ÒCoreper EnlargedÓ: how Enlargement Affected the Functioning of the Committee of Permanent Representatives

Before enlargement, many experts expected that the functioning of most EU institutions would be severely affected by the accession of the ten new member states in 2004. Compared to these expectations, effects that actually occurred were relatively moderate. Especially in the Committee of Permanent Representatives, enlargement took place smoothly and without major disturbances. However, some changes are noticeable. The paper analyses the way how enlargement influenced the functioning of Coreper. The analysis is based on 41 qualitative interviews with experts from the Council General Secretariat and from Permanent Representations from both ÔoldÕ and ÔnewÕ member states.Council of Ministers, Coreper, Permanent Representations, enlargement, informality, committee governance

[Rezension zu:] F. Schneider (ed): Psychiatry under National Socialism – remembrance and responsibility

Am 26. November 2010 erhoben sich im großen Saal des Internationalen Congress Centrums in Berlin rund 3.000 Psychiaterinnen und Psychiater, um für eine Minute zu schweigen. Was sie zuvor gehört hatten, war zutiefst beeindruckend und blieb für die Anwesenden unvergesslich. Prof. Frank Schneider, der Präsident der deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN), bat bei den Psychiatrie-Opfern und deren Angehörigen aus der Zeit des Nationalsozialismus in einem Ausmaß um Verzeihung, wie wohl nur wenige deutsche Ärzte zuvor. ...On 26th November 2010 around 3000 psychiatrists rose up for a minute's silence in the great hall of the International Congress Centrum in Berlin. What they had heard before, was deeply impressive and memorable to the audience. Professor Frank Schneider, president of the German Society for Psychiatry, Psychotherapy and Neurology (DGPPN) asked the psychiatric victims and their relatives of the Nazi era for forgiveness to an extent as only a few German Doctors done before. ..

Preparedness is not enough: understanding transitions as critically intensive learning periods

Objectives: Doctors make many transitions whilst they are training and throughout their ensuing careers. Despite studies showing that transitions in other high risk professions such as aviation have been linked to increased risk in the form of adverse outcomes, the effects of changes on doctors’ performance and consequent implications for patient safety have been under-researched. The purpose of this project was to investigate the effects of transitions upon medical performance. Methods: The project sought to focus on the inter-relationships between doctors and the complex work settings into which they were transitioning. To this end, a ‘collective’ case study of doctors was designed. Key transitions for Foundation Year and Specialist Trainee doctors were studied. Four levels of the case were examined: the regulatory and policy context; employer requirements; the clinical teams in which doctors worked; and the doctors themselves. Data collection included interviews, observations and desk-based research.. Results: We identified a number of problems with doctors' transitions that can all adversely affect performance. A) Transitions are regulated but not systematically monitored. B) Actual practice (as observed and reported) was determined much more by situational and contextual factors than by the formal (regulatory and management) frameworks. C) Trainees’ and health professionals’ accounts of their actual experience of work showed how performance is dependent on local learning environment. D) We found that the increased regulation of clinical activity through protocols and care pathways helps trainees’ performance whilst the less regulated aspects of work such as rotas, induction and multiple transitions within rotations can impede the transition. Conclusions: Transitions may be reframed as critically intensive learning periods (CILPs) in which doctors engage with the particularities of the setting and establish working relationships with doctors and other professionals. Institutions and wards have their own learning cultures which may or may not recognise that transitions are CILPS. The extent to which these cultures take account of transitions as CILPs will contribute to the performance of new doctors. There are therefore implications for practice, and for policy, regulation and research

[Rezension zu:] F. Schneider (Hrsg): Psychiatrie im Nationalsozialismus – Erinnerung und Verantwortung

On 26th November 2010 around 3000 psychiatrists rose up for a minute's silence in the great hall of the International Congress Centrum in Berlin. What they had heard before, was deeply impressive and memorable to the audience. Professor Frank Schneider, president of the German Society for Psychiatry, Psychotherapy and Neurology (DGPPN) asked the psychiatric victims and their relatives of the Nazi era for forgiveness to an extent as only a few German Doctors done before. ...Am 26. November 2010 erhoben sich im großen Saal des Internationalen Congress Centrums in Berlin rund 3.000 Psychiaterinnen und Psychiater, um für eine Minute zu schweigen. Was sie zuvor gehört hatten, war zutiefst beeindruckend und blieb für die Anwesenden unvergesslich. Prof. Frank Schneider, der Präsident der deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (DGPPN), bat bei den Psychiatrie-Opfern und deren Angehörigen aus der Zeit des Nationalsozialismus in einem Ausmaß um Verzeihung, wie wohl nur wenige deutsche Ärzte zuvor. ..

Random strings and tt-degrees of Turing complete C.E. sets

We investigate the truth-table degrees of (co-)c.e.\ sets, in particular, sets of random strings. It is known that the set of random strings with respect to any universal prefix-free machine is Turing complete, but that truth-table completeness depends on the choice of universal machine. We show that for such sets of random strings, any finite set of their truth-table degrees do not meet to the degree~0, even within the c.e. truth-table degrees, but when taking the meet over all such truth-table degrees, the infinite meet is indeed~0. The latter result proves a conjecture of Allender, Friedman and Gasarch. We also show that there are two Turing complete c.e. sets whose truth-table degrees form a minimal pair.Comment: 25 page