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41	Perspective vol. 15 no. 2 (Apr 1981) Joldersma, Clarence W., Sweetman, Roseanne Lopers, Van Beilen, Aileen, Thompson, Henriette, Zylstra, Bernard 30 April 1981 (has links) No description available. Humanities Institute for Christian Studies--History Jaki, Stanley L. Religion and science Theological anthropology--Christianity Seerveld, Calvin Goudzwaard, B. Capitalism--Religious aspects Aesthetics Lovelace, Richard F. Institute for Christian Studies Act
42	Perspective vol. 15 no. 2 (Apr 1981) / Perspective: Newsletter of the Association for the Advancement of Christian Scholarship Joldersma, Clarence W., Sweetman, Roseanne Lopers, Van Beilen, Aileen, Thompson, Henriette, Zylstra, Bernard 26 March 2013 (has links) No description available. Humanities Institute for Christian Studies--History Jaki, Stanley L. Religion and science Theological anthropology--Christianity Seerveld, Calvin Goudzwaard, B. Capitalism--Religious aspects Aesthetics Lovelace, Richard F. Institute for Christian Studies Act
43	The impact of militarisation, conflict and small arms & light weapons proliferation on women and children : a case study of the pastoralists of North East Africa Riungu, Eunice Muthoni January 2012 (has links) This thesis is a study of the impact of militarisation, conflict and Small Arms and Light Weapons (SALW) proliferation on women and children amongst the pastoralist communities of North East Africa. It explores the way pastoralists communities' lives have changed over the decades with the introduction of SALW to make cattle rustling a lethal pastime that involves all members of society but with implications for the vulnerable population caught between warring groups. The study delves into the variety of options facing them, such as the fact that the dangers posed by introduction of SALW in turn militarises the vulnerable population caught between being helpless bystanders or taking up arms to defend their herds or else perish from hunger when the remaining stock are stolen at gunpoint. After an introductory chapter examining thematic issues involved in the complex web knitted by militarisation, conflict, SALW proliferation, cattle rustling and pastoralist communities, the thesis examines circumstances surrounding the need to wage war on neighbours in cattle raids pitting pastoralist communities' against governments interested in the pursuit of politics that disfavour their interests. The following chapters examine various aspects of this complex militarisation/SALW proliferation/cattle rustling web placing it in the context of the subsequent implications for both the pastoralist communities' vulnerable population and the security of the entire region. It delves into ways the vulnerable population is impacted upon with a view to show that the side effects have far-reaching implications for the pastoralists and citizens of the states they belong to. We analyse existing efforts to combat proliferation and instruments aimed at protecting the vulnerable population in armed conflict with a view to ascertain their strengths and challenges. We finally examine possible ways out of the quagmire resulting from the marriage between SALW proliferation and cattle rustling and conclude by offering policy recommendations. 303.6
44	Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital Lucas, D. Pulane 24 April 2013 (has links) Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital industry is changing medical services delivery. The main purposes of this study are to (1) test Clayton M. Christensen’s theory of disruptive innovation in health care, and (2) examine the effects of disruptive innovation on appendectomy, cholecystectomy, and bariatric surgery (ACBS) utilization. Disruptive innovation theory contends that advanced technology combined with innovative business models—located outside of traditional product markets or delivery systems—will produce simplified, quality products and services at lower costs with broader accessibility. Consequently, new markets will emerge, and conventional industry leaders will experience a loss of market share to “non-traditional” new entrants into the marketplace. The underlying assumption of this work is that ASCs (innovative business models) have adopted laparoscopy (innovative technology) and their unification has initiated disruptive innovation within the hospital industry. The disruptive effects have spawned shifts in surgical volumes from open to laparoscopic procedures, from inpatient to ambulatory settings, and from hospitals to ASCs. The research hypothesizes that: (1) there will be larger increases in the percentage of laparoscopic ACBS performed than open ACBS procedures; (2) ambulatory ACBS will experience larger percent increases than inpatient ACBS procedures; and (3) ASCs will experience larger percent increases than ACGHs. The study tracks the utilization of open, laparoscopic, inpatient and ambulatory ACBS. The research questions that guide the inquiry are: 1. How has ACBS utilization changed over this time? 2. Do ACGHs and ASCs differ in the utilization of ACBS? 3. How do states differ in the utilization of ACBS? 4. Do study findings support disruptive innovation theory in the hospital industry? The quantitative study employs a panel design using hospital discharge data from 2004 and 2009. The unit of analysis is the facility. The sampling frame is comprised of ACGHs and ASCs in Florida and Wisconsin. The study employs exploratory and confirmatory data analysis. This work finds that disruptive innovation theory is an effective model for assessing the hospital industry. The model provides a useful framework for analyzing the interplay between ACGHs and ASCs. While study findings did not support the stated hypotheses, the impact of government interventions into the competitive marketplace supports the claims of disruptive innovation theory. Regulations that intervened in the hospital industry facilitated interactions between ASCs and ACGHs, reducing the number of ASCs performing ACBS and altering the trajectory of ACBS volume by shifting surgeries from ASCs to ACGHs. Disruptive Disruptive Innovation Theory Disruptive Transformations Disruptive Innovation Innovation Technology Technological Innovation Medical Innovation Medical Technology Medical Advancement Laparoscopy Laparoscopic Surgery open surgery appendectomy cholecystectomy bariatric surgery weight loss surgery appendectomies cholecystectomies inpatient outpatient ambulatory ambulatory surgery ambulatory surgery center acute care general hospital hospital acute care hospital general hospital health care healthcare hospital industry health care industry Clayton Christensen Clayton M Christensen Michael Porter Harvard Business School Virginia Commonwealth University CMS Health policy public policy public administration organizational theory organization theory Population Ecology Theory Competitive Strategy policy analysis John Kimberly Organization Size Structural Inertia liability of smallness health spending health care cost specialty medical facility open system niche width dynamic outpatient department technology shift surgical setting surgical setting shift medical facility shift substitution threat health system system level analysis Ecological Approach hospital trends ambulatory surgery trends reimbursement rate Medicare CMS coverage decision P J DiMaggio DiMaggio and Powell w w Powell Hannan and Freeman M T Hannan Organizational change minimally invasive surgery less invasive surgery Prospective Payment System Outpatient Prospective Payment System entreprenuerial physician health care organization health care management Roice Luke Carl Ameringer new technology surgical utilization elective surgery Medicare Payment Advisory Commission MedPAC coverage decision trends in surgery abdominal surgery surgical variation physician-owned physician ownership physician autonomy outpatient clinic utilization trends unnecessary surgery Pfeffer Salancik technology diffusion redefining health care interdisciplinary research health care delivery panel design diffusion of hospital technology state variation regional variation local health care market government intervention medical facility health care capacity focused factory advances in health care physician organization relationship hospital competition medical specialization hospital expansion medical arms race integrated care integrated health system J E Wennberg health care transformation reimbursement scheme surgical volume Florida Wisconsin policy making health policy analysis competitive dynamics center of excellence intervening factor service line competition service-line competition surgical reimbursement innovative business model innovative technology environmental influence established firm new market entrant patient safety sophisticated technology Harvard Divinity School Social and Behavioral Sciences

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