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The best and the brightest: The construction, significance and effects of elite identities in consulting firms

The aim of this paper is to investigate the forms, significance and effects of elite identity constructions in four consulting firms based in the UK and Sweden. The paper examines a range of strategic and symbolic mechanisms that were used by the senior members and other actors of these firms to construct an elite organizational identity. In terms of general effects, an elite social identity was f

Is calcium sensitization the best strategy to improve myocardial contractility in acute heart failure?

The finely-tuned increases and decreases in the intracellular calcium levels in myocytes ultimately regulate the contraction and relaxation of the heart. Therapeutic agents can improve or interfere with this delicate balance. Calcium sensitizers enhance cardiac contraction by improving the use of calcium that is available, rather than by inundating the cell with excessive calcium, as is the case w

Analysis of Best High Rate Convolutional Codes for Faster than Nyquist Turbo Equalization

We find good rate 2/3 and 3/4 convolutional codes for use with iterative decoding (turbo equalization) of coded intersymbol interference with AWGN. The method is based on the input-output bit error rate characteristic of the convolutional BCJR decoder module. An analysis leads to an equivalent minimum distance under the required intrinsic subtraction, which depends on free distance and an input-ou

The Best of All PossibleWorlds: Where Interrogative Games Meet Research Agendas

Erik J. Olsson and David Westlund have recently argued that the standard belief revision representation of an epistemic state is defective. In order to adequately model an epistemic state one needs, in addition to a belief set (or corpus, or theory, i.e. a set closed under deduction) K and (say) an entrenchment relation E, a research agenda A, i.e. a set of questions satisfying certain corpus-rela

Early management of acute pancreatitis : A review of the best evidence

In the 20th century early management of acute pancreatitis often included surgical intervention, despite overwhelming mortality. The emergence of high-quality evidence (randomized controlled trials and meta-analyses) over the past two decades has notably shifted the treatment paradigm towards predominantly non-surgical management early in the course of acute pancreatitis. The present evidence-base

Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (EGFR<45 mL/min/1.73 m2) : A summary document from the European Renal Best Practice Group

The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD

"They do what they think is the best for me." Frail elderly patients' preferences for participation in their care during hospitalization

OBJECTIVE: To deepen the knowledge of frail elderly patients' preferences for participation in medical decision making during hospitalization.METHODS: Qualitative study using content analysis of semi-structured interviews.RESULTS: Patient participation to frail elderly means information, not the wish to take part in decisions about their medical treatments. They view the hospital care system as an

Hope for the Best, Prepare for the Worst – An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam

Background: Floods affect over 85 million people every year and are one of the deadliest types of natural disasters. The health effects of floods are partly due to a loss of access to health care. This loss can be limited with proper flood preparedness. Flood preparedness is especially needed at the primary health care (PHC) level. Flood preparedness assessments can be used to identify vulnerable

Structural guarantees - the Union's last best hope against national arbitrariness

In line with current tendencies of ‘new governance’, this article will introduce a novel judicial tool which strikes a balance between the respect for national assessments and the effective implementation of Union law. This balance can be struck through the demands of structural guarantees; administrative safeguards, which weed out arbitrary national decision-making. The provision of transparent a