Towards patient‐centered packaging design: An industry perspective on processes,functions, and constraints

Medication packaging is essential to provide patients with guidance and correct use of their medicines for effective treatment. This research aims to increase knowledge about the medication packaging innovation process and its uptake towards patient‐centered packaging design. The study applied a qualitative research approach based on data from 25 in‐depth interviews with stakeholders involved in medication packaging design. The empirical data analysis revealed four themes that can improve and advance user‐centered packaging design: medication packaging innovation process, medication packaging functions and features, medication packaging design constraints, and patient‐centered medication packaging design. The findings suggest that medication packaging design is strongly affected by an emphasis on protective and safety packaging functions rather than on patients' needs. Packaging innovation usually is constrained by rigid incremental development processes, where compliance with regulations, extensive documentation, avoidance of manufacturing complexity, and considerations on cost prevail. These findings are discussed in relation to the three most evident trade‐offs for patient‐centered design: protection versus openability, utility versus cost, and complexity of manufacturability versus complexity of use. This research contributes with valuable input and additional evidence about the necessary shift to a user‐centered approach in a field that has not been design driven. This input complements previous research and provides an opportunity for industry decision makers and policy makers to lead patient‐centered packaging design that can benefit patients and relieve overloaded health care systems.     

Radiocesium in muscle tissue of reindeer and pike from northern Sweden before and after the Chernobyl accident. A retrospective study on tissue samples from the Swedish Environmental Specimen Bank.

After the Chernobyl accident in April 1986, considerable deposition of radionuclides occurred regionally in eastern, central and northwestern Sweden. Locally, the fallout of radiocesium exceeded the remainder from atmospheric nuclear weapons tests by several magnitudes. Since the end of the 1960s samples of organs from various plant and animal species, annually collected at different localities, have been preserved in the Swedish Environmental Specimen Bank (ESB). In this work samples from the ESB have been used for retrospective studies of radioactive pollution. The activities of Cs-134 and Cs-137 in muscle tissues from reindeer, Rangifer tarandus, and pike, Esox lucius, preserved in the ESB, were measured. The samples were collected annually; the reindeer at three localities in northern Sweden and the pike at one of them. In material collected prior to the Chernobyl accident, the levels of Cs-137 were 57-180 Bq/kg in reindeer and 14-24 Bq/kg in pike, fresh weight basis. These levels relate to earlier nuclear bomb tests. A significant decrease was found in pike during the pre-Chernobyl period (1971-86). In post-Chernobyl samples the burden of Cs-137 varied from amounts equal to the former levels in the northernmost locality and up to 80 times higher for the maximum values in the southernmost locality. The highest value recorded was 18,425 Bq/kg in reindeer. The geographic variations in reindeer from Chernobyl fallout were in accordance with the pattern of deposition estimated by aircraft surveys performed in May 1986. The ratio between 'new' and 'old' radiocesium burdens in pike, caught in 1987, approached the corresponding ratio for reindeer grazing in the precipitation area of the lake; 33 and 19, respectively.     

Theorizing Inside Activism: Understanding Policymaking and Policy Change from Below

To further our understanding on policymaking and policy change we need to recognize the significance of individual key actors in policy and planning processes. This article theorizes on the characteristics and policy influence of inside activism in which individual public officials act strategically from inside public administration to change government policy and action in line with a civic engagement and value commitment. Based on initial empirical findings from Swedish local government, we argue that inside activism is empirically relevant but not satisfactorily covered by other key actor concepts. We theorize that inside activism is 1) dualistic: open, deliberative, consensus-seeking and tacit, tactical, power-driven; 2) influential through informal networking inside and outside of government; and 3) dynamic as it varies over time and between critical situations. Due to current trends in society and public administration (e.g. governance), we expect inside activism to be increasingly relevant and we encourage further theoretical, empirical as well as normative research and discussion on this phenomenon.     

The Power of the Inside Activist: Understanding Policy Change by Empowering the Advocacy Coalition Framework (ACF)

This article contributes to an understanding of policy change. Exploring a local land planning case, it investigates how an environmental advocacy coalition effectively challenged road and housing plans, with the result that an area was instead developed into a nature reserve. In the course of the article, the value and practical effectiveness of the Advocacy Coalition Framework (ACF) is examined and developed with the help of two central concepts—the “value network” and “inside activist”. The outcome of the case is explained by the powerful influence of a value network of ornithologists, with particular inside activists of that network playing important roles in presenting a challenge to development of the area. Instead of trying to build an abstract theory of the ACF, the article argues the need to develop the ACF as a framework, opening it up to insights from policy network and social constructionist research as well as from practical processes.     

On the Influence of Crosslinker on Template Complexation in Molecularly Imprinted Polymers: A Computational Study of Prepolymerization Mixture Events with Correlations to Template-Polymer Recognition Behavior and NMR Spectroscopic Studies

Aspects of the molecular-level basis for the function of ethylene glycol dimethacrylate and trimethylolproprane trimethacrylate crosslinked methacrylic acid copolymers molecularly imprinted with (S)-propranolol have been studied using a series of all-component and all-atom molecular dynamics studies of the corresponding prepolymerization systems. The crosslinking agents were observed to contribute to template complexation, and the results were contrasted with previously reported template-recognition behavior of the corresponding polymers. Differences in the extent to which the two crosslinkers interacted with the functional monomer were identified, and correlations were made to polymer-ligand recognition behavior and the results of nuclear magnetic resonance spectroscopic studies studies. This study demonstrates the importance of considering the functional monomer–crosslinker interaction when designing molecularly imprinted polymers, and highlights the often neglected general contribution of crosslinker to determining the nature of molecularly imprinted polymer-template selectivity.     

Verifying Global Minima for L 2 Minimization Problems in Multiple View Geometry

We consider the least-squares (L2) minimization problems in multiple view geometry for triangulation, homography, camera resectioning and structure-and-motion with known rotation, or known plane. Although optimal algorithms have been given for these problems under an L-infinity cost function, finding optimal least-squares solutions to these problems is difficult, since the cost functions are not convex, and in the worst case may have multiple minima. Iterative methods can be used to find a good solution, but this may be a local minimum. This paper provides a method for verifying whether a local-minimum solution is globally optimal, by providing a simple and rapid test involving the Hessian of the cost function. The basic idea is that by showing that the cost function is convex in a restricted but large enough neighbourhood, a sufficient condition for global optimality is obtained. The method is tested on numerous problem instances of real data sets. In the vast majority of cases we are able to verify that the solutions are optimal, in particular, for small to medium-scale problems.     

Adolescent exposure to drink driving as a predictor of young adults’ drink driving

The purpose of this study was to investigate the influence of exposure to others’ drink driving during adolescence on self-reported driving under the influence (DUI) of alcohol in young adulthood. Data were drawn from 1956 participants with a driving license enrolled in the International Youth Development Study from Victoria, Australia. During 2003 and 2004, adolescents in Grades 7, 9 and 10 (aged 12–17) completed questionnaires examining whether they had ridden in a vehicle with a driver who had been drinking, as well as other demographic, individual, peer and family risk factors for DUI. In 2010, the same participants (aged 18–24) then reported on their own DUI behaviour. 18% of young adults with a driving license reported DUI in the past 12 months. Exposure to others’ drink driving during adolescence was associated with an increased likelihood of DUI as a young adult (OR = 2.13, 95% CI 1.68–2.69). This association remained after accounting for the effects of other potential confounding factors from the individual, peer and family domains (OR = 1.62, 95% CI 1.23–2.13). Observing the drink driving behaviours of others during adolescence may increase the likelihood of DUI as a young adult. Strategies to reduce youth exposure to drink driving are warranted.     

The metallurgy,mechanics, modelling and assessment of dissimilar material brazed joints

At the heart of any procedure for modelling and assessing the design or failure of dissimilar material brazed joints there must be a basic understanding of the metallurgy and mechanics of the joint. This paper is about developing this understanding and addressing the issues faced with modelling and predicting failure in real dissimilar material brazed joints and the challenges still to be overcome in many cases. An understanding of the key metallurgical features of such joints in relation to finite element modelling is presented in addition to a study of the mechanics and stress state at an abrupt interface between two materials. A discussion is also presented on why elastic singularities do not exist based on a consideration of the assumption of an abrupt change in material properties and plasticity in the vicinity of the joint. In terms of modelling real dissimilar material brazed joints; there are several barriers to accurately capturing the stress state in the region of the joint and across the brazed layer and these are discussed in relation to a metallurgical study of a real dissimilar material brazed joint. However, this does not preclude using a simplified modelling approach with a representative braze layer in design and failure assessment away from the interface. In addition modelling strategies and techniques for assessing the various failure mechanisms of dissimilar material brazed joints are discussed. The findings from this paper are applicable to dissimilar material brazed joints found in a range of applications; however the references listed are primarily focussed on work in fusion research and development.     

Integrating social and cognitive aspects of belief dynamics: towards a unifying framework

Belief change and spread have been studied in many disciplines—from psychology, sociology, economics and philosophy, to biology, computer science and statistical physics—but we still do not have a firm grasp on why some beliefs change more easily and spread faster than others. To fully capture the complex social-cognitive system that gives rise to belief dynamics, we first review insights about structural components and processes of belief dynamics studied within different disciplines. We then outline a unifying quantitative framework that enables theoretical and empirical comparisons of different belief dynamic models. This framework uses a statistical physics formalism, grounded in cognitive and social theory, as well as empirical observations. We show how this framework can be used to integrate extant knowledge and develop a more comprehensive understanding of belief dynamics.