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In the USA, there has recently been an unprecedented convergence of complementary/alternative medicine (CAM) with mainstream biomedical care. This confluence may lead to a deeply rooted philosophical conflict. This qualitative study works to identify factors that health-care leaders can use, which will build a pathway to greater integrative practice between medical doctors and CAM practitioners – from parallel existence to partnership – by examining the tensions between biomedical medicine and naturopathic medicine. The purpose of this study is to offer short-term suggestions for partnership and long-term recommendations for better understanding.

An original qualitative study using semi-structured with CAM practitioners and biomedical practitioners.

Areas of conflict that are preventing synergy are identified and a pathway for health-care leaders to follow to create greater integration and partnerships is suggested.

This is a qualitative and exploratory study that has significant limitations on generalizability.

This study suggest steps that both types of health-care practitioners can take to increase their success at working together on an individual level, a group level, an organizational level and on an industry-wide basis, as well as provide a specific pathway to create greater integrative practice for health-care leaders.

The results indicate that stronger partnerships between different types of medical practitioners increase patient choice, patient satisfaction and outcomes.

Increasing interested in CAM modalities is driving more contact between CAM practitioners and biomedical practitioners. This contact is best established in partnership between practitioners rather than in parallel. This original research outlines the sources of conflict and provides recommendations for encouraging greater synergy.

Evidence-based interventions (EBIs) for human services unfold within complicated social and organizational circumstances and are influenced by the attitudes and behaviors of diverse stakeholders situated within these environments. Coaching is commonly regarded as an effective strategy to support service providers in delivering EBIs and attaining high levels of fidelity over time. The purpose of this paper is to address a lacuna in research examining the factors influencing coaching, an important EBI support component.

The authors use the Exploration, Preparation, Implementation, and Sustainment framework to consider inner- and outer-context factors that affect coaching over time. This case study of coaching draws from a larger qualitative data set from three iterative investigations of implementation and sustainment of a home visitation program, SafeCare®. SafeCare is an EBI designed to reduce child neglect.

The authors elaborate on six major categories of findings derived from an iterative data coding and analysis process: perceptions of “good” and “bad” coaches by system sustainment status; coach as peer; in-house coaching capacity; intervention developer requirements vs other outer-context needs; outer-context support; and inner-context support.

Coaching is considered a key component for effective implementation of EBIs in public-sector systems, yet is under-studied. Understanding inner- and outer-context factors illuminates the ways they affect the capacity of coaches to support service delivery.

This paper demonstrates that coaching can accomplish more than provision of EBI fidelity support. Stakeholders characterized coaches as operating as boundary spanners who link inner and outer contexts to enable EBI implementation and sustainment.

Phishing is one of the major challenges faced by the world of e-commerce today. Thanks to phishing attacks, billions of dollars has been lost by many companies and individuals. The global impact of phishing attacks will continue to be on the increase and thus a more efficient phishing detection technique is required. The purpose of this paper is to investigate and report the use of a nature inspired based-machine learning (ML) approach in classification of phishing e-mails.

ML-based techniques have been shown to be efficient in detecting phishing attacks. In this paper, firefly algorithm (FFA) was integrated with support vector machine (SVM) with the primary aim of developing an improved phishing e-mail classifier (known as FFA_SVM), capable of accurately detecting new phishing patterns as they occur. From a data set consisting of 4,000 phishing and ham e-mails, a set of features, suitable for phishing e-mail detection, was extracted and used to construct the hybrid classifier.

The FFA_SVM was applied to a data set consisting of up to 4,000 phishing and ham e-mails. Simulation experiments were performed to evaluate and compared the performance of the classifier. The tests yielded a classification accuracy of 99.94 percent, false positive rate of 0.06 percent and false negative rate of 0.04 percent.

The hybrid algorithm has not been earlier apply, as in this work, to the classification and detection of phishing e-mail, to the best of the authors’ knowledge.

For business and management higher education (HE) to transition graduates to digital workplaces and careers, it’s crucial they develop competencies (digital and traditional, soft and technical, new and old) that are relevant and applicable.

Insights are obtained from 60 comprehensive interviews with HE business students, educators and industry practitioners.

Six synergistic competencies are described that leverage synergies of (often) divergent competencies in the digital age of business, integrating them with a recently emerged multi-disciplinary competency framework. Each synergy states its target application, purpose and is aligned with specific HE practices.

Scholarship of competencies is re-oriented away from clusters and towards synergies, with a new inter-disciplinary competency framework validated to business in the digital age, with directions provided for HE.

A curious and unexpected thing has happened to personal computing typography: it's gotten cheaper and much more interesting, thanks to TrueType, a new digital typography standard that nobody (including the author) took seriously when it was first proposed. The author evaluates eight TrueType type collections costing from 10 cents to $1.25 per typeface. This article discusses that evaluation, and also evaluates a $19 CD‐ROM with more than 400 typefaces. The results may surprise you. They certainly surprised the author, when a company perhaps best known for selling cheap software in Canadian convenience stores proved to have not only the cheapest (per typeface) but also the best all‐around inexpensive typeface collection. The author also provides notes on the literature for April‐June 1993, including the last issues of PC Sources.

I have been a homeless wanderer all my life, and the books I have liked have helped to foster my Wanderlust, though I fancy heredity must have had something to do with it. My father was born in Canada, and my Macgregor mother was born in New Zealand.

THE luncheon given by the Lord Mayor, Sir Ralph Perring, to more than 700 guests at Guildhall on November 14, officially launched the country on National Productivity Year. Apart from representatives of the 120 local committees these were people from trade and employers' associations, trades unions, professional bodies and research organisations. It was, in effect, a token mobilisation of Britain's industrial might, because behind it stands a large army devoted to the task of increasing the country's output.

The purpose of this paper is twofold: first, to identify the types of adaptations made by service providers (i.e. practitioners) during a large-scale US statewide implementation of SafeCare®, an evidence-based intervention to reduce child neglect; and second, to place adaptations within a taxonomy of types of adaptations.

Semi-structured interviews and focus groups were conducted with 138 SafeCare providers and supervisors. Grounded theory methods were used to identify themes, specific types of adaptations and factors associated with adaptation.

Adaptations were made to both peripheral and core elements of the evidence-based practice (EBP). The taxonomy of adaptations included two broad categories of process and content. Process adaptations included presentation of materials, dosage/intensity of sessions, order of presentation, addressing urgent concerns before focusing on the EBP and supplementing information to model materials. Content adaptations included excluding parts of the EBP and overemphasizing certain aspects of the EBP. Adaptations were motivated by client factors such as the age of the target child, provider factors such as a providers’ level of self-efficacy with the EBP and concerns over client/provider rapport. Client factors were paramount in motivating adaptations of all kinds.

The present findings highlight the need to examine ways in which adaptations affect EBP implementation and sustainment, client engagement in treatment, and client outcomes.

Implementers and EBP developers and trainers should build flexibility into their models while safeguarding core intervention elements that drive positive client outcomes.

This study is unique in examining and enumerating both process and content types of adaptations in a large-scale child neglect implementation study. In addition, such adaptations may be generalizable to other types of EBPs.

Bob Bell, of Edinburgh University, discusses Scottish education

This article is about the construction of masculinity in the German rap scene. After giving a short overview over the history, structure, main narratives and economic relevance of German rap, the construction of rap masculinity will be mainly discussed in the context of a transformation of the (global) gender order. For example, what impact does the rise and success of female rappers have on the gendered power relations within the German rap scene? Does the inclusion of feminine-coded moves and sounds, aesthetics or topics indicate a shift towards more alternative forms of masculinity? And what does it mean, when male rap artists currently rap about the meaning of masculinity, as if it was something that has to be (re-?) defined all at once?

The field study works with different data material from the rap scene, lyrics, interviews, but also multimodal signs as album covers, photos, video material, etc. Through discourse analysis, major discursive lines and threads are pointed out to draw a picture of gender order in this distinctive social and artistic setting.