Although reengineering is strategically advantageous fororganisations in order to keep functional and sustainable, safety must remain apriority and respective efforts need to be maintained. This paper suggeststhe combination of soft system methodology (SSM) and Pareto analysison the scope of safety management performance evaluation, and presents theresults of a survey, which was conducted in order to assess the effectiveness,efficacy and ethicality of the individual components of an organisation’s safetyprogram. The research employed quantitative and qualitative data and ensureda broad representation of functional managers and safety professionals, whocollectively hold the responsibility for planning, implementing and monitoringsafety practices. The results showed that SSM can support the assessment ofsafety management performance by revealing weaknesses of safety initiatives,and Pareto analysis can underwrite the prioritisation of the remedies required.The specific methodology might be adapted by any organisation that requires adeep evaluation of its safety management performance, seeks to uncover themechanisms that affect such performance, and, under limited resources, needsto focus on the most influential deficiencies.
Background Understanding the kinematic characteristics of relapse clubfoot compared to successfully treated clubfoot could aid early identification of a relapse and improve treatment planning. The usage of a multi segment foot model is essential in order to grasp the full complexity of the multi-planar and multi-joint deformity of the clubfoot. Research question The purpose of this study was to identify differences in foot kinematics, using a multi-segment foot model, during gait between patients with Ponseti treated clubfoot with and without a relapse and age-matched healthy controls. Methods A cross-sectional study was carried out including 11 patients with relapse clubfoot, 11 patients with clubfoot and 15 controls. Gait analysis was performed using an extended Helen Hayes model combined with the Oxford Foot Model. Statistical analysis included statistical parametric mapping and discrete analysis of kinematic gait parameters of the pelvis, hip, knee, ankle, hindfoot and forefoot in the sagittal, frontal and transversal plane. Results The relapse group showed significantly increased forefoot adduction in relation with the hindfoot and the tibia. Furthermore, this group showed increased forefoot supination in relation with the tibia during stance, whereas during swing increased forefoot supination in relation with the hindfoot was found in patients with relapse clubfoot compared with non-relapse clubfoot. Significance Forefoot adduction and forefoot supination could be kinematic indicators of relapse clubfoot, which might be useful in early identification of a relapse clubfoot. Subsequently, this could aid the optimization of clinical decision making and treatment planning for children with clubfoot.
MULTIFILE
This paper focuses on the topical and problematic area of social innovations. The aim of this paper is to develop an original approach to the allocation of social innovations, taking into account characteristics such as the degree of state participation, the scope of application, the type of initiations as well as the degree of novelty, which will be elaborated on further in this article. In order to achieve this goal, the forty-two most successful social innovations were identified and systematized. The results of this study demonstrated that 73.5% of social innovations are privately funded, most of them operating on an international level with a high degree of novelty. Moreover, 81% of all social innovations are civic initiatives. Social innovations play an important role in the growth of both developed and less developed countries alike as highlighted in our extensive analysis
