Symptom prevalence and clustering of symptoms in people living with chronic hepatitis C infection

Quality of life has been shown to be poor among people living with chronic hepatitis C However, it is not clear how this relates to the presence of symptoms and their severity. The aim of this study was to describe the typology of a broad array of symptoms that were attributed to hepatitis C virus (HCV) infection. Phase I used qualitative methods to identify symptoms. In Phase 2, 188 treatment-naive people living with HCV participated in a quantitative survey. The most prevalent symptom was physical tiredness (86%) followed by irritability (75%), depression (70%), mental tiredness (70%), and abdominal pain (68%). Temporal clustering of symptoms was reported in 62% of participants. Principal components analysis identified four symptom clusters: neuropsychiatric (mental tiredness, poor concentration, forgetfulness, depression, irritability, physical tiredness, and sleep problems); gastrointestinal (day sweats, nausea, food intolerance, night sweats, abdominal pain, poor appetite, and diarrhea); algesic (joint pain, muscle pain, and general body pain); and dysesthetic (noise sensitivity, light sensitivity, skin. problems, and headaches). These data demonstrate that symptoms are prevalent in treatment-naive people with HCV and support the hypothesis that symptom clustering occurs.

A Interpretação de Isaías pelo Evangelho de Mateus: uma Abordagem a partir de Mateus 4.14-16 Por Mauro Filgueiras Filho

Esta dissertação tem por foco apresentar o método hermenêutico tipológico como ferramenta proposta para compreender a leitura realizada pelo evangelho de Mateus 4.15-16 da profecia de Isaías 8.23 9.1 [TM]. O texto receberá atenção a partir do Texto Massorético e da Septuaginta, sempre em comparação com o texto grego de Mateus. Por conseguinte, o contexto judaico do primeiro século será estudado para compreender mais amplamente o ambiente em que o evangelista possivelmente se encontrava para escrever o seu evangelho. As técnicas de interpretação contempladas em paralelo com a tipologia, consideradas de maior importância para este trabalho são: três técnicas rabínicas, isto é, pesher, midrah e gezerah shavah, e outras três técnicas de interpretação eminentemente cristãs, isto é, duplo-cumprimento, o sensus plenior e a tipologia. Por fim, o estudo comparativo do judaísmo do primeiro século e das técnicas de interpretação resultará na escolha da interpretação tipológica, mas sem um radical rompimento com as demais escolas, pelo contrário, conflitando com alguns apontamentos dos Rolos do Mar Morto e seu apocalipticismo. A interpretação tipológica se ocupará com as semelhanças entre o texto veterotestamentário e o neotestamentário, bem como semelhanças que poderiam compor um cenário mais abrangente. Serão considerados três temas comuns dos dois textos que estabelecem um vínculo entre ambos, ou seja, a geografia, os gentios e a interpretação da luz.

A IMAGEM SE FEZ LIVRO A materialidade da Torá e a invenção do aniconismo pós-exílico São Bernardo do Campo 2015

A pesquisa trabalha a Torá como objeto de culto anicônico no pósexílio, apresentando sua face ritualística no culto do Israel Antigo. É proposto que a centralização da Torá no período do Segundo Templo seria uma construção ideológica macroestrutural i.e., uma tradição inventada do grupo sacerdotal pós-exílico em vista de unificar a nação que se reconstruía e reconfigurava. Para tal análise, observam- se três recortes distintos ligados à questão: (1) a materialidade do culto em suas continuidades e rupturas com a religião israelita pré-exílica, a partir da análise da cultura material e da análise da literatura bíblica de quatro objetos cúlticos centrais da OHD, bamah, massebah, Asherá e arca; (2) as práticas redacionais que advogavam a centralização da Torá com inspiração nos demais cultos e concepções do divino no Antigo Israel, especialmente observada na análise exegética do Sl 19, como um dos principais Salmos da Torá que teriam sido produzidos no período para promulgar a nova prática; e (3) a editoração dos diversos textos canônicos que teriam sido retroprojeções legitimadores da visão posterior centralizadora da Torá, através da criação de uma tipologia da materialidade dos textos e da Torá advinda da análise exegética de diversos textos. Com tal panorama, sob pesquisa exegética de orientação histórico-crítica, é proposto um modelo de quatro instâncias de construção do aniconismo pós-exílico, centralizado na Torá e atingindo as diferentes camadas da religião judaíta.

PARA UMA PAZ SEM FIM : Um estudo, sócio-político e teológico, da tipologia messiânica nas perícopes de Isaías 7,10-17 e 8,23-9,6.

O ato de ungir, do qual se origina o termo messias, era um costume dos povos do Antigo Oriente Médio e foi assimilado por Israel. O Antigo Testamento, porém, reinterpretou esta unção. Ele atribuiu ao rei, num primeiro momento, o título de ungido, maxiah;. Nesta perspectiva, o rei Davi foi aquele que deu origem à mentalidade messiânica em Israel. E a respeito da teologia messiânica, o profeta Isaías tornou-se um dos seus expoentes. Ele se dirige à classe alta de Jerusalém e propõe um Ungido de Javé em substituição ao rei da casa de Davi. Isto porque, o messianismo também se tornou um movimento de resistência frente a não observância da justiça e do direito, que culmina com a ausência da paz. Nesse sentido, Isaías apresenta também uma nova percepção do messianismo, a saber, uma ruptura com a casa de Davi (7,17). Este messias não estava sob os critérios humanos de um bom rei, forte e guerreiro, mas sob a direção do Espírito de Javé. Por isso, ele poderá ser um messias criança (7,14; 9,5). Esta dissertação tem, portanto, a finalidade de percorrer o caminho do surgimento do ungido, ou do ato de se ungir, até a concepção isaiânica de messias. Esse desenvolvimento mostrará, ao final do trabalho, a tipologia messiânica apresentada pelo profeta Isaías, a partir das perícopes de 7,10-17 e 8,23-9,6.(AU)

OS REPÓRTERES DO BRASIL PRÉ-COLONIAL: gêneros e formatos folkcomunicacionais

Trata-se de inventário da existência de meios de comunicação no território brasileiro no período anterior a descoberta pelos colonizadores europeus (pré-1500). O objetivo da pesquisa é mapear como se produziam as mensagens e como se estabeleciam os canais folkcomunicacionais entre os indígenas e as tribos existentes no Brasil pré-colonial. Pretendemos, ainda, estudar elementos de folkcomunicação adotados entre os índios e traçar um paralelo a partir dos conceitos do pesquisador pernambucano Luiz Beltrão e de seus discípulos, resultando na aplicação, revisão e atualização da Tipologia da Folkcomunicação em uso para aquele período histórico. O estudo tem como base empírica observáveis que demonstram a importância da comunicação indígena brasileira naquele contexto como pessoas que viviam agrupados em sociedade e tiveram valores subjugados e destruídos pelos colonizadores. A metodologia comportou uma confluência de técnicas quais sejam: pesquisa bibliográfica (livros, artigos e jornais) e pesquisa documental (em revistas especializadas, periódicos impressos e virtuais) localizadas em acervos públicos e privados.

Epistemic marking and multiple perspective : an introduction

This paper discusses forms of epistemic marking that instantiate multiple perspective constructions (see Evans 2005). Such forms express the speaker’s and the addressee’s simultaneous epistemic perspectives from the point of view of the speaker, crucially relying on the assumptions of the speaker with regard to the addressee’s knowledge. The analysis of forms considers established semanto-pragmatic concepts, such as semantic scope, mitigation strategies and communicative intention (as marked by sentence-type) in the exploration of forms. In addition, the notion of knowledge asymmetry is discussed alongside the concepts of epistemic status and stance as tools for a semantic analysis of investigated forms

Broader or deeper? Exploring the most effective intervention profile for public small business support

Most advanced economies offer publicly financed advice services to start-up firms and SMEs. In England, local or regional Business Links organisations have provided these services, and divided their support into nonintensive one-off contacts providing information or advice and more intensive support involving a diagnostic process and repeated interaction with firms. A key choice for Business Link managers is how to shape their intervention strategies, balancing resources between intensive and nonintensive support. Drawing on resource dependency theory, we develop a typology of intervention strategies for Business Links in England which reflects differences in the breadth and depth of the support provided. We then test the impacts of these alternative intervention models on client companies using both subjective assessments by firms and econometric treatment models that allow for selection bias. Our key empirical result is that Business Links’ choice of intervention strategy has a significant effect both on actual and on perceived business outcomes, with our results emphasising the value of depth over breadth. The implication is that where additional resources are available for business support these should be used to deepen the assistance provided rather than extend assistance to a wider group of firms.

The future of manufacturing

Anyone who looks at the title of this special issue will agree that the intent behind the preparation of this volume was ambitious: to predict and discuss “The Future of Manufacturing”. Will manufacturing be important in the future? Even though some sceptics might say not, and put on the table some old familiar arguments, we would strongly disagree. To bring subsidies for the argument we issued the call-for-papers for this special issue of Journal of Manufacturing Technology Management, fully aware of the size of the challenge in our hands. But we strongly believed that the enterprise would be worthwhile. The point of departure is the ongoing debate concerning the meaning and content of manufacturing. The easily visualised internal activity of using tangible resources to make physical products in factories is no longer a viable way to characterise manufacturing. It is now a more loosely defined concept concerning the organisation and management of open, interdependent, systems for delivering goods and services, tangible and intangible, to diverse types of markets. Interestingly, Wickham Skinner is the most cited author in this special issue of JMTM. He provides the departure point of several articles because his vision and insights have guided and inspired researchers in production and operations management from the late 1960s until today. However, the picture that we draw after looking at the contributions in this special issue is intrinsically distinct, much more dynamic, and complex. Seven articles address the following research themes: 1.new patterns of organisation, where the boundaries of firms become blurred and the role of the firm in the production system as well as that of manufacturing within the firm become contingent; 2.new approaches to strategic decision-making in markets characterised by turbulence and weak signals at the customer interface; 3.new challenges in strategic and operational decisions due to changes in the profile of the workforce; 4.new global players, especially China, modifying the manufacturing landscape; and 5.new techniques, methods and tools that are being made feasible through progress in new technological domains. Of course, many other important dimensions could be studied, but these themes are representative of current changes and future challenges. Three articles look at the first theme: organisational evolution of production and operations in firms and networks. Karlsson's and Skold's article represent one further step in their efforts to characterise “the extraprise”. In the article, they advance the construction of a new framework, based on “the network perspective” by defining the formal elements which compose it and exploring the meaning of different types of relationships. The way in which “actors, resources and activities” are conceptualised extends the existing boundaries of analytical thinking in operations management and open new avenues for research, teaching and practice. The higher level of abstraction, an intrinsic feature of the framework, is associated to the increasing degree of complexity that characterises decisions related to strategy and implementation in the manufacturing and operations area, a feature that is expected to become more and more pervasive as time proceeds. Riis, Johansen, Englyst and Sorensen have also based their article on their previous work, which in this case is on “the interactive firm”. They advance new propositions on strategic roles of manufacturing and discuss why the configuration of strategic manufacturing roles, at the level of the network, will become a key issue and how the indirect strategic roles of manufacturing will become increasingly important. Additionally, by considering that value chains will become value webs, they predict that shifts in strategic manufacturing roles will look like a sequence of moves similar to a game of chess. Then, lastly under the first theme, Fleury and Fleury develop a conceptual framework for the study of production systems in general derived from field research in the telecommunications industry, here considered a prototype of the coming information society and knowledge economy. They propose a new typology of firms which, on certain dimensions, complements the propositions found in the other two articles. Their telecoms-based framework (TbF) comprises six types of companies characterised by distinct profiles of organisational competences, which interact according to specific patterns of relationships, thus creating distinct configurations of production networks. The second theme is addressed by Kyläheiko and SandstroÍm in their article “Strategic options based framework for management of dynamic capabilities in manufacturing firms”. They propose a new approach to strategic decision-making in markets characterised by turbulence and weak signals at the customer interface. Their framework for a manufacturing firm in the digital age leads to active asset selection (strategic investments in both tangible and intangible assets) and efficient orchestrating of the global value net in “thin” intangible asset markets. The framework consists of five steps based on Porter's five-forces model, the resources-based view, complemented by means of the concepts of strategic options and related flexibility issues. Thun, GroÍssler and Miczka's contribution to the third theme brings the human dimension to the debate regarding the future of manufacturing. Their article focuses on the challenges brought to management by the ageing of workers in Germany but, in the arguments that are raised, the future challenges associated to workers and work organisation in every production system become visible and relevant. An interesting point in the approach adopted by the authors is that not only the factual problems and solutions are taken into account but the perception of the managers is brought into the picture. China cannot be absent in the discussion of the future of manufacturing. Therefore, within the fourth theme, Vaidya, Bennett and Liu provide the evidence of the gradual improvement of Chinese companies in the medium and high-tech sectors, by using the revealed comparative advantage (RCA) analysis. The Chinese evolution is shown to be based on capabilities developed through combining international technology transfer and indigenous learning. The main implication for the Western companies is the need to take account of the accelerated rhythm of capability development in China. For other developing countries China's case provides lessons of great importance. Finally, under the fifth theme, Kuehnle's article: “Post mass production paradigm (PMPP) trajectories” provides a futuristic scenario of what is already around us and might become prevalent in the future. It takes a very intensive look at a whole set of dimensions that are affecting manufacturing now, and will influence manufacturing in the future, ranging from the application of ICT to the need for social transparency. In summary, this special issue of JMTM presents a brief, but undisputable, demonstration of the possible richness of manufacturing in the future. Indeed, we could even say that manufacturing has no future if we only stick to the past perspectives. Embracing the new is not easy. The new configurations of production systems, the distributed and complementary roles to be performed by distinct types of companies in diversified networked structures, leveraged by the new emergent technologies and associated the new challenges for managing people, are all themes that are carriers of the future. The Guest Editors of this special issue on the future of manufacturing are strongly convinced that their undertaking has been worthwhile.

Adoption of electronic commerce tools in business procurement:enhanced buying center structure and processes

Modern procurement is being shifted from paper-based, people-intensive buying systems toward electronic-based purchase procedures that rely on Internet communications and Web-enhanced buying tools. Develops a typology of e-commerce tools that have come to characterize cutting-edge industrial procurement. E-commerce aspects of purchasing are organized into communication and transaction tools that encompass both internal and external buying activities. Further, a model of the impact of e-commerce on the structure and processes of an organization's buying center is developed. The impact of the changing buying center on procurement outcomes in terms of efficiency and effectiveness is also analyzed. Finally, implications for business-to-business marketers and researchers are discussed.

e-Business technological innovations

Modern distribution is being shifted from paper-based, people-intensive marketing systems toward electronic-based procedures that rely on Internet communications and web-enhanced software tools. This article develops a typology of e-business technological innovations that have come to characterize cutting-edge distribution management. e-Business tools relevant to marketing channels are organized by the channel process flows that yield communication and transaction enhancements to distribution systems. Further, a model of the impact of e-business on channel performance is developed. The mediating role of channel structure on technology's impact on channel outcomes in terms of efficiency and effectiveness is also analyzed. Finally, implications of the e-business revolution for managers and researchers are discussed.

Strategy-as-practice:a review and future directions for the field

This review maps and critically evaluates the rapidly growing body of research in the strategy-as-practice field. Following an introduction on the emergence and foundations of strategy-as-practice, the review is structured in three main parts, based on the terminology, issues and research agendas outlined in the field. First, the paper examines the concepts of practitioners and praxis. A typology of nine possible domains for strategy-as-practice research is developed, based on the way that different studies conceptualize the strategy practitioner and the level of strategy praxis that they aim to explain. Second, the paper reviews the concept of practices, which has been adopted widely but inconsistently within the strategy-as-practice literature. While there is no dominant view on practices, the review maps the various concepts of practices that inform the strategy-as-practice field and outlines avenues for future research. The final section attends to the call for strategy-as-practice research to develop and substantiate outcomes that may better explain or inform strategy praxis. Five categories of outcomes are found within existing empirical studies, and an agenda for building upon this evidence is advanced. The paper concludes with a summation of the current state of the field and some recommendations on how to take strategy-aspractice research forward.

How brand portfolios have changed:a study of grocery suppliers brands from 1994 to 2004

This study examines the changes in brand structures based on a repeat audit of brand portfolios by leading grocery product suppliers. It compares results from content analyses of four hundred leading suppliers' brands sold to Tesco and Sainsbury's in 1994 and 2004. The brand structures used have changed although not uniformly in extent or direction. There is now more complexity in the way brand names are used. An extended typology of brand structures is incorporated. Propositions drawn from latest thinking on the use of brand portfolios are compared with the findings implications discussed.

Measurement of work group diversity

Whilst research on work group diversity has proliferated in recent years, relatively little attention has been paid to the precise definition of diversity or its measurement. One of the few studies to do so is Harrison and Klein’s (2007) typology, which defined three types of diversity – separation, variety and disparity – and suggested possible indices with which they should be measured. However, their typology is limited by its association of diversity types with variable measurement, by a lack of clarity over the meaning of variety, and by the absence of a clear guidance about which diversity index should be employed. In this thesis I develop an extended version of the typology, including four diversity types (separation, range, spread and disparity), and propose specific indices to be used for each type of diversity with each variable type (ratio, interval, ordinal and nominal). Indices are chosen or derived from first principles based on the precise definition of the diversity type. I then test the usefulness of these indices in predicting outcomes of diversity compared with other indices, using both an extensive simulated data set (to estimate the effects of mis-specification of diversity type or index) and eight real data sets (to examine whether the proposed indices produce the strongest relationships with hypothesised outcomes). The analyses lead to the conclusion that the indices proposed in the typology are at least as good as, and usually better than, other indices in terms of both measuring effect sizes and power to find significant results, and thus provide evidence to support the typology. Implications for theory and methodology are discussed.

Approaches to sharing knowledge in group problem structuring

Problem-structuring techniques are an integral aspect of 'Soft-OR'. SSM, SAST, Strategic Choice, and JOURNEY Making, all depend for their success on a group developing a shared view of a problem through some form of explicit modelling. The negotiated problem structure becomes the basis for problem resolution. Implicit to this process is an assumption that members of the group share and build their knowledge about the problem domain. This paper explores the extent to which this assumption is reasonable. The research is based on detailed records from the use of JOURNEY Making, where it has used special purpose Group Support software to aid the group problem structuring. This software continuously tracks the contributions of each member of the group and thus the extent to which they appear to be 'connecting' and augmenting their own knowledge with that of other members of the group. Software records of problem resolution in real organisational settings are used to explore the sharing of knowledge among senior managers. These explorations suggest a typology of knowledge sharing. The implications of this typology for problem structuring and an agenda for future research are considered.