Search

Strategies based on performance measurement and feedback are commonly used to support quality improvement among nurses. These strategies require practice change, which, for nurses, rely to a large extent on their capacity to coordinate with each other effectively. However, the levers for coordinated action are difficult to mobilize. This discussion paper offers a theoretical reflection on the challenges related to coordinating nurses' actions in the context of practice changes initiated by performance measurement and feedback strategies. We explore how Jürgen Habermas' theory of Communicative Action may shed light on the issues underlying nurses' collective actions and self‐determination in practice change and the implications for the design of strategies based on performance measurement and feedback. Based on this theory, we propose differences between communicative and functional coordination according to the nature of the actions and the purposes involved. The domains of action underlying these coordination processes, which Habermas referred to as the lifeworld and the system, are then used to draw a parallel with aspects of nursing practice. Further exploration of these concepts allows us to consider the tensions between the demands of the system and the self‐determination of nurses within their practice. [ABSTRACT FROM AUTHOR]

Living systems at any given moment enact a very constrained set of end‐directed and contextually appropriate actions that are self‐initiated from among innumerable possible alternatives. However, these constrained actions are not necessarily because the system has reduced its sensitivities to themselves and their surroundings. Quite the contrary, living systems are continually open to novel and unanticipated stimulations that require a physiology of coordination. To address these competing demands, this paper offers a novel heuristic model informed by neuroscience, systems theory, biology and sign study to explain how organisms situated in diverse, complex and ever‐changing environments might draw upon the sparse order made available by 'relevant noise'. This emergent order facilitates coordination, habituation and, ultimately, understanding of the world and its relevant affordances. Inspired by the burgeoning field of coordination dynamics and physiologist Denis Noble's concept of 'biological relativity', this model proposes a view of coordination on the neuronal level that is neither sequential nor stochastic, but instead implements a causal logic of phasic alignment, such that an organism's learned and inherited sets of diverse biological affinities and sympathies can be resolved into a continuous and complex range of patterns that will implement the kind of novel orientations and radical generativity required of such organisms to adaptively explore their environments and to learn from their experiences. [ABSTRACT FROM AUTHOR]

[Gd(HP‐DO3A)] (gadoteridol) as an active compound of ProHance® is a widely employed contrast agent in clinical MRI scans in the last 30 years. Recent concerns about the long‐term retention of gadolinium‐based contrast agents (GBCAs) led to a deeper investigation of the structural features underlying the integrity of the paramagnetic metal complex. Several human and nonclinical studies have noted marked differences among the macrocyclic GBCAs, with the least retention of Gd traces and most rapid elimination consistently being reported for [Gd(HP‐DO3A)]. It was deemed of interest to assess how minor structural/electronic changes associated to the ligand structure may affect basic properties of the metal complex with several [Gd(HP‐DO3A)] analogues synthesized and characterized in the last years. We recently reported that the closest homolog of [Gd(HP‐DO3A)], i. e.: [Gd(HB‐DO3A)], in which a (±)‐2‐hydroxy‐1‐propyl pendant arm is replaced by a (±)‐2‐hydroxy‐1‐butyl moiety, showed a significantly different retention behaviour in the model interaction with collagen, despite the apparently very minor structural difference. In this paper we report a comprehensive study of the structural, thermodynamic, kinetic and relaxation properties of [Gd(HB‐DO3A)], compared to the parent [Gd(HP‐DO3A)] and to other closely related macrocyclic GBCAs to assess whether very minor structural changes can modulate the physico‐chemical properties of Gd3+ complexes. [ABSTRACT FROM AUTHOR]

[Gd(HP‐DO3A)] (gadoteridol) as an active compound of ProHance® is a widely employed contrast agent in clinical MRI scans in the last 30 years. Recent concerns about the long‐term retention of gadolinium‐based contrast agents (GBCAs) led to a deeper investigation of the structural features underlying the integrity of the paramagnetic metal complex. Several human and nonclinical studies have noted marked differences among the macrocyclic GBCAs, with the least retention of Gd traces and most rapid elimination consistently being reported for [Gd(HP‐DO3A)]. It was deemed of interest to assess how minor structural/electronic changes associated to the ligand structure may affect basic properties of the metal complex with several [Gd(HP‐DO3A)] analogues synthesized and characterized in the last years. We recently reported that the closest homolog of [Gd(HP‐DO3A)], i. e.: [Gd(HB‐DO3A)], in which a (±)‐2‐hydroxy‐1‐propyl pendant arm is replaced by a (±)‐2‐hydroxy‐1‐butyl moiety, showed a significantly different retention behaviour in the model interaction with collagen, despite the apparently very minor structural difference. In this paper we report a comprehensive study of the structural, thermodynamic, kinetic and relaxation properties of [Gd(HB‐DO3A)], compared to the parent [Gd(HP‐DO3A)] and to other closely related macrocyclic GBCAs to assess whether very minor structural changes can modulate the physico‐chemical properties of Gd3+ complexes. [ABSTRACT FROM AUTHOR]

This paper considers a manufacturer selling his products with the marketplace or the reselling mode under the cap‐and‐trade regulation. Coupons are allocated when selling the products. We explore the optimal decisions, the selection and the coordination with the two modes. First, we analytically find that the increase of the cap and platform power (commission rate) increases (decreases) the total production quantity and the optimal production quantity for coupon‐sensitive consumers, and interestingly find that it reduces (increases) the production quantity for coupon‐insensitive consumers when the sensitivity of the coupons is high. Furthermore, the optimal profit of the manufacturer first increases and then decreases with the cap when the emission intensity is low, and it increases with the cap when the emission intensity is high. Second, the marketplace mode creates more (less) profits for the manufacturer if the order‐fulfillment cost is low (high). Whether the marketplace mode or the reselling mode will generate more carbon emission depends on the commission rate and the platform power. Finally, the marketplace mode is not capable of coordinating the manufacturer and the platform at all times, while the reselling mode can coordinate the two firms after considering a coupon‐sharing contract under considerable platform power, and they can achieve Pareto improvement with a two‐part tariff contract under the generalized Nash bargaining framework. [ABSTRACT FROM AUTHOR]