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During years 2014-2016, Veterans Health Administration National Surgery Office conducted a surgical flow improvement initiative (SFII) to assist low-performing surgery programs to improve their operating room efficiency (ORE). The initiative was co-sponsored by VHA National Surgery Office and VHA Office of Systems Redesign and Improvement. The paper aims to discuss this issue.

An SFII algorithm, based on first-time-start (FTS), cancellation rate (CR), lag time (LT) and OR utilization, assigned an ORE performance Level (1-low to 4-high) to each VA Medical Center (VAMC). In total, 15 VAMCs with low-performance surgery programs participated in SFII to assess the current state of their surgical flow processes and used redesign methods to focus on improvement objectives.

At the end of the project, 14 VSAs, 40 RPIWs, 45 “90-day projects” and 73 Just-Do-It’s were completed with 65 percent (158/243) improvement actions and 86 percent sites improving/sustaining all four ORE metrics. There was a statistically significant difference in improvement across the three stages (baseline, improvement, sustain) for FTS (45.6-68.7 percent; F=44.74; p<0.000); CR (16.1-9.5 percent; F=34.46; p<0.000); LT (63.1-36.3 percent; F=92.00; p<0.000); OR utilization (43.4-57.7 percent; F=6.92; p<0.001) and VAMC level (1.7-3.65; F=80.11; p<0.000). The majority developed “fair to excellent” sustainment (91 percent) and spread (82 percent) plans. The projected annual estimated return-on-investment was $27,949,966.

The SFII successfully leveraged a small number of faculty, coaches, and industrial engineers to produce significant improvement in ORE across a large national integrated health care network. This strategy can serve healthcare leaders in managing complex healthcare issues in their facilities.

“Communism has never concealed the fact that it rejects all absolute concepts of morality. It scoffs at any consideration of “good” and “evil” as indisputable categories. Communism considers morality to be relative, to be a class matter… It has infected the whole world with the belief in the relativity of good and evil.” Aleksandr I. Solzhenitsyn, Warning to the West, 1975.

In the early 1930s, Nicholas Kaldor could be classified as an Austrian economist. The author reconstructs the intertwined paths of Kaldor and Friedrich A. Hayek to disequilibrium economics through the theoretical deficiencies exposed by the Austrian theory of capital and its consequences on equilibrium analysis.

The author approaches the discussion using a theoretical and historical reconstruction based on published and unpublished materials.

The integration of capital theory into a business cycle theory by the Austrians and its shortcomings – e.g. criticized by Piero Sraffa and Gunnar Myrdal – called attention to the limitation of the theoretical apparatus of equilibrium analysis in dynamic contexts. This was a central element to Kaldor’s emancipation in 1934 and his subsequent conversion to John Maynard Keynes’ The General Theory of Employment, Interest, and Money (1936). In addition, it was pivotal to Hayek’s reformulation of equilibrium as a social coordination problem in “Economics and Knowledge” (1937). It also had implications for Kaldor’s mature developments, such as the construction of the post-Keynesian models of growth and distribution, the Cambridge capital controversy, and his critique of neoclassical equilibrium economics.

The close encounter between Kaldor and Hayek in the early 1930s, the developments during that decade and its mature consequences are unexplored in the secondary literature. The author attempts to construct a coherent historical narrative that integrates many intertwined elements and personas (e.g. the reception of Knut Wicksell in the English-speaking world; Piero Sraffa’s critique of Hayek; Gunnar Myrdal’s critique of Wicksell, Hayek, and Keynes; the Hayek-Knight-Kaldor debate; the Kaldor-Hayek debate, etc.) that were not connected until now by previous commentators.

Theoretical reconstruction for the sake of practical political relevance is inherently resistant to the theorisation of a rigorous sociological discipline. Yet, the need for such theoretical reconstruction recurs in history, particularly in times of social and economic crisis when social reconstruction of damaged, fractured and conflict-ridden societies was seen as urgent by both applied sociologists and publics at large.

This paper directs itself to questions regarding the intellectual and political origins of the Swedish, egalitarian, democratic welfare state ideology in the 1930s, and how it came to be theoretically defined in opposition to the overarching binary frameworks of ‘conservative’ capitalism and ‘progressive’ Marxist socialism.

Using McLennan’s notion of a ‘vehicular’ concept, I will attempt to show that the ‘third’ or ‘middle way’ compromise between opposing interests has, since its inception in the earlier parts of the twentieth century, changed over time, and will continue to change, within shifting political contexts and changing practical, political demands to ‘move things on’.

This paper also examines the concept of social planning – social engineering – as a ‘third way’ practical strategy and how it came to be used as a political and theoretical stick by which attack ‘third way’ democracy by both neo-liberal and Marxist theorists.

The paper builds on the author’s previous research on the intellectual and political visions of the Swedish social scientists and reformers, Alva and Gunnar Myrdal, and argues for the continuing importance of theoretical reconstruction and innovation in the preservation of justice and democracy.

A collection of essays by a social economist seeking to balance economics as a science of means with the values deemed necessary to man′s finding the good life and society enduring as a civilized instrumentality. Looks for authority to great men of the past and to today′s moral philosopher: man is an ethical animal. The 13 essays are: 1. Evolutionary Economics: The End of It All? which challenges the view that Darwinism destroyed belief in a universe of purpose and design; 2. Schmoller′s Political Economy: Its Psychic, Moral and Legal Foundations, which centres on the belief that time‐honoured ethical values prevail in an economy formed by ties of common sentiment, ideas, customs and laws; 3. Adam Smith by Gustav von Schmoller – Schmoller rejects Smith′s natural law and sees him as simply spreading the message of Calvinism; 4. Pierre‐Joseph Proudhon, Socialist – Karl Marx, Communist: A Comparison; 5. Marxism and the Instauration of Man, which raises the question for Marx: is the flowering of the new man in Communist society the ultimate end to the dialectical movement of history?; 6. Ethical Progress and Economic Growth in Western Civilization; 7. Ethical Principles in American Society: An Appraisal; 8. The Ugent Need for a Consensus on Moral Values, which focuses on the real dangers inherent in there being no consensus on moral values; 9. Human Resources and the Good Society – man is not to be treated as an economic resource; man′s moral and material wellbeing is the goal; 10. The Social Economist on the Modern Dilemma: Ethical Dwarfs and Nuclear Giants, which argues that it is imperative to distinguish good from evil and to act accordingly: existentialism, situation ethics and evolutionary ethics savour of nihilism; 11. Ethical Principles: The Economist′s Quandary, which is the difficulty of balancing the claims of disinterested science and of the urge to better the human condition; 12. The Role of Government in the Advancement of Cultural Values, which discusses censorship and the funding of art against the background of the US Helms Amendment; 13. Man at the Crossroads draws earlier themes together; the author makes the case for rejecting determinism and the “operant conditioning” of the Skinner school in favour of the moral progress of autonomous man through adherence to traditional ethical values.

The purpose of this paper is to develop methods to produce white composite pigments consisting of a silica core with a titania shell.

Silica cores were coated with titanium dioxide (TiO₂) via forced hydrolysis of a solution prepared from titanium tetrachloride (TiCl₄). The morphology, surface charge and particle size of obtained composite particles were studied.

Dispersions of well‐dispersed composite particles, having silica cores of uniform size in the range from 300 to 500 nm with a homogeneous titania coating are obtained. The coating thickness corresponded to 150‐400 per cent by weight of titania based on the core. Modification of the silica core by incorporation of 1.5 aluminosilicate sites per square nanometre of core surface proves to be favourable in achieving a homogeneous coating on the silica core. Deposition of such titania coating is also favoured by agitating the dispersion well, keeping electrolyte content low, maintaining pH at 2.0 and the temperature at 75°C during the coating process.

Only TiCl₄ is used as titania source. In addition, only silica cores obtained by Stöber synthesis are used while commercially available silica solutions made from sodium silicate are not used.

The process offers a method of producing a white composite pigment with a narrow particle size distribution in order to maximise light scattering as well as using a core with lower density than the shell. This kind of particle would be of interest for coating applications and white inorganic inks.

The developed method provides a straightforward process to produce well‐defined composite particles.

This paper is an initial attempt to discuss the American institutionalist movement as it changed and developed after 1945. Institutionalism in the inter-war period was a relatively coherent movement held together by a set of general methodological, theoretical, and ideological commitments (Rutherford, 2011). Although institutionalism always had its critics, it came under increased attack in the 1940s, and faced challenges from Keynesian economics, a revived neoclassicism, econometrics, and from new methodological approaches derived from various versions of positivism. The institutionalist response to these criticisms, and particularly the criticism that institutionalism “lacked theory,” is to be found in a variety of attempts to redefine institutionalism in new theoretical or methodological terms. Perhaps the most important of these is to be found in Clarence Ayres’ The Theory of Economic Progress (1944), although there were many others. These developments were accompanied by a significant amount of debate, disagreement, and uncertainty over future directions. Some of this is reflected in the early history of The Association for Evolutionary Economics.

I first met Professor Rugina in 1974 at the annual meeting of the History of Economics Society in Cambridge, Massachusetts. On that occasion, he proposed that one session of future meetings be devoted to the problem of values and value‐judgements in economics. I supported that proposition, and a lasting friendship was struck.