National health innovation systems: Clustering the OECD countries by innovative output in healthcare using a multi indicator approach

The importance of innovation in healthcare has increased within the last decades as challenges, like rising costs and an aging demographic, have to be solved. The degree of innovativeness in healthcare is strongly influenced by the National Health Innovation System, which as a sectoral innovation system encompasses a wide variety of actors and related knowledge. Despite the highly practical relevance of the topic, there are only a few studies that analyze innovation in healthcare on a national level. Thus, this study is a starting point and, building on the theoretical framework of national innovation systems, answers the following questions: “Can countries be grouped by their innovation output in healthcare and do those groups differ in factors describing the healthcare system? Do countries with strong national innovation systems also have strong national health innovation systems and vice versa?” We compare the healthcare innovation output of 30 OECD countries using a multi-indicator approach and categorize them into four distinct groups using cluster analysis. The cluster consisting of the Scandinavian countries, the Netherlands and Switzerland shows the highest innovation output measured in knowledge production and knowledge commercialization. Surprisingly, these countries, with the exception of Switzerland, only rank in the medium group when considering the entire national innovation system. Policymakers and researchers might be particularly interested in studying the healthcare systems of these countries.     

Slavery,Memory, and Museum Display in Baltimore: The Great Blacks in Wax and the Reginald F. Lewis

Abstract This paper meditates upon a conundrum: Can there be a right way to represent the traumatic experience of Atlantic slavery within the context of a museum setting? The analysis deals with the question by focusing on the radically contrasting museological, aesthetic, and ethical codes of the Great Blacks in Wax Museum, and the Reginald Lewis Museum, both situated in Baltimore, Maryland. Three key sites are isolated for discussion: the names of the museums, their approaches to the topic of the Middle Passage, and lynching. While both museums have made important cultural contributions to the public memorialization of highly charged subjects, the Great Blacks in Wax emerges as the more radical institution, closely in touch with the dynamic and creative museum aesthetic of the wider Black Atlantic Diaspora, and of Brazil in particular.     

English,French and German summaries of major articles in this issue

Science has a role to play in the resolution of many of the issues deemed controversial in all societies. However, evidence of a lack of public confidence in science and scientists as effective problem‐solvers continues to accumulate. This paper speculates that this lack of confidence might in part be due to the way in which science educators present controversial issues. In particular, we argue that current approaches to teaching about controversy do not sufficiently acknowledge the nature of the issues themselves. The paper proposes a set of principles as the basis for a reconceptualization of the teaching of controversial issues and gives an example of how they might be applied.     

Why unreal punishments in response to unreal crimes might actually be a really good thing

In this article I explore ways to argue about punishment of personal representations in virtual reality. I will defend the idea that such punishing might sometimes be morally required. I offer four different lines of argument: one consequentialistic, one appealing to an idea of appropriateness, one using the notion of organic wholes, and one starting from a supposed inability to determine the limits of the extension of the moral agent. I conclude that all four approaches could, in some cases, justify punishing a virtual reality representation; an avatar. As a consequence of my conclusion, I suggest that our institutionalized criminal justice system must be broadened in scope and punitive measures, in order to cover the new and difficult cases arising in virtual reality.     

Elternvertreter mit Migrationshintergrund an allgemeinbildenden Schulen

Parents with a migration background are underrepresented among parent representatives at schools in Germany. However, increased involvement of these parents is essential for a lively democratic culture. To explore the motivations of parents with migration background regarding their school involvement, interviews with N?=?31 parent representatives with migration background were content analysed, starting deductively from a set of categories according to the theory of planned behaviour. In the analysis, the main category ??attitude?? was deductively subdivided into ??motivation in the course of action/intrinsic value??, ??results and consequences regarding own interests?? and ??results and consequences regarding others/altruistic motivation??. ??Subjective norm?? was inductively differentiated into ??other parents??, ??teachers and leadership team?? and ??other persons/perceived general expectations??; ??perceived behavioural control?? was differentiated into the subcategories ??assertiveness and freedom from anxiety??, ??language competence??, ??socioeconomic background??, ??availability of time??, ??setting in school and school district?? and ??field expertise and know-how??. Additionally, ??habit?? was deductively established and retained as a main category. Analysis of 513 statements resulted in an interrater-agreement of ???=?0.82. Implications for working with parents in an intercultural context are discussed.     

Different visual stimuli affect muscle activation at the knee during sidestepping

Increasing knee stability via appropriate muscle activation could reduce anterior cruciate ligament (ACL) injury risk during unplanned sidestepping. High-level athletes may activate their knee muscles differently from low-level athletes when responding to quasi-game realistic versus non game-realistic stimuli. Eleven high-level and 10 low-level soccer players responded to a non game-realistic arrow-planned condition (AP), a quasi game-realistic one-defender scenario (1DS) and two-defender scenario (2DS), and an arrow-unplanned condition (AUNP), that imposed increasing time constraints to sidestep. Activation from eight knee muscles during sidestepping was measured during pre-contact and weight-acceptance. Knee flexor-extensor co-activation ratios were established. Muscle activation levels increased by approximately 27% solely in the 1DS in both sidestepping phases. In the 2DS, the shift from a flexor dominant co-activation strategy in pre-contact toward extensor dominance in weight-acceptance commenced earlier for the high-level players. Quasi game-realistic information allowed for anticipatory increases in knee muscle activation regardless of expertise levels but only when the time demands to respond were low (1DS). High-level players were better at interpreting complex game-realistic information (2DS) to activate their knee extensors earlier in preparation for single-leg landing during weight-acceptance.