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41	Grenzfiguren : Kultur, Geschlecht und Subjekt bei Hegel und Nietzsche / Purtschert, Patricia. January 2006 (has links) Zugl.: Basel, Universiẗat, Diss., 2005.
42	Agricultural romance : constructing and consuming rural life in modern America Hajdik, Anna Thompson 10 June 2011 (has links) This dissertation illuminates the links between agriculture, popular culture, social class, and agrarian nostalgia. Using an interdisciplinary approach, I draw from the fields of American Studies, American History, Agricultural History, Environmental Studies, popular culture, and cultural geography. Consisting of four diverse case studies, my project focuses on America's evolving relationship with its agrarian roots from the late eighteenth century to the present. Each case study pays close attention to the ways in which the forces of modern consumerism have shaped public understanding of agricultural issues. The dissertation pivots on two main arguments: 1) the modern realities of industrialized agriculture have sparked a desire for highly romanticized visions of farming, particularly tourism to rural places that promise temporary pastoral transcendence to consumers, and 2) as a result of the public demand for idyllic constructions of American rural life, agrarian nostalgia has frequently been deployed in the service of commerce. From the writings of Thomas Jefferson and Laura Ingalls Wilder, to Currier and Ives painting, Martha Stewart's media empire, and state fairs of the American Midwest, I analyze a variety of highly romanticized cultural forms that enrich our understanding of the nation's agrarian heritage. Yet, I also make important links between the past and present, and demonstrate how and why debates about such issues as farm policy and the politics of food once again stand at the forefront of popular consciousness in the twenty-first century. / text Rural life Agriculture Agrarian nostalgia Popular culture Farming Consumerism Public opinion Thomas Jefferson Laura Ingalls Wilder Currier and Ives Martha Stewart State fairs American Midwest America United States Case studies
43	Merlin, rémanences contemporaines d’un personnage littéraire médiéval dans la production culturelle francophone (fin 20e siècle et début 21e siècle) : origines et pouvoirs / Merlin, contemporary persistence of a literary medieval figure in the francophone cultural production (late twentieth century and early twenty-first century) : origins and powers Zussa, Gaëlle 14 June 2008 (has links) Le personnage de Merlin est né il y a fort longtemps à partir de chroniques galloises. Ses origines littéraires remontent à des textes du 12e siècle, d’abord en latin, puis en français, dans lesquels il devient le célèbre conseiller d’Arthur et acquiert une notoriété considérable auprès des lecteurs. Aujourd’hui, neuf siècles plus tard, le Merlin traditionnel est en pleine renaissance, alors que le Romantisme avait laissé paraître l’avoir oublié pour toujours. Le héros fait toujours rêver et devient le personnage principal de nombre d’oeuvres de la production culturelle francophone actuelle. Ce travail se propose d’analyser les rémanences contemporaines du personnage littéraire médiéval de Merlin autour de deux axes principaux : les origines et les pouvoirs. Dans un premier temps, un tableau représentant le portrait médiéval du héros est constitué d’après l’étude d’un corpus d’oeuvres faisant apparaître Merlin au Moyen Âge. Puis, sur la base de ce tableau dont la structure compose le plan de l’étude, les rémanences contemporaines du héros sont analysées de manière détaillée à l’intérieur d’un corpus d’éléments à la fois littéraires, cinématographiques, théâtraux, appartenant à l’univers de la bande dessinée ou à celui d’Internet. L’étude des origines (qui regroupe les thèmes de la conception et de la tradition sylvestre) révèle principalement un changement de statut du concepteur médiéval de Merlin, le diable, qui se trouve rationalisé, paganisé ou même supprimé. Cette modification se fait au profit d’une véritable mise en lumière de la tradition sylvestre et du motif de l’homme sauvage, qui apparaissaient déjà au Moyen Âge mais deviennent primordiaux dans le corpus contemporain. Une analyse détaillée de la dévalorisation du christianisme permet de mieux comprendre ces bouleversements narratologiques qui touchent également le thème des pouvoirs (regroupant la clairvoyance, l’emprise sur le temps et l’emprise sur l’espace). En plus d’être déchristianisés, ils se modernisent considérablement grâce aux techniques proposées par les différents médias et sont ainsi démystifiés, ce qui permet une identification efficace avec le lecteur-spectateur. Ainsi, Merlin devient accessible, il n’effraye plus comme au Moyen Âge où son origine diabolique en faisait un personnage douteux. Il se présente comme le porte-parole d’un retour à la nature, comme il l’avait déjà été dans les premiers textes médiévaux avant que son message ne se perde sous le poids de la domination chrétienne. Or, aujourd’hui plus que jamais, le monde a besoin d’exemples, de modèles en ce qui concerne le respect et l’amour de la nature dont l’avenir semble menacé. Merlin constitue donc le messager idéal d’une conception « naturiste » de la vie et du monde, ce que les auteurs contemporains ont bien compris. Par son appartenance au monde médiéval et son portrait, revisité par la production culturelle contemporaine, il nous attire, nous fait rêver, tout en nous rappelant notre propre être dans un rapport d’identification à lui-même / The character Merlin, was born a long time ago from Welsh chronicles. Its literary origins go back to texts from the 12th century, first in Latin, then in French, in which he becomes Arthur’s famous adviser and acquires a great reputation among readers. Today, nine centuries later, the traditional Merlin is reborn, after Romanticism has forgotten him. The hero is still making us dream. He has become the main character of many works of the current francophone cultural production. This work analyses the contemporary persistence of the literary figure of medieval Merlin through two main themes: the origins and the powers. As a first step, a table of the medieval hero’s portrait is made according to the study of a novel’s corpus showing Merlin in the Middle Ages. Then, based on this table, whose structure builds the study plan, the hero’s contemporary persistence is analysed in detail through a corpus composed of elements from literature, cinema, theatre, comic books and Internet. The study of the origins (which includes the themes of the conception and the Woodwose or wildman’s tradition) shows mostly a modification of Merlin’s creator status, the devil, which is rationalized, paganised or deleted. This change is made to give importance to the Woodwose’s tradition, which already existed in the Middle Ages, but has become dominant in contemporary corpus. A detailed analysis of the Christian depreciation explains these narratological changes, which also affects the theme of powers (which includes the vision, the control over time and the control over space). In addition to their de-Christianization, the powers are considerably modernized thanks to the techniques of the various media. Consequently, they are demystified, which allows a finer identification with the reader-viewer. Thus, Merlin has become reachable, he does not scare any more like in the Middle Ages where his diabolical origin made him doubtful. He appears as a spokesman of a return to nature, as he had already been in the early medieval texts before his message was lost under the weight of the Christian domination. But today more than ever, the world needs examples, models to respect and love nature, whose future seems threatened. Merlin is the ideal messenger of a " naturist " conception of life and world. The contemporary writers understand this. Through his connection to the medieval world and his revisited portrait by the contemporary cultural production, Merlin attracts us, he makes us dream while reminding us of our own being through identification with this extraordinary character / Die Figur Merlin wurde vor langer Zeit aus walisischen Chroniken geboren. Seine literarischen Ursprünge stammen aus Texten des 12. Jahrhunderts die zuerst auf Lateinisch und danach auf Französisch waren. In diesen Texten ist der grossartige Berater von Arthur und erreicht dadurch Berühmtheit unter den Lesern. Neun Jahrhunderte später ist der traditionelle Merlin Wiedergeboren, nachdem er in der Romantik in Vergessenheit geriet. Der Held macht immer noch träumen und ist die Hauptfigur in etlichen Werken der zeitgenossischen frankophonen kulturellen Produktion. Diese Arbeit analysiert die zeitgenössischen Überbleibsel der mittelalterlichen Figur Merlin aus zwei Gesichtspunkten: der Herkunft und der Zauberkraft. Als erstes wurde eine Tabelle erstellt in der das Porträt des mittelalterlichen Helden, aufgrund von verschiedenen Werken, wo die mittelalterliche Figur Merlin erscheint, gezeigt wird. Diese Tabelle und seine Struktur sind die Grundlage unsere Studie. Die zeitgenössischen Remanenzen der literarischen mittelalterlichen Charakteristiken des Helden sind danach in der frankophonen kulturellen Produktion (Literatur, Film, Theater, Comics oder Internet) analysiert. Die Studie der Ursprünge (welche die Themen der Konzeption und der Tradition des wilden Mannes umfasst) zeigt hauptsächlich eine Änderung des Status des mittelalterlichen Vaters von Merlin (der Teufel), welcher rationalisiert, paganisiert und teilweise sogar gestrichen wird. Diese Änderung erfolgt zugunsten einer hervorgehobenen Darstellung der Tradition des wilden Mannes. Diese Tradition, die während des Mittelalters bereits erschien, steht im Vordergrund der zeitgenössischen Korpus. Eine detaillierte Analyse der Abwertung des Christentums erklärt die narratologischen Umbrüche, die auch den Bereich der Zauberkräfte betreffen (umfasst die Klarsicht, die Kontrolle über Zeit und Raum). Ausserdem wurden die Zauberkräfte dank den neuen Medien beträchtlich modernisiert und demystifiziert, was eine effiziente Identifizierung mit dem Leser-Zuschauer erlaubt Durch diese Entwicklung wird Merlin erreichbarer, macht keine Angst mehr im Gegensatz zum Mittelalter, wo ihn seine teuflischen Züge zweifelhaft machten. Er erscheint als Sprecher für eine Rückkehr zur Natur, wie das bereits in den ersten mittelalterlichen Texten der Fall war, bevor seine Botschaft unter der christlichen Herrschaft verloren ging. Heute, mehr denn je, braucht die Welt Beispiele, Modelle hinsichtlich Respekt und Liebe zur Natur deren Zukunft bedroht zu sein scheint. Merlin ist daher der ideale Kurier einer "naturistischen" Konzeption des Lebens und der Welt, was die zeitgenössischen Autoren deutlich verstanden haben. Durch seine Verbindung zur mittelalterlichen Welt sowie seiner Wiederauferstehung durch die zeitgenössischen kulturellen Produktionen, zieht er uns an und lässt uns träumen indem er uns an uns selber erinnert durch die Identifizierung mit dieser aussergewöhnlichen Persönlichkeit Merlin Littérature médiévale Littérature comparée Légende arthurienne Matière de Bretagne Production culturelle francophone Homme sauvage Tradition sylvestre Christianisme Merlin Medieval literature Comparative literature Arthurian legend Matter of Britain Francophone cultural production Woodwose Wildman Christianity Merlin Mittelalterliche Literatur Komparative Literatur Artuslegende Frankophone kulturelle Produktion Wilder Mann Christentum
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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