International audience ; This article examines the activities of the Mahdist administration in the Eastern Sudan and particularly the production of accounting documents by the Treasury (bayt al-māl) of Tūkar. It falls within a larger attempt at rebalancing the historiography of the Mahdist movement in the Nilotic Sudan (1881-1899) which has favoured sources emanating from the central government to the detriment of those produced by the provincial authorities. The documentary corpus presented in this article was seized in February 1891 following an expedition led by British and Egyptian troops. This is an exceptional collection because of its coherence. Indeed, this operation caught unawares the governor (ʿāmil) of the Eastern Sudan, ʿUthmān Diqna, who had neither the time to transfer those documents nor to destroy them, as it had partially been the case in Omdurman in September 1898. We thus have at our disposal a "snapshot" of the production of a Mahdist provincial administration between 1889 and 1891.In the first part, this article traces the steps of the foundation of the provincial administration in the Eastern Sudan. It sheds light on the relatively late formation of a structured administration and its relocation, in line with the strategic priorities of the Khalīfa ʿAbdullāhi, from Kassala to Tūkar at the end of 1888. The second part deals with the structure of the accounting system established by the Treasury administrators of Tūkar in order to to articulate the document presented, that is,, the daily monetary accounts for Dhū al-Qaʿda 1307 (June–July 1890), with the other fields of accounting. The scriptural technique highlights the strong influence of the Egyptian administrative practices, but also the hybrid aspect of this accounting, characterized by both an incomplete modernity and the claim of an Islamic tradition. This makes it possible, in a third part, to approach this document from a quantitative perspective and to reconstruct the dynamics that governed the revenues and expenses of the Treasury of Tūkar. These reflect more broadly the socio-economic conditions prevailing in the province in the early 1890s. The last part is devoted to an analysis of the administrative operation itself. It aims to show that the major efforts put into the recording of accounts can only be understood if we consider it as an act of power and the assertion of a legitimate authority. ; Cet article examine les activités de l'administration mahdiste au Soudan-Est et plus particulièrement la production de documents comptables par le Trésor (bayt al-māl) de Tūkar. Il s'inscrit dans une tentative de rééquilibrage d'une historiographie du mouvement mahdiste au Soudan nilotique (1881-1899) qui a privilégié les sources émanant du pouvoir central au détriment de celles des autorités provinciales. Le corpus documentaire présenté dans cet article fut saisi en février 1891 à l'issue d'une expédition égypto-britannique. Il s'agit d'un ensemble exceptionnel car cohérent. En effet, le gouverneur (ʿamil) du Soudan-Est, ʿUthmān Diqna, fut pris de court par cette opération et n'eut le temps ni de déplacer ces documents, ni de les détruire, comme cela put être en partie le cas à Omdurman en septembre 1898. Nous disposons ainsi d'un « instantané » de la production d'une administration provinciale mahdiste entre 1889 et 1891.Dans une première partie, cet article s'attache à retracer les étapes de la fondation de l'administration provinciale au Soudan-Est. Il met en lumière la formation relativement tardive d'une administration structurée et le déplacement de cette dernière, en lien avec les priorités stratégiques du Khalīfa ʿAbdullāhi, de Kassala à Tūkar à la fin de l'année 1888. La seconde partie revient sur la structure de la comptabilité mise en place par les administrateurs du Trésor de Tūkar afin d'articuler le document présenté, les comptes quotidiens en espèces du mois de dhū al-qaʿda 1307 (juin-juillet 1890), avec les autres champs comptables. La technique scripturale employée met en évidence l'influence forte des pratiques administratives égyptiennes, mais également le caractère hybride de cette comptabilité, marquée à la fois par une modernité inachevée et la revendication d'une tradition islamique. Ceci permet, dans une troisième partie, d'aborder ce document selon une perspective quantitative et de restituer les dynamiques qui régissaient les revenus et les dépenses du Trésor de Tūkar. Celles-ci reflètent plus largement les conditions socio-économiques qui prévalaient dans cette province au début des années 1890. La dernière partie est consacrée à l'analyse de l'opération administrative elle-même. Elle vise à montrer que l'effort important accordé à l'enregistrement comptable ne peut se comprendre que si l'on considère ce dernier comme un acte de pouvoir et l'affirmation d'une autorité légitime. ; Este artigo examina as atividades da administração madista no Sudão-Leste e mais particularmente a produção de documentos contáveis pelo Tesouro (bayt al-māl) de Tūkar. Ele se inscreve numa tentativa de reequilibrar uma historiografia do movimento madista no Sudão nilótico (1881-1899) que privilegiou as fontes provenientes do poder central em detrimento daquelas provenientes das autoridades provinciais.O corpus documental apresentado neste artigo foi apreendido em fevereiro de 1891, na sequência de uma expedição egípcio-britânica. Trata-se de um conjunto excepcional, pois coerente. Com efeito, o governador ('amil) do Sudão-Leste, 'Uthman Diqna, foi surpreendido por esta operação e não teve tempo suficiente nem para deslocar nem para destruir esses documentos, como pode ter sido, em parte, o caso em Ondurmã em setembro de 1898. Nós dispomos assim de uma "imagem instantânea" da produção de uma administração provincial madista entre 1889 e 1891.Na primeira parte, este artigo busca retraçar as etapas da fundação da administração provincial no Sudão-Leste. Ele destaca a formação relativamente tardia de uma administração estruturada e o deslocamento desta mesma administração, em conexão com as prioridades estratégicas do Khalīfa 'Abdullahi, de Kassala em Tūkar, no final do ano de 1888. A segunda parte retorna à estrutura contábil criada pelos administradores do Tesouro de Tūkar no intuito de articular o documento apresentado, nomeadamente as contas cotidianas do mês de dhū al-qa'da 1307 (junho-julho 1890), com os outros campos contáveis. A técnica escriturária empregada coloca em evidência a forte influência das práticas administrativas egípcias, mas igualmente o caráter híbrido desta contabilidade, marcada tanto por uma modernidade inacabada quanto pela revindicação de uma tradição islâmica. O que nos permite, em uma terceira parte, abordar este documento segundo uma perspetiva quantitativa e restituir as dinâmicas que regiam as rendas e os gastos do Tesouro de Tūkar. Estes últimos aspetos refletem mais largamente as condições socioeconômicas que prevaleciam nesta província no início dos anos 1890. A última parte é consagrada à análise da própria operação administrativa. Nela, visamos mostrar que o importante esforço dispensado à registração contábil só pode ser compreendido se nós o considerarmos como um ato de poder e de afirmação de uma autoridade legítima.
Using data from 41 countries for the 2013—2018 period, the dependence of GDP growth on the rule of law index that is calculated by the non-governmental organization World Justice Project has been estimated. Compared to other specialized indicators for assessing compliance with the rule of law, such as the World Governance Indicator, the International Country Risk Guide, or the Index of Judicial Independence, the WJP differs more fully into actual legal practice (not only the quality of legislation) by combining expert judgment with the results of questionnaires surveys of residents of the country. Cross‒regression estimates for the 2013—2018 averages are quite contradictory for the general sample of countries, but a direct dependence of economic growth on the rule of law has been obtained for the countries of Central and Eastern Europe and the former Soviet Union. IfUkrainerose from the current level of the WJP index (0.50) to the level ofGeorgia(0.61), it allows to increase the GDP growth rate by 0.6 percentage points. Estimates for panel data using the a random effects model (RE) confirm the direct relationship between the state of the rule of law and eco‒economic growth for CEE and the former Soviet Union, whereas a weak inverse relationship between the two indicators can be observed in Asia andLatin America. The results show that it is advisable to strengthen the rule of law in transformational economies, while this is not urgent measures in the other studied countries. The overall study does not deny the possibility of economic growth without advancing the legal foundations or deepening the process of democratization of political life, but this does not apply to the CEE countries and the formerSoviet Union. In the extended specification of the regression model, it seems that the favorable influence of the rule of law on GDP dynamics for transformational economies can be realized by slowing down inflation. At the same time, no dependence of inflation on the WJP has been found for Asian and Latin American countries; there is also no effect of consumer prices on economic growth. It is noticeable that estimates for the general sample of countries show the negative impact of only high inflation — over 15% per annum. Among other results, the direct relationship between investment and GDP growth is worth noting, regardless of the regression model chosen. This is in line with the standard assumptions of economic theory and, accordingly, reinforces the argument for the protection of property rights as a means of stimulating the investment process. ; С использованием данных 41 страны за период 2013—2018 гг. оценена зависимость темпа роста ВВП от индекса верховенства права, что рассчитывается неправительственной организацией World Justice Project. Сравнивая с другими специализированными индикаторами для оценки соблюдения стандартов верховенства права, как World Governance Indicator, International Country Risk Guide или Index of Judicial Independence, индекс WJP отличается более полным учетом реальной юридической практики (не только качества законодательных норм), ведь сочетает экспертные оценки по результатам анкетных опросов жителей данной страны. Оценки с помощью перекрестной регрессии для средних значений 2013—2018 гг. достаточно противоречивые для общей выборки стран, но для стран Центральной и Восточной Европы и бывшего Советского Союза получено прямую зависимость экономического роста от верховенства права. Если бы Украина с нынешнего уровня индекса WJP (0,50) поднялась до уровня Грузии (0,61), это позволяет повысить темп роста ВВП на 0,6 процентного пункта. Оценки для панельных данных с помощью метода с переменной постоянной (англ. a random effects model — RE) подтверждают прямую зависимость между состоянием верховенства права и экономическим ростом для стран ЦВЕ и бывшего Советского Союза, тогда как слабая обратная связь между обоими показателями прослеживается в странах Азии и Латинской Америки. Полученные результаты показывают целесообразность укрепления верховенства права в трансформационных экономиках, тогда как с этим можно не спешить в остальных исследуемых странах. В общем проведенное исследование не отрицает возможность экономического роста без опережающего укрепления правовых основ или углубления процесса демократизации политической жизни, но это не касается стран ЦВЕ и бывшего Советского Союза. В расширенной спецификации регрессионной модели все похоже на то, что благоприятное влияние верховенства права на динамику ВВП для трансформационных экономик может реализовываться через торможение инфляции. В то же время для стран Азии и Латинской Америки зависимости инфляции от индекса WJP не обнаружено; так же нет влияния потребительских цен на экономический рост. Примечательно, что оценки для общей выборки стран показывают негативное влияние только высокой инфляции — более 15 % годовых. Среди других результатов внимания стоит прямая связь между инвестициями и темпом роста ВВП, которая прослеживается независимо от выбранной спецификации регрессионной модели. Это соответствует стандартным предположениям экономической теории, а попутно усиливает аргументацию в пользу защиты имущественных прав как средства стимулирования инвестиционного процесса. ; З використанням даних 41 країни за період 2013—2018 рр. оцінено залежність темпу зростання ВВП від індексу верховенства права, що розраховується неурядовою організацією World Justice Project. Порівнюючи з іншими спеціалізованими індикаторами для оцінки дотримання стандартів верховенства права, як World Governance Indicator, International Country Risk Guide чи Index of Judicial Independence, індекс WJP відрізняється повнішим урахуванням реальної юридичної практики (не лише якості законодавчих норм), адже поєднує експертні оцінки з результатами анкетних опитувань мешканців конкретної країни. Оцінки за допомогою перехресної регресії для середніх значень 2013—2018 рр. досить суперечливі для загальної вибірки країн, але для країн Центральної і Східної Європи та колишнього Радянського Союзу отримано пряму залежність економічного зростання від верховенства права. Якби Україна з нинішнього рівня індексу WJP (0,50) піднялася до рівня Грузії (0,61), це дозволяє підвищити темп зростання ВВП на 0,6 процентного пункту. Оцінки для панельних даних за допомогою методу зі змінною сталою (англ. a random effects model — RE) підтверджують пряму залежність між станом верховенства права і економічним зростанням для країн ЦСЄ і колишнього Радянського Союзу, тоді як слабкий обернений зв'язок між обома показниками простежується у країнах Азії і Латинської Америки. Отримані результати показують доцільність зміцнення верховенства права у трансформаційних економіках, тоді як з цим можна не поспішати в решті досліджуваних країн. Загалом, проведене дослідження не заперечує можливість економічного зростання без випереджувального зміцнення правових засад чи поглиблення процесу демократизації політичного життя, але це не стосується країн ЦСЄ і колишнього Радянського Союзу. У розширеній специфікації регресійної моделі все виглядає на те, що сприятливий вплив верховенства права на динаміку ВВП для трансформаційних економік може реалізовуватися через гальмування інфляції. Водночас для країн Азії і Латинської Америки залежності інфляції від індексу WJP не виявлено; так само немає впливу споживчих цін на економічне зростання. Помітно, що оцінки для загальної вибірки країн показують негативний вплив лише високої інфляції – понад 15 % річних. З-поміж інших результатів вартує уваги прямий зв'язок між інвестиціями і темпом зростання ВВП, який простежується незалежно від обраної специфікації регресійної моделі. Це відповідає стандартним припущенням економічної теорії, а принагідно підсилює аргументацію на користь захисту майнових прав як засобу стимулювання інвестиційного процесу.
Aim. To analyze public procurement of medicines for the treatment of patients with epilepsy using methods of clinical and economic analysis.Materials and methods. For the study, the official data of the Ministry of Health of Ukraine for 2014-2018 concerning public procurement of antiepileptic drugs were used. The total amount of public procurement of medicines for all trade names was determined, and the sums of purchases were grouped by international nonproprietary names. To conduct the analysis of public procurement of antiepileptic drugs, ABC and VEN analyses were performed. Based on the results of the integrated ABC / VEN analysis the volumes of procurement costs were ranked taking into account the requirements of the regulatory framework providing medical and pharmaceutical care for patients with epilepsy.Results. According to the results of the study it was found that during 2014-2018 the average growth rate of public procurement of antiepileptic drugs in UAH equivalent was 136 %, and in dollar equivalent – 110 %. It was determined that in 2018 the volume of expenditures per patient for the purchase of antiepileptic drugs in UAH equivalent increased by 305 % compared to 2014. However, the volume of expenditures in terms of US dollars in 2018 increased only by 22 % compared to 2014. It is due to the fact that in 2014 there were crisis processes at the financial market of Ukraine, which led to an increase in the price of medicines and had a direct impact on the volume of expenses for the purchase of medicines. It has been proven that during 2014-2018 in the volume of public procurement there is a negative trend of prevalence of antiepileptic drugs of foreign manufacture. Thus, the ratio of the volume of costs for the purchase of foreign drugs to domestic ones amounted to 87 % to 13 %, respectively. The analysis of public procurement by the lines of therapy determined that the main share of the expenses belonged to the first-line pharmacotherapy drugs. The ABC analysis showed that the total government spending on the purchase of antiepileptic drugs had uneven dynamics. The results of the VEN analysis indicated that any antiepileptic drugs for INN were not assigned to the category "N". According to the results of the integrated ABC / VEN analysis it was found that the share of expenses from group A / V in the total amount of the antiepileptic drugs purchased ranged from 70.1 % (2014) to 72.8 % (2018).Conclusions. The results of the study can be used in the development of scientific and applied approaches to the organization of effective financing of pharmaceutical care in Ukraine. ; Цель: анализ публичных закупок лекарственных средств для лечения больных эпилепсией с использованием методов клинико-экономического анализа.Материалы и методы. Для проведения исследования были использованы официальные данные МОЗ Украины за 2014-2018 гг. по объемам публичных закупок противоэпилептических препаратов. Определена общая сумма публичных закупок лекарственных препаратов по всем торговым наименованиям и проведено группирование сумм закупок по международным непатентованным названиям. Публичные закупки противоэпилептических препаратов нами проанализированы с помощью АВС- и VEN-анализа. По результатам интегрированного ABC / VEN-анализа проведено ранжирование объемов затрат на закупки с учетом требований нормативно-правовой базы, регулирующей предоставление медицинской и фармацевтической помощи больным эпилепсией.Результаты. По результатам исследования установлено, что в течение 2014-2018 гг. средний темп роста объемов публичных закупок ПЭП в гривневом эквиваленте имел значение 136 %, а в долларовом – 110 %. Определено, что в 2018 г. объемы расходов на одного больного на закупку противоэпилептических препаратов в гривневом эквиваленте выросли на 305 % по сравнению с 2014 г. Вместе с тем объем расходов в пересчете на дол. США в 2018 г. увеличился только на 22 % по сравнению с 2014 г. Это обусловлено тем, что в 2014 г. произошли кризисные процессы на финансовом рынке Украины, которые привели к росту цен на лекарственные средства и оказывали непосредственное влияние на объемы расходов на закупку лекарств. Доказано, что в течение 2014-2018 гг. в объемах публичных закупок наблюдается негативная тенденция превалирования противоэпилептических препаратов иностранного производства. Так, соотношение объемов затрат на закупки иностранных и отечественных препаратов составило 87 и 13 % соответственно. Анализ публичных закупок по линиям терапии определил, что основная доля расходов принадлежала препаратам первой линии фармакотерапии. Проведенный АВС-анализ показал, что общие объемы государственных расходов на закупку противоэпилептических препаратов имели неравномерную динамику. Результаты VEN-анализа свидетельствуют, что к категории «N» не было отнесено ни одного ПЭП по МНН. По итогам интегрированного АВС / VEN анализа установлено, что доля расходов из группы А/V в общей сумме закупленных ПЭП колебались от 70,1 % (2014) до 72,8 % (2018).Выводы. Результаты исследования могут быть использованы в разработке научно-прикладных подходов к организации эффективного финансирования предоставления фармацевтической помощи в Украине. ; Мета: аналіз публічних закупівель лікарських засобів для лікування хворих на епілепсію з використанням методів клініко-економічного аналізу.Матеріали та методи. Для проведення дослідження були використані офіційні дані МОЗ України за 2014-2018 рр. щодо обсягів публічних закупівель протиепілептичних препаратів. Визначена загальна сума публічних закупівель лікарських препаратів за всіма торговими назвами та проведено групування сум закупівель за міжнародними непатентованими назвами. Публічні закупівлі протиепілептичних препаратів були проаналізовані за допомогою АВС- та VEN-аналізу. За результатами інтегрованого ABC/VEN-аналізу проведено ранжування обсягів витрат на закупівлі з урахуванням вимог нормативно-правової бази, що регулює надання медичної та фармацевтичної допомоги хворим на епілепсію.Результати. За результатами дослідження встановлено, що протягом 2014-2018 рр. середній темп росту обсягів публічних закупівель ПЕП у гривневому еквіваленті мав значення 136 %, а у доларовому – 110 %. Визначено, що у 2018 р. обсяги витрат на одного хворого на закупівлю протиепілептичних препаратів у гривневому еквіваленті зросли на 305 % порівняно з 2014 р. Разом з тим обсяг витрат у перерахунку на дол. США у 2018 р. збільшився тільки на 22 % порівняно з 2014 р. Це обумовлено тим, що у 2014 р. відбулися кризові процеси на фінансовому ринку України, що призвели до зростання цін на лікарські засоби та чинили безпосередній вплив на обсяги витрат на закупівлю ліків. Доведено, що протягом 2014-2018 рр. в обсягах публічних закупівель спостерігається негативна тенденція превалювання протиепілептичних препаратів іноземного виробництва. Так, співвідношення обсягів витрат на закупівлі іноземних і вітчизняних препаратів склало 87 та 13 % відповідно. Аналіз публічних закупівель за лініями терапії визначив, що основна частка витрат припадала на препарати першої лінії фармакотерапії. Проведений АВС-аналіз показав, що задинаміку. Результати VEN-аналізу свідчать, що до категорії «N» не було віднесено жодного ПЕП за МНН. За підсумками інтегрованого АВС/VEN аналізу встановлено, що частка витрат з групи А/V у загальній сумі закуплених ПЕП коливались від 70,1 % (2014 р.) до 72,8 % (2018 р.).Висновки. Результати дослідження можуть бути використанні у розробці науково-прикладних підходів до організації ефективного фінансування надання фармацевтичної допомоги в Україні.
Aim. To analyze public procurement of medicines for the treatment of patients with epilepsy using methods of clinical and economic analysis.Materials and methods. For the study, the official data of the Ministry of Health of Ukraine for 2014-2018 concerning public procurement of antiepileptic drugs were used. The total amount of public procurement of medicines for all trade names was determined, and the sums of purchases were grouped by international nonproprietary names. To conduct the analysis of public procurement of antiepileptic drugs, ABC and VEN analyses were performed. Based on the results of the integrated ABC / VEN analysis the volumes of procurement costs were ranked taking into account the requirements of the regulatory framework providing medical and pharmaceutical care for patients with epilepsy.Results. According to the results of the study it was found that during 2014-2018 the average growth rate of public procurement of antiepileptic drugs in UAH equivalent was 136 %, and in dollar equivalent – 110 %. It was determined that in 2018 the volume of expenditures per patient for the purchase of antiepileptic drugs in UAH equivalent increased by 305 % compared to 2014. However, the volume of expenditures in terms of US dollars in 2018 increased only by 22 % compared to 2014. It is due to the fact that in 2014 there were crisis processes at the financial market of Ukraine, which led to an increase in the price of medicines and had a direct impact on the volume of expenses for the purchase of medicines. It has been proven that during 2014-2018 in the volume of public procurement there is a negative trend of prevalence of antiepileptic drugs of foreign manufacture. Thus, the ratio of the volume of costs for the purchase of foreign drugs to domestic ones amounted to 87 % to 13 %, respectively. The analysis of public procurement by the lines of therapy determined that the main share of the expenses belonged to the first-line pharmacotherapy drugs. The ABC analysis showed that the total government spending on the purchase of antiepileptic drugs had uneven dynamics. The results of the VEN analysis indicated that any antiepileptic drugs for INN were not assigned to the category "N". According to the results of the integrated ABC / VEN analysis it was found that the share of expenses from group A / V in the total amount of the antiepileptic drugs purchased ranged from 70.1 % (2014) to 72.8 % (2018).Conclusions. The results of the study can be used in the development of scientific and applied approaches to the organization of effective financing of pharmaceutical care in Ukraine. ; Цель: анализ публичных закупок лекарственных средств для лечения больных эпилепсией с использованием методов клинико-экономического анализа.Материалы и методы. Для проведения исследования были использованы официальные данные МОЗ Украины за 2014-2018 гг. по объемам публичных закупок противоэпилептических препаратов. Определена общая сумма публичных закупок лекарственных препаратов по всем торговым наименованиям и проведено группирование сумм закупок по международным непатентованным названиям. Публичные закупки противоэпилептических препаратов нами проанализированы с помощью АВС- и VEN-анализа. По результатам интегрированного ABC / VEN-анализа проведено ранжирование объемов затрат на закупки с учетом требований нормативно-правовой базы, регулирующей предоставление медицинской и фармацевтической помощи больным эпилепсией.Результаты. По результатам исследования установлено, что в течение 2014-2018 гг. средний темп роста объемов публичных закупок ПЭП в гривневом эквиваленте имел значение 136 %, а в долларовом – 110 %. Определено, что в 2018 г. объемы расходов на одного больного на закупку противоэпилептических препаратов в гривневом эквиваленте выросли на 305 % по сравнению с 2014 г. Вместе с тем объем расходов в пересчете на дол. США в 2018 г. увеличился только на 22 % по сравнению с 2014 г. Это обусловлено тем, что в 2014 г. произошли кризисные процессы на финансовом рынке Украины, которые привели к росту цен на лекарственные средства и оказывали непосредственное влияние на объемы расходов на закупку лекарств. Доказано, что в течение 2014-2018 гг. в объемах публичных закупок наблюдается негативная тенденция превалирования противоэпилептических препаратов иностранного производства. Так, соотношение объемов затрат на закупки иностранных и отечественных препаратов составило 87 и 13 % соответственно. Анализ публичных закупок по линиям терапии определил, что основная доля расходов принадлежала препаратам первой линии фармакотерапии. Проведенный АВС-анализ показал, что общие объемы государственных расходов на закупку противоэпилептических препаратов имели неравномерную динамику. Результаты VEN-анализа свидетельствуют, что к категории «N» не было отнесено ни одного ПЭП по МНН. По итогам интегрированного АВС / VEN анализа установлено, что доля расходов из группы А/V в общей сумме закупленных ПЭП колебались от 70,1 % (2014) до 72,8 % (2018).Выводы. Результаты исследования могут быть использованы в разработке научно-прикладных подходов к организации эффективного финансирования предоставления фармацевтической помощи в Украине. ; Мета: аналіз публічних закупівель лікарських засобів для лікування хворих на епілепсію з використанням методів клініко-економічного аналізу.Матеріали та методи. Для проведення дослідження були використані офіційні дані МОЗ України за 2014-2018 рр. щодо обсягів публічних закупівель протиепілептичних препаратів. Визначена загальна сума публічних закупівель лікарських препаратів за всіма торговими назвами та проведено групування сум закупівель за міжнародними непатентованими назвами. Публічні закупівлі протиепілептичних препаратів були проаналізовані за допомогою АВС- та VEN-аналізу. За результатами інтегрованого ABC/VEN-аналізу проведено ранжування обсягів витрат на закупівлі з урахуванням вимог нормативно-правової бази, що регулює надання медичної та фармацевтичної допомоги хворим на епілепсію.Результати. За результатами дослідження встановлено, що протягом 2014-2018 рр. середній темп росту обсягів публічних закупівель ПЕП у гривневому еквіваленті мав значення 136 %, а у доларовому – 110 %. Визначено, що у 2018 р. обсяги витрат на одного хворого на закупівлю протиепілептичних препаратів у гривневому еквіваленті зросли на 305 % порівняно з 2014 р. Разом з тим обсяг витрат у перерахунку на дол. США у 2018 р. збільшився тільки на 22 % порівняно з 2014 р. Це обумовлено тим, що у 2014 р. відбулися кризові процеси на фінансовому ринку України, що призвели до зростання цін на лікарські засоби та чинили безпосередній вплив на обсяги витрат на закупівлю ліків. Доведено, що протягом 2014-2018 рр. в обсягах публічних закупівель спостерігається негативна тенденція превалювання протиепілептичних препаратів іноземного виробництва. Так, співвідношення обсягів витрат на закупівлі іноземних і вітчизняних препаратів склало 87 та 13 % відповідно. Аналіз публічних закупівель за лініями терапії визначив, що основна частка витрат припадала на препарати першої лінії фармакотерапії. Проведений АВС-аналіз показав, що задинаміку. Результати VEN-аналізу свідчать, що до категорії «N» не було віднесено жодного ПЕП за МНН. За підсумками інтегрованого АВС/VEN аналізу встановлено, що частка витрат з групи А/V у загальній сумі закуплених ПЕП коливались від 70,1 % (2014 р.) до 72,8 % (2018 р.).Висновки. Результати дослідження можуть бути використанні у розробці науково-прикладних підходів до організації ефективного фінансування надання фармацевтичної допомоги в Україні.
O transporte marítimo é um elo vital do comércio mundial graças à sua capacidade, confiabilidade e relação custo-eficácia no transporte de grande quantidade de bens; nenhum outro modo de transporte consegue alcançar tais economias de escala. Mas este argumento subestima os custos reais. A frota marítima internacional, excluindo barcos de pesca e navios militares, produziu em 2012 cerca de 796 milhões de toneladas (Mt) de dióxido de carbono (CO2) e 816 Mt de dióxido de carbono equivalente (CO2e) de gases de efeito de estufa (GEE) combinando dióxido de carbono (CO2), metano (CH4) e óxido nitroso (N2O) correspondendo a cerca de 3,1% das emissões globais (IMO-International Maritime Organization, 2015; Rahman e Mashud, 2015) e é um dos setores de mais rápido crescimento em termos de emissões de GEE (Gilbert, Bows e Starkey, 2010; Bows-Larkin, 2014) previstas aumentar entre 102% a 193% em relação aos níveis de 2000 até 2050 (Bows-Larkin, 2014), crescendo a uma taxa mais elevada do que a taxa média de todos os outros sectores, com excepção da aviação. Como as emissões marítimas são produzidas, em grande parte, em mar aberto e por navios registados em países de bandeira de conveniência, foram excluídas dos compromissos nacionais no âmbito do Protocolo de Quioto de 1997, que cedeu o controlo à IMO o organismo da ONU responsável pelo sector1. De acordo com o Maritime Knowledge Centre da IMO, a frota mercante mundial de navios com pelo menos 100 gross tonnage (tonelagem bruta) era composta por 93.161 navios no final do ano de 2016. Espera-se que um número crescente de navios mercantes entre em operação nas próximas décadas, nomeadamente navios porta-contentores de grande capacidade, navios metaneiros e outros adstritos a actividades diversificadas como produção, armazenamento e descarga de gás natural e de petróleo (em inglês Floating Production Storage and Offloading - FPSOs). Os combustíveis marítimos tradicionais também produzem emissões de óxido de enxofre (SOx), óxidos de azoto (NOx) e micropartículas e o impacto sobre o ambiente dos poluentes primários e secundários resultantes da combustão do fuelóleo pesado (HFO) tem contribui para a acidificação, eutrofização e formação de ozono (O3) fotoquímico (Bengtsson, 2011). Um efeito particularmente pernicioso na saúde das populações expostas é a mortalidade prematura relacionada com micropartículas inaláveis associadas com o aumento do cancro de pulmão e problemas cardiorrespiratórios (Corbett et al., 2007) e, embora os efeitos nocivos mais graves sejam particularmente sentidos nas zonas costeiras e em áreas próximas das atividades portuárias, estes efeitos também ocorrem no interior dos países devido às condições predominantes dos ventos (Corbett, Fischbeck and Pandis, 1999) incluindo efeitos transfronteiriços (Nore, 2011). Em Portugal e de acordo com o World Resources Institute, as emissões de CO2 com origem nos combustíveis marítimos cresceram 24,5%, entre 2003 e 2012, em linha com o crescimento mundial (de 26,8%) no mesmo período de dez anos (World Resources Institute, 2015). Nesta tese, para efeitos de monetarização das emissões produzidas pela frota mercante nacional serão utilizados os dados do Inventário Nacional de Emissões, dados de 2014, os quais revelam que, embora o contributo do sector para o registo nacional seja mínimo – devido nomeadamente à exiguidade da frota – o potencial de danos causados não é de todo despiciente. Técnicas para aumentar a eficiência energética e tecnologias de mitigação dos efeitos nocivos - scrubbers, (depuradores) e dispositivos catalíticos - têm sido desenvolvidas e implementadas -, no entanto, embora o seu contributo para a descarbonização do sector deva ser levado em conta, estas tecnologias não correspondem à alteração pretendida do paradigma energético e podem constituir um incentivo ao business-as-usual. Por outro lado, o recurso a combustíveis com menor conteúdo de enxofre como o diesel marítimo é contraproducente uma vez que as emissões dos motores a diesel foram recentemente classificadas como cancerígenas pelo Centro Internacional de Investigação do Cancro (Oeder et al, 2015). O que isto significa é que embora o diesel corresponda ao exigido futuramente pelo Regulamento Tier III emitido pela IMO, na realidade não respeita suficientemente as preocupações com a saúde humana. De qualquer modo as refinarias não teriam provavelmente capacidade suficiente de fornecer todo o diesel necessário para abastecer a frota mundial. Por outro lado, as medidas de redução de poluentes emitidas pela IMO poderão ver seus efeitos reduzidos pelo crescimento esperado da atividade marítima nas próximas décadas e são destinadas a ser adoptadas lentamente ao longo de um largo período de tempo e mostram um progresso muito lento no contexto de evitar um aumento de temperatura superior a 2ºC acima dos níveis pré-industriais (Gilbert, 2013; Bows-Larkin, 2014), daí a necessidade urgente de investir em novas tecnologias e em novos tipos de combustíveis. ; The objective of this Ph.D. thesis is to provide important inputs for the decarbonisation of marine transport and climate change mitigation policies concerning liquefied natural gas (LNG) as a substitute fuel. Real-world results show efficiency gains from LNG compared with traditional fossil fuels burned on-board vessel's engines even when equipped with mitigation technologies. Yet, this is a necessary but not a sufficient condition to LNG be elected as a substitute fuel. For a fuel switch of such order of magnitude to occur within a major end-use sector, other requirements are to be fulfilled: the government intervention in the public interest, and, to justify such policy intervention, the degree of social acceptability. This is accomplished by developing a social cost-benefit analysis (SCBA) performed at a regional basis after the assessment of the trade-off between the provision level of the good and Portuguese nationals' disposable income had been examined. SCBA attaches money prices - a metric of everything that everyone can recognise - to as many costs and benefits as possible in order to uniformly weigh the policy objectives. As a result, these prices reflect the value a society ascribe to the paradigm change enabling the decision maker to form an opinion about the net social welfare effects. Empirically, emissions from the Portuguese merchant fleet weighted by their contribution for the National Inventory were used to quantify and monetise externalities compared with benefits from LNG as a substitute marine fuel. Benefits from the policy implementation are those related with the reduction of negative externalities. Costs are those determined from the price nationals are hypothetically willing-to-pay for. Conclusions show that benefits are largely superior to the costs, so action must be taken instead of a doing nothing scenario. Apart from the social ex-ante evaluation, this thesis also imprints the first step for developing furthermore complete studies in this aspect and it can help fill policy makers' knowledge gap to what concerns to strategic energy options vis-à-vis sustainability stakeholders engagement. Although it addresses Portuguese particularities, this methodology should be applied elsewhere.
INTRODUCCION: las dosis de referencia (DRLs) son los niveles de dosis administradas a los pacientes en exposiciones de radiodiagnóstico médico que no deben sobrepasarse y pueden ser utilizados como indicadores en los procesos de optimización radiológica. A raíz de las publicaciones iniciales para reducir las dosis de radiación en los EE.UU. En odontología, se incluyen estas recomendaciones en las directrices europeas sobre protección radiológica en radiología dental; sin embargo, hemos encontrado solamente algunas referencias aisladas sobre dicho tema. No hemos encontrado estudios previos realizados de forma continuada durante varios años en ningún país que describan la evolución de las DRLs como se pretende, una guía para la optimización de la protección radiológica como se recoge en las recomendaciones internacionales. Este estudio describe la evolución de las DRL y las dosis medias administradas a pacientes de radiología intraoral durante un período de dieciocho años (1997-2014) en España. MATERIAL Y MÉTODOS: se estudian 34.143 informes oficiales de control de calidad emitidos durante un período de 18 años (1997-2014) de instalaciones radiológicas de radiodiagnóstico intraoral y están distribuidas en 16 comunidades autónomas. Las variables analizadas son las descritas en el Real Decreto 2071/1995 modificado posteriormente por el Decreto 1976/1999 y son: características físicas de los equipos de rayos X, las anomalías encontradas en los equipos y procesamiento de la película, tiempos de exposición, dosis de radiación administradas para cada exploración, teniendo en cuenta las prácticas de trabajo habituales de cada clínica. La dosis media de radiación (10 exposiciones, en mGy, de acuerdo con la legislación española) para obtener una imagen radiográfica del segundo molar superior bajo las condiciones normales de trabajo en cada instalación, se determinó utilizando un detector UNFORS XI (Billdal, Suecia) o PMX III (RTI Electronics, Mölndal, Suecia) Se ha aplicado un factor de retrodispersión de 1,1 a los valores obtenidos siguiendo la normativa española El grado de dependencia y correlación entre variables se evaluó mediante un Análisis de Varianza complementado por una comparación de medias mediante la diferencia mínima significativa (p <0,05). Las medias cuantitativas se compararon mediante análisis de regresión y correlación lineales. RESULTADOS: desde 1997, las películas radiográficas han sido sustituidas progresivamente por sistemas digitales en España a una tasa anual del 3,1%. En 2007, se determinó que el 50% de las instalaciones dentales utiliza sistemas digitales de imágen. Sin embargo, en los últimos años (2007-2014) la tasa de crecimiento para los sistemas digitales ha sido sólo del 1,2% anual. Hemos determinado una DRL de 2,8 mGy en 2014, lo que representa una disminución de 41,7% en comparación con la dosis que establecimos en 2002 (4,8 mGy). Las dosis medias de radiación se ha reducido en un 54,5% desde el inicio del estudio; nuestro estudio muestra que el 99,4% de las instalaciones dentales cumple con las dosis recomendadas por la Unión Europea. Además, hemos determinado una dosis media de 1,3 mGy en 2014, lo que representa un descenso del 55,2% en comparación con la dosis que previamente describíamos en 2002 (2,9 mGy), aunque en los últimos tres años se ha mantenido estabilizada en 1,3 mGy. Durante este período de tres años, la dosis media no ha sido reducida y las DRLs sólo han disminuido en un 6,3%. En conclusión, el progreso en DRLs en los últimos años es el de una reducción gradual, que pueda ser interpretada como un aumento en la optimización de las técnicas de radiología intraorales en España, sin embargo, fundamentalmente es debido a la sustitución de los sistemas de imágenes convencionales a los modernos sistemas digitales. INTRODUCTION: Diagnostic reference levels (DRLs) are patient dose reference levels for diagnostic medical exposures that can be used as research indicators as part of optimization processes. In dentistry, recommendations are included in the European guidelines on radiation protection in dental radiology. No studies performed continuously over several years in any country which describe the evolution of DRLs as a guide to optimising radiological protection as mentioned in all international recommendations have been found. The present study describes the current progress of DRLs and mean doses administered to intraoral radiology patients monitored over a period of eighteen years (1997--2014) in Spain. MATERIAL AND METHODS: A total of 34,143 official reports from 1997 to 2014 on radiological standards of private dental surgeries were examined. The variables analysed are those described in Royal Decree 2071/1995 modified later by Decree 1976/1999 as described in previous publications, briefly: physical characteristics of the X-ray units, anomalies found in the equipment and film processing procedure, exposure times and radiation doses administered for each dental surgery, taking into account the regular working practices of each clinic. The installations covered in the reports encompass 16 Spanish autonomous regions. The actual mean radiation dose (10 exposures, in mGy, according to Spanish legislation for obtaining a radiographic image of the upper second molar under normal working conditions in each installation was determined using a UNFORS XI (Billdal, Sweden) or PMX III (RTI Electronics, Mölndal, Sweden) detector. A back-scattering factor of 1.1 was applied to the values obtained following the Spanish norm. The degree of dependence and correlation between variables was assessed by an Analysis of Variance complemented by a comparison of means using the minimum significant difference method (p<0.05). Quantitative means were compared by regression and linear correlation analysis. RESULTS Since 1997, radiographic films have been replaced by digital systems in Spain at an annual rate of 3.1%. In 2007, we determined that 50% of dental services utilized digital imaging systems while the other 50% used radiographic film. However, in recent years (2007-2014) the rate of growth for digital systems has been 1.2% only. We set a DRL of 2.8 mGy in 2014, which represents a 41.7 % decrease compared with the dose we set in 2002 (4.8 mGy). Over this same period, the mean dose fell by 54.5%. The DRL recommended by the European Union in 2004 for intraoral radiology was 4 mGy, and our study shows that 99.4% of the installations used a dose below this. Furthermore, we set a mean dose of 1.3 mGy in 2014, which represents a decrease of 55.2% compared with the dose we set in 2002 (2.9 mGy), although over the last three years it has remained at 1.3 mGy. Over this three year period, the mean dose has undergone no reduction whatsoever and DRLs have only decreased by 6.3%. In conclusion, the progress in DRLs over recent years is that of a gradual reduction, which may be interpreted as an increase in the optimization of intraoral radiology techniques in Spain, yet fundamentally is due to the substitution of conventional imaging systems for modern digitals ones.
La incorporació del sistema universitari espanyol al Espai Europeu d'Educació Superior (EEES) ha implicat una sèrie d'adaptacions dels graus. Entre aquests s'ha de destacar un període de pràctiques externes a la pròpia universitat, lo que ha comportar una sèrie de canvis considerables en els plans d'estudis de manera que s'aconsegueixi un balanç més equilibrat entre la formació teòrica i pràctica rebuda pels estudiants. Aquest nou marc de treball ha estat confirmat legalment pel Govern espanyol (Real Decreto 1393/2007, de 20 d'octubre i Real Decreto 1707/2011 de 18 de novembre) i en el cas de la Universitat de Barcelona amb la publicació d'una normativa de pràctiques (Normativa de pràctiques acadèmiques externes dels estudiants de la Universitat de Barcelona). Aprofitant aquesta oportunitat per adaptar el Grau de Farmàcia a la realitat social actual, l'equip deganal de la Facultat de Farmàcia amb el recolzament del personal administratiu i el Servei d'atenció a l'estudiant, va assumir el repte d'incloure una nova assignatura en el pla docent del Grau de Farmàcia, que es va denominar "Pràctiques en empreses". En paral·lel a la posta en marxa d'aquesta assignatura, es va iniciar una nova activitat per assegurar que els estudiants escollirien adequadament la companyia/departament/lloc de treball i donar-los les nocions bàsiques per poder afrontar amb les millors garanties d'èxit l'entrevista laboral. Sota el nom "Passaport a la professió", s'han programat una sèrie de deu sessions per cada any acadèmic. Aquestes sessions inclouen temes d'una amplia varietat per proveir als estudiants amb les eines bàsiques per aprofitar al màxim el període de practiques i afrontar amb èxit el seu futur professional quan acabin els estudis de grau. A més, s'han celebrat tres workshops i dos taules rodones per apropar el mon de l'empresa a la universitat. S'ha de destacar que el projecte s'ha ampliat a nivell internacional, ja que una empresa farmacèutica amb seu en el Regne Unit cada any contracta a dos o tres estudiants de grau durant un any. Les dades estadístiques obtingudes en el procés s'han analitzat per tenir una millor comprensió de l'activitat i poder millorar el programa. ; The incorporation of the Spanish university system into the European Higher Education Area has brought about a series of adaptations. Among the recommendations is the inclusion of an external training period in a company, which has resulted in significant changes in the degree syllabus in order to balance the theoretical and practical education required by the students. This new framework has been legally confirmed by the Spanish Government (Real Decreto 1393/2007, de 20 de octubre y Real Decreto 1707/2011 de 18 de noviembre) and, in the case of the University of Barcelona, by the publication of internal guidelines (Normativa de prácticas académicas externes dels estudiants de la Universitat de Barcelona). Taking advantage of this new opportunity to adapt the Pharmacy degree to real-world problems in industry, the Dean's team of the Faculty of Pharmacy, with the support of the Faculty administrative staff and the Students Advisory Service, have assumed the challenge of including a new subject in the syllabus entitled Training in Companies. In parallel, a new activity has been set up to ensure that the students choose the most suitable company department/job for them and to help them pass the company interview. Under the name of Passport to a Profession, a series of ten explanatory talks has been scheduled every academic year. These talks deal with a broad range of topics aimed at providing the students with the basic tools they will need to make the most of a company training period and to make headway in the professional world when they finish their degree. In addition, three Faculty of Pharmacy-Pharmaceutical company workshops and two round-table conferences have been held in the last two years in order to bring the university and industry together. Notably, the project to provide students with company training is expanding on an international level, with two to three undergraduate students contracted every year by a United Kingdom-based multinational pharmaceutical company. The statistical data of the whole process has been analysed for a more in-depth understanding of the activity and to improve the programme. ; La incorporación del sistema universitario español al Espacio Europeo de Educación Superior (EEES) ha implicado una serie de adaptaciones de los grados. Entre estas cabe destacar la inclusión en los grados de un periodo de prácticas externas a la propia universidad, lo cual ha representado una serie de cambios considerables en los planes de estudios a fin de conseguir un balance más equilibrado entre la formación teórica y la formación práctica recibidas por los estudiantes. Este nuevo marco de trabajo ha sido confirmado legalmente por el Gobierno español (Real Decreto 1393/2007, de 20 de octubre y Real Decreto 1707/2011 de 18 de noviembre) y, en el caso de la Universidad de Barcelona, con la publicación de una normativa de prácticas (Normativa de prácticas académicas externas de los estudiantes de la Universidad de Barcelona). Aprovechando esta oportunidad para adaptar el grado de Farmacia a la realidad social actual, el equipo decanal de la Facultad de Farmacia, con el apoyo del personal administrativo y del Servicio de atención al estudiante, asumió el reto de incluir una nueva asignatura en el plan de estudios el grado de Farmacia, que se denominó "Prácticas en empresas". En paralelo a la puesta en marcha de esta asignatura, se inició una nueva actividad para asegurar que los estudiantes escogieran adecuadamente la compañía/departamento/lugar de trabajo y así ofrecerles las nociones básicas para poder afrontar con las mejores garantías de éxito la entrevista laboral. Bajo el nombre "Pasaporte a la profesión", se han programado una serie de diez sesiones por año académico. Estas sesiones incluyen temas de una amplia variedad para dotar a los estudiantes de las herramientas básicas a fin de aprovechar al máximo el periodo de prácticas y, de este modo, afrontar con éxito su futuro profesional al acabar sus estudios de grado. Además, se han celebrado ya tres workshops y dos mesas redondas para acercar el mundo de la empresa a la universidad. Cabe destacar que el proyecto se ha ampliado a nivel internacional, ya que una empresa farmacéutica con sede en Reino Unido contrata todos los años a dos o tres estudiantes de grado durante un año. Los datos estadísticos obtenidos en el proceso se han analizado para tener una mejor comprensión de la actividad y poder mejorar el programa.
Hintergrund International findet die Bedeutung psychischer Störungen seit vielen Jahren zunehmendpolitische und wissenschaftliche Aufmerksamkeit. Depressionen führen nicht nur zu einer Belastung des psychosozialen Befindens, sondern haben auch große Einschränkungen in der Lebensqualität und Arbeitsproduktivität zur Folge [7]. Eine Identifikation von Prädiktoren für die Remission depressiver Symptomatik erscheint aus diesem Grunde besonders wichtig. Material und Methoden Remittierte und Nicht-Remittierte Patienten wurden anhand des in der Literatur verwendeten Cut-off-Wertes 7 in der Hamilton-Depressionsskala in verschiedenen soziodemographischen, klinischen und weiteren Variablen gegenübergestellt. Insgesamt handelt es sich um eine Stichprobe mit 388 Patienten, von denen 205 an der Katamneseuntersuchung teilnahmen. Eingeschlossen wurden Patienten, die die Diagnose einer einzelnen oder rezidivierenden depressiven Episode (F32.x / F33.x / F38.x) oder einer Dysthymie (F34.1) nach ICD-10 erhalten haben. Ausgeschlossen wurden jene, die als komorbide Diagnosen eine Schizophrenie (F2x.x), eine organisch bedingte Störung (F0x.x) oder eine Intelligenzminderung (F7x.x) nach ICD-10 aufwiesen. Es wurden folgende Skalen verwendet: Beck-Depressions-Inventar (BDI), ein Fragebogen zur gesundheitlichen Lebensqualität(WHOQOL-BREF), die Hamilton-Depressionsskala (HAM-D), die globale Erfassung des Funktionsniveaus (GAF) sowie die Clinical Global Scale (CGI). Ein eigens kreierter Fragebogen fand zur Erfassung anamnestischer und weiterer Daten ebenfalls Anwendung. Ergebnisse und Diskussion Insgesamt remittierte die depressive Symptomatik bei 93 (= 45 %) Patienten. Die nicht-remittierte Gruppe war durchschnittlich 49.82 Jahre alt und damit jünger als die remittierten Patienten (55.17 Jahre alt). Fast doppelt so viel remittierte Patienten hatten einen Abschluss am Gymnasium. Dieses spiegelte sich auch in der derzeitigen beruflichen Situation wider: 75.5% der Arbeitslosen oder erwerbs- bzw. berufsunfähigen Patienten waren nicht-remittiert (p= .00, d= 2.578). Es erhielten signifikant (p≤ .0001) häufiger nicht-remittierte Patienten die Diagnose einer rezidivierenden Depression in Verbindung mit einer Komorbidität. Im Vergleich der Medikamentenverordnung wurden signifikant mehr trizyklische Antidepressiva in der nicht-remittierten Gruppe verschrieben. Dies deutet darauf hin, dass diese ältere Generation der Antidepressiva besonders bei einer therapieresistenten Depression als Mittel 2. Wahl zum Einsatz kommt. Hinsichtlich der Psychotherapie kam es zu einem überraschenden Ergebnis, da signifikant (p≤ .0001) häufiger die nicht-remittierten Patienten diese abgeschlossen hatten oder sich noch in einer laufenden Therapie befanden. Einerseits könnte es auf eine selektive Zuweisung in Psychotherapien hindeuten, wenn sich eine auf Medikamente nur unzulänglich ansprechende Symptomatik zeigt. Andererseits könnte man auch von einer Selbstselektion von Patienten ausgehen, welche sich subjektiv besser fühlten und deshalb eine Psychotherapie nicht beanspruchen wollten. Der hohe Stellenwert sozialer Beziehungen wurde anhand der Variablen Freizeitverhalten, sportliche Aktivitäten, Kontakt mit Freunden und Verwandten, Art der Kontakte sowie dem Vorhandensein eines Ansprechpartners bei Problemen deutlich. In der zusammenfassenden binären logistischen Regressionsanalyse wurden die bedeutsamsten Prädiktorvariablen extrahiert. Eine Nicht-Remission demzufolge erhöht die Chance auf die Zuführung in eine Psychotherapie um den Faktor 2.72, was vermuten lässt, dass gerade schwer behandelbare Patienten, wie es auch die Leitlinie [10] empfiehlt, neben der medikamentösen Therapie eine zusätzliche Psychotherapie benötigen. Des Weiteren erhöht eine Nicht-Remission die Chance auf eine höhere Anzahl an stationären Aufenthalten wegen einer Depression um den Faktor 1.34. Es konnten keine Studien gefunden werden, die die Anzahl an stationären Aufenthalten wegen einer Depression als negativen Prädiktor ansah. Es ist jedoch zu vermuten, dass Patienten zwar nicht schwerer erkrankt sind im Sinne der Symptomschwere, aber vielleicht spezifische Bewältigungsmuster zeigen, die immer wieder zu einer Dekompensation und anschließenden Rehospitalisierung führen. Eine stabile berufliche Situation geht mit einer erhöhten Chance auf eine Remission um 4.19 einher und beeinflusst die Remissionswahrscheinlichkeit positiv. Beides erbringt ein gesichertes Einkommen und damit wahrscheinlich auch eine bessere bzw. leichtere soziale Integration. Dass diese Integration eine wichtige Rolle spielt, zeichnete sich auch im Prädiktor "Vorhandensein eines Ansprechpartners bei Problemen" ab. Die Chance zu remittieren erhöhte sich um 3.58, wenn man bei Problemen einen Ansprechpartner hatte. ; Background For many years psychological diseases have increasingly gained economical as well as political relevance internationally. They do not merely affect the psychosocial state of health, nevertheless they also have an effect on the quality of life as well as the labor productivity [7]. The incidence rate of psychological diseases will increase during the next years according to the evaluation of the WHO. Regarding life expectancies, in 2020 the highest loss of potential life years will be caused by cardiovascular diseases, followed by diseases due to depression [22]. Therefore the identification of factors, which predict the remission of depressive symptoms, is of major importance. Methods and Material In the present analysis patients, who had received inpatient treatment in the Johanna-Odebrecht-Stiftung in 2007, were invited to a catamnesis interview. Remitted and non-remitted patients were defined by a cut-off value of ≤ 7 of the Hamilton Depression Scale. The sample included 388 patients in total, whereas N=205 patients actually participated in the catamnesis. Patients, who had been diagnosed a major depression (F32.x/ F33.x/ F38.x according to ICD-10) or dysthymia (F34.1) were involved. Whereas those that suffered from schizophrenia (F2x.x), mental retardation or an organic disease (F0x.x) were excluded. The following scales have been used for the assessment: The Beck Depression Inventar (BDI), a questionnaire for the state of health and the quality of life (WHOQOL-BREF), the Hamilton Depression Scale (HAM-D), the Global Assessment of Functioning (GAF), the Clinical Global Scale (CGI) as well as a questionnaire developed by the research team of the Johanna-Odebrecht-Stiftung. Discussion and Results As a result of the research a remission rate of 45% (n= 93) was detected. Highly significant results were found regarding the patients' age, which was 49.82 years on average in the non-remitted group compared to the remitted group with 55.17 years. Patients in the non-remitted group were also younger at the time of their initial manifestation of depressive symptoms (39.13 years vs. 46.48 years). Nearly twice as many remitted than non-remitted patients had a high school diploma. Further results concerned the patients' work life: 75% of the unemployed patients or those incapable of working were non-remitted (p=0.00, d= 2.578). Another highly significant result (p>0.0001) was the finding that non-remitted patients suffered more often from recurring depressive episodes combined with a comorbidity. It was also found that tricyclic antidepressants were significantly more often prescribed to non-remitted patients. The evidence shows that the older generation of antidepressants should be the second choice. Regarding psychotherapy there was a surprising result since significantly (p<0.0001) more patients of the non-remitted group completed therapy or continued consulting a psychotherapist. A possible reason for this might be selective referrals to psychotherapy, which especially those patients receive, whose symptoms respond very little to medical treatment. On the other hand there could be a possible self-selection by those patients, who subjectively feel better and hence see no need for psychotherapeutic treatment. The importance of social relationships was shown by the variables leisure behaviour, sports activities, social contact with family and friends, the type of contact as well as the availability of someone to discuss personal problems with. The most important predictor variables have been extracted in the summary report of the binary logistic regression. As a result of the regression non-remission increases the likelihood (OR= 2.72) to receive psychotherapy. Therefore it is assumed that therapy-resistant patients need medical as well as psychotherapeutic treatment. Additionally a non-remission increases the number of in-patient stays caused by a depression (OR= 1.34). No study found describes the number of in-patient stays due to depression to be a negative predictor. Whereas the number of previous depressive episodes seems to be a risk for non-remission. Supposedly those patients are not necessarily more severely ill regarding the severity of symptoms, but they might use particular coping strategies, that more likely lead to decompensation and rehospitalization. A stable work or pension situation increases the probability of a remission (OR= 4.19), meaning that a secure income comes along with a better or easier social integration. The chance of remission is about (OR= 3.85) higher when patients have got someone to discuss personal problems with. Conclusion: A stable and secure income, a reliable social network as well as a small number of in-patient stays will increase the likelihood of a remission. A non-remission will increase the chance of being referred to psychotherapeutic treatment on the other hand.
Purpose: To analyze the technical efficiency of Brazilian railway companies. Methodology: The technical efficiency of Brazilian railway companies was analyzed through Data Envelopment Analysis (DEA), using the window analysis approach, and considering the Variable Returns of Scale model. The study examined eight companies during a five-year period, which totalizes 90% of the railway passengers in that timespan. The main inputs and outputs of railway systems referred in the international literature were used as variables. Results: Only railway companies classified as large can be considered technically efficient. Among them, São Paulo's metro system was the only one that remained efficient throughout the years analyzed. Medium-sized companies were inefficient in all years of the sample, showing the necessity to reduce their inputs by an average of 19% in order to become technically efficient. The inclusion of financial variable as an input did not significantly change the efficiency indexes assessed. The study reveals the prevalence of increasing returns to scale in the Brazilian railway system. Contributions of the Study: This study identifies potential improvements for the companies considered inefficient and reveals they are medium-sized and state-owned, with high-cost financing from government resources. It is also a benchmark for further research on the topic, given the importance of identifying the effect of funding transport operations with government resources on companies' efficiency. In this context, considering this study identifies the prevalence of increasing returns to scale in the Brazilian railway system, it contributes to the analysis of public policies associated with population access to this means of transportation, as constant returns to scale suggests that production increase, which has the number of carried passengers as the main variable, can generate benefits for the companies in terms of efficiency. ; Objetivo: Analizar la eficiencia técnica de las empresas de metro en Brasil. Metodología: La eficiencia técnica de las empresas de transporte metro-ferroviario en Brasil fue analizada a través del Análisis Envolvente de Datos (DEA), apoyado por el Análisis de Ventana y considerando el modelo de retornos variables. El estudio abarcó un período de cinco años, para ocho empresas que representan el 90% de los pasajeros transportados en el sistema metro-ferroviario. Como variables se utilizaron los principales insumos y productos del transporte metro-ferroviario referenciados en la literatura internacional. Resultados: Solo las empresas de metro clasificadas como grandes son técnicamente eficientes y, entre ellas, solo Metrô SP se ha mantenido eficiente en todos los años analizados. Las empresas medianas resultaron ineficientes en todos los años de la muestra, con la necesidad de una reducción promedio del 19% en los insumos para ser técnicamente eficientes. La inclusión de variables financieras como input no tuvo un impacto significativo en los índices de eficiencia calculados. El estudio revela que prevalecen rendimientos crecientes a escala en el sistema de transporte metro-ferroviario brasileño. Contribuciones del Estudio: El estudio identifica posibles mejoras para las empresas consideradas ineficientes y revela que son empresas públicas de tamaño mediano, con altos niveles de financiamiento de sus costos a través de recursos gubernamentales, sirviendo este estudio de referencia para ampliar la investigación sobre el tema, dada la relevancia de identificar el efecto de costear las operaciones de transporte a través de recursos gubernamentales sobre la eficiencia de las empresas. En esta línea, al identificar que el sistema de transporte metro-ferroviario brasileño es predominante en los rendimientos crecientes a escala, este estudio contribuye al análisis de las políticas públicas vinculadas al acceso de la población a este transporte, ya que los rendimientos crecientes sugieren que el aumento de la producción, que tiene como variable principal el número de pasajeros transportados, puede generar beneficios en cuanto a la eficiencia de las empresas. ; Objetivo: Analisar a eficiência técnica das empresas metroferroviárias brasileiras. Metodologia: Foi analisada a eficiência técnica das empresas metroferroviárias brasileiras por meio da Análise Envoltória de Dados (DEA), com suporte na Análise de Janelas e considerando o modelo de retornos variáveis. O estudo contemplou um período de cinco anos, para oito empresas que totalizam 90% dos passageiros transportados no sistema metroferroviário. Como variáveis foram utilizados os principais insumos e produtos do transporte metroferroviário referenciados na literatura internacional. Resultados: São tecnicamente eficientes apenas as empresas metroferroviárias classificadas como de grande porte e dentre estas somente o Metrô SP se manteve eficiente em todos os anos analisados. As empresas de médio porte apresentaram-se ineficientes em todos os anos da amostra, sendo identificada a necessidade de redução média de 19% nos insumos para que estas se tornem tecnicamente eficientes. A inclusão de variável financeira como insumo não teve reflexo significativo nos índices de eficiência apurados. O estudo revela que prepondera no sistema de transporte metroferroviário brasileiro retornos crescentes de escala. Contribuições do Estudo: O estudo identifica melhorias potenciais para as empresas consideradas ineficientes e revela que estas são empresas públicas de médio porte, com altos níveis de financiamento dos seus custos por meio de recursos governamentais, servindo este estudo de referência para ampliar a pesquisa sobre o tema, dada a relevância de se identificar o efeito do custeio das operações do transporte por meio de recursos governamentais sobre a eficiência das empresas. Nessa esteira, ao identificar que prepondera no sistema de transporte metroferroviário brasileiro retornos crescentes de escala, este estudo contribui para a análise de políticas públicas vinculadas ao acesso da população a este transporte, uma vez que retornos crescentes sugerem que o aumento da produção, que tem como principal variável o número de passageiros transportados, pode gerar benefícios quanto à eficiência das empresas.
Currently, the task of locating radio sources with complex types of modulation, wide bandwidth and low power is becoming increasingly important. The need to create radio monitoring systems and location of radio sources arises in both military (border control, local conflict zones) and civilian consumers (monitoring of navigation on international transport corridors and in special economic zones, search for sources of interference in telecommunication systems, detection of non-communication systems). in communication systems). Key words: direction finding, passive location, radio radiation source, location determination, triangulation. References1. Авиационные системы радиоуправления / В. И. Меркулов, В. С. Чернов, В. А. Гандурин и др. М.: ВВИА им. Н. Е. Жуковского, 2008. 424 с.2. Быстров Р. П. Пассивная радиолокация. Методы обнаружения объектов. М.: Радиотехника, 2008. 318 с.3. http://8ref.com/15/referat_159500.html - Радіохвильові і радіопроменеві засоби виявлення - Комунікації і зв'язок.4. Бызов А. Н., Петров Ю. В. Определение местоположения источника радиоизлучения пассивными средствами летательного аппарата // Вопросы радиоэлектроники. 2014. № 4. С. 47-56.5. Електронний ресурс https://uk.wikipedia.org/ - Пасивна радіолокація.6. Мельников Ю. П., Попов С. В. Радиотехническая разведка. Методы оценки эффективности местоположения источников излучения. М.: Радиотехника, 2008. 432 с.7. Петров Ю. В. Определение местоположения излучающих целей в пассивных однопозиционных радиолокационных системах // Известия РАРАН. 2016. № 3. С. 155-158.8. Рудинский А. В., Шенгелия М. В. О возможности однопозиционного определения дистанции до объекта в пассивном режиме работы радиотелескопа // Фундаментальные исследования. 2013. № 11. С. 648-650.9. https://ualeks.com/solutions/national-security - національна безпека.10. Белик Б. В., Сузанский Д. Н., Чернов В. С. Способы оценивания дальности до подвижного источника радиоизлучения на основе угломерных данных на борту летательного аппарата // Информационно-измерительные и управляющие системы. 2014. Т. 12. № 3. С. 19-25.11. Мельников Ю. П., Попов С. В. Возможности кинематического определения дальности до источника радиоизлучения движущимся наблюдателем // Радиотехника. 2006. № 9. С. 17-21. ; В настоящее время все более актуальной становится задача определения местоположения источников радиоизлучений со сложными видами модуляции, широкой полосой излучения и низкой мощностью. Необходимость создания систем радиомониторинга и местонахождения источников радиоизлучений возникает как у военных (контроль приграничных территорий, зон локальных конфликтов), так и у гражданских потребителей (мониторинг судоходства на международных транспортных коридорах и в особых экономических зонах, поиск источников помех в телекоммуникационных системах, обнаружения несанкционированного доступа в системы связи). Ключевые слова: пеленгация, пассивная локация, источник радиоизлучения, определение местоположения, триангуляция. Перечень ссылок1. Авиационные системы радиоуправления / В. И. Меркулов, В. С. Чернов, В. А. Гандурин и др. М.: ВВИА им. Н. Е. Жуковского, 2008. 424 с.2. Быстров Р. П. Пассивная радиолокация. Методы обнаружения объектов. М.: Радиотехника, 2008. 318 с.3. http://8ref.com/15/referat_159500.html - Радіохвильові і радіопроменеві засоби виявлення - Комунікації і зв'язок.4. Бызов А. Н., Петров Ю. В. Определение местоположения источника радиоизлучения пассивными средствами летательного аппарата // Вопросы радиоэлектроники. 2014. № 4. С. 47-56.5. Електронний ресурс https://uk.wikipedia.org/ - Пасивна радіолокація.6. Мельников Ю. П., Попов С. В. Радиотехническая разведка. Методы оценки эффективности местоположения источников излучения. М.: Радиотехника, 2008. 432 с.7. Петров Ю. В. Определение местоположения излучающих целей в пассивных однопозиционных радиолокационных системах // Известия РАРАН. 2016. № 3. С. 155-158.8. Рудинский А. В., Шенгелия М. В. О возможности однопозиционного определения дистанции до объекта в пассивном режиме работы радиотелескопа // Фундаментальные исследования. 2013. № 11. С. 648-650.9. https://ualeks.com/solutions/national-security - національна безпека.10. Белик Б. В., Сузанский Д. Н., Чернов В. С. Способы оценивания дальности до подвижного источника радиоизлучения на основе угломерных данных на борту летательного аппарата // Информационно-измерительные и управляющие системы. 2014. Т. 12. № 3. С. 19-25.11. Мельников Ю. П., Попов С. В. Возможности кинематического определения дальности до источника радиоизлучения движущимся наблюдателем // Радиотехника. 2006. № 9. С. 17-21. ; В даний час все більше актуальною стає завдання визначення місцезнаходження джерел радіовипромінювань зі складними видами модуляції, широкою смугою випромінювання і низькою потужністю. Необхідність створення систем радіомоніторингу та місцезнаходження джерел радіовипромінювань виникає як у військових (контроль прикордонних територій, зон локальних конфліктів), так і у цивільних споживачів (моніторинг судноплавства на міжнародних транспортних коридорах і в особливих економічних зонах, пошук джерел перешкод в телекомунікаційних системах, виявлення несанкціонованого доступу в системи зв'язку). Ключові слова: пеленгація, пасивна локація, джерело радіовипромінювання, визначення місця розташування, тріангуляція. Перелік посилань1. Авиационные системы радиоуправления / В. И. Меркулов, В. С. Чернов, В. А. Гандурин и др. М.: ВВИА им. Н. Е. Жуковского, 2008. 424 с.2. Быстров Р. П. Пассивная радиолокация. Методы обнаружения объектов. М.: Радиотехника, 2008. 318 с.3. http://8ref.com/15/referat_159500.html - Радіохвильові і радіопроменеві засоби виявлення - Комунікації і зв'язок.4. Бызов А. Н., Петров Ю. В. Определение местоположения источника радиоизлучения пассивными средствами летательного аппарата // Вопросы радиоэлектроники. 2014. № 4. С. 47-56.5. Електронний ресурс https://uk.wikipedia.org/ - Пасивна радіолокація.6. Мельников Ю. П., Попов С. В. Радиотехническая разведка. Методы оценки эффективности местоположения источников излучения. М.: Радиотехника, 2008. 432 с.7. Петров Ю. В. Определение местоположения излучающих целей в пассивных однопозиционных радиолокационных системах // Известия РАРАН. 2016. № 3. С. 155-158.8. Рудинский А. В., Шенгелия М. В. О возможности однопозиционного определения дистанции до объекта в пассивном режиме работы радиотелескопа // Фундаментальные исследования. 2013. № 11. С. 648-650.9. https://ualeks.com/solutions/national-security - національна безпека.10. Белик Б. В., Сузанский Д. Н., Чернов В. С. Способы оценивания дальности до подвижного источника радиоизлучения на основе угломерных данных на борту летательного аппарата // Информационно-измерительные и управляющие системы. 2014. Т. 12. № 3. С. 19-25.11. Мельников Ю. П., Попов С. В. Возможности кинематического определения дальности до источника радиоизлучения движущимся наблюдателем // Радиотехника. 2006. № 9. С. 17-21.
Ao se tornar um dois maiores exportadores agrícolas em nível mundial, o Brasil passou a ser também um dos maiores consumidores de agrotóxicos. Devido aos riscos à saúde humana associados à ingestão desses insumos, os órgãos reguladores nacionais e internacionais estipulam Limites Máximos de Resíduos (LMR) nos alimentos. A extrapolação desses limites nos alimentos pode gerar litígios comerciais entre países exportadores e importadores, levando à criação de Barreiras Técnicas Comerciais (BTC). Este artigo discute o potencial de criação de BTC às quatro commodities agrícolas de maior valor comercial exportadas pelo Brasil aos seus principais parceiros comerciais. É feito um estudo comparativo entre os LMR do Brasil e os dos seus principais importadores de commodities agrícolas, no qual foi possível identificar 88 focos potenciais de criação de BTC. Esses focos potenciais de disputa comercial são resultado de um elevado grau de assimetria e subjetividade presente nos critérios de decisão adotados, tanto pelos países quanto pelos comitês de especialistas criados no âmbito do Codex Alimentarius. As BTC associadas a LMR de agrotóxicos tendem a crescer com a implementação dos critérios de análise de perigo de agrotóxicos, introduzidos pelo Regulamento 1107/09 da União Europeia, vigente a partir de junho de 2011. O trabalho conclui pela necessidade de uma política agrícola capaz de reduzir os riscos crescentes de BTC em um contexto histórico de expansão das exportações agrícolas brasileiras. ; Al convertirse en uno de los más grandes exportadores mundiales de productos agrícolas, Brasil se ha ubicado a la vez como uno de los principales consumidores de pesticidas. Debido a los riesgos a la salud humana por el consumo de esos insumos químicos, los órganos reguladores nacionales e internacionales han estipulado Límites Máximos de Residuos (LMR) de plaguicidas en los alimentos. La extrapolación de esos límites puede generar disputas comerciales entre países importadores y exportadores, llevando a la creación de Barreras Técnicas Comerciales (BTC). Este artículo discute el potencial de creación de BTC a las commodities agrícolas exportadas por Brasil a sus principales interlocutores comerciales. Se realiza un estudio comparativo entre los LMR adoptados en Brasil y los adoptados por sus principales importadores de productos agrícolas, en el cual es posible identificar 88 focos potenciales de creación de BTC. Esos focos potenciales de disputa comercial resultan de un alto grado de asimetría y subjetividad presente en los criterios adoptados, tanto por parte de los países como por los comités de expertos en el ámbito del Codex Alimentarius. Las BTC asociadas a los LMR de pesticidas tienden aún a crecer con la implementación de los parámetros de análisis de peligro de pesticidas, introducidos por el Reglamento 1107/09 de la Unión Europea, en vigor desde junio de 2011. El artículo concluye por la necesidad de una política agrícola capaz de reducir los riesgos crecientes de BTC, en un contexto histórico de expansión de las exportaciones agrícolas de Brasil. ; As one of the main world agricultural exporters, Brazil has also become an important pesticide consumer. Due to the human health risks related to the intake of this agricultural input, national and international regulatory agencies fix Maximum Residue Limits (MRL) of pesticide in food. The extrapolation of these limits in food can generate commercial disputes between importer and exporter countries, which lead to the creation of Technical Trade Barriers (TTB). This article discusses the potential of BTC creation to the agricultural commodities exported from Brazil to its main trade partners. A comparative study between Brazilian LMR and those from its main trade partners is done, in which it was identified 88 potential foci of BTC. These potential foci of commercial disputes are related to a high degree of asymmetry and subjectivity on the decision making criteria adopted by countries as well as by the expert committees linked to the Codex Alimentarius. BTC related to MRL of pesticides tend to grow after the implementation of pesticide hazard evaluation, adopted by the Regulation 2009/1107 of the European Union. The article concludes that it is necessary an agricultural policy able to reduce the increasing risks of BTC in a context of Brazilian agricultural export expansion. ; Placé parmi les plus grands exportateurs mondiaux de produits agricoles, le Brésil est devenu aussi un leader dans la consommation de pesticides. Dû aux risques associés à la santé humaine par l'ingestion de ces inputs chimiques, les organismes régulateurs nationaux e internationaux déterminent des Limites Maximales de Résidus (LMR) de pesticides dans les aliments. L'extrapolation de ces limites peut générer des litiges commerciaux entre les pays exportateurs et importateurs, ce qui renvoie à la création des Barrières Techniques Commerciales (BTC). Cet article discute le potentiel de création de BTC aux produits agricoles brésiliens exportés vers ses principaux partenaires commerciaux. On présent une étude comparative entre les LRM du Brésil et ceux de ses principaux importateurs de produits agricoles, dont est-il possible identifier 88 cas potentiels de création de BTC. Ces focus potentiels de disputes commerciales sont le résultat d'un degré élevé d'asymétrie et de subjectivité présente dans les critères de décision adoptés dans le cadre du Codex Alimentarius. Les BTC associées aux LMR de pesticides tendent à croître avec l'implémentation des critères d'analyse de danger de pesticides, introduits par le Règlement 1107/09 de l'Union Européenne, en vigueur depuis juin 2011. Le travail présente en tant que conclusion le besoin d'une politique agricole capable de réduire les risques croissants de BTC dans un contexte historique d'élargissement des exportations agricoles brésiliennes. ; 151-170 ; camilachermida@ie.ufu.br ; victor@ufpr.br ; leticia.silvaletirs@gmail.com ; Semestral
Käesoleva magistritöö eesmärgiks on autoril välja selgitada, kuidas siseriikliku ja rahvusvahelise transpordiga tegelevad transpordiettevõtted ja veokijuhid peavad kinni kehtestatud tööajamäärustest ja uurida milline on seos tööajamääruste rikkumiste ja veo- või vedukautode põhjustatud liiklusõnnetuste vahel ning kas on seos tööajamääruste rikkumiste ning laonduses ja veonduses toimunud tööõnnetuste vahel. Töö kirjutamise käigus töötas autor läbi veokijuhtide tööaega reguleerivat seadusandlust, Euroopa Liidu Parlamendi ja Nõukogu määruseid, analüüsis mitmete transpordi- ja terviseteadlaste seisukohti erinevate teadusartiklite baasil ning töötas läbi teisi erialaseid kirjandusväljaandeid. Töö käigus analüüsis autor Tööinspektsiooni poolt läbi viidud uuringuid töö- ja puhkeaja nõuete avastatud rikkumiste ja tööõnnetuste osas ning Maanteeameti poolt avaldatud veo- või vedukautode poolt põhjustatud liiklusõnnetuste vahelist seost. Magistritöös võrdles autor Maanteeameti poolt tellitud ja 2004. aastal Tallinna Tehnikaülikooli Arenduskeskuse poolt avaldatud "Töö- ja puhkeaja järgimise uuring Eesti maanteetranspordi ettevõtetes" uurimust ja selle tulemusi käesolevas töös veose veo eest vastutavate isikute ja veokijuhtide seas autori poolt läbi viidud küsitluse tulemustega ning tegi saadud tulemuste põhjal järeldusi. Magistritöö analüüsis uuris autor veose veo eest vastutavate isikute hinnangut veokijuhtide teadlikkusest töö- ja puhkeaja nõuetest ning veokijuhtide teadlikkust maanteetranspordis kehtivatest regulatsioonidest. Läbi viidud küsitluses osales 29 veose veo eest vastutavat isikut ja 27 veokijuhti. Küsitluses osalenud veo ja veose eest vastutavate isikute vastuste läbitöötamisel jõudis autor järeldusele, et veokijuhtide teadlikkust töö- ja puhkeaja nõuete täitmisest võib pidada heaks, ent peamiseks töö- ja puhkeaja nõuete rikkumiseks on autori seisukohalt küsitluse tulemustest lähtuvalt just ööpäevasest sõidu- ja puhkeaja nõuetest mitte kinni pidamine. Veokijuhtide poolt küsimustikule edastatud vastuseid analüüsides jõudis autor samuti järeldusele, et suurem osa veokijuhtidest on teadlikud sõidu- ja puhkeaega reguleerivatest seadusaktidest ning samuti osutus see ka autori järeldustest tulenevalt suurimaks rikkumiseks. Veokijuhid ei pea suures enamuses kinni Euroopa Parlamendi ja Nõukogu määrusega nr 561/2006 kehtestatud nädalasest sõidu- ja puhkeaegadest. Töötervishoiule tähelepanu pööramise ja töötingimuste parandamise osas küsitluste tulemusi analüüsides, jõudis autor järeldusele, et 90% vastanud ettevõtetest pööravad tähelepanu veokijuhtide töötervishoiule ning töötingimuste parandamiseks on ettevõttes rakendanud erinevaid meetmeid. Mitte üheski vastanud ettevõttes ei esine haigestumisi kutsehaigustesse. Tööõnnetusi on juhtunud vastanud ettevõtetest kuues ettevõttes. Surmaga lõppenud tööõnnetusi ei esinenud. Veokijuhtide vastuste tulemustest lähtuvalt on autor samuti seisukohal, et protsentuaalselt enam kui pooltele vastanud veokijuhtidele osutatakse töötervishoiuteenuseid ning samuti on ka veokijuhtide hinnang töötingimuste parandamise osas sama, mis ettevõtetelgi. Veokijuhtide töö- ja puhkeaja määruste eesmärk – parandada veokijuhtide töötingimusi ja võtta arvesse nende töötervishoiu küsimusi – ei ole autori arvates täielikult realiseerunud. Euroopa Parlamendi ja Nõukogu töö- ja puhkeaja määrused on paindumatud, mistõttu põhjustavad nendest tulenevad nõudmised paljudel veokijuhtidel stressi. Täpsed ettekirjutused, millal ja kui palju veokijuhid sõitma ja puhkama peavad, võivad suure tõenäosusega tekitada veokijuhtides sotsiaalset isolatsiooni. Stress omakorda võib olla teiste haiguste riskiteguriks. Töö- ja puhkeaja nõuete avastatud rikkumiste ja veo- või vedukautode põhjustatud liiklusõnnetustevahelise seose ning töö- ja puhkeaja nõuete avastatud rikkumiste ja laonduses ja veonduses toimunud tööõnnetustevahelise seose väljaselgitamiseks viis autor töös läbi korrelatsioon- ja regressioonanalüüsi. Analüüsi tulemusena on autor seisukohal, et töö- ja puhkeaja nõuete avastatud rikkumiste ja veo- või vedukautode põhjustatud liiklusõnnetuste vahel on tugev negatiivne seos. Sellest tulenevalt järeldab autor, et kui kasvab Tööinspektsiooni poolt kontroll töö- ja puhkeaja nõuete täitmise üle, vähenevad veo- või vedukautode poolt põhjustatud liiklusõnnetused. Töö- ja puhkeaja nõuete avastatud rikkumiste ja laonduses ja veonduses toimunud tööõnnetustevahelise seose näitajaid analüüsides jõudis autor tulemusele, et nende vahel on olemas negatiivne korrelatiivne seos. Saadud tulemuste põhjal on autor seisukohal, et kui kasvab Tööinspektsiooni poolt kontroll töö- ja puhkeaja nõuete täitmise üle, vähenevad laonduses ja veonduses aset leidvate tööõnnetuste arv. Võrreldes veose veo eest vastutavate isikute ja veokijuhtide seas autori poolt läbi viidud küsitluse tulemusi 2004. aastal Tallinna Tehnikaülikooli Arenduskeskuse poolt läbi viidud uuringus avaldatud andmetega ja analüüsides Tööinspektsiooni poolt kontrollimisel avastatud töö- ja puhkeaja nõuete rikkumisi, veonduses ja laonduses toimunud tööõnnetusi ning Maanteeameti poolt avaldatud veo- või vedukauto poolt põhjustatud liiklusõnnetusi, leiab autor, et kontrolli töö- ja puhkeaja nõuete täitmise üle tuleks tõhustada. Tagamaks veokijuhtide töö- ja puhkeaja nõuetest kinni pidamine, tuleks kauba saatjatel, tellijatel ja vedajatel teha rohkem omavahelist koostööd. Ettevõtetes peab autori seisukohtade kohaselt pöörama rohkem tähelepanu seadusandlusega kehtestatud veokijuhtide töö- ja puhkeaja nõuetele. Auroti arvates omab see, eriti suurt tähtsust, kuna ettevõte vastutab ka väljaspool liikmesriiki veokijuhi poolt toime pandud eest. Igas ettevõttes on küll veose veo eest vastutav isik, kuid tema ei saa tihtilugu üksi hallata kogu ettevõtet, sellest tulenevalt on autor arvamusel, et nii nagu veokijuhtidel on kohustuslik läbida täiendkoolitused, tuleks seda nõuda ka veokorraldajatelt, et ka nemad oleksid paremini kursis kehtivate töö- ja puhkeaja nõuetega. Tööinspektsioon, Politsei ja Piirivalveamet ning koolitajad võiksid teha suuremat koostööd teavitamaks ja koolitamaks ettevõtteid ja veokijuhte töö- ja puhkeajaeeskirjadest tulenevate nõuete täitmiseks, samuti kontrollimiseks kasutatavate programmide tutvustamiseks ja kasutamiseks. Autor on arvamusel, et kehtivad töö- ja puhkeajamäärused tuleks üle vaadata ja sõnastada nii, et need oleksid üheselt mõistetavad nii kontrollivale ametnikule, tööandjale kui ka veokijuhile. Autor on seisukohal, et korduvate rikkumiste korral, kui neile on pööratud kontrolliva ametniku poolt korduvalt tähelepanu ning jätkuvalt esineb töö- ja puhkeaja nõuete rikkumisi, tuleks rakendada karmimaid karistusmeetmeid. Tähelepanu peaks autori arvates pöörama ka veokijuhtide töökeskkonnale ja tervisele, kuna seda valdkonda Euroopa Parlamendi ja Nõukogu määrus käesoleval hetkel täiel määral ei reguleeri ega kajasta. Põhiline rõhk on pandud eeskätt sõidu- ja puhkeaja reguleerimisele, millega püütakse vähendada õnnetusi raskeveokite ja väsinud veokijuhtidega, ent tagaplaanile on seetõttu jäänud veokijuhtide tervis ja heaolu. Tööandjad, töötervishoiuteenust osutavad asutused, Tööinspektsioon ning Maksu- ja Tolliamet peaksid tagama tihedamat koostööd, tagamaks veokijuhtide pidev tervisekontroll ja saadud tulemusi tuleks ka analüüsida, et vajadusel parendada veokijuhtide töökeskkonda. Riik võiks veokijuhtide tervise ja heaolu ning töökeskkonna parendamiseks loobuda tööandjatele kehtivatest erisoodustusmaksudest hetkel ei saa ettevõtted võimaldada oma töötajatele näiteks sportimist või muid tervist parendavaid teenuseid. ; The purpose of the hereto Master's thesis is to find out how the transportation companies and truck drivers, who are dealing with national and international transportation, follow the working time regulations. Also to find out which is the connection between violation of working time regulations and traffic accidents caused by trucks or traction units and is there a connection between violation of working time regulations and occupational accidents happened in transportation and warehousing. In order to write the Master's thesis, the author had to elaborate with the regulations concerning truck-drivers work and rest time. The author also had to analyze several point-of-views of many health scientists from several scientific articles and elaborate with other professional literature. While writing the Master's thesis, the author analyzed the researches concerning infringements of work and rest time regulations and working accidents published by the Labour Inspectorate and also the connection between the accidents caused by trucks or traction units, published by the Road Administration. The author compared the results of the Tallinn University of Technology research "The research about following the hours of service regulations in Estonian transportation companies," ordered by the Road Administration with the results of the survey carried out among truck drivers and people responsible for cargo transportation and made conclusions based on that. In the Master's thesis the author analyzed the opinion of the people responsible for cargo transportation about the truck driver's awareness of hours of service regulations, and the truck driver's awareness concerning the regulations of road transport. There where 29 people responsible for the cargo transportation and 27 truck drivers who participated in the survey. While elaborating with the answers given by the people responsible for the cargo transportation, the author came to a conclusion that the truck driver's knowledge about the hours of service regulations is good but the main violation of working and rest time is the non-compliance of the daily driving working and rest time regulations. While analyzing the answers given by the truck drivers the author also came to conclusion that although most of the truck drivers know about the regulations of the working and rest time, it is still the main violation. Most of the truck drivers do not follow the working and rest time requirements, regulated with the European Parliament and Council regulation no 561/2006. When analyzing the results of the survey about paying attention to occupational health and improving the working conditions the author concluded that 90% of the responding companies are paying attention to the occupational health of the truck drivers and have applied different methods to improve the working conditions. There have been no cases of occupational diseases in the responding companies. Six of the responding companies said that there have been cases of occupational accidents but none of them were fatal. When analyzing the truck driver's answers the author finded that more than half of the truck drivers who participated in the survey have received occupational health services and the truck driver's opinion about the improvement of working conditions matches with the companies. The purpose of the regulations of hours of service (improvement of working conditions of the truck drivers taking into account their health issues) isn't completely realized. The European Parliament and Council regulations about hours of service are inflexible and causing stress to truck drivers. It is likely that the precise rules when and for how long the truck drivers have to drive and rest, may cause social isolation. Stress, in turn, may be the risk factor for other diseases. In order to find out the connection between the violation of hours of service regulations and traffic accidents caused by trucks and traction units and the connection between the violation of hours of service regulations and the occupational accidents happened in warehousing and transportation, the author carried out a correlation and regression analyzes. As a result of the analyzes, the author came to a conclusion that the connection between violation of hours of service regulations and traffic accidents caused by truck drivers is strongly negative. Hence the author concluded that if the control by Labour Inspectorate over the compliance of hours of service regulations increases, the traffic accidents caused by the trucks or traction units will decrease. After analyzing the connection between the violations of work and rest time regulations and the occupational accidents happened in storage and transport, the author came to a conclusion that there is a negative correlational connection between them. The author came to a result that if the control by Labour Inspectorate over the compliance of hours of service regulations increases the occupational accidents in warehousing and transportation will decrease. When comparing the results of the survey carried out among truck drivers and people responsible for cargo between the results of the research carried out by the Development Center of the Tallinn University of Technology in 2004, analyzing the violations of hours of service regulations discovered by the Labour Inspectorate, analyzing the occupational accidents in storage and transport and analyzing the traffic accidents caused by trucks or traction units what are published by the Road Administration, the author came to a conclusion that control measures over the compliance of hours of service regulations should be intensified. To ensure the compliance of truck driver's hours of service regulations, bigger co-operation is needed between the cargo shippers, orders and carriers. Author thinks that companies should pay more attention to truck drivers hours of service regulations. Author thinks that this is also really important because the company is responsible for the accidents caused by the truck drivers not only inside European Union but also if they happen outside of it. Author's opinion is that stricter punishments are needed in case of repeated violations if they have been noticed by the controlling official. Author thinks that more attention should be paid to truck drivers working environment and health because this is the area that has not been fully reflected and regulated by the European Parliament and Councils regulations. Right now the main focus has put on regulating the hours of service what should decrease the accidents caused by trucks and tired truck drivers but the truck driver's health and wellbeing has been left behind.
Issue 24.1 of the Review for Religious, 1965. ; An Instruction'on the Constitution on the Littirgy by the Congregation of Rites 3 Historicity of the Gospels by the Pontifical Biblical Commission 26 The Nature of Religious Authority by Lor~azo Boisvert, O.F.M. 34 Influence of the Superior by Joseph F. Gallen, S.J. 55 Religious .Obedience by J. M. R. Tillard, O.P. 66 Sister Cursillistas by Sitter Elizabeth Ann, O.L.V.M. 87 ~ Administrative Forms by James L O'Connor, S.J. 91 ~ Canadian Religious Conference by Augustine G. Ellard, S.J. 105 Voveo Castitatem by Sister Mary Kieran, S.S.N.D. 112 Survey of Roman Documents 113 ; Views, News, Previews 120 Questions and Answers 131 Book Reviews 143 EDITOR R. F. Smith S.J. ASSOCIATE EDITORS Everett A. Diederich, S.J. Augustine G. Ellard, S.$. ASSISTANT EDITORS Ralph F. Taylor, S.J. William J. Weiler, S.J. DEPARTMENTAL EDITORS Joseph F Gallen, S.J. Woodstock College Woodstock, Maryland 22163 Book Norman Weyand, S.J. Bellarmime School of Theology of Loyola University 230 South Lincoln Way North Aurora, Illinois 60542 Published in January, March, May, July, September, Novem-ber on the fifteenth of the month. REVIEW FOR RELI. GIOUS is indexed in the CATHOLIC PERIODICAL IN-DEX. Volume 24 1965 EDITORIAL OFFICE St. Mary's College St. Marys, Kansas 66536 BUSIlqESS OFFICE 428 E. Preston St. ¯ Baltimore, Maryland 21202 SACRED CONGREGATION OF RITES' An Instruction on the Constitution on the Liturgy AN INSTRUCTION CONCERNING THE CORRECT IMPLEMENTATION bF THE CON-STITUTION ON THE LITURGY~ INTRODUCTION I. The Nature of This Instruction I. Among the first results of the Second Vatican Council there is deservedly included the Constitution on the Sacred Liturgy since it regulates the most excellent part of the Church's activity. It will produce more £ruitful results the more profoundly pastors and the faithful grasp its true spirit and the more deeply eager they are to put it into practice. 2. The Committee for the Implementation o[ the Con-stitution on the Sacred Liturgy, established by the present supreme pontiff Paul VI in his apostolic letter Sacram liturgiara, eagerly and at once began the work entrusted to it of care£ully completing the directives of the Consti-tution and the apostolic letter and of providing for the interpretation and implementation of these documents. 3. Since it is of the greatest importance that from the very beginning these documents should be everywhere properly applied and that there should be removed any * This is an English translation of a document entitled Inter Oecumenici Concilii that was the work of the Committee for the Implementation of the Constitution on the Liturgy and that was is-sued by the Sacred Congregation of Rites on September 26, 1964; the translation was made from the Latin text of the document as given in Acta Apostolicae Sedis, v. 56 (1964), pp. 877-900. Titles and enumerations in the translation are taken directly from the Latin text. ÷ ÷ ÷ Instruction on the Liturgy VOLUME 24, 1965 Congregation o~ Rites REVIEW FOR RELIGIOUS doubts about their interpretation, the Committee at the order of the supreme pontiff has drawn up this present Instruction in which the functions of the conferences of bishops are more clearly defined with regard to liturgical matters, in which some principles expressed in the above-mentioned documents in general terms are explained with more precision, and in which finally some matters that can be put into practice at the present time even before the revision of the liturgical books are permitted or pre-scribed. II. Principles to Be Noted 4. The matters that are singled out as those to be put into practice even now have the aim of making the liturgy correspond more completely to the mind of the Council with regard to the promotion of the active participation of the faithful. Moreover, the general renewal of the sacred liturgy will be accepted by the faithful more readily if it proceeds gradually and by stages and if it is proposed and ex-plained to them by their pastors through an appropriate catechesis. 5. Nevertheless, the first thing that is necessary is that all should be convinced that the Constitution of the Sec-ond, Vatican Council concerning the sacred liturgy does not intend merely to change liturgical forms and texts; it rather intends to stimulate that formation of the faith-ful and that pastoral activity which considers the sacred liturgy both as a summit and a fountain (see the Con-stitution, article 10). The changes in the sacred liturgy that have been so far introduced as well as those that will be introduced later are directed toward this goal. 6. The importance of this pastoral activity that is to be centered around the liturgy stems from the fact that there is to be a living expression of the paschal mystery in which the incarnate Son of God, made obedient even to the death of the cross, is so exalted in His Resurrection and Ascension that He shares with the world the divine life by which men, being dead to sin and conformed to Christ, "should no longer live for themselves but for him who for their sake died and was raised to life" (2 Cor 5:15). This takes place through faith and the sacraments of faith; that is, especially through baptism (see the Con-stitution, article 6) and the sacred mystery of the Eucha-rist (see the Constitution, article 47), the focal point of the other sacraments and of the sacramentals (see the Con-stitution, article 61) as well as of the cycle of celebrations by which the paschal mystery of Christ is unfolded in the Church throughout the year (see the Constitution, articles 102-107). 7. Hence, although the litu.¢gy does not exh~iust all the activity of the Church (see the Constitution, article 9), great care should nevertheless be taken that pastoral work be duly linked with the sacred liturgy and that at the same time pastoral-liturgical activity be exercised not as though it were a separate and self-withdrawn thing, but in intimate union with other pastoral work. Moreo;cer, there is special need that a close union should flourish between the liturgy and catechesis, re-ligious education, and preaching. III. The Hoped-for Results 8. Accordingly, bishops and their helpers in the priest-hood should increasingly center their entire pastoral min-istry around the liturgy. In this way through a perfect participation in the sacred celebrations the faithful will derive a fuller share in the divine life; and, havin.g be-come the leaven of Christ and the salt of the earth, they will proclaim this life and communicate it to others. CHAPTER I SOME GENERAL NORMS I. The Application of These Norms 9. Although they are concerned only with the Roman rite, the practical norms found in the Constitution or in this Instruction as well as the matters that are permitted or prescribed by this same Instruction even now before the revision of the liturgical books may be applied to other Latin rites, the provisions of law being observed. 10. The matters that are entrusted in this Instruction to the competent territorial authority can and should be put into effect only by that authority through its legiti-mate decrees. In each individual case, however, the time and circum-stances in which these decrees begin to take effect should be determined with allowance always made for a reason-able period of suspension during which the faithful can be instructed in and prepared for their observance. II. The Liturgical Formation of Clerics (Constitution, articles 15-16 and 18) 11. With regard to the liturgical formation of clerics: a) In theological faculties there should be a chair of liturgy so that all the students may receive a due liturgi-cal formation; in seminaries and religious houses of study local ordinaries and major superiors should see to it that as soon as possible there is a special and properly pre-pared teacher for the course in the liturgy. b) Teacherswho are put in charge of the liturgy course ,4. '4" Instruction on the Liturgy VOLUME 24, 1965 5 are to be prepared as soon as possible in accord with the norm of article 15 of the Constitution. c) For the further liturgical formation of clerics, es-pecially of those who are already working in the vineyard of the Lord, pastoral-liturgical institutes should be con-ducted as opportunity allows. 12. The liturgy is to be taught for an adequate period of time to be indicated in the curriculum of studies by the competent authority, and the method used in its teaching should be an appropriate one in accord with article 16 of the Constitution. 13. Liturgical services are to be celebrated as perfectly as possible. Accordingly: a) The rubrics are to be carefully observed and the ceremdnies should be performed with dignity under the diligent watchfulness of the superiors and after necessary practices have been had beforehand. b) Clerics should frequently perform the functions of their order; that is, those of de,acon, subdeacon, acolyte, lector, and in addition those of commentator and cantor. c) Churches and o~atories, the sacred furnishings in general, and the sacred vestments should be examples of genuine Christian art, including contemporary Christian art. Congregation ol Rites REVIEW FOR RELIGIOUS 6 IlI. The Liturgical Formation of the Spiritual Life of Clerics (Constitution, article 17) 14. In order that clerics may be formed to a full par-ticipation in liturgical services and to a spiritual life de-rived from them and able to be later communicated to others, the Constitution on the Sacred Liturgy is to be put into full effect according to the norms of the docu-ments of the Apostolic See; and towards this end there should be a unanimous and harmonious collaboration on the part of all superiors and teachers. An adequate intro-duction to the sacred liturgy should be pro;tided for clerics by the recommendation of books on the liturgy, especially those which treat of it under its theological and spiritual dimensions, which books should be available in the li-brary in sufficient quantity; by meditations and confer-ences which are chiefly derived from the source of Sacred Scripture and of the liturgy (see the Constitution, article 35, 2); and by common exercises that are in accord with Christian custom and usage and which fit in with the various seasons of the liturgical year. 15. The Eucharist, which is the center of the entire spiritual life, should be celebrated every day, use being made of the various and appropriate forms that best cor-respond to the condition of the participants (see the Con-stitution, article 19). On Sundays, however, and on other major feast days a sung Mass should be celebrated with the participation of all who are in the house; there should be a Homily and as far as possible there should be the sacramental Communion of those who are not priests. Moreover, after the new rite of concelebration has been authorized for public use, priests may concelebrate, especially on the more solemn feasts, when the welfare of the faithful does not require their individual celebration. It is desirable that at least on the greater feast days the seminarians should participate in the Eucharist assem-bled around the bishop in the cathedral church (see the Constitution, article 41). 16. It is most fitting that clerics, even if they are not yet bound by the Divine Office, should engage in a daily and common recital or singing of Lauds in the morning as morning prayer and at evening of Vespers as evening prayer or of Compline at the end of the day. As far as possible, superiors themselves should participate in this common recitation. Moreover, in the order of the day sufficient time for saying the Divine Office should be pro-vided for clerics in sacred orders. It is desirable that at least on major feast days the seminarians should chant Vespers in the cathedral church when this is opportune. 17. Exercises of piety, regulated by the laws or customs of a given place or institution, should be held in honor. Care should be taken, however, especially if they are done in common, that they are in harmony with the sacred liturgy according to the intention of article 15 of the Constitution and that they take consideration of the seasons of the liturgical year. IV. The Liturgical Formation o] Members o[ the States of Perfection 18. What was said in the preceding articles about the liturgical formation of the spiritual life of clerics should also be applied with due adaptation to the members, whether men or women, of the states of perfection. V. The Liturgical Education o[ the Faithful (Constitu-tion, article 19) 19. Pastors of souls should earnestly and patiently strive to carry out the directives of the Constitution about the liturgical education of the faithful and about the foster-ing of their active participation, internal and external, "in accord with their age, condition, type of life, and degree of religious background" (Constitution, article 19).oThey should be especially concerned with the litur-gical education and the active participation of those who are members of religious associations of the laity since it is the latter's duty to share in the life of the Church in a 4. 4. 4. Instrt~tion on the Liturgy VOLUME 24, 1965 ÷ Congregation oJ Rites REVIEW FOR RELIGIOUS more intimate xbay and to be of assistance to their pas-tors also in the matter of appropriately fostering the li-turgical life of the parish (see the Constitution, article 42). VI. The Competent Authority in Liturgical Matters 20. The regulation of the sacred liturgy pertains to the authority of the Church; accordingly, no one else should proceed on his own in this matter to the detriment, as often happens, of the sacred liturgy and of its renewal by competent authority. 21. The following pertain to the Apostolic See: to re-vise and approve the general liturgical books; to regulate the sacred liturgy in those things that affect the universal Church; to approve or confirm the transactions and reso-lutions of the territorial authority; and to receive the proposals and petitions of the same territorial authority. 22. It belongs to the bishop to regulate the liturgy within the limits of his diocese in accord with the norms and spirit of the Constitution on the Sacred Liturgy as well as of the decrees of the Apostolic See and of the competent territorial authority. 23. The various kinds of territorial bodies of bishops to which the regulation of liturgical matters pertains in virtue of article 22, § 2 of the Constitution should be understood for the time being to mean: a) either the body of all the bishops of a given country according to the norms of the apostolic letter Sacram liturgiam, number X; b) or the already lawfully constituted body consisting of bishops or of bishops and other local ordinaries of several countries; c) or the body to be constituted with the permission of the Holy See by bishops or by bishops and other local ordinaries of several countries, especially if in the indi-vidual countries the bishops are so few in number that they more profitably convene together from different countries of the same language and of the same culture. If, however, special local circumstances suggest another type of grouping, the matter is to be proposed to the Apostolic See. 24. The following should be called to the above-men-tioned bodies: a) residential bishops; b) abbots and prelates nullius; c) vicars and prefects apostolic; d) permanently appointed apostolic administrators of dioceses; e) all other local ordinaries except vicars general. Coadjutor and auxiliary bishops can be called by the presiding officer with the consent of the majority of those who take part in the body with a deliberative vote. 25. Unless the law provides otherwise for certain places in view of special circumstances there, the convocation of the body should be made: a) by the respective presiding officer in the case of al-ready established bodies; b) in other cases by the archbishop or bishop who has the right of precedence according to the norms of law. 26. The presiding officer, with the consent of the fathers, determines the order of business and opens, trans-fers, prorogues, and closes the session. 27. A deliberative vote belongs tO all who are men-tioned above in number 24, including coadjutor and auxiliary bishops, unless a different provision is expressly made in the document of convocation. 28. For the lawful enactment of decrees a two-thirds majority of a secret vote is required. 29. The transactions of the competent territorial au-thority that are to be submitted to the Apostolic See for approval or confirmation should contain the following points: a) the names of those present at the session; b) a report of the matters that were discussed; c) the results of the voting for each decree. Two copies of these transactions, signed by the pre-siding officer and the secretary of the conference and with the proper seal, should be sent to the Committee for the Implementation of the Constitution on the Sacred Lit- 30. When, however, it is a question of transactions in which there are decrees concerning the use and extent of the vernacular in the liturgy, besides the matters enu-merated in the preceding number, the following must also be sent according to the norm of the Constitution, article 36, § 3 and of the apostolic letter Sacram liturgiam, number IX: a) an indication of the individual parts of the liturgy that are enacted to be said in the vernacular; b) two copies of the liturgical texts in the vernacular, one of which copies will be returned to the conference of bishops; c) a brief statement of the norms on the basis of which the work of translation was made. 31. Decrees of the territorial authority that require the approval or confirmation of the Apostolic See should be promulgated and put into practice only after they have been approved or confirmed by the Apostolic See. 4. + 4. Instruction on the Liturgy VOLUME 24, 1965 9 ÷ ÷ ÷ Congregation o~ Rites REVIEW FOR RELIGIOUS 10 VII. The Office o] Individuals in the Liturgy (Constitu-tion, article 28) 32. Parts which pertain to the schola or the people, if they are sung or recited by them, are not said privately by the celebrant. 33. Likewise, the celebrant does not privately say the Lessons which are read or chanted by the competent min-ister or by the server. VIII. Avoiding Distinction oI Persons (Constitution, ar-ticle 32) 34. Individual bishops or, if it seems opportune, the regional or national conferences of bishops should see to it that in their territories there should be put into prac-tice the 'prescription of the Council that forbids special distinction for private persons or for social classes either in ceremonies or in external display. 35. Moreover, pastors should not neglect to work with prudence and charity to see to it that in liturgical services and especially in the celebration of Mass and the admin-istration of the sacraments and the sacramentals the equality of the faithful is evident even outwardly and further that all appearances of money-making be avoided. IX. Simpli]ication oI Cortain Rites (Constitution, arti-cle 34) 36. In order that liturgical services may be distin-guished for that noble simplicity that is more in harmony with the mentality of our age: a) the bows to the choir b,y the celebrant and the minis-ters should be made only at the beginning and the end of the sacred service; b) the incensation of the clergy, except that of those who have the episcopal character, should be done for all of them together with a triple swing of the censer to each part of the choir; c) the incensation of the altar should be done only at the altar at which the sacred rite is being celebrated; d) the kissing of hands and of objects which are pre-sented or received is to be omitted. X. The Celebration of the Word of God (Constitution, article 35, 4) 37. If in places that have no priest there is no oppor-tunity for the celebration of Mass on Sundays and on holydays of obligation, the celebration of the Word of God should be had according to the judgment of the local ordinary, with a deacon or even a layman, author-ized for this, presiding over the service. The pattern of this celebration should be the same as that of the liturgy of the Word in the Massi ordinarily the Epistle and the Gospel of the Mass of the day should be read in the vernacular with chants, especially from the Psalms, before and between them; if the one who presides is a deacon, there should be a homily; if he is not a deacon, he should read a homily assigned by the bishop or the pastor; and the entire celebration should close with the "common prayer" or the "prayer of the faithful" and the Lord's Prayer. 38. It is fitting, that the celebrations of the Word of God, which are to be encouraged.on the vigils of the more solemn feasts, on some weekdays of Advent and Lent, and on Sundays and feast days, should also resem-ble the pattern of the liturgy of the Word in the Mass, although there is nothing to prevent there being only one Reading. However, when several Readings are to be arranged, in order that the history of salvation may be clearly seen, the Reading from the Old Testament should generally precede the Reading from the New Testament; and the Reading from the Gospel should appear as the climax. 39. In order that these celebrations may be held with dignity and devotion, it will be the responsibility of the liturgical commissions in the individual dioceses to indi-cate and provide suitable aids. XI. Vernacular Translations o[ Liturgical Texts (Con-stitution, article 36, § 3) 40. When vernacular translations of liturgical texts are prepared according to the norm of article 36, § 3, it is expedient that the following be observed: a) Vernacular translations of liturgical texts should be made from the Latin liturgical text. Moreover, the trans-lation of biblical passages should also be in conformity with the Latin liturgical text. although there remains the full possibility of revising the translation, if deemed ad-visable, in the light of the original text or of another clearer translation. b) The preparation of translations of liturgical texts should be entrusted as a special concern to the liturgical commission mentioned in article 44 of the Constitution and in number 44 of this Instruction; and, as far as pos-sible, this commission should be assisted in this by the institute of pastoral liturgy. If, however, such a commis-sion does not exist, the responsibilities for the making of these translations should be given to two or three bishops who should choose persons, including lay persons, expert in Scripture, in liturgy, in biblical languages, in Latin, in the vernacular, and in music; for the perfect vernacular translation of liturgical texts must simultaneously satisfy many conditions. 4. 4. 4- Instruction on the Liturgy VOLUME 24, 1965 11 ÷ ÷ Congregation o~ Rites REVIEW FOR RELIGIOUS c) If the matter requires it, consultation concerning translations should be had with bishops of neighboring regions of the same language. d) In countries with more than one language vernacular translations in each language should be prepared and submitted to the special examination of the bishops con-cerned. e) Provision should be made for the fitting appearance of the books from which the liturgical texts are read to the people in the vernacular so that the very appearance of the book will lead the faithful to a greater reverence for the Word of God and for sacred things. 41. In liturgical services that are celebrated in some places with a congregation of people of another language, especially in the case of a group of emigrants, of members of a personal parish, and of other such instances, it is per-missible with the consent of the local ordinary to use the vernacular language known to these faithful in accord with the extent of use and the translation legitimately approved by a competent territorial ecclesiastical author-ity of that language. 42. New melodies for parts to be sung in the vernacular by the celebrant and the ministers must be approved by the competent territorial ecclesiastical authority. 43. Unless they are opposed to the Constitution, par-ticular liturgical books that were duly approved before the promulgation of the Constitution on the Sacred Lit-urgy as well as indults granted up to that time remain in force until other provision is made by the liturgical re-form as it is completed either in whole or in part. XII. The Liturgical Commission oI the Bishops" Confer-ence (Constitution, article 44) 44. The liturgical commission to be established when opportune by the territorial authority should be chosen, as far as possible, from the bishops themselves; or, at least, it should consist of one or other bishop with the addition of priests who are expert in liturgical and pas-toral matters and who have been specifically named to the commission. It is desirable that the members of this commission should meet several times a year with the consultors of the commission to deal together with the matters at hand. 45. The territorial authority can, if it seems opportune, entrust this commission with the following: a) to conduct research and experimentation according to the norm of article 40, 1) and 2) of the Constitution; b) to promote in the entire territory practical measures by which liturgical matters and the application of the Constitution on the Sacred Liturgy may be fostered; c) to prepare the studies and aids which become neces- sary as a result of the decrees of the plenary body of bishops; d) to o~cially regulate pastoral-liturgical activity in the entire region, to supervise the application of the de-crees of the plenary body, and to report to this body con-cerning all these matters; e) to have frequent consultations and to promote com-mon undertakings with associations of the same region that are concerned with Scripture, catechetics, pastoral, music, and sacred art, and likewise with every kind of religious association of lay persons. 46. The members of the institute of pastoral liturgy as well as the individual experts who are called to help the liturgical commission should not neglect to freely offer their help to individual bishops for the more effective promotion of pastoral-liturgical activity in their territory. XIII. The Diocesan Liturgical Commission (Constitu-tion, article 45) 47. The following pertain to the diocesan liturgical commission under the direction of the bishop: a) to investigate the status of pastoral-liturgical activity in the diocese; b) to execute with care the liturgical matters that have been proposed by competent authority and to be knowl-edgeable about studies and projects that are being under-taken elsewhere; c) to suggest and promote practical projects of every kind that can contribute to the promotion of liturgical matters, especially those that are helpful to the priests already working in the vineyard of the Lord; d) to suggest opportune and progressive stages of pas-toral- liturgical work for individual cases or even for the entire diocese, to recommend or even call upon compe-tent persons to assist priests on occasion in this matter, and to propose suitable means and helps; e) to see to it that projects begun in the diocese for the promotion of the liturgy proceed with the harmonious and mutual assistance of other associations in a way simi-lar to that described for the commission to be formed within the conference of bishops (number 45, e). CHAPTER II THE MYSTERY OF THE EUCHARIST I. The Mass Rite (Constitution, article 50) 48. Until the entire rite of the Mass has been revised, the following should now be observed: a) The parts of the Proper that are chanted or recited by the schola or the people are not said privately by the celebrant. 4. + + Instruction on the Liturgy VOLUME 24, 1965 ]3 ÷ Congregation o] Rites REVIEW FOR RELIGIOUS 14 b) The celebrant can sing or recite the parts of the Ordinary with the people or the schola. c) In the prayers to be said at the foot of the altar at the beginning of Mass, Psalm 42 is omitted. Moreover, all the prayers at the foot of the altar are omitted whenever another liturgical service immediately precedes the Mass. d) At solemn Mass the paten is not held by the sub-deacon but is left on the altar. e) The Secret or the Prayer over the Offerings should be chanted in sung Masses and recited in a loud voice in other Masses. D The doxology at the end of the Canon from the words "Per ipsum" up to "Per omnia saecula saeculorum. R. Amen" inclusively are to be sung.or recited in a loud voice. Moreover, throughout the entire doxology the cele-brant should hold the chalice with the Host in a some-what elevated position, omitting the signs of the cross; and at the end he genuflects only after "Amen" has been answered by the people. g) In low Masses the Our Father may be recited in the vernacular by the people together with the celebrant; in sung Masses it can be sung by the people with the priest in Latin and also, if the territorial ecclesiastical authority shall so decree, in the vernacular to melodies approved by the same authority. h) The embolism after the Lord's Prayer should be sung or recited in a loud voice. i) In the distribution of Holy Communion the formula "Corpus Christi" should be used. While saying these words, the celebrant lifts up the Host a little over the ciborium to show it to the communicant who answers "Amen" and is then given Communion by the celebrant, the sign of the cross with the Host being omitted. I) The Last Gospel is omitted; the Leonine prayers are suppressed. k) It is lawful to celebrate a sung Mass with a deacon only. /) It is lawful for bishops, when necessary, to celebrate a sung Mass in the form used by priests. II. The Lessons and the Chants between the Lessons (Constitution, article 51) 49. In Masses celebrated with the people, the Lessons, the Epistle, and the Gospel are read or sung facing the people: a) during a solemn Mass at the ambo or at the edge of the sanctuary; b) during high Mass and during low Mass, if they are read or chanted by the celebrant, either from the altar or at the ambo or at the edge of the sanctuary as may be more convenient; if, however, they are said or sung by someone else, at the ambo or at the edge of the sanctuary. 50. At non-solemn Masses celebrated with the people, the Lessons and the Epistle together with the chants be-tween them can be read by a qualified lector or server while the celebrant sits and listens; the Gospel can be read by a deacon or by another priest; the one who so reads it says the Munda cot meum, asks for the blessing, and at the end presents the Book of the Gospels for the celebrant to kiss. 51. In sung Masses the Lessons, the Epistle, and the Gospel may be read without chant if they are presented in the vernacular. 52. In reading or singing the Lessons, the Epistle, the chants occurring after these, and the Gospel, the follow-ing procedures are to be followed: a) At solemn Mass the celebrant sits and listens to the Lessons and the Epistle together with the chants between them. After the Epistle has been sung or read, the sub-deacon goes to the celebrant and is blessed by him. Then the celebrant, seated, puts incense in the censer and blesses it; while the Alleluia with its verse is being sung or to-wards the end of other chants that follow the Epistle, he rises to bless the deacon; he listens to the Gospel at his seat, kisses the Book of the Gospels, and, after the Homily, intones~the Creed if it is to be said; when the Creed is finished, he returns to the altar with the ministers unless he is to conduct the "prayer of the faithful." b) In high or low Masses at which the Lessons, the Epistle, the chants that follow these, and the Gospel are sung or read by the minister mentioned in number 50, the celebrant follows the procedure just described. c) In high or low Masses in Which the Gospel is sung or read by the celebrant, while the Alleluia and its verse is being sung or read or towards the end of other chants that follow the Epistle, the celebrant goes to a position in front of the lowest step of the altar and there, bowing pro-foundly, says the Munda cot meum; then he goes to the ambo or to the edge of the sanctuary to sing or read the Gospel. d) If, however, in high and low Masses all the Readings are sung or read by the celebrant at the ambo or at the edge of the sanctuary, then, while standing, he also reads, if necessary, the chants that occur after the Lessons and the Epistle; and he says the Munda cor meum while turned toward the altar. III. The Homily (Constitution, article 52) 53. On Sundays and holydays of obligation a Homily should be had at all Masses celebrated with a congregation 4. 4" 4. InsCruvtion on th~ Liturgy VOLUME 24, 1965 ]5 ÷ ÷ ÷ Congregation oy Rites REVIEW FOR RELIGIOUS 16 of people, no exception being made for conventual, sung, and pontifical Masses. On other days a Homily is recommended especially on some of the weekdays of Advent and Lent and on other occasions when the people come to church in greater num-bers. 54. By a Homily made from the sacred text is meant an explanation either of some aspect of the Readings of Sacred Scripture or of some other text from the Ordinary or the Proper of the Mass of the day, consideration being given to the mystery that is being celebrated and the par-ticular needs of the hearers. 55. If for certain periods a program is proposed for the preaching to be had during Mass, an intimate connection is to be harmoniously retained with at least the principal seasons and feasts of the liturgical year (see the Constitu-tion, articles 102-104), that is, with the mystery of 'the redemption; for the Homily is part of the liturgy of the day. IV. The Common Prayer or the Prayer of the Faithful (Constitution, article 53) 56. In places where the custom is already had of having: the common prayer or the prayer of the faithful, it should for the time being take place before the Offertory after the word Oremus and according to the formulas now in use in the individual regions; the celebrant shall conduct the prayer either from his seat or from the altar or from the ambo or from the edge of the sanctuary. The intentions or invocations may be sung by a deacon or by a cantor or other qualified server, though there should be reserved to the celebrant the words of introduc-tion as well as the concluding prayer which ordinarily should be the prayer: Deus, refugium nostrum et virtus (see the Roman Missal, "Orationes diversae," number 20) or some other prayer that better corresponds to a par-ticular need. In places where the common prayer or the prayer of the faithful is not in use, the competent territorial au-thority may decree that it should be done in the way just indicated above with formulas approved for the time be-ing by that authority. V. The Vernacular in the Mass (Constitution, article 54) 57. In Masses, whether sung or low, that are celebrated with the people, the competent territorial ecclesiastical authority, after its provisions have been approved or con-firmed by the. Apostolic See, may allow the vernacular: a) especially in the delivery of the Lessons, the Epistles, and the Gospel, as well as in the common prayer or the 13rayer of the faithful; b) according to local circumstances also in the chants of the Ordinary of the Mass, namely, the Kyrie, the Gloria, the Credo, the" Sanctus-Benedictus, and the Agnus Dei, and in the antiphons atthe Introit, the Offertory, and the Communion, as well as in the chants that occur between the Readings; c) and furthermore in the acclamations, salutations, and dialogue formulas, in the formulas: Ecce Agnus Dei, Domine, non sum dignus, and Corpus Christi at the Communion of the faithful, and in the Our Father with its introduction and embolism. Missals, however, that are employed in Iiturgical use should contain the Latin text in addition to the vernacu-lar translation. 58. It pertains solely to the Apostolic See to allow the vernacular in other parts of the Mass that are sung or said only by the celebrant. 59. Pastors of souls should carefully see to it that the faithful, above all the members of religious associations of lay persons, know how t6 say or sing (especially if simpler melodies are used) together in the Latin language the parts of the Ordinary of the Mass that pertain to them. VI. Receiving Communion Twicd on the Same Day (Con-stitution, article 55) 60. The faithful who go to Communion at the Mass of the Easter Vigil and at midnight Mass on Christmas, may go to Communion again during the second Mass of Easter and during one of the Masses that are celebrated on Christmas during the daytime. CHAPTER III THE OTHER SACRAMENTS AND THE SACRAMENTALS I. The Use o[ the Vernacular (Constitution, article 63) 61. After its provisions have been approved or con-firmed by the Apostolic See, the competent territorial authority can introduce the vernacular: a) into the rites of baptism, coiafirmation, penance, the anointing of the sick, and matrimony, including in all these the essential formula, as well as into the distribu-tion of Holy Communion; b) at the conferral of orders into the allocutions at the beginning of each ordination or consecration and also into the examination of the bishop-elect in episcopal consecration, and into the admonitions; c) into the sacramentals; d) into funeral rites. Whenever a greater use of the vernacular seems to be desirable, the prescription of article 40 of the Constitu-tion should be observed. 4. 4. 4. Instrurtion on the Liturgy VOLUME 24, 1965 17 Congregation oy ~t~tes REVIEW FOR REL]G[OUS II. Changes in the Rite lot Supplying Omissions in Bap-tism (Constitution, article 69) 62. In the rite for supplying omissions in the case of a baptized infant as given in the Roman Ritual, Title Chapter 5, theie should be omitted the exorcisms that are found under numbers 6 (Exi ab eo), 10 (Exorcizo te, immunde spiritus . Ergo, maledicte diabole), and 15 (Exorcizo te, omnis spiritus). 63. In the rite for supplying omissions in the case of a baptized adult as given in the Roman Ritual, Title II, Chapter fi, there should be omitted the exorcisms that are found under numbers 5 (Exi ab eo), 15 (Ergo, male-dicte diabole), 17 (dadi, maledicte satana), 19 (Exorcizo te- Ergo, maledicte diabole), 21 (Ergo, maledicte diabole), 23 (Ergo, maledicte diabole), 25 (Exorcizo te - Ergo, male-dicte diabole), 31 (Nec te latet), and 35 (Exi, immunde spiritus). III. Conl~rmation (Constitution, article 71) 64. If confirmation is conferred during Mass, it is fitting that the Mass be celebrated by the bishop, in which case he confers confirmation while wearing the Mass vestments. Moreover, the Mass during which confirmation is con-ferred can be ,said as a II class votive Mass of the Holy Spirit. 65. After the Gospel and the Homily and before the re-ception of confirmation, it is praiseworthy that those to be confirmed should renew their baptismal promises ac-cording to the rite in legitimate use in individual regions, unless this has already been done before Mass. 66. If the Mass is celebrated by another, it is fitting that the bishop should assist at the Mass in the vestments prescribed for the conferral of confirmation; these vest-ments may be either the color of the Mass or white. The bishop, should give the Homily, and the celebrant should resume the Mass only after confirmation has been conferred. 67. Confirmation is conferred according to the rite given in the Roman Pontifical; but only one sign of the cross is made at the words In nomine Patris, et Filii, et Spiritus Sancti that follow the formula Signo te. IV. Continuous Rite for the Anointing of the Sick and Viaticum (Constitution, article 74) 68. When the anointing of the sick and Viaticum are conferred at the same time, and a continuous rite is not already given in a particular Ritual, the following order should be observed: After the sprinkling and. the prayers to be said when first entering as given in the rite of the anointing, the priest hears, if necessary, the confession of the sick person, then confers the anointing, and finally gives Viaticum, omitting the sprinkling with its formulas as well as the Gonfiteor and the absolution. V. The Imposition of Hands during Episcopal Consecra-tion (Constitution, article 76) 69. All the bishops present in choir dress at an episcopal consecration may impose hands. However, the. words .4ccipe Spiritum Sanctum are to be said only by the consecrating bishop and the two co-consecrating bishops. VI. The Rite of Matrimony (Constitution, article 78) 70. Unless a just cause excuses from the celebration of Mass, matrimony should be celebrated during Mass ter the Gospel and after the Homily, which should never be omitted. 71. Whenever matrimony is celebrated within Mass, the votive nuptial Mass is always said or a commemora-tion made of it, even during the prohibited times. 72. As far as possible, the parish priest or his delegate who assists at the marriage should celebrate the Mass; but if another priest assists at the matrimony, the cele-brant should not continue the Mass until the rite of matrimony has been completed. The priest who assists at the marriage but does not celebrate the Mass should be vested in surplice and white stole and, according to local custom, in white cope; and he should give the Homily. But the blessing after the Pater noster and the one before the Placer should always be given by the priest who celebrates the Mass. 73. The nuptial blessing during Mass is always given, even during the prohibited times and even if one or both of the parties are not entering marriage for the first time. 74. In the celebration of matrimony outside of Mass: a) At the beginning of the rite in accord with the apos-tolic letter Sacram liturgiam, number V, there should be a brief talk that is not a Homily but a simple intro-duction to the celebration of matrimony (see the Con-stitution, article 35, 3); the Sermon or Homily from the sacred text (see the Constitution, article 52) should be given after the reading of the Epistle and the Gospel from the nuptial Mass. Hence the arrangement of the entire rite should be the following: a short talk; the reading of the Epistle and the Gospel in the vernacular; the Homily; the celebration of matrimony; the nuptial blessing. b) With regard to the reading of the Epistle and the Gospel from the nuptial Mass, if there is no vernacular text approved by the competent territorial ecclesiastical + + 4. Instruction on the Liturgy VOLUME 24, 1965 ]9 + + Congregation oI Rites REVIEW FOR RELIGIOUS authority, it is permitted for the time being to use a text approved by the local ordinary. c) Nothing prevents having a chant between the Epistle and the Gospel. Likewise, it is highly recom-mended that after the rite of matrimony and before the nuptial blessing there should be the prayer of the faithful according to a formula approved by the local ordinary in which petitions for the couple are also in-cluded. d) At the end of the rite the blessing should always be given to the spouses even during the prohibited times and even if one or both of the spouses are not entering marriage for the first time; the blessing should follow the formula given in the Roman Ritual, Title VIII, Chapter 3, unless another blessing is given in par-ticular Rituals. 75. If matrimony is celebrated during a prohibited season, the pastor should advise the spouses to take into consideration the special nature of that liturgical season. VII. The Sacramentals (Constitution, article 79) 76. At the blessing of candles on February 2 and of ashes at the beginning of the Lenten fast, one only of the prayers found in the Roman Missal for these blessings may be said. 77. The blessings that up to now have been reserved and that are contained in the Roman Ritual, Title IX, Chapters 9, 10, and 11 may be given by every priest with the exception of the following: the blessing of a bell for the use of a blessed church or oratory (Chapter 9, number 11), the blessing of the first stone for the building of a church (Chapter 9, number 16), the blessing of a new church or a public oratory (Chapter 9, num-ber 17), the blessing of an antimension (Chapter 9, num-ber 21), the blessing of a new cemetery (Chapter 9, number 22); the papal blessings (Chapter 10, numbers 1-3), the blessing and erection of the Way of the Cross (Chapter 11, number 1) since this is reserved to the bishop. CHAPTER IV THE DIVINE OFFICE I. The Celebration of the Divine O~ce by Those Bound to Choir (Constitution, article 95) 78. Until the revision of the Divine Office is com-pleted: a) Communities of canons, monks, and nuns, and of other regulars or religious that are bound by law or their constitutions to choir must daily celebrate the en-tire Divine Office in addition to the conventual Mass. Individual members of these communities who are in major orders or are solemnly professed, with the ex-ception of brothers [conversi], must, even though they are legitimately dispensed from choir, individually re-cite each day the canonical Hours that they do not cele-brate in choir. b) In addition to the conventual Mass, cathedral and collegiate chapters must celebrate in choir those parts of the Office imposed on them by common or particular law. Moreover, individual members of these chapters, in addition to the canonical Hours that all clerics in major orders must say (see the Constitution, articles 96 and 89), must individually recite the Hours which are celebrated by their chapter. c) However, in mission territories, without derogation of the religious or capitular discipline set down by law, religious or capitulars who are legitimately absent from choir for pastoral reasons may with the permission of the local ordinary but not that of the vicar general or delegate make use of the concession granted by the apostolic letter Sacram liturgiam, number VI. II. Dispensing [rom or Commuting the Divine Olfice (Constitution, article 97) 79. The power granted to all ordinaries of dispensing their subjects in individual chses and for a just reason from the obligation of the Divine Office in whole or in part or of commuting it is extended also to major su-periors of non-exempt clerical religious institutes and of societies of clerics living in common without vows. III. Little Olfices (Constitution, article 98) 80. No Little Office is to be regarded as composed after the pattern of the Divine Office if it does not consist of Psalms, Lessons, hymns, and prayers and if it does not take some account of the Hours of the day and of the liturgical seasons. 81. In order to take part in the public prayer of the Church, for the time being those Little Offices can be used that have been legitimately approved up to the present time provided that they are composed in accord with the requirements stated in the preceding number. New Little Offices, however, must be approved by th$ Apostolic See in order that they may be used for the public prayer of the Church. 82. The translation of the text of a Little Office into the vernacular for use as the public prayer of the Church must be approved by the territorial ecclesiastical au-thority with the approbation or confirmation of the Apostolic See. 4" Instruction on the Liturgy VOLUME 24, 1965 21 4. ÷ Congregation o] Rites REVIEW FOR RELIGIOUS 83. The competent authority for allowing the use of the vernacular in the recitation of a Little Office to those 9bliged to it by their constitutions and for dis-pensing from or commuting this obligation is the ordi-nary or major superior of each subject. IV. The Common Celebration of the Divine Ol~ce or oI a Little 01rice by Members of the States of Perfec-tion (Constitution, article 99) 84. The obligation of reciting, in common the Divine Office or a Little Office or some part of them imposed on members of the states of perfection by their consti-tutions does not remove the faculty of omitting the Hour of Prime and of choosing that one of the Small Hours that best suits the time of day (see the apostolic letter Sacram liturgiam, number VI). V. The Language to Be Used in the Recitation of the Divine O~ce (Constitution, article 101) 85. In choral celebration of the Divine Office clerics must retain the Latin language. 86. The power granted to the ordinary of permitting the use of the vernacular in individual cases to those clerics to whom the use of the Latin language is a serious impediment to the worthy praying of the Office is ex-tended also to major superiors of non-exempt clerical religious institutes and of societies of clerics living in common without vows. 87. The serious impediment required for the preced-ing permission must be weighed by taking into con-sideration the physical, moral, intellectual, and spiritual condition of the petitioner. Moreover, this faculty, granted as it has been only to make the recitation of the Office easier and more devout, in no way diminishes the obligation by which a priest of the Latin rite is bound to learn the Latin language. 88. The vernacular translation of the Divine Office according to a rite other than the Roman one should be prepared and approved by the respective ordinaries of that language; however, in the parts that are common to both rites, the translation approved by the territorial authority should be used, and afterwards the entire trans-lation should be submitted for the confirmation of the Apostolic See. 89. The Breviaries to be used by clerics to whom the use of the vernacular in the Divine Office has been granted in accord with the norm of article 101, § 1 of the Constitution must contain the Latin text in addi-tion to the vernacular translation. CHAPTER V THE PROPER CONSTRUCTION OF CHURCHES AND ALTARS TO FACILITATE THE ACTIVE PARTICIPATION OF THE FAITHFUL I. The Arrangement oI Churches 90. In the new construction, renovation, or adaptation of churches, great care should be taken that they are made suitable for the celebration of the sacred actions in accord with their true nature and for the securing of the active participation of the faithful (see the Constitu-tion, article 124). II. The Main Altar 91. It is better that the main altar be constructed sepa-rately and away from the wall so that one can go around it easily and so that celebration facing the people can take place at it. Moreover, the place that it occupies in the entire building should be such that it is really the center towards which the attention of the congregation of the faithful spontaneously turns. In the choice of materials for the construction and ornamentation of this altar, the prescriptions of law should be observed. Furthermore, the presbyterium around the altar should be ample enough that the sacred rites can be performed with ease. Ill. The Seat for the Celebrant and the Ministers 92. According to the structure of individual churches, the seat for the celebrant and the ministers should be so placed that it can be easily seen by the faithful and so that the celebrant himself really appears as presiding over the entire community of the faithful. However, if the seat is placed behind the altar, the form of a throne is to be avoided, since this is reserved for the bishop alone. IV. Minor Altars 93. The minor altars should be few in number; and insofar as the structure of the building permits, it is highly fitting that they be placed in chapels somewhat separate from the principal part of the church. V. The Ornamentation of Altars 94. The cross and candles required on the altar for individual liturgical services may also be placed next to the altar in accordance with the judgment of the local ordinary. 4" 4" 4" Instruction on th~ Liturgy VOLUME 24, 1965 4. 4. Congregation o] Rites REVIEW FOR RELIGIOUS VI. The Reservation oI the Blessed Eucharist 95. The Blessed Eucharist should be reserved in a solid and inviolable tabernacle placed in the middle of the main altar or of a minor but distinguished altar; or, according to legitimate custom and in special cases to be approved by the local ordinary, it can be kept in some other part of the Church that is beautifully and properly adorned.- It is lawful to celebrate Mass facing the people even if there is a small but suitable tabernacle on the altar. VII. The Ambo 96. It is fitting that for the sacred Readings there should be an ambo or ambos so situated that the min-isters can be easily seen and heard by the faithful. VIII. The Place of the $chola and the Organ 97. The places for the schola and the organ should be arranged so that the chanters and the organist clearly appear as a part of the congregated community of the faithful and so that they can perform their liturgical functions more easily. IX. The Places .of the Faithful 98. The places for the faithful should be arranged with particular care so that visually and mentally they can have a proper participation in the sacred celebrations. It is desirable that ordinarily there be pews or seats for their use. But the custom of reserving seats for certain private persons is to be reprobated according to the norm of article 32 of the Constitution. Care should also be taken that the faithful can not only see the celebrant and the other ministers but that with the' use of modern technical means they can also easily hear them. X. The Baptistry 99. In the construction and ornamentation of the baptistry, it should be carefully attended to that the dignity of the sacrament of baptism is clearly shown and that the place is suitable for community celebrations (see article 27 of the Constitution). The present Instruction was prepared at the command of His Holiness Paul VI by the Committee for the Implementation of the Constitution on the Sacred Lit-urgy and was presented to him by Giacomo Cardinal Lercaro, chairman oI the Committee. The Holy Father, a[ter duly considering this Instruc- tion with the help of the above mentioned Committee and of the Sacred Congregation of Rites, in an audience granted on September 26, 1964, to Arcadio Maria Cardi-nal Larraona, pre[ect of the Sacred Congregation oI Rites, approved it in a special way in each and all of its parts and ordered it to be published and to be carefully ob-served by all concerned beginning on March 7, 1965, the First Sunday oI Lent. All things to the contrary notwithstanding. Rome, September 26, 1964. GIACOMO CARD. LERCARO Archbishop of Bologna Chairman of the Commit-tee for the Implementa-tion of the Constitution on the Liturgy ARCADIO M. CARD. LARRA-ONA Prefect of the Sacred Con-gregation of Rites ~ Enrico Dante Titular archbishop of Car-pasia Secretary of the Sacred Congregation of Rites + 4. 4. Instruction on the Liturgy VOLUME 24, 1965 25 PONTIFICAL BIBLICAL COMMISSION Instruction on the Historicity of the Gospels ÷ ÷ ÷ Biblical ~ommission REVIEW FOR RELIGIOUS Holy Mother Church,* which is "the pillar and the foundation of the truth," x has always made use of Sacred Scripture in her work of bringing salvation to souls and has protected it from false explanations of every kind. Because there will never be a lack of problems, the Cath-olic exegete must never lose heart in his work of ex-pounding the Word of God and of solving the difficulties that are alleged against it; rather, relying not merely on his own abilities but having a firm trust chiefly in the help of God and the light coming from the Church, he must work strenuously to disclose the real meaning of Scripture to an ever greater degree. It is a cause of great joy that in the Church today there can be found so many loyal sons of the Church who have the proficiency in biblical matters that our times require and who in response to the insistence of the supreme pontiffs have devoted themselves completely and tirelessly to this important and difficult work. "All the other sons of the Church should keep in mind that the efforts of these hardworking laborers in the Lord's vine-yard should' be judged not only with fairness and justice but also with the greatest charity";2 for even exegetes of great reputation such as Jerome, in attempting to clear up the more difficult questions, have at times produced results that were not at all fortunate,a Care should be ¯ The original Latin text of this Instruction, entitled Sancta Mater Ecclesia, is given in Acta Apostolicae Sedis, v. 66 (1964), pp. 712-8. 1 1 Tim 3:15. ~ Divino affiante Spiritu; Enchiridion biblicum, 4th ed. [here-after referred to as EB], n. 564; Acta Apostolicae Sedis [hereafter re-ferred to as ,,lAb'], v. 35 (1943), p. 319. 8See Spiritus Paraclitus; EB, n. 451; ,'/,,IS, v. 12 (1920), p. 392. taken "that the limits of mutual charity are not trans-gressed in the heat of debate and discussion and that the impression is not given during such discussions that the revealed truths themselves and the divine traditions are being questioned. For unless there is harmony of spirit and the safeguarding of principles, it cannot be expected that notable progress in this branch of learn-ing will result from the various studies of so many schol-ars." 4 The work of exegetes is needed .today in an even more special way since wide circulation is given to many pub-lications in which the truth of the events and .sayings contained in the Gospels is being endangered. For this reason the Pontifical Biblical Commission, in the dis-charge of the duty entrusted to it by the supreme pon-tiffs, has thought it opportune to set forth and emphasize the following points. 1. The Catholic exegete, under the guidance of the Church, should profit from everything which previous interpreters, especially the holy fathers and doctors of the Church, have contributed to the understanding of the sacred text; and he should continue their work by ad-vancing it to a further stage. In order to bring out with all clarity the enduring truth and authority of the Gospels, the exegete, while carefully retaining the norms of reasonable and Catholic hermeneutics, will make an intelligent use of new exegetical helps, particularly those which the historical method has on the whole made available. This method diligently investigates sources, determines their nature and value, and makes use of textual criticism, literary criticism, and language studies. The exegete will follow the advice of Plus XlI of happy memory who enjoined that the exegete "should judi-ciously investigate what the literary form or type used by the sacred writer contributes to a valid and genuine in-terpretation; and he should be convinced that he cannot neglect this aspect of his work without great damage to Catholic exegesis." 5 In giving this advice, Pius XlI of happy memory was formulating a general rule of her-meneutics by the help of which the books of both the Old and the New Testaments are to be explained, since their sacred writers, in composing them, made use of the ways of thinking and writing in use among, their con-temporaries. Finally, the exegete will employ every available means by which he can attain a thorough knowledge of the characteristics of the testimony of the Gospels, of the religious life of the first churches, and of the meaning and value of the apostolic traditions. ~The apostolic letter Vigilantiae; EB, n. 143; Leonis XIII Acta, v. 22, p. 237. ~Divino afftante Spiritu; EB, n. 560; AAS, v. 35 (1943), p. 316. + + + Gospels VOLUME 24, 1965 + ae ae Biblical Commission REVIEW FOR RELIGIOUS When it is applicable, the interpreter can investigate what sound elements there are in the "method of form criticism" and can use these for a fuller understanding of the Gospels. In doing this, however, he should pro-ceed with mature deliberation since often there are ad-joined to this method inadmissible philosophical and theological principles that not infrequently vitiate both the method and the literary conclusions that are drawn. Certain exponents of this method, misled by ration-alistic prejudices, refuse to acknowledge the existence of a supernatural order, the intervention into this world of a personal God through revelation in the proper sense of that word, and the possibility and existence of mir-acles and prophecies. Others begin with a false notion of faith, conceiving it as though it has no concern for his-torical truth and indeed is incompatible with it. Still others have a kind of a priori negation of the historical value and nature of the documents of revelation. Others, finally, minimizing the authority of the Apostles as wit-nesses to Christ, their office, and their influence in the primitive community, exaggerate the creative ability of this community. These matters are not only opposed to Catholic doctrine but also are devoid of any scientific basis and are foreign to the genuine principles o[ the historical method. 2. In order that the trustworthiness of what is related in the Gospels may be correctly established, the inter-preter should give careful attention to the three periods of tradition through which the doctrine and life of Jesus have come to us. Christ the Lord attached to Himself chosen disciples6 who followed Him from the beginning,7 observed His actions, and heard His words, thereby becoming qualified to be witnesses of His life and doctrine,s When the Lord gave His oral expositions of His doctrine, He followed the ways of thought and exposition in general use at that time; in this way He adapted Himself to the men-tality of His hearers and made sure that what He taught would be firmly impressed on their minds and could be easily remembered by His disciples. These latter cor-rectly understood that the miracles and the other events in the life of Christ took place or were arranged in such a way that through them men might believe in Christ and accept by faith the doctrine of salvation. The Apostles, when they witnessed to Jesus,° first of all proclaimed the death and the resurrection of the Lord; eSee Mk 3:14; Lk 6:13. See Lk 1:2; Acts 1:21-2. sSee Lk 24:48; Jn 15:27; Acts 1:8; 10:39; 13:31. See Lk 24:44-8; Acts 2:32; 3:15; 5:30-2. and they honestly described His life and doctrine?° tak-ing account in their way of preaching11 of the circum-stances in which their hearers found themselves. After Jesus had arisen from the dead and His divinity was clearly perceived?2 the faith of His followers was far from erasing the memory of what had happened but rather strengthened that memory since their faith was based on what Jesus had done and taught,la Nor was Jesus changed into a "mythical" personage and His doc-trine distorted because of the worship with which the disciples now venerated Him as the Lord and the Son of God. Still, there is no reason why it should be denied that the Apostles, when relating to their audiences what had been really said and done by the Lord, did so with that fuller understanding which, after their instruction by the events of glory in the life of Christ and after their enlightenment by the Spirit of truth,14 was theirs to en-joy. x5 Hence it was that just as Jesus Himself after His Resurrection "interpreted to them" 16 the words both of the Old Testament and of Himself?~ so also the Apostles interpreted His words and actions as the needs of their hearers required. "Being devoted to the ministry of the word," as they did their preaching using such various ways of speaking as were adapted to their own purpose and to the mentality of their hearers; for it was "to Greek and non-Greek, to the learned and the unlearned" x9 that they owed their obligation.2° The following various ways of speaking by which, like so many heralds, they proclaimed Christ must be differentiated and carefully appraised: catecheses, narratives, testimonies, hymns, doxologies, prayers, and other such literary forms that were customarily used in Sacred Scripture and by the people of that time. This earliest teaching which was first given orally and then in writing--for it soon happened that many at-tempted "to draw up an account of the events" 21 which concerned the Lord Jesus--was incorporated by the sacred writers for the benefit of the Church into the four Gospels, each one following the method adapted to the special purpose he had. From the great quantity of tra- See Acts 10:36-~1. See Acts 13:16--41 together with Acts 17:22-31. Acts 2:36; Jn 20:28. ~Acts 2:22; 10:37-9. See Jn 14:26; 16:13. ~Jn 2:22; 12:16; 11:51-2; see also 14:26; 16:12-3; 7:39. Lk 24:27. See Lk 24:44-5; Acts 1:3. Acts 6:4. gom 1:14. 1 Cor 9:19-23. See Lk 1:1. 4- 4- + Historicity o~ the Gospels VOLUME 24, 1965 ~9 4. Biblical Commission REVIEW FOR RELIGIOUS ~0 ditional materials, they made a selection of some, some they presented in a synthesis, and some they explained in terms of the situation of the churches; and in all this they took every precaution that their readers might real-ize the trustworthiness of the message in which they had been instructed.2z From the matters which they had re-ceived, the sacred authors chose especially those things which were adapted to the various circumstances of the faithful and to the purpose intended by them; and they narrated their selections in a way that was consonant with those circumstances and that purpose. Since the meaning of a statement is also dependent on its place in a given sequence, the evangelists, when they related the words or actions of the Savior, explained them for the benefit of their readers through the context, one evangelist using one. context while another would employ a different context. Accordingly, the exegete should make a close investigation o[ what an evangelist intended when he narrated a saying or action in a given way or placed it in a given context. For the truth of the narra-tive is not at all desiroyed by the fact that the evangelists give the words and actions of the Lord in a different order23 or by the fact that they express His statements in different ways, no~ keeping to the letter but nevertheless relating the sense.24 As St. Augustine points out: "With regard to those matters the different ordering of which does not lessen the authority and truth of the Gospels, it is probable enough that each of the evangelist's thought that he should put his narratives in the order in which God willed to suggest them to his memory. If a person reverently and diligently inquires into the matter, he will be able with the help of God to find out why the Holy Spirit, who distributes His gifts to each as He wishes2~ and who therefore--because of the fact that these books were to be placed at the very summit of authority--without a doubt directed and controlled the minds of the sacred writers as they reflected on what they should write, permitted different writers to arrange their narratives in different ways." 26 Unless the exegete takes into account all the factors involved in the origin and the composition .of the Gospels and makes due use of the legitimate findings of recent research, he will not be performing his duty of ~ See Lk 1:4. ~ See St John Chrysostom, Homiliae 90 in Evangeliura S. Matthaei, I, 3; PG, v. 57, col. 16-7. a See St. Augustine, De consensu evangelistarura libri quatuor, 2, 12, 28; PL, v. 34, col. 1090-1. ~ 1 Cot 12:11. ~St. Augustine, De consensu, 2, 21, 51 f.; PL, v.34, col. 1102. finding out what the sacred writers intended and what they actually said. Since it appears from the findings of recent research that the doctrine and life of Jesus were not related for the sole purpose of retaining them in re-membrance but that they were "proclaimed" in such a way that they might furnish the Church a foundation for faith and morals, the interpreter who is untiring in mak-ing a close study of the testimony of the Gospels will be able to shed a greater light on the enduring theological value of the Gospels and to exhibit in the clearest light the negessity and importance of the Church's interpreta-tion. There still exist many questions of the greatest serious-ness in the discussion and explanation of which the Catholic exegete can and should freely exercise his in-telligence and ability so that each one individually may make his contribution to the benefit of all, to the con-tinued advancement of sacred doctine, to the prepara-tion for and further support of the decisions of the Church's teaching authority, and to the defence and honor of the Church.u7 But they must always be pre-pared to obey the teaching authority of the Church, nor should they forget that the Apostles were filled with the Holy Spirit when they proclaimed the good news and that the Gospels were written under the inspiration of the Holy Spirit who preserved their authors from all error. "We came to know the plan of our salvation through no others than those through whom the gospel came to us. This gospel they first proclaimed by mouth, but afterwards by the will of God they passed it on to us in the Scriptures to be the foundation and pillar of our faith. For it is not permissible to say that they preached before they possessed perfect knowledge, as some dare to assert who boast that they are the correctors of the Apos-tles. For after our Lord had arisen from the dead and they had been invested from on high with the power of the Holy Spirit who descended upon them, they were filled with all the gifts and possessed perfect knowledge. They went forth to the ends of the earth preaching the message of the blessings we have from God and pro-claiming heavenly peace to men, each and every one of them equally possessing God's gospel." us 3. Those to whom the duty of teaching in seminaries or in similar institutions has been entrusted "should make it their first concern., that Sacred Scripture is taught in a way that is completely in consonance with ~See Divino a~ante Spiritu; EB, n. 565; AtlS, v.35 (1943), p. 319. ~St. Irenaeus, Adversus haereses, III, 1, 1; in the edition by W. Wigan Harvey, v. 2, p. 2; PG, v. 7, col. 844. ÷ ÷ ÷ Historicity oJ the Gospels VOLUME 24s 1965 31 + ÷ ÷ Biblical ~ommission REVIEW FOR RELIGIOUS what the importance of the matter and the needs of the times warrant." 29 Professors should chiefly set forth the theological content so that Sacred Scripture "may become for the future priests of the Church a pure and never failing source of each one's spiritual life as well as a strength-giving food for the role of preaching which they will assume." a0 When they make use of critical tech-niques, especially those of what is known as literary criticism, they should not do so in order to exercise those techniques for their own sake but in order that by their light they may more clearly see the meaning communi-cated by God through the sacred writer. Hence they should not stop halfway and reniain satisfied with just the literary discoveries they have made; over and beyond this they should show how these really help to a clearer understanding of revealed doctrine or, if the case war-rants, to a refutation of erroneous positions. If teachers follow these norms, they will ensure that their students will find in Sacred Scripture that "which raises the mind to God/nourishes the soul, and fosters the interior life." ax 4. Those who instruct the Christian people by sacred preaching have in all truth a need for the greatest prudence. They should chiefly impart doctrine, mindful of St. Paul's warning: "Pay attention t9 yourself and your teaching, and be persistent in this; by doing this, you will further the salvation of yourselves and of those who hear you." ~2 They should refrain entirely from pro-posing matters that are useless novelties or not sufficiently proved. New views, once they are solidly established, may, if necessary, be set forth in a discreet way, account being taken of the nature of the audience. When they narrate biblical events, they should not make fictitious additions that are not conformed to truth. This virtue of prudence should be especially exer-cised by those who publish writings for the faithful at the popular level. They should take care to set forth the supernatural treasures of the Word of God "in order that the faithful., may be moved and incited to order their lives in a correct way." an They should regard it as an inviolable duty never to depart in the slightest from the common teaching and tradition of the Church; they should, to be sure, make use of whatever advances in biblical knowledge have been made by the intelligence of recent scholars, but they should completely avoid the The apostolic letter Quoniam in re biblica; EB, n. 162; Pii X Acta, v. 3, p. 72. ~°Divino a~lante Spiritu; EB, n. 567; AA$, v. 35 (1943), p. 322. ~Divino aOiante Spiritu; EB, n. 552; AA$, v. 35 (1943), p. 311. 1 Tim 4:16. Divino a~tante Spiritu; EB, n. 566; AAS, v. 35 (1943), p. 320. rash fabrications of innovators,a4 They are strictly for-bidden to give in to the destructive itching for novelty by thoughtlessly publicizing without any judicious and serious discrimination any and all attempts to solve dif-ficulties, thus disturbing the faith of many. Earlier, this Pontifical Biblical Commission had al-ready judged it good to recall to mind the fact that books together with magazine and newspaper articles dealing with biblical matters are subject to the authority and jurisdiction of ordinaries, since they are religious publications and are concerned with the religious in-struction of the faithful,a5 Hence the ordinaries are asked to pay the greatest attention to these popular publica-tions. 5. Those in charge of biblical associations should, in-violably obey the laws laid down by the Pontifical Bibli-cal Commission.a6 If all the above points are observed, the study of Sacred Scripture will result in profit to the faithful. There will be no one who does not also experience today what St. Paul described: the Sacred Scriptures "have the power to make you wise and to lead you to salvation through faith in Christ Jesus. All scripture, being inspired by God, is useful for teaching, for reproving error, for cor-recting, and for training in right conduct so that the man who is God's may be perfect, equipped for good work of every kind." 37 His Holiness, Paul VI, in an audience graciously granted on April 21, 1964, to the undersigned consultor and secretary, approved this instruction and ordered it to be made public. Rome, April 21, 1964. BENJAMIN N. WAMBACQ, O.Praem., Consultor and Secretary ~' See the apostolic letter Quoniam in re biblica; EB, n. 175; Pii X Acta, v, 3, p. 75. ~ The Instruction to Local Ordinaries of December 15, 1955; EB, n. 626; AAS, v. 48 (1956), p. 63. ~°EB, nn. 622-33; AASo v. 48 (1956), pp. 61--4. ~ 2 Tim 3:15-7. 4- ÷ 4- Gospels VOLUME 24, 1965 33 LORENZO BOISVERT, O.F.M. The Nature. of Religious Authority Father Lorenzo Boisvert, O.F.M., is a member of the Franciscan com-munity looted at 5750, boulevard Rosemont; Mont-real 36, Canada. REVIEW FOR RELIGIOUS THE TEACHING OF JEsus ON AUTHORITY~ It is sometimes said that superiors talk a great deal about obedience but say little or even nothing at all about authority with the result that subjects know much about the notion of obedience which their superiors have but are ignorant of their idea of authority-~or, if they do know it, they have deduced it from their way of governing. This remark--it does not seem to be without foun-dation- is an expression of the legitimate need of sub-jects for clarification, of their desire to understand the governmental attitude of superiors. This does not pro-ceed from mere curiosity but rather is aimed at finding out what the nature of their obedience should be and how superiors intend to have them cooperate for the good of the community. A given concept of authority necessarily engenders' a corresponding notion of obedi-ence. If a superior conceives authority as a means of domination, his subjects have but one way of obeying, --that of executing his orders; accordingly, their col-, laboration for the common good remains very limited. If, on the other hand, the superior conceives authority' as a service, he is on his way towards achieving the complete collaboration of his subjects not only on the, level of execution but first of all on the level of thought and organization. There is a second reason which leads us to investigate the nature of authority, and this is the existence of a problem of obedience in the greater part of religious communities; this latter problem is one about which it can be asked whether it is not just as much or even ¯ This section originally appeared as a separate article, "L'auto-rit~ d'apr~s l'enseignement de J~sus," in La vie des communautds religi~uses, v. 20 (1962), pp. 271-6. more so a problem of authority.1 What makes obedience so difficult for today's religious is not just the need of a greater independence--fruit of their education--but also the desire for a more evangelical conception and exercise of authority. They cannot endure to have supe-riors form a notion of authority according to their own liking as though they were indifferent whether their notion does or does not square with that of Christ. In the face of this need for evangelical authenticity, supe-riors ought to reconsider their notion of authority, a matter that necessitates knowing the teaching of Christ on the point. Three times on the occasion of three different episodes Christ provided His disciples with clear instruction on the nature of authority. The first two of these episodes are reported for us by the synoptics while the third is told only by St. John. First episode: This episode is told us by St. Matthew and St. Mark in the following way: It was at this time that the disciples came to Jesus and asked him: "Who then is the greatest in the kingdom of heaven?" Jesus called a little child and placed him in the midst of them. "I tell you in all seriousness," he said, "that if you do not return to the condition of children, you shall not enter the kingdom of heaven. The man, therefore, who makes himself little like this little child, he is the one who is the greatest in the kingdom of heaven" (Mt 18:1-4). When they arrived at Capernaum and had reached their house, he asked them: "What were you arguing about during the trip?" They kept quiet because during the journey they had been arguing about which of them was the greatest. There-upon he sat down and called the Twelve to him. "If any one of you wishes to be first," he said, "he must make himself the last of all and the servant of all" (Mk 9:33-5). On the journey to Capernaum (Mk) the disciples were vain enough to argue about which of them was the greatest and hence the rightful one to occupy the first place. As Father Congar remarks, this was a subject of frequent discussion in Judaism: In Judaism there was a great deal of discussion about the one to take the first place: whether it was a matter of a cultural meeting or of administration or of table arrangement, the ques-tion of precedence was constantly recurring. Perhaps as a re-sult of the promise to Peter o£ the keys .to the kingdom, the disciples themselves argued about who was the greatest? Once they had arrived at Capernaum and had settled down in a house (the owner of which is unknown), Jesus, *This problem of authority in the Church has been emphasized in the cooperative work entitled Probl~mes de l'autoritd (Paris: Cerf, 1962). ~, *Y. Congar, "La hi~rarchie comme service selon le Nouveau Testament et les documents de la tradition," in L'dpiscopat et l'Eglise universelle (Paris: Cerf, 1962), pp. 69-70. VOLUME 24, 1965 4. 4. L. Bo~er~, REVIEW FOR RELIGIOUS as St. Matthew tells it, was asked by the disciples to settle the argument. St. Mark, on the other hand, in-forms us that it was Jesus Himself who asked them the searching question: "What were you arguing about dur-ing the trip?" This leads one to suppose either that Christ did not make the trip to Capernaum with them or that the argument had been had by a group of the disciples with whom Christ was not present. But whether the question came from the disciples themselves or from Christ is of little importance; what matters is the instruction by action and by word that Christ gave on this occasion. He called a little child, placed it in the midst of them, and then said to them: "If you do not return to the condition of children, you shall not enter the kingdom of heaven. Therefore, the man who makes himself little like this little child, he it is who is greatest in the kingdom of heaven." It should be noted that St. Matthew is the only one to speak here of the kingdom of heaven; and it is well known that the kingdom of heaven, the kingdom of God, and the Church are identified in their terrestrial phase, in their temporal realization. St. Mark, on the other hand, uses words of singular force: "If any man wishes to be the first, he will make himself the last of all and the servant of all." Christ, then, teaches us that to be the greatest in the kingdom a man mustmake himself the smallest, the last, the servant of all. Second episode: This episode is told us by both St. Matthew and St. Mark; but because the passages are long, only the text of St. Matthew will be given here: It was at this point that the mother of the sons of Zebedee, came up to him with her sons and knelt in front of him to ask him a favor. "What is it you want?" he asked. "Promise me," she said, "that in your kingdom these two sons of mine will sit next to you, one on the right and the other on the left." "You do not realize what you are asking," Jesus replied. "Can the two of you drink the cup that I am about to drink? . Yes, we can," they answered. "It is true," he told them, "that you will indeed drink my cup; but as for sitting on my right and on my left, that is not for me to grant; that belongs to the ones for whom my Father has destined it." When the other ten heard about this, they became indignant with the two brothers. Then Jesus called them to him and said: "You know that the ru.lers of the pagans lord it over them and that their mighty ones tyrannize them. But such must not be the case among you. On the contrary, whoever wishes to become great among you must become the servant of all of you; and whoever wishes to be the first among you must be ~our slave-- just as the Son of Man has not come in order to be served but to serve and to give his life as a ransom for men" (Mt 20:20-8), This episode is concerned with a request made of Christ by the mother of the sons of Zebedee, as St. Matthew relates it; though St. Mark puts the request on the lips of the sons of Zebedee themselves. Their desire is nothing less than to sit on the right and left of Christ in His new kingdom; in other words, they wanted to have the chief positions after that of Christ.- After James and John had assured Christ that they could drink His cup, He told them that it was not His prerogative to determine who would sit at His right and His left in the kingdom and that this was a matter that pertained to His Father. Undoubtedly, this response left them as well as their mother a little confused and humiliated. Moreover, they came to realize that their request had been highly audacious and that it was not taken very graciously by the rest of the disciples who were indignant at it. It was precisely this indignation of the disciples which was the occasion not for words of reproach and blame but for the magnificent answer of Christ given in the text cited above. Hence, "as there are in the order of earthly societies, so also in the order of the gospel there exist the great ones, the first ones." ~ But the attitude of the great men in the order of the gospel should be entirely different from the attitude of the great ones of earthly societies. The great ones of the earth make their power felt, they show themselves as masters, they lord it over others. The relationship of inequality that exists between them and their subjects is a relationship of domination from the viewpoint of the former and one of subjection from the viewpoint of the latter. This, precisely, is a conception of authority which Christ cannot admit and which in consequence should not exist among His disciples. According to the gospel the way leading to the rank of first or great.is that of seeking a position or relationship not of power but of service, that of a minister [dial~onos], a servant, a doulos, a slave, a laborer. Throughout the New Testament diakonia--the state, behavior, and activity of a servant--ap-pears as coextensive and concretely identified with the character-istic condition of the disciple, of the person who, having been overwhelmed by Christ, lives in dependence on Him. This comportment of service, not of power, which Christ makes a law for His disciples is explicitly linked by Him with their comportment with regard to Him their Master; for the disciple is not just a pupil receiving instruction but is one who imiuites the Master whose life he shares. But Christ lived out and defined His mission in the Isaiah terms of the Servant of Yahweh. He had not come to lord it over others but to serve as a slave, to live the condition of a slave even to the specific detail of being sold so as to make himself the equivalent of a ransom.' The disciples likewise "ascend only by humbling them-selves, by following Christ on the way of descent, the ' Congar, "La hi~rarchie," p. 71. ' Congar, "La hi~rarchie," pp. 71-2. ÷ ÷ ÷ Religious Authodty VOLUME 24, 1965 ÷ ÷ ,÷ L. Bois~ert, O.F.M. REVIEW FOR RELIGIOUS way of the gift and loss of self . " 5 The attitude of the servant and the slave should be the normal attitude of one who has been raised to a state of external greatness. Third episode: This episode is found in St. John 13:12-7: When he had washed their feet and had put on his clothes, he resumed his place at table and spoke to them: "Do you realize what I have just done to you? You call me 'Teacher' and 'Master' and you are right in saying this because I am such. But if I, your Master and Teacher, have washed your feet, you ought also to wash the feet of each other. I have given you this example so that you may act as I have acted towards you. I tell you with all earnestness that the slave is not greater than his master and that the messenger is not greater than the man who sent him. Once you realize these things, you will find happiness in doing them." The occasion for Christ's action was, no doubt, the discreditable incident that took place during the pas-chal repast and "which was in singular contrast with the solemnity of the occasion";0 as St. Luke puts it: "There arose among them a dispute as to which of them should be regarded as the greatest" (Lk 22:24). Once more it is the question of precedence; Christ must have been saddened and even upset; His teaching about hu-mility had not been understood. Once again, instead of addressing the Apostles with words of lesser or greater harshness, Christ performs an action which constitutes an awesome lesson for them and makes them realize the ridiculousness of their dispute: He washes their feet. It is sufficient here to note the following: "The wash-ing of feet was classed distinctly as the work of slaves. A slave of Jewish descent could not be obligated to do it, but only a slave of another nationality." 7 Christ, since He was Teacher and Master, had the right to lord it over them, to act as a master, to impose His will, to command, to dominate; He renounces this .right to take the attitude of a slave, of a servant. He does this to give His Apostles and all future Christians an example to be imitated so that we who before God are but servants and slaves might learn to give service and 'to minister to each other. The relationship which should exist among Christians is a relationship of service. "St. Luke, who does not record the washing of feet, still gives its moral lesson, precisely with reference to the * Congar, "La hi~rarchie," p. 73. e F. Prat, Jesus Christ: His LiIe, His Teaching, and His Work (Milwaukee: Bruce, 1950), v. 2, p. 264. 7 F. M. Willam, The Life of Jesus Christ (St. Louis: Herder, 1936), p. 380. incident which seems to us to have called it forth." s As Luke puts it: The kings of the heathen lord it over them, and the ones who tyrannize them are called their "benefactors." But it must not be so among you. On the contrary, the greatest among you should behave like the youngest and the chief like the servant. Who is the greater, the one reclining at table or the one serving? Is it not the one who is reclining? And I am in the midst of you as one who serves (Lk 22:25-7). The greatest, then, must make himself the servant; he must be in a state of service with regard to those who are subject to him. According to the teaching of Christ, authority is essen-tially a service; and the person who holds authority is a servant. This comportment of service which defines the condition of the superior likewise constitutes the essen-tial law of the members of the ecclesial community to such an extent that all Christians should serve one an-other. From this it can be seen that the activity of the superior is to be situated as a prolongation of the Christian life and that it is, in short, a special function of service within the community and for the good of the community. AUTHORITY AND COMMUNITYt Our brief analysis of these three gospel episodes has already shown us that according to the teaching of Christ authority is essentially a service and the person who pos-sesses it a servant: The kings of the pagans lord it over them and those who tyran-nize them are called their "benefactors." But it is not to be the same among you. On the contrary, the greatest among you is to act like the least and the chief like a servant (Lk 22:25-6). The aim of the present section of this article is to empha-size this central point of authority-service by specifying the relationship that should normally exist between aft-thority and the threefold community: the human com-munity, the Christian community, and the religious com-munity. Authority and the Human Community The human community is essentially a community of equals since all men are of the same nature. Hence those who command others do not do so by reason of an essen-tial superiority. Neither is it by reason of certain par-s Prat, Jesus Christ, v. 2, p. 267. ~fOriginally a separate article entitled, "Autoritfi et commu-naut.," this section appeared in La vie des communautds religieuses, v. 20 (1962), pp. 309-15. ÷ ÷ 4- Religious Authority VOLUME 24, 196S L. Bols~ert~ O.F.~I. REVIEW FOR RELIGIOUS 40 ticular values (for example, nobility, wealth, power, su-perior degree of intelligence or virtue) that certain ones possess authority since these values, while they engender prestige, do not confer any rights over others. Even though an unlimited number of historical facts show the strong dominating the weak and even reducing them to slavery, still this proves only the existence of a state of disorder, the consequence of original sin, in which man behaves to his fellow man like a wolf (homo homini lupus) instead of like a brother. The only principle which justifies the possession and the exercise of authority within the human community is the good of others, whether of the others taken indi-vidually or as the entire community. Since the raison d'etre of authority is the welfare of others, it has mean-ing and can be understood only if it is considered in relation to the community. The person, then, who possesses authority is situated in a state of service with regard to his brothers, for he possesses it only in the interest of those subordinated to him. If he has a right to remuneration from the com-munity because he is at their service, he nevertheless abuses his power if he uses his authority for his own personal interest at the expense of his subjects. In this latter case authority, instead of being directed toward the good of each and all, is directed to the good of the person who possesses it; in place of being a state of re-sponsibility and of service, it is "an occasion of getting more enjoyment, of permitting oneself everything, and of serving oneself." The welfare of others being the fundamental prin-ciple that justifies the possession of authority, it is like-wise the principle that justifies the imposition of limits on the exercise of this authority. The person who pos-sesses power does not have the right to command what-ever he pleases, abstraction being made from the wel-fare of others. If the object of his command exceeds the range of the authority he has received or if the com-mand is flatly counter to the welfare of the community, the subjects can and even should refrain from obeying since the obligation to obey always supposes the legiti-mate possession and exercise of authority. Hence, already in the human community as such it is true that authority is a service and its holders are servants. The word "minister" which is sometimes used to denote persons in charge of the welfare of particular communities is nothing else than a translation of this fundamental truth. When we speak of the "prime min-ister" of a country or of some other political unit, this should normally mean the person who is most at the servi~e of this country or of this political unit; for degree of service corresponds or should correspond to the de-gree of authority. Authority and the Christian Community Far from constituting a reality apart from .and, as it were, exterior to the human community, the Christian community is actually situated within that community and is its perfective complement. Christ did not send His disciples to the desert to be far away from the world so as to preserve them from contagion; rather it was His wish that His own, united in the ecclesial community, should be present in the world so that they might make truth and love rule where error and discord had domi-nated. This ecclesial community, the Mystical Body of Christ, is not a large organization, a system, a legalistic structure, or a juridical person; neither is it a collectivity consisting only of the members of the hierarchy; rather it is the community of the faithful as they tend to the perfection of love. Since, however, it is the express will of Christ, it must be admitted that in this Church there are lead-ers, a hierarchy, an authority. And since this authority is part of the Church's constitution, a knowledge of its exact nature can be had only by situating it in relation-ship to what we will call the fundamental exigency of the Christian community. According to the teaching of the gospel there is but one Master and but one Lord: Christ, the only source of every supernatural gift. Consequently, whatever con-stitutes the Christian community (for example, its Mys-tical Head, its animating Spirit, its sacraments, its min-istries, and so forth) is a gift of God, a grace from on high. From this there comes the obligation of this com-munity to be at the service of God, to have divine wor-ship as its principal goal, and to have thanksgiving as the central act of this worship. What is true for the ec-clesial community as such is equally true with regard to each of its members: the Christian possesses Christian reality only to the extent that he has received the grace of God. Since everything that makes him a Christian is a gift, he must assume the attitude not of a master and lord but that of a steward and administrator, roles which are essentially an attitude of service. He must be "a man of submission and of gratitude" and not a man of a pos-sessive spirit. When he uses the gifts he has received, he must force himself with the greatest fidelity to acknowl-edge and respect the purposes of his Master and Bene-factor. The purpose of Christ with regard to the gifts that He confers is clearly expressed by St. Paul: ÷ ÷ ÷ Religious Authority VOLUME 24, 1965 41 4. 4. 4. L. Bolsv~t, O.F.M. REVIEW FOR RELIGIOUS Though there is a variety of spiritual gifts, there is but one and the same Spirit; though there is a variety of ministries, there is but one and the same Lord; and though there is a variety of ways in which God acts, still there is the one and same God acting in all. ~Each man is given his own manifestation of the Spirit Ior the sake o] the common good (1 Cor 12:4-7). He made some to be apostles, some prophets, some mission-aries, some pastors and teachers; he disposed Christians in this way for the sake of the ministry that the body of Christ might be built up (Eph 4:11-2). Hence the gifts which the Christian receives are directed to the building up of the Mystical Body of Christ; they are not given him for himself alone but for all; thus they make him "a means of living and growing for others." But the Christian can benefit others through the gifts he has received only if he takes an attitude of service with regard to his brethren, the way of behaving of a servant who gives himself devotedly. This is the attitude adopted by St. Paul: Though I am a free man in the eyes of all, still I have made myself a slave to all men in order that I might win more of them (1 Cor 9:19). It is not ourselves that we preach but Christ Jesus the Lord; and we are your slaves for the sake of Jesus (2 Cor 4:5). And this same attitude is considered by St. Paul and St. Peter as the normal attitude of every Christian: My brothers, you were called to be free; but do not use this freedom as an opportunity for the flesh, but through love put yourselves at the service of each other (Gal 5:13). In accord with the grace each has received, put yourselves at the service of each other like trustworthy stewards of the mani-fold grace of God (1 Pt 4:10). Hence each member of the Mystical Body ought to be the servant of all. This fundamental exigency of the Christian condition is coextensive with the very state of a Christian, for there is no genuine life in Christ without charity; that is, without a love that gives and serves. There should exist among Christians a constant exchange of services. It is in this general context of service that authority is situated. It is not a primary gift prior to the com-munity and, as it were, independent of it; it is rather a secondary reality which supposes the existence of the primary reality and which cannot be properly under-stood except insofar as it is placed within this primary reality. According to the New Testament, the different words used to designate individual ministries "denote a task or an activity as a stable service within the com-munity." The following are examples of this: apostles, teachers, prophets (1 Cot 12:28); missionaries and teach-ers (Eph 4:11); pastors (Eph 4:11); guardians and over- seers (Acts 20:28; Phil 1:1); elders (Acts 11:30; 14:23); ministers (Phil 1:1; 1 Tim 3:8-9); leaders, rulers (Heb 13:7, 17); president (Kom 12:8); steward, manager (Lk 12:42; 1 Cot 4:1; Tit 1:7).9 This list gives the special titles and degTees of service within the Christian community and shows us that au-thority is not exempt from service but a call to a different and more perfect service. Between ordinary Christians and the members of the hierarchy there can and should exist only a difference in the situation of their service, only different manners of serving Christ and the breth-ren within the Mystical Body. Those who possess author-ity have above all the role of organizing and coordinating the particular services that exist in the Church and also of exercising the ministry of the word and of worship. Once more, this is only one of the forms of what Chris-tians are to do "by and for each other" in view of their common supernatural destiny. The attitude of Christ among men--an attitude that He has summarized in the words: "I have not come to be served but to serve"---ought to be the preeminent attitude of the person who presides in the Church. Thus, for example, St. Paul, who on occasion knew how to vindicate his title of Apostle (Rom 1:1; Gal 1:15) and his apostolic authority (Gal 1:8), after the manner of Christ preferred not to bring his rights and powers into play (I Cor 9:12). He preferred to act like the servant, the slave of his brethren (1 Cor 9:19; 2 Cot 4:5) rather than to rule and to act the master (2 Cor 1:24). He considered the faithful as his masters, and it is their welfare that determines the application of his efforts. When situated in the general context of service which defines Christian existence, authority appears to us less as the right and power of one Christian over other Christians than as a trust, a duty, a responsibility, a serv-ice. To express the nature of this authority it is not suffi-cient to say that it is an ordinary juridical power exer-cised in a spirit of disinterestedness and of service: like Christian existence itself, authority is essentially and intrinsically service. Authority and the Religious Community Just as the Christian community is situated within the human community and is its perfective complement, so also the religious community is so much a part of the Christian community that it is from the latter that the religious community derives its meaning and its life. The nature of the religious community will never be under-stood if it is separated from the Church or if it is 0 Congar, "La hi~rarchie," p. 81. 4- 4. 4. Religious Authority VOLUME 24, 1965 43 L. Boisvert, O.F.M. REVIEW FOR RELIGIOUS 44 regarded as being attached to it like some merely ex-ternal appendage. An individual religious community is formed of baptized persons who have taken a serious attitude towards their baptismal commitments and who have adopted a manner of life more favorable to their accomplishment. Hence a religious community should not be considered as first of all a large organization in which everything runs smoothly when the relations between superiors and subjects are without difficulty; it should rather be con-sidered as a community of baptized peisons who have chosen a particular state of life which allows them a more intimate encounter with Christ and a more inte-gral response to their Christian vocation. Since one of the fundamental exigencies of this voca-tion is that of service [diakonia], it is normal that religious should excel in this, that more perfectly than others they should be at the service of God and of their brethren. Only thus will they be true witnesses to the One who emptied Himself for us by taking on the condition of a slave, of us (Phil 2:6-11). What should distinguish religious from ordinary Christians is not a difference in Christian life but a difference in the situation of their service and even more in the perfection of this service. Religious should live out to their fullness the following words of St. Peter: "Each according to the grace he has received, put yourselves at the service of one another like trustworthy stewards of the manifold grace of God" (1 Pt 4:10). Such an exchange of mutual services supposes, it is true, a great degree of availability, a profound interior freedom, and an effective death to oneself. Are not these indispensable conditions of service included in the very life of religious who by their profession prolong in their daily living the mystical death of their baptism? Their renunciation of the things of this world by poverty, of their own body by chastity, of the free use of their will by obedience puts them in a state of availability and of interior freedom which facilitates their service both of God and of their neighbor. It is in this context of a more perfect Christian service that it is necessary to situate the authority of the reli-gious superior. Just as the service of consecrated religious is distinguished from the service of ordinary Christians by the mode and perfection of its exercise, so also the authority of the religious superior should be distin-guished from Christian authority in general principally by the perfection of its exercise. It is necessary that the superior be at the service of his subjects as integrally as possible since the authority he possesses is essentially service and since he, by the renunciation contained in his religious life, should have acquired the interior free-dom necessary to be a perfect or at least a very good servant of his subjects. To have an effective solicitude for his subjects to the complete forgetfulness of himself should be the normal attitude of the religi6us superior. Only on this condition will he manifest to his sub-jects that he has not accepted au.thority for his own ad-vantage but for their temporal and spiritual welfare. And at the same time he will be a genuine witness to the Christ who came upon earth to serve and who has taught us that authority by its very structm;e is a service. While it is true that authority even in the human community can be regarded as a service since its pos-sessors have received it only for the benefit of others, in the ecclesial community it is only a special application of the common situation of service which characterizes Christian existence. Hence it is not a thing apart in the Church where it is exercised, but it is one way among many others of serving God and men. It is likewise in this general context of service that there is to be situated the authority of the religious superior, with the distinc-tive note, however; that it should be exercised in a more perfect way, given that religious enter a community not to cease serving God and their brethren but to serve them more perfectly. POSITlVE EXIGENCIES OF AUTHORITY-SERvICE~ As we have seen, according to Scripture authority is essentially service and the person who possesses it a serv-ant. The religious superior1° who, as he should, ac-cepts this divine teaching will doubtless abstain from re-garding his authority as an honor and a source of privi-leges or as an end in itself which can be sought for its own sake; likewise he will refrain from "ruling like a lord over his flock as the pagans do" and from making the weight of his authority felt. But this is not enough. It is furthermore necessary that the superior should know the principal positive exigencies of this Christian con-ception of authority and that he should respect these exigencies in his manner of government. The present sec-tion of this article will be concerned with pointing out some of these exigencies and will center its considerations around two fundamental ideas: (1) the superior is at the service of a community of persons (2) who are tending toward the perfection of charity. ++This section was originally entitled, "Exigences positives de l'autorit~-service" and appeared in La vie des communautds reli-gieuses, v. 21 (1963), pp. 5-14. lo When I speak of "religious superior" and of "religious," I in-clude in a generic fashion all men and women superiors of religious communities and all men and women religious. + + 4- Religious Authtrrity VOLUME 24, 1965 L. Boisvert, O.F.M. REVIEW FOR RELIGIOUS 46 At the Service of a Community of Persons Knowing one's subjects: When one wishes to be of service to another person, it is first of all necessary to know him well; for the better one knows another, the more he is in a position to help him. The superior, whose duty it is to serve, should make every effort to acquire a thorough knowledge of his subjects, of their aspira-tions, their aptitudes, their needs. The great means of acquiring this knowledge still remains that of listening to them.--something that implies a great deal more than a more or less distracted hearing of what they say. To listen means to open oneself to another, to put oneself in a state of availability, of total receptivity to the other's words so that what is said can be grasped exactly and totally without exaggeration or diminution. A person is not listening when he continues his own thoughts while the other person is speaking, or when he presents a solu-tion even though the other person has scarcely begun to express his problem, or when he gives a decision-- favorable or unfavorable--before the statement of the case has been finished. Neither is a person listening in a true sense when he gives more attention to the person speaking and the way in which he speaks than to what he says--as though the importance of the communication is measured by the likableness of the person and the finesse of his way of expressing himself. The superior who knows how to listen to his subjects gradually comes to a genuine knowledge of them and in this way becomes more able to serve them. This does not mean that he accepts all their ideas, their tastes, their whims, their enthusiasms; but it does mean that he recog-nizes and respects the immutable truths and values that are in them; and it means that if there are deviations and errors, he searches for the origin of these for the purpose of better rectifying or eliminating them. Act-ing in this way, he will discover in the religious of today--who give the appearance of being of a new and startling nature--a great deal of good will along with uprightness and honor coupled with a sincere desire to advance to perfection. He will also recognize that these religious do not appreciate at all a negative morality where the first place is given to renunciation, abnega-tion, suffering, and pain--to the cross without the halo of the Resurrection. What they prefer is a holiness that will be the free fulfillment of their life, of their courage and generosity, of their love and joy--a holiness that is under the sign of fulfillment rather than that of renun-ciation. Informing one's subjects: This knowledge that the su-perior acquires of his subjects by listening to them per- mits him not only to provide them with individual help but also to promote and organize their collaboration for the common good. It is the duty of all religious to serve the community of which they are members, since in tak-ing the religious habit they ha,~e not denied their particu-lar talents and since in promising obedience they have not made a vow of rigid passivity. And their collabora-tion for the common good should not be limited only to the execution of directives emanating from authority but should extend to every possible and useful level. This, as can be easily seen, can 'take place only if the superior keeps his religious knowledgeable about the problems, difficulties, projects, and so forth which con-cern the community so that they can aid him in tinding solutions and in improving things. Unless he has the charism of ~nspiration and of reve-lation- and perhaps also that of infallibility--the supe-rior cannot by himself find an adequate solution to all the problems involved in his community; nor can he per-ceive all the advantages and disadvantages of a project. Hence if he wants the complement of light which comes from his subjects, he must first of all inform them of the difficulties that need solutions and of the projects that need to be considered. The only person who would neg-lect the collaboration of his religious is one who believes himself wiser than he is, who has greater confidence in himself than is warranted, and who thinks that he is filled with the gifts of knowledge and wisdom. Actually, he, no more than the founder, has not received the gift from God "to speak the last word of wisdom for all time." 11 Promoting public opinion: The purpose of this in-forming of subjects by the superior is not only to com-municate to the religious the principal problems and projects of the community but also and above all to provoke personal reflection and discussions from which will emerge a public opinion. This public opinion is as necessary to the vitality of a religious community as it is to the vitality of the Church herself; and this latter need was affirmed by Pius XII in February of 1950 when he said: Because the Church is a living body, something would be wanting in her life if public opinion were lacking--and the blame for this deficiency would fall back upon the pastors and the faithful.~ This public opinion will become a source of life for ax Archbishop Roberts, S.J., Blacl~ Popes (New York: Sheed and Ward, 1954), p. 40. = Pius XII, "Allocutlon on the Catholic Press and Public Opinion" (February 18, 1950), Catholic Mind, v. 48 (1950), p. 753. ÷ + ÷ Religious Authorit~ VOLUME 24, 1965 the religious community only if the superior recognizes it and takes account of it to the degree that it includes elements of value. Hence it is necessary for him to con-sult his subjects after having informed them of the principal questions which concern them. This consulta-tion should not be considered by him as an act of con-descension on his part but as a duty and, from the side of the subjects, as a privilege and a right. This consulta-tion is so necessary to good government that Archbishop Roberts has not hesitated to affirm: "It is humanly im-possible to exercise authority without consulting the governed. To deny this is to make nonsense of obedi-ence." is This does not mean that the consultation of subjects is essential for the valid exercise of authority, no more than the consultation of the laity, even on questions of vital interest to them, is essential in order that the su-preme pontiff or the ecumenical council can authorita-tively pronounce on such questions. Nevertheless, the sovereign pontiff and the bishops are consulting the laity more and more because they know very well that the latter are more capable to explaining their own problems and 6f finding the most adequate solutions for them. Why should any other way of acting be used by the religious superior who does not have the special assist-ance of the Holy Spirit which Christ has promised the hierarchy in doctrinal matters? If, then, it is necessary for the superior to consult his subjects in order to exercise his authority in a more profitable way and thereby to serve his community bet-ter, it is equally necessary that subjects should present the superior with all the data necessary to judge a given question. When the matter at stake appears to them to be fundamental, subjects should not fear to use all their competence to support their arguments in the discus-sions they may have with the superior. This proves that their concern engrosses them sufficiently "to arouse them to make their needs known by effective presentations." Take, for example, "the apostolic practice of daily Com-munion, in abeyance for so many years"; this was not restored just by a stroke of the papal pen. Effect was given to our Lord's wish because some people expressed de-cisively- yes, at the risk of being hurt--the hunger they felt. The same is true of recent facilities for evening Mass and non-fasting Communion, and indeed of every other reform that has ever been?' L. Boi~vert, O.F.M. REVIEW FOR RELIGIOUS 48 Public opinion, the purpose of which is to furnish the superior with the complement of information that Roberts, Black Popes, p. 4. Roberts, Black Popes, p. 5. permits him to give a decision with a better knowledge of the matter, should not, however, so influence his de-cision that the superior appears to be but "the resultant or the projection of the forces which are at work in the group." In this way a religious community would be-come a naive democracy where the superior would be only the representative or the voice of his subjects. This would be a complete failure to recognize the nature both of authority and of obedience. If the decision of the su-perior can and even should be illuminated by public opinion, still it must not be considered as the simple logical resultant of it. It pertains to authority, not to subjects, to make definitive decisions. Consequently, when a decision is made by the superior, the subjects should accept and execute it with the great-est loyalty without bringing up, as a sort of riposte, the elements which the superior has not included in his decision. It is even necessary to add that the more vital public opinion is in a community, the more humble and total should be the acceptance of what the superior decides. If this is lacking, public opinion becomes a source of hurtful criticism, of disobedience, of disorder: it kills the religious spirit. On his side, the superior who makes a decision after having taken the best account he could of public opinion should not withdraw the decision except for a reasonable cause of legitimate necessity or great utility. To act "otherwise would be to give proof of levity and incon-stancy, of instability in judgment and command. On the other hand, if he sees that modifying his decision is nec-essary or useful, he should not obstinately keep to his first idea, thus depriving his subjects of an evident good. Delegating his powers: Religious, as we have remarked, have the duty of collaborating for the good of the com-munity. This collaboration should not be limited to the mere execution of directives coming from authority nor even just to the communication of their personal reflec-tions on matters proposed by the superior. Over and be-yond these, the superior must make his subjects share his responsibility by delegating them a part of his powers--a matter which does not at all mean that he renounces his own rights. A person who possesses authority is not under the obligation of making immediate and personal use of it in every case; that is, he does not himself have to regu-late all the details of common life with a great deal of attention to minutiae and a great loss of time. Such a procedure would result in making his subjects mere functionaries, instruments to receive and execute au-thority. The person possessing power can and even should en-trust others with particular tasks in order to develop in + + + Religious Authority VOLUME 24, 1965 49 4, 4, L. Boi~vert~ O.F.M. REVIEW FOR RELIGIOUS 50 them a sense of responsibility and to promote a better collaboration for the common good. This delegation of power, in addition to obliging subjects to make options that are revelatory to themselves and to others, provides the opportunity for initiative and the occasion for dis-covering and developing unsuspected talents. That this delegation of power includes the risk of error and mis-takes is part of the normal course of events. This risk, however, should not lead the superior to refuse to dele-gate any power since, in using his authority, he himself can commit the same or similar errors. The religious to whom the superior has delegated certain powers should exercise them fully without asking the superior to intervene in areas where they have the power to act themselves. If there are abuses in the area entrusted to them, subjects must learn to eliminate them without waiting for the superior to feel forced to intervene because of their inertia. They should have the courage to take measures that are distasteful to others rather than to throw the responsibility for them back on the superior, and this they should do even though the measures merit them dislike and unpopularity. It is only by paying this cost that delegation of power will develop in them a sense of responsibility and will genuinely con-tribute to the common good. On his side, the superior who has entrusted particular tasks to his subjects should take care to leave them the freedom that is necessary for them to carry out their tasks to the best of their ability. He should avoid con-stantly intervening to judge work already done, to im-pose his own ideas, or to insist on modifications. He should put complete confidence in his subjects, espe-cially in those areas where they have a real competence that he himself does not possess. The strength of the superior'.s authority and the effectiveness of his subjects' work will be in proportion to the frequency with which he acts by means of his subordinates and to the rarity of his personal interventions. The Service oI Persons Tending to the PerIection ol Charity Building up the interior man: Besides the exigencies of authority-service that we have already mentioned, there are others that flow from the fact that the superior is not only at the service of persons but precisely at the service of persons tending in a special way to the per-fection of charity. Without a doubt, the first of these exigencies is the superior's obligation to work for the spiritual welfare of his subjects, for the growth in them of the spiritual man. By the very nature of his office, the head of a religious community is a spiritual father, a pastor of souls, and not primarily an administrator or an organizer. In order to devote himself more completely to this central task of his, he should disengage himself as far as possible from routine matters, administrative tasks, and all affairs that prevent him from successfully fulfilling his primary duty. Hence he should hand over to others the care of matters of lesser importance that would dissipate his efforts; in this way he can devote himself more freely and effectively to the important spiritual function that is proper to him. He should not easily allow himself to succumb to the natural temptation to keep for himself the area of temporalities and to entrust to others the spiritual welfare of the community. Preaching the Word: As a pastor of souls, the superior should first of all nourish the spiritual life of his reli-gious by giving them the substantial food that is the Word of God. A profound interior life is impossible without faith, and there is no faith without meditation on the Word. Always necessary for the spiritual life, this Word is especially so for religious of the present generation among whom there is found a malaise, a dis-content, even a revolt which Father Ir~n~e Hausherr, S.J., considers a crisis of undernourishment, an anxiety of the hungry, a phenomenon of starvation.1~ Having come into the community to be spiritually filled, they re-volt when their entire nourishment consists of rules, reg-ulations, prohibitions, notices, and so forth. They are hungry for the Word of God which will nourish them and lead them to give themselves more fully; this it is that explains their discontent when they do not hear the Word. There can be no doubt that they would make their own the cry of an old gypsy woman in the presence of George Borrow, the English novelist and moralist. As he was passing a camp of gypsies in the vicinity of Chester, they mistook him for a minister of religion because of his ap-pearance and begged him to stop and speak to them of God. "I am neither a priest or a minister," he replied; "may the Lord have mercy on you--more than this I cannot say to you." As he went on his way, throwing some coins to the children, an old woman cried out to him: "We do not need money; give us God." 16 Fostering prayer: Besides nourishing his subjects with÷ the Word, the superior should help them to pray by+ providing them with a method and forms of praye+r which correspond to their religious sensibility. Not all ~ I. Hausherr, s.J., "Fundamentos teol6gicos de la vida religiosa," Seminarios, v. 12 (1960), pp. 7-18. 10 p. Blanchard, Saintetd aujourd'hui (Paris: Descl~e de Brouwer, 1954), p. 72. Religious Authority VOLUME 24, 1965 5] L. Bois~ert~ 0~. REVIEW FOR RELIGIOUS forms of prayer are equally valuable for all human be-ings at all times. There are forms of prayer that fifty years ago engendered and fostered prayer but that are incapable of producing this effect at the present time. The reason for this is not that present day religious have a bad will, that they want to break ancient structures for the mere pleasure of hearing them crack and fall to pieces. It is not a case of sheer desire for change or mere whim leading them to want to abandon and condemn what their seniors respect; what they want is a legitimate adaptation of forms of prayer, and traditionalism and conformism will not prevent them from refusing to re-tain antiquatedelements which have no other effect than to impede their prayer. Religious, for example, who have grasped the im-portance of the liturgy in the spiritual life, wish to in-tegrate it into their own lives as perfectly as possible and find it difficult to tolerate the imposition of a series of small prayers in addition to meditation, Mass, and the Divine Office. They cannot be reproached for want-ing to pray with and as the Church. Nor can they be blamed if, for the purpose of respecting as well as possi-ble the meaning of the canonical hours, they ask for the suppression of certain devotional prayers which en-cumber the horarium of the community and give the im-pression of having the same importance as canonical prayer. Observing, warning, correcting: Another exigency of authority-service is the painful duty of the superior to observe, warn, and correct his religious. St. Francis ex-presses this exigency at the beginning of Chapter Sixteen of his Second Rule: "The brothers who are ministers and servants of the other brothers should visit and warn their brothers and correct them with humility and charity . " Since the superior has the duty of weighing aptitude for religious life or for the priesthood in the case of those who have not yet taken these definitive steps, he must get a clear idea of their worth by observ-ing their actions. It is by action rather than by wor
Quotes from Josep Colomer:Constitutional Polarization. A Critical Review of the U.S. Political SystemRoutledge, 2023. CLICK to purchaseA collection of 6 posts. 1 - Why a Federation? The aim of the Convention in Philadelphia was not to experiment with democracy in a large territory, but to create a "stronger", "firmer" government able to defend the new independent states from the British and other foreign troops still over the continent. The priority was to create a standing army, to pay the debt for the War for Independence, and to introduce the subsequent federal taxes. The basic institutions were the states-appointed Senate and the mighty President with war powers.Some delegates warned that in the new and independent United States, people would not accept, again, taxation without representation. That's why the House of Representatives was embodied as the democratic component of the government. Then, the delegates responded to its perils by designing a series of "filters" and "checks" to prevent the House from prevailing over the other components. The separation of powers and their institutional checks were a cap, intended to tame and temper democracy. NOT A DEMOCRACYMadison warned against "the amazing violence and turbulence of the democratic spirit," and stated, "democratic communities may be unsteady, and be led to action by the impulse of the moment." Later, in the campaign to ratify the Constitution in New York, he would hold that, in the past, democracies "have ever been found spectacles of turbulence and contention … and as short in their lives as they have been violent in their deaths."Alexander Hamilton would allege that "the zeal for the rights of the people has been a much more certain road to the introduction of despotism than the zeal for the firmness and efficiency of government." In his view, democracies are manipulated by people who "commence as demagogues and end being tyrants."Gouverneur Morris was an influential delegate from Pennsylvania who is credited as the main redactor of the final text of the Constitution. He also cautioned against "the turbulence, the precipitation, changeableness, and excess" of democratic assemblies.Other delegates in the Convention referred to "the fury" and "the folly" of democracy. One confessed, "It's the anarchy, or rather worse than anarchy of a pure democracy, which I fear." Another simply stated, "democracy, the worst of all political evils." DIVINE HANDAbout the divine hand guiding the constituents, see, for example: "America felt that the hand of providence was on the young republic … There can be little question that the hand of providence has been on a nation which finds a Washington, a Lincoln or a Roosevelt when it needs him," Seymour M. Lipset, American Exceptionalism, W. W. Norton, 1997, pp. 13–14. "I can't wait to go to Heaven and meet the Framers and tell them the work that you did in putting together our Constitution is a work of genius. Thank you. It was divinely inspired," Mike Pence, Vice-President of the United States in December 2020. Reported by Gregory Jacob, Counselor of the Vice-President, to the Select Committee to Investigate the January 6 Attack on the United States Capitol, June 16, 2022. 2- An elected MonarchyMONTESQUIEUIn the imaginary Constitution of England described by Montesquieu, the powers of the three institutions were so challenged and limited by mutual checks that the most likely result would be governmental paralysis. He held that in order to prevent abuses, "Power should stop ["arrête" in French] power"; brake, not just "check" as it was sloppily translated. In Montesquieu's words, with these rules, "these three powers should naturally form a state of repose or inaction." In the perhaps unlikely or infrequent case that public affairs required some action, he conceded that the three powers should be "forced to move, but still in concert." Madison would only ambiguously paraphrase, "Ambition must be made to counteract ambition." There was a problem: Montesquieu had misunderstood how the British system actually worked. What he described was closer to an old-fashioned, outdated model that, in the best of cases, could be identified with a transitory, provisional past period in England's history. It did not correspond with the political system in motion when he visited London, and even less with practices contemporary to the Framers gathered in Philadelphia several decades later. By following Montesquieu's obsolete account, the authors of the US Constitution misunderstood the source.MONARCHYThe monarchical proposal was most explicitly presented by Alexander Hamilton. He did not attend most of the Convention sessions, but on June 18, he showed up, took the floor, and delivered a prepared speech for more than five hours, no break for lunch, that left the delegates flabbergasted. Hamilton proposed a president that would be chosen by electors and serve for life. Such an "elective Monarch" would appoint the state governors and could veto state laws. At the federal level, the president would also be the arbiter for expected regular conflict between the Senate also appointed for life and the popular House: "This check is a Monarch," he suggested, "capable of resisting the popular current." The president, with absolute veto over congressional legislation, would be "a salutary check upon the legislative body." According to Ron Chernow, his biographer, Hamilton had written in his personal notes for his Convention speech that the president would not only be appointed for life but also "ought to be hereditary and to have so much power that it will not be his interest to risk much to acquire more." Yet, probably sensing the audience's reluctance to his already delivered proposals, he skipped that part. Adams, who would become the US' first vice president and the second president, was suspected of having monarchist leanings. He would propose calling George Washington "His Majesty the President," thought hereditary rule inevitable, and, after Washington's childless tenure prevented it, he would be the first to make his son run for president.3-The Founders' Portraits in WashingtonWhat one can see and guess about these characters by looking at eight portraits, the first five by Gilbert Stuart and the next two by John Trumbull at the National Gallery of Art, and the eighth by Joseph Siffred Duplessis at the National Portrait Gallery. 4- How the System Actually Works CHECKS AND GRIEVANCESAlexander Hamilton clearly lay on the side of scant congressional legislation. He said, "The injury that may possibly be done by defecting a few good laws will be amply compensated by the advantages of preventing a number of bad ones." It was like fasting for the sake of not being poisoned; the result is anemia, not good political health.In practice, there are checks but no balances. The existing blockingmechanisms in the US constitutional system do not produce balances in favor of a few good laws. They are largely unbalanced in favor of the Presidency and its powers, which is aggravated by the biases of the presidential elections.The US constitutional plan, instead of relying upon positive institutionalincentives, such as the expectation of sharing power in the Cabinet, countedon politicians' virtuous behavior. Yet, absent our better angels' motivations, the system of negative checks becomes a machine for sustained conflict. PRESIDENTIALISMThe greatest increase in presidential power has derived from wars. From General George Washington, leader of the Revolutionary War for Independence, through Theodore Roosevelt, a high-level combatant in the Spanish-American War in the Caribbean, eleven of the first twenty-five presidents were war men. Whether as generals, national heroes, or upper-echelon military officers, Andrew Jackson, William Harrison, Zachary Taylor, Franklin Pierce, Ulysses Grant, Rutherford Hayes, James Garfield, Benjamin Harrison, and William McKinley fought in the wars against the British, the Indians, the Mexicans, or, in the Civil War, other Americans, and their military feats helped them to be elected.Alexander Hamilton had already identified the management of foreign affairs as the main way to expand executive powers: "It is of the nature of war to increase the executive, at the expense of the legislative authority." Discussing rates of presidents, historian Arthur M. Schlesinger Jr. observed that war "made it easier for a president to achieve greatness. 5- No Parties, But PolarizationNO PARTIESThe Framers were confident about the future of the republic because they miscalculated that in a great, expanding, and diverse Union with multiple institutional checks, it would be unlikely that nationwide parties could be created. They expected that the best individuals with "enlightened views and virtuous sentiments" would lead the new politics against "the pestilential influence of party animosities" and "the pestilential breath of faction," as scorned by both James Madison and Alexander Hamilton, respectively. Currently, the two major political parties in the US encompass a range of policy proposals and ideological orientations comparable to the typical European system with multiple parties: There are liberals and socialists within the Democratic Party, and conservatives and populists within the Republican Party, with the minor Greens and Libertarians flanking each side. However, the political competition is polarized by two parties or candidates because of the electoral system and the election of the president.POLITICAL, NO SOCIAL POLARIZATION The polarization of parties and candidates is more politically consequential than the polarization of voters. Generally, parties can lead and carry voters in their direction, either to closeness or to distance from each other, but to a limited extent. That is because it is less difficult to coordinate and mobilize a few thousand politicians than millions of voters. If parties and political leaders move to radicalize their positions and provoke polarization, voters may follow and become more polarized in their preferences, but usually less than the politicians and parties come to be. If, conversely, parties moderate and converge in their positions, voters may also moderate themselves but less than the partisan politicians do.FEAR AND NATIONAL FERVOR During the Cold War, many citizens developed a sense of unity, love of patriotic values, and pride in the American way of life. They trusted the rulers, who appeared as their protectors and providers of security. Challenging the government in the middle of a war would have been regarded as treason. In parallel, the ruling officials were able to keep many state secrets, their policy performances were not seriously evaluated, they enjoyed discrete privacy from the media, and gained support and devotion from the public.After the Cold War, without the threat of a nuclear war, the public lost their fear. There was a new openness to indiscretion and transgression. The new political atmosphere became the opposite of the previous period: a general mistrust of government, close scrutiny of corrupt practices, leaks of confidential plans and messages, frequent scandals about politicians' business or private affairs, and loud calls for more transparency and accountability. After the Cold War with the Soviet Union, the "peace dividend" that appeared to be a potential source of domestic progress led instead to domestic mayhem. With just a little exaggeration, one could say that, over the years, the international Cold War was replaced with a domestic cold war. 6- Towards the 2024 ElectionPRIMARIESThe primaries mechanism is a substitute for the formation of multiple parties. To build a majority, in Europe and other democracies, a coalition of multiple parties must be formed after the election; in the US, a coalition of multiple factions within a party must be formed before the election. In European parliamentary systems with multiple parties, the mess comes after the election; sometimes, the formation of a coalition in parliament for the choice of a prime minister takes months. In the US, the mess is before the election; the process of simplifying the pluralistic setting to only two major presidential candidates starts more than a year before Election Day. These alternative experiences both confirm that, in the absence of a traditional monarch, simplifying a complex society to one single executive leader is always a challenging endeavor.The main drawback of the system of partisan primaries is that it may not produce a majority in support for the winning candidate but it can result in the nomination of an extreme or unqualified demagogue who would be rejected by a majority of voters.The turnout in the presidential primaries has increased to nearly 50% of the party voters in the general election since the 2010s. However, the number of primary candidates within each party has also increased, up to double digits in recent seasons, which reduced the support for the winner. In 2016, Donald Trump was voted in the primaries by only 22% of his voters in the general election; Hillary Clinton, by 26% of her votes in the general election; and in 2020, Joe Biden by only 23%.SPLITTING CANDIDATESIf popular participation increases, partisanship becomes more compact, and the potential political pluralism of the country is not well articulated by the party system, third and further candidates reappear. They indirectly made a winner by splitting partisan support in at least four of the first eight presidential elections after the Cold War. The independent Ross Perot split Republican voters twice, in 1992 and 1996, and twice produced a Democratic winner with a minority of popular votes. The other way around, the Green Party's Ralph Nader split Democratic voters in 2000 and produced a Republican winner with a minority of popular votes. Also, the Greens and other candidacies absorbed potential Democratic voters in 2016 and helped make a Republican candidate the winner with a minority of popular votes.CAN TRUMP RETURN?There are also precedents of traitors who persisted in politics, ran for office, were elected, and provoked further turmoil. At least two former presidents joined the Confederacy during the Civil War. Former Whig President John Tyler, who had replaced William Harrison at his death one month after entering office, was first elected to and chaired the Virginia Secession Convention, and during the Civil War, he was elected first to the Provisional Confederation Congress and then to the Confederate House of Representatives. Former Democratic President Franklin Pierce collaborated closely with Confederacy President Jefferson Davis. Also, former President Andrew Johnson was elected senator on an anti-Reconstruction platform.Collection:1- Why a Federation2- An Elected Monarchy3- Psychological Portraits of the Founders and Framers4– How the System Actually Works5- No Parties, But Polarization6- Towards the 2024 Election
Objective To identify the genetic determinants of fracture risk and assess the role of 15 clinical risk factors on osteoporotic fracture risk. DESIGN Meta-analysis of genome wide association studies (GWAS) and a two-sample mendelian randomisation approach. Setting 25 cohorts from Europe, United States, east Asia, and Australia with genome wide genotyping and fracture data. Participants A discovery set of 37 857 fracture cases and 227 116 controls; with replication in up to 147 200 fracture cases and 150 085 controls. Fracture cases were defined as individuals (>18 years old) who had fractures at any skeletal site confirmed by medical, radiological, or questionnaire reports. Instrumental variable analyses were performed to estimate effects of 15 selected clinical risk factors for fracture in a twosample mendelian randomisation framework, using the largest previously published GWAS meta-analysis of each risk factor. Results Of 15 fracture associated loci identified, all were also associated with bone mineral density and mapped to genes clustering in pathways known to be critical to bone biology (eg, SOST, WNT16, and ESR1) or novel pathways (FAM210A, GRB10, and ETS2). Mendelian randomisation analyses showed a clear effect of bone mineral density on fracture risk. One standard deviation decrease in genetically determined bone mineral density of the femoral neck was associated with a 55% increase in fracture risk (odds ratio 1.55 (95% confidence interval 1.48 to 1.63; P=1.5×10?68). Hand grip strength was inversely associated with fracture risk, but this result was not significant after multiple testing correction. The remaining clinical risk factors (including vitamin D levels) showed no evidence for an effect on fracture. Con clusions This large scale GWAS meta-analysis for fracture identified 15 genetic determinants of fracture, all of which also influenced bone mineral density. Among the clinical risk factors for fracture assessed, only bone mineral density showed a major causal effect on fracture. Genetic predisposition to lower levels of vitamin D and estimated calcium intake from dairy sources were not associated with fracture risk. ; Funding: This research and the Genetic Factors for Osteoporosis (GEFOS) consortium have been funded by the European Commission (HEALTH-F2-2008-201865-GEFOS). AGES: NIH contract N01- AG-12100 and NIA Intramural Research Program, Hjartavernd (the Icelandic Heart Association), and Althingi (the Icelandic Parliament). Icelandic Heart Association. Anglo-Australasian Osteoporosis Genetics Consortium (AOGC): National Health and Medical Research Council (Australia) (grant reference 511132). Australian Cancer Research Foundation and Rebecca Cooper Foundation (Australia). National Health and Medical Research Council (Australia). National Health and Medical Research Council (Australia) Career Development Award (569807). Medical Research Council New Investigator Award (MRC G0800582). Health Research Council of New Zealand. Sanofi-Aventis, Eli Lilly, Novartis, Pfizer, Proctor & Gamble Pharmaceuticals and Roche. National Health and Medical Research Council, Australia. Australian National Health and Medical Research Council, MBF Living Well foundation, the Ernst Heine Family Foundation and from untied educational grants from Amgen, Eli Lilly International, GE-Lunar, Merck Australia, Novartis, Sanofi-Aventis Australia and Servier. Medical Research Council UK and Arthritis Research UK. The Victorian Health Promotion Foundation and the Geelong Region Medical Research Foundation, and the National Health and Medical Research Council, Australia (project grant 628582). Action Research UK. DME is supported by an Australian Research Council Future Fellowship (FT130101709). This work was supported by a Medical Research Council programme grant (MC_UU_12013/4). B-Vitamins for the PRevention Of Osteoporotic Fractures (BPROOF) study: supported and funded so far by The Netherlands Organisation for Health Research and Development (ZonMw, grant 6130.0031), The Hague; unrestricted grant from NZO (Dutch Dairy Association), Zoetermeer; Orthica, Almere; Netherlands Consortium Healthy Ageing (NCHA) Leiden/Rotterdam; Ministry of Economic Affairs, Agriculture and Innovation (project KB-15-004-003), The Hague; Wageningen University, Wageningen; VUmc, Amsterdam; Erasmus Medical Center, Rotterdam. Cardiovascular Health Study (CHS): National Heart Lung and Blood Institute (NHLBI) contracts HHSN268201200036C, HHSN268200800007C, N01HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086; and NHLBI grants U01HL080295, R01HL087652, R01HL105756, R01HL103612, R01HL120393, and R01HL130114 with additional contribution from the National Institute of Neurological Disorders and Stroke (NINDS). Additional support was provided through R01AG023629 from the National Institute on Ageing (NIA). Genotyping supported in part by the National Center for Advancing Translational Sciences, CTSI grant UL1TR000124, and the National Institute of Diabetes and Digestive and Kidney Disease Diabetes Research Center (DRC) grant DK063491 to the Southern California Diabetes Endocrinology Research Center. deCODE Genetics. EPIC-Norfolk: Medical Research Council G9321536 and G9800062, MAFF AN0523, EU FP5 (QLK6-CT-2002-02629), Food Standards Agency N05046, GEFOS EU FP7 Integrated Project Grant Reference: 201865, The UK's National Institute for Health Research (NIHR) Biomedical Research Centre Grant to Cambridge contributed to the costs of genotyping. Estonian Genome Center University of Tartu (EGCUT): This study was supported by EU H2020 grants 692145, 676550, 654248, Estonian Research Council Grant IUT20-60, NIASC and EIT—Health and EU through the European Regional Development Fund (project No 2014-2020.4.01.15-0012 GENTRANSMED). Erasmus Rucphen Family Study (ERF): Netherlands Organisation for Scientific Research (NWO), Erasmus University Medical Centre, the Centre for Medical Systems Biology (CMSB1 and CMSB2) of the Netherlands Genomics Initiative (NGI). Framingham Osteoporosis Study (FOS): National Institute for Arthritis, Musculoskeletal and Skin Diseases and National Institute on Ageing (R01 AR41398; DPK and R01 AR 050066; DK National Heart, Lung, and Blood Institute's Framingham Heart Study (N01-HC-25195) and its contract with Affymetrix for genotyping services (N02-HL-6-4278). The Gothenburg Osteoporosis and Obesity Determinan Study (GOOD): Swedish Research Council (K2010-54X-09894-19-3, 2006-3832 and K2010-52X-20229-05-3), Swedish Foundation for Strategic Research, ALF/LUA research grant in Gothenburg, Lundberg Foundation, Torsten and Ragnar Söderberg's Foundation, Västra Götaland Foundation, Göteborg Medical Society, Novo Nordisk Foundation, and European Commission grant HEALTH-F2-2008- 201865-GEFOS. Health Aging and Body Composition Study (HealthABC): the Intramural Research Program of the National Institute of Health (NIH), National Institute on Ageing. US National Institute of Ageing (NIA) contracts N01AG62101, N01AG62103, and N01AG62106. NIA grant 1R01AG032098. The Center for Inherited Disease Research (CIDR). National Institutes of Health contract number HHSN268200782096C. Hong Kong Osteoporosis Study (HKOS): Hong Kong Research Grant Council (HKU 768610M); Bone Health Fund of HKU Foundation; KC Wong Education Foundation; Small Project Funding (201007176237); Matching Grant, Committee on research and conference (CRCG) Grant and Osteoporosis and Endocrine Research Fund; and the Genomics Strategic Research Theme of the University of Hong Kong. The Osteoporotic Fractures in Men (MrOS) Study is supported by National Institutes of Health funding. The following institutes provide support: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institute on Ageing (NIA), National Center for Research Resources (NCRR), and National Institute of Health (NIH) Roadmap for Medical Research under the following grant numbers: U01 AR45580, U01 AR45614, U01 AR45632, U01 AR45647, U01 AR45654, U01 AR45583, U01 AG18197, U01-AG027810, and UL1 RR024140. Prospective study of pravastatin in the elderly at risk (PROSPER): European Union's Seventh Framework Programme (FP7/2007-2013) under grant agreement No HEALTH-F2-2009-223004 PHASE. Rotterdam study I, Rotterdam study II, Rotterdam study III: Netherlands Organisation of Scientific Research (NWO) Investments (No 175.010.2005.011, 911-03-012); Research Institute for Diseases in the Elderly (014-93-015; RIDE2); Netherlands Genomics Initiative/Netherlands Consortium for Healthy Ageing (050-060-810); German Bundesministerium fuer Forschung und Technology under grants #01 AK 803 A-H and # 01 IG 07015 G. the Netherlands Organisation for Health Research and Development ZonMw VIDI 016.136.367 (funding FR, CM-G, KT). Study of Osteoporotic Fractures (SOF): supported by National Institutes of Health funding. The National Institute on Ageing (NIA) and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) provides support under the following grant numbers: R01 AG005407, R01 AR35582, R01 AR35583, R01 AR35584, R01 AG005394, R01 AG027574, R01 AG027576, and R01 AG026720. TwinsUK1, TwinsUK2: NIHR Biomedical Research Centre (grant to Guys' and St Thomas' Hospitals and King's College London); Chronic Disease Research Foundation; Wellcome Trust; Canadian Institutes of Health Research, Canadian Foundation for Innovation, Fonds de la Recherche en Santé Québec, Lady Davis Institute, Jewish General Hospital, and Ministère du Développement économique, de l'Innovation et de l'Exportation du Quebec. UK Biobank: This research has been conducted using the UK Biobank Resource (application No 12703). Access to the UK Biobank study data was funded by a University of Queensland Early Career Researcher Grant (2014002959). Access to the UK Biobank study data was funded by University of Queensland Early Career Researcher Grant (2014002959) and University of Western Australia-University of Queensland Bilateral Research Collaboration Award (2014001711). NMW is supported by a National Health and Medical Research Council Early Career Fellowship (APP1104818). Women's Genome Health Study (WGHS): HL 043851 and HL69757 from the National Heart, Lung, and Blood Institute and CA 047988 from the National Cancer Institute, the Donald W Reynolds Foundation, and the Fondation Leducq Amgen. Women's Health Initiative (WHI) program is funded by the National Heart, Lung, and Blood Institute, National Institutes of Health, US. Department of Health and Human Services through contracts N01WH22110, 24152, 32100-2, 32105-6, 32108-9, 32111-13, 32115, 32118-32119, 32122, 42107-26, 42129-32, and 44221. Young Finns study (YFS): has been financially supported by the Academy of Finland: grants 286284 (TL), 134309 (Eye), 126925, 121584, 124282, 129378 (Salve), 117787 (Gendi), and 41071 (Skidi); the Social Insurance Institution of Finland; Competitive State Research Financing of the Expert Responsibility area of Tampere, Turku and Kuopio University Hospitals (grant X51001); Juho Vainio Foundation; Paavo Nurmi Foundation; Finnish Foundation for Cardiovascular Research; Finnish Cultural Foundation; Tampere Tuberculosis Foundation; Emil Aaltonen Foundation; Yrjö Jahnsson Foundation; Signe and Ane Gyllenberg Foundation; and Diabetes Research Foundation of Finnish Diabetes Association; and EU Horizon 2020 (grant 755320 for TAXINOMISIS). Barcelona cohort osteoporosis (BARCOS): Red de Envejecimiento y fragilidad RETICEF, CIBERER, Instituto Carlos III. Fondos FEDER. Fondo de Investigación Sanitaria (FIS PI13/00116). Spanish MINECO (SAF2014-56562-R), Catalan Government (2014SGR932). Austrios-A, Austrios-B: was supported by BioPersMed (COMET K project 825329), and the Competence Center CBmed (COMET K1 centre 844609), funded by the Austrian Federal Ministry of Transport, Innovation and Technology (BMVIT) and the Austrian Federal Ministry of Economics and Labour/ the Federal Ministry of Economy, Family and Youth (BMWA/BMWFJ) and the Styrian Business Promotion Agency (SFG). Cantabria-Camargo study (Cabrio-C), Cantabria osteoporosis case-control study (Cabrio-CC): Instituto de Salud Carlos III-Fondo de Investigaciones Sanitarias Grants PI 06/34,PI09/539, PI12/615 and PI15/521 (that could be cofunded by European Union-FEDER funds). Calcium Intake Fracture Outcome Study (CAIFOS): Healthway Health Promotion Foundation of Western Australia, Australasian Menopause Society and the Australian National Health and Medical Research Council Project Grant (254627, 303169 and 572604). Canadian Multicentre Osteoporosis Study (CaMos): was supported by a grant from the Canadian Institutes for Health Research (CIHR) (grant No MOP111103). JBR and JAM are funded by the Canadian Institutes of Health Research, Fonds du Recherche Québec Santé, and Jewish General Hospital. Edinburgh Osteoporosis Study (EDOS): was supported by a grant from Arthritis Research UK (grant number 15389). European Prospective Osteoporosis Study (EPOS): EU Biomed 1 (BMHICT920182, CIPDCT925012, ERBC1PDCT 940229, ERBC1PDCT930105), Medical Research Council G9321536 and G9800062, Wellcome Trust Collaborative Research Initiative 1995, MAFF AN0523,EU FP5 (QLK6-CT-2002-02629), Food Standards Agency N05046, GEFOS EU FP7 Integrated Project Grant Reference: 201865. The UK's National Institute for Health Research (NIHR) Biomedical Research Centre Grant to Cambridge contributed to the costs of genotyping. Geelong Osteoporosis Study (GEOS): Canadian Institutes for health research operating grant funding reference #86748. Genetic analysis of osteoporosis in Greece (GROS): University of Athens, Greece (Kapodistrias 2009). Hertfordshire Cohort Study (HCS): supported by Medical Research Council UK; Arthritis Research UK; National Institute for Health Research (NIHR) Musculoskeletal BRU Oxford; National Institute for Health Research (NIHR) Nutrition BRC Southampton. Hong Kong: The projects have been supported by The Hong Kong Jockey Club Charities Trust, VC discretionary fund of The Chinese University of Hong Kong, and Research Grants Council Earmarked Grant CUHK4101/02M. Korean osteoporosis study in Asan Medical Center (KorAMC): a grant of the Korea Health Technology R&D Project, the Ministry of Health and Welfare, Republic of Korea (project No HI14C2258); a grant of the Korea Health Technology R&D Project, the Ministry of Health and Welfare, Republic of Korea (project No HI15C0377). Longitudinal Aging Study Amsterdam (LASA): largely supported by a grant from the Netherlands Ministry of Health Welfare and Sports, Directorate of Long term Care. MINOS study was supported by a grant from the Merck-Sharp-Dohme Chibret company. Malta osteoporotic fracture study (MOFS): financial support was received from the European Union Strategic Educational Pathways Scholarhip scheme (STEPS). The Osteoporotic Fractures in Men (MrOS) Sweden: financial support was received from the Swedish Research Council (K2010- 54X-09894-19-3, 2006-3832), Swedish Foundation for Strategic Research, ALF/LUA research grant in Gothenburg, Lundberg Foundation, Torsten and Ragnar Söderberg's Foundation, Västra Götaland Foundation, Göteborg Medical Society, Novo Nordisk foundation, and European Commission grant HEALTH-F2-2008- 201865-GEFOS. Odense androgen study (OAS): World Anti-Doping Agency, Danish Ministry of Culture, Institute of Clinical Research of the University of Southern Denmark. Prevalence of osteoporosis in Slovenia (Slo-preval): was created as part of projects financially supported by the Slovenian research agency: P3-298 Geni, Hormoni in osebnostne spremembe pri hormonskih motnjah; Z1-3238: Genski in okoljski dejavniki tveganja za razvoj motnje pri remodellaciji kosti; J2-3314 Genetski faktorji in hormoni pri presnovnih boleznih; and J3-2330 Genetski dejavniki pri osteoporozi. TWINGENE: supported in part by the Ragnar Söderberg Foundation (E9/11); the National Science Foundation (EArly Concept Grants for Exploratory Research: "Workshop for the Formation of a Social Science Genetic Association Consortium," SES-1064089) as supplemented by the National Institutes of Health's (NIH) Office of Behavioural and Social Sciences Research; and the National Institute on Ageing/NIH through Grants P01-AG005842, P01-AG005842-20S2, P30-AG012810, and T32-AG000186-23 to the National Bureau of Economic Research. The Swedish Twin Registry is supported by the Swedish Department of Higher Education, European Commission European Network for Genetic and Genomic Epidemiology (ENGAGE: 7th Framework Program (FP7/2007-2013)/Grant agreement HEALTH-F4-2007-201413; and GenomEUtwin: 5th Framework program "Quality of Life and Management of the Living Resources" Grant QLG2-CT-2002-01254); NIH (DK U01-066134); Swedish Research Council (M-2005-1112 and 2009-2298); Swedish Foundation for Strategic Research (ICA08-0047); Jan Wallander and Tom Hedelius Foundation; and Swedish Council for Working Life and Social Research. The Umeå Fracture and Osteoporosis Study (UFO) is supported by the Swedish Research Council (K20006- 72X-20155013), Swedish Sports Research Council (87/06), Swedish Society of Medicine, Kempe-Foundation (JCK-1021), and by grants from the Medical Faculty of Umeå University (ALFVLL:968:22-2005, ALFVL:-937-2006, ALFVLL:223:11-2007, ALFVLL:78151-2009) and county council of Västerbotten (SpjutspetsanslagVLL:159:33-2007). GRW and JHDB were funded by the Wellcome Trust (Strategic Award grant No 101123; Joint Investigator Award No 110141; project grant No 094134). DPK was funded by a grant from the National Institute on Arthritis Musculoskeletal and Skin Diseases R01 AR041398. The funding agencies had no role in the study design, analysis, or interpretation of data; the writing of the manuscript; or in the decision to submit the article for publication.
