Clinical managers' identity at the crossroad of multiple institutional logics in it innovation: The case study of a health care organization in England

Clinical managers play a crucial role in securing the implementation and sustainability of information technology (IT) innovation in health care. Yet, not all clinical managers are willing and able to support IT innovation, particularly when the institutional logics of an IT innovation challenge their professional practice. We investigate how clinical managers use their hybrid identities to reconcile differences among competing institutional logics that affect IT innovation. Based on three examples of IT innovation (telehealth for obstructive sleep apnoea, telehealth for heart failure, and electrocardiograms) in a health care organization in England, we identify three roles in IT innovation (innovation advocate, innovation broker, and innovation laggard) that clinical managers enacted in response to three degrees of conflict between institutional logics (no conflict, moderate conflict, and high conflict), respectively. We make the following contributions. First, we demonstrate how clinical managers' perception of their hybrid role in relation to their professional identity influences their response to the conflicting institutional demands of IT innovation. We conclude that clinical managers' fragmented identities can compromise their ability to effectively manage IT innovation in health care. Second, our findings raise implications for understanding the role of professionals' hybrid identities in the implementation of digital transformation at the intersection of multiple institutional logics.     

Code obfuscation against abstraction refinement attacks

Code protection technologies require anti reverse engineering transformations to obfuscate programs in such a way that tools and methods for program analysis become ineffective. We introduce the concept of model deformation inducing an effective code obfuscation against attacks performed by abstract model checking. This means complicating the model in such a way a high number of spurious traces are generated in any formal verification of the property to disclose about the system under attack.We transform the program model in order to make the removal of spurious counterexamples by abstraction refinement maximally inefficient. Because our approach is intended to defeat the fundamental abstraction refinement strategy, we are independent from the specific attack carried out by abstract model checking. A measure of the quality of the obfuscation obtained by model deformation is given together with a corresponding best obfuscation strategy for abstract model checking based on partition refinement.     

Synthesis of Fluorinated Hyperbranched Polymers and Their Use as Additives in Cationic Photopolymerization

Summary: A fluorine containing hyperbranched polymer was synthesized by modifying an aromatic‐aliphatic hyperbranched polyester with a semifluorinated alcohol via a Mitsunobu reaction and was subsequently used as an additive in cationic photopolymerization of an epoxy resin. The remaining OH groups of the fluorinated hyperbranched polymer interact with the polymeric carbocation through a chain‐transfer mechanism inducing an increase in the final epoxy conversion. The fluorinated HBP induces modification of bulk and surface properties, with an increase in T_g and surface hydrophobicity already reached at very low concentration. The HBFP additive can, therefore, protect the coatings from aggressive solvents, increases hardness, and allows the preparation of a low energy surface coating.

Synthesis of fluorinated hyperbranched polyester.     

The production of a lead glaze with galena: Thermal transformations in the PbS–SiO2 system

Galena, also known as PbS, was widely used in the production of lead glazes from the beginning of the 18th century to the second half of the 20th century. Although the PbO‐SiO₂ system has been studied for years, the PbS–SiO₂ phase diagram, involved in the formation of a glaze with galena, has not yet been investigated. Temperature transformations for the system 75 wt% PbS‐25 wt% SiO₂ are investigated in a high‐temperature resolved X‐ray diffraction experiment with synchrotron radiation and compared to those of the equivalent system 70 wt% PbO‐30 wt% SiO₂. Lanarkite, PbO·PbSO₄, is the phase predominantly formed as soon as galena decomposes during the heating. The results show that the system melts at a temperature higher than the PbO–SiO₂ system, but far lower than those expected for the PbO–PbSO₄–PbS system. A historical misfired lead glaze produced with galena is also studied. The presence of galena, lanarkite, and mattheddleite, Pb₁₀(SiO₄)_3.5(SO₄)₂Cl_2, is determined and discussed in terms of the composition of the galena mineral used and the firing conditions in light of the high‐temperature transformations previously obtained.     

The effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramics to dentin

This study evaluated the effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramic (IPS e.max CAD) to dentin. Forty coronal dentin fragments were randomly assigned to four groups according to the cementing strategy used to bond lithium disilicate ceramic to coronal dentin surface (n = 10): U200 (self-adhesive resin cement (RC) RelyX U200®/3 M ESPE), SBU (single-step self-etching adhesive system (AS) Single Bond Universal®/3 M ESPE + RelyX ARC®/3 M ESPE RC), AdperSB (two-step etch-and-rinse AS Single Bond 2®/3 M + RelyX ARC®/3 M ESPE RC) and Scotchbond (three-step etch-and-rinse AS Scotchbond Multi-Purpose®/3 M + RelyX ARC®/3 M RC). After 48 h, the ceramic-tooth blocks were sectioned perpendicular to the adhesive interface in the form of sticks and randomly subdivided into two groups according to when they were to be submitted to μTBS testing: immediately or 6 months after storage in water. Some sticks were kept for analysis of the adhesive interface by scanning electron microscopy (SEM). The μTBS test was performed in a universal testing machine (0.5 mm/min). The data (MPa) were analyzed using split-plot ANOVA and Tukey’s test (α = 0.05). Water storage decreased μTBS in all cementing strategies. The μTBS was greatest in the Scotchbond group and lowest in the U200 group, at both storage times. No signs of interface degradation were detected under SEM after water storage. In conclusion, water storage decreased bond strength, regardless of the adhesive cementation strategy, and that the three-step adhesive system/dual-cure resin cement ultimately performed better in terms of bond strength.     

Hybrid Photonic Nanostructures by In Vivo Incorporation of an Organic Fluorophore into Diatom Algae

Biotechnological processes harnessing living organisms' metabolism are low‐cost routes to nanostructured materials for applications in photonics, electronics, and nanomedicine. In the pursuit of photonic biohybrids, diatoms microalgae are attractive given the properties of the porous micro‐to‐nanoscale structures of the biosilica shells (frustules) they produce. The investigations have focused on in vivo incorporation of tailored molecular fluorophores into the frustules of Thalassiosira weissflogii diatoms, using a procedure that paves the way for easy biotechnological production of photonic nanostructures. The procedure ensures uniform staining of shells in the treated culture and permits the resulting biohybrid photonic nanostructures to be isolated with no damage to the dye and periodic biosilica network. Significantly, this approach ensures that light emission from the dye embedded in the isolated biohybrid silica is modulated by the silica's nanostructure, whereas no modulation of photoluminescence is observed upon grafting the fluorophore onto frustules by an in vitro approach based on surface chemistry. These results pave the way to the possibility of easy production of photonic nanostructures with tunable properties by simple feeding the diatoms algae with tailored photoactive molecules.     

Poly(lactic acid)/poly(vinyl pyrrolidone) membranes produced by solution blow spinning: Structure,thermal, spectroscopic,and microbial barrier properties

Submicrometric and nanometric poly(lactic acid)/poly(vinyl pyrrolidone) (PLA/PVP) fibrous membranes containing 0, 5, 10, 15, and 20 wt % PVP, with or without 20 wt % Copaiba oil (Copaifera sp.), were produced by solution blow spinning (SBS), using polymer injection rate of 120 μL min^?1, gas pressure of 2.4 kPa, working distance of 20 cm, and collector rotation of 200 rpm. The morphological, thermal, and spectroscopic properties of these membranes were characterized by scanning electron microscopy (SEM), differential scanning calorimetry (DSC), thermogravimetry (TG), and Fourier transform infrared spectroscopy (FTIR). A method for the evaluation of membrane microbial barrier properties based on resazurin colorimetric method was proposed. Results showed that the addition of both PVP and Copaiba oil produced thicker fibers; otherwise, there was no effect on morphology. Thermal analyses (TG and DSC) indicated the immiscible nature of polymer blends produced, also confirmed by the spectroscopic studies. Antimicrobial barrier properties were related to the antimicrobial effect of Copaiba oil, combined with it hydrophobic nature. The hydrophilic nature of PVP favored degradation of fiber mats, impairing barrier property when higher concentrations of PVP were added. Results indicate that produced spun mats can potentially be used in applications such as wound dressing. © 2017 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2017 , 134 , 44802.     

Tuning of a Vertical Spin Valve with a Monolayer of Single Molecule Magnets

The synthesis and the chemisorption from solution of a terbium bis‐phthalocyaninato complex suitable for the functionalization of lanthanum strontium manganite (LSMO) are reported. Two phosphonate groups are introduced in the double decker structure in order to allow the grafting to the ferromagnetic substrate actively used as injection electrode in organic spin valve devices. The covalent bonding of functionalized terbium bis‐phthalocyaninato system on LSMO surface preserves its molecular properties at the nanoscale. X‐ray photoelectron spectroscopy confirms the integrity of the molecules on the LSMO surface and a small magnetic hysteresis reminiscent of the typical single molecule magnet behavior of this system is detected on surface by X‐ray magnetic circular dichroism experiments. The effect of the hybrid magnetic electrode on spin polarized injection is investigated in vertical organic spin valve devices and compared to the behavior of similar spin valves embedding a single diamagnetic layer of alkyl phosphonate molecules analogously chemisorbed on LSMO. Magnetoresistance experiments have evidenced significant alterations of the magneto‐transport by the terbium bis‐phthalocyaninato complex characterized by two distinct temperature regimes, below and above 50 K, respectively.