How Can Procurement Create (Sustainable) Public Value Under the Bipartisan Infrastructure Deal?

The economic response of the US government to the COVID-19 pandemic envisions massive investment in infrastructure construction. Yet, governments contract out public works and might lack the capacity to meet the increased demand for new construction. Drawing on a mix of survey and interview data, we identify critical deficiencies in contract capacity that might lead to a loss of public resources and further erode trust in the government. We propose a plan for restructuring public procurement systems and offer solutions around four foci: collaboration, training, flexibility, and sustainability. This transformation path would enhance government contract capacity and use markets to signal a demand for sustainable infrastructure and create public value in line with the strategic objectives of the Bipartisan Infrastructure Deal

Justice in Black and Brown: The impact of political control and representative bureaucracy on street level outcomes

This study tests the explanatory power of two prominent public administration theories—political control and representative bureaucracy—in understanding disparities in public service provision. While prior research focused on street-level bureaucracy, we study here how political and group identities of top elected law enforcement officials affect the distribution of youth arrests, alternatives, and prosecutions among minority groups. Data from Florida's 67 counties between 2015 and 2020 demonstrate that sheriff's and state attorney's party affiliation, race, and ethnicity do affect street-level outcomes. However, the effects are more pronounced for race than ideology. Also, representative bureaucracy appears more relevant for race than ethnicity and explains the behavior of Black sheriffs but not Black state attorneys

A Combination Scheme of Artificial Intelligence and Fuzzy Pattern Recognition in Medical Diagnosis

. The statement advocated here is that a trainable scheme resembling some elements of physician's decision making process could lead to an increased classification accuracy. Problems are considered which are difficult to cope with from both pattern recognition and AI point of view. A combination scheme is proposed which consists of an AI preprocessing part and a pattern recognition part delivering the final decision. The idea is to detect and then to aggregate the strengths of positive and negative evidence for a given medical hypothesis through a trainable nonlinear function. A possibility for application to CADIAG-2 is considered. An example from aviation medicine is presented which demonstrates the classification accuracy of 76.6 % of the proposed scheme versus 64.1 % obtained with linear discriminant analysis. 1 Introduction Although pattern recognition and artificial intelligence (AI) branches have usually been confronted and have developed in isolation from each other, the recen..

Perkutane Verschraubung von Scaphoidfrakturen: Subjektives und objektives Outcome nach durchschnittlich 41 Monaten

Issue 46.2 of the Review for Religious, March/April 1987.Modern Media and Comn~unity Vocation Directors and Sexuality Trends in Spirituality--1986 An Experience of Group Direction Volume 46 Number 2 March/April, 1987 Rl~v~l~w VOR RIz~,~c;~ous (ISSN 0034-639X), published every two months, is edited in collaboration with faculty members of St. Louis University’s Department of Theological Studies. The editorial offices are located at 3601 Lindell Blvd., Room 428: St. Louis, MO 63108-3393. REvw.w RF~l_~c,~otJs is owned by the Missouri Province Educational Institute of the Society of Jesus, St. Louis, MO © 1987 by REv~.w ~:OR RV, t,~G~OtJS. Composed, printed and manufactured in U.S.A. Second class postage paid at St. Louis, MO. Single copies: $2.50. Subscription: U.S.A.$11.00 a year: $20.00 for two years¯ Other countries: add$4.00 per year (surface mail)¯ Airmail (Book Rate): $18.00 per year. For subscription orders or change of address, write: R~:viFzw vor~ R~:~Acaot~s: P.O. Box 6070; Duluth, MN 55806. Daniel F.X. Meenan, S.J. Dolores Greeley, R.S.M. Iris Ann Ledden, S.S.N.D. Richard A. Hill, S.J. Jean Read Editor Associate Editor Review Editor Contributing Editor Assistant Editor March/April, 1987 Volume 46 Number 2 Manuscripts, books for review and correspondence with the edilor should be sent to REVIEW I.’OR R~:~.~taotls: Room 428; 3601 Lindell Blvd., St. Louis, MO 63108-3393. Correspondence about the department "Canonical Counsel" should be addressed to Richard A. Hill, S.J.; J.S.T.B.; 1735 LeRoy Ave., Berkeley, CA 94709. Back issues and reprints should be ordered from R~:v~:w ~’ou RE~,W.~o~s: Room 428; 3601 Lindell Blvd.; St. Louis, MO 63108-3393, "Out of print" issues and articles not published as reprints are available from University Microfilms International; 300 N. Zeeb Rd.; Ann Arbor, MI 48106. A major portion of each issue is also available on cassette recordings as a service for the visually impaired. Write to the Xavier Society for the Blind; 154 East 23rd Street; New York, NY 10010. The Fi st Stage tO"Union: The Active Night Of the .Senses Susan A. Muto Doctor Muto is Director of Duquesne’s Institute of Formative Spirituality (Duquesne University; Pittsburgh, Pennsylvania 15282). St. John of the Cross’ teaching in the first book of the Ascent of Mount Carmel presupposes that the sojourner has reached that stage in the spiritual life where he or she Js ready to advance beyond the beginnings of prayer and awaken to the deeper regions of divine intimacy. Thus he writes here for (advanced) beginners and persons already proficient in such virtues as detachment, humility and charity. The aim of Book One is threefold: to help an already well,formed self, one who has tasted certain pleasures and satisfactions, to unburden itself of worldly, inordinate attachments; to share the knowledge the saint has gathered through his own reading, experience, and direction as to how souls are to avoid spiritual obstacles; and to describe in concrete detail the way in which one can live in the freedom of spirit necessary, for divine union. It is wise at this point to read the poem, "One Dark Night," and return to it, for its moving images teach--more than abstract concepts can--how happy the soul is to pass through the nights of sense and spirit to union with its Beloved. In the Prologue to Book One the master says that his guides on this journey will be, above all, the desire for God, along with the background wisdom provided by Sacred Scripture and the doctrine of the Church. He immediately identifies two main obstacles to advancement, these being, in a phrase, inadequate direction and inadequate appraisal. Spiritual directors, 161 Review for Religious, March-April, 1987 lacking both sufficient knowledge and experience.of what is happening to the pilgrim soul may unwittingly encourage persons to continue in their old ways. Then, too, the person himself or herself may neither know how to nor want to advance. Even if the Lord comes, they are not willing to adapt themselves to his work. They resist the flow of grace or refuse to cooperate. Thus: God gives many souls the talent and grace for advancing, and should they desire to make the effort they would arrive at this high state. And so it is sad to see them continue in their lowly method of communion with God because they do not want or know how to advance, or because they receive no direction on breaking away from the methods of beginners (AMC, I, Prologue, 3/70).* Failing to understand that God is the author of this enlightenment, ill-prepared directors may urge persons, instead of advancing, to return to former ways of prayer or to make many general confessions. They do not realize that now is not the time for such activity: Indeed it is a period for leaving these persons alone in the pu~’gation God is working in them, a time to give comfort and encouragement that they may desire to endure this suffering as long as God wills, for until then, no remedy--whatever the soul does, or the confessor says--is adequate (AMC, I, Prologue, 5/71). Having said this, St. John begins in Chapters One and Two to explain the imagery of’the "night" that will guide both him and the soul. Early evening or twilight marks the point of departure, the time of purgation, for the soul will experience deprivations of its appetites for worldly pleasure, possessiohs; powers. As one mortifies these, one is led deeper into the night--to the midnight hour of dense darkness where the only means of progress is faith, where intellect is deprived of its normal modes of knowing so that one may be made ready for the secret and intimate self-communications of God. The night eventually gives way to daybreak, to the dawn, which symbolizes the point of God’s arrival, the time of love’s illumination transformed into perfect union with the Lover: Thus these phases of the night encompass the threefold path of purgation, illumination, and union, not as something accomplished once and for all in linear fashion, but as an ongoing cycle of deprivation, restoration, and transformation. One discovers through the nights of sense and spirit that, as St. Teresa of Avila says, on this walk through life God alone suffices. No object of sense, no concept, image, or idea, can fulfill our infinite desire. The point of Chapter Three is to identify the first cause of this night as the "privation"~or deprivation of perverted desires or appetites. Perhaps The First Stage to Union this is St. John’s way of explaining, as a necessary condition for.spiritual deepening, control of the pleasure principle. This control actually effects a rechanneling of vital energies so that they flow from and return to their transcendent source. We must go through this "night" in order to restore the equilibrium thrown off by excessive attachment to the gratifications afforded by our relations, sensually speaking, to persons, things and events. It is clear from the context of this chapter that St. John believes that all creation is good; nothing is evil in itself. Ideally we ought to proceed from the manifestations of God to God himself. In reality, due to the spiritual blindness imposed by our fallen condition, we cling frantically to these vital gratifications. By refusing to let them go, we disavow them. as pointers to their Creator. We tend to make them ultimate sources of pleasure or posses-sion. They become idols or ends in themselves. The result of not entering the night of sense deprivation is, therefore, an increase of formation igno-rance or forgetfulness of our true transcendent" nature--the dynamic that marks our most distinctive human quality. Hence, we need the "night" to reawaken our capacity to remember the Creator in our sense perception of creatures. That is to say, we must see through the visible to the invisible Reality. We are not to remain only on the surface of things but to behold in faith the depth dimension. By darkening the senses of hearing, seeing, smelling, tasting and touching, one is paradoxically free and empty of all things, even though one possesses them. In short: "Since the things of the world cannot enter the soul, they are not in themselves an encumbrance or harm to it; rather, it is the will and appetite dwelling within it that causes the damage" (AMC, 1, 3, 5/77). St. John now goes on, in effect, in Chapters Four and Five to suggest three steps to follow on this phase of the journey through the dark night to God. They are, in a word, remembrance, comparison and renunciation.., In the first place, to be freed from this idle/idol illusion, one must strive to remember the right relation between creation and the Creator. Curiously enough, this re-membering has to do with dismembering, that is, of divesting ourselves of inordinate attachments to things as they are in themselves, as if they could be separated f~om their Creator. To dismember a thing as ultimate is to re-member it as dependent on God..Such detachment, while painful, helps one to appreciate things much more as manifestations of the goodness of God. By contrast, one who is clothed in these affections (versus dis-membered) will be "incapable of the enlightenment and dominating full-ness of God’s pure and simple light, unless he rejects them" (AMC, I, 4, 1/77-78). Harsh as it may sound, St. John holds firm to his conviction that the light of divine union cannot be established in the soul until these (inordi-nate) affections are eradicated. A more positive way of making the point 164 / Review for Religious, March-April, 1987 might be to ~ay t~at when our idolizing ~lesire to take pleasure in and to possess things as such is mortified, we can appreciate them as they are in their pristine origin and beauty. We move in this way from a posture of violence and control to one of love and letting be, from an attitude of manipulation and calculation to one of compassion. A second helpful step at this stage of the journey is to set up a comparison between the finite, limited nature of things as distinct from the "how much more" of the infinite. For example, the Sea of Galilee compared to the sea of God’s love is like a drop of water compared to the Pacific Ocean. Simi-larly, creatures, however beautiful, elegant and abundant they may be, com-pared to their Creator are as darkness compared to light, are as coarseness compared to grace, or ignorance compared to ability. Through this exercise in comparison, St. John introduces us to the Reality Principle, namely, he wants us to see things as they really are in their limited value and as pointers to the limitlessness of thei’r Lord. Via this comparison, we will be better able to break the tendency to make any "little beyond" into the "True Be~,ond"’ and hence _to. r_is_k !nitiating a pseud.o-spirituality that invests in something finit~ the richness of the Infinite. Understanding this point of comparison enables us to read Chapter Four as a litany of praise to our Creator God: ¯ . . all the being of creatures compared with the infinite being of God is nothing .... All the beauty of creatures compared with the infinite Beauty of God is supreme ugliness .... All the grace and elegance of creatures compared with God’s grace is utter coarseness and crudity... (AMC, l, 4, 4/79). Here St. John would agree fully with St. Paul that the wisdom of the world is mere foolishness in God’s sight (1 Co 3:19). Clearly, the meaning of these statements does not intend for us to reject creaturely being, beauty, grace and ability as bad, but to place these attributes in their proper rela-tion to God. They will all pass away, but not his word. Creaturely qualities, no matter how rich, are ultimately poor in comparison to the Being, Beauty, Elegance and Wisdom of God. Our hope resides not in this or that momen-tary pleasure or possession but in God alone. If the first step out of illusion is to remember our nothingness without God, then the second step is to compare his eternal truth with whatever is temporal. The promise he makes to us is more trustworthy than any stopping place on the path of formation. Thus it is up to us to keep running the race to the end, which means not resting ultimately in anything but God, for, as St. Augustine has said so beautifully, our hearts are restless until they rest in him. Or, to again quote St. John: The First Stage to Union All the sovereignty and freedom of the world compared with the f~eedom and sovereignty of the Spirit of God is utter slavery, anguish, and cap-tivit3; .... All the delights and satisfactions of the will in the things of the world in contrast to all the delight that is God is intense suffering, tor-ment and bitterness .... All the wealth and, glory of creation compared with the wealth that is God is utter poverty and misery in the Lord’s sight (AMC, I, 4, 6, 7/80). The third step, as suggested in Chapter Five, is the most radical, for St. John says that total renunciation is the condition par excellence for pure transformation. Here paradox prevails, Just as knowing is only possible in unknowing, so freedom of spirit or liberation is the result of detachment or renunciation. One must empty the appetite of all the natural and super-natural things which can be a hindrance to the journey to God. This kenotic experience does not happen once and for all but demands habitual effort in cooperation with the graces God is bestowing. The language here allows for no compromise: , The road and ascent to God, then, necessarily, demands a habitualeffort to renounce ~nd mortify the appetites; the sooner this mortification is achieved~ the sooner the soul re~ches the top. But until the appetiteff are eliminated, a person will not arrive, no matter how much virtue he practices. For he will fail to acquire perfect virtue, which lies in keeping the soul empty, naked and purified of every appetite (AMC, I, 5, 6/83). If we desire to climb the summit of the mount "in order to become an altar for the offering of a sacrifice of pure love and praise," we must strive to accomplish three.tasks, described through the following metaphors: first, we must "cast out strange gods," meaning that we have to let go of any affections and attachments that tend to alienate us from God; secondly, we must purify ourselves of their residue through habitual denial (saying no for the sake of a greater yes) and--for as often as we fail to do so-- through habitual, confident repentance (trusting that God’s mercy responds with motherly tenderness to our misery); and, thirdly, we must take on a "change of garments," meaning that we must be clothed in a "new under-standing of God [through the removal of the understanding of the old man], and in a new love of God in God .... " In this way, we move from igno-rance of who we really are toward acceptance of our being made in the form and likeness of God, of our being, as St. John puts it, "his worthy dwelling." The saint is one who says with every fiber of his or her being: "My God and my all!" One accepts this truth without flinching: "The only appetite God permits and wants in his dwelling place is the desire for the perfect fulfillment of his law and the carrying of his cross" (AMC, I, 5, 8/84). Having reflected on the meaning and demands of total renunciation and "166 / Review for Religious, March-April, 1987 the liberation it brings, St. John moves on in the next five chapters (Six through Ten) to analyze the harms the appetites engender in the soul. There are two main areas of harm, the one privative, the other positive. In general, unruly appetites deprive us of God’s spirit. By our attachment to a created thing weoare less capable of soaring free to God. St. John relies for his reason-ing on the philosophical fact that two contraries cannot coexist in the same person. Therefore, "Since love of God and attachment to creatures are con-traries, they cannot coexist in the same will" (AMC, I, 6, 2/85). In biblical terms, rather than accept our privilege as children of God to eat at his table, we act like dogs who must eat the crumbs that fall to the floor. We refuse to rise from the "crumbs" of creatures to the uncreated Spirit of the Father. It stands to reason that "this uncreated fullness cannot find entry to a soul until this other hunger caused by the desires is expelled" (AMC, I, 6, 3/85). As to the second harm, which is positive, we must realize that numerous. impediments are wrought in the soul by inordinate appetites, the most obvious of these being that they weary, torment, darken, defile and weaken the true seeker. Our spiritual life suffers in the first place because these appe-tites weary and tire us to death. He compares them to restless, discontented children, who wear their mothers out trying to please them. Satisfied at one moment, they demand more satisfaction the next. The more one quiets their cravings, the more demanding they become. One feels increasingly agitated, disturbed, fatigued. Like the pulsion governing physical hunger or sexual need, so appetites in general are stirred to satisfy themselves endlessly. St. John makes this analogy: Just as a lover is wearied and depressed when on a longed-for day his oppor-tunity is frustrated, so is a man wearied and tired by all his appetites and their fulfillment, because the fulfillment only causes more hunger and empti-ness. An appetite, as they say, is like a fire that blazes up when wood is thrown on it, but necessarily dies out when the wood is consumed (AMC, I, 6, 6/87). Such desires make it impossible for us to live in the longing for God alone, for instead of him, weexpect them to satisfy us. It is as if we keep looking for heaven on earth. Thus we become ready victims of illusory promises of fulfillment. We give in to the pressures of consumerism. In both cases the sad reward is discontent, for we have turned unwittingly from God who alone can satisfy us. These inordinate appetites not only wear us-out, they also torment us. They gnaw at us mercilessly, as if we were bound by tight cords or tortured on a rack. The torment would be comparable to that which a person suffers who lies naked on thorns and nails; who is in pain; who knows no peace; who is always thirsty. In contrast to what happens to us when the cord of The First Stage to Union / 167 desires tightens around us, when the possessions we cling to desperately possess us, think of the liberation of the children of God. Consider the refreshing peace that is ours when we surrender our will to his. Instead of wasting our efforts, why don’t we delight in the abundance of God? We should learn to see that this movement to~vard abundance is a departure from the pleasures of crea-tures, because the creature torments, while the Spirit of God refreshes’.’ -Accordingly, God calls us through St. Matthew... as though he were to say: All you going about tormented, afflicted, and weighed down by your cares and appetites, depart from them, come to me and I will refresh you; and you will find the rest for your souls that the desires take away from you (Mt 11:28-29) (AMC, 1, 7, 4/88-89). Thirdly, these self-centered desires blind us. It is as if we are living behind a cloudy pane of glass that blocks out the bright sunshine. We see only a hazy image of things--not things as they really are. Due to this blindness, it is impossible for us to think clearly. It is as if the powers of our transcen-dent mind are dulled by the excessive demands of the vital or functional spheres. Both natural reason and supernatural wisdom are darkened. And when the intellect is obscured, the will becomes weak and the memory dis-ordered. The desire for const’an~ pleasure or sensual stimulation makes reflec-tive living a virtual impossibility. Things go from bad to worse because the intellect is incapable of receiving the illumination of God’s wisdom; ttie will cannot embrace the pure love of God; and the memory lessens its capacity for the impression of the serenity of God’s image upon it. Unless these blinding desires are mortified, one will not advance on the way of union. It stands to reason that if the~e unruly appetites lead a person, he or sh~ is bound to be blind to the’mind’s appraisal powers. One reacts on impulse, without the help of a quiet attunement to the Christ form in the core of one’s being. All that is released is the counterfeit form of con-cupiscence and pride. No amount of penance can overcome this darkness if one does not root out the source of the trouble, namelyl the blinding blockage of inordinate desires. They are like a ~ataract on the eye or specks of dust in°it. Until they are removed, they obstruct vision. One way or another, in this life or in the next, these appetites have to be chastised and corrected. They have to underg6 purgation before any steady progress in the spiritual life can take place. St. John laments this condition of forma-tion ignorance in language reminiscent of the prophets: Oh, if men but knew what a treasure of divine light this blindness caused by their affections and appetites deprives them of, and the number of mis-fortunes and evils these appetites occasion each day when left unmorti-fle!! .... At every step we mistake evil for good and good for evil. 16~i / Review for Religious., March-April, 1987 This is peculiar to our nature. But what will happen if appetite is added to our natural darkness? .... We have felt our way along the way as though blind, we have groped as if without eye,s, and our blindness has reached the point that we stumble along in broad daylight as though walk-ing in the dark (AMC, I, 8, 6, 7/91). Using even stronger language, St. John assures us that such blind desires stain ,and defile the soul, bringing it into bondage under the rule of the autarchic-pride form, and blackening the beauty of the christ form we are called to r