Strategic Medical Equipment Incorporation Process: A Proposed Model to be used by the Lebanese Healthcare Organizations

Background: The Improvement in healthcare as provided by new modern equipment is associated with the rise in healthcare cost. Lebanon’s economy and its public healthcare sector might be struggling with a crisis stimulated by the absence of any legal limit for the sophisticated medical equipment number per population density. Purpose: to assess the current methodology for health technology incorporation used by the Lebanese hospitals, and to propose an incorporation model guiding them in medical devices acquisition. Methodology: combination of quantitative and qualitative approaches were used in addition to a proposed incorporation models with an applied case study on it. Questionnaires were distributed among 34 hospitals, with a response rate of 82.35%, and interviews were conducted with five biomedical managers. Results: The study shows that only 7% of mangers know what Health Technology Assessment (HTA) means, and none of these hospitals use HTA reports. Additionally, 71% of hospitals don’t monitor their incorporation process and only 4% evaluate the purchased devices’ utilization. Based on the qualitative analysis, the lack of proper need assessment, market study, and poor supplier evaluation were the main reasons behind poor incorporation processes. Conclusion: We found that hospitals lack a proper incorporation process as evident in their poor methodology, hence recommendations were to follow a formalized process for medical device incorporation. However when it comes to the Ministry of Public Health, the recommendations were to formalize and apply new laws and regulations for the certificate of needs

From scandal to monastic penance: a reconciliatory manuscript from the early twelfth-century abbey of St. Laurent in Liège

An important element of monastic penance and conflict resolution was its repetitive, almost cyclical nature. The manuscripts that were used during these performances often proceed implicitly, which makes them difficult to contextualize and understand. This article considers a possible example of such "hidden" reconciliatory discourse in a manuscript that was produced for the congregation of St. Laurent in Liege around the turn of the eleventh century: Brussels, Royal Library 9361-9367. It examines the sin of pride in monastic dignitaries, discusses the best way to atone for it, and provides tools for the penitent to start living a more virtuous life in the future. The surviving evidence suggests that this manuscript was produced in reaction to the deeds of abbot Berenger, whose actions in 1095 were considered scandalous by contemporaries because he had led his monks into confusion and sin. The article shows how the combination of texts in this manuscript takes on a different meaning because of these politically charged circumstances, and argues that the St. Laurent manuscript was a discreet but methodical way to end the resulting estrangement between Berenger and his monks. In this interpretation, Brussels RL 9361-9367 is a rare and highly relevant testimony to the ways in which monks in the early twelfth century dealt with psychological and social tensions in the wake of an intra-group conflict

Deafening silence? Marxism, international historical sociology and the spectre of Eurocentrism

Approaching the centenary of its establishment as a formal discipline, International Relations today challenges the ahistorical and aspatial frameworks advanced by the theories of earlier luminaries. Yet, despite a burgeoning body of literature built on the transdisciplinary efforts bridging International Relations and its long-separated nomothetic relatives, the new and emerging conceptual frameworks have not been able to effectively overcome the challenge posed by the ‘non-West’. The recent wave of international historical sociology has highlighted possible trajectories to problematise the myopic and unipolar conceptions of the international system; however, the question of Eurocentrism still lingers in the developing research programmes. This article interjects into the ongoing historical materialist debate in international historical sociology by: (1) conceptually and empirically challenging the rigid boundaries of the extant approaches; and (2) critically assessing the postulations of recent theorising on ‘the international’, capitalist states-system/geopolitics and uneven and combined development. While the significance of the present contributions in international historical sociology should not be understated, it is argued that the ‘Eurocentric cage’ still occupies a dominant ontological position which essentially silences ‘connected histories’ and conceals the role of inter-societal relations in the making of the modern states-system and capitalist geopolitics

The nature of the Ottoman state in the latter part of the XVII century.

Donated by Klaus Kreise

Ottoman diplomacy at Karlowitz.

Donated by Klaus KreiserReprinted from : Journal of American Oriental Society.87, 1967

An agenda for research in history: he history of Libya between the sixteenth and nineteenth centuries.

Donated by Klaus KreiserReprinted from : Int. J. Middle East Stud. 15, 1983

Ottoman attitudes toward peace making: the Karlowitz case.

Donated by Klaus KreiserReprinted from : Islam 51, 1974

The ottoman vezir and paşa households 1683-1703: a preliminary report.

Donated by Klaus KreiserReprinted from : Journal of the American Oriental Society 94.4, 1974

The social uses of the past: recent Arab historiography of Ottoman rule.

Donated by Klaus KreiserReprinted from : Int. J. Middle East Studies.14, 1982

Near East.

Donated by Klaus KreiserReprinted from : American Historical Reviews.82, 1977