TY - JOUR A1 - Gleiß, Alexander A1 - Lewandowski, Stefanie T1 - Removing barriers for digital health through organizing ambidexterity in hospitals JF - Journal of public health N2 - Aim Hospitals noticeably struggle with maintaining hundreds of IT systems and applications in compliance with the latest IT standards and regulations. Thus, hospitals search for efficient opportunities to discover and integrate useful digital health innovations into their existing IT landscapes. In addition, although a multitude of digital innovations from digital health startups enter the market, numerous barriers impede their successful implementation and adoption. Against this background, the aim of this study was to explore typical digital innovation barriers in hospitals, and to assess how a hospital data management platform (HDMP) architecture might help hospitals to extract such innovative capabilities. Subject and methods Based on the concept of organizational ambidexterity (OA), we pursued a qualitative mixed-methods approach. First, we explored and consolidated innovation barriers through a systematic literature review, interviews with 20 startup representatives, and a focus group interview with a hospital IT team and the CEO of an HDMP provider. Finally, we conducted a case-study analysis of 36 digital health startups to explore and conceptualize the potential impact of DI and apply the morphological method to synthesize our findings from a multi-level perspective. Results We first provide a systematic and conceptual overview of typical barriers for digital innovation in hospitals. Hereupon, we explain how an HDMP might enable hospitals to mitigate such barriers and extract value from digital innovations at both individual and organizational level. Conclusion Our results imply that an HDMP can help hospitals to approach organizational ambidexterity through integrating and maintaining hundreds of systems and applications, which allows for a structured and controlled integration of external digital innovations. KW - Digital innovation KW - Digital health KW - Hospital innovation KW - Innovation KW - barriers KW - Organizational ambidexterity Y1 - 2022 U6 - https://doi.org/10.1007/s10389-021-01532-y SN - 2198-1833 SN - 1613-2238 VL - 30 IS - 1 SP - 21 EP - 35 PB - Springer CY - Heidelberg ER - TY - JOUR A1 - Rœlly, Sylvie A1 - Zass, Alexander T1 - Marked Gibbs point processes with unbounded interaction BT - An existence result JF - Journal of statistical physics N2 - We construct marked Gibbs point processes in R-d under quite general assumptions. Firstly, we allow for interaction functionals that may be unbounded and whose range is not assumed to be uniformly bounded. Indeed, our typical interaction admits an a.s. finite but random range. Secondly, the random marks-attached to the locations in R-d-belong to a general normed space G. They are not bounded, but their law should admit a super-exponential moment. The approach used here relies on the so-called entropy method and large-deviation tools in order to prove tightness of a family of finite-volume Gibbs point processes. An application to infinite-dimensional interacting diffusions is also presented. KW - Marked Gibbs process KW - Infinite-dimensional interacting diffusion KW - Specific entropy KW - DLR equation Y1 - 2020 U6 - https://doi.org/10.1007/s10955-020-02559-3 SN - 0022-4715 SN - 1572-9613 VL - 179 IS - 4 SP - 972 EP - 996 PB - Springer CY - New York ER - TY - JOUR A1 - Chorus, Ingrid A1 - Spijkerman, Elly T1 - What Colin Reynolds could tell us about nutrient limitation, N:P ratios and eutrophication control JF - Hydrobiologia : acta hydrobiologica, hydrographica, limnologica et protistologica N2 - Colin Reynolds exquisitely consolidated our understanding of driving forces shaping phytoplankton communities and those setting the upper limit to biomass yield, with limitation typically shifting from light in winter to phosphorus in spring. Nonetheless, co-limitation is frequently postulated from enhanced growth responses to enrichments with both N and P or from N:P ranging around the Redfield ratio, concluding a need to reduce both N and P in order to mitigate eutrophication. Here, we review the current understanding of limitation through N and P and of co-limitation. We conclude that Reynolds is still correct: (i) Liebig's law of the minimum holds and reducing P is sufficient, provided concentrations achieved are low enough; (ii) analyses of nutrient limitation need to exclude evidently non-limiting situations, i.e. where soluble P exceeds 3-10 mu g/l, dissolved N exceeds 100-130 mu g/l and total P and N support high biomass levels with self-shading causing light limitation; (iii) additionally decreasing N to limiting concentrations may be useful in specific situations (e.g. shallow waterbodies with high internal P and pronounced denitrification); (iv) management decisions require local, situation-specific assessments. The value of research on stoichiometry and co-limitation lies in promoting our understanding of phytoplankton ecophysiology and community ecology. KW - phytoplankton KW - nitrogen limitation KW - redfield ratio KW - co-limitation KW - enrichment experiments Y1 - 2020 U6 - https://doi.org/10.1007/s10750-020-04377-w SN - 0018-8158 SN - 1573-5117 VL - 848 IS - 1 SP - 95 EP - 111 PB - Springer Nature CY - Berlin ER -