笛卡尔在《谈谈方法》一书的第三部分中提出了一套道德准则,即morale par provision。最近,一些笛卡尔哲学的研究者们对这一概念提出了三种不同的解读。第一种解读是传统且主流的解读,主张将morale par provision理解为"临时的道德...笛卡尔在《谈谈方法》一书的第三部分中提出了一套道德准则,即morale par provision。最近,一些笛卡尔哲学的研究者们对这一概念提出了三种不同的解读。第一种解读是传统且主流的解读,主张将morale par provision理解为"临时的道德",它是笛卡尔为了保障自己或他人在贯彻"普遍的方法"的第一步"怀疑的方法"或"方法论怀疑"时所采取的一种权宜之计。第二种解读是将morale par provision理解为"先决的道德",强调这种道德的先决性与无条件性。第三种对morale par provision的解读是将之理解为"完美道德的一阶近似"。笛卡尔在《谈谈方法》一书中所做的"建筑的比喻"十分清楚地表明了他提出morale par provision的用意及其真正的含义,他将morale par provision比作为了实施房子重建计划而预先准备的临时的房子。因此,Morale par provision其实是笛卡尔为了保障自己或他人在贯彻"普遍的方法"的第一条准则时仍能够不影响日常生活所采纳的一种策略。在这个意义来说,将morale par provision译作"临时的道德"是合适的,换句话说,三种解读中的第一种解读有其合理的依据。《谈谈方法》是morale par provision的出处,因此它无疑是对这一表述进行解释所要依据的最重要的文本。另外两种解读尽管有其合理的地方且具有创新性,但是,只要它们无法强力地否定《谈谈方法》的文本证据,那么它们就无法真正地驳倒第一种解读。此外,关于morale par provision的另外两种解读的支持理由与证据也并非无懈可击。展开更多
This paper investigates the importance of trust in international institutions for the development of tax morale by focussing on interactions between trust in the national government and trust in the European Union(EU)...This paper investigates the importance of trust in international institutions for the development of tax morale by focussing on interactions between trust in the national government and trust in the European Union(EU)or trust in the United Nations(UN).Using large-scale survey data from European countries,we provide evidence that all three trust variables are significantly related to the individual level of tax morale.Overall,the results regarding trust in the EU and the UN are very similar,while trust in the national government appears to be the main factor in driving tax morale.However,depending on the national context,trust in the national government interacts differently with trust in different international institutions with respect to the shaping of tax morale.展开更多
BACKGROUND: Attrition in surgical residency programs continues to be a significant challenge. Ap-proximately 20% of residents who begin a categorical surgery residency fail to complete it. A number of studies speculat...BACKGROUND: Attrition in surgical residency programs continues to be a significant challenge. Ap-proximately 20% of residents who begin a categorical surgery residency fail to complete it. A number of studies speculated reasons for this including work hours, life style, family pressures, and resident feelings of inadequacy including fear of termination. To date no research has been conducted investigating the relation-ship between resident morale and attrition. This study sought to determine if this linkage exists in surgery residents. METHODS: The Morale Assessment in General Practice Index (MAGPI) was administered to 21 PGY 1, 2, 3, and 5 surgical residents to assess level of morale. Non-parametric methods were carried out to assess if there were differences in morale among the four PGY groups. Additionally, analyses of the four factors comprising the MAGPI were also conducted. RESULTS: Although differences did not reach statis-tical significance, analysis of the data reveals that residents demonstrate different trends in their levels of morale based on the amount of time they spend in a residency and in a way that approximates the morale curve described by W. Walter Menninger, M.D. Additionally, two of the four factors comprising the MAGPI also indicate trends similar to that described by the Menninger morale curve. CONCLUSIONS: Although no statistically significant results were achieved, the data reveal trends that approximate shifts in morale similar to those described by the Menninger morale curve, with residents at the PGY 2 and 3 levels present-ing lower morale levels than at the PGY 1 and 5 levels. This may be due in part to the size of the population studied. Future research should be continued in this area with a larger sample size.展开更多
The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the...The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the effective laboratory service delivery in the NHS in England.Biomedical scientists work in healthcare to diagnose disease and evaluate the effectiveness of treatment through the analysis of body fluids and tissue samples from patients.They provide the"engine room"of modern medicine with 70%of diagnosis based on the laboratory results generated by them.This review involved the search of literature for information on working condition of biomedical scientist in the NHS in England.Laboratory service delivery in the NHS in England faces numerous daunting challenges;staffing levels in the last few years have become dangerously low,less remunerated,relatively less experienced and predominantly band 5's,multidisciplinary rather than specialty based,associated with working more unsocial hours without adequate recovery time,de-banding of staff,high staff turnaround,profit and cost driven rather than quality.These factors has resulted in burn out,low morale,high sickness absences,increased error rate,poor team spirit,diminished productivity and suboptimal laboratory service delivery.There is the urgent need to retract our steps on unpopular policies to ensure that patient care is not compromised by ensuring adequate staffing level and mix,ensuring adequate remuneralion of laboratory staff,implementing evidenced-based specialty oriented service,determining the root cause/s for the high staff turnover and implementing corrective action,identifying other potential sources of waste in the system rather than pruning the already dangerously low staffing levels and promoting a quality delivery side by side cost effectiveness.展开更多
文摘笛卡尔在《谈谈方法》一书的第三部分中提出了一套道德准则,即morale par provision。最近,一些笛卡尔哲学的研究者们对这一概念提出了三种不同的解读。第一种解读是传统且主流的解读,主张将morale par provision理解为"临时的道德",它是笛卡尔为了保障自己或他人在贯彻"普遍的方法"的第一步"怀疑的方法"或"方法论怀疑"时所采取的一种权宜之计。第二种解读是将morale par provision理解为"先决的道德",强调这种道德的先决性与无条件性。第三种对morale par provision的解读是将之理解为"完美道德的一阶近似"。笛卡尔在《谈谈方法》一书中所做的"建筑的比喻"十分清楚地表明了他提出morale par provision的用意及其真正的含义,他将morale par provision比作为了实施房子重建计划而预先准备的临时的房子。因此,Morale par provision其实是笛卡尔为了保障自己或他人在贯彻"普遍的方法"的第一条准则时仍能够不影响日常生活所采纳的一种策略。在这个意义来说,将morale par provision译作"临时的道德"是合适的,换句话说,三种解读中的第一种解读有其合理的依据。《谈谈方法》是morale par provision的出处,因此它无疑是对这一表述进行解释所要依据的最重要的文本。另外两种解读尽管有其合理的地方且具有创新性,但是,只要它们无法强力地否定《谈谈方法》的文本证据,那么它们就无法真正地驳倒第一种解读。此外,关于morale par provision的另外两种解读的支持理由与证据也并非无懈可击。
基金the Deutsche Forschungsgemeinschaft(DFG,German Research Foundation)[Projekt-ID 440793159].
文摘This paper investigates the importance of trust in international institutions for the development of tax morale by focussing on interactions between trust in the national government and trust in the European Union(EU)or trust in the United Nations(UN).Using large-scale survey data from European countries,we provide evidence that all three trust variables are significantly related to the individual level of tax morale.Overall,the results regarding trust in the EU and the UN are very similar,while trust in the national government appears to be the main factor in driving tax morale.However,depending on the national context,trust in the national government interacts differently with trust in different international institutions with respect to the shaping of tax morale.
文摘BACKGROUND: Attrition in surgical residency programs continues to be a significant challenge. Ap-proximately 20% of residents who begin a categorical surgery residency fail to complete it. A number of studies speculated reasons for this including work hours, life style, family pressures, and resident feelings of inadequacy including fear of termination. To date no research has been conducted investigating the relation-ship between resident morale and attrition. This study sought to determine if this linkage exists in surgery residents. METHODS: The Morale Assessment in General Practice Index (MAGPI) was administered to 21 PGY 1, 2, 3, and 5 surgical residents to assess level of morale. Non-parametric methods were carried out to assess if there were differences in morale among the four PGY groups. Additionally, analyses of the four factors comprising the MAGPI were also conducted. RESULTS: Although differences did not reach statis-tical significance, analysis of the data reveals that residents demonstrate different trends in their levels of morale based on the amount of time they spend in a residency and in a way that approximates the morale curve described by W. Walter Menninger, M.D. Additionally, two of the four factors comprising the MAGPI also indicate trends similar to that described by the Menninger morale curve. CONCLUSIONS: Although no statistically significant results were achieved, the data reveal trends that approximate shifts in morale similar to those described by the Menninger morale curve, with residents at the PGY 2 and 3 levels present-ing lower morale levels than at the PGY 1 and 5 levels. This may be due in part to the size of the population studied. Future research should be continued in this area with a larger sample size.
基金Supported by grant(NEI001)from the management of Nelson Biomedical Limited UK
文摘The National Health Service(NHS)is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom.There are several challenges militating against the effective laboratory service delivery in the NHS in England.Biomedical scientists work in healthcare to diagnose disease and evaluate the effectiveness of treatment through the analysis of body fluids and tissue samples from patients.They provide the"engine room"of modern medicine with 70%of diagnosis based on the laboratory results generated by them.This review involved the search of literature for information on working condition of biomedical scientist in the NHS in England.Laboratory service delivery in the NHS in England faces numerous daunting challenges;staffing levels in the last few years have become dangerously low,less remunerated,relatively less experienced and predominantly band 5's,multidisciplinary rather than specialty based,associated with working more unsocial hours without adequate recovery time,de-banding of staff,high staff turnaround,profit and cost driven rather than quality.These factors has resulted in burn out,low morale,high sickness absences,increased error rate,poor team spirit,diminished productivity and suboptimal laboratory service delivery.There is the urgent need to retract our steps on unpopular policies to ensure that patient care is not compromised by ensuring adequate staffing level and mix,ensuring adequate remuneralion of laboratory staff,implementing evidenced-based specialty oriented service,determining the root cause/s for the high staff turnover and implementing corrective action,identifying other potential sources of waste in the system rather than pruning the already dangerously low staffing levels and promoting a quality delivery side by side cost effectiveness.
