Value and doubt: the persuasive power of 'authenticity' in the antiquities market

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Cancer Care Coordinators: Realising the Potential for Improving the Patient Journey

A person diagnosed with cancer can receive multiple treatments in a variety of different health care settings over extended periods of time1. During this time, they come into contact with multiple health care providers. For example, one recent UK study reported that cancer patients with a diagnosis of less than one year had met 28 doctors on average since their diagnosis2. Add to this the many other health professionals with whom the patient will come into contact during their illness and the complex maze that can characterise the patient’s cancer journey is obvious. The Optimising Cancer Care in Australia report3 published in 2003 by the peak cancer organisations in Australia concluded that there are many places for the person with cancer to get lost in the system, causing unnecessary morbidity and undue distress. The lack of an integrated care system for people with cancer was identified as a major failing of today’s health system3. A number of states in Australia have moved to appoint cancer care coordinators as a strategy to address such problems. In Queensland, cancer coordination positions have been established in a number of Health Service Districts in the Southern and Central Zone of the State, initially to scope patterns of care, referral pathways and to define a cancer coordination model for their regions that is consistent across the state, but able to meet the local needs of the population. To support its Cancer Clinical Service Framework, the NSW Health Department plans to recruit up to 50 cancer nurse coordinators. Cancer nurse coordinators in NSW will work through Lead Clinicians and Directors of Area Cancer Services to support oncology team meetings, develop care pathways and protocols, and provide a direct source of contact for patients and primary care physicians accessing cancer services4. In Victoria, a number of program coordinators and regional nurse coordinators have been introduced as part of the breast services enhancement program. Individual institutions have also established nurse coordinator roles for specific tumour streams. The cancer care coordinator role is a rapidly emerging one with a mandate to achieve some potentially far-reaching reforms to systems of care. To ensure these developments realise their potential, it is timely to consider the most effective ways to design and implement models of care coordination thatachieve the improvements being sought for the Australian cancer care system

Potential of series hybrid drive systems to reduce fuel use and emissions in domestic vehicles : a thesis presented in partial fulfilment of the requirements for the degree of Master of Technology in Energy Development at Massey University

For the last 100 years the reciprocating internal combustion engine (ICE) powered vehicle and the fossil oil that it is reliant upon has dominated our transport culture. In terms of land-based domestic and commercial transport, we would be completely lost without it. Most goods and services are transported by it. We use it to get to work, pick up the children, do the shopping and for some of us the domestic vehicle is an extension of our personalities. It has become an indispensable business and recreational tool of modern contemporary society. The conventional ICE powered vehicle initially gave us freedom, the ability to go wherever and whenever we wanted and to do it relatively cheaply. Now, however, our ever-increasing search for more mobility and the transport of goods and services has imprisoned modern society into high levels of emissions, pollution, increasing oil dependence, oil depletion concerns and the creation of resource wars in search of more energy (oil) to pursue our need for travel, transportation and the proper running of a modern society. This is because transport in general registers the most rapid increases in energy consumption and remains almost entirely dependent on oil because of few substitution possibilities to less carbon intensive fuels (IEA, 2000b). In most affluent countries the ICE powered vehicle meets 75 to 80 percent of personal travel (Sperling, 1996a)

Local solutions for local problems: Addressing teacher supply in rural communities

Teacher shortage in rural localities is a long-standing issue in New Zealand. This paper reports on an attempt to reduce the impact of shortages by redesigning the way pre- service teacher education was delivered. Called the Mixed Media Programme (MMP), this is a primary (elementary) teacher education program that was established in 1997 in New Zealand by the University of Waikato. It was initially introduced to rural areas of the North Island of New Zealand. It continues now as a viable and accessible flexible option for teacher education and is a significant means of ensuring better teacher supply in numerous rural areas. The program uses a combination of face-to-face teaching; school based learning activities and electronic communication. There is an annual intake of about 60 student teachers, most of who study at home in their local area. Now in its tenth year, the program has produced more than 400 graduates, many of whom are still teaching in schools throughout New Zealand. This paper reports on a small-scale study, which sought to examine the way that student teachers, teachers and school principals from two communities perceive the program and its effects on these communities. School principals, teachers, graduates and current student teachers were asked about the way that the program has enabled people from local communities to firstly study to become teachers in these communities and then to teach in them. Their views show that student teachers have found this approach to teacher education very beneficial to local communities for a number of reasons, including stable staffing for schools, commitment to teacher education programs, confidence about the quality of the graduates they employed. The student teachers reported that they were able to become teachers without having to leave their local communities, were exposed to university education as mature student teachers and that their study has had a range of effects on them and their families. It can be concluded from the evidence that the Mixed Media Programme has had important positive effects upon the two small communities of the study, at individual, school and wider community level

Demystifying Emergence

Are the special sciences autonomous from physics? Those who say they are need to explain how dependent special science properties could feature in irreducible causal explanations, but that’s no easy task. The demands of a broadly physicalist worldview require that such properties are not only dependent on the physical, but also physically realized. Realized properties are derivative, so it’s natural to suppose that they have derivative causal powers. Correspondingly, philosophical orthodoxy has it that if we want special science properties to bestow genuinely new causal powers, we must reject physical realization and embrace a form of emergentism, in which such properties arise from the physical by mysterious brute determination. In this paper, I argue that contrary to this orthodoxy, there are physically realized properties that bestow new causal powers in relation to their realizers. The key to my proposal is to reject causal-functional accounts of realization and embrace a broader account that allows for the realization of shapes and patterns. Unlike functional properties, such properties are defined by qualitative, non-causal specifications, so realizing them does not consist in bestowing causal powers. This, I argue, allows for causal novelty of the strongest kind. I argue that the molecular geometry of H2O—a qualitative, multiply realizable property—plays an irreducible role in explaining its dipole moment, and thereby bestows novel powers. On my proposal, special science properties can have the kind of causal novelty traditionally associated with strong emergence, without any of the mystery

Exploring the Relationship of Ethical Leadership with Job Satisfaction, Organizational Commitment, and Organizational Citizenship Behavior

The impact of ethics on recent leadership practices has assumed a prominent role in both practical and theoretical discussions of organizational leadership successes and failures. A leader\u27s ability to affect followers\u27 attitudes and behaviors is important in this pursuit because it can result in greater job performance (Tanner, Brugger, Van Schie, & Lebherz, 2010). Ethical leadership may provide an effective approach for fostering positive employee outlooks and actions. Employees respond positively to the ethical leader\u27s principled leadership, altruism, empowerment, and reward systems, suggesting that improved employee attitudes and work-related behaviors may follow (Brown & Trevino, 2006). Three established measures of attitudes and behaviors are employee job satisfaction, organizational commitment, and organizational citizenship behavior. The following research study examined the potential of ethical leadership to foster higher levels of these outcomes and found that employees led by highly ethical leaders reported greater job satisfaction and organizational commitment than did employees led by less ethical leaders. No significant difference was reported among employees regarding the impact of ethical leadership on their level of organizational citizenship behavior. These findings suggest both theoretical and practitioner level insights

Theories and quantification of thymic selection

The peripheral T cell repertoire is sculpted from prototypic T cells in the thymus bearing randomly generated T cell receptors (TCR) and by a series of developmental and selection steps that remove cells that are unresponsive or overly reactive to self-peptide–MHC complexes. The challenge of understanding how the kinetics of T cell development and the statistics of the selection processes combine to provide a diverse but self-tolerant T cell repertoire has invited quantitative modeling approaches, which are reviewed here