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The purpose of this paper is to investigate cost effectiveness, diagnostic rates, surgical percentage and appropriateness for orthopaedic referrals and number of patients able to be seen in orthopaedic triage from GP orthopaedic referrals.

The study involved triaging paper referrals for orthopaedic outpatients to an interface service, orthotics or continue normal route. Data were collected on outcome of the interface appointment and outcomes for those patients referred to orthopaedics from the appointment.

The study demonstrated a 27.3 per cent cost saving from the normal orthopaedic route with 86.1 per cent of patients able to be managed by an extended scope physiotherapist (ESP) without requiring orthopaedic assessment. Appropriateness of onward orthopaedic referrals was 80.5 per cent with surgery conversion rate of 75 per cent.

Although triage and ESP positions have been studied before, this is the first known study to look at cost effectiveness across the patient pathway despite this being a large reason for the creation of these positions. Further larger studies are required to build upon this base in terms of demonstrating the cost effectiveness of the value of these positions.

Drawing on Bourdieu's field, habitus, and capital, I show how disparate experiences and “dispositions” shaped several departments’ development in the organization behind the annual Burning Man event. Observations and interviews with organizers and members indicated that in departments with hierarchical professional norms or total institution-like conditions, members privileged their capital over others’ capital to enhance their authority and departmental solidarity. For another department, the availability of multiple practices in their field fostered disagreement, forcing members to articulate stances. These comparisons uncover conditions that exacerbate conflicts over authority and show how members use different types of capital to augment their authority.

This study aims to investigate the correlation between build orientation characteristics, part porosity and mechanical properties of the fused filament fabrication (FFF) process to provide insight into pore formation mechanisms and to establish guidelines for optimal process configurations.

Micro computed tomography and metallographic sections provide the basis for a correlation between porosity and extrusion path. Using the correlations found in this study, the way to improve printing strategies and filament properties can be deduced directly from an analysis of the print path and the final influence on mechanical performance.

With metal-FFF 3D printing technology, near-dense parts (0.5 Vol.%) can be fabricated. The pore architecture is strongly connected to the build direction and print strategy with parallel, elongated pore channels. Mechanical values of FFF samples are similar to metal injection-molded (MIM) parts, except the elongation to fracture. The high difference of yield strength of sintered samples compared to laser powder bed fusion (LPBF) samples can be attributed to the finer grains and a Hall–Petch hardening effect. The conclusions derived from this study are that the presented process is capable of producing comparable part qualities compared to MIM samples, with higher build rates in comparison to LPBF processes.

316L stainless steel was successfully manufactured via FFF. This paper also addresses the effects of scanning strategies on the resulting porosity and proposes improvements to reduce residual porosity, thus increasing the mechanical performance in the future.

Power and domination once occupied center stage in organizational sociology. But as the field developed, the concept of power was marginalized and its overall significance for the drama of organization life neglected. Normative critiques of domination were recast as puzzles of obedience to authority, while scholars wishing to study the concrete workings of power regimes found themselves groping in the shadows. In this introduction, we advocate putting power and domination back on the agenda. Following the lead of classical theorists of power, we argue that organizations should be seen as scenes of struggles and as political projects to be constantly achieved and reconstructed. We critique structural and abstract perspectives that neglect the constant engagement of people in the negotiation of rules, meanings, and destinies. And we survey novel ideas that can help us to see power not as an abstract entity but as a pattern of interactions and social relationships that is instantiated in specific projects of domination and resistance. It is through this lens that power studies can be reinvigorated.

The purpose of this paper is to explore the experiences gained by participants of youth leadership development (YLD) programs that introduce multi-stakeholder processes as part of its training within the last five years. Moreover, the study delves into how participants are able to apply leadership and multi-stakeholder processes in their everyday lives and in their communities.

A perception survey of 41 respondents was conducted to examine leadership concepts identified and youth leadership practices in different social reform contexts.

Diverse challenges in terms of multi-stakeholder mobilization were evident in youth leaders’ engagement in communities. In spite of this, the YLD programs’ emphasis on multi-stakeholder process is very much embedded in the current youth leaders’ practice.

The study contributes to the conduct of YLD programs, as well as on stakeholder engagement. Moreover, it contributes to advancing public leadership theory and practice by demonstrating how it extends to youth leadership experiences.

Multiple dimensions of YLD, especially in the realm of multi-stakeholder engagement, are discussed that may contribute to YLD programs.

To the best of knowledge, the authors provide the first study that investigates the contribution of the Bridging Leadership Framework that utilizes a multi-stakeholder approach in a YLD program using empirical data.

This chapter examines how opponents of same-sex marriage have used rights discourse to construct an identity of themselves as victims, and construct gays and lesbians as deviant “others.” I find that conservative rights discourse has been more effective outside the courtroom than in it. This is because these arguments rely on implicit discriminatory stereotypes which are frequently exposed under the scrutiny of dispassionate judicial actors. However, in a popular arena, they are free to operate with considerably less scrutiny. Here, rights discourse is used to mask discriminatory stereotypes and lend legitimacy to positions that would be rejected if made explicitly.