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This chapter summarizes the main points established in prior chapters and reviews how research questions factor into doing discourse analysis. The aim of the chapter is to help readers synthesize the different aspects of conducting discourse analysis research into a coherent set of principles. This is done by introducing a practical model for doing discourse analysis. After reading this chapter, readers will be able to recall the mains points of doing discourse analysis; be capable of using a model for doing discourse analysis to conduct research; know a number of practical tips for doing discourse analysis; and be able to construct research questions that are relevant to discourse analysis research.
The world is currently undergoing a technological transformation with numerous innovative concepts emerging. This shift is driven by remarkable advancements in artificial intelligence and the urgent need for decarbonisation. With this comes a growing demand for skilled engineers who can actively contribute at any stage within the life cycle of a product. This can be the generation of new concepts at low Technology Readiness Levels or contributing actively to their development and operational safety. This paper explores the integration of a 1-day practical activity to reinforce theoretical concepts learned within a classroom-based environment. Small groups of students were given the opportunity of engaging with a small helicopter engine (Rolls-Royce Gnome engine) through the disassembly and reassembly of the exhaust and power turbine section while following the manufacturer’s manual and ensuring industrial norms for safe practice. This hands-on activity included an introduction to tooling, a Gnome familiarisation activity, and an introduction to inspection techniques. Based on the feedback recorded, the students experienced a notable improvement in their basic understanding by effectively reinforcing knowledge acquired within the classroom through active engagement with an actual gas turbine engine.
A conceptual framework, called Innovation of Health Technology Assessment Methods (IHTAM), has been developed to facilitate the understanding of how to innovate methods of health technology assessment (HTA). However, the framework applicability has not been evaluated in practice. Hence, we aimed to explore framework applicability in three cases of method innovation that are part of the HTx project and to develop a roadmap to improve framework applicability.
Methods
The IHTAM framework was applied to three cases of innovating HTA methods. We collected feedback from case study leaders and consortium members after a training session, an approximately 1-year follow-up of periodic case study meetings, and a general assembly meeting where innovation progresses of the three cases were reported through surveys and interviews. Feedback was then summarized using an open-coding technique.
Results
According to feedback, the framework provided a structured way of deliberation and helped to improve collaboration among HTA stakeholders. However, framework applicability could be improved if it was complemented by a roadmap with a loop structure to provide tailored guidance for different cases, and with items to elaborate actions to be taken by stakeholders. Accordingly, a 48-item roadmap was developed.
Conclusions
The IHTAM framework was generally applicable to the three case studies. A roadmap, with loop structure and actionable items, could complement the framework, and may provide HTA stakeholders with tailored guidance on developing new methods. To further examine the framework applicability, we recommend stakeholders to apply the IHTAM framework and its roadmap in future practice.
Quantification can be a double-edged sword. Converting lived experience into quantitative data can be reductive, coldly condensing complex thoughts, feelings, and actions into numbers. But it can also be a powerful tool to abstract from isolated instances into patterns and groups, providing empirical evidence of systemic injustice and grounds for collectivity. Queer lives and literatures have contended with both these qualities of quantification. Statistics have been used to pathologize queer desire as deviant from the norm, but they have also made it clear how prevalent queer people are, enabling collective action. Likewise for queer literature, which has sometimes regarded quantification as its antithesis, and other times as a prime representational resource. Across the history of queer American literature this dialectical tension between quantification as reductive and resource has played out in various ways, in conjunction with the histories of science, sexuality, and literary style. This chapter covers the history of queer quantification in literature from the singular sexological case study through the gay minority to contemporary queerness trying to transcend the countable.
This study explores the alignment between automotive design innovation and consumer acceptance, particularly in the context of two significant trends: electrification and digitalization. We probed the acceptance of replacing rear window with wide-angle camera We surveyed 1,546 potential customers from China and Sweden to assess their openness to such a radical design. Findings suggest a consensus on its futuristic appeal but diverge in adoption willingness. The study offers insights to bridge the design preference gap, positioning customer acceptance as key for car design strategy.
In the field of individualized medical implants for bone replacesment, additive manufacturing offers far-reaching advantages for bridging bone defects and supporting the production of natural form and function. The article uses the example of a large, customized cranial implant to show the challenges of manufacturing with osteoinductive bone cements. The process is shown, starting with planning and design, through to functional integration using adapted manufacturing strategies to create defined porosity.
This study explores Machine Learning (ML) integration for household refrigerator efficiency. The ML approach allows to optimize defrost cycles, offering energy savings without complexity or cost escalation. The paper initially presents a State-of-the-Art of ML potential to improve functionality and efficiency of refrigerators. Since frost is the cause of significant energy losses, a ML-based Virtual Sensor was developed to predict frost formation on the evaporator also in low -level refrigerators. The results show the environmental significance of ML in enhancing appliance efficiency.
This paper explores the implementation of Industry 4.0 technologies in Small Enterprises (SEs), focusing on the unique challenges they face. It presents four case studies demonstrating how low-cost, low-effort solutions can enhance efficiency and productivity in small companies. The solutions, developed in a local makerspace, address specific manufacturing challenges that lack affordable or existing off-the-shelf solutions. The paper highlights the value of iterative prototyping in implementing Industry 4.0 solutions and discusses how this approach can help SEs overcome adaptation challenges.
Various industries use computer simulation for verifying product properties in early phases of development. Traditionally, such properties include the stability of mechanical structures or the efficiency of aircraft turbines. More recently, research also focuses on the mountability of industrial products using virtual assembly. While research on virtual assembly already started in the mid-1990s, the applicability in different industries remains largely unclear today. To advance the state-of-the-art, in this paper we present learnings from developing a virtual assembly environment for cooling cabinets.
Supporting product developers in innovating is an important task of design research. An invention and a valid need situation described through a product profile are necessary elements of innovation. But how can we derive recommendations on how to develop “innovative” products if the success of a product can only be measured retrospectively? Retrospective case studies are one approach to investigate relationships between context factors, variations in systems and product profiles, and innovation success. To investigate these, we use product profiles in case studies across system generations.
This study investigates the relationship between the number and type of prototypes developed in rapid prototyping contexts, a team's performance self-estimations, and final actual performance. Findings suggest a strong correlation between each of these elements, with the converse also found to be true, motivating the introduction of the concept of Design Delusion - a type of cognitive dissonance due to differences between perceived and actual states. The paper suggests that early prototyping helps identify and mitigate design delusion, improving design decisions and preventing technical debt.
To handle the increased complexity within the automotive industry, this paper introduces a guideline, which aims to support development service providers to examine the introduction and if applicable support the introduction of systems engineering. The initial verification was performed through applying the guideline at Porsche Engineering as an exemplary service provider. As a result, the success factors "knowledge basis" and "knowledge transfer" have been improved by two points on a 1-5 Likert-scale by introducing a SE process-specific knowledge platform and a defined knowledge transfer.
Additive Manufacturing (AM) enhances component functionality in engineering. This study explores AM benefits for hydraulic pumps, by reviewing literature on fluid power and existing AM successes in pumps, pipes, and manifolds. While hydraulic pump research is scarce, the study redesigns a pump, mirroring successes in other hydraulic areas. Predicted outcomes include a 45-85% pressure drop reduction, 35% weight reduction, and fewer parts compared to traditional pumps, achieved with minor design changes. Larger-scale redesigns promise even greater improvements.
Industry 4.0 is leading to technological advancement in manufacturing and causing changes in tasks performed by operators. This represents a potential trigger of humans' stress and workload. This paper aims to investigate work-related stress in an industrial environment through a real production case study through ECG, EDA, EMG, and respiratory band. From stress physiological indicators analysis, preliminary suggestions for the case study are provided to make the production system more human-centered, according to Industry 5.0. Further studies may test the effect of the recommended actions.
To address the issue of unbalanced development during a product's lifecycle, a change in the approach to product development processes is necessary. One way to achieve this is by development of the product that encourages the inclusion of people in the entire lifecycle. Inclusion is intended to influence societal empowerment via sharing of power among the people included in the lifecycle. This study proposes a framework for assessment of empowerment by the inclusion of people within a product lifecycle.
The UK construction industry is an important aspect of the UK economy; however, it is struggling to keep pace with wider economic growth and if it does not change it will not be able to keep up with demand. There is a gap between academia and practice, and little understanding of how to successfully innovate within the industry. Following a workshop with 25 construction industry professionals on the barriers to innovation in the construction industry, key themes were developed through thematic analysis including regulation, fragmentation and constant change.
Cyclical vomiting syndrome (CVS) is an extremely debilitating condition that can have an adverse impact on physical health and can significantly disrupt social and occupational functioning. It is a poorly understood illness in terms of aetiology, and most research has focused on the pharmacological management of the condition. This article describes a case study of a combined cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR)-based intervention with an adult with past trauma who had a 20-year history of CVS accompanied by high cannabis use. Therapy led to improvements in physical health and social functioning, reduced use of cannabis, and a significant reduction in the frequency and severity of vomiting episodes and associated hospital admission. Implications for future research and management of the illness are discussed.
Key learning aims
(1) To understand how the presence of co-morbid untreated trauma in individuals with CVS may result in unhelpful coping strategies that can worsen the course of the illness.
(2) To explore how the addition of psychological therapy to routine care of gastrointestinal disorders such as CVS can improve treatment outcome.
(3) To consider how offering an individualised and flexible approach to appointments may benefit individuals who find it more difficult to engage in psychological therapy.
This chapter illustrates how to put a regenerative strategy into action by introducing a pioneering business case. The company Carbon Engineering is developing cutting-edge technologies, such as Direct Air Capture and AIR TO FUELS, to capture, sequester and, more importantly, apply captured carbon dioxide in the production of synthetic fuel, carrying out a regenerative strategy. Through a qualitative research design, we show how this company (1) demonstrates explorer and prospector behaviour, going beyond the reduction of emissions to achieve net zero and even net negative emissions, or positive environmental externalities; (2) redefines its purpose, vision and mission, passing from a profit-only logic to systemic socioecological resilience through eco-emotional wealth and environmental performance; (3) develops a new, wider form of stakeholder management to engage market and fringe stakeholders; and finally (4) frames a new time perspective, the long- and very long-term view that sustainable development requires – an intra- and intergenerational commitment.
During the nineteenth century, singers had a range of literature available to them for instruction on how to take care of their voice. This literature included the autobiographies and biographies of singers, works by quacks and doctors, recipes, and advertisements. This article demonstrates the degree to which all of this literature potentially played in the promulgation of health regimes for singers to keep their voice in the best possible working order. The article argues that these health regimes were likely based on superstition or medical advice (or both) and operated within a larger context of narratives pertaining to public health throughout the nineteenth century ranging from the need for breathing in quality air to taking certain kinds of baths. The article charts the oral and print sources through which singers took advice on vocal health and hygiene.
In the United Kingdom, people living with dementia admitted to National Health Service (NHS) psychiatric/mental health inpatient dementia assessment wards (dementia assessment wards) are nearly always compulsorily detained under a section of the Mental Health Act 1983 owing to the risk and complexity of the presenting condition. As such, dementia assessment wards admit some of the most vulnerable patients in society, yet these environments of care are under-researched and under-reported in the literature. Using care aesthetics as an overarching explanatory lens, this article focuses on the care of one patient (Charlotte – not her real name) resident on a dementia assessment ward and uses a range of qualitative methods to illuminate that experience, including ethnographic observations and a care record review. To further develop the reach of the case study, interviews were also conducted with Charlotte's husband as her main family carer and key ward staff involved in Charlotte's care. Data were analysed using a sensory and narrative-based method to provide a sequential, embodied, individually positioned and storied account of Charlotte's care and interpreted experience on the ward. The analysis revealed that Charlotte's presentation of dementia was complex insofar as she resisted any attempt by the ward staff to offer her food or drink or to help with washing and dressing. Charlotte also swore frequently and loudly and spent time actively ‘watching’ and ‘looking’ at people and the environment in which she was now living. The findings contribute to the fields of critical dementia studies, dementia education, health-care practice and policy making, and may be used to highlight the value of sensory and embodied approaches to capturing a caring dynamic.