This article contributes to the literature on legitimacy by highlighting its paradox and constraints. While an optimal level of legitimacy-seeking behaviours may be necessary for organizational effectiveness, an excessive focus on legitimacy may lead to stakeholder mismanagement and have the opposite effect. These insights emerged from a longitudinal qualitative study of large-scale changes in public-sector health care in a Canadian province (1994-2002). In 1994, subordinate health care organizations underwent government-driven reforms to promote market-based logics of efficiency and cost reduction. Initial (...) years post reforms were characterized by a singular focus on government-driven priorities and inattention to other stakeholders. However, instead of giving benefits of legitimacy, these behaviours led to anger and activism from non-institutional stakeholders such as staff and community due to a decline in quality and patient satisfaction. Eventually, greater attention to stakeholder concerns ended the stand-off. These findings also elaborate Suchman's (Academy of Management Review 20(3), 571-610, 1995) framework on legitimacy and explain that legitimacy may occur for reasons other than institutionalization of values and be temporary in nature. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:My First Loss:Carrying His LegacyKaran K. MirpuriI love listening to my mentors recount memorable cases they faced in their careers. While they do not always remember the details, the most vivid stories were always those of the first patient they lost. They shared that this was a difficult but important experience in every physician's career. While I prepared myself for the reality that I would eventually lose a patient, (...) I did not expect my first loss to happen two months into my first year of medical school.As a college student, I was intimately exposed to the topic of death through volunteering at a local hospice center. While I had not witnessed a patient's passing, I supported patients and families each week as they faced different phases of their journeys, offering them food, blankets, and a listening ear when needed. Though my volunteering had equipped me with new coping skills and language to navigate my emotions surrounding death, grieving the loss of my first patient was incredibly difficult.________I was nervous but excited as I entered my first shadowing experience with Dr. X in the emergency department. Beyond my previous volunteering at the hospice center, my clinical exposure largely involved watching routine wellness visits or low-risk procedures. While I had seen patients in critical condition before, the rapidly paced and chaotic environment of the ED felt like a completely new world that I looked forward to entering.While Dr. X applied a compression wrap on a woman's sprained ankle about an hour into the shift, a blaring sound echoed through the ED. I was confused as all the providers around us simultaneously checked their phones. Dr. X shared that they had been paged about a trauma patient who was arriving in 10 minutes. A 71-year-old man had sustained serious injuries in a motor vehicle collision and was in cardiac arrest. Given that he needed resuscitation, his case was labeled a "code blue."After Dr. X finished wrapping his patient's ankle and answering her questions, we quickly went [End Page E17] to set up for the incoming trauma. Not knowing what to expect, I marveled as a legion of nurses, physicians, and respiratory therapists filled the room. As they rapidly wheeled in a crash cart, prepared instrument trays, and yelled terms that I only recognized from television shows, I felt overwhelmed, but began to appreciate the organized, intentional nature of each person's actions. What initially appeared as chaos became an intricate orchestra conducted by the senior resident, with each section tuning their instruments and taking their places before the performance. I found a spot in the corner of the room and waited in anticipation of what would come next.I heard the wheels of a gurney approaching as EMS rushed in and the symphony began. Our patient lay unconscious while a large, black piston repeatedly crushed his chest. Although initially alarmed, I later learned that this was a LUCAS® device administering continuous chest compressions to preserve his circulation. Before I could blink twice, the device was gone, and the team surrounded the patient. The senior resident firmly gave orders from the foot of the bed as others inserted chest tubes, intubated him, and administered CPR. Although tensions were high and the clock was ticking, each team member worked calmly and announced when each task was complete to maintain closed-loop communication.As I watched providers line up to administer chest compressions, Dr. X came over to ask if I would like to join the team in providing CPR, given that I was certified. Prior to the shift, he shared that this was a valuable way for medical students to contribute during codes, although the choice was ultimately mine. While I was prepared for the possibility, I was shocked that a code had happened, especially in the first hour of my shift in the ED. Despite my fear, I felt a strong desire and compulsion to offer my support so I could hopefully help save this man's life.Comforted by the confidence in Dr. X's gaze and the knowledge that I was surrounded by a team of trained... (shrink)

This mixed-methods case study describes the experiences of a rural health organization in Canada that was a pioneer in undergoing institutionally driven radical change. This change was advocated by senior managers and physicians with the strong backing of the government. The senior managers and physicians made a strong case for the radical change and argued that a focus on efficiency and wellness would lead to improved service and quality of patient-care. However, this radical change initiative was resisted by nurses and (...) support staff who perceived that these changes were being driven by market-based institutional logics and questioned their ethical appropriateness in a public system. They also expressed a lack of trust given the large-scale layoffs in a prior restructuring. These findings run counter to extant theory by highlighting the role of agency despite institutional pressures. Specifically, change implementers not only face the burden of justifying ethical appropriateness of institutional logics, but also are required to engage in persuasive discourse that these institutional logics protect the interests of the members. (shrink)

This study engages with the experiences of Dalit-Bahujan (oppressed social castes) students at a higher education institution in India. Drawing from interview-based data, it explores the students’ narratives to map their educational experiences, taking the medium of instruction as a case in point. The study aims to deepen understanding of the intersection of caste and curricular-pedagogic context of higher education and its relation to knowledge production in institutional contexts. The findings highlight a significant gap between the socio-economic backgrounds of Dalit-Bahujan (...) students and the institutional and pedagogical structures, processes, and discourses they encounter. Based on these findings, the study further examines the framing of marginality at the intersection of caste, language and background of Dalit-Bahujan students. The lack of institutional support often relegates Dalit-Bahujan students to the margins within higher education institutions, not only excluding the disadvantaged social groups but also impinging upon the democratisation of knowledge production. We conclude that the question of medium of knowledge production necessitates a critical examination of which lives and voices are included in curricular and pedagogic processes. (shrink)

İslam tarihinde önemli bir yere sahip olan Abbasi Devleti’nin ilk döneminden “Emîrü’l- Ümerâlar” dönemine kadar toplam yirmi bir halife devlete hükmetmiştir. Bu halifelerin hayatları incelendiğinde üçü hariç diğerlerinin ümmüveled olduğu görülmektedir. Bu câriyelerin bazıları bir halifenin eşi iken daha sonra gelecek halifenin annesi olmaktadır. Ümmüveledlerin bu sıhriyyet bağları dolayısıyla yönetime etkileri kaçınılmaz olmuştur. Abbasi Devleti’nin ilk döneminde ümmüveled olan halifeler kimlerdi? Abbasi Devleti’ni halife yönetirken, bu ümmüveledler halife üzerinde ne kadar etkiliydiler? Halifenin hür eşlerinden olan çocuklarına rağmen niye bu ümmüveledlerin (...) çocukları halifelik makamına oturuyorlardı? el-Kahramâniye gibi kadınlardan oluşan bir yapının Abbasi sarayındaki ağırlığının yanı sıra özellikle öne çıkmış ümmüveled olan Hayzürân ve Şağab’ın devlet üzerindeki etkileri neler olmuştur? Bu makale ve buna benzer bazı sorulara o dönemin ilk dönem kaynaklarından hareketle bir araştırma ile cevap bulma etrafında şekillenmiştir. (shrink)

This paper investigates the relationship between mental health and pastoral care in the Church. The principal goal is to indicate the area of dialogue and cooperation between pastoral theology / pastoral psychology and psychology and psychiatry, an area most noteworthy. Furthermore, the importance of the preservation of boundaries between scientific disciplines is emphasized as a key prequirement for a successful dialogueἩ ἐργασία ἀσχολεῖται μέ τή σχέση τῆς ψυχικῆς ὑγείας μέ τήν ποιμαντική διακονία τῆς Ἐκκλησίας. Βασικός σκοπός τῆς μελέτης εἶναι ἡ (...) ἀπόδειξη τοῦ ἀξιόλογου περιθώριου πού ἔχει ὁ διάλογος και ἡ συνεργασία τῆς ποιμαντικῆς θεολογίας μέ τήν ψυχολογία καί ψυχιατρική ἐνῶ παράλληλα τονίζεται ἡ σημασία τῆς διαφύλαξης τῶν ὁρίων κάθε ἐπιστήμης ὡς βασική προϋπόθεση γιά ἕνα ἀποτελεσματικό διάλογο. (shrink)

Comparative study on Sankaracarya and Aurobindo Ghose, 1872-1950, exponents of Indic philosophy.

Study on the origin, future and purpose of man; includes contributions to education made by Tagore, Gandhi, and Aurobindo.

On the ideology of Henry David Thoreau, 1817-1862, Mohandas Karamchand Gandhi, 1869-1948, and Vinoba Bhave, b. 1895; articles.

With the technological evolutionary advent, a vision-based approach presents the remote measuring approach for the analysis of vibration. The structure vibration test and model parameter identification in the detection of the structure of the bridge evaluation occupies the important position. The bridge structure to operate safely and reliably is ensured, according to the geological data of qixiashan lead-zinc mine and engineering actual situation, with the aid of international mining software Surpac. To build the 3D visualization model of the application of (...) visualization in mine production are discussed. The results show that the final solid model of -425 stope can accurately display the spatial form of each layer of stope through rotation, amplification and movement. The proposed system is effectually able to perform cutting, volume calculation and roaming in any direction, which has certain guiding significance for mine production management. An accuracy value of 98.75%, the sensitivity of 99%, specificity of 99.64% and PPV of 99.89% are achieved using the proposed 3D modelling and visualization algorithm for vibration signal processing and management. (shrink)

This article reports initial findings from a research project that focused on the impact of the reaccreditation process and its outcomes on teacher educators in four institutions in England where Qualified Teacher Status accreditation was removed, despite leading successful programmes as detailed in Ofsted inspections and National Student Survey data. Whilst the outcomes of the reaccreditation process were mentioned in the mainstream press, the impact of this policy on teacher educators had only been reported anecdotally. This research fills a research (...) gap to document impact on teacher educator identity and provides an evidence base to inform teacher education policy debates. Data were gathered through focus groups using a triad collaborative enquiry approach, based on the lesson study model, where researchers took on different roles: clarifier, observer, and questioner. This method formed part of a constructed focus group and built on a process of semi-structured and unstructured creative tasks. Initial findings identified the shifting context university educators perceived in relation to policy constraints, including a greater top-down, centralisation that negated the opportunity for teacher educators to provide a contextualised, evidence informed approach to teacher preparation. This contributed to the impact of the reaccreditation process on teacher educators’ professional identity, self-efficacy and agency. (shrink)

At present there is an enormous discrepancy between our nanotechnological capabilities (particularly our nanobiotechnologies), our social wisdom, and consensus on how to apply them. To date, cost considerations have greatly constrained our application of nanotechnologies. However, novel advances in microsystem platform technologies are about to greatly diminish that economic constraint while developing new industries. Properly used in a solid legal and ethical framework, within an educated population, these advances will vastly enrich our quality of life without being intrusive. Improperly used, (...) these technologies could lead to a modern-day Luddism, social turmoil, or possibly even to emulating those societies described in the darkest of novels. These technologies must be developed in tandem with the social and legal frameworks needed to ensure that they improve both individuals and our society. To ensure that this occurs, we need to have the ethical, legal, scientific, and engineering experts working together and with the public. (shrink)

Prior works in institutional theory are characterized by an assumption that the legal basis for authority of regulatory agencies is sufficient to ensure compliance by business organizations. From a business ethics standpoint, this would imply that regulatory oversight can hinder organizations’ pursuit of questionable business practices. However, the evidence for regulatory efficacy is far from clear as questionable business practices tend to persist despite regulatory monitoring. Drawing on the case of the regulatory failure to trigger a shift away from aggressive (...) banking practices in Ireland, which had serious social and economic costs, we highlight three barriers to deinstitutionalization: insufficient advocacy for change coupled with an inability to problematize the risks of extant business practices, unwillingness to impose change through the use of threats, power, or sanctions, and contradictions in the institutional environment that can obfuscate the regulators’ message. Thus, our study proposes that regulator-led change might not be as straightforward as previously theorized. In doing so, it advances prior theory through an explicit focus on the importance of three types of institutional work that are necessary for regulator-led deinstitutionalization. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Full Collection of Personal NarrativesJake Beery, Neethi Pinto, Marcia King, Laura Wachsmuth, Alisha, Katie L. Gholson, T.S. Moran, Calvin R. Gross, Joanne Alfred, Cindy Bitter, Jenna Bennett, Nadia Khan, Clarice Douille, Kristen Carey Rock, Adrienne Feller Novick, Andrea Eisenberg, Japmehr Sandhu, Katherine Bakke, Heer Hendry, Karan K. Mirpuri, and Katerina V. Liong• Being the Difference• Grieving One More Time• Echoes of Grief: Tales from an Emergency Medicine and (...) Critical Care Nurse• Searching for Peace in Death• “I’d Love to go Off the Grid and Never Come Back”• “A Mother’s Love”• Tiny Person, Big Impact• Night Shift• Cracked Armor• Who Tells the Story• Navigating Hard Situations that Medical School Cannot Prepare You For• The Wish• Break• Five More Minutes• I Saw My Reflection• The Aftermath• Where the Journey Begins• Lessons Learned in Room 208• Joint and Grief Aches• My First Loss: Carrying His Legacy• Grieving the Loss of What Medicine Was Supposed to BeCopyright © 2024 Johns Hopkins University Press... (shrink)

Diffusion MRI is widely used to investigate neuronal and structural development of brain. dMRI data is often contaminated with various types of artifacts. Hence, artifact type identification in dMRI volumes is an essential pre-processing step prior to carrying out any further analysis. Manual artifact identification amongst a large pool of dMRI data is a highly labor-intensive task. Previous attempts at automating this process are often limited to a binary classification of the dMRI volumes or focus on detecting a single type (...) of artifact. In this work, we propose a deep learning-based automated multiclass artifact classifier for dMRI volumes. Our proposed framework operates in 2 steps. In the first step, the model predicts labels associated with 3D mutually exclusive collectively exhaustive sub-volumes or “slabs” extracted from whole dMRI volumes. In the second step, through a voting process, the model outputs the artifact class present in the whole volume under investigation. We used two different datasets for training and evaluating our model. Specifically, we utilized 2,494 poor-quality dMRI volumes from the Adolescent Brain Cognitive Development and 4,226 from the Healthy Brain Network dataset. Our results demonstrate accurate multiclass volume-level main artifact type prediction with 96.61 and 97.52% average accuracies on the ABCD and HBN test sets, respectively. Finally, in order to demonstrate the effectiveness of the proposed framework in dMRI pre-processing pipelines, we conducted a proof-of-concept dMRI analysis exploring the relationship between whole-brain fractional anisotropy and participant age, to test whether the use of our model improves the brain-age association. (shrink)

This study integrates institutional theory and social cognitive theory to describe how peripheral organizations can accidentally bring about radical change even in highly institutionalized and change-resistant fields. The empirical context is the field of banking in Ireland (1995–2001), where a peripheral bank triggered a shift away from traditionally conservative and risk-averse banking values toward aggressive values of entrepreneurial risk taking. The introduction of a new approach to banking was attributed to three factors: (1) a benevolent environment, which made this innovation (...) feasible and timely, (2) the state of the field, which had gaps that could be addressed through specialization, and (3) prior successes, which created hubris in the senior managers, thereby increasing the pace and scope of adoption of this approach. Eventually, what started as a specialized and entrepreneurial approach led to the spread of a risky approach to banking across the entire field. The study highlights the risks of hubris, in that media praise and early successes can increase the pace of adoption of innovations which offer short-term gains but are detrimental in the long term. (shrink)

Pāṇinīyavyākaraṇodāharaṇakośaḥ; La grammaire paninéenne par ses exemples; Paninian Grammar through Its Examples, vol. I: Udāharaṇasamāhāraḥ; L’ensemble des exemples; The Collection of Examples; saṁśodhitaprakāśanam, édition révisée, revised edition. Two parts. By F. Grimal, V. Venkataraja Sarma, S. Lakshminarasimham, K. V. Ramakrishnamacharyulu, and Jagadeesh Bhat. Rashtriya Sanskrit Vidyapeetha Series, vols. 309, 310; Collection indologie 93.1.1, 2. Tirupati: Rashtriya Sanskrit Vidyapeetha; Pondichéry: École française d’Extrème-Orient; Institut Français de Pondichéry, 2018. Pp. xiii + 757 + 481. Rs. 680, 450.

The Vaiyākaraṇasiddhāntabhūṣaṇa of Kauṇḍabhaṭṭa, part 1, with the Nirañjanī Commentary by Ram-yatna Shukla and Prakāsa Explanatory Notes by K. V. Ramakrishnamacharyulu. Critically edited by K. V. Ramakrishnamacharyulu. South Asian Perspectives, no. 6; Shree Somnath Sanskrit University Shastragrantha Series, no. 2. Pondichery: Institut Français de Pondichéry; Veraval, Gujarat: Shree Somnath Sanskrit University, 2015. Pp. xl + 592. Rs. 1200, €52.

Super commentaries on Pañcīkaraṇa by Śaṅkarācārya, and Pañcīkaraṇavārttika by Surēśvarācārya, verse works on the apparent manifestation of the Absolute (Brahman) in the phenomenal world through the five basic elements (Pañcamahābhūtās).

Prakrit text with grammatical interpretation and Hindi translation on Jaina doctrines and ethics.

Comprehensive study of the Vākyapadīya of Bhartr̥hari, work on semantics and philosophy of Sanskrit grammar.

Pāṇinīyavyākaraṇodāharaṇakośaḥ; La grammaire paninéenne par ses exemples; Paninian Grammar through Its Examples, vol. IV.1–2: Taddhitaprakaraṇam; Le livre des formes dérivés secondaires; The Book of Secondary Derivatives. By F. Grimal, V. VenkataraJa Sarma, and S. Lakshminara- Simham. Rashtriya Sanskrit Vidyapeetha Series, vols. 302, 303; Collection indologie vol. 93.4.1, 2. Tirupati: Rashtriya Sanskrit Vidyapeetha; Pondichéry: École Française d’extrême-Orient; Institute Française de Pondichéry, 2015. Pp. xvi + 1397. Rs. 570 per vol.

Advaita verse work, with the supplement by Sureśvarācārya, about the apparent manifestation of the Absolute (Brahman) into the phenomenal world through the five primary elements.

Vedantic treatise on knowledge of self and self-realization, with Kaivalyakalpadruma, an autocommentary and notes.

Grammatical analysis of commentaries of Sankaracarya on Prasthanatrayi (Brahmasūtra, Bhagavadgītā, Upanishad).

Study on Yoga philosophy of Patañjali in the light of Upanishads, Hindu philosophical classics.

Compilation of textual references from Vedic and Jaina religious literature on religious, philosophical and cultural aspects of non-violence (Ahimsa); Prakrit and Sanskrit text with Hindi translation.