An organisational perspective on the cluster paradox: Exploring how members of a cluster manage the tension between continuity and renewal

Clusters face what has been referred to as a ‘cluster paradox’; a situation in which a collective identity breeds cohesion and efficiency in inter-organisational collaboration, yet it hinders the variety needed to adapt to disruptive change and prevent lock-in situations. Accordingly, a recurring theme in the literature on cluster evolution and cluster life-cycles is the need for constant renewal to allow clusters to adapt to a changing environment. However, how individual firms enact a process of cluster renewal and consider possible response options is not well understood. Using a French energy cluster as empirical setting, this paper investigates individual members’ enactment of the renewal in terms of how it could affect their current position, both structurally and relationally, and to what extent members felt that they had agency to steer the process to safeguard their position. The findings show that members’ enactment of the proposed change does not only depend on the perceived impact of cluster renewal on the member itself but also on the impact the renewal might have on other members in the firm’s network. The analysis also suggests that cluster renewal leads to a leadership vacuum where it is not clear who, if anyone, will lead the renewal process.     

Strengths and Weaknesses of Non-enhanced and Contrast-enhanced Cadaver Computed Tomography Scans in the Teaching of Gross Anatomy in an Integrated Curriculum

Cadaver-specific postmortem computed tomography (PMCT) has become an integral part in anatomy teaching at several universities. Recently, the feasibility of contrast-enhanced (CE)-PMCT has been demonstrated. The purpose of this study was to identify particular strengths and weaknesses of both non-enhanced and contrast-enhanced PMCT compared to conventional cadaver dissection. First, the students’ perception of the learning effectiveness of the three different modalities have been assessed using a 34-item survey (five-point Likert scale) covering all anatomy course modules. Results were compared using the nonparametric Friedman Test. Second, the most frequent artifacts in cadaver CT scans, were systematically analyzed in 122 PMCT and 31 CE-PMCT data sets to quantify method-related limitations and characteristics. Perfusion quality was assessed in 57 vascular segments (38 arterial and 19 venous). The survey was answered by n = 257/320 (80.3%) students. Increased learning benefits of PMCT/ CE-PMCT compared to cadaver dissection were found in osteology (2/3 categories, P < 0.001), head and neck (2/5 categories, P < 0.01), and brain anatomy (3/3 categories, P < 0.01). Contrast-enhanced-PMCT was perceived particularly useful in learning vascular anatomy (10/10 categories, P < 0.01). Cadaver dissection received significantly higher scores compared to PMCT and CE-PMCT in all categories of the abdomen and thorax (7/7 categories, P < 0.001), as well as the majority of muscular anatomy (5/6 categories, P < 0.001). Frequent postmortem artifacts (total n = 28, native-phase n = 21, contrast injection-related n = 7) were identified and assessed. The results of this work contribute to the understanding of the value of integrating cadaver-specific PMCT in anatomy teaching.