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[(British Jour)-17.9(nal of General Practice,)]TJ
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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1.0005 -1.4118 TD
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0.4069 Tw
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(28)Tj
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T*
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T*
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T*
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0.3007 Tw
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0.0464 Tw
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0.4 Tw
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0.5389 Tw
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0.412 Tw
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T*
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T*
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0.086 Tw
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T*
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0.4097 Tw
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T*
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0.0891 Tw
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0 Tc
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0.9999 0 TD
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0.0891 Tw
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T*
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T*
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T*
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0.0237 Tw
[(emerg)-11.8(ing fr)13.1(om the theor)-11.7(ies of)]TJ
/F7 1 Tf
12.2468 0 TD
0 Tc
0 Tw
()Tj
/F22 1 Tf
0.2051 0 TD
-0.0001 Tc
[(c)6.8(haos)]TJ
/F7 1 Tf
2.2329 0 TD
0 Tc
()Tj
/F22 1 Tf
0.4529 0 TD
-0.0001 Tc
0.023 Tw
[(and c)12.9(o)3(mple)6.8(xit)-13(y)61.9(.)]TJ
/F6 1 Tf
6.6021 0 TD
[(Br J G)5.8(e)-7.7(n)]TJ
-21.7399 -1.1429 TD
0.0008 Tc
0 Tw
[(P)8.8(r)14.9(act )]TJ
/F22 1 Tf
2.2684 0 TD
0 Tc
(1998;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(48\(435\):)Tj
/F22 1 Tf
3.6047 0 TD
0 Tc
(1697)Tj
/F7 1 Tf
1.9199 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(1699.)Tj
-12.3159 -1.5478 TD
-0.0003 Tc
0.0232 Tw
[(19.)-420.1(Plsek P)5.6(E)-0.3(,)-223.5(G)7.6(r)11.7(e)-2.2(enhalg)-12.2(h T)89.6(.)-223.5(C)7.6(o)2.8(mple)6.6(xit)-13.2(y)-0.2( scienc)10.7(e:)-243.5(the c)6.6(hallenge of)]TJ
1.6198 -1.1429 TD
-0.0001 Tc
0.023 Tw
[(c)12.8(o)3(mple)6.8(xit)-13(y in health car)11.9(e.)]TJ
/F6 1 Tf
10.5822 0 TD
0 Tw
(BMJ )Tj
/F22 1 Tf
2.0328 0 TD
0 Tc
(2001;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(323\(7313\):)Tj
/F22 1 Tf
4.5847 0 TD
0 Tc
(625)Tj
/F7 1 Tf
1.4399 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(628.)Tj
-23.1625 -1.5478 TD
-0.0004 Tc
0.0233 Tw
[(20.)-420.2(W)34.7(ilson T)89.5(,)-223.6(H)19.5(olt T)89.5(.)-223.6(C)7.5(o)2.7(mple)6.5(xit)-13.3(y scienc)10.6(e:)-243.6(c)12.5(o)-3.2(omple)6.5(xit)-13.3(y)-0.3( and clinical)]TJ
1.6198 -1.1429 TD
-0.0001 Tc
0 Tw
[(car)11.9(e.)]TJ
/F6 1 Tf
2.0909 0 TD
(BMJ )Tj
/F22 1 Tf
2.0328 0 TD
0 Tc
(2001;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(323\(7314\):)Tj
/F22 1 Tf
4.5847 0 TD
0 Tc
(685)Tj
/F7 1 Tf
1.4399 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(688.)Tj
-14.6712 -1.5478 TD
-0.0004 Tc
0.0233 Tw
[(21.)-420.2(Plsek P)5.5(E)-0.4(,)-203.8(W)34.7(ilson T)89.5(.)-223.6(C)7.5(o)2.7(mple)6.5(xit)-13.3(y)61.6(,)-223.6(leadership)23.5(,)-223.6(a)-0.3(nd management in)]TJ
1.6198 -1.1429 TD
-0.0002 Tc
0.0231 Tw
[(healthcar)11.8(e org)-5.1(anisations.)]TJ
/F6 1 Tf
10.1986 0 TD
-0.0001 Tc
0 Tw
(BMJ )Tj
/F22 1 Tf
2.0328 0 TD
0 Tc
(2001;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(323\(7315\):)Tj
/F22 1 Tf
4.5847 0 TD
0 Tc
(746)Tj
/F7 1 Tf
1.4399 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(749.)Tj
-22.7789 -1.5478 TD
-0.0003 Tc
0.0232 Tw
[(22.)-420.1(F)12.7(r)-8.1(aser SW)94.7(,)-223.5(G)7.6(r)11.7(e)-2.2(enhalg)-12.2(h T)89.6(.)-223.5(C)7.6(o)4.7(ping w)-16.1(ith c)12.7(o)2.8(mple)6.5(xit)-13.2(y)-25(:)-243.5(educating for)]TJ
1.6198 -1.1429 TD
-0.0005 Tc
0 Tw
[(capabilit)-13.4(y)61.5(.)]TJ
/F6 1 Tf
4.282 0 TD
-0.0001 Tc
(BMJ )Tj
/F22 1 Tf
2.0328 0 TD
0 Tc
(2001;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(323\(7316\):)Tj
/F22 1 Tf
4.5847 0 TD
0 Tc
(799)Tj
/F7 1 Tf
1.4399 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(803.)Tj
-16.8624 -1.5478 TD
-0.0002 Tc
0.0231 Tw
[(23.)-420(Dean )19.7(A.)-223.4(C)7.7(o)2.9(mple)6.7(xit)-13.1(y)-0.1( and substanc)10.8(e misuse.)]TJ
/F6 1 Tf
19.144 0 TD
0.0003 Tc
0.0226 Tw
[(A)20.3(ddict)-9.4(ion R)18.1(e)0.7(s)-6.5(ear)13.3(ch and)]TJ
-17.5242 -1.1429 TD
-0.0002 Tc
0 Tw
[(Theor)-22.2(y )]TJ
/F22 1 Tf
3.0049 0 TD
0 Tc
(2001;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(9\(1\):)Tj
/F22 1 Tf
2.1347 0 TD
0 Tc
(19-41.)Tj
-9.1626 -1.5478 TD
-0.0006 Tc
0.0235 Tw
[(24.)-420.4(Gleick J)31.4(.)]TJ
/F6 1 Tf
5.1746 0 TD
-0.0001 Tc
0.023 Tw
[(Chaos: making a ne)-5.9(w s)-5.9(c)-12.9(ie)-7.9(nce.)]TJ
/F22 1 Tf
11.7044 0 TD
-0.001 Tc
0 Tw
[(London:)-224.4(W)34.1(illiam)]TJ
-15.2591 -1.1429 TD
-0.0003 Tc
[(H)19.6(e)0.7(inemann,)-223.5(1988.)]TJ
-1.6198 -1.5478 TD
-0.0005 Tc
0.0234 Tw
[(25.)-420.3(P)15.5(r)-11.4(igog)-11.3(ine I,)-223.7(St)8.3(engers I.)]TJ
/F6 1 Tf
10.9086 0 TD
0 Tc
0.0229 Tw
[(Or)15.9(der out o)6.9(f)-262.6(chaos: mans ne)-5.8(w dialogue w)-24.9(ith)]TJ
-9.2888 -1.1429 TD
0.0004 Tc
0 Tw
[(natur)9.2(e.)]TJ
/F22 1 Tf
3.0303 0 TD
-0.0001 Tc
-0.0118 Tw
[(N)24.9(e)0.9(w Y)119.8(o)3(r)-5.9(k)-0.1(:)-243.3(B)-3(antam,)-223.3(1984.)]TJ
-4.6501 -1.5478 TD
0.023 Tw
[(26.)-419.9(W)91.8(a)0.1(ldr)13.8(o)4.9(p MM.)]TJ
/F6 1 Tf
7.5821 0 TD
0.0004 Tc
0.0224 Tw
[(C)13.5(omplex)-13.5(i)0.8(t)-9.4(y)-9.3(: the e)-7.4(m)0.8(erg)-19.2(i)0.5(ng s)-5.5(c)-12.4(ie)-7.4(nce at the edge o)7.3(f)-262.2(or)16.3(der)]TJ
-5.9622 -1.1429 TD
0.0226 Tw
(and chaos.)Tj
/F22 1 Tf
4.338 0 TD
-0.0006 Tc
0 Tw
[(L)4.5(o)2.5(ndon:)-208.9(V)27.3(iking)-12.5(,)-223.8(1992.)]TJ
-5.9578 -1.5478 TD
0.0001 Tc
0.0227 Tw
[(27.)-419.7(Stac)11.1(e)-7.6(y RD)50(.)]TJ
/F6 1 Tf
6.1397 0 TD
-0.0001 Tc
0.0229 Tw
[(C)13(omplex r)8.7(esponsive pr)7.9(ocess)-6.9(es in organisat)-9.9(ions.)]TJ
/F22 1 Tf
18.1548 0 TD
-0.0028 Tc
0 Tw
(London:)Tj
-22.6747 -1.1429 TD
-0.0003 Tc
[(R)15.7(o)0(utledge,)-223.5(2001.)]TJ
-1.6198 -1.5478 TD
0.0001 Tc
0.0227 Tw
[(28.)-419.7(Stac)11.1(e)-7.6(y RD)50(.)]TJ
/F6 1 Tf
6.1397 0 TD
-0.0001 Tc
0.023 Tw
[(S)6.9(t)-13.9(r)14(a)0.2(te)-7.7(g)-19.7(ic manage)-7.7(m)0.3(e)-7.9(nt and organisat)-9.9(ional d)7.7(y)-16.8(namic)-8.9(s: the)]TJ
-4.5199 -1.1429 TD
0.0005 Tc
0.0223 Tw
[(challe)-7.3(nge o)7.4(f)-262.1(complex)-13.4(i)0.9(t)-9.2(y)62.4(.)]TJ
/F22 1 Tf
9.3854 0 TD
0.0004 Tc
0.0225 Tw
[(3r)12.4(d ed.)-222.8(H)16.4(arlo)15.3(w)-24.5(:)-242.8(P)16.4(r)12.4(entic)11.4(e)0.5( H)16.3(a)0.6(ll,)-222.8(2002.)]TJ
-11.0052 -1.5478 TD
-0.0004 Tc
0.0233 Tw
[(29.)-420.2(H)15.6(asse)-8.2(y )19.7(A.)-223.6(C)7.5(o)2.7(mple)6.5(xit)-13.3(y and the clinical enc)12.6(ount)8.4(er)55.6(.)-223.6(I)9.4(n:)-243.6(S)23.7(w)6.5(eene)-8.2(y K,)]TJ
1.6198 -1.1429 TD
0 Tc
0.0229 Tw
[(G)7.9(r)-10.9(iffiths F)99.9(,)-223.2(\(eds\).)]TJ
/F6 1 Tf
7.0292 0 TD
0.0002 Tc
0.0227 Tw
[(C)13.3(omplex)-13.7(i)0.6(t)-9.6(y)0.3( and healthcar)9(e: an int)-13.7(r)8.2(o)-2.7(duct)-9.4(ion.)]TJ
/F22 1 Tf
-7.0292 -1.1429 TD
-0.0004 Tc
0.0233 Tw
[(A)19.6(b)2.6(ingd)4.7(o)2.7(n:)-243.6(Radcliffe M)27.5(e)-2.3(dical P)15.5(r)11.6(ess,)-223.6(2002.)]TJ
-1.6198 -1.5478 TD
[(30.)-420.1(Zimmer)-7.1(man B)11.7(,)-223.5(Lindberg C,)-223.5(Plsek P)129.6(.)]TJ
/F6 1 Tf
16.2371 0 TD
[(Edge)-6(war)8.4(e)-0.2( insig)-13.3(hts fr)7.4(om)]TJ
-14.6173 -1.1429 TD
0.0002 Tc
0.0226 Tw
[(complex)-13.7(i)0.6(t)-9.6(y)0.3( s)-5.6(c)-12.6(ie)-7.6(nce for health car)9(e leade)-4.7(rs.)]TJ
/F22 1 Tf
16.2772 0 TD
0 Tc
0.0229 Tw
[(2nd ed.)-253(I)9.8(r)-20.9(v)-14.7(ing:)-208.3(VHA,)]TJ
-16.2772 -1.1429 TD
0 Tw
(2001.)Tj
-1.6198 -1.5478 TD
-0.0003 Tc
0.0232 Tw
[(31.)-420.1(H)19.6(e)-2.2(lman C.)-223.5(The cultur)11.7(e of)-283(gener)-8.1(al pr)-8.1(actic)10.7(e)-0.2(.)]TJ
/F6 1 Tf
18.9863 0 TD
0.0002 Tc
0.0227 Tw
[(Br J G)6.1(e)-7.4(n P)8(r)14.3(act )]TJ
/F22 1 Tf
5.8735 0 TD
0 Tc
0 Tw
(2002;)Tj
/F14 1 Tf
-23.2401 -1.1429 TD
-0.0001 Tc
(52\(481\):)Tj
/F22 1 Tf
3.6047 0 TD
0 Tc
(619)Tj
/F7 1 Tf
1.4399 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(620.)Tj
-7.1644 -1.5478 TD
-0.0006 Tc
0.0235 Tw
[(32.)-420.4(NHS Ex)26.3(ecuti)9.3(v)15.5(e.)]TJ
/F6 1 Tf
8.145 0 TD
-0.0002 Tc
0.023 Tw
[(C)12.9(omputer)-17.8(isat)-10(ion in ge)-7.8(ne)-5.1(r)13.9(al pr)13.9(act)-9.8(i)0.1(ce sur)-24.1(v)0.9(e)-17.8(y)61.7(.)]TJ
/F22 1 Tf
-6.5252 -1.1429 TD
-0.0008 Tc
0.0237 Tw
[(L)4.3(o)2.3(ndon:)-244(D)-1.5(epar)-17.6(t)-6.5(m)-0.7(ent of)-283.5(H)19.1(ealth,)-224(1998.)]TJ
-1.6198 -1.5478 TD
-0.0001 Tc
0.023 Tw
[(33.)-419.9(W)91.8(a)0.2(r)-11.1(ing N.)-223.3(T)117.9(o)0( what e)6.7(x)0.1(t)8.7(e)2.9(nt ar)11.9(e gener)-7.9(al pr)-7.9(actic)10.9(e)0(s )]TJ
/F7 1 Tf
20.5123 0 TD
0 Tc
0 Tw
()Tj
/F22 1 Tf
0.2229 0 TD
[(pap)-4.9(erless)]TJ
/F7 1 Tf
3.6482 0 TD
()Tj
/F22 1 Tf
0.4529 0 TD
-0.0002 Tc
(and)Tj
-23.2165 -1.1429 TD
0 Tc
0.0229 Tw
[(what ar)12(e the c)13(o)3.1(nst)-5.9(r)-7.8(aints t)9.8(o)0.1( them bec)12.9(o)3.1(ming mor)12(e)0.1( so? )]TJ
/F6 1 Tf
21.3037 0 TD
0.0003 Tc
0.0226 Tw
[(Br J G)6.2(e)-7.3(n P)8.1(r)14.4(act)]TJ
/F22 1 Tf
-21.3037 -1.1429 TD
0 Tc
0 Tw
(2000;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(50\(450\):)Tj
/F22 1 Tf
3.6047 0 TD
0 Tc
(46)Tj
/F7 1 Tf
0.96 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(47.)Tj
-9.0876 -1.5478 TD
-0.0002 Tc
0.023 Tw
[(34.)-420(G)7.7(r)-8(a)16.8(y)0( J)29.6(A)0(.)-223.4(P)41.9(ost)-6.1(moder)-7(n)-0.1( medicine.)]TJ
/F6 1 Tf
14.5275 0 TD
-0.0004 Tc
0 Tw
[(Lance)-9(t)-0.2( )]TJ
/F22 1 Tf
2.8189 0 TD
0 Tc
(1999;)Tj
/F14 1 Tf
2.4031 0 TD
-0.0001 Tc
(354\(9189\):)Tj
/F22 1 Tf
-18.1297 -1.1429 TD
0 Tc
(1550)Tj
/F7 1 Tf
1.9199 0 TD
()Tj
/F22 1 Tf
0.5 0 TD
(1553.)Tj
-4.0397 -1.5478 TD
-0.0008 Tc
0.0237 Tw
[(35.)-420.6(G)7.1(r)11.2(eat)-5.7(bat)9(c)6(h)-0.7( D)49(,)-224(Campion P)129.1(,)-224(H)19.1(eath C,)-224(L)23.4(uff)-283.6(P)129.3(.)-224(H)19.1(o)14.2(w do deskt)9(op)]TJ
1.6198 -1.1429 TD
0 Tc
0.0229 Tw
[(c)12.9(o)3.1(mput)8.9(e)3(rs affect the doct)9.9(or)]TJ
/F7 1 Tf
11.0841 0 TD
0 Tw
()Tj
/F22 1 Tf
0.4999 0 TD
-0.0001 Tc
0.023 Tw
[(patient int)8.7(er)-7.9(action? )]TJ
/F6 1 Tf
8.0616 0 TD
0.0004 Tc
0.0225 Tw
[(F)30.4(am P)8.2(r)14.5(act )]TJ
/F22 1 Tf
4.2621 0 TD
0 Tc
0 Tw
(1995;)Tj
/F14 1 Tf
-23.9076 -1.1429 TD
-0.0001 Tc
(12\(1\):)Tj
/F22 1 Tf
2.6675 0 TD
0 Tc
(32-36.)Tj
-4.2873 -1.5478 TD
-0.0001 Tc
0.023 Tw
[(36.)-419.9(T)97.8(u)0.1(r)-5.9(kle S.)]TJ
/F6 1 Tf
5.3943 0 TD
0.0001 Tc
0.0227 Tw
[(The s)-6.7(e)0.5(cond s)-6.7(e)-3.6(lf: C)13.1(omputers and the human spir)-17.7(it.)]TJ
/F22 1 Tf
19.4772 0 TD
-0.0028 Tc
0 Tw
(London:)Tj
-23.2517 -1.1429 TD
0.0001 Tc
[(G)8(r)-7.7(anada,)-223.1(1984.)]TJ
-1.6198 -1.5478 TD
0 Tc
0.0229 Tw
[(37.)-419.8(t)9(e)3(n H)15.9(a)17.1(v)16.1(e)0.1( P)129.9(.)]TJ
/F6 1 Tf
6.3106 0 TD
0.0001 Tc
[(Doing con)15(v)1.2(ersat)-9.7(ional analy)-8.6(sis: a pr)14.2(act)-9.5(ical guide.)]TJ
/F22 1 Tf
-4.6908 -1.1429 TD
-0.0008 Tc
0 Tw
[(L)4.3(o)2.3(ndon:)-244(S)-2.6(age,)-224(1999.)]TJ
-1.6198 -1.5478 TD
0 Tc
0.0229 Tw
[(38.)-419.8(J)24.1(e)2(fferson G.)-223.2(On e)6.9(x)0.1(posed and embedded c)13(o)3.1(r)-10.9(r)12(ection in)]TJ
1.6198 -1.1429 TD
-0.0004 Tc
0.0233 Tw
[(c)12.5(o)2.7(n)24.6(v)15.7(ersation.)-223.6(I)9.4(n)-0.3(:)-243.6(B)5.5(utt)9.4(o)2.7(n G,)-223.6(L)6.7(e)-2.3(e J \(eds\).)]TJ
/F6 1 Tf
15.8204 0 TD
-0.0001 Tc
0.023 Tw
[(T)113.9(alk and s)-7.9(o)0.1(c)-13(i)0.1(al)]TJ
-15.8204 -1.1429 TD
0.0004 Tc
0 Tw
[(organisat)-9.4(ion.)]TJ
/F22 1 Tf
5.314 0 TD
-0.0004 Tc
0.0233 Tw
[(Cle)-7.2(v)15.7(edon,)-223.6(Phildelphia:)-243.6(M)40.5(ultilingual M)15.5(a)-0.1(tt)8.4(ers,)-223.6(1987.)]TJ
-6.9338 -1.5478 TD
0.0005 Tc
0.0224 Tw
[(39.)-419.3(H)20.4(o)0.7(lland J)32.5(.)]TJ
/F6 1 Tf
5.916 0 TD
0.0003 Tc
0.0225 Tw
[(E)18.1(m)0.7(erge)-7.3(nce fr)8.1(om chaos to or)16.2(der)44.4(.)]TJ
/F22 1 Tf
12.2971 0 TD
-0.0025 Tc
0 Tw
[(Oxfor)9.5(d)-2.3(:)-245.7(O)2.5(xfor)9.5(d)]TJ
-16.5934 -1.1429 TD
-0.0004 Tc
0.0232 Tw
[(U)39.6(n)-0.2(i)9.4(v)15.7(ersit)-13.3(y)-0.2( P)15.5(r)11.6(ess,)-223.6(1998.)]TJ
-1.6198 -1.5478 TD
-0.0001 Tc
0.023 Tw
[(40.)-419.9(K)22.9(auffman S.)]TJ
/F6 1 Tf
6.8169 0 TD
0.0001 Tc
0.0227 Tw
[(The or)-17.7(ig)-19.7(ins o)7(f)-262.5(or)16(de)-4.8(r)-13.6(:)0.2( s)-6.7(e)-3.6(lf-organisat)-9.7(ion and s)-6.7(e)-3.6(lect)-9.5(ion in)]TJ
-5.1971 -1.1429 TD
-0.0008 Tc
0 Tw
[(e)-22.5(v)1.3(olut)-10.6(ion.)]TJ
/F22 1 Tf
4.0857 0 TD
-0.0011 Tc
0.0239 Tw
[(Oxfor)10.9(d)-0.9(:)-244.3(O)3.9(xfor)10.9(d U)38.7(n)-0.9(i)8.7(v)15(ersit)-14(y)-0.9( P)14.8(r)10.9(ess,)-224.3(1993.)]TJ
-5.7055 -1.5478 TD
-0.0001 Tc
0.023 Tw
[(41.)-419.9(K)22.9(auffman S.)]TJ
/F6 1 Tf
6.8169 0 TD
0.0001 Tc
0.0228 Tw
[(A)25.2(t)0.2( home in the univers)-6.6(e: the s)-6.7(ear)13.1(ch for the la)14(w)-11.8(s)0.2( o)7(f)-262.5(s)-6.6(e)-3.6(lf-)]TJ
-5.1971 -1.1429 TD
0.0005 Tc
0.0224 Tw
[(organisat)-9.3(ion and complex)-13.4(i)0.9(t)-9.3(y)62.4(.)]TJ
/F22 1 Tf
11.445 0 TD
-0.0008 Tc
0.0236 Tw
[(N)24.1(e)0.3(w )34.7(Y)119.1(o)2.3(r)-6.6(k)-0.8(:)-244(O)4.2(xfor)11.2(d U)39(n)-0.6(i)9(v)15.3(ersit)-13.7(y P)15.1(r)11.2(ess,)]TJ
-11.445 -1.1429 TD
0 Tc
0 Tw
(1995.)Tj
-1.6198 -1.5478 TD
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