6,152 research outputs found

    Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS

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    The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across England between September 2011 and June 2012. The findings are based on interviews with GPs and managers, observations of meetings, and reading of related documents. Scott’s notion that institutions are constituted by three pillars—the regulative, normative, and cognitive–cultural—is explored here. This approach helps to understand the changing roles and identities of doctors and managers implicated by the present reforms. This article notes the far reaching changes in the regulative pillar and questions how these changes will affect the normative and cultural–cognitive pillars

    L'ordi a punt de segar

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    L'ordi a punt de segar

    L'amo anant a segar

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    La fotografia presenta una màquina de segar de tracció animal. Aquesta tallava el cereal i l'anava dipositant dins remolc de fusta obert que, un cop ple i amb l'ajuda d'una forca, deixava caure la seva càrrega. Després, els missatges passaven i recollien els munts per fer les garbes

    Màquina de segar

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    Màquina de segar actual, que a banda de tallar l'herba també l'embala, agilitzant així la feina i minimitzant en gran mesura els costos de personal

    Màquina de segar 'Userda', Vilatenim

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    La imatge ens mostra a la Família Alegrí amb una màquina de segar marca Userda

    Màquina de segar

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    Pagès menant una màquina de segar, camí del camp de blat

    Curating conclusions in ‘Among Us’: Collaborative Twitter fiction and the implied author

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    This article uses the author’s experiences of preparing and curating ‘Among Us’, a 24-hour collaborative Twitter fiction, to examine the role of creators and contributors in producing a consistent narrative with a coherent thematic focus. It draws upon the concept of the ‘implied author’ as it applies to blog fiction and other forms of networked digital storytelling. It outlines the processes that brought participants together, and explores the ways in which they sought out ideological suggestions in the curator’s prompts, predicting, supporting, resisting or commandeering these in their contributions in order to ultimately collaborate on the conclusions and act as a single, recognizable ‘implied author’

    Màquina de segar cereals, Vilatenim

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    La imatge ens mostra la màquina de segar cereals en un moment de la sega, amb el pagès dalt del carro

    Festa del segar i del batre

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    Festa del segar i del batre a La Fuliola. A la imatge algunes de les màquines (trilladora, tractor) que intervenen en aquelles feines

    Segant amb un tractor i una màquina de segar Massey Harris a Sagàs, La Guàrdia

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    La imatge ens mostra un camp de blat que està éssent segat per una màquina de segar de la marca 'Massey Harris' remolcada per un tractor. Sobre el tractor hi ha un home, sobre la màquina de segar també, i al camp n'hi ha un altre. Al costat del camp hi podem observar algunes garbes. La imatge està presa a Sagàs, La Guàrdia
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