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Public clients have been identified as drivers of architectural, engineering and construction (AEC) industry change through their implementation of building information modelling (BIM). Yet, little is known of this implementation process and the associated challenges. This study aims to increase the understanding of what intra- and inter-organizational challenges that arise when a large Swedish public infrastructure client implements BIM to change the work practices of the actors in the Swedish AEC industry. The IT business value model allows for understanding the public client’s implementation of BIM as an IT-supported change process and for understanding the associated intra- and inter-organizational challenges. The findings show nine categories of intra- and inter-organizational challenges related to, for example, demanding BIM in procurement and creating incentives for BIM implementation. The findings show that intra-organizational challenges related to a top-down implementation of BIM, while inter-organizational challenges related to a bottom-up implementation. The impact of these challenges on the public client’s ability to drive AEC industry change by implementing BIM is discussed. The findings contribute with the client perspective to studies on BIM implementation and with an increased understanding of the challenges associated with implementing IT-supported change processes.  相似文献   
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Citation frequencies and journal impact factors (JIFs) are being used more and more to assess the quality of research and allocate research resources. If these bibliometric indicators are not an adequate predictor of research quality, there could be severe negative consequences for research. To analyse to which extent citation frequencies and journal impact factors correlate with the methodological quality of clinical research articles included in an SBU systematic review of antibiotic prophylaxis in surgery. All 212 eligible original articles were extracted from the SBU systematic review “Antibiotic Prophylaxis in Surgery” and categorized according to their methodological rigourness as high, moderate or low quality articles. Median of citation frequencies and JIFs were compared between the methodological quality groups using Kruskal–Wallis non-parametric test. An in-depth study of low-quality studies with higher citation frequencies/JIFs was also conducted. No significant differences were found in median citation frequencies (p = 0.453) or JIFs (p = 0.185) between the three quality groups. Studies that had high citation frequencies/JIFs but were assessed as low-quality lacked control groups, had high dropout rates or low internal validity. This study of antibiotic prophylaxis in surgery does not support the hypothesis that bibliometric indicators are a valid instrument for assessing methodological quality in clinical trials. This is a worrying observation, since bibliometric indicators have a major influence on research funding. However, further studies in other areas are needed.  相似文献   
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BACKGROUND: Sleepiness related car accidents are common in obstructive sleep apnoea syndrome (OSAS) patients. The objective measurements of sleepiness used in clinical setting quantify the tendency to fall asleep in quiet situations that are completely different from driving. METHODS: We studied 30 OSAS patients with subjective (subjective sleepiness scales) and objective (multiple sleep latency test, MSLT) sleepiness measurements, associated with driving simulation test (DST), previously validated in young healthy subjects. The results of subjective and objective sleepiness tests were compared with simulated driving performance in order to evaluate the suitability of our DST for measuring alertness. RESULTS: Subjective and objective sleepiness measurements were significantly correlated with driving performance on the simulator. The most significant correlates of sleepiness were the measures of the primary vehicle control task on the simulator: lane position variability and crash data. The comparison of DST and MSLT results suggested our driving simulated approach could be used to evaluate daytime sleepiness in the clinical setting of OSAS patients. CONCLUSIONS: Our DST is a suitable objective tool to detect sleepiness in OSAS patients, and could be useful in the clinical setting of sleep medicine and research.  相似文献   
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This work reports the combinatorial synthesis and screening of phosphorescent iridium complexes as solution processable emitters for OLEDs. The approach taken here allows for the rapid synthesis, isolation, spectroscopic characterization and identification of the libraries based on chromatographic methods. Subsequent analysis of the irradiation induced degradation provides insight on the stability of the complexes under continuous excitation. The method is versatile and can easily be applied to other metal complexes or organic dyes for various applications, e.g., in electroluminescence, photovoltaics and sensing.  相似文献   
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Classical molecular dynamics simulations of tropocollagen molecules on rough titania surfaces are presented. On the basis of plane rutile (100), two models for surface roughness have been adopted: (1 × 3) microfacets with dimensions of less than 14 Å had only minor influence on the adsorption of a triple helical structure with a diameter of about 16 Å. After increasing the roughness by terraces, steric hindrance of helix binding was observed. A model for telopeptide capping of the collagen triple helices was developed. The highly flexible telopeptide structures mediated adsorption on the surface and inserted into grooves of both surface models. The telopeptide β‐turn motifs at the C‐terminus of the tropocollagen interact with specific receptor regions of the triple helices. This intermolecular process seems to be entropy driven and may be the first step of assembling helices to ordered fibrils. Interaction between telopeptide and triple helix seems to be in competition with the rather enthalpy controlled surface adsorption of single collagen molecules.  相似文献   
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Three isomers of chondroitin sulfate (CS), i.e., CS-A, CS-B, and CS-C, are investigated as nanotube dispersants and are found to have vastly different abilities to disperse single-walled carbon nanotubes (SWNTs) in water due to their different intramolecular interactions. Only CS-A and CS-C effectively disperse SWNTs into small bundles or individual tubes while CS-B disperses SWNTs poorly. Computer simulation and circular dichrosim show that neat CS-A and CS-C have weak intramolecular hydrogen bonding and extended conformations in solution resulting in energetically more favorable interactions with nanotubes. CS-B has relatively strong intramolecular Coulombic interaction and more alpha-helical secondary structure in solution resulting in energetically less favorable interaction with the nanotubes. Atomic force microscopy images show helical wrappings of CS-A and CS-C around the SWNTs. Transmission electron microscopy corroborates the helical wrapping of CS-A. Different isomeric forms of a polymer can have vastly different dispersing power because of their different intramolecular interactions and conformations. The easy removability of CS-A from nanotubes is confirmed with X-ray photoelectron spectroscopy showing almost no detectable sulphur content after washing with water and by application of washed CS-A dispersed SWNTs in field-effect transistors.  相似文献   
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