conclusions The PIPc indicators are a set of prescribing criteria developed for use in children in primary care in the absence of clinical information. The utility of these criteria will be tested in further studies using prescribing databases.