Today there is often a need to re-innovate who you are and what you do and re-think the tools that are used and the business models that guide action. The purpose of this paper is to show how ...transforming a document, such as a patient record, might start a horizontal and vertical movement, a movement of coordination and enhancement in an organizational setting, such as a hospital clinic. The observations presented here and the conclusions drawn were obtained during a three year case study following implications of constructing and computerizing a patient record at three different hospitals. The results were then analyzed, interpreted and discussed within a framework combining theories about knowledge management and with cognitive theories about use of interpretative schemes and representations. This paper tries to look beyond the implications of reconstructing a patient record on a micro-level or explore if it is good or bad to computerize it. Instead this paper theorizes about how re-thinking the interpretative scheme for what a patient record is and how it may be used might restructure a health care setting. It proposes that what the employees want to achieve with the knowledge management system depends on what strategy they have for it.
Provider: - Institution: - Data provided by Europeana Collections- Bremen, Universität Bremen, Diss., 2013- All metadata published by Europeana are available free of restriction under the Creative ...Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
It is shown that within-speaker variations in vocal effort and phonation affect fundamental frequency (F0) and the formant frequencies of vowels in the sense of a linear compression/expansion of the ...spectral separations between them, given an adequate scaling of pitch. Between-speaker variations in size correspond to a translation of the spectral peaks shaped by F0 and the formants if pitch is scaled tonotopically (in Bark). On the basis of these observations, invariant cues to vowel quality are suggested. It is further shown that vowels produced by adult women tend to be phonetically more explicit and, hence, more peripheral in 'vowel space' than those of men and children. It is also shown that the formant frequencies of vowels subjected to paralinguistic variation are related by power functions of frequency.
Provider: - Institution: - Data provided by Europeana Collections- Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Diss., 2014- All metadata published by Europeana are available ...free of restriction under the Creative Commons CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
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