Outpatient services are increasingly recognised as an important component of health care provision and may be improved through the application of modern management techniques. We have performed a time and role audit of consultation and waiting times in two medical clinics using different queuing systems: namely, a serial processing clinic where patients wait in a single queue and a quasi-parallel processing clinic where patients are directed to the shortest queue to maintain clinic flow. Data collected were used to construct a (...) computer simulation of patient flows in clinic. Assessment of patient satisfaction in the clinic process was determined using a self-administered questionnaire. Mean waiting time was shorter in the quasi-parallel processing clinic: 26 (SD 17) minutes compared with 36(24) minutes in the serial processing clinic. In the serial processing clinic 61% of patients waited more than 30 minutes compared with 41% in the quasi-parallel processing clinic. In the serial processing clinic 8% of 142 patients surveyed complained of the time spent waiting. The computer simulation we produced was able to determine waiting times with different clinic structures. The simulation showed that reductions in waiting time up to 30% might be achieved by changing our serial processing clinic to a quasi-parallel processing one. Performance of medical outpatient clinics can be improved by examining and changing clinic management. Computer simulation of outpatient clinics offers a means of assessing the impact of such changes on waiting time in clinic and on waiting lists. (shrink)

We theoretically discuss and empirically show how CEO power based on environmental expertise and formal influence over executives and directors, in the absence and presence of shareholder activism, spurs firms toward greener strategies. Our results support the idea that CEOs with informal power, grounded in expertise, reduce corporate environmental impact and this relationship is amplified when the CEO also enjoys formal power over the board of directors. Additionally, we found that any source of CEO power, whether informal or formal, is (...) a good catalyst for transforming shareholder activism into corporate greening. However, in the absence of such activism, only CEOs’ informal environmental expert power acts as a determinant of firm environmental performance. (shrink)

Eleven distinguished philosophers have contributed specially written essays on a set of topics much debated in recent years, including physicalism, qualia, semantic competence, conditionals, presuppositions, two-dimensional semantics, and the relation between logic and metaphysics. All these topics are prominent in the work of Robert Stalnaker, a major presence in contemporary philosophy, in honor of whom the volume is published. It also contains a substantial new essay in which Stalnaker replies to his critics, and sets out his current views on the (...) topics discussed. (shrink)

A striking visual essay captures the institutional landmarks of Chicago in a collection of full-color photographs of local schools, jails, and other landmarks of public life, including works by such renowned architects as Rem Koolhaas, Helmut Jahn, and Mies van der Rohe.

To help professionals in all health care disciplines grapple with ethical issues, Ahronheim (medicine, New York Medical College), Moreno (biomedical ethics, U. of Virginia) and Zuckerman (Center for Ethics in Medicine, Beth Israel Medical Center) review the history and theory of clinical ethics and present 31 case studies analyzed from medical, ethical and legal perspectives. This second edition expands the original discussions of ethical dilemmas caused by advances in medical genetics, organ transplants, HIV medicine and other developments. The appendix includes (...) Internet references, suggested readings and other resources. (shrink)

Self-regarding acts are frequently classified as non-moral; even more frequently, they are assumed to have less moral weight than parallel other-regarding acts. I argue briefly against the first claim, and at greater length against the second. Our intuitions about the lesser moral weight of self-regarding acts arise from imperfectly recognized, and morally relevant, differences between acts which are ordinarily described in misleadingly parallel phrases. ‘Love of self,’ for instance, and ‘love of another’ are not symmetrical attitudes, in spite of the (...) symmetrical grammar. More obviously, one cannot steal from, lie to, nor force oneself in the same way one can do these things to others. I conclude, therefore, that difference in moral weight never stems merely from a difference in the person concerned, but rather from differences between the actions themselves; furthermore, that whatever it is wrong to do to a willing other, it is wrong to do to oneself. (shrink)

This paper explores the implications of a radical republican conception of freedom as non-domination, rooted in the anarchist tradition. In discussing both the non-statist theoretical frameworks and the practical educational experiments associated with this tradition, I suggest that it can add a valuable dimension to recent critical work in philosophy of education that draws on the republican idea of freedom as non-domination.

"As novelist and poet Andrei Codrescu points out in the essay that accompanies this selection of photographs from the Getty Museum's collection, Evans's photographs are the work of an artist whose temperament was distinctly at odds with Beals's impassioned rhetoric. Evans's photographs of Cuba were made by a young, still maturing artist who - as Codrescu argues - was just beginning to combine his early, formalist aesthetic with the social concerns that would figure prominently in his later work."--Jacket.

What happens to professional and technical work when it is computerized? Exploratory analysis of case studies indicates that when expert systems are used to enhance the work of professionals, some tasks of medium- and low-skilled support personnel are integrated into the work of highly skilled experts. Technical workers are thus at risk of having their jobs automated as part of the computer enhancement of professionals. When computerization replaces expertise, job opportunities for medium-skilled personnel shrink and barriers to upward mobility through (...) on-the-job experience are reduced Entry-level professionals or even technicians with computers can perform tasks formerly done by experienced professionals. But working conditions do not promote the development of expertise and professional judgment among these workers. Thus it appears that routinization, deskilling, and automation are not only the problems of manual laborers in the information age; professional workers are also at risk, in complex ways. (shrink)

Der Beitrag nimmt aktuelle Annäherungen und Überschneidungen zum Anlass, um das Verhältnis von Kunst und Design neu zu betrachten: In der Gegenüberstellung beider Formen ästhetischer Gemachtheit lässt sich ein besonderes Zusammenspiel von Produktion, Werk und Rezeption herausarbeiten. Dieses öffnet auch den Blick darauf, welche Form ästhetische Selbstvergegenwärtigung als emanzipatorische Praxis annehmen kann. Die Argumentation folgt zwei Überlegungen: Zum einen wird gezeigt, dass das Design seit längerem eine Entwicklung durchläuft, die seine Prägung von Prozessen menschlicher Lebensführung und Subjektivierung deutlich verstärkt. Dies (...) hängt auch damit zusammen, dass das Design gegenüber der Kunst über eigenständige Möglichkeiten verfügt, Produktion und Rezeption miteinander zu verbinden. Zum anderen wird gezeigt, dass gerade die gleichberechtigte Zusammenarbeit von Kunst und Design neue Wege eröffnet, ästhetische Perspektiven auf individuelle und kollektive Problemstellungen zu werfen und neue Praktiken zu entwickeln. Ausgehend von diesen Beobachtungen votiert der Beitrag dafür, ästhetische Theoriebildung im Spannungsfeld von Produktion und Rezeption wie Kunst und Design zu betreiben. (shrink)

La Educación para la Justicia Global es una propuesta educativa crítica y transformadora impulsada por la Federación de entidades de Justicia global catalana, aunque es un enfoque extendido su marco conceptual está poco desarrollado. El objetivo del artículo es definir criterios temáticos/metodológicos que permitan identificar y caracterizar las prácticas educativas de justicia global. La metodología corresponde a un proceso de sistematización y organización de las experiencias de las entidades utilizando entrevistas cualitativas, focus-group y análisis documental. Los resultados muestran seis ejes (...) temáticos y cinco criterios teóricos/metodológicos que pueden ilustrar y orientar a quienes deseen conocer o adoptar el enfoque. (shrink)

The protagonist of Edith Wharton’s 1904 short story “The Descent of Man” is both scien­tist and satirist. The target of his satire-“false interpreters” of evolutionary theory-allows Wharton to combine analysis of genre with inquiry into the cultural controversy Darwin’s ideas inspired. Anthropocentric anxieties explain popular preference for soothing “pseudo-science” over unsparing accounts of natural selection; they likewise explain widespread obtuseness to Professor Linyard’s ridicule of hazy illogic posing as science. Motivated more strongly by fitness interests than by allegiance to scientific (...) truth, however, the professor becomes complicit in widespread misreading of his own text. He thereby encourages the ignorance he intended to dispel, and Wharton highlights the ironies inherent in this self-sabotage. She insists that susceptibility to evolved adaptations is universal, moreover, and that it often impedes the discovery and promulgation of truth. (shrink)

Augustine and his legacy have much to answer for, but these essays show that the body of his work also has much to offer as feminists explore, challenge, and reframe his thinking while forging new paradigms for construing gender, power, and ...

Since the establishment of Christianity in the West as a major religious tradition, Augustine has been considered a principal architect of the ways philosophy can be used for reasoning about faith. In particular, Augustine effected the joining of Platonism with Christian belief for the Middle Ages and beyond. The results of his enterprise continue to be felt, especially with regard to the contested topics of human embodiment, sexuality, and the nature and roles of women. As a result, few thinkers have (...) been as problematic for feminists as he has been. He is the thinker that a number of feminists love to hate. What do feminist thinkers make of this problematic legacy? These lively essays address that question and provide thoughtful arguments for the value of engaging Augustine’s ideas and texts anew by using the well-established methodologies that feminists have developed over the last thirty years. Augustine and his legacy have much to answer for, but these essays show that the body of his work also has much to offer as feminists explore, challenge, and reframe his thinking while forging new paradigms for construing gender, power, and notions of divinity. (shrink)

The aim of this article is to explore the merit, feasibility, and possible scope of equality-biased academic research agendas in Latin America. First, it discusses the merits of university research agendas as tools in the fight against inequality. Second, it analyzes the feasibility of defining such research agendas in Latin American public universities, taking into account their long tradition of institutionalized social commitment. Third, it comments on two Uruguayan examples of research programs that may make contributions to the reduction of (...) inequality. Finally, it assesses the possible impact of such programs in the light of inadequacies in Latin American national systems of innovation. (shrink)

Philippe Urfalino sieht bei kollektiven Entscheidungen eine Verbindung zur Dramentheorie: Obwohl sie oft die Regeln der drei Einheiten befolgten, die in der französischen Tragödie im 17. Jahrhundert zu Normen geschmiedet worden seien – Einheit von Zeit, Ort und HandlungIn pandemischen und generell digitalen Zeiten könnte debattiert werden, ob die Einheit des Ortes weiterhin gilt – viele Entscheidungen werden in online-Sitzungen getroffen, wo alle im einheitlichen digitalen Raum zusammentreffen, dabei aber gleichzeitig an vielen heterogenen Orten sind. – sei ihr Ablauf doch (...) komplex genug, um undurchsichtig zu bleiben, selbst für die Beteiligten (Urfalino 2021, S. 193). Der Frage, wie Theaterkollektive Entscheidungen fällen und was diese mit Interventionen zu tun haben, nähert sich dieser Artikel anhand zweier Beispiele, um diese transparenter zu machen. Wie haben sich kollektive Entscheidungsprozesse auf die Entstehung der Protestoper Wem gehört Lauratibor? und Chöre der Angekommenen ausgewirkt? Dafür sollen drei Kollektive des Gegenwartstheaters beleuchtet werden, die intervenierende ortsspezifische Theaterdemonstrationen schaffen und verschiedene historische Bezüge aufweisen: zum einen zum AgitpropSo erinnert auch das erste Foto der Performancegruppe Schwabinggrad Ballett mit den elektronischen Megaphonen in Margarita Tsomous Artikel „Jenseits des Willkommens“ (Foto: Rasande Tysker) stark an das Filmstill aus Kuhle Wampe (1930), welches die Agitproptruppe „Rotes Sprachrohr“ mit ihren klassischen Flüstertüten zeigt in Konstanze Schmitts Essay „Staying with the trouble. Collective forms and methods in performing arts in the 1920s and today“ (vgl. Tsomou 2016, S. 23 und Schmitt 2023, S. 80). und ArbeitertheaterIm Falle von Wem gehört Lauratibor? der 1920er und 1930er Jahre, zum politischen Straßentheater der 1960er und 1970er Jahre als auch zu den neuen sozialen Bewegungen um 1968. Dabei handelt es sich um das Schwabinggrad Ballett mit ARRiVATi und das Lauratiborkollektiv. Es wird auf Urfalino 2021Titel im Dt. Gemeinsam entscheiden: Die Herstellung der kollektiven Verpflichtung (Übers. JP, wie auch alle nachfolgenden Zitate aus dem Französischen). und gegenwärtige Tendenzen im Theater eingegangen. (shrink)