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In this book, Stewart Clem develops an account of truthfulness that is grounded in the Thomistic virtue of veracitas. Unlike most contemporary Christian ethicists, who narrowly focus on the permissibility of lying, he turns to the virtue of truthfulness and illuminates its close relationship to the virtue of justice. This approach generates a more precise taxonomy of speech acts and shows how they are grounded in specific virtues and vices. Clem's study also contributes to the contemporary literature on Aquinas, who is often classified alongside Augustine and Kant as holding a rigorist position on lying. Meticulously researched, this volume clarifies what set Aquinas's view apart in his own day and how it is relevant to our own. Clem demonstrates that Aquinas's account provides a genuine alternative to rigorist and consequentialist approaches. His analysis also reveals the perennial relevance of Aquinas's thought by bringing it to bear on contemporary social and ethical issues.
Since the last biography of Montesquieu in English (Shackleton, Oxford, 1961) Montesquieu scholarship has been entirely renewed, culminating in a critical edition of his complete works in twenty-two volumes that is nearing completion. Since 1998, this new edition of the complete works has considerably modified what was known about Montesquieu and his procedures, eliciting new translations and further studies. Additionally, several thousand manuscript pages were made public in 1994 and continue to generate further scholarly inquiry. The author of this compact biography, originally published by Gallimard 2017, is the director of the critical edition of the works and the most qualified scholar of Montesquieu. At once an introduction to Montesquieu's thought and a synthesis of current knowledge about his life and work, this book is full of insights and revised judgements about Montesquieu and how his political philosophy helped thrust Enlightenment onto the European agenda.
Paradoxes, contrary propositions that are not contestable separately but that are inconsistent when conjoined, constitute a pervasive feature of contemporary organizational life. When contradictory elements are constituted as equally important in day-to-day work, organizational actors frequently experience acute tensions in engaging with these contradictions. This Element discusses the presence of paradoxes in the life of organizations, introduces the reader to the notion of paradox in theory and practice, and distinguishes paradox and adjacent conceptualizations such as trade-off, dilemma, dialectics, ambiguity, etc. This Element also covers what triggers paradoxes and how they come into being whereby the Element distinguishes latent and salient paradoxes and how salient paradoxes are managed. This Element discusses key methodological challenges and possibilities of studying, teaching, and applying paradoxes and concludes by considering some future research questions left unexplored in the field.
With an accessible style and clear structure, Miranda Stewart explains how taxation finances government in the twenty-first century, exploring tax law in its historical, economic, and social context. Today, democratic tax states face an array of challenges, including the changing nature of work, the digitalisation and globalisation of the economy, and rebuilding after the fiscal crisis of the COVID-19 pandemic. Stewart demonstrates the centrality of taxation for government budgets and explains key tax principles of equity, efficiency and administration. Presenting examples from a wide range of jurisdictions and international developments, Stewart shows how tax policy and law operate in our everyday lives, ranging from family and working life to taxing multinational enterprises in the global digital economy. Employing an interdisciplinary approach to the history and future of taxation law and policy, this is a valuable resource for legal scholars, practitioners and policy makers.
The global political environment in the twenty-first century is proving dynamic and challenging for Australian policymakers and political institutions. Australian Politics in the Twenty-first Century contextualises the Australian political landscape through an institutional lens. It examines the legislative and judicial bodies, minor parties, lobby groups, the media and the citizenry, providing historical and contemporary facts, explaining political issues and examining new challenges. The second edition has been updated to reflect the application of political theories in today's civic environment. New spotlight boxes highlight issues including marriage equality, COVID-19 and federalism, the inclusion of First Nations peoples in the political system, and gender equality in public policy. Short-answer, reflection, research and discussion questions encourage students to test and extend their knowledge of each topic and to clearly link theory to practice. Written in an accessible and engaging style, Australian Politics in the Twenty-First Century is an invaluable introduction to the Australian political system.
Metal isotope tracers (e.g., 87Sr/86Sr, 7Li/6Li; 138Ba/134Ba) are being employed worldwide to understand downhole processes and assess the environmental impact of hydraulic fracturing. These isotope signatures can be much more sensitive than geochemical tracers alone in discriminating between contaminant sources. This can be particularly useful when time has elapsed after an event and a contaminant has been substantially diluted, or in being able to quickly detect the intrusion of a brine with high total dissolved solids (TDS) into a protected water resource. In some cases, such as areas with multiple sources of water contaminants and overlapping chemical signatures, a multi-proxy approach is recommended. The combination of element ratio and isotopic tracers (e.g. Sr/Ca and 87Sr/86Sr) or multi-isotope tracers (e.g., 87Sr/86Sr and d7Li) can be used to discriminate between multiple contaminant sources and provide important information about the processes involved in concentrating, mobilizing or retaining a contaminant.
In this prospective, longitudinal study, we examined the risk factors for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among a cohort of chronic hemodialysis (HD) patients and healthcare personnel (HCPs) over a 6-month period. The risk of SARS-CoV-2 infection among HD patients and HCPs was consistently associated with a household member having SARS-CoV-2 infection.
In this survey of 41 hospitals, 18 (72%) of 25 respondents reporting utilization of National Healthcare Safety Network resources demonstrated accurate central-line–associated bloodstream infection reporting compared to 6 (38%) of 16 without utilization (adjusted odds ratio, 5.37; 95% confidence interval, 1.16–24.8). Adherence to standard definitions is essential for consistent reporting across healthcare facilities.
Deep brain stimulation (DBS) for movement disorders consists of chronic high-frequency electrical stimulation of certain targets in the basal ganglia, the deep grey matter of the brain. In 1997, DBS received Food and Drug Administration (FDA) approval for treatment of motor symptoms of movement disorders, and it is now used to treat essential tremor, Parkinson’s disease (PD), and primary dystonia.
Mixed languages are a type of contact language that results from two or more languages combining in a situation of multilingualism. They arise during times of significant social change, serving as an expression of a new identity or the maintenance of an older identity. This chapter overviews languages which have been classified as “mixed languages” (§2) and presents case studies of a number of these languages within a typological classification: (i) Lexicon-Grammar (LG) mixed languages, where one language provides the grammar and another language contributes large amounts of vocabulary; (ii) structural mixes, where both languages contribute significant amounts of grammatical (and lexical) material to the new language; and (iii) converted languages, where a language maintains its lexicon but undergoes structural convergence with another language (§3). The chapter then discusses their contemporary functions (§4.1), their socio-historical origins (§4.2), and the linguistic processes (§5) that led to their genesis. Section 6 provides the first detailed discussion of the phonology of the mixed languages. As will be shown, the mixed languages originate from a range of socio-historical settings and linguistic processes that do not obviously predict the resultant shape of the language.
To improve the clerking proforma and physical healthcare for General Adult Psychiatric inpatients in Heddfan Psychiatric Unit, Wrexham by 100% within 18 months period with a long term goal of continuous improvement.
We started the project with a baseline audit which showed the incompleteness of vital data when clerking a patient in adult psychiatric inpatient unit. This was compared with various standards from Core competencies for a trainee in Psychiatry, NICE guidelines and Local trust policy from our own trust BCUHB for physical health monitoring and Department of Health Guideline for VTE.
With the findings obtained, we went ahead to create a proforma encompassing all the details.
The use of various Quality improvement tools such as Fishbone diagram, Drivers diagram and PDSA cycles gave as overwhelming results
The baseline audit, repeat audits and PDSA cycles have shown tremendous and overwhelming results in terms of completion of the proforma. This has resulted in mandatory details being inputted sufficiently in the patient's notes.
Many of the important details such as medication details, allergy status, legal and forensic status, mental state examination, risk assessment, VTE assessment, investigation details and documentation have shown to have improved during this 1 year
This QIP has been patient centred as this is the main goal. Following the PDSA cycle, we have identified that it has been efficient and effective. It has been safe and also reduced the chances of patient neglect. The structure of the proforma used does not discriminate or show any inequalities and is timesaving too.
The SWOT analysis has been completed, which has shown that the teamwork and support from the Consultants and other stakeholders have been a major strength. There are a few weaknesses such as unavailability of ECG machine, missing documentation of investigations despite completing them but however with timely education to the junior doctors, we are hoping for improvement further. This QIP has opened up doors for various opportunities, such as including nursing and pharmacy admission forms into this proforma. Though there are few threats in achieving 100% success, we are hoping for the best