A structure (M, $ ,...) is called quasi-o-minimal if in any structure elementarily equivalent to it the definable subsets are exactly the Boolean combinations of 0-definable subsets and intervals. We give a series of natural examples of quasi-o-minimal structures which are not o-minimal; one of them is the ordered group of integers. We develop a technique to investigate quasi-o-minimality and use it to study quasi-o-minimal ordered groups (possibly with extra structure). Main results: any quasi-o-minimal ordered group is abelian; any quasi-o-minimal (...) ordered ring is a real closed field, or has zero multiplication; every quasi-o-minimal divisible ordered group is o-minimal; every quasi-o-minimal archimedian densely ordered group is divisible. We show that a counterpart of quasi-o-minimality in stability theory is the notion of theory of U-rank 1. (shrink)

We study hyperdefinable groups, the most general kind of groups interpretable in a simple theory. After developing their basic theory, we prove the appropriate versions of Hrushovski's group quotient theorem and the Weil–Hrushovski group chunk theorem. We also study locally modular hyperdefinable groups and prove that they are bounded-by-Abelian-by-bounded. Finally, we analyze hyperdefinable groups in supersimple theories.

If K is a field of finite Morley rank, then for any parameter set $A \subseteq K^{eq}$ the prime model over A is equal to the model-theoretic algebraic closure of A. A field of finite Morley rank eliminates imaginaries. Simlar results hold for minimal groups of finite Morley rank with infinite acl( $\emptyset$ ).

We develop a Sylow theory for stable groups satisfying certain additional conditions (2-finiteness, solvability or smallness) and show that their maximal p-subgroups are locally finite and conjugate. Furthermore, we generalize a theorem of Baer-Suzuki on subgroups generated by a conjugacy class of p-elements.

Background:In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement decisions.Objectives:We highlight the current gap in legislation for difficult transition cases involving unrepresented patients and provide a novel framework for who ought to assist with making these decisions and how these decisions ought to (...) be made.Research design:This paper considers models advanced by Volpe and Steinman with regard to who ought to make placement decisions for unrepresented patients, as well as current ethical models for analyzing how these decisions should be made.Participants and research context:We describe an anonymized healthcare transition case to illustrate the fact that there is no legally recognized decision-maker for placement destinations other than long-term care facilities and to show how this impacts all stakeholders.Ethical considerations:The case provided is an anonymized vignette representing a typical transition case involving an unrepresented patient.Findings:As a result of a gap in provincial legislation, healthcare providers usually determine the appropriate placement destination without a clear framework to guide the process and this can cause significant moral distress.Discussion:We argue for a team decision-making approach in the short term, and a legislative change in the long-term, to respect the patient voice, evaluate benefit and risk, enhance collaboration between healthcare providers and patients, and promote social justice. We believe that our approach, which draws upon the strengths of interprofessional teams, will be of interest to all who are concerned with the welfare and ethical treatment of the patients for whom they care.Conclusions:One of the main strengths of our recommendation is that it provides all members of the healthcare team (including nurses, social workers, therapists, and others) an increased opportunity to advocate on behalf of unrepresented patients. (shrink)

An $\omega$-categorical supersimple group is finite-by-abelian-by-finite, and has finite SU-rank. Every definable subgroup is commensurable with an acl-definable subgroup. Every finitely based regular type in a CM-trivial $\omega$-categorical simple theory is non-orthogonal to a type of SU-rank 1. In particular, a supersimple $\omega$-categorical CM-trivial theory has finite SU-rank.

We define a notion of genericity for genericity subgroups of groups interpretable in a simple theory. and show that a type generic for such a group is generic for the minimal hyperdefinable supergroup (the definable hull). In particular, at least one generic type of the definable hull is finitely satisfiable in the original subgroup. If the subgroup is a subfield, then the additive and the multiplicative definable hull both have bounded index in the smallest hyperdefinable superfield.

Si C est une pseudo-variété, alors un groupe supersimple résiduellement C est nilpotent-par-poly-C. If C is a pseudo-variety, then a supersimple residually C group is nilpotent-by-poly-C.

We define the notion of generic for an arbitrary subgroup H of a stable group, and show that H has a definable hull with the same generic properties. We then apply this to the theory of stable fields.

Background Regionalised models of health care delivery have important implications for people with disabilities and chronic illnesses yet the ethical issues surrounding disability and regionalisation have not yet been explored. Although there is ethics-related research into disability and chronic illness, studies of regionalisation experiences, and research directed at improving health systems for these patient populations, to our knowledge these streams of research have not been brought together. Using the Canadian province of Ontario as a case study, we address this gap (...) by examining the ethics of regionalisation and the implications for people with disabilities and chronic illnesses. The critical success factors we provide have broad applicability for guiding and/or evaluating new and existing regionalised health care strategies. Discussion Ontario is in the process of implementing fourteen Local Health Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to address systematically the unmet diverse care needs of people with disabilities and chronic illnesses. The core of this paper provides a series of composite case vignettes illustrating integration opportunities relevant to these populations, namely: (i) rehabilitation and services for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv) community support services; (v) children's health; (vi) health promotion; and (vii) mental health and addiction services. For each vignette, we interpret the governing principles developed by the LHINs – equitable access based on patient need, preserving patient choice, responsiveness to local population health needs, shared accountability and patient-centred care – and describe how they apply. We then offer critical success factors to guide the LHINs in upholding these principles in response to the needs of people with disabilities and chronic illnesses. Summary This paper aims to bridge an important gap in the literature by examining the ethics of a new regionalisation strategy with a focus on the implications for people with disabilities and chronic illnesses across multiple sites of care. While Ontario is used as a case study to contextualize our discussion, the issues we identify, the ethical principles we apply, and the critical success factors we provide have broader applicability for guiding and evaluating the development of – or revisions to – a regionalised health care strategy. (shrink)