An empirical investigation of Technology Readiness among medical staff based in Greek hospitals

Technology readiness (TR) represents an individual’s mental readiness to accept new technologies. Although the TR scale has been used in many studies, its application in the healthcare context is limited. This paper focuses on identifying the TR profiles of medical staff and to model preference TR variations with respect to computer use, computer knowledge and computer feature demands. The study reports results from a nationwide study conducted in Greece, during a three-year period, which sampled responses from 604 physicians and nurses working in 14 Greek hospitals. Exploratory Structural Equation Modelling analysis is used in order to confirm the structure of the Technology Readiness Index. The results confirm the five groups of the TR taxonomy. Statistical differences were found between classes in information and communication technology (ICT) knowledge, ICT feature demands, hours of use per week as well as ICT use performance, but not in the general use of ICT. The results facilitate comprehension of the factors, which influence the use of ICT by medical staff and, in addition, they convey important policy and managerial implications. In conclusion, medical staff should be treated according to its TR taxonomy classes in order to expedite the acceptance and use of an ICT system.     

表面活性剂对聚乙烯醇水溶液黏度影响的研究

研究了阴离子十二烷基硫酸钠、阳离子十六烷基三甲基溴化铵和非离子壬基酚聚氧乙烯醚等3种不同类型的表面活性剂对聚乙烯醇溶液黏度性质的影响。结果表明,离子型表面活性剂与聚乙烯醇发生疏水链相互作用使高聚物带有电荷,体系黏度增加;非离子表面活性剂与聚乙烯醇无相互作用,体系黏度不变;盐的加入,只对聚乙烯醇/离子型表面活性剂混合体系影响大,而对聚乙烯醇/非离子型表面活性剂混合体系无影响。     

NaHSO4掺杂聚苯胺催化合成环己酮1，2-丙二醇缩酮

自制了PAn(聚苯胺)-NaHSO4(硫酸氢钠)催化剂,并对其结构进行了表征。通过以环己酮和1,2-丙二醇为原料合成环己酮1,2-丙二醇缩酮,探讨了PAn-NaHSO4催化剂对缩酮反应的催化活性。系统地研究了原料配比、催化剂用量、带水剂用量、反应时间诸因素对产品收率的影响。实验结果表明,PAn-NaHSO4是合成环己酮1,2-丙二醇缩酮的良好催化剂,在n(环己酮):n(1,2-丙二醇)=1:1·5、催化剂用量为反应物料总质量的1%、带水剂环己烷用量为12mL、反应时间1·5h的优化条件下,环己酮1,2-丙二醇缩酮的收率可达92%。     

The longitudinal impact of enterprise system users’ pre-adoption expectations and organizational support on post-adoption proficient usage

Although enterprise systems (ES) are ubiquitous, many firms report less than stellar payoffs from these costly investments, with underutilization often attributed to failures in the implementation process. Unfortunately, research has not provided sufficient insights into these failures, in part because it has focused on actual usage, as opposed to proficient usage, as the benchmark for successful implementation. Moreover, research has not generally examined how the adoption process unfolds over time, thus overlooking potential underlying mechanisms that may help explain how adopters achieve proficiency. To begin addressing these shortcomings, we study how adopters’ pre-adoption expectations, enacted over time, can influence their post-adoption proficiency, by shaping how and why they spend time using the system during the adoption period. We analyzed time-lagged survey data from 153 financial analysts, required to adopt new ES-based software, at a multinational bank. We found that adopters who hold pre-adoption expectations reflecting greater internal and external motives to adopt the system as well as systematically integrate it into their work routines are more apt to use the system in ways that enhance their cumulative knowledge of it, and subsequently develop higher levels of proficiency post-adoption. Moreover, greater organizational support enhanced the impact of adopters’ expectations on proficiency, except when their actual use is low in which case organizational support had an adverse effect.     

IT capability and organizational performance: the roles of business process agility and environmental factors

The business value of information technology (IT) has been one of the top concerns of both practitioners and scholars for decades. Numerous studies have documented the positive effects of IT capability on organizational performance but our knowledge of the processes through which such gains are achieved remains limited due to a lack of focus on the business environment. Such a linkage therefore remains the subject of debate in the information systems literature. In this study, we fill this gap by investigating the mediating role of business process agility and the moderating roles of environmental factors. On the basis of matched survey data obtained from 214 IT and business executives from manufacturing firms in China, our analyses show that even though firm-wide IT capability presents the characteristics of rarity, appropriability, non-reproducibility, and non-substitutability, its impact on organizational performance is fully mediated by business process agility. Our results also show that the impact of the environment is multifaceted and nuanced. In particular, environmental hostility weakens the effect of IT capability on business process agility, while environmental complexity strengthens it. The theoretical and practical implications of this study, and its limitations, are also discussed.     

Integrated clinical pathway management for medical quality improvement – based on a semiotically inspired systems architecture

Clinical pathway is an approach to standardise care processes to support the implementations of clinical guidelines and protocols. It is designed to support the management of treatment processes including clinical and non-clinical activities, resources and also financial aspects. It provides detailed guidance for each stage in the management of a patient with the aim of improving the continuity and coordination of care across different disciplines and sectors. However, in the practical treatment process, the lack of knowledge sharing and information accuracy of paper-based clinical pathways burden health-care staff with a large amount of paper work. This will often result in medical errors, inefficient treatment process and thus poor quality medical services. This paper first presents a theoretical underpinning and a co-design research methodology for integrated pathway management by drawing input from organisational semiotics. An approach to integrated clinical pathway management is then proposed, which aims to embed pathway knowledge into treatment processes and existing hospital information systems. The capability of this approach has been demonstrated through the case study in one of the largest hospitals in China. The outcome reveals that medical quality can be improved significantly by the classified clinical pathway knowledge and seamless integration with hospital information systems.     

The removal of hydrogen sulfide with manganic sorbent in a high-temperature fluidized-bed reactor

The removal of hydrogen sulfide (H₂S) from simulated gas was carried out in a batch type fluidized-bed reactor using natural manganese ore (NMO), which consists of several metal oxides (MnO_x: 51.85%, FeO_y: 3.86%, CaO: 0.11%). The H₂S breakthrough curves were obtained by changing temperature, gas velocity, initial H₂S concentration, and aspect ratio. Moreover, the effects of the particle size and the particle-mixing fraction on H₂S removal were investigated in a binary system of different particle size. From this study, H₂S removal efficiency increased with increasing temperature but decreased with increasing excess gas velocity. The breakthrough time for H₂S decreased as the gas velocity increased, which leads to reducing gas-solid contacting due to gas bypassing in a fluidized bed reactor. Improvement of H₂S removal efficiency in continuous process can be expected from the results of the binary particle system with different size in a batch experiment. The NMO could be considered as a potential sorbent in H₂S removal.     

Oxidation behavior and protection of carbon/carbon composites prepared using rapid directional diffused CVI techniques

The oxidation kinetics of carbon/carbon (C/C) composites prepared using a rapid directional diffused (RDD) CVI process were studied. The results showed that the Arrhenius curve for the RDD CVI C/C composites consists of two straight lines, the intercept of which is at about 700 °C at the linear oxidation stage. The oxidation rates are controlled by the surface reaction at 600-700 °C, and the corresponding activation energy is 121 kJ/mol. Between 700 and 800 °C, the oxidation rates are dominated by chemical reaction and diffusion, and the relevant activation energy is 80 kJ/mol. SEM investigation showed that the oxidation starts with original pores on the C/C composite surface with the carbon fiber and matrix oxidized simultaneously. An inexpensive and easily pasted coating containing epoxy organic silicon resin, borates, refractory particulates, etc. was developed. After isothermal temperature, thermal cycle and immersion water oxidation tests, the coating was demonstrated to exhibit good oxidation-resistance properties. The oxidation-resistant mechanism of the coating is discussed.     

Random Copolymers with 2,2′-Dioxy-1,1′-biphenyl-phosphazene and Chiral 2,2′-dioxy-1,1′-binaphthylphosphazene Units Functionalized in the 6,6′-Positions with PPh<Subscript>2</Subscript> Groups as Precursors for Ru(arene) Catalysts

The chiral phosphazene copolymers {[NP(O₂C₁₂H₈)]_0.9[NP(O₂C₂₀H₁₂)]_0.1} (1) and {[NP(O₂C₁₂H₈)]_0.9[NP(O₂C₂₀H₁₀Br₂)]_0.1} _n (2) [(O₂C₁₂H₈) = 2,2′-dioxy-1,1′-biphenyl; (O₂C₂₀H₁₂) = R-2,2′-dioxy-1,1′-binaphthyl and (O₂C₂₀H₁₀Br₂) = R-6,6′-dibromo-2,2′-dioxy-1,1′-binaphthyl] were prepared by sequential substitution from [NPCl₂] _n and the corresponding dihydroxy-biphenyl or binaphthyl reagents in the presence of Cs₂CO₃ and K₂CO₃. The reaction of (2) with ^tBuLi in THF, followed by addition of PPh₂Cl and a treatment with SiHCl₃/PPh₃ to eliminate any oxidized OC₆H₄P(O)Ph₂ groups, gave the phosphine containing copolymer {[NP(O₂C₁₂H₈)]_0.9[NP(O₂C₂₀H₁₀[PPh₂]₂)]_0.1} _n (3), that was used as a chiral ligand to support [Ru(p-cymene)Cl] complexes. The resulting catalyst was active for hydrogen transfer from isopropyl alcohol to acetophenone but the placement of the Ru centers in the 6,6′-positions of the binaphthoxyphosphazene units induced no enantioselectivity. Dedicated to Professor Christopher Allen.     

αMS改性高抗冲聚苯乙烯的研制

以α-甲基苯乙烯(αMS)取代高抗冲聚苯乙烯(HIPS)中15—20％的苯乙烯,经此改性的HIPS马丁耐热可达72℃、缺口抗冲强度为25.0kgcm/cm~2,在提高HIPS耐热性的同时可降低生产原料成本。采用乳液法聚合以获得较高的反应速率。实验确定了各种配方对聚合转化率、接枝率、特性粘数[η]及树脂相Tg的影响。