"A dream of liberty" : Constance Markievicz's vision of Ireland, 1908-1927

Doctoral dissertation, University of Tampere

Personal Liberty in Psychiatric Care - Towards Service User Involvement

This study explores personal liberty in psychiatric care from a service user involvement perspective. The data were collected in four phases during the period 2000-2006 in psychiatric settings in Finland. Firstly, patient satisfaction and factors associated with user involvement were studied (n = 313). Secondly, patients’ experiences of deprivation of their liberty were explored (n = 51). Thirdly, an overview on patients’ options for lodging complaints was conducted, and all complaints (n = 4645) lodged in Finland from 2000 to 2004 were examined. Fourthly, the effects of different patient education methods on inpatients’ experiences of deprivation of liberty were tested (n = 311). It emerged that patients were quite satisfied, but reported dissatisfaction in restrictions, compulsory care and information dissemination. Patients experienced restrictions on leaving the ward and on communication, confiscation of property and coercive measures as deprivation of liberty. Patients’ experienced these interventions to be negative. In Finland, the patient complaint process is complicated and not easily accessible. In general, patient complaints increased considerably in Finland during the study period. In psychiatric care the number of complaints was quite stable and complaints led more seldom to consequences. An Internet-based patient education system was equivalent with traditional education and treatment as usual in supporting personal liberty during hospital care. This dissertation provides new information about the realization of patients' rights in psychiatric care. In order to improve patients' involvement, systematic methods to increase personal liberty during care need to be developed, the procedures for patients lodging complaints should be simplified, and patients' access to information needs to be ensured using multiple methods.

De origine, progressibus et indole, educandi systematis Bell-Lancasteriano nomine appellati

Dedicatio: Henricus Reginaldus Baeck, John Julin nuor.

Bell Hooksin vapauttava kasvatus vie hiljaisen tiedon äärelle

Kirjallisuusarvostelu

Experimental and discrete element simulation studies of bell-less charging of blast furnace

This thesis presents an experimental study and numerical study, based on the discrete element method (DEM), of bell-less charging in the blast furnace. The numerical models are based on the microscopic interaction between the particles in the blast furnace charging process. The emphasis is put on model validation, investigating several phenomena in the charging process, and on finding factors that influence the results. The study considers and simulates size segregation in the hopper discharging process, particle flow and behavior on the chute, which is the key equipment in the charging system, using mono-size spherical particles, multi-size spheres and nonspherical particles. The behavior of the particles at the burden surface and pellet percolation into a coke layer is also studied. Small-scale experiments are used to validate the DEM models.

Seitsemän vapauskäsitystä : Isaiah Berlinin "positiivisen" ja "negatiivisen" vapauden kritiikki

Abstract: Seven conceptions of liberty

Putkilämmönsiirtimien mitoitustyökalujen kehittäminen

Diplomityön tarkoituksena on kehittää tietokoneohjelma putkilämmönsiirtimen vaippapuolen painehäviön laskemiseksi. Ohjelmalla voidaan varmistaa lämmönsiirtimen mitoitusvaiheessa, että vaippapuolen painehäviö ei ylitä sallittuja rajoja. Ohjelmatäydentää olemassa olevia mitoitusohjelmia. Tässä diplomityössä käsitellään ainoastaan höyryvoimalaitosprosesseissa käytettäviä putkilämmönsiirtimiä. Työn kirjallisessa osassa on selvitetty periaate höyryvoimalaitosprosessista ja siinä käytettävistä putkilämmönsiirtimistä sekä esitetty putkilämmönsiirtimien rakenne, yleinen suunnittelu ja lämpö- ja virtaustekninen mitoitus. Painehäviön laskennassa käytetyt ja lämpö- ja virtausteknistä mitoitusta käsittelevässä kappaleessa esitetyt yhtälöt perustuvat Bell-Delawaren menetelmään. Painehäviönlaskentaohjelma on toteutettu hyväksikäyttäen Microsoft Excel taulukkolaskentaa ja Visual Basic -ohjelmointikieltä. Painehäviön laskenta perustuu segmenttivälilevyillä varustetun putkilämmönsiirtimen vaippapuolen yksifaasivirtaukseen. Lämmönsiirtimen lauhdutinosan painehäviö oletetaan merkityksettömäksi, joten kokonaispainehäviö muodostuu höyryn- ja lauhteenjäähdyttimessä. Kehitetty ohjelma on suunniteltu erityisesti lauhteenjäähdyttimessä muodostuvan painehäviön laskentaan. Ohjelmalla laskettuja painehäviön arvoja on verrattu todellisesta lämmönsiirtimestä mitattuihin arvoihin. Lasketut arvotvastaavat hyvin mittaamalla saatuja, eikä tuloksissa ilmene mitään systemaattista virhettä. Ohjelma on valmis käytettäväksi putkilämmönsiirtimien mitoitustyökaluna. Diplomityön pohjalta on tehty ehdotukset ohjelman edelleen kehittämiseksi.

Fibre-reinforced composites as root canal posts

Fibre-reinforced composite (FRC) root canal posts are suggested to have biomechanical benefits over traditional metallic posts, but they lack good adhesion to resin composites. The aim of this series of studies was to evaluate the adhesion of individually formed fibre-reinforced composite material to composite resin and dentin, as well as some mechanical properties. Flexural properties were evaluated and compared between individually formed FRC post material and different prefabricated posts. The depth of polymerization of the individually formed FRC post material was evaluated with IR spectrophotometry and microhardness measurements, and compared to that of resin without fibres. Bonding properties of the individually formed FRC post to resin cements and dentin were tested using Pull-out- and Push-out-force tests, evaluated with scanning electron microscopy, and compared to those of prefabricated FRC and metal posts. Load-bearing capacity and microstrain were evaluated and failure mode assessment was made on incisors restored with individually formed FRC posts of different structures and prefabricated posts. The results of these studies show that the individually polymerized and formed FRC post material had higher flexural properties compared to the commercial prefabricated FRC posts. The individually polymerized FRC material showed almost the same degree of conversion after light polymerization as monomer resin without fibres. Moreover, it was found that the individually formed FRC post material with a semiinterpenetrating polymer network (IPN) polymer matrix bonded better to composite resin luting cement, than did the prefabricated posts with a cross-linked polymer matrix. Furthermore, it was found that, contrary to the other posts, there were no adhesive failures between the individually formed FRC posts and composite resin luting cement. This suggests better interfacial adhesion of cements to these posts. Although no differences in load-bearing capacity or microstrain could be seen, the incisors restored with individually formed FRC posts with a hollow structure showed more favourable failures compared to other prefabricated posts. These studies suggest that it is possible to use individually formed FRC material with semi-IPN polymer matrix as root canal post material. They also indicate that there are benefits especially regarding the bonding properties to composite resin and dentin with this material compared to prefabricated FRC post material with a cross-linked matrix. Furthermore, clinically more repairable failures were found with this material compared to those of prefabricated posts.